Surgical suturing device for repair of tricuspid regurgitation and methods thereof

A surgical suturing device, comprising:

• a first tissue gap;
• a second tissue gap;
• a first pair of needles configured to be movable across the first tissue gap, each of the first pair of needles having a tip portion;
• a second pair of needles configured to be movable across the second tissue gap, each of the second pair of needles having a tip portion;
• a distal tip having a first portion defining the first tissue gap and a second portion defining the second tissue gap, the distal tip further defining:
• a first ferrule holder configured to releasably retain a first ferrule coupled to a first portion of suture;
• a second ferrule holder configured to releasably retain a second ferrule coupled to a second portion of suture;
• a third ferrule holder configured to releasably retain a third ferrule coupled to a third portion of suture;
• a fourth ferrule holder configured to releasably retain
• a fourth ferrule coupled to a fourth portion of suture;
• and
• a needle actuator operable between a first configuration and a second configuration, the needle actuator comprises a lever and a selection switch configured to selectively couple the lever to either the first pair of needles or the second pair of needles, wherein in the first configuration, the tip portion of each of the first pair of needles is configured to displace across the first tissue gap and into communication with the first ferrule and the third ferrule, respectively;
• and
• wherein in the second configuration, the tip portion of each of the second pair of needles is configured to displace across the second tissue gap and into communication with the second ferrule and the fourth ferrule, respectively.