Medical device and method of use

1. A medical device comprising,

an actuator;

an extension portion operatively coupled to the actuator, the extension portion comprising a first telescoping section and a second telescoping section,

each of the first telescoping section and second telescoping sections having,

at least one extended hook section, the at least one extended hook section having a head portion and a neck portion, and

a body section, the body section being one of coupled and integrated to the at least one extended hook section, and wherein,

the at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section;

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

a gripping mechanism,

a stapling mechanism, and

a cutting mechanism; and wherein,

the actuator is adapted to control at least one of the extension portion, gripping mechanism, stapling mechanism, and cutting mechanism.

2. The medical device of claim 1 further comprising,

a clamping sheath wherein, the clamping sheath at least partially encapsulates the extension portion; and wherein,

the second telescoping body section comprises at least one notch adapted to receive the at least one extended hook section of the first telescoping section; and

the at least one notch of the second telescoping section and the clamping sheath operatively confine the first telescoping section at least one extended hook section to the second telescoping section at least one notch.

3. The medical device of claim 2 wherein,

the at least one notch of the second telescoping section comprises at least one longitudinally-aligned notch;

the extension portion further comprises at least one rod operatively coupled to at least one of the first telescoping section and the second telescoping section; and further comprising,

a single-application device, the single-application device being adapted to limit use of at least one of the gripping mechanism, stapling mechanism, and cutting mechanism to a single use.

4. The medical device of claim 3 wherein, the single-application device comprises a locking sheath, the locking sheath being adapted to operatively interact with the at least one rod and the clamping sheath.

5. The medical device of claim 3 wherein,

the stapling mechanism comprises,

one or more stapling shafts, and

one or more staples; and

the one or more stapling shafts comprise a distal end and a proximal end,

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

the proximal end comprises a wedge adapted to operatively interact with the one or more staples.

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 sharp edge.

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 substantially parallel to the longitudinal axis at a first period of time; and

at least a portion of the stapling mechanism is adapted to initiate moving substantially parallel to the longitudinal axis at a second period of time, the second period of time being different from the first period of time.

8. A method of using a medical device comprising,

performing a first function on a device actuator;

moving a single-use mechanism 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 first retracted location to a second extended location;

extending a plurality of extension portion telescoping sections;

attaching a coupling device to tissue; and

cutting the tissue.

9. The method of claim 8 wherein,

the first section of the medical device comprises a rod;

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

at least one stapling shaft from a first stapling shaft location to a second stapling shaft location, and

the staple rod from the first retracted location to the second extended location;

attaching a coupling device to tissue comprises,

interacting at least one stapling shaft proximal end with at least one staple receiving device, and

attaching one or more staples to the tissue.

10. The method of claim 9 , wherein,

the single-use mechanism comprises an inner clamping sheath;

and further comprising,

performing a third function on the device actuator;

retracting the staple rod from the second extended location; and

using the inner clamping sheath to prevent the rod from returning to the first retracted location.

11. The method of claim 10 wherein, using the inner clamping sheath to prevent the rod from returning to the first retracted location comprises coupling the rod to the clamping sheath at a second retracted location.

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

positioning the at least one stapling shaft in at least one notch located in the plurality of extension portion telescoping sections; and

sliding at least a portion of the at least one stapling shaft through the at least one notch.

13. The method of claim 12 further comprising,

positioning at least one cutting shaft in the at least one notch; and

sliding at least a portion of the at least one cutting shaft through the at least one notch.

14. The method of claim 8 wherein, extending the plurality of extension portion telescoping sections comprises, 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 operatively coupled to the actuator, wherein,

each of the telescoping sections comprises,

an upper section,

a lower section,

at least one upper section slot, and

at least one lower section slot,

a tissue coupling device coupled to at least one of the plurality of telescoping sections; and wherein,

each at least one upper section slot is adapted to receive one of,

a portion of another telescoping section, and

the tissue coupling device.

16. The tissue coupling system of claim 15 wherein, one or more of the plurality of telescoping sections are one or added to and removed from the tissue coupling system to,

one of shorten and lengthen the tissue coupling system; and

access tissue.

17. The tissue coupling system of claim 15 , further comprising a locking mechanism adapted to limit use of the tissue coupling device to a user-specified number of actions.

18. The tissue coupling system of claim 17 , wherein,

the tissue coupling device comprises a tissue stapler; and

the user-specified number of actions comprises a single-use.

19. The tissue coupling system of claim 15 further comprising at least one sheath, the at least one sheath comprising a plurality of tabs, each of the plurality of tabs adapted to interact with one of another sheath and a rod.

20. The tissue coupling system of claim 19 , wherein, at least one of each of the plurality of tabs interacts with a notch of another sheath.