#$%^&*AU2017276236B220190926.pdf#####ABSTRACT [0076] Implantable medical devices for connecting tissue layers, such as for connecting a gallbladder and a portion of a gastrointestinal tract to create an anastomosis, include a tubular structure having a plurality of apposition portions, a central region, and a covering material. The devices are endoscopically deployable and may include flange members having hinge members or variable properties such as length, angle, shape, material stiffness, and wire diameter. 9790036_1 (GHMatters) P104123.AU.1216 300 322 316 314 312 300-3 310 302 308 306 -304 212322 320 318 FIG 2 400 -. 212 410 402 408 el FIG. 3