📊 Evidence-Based Reference

penumbra system pennumbra reperfusion catheter 054 model psc054 penumbra separator 054 model pss054

Penumbra

Summary: The Penumbra System Reperfusion Catheter 054 is a device used for mechanical thrombectomy in venous applications. It is primarily used to restore blood flow in cases of acute ischemic stroke. Key evidence highlights its effectiveness in large vessel occlusion scenarios.

FDA Clearance Information

Pathway 510K
Decision Date September 21, 2009
Product Code NRY
Device Class Class 2
Evidence 15 studies

The Penumbra System Reperfusion Catheter 054 was cleared by the FDA through the 510(k) pathway on September 21, 2009. It is manufactured by Penumbra and classified as a Class 2 device under product code NRY.

What It Is

The Penumbra System Reperfusion Catheter 054 is designed for mechanical thrombectomy procedures, specifically to remove thrombi from blood vessels in the brain. It is intended to restore cerebral blood flow in patients experiencing acute ischemic stroke.

Clinical Applications

This device is commonly used in endovascular procedures to treat patients with acute ischemic stroke due to large vessel occlusion. It is particularly useful in scenarios where rapid recanalization is critical to patient outcomes.

Evidence Summary

The available literature includes 10 studies, comprising randomized controlled trials, prospective, and retrospective analyses. These studies span from 2020 to 2025, providing a comprehensive overview of the device's clinical performance.

Reported Outcomes

Published studies report that the Penumbra System Reperfusion Catheter 054 is effective in achieving rapid and complete recanalization in large vessel occlusion strokes. The device has been shown to be comparable to other thrombectomy systems in terms of efficacy, with some studies indicating non-inferiority to combined alteplase and thrombectomy treatments.

Safety Profile

Reported complications include device-related vascular injury and hemorrhagic transformation, which are consistent with known risks of mechanical thrombectomy procedures. However, the overall safety profile is considered acceptable within the context of acute ischemic stroke treatment.

Evidence Limitations

The evidence is limited by the relatively small sample sizes in some studies and the lack of long-term follow-up data. Further research is needed to explore the device's performance in diverse patient populations and to establish standardized protocols for its use.

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 Reperfusion Catheter 054?

The device is indicated for use in mechanical thrombectomy procedures to restore blood flow in patients with acute ischemic stroke due to large vessel occlusion.

What outcomes have been reported in clinical studies?

Studies have reported effective recanalization rates and comparable efficacy to other thrombectomy systems, with some trials showing non-inferiority to combined alteplase and thrombectomy treatments.

What complications have been reported?

Safety data from evidence indicate complications such as vascular injury and hemorrhagic transformation, which are typical risks associated with mechanical thrombectomy.

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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