1424 is inserted through the valve 1090 the fixation device 14 and attached delivery catheter 300 and inner guide catheter 1020 may then be advanced through the fixation device introducer 1420 the fixation device introducer 1420 also includes a hemostatic valve within the loading body 1422 to prevent any backbleeding or leakage through the introducer 1420 manipulation of the guide catheters 1000 1020 is achieved with the use of handles 1056 1057 attached to the proximal ends of the catheters 1000 1020 as shown handle 1056 is attached to the proximal end 1014 of outer guide catheter 1000 and handle 1057 is attached to the proximal end 1024 of inner guide catheter 1020 inner guide catheter 1020 is inserted through handle 1056 and is positioned coaxially within outer guide catheter 1000 an embodiment of the delivery catheter 300 of the present invention is inserted through handle 1057 and is positioned coaxially within inner guide catheter 1020 and outer guide catheter 1000 therefore a hemostatic valve 1090 is disposed within handle 1057 or external to handle 1057 as shown to provide leak free sealing with or without the delivery catheter 300 in place the valve 1090 functions as described above the delivery catheter 300 includes a shaft 302 having a proximal end 322 and a distal end 324 and a handle 304 attached to the proximal end 322 a fixation device 14 is removably coupled to the distal end 324 for delivery to a site within the body the outer guide catheter 1000 and or the inner guide catheter 1020 are precurved and or have steering mechanisms to position the distal ends 1016 1026 in desired directions precurvature or steering of the outer guide catheter 1000 directs the distal end 1016 in a first direction to create a primary curve.