Tri Staple Technology Stapler Used in Gastric Bypass

Inclusion Criteria: * The patient must be 18-65 years of age. * The patient has a BMI of 40-60 kg/m2, or 35-40 kg/m2 with one or more of following comorbidities: sleep apnea, hypertension, hyperlipidemia, coronary artery disease, gastro esophageal reflux disease, osteoarthritis, and diabetes and eligible for gastric bypass. * The patient must be willing and able to participate in the study procedures and able to understand and sign the informed consent. Exclusion Criteria: * The procedure is needed as revision bariatric surgery or the patient has had prior gastric surgery (nissen fundoplication, hiatal hernia, etc) * The patient is pregnant. * The patient has an active or history of, infection at the operative site. * The patient is unable or unwilling to comply with the study requirements, follow-up schedule, or to give valid informed consent. * Patient has an abdominal ventral hernia requiring mesh repair * The patient has a history of clinically significant liver disease * The patient has a history of drug or alcohol abuse within 2 years of enrollment * The patient has a history of venous thrombosis or pulmonary embolism * The patient has a history of coagulopathy