directions each of the first and second extensions includes at least one throw application_number US 57180609 A description referring initially to fig1 and 2 an embodiment of an end effector according to the present disclosure is shown generally as end effector 10 although as shown end effector 10 is formed on a distal end 12 b of suture 12 end effector 10 may be formed anywhere along the length of suture 12 suture 12 may be formed of degradable materials non degradable materials and combinations thereof more particularly suture 12 may be formed of a degradable material selected from the group consisting of polyesters polyorthoesters polymer drugs polydroxybutyrates lactones proteins cat gut collagens carbonates homopolymers thereof copolymers thereof and combinations thereof in other embodiments suitable degradable materials which may be utilized to form suture 12 include natural collagenous materials or synthetic resins including those derived from alkylene carbonates such as trimethylene carbonate tetramethylene carbonate and the like caprolactone dioxanone glycolic acid lactic acid homopolymers thereof copolymers thereof and combinations thereof in some embodiments glycolide and lactide based polyesters especially copolymers of glycolide and lactide may be utilized to form suture 12 suitable non degradable materials which may be utilized to form suture 12 include polyolefins such as polyethylene and polypropylene copolymers of polyethylene and polypropylene and blends of polyethylene and.