The pain became more intense and constant, so he presented to the ED. 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. Use only water-based solvents for cleaning. Jolly SS, Cairns JA, Yusuf S, et al. Get Penumbra Cat 8 in Secunderabad, Hyderabad, Telangana at best price by Zephyr Technologies. These pages are not intended for patients or for members of the general public. 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. Initial angiogram of the right pulmonary artery showing 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. The atraumatic, low-profile design of CAT RX allowed for ease of deliverability through the freshly placed stent into the PDA when the patient was in critical condition. Use prior to the Use By date. The complaint indicated that the cat8 was kinked during the procedure. Final angiogram after stent placement showing resolution of underlying disease. Initial angiogram showing high thrombus burden in the left circumflex artery. Next Article 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. Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. If such use is necessary, LIGHTNING Aspiration Tubing and the other equipment should be observed to verify that they are functioning properly. Director of Cardiac & Peripheral Cath Lab gtag('js', new Date()); TIMI 3 flow was achieved in 88% of cases. Do not use the Indigo Aspiration System with a pump other than the Penumbra Aspiration Pump. CHEETAH will focus on patients presenting with high-grade thrombus burden who receive frontline treatment with CAT RX. Precautions Download scientific diagram | A, Penumbra Indigo System Continuous Aspiration Mechanical Thrombectomy Catheter (CAT8). Do not use automated high-pressure contrast injection equipment with the INDIGO Aspiration Catheter because it may damage the device. Excessive aspiration or failure to close the INDIGO Aspiration Tubing when aspiration is complete is not recommended. Penumbra Aspiration Pump: 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. To avoid risk of electrical shock, this equipment must only be connected to a supply mains with protective earth. Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 12 inches (30 cm) to any part of the PENUMBRA ENGINE. 3. 0, 26. Use the INDIGO Aspiration System in conjunction with fluoroscopic visualization. Copyright 2023 Penumbra, Inc. All rights reserved. 3. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. In patients with submassive pulmonary embolism with compromised right ventricular function and elevated biomarkers, the Indigo System is an excellent frontline tool offering a safe and effective1 treatment option. 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. Photo: Courtesy of Business Wire. The Indigo Aspiration System should only be used by physicians who have received appropriate training in interventional techniques. sjaymathewsmd@gmail.com Vascular Thrombectomy. 2023 Bryn Mawr Communications II, LLC. The Penumbra Indigo System Separator is intended for use with our Indigo Systems CAT family of catheters to enable the removal of a wide range of thrombus. Previous Article, Single-Access Technique for Impella-Assisted High-Risk PCI. Circulation. function gtag(){dataLayer.push(arguments);} 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). Do not position the Penumbra ENGINE so that it is difficult to remove the power cord. The CAT familyof catheters is the foundation of Penumbras Indigo System. Hemoglobin and hematocrit levels should be monitored in patients with >700 mL blood loss from the clot aspiration procedure. chronic clot, atherosclerotic plaque) The four cathetersCAT3, 5, 6, & 8are robust, durable, trackable, and suited for the peripheral anatomy. The patient remained on cangrelor with no need for tirofiban. The deliverability and continuous aspiration power were essential to achieving restoration of flow supporting a positive patient outcome to help heal this case of CLI. Do not use Indigo Separator 4 to macerate or retrieve thrombus distal to the catheter tip. CAT RX has allowed us to rethink how we approach these occluded SVGs. Presented at: American College of Cardiologys 68th Annual Scientific Session; March 1618, 2019; New Orleans, LA. Learn more about Lightning. 0, 24. 2018;72:1589-1596. Indigo System | Computer-Aided Mechanical Aspiration. No conversations found. IN-DATE. The PENUMBRA ENGINE is intended as a vacuum source for Penumbra Aspiration Systems. 