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N Engl J Med. Use the INDIGO Aspiration System in conjunction with fluoroscopic visualization. Los Angeles, California The results may vary depending on a variety of patient specific attributes. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower extremities, including below the knee. As part of the Indigo Aspiration System, the Indigo CAT RX Aspiration Catheters and Indigo Separator 4 are indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. The Indigo Aspiration System is comprised of several devices: The Indigo System is used as a first-line approach or rescue therapy for arterial and venous thrombotic events. $399.00 EACH. After discussion with the family, a decision was made to take her emergently to the cardiac catheterization laboratory. Most recently, Penumbra launched Lightning Intelligent Aspiration which enables physicians to focus on optimizing thrombus removal using the system's unique clot detection mechanism. Penumbra Aspiration Pump The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. Figure 1. SciELO - Brasil - Suporte mecnico extracorpreo e trombectomia por Indigo System | Computer-Aided Mechanical Aspiration. $450.00) Model #: CAT8TORQ85 OEM: Penumbra System Expiration Date: 2022 Size: 8Fr x 85cm . The initial angiogram confirmed a distal occlusion of the RCA with TIMI 0 flow and extensive clot burden (Figure 1). Penumbra System BENCHMARK Delivery Catheter - MP - 6Fr x .071" x 105cm - Non-Expired: 6Fr x .071" x 105cm $550.00. J Vasc Interv Radiol. Made of laser-cut hypotube technology, CAT7 and CAT12 are designed to increase trackability and torqueability. Do not block bottom or back air vents. Mechanical clot engagement with proprietary Separator technology, Tip directionality for circumferential aspiration, The Indigo System is an integrated system for use only with other components of the Indigo System including the CAT family of catheters, Separators, Dynamic Aspiration Tubing, Lightning, Penumbra ENGINE, and Penumbra ENGINE Canister, Lightning Computer-Aided Aspiration comes packaged with CAT7 or CAT12, Live feedback during the procedure with integrated clot catcher, Penumbra ENGINE is capable of delivering and maintaining nearly pure vacuum (-29 inHg or 98.2 kPa) with the disposable Penumbra ENGINE Canister. Orange, California SVG occlusions can be challenging to resolve using traditional treatment modalities. gtag('config', 'UA-18982160-1'); Penumbra Inc .cls-1{fill:#a6a699;}.cls-2{fill:#b5121b;}.cls-3{isolation:isolate;fill:url(#linear-gradient);}. The procedure can be performed quickly,1 which is important for symptomatic patients. Launches Indigo System Lightning 12 in U.S. Appoints Corey L. Teigen, M.D., as Chief Scientific Officer and James F. Benenati, M.D., FSIR, as Chief Medical Officer Penumbra, Inc. (NYSE: PEN), a global healthcare company focused on innovative therapies, today announced its next phase for vascular franchise growth with U.S. commercial availability of the Indigo System Lightning 12 and . Return all damaged devices and packaging to the manufacturer/distributor. Potential Adverse Events Do not block bottom air vents. Complications from the use of this device in this manner could lead to death, permanent impairment, and/or the need for emergency medical intervention. If such use is necessary, LIGHTNING Aspiration Tubing and the other equipment should be observed to verify that they are functioning properly. If repositioning of the Indigo CAT RX Aspiration Catheter is necessary during the revascularization procedure, such repositioning should be performed over an appropriate guidewire using standard guidewire techniques. Complications from the use of this device in this manner could lead to death, permanent impairment, and/or the need for emergency medical intervention. She had acute tubular necrosis with minimal urine output at the time of transfer. QUICK VIEW. Figure 2. Copyright 2023 Penumbra, Inc. All rights reserved. In-Date Home; 3M KCI; Abbott; Acist; Acumed; Acutus; AD Surgical; Adhezion; Aesculap; Alcon The combination of computer- aided aspiration and large-lumen catheter engineering form Lightning 7 and Lightning 12: the latest generation in clot removal technology. Figure 2. After one pass with CAT RX, the high thrombus burden was removed, resulting in TIMI 3 flow. Figure 2. Presented at: Vascular InterVentional Advances (VIVA); November 47, 2019; Las Vegas, Nevada. The patients symptoms normalized, the electrocardiogram stabilized, and the acute MI was immediately resolved. Penumbra ENGINE Intended Use Disclosures: Consultant