I'm going to rotate my device, I'm going to now open, and I'm going to put my, there's a tiny little helical retractor that I'm going to advance from the inside of my instrument. And that's going to go right here along this G junction Z line right at around 11 12 o'clock. I'm going to rotate that in nice and securely. And then what I'm going to do is I'm going to rotate out of the corner like that. And then this one, you went very close to the Z line there. I mean, like we could see the squamous mucosa, correct? Exactly. Okay. So you want to go as close to it as possible on exactly as the anchoring point. So now I'm going to set the device by pulling it back and above 45 centimeters, 44 centimeters. And now I'm going to have Alyssa deflate now. And so while she's deflating the stomach to loosen the stomach wall, I'm going to start pulling on the retractor. Stop right there. So I'm pulling, I'm pulling, you see how the retractor is coming towards me? That's creating length. Okay. Right there. Did it come off? Oh, I think we're okay. All right. Then I'm going to rotate this way. Deflate, deflate, deflate, deflate. Okay. I'm going to close. Lock, lock, suck. I'm going to push off the diaphragm. I'm going to fire. So when I press the trigger handle, I fired two fasteners with stylettes. So now I'm going to open to show you, I'm going to reload first. So this automatically fires two nylon fasteners at the same time with every press of the trigger handle. And now when I opened it up, you can see, you can see that we put some fasteners there along that posterior side. So I'm going to, I'm going to do that one more time. I'm going to come around this way. My, my helix came off, so that's no problem. We just go ahead and, and reattach the helix. So I'm going to reattach the helix. Now I'm going to grab right here, one, two, three, nice and snug. Okay. So I'm going to rotate again. All right. I'm going to open and set the helix free. I'm going to pull back to about 44 and I'm going to have you deflate, deflate, deflate. So I'm going to retract, retract, retract, retract, hold it right there, retract, retract. Okay. And deflate some more. Now I'm going to rotate, rotate, rotate to about one o'clock, two o'clock, suction on re-insufflate, push off the diaphragm, I'm going to fire. I'm going to rotate off, you can see the valve is coming in nicely already.

procedure

device

stomach wall manipulation

retractor

nylon fasteners