A medical device comprising an actuator an extension portion and a tissue interaction portion. The extension portion is coupled to the actuator and comprises at least first and second telescoping sections with each telescoping section having (i) at least one extended hook section having a head portion and a neck portion and (ii) at least one body section being one of coupled and integrated to the at least one extended hook section. The at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section. The tissue interaction portion is operatively coupled to the extension portion and comprises at least one of a gripping mechanism a stapling mechanism and a cutting mechanism. The actuator is adapted to control at least one of the extension portion and tissue interaction portion.