A tissue repair device including a handle, an elongated needle body defining an axial bore extending from the handle, first and second implants connected by a suture and disposed at least partially within the axial bore of the needle. A ratchet assembly includes a pusher member that incrementally advances through the needle body to urge the first and second implants therefrom in a predefined sequence, a proximally-biased rotatable ratchet coupled to the pusher member, and an axially translatable drive mechanism configured to provide axial and rotational driving forces causing the ratchet to alternately engage and disengage from successively more distal teeth of a toothed surface within the handle. One or more implant retention features impeded undesired expulsion of implants from the needle.