Hip capsule closure

A method of repairing an opening through tissue, the opening disposed between a first leaflet and a second leaflet of tissue, the method comprising:

• placing a distal end of a repair instrument along an internal surface of the first leaflet of tissue with a handle of the repair instrument disposed on an external side of the tissue, a first fixation member operatively coupled to the repair instrument, the first fixation member coupled to a suture, the suture having a first limb extending from the first fixation member;
• disposing the first fixation member on an external surface of the first leaflet and extending the suture first limb through the first leaflet so that the suture first limb extends from the first leaflet internal surface;
• with the first fixation member on the first leaflet external surface;
• passing the first limb from an internal surface of the second leaflet to an external surface of the second leaflet, so that it extends from the second leaflet external surface, and then forming a repair loop around the opening through the tissue with the suture.

A method of repairing an opening through tissue, the opening disposed between a first leaflet and a second leaflet of tissue, the method comprising:

• placing a distal jaw of a repair instrument through the opening and along an internal surface of the first leaflet of tissue with a handle of the repair instrument disposed on an external side of the tissue, the repair instrument distal jaw housing a suture, the suture defining a first end and a second end;
• placing a proximal jaw of the repair instrument along an external surface of the first leaflet of tissue, so as to stabilize the first leaflet between the distal and proximal jaw and while stabilized, actuating the repair instrument to pass the the second suture limb in a retrograde direction towards the proximal jaw, from the internal surface to the external surface of the first leaflet;
• fixing the second suture limb at the first leaflet external surface and, with the second suture limb fixed, extending the first suture limb through the second leaflet of tissue;
• and
• coupling the first and second suture limb to form a repair loop before tensioning at least one of the first or second limbs to repair the opening through the tissue.

A method of repairing an opening through tissue, the opening disposed between a first leaflet and a second leaflet of tissue, each of the first and second leaflets defining external side surfaces and internal side surfaces, the method comprising:

• using a repair instrument, placing a first fixation member on the first leaflet external side surface and a limb of a suture through the first leaflet, so that the limb extends from the first leaflet internal side surface, the suture fixedly coupled to the first fixation member;
• with the first fixation member on the first leaflet external side surface, passing the limb over to the second leaflet internal surface and through the second leaflet to the second leaflet external side surface, so that the limb extends from the first fixation member, through the first leaflet, and through the second leaflet;
• and
• passing the limb through a locking passage of the suture to form a suture repair loop.