Abstract: An apparatus for sealing approximated edges of tissue with thermal energy includes a clamp having members which grasp and hold tissue. A transmissive material is supported by at least one of the members. The members pivot to pull the tissue edges in tight approximation against the transmissive material to form a seam. Thermal energy is then directed at the tissue through the transmissive material and at the seam with sufficient intensity and duration to heat the tissue to an adhesive proteinaceous substance to seal the seam. The approximated seam is held against the transmissive material with an appropriate pressure to avoid over inverted or over everted tissue approximation.

Abstract: A method and apparatus for sealing luminal tissue is disclosed. The apparatus is inserted into the lumen of the organ and positioned adjacent an area on the organ to be sealed. Energy sufficient to heat tissue to form a denatured proteinaceous substance is delivered through the lumen to the apparatus. The apparatus then directs the energy at the area to be sealed.

Abstract: The method and apparatus of the invention use a beam of laser emitted optical energy to effect wound closure and reconstruction of biological tissue. In response to input as to tissue type and thickness, a computer determines the output power, exposure time and spot diameter of the emitted beam to control the application of optical energy to produce thermal heating of biological tissue to a degree suitable for denaturing the tissue proteins such that the collagenous elements of the tissue form a "biological glue" to seal immediately and/or to reconstruct the tissue being heated. In a given embodiment, the computer directly controls output power of the laser by regulating the laser's input current, and limits exposure time by deactivating a shutter mechansim when the determined time is reached. Beam diameter is manually set in response to a displayed value for a sliding scale that controls the working distance between the end of a fiber optic beam guide and the tissue site.