An implantable medical device delivery system, the system comprising: an elongated member comprising a first distal end and a first proximal end, the first distal end configured to mate with an implantable medical device having a fixation element wherein the elongated member defines a lumen; a resilient member defining a second distal end and a second proximal end, the resilient member disposed along at least a portion of the elongated member wherein the resilient member is disposed within the lumen, the second distal end of the resilient member coupled to the first distal end of the elongated member; a housing configured to accept the first proximal end of the elongated member and the second proximal end of the resilient member; a rotation control mechanism coupled to the housing and a portion of the elongated member, wherein user movement of the rotation control mechanism causes rotation of the elongated member with respect to the housing for rotating the fixation element of the implantable medical device into tissue; and a deflection control mechanism coupled to the housing and the second proximal end of the resilient member, wherein user movement of the deflection control mechanism causes longitudinal displacement of the resilient member along a longitudinal axis of the elongated member and the housing resulting in angular deflection of the first distal end of the elongated member; and wherein the deflection control mechanism allows rotation of the second proximal end of the resilient member about the longitudinal axis matching rotation of the elongated member caused by user movement of the rotation control mechanism. an elongated member comprising a first distal end and a first proximal end, the first distal end configured to mate with an implantable medical device having a fixation element wherein the elongated member defines a lumen; a resilient member defining a second distal end and a second proximal end, the resilient member disposed along at least a portion of the elongated member wherein the resilient member is disposed within the lumen, the second distal end of the resilient member coupled to the first distal end of the elongated member; a housing configured to accept the first proximal end of the elongated member and the second proximal end of the resilient member; a rotation control mechanism coupled to the housing and a portion of the elongated member, wherein user movement of the rotation control mechanism causes rotation of the elongated member with respect to the housing for rotating the fixation element of the implantable medical device into tissue; and a deflection control mechanism coupled to the housing and the second proximal end of the resilient member, wherein user movement of the deflection control mechanism causes longitudinal displacement of the resilient member along a longitudinal axis of the elongated member and the housing resulting in angular deflection of the first distal end of the elongated member; and wherein the deflection control mechanism allows rotation of the second proximal end of the resilient member about the longitudinal axis matching rotation of the elongated member caused by user movement of the rotation control mechanism.