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Selectra. The first choice.

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1 Selectra. The first choice.
Coronary sinus lead delivery system Selectra Outer Catheters A variety of advanced catheters incorporating superior and innovative features Selectra Inner Catheters Optimal vessel sub-selection for direct delivery of low profile coronary sinus leads New Selectra Slitter Tool Ergonomic design for a smooth slitting process with lead dislodgement prevention

2 Selectra. The first choice.
Coronary sinus lead delivery system Telescopic system with inner catheters Advanced and atraumatic soft tip design New and innovative ergonomic handle Balanced and superior shaft design A variety of configurations

3 Innovative design The ultimate handling experience
The innovative handle design allows for a smooth slitting process from every angle An integrated hemostatic valve enables effortless introduction of inner catheters or coronary sinus leads The build-in side-port enables simultaneous manipulation and contrast injection provide an extraordinary handling experience Headline

4 Unique handling Lubricious and balanced like no other
Superior kink resistance and sensitive torque control are achieved by smooth stiffness profiles resulting in a pushable proximal shaft and flexible distal section Headline

5 Unique handling Lubricious and balanced like no other
The unique hydrophilic inner coating provides excellent lubricity allowing for effortless introduction of inner catheters, delivery of coronary sinus leads and system removal Headline

6 Superior quality Atraumaticity matters
Round soft tip design provides high atraumaticity during CS cannulation minimizing the risk for dissections During lead manipulation, the high tip stability reduces the risk for prolapse Excellent visibility during system positioning due to highly radiopaque polymeric x-ray marker Headline

7 Superior quality Teamwork
The combination of Selectra outer catheters with inner sub-selection catheters enables direct delivery of low profile coronary sinus leads such as the new Sentus OTW Optimized coronary sinus cannulation and in deep-seating outer catheters due to the perfect balance of stiffness and flexibility Headline

8 Superior quality Selectra inner catheters
Slittable in-line luer with integrated hemostatic valve for smooth slitting procedures and ergonomic one-handed manipulation and contrast injection Hydrophilic inner coating for easy insertion of CS leads and removal of delivery system without the risk for lead dislocation 50° and 90° degree tip angulations for easy vessel sub-selection Headline

9 Unique handling A variety of configurations
Eight curve shapes adapt to different patient coronary sinus anatomies Available in 45 cm and 55 cm lengths Headline

10 Selectra “Straight” For CS approach from above with EP catheter
Support None Shape similar to BSX Acuity BA CS-ST MDT Attain Command Straight SJM CPS Direct SL Straight Reach

11 Selectra “BIO2” For CS approach from above Support
Medium, from vena cava superior Shape similar to SJM CPS Direct SL MP Reach Less

12 Selectra “Multipurpose EP”
For CS approach from above Support Medium, from vena cava superior Shape similar to BSX Acuity BA CS-MP MDT Attain Command MB2 SJM CPS Direct SL 115° Reach Less

13 Selectra “Multipurpose Hook”
For CS approach from below Support Medium, from VCS right atrial wall Shape similar to BSX Acuity BA CS-H MDT Attain Command MP Reach Medium

14 Selectra “Right” For CS approach during right-sided implants Support
Medium, from VCS Shape similar to BSX Acuity BA CS-EH ST R MDT Attain Command Right SJM CPS Direct SL Right Reach Medium

15 Selectra “Amplatz 6.0” For CS approach when severe left heart dilatation is present Support Medium, from VCS Shape similar to BSX Acuity BA CS_A6 MDT Attain Command Amplatz Reach Medium

16 Selectra “Hook” For CS approach from above Support Medium, from VCS
Shape similar to SJM CPS Direct SL 135° Reach Medium

17 Selectra “Extended Hook”
For CS approach from below Support More, from VCS and right atrial wall Shape similar to BSX Acuity BA CS-EH MDT Attain Command EH SJM CPS Direct SL Wide Reach More

18 Unique handling New Selectra slitter tool
Integrated lead clip fixates the lead body during the slitting process Secure and easy slitting of the handle and the entire catheter due to optimized blade Ergonomic design allows for comfortable handling during catheter removal or continuation of the slitting process in case of slipping Headline