to Penumbra, Inc. A 92-year-old man with a history of coronary artery disease (treated previously with coronary artery bypass graft) and severe aortic stenosis (treated previously with transcatheter aortic valve replacement) presented to the ED with chest pain. Common emitters (such as RFID emitters, security systems, diathermy equipment, and portable transmitters) should not be used in close proximity to the PENUMBRA ENGINE as they can interfere with and result in degradation of the performance of the equipment. An 8-French 45 cm Destination sheath was placed to the main pulmonary artery. Each vessel was wired sequentially, delivering power aspiration via CAT RX to the site of each thrombus. Return all damaged devices and packaging to the manufacturer/distributor. The Indigo System is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems, and certain central circulatory systems conditions such as pulmonary emboli, using continuous aspiration. Penumbra Announces U.S. Commercial Availability of INDIGO System Do not resterilize or reuse. PENUMBRA ENGINE Intended Use If repositioning of the INDIGO Aspiration Catheter is necessary during the revascularization procedure, such repositioning should be performed over an appropriate guidewire using standard catheter and guidewire techniques. 0 cm from the hub. Do not use in oxygen rich environment. The INDIGO Aspiration Tubing: The Indigo System utilizes the Penumbra ENGINEaspiration source capable of delivering nearly pure, continuous vacuum to our catheters to remove thrombus in vessels of various sizes. The patient was brought back to the cardiac cath lab for follow-up angiography that revealed TIMI 0 flow of the RCA (Figure 1). Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. Possible complications include, but are not limited to, the following: acute vessel occlusion; air embolism; allergic reaction and anaphylaxis from contrast media or device material; anemia; arrhythmia; arteriovenous fistula; cardiac injury, cardiac perforation, cardiac tamponade; cardio-respiratory arrest; compartment syndrome; death; emboli; emergent surgery; foreign body embolization; hematoma or hemorrhage at access site; hemoptysis; hemorrhage; hypotension/hypertension; infarction leading to organ damage; infection; ischemia; myocardial infarction; neurological deficits including stroke; pneumothorax; pseudoaneurysm; renal impairment or acute renal failure from contrast media; residual thrombus due to inability to completely remove thrombus or control blood flow; respiratory failure; valvular damage; vessel spasm, thrombosis, dissection (intimal disruption), or perforation. gtag('config', 'UA-18982160-1'); Penumbra Inc .cls-1{fill:#a6a699;}.cls-2{fill:#b5121b;}.cls-3{isolation:isolate;fill:url(#linear-gradient);}. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. The atraumatic tip and small catheter French size of the CAT8 device allows for easy tracking and maneuvering through the vasculature and selective debulking of thrombus from lobar branches of the pulmonary arterial tree. After IVUS, the stent was dilated to 3.75 mm. The Penumbra ENGINE is intended as a vacuum source for Penumbra Aspiration Systems. Next Article Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. The Indigo Separator is advanced and retracted through the corresponding size Indigo catheter at the proximal margin of the primary occlusion to facilitate clearing of the thrombus from the catheter tip. The atraumatic tip and small catheter French size of the CAT8 device allows for easy tracking and maneuvering through the vasculature and selective debulking of thrombus from lobar branches of the pulmonary arterial tree. This allowed prompt treatment of patients with minimal intensive care unit days and early discharge from the hospital. She had a recent embolic cerebrovascular accident (CVA) with a hemorrhagic conversion and right-sided hemiparesis but was otherwise known to be very functional. Penumbras IndigoAspiration System, launched in 2014, is designed to remove clot from arteries and veins in the peripheral vasculature, and for treatment of pulmonary embolism. A minimally-invasive device, Indigo enables the restoration of blood flow in such cases as acute limb ischemia and venous thrombus. Photo: Courtesy of Business Wire. Giri J, Sista AK, Weinberg J, et al. window.dataLayer = window.dataLayer || []; The sustained aspiration power provided by the Penumbra ENGINE allowed rapid TIMI 3 flow restoration and removal of the distal emboli. This is potentially more effective than diminished syringe-based aspiration. Warnings The INDIGO Aspiration System should only be used by physicians who have received appropriate training in interventional techniques. Otherwise, this could result in degradation of the performance of this equipment. There was partial improvement of flow, but total occlusion remained. Precautions The device is intended or single use only. gtag('js', new Date()); chronic clot, atherosclerotic plaque) The cerebral vasculature Warnings The INDIGO Aspiration System should only be used by physicians who have received appropriate training in interventional techniques. