On-X Life Technologies CXL-20-1812-24 Chord-X Pre-Measured Loops for Mitral Chordal Replacement 2-0 24mm 1X32" 1/2 Circle BX/5 • Model: CXL-20-1812-24 • Brand: Chord-X • Suture Size: 2-0 • Length: 1X32" • Color: N/A • Material/Composition: ePTFE Monofilament • Non-Absorbable • Needle Name: N/A • Needle Color: Silver • Needle Length: 18mm • Needle Point Type: 1/2 Circle • 1x Papillary Suture, 3x Chordal Loops, 2x PTFE Pledgets, 8 Needles, 1/2 Circle This medical supply or implant item is securely packaged within its original manufacturer's packaging, which remains undamaged. The inner and outer packaging is intact, ensuring the product's integrity and suitability for medical use. The Chord‑X Pre‑Measured Loops (CXL‑20‑1812‑24) simplify mitral valve repair by offering pre‑configured neochordae that eliminate the need for surgeons to construct artificial chordae intra‑operatively. Each sterile unit includes three 24 mm loops crafted from high‑performance ePTFE — a non‑absorbable, monofilament suture similar in diameter to the trusted GORE‑TEX® CV‑4. These loops are organized on a foam base for streamlined handling, with double‑armed 18 mm tapered‑point needles and PTFE pledgets included for robust anchoring to both papillary muscle and leaflet tissue. The provision of one attached and one independent pledget enhances flexibility during suturing, while the 32‑inch suture length ensures ample working reach. From a surgical perspective, these pre‑measured loops bring consistency and efficiency to mitral chordal replacement. Instead of manually fashioning neochordae under cross‑clamp time constraints — which can be time‑intensive and prone to variability — surgeons can select the appropriately sized loops (in this case, 24 mm) and apply them directly. This streamlines the workflow, potentially reduces cardiopulmonary bypass times, and promotes reproducible surgical outcomes. Clinically, early studies support the effectiveness of the Chord‑X Pre‑Measured Loop system. When used in mitral valve repair procedures, they have demonstrated excellent outcomes — such as minimal residual regurgitation and solid leaflet coaptation — across several cases, even when performed by surgeons with relatively low surgical volume. The ease of implantation, standardization of chordal length, and reduced intraoperative complexity make this system especially appealing for improving procedural safety and consistency.