19 Selectra Hemostatic Valve Design - INTERNAL EDUCATION ONLY -

20 Selectra. The first choice.
Selectra hemostatic valve design The valve is designed to ensure a low friction environment for optimal lead pushability and safety during sheath removal. The valve consist of a proximal sealing ring and a distal back-pressure valve. Headline Valve closed Valve open Insertion of tools open the back-pressure valve Back-pressure valve Sealing ring

21 Selectra hemostatic valve design.
Selectra hemostatic valve design update The hemostatic valve performance was continuously improved based on observations from the PME and initial market feedback. Process improvements lead to avoidance of valve prolapse during lead or catheter removal ensuring the integrity and functionality of the back-pressure valve. Short-term: The TVI with dilator is offered separately and can be used to introduce 0.14” guide wires. The dilator seals onto the guide wire and reduces back-bleeding. Medium-term: A new TVI which seals onto a 0.14” guide wire will be developed and included into the accessory kit. Recommendation: Close the proximal end of the catheter with your thumb during aspiration through the side port. Headline

22 Selectra hemostatic valve design.
Use case #1 - Nothing is inserted Due to the fact that the venous blood pressure is higher than the atmospheric pressure the back-pressure valve is fully closed when nothing is inserted from proximal! Headline Nothing is inserted Higher pressure Lower pressure

23 Selectra hemostatic valve design.
Use case #2 - Dilator insertion Observation: If only a dilator is inserted, back-bleeding can occur through inner lumen of the dilator because of an “open” system. Headline Only dilator inserted Back-bleeding Higher pressure Dilator

24 Selectra hemostatic valve design.
Use case #2 - Dilator insertion (cont.) Solution: Use dilator only in combination with the 0.35” guide wire in order to “close” the inner lumen of the dilator! Headline Dilator and guide wire inserted Dilator 0.35” Guide Wire

25 Selectra hemostatic valve design.
Use case #3 – Valve prolapse Observation: Prolapse may occur when a dilator or lead is quickly removed from the sheath pulling the flap back through valve Headline Higher pressure

26 Selectra hemostatic valve design.
Use case #3 - Valve prolapse (cont.) Solution: Leakage will stop once a lead or catheter is advanced through the valve, pushing the flap back from the valve Headline Insert dilator or lead Dilator, LV Lead or EP Catheter

27 Selectra hemostatic valve design.
Use case #3 - Valve prolapse (cont.) Solution: Process improvements aims to avoid the valve prolapse during lead or catheter removal ensuring the integrity and functionality of the back-pressure valve. Please note that the improvement is being introduced seamlessly into running production. Therefore you may receive products before or after the process change depending on inventory. Care should be taken to observe a potential valve prolapse and if required, to take the action recommended on the previous slide. Headline

28 Selectra hemostatic valve design.
Use case #4 - Lead or EP catheter insertion The sealing ring fully seals onto a lead or EP catheter and no back-bleeding occurs! Headline Lead is inserted LV Lead or EP Catheter

29 Selectra hemostatic valve design.
Use case #5 - Aspiration with syringe Observation: Aspiration can lead to lower pressure distally of the valve causing it to open slightly, which might cause air bubbles being aspirated. Headline Aspiration through side port Air bubbles might enter the catheter and will be directly aspirated into the syringe Higher pressure Lower pressure

30 Selectra hemostatic valve design.
Use case #5 - Aspiration with syringe (cont.) Solution: Close the proximal end of the catheter with your thumb or sealing cap to avoid valve opening during aspiration! After aspiration the valve closes again due to the pressure change and there is no risk of air embolism for the patient! Headline Aspiration through side port The back-pressure valve closes due to the higher pressure inside the system! Higher pressure Lower pressure

31 Selectra hemostatic valve design.
Use case #6 - Guide wire only insertion Observation: The sealing ring does not fully seal onto 0.14” and 0.35” guide wires if they are introduced alone, which might cause slight back-bleeding. Headline Only guide wire inserted Back-bleeding Guide Wire

32 Selectra hemostatic valve design.
Use case #6 - Guide wire only insertion (cont.) Solution: If only a 0.14” guide wire is inserted use the TVI with dilator. The TVI and dilator seals onto the guide wire and centers it avoiding excessive back-bleeding. Headline Guide Wire and TVI with dilator inserted TVI TVI Dilator Guide Wire

33 Please treat this information confidentially!
Headline Please treat this information confidentially! If you have any further questions or comments please do not hesitate to contact or


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