PENUMBRA ENGINE Intended Use 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. Distal posterior tibial artery emboli occlusion. The procedure time was short (median of 37 minutes)the shortest demonstrated so far in an investigational device exemption (IDE) trial on patients with pulmonary embolism. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. 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. Potential Adverse Events 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; 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; respiratory failure; peripheral thromboembolic events. The Indigo System with Lightning Aspiration Tubing is a computer-aided aspiration system powered by Penumbra ENGINE. Do not use the Indigo Aspiration System with a pump other than the Penumbra Aspiration Pump. To avoid risk of electrical shock, this equipment must only be connected to a supply mains with protective earth. The INDIGO Aspiration Tubing is intended to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump. Do not use open or damaged packages. Potential Adverse Events Not for use in the coronaries or the neurovasculature. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. . The complaint has been evaluated. J Am Coll Cardiol. If the device is forcefully retracted at extreme angles during removal from the packaging, damage such as this may occur. Penumbra Aspiration Pump: Director of Cardiac Catheterization Lab, PERT & Structural Heart
Prior to use, please consult device labeling and instructions for use. Initial angiography revealed an occlusion of the distal RCA. Contraindications 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. The Indigo System utilizes the Penumbra ENGINEaspiration source capable of delivering nearly pure, continuous vacuum (-29 inHg or 98.2 kPa) to our catheters, enabling thrombus removal in vessels of various sizes. Mechanical power aspiration with a continuous vacuum source and large lumen aspiration catheter was first introduced in the neurovascular space when Penumbra revolutionized thrombus removal for acute ischemic stroke patients. Presented at: American College of Cardiologys 68th Annual Scientific Session; March 1618, 2019; New Orleans, LA. With reperfusion to the distal vasculature and clear visualization of the underlying stenosis, a 3.5-mm stent was placed. Indication For Use CAT8 Indigo System Aspiration Catheter - TORQ - 8Fr x 85cm Penumbra System. excellent trackability, and similar power to the CAT8 Penumbra catheter that was previously used for this . The pulmonary capillary wedge pressure is 10 mmHg. Prior to use, please consult device labeling and instructions for use. Mathews SJ, Brown C, Kolski B, et al. Disclaimer: The opinions and clinical experiences presented herein are for informational purposes only. Use only waterbased solvents for cleaning. These data are encouraging and have led to the next stage in data collection through the CHEETAH studya 400-patient, prospective, observational study evaluating the initial safety and performance of the Indigo Aspiration System CAT RX. Do not advance, retract or use any component of the Indigo Aspiration System against resistance without careful assessment of the cause using fluoroscopy. Possible complications include, but are not limited to, the following: Otherwise, this could result in degradation of the performance of this equipment. Giri J, Sista AK, Weinberg J, et al. Warnings Made of laser-cut hypotube technology, CAT7 and CAT12 are designed to increase trackability and torqueability. Do not use automated high-pressure contrast injection equipment with the INDIGO CAT RX Aspiration Catheter because it may damage the device. function gtag(){dataLayer.push(arguments);} Mechanical thrombectomy was performed. 0 cm from the hub. INDIGO Aspiration Catheters and Separators: As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems, and for the treatment of pulmonary embolism. Indigo Aspiration Catheters (CAT) are the foundation of Penumbra's Indigo System.The Indigo System CAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, durable, and trackable for use in the peripheral anatomy. Penumbra Aspiration Pump: The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. Possible complications include, but are not limited to, the following: Do not use kinked or damaged devices. Mathews SJ, Brown C, Kolski B, et al. Do not use kinked or damaged devices. Director, Structural Heart
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. In our practice, we have been able to more accurately define percutaneous transluminal coronary angioplasty and stent length as a result of this increased visualization. Disclosures: None. Do not use the INDIGO Aspiration System with a pump other than the Penumbra Aspiration Pump. Further evaluation of the returned device revealed kinks in the catheter shaft. The Penumbra ENGINE is indicated as a vacuum source for Penumbra Aspiration Systems. Contraindications 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. 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. Precautions The product-specific content of this website is intended for use by healthcare professionals only. A repeat mechanical thrombectomy was performed of the right superficial femoral artery with flow improvement. We directly stented with a 3.5- X 38-mm Synergy DES and postdilated with a 4- X 20-mm noncompliant balloon. Otherwise, this could result in degradation of the performance of this equipment. Do not resterilize or reuse. Jawairia Sahar K. Mirza, MBBS
