Pacing leads and delivery systems

SelectSite™ C304-HIS deflectable catheter system

<p>The SelectSite™ deflectable catheter is a steerable system for lead delivery at or near the bundle of His.</p>

Features

Improved reach and enhanced range 

  • Adjustable curve designed to reach a large variety of patient anatomies and accommodate challenging anatomical situations, including a large right atrium
  • Achieves various curve shapes during implant using only this steerable guide catheter 
  • Handle mechanism secures a desired shape, reducing the need to physically hold the curve in place during the procedure

Stable and supportive

  • Rigid proximal portion provides mechanical support and stability for lead delivery and fixation; while the softer distal end minimizes tissue injury
  • Catheter deflection is designed to push tip toward the targeted tissue and maintain stability on the septum 
  • Catheter provides a stable workspace to pass guidewires and leads in the cardiac venous anatomy 
  • Dual-braided lumen provides stability§

Increased implant success 

  • C304-HIS catheter design allows the tip to achieve an angle closer to perpendicular in the region of the His-bundle for a higher fixation rate versus the C315-HIS catheter†,‡
  • C304-HIS catheter may be used in conjunction with the Medtronic Model 3830 pacing lead 
  • Catheter body is radiopaque for visibility on fluoroscopy and has improved visualization of the catheter (versus C304-L69) with an additional marker at the distal end

Maneuverability 

  • Handle mechanism enables tip deflection by transmitting fine movements to the catheter shaft, allowing placement at the bundle of His 
  • Designed for improved manipulation — deflect for gross movement and torque for minor movement 
  • Braided, kink-resistant catheter design with multiple transition zones allows for various stiffness characteristics, providing flexibility to navigate curvatures of venous anatomy

Ordering information

Item number C304-HIS
Primary curve shape Deflectable and preshaped
Secondary curve: Out-of-plane, His shape curve Yes, preshaped
Introducer 9 Fr
Usable length 43 cm
Inner diameter 5.7 Fr
Outer diameter 8.4 Fr
Integrated valve No
Manipulation Articulation handle
Hydrophilic coating No
Shelf life 2 years
Marker band material 2 gold band markers
ETO sterilization Yes

† Using modeling study of 20 different patient anatomies, selected to include patients with atria ranging from 38–197 mL RA volumes. 

‡ Across tested anatomies, the C304-HIS improved fixation success rate in larger RAs with volumes between 110 mL and 139 mL (versus C315).

§ Within the wall thickness of the device lumen is a second braided lumen for the pull wire.

◊ In comparison to C315-HIS catheter.