| CPC A61B 17/1155 (2013.01) [A61B 2017/00477 (2013.01)] | 20 Claims |

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1. An anvil and delivery system assembly comprising:
an anvil including an anvil head and a center rod, the anvil head secured to the center rod by a pivot member and movable between a first tilted position, an operative position, and a second tilted position; and
a delivery system including a flexible guide member, an adapter, a tie down suture, and a retaining suture, the flexible guide member coupled to the center rod of the anvil with the adapter, the tie down suture secured to the anvil head and to the adapter to retain the anvil head in the first tilted position, and the retaining suture secured to the anvil head via the tie down suture such that release of the tie down suture from the anvil head automatically releases the retaining suture from the anvil head.
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