The treatment of arterial and venous thrombus is challenging. Copyright 2023 Penumbra, Inc. All rights reserved. Aspiration or disruption of thrombus with traditional diminished syringe-based aspiration or other mechanical devices is difficult, often incomplete, and has been associated with high complication rates.1 Use of medical therapy, such as powerful anticoagulants and thrombolytics (ie, tissue plasminogen activator), may carry a high risk of bleeding.2 The Indigo System was designed to provide sustained aspiration with Penumbra ENGINE to effectively remove thrombus, while reducing the risk of bleeding complications.3 The Indigo System utilizes atraumatic catheters varying in diameters from 3.4 to 8 F and lengths ranging from 50 to 150 cm. The Indigo System can provide immediate mechanical relief by extracting clot while decreasing pressures using sustained power aspiration without the need for thrombolytics. 0, 26. The patient had reported intermittent chest discomfort for 3 days, with some improvement with his daily medications. Contraindications Not for use in the coronaries or the neurovasculature. CAT8XTORQ115KIT-NS. Do not use the INDIGO Aspiration System with a pump other than the Penumbra Aspiration Pump. The penumbra cat8 indigo system (cat8) was kinked approximately 4. Created with Sketch. Aspiration Tubing Intended Use 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. BJC Cardiology
Do not use kinked or damaged devices. Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. Only use replacement fuse with correct rating (see Table 1 for fuse rating). Do not resterilize or reuse. The Indigo System met its efficacy and safety endpoints by reducing right-to-left ventricle (RV/LV) ratio at 48 hours by 27.3% (mean ratio reduction, 0.43; 95% confidence interval, 0.380.47; P < .0001) and had a low major adverse event of 1.7% (2/119). Smidt Heart institute
Jolly SS, Cairns JA, Lavi S, et al. The catheters (CAT3, CAT RX*, CAT5, CAT6, CAT8, CATD) vary in diameters from 3.4 to 8 F and lengths of 50 to 150 cm to . Use prior to the Use By date. Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. Only use replacement fuse with correct rating (see Table 1 for fuse rating). Pinterest; CAT8 KIT Indigo System Aspiration Catheter 8 and Aspiration Tubing - XTORQ - 8Fr x 115cm Penumbra System) Model #: CAT8XTORQ115KIT OEM: Penumbra System Expiration Date: 2022 Size : 8Fr x 115cm . Additional Details. This content is not intended to offer professional medical advice. Figure 2. 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; 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; respiratory failure; peripheral thromboembolic events. If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally. gtag('config', 'UA-18982160-1'); Penumbra Inc .cls-1{fill:#a6a699;}.cls-2{fill:#b5121b;}.cls-3{isolation:isolate;fill:url(#linear-gradient);}. Tip directionality for circumferential aspiration, Live feedback during procedure with integrated clot catcher, Penumbra ENGINE is capable of delivering and maintaining nearly pure vacuum (-29 inHg or 98.2 kPa) with the disposablePenumbra ENGINE Canister. The combination of intelligent aspiration and large-lumen catheter engineering form Lightning 7 and Lightning 12: the latest generation in clot removal technology. Contraindications There are no known contraindications. Penumbra CAT8XTORQ115 CAT8 Indigo System Aspiration Catheter 8F Item Past Expiration. Copyright 2022 Penumbra, Inc. All rights reserved. window.dataLayer = window.dataLayer || []; She had normal left ventricular systolic function with severe right ventricular dysfunction on her echocardiogram. This content is not intended to offer professional medical advice. The Indigo SystemCAT3, CAT5, CAT6, CAT8 and CATDare engineered to be robust, durable, and trackable for use in the peripheral anatomy. No modification of this equipment is allowed. Power aspiration with CAT RX and Penumbra ENGINE was started after wiring the dominant left circumflex artery. 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. Maintain a constant infusion of appropriate flush solution. 2. Final angiographic result of SVG. Do not re-infuse blood or fluid from the canister back into the patient. 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. Penumbra System ACE 68 KIT Reperfusion Catheter & Penumbra Hi-Flow Aspiration Tubing - 6Fr x .068" x 132cm: 6Fr x .068" x 132cm $600.00. Potential Adverse Events Penumbra Aspiration Pump The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. The Indigo Aspiration System is comprised of several devices: The Indigo System may be used as a first-line approach or rescue therapy for arterial and venous thrombotic events. Use of LIGHTNING Aspiration Tubing adjacent to other equipment should be avoided because it could result in improper operation. Unit may overheat and shut off or fail to restart if run for extended periods without airflow. INDIGO CAT RX Aspiration Catheters and INDIGO SEPARATOR 4 Indication for Use 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. The CAT family of catheters is the foundation of Penumbra's Indigo system. Potential Adverse Events Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. Use prior to the Use By date. Unrestrained torquing or forced insertion of the catheter or separator against resistance may result in damage to the device or vessel.
