Complications from the use of this device in this manner could lead to death, permanent impairment, and/or the need for emergency medical intervention. UMassMemorial University Campus 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. CAT7 and CAT12 are the next generation of the Indigo System catheters. The means of mains disconnect is to remove the power cord. Penumbra Aspiration Pump: The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. Mechanical power aspiration with the Indigo System CAT RX (Penumbra, Inc.), introduced in 2018, continues to gain in popularity as a solution for high thrombus burden in the coronaries. Indigo System CAT RX has been designed to address the limitations of traditional treatment options with manual aspiration. The CAT family of catheters is the foundation of Penumbra's Indigo System. Penumbra's LANTERN Delivery Microcatheter integrates a highly trackable 2.6 F microcatheter with a high-flow lumen to facilitate confident delivery of Ruby Coil, POD, and Packing Coil even in tortuous anatomy. The large aspiration lumen and highly trackable, low-profile design coupled with the power of the Penumbra ENGINE resulted in the successful removal of the emboli in one pass. This website is intended for US audience only. left-arrow Return all damaged devices and packaging to the manufacturer/distributor. Do not use the INDIGO Aspiration System with a pump other than the Penumbra Aspiration Pump. 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. Manual aspiration suffers from diminished aspiration force as fluid fills in the syringe, potentially resulting in systemic embolization during catheter removal, as shown in the TOTAL trial published in 2015 (Figure 1).1 Subgroup analysis of patients with high thrombus burden was explored that highlighted the potential for improved outcomes. Presented at: American College of Cardiologys 68th Annual Scientific Session; March 1618, 2019; New Orleans, LA. Do not advance, retract or use any component of the Indigo Aspiration System against resistance without careful assessment of the cause using fluoroscopy. Distal emboli causing PDA occlusion after manual aspiration. INDIGO SEPARATOR 4 is intended to be used with INDIGO CAT RX Aspiration Catheter to clear the distal end of the catheter lumen should it be blocked with thrombus. 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/fibrillation; arteriovenous fistula; death; device malfunction; distal embolization; emergent surgery; false aneurysm formation; hematoma, hemorrhage, or blood loss at access site; hematoma, hemorrhage, or blood loss; hypotension; inability to completely remove thrombus or control blood flow; infection; ischemia; kidney damage from contrast media; myocardial infarction; neurological deficits including stroke; respiratory failure; thromboembolic events; vascular complications (including vessel spasm, thrombosis, intimal disruption, dissection, or perforation). UPC: Current Stock: . Angiography of the posterior tibial artery revealed embolization to the heel resulting in no flow to the foot (Figure 1). Interventional Cardiology 2018;29:92-100. Gus Theodos, MD, FACC, FSCAI Figure 3. Figure 2. The sustained aspiration power provided by the Penumbra ENGINE allowed rapid TIMI 3 flow restoration and removal of the distal emboli. Do not resterilize or reuse. Presented at: American College of Cardiologys 68th Annual Scientific Session; March 1618, 2019; New Orleans, LA. 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. 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. Otherwise, this could result in degradation of the performance of this equipment. The pulmonary capillary wedge pressure is 10 mmHg. Cook Medical) with the Indigo System (Penumbra, Inc.) using a CAT8 catheter and SEP8 separator to maximise the debris removal. The Indigo System with Lightning Aspiration Tubing is a computer-aided aspiration system powered by Penumbra ENGINE. gus.theodos@bjc.org; @gtheodosmd A minimally-invasive device, Indigo enables the restoration of blood flow in such cases as acute limb ischemia and venous thrombus. Use the Indigo Aspiration System in conjunction with fluoroscopic visualization. The Indigo system CAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, trackable, atraumatic and well suited for the peripheral anatomy. There are no contraindications. 0 cm from the distal tip. 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. Distal posterior tibial artery emboli occlusion. Disclaimer: The opinions and clinical experiences presented herein are for informational purposes only. Available in a selection of sizes, the CAT family can provide access to distal peripheral . 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. Figure 2. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. The healthcare firm said that the Indigo CAT RX Aspiration Catheters . 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. INDIGO Aspiration Tubing: As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO CAT RX Aspiration Catheters to the Penumbra Aspiration Pump. 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. These benefits may suggest a reduction to cost of care, improved patient outcomes, and changes to the procedural algorithm. 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. Throughout each case, Lightning provides procedural feedback via audiovisual cues. 2017;377:2240-2252. Do not use open or damaged packages. Warnings/Precautions Warnings Do not resterilize or reuse. