Multi-port closure device, corresponding suture material and mesh, a method for repairing and closing a fascial defect, and related devices and methods

Abstract

A Multi-port Closure Device is provided for percutaneous insertion through a fascial port in a first arrangement and simultaneously providing a plurality of suture pathways extending longitudinally through the device and extending across a width and central region of the defect in a second arrangement for implementing suture bites about a defect perimeter in an equidistant orientation. The plurality of suture pathways can be arranged to retain barbs of a bi-directional suture material in an undeployed condition for traversing suture pathways without interference. Elongate gaps can be provided along suture pathways for releasing the suture material for readily engaging tissue in a matching arrangement on opposite sides of the defect. The bi-directional barbs can include visual guidance features and mesh connection features, and the device can include mechanisms for enhanced guidance and connection of suture material to mesh material for secure placement and retention of mesh and mitigating herniation.