Medtronic Pacemaker Leads Offer Low Energy Output and Choice

Pacing Leads

Medtronic offers a choice of pacemaker leads with proven performance for bradycardia therapy.

Summary
Specifications
CapSure
Select Secure

Summary – CapSure Pacing Leads Family

Over a million patients worldwide have benefited from the consistently high performance of Medtronic CapSure leads
Steroid-elution technology reduces inflammation
Reduced inflammation allows lower pacing system energy requirements
To meet handling preferences, and to address the varying clinical needs of patients, a choice of lead models is available

Important Safety Information

Surgical complications may occur and care must be taken when placing and positioning a cardiac lead.

Pacing Leads Side-By-Side – Passive Fixation


		CapSure^® SP Novus 5092, 5592	CapSure Sense 4074, 4574	CapSure Z Novus 5054, 5554
Materials Insulator		Silicone (4719)	Outer - Polyurethane (55D) Inner - Silicone (4719)	Silicone
Tip Electrode		Platinized Platinum	Titanium Nitride (TiN) coated	Platinized Platinum
Lead Body Size		6 Fr	5.3 Fr	6 Fr
Introducer Size		7 Fr	7 Fr	7 Fr
T-R Spacing		17 mm	9 mm (Atrial) 17 mm (Ventride)	17 mm
Coil Resistance:	Unipolar	41 Ω at 58 cm (5092)	41 Ω at 58 cm (4074)	41 Ω at 58 cm
Coil Resistance:	Bipolar	82 Ω at 58 cm (5092)	83 Ω at 58 cm (4074)	82 Ω at 58 cm
Electrode Surface Area		Tip: 5.8 mm²	Tip: 2.5 mm²	Tip: 1.2 mm²
Lead Lengths		45, 53, 52, 58 cm	45, 53, 52, 58 cm	45, 53, 52, 58 cm
Key Features		Small lead body size Proven performance	Low polarization due to TiN coating Small surface area Short T-R spacing for the atrial lead designed to improve FFRW refection Isodiametric construction	High impedance may increase device longevity Small size

Pacing Leads Side-By-Side – Active Fixation


		SelectSecure^® 3830	CapSureFix Novus^™ 5076	CapSureFix Novus 4076
Fixation		Fixed Screw	Extendable/Retractable	Extendable/Retractable
Materials Insulator		Polyurethane outer Silicone Rubber/ ETFE inner	Silicone (4719)	Outer - 55D Polyurethane Inner - Silicone (4719)
Tip Electrode		Titanium Nitride coated platinum alloy	Platinized	Titanium Nitride (TIN) coated
Lead Body Size		4.1 Fr	6 Fr	5.7 Fr
Introducer Size (without guide wire)		9 Fr (Catheter)	7 Fr	7 Fr
T-R Spacing		9 mm	10 mm	10 mm
Coil Resistance:	Unipolar	29 ± 6 Ω (69 cm)	33 Ω 58 cm	33 Ω 58 cm
Coil Resistance:	Bipolar	99 ± 22 Ω (69 cm)	61 Ω 58 cm	61 Ω 58 cm
Helix Length		1.8 mm	1.8 mm	1.8 mm
Lead Lengths		59, 69 cm	42, 52, 58, 65, 85 cm	45, 52, 58 cm
Key Features		The world's thinnest bipolar pacing lead Tensi-Lock™ cable design preserves integrity by minimizing stretch of the lead body during extraction Redundant inner insulation protects the inner cable for reliability	Small 6 Fr size Isodiametric construction Short T-R spacing Siloxane coated outer insulation facilitates insertion	Small 5.7 Fr size Short T-R spacing Designed for low polarization due to TiN coated electrodes Polyurethane outer insulation for handling preferences Reliability of Silicone inner insulation

CapSure Pacing Leads

CapSure Z Novus

Patented, 1.2 mm² electrode increases impedance at the tip to efficiently deliver energy to the tissue. The leads have a thin lead body to accommodate small veins – with the same proven CapSure^® efficiency.

The CapSure Z Novus is an endocardial, tined, high-efficiency lead. High efficiency combined with steroid elution allows safe, low output programming.

Steroid-Eluting, High-Efficiency Pacing Leads

CapSure Z Novus leads offer the same efficient energy delivery in a smaller size
Small electrode tip increases impedance at electrode-tissue interface to deliver energy most efficiently

CapSure Z Novus Models

Bipolar
Passive atrial or ventricular fixation
Silicone insulation

Model	Polarity	Placement	Insulation	Tip Shape	Diameter
5054	bipolar	ventricle	silicone	straight	6.0 Fr
5554	bipolar	atrium	silicone	J-shape	6.0 Fr

CapSure^® SP Novus 5594 Steroid-Eluting Pacing Leads

CapSure SP Novus

Steroid-Eluting, Platinized Tip Pacing Leads – In a Smaller Size

The steroid-eluting technology along with platinization technology provides stable, low pacing thresholds, and a thin lead body.

