Medical device and method of use

A method of using a medical device comprising,

• performing a first function on a device actuator, the device actuator operatively coupled to at least one extension portion, the at least one extension portion comprising a plurality of telescoping sections;
• moving a device sheath at least partially encapsulating one or more of the plurality of telescoping sections from a first location to a second location;
• performing a second function on the device actuator;
• moving a first section of a medical device extension portion from a retracted location to an extended location;
• extending the plurality of extension portion telescoping sections;
• attaching a coupling device to tissue;
• and
• causing a tissue interaction portion coupled to the extension portion to at least one of, grip the tissue, couple the tissue, and cut the tissue;
• and
• using the actuator to control at least one of the extension portion, one or more sheaths, and tissue interaction portion.

A tissue coupling system comprising,

• an actuator;
• a plurality of telescoping sections in communication with the actuator;
• a tissue coupling device coupled to at least one of the actuator and the plurality of telescoping sections;
• and wherein, the actuator is adapted to,
• extend and retract the plurality of telescoping sections, and
• interact the tissue coupling device with body tissue.