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and . Learn more about Lightning. 2. Contraindications The INDIGO Aspiration System is contraindicated in: The removal of fibrous, adherent or calcified material (e.g. 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 Indigo System CAT3, CAT5, CAT6, CAT8, CATD, and CAT7D are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. This website is intended for US audience only. Final angiographic result of SVG. Precautions Use prior to the Use By date. 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.). (CAT3, CAT RX, CAT5, CAT6, CAT8, and CATD) and patented Separator technology, which maintains continuous aspiration and helps limit clogging of the catheters tip during the procedure. Do not use automated high-pressure contrast injection equipment with the INDIGO CAT RX Aspiration Catheter because it may damage the device. The initial angiogram confirmed a distal occlusion of the RCA with TIMI 0 flow and extensive clot burden (Figure 1). This has allowed expansion of the use of the Indigo System in patients with coronary and peripheral vascular thrombotic occlusions. As part of the Indigo Aspiration System, the Indigo CAT RX Aspiration Catheters and Indigo Separator 4 (Penumbra, Inc.) are indicated for the removal of fresh soft emboli and thrombi from vessels in the coronary and peripheral vasculature. 5, 21. 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). The built-in microprocessor features a proprietary thrombus removal algorithm that automatically controls a valve in the tubing to provide continuous or intermittent aspiration. The Penumbra System is a fully-integrated system designed specifically for mechanical thrombectomy, first receiving 510(k) clearance by the FDA in December 2007. Applicant. Since the initial launch of the Indigo System, catheter technology as well as techniques have advanced. Created with Sketch. 0, 26. 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 . Brian Kolski, MD 5, 19. We expect the results to further refine and improve our technique for mechanical aspiration and fine-tune the use of CAT RX for patients with high thrombus burden. Mathews SJ, Brown C, Kolski B, et al. K180412. This is potentially more effective than diminished syringe-based aspiration. Excessive aspiration or failure to close the INDIGO Aspiration Tubing valve when aspiration is complete is not recommended. 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. Made of laser-cut hypotube technology, CAT7 and CAT12 are designed to increase trackability and torqueability. Penumbra ENGINE Intended Use 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). Cardiology; Dental; Emergency & EMT; Endoscopy; Exam & Diagnostic; . Presented at: Vascular InterVentional Advances (VIVA); November 47, 2019; Las Vegas, Nevada. The CAT family of catheters is the foundation of Penumbra's Indigo System. In some cases, we have also seen a reduction in glycoprotein IIb/IIIa inhibitor usage (which may be associated with higher rates of bleeding). Ruby Coil, POD, and Packing Coil are large-volume coils designed for embolization of the peripheral arterial and venous systems. window.dataLayer = window.dataLayer || []; chronic clot, atherosclerotic plaque) A repeat mechanical thrombectomy was performed of the right superficial femoral artery with flow improvement. Available in a selection of sizes, the CAT family can enable access to distal peripheral vessels of the upper and lower extremities, including below the knee. INDIGO Aspiration Tubing: Penumbra's high-performance aspiration catheters. 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. With reperfusion to the distal vasculature and clear visualization of the underlying stenosis, a 3.5-mm stent was placed. This content is not intended to offer professional medical advice. Penumbra System CAT8 INDIGO System Aspiration Catheter 8 - XTORQ - 8Fr x 115cm - Non-Expired: 8Fr x 115cm 0: Contact Us: RBY2C0305 University of Massachusetts Medical School The INDIGO SEPARATOR is not intended for use as a guidewire. The CAT family of catheters is the foundation of Penumbra's Indigo system. 0, 24. Final angiogram after mechanical thrombectomy with CAT8 and SEP8. Penumbra has issued an urgent recall of all configurations of the Penumbra JET 7 Reperfusion Catheter with Xtra Flex Technology (JET 7 Xtra Flex) based on the risk of unexpected death or serious . 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. Return all damaged devices and packaging to the manufacturer/distributor. The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. Do not use open or damaged packages. CAT RX mechanical aspiration system powered by Penumbra ENGINE in comparison to manual syringe-based aspiration. Unrestrained torquing or forced insertion of the catheter or separator against resistance may result in damage to the device or vessel. With the maximized inner diameter of 0.082 and a 7 French outer diameter, CAT7 is 93% the size of CAT8, now with a lower profile. Do not use automated high-pressure contrast injection equipment with the INDIGO Aspiration Catheter because it may damage the device. Figure 3. CAT RX has allowed us to rethink how we approach these occluded SVGs. The INDIGO SEPARATOR 4 is not intended for use as a guidewire. Penumbra, a US-based provider of advanced therapies, has enrolled the first patient