A medical device includes an elongated suture having a tension indicator carried by the elongated suture. The tension indicator signals over-tensioning of the elongated suture when a tensile load applied along an axial direction of the elongated suture exceeds a predetermined tensile load, thereby preventing over-tensioning of the suture and collapsing of the suture. Advantageously, the tension indicator serves as an integrated feedback device that provides instantaneous feedback when tensioning a suture, rather than having to use an external measuring device to determine the amount of tensile load applied to the suture.