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indigo r aspiration system lightning bolt aspiration tubing

Penumbra

Summary: The Indigo R Aspiration System Lightning Bolt Aspiration Tubing is a medical device used for mechanical thrombectomy in venous systems. It is typically used by interventional radiologists and vascular specialists to remove thrombi in patients with conditions like deep vein thrombosis and pulmonary embolism.

FDA Clearance Information

Pathway 510K
Decision Date September 25, 2024
Product Code QEW
Device Class Class 2
Evidence 40 studies

The device was cleared through the FDA 510(k) pathway on September 25, 2024. It is manufactured by Penumbra and classified as a Class 2 medical device under product code QEW.

What It Is

The Indigo R Aspiration System Lightning Bolt Aspiration Tubing is a component of a mechanical thrombectomy system designed to remove thrombi from the venous system. It works by providing a conduit for aspiration, allowing for the efficient removal of blood clots. This system is particularly useful in cases where rapid clot removal is necessary to restore blood flow and reduce the risk of complications.

Clinical Applications

This device is commonly used in interventional radiology and vascular surgery settings, particularly for patients with venous thromboembolism, such as deep vein thrombosis and pulmonary embolism. It is suitable for use in hospitals and specialized clinics where rapid intervention is required. The device is often part of a multidisciplinary approach to managing high-risk thrombotic conditions.

Indications for Use

The FDA indications suggest that this device is intended for patients with venous thrombi, such as those with deep vein thrombosis or pulmonary embolism. It is used to mechanically remove clots when other treatments, like systemic thrombolysis, are insufficient or contraindicated.

Practical Considerations

The system is compatible with various catheter sizes, allowing flexibility in different anatomical settings. Clinicians should be familiar with catheter-directed thrombectomy techniques and ensure compatibility with existing equipment. Proper training in the use of aspiration systems is recommended for optimal outcomes.

Related Literature

The linked study discusses a case where the Indigo Lightning System was used in a multidisciplinary approach to treat a patient with high-risk acute pulmonary embolism and associated thrombi. The study highlights the successful use of mechanical thrombectomy to remove both right atrial thrombi and iliofemoral deep vein thrombosis in a single session. While promising, the study is limited by its single-case nature and calls for further research to validate these findings.

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 is Indigo R Aspiration System Lightning Bolt Aspiration Tubing used for?

It is used for the mechanical removal of thrombi in the venous system, particularly in cases of deep vein thrombosis and pulmonary embolism.

What specialties typically use this device?

Interventional radiologists and vascular specialists typically use this device in hospital and specialized clinic settings.

What are the FDA-cleared indications?

The device is indicated for use in mechanically removing thrombi from the venous system in patients with conditions like deep vein thrombosis and pulmonary embolism.

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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