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penumbra system ace 68 reperfusion catheter

Penumbra

Summary: The Penumbra System ACE 68 Reperfusion Catheter is a medical device used for mechanical thrombectomy in acute ischemic stroke. It is primarily used by interventional radiologists and neurologists.

FDA Clearance Information

Pathway 510K
Decision Date June 12, 2016
Product Code NRY
Device Class Class 2
Evidence 15 studies

The Penumbra System ACE 68 was cleared through the FDA 510(k) pathway on June 12, 2016. It is manufactured by Penumbra and classified as a Class 2 device under product code NRY.

What It Is

The Penumbra System ACE 68 Reperfusion Catheter is a specialized catheter designed for mechanical thrombectomy, a procedure to remove blood clots from the brain's blood vessels in cases of acute ischemic stroke. It works by aspirating the clot through a large-bore catheter, allowing for rapid restoration of blood flow. The device is part of the ADAPT (A Direct Aspiration First Pass Technique) approach, which emphasizes direct aspiration as the first-line treatment.

Clinical Applications

This device is commonly used in the treatment of acute ischemic stroke, particularly in cases involving large vessel occlusions. It is typically employed in hospital settings by interventional radiologists and neurologists. The catheter is used in endovascular procedures to quickly and effectively remove clots, thereby minimizing brain damage and improving patient outcomes. Its use is crucial in time-sensitive situations where rapid intervention can significantly impact recovery.

Indications for Use

The Penumbra System ACE 68 is indicated for use in patients experiencing acute ischemic stroke due to large vessel occlusions. It is designed to help restore blood flow by removing the clot, which can help reduce the severity of the stroke and improve recovery prospects.

Practical Considerations

The ACE 68 catheter is typically compatible with standard guide catheters and is designed for use with a vacuum pump for aspiration. Clinicians should be aware of the catheter's size and ensure compatibility with the patient's vascular anatomy. Proper technique and familiarity with endovascular procedures are essential for optimal results.

Related Literature

The linked study explored the use of the Penumbra ACE and 3MAX reperfusion system in treating patients with symptomatic M2 and M3 occlusions in acute ischemic stroke. The study found that mechanical thrombectomy could be beneficial even in distal vessel occlusions, expanding the potential applications of the device. However, the study's limitations include its initial experience nature and the need for further research to confirm these findings across larger populations.

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 is the Penumbra System ACE 68 Reperfusion Catheter used for?

It is used for mechanical thrombectomy to remove clots in patients with acute ischemic stroke.

What specialties typically use this device?

Interventional radiologists and neurologists typically use this device in hospital settings.

What are the FDA-cleared indications?

The device is indicated for use in patients with acute ischemic stroke due to large vessel occlusions to restore blood flow by removing the clot.

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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