Tri Staple Technology Stapler Used in Gastric Bypass

Inclusion Criteria:

• The patient must be 18-65 years of age.

• The patient has a BMI of 40-60 kg/m2, or 35-40 kg/m2 with one or more of followingcomorbidities: sleep apnea, hypertension, hyperlipidemia, coronary artery disease,gastro esophageal reflux disease, osteoarthritis, and diabetes and eligible forgastric bypass.

• The patient must be willing and able to participate in the study procedures and ableto understand and sign the informed consent.

Exclusion Criteria:

• The procedure is needed as revision bariatric surgery or the patient has had priorgastric surgery (nissen fundoplication, hiatal hernia, etc)

• The patient is pregnant.

• The patient has an active or history of, infection at the operative site.

• The patient is unable or unwilling to comply with the study requirements, follow-upschedule, or to give valid informed consent.

• Patient has an abdominal ventral hernia requiring mesh repair

• The patient has a history of clinically significant liver disease

• The patient has a history of drug or alcohol abuse within 2 years of enrollment

• The patient has a history of venous thrombosis or pulmonary embolism

• The patient has a history of coagulopathy