A medical device and method for performing translumenal procedures that reducesprocedure time as well as' the number of instruments used is disclosed.An elongate medical device has both a cutting tool (22) and a suturing tool (24)disposed at a distal end of the elongate medical device. The suturing tool includesa plurality of needles (28) connected to one or more sutures (29). The elongatemedical device is advanced through a bodily lumen to a position proximate thevisceral wall (10). A perforation is formed in the visceral wall using the cuttingtool. The elongate medical device and its suturing tool are advanced throughthe perforation and a plurality of needles are passed through the visceral wallaround the periphery of the perforation. The plurality of needles are withdrawnthrough the bodily lumen and the perforation is ciosed using the suture.
