An endoscopic fastening system having a diameter sufficiently small so
that the fastening system is slidably insertable into a working channel
of a flexible or rigid endoscope for performing a stapling, clipping, or
other fastening operation, comprises one or more fasteners, and a
fastener delivery and deployment assembly. One or more fasteners being
disposed in a substantially closed prefiring configuration inside the
fastener delivery and deployment system are configured for being
delivered and deployed into a target tissue while remaining in a
substantially closed configuration throughout the entire operation. Other
related embodiments of fasteners and their respective delivery and
deployment assemblies enabling fastening operations in conjunction with a
flexible or rigid endoscope are described.