Medical device and method of use

1. A medical device comprising,

an actuator;

at least one extension portion operatively coupled to the actuator, the at least one extension portion comprising a plurality of telescoping sections;

one or more sheaths at least partially encapsulating one or more of the plurality of telescoping sections;

a tissue interaction portion operatively coupled to the extension portion, the tissue interaction portion comprising at least one of,

a gripping mechanism,

a coupling mechanism, and

a cutting mechanism; and wherein,

the actuator is adapted to control at least one of the extension portion, one or more sheaths, and tissue interaction portion.

2. The medical device of claim 1 wherein,

at least one of the one or more sheaths comprises an outer protective sheath keeping one or more of the plurality of telescoping sections aligned;

one of the plurality of telescoping sections comprises at least one notch adapted to receive at least one extended hook section of another of the plurality of telescoping sections; and further comprising,

at least one clamping sheath operatively coupled to the tissue interaction portion.

3. The medical device of claim 2 wherein,

the at least one clamping sheath operatively interacts with one or more of the actuator, tissue interaction portion, and at least one extension portion to set the device to a single-application use;

the at least one notch comprises at least one longitudinally-aligned notch;

the extension portion comprises at least one rod operatively coupled to at least one of the plurality of telescoping sections.

4. The medical device of claim 3 further comprising a locking sheath, the locking sheath being adapted to operatively interact with the at least one rod and the at least one clamping sheath.

5. The medical device of claim 3 wherein,

the coupling mechanism comprises,

one or more coupling mechanism delivery systems, and

one or more coupling devices; and

the one or more coupling mechanism delivery systems are adapted to provide the one or more coupling devices to body tissue.

6. The medical device of claim 3 , wherein, the cutting mechanism comprises one or more cutting shafts, the one or more cutting shafts comprising,

a distal end adapted to interact with the at least one rod; and

a proximal end comprising at least one cutting device.

7. The medical device of claim 1 further comprising a longitudinal axis; and wherein,

at least a portion of the cutting mechanism is adapted to initiate moving generally parallel to the longitudinal axis at a first period of time;

at first portion of the coupling mechanism is adapted to initiate moving generally parallel to the longitudinal axis at a second period of time, the second period of time being different from the first period of time; and

a second portion of the coupling mechanism is adapted to initiate moving generally parallel to the longitudinal axis at a third period of time, the third period of time being different from the second period of time.

8. 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.

9. The method of claim 8 wherein,

moving a first section of a medical device extension portion from a retracted location to an extended location comprises,

moving a rod from a retracted location to an extended location, and

extending at least one shaft from a first shaft location to a second shaft location; and

attaching a coupling device to tissue comprises attaching one or more suturing devices to the tissue.

10. The method of claim 9 , wherein,

the device sheath comprises a sheath located at an internal device location; and further comprising,

retracting the rod from the second shaft location; and

using one or more sheath features to prevent the rod from returning to the second shaft location.

11. The method of claim 10 wherein, using one or more sheath features to prevent the rod from returning to the first retracted location comprises using an outer sheath wall extension to couple the rod to the sheath.

12. The method of claim 9 wherein, extending at least one shaft from a first shaft location to a second shaft location comprises,

extending a first shaft from a first first shaft location to a second first shaft location at a first time; and

extending a second shaft from a first second shaft location to a second second shaft location at a second time, wherein the second time is different than the first time.

13. The method of claim 12 wherein, at least one of extending a first shaft and a second shaft occurs at substantially the same time as moving a first section of a medical device extension portion from a retracted location to an extended location.

14. The method of claim 8 further comprising, using a sheath to prevent buckling of the extension portion telescoping sections.

15. 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.

16. The tissue coupling system of claim 15 wherein, the tissue coupling device comprise one or more jaw sections.

17. The tissue coupling system of claim 15 , further comprising a locking mechanism adapted to limit use of the tissue coupling device to one or more desired operations.

18. The tissue coupling system of claim 17 , wherein, the tissue coupling device comprises a stapler.

19. The tissue coupling system of claim 17 further comprising at least one sheath, the at least one sheath adapted to interact with the locking mechanism.

20. The tissue coupling system of claim 19 , wherein, the at least one sheath comprises one or more tabs.