CapSure^® SP Novus endocardial, tined pacing leads provide the stable, low pacing thresholds and large sensing potentials already proven with CapSure SP steroid-eluting leads – but within an even smaller lead body. The smaller size of the CapSure SP Novus leads provides another choice for the variety of clinical conditions

CapSure SP Novus Model Options

Bipolar
Passive atrial or ventricular fixation
Silicone or polyurethane insulation

Model #	Polarity	Placement	Insulation	Tip Shape	Diameter
4092	bipolar	ventricle	polyurethane	straight	5.3 Fr
4592	bipolar	atrium	polyurethane	J-shape	5.3 Fr
5092	bipolar	ventricle	silicone	straight	6.0 Fr
5592	bipolar	atrium	silicone	J-shape	6.0 Fr
5594*	bipolar	atrium	silicone	J-shape	6.0 Fr

* Shorter, 9 mm tip-to-ring spacing

CapSureFix^™

CapSureFix Novus

Steroid-Eluting, Screw-In Pacing Lead

The electrically active helix of CapSureFix^™ Novus 5076 lead is designed to extend easily for active fixation and retract for venous passage. The 5076 has a shorter, 10mm tip-to-ring spacing.

Model #	Polarity	Placement	Insulation	Tip Shape	Diameter
5076	bipolar	atrium/ventricle	silicone	straight	6.2 Fr

CapSureFix Model Options

The CapSureFix line of Medtronic pacing leads combines the benefits of steroid-eluting technology with screw-in active fixation, to allow long-lasting, low-threshold delivery of pacing therapies.

Unipolar or bipolar
Active atrial and ventricular fixation
Silicone or polyurethane insulation
Straight or pre-formed "J" lead tips

Model #	Polarity	Placement	Insulation	Tip Shape	Diameter
5568	bipolar	atrium	silicone	J-shape	7.2 Fr

CapSure^® Epi Steroid-Eluting Epicardial Pacing Lead

CapSure Epi

Steroid-Eluting, Epicardial Pacing Leads

The world's first and only steroid-eluting, epicardial pacing lead. The platinized porous electrode increases surface area for optimal epicardial sensing. The small size of the electrode makes it acceptable for pediatric bradycardia patients.

CapSure Epi Model Options

Unipolar or bipolar
Active atrial or ventricular fixation
Silicone insulation

Model #	Polarity	Placement	Insulation	Diameter
4965	unipolar	atrium/ventricle	silicone	4.5 Fr
4968	bipolar	atrium/ventricle	silicone	8.0 Fr

CapSure VDD2 Steroid-Eluting, Single-Pass Lead

CapSure VDD2

Steroid-Eluting, Single-Pass Lead

Model 5038 Bipolar Sensing (A and V) and Bipolar Pacing (V)

CapSure^® VDD2 optimizes VDD therapy and offers easier handling, proven performance, and choice.

Allows for atrial tracking
Maintains AV synchrony
Requires only one lead
Steroid elution allows low pacing outputs
Small lead size and design facilitate handling, steering, and passage

Model #	Polarity	Placement	Insulation	Diameter
5038	quadripolar	A-sense V-pace/sense	silicone	9.0 Fr

Select Secure

Detail - SelectSecure Pacing Lead

SelectSecure Pacing Lead System

Catheter Delivered Lead System

The World’s Thinnest Bipolar Pacing Lead

The SelectSecure^® pacing lead, with its small 4.1-French lead body makes it beneficial for patients with smaller or more difficult anatomies. With its MED-4719 silicone inner insulation and a Tensi-Lock^® Cable design, SelectSecure is designed for reliability and ease of chronic removability.

Model #	Polarity	Placement	Inner Insulation	Outer Insulation	Tip Shape	Diameter
3830	bipolar	atrium/ventricle	silicone	polyurethane	straight	4.1 Fr

Detail - The C315 Family of Catheters

C315 Catheters

For the SelectSecure Pacing Lead system

The C315 fixed shape catheters are designed to deliver the 3830 SelectSecure pacing lead. The current family is composed of five curve shapes: S4, S5, S10, J and G, enabling access to the right ventricular inflow tract, mid-ventricular septum, right ventricular outflow tract, atrial septum and atrial roof.

Model #	Inner Diameter	Outer Diameter	Lengths
C315	5.5 Fr	7 Fr	30 cm - C315-J, C315-S4 and C315-S5 40 cm - C315-S10 and C315-G

Detail - The SelectSite C304 Deflectable Catheter

C304 Catheter