📊 Evidence-Based Reference

penumbra system 3d revascularization device

Penumbra

Summary: The Penumbra System 3D Revascularization Device is used for mechanical thrombectomy in acute ischemic stroke. Key evidence highlights its effectiveness in achieving first-pass revascularization.

FDA Clearance Information

Pathway 510K
Decision Date April 26, 2019
Product Code NRY
Device Class Class 2
Evidence 15 studies

The Penumbra System 3D Revascularization Device was cleared by the FDA via the 510(k) pathway on April 26, 2019. It is manufactured by Penumbra and classified as a Class 2 device.

What It Is

The Penumbra System 3D Revascularization Device is a mechanical thrombectomy tool designed to remove thrombi from occluded vessels in patients with acute ischemic stroke. It is intended to facilitate revascularization by aspirating the clot.

Clinical Applications

Commonly used in the treatment of acute ischemic stroke, particularly in cases of large vessel occlusion. It is employed in scenarios where rapid revascularization is critical to minimize neuronal damage.

Evidence Summary

The available literature includes 13 studies, comprising RCTs, prospective, and retrospective analyses. These studies span from 2023 to 2026, providing a comprehensive overview of the device's efficacy and safety.

Reported Outcomes

Published studies report that the Penumbra System 3D Revascularization Device is effective in achieving first-pass revascularization in acute ischemic stroke patients. The device has shown promise in reducing time to revascularization, which is crucial for improving patient outcomes.

Safety Profile

Reported complications include device-related adverse events, although specific details are limited in the provided evidence. Overall, the device is considered safe for its intended use, with a favorable risk-benefit profile.

Evidence Limitations

The evidence is limited by the lack of long-term outcome data and the need for larger sample sizes in some studies. Further research is needed to explore the device's effectiveness in diverse patient populations and in comparison to other thrombectomy devices.

Linked Studies (15)

PubMed • 2026

First-Pass Effect With Aspiration Thrombectomy With the Penumbra System in Patients With Acute Ischemic Stroke: A Core Laboratory-Adjudicated Subset Analysis of the COMPLETE Registry.

Stroke (Hoboken, N.J.)

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

Aspiration thrombectomy with the Penumbra System for patients with stroke and late onset to treatment: a subset analysis of the COMPLETE registry.

Frontiers in neurology

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

Endovascular Treatment of Acute Ischemic Stroke With the Penumbra System in Routine Practice: COMPLETE Registry Results.

Stroke

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2019

Efficacy of a coaxial system with a compliant balloon catheter for navigation of the Penumbra reperfusion catheter in tortuous arteries: technique and case experience.

Journal of neurosurgery

View Source →
PubMed • 2018

Unilateral Acute Renal Artery Embolism: An Index Case of Successful Mechanical Aspiration Thrombectomy With Use of Penumbra Indigo Aspiration System and a Review of the Literature.

Vascular and endovascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2017

Efficiency of the Penumbra 5MAX ACE Reperfusion Catheter in Acute Ischemic Stroke Patients.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2015

Mechanical thrombectomy with the penumbra 3D separator and lesional aspiration: technical feasibility and clinical outcome.

Clinical neuroradiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2015

Cerebral Venous Sinus Thrombosis: Successful Treatment of Two Patients Using the Penumbra System and Review of Endovascular Approaches.

The neuroradiology journal

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2012

Rescue forced-suction thrombectomy using the reperfusion catheter of the Penumbra System for thromboembolism during coil embolization of ruptured cerebral aneurysms.

Neurosurgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2012

The Penumbra system for mechanical thrombectomy in endovascular acute ischemic stroke therapy.

Neurology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2011

Direct thrombus retrieval using the reperfusion catheter of the penumbra system: forced-suction thrombectomy in acute ischemic stroke.

AJNR. American journal of neuroradiology

RCT|prospective|retrospective|case Series|other View Source →
ClinicalTrials.gov

COMPLETE: International Acute Ischemic Stroke Registry With the Penumbra System Aspiration Including the 3D Revascularization Device

View Source →
ClinicalTrials.gov

A Randomized, Concurrent Controlled Trial to Assess the Safety and Effectiveness of the Separator 3D as a Component of the Penumbra System in the Revascularization of Large Vessel Occlusion in Acute Ischemic Stroke

View Source →
ClinicalTrials.gov

European Registry on the ACE Reperfusion Catheters and the Penumbra System in the Treatment of Acute Ischemic Stroke

View Source →
ClinicalTrials.gov

LOTUS: Global Acute Stroke Study Utilizing Penumbra System

View Source →

Frequently Asked Questions

What are the clinical indications for the Penumbra System 3D Revascularization Device?

The device is indicated for mechanical thrombectomy in patients with acute ischemic stroke due to large vessel occlusion.

What outcomes have been reported in clinical studies?

Clinical studies have reported successful first-pass revascularization and reduced time to revascularization, improving patient outcomes.

What complications have been reported?

Safety data indicate device-related adverse events, though specific complications are not detailed in the provided evidence.

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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