Patent ID: 8545523

Claim:
A kit for tissue repair comprising: (A) a mesh placer comprising an application member configured to articulate with respect to a deployment rod, a mesh being attached to said application member; (B) a mesh stitcher for stitching the mesh to tissue, comprising: a first puncture element comprising a sharp distal end for puncturing tissue; a second puncture element comprising a sharp distal end for puncturing tissue, the distal ends of said first and second puncture elements being spaced from each other by a gap; suture thread disposed along a portion of said first puncture element, wherein said suture thread is arranged to be grabbed at the distal end of said first puncture element; and a suture grabber positioned at the distal end of said second puncture element, said suture grabber having a mode of operation wherein: a. said first puncture element is configured to puncture through a tissue wall so that said suture thread is configured to pass from a near side of said tissue wall to a far side of said tissue wall; b. said second puncture element is configured to puncture through the tissue wall from said near side to said far side of said tissue wall; and c. said suture grabber is configured to grab said suture thread at the distal end of said first puncture element at the far side of said tissue wall, bring said suture thread across said gap and move said suture thread proximally away from the distal end of said second puncture element back through to the near side of said tissue wall; and (C) a tacker for applying a rotary tack for tacking the mesh to tissue comprising: a handle with a first trigger assembly and a second trigger assembly, said first and second trigger assemblies being coupled to an articulated applicator arm which is disposed through a drive shaft connected to said handle, said first trigger assembly operative to apply a rotary tack from a distal end of said applicator arm and said second trigger assembly operative to bend said distal end of said applicator arm, wherein a longitudinal axis of said handle is tilted with respect to said drive shaft.