Delivery Systems
Attain Command Coronary Sinus Cannulation Catheters
Detail - Attain Command Coronary Sinus Cannulation Catheters
Access diverse anatomies with Attain Command® catheters
- The first catheter family to feature a hydrophilic coating for deep seating
- Curved shape
- Enhanced torque control
- Multiple options to get to your targeted sites*
Important Safety Information
Surgical complications, such as cardiac perforation, may occur and care must be taken when placing and positioning a cardiac lead.
Key Features
- Exclusive hydrophilic coating is 99% more lubricious, achieving a balance of stability and lubricity*
- Tapered shaft technology allows 50% better trackability for deep seating*
- Diamond pattern double braid provides 30% more torque control*
* as compared to 6216A and 6218A Attain® catheters.
Attain Select II Left-Heart Lead Delivery System
Detail – Attain Select II Left-Heart Lead Delivery System
The first 7 Fr sub-selection catheter capable of delivering a 4 Fr and 5.3 Fr lead directly to vein branches.*
* ≥ 88 cm length
Compatible with the Attain Ability® Family of Dual Electrode LV Leads:
- Attain Ability Model 4196, 4 Fr dual canted
- Attain Ability Plus Model 4296, 5.3 Fr dual canted
- Attain Ability Straight Model 4396, 4 Fr straight with tines
Five Shapes Available:
Detail
Attain Select® II Family of
Sub-Selection Catheters
 Extended 90 |  Extended 130 |
 Short 90 |  Standard 90 |
 Standard 130 |
Important Safety Information
Surgical complications, such as cardiac perforation, may occur and care must be taken when placing and positioning a cardiac lead.
Straight Inner Catheter Available
When accessing difficult anatomy, consider using the inner blue straight catheter to provide a soft, distal tip and increased curve shape control.
Straight Stylet Packaged with the Select II Catheter
Integrated Tools to: Access. Select. Deliver.
Access
- Designed to aid in cannulation of the coronary sinus (CS) and deep seating of the guide catheter
- Braided outer catheter for controlled torque response
- Packaged with a straight inner telescoping catheter for increased curve shape control and trackability over a guide wire
- Compatible with nearly all Attain® Fixed Shape and Attain Deflectable guide catheters
Select
- Enhanced trackability
- Soft flexible tips designed for enhanced safety
- Choice of curves facilitate vein branch sub-selection
Deliver
- Small sub-selection catheter (7.1 Fr outer diameter) capable of delivering a lead directly to-branch veins
- Ability to sub-select cardiac veins and deliver any one of the Attain Ability leads through the same catheter (4 Fr dual canted and straight, and 5.3 Fr dual canted)
Attain Select Guide Catheters
Attain Select Guide Catheters
Guide catheters for aid in vessel sub-selection.
Key Features
- Soft-tipped catheters designed for atraumatic tracking
- Smooth transition between the guide wire and guide catheter
- Navigate acute angles
Attain Prevail Steerable Catheter
The Attain Prevail® Steerable Catheter Left-Heart Lead Delivery System offers steerability, telescoping, and sub-selection for the first time in a single package.
Attain Prevail Steerable Catheter
Important Safety Information
Surgical complications, such as cardiac perforation, may occur and care must be taken when placing and positioning a cardiac lead.
Key Features
Steerability
- Use the Attain Prevail catheter's steerable tip, along with various fixed-shape guide catheters and guide wires, to obtain the curve you need, when you need it
- Inject contrast media for improved visualization of the cardiac venous anatomy, adjust course as needed with tip deflection
Telescoping
- Adjust the curve and reach by telescoping the Attain Prevail catheter through a straight or fixed-shape guide catheter
- Attain Prevail catheter provides for additional telescoping with a guide wire
Sub-selection
- Advance into the coronary sinus and proceed with vein sub-selection with the guide wire and the Attain Prevail catheter's atraumatic tip
- Open lumen allows for the deep seating of various guide wires and, when used with the Medtronic Attain 6218A straight guide catheter, advancement of the guide catheter into the target branch vein
Attain Deflectable Catheter Delivery System
Attain Deflectable Catheter Delivery System
The Attain® Deflectable Catheter Delivery System is a steerable, all-in-one system for CS cannulation and lead delivery.
Important Safety Information
Surgical complications, such as cardiac perforation, may occur and care must be taken when placing and positioning a cardiac lead.
Key Features
Steerablility
- Create a variety of curve shapes during the procedure with a single, steerable guide catheter
- The easy-to-use handle mechanism holds the desired shape to address each patient's unique anatomy during CS cannulation
Stable, Versatile Workstation
- Inject contrast through the Attain Deflectable catheter lumen to visualize the cardiac venous anatomy
- Deliver the lead, sub-select, and advance the lead to its final position with confidence
- Depend on the stable Attain Deflectable Catheter Delivery System for passing venogram balloon catheters, guidewires, and leads
Attain Hybrid Guide Wire
Attain Hybrid Guide Wire
Navigate difficult vein branches with the tool that combines the agility of a guide wire with the stability of a stylet.
Important Safety Information
Surgical complications, such as cardiac perforation, may occur and care must be taken when placing and positioning a cardiac lead.
Proven Performance
EUROPACE 2010: Hybrid Guide Wire Reduced Implantation Time and Improved Access to Target Vein in LV Lead Positioning1
Study Design: 117 patients were enrolled in seven centers.
- Phase I – patients were implanted, using standard tools (guide wire and/or stylet)
- Phase II – learning phase
- Phase III – patients were implanted, using the Attain Hybrid Guide Wire
“Compared with conventional guide wires, it [Attain Hybrid] improved the accessibility of the target vein, reduced LV lead positioning time, and decreased the number of tools required, with no additional complications.”
–Giannola G, et al.1
Key Features
Trackability
- Polymer sleeve promotes smooth lead advance in a variety of anatomies
- Pro/Pel® coating reduces friction and provides tactile control
Steerability
- Stainless steel core-to-tip design provides responsive torque characteristics with optimal tip control
Control
- Combination of guide wire and stylet feature that may reduce the number of tools at implant
- Atraumatic tip offers resilient shape retention
Reference
- Giannola G, Iacopino S, Lombardo E, et al. Efficacy of a tool combining guide-wire and stylet for the left ventricular lead positioning. Europace. 2010;13(2):244-250.