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Precautions The safety and effectiveness of this device for use in the treatment of ST-Elevation Myocardial Infarction (STEMI) has not been established. K180412. CAT RX is an essential tool in our percutaneous coronary armamentarium. The Indigo CAT RX Aspiration Catheters and Indigo Separator 4: Sista A. Indigo aspiration system for acute pulmonary embolism. Los Angeles, California
Return all damaged devices and packaging to the manufacturer/distributor. The means of mains disconnect is to remove the power cord. UPC: Current Stock: This item is out of stock. Disclosures: Consultant to Penumbra, Inc. An 83-year-old woman transferred from an outside hospital presented with acute shortness of breath, was hypotensive, and was intubated. The PENUMBRA ENGINE is indicated as a vacuum source for Penumbra Aspiration Systems. Penumbras Indigo Aspiration System can be used to remove emboli and thrombi from vessels of the peripheral arterial and venous systems, and for the treatment of pulmonary embolism and/or certain central circulatory system conditions such as pulmonary emboli. The Indigo System CAT3, CAT5, CAT6, CAT8, CATD, and CAT RX are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. Two passes of CAT RX with the Penumbra ENGINE resulted in TIMI 3 flow restoration and retrieval of the distal emboli from the PDA (Figure 3). With automatic valve control, Lightning can help the physician focus on optimizing thrombus removal procedures. 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. Conclusions: evaluation of the cat8 revealed that the device was fractured. Next Article In 2014, Penumbra broke into the peripheral thrombectomy space with the release of the first Indigo System catheters, the 5-F CAT5 catheter and the 3-F CAT3 catheter (Penumbra, Inc.). Penumbra introduced the Indigo System CAT RX in 2017 for the removal of fresh, soft emboli and thrombi from the coronary and peripheral vasculature. INDIGO Aspiration System Intended Use The procedure was completed with the same catheter. The sustained aspiration power provided by the Penumbra ENGINE allowed rapid TIMI 3 flow restoration and removal of the distal emboli. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. Return all damaged devices and packaging to the manufacturer/distributor. 3. Copyright 2022 Penumbra, Inc. All rights reserved. PENUMBRA ENGINE Indication for Use The Penumbra ENGINE addresses the limitations of traditional treatment options by providing sustained mechanical power aspiration for the duration of the procedure to help maximize efficiency of thrombus removal. The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. The Indigo SystemCAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, durable, and trackable for use in the peripheral anatomy. After IVUS, the stent was dilated to 3.75 mm. Reuse may result in canister cracking or vacuum filter blockages, which may result in the inability to aspirate. Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. The newest indication for the Indigo System is the treatment of pulmonary embolism; this indication comes on the heels of the promising results of the EXTRACT-PE trial. Do not block bottom or back air vents. Potential Adverse Events 2: Add The Penumbra System is a fully-integrated system designed specifically for mechanical thrombectomy, first receiving 510(k) clearance by the FDA in December 2007. The patients symptoms normalized, the electrocardiogram stabilized, and the acute MI was immediately resolved. 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. Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. Do not use in an oxygen rich environment. There was partial improvement of flow, but total occlusion remained. Remove and service the PENUMBRA ENGINE if liquids or solids have been drawn into the PENUMBRA ENGINE. $450.00) Model #: CAT8TORQ85 OEM: Penumbra System Expiration Date: 2022 Size: 8Fr x 85cm . The healthcare firm said that the Indigo CAT RX Aspiration Catheters . Warnings/Precautions Do not advance, retract or use any component of the INDIGO System against resistance without careful assessment of the cause using fluoroscopy. Do not block bottom air vents. Indigo Aspiration System (CAT RX and Separator 4)- Penumbra Engine Pump and Canister. Also find Catheter price list from verified suppliers with contact number | ID: 23694008673 The patient had a robust recovery and was discharged to her rehab facility on anticoagulation. Angiography of the posterior tibial artery revealed embolization to the heel resulting in no flow to the foot (Figure 1). In-Date Home; 3M KCI; Abbott; Acist; Acumed; Acutus; AD Surgical; Adhezion; Aesculap; Alcon Return all damaged devices and packaging to the manufacturer/distributor. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. minimalism: a documentary about the important things transcript; cat8 penumbra catheter; i 75 road construction cincinnati; tocaya west hollywood; best places to live in alabama near the. 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. Do not advance, retract or use any component of the INDIGO Aspiration System against resistance without careful assessment of the cause using fluoroscopy. Do not advance, retract or use any component of the INDIGO System against resistance without careful assessment of the cause using fluoroscopy. Initial angiogram showing high thrombus burden in the RCA. . Circulation. The Penumbra P logos, 3D, 3D Revascularization Device, ACE, BENCHMARK, CAT, Indigo, LANTERN, MAX, Neuron, Neuron MAX, Penumbra ENGINE, Penumbra JET, Penumbra System, Penumbra SMART COIL, POD, Ruby, Separator, Velocity, and WAVE are registered trademarks or trademarks of Penumbra, Inc. in the USA and other countries. An 8-French 45 cm Destination sheath was placed to the main pulmonary artery. 