A device for the approximation of tissue including a hollow tube housing an inner core. The inner core may be moved within the hollow tube between first and second positions. The inner core comprises a distal tip. When the inner core is placed into the first position, the distal tip extends away from or outside of the hollow tube such that the distal tip may become securely attached to a selected tissue at a desired location. Once secured to tissue, the distal tip is configured to approximate the torn tissue in a selected direction. Associated systems and methods are also disclosed.