In one general aspect, an apparatus can include an elongate member configured to be associated with an implant and having a piercing portion. The apparatus can include a deflection member having a fixed curvature disposed within a plane. The deflection member can have a distal end configured to be disposed within a body of a patient. The deflection member can define a groove extending along at least a portion of the deflection member. The groove of the deflection member can be configured to deflect the piercing portion of the elongate member.