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. Maintain a constant infusion of appropriate flush solution. Precautions The device is intended for single use only. Ballad CVA Heart & Vascular Institute Penumbra Aspiration Pump: The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems. Do not use open or damaged packages. CAT12 features a large 0.131 lumen and angled tip for additional circumferential sweep. N Engl J Med. Do not use petroleum based compounds, acids, caustics, or chlorinated solvents to clean or lubricate any parts. Prior to the procedure, ticagrelor was administered and the patient was taken to the cardiac cath lab for angiography. Available in a selection of sizes, the CAT family can provide access to distal peripheral vessels of the upper and lower . Most recently, Penumbra launched Lightning Intelligent Aspiration which enables physicians to focus on optimizing thrombus removal using the system's unique clot detection mechanism. 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. Due to our experience in such cases, sustained aspiration with the Indigo System CAT RX with Penumbra ENGINE has quickly become our frontline device, challenging the traditional method of manual aspiration in patients with thrombi and emboli in the coronary arteries. window.dataLayer = window.dataLayer || []; In some cases, we have also seen a reduction in glycoprotein IIb/IIIa inhibitor usage (which may be associated with higher rates of bleeding). CAT RX has become our frontline therapy for rapid3 clot removal in the coronary arteries. J Vasc Interv Radiol. Contraindications There are no known contraindications. Disclaimer: The opinions and clinical experiences presented herein are for informational purposes only. gus.theodos@bjc.org; @gtheodosmd 5, 21. Do not use in the presence of a flammable anesthetic mixture with air or nitrous oxide. Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 12 inches (30 cm) to any part of LIGHTNING Aspiration Tubing. 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. Available in a selection of sizes, the CAT family can provide access to distal peripheral . Do not re-infuse blood or fluid from the canister back into the patient. Director of Cardiac Catheterization Lab, PERT & Structural Heart Distal OD. 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 Indigo System CAT RX with Penumbra ENGINE is an invaluable tool that is easy to set up and can provide rapid thrombectomy and immediate reperfusion. 0 cm from the distal tip. 2017;377:2240-2252. 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 . 0, 23. 5 and 94. 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. Final angiographic result of SVG. 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. . Worcester, Massachusetts suhail.dohad@cshs.org 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. When performing aspiration, ensure that the INDIGO Aspiration Tubing is open for only the minimum time needed to remove thrombus. These were quickly followed by the release of the 8-F CAT8 and 6-F CAT6 in 2015. Separator 8, 150 cm Length, 0.072 in. Contraindications There are no contraindications. 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. Jawairia Sahar K. Mirza, MBBS Unrestrained torquing or forced insertion of the catheter or SEPARATOR against resistance may result in damage to the device or vessel. $450.00) Model #: CAT8TORQ85 OEM: Penumbra System Expiration Date: 2022 Size: 8Fr x 85cm . After discussion with the family, a decision was made to take her emergently to the cardiac catheterization laboratory. N Engl J Med. Use the INDIGO Aspiration System in conjunction with fluoroscopic visualization. Return all damaged devices and packaging to the manufacturer/distributor. Do not use in an oxygen rich environment. Conclusions: evaluation of the cat8 revealed that the device was fractured. Penumbra introduced the Ruby Coil in 2013, followed by the launch of PODin 2014 and Packing Coil in 2015. University of Massachusetts Medical School 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. 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 had reported intermittent chest discomfort for 3 days, with some improvement with his daily medications. Equipment is not safe for MR use. There was an immediate response in the clinical situation of the patient: her blood pressure stabilized into the 90s and her oxygenation improved substantially. Flow through left circumflex artery post-CAT RX. Penumbra CAT8 KIT Indigo Aspiration Catheter 8 & Aspiration Tubing, XTorq Tip 115cm x 8F (NON-STERILE) Expired. The Indigo System CAT8 catheter comes in three different tip designsstraight, 45, 90which allows a wide range of rotation. After one pass with CAT RX, the initial occlusion was removed. The Indigo System with Lightning Aspiration Tubing is an intelligent aspiration system powered by Penumbra ENGINE. The Indigo System can provide immediate mechanical relief by extracting clot while decreasing pressures using sustained power aspiration without the need for thrombolytics. It will reduce the service life of the PENUMBRA ENGINE. The combination of computer-aided aspiration and large-lumen catheter engineering form Lightning 7 and Lightning 12: the latest generation in clot removal technology.