Multi element biased suture clip

A method of clamping a suture passing through a tissue layer with a suture clamp system comprising a plurality of elements positioned together in a row, each element of the plurality of elements having a lower portion separated from an upper portion by a flexible neck, each element of the plurality of elements including a slot having an outwardly facing opening, the slots from the plurality of elements configured to accept a suture element through the row of elements when at least one of the elements is in a first position and secure the suture element when at least one of the elements a second position, the method comprising:

• applying a biasing force to at least one element into the first position to provide access to the outwardly facing opening of the slot,
• passing the suture through a tissue layer,
• receiving the suture into the slot through the outward facing opening, and
• removing the biasing force to form a tortuous path between adjacently positioned elements of the plurality of elements as the at least one element moves from the first position to the second position.