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower . Her heart rate was 110 beats per minute, elevated troponin levels at 4.5 ng/mL, and elevated brain natriuretic peptide at 1,164 pg/mL. It will reduce the service life of the PENUMBRA ENGINE. With automatic valve control, Lightning can help the physician focus on optimizing thrombus removal procedures. The INDIGO Aspiration System is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems and certain central circulatory system conditions such as pulmonary emboli using continuous aspiration. CAT RX has allowed us to rethink how we approach these occluded SVGs. Penumbra's Indigo Aspiration System, launched in 2014, is designed to remove clot from arteries and veins in the peripheral vasculature, and for treatment of pulmonary embolism. Initial angiography revealed an occlusion of the distal RCA. Disclosures: Consultant to Penumbra, Inc. A 65-year-old man presented emergently with an inferior wall MI. Aspiration thrombectomy continues to have clinical benefit in modern cardiac catherization . The four cathetersCAT3, 5, 6, & 8are robust, durable, trackable, and suited for the peripheral anatomy. Potential Adverse Events Possible complications include, but are not limited to, the following: allergic reaction and anaphylaxis from contrast media; acute occlusion; air embolism; arrhythmia; arteriovenous fistula; cardiac injury; cardio-respiratory arrest; death; device malfunction; distal embolization; emboli; excessive blood loss; false aneurysm formation; hematoma or hemorrhage at access site; inability to completely remove thrombus; infection; hemorrhage; ischemia; kidney damage from contrast media; neurological deficits including stroke; vessel spasm, thrombosis, dissection, or perforation; intimal disruption; myocardial infarction; emergent surgery; fibrillation; hypotension; hemoptysis; respiratory failure; thromboembolic events. J Am Coll Cardiol. If the cause cannot be determined, withdraw the device or system as a unit. Otherwise, this could result in degradation of the performance of this equipment. Figure 1. Copyright 2023 Penumbra, Inc. All rights reserved. Possible complications include, but are not limited to, the following: allergic reaction and anaphylaxis from contrast media; acute occlusion; air embolism; arteriovenous fistula; death; device malfunction; distal embolization; emboli; false aneurysm formation; hematoma or hemorrhage at access site; inability to completely remove thrombus; The Indigo System with Lightning Aspiration Tubing is an intelligent aspiration system powered by Penumbra ENGINE. Do not use automated high-pressure contrast injection equipment with the INDIGO Aspiration Catheter because it may damage the device. Rethinking Thrombus Removal With the Indigo System: Introducing Unrestrained torquing or forced insertion of the catheter or separator against resistance may result in damage to the device or vessel. Relying on a different mechanism of action, power aspiration with CAT RX and Penumbra ENGINE was able to extract the thrombus intact; thus restoring flow through the graft. Warnings/Precautions The canister is intended for single use only. Penumbra, CAT8TORQ85, Penumbra CAT8 Indigo Aspiration Catheter, Torq The healthcare firm said that the Indigo CAT RX Aspiration Catheters . The system uses Penumbra's RED reperfusion catheters. There are no contraindications. Penumbra introduced the Ruby Coil in 2013, followed by the launch of PODin 2014 and Packing Coil in 2015. Do not use the Indigo Aspiration System with a pump other than the Penumbra Aspiration Pump. Caution: Prior to use, please refer to the Instructions for Use for complete product indications, contraindications, warnings, precautions, potential adverse events, and detailed instructions for use. The Indigo System is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems, and certain central circulatory systems conditions such as pulmonary emboli, using continuous aspiration. Copyright 2022 Penumbra, Inc. All rights reserved.

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