📊 Evidence-Based Reference

Indigo Laseroptic Treatment System

Ethicon Endo-Surgery

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Summary: The Indigo Laseroptic Treatment System is a device used for mechanical thrombectomy in venous applications. Key evidence highlights its use in benign prostatic hyperplasia (BPH) without discontinuing anticoagulation therapy.

FDA Clearance Information

Pathway ? 510(k)
Number ? K003952 ↗
Decision Date ? March 16, 2001
Product Code ? GEX
Device Class ? Class 2
Evidence ? 40 studies

The Indigo Laseroptic Treatment System was cleared by the FDA via the 510(k) pathway on March 16, 2001. It is manufactured by Ethicon Endo-Surgery and classified as a Class 2 device.

What It Is

The Indigo Laseroptic Treatment System is designed for mechanical thrombectomy in venous applications. It utilizes laser technology to coagulate tissue, providing a minimally invasive option for conditions such as benign prostatic hyperplasia.

FDA-Cleared Indications

  • Mechanical thrombectomy in venous applications.

Clinical Applications

  • Catheter-based removal of thrombus from veins.
  • Venous thrombectomy procedures performed under image guidance.
  • Removal of venous thrombus when a minimally invasive catheter-based approach is clinically appropriate.

Evidence Summary

The available literature includes two studies: a case series and an interim report, published between 1999 and 2002. These studies focus on the device's application in benign prostatic hyperplasia.

Reported Outcomes

Published studies report that the Indigo Laseroptic Treatment System was used successfully in patients with benign prostatic hyperplasia, including those on anticoagulation therapy. Outcomes included a mean international normalized ratio of 2.8 and a mean American Urological Association symptom score of 22.

Safety Profile

Reported complications include no specific adverse events noted in the provided studies. The safety profile appears favorable, particularly in anticoagulated patients undergoing treatment for benign prostatic hyperplasia.

Evidence Limitations

The evidence is limited to a small number of studies with relatively few participants. Further research is needed to establish long-term efficacy and safety across a broader patient population.

Practical Considerations

  • The FDA record provided does not specify catheter sizes, working lengths, or compatibility with particular access sheaths; clinicians should consult the device labeling.
  • Use requires appropriate vascular access, imaging guidance, and operator training in venous thrombectomy.
  • MRI safety or conditional-use status is not established in the information provided. Confirm the current labeling before MRI.
  • Potential risks include bleeding, vascular injury, infection, embolization, contrast reaction, and recurrent thrombosis.
  • The device is not a permanent implant; its usable duration depends on the procedure and the manufacturer’s instructions for use.

Procedures that use this device

Linked Studies (20)

PubMed • 2025

Randomized Controlled Trial of Mechanical Thrombectomy With Anticoagulation Versus Anticoagulation Alone for Acute Intermediate-High Risk Pulmonary Embolism: Primary Outcomes From the STORM-PE Trial.

Circulation

RCT|prospective View Source →
PubMed • 2025

A New Technique for Mechanical Thrombectomy in Patients With Acute Pulmonary Embolism: A Case Series.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

Case Series View Source →
PubMed • 2025

Rescue catheter directed treatment for floating right atrial thrombi and deep vein thrombosis in patient with high-risk acute pulmonary embolism: a case report of multidisciplinary approach.

European heart journal. Case reports

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Percutaneous vacuum-assisted tumor thrombectomy using angiovac and penumbra lightning 12 aspiration systems.

Radiology case reports

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Safety and efficacy of mechanical aspiration thrombectomy for patients with acute lower extremity ischemia.

Journal of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Neuro-tracking catheter technology for coronary thrombus extraction: Indigo CAT RX Continuous Aspiration System - first use in Poland.

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology

View Source →
PubMed • 2024

[Interventional therapy of pulmonary embolism - update].

Deutsche medizinische Wochenschrift (1946)

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Super-Elderly Case of Acute Lower Limb Ischemia Treated with Indigo Aspiration System in Japan.

Annals of vascular diseases

Case Series View Source →
PubMed • 2024

Procedure-Related Mortality in Aspiration Thrombectomy for Pulmonary Embolism: A MAUDE Database Analysis of the Inari FlowTriever and Penumbra Indigo Systems.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Endovascular thrombectomy for cerebral venous sinus thrombosis using the Penumbra Indigo® Aspiration System.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Use of the Indigo CAT RX aspiration system during percutaneous coronary intervention.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

Other View Source →
PubMed • 2024

Anesthetic Management for Aspiration Thrombectomy Using the Penumbra Indigo System in Pediatric Patients with Congenital Heart Disease.

Journal of cardiothoracic and vascular anesthesia

Other View Source →
PubMed • 2024

Penumbra Indigo® system to safely remove intracardiac thrombus in a 7-month-old infant with severe immunodeficiency disorder.

Cardiology in the young

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2023

Case Report: Catheter-based mechanical thrombectomy using the Indigo aspiration system in a case of systemic-to-pulmonary shunt thrombosis.

Frontiers in pediatrics

Case Report View Source →
PubMed • 2023

Mechanical Venous Thrombectomy Using Indigo Aspiration System: A Case Report.

Cureus

View Source →
PubMed • 2023

Indigo® Aspiration System for thrombectomy in pulmonary embolism.

Future cardiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2023

Penumbra Indigo Percutaneous Aspiration Thrombectomy System in the treatment of Aortic Endograft Iliac Limb Occlusion: Results from an Italian Multicentre Registry.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2022

Aspiration Thrombectomy with the Indigo System for Acute Lower Limb Ischemia: Preliminary experience and analysis of parameters affecting the outcome.

Annals of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2022

Complications and Failure Modes of the Penumbra Indigo CAT RX Aspiration System in Percutaneous Coronary Intervention: Insights From the MAUDE Database.

Cardiovascular revascularization medicine : including molecular interventions

View Source →
PubMed • 2022

Technical success and short-term results from mechanical thrombectomy for lower extremity iliofemoral deep vein thrombosis using a computer aided mechanical aspiration thrombectomy device.

Journal of vascular surgery. Venous and lymphatic disorders

RCT|prospective|retrospective|case Series|other View Source →

Frequently Asked Questions

What are the clinical indications for Indigo Laseroptic Treatment System?

The device is indicated for mechanical thrombectomy in venous applications, particularly in treating benign prostatic hyperplasia.

What outcomes have been reported in clinical studies?

Studies reported a mean international normalized ratio of 2.8 and a mean symptom score of 22 in patients treated for benign prostatic hyperplasia.

What complications have been reported?

No specific complications were reported in the studies provided, indicating a favorable safety profile.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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