#$%^&*AU2009201761B220140703.pdf#####SURGICAL INSTRUMENT WITH CLAMP ABSTRACT A surgical instrument (100) for surgically joining tissue is disclosed. The surgical instrument (100) includes a handle portion, an endoscopic portion (110), a pair of s jaw members (220) and a clamp (230). The endoscopic portion (110) extends distally from the handle portion and defines a first longitudinal axis. The pair of jaw members (220) is disposed adjacent a distal end of the endoscopic portion (110) and extends generally distally therefrom. At least one of the jaw members (220) is movable with respect to the other between an open position and an approximated position for engaging io body tissue therebetween. The clamp (230) is disposed adjacent the jaw members (220) and extends generally distally from the endoscopic portion (110). The clamp (230) is movable between an open position and an approximated position for engaging body tissue. The clamp (230) is independently movable with respect to the jaw members (220).2/8 c=1~ LL.