Patent ID: 7833237

Claim:
An instrument for remote placement of knots in a loop of suture having first and second ends extending through tissue and trimming of suture away from said knots comprising: a shaft having a distal end; a distal tip at said distal end having means for facilitating the formation of one or more knots in the suture extending from the tissue, in which said distal tip of said shaft when moved forward pushes said formed one or more knots for placement to the tissue; two openings at said distal end of said shaft through which is receivable two ends of the suture extending from said placed one or more knots; and means for cutting positionable to cut said suture extending through said openings, wherein said two openings represent first and second openings, said distal tip has a distal surface capable of facing tissue, and said means for facilitating the formation of one or more knots further comprises: a side cavity in said distal tip; a third opening extending from said distal surface of said distal tip, and a passageway extending from said third opening to said cavity, in which said first end of said suture is extendable through said third opening and said cavity via said passageway, wherein said passageway represents a first passageway, and said distal tip further comprises: a fourth opening extending from said distal surface of said distal tip; a fifth opening along one side of said distal tip; a second passageway extending from said fourth opening to said fifth opening; and a slot in said distal tip leading to said second passageway into which is receivable the second end of said suture for passage through said second passageway between said fourth and fifth openings.