Abstract: A method and a device for joining luminal structures. The device is comprised of a bridge, typically cylindrical, having an interior dimension to receive two sets of curved needles and having a series of holes or channels at each end for passage of the needles through the body of the bridge. A plunger, typically activated by an elongated member, urges the needles, point first, through the channels. When the ends of the bridge are inserted into the luminal structures to be joined and the plunger is activated, the needles will move through the channels and through the luminal structure to be joined, allowing the surgeon to grasp the pointed ends of the needles and pull them through the channels and through the luminal structure. On the second ends of the needles are sutures which will ultimately be used to join the two luminal structures.