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 are 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 is in a second position, adjacently positioned upper portions of the elements of the plurality of elements being at least partially overlapping in threes axes of the row and in an alternating orientation one to another along a longitudinal length of the row without the suture element being disposed within the slot, 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.