| Item number | Description | Compatible sheath |
|---|---|---|
| 900300 | FlexCath Cross™ — AG 61 cm | Agilis™* NxT — 61 cm |
| 900301 | FlexCath Cross™ — AG 71 cm | Agilis™* NxT — 71 cm |
| 900302 | FlexCath Cross™ — SL 63 cm | Swartz™* SL1 — 63 cm |
| 900303 | FlexCath Cross™ — VZ 71 cm | CARTO VIZIGO™* — 71 cm |
| 900308 | FlexCath Cross™ — WT 75 cm | Watchman™* TruSeal™* and FXD™* access systems — 75 cm |
| 900310 | FlexCath Cross™ — FCC 65 cm, 10 Fr | FlexCath Contour™ — 65 cm, 10 Fr |
| 900311 | FlexCath Cross™ — FCC 65 cm, 12 Fr | FlexCath Contour™ — 65 cm, 12 Fr |
Introducer sheaths and needles
FlexCath Cross™ transseptal solution
<p>The FlexCath Cross™ transseptal solution pairs with commercially available sheaths for both mechanical and radiofrequency (RF) crossing.</p>
Features
Zero exchange workflow
The integrated needle/dilator design removes the need for needle, guidewire, transseptal, and therapeutic sheath exchanges. The FlexCath Cross™ system helps reduce procedural time of transseptal access by up to 49.9% on average in comparison with traditional mechanical solutions.1,2
Zero sheath exchanges
Dilators compatible with leading industry sheaths eliminate the need for separate transseptal and therapeutic sheaths.
49.9%
average reduction in time
for transseptal access1,2
"Medtronic integrated needle, when used with steerable sheath, allows for 'zero exchange' during transeptal access, eliminating the need to exchange sheaths and dilators."
— Dr. Nikola Pavlović | Head of Arrhythmology Department | Clinical Hospital Dubrava | Zagreb, Croatia
Versatility for your transseptal access
Choose the FlexCath Cross™ model that fits with your existing sheath preferences for transseptal access. The FlexCath Cross™ system is compatible with the following compatible, industry-leading introducers and with both mechanical and radiofrequency (RF) crossing.†
Abbott Agilis™* NxT
steerable introducer‡
BioSense Webster CARTO VIZIGO™*
bi-directional guiding sheath‡
Boston Scientific Watchman™* TruSeal™* and FXD™* access systems‡
Abbott Swartz™* braided transseptal guiding introducer, SL1‡
Dr. Stephen Gaeta treating his AF patients
In treating his atrial fibrillation (AF) patients, Dr. Gaeta, a seasoned electrophysiologist (EP), shares his experience using FlexCath Cross™ transseptal needle to gain left atrial access and how a zero exchange workflow plays an important role.
Cross with control
The FlexCath Cross™ transseptal needle is designed to deploy only when activated for ease of control during transseptal puncture.
Competitive comparison of transseptal access solutions§
Feature |
FlexCath Cross™ |
BRK™*4 |
SafeSept™*5 |
NRG™*6 |
VersaCross™*7 |
Integrated needle/guidewire design reduces exchanges |
✔ |
x |
x |
x |
✔ |
Spring-tensioned safety needle |
✔ |
x |
x |
x |
x |
Indicated for both mechanical and RF crossing |
✔ |
x |
x |
x |
x |
Reposition without requiring wire/needle exchange |
✔ |
x |
x |
x |
✔ |
Engineered to pair with leading sheaths |
✔ |
x |
x |
x |
x |
Specifications
- Guidewire
- Conforms to any sheath curve
- Integrated needle (advances 4–6 mm)
- Dilator shaft
- EGM or RF energy connector
- Needle slide button
- Luer fitting guidewire lumen
Ordering information
Resources
TM* Third-party brands are trademarks of their respective owners.
† Based on one physician’s experience.
‡ For non-Medtronic products, refer to FDA-approved labeling for additional warnings, precautions, and indications information.
- Rizzi S, Pannone L, Monaco C, et al. First experience with a transseptal puncture using a novel transseptal crossing device with integrated dilator and needle. J Interv Card Electrophysiol. 2022;65(3):731–737. doi:10.1007/s10840-022-01329-3.
- Ji et al. Interv Card Electrophysiol. 2022; 34(4);783-784
- HMP Global Learning Network. A new standard in cardiac ablation: zero-exchange workflow with Arnoldas Giedrimas, MD. Published July 2025. Accessed November 19, 2025.
- Abbott. BRK transseptal needles. Accessed September 11, 2025.
- Pressure Products. SafeSept™ transseptal guidewire. Accessed September 11, 2025.
- Boston Scientific. NRG™ transseptal needle. Accessed September 16, 2025.
- Boston Scientific. VersaCross™ access solution. Accessed September 16, 2025.