into the CHEETAH clinical study, designed to evaluate the safety and performance of the Indigo System with CAT RX Aspiration Catheter in the coronary vessels. Penumbra CAT8XTORQ115 CAT8 Indigo System Aspiration Catheter 8F Item Past Expiration +1(833)330-3033. Precautions The device is intended for single use only. waqas.qureshi@umassmemorial.org Copyright 2023 Penumbra, Inc. All rights reserved. The Indigo System CAT3, CAT5, CAT6, CAT8 and CATD ?are engineered to be robust, durable, and trackable for use in the peripheral anatomy. window.dataLayer = window.dataLayer || []; . Indigo System Intended Use Since launch, we have found that CAT RX has become an essential part of our treatment algorithm when thrombus is present in the coronaries. Indication For Use A Penumbra CAT8 catheter was placed into the right upper lobe, right middle lobe, and right lower lobe, and aspiration with a separator was performed. The combination of intelligent aspiration and large-lumen catheter engineering form Lightning 7 and Lightning 12: the latest generation in clot removal technology. The removal of fibrous, adherent or calcified material (e.g. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. 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. The INDIGO Aspiration Tubing is intended to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump. Use prior to the Use By date. Disclosures: Consultant to Penumbra, Inc. A 65-year-old man presented emergently with an inferior wall MI. CAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm , 8Fr., Peripheral Thrombectomy Mechanical one eachCAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm , 8Fr., Peripheral Thrombectomy Mechanical one eachCAT8 Indigo Aspiration Catheter 8, TORQ tip, 85cm , 8Fr., Peripheral . 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. Copyright 2022 Penumbra, Inc. All rights reserved. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower . Get Penumbra Cat 8 in Secunderabad, Hyderabad, Telangana at best price by Zephyr Technologies. 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. She had acute tubular necrosis with minimal urine output at the time of transfer. Foi utilizado o dispositivo Penumbra Indigo System Separator SEP8 (Penumbra Inc.), via . The Indigo System CAT3, CAT5, CAT6, CAT8, CATD, and CAT7D are engineered to be robust, trackable, atraumatic, and well suited for the peripheral anatomy. o The Penumbra Indigo System Separator is intended for use with our Indigo System's family of catheters to enable the removal of a wide range of thrombus. Precautions The device is intended or single use only. When performing aspiration, ensure that the INDIGO Aspiration Tubing valve is open for only the minimum time needed to remove thrombus. Copyright 2023 Penumbra, Inc. All rights reserved. Penumbra System BENCHMARK Delivery Catheter - MP - 6Fr x .071" x 105cm - Non-Expired: 6Fr x .071" x 105cm $550.00. After one pass with mechanical thrombectomy using CAT RX, the thrombus was removed and flow was restored to the pedal arch via the plantar posterior tibial artery (Figure 2 and Figure 3). Use only waterbased solvents for cleaning. CAT RX has become our frontline therapy for rapid3 clot removal in the coronary arteries. The Indigo SystemCAT3, CAT5, CAT6, CAT8 and CATD are engineered to be robust, durable, and trackable for use in the peripheral anatomy. Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. The Swan-Ganz catheter was exchanged over a long V18 wire. The Penumbra IndigoSystem Separatoris intended for use with our Indigo Systems CATfamily of catheters to enable the removal of a wide range of thrombus. 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 . Learn more about Lightning. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. The patient remained on cangrelor with no need for tirofiban. 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. The CAT family of catheters is the foundation of Penumbras Indigo System. The penumbra cat8 indigo system (cat8) was kinked approximately 4. J Am Coll Cardiol. INDIGO Aspiration Tubing: As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump. Indigo Aspiration Catheters (CAT) are the foundation of Penumbras IndigoSystem. To avoid the risk of electrical shock, this equipment must only be connected to a supply mains with protective earth. Created with Sketch. Do not advance, retract or use any component of the INDIGO System against resistance without careful assessment of the cause using fluoroscopy. It will reduce the service life of the PENUMBRA ENGINE. Figure 1. Further evaluation of the returned device revealed kinks in the catheter shaft. Placing guidewire too distal in the pulmonary vasculature or excessive manipulation of aspiration/ guiding catheter in the smaller, peripheral, and segmental pulmonary artery branches can result in vessel perforation. Possible complications include, but are not limited to, the following: Jolly SS, Cairns JA, Lavi S, et al. Do not use automated high-pressure contrast injection equipment with the Indigo CAT RX Aspiration Catheter because it may damage the device. With automatic valve control, Lightning can help the physician focus on optimising thrombus removal procedures. SVG occlusions can be challenging to resolve using traditional treatment modalities. 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. 1. Jolly SS, Cairns JA, Yusuf S, et al. Penumbra, Inc. One Penumbra Place. 