# US 2014/0194901 A1 · Assemblies for deploying fasteners in tissue and snares for use in such assemblies

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- Number: US 2014/0194901 A1
- Document ID: US20140194901A1
- Status: Published application
- Kind: A1
- Application number: 13/736,047
- Filed: 2013-01-07
- Published: 2014-07-10
- Earliest claimed: 2013-01-07
- Assignees: EndoGastric Solutions, Inc.
- Applicants: EndoGastric Solutions, Inc.
- Inventors: Steve G BAKER; Scott Harshman; Hanh To; Sean Totten
- Web page: https://patentgrep.com/patent/US20140194901A1

## CPC

- A61B 17/10: for applying or removing wound clamps {, e.g. containing only one clamp or staple (A61B17/076 takes precedence; containing multiple wound clamps A61B17/068)}; Wound clamp magazines
- A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)}
- A61B 2017/00349: {Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue (A61B17/06066 takes precedence)}
- A61B 2017/00818: {Treatment of the gastro-intestinal system}
- A61B 2017/0411: {Instruments for removing suture anchors}
- A61B 2017/0419: {H-fasteners}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An assembly is provided to facilitate the deployment of at least one fastener through tissue, such as stomach tissue. The assembly comprises a fastener deploying device arranged to deploy a fastener through the tissue and a snare arranged to bind the tissue and fastener deploying device together as the fastener deploying device deploys a fastener through the tissue.

## Claims

### Claim at position 1

1-61. (canceled)

### Claim 62

A method of fastening stomach tissue together, comprising the steps of:
providing a tissue fastening assembly including a cable loop, a tissue retractor and a fastener deployment device having a fastener;
delivering the tissue fastening assembly down a throat of a patient to the patient's stomach;
grabbing stomach tissue with the tissue retractor;
pulling the stomach tissue into the cable loop;
drawing the cable loop around the stomach tissue after the pulling step thereby closing the cable loop around the stomach tissue so that the cable loop holds the stomach tissue;
applying a fastener through the stomach tissue after the drawing step; and
opening the cable loop to release the stomach tissue after the applying step.

### Claim 63 (depends on 63)

The method of claim 63, wherein:
the providing step is carried out with the tissue fastening assembly including a tissue engaging surface positioned between opposing sides of the cable loop;
the pulling step being carried out to pull the stomach tissue under tension against the tissue engaging surface.

### Claim 64 (depends on 63)

The method of claim 63, wherein:
the pulling step is carried out with the stomach tissue being pulled proximally to apply tension to the stomach tissue.

### Claim 65 (depends on 63)

The method of claim 63, wherein:
the drawing step is carried out by closing the cable loop around the stomach tissue