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A flexible member securing assembly to secure a flexible member relative to tissue is provided and includes a shaft, an arm, an anchor, and a flexible member grasper. The shaft extends along a longitudinal axis from a first end and a second end. The arm is extendable from the shaft second end and th

A flexible member securing assembly to secure a flexible member relative to tissue is provided and includes a shaft, an arm, an anchor, and a flexible member grasper. The shaft extends along a longitudinal axis from a first end and a second end. The arm is extendable from the shaft second end and the flexible member grasper is adjacent to a distal end of the arm to position the flexible member in relation to the anchor. The anchor is removably positioned at the shaft second end and can retain the flexible member in the tissue. Methods of securing a flexible member are also provided.

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1. A method of securing a flexible member to tissue comprising: forming a hole in the tissue;carrying the flexible member adjacent to a distal end of an anchor positioned on a distal end of a shaft and remote therefrom on a flexible member grasper;delivering the flexible member, the flexible member

1. A method of securing a flexible member to tissue comprising: forming a hole in the tissue;carrying the flexible member adjacent to a distal end of an anchor positioned on a distal end of a shaft and remote therefrom on a flexible member grasper;delivering the flexible member, the flexible member grasper, and the anchor to the hole in the tissue;piercing the tissue at a distal end of the hole with at least one of a first portion or a second portion of the flexible member grasper;securing the flexible member in the tissue by placing the anchor over the flexible member within the hole in the tissue;removing the first portion of the flexible member grasper from the hole in the tissue after securing the flexible member in the tissue; andretaining the second portion of the flexible member grasper in the hole with the anchor when removing the first portion of the flexible member grasper from the hole, wherein carrying the flexible member includes directly engaging the flexible member with the first portion and the second portion of the flexible member grasper. 2. The method of claim 1, further comprising removing the anchor from the distal end of the shaft and fixing the flexible member between the hole in the tissue and an outer perimeter of the anchor. 3. The method of claim 1, further comprising forming the hole in the tissue before delivering the flexible member and the anchor. 4. The method of claim 1, further comprising tensioning the flexible member while the flexible member grasper contains the flexible member in the hole in the tissue. 5. The method of claim 1, wherein the anchor is a screw. 6. The method of claim 1, further comprising: placing at least one anchor at a position with respect to a damaged rotator cuff, wherein free ends of the flexible member extend from the at least one anchor;arranging the free ends of the flexible member on the flexible member grasper such that the flexible member grasper carries the free ends of the flexible member;placing the grasper carrying the free ends of the flexible member into the hole in the tissue at a position offset to the at least one anchor; andplacing the anchor over the flexible member grasper to thereby secure the free ends of the flexible member within the hole in the tissue at the offset position. 7. The method of claim 1, further comprising sliding the anchor over an arm extending from the shaft. 8. The method of claim 7, further comprising attaching the second portion of the flexible member grasper on a distal end of the arm. 9. The method of claim 8, further comprising securing the flexible member by removing the anchor and the second portion of the flexible member grasper from the distal end of the arm, wherein the flexible member grasper is separate from the anchor. 10. The method of claim 7, further comprising axially retracting the arm to position the flexible member in the tissue relative to the anchor. 11. The method of claim 1, wherein carrying the flexible member includes directly engaging the flexible member with the first portion and the second portion of the flexible member grasper at a location between the first portion and the second portion and delivering the flexible member grasper includes piercing the tissue at a distal end of the hole with the second portion of the flexible member grasper. 12. The method of claim 11, wherein the second portion of the flexible member grasper is L-shaped, the first portion of the flexible member grasper and the second portion combined are U-shaped, and the first portion and the second portion are separate. 13. The method of claim 1, wherein the carrying the flexible member includes positioning the second portion of the flexible member grasper at a distal end of a driver including the shaft and an arm extending from the shaft. 14. A method of securing a flexible member to tissue comprising: forming a hole in the tissue;positioning an anchor on a distal end of a shaft;attaching a portion of a flexible member grasper on a distal end of an arm extending from the shaft;aligning the flexible member between a ledge of the flexible member grasper and a pin of the flexible member grasper;delivering the flexible member and the anchor to the hole in the tissue;piercing the tissue at a distal end of the hole with at least one of the ledge of the flexible member gasper and the pin of the flexible member grasper; andsecuring the flexible member in the tissue by fixing the anchor in the hole in the tissue when the flexible member is between the anchor and the hole in the tissue, wherein delivering the flexible member includes directly engaging the flexible member with the ledge and the pin of the flexible member grasper. 