Low profile medical device and related methods of use

A driver comprising:

• an elongate member having a proximal end, a distal end, and a lumen extending therebetween;
• an end-effector disposed at the distal end of the elongate member, the end-effector including a first arm, the first arm having a distal end, a proximal end, and an opening configured to receive a needle therein;
• and
• a second arm pivotably connected to the first arm, the second arm configured to alternate between a closed position and an open position relative to the first arm, wherein in the closed position, a substantial entirety of the second arm is configured to be received within a mounting area defined by the first arm.

An end-effector connected to a distal end of an elongate member, the elongate member having a proximal end, and a lumen extending between the proximal end and the distal end, the end effector comprising:

• a first arm having a distal end, a proximal end, and an opening configured to receive one of a needle and a suture, wherein the first arm includes a longitudinal slot defined therein;
• a second arm movably coupled to the first arm and configured to alternate between a closed position and an open position relative to the first arm, wherein a width of the second arm is smaller than a width of the first arm;
• a grasping portion disposed on the second arm that cooperates with the opening of the first arm in the closed position to retain the one of a needle and a suture;
• and
• a pull cable extending between a proximal end of the second arm and the proximal end of the elongate member, wherein the first arm defines a mounting area, and, when in the closed position, a substantial entirety of the second arm is configured to be received within the mounting area and a portion of the second arm is configured to extend through the slot.