A tissue repair or fixation device comprising: first and second tissue anchors (125a, 125b) sized and shaped to be disposed in a tubular member of a delivery tool and to be inserted into tissue; a flexible connecting element coupling the first and second tissue anchors, the connecting element at least partially formed from a tubular braided suture material and including: a distal segment of the braided suture material attached to the first tissue anchor; said tissue repair or fixation device being characterized in that the tubular braided suture material further includes an intermediate segment of the braided suture material extending proximally from the distal segment and including a locking element and an adjustable loop, wherein a portion of the intermediate segment extends internally within the braided suture material of the locking element, and wherein the second tissue anchor is slidably coupled to the braided suture material of the adjustable loop; and a proximal segment of the braided material extending proximally from the intermediate segment and operable by a user to be placed in tension to reduce the length of the adjustable loop; and in that said tissue repair or fixation device further comprises a retention line (301, 428) coupled to the second tissue anchor and configured to retain the second tissue anchor within the tubular member of the delivery tool during deployment of the first tissue anchor. first and second tissue anchors (125a, 125b) sized and shaped to be disposed in a tubular member of a delivery tool and to be inserted into tissue; a flexible connecting element coupling the first and second tissue anchors, the connecting element at least partially formed from a tubular braided suture material and including: a distal segment of the braided suture material attached to the first tissue anchor; said tissue repair or fixation device being characterized in that the tubular braided suture material further includes an intermediate segment of the braided suture material extending proximally from the distal segment and including a locking element and an adjustable loop, wherein a portion of the intermediate segment extends internally within the braided suture material of the locking element, and wherein the second tissue anchor is slidably coupled to the braided suture material of the adjustable loop; and a proximal segment of the braided material extending proximally from the intermediate segment and operable by a user to be placed in tension to reduce the length of the adjustable loop; and in that said tissue repair or fixation device further comprises a retention line (301, 428) coupled to the second tissue anchor and configured to retain the second tissue anchor within the tubular member of the delivery tool during deployment of the first tissue anchor. a distal segment of the braided suture material attached to the first tissue anchor; said tissue repair or fixation device being characterized in that the tubular braided suture material further includes an intermediate segment of the braided suture material extending proximally from the distal segment and including a locking element and an adjustable loop, wherein a portion of the intermediate segment extends internally within the braided suture material of the locking element, and wherein the second tissue anchor is slidably coupled to the braided suture material of the adjustable loop; and a proximal segment of the braided material extending proximally from the intermediate segment and operable by a user to be placed in tension to reduce the length of the adjustable loop; and in that said tissue repair or fixation device further comprises a retention line (301, 428) coupled to the second tissue anchor and configured to retain the second tissue anchor within the tubular member of the delivery tool during deployment of the first tissue anchor.