15. The method of claim 14, further comprising removing the anchor from the distal end of the shaft and fixing the flexible member between the hole in the tissue and an outer perimeter of the anchor. 16. The method of claim 14, further comprising forming the hole in the tissue before delivering the flexible member and the anchor. 17. The method of claim 14, further comprising carrying the flexible member with the flexible member grasper and, after delivering the flexible member and the anchor, removing the pin of the flexible member grasper from the hole in the tissue and retaining the ledge of the flexible member grasper in the hole with the anchor. 18. The method of claim 17, further comprising tensioning the flexible member while the flexible member grasper contains the flexible member in the hole in the tissue. 19. The method of claim 17, further comprising sliding the anchor over the arm extending from the shaft. 20. The method of claim 19, further comprising passing the shaft through a bore that extends through the anchor and sizing the bore to provide removable fixation of the anchor to the shaft. 21. The method of claim 20, further comprising securing the flexible member by removing the anchor and the portion of the flexible member grasper from the distal end of the arm, wherein the flexible member grasper is separate from the anchor. 22. The method of claim 19, further comprising axially retracting the arm to position the flexible member in the tissue relative to the anchor. 23. The method of claim 14, wherein the anchor is a screw. 24. The method of claim 14, further comprising: placing at least one anchor at a position with respect to a damaged rotator cuff, wherein free ends of the flexible member extend from the at least one anchor;arranging the free ends of the flexible member on the flexible member grasper such that the flexible member grasper carries the free ends of the flexible member;placing the grasper carrying the free ends of the flexible member into the hole in the tissue at a position offset to the at least one anchor; andplacing the anchor over the flexible member grasper to thereby secure the free ends of the flexible member within the hole in the tissue at the offset position. 25. The method of claim 14, further comprising resting the flexible member on at least one of a channel of the flexible member grasper and a shoulder of the flexible member grasper. 26. The method of claim 14, further comprising forming the hole in the tissue to provide an interference fit with the anchor when the anchor is placed within the hole in the tissue. 27. The method of claim 14, further comprising actuating the arm to place the flexible member grasper in the hole in the tissue. 28. The method of claim 14, further comprising removing the portion of the flexible member grasper from the hole in the tissue when the anchor is placed in the hole in the tissue. 29. The method of claim 14, further comprising securing the flexible member in the tissue by engaging at least one of the ledge and the pin with the tissue when the flexible member is aligned between the ledge and the pin. 30. The method of claim 29, further comprising engaging a tapered nose of the ledge with the tissue such that the ledge engages the tissue without damaging the flexible member. 31. A method of securing a flexible member to tissue comprising: securing the flexible member to a first position that is adjacent to a damaged rotator cuff using at least one anchor;carrying free ends of the flexible member via a flexible member grasper on a distal end of an arm extending from a shaft with an anchor at a distal end of the shaft;placing the flexible member grasper and the anchor into a hole in the tissue located at a second position that is offset to the first position;piercing the tissue a distal end of the hole with at least one of a first portion or a second portion of the flexible member grasper;securing the free ends to the tissue by fixing the anchor in the hole in the tissue when the flexible member is between the anchor and the hole in the tissue;removing the first portion of the flexible member grasper from the hole in the tissue after securing the free ends to the tissue; andretaining the second portion of the flexible member grasper in the hole with the anchor when removing the first portion of the flexible member grasper from the hole, wherein carrying the free ends includes directly engaging the free ends with the first portion and the second portion of the flexible member grasper. 32. The method of claim 31, further comprising sliding the anchor over the arm extending from the shaft. 33. The method of claim 32, further comprising attaching the second portion of the flexible member grasper on the distal end of the arm. 34. The method of claim 33, further comprising securing the free ends by removing the anchor and the second portion of the flexible member grasper from the distal end of the arm, wherein the flexible member grasper is separate from the anchor. 35. The method of claim 32, further comprising axially retracting the arm to position the free ends in the tissue relative to the anchor, wherein carrying the free ends includes directly engaging the free ends with the first portion and the second portion of the flexible member at a location between the first portion and the second portion. 36. The method of claim 31, wherein the carrying the free ends includes positioning the second portion of the flexible member grasper at a distal end of a driver including the shaft and the arm.