The KFx SutureCross knotless fixation system enables double-row arthroscopic rotator cuff repair without suture passing or knot tying. Medial fixation is achieved with percutaneous trans-tendon placement of two 3mm bone anchors, each with two pre-attached sutures. Two self-tapping 6mm screw anchors are percutaneously implanted for lateral fixation, and the anchor’s knotless suture lock mechanism secures the sutures in place.