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. As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump. Contraindications There are no known contraindications. All Rights Reserved Privacy Policy, With S. Jay Mathews, MD, MS, FACC; Chris Metzger, MD; Waqas R. Qureshi, MD, MS; Jawairia Sahar K. Mirza, MBBS; Gus Theodos, MD, FACC, FSCAI; Brian Kolski, MD; Suhail Dohad, MD, FACC. window.dataLayer = window.dataLayer || []; Penumbra introduced the Ruby Coil in 2013, followed by the launch of PODin 2014 and Packing Coil in 2015. Download scientific diagram | A, Penumbra Indigo System Continuous Aspiration Mechanical Thrombectomy Catheter (CAT8). To avoid risk of electrical shock, this equipment must only be connected to a supply mains with protective earth. kolskiwellness@gmail.com UPC: Current Stock: This item is out of stock. The Indigo System CAT RX was the preferred choice for mechanical aspiration thrombectomy to remove the distal emboli below the knee in the posterior tibial artery. There was an immediate response in the clinical situation of the patient: her blood pressure stabilized into the 90s and her oxygenation improved substantially. function gtag(){dataLayer.push(arguments);} Preprocedure TIMI 0 flow was seen in 76.3% of patients; TIMI 3 flow immediately post-CAT RX was demonstrated in 93.2% of patients. sjaymathewsmd@gmail.com Otherwise, this could result in degradation of the performance of this equipment. A final angiogram revealed complete reperfusion to the dominant left circumflex artery and branches, with TIMI 3 flow (Figure 3). Vedantham S, Goldhaber SZ, Julian JA, et al. Warnings Do not resterilize or reuse. System Chair, Clinical Research Sista A. Indigo aspiration system for acute pulmonary embolism. The cat8 was kinked approximately 69. Return all damaged devices and packaging to the manufacturer/distributor. She was in a rehab facility prior to this new event recovering from her CVA. Potential Adverse Events Most recently, Penumbra launched Lightning Intelligent Aspiration which enables physicians to focus on optimizing thrombus removal using the system's unique clot detection mechanism. 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. Do not resterilize or reuse. Related Items. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. Figure 1. No modification of this equipment is allowed. Throughout each case, Lightning provides procedural feedback via audio visual cues. After IVUS, the stent was dilated to 3.75 mm. Ballad CVA Heart & Vascular Institute 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. Precautions Maintain a constant infusion of appropriate flush solution. 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. The PENUMBRA ENGINE is intended as a vacuum source for Penumbra Aspiration Systems. Kingsport, Tennessee Mechanical Thrombectomy. Copyright 2023 Penumbra, Inc. All rights reserved. The Penumbra ENGINE is intended as a vacuum source for Penumbra Aspiration Systems. After one pass with CAT RX, the high thrombus burden was removed, resulting in TIMI 3 flow. Disclosures: Consultant to Penumbra, Inc. A 59-year-old man with a history of hypertension and tobacco use presented with an inferior-posterior acute myocardial infarction (MI). 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. For more information on the personal data that is collected by this website, please refer to Penumbras Privacy Notice. Warnings Do not use the INDIGO Aspiration System with a pump other than a Penumbra Aspiration Pump. right-arrow The means of mains disconnect is to remove the power cord. Figure 2. TIMI 3 flow was achieved in 88% of cases. Indigo Aspiration Catheters (CAT) are the foundation of Penumbras IndigoSystem. indicated to connect the INDIGO CAT RX Aspiration Catheters to the Penumbra Aspiration Pump. Use prior to the Use By date. Due to continual vomiting, an electrocardiogram was obtained that showed an acute MI. Potential Adverse Events function gtag(){dataLayer.push(arguments);} Contraindications Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. Prior to the procedure, ticagrelor was administered and the patient was taken to the cardiac cath lab for angiography. Do not use kinked or damaged devices. These types of burns heal withing 5 or 6 days without permanent scarring. A CAT8 Penumbra catheter was advanced over the Glidewire into the right superficial femoral artery. INDIGO System LIGHTNING Aspiration Tubing Intended Use Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. 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. Lightning 12 and Lightning 8 expand the already broad offering of CAT8, CATD, CAT6, CAT5, and CAT3 and are paired with Penumbra ENGINE, the company's proprietary continuous, mechanical vacuum . The low-profile catheter and Penumbra ENGINE are easy to set up and use. If such use is necessary, LIGHTNING Aspiration Tubing and the other equipment should be observed to verify that they are functioning properly. With automatic valve control, Lightning can help the physician focus on optimizing thrombus removal procedures. The Penumbra ENGINE is indicated as a vacuum source for Penumbra Aspiration Systems. Penumbra CAT8 KIT Indigo Aspiration Catheter 8 & Aspiration Tubing, XTorq Tip 115cm x 8F (NON-STERILE) Expired. Missouri Baptist Medical Center suhail.dohad@cshs.org Initial angiogram showing high thrombus burden in the RCA.
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