A catheter securement device which automatically deploys one or more sutures to secure a catheter without requiring the practitioner to manually suture the catheter to the self-suturing anchor device. A ratchet mechanism having one or more rotatable ratchet members, which pivot, and a ratchet member engagement spring, which maintains contact between the teeth of the rotatable ratchet member and the teeth of the ratchet ring. A suture retention assembly is provided to maintain the position of the sutures to minimize disruption of the sutures before deployment of the sutures.