Pacing leads and delivery systems

SelectSite™ deflectable catheter system

Pacing leads and delivery systems

SelectSite™ deflectable catheter system

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

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.