There is currently no FDA-cleared device that can treat Gastro-intestinal (GI) leaks, requiring clinicians to improvise a solution when performing endoscopic vacuum therapy near a tear in the GI tract. Simpl-e-VAC explored an integrated system that combines a nasogastric tube, guidewire, and self-expanding sponge. This approach allows for clinicians to immediately begin treatment instead of assembling a solution in the OR