Cook Celect Platinum Vena Cava Filter Set for Femoral Vein Approach Cook Celect Platinum Vena Cava Filte Set for Jugular Vein Approach Cook Celect Platinum Vena Cava Filter Set for Femoral and Jugular Vein Approach

FDA-Cleared Indications

• Prevention of pulmonary embolism by trapping thrombi in the inferior vena cava.
• Use in patients who have thromboembolic disease and are at risk for pulmonary embolism.
• Use when anticoagulant therapy is contraindicated or ineffective.
• Placement through a femoral or jugular venous approach.

Clinical Applications

• Placement in the inferior vena cava for patients at risk of pulmonary embolism who cannot receive anticoagulation.
• Temporary protection from pulmonary embolism during a period when anticoagulation is contraindicated.
• Filter placement in selected patients with deep vein thrombosis or other thromboembolic disease.
• Placement through femoral or internal jugular venous access under imaging guidance.
• Retrieval when protection from pulmonary embolism is no longer needed and removal is clinically appropriate.

Reported off-label uses

• Use as an adjunct in selected patients with recurrent pulmonary embolism despite therapeutic anticoagulation.
• Use in selected patients with large free-floating venous thrombus when clinicians judge the risk of embolization to be high.

Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.

Practical Considerations

• The device is a retrievable IVC filter, but retrieval should be considered when protection is no longer needed because prolonged dwell time can make removal more difficult.
• It is available in sets for femoral access, jugular access, or either approach; the treating team selects the access route based on venous anatomy, thrombus location, and procedural planning.
• Placement requires imaging guidance, typically fluoroscopy or other appropriate venography-based imaging, and assessment of IVC diameter and anatomy before deployment.
• MRI conditions and the device's permitted scan parameters should be confirmed in the current manufacturer instructions for use before MRI.
• Contraindications and precautions include unsuitable IVC anatomy, access-vessel problems, active infection at the access site, and situations in which the risks of implantation or retrieval outweigh expected benefit.