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. Use prior to the Use By date. Lightning Aspiration Tubing has dual pressure sensors for real-time blood flow monitoring. As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems, and for the treatment of pulmonary embolism. Because the patient was not a candidate for thrombolysis, the decision was made to intervene with the Indigo System CAT8XTORQ115 and SEP 8, which were advanced sequentially into the right then left pulmonary artery. Throughout each case, Lightning provides procedural feedback via audiovisual cues. 2023 Bryn Mawr Communications II, LLC. 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 . Download scientific diagram | A, Penumbra Indigo System Continuous Aspiration Mechanical Thrombectomy Catheter (CAT8). Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. If such use is necessary, LIGHTNING Aspiration Tubing and the other equipment should be observed to verify that they are functioning properly. QUICK VIEW. 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; 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; respiratory failure; peripheral thromboembolic events. The removal of fibrous, adherent or calcified material (e.g. 22. Resterilization and/or reuse may result in ineffective catheter coating lubrication, which may result in high friction and the inability to access the target vasculature location. Do not use open or damaged packages. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. $399.00 EACH.
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Aspiration thrombectomy continues to have clinical benefit in modern cardiac catherization . Do not use open or damaged packages. Interventional therapies for acute pulmonary embolism: current status and principles for the development of novel evidence: a scientific statement from the American Heart Association. 2015;372:1389-1398. The low-profile catheter and Penumbra . When performing aspiration, ensure that the INDIGO Aspiration Tubing is open for only the minimum time needed to remove thrombus. Tareq Kass-Hout. Penumbra CAT8 KIT Indigo Aspiration Catheter 8 & Aspiration Tubing, XTorq Tip 115cm x 8F (NON-STERILE) Expired. Figure 1. The Swan-Ganz catheter was exchanged over a long V18 wire. Indigo Disposable Separator 8, 150 cm Length, 0.072 in. The newly available Indigo CAT12 Aspiration Catheter (Penumbra, Inc.) was utilized to perform mechanical thrombectomy of the FV, CFV, and EIV and CIV without the use of thrombolytics . These pages are not intended for patients or for members of the general public. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower . To prevent fire or shock hazard, use a replacement power cord of equal rating. Control angiography immediately after thrombectomy demonstrated restored patency . 1. Do not reuse. Potential Adverse Events Brian Kolski, MD
function gtag(){dataLayer.push(arguments);} A 65-cm 8-F Destination sheath (Terumo Interventional Systems) was advanced into the right pulmonary artery, first over a telescoping balloon tip catheter and stiff angle Glidewire (Terumo Interventional Systems). Figure 1. IN-DATE. Use of LIGHTNING Aspiration Tubing adjacent to other equipment should be avoided because it could result in improper operation. Continuous Aspiration Mechanical Thrombectomy Catheters (CAT) are the foundation of Penumbra's Indigo System. Randomized trial of primary PCI with or without routine manual thrombectomy. This is potentially more effective than diminished syringe-based aspiration. 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. System Chair, Clinical Research
Penumbra, Inc. One Penumbra Place. INDIGO Aspiration Catheters and Separators: Indigo Aspiration Catheters (CAT) are the foundation of Penumbras IndigoSystem. Alameda, CA 94502. Saint Louis, Missouri
Do not use in oxygen rich environment. Prior to use, please consult device labeling and instructions for use. Since the initial launch of the Indigo System, catheter technology as well as techniques have advanced. The median aspiration time with CAT RX was 35 seconds, with no incidence of stroke within 30 days (Figure 2).3. CAT12 features a large 0.131 lumen and angled tip for additional circumferential sweep.
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Do not resterilize or reuse. INDIGO Aspiration Catheters and Separators: As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems, and for the treatment of pulmonary embolism. Do not use automated high-pressure contrast injection equipment with the INDIGO Aspiration Catheter because it may damage the device. Initial angiogram showing high thrombus burden in the left circumflex artery. Most recently, Penumbra launched Lightning Intelligent Aspiration which enables physicians to focus on optimizing thrombus removal using the system's unique clot detection mechanism. The patient was brought back to the cardiac cath lab for follow-up angiography that revealed TIMI 0 flow of the RCA (Figure 1). Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower .