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A system and method for providing a novel trans-abdominal gastric access device for surgical instruments by means of a percutaneous abdominal-gastric cannula with internal bolster that is positioned endoscopically similar to a standard pull-through percutaneous endoscopic gastrostomy technique. The TAGSS® device has several major components which include the following

  • Working TAGSS® endoscopic-laparoscopic port with the ability to pass all generic 5mm laparoscopic instruments.
  • Cap with insufflation capability that is readily affixed to the TAGSS® cannula.
  • An adjustable external disc to secure the TAGSS® cannula against the anterior abdominal wall prior to surgical instrumentation, which also contains pre-positioned sutures to enable rapid and effective closure of gastro-cutaneous or gastro-peritoneal openings.
  • Internal bumper adjacent to the gastric wall to effectively position TAGSS.®

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TAGSS® allows for the treatment of a large variety of intragastric, abdominal and pelvic diseases in easier, safer and more cost-effective ways than currently available methods provide. Many procedures performed with the TAGSS® platform can be accomplished with a single, very small incision. This is possible because of the simultaneous use of standard or interventional endoscopy. Additional TAGSS® placement(s) can also be easily accomplished per the need for enhanced triangulation or trans-gastric laparoscopic procedures. The surgical team then has direct access to the stomach, duodenum, and more distal small intestine and colon, as well as extra luminal solid organs including the appendix, gallbladder, kidney and other intra-abdominal/pelvic/thoracic structures.