K Number
K180939
Manufacturer
Date Cleared
2018-05-03

(23 days)

Product Code
Regulation Number
870.5150
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

INDIGO Aspiration Catheters and Separators: As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems.

INDIGO Aspiration Tubing: As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump.

Penumbra Aspiration Pump: The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems.

Device Description

The Indigo Aspiration System ("Indigo System") is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems using the Indigo Aspiration Catheter, Indigo Separator, Indigo Aspiration Tubing, and Penumbra Aspiration Pump. The Indigo System was most recently cleared under K180105.

The Indigo System is designed to remove thrombus from the vasculature using continuous aspiration. The Aspiration Catheter targets aspiration from the Aspiration Pump directly to the thrombus. The Separator may be used to clear the lumen of the Aspiration Catheter should it become blocked with thrombus. The use of the Separator may not be necessary when using an Aspiration Catheter with an I.D. of 0.054in or larger. The Aspiration Catheter is introduced through a guide catheter or long femoral sheath and into the site of the primary occlusion. The Aspiration Catheter is used with the Aspiration Pump to aspirate thrombus from an occluded vessel. As needed, a Separator may be deployed from the Aspiration Catheter to assist with thrombus removal. The Separator is advanced and retracted through the Aspiration Catheter at the proximal margin of the primary occlusion to facilitate clearing of the thrombus from the Aspiration Catheter tip. For the aspiration source, the Aspiration Catheter is used in conjunction with the Aspiration Pump, which is connected using the Aspiration Tubing and Canister. The Aspiration Catheter may be provided with a steam shaping mandrel and rotating hemostasis valve, and a peelable sheath. The Separator is provided with an introducer and torque device. The Aspiration Catheters and Separators are visible under fluoroscopy.

The Indigo Aspiration Tubing connects the Penumbra Aspiration Pump Canister to the Indigo Aspiration Catheter within the sterile field, providing a means for introducing vacuum during procedures. The Aspiration Tubing has a flow switch that allows the physician to start and stop the flow of aspiration. The Aspiration Tubing is available in three inner diameters: 0.071 in [1.80mm] for IST1, 0.088 in [2.24mm] for IST2, and 0.110 in [2.79mm] for IST3 and IST4. The Aspiration Tubing is designed and composed of materials which are commonly used in interventional devices.

AI/ML Overview

Here's an analysis of the acceptance criteria and supporting study for the Penumbra Indigo Aspiration System, based on the provided document:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria and reported device performance are primarily found in Section 1.10, "Summary of Non-Clinical Data," specifically subsections 1.10.1 (Biocompatibility) and 1.10.2 (Design Verification - Bench-top Testing).

Test / Test SubjectAttributeAcceptance CriteriaResult
Biocompatibility (Modified 110 Aspiration Tubing)
Cytotoxicity (MEM Elution) / EN ISO 10993-5n/aSample extracts must yield a cell lysis grade of 2 or lowerGrade 2: Mild
Sensitization / EN ISO 10993-10n/aTest Group shall yield Grade 1 score on Magnusson and Kligman scale (provided Control Grade < 1)Grade 0: No visible change
Irritation (Intracutaneous Reactivity Irritation Test) / EN ISO 10993-10n/aThe difference in the mean test article and mean control score must be grade 1.0 or lowerGrade 0.0 difference (saline extract) and Grade 0.1 difference (sesame oil extract)
Design Verification (Modified 110 Aspiration Tubing)
Dimensional/Visual InspectionThese evaluations confirm that the test units used in Design Verification testing meet all dimensional and visual specifications.100% Must meet SpecificationPass
Suction Connector / Canister Lid CompatibilitySuction Connector of Aspiration Tubing Assembly securely attaches to Pump Canister lid via press fit.100% Must meet SpecificationPass
Rotating Luer / RHV CompatibilityRotating Luer of Aspiration Tubing Assembly securely connects to RHV port.100% Must meet SpecificationPass
Aspiration Tubing Lumen Ovalization under VacuumAspiration Tubing Assembly maintains functionality and maintains an open lumen at vacuum pressure per product specification.100% Must meet SpecificationPass
Aspiration Tubing Joint Leak under VacuumAspiration Tubing Assembly maintains functionality with no leaks at vacuum pressure per product specification.100% Must meet SpecificationPass
Flow Control Switch FunctionFlow Control Switch completely and immediately stops fluid flow after a specified number of ON/OFF cycles.100% Must meet SpecificationPass
Penumbra Aspiration System Compatibility with Aspiration Catheter and SeparatorThe Aspiration Tubing Assembly is compatible with Penumbra Aspiration System (Clot can be removed under minimum vacuum pressure per product specification).100% Must meet SpecificationPass
Suction Connector / Tubing Joint TensileBreak force per product specification.100% Must meet SpecificationPass
Rotating Male Luer / Tubing Joint TensileBreak force per product specification.100% Must meet SpecificationPass
Shelf Life (Modified 110 Aspiration Tubing)
Device stabilityn/a36 months via accelerated agingAchieved 36 months
Sterilization (Modified 110 Aspiration Tubing)
Sterilityn/aEO sterilization in accordance with EN ISO 11135Met
EO residual testingn/aPer EN ISO 10993-7Met
Comparative Resistance Testingn/aPer AAMI TIR 28Met
Endotoxin (LAL) Testingn/aPer ANSI/AAMI ST72Met

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the specific numerical sample sizes for each test in the tables provided for "Biocompatibility" and "Design Verification." It mentions:

  • For Biocompatibility, "All studies were conducted pursuant to 21 CFR, Part 58, Good Laboratory Practices (GLP)."
  • For Design Verification, "All benchtop studies were conducted using good scientific practices and statistical sampling methods as required by the Penumbra Design Control procedures."

This indicates that appropriate (but unspecified) sample sizes were used according to established scientific and regulatory guidelines.

Data provenance: The tests were non-clinical (bench-top testing, lab-based biocompatibility, shelf-life, sterilization, packaging). Therefore, there is no "country of origin of the data" in the sense of patient data, nor is it retrospective or prospective in the usual clinical study context. These are laboratory studies performed by the manufacturer, Penumbra, Inc. (Alameda, CA, USA).

3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

This information is not applicable to the provided document. The studies described are non-clinical, bench-top, and laboratory tests (biocompatibility, mechanical performance, sterility, shelf-life, packaging). These types of tests do not involve human experts establishing "ground truth" on a test set in the way a clinical study or AI algorithm evaluation would. The "ground truth" for these tests is defined by the objective measurement and adherence to established scientific and regulatory standards (e.g., ISO, AAMI standards, internal specifications).

4. Adjudication Method for the Test Set

This information is not applicable as the studies are non-clinical bench-top tests. Adjudication methods (like 2+1 or 3+1) are typically used in clinical studies or expert review processes where there might be disagreement among reviewers, which is not relevant to chemical or mechanical testing.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size

No, an MRMC comparative effectiveness study was not conducted as part of this submission. The document focuses exclusively on non-clinical (bench-top) testing to demonstrate substantial equivalence for a modified component (the 110 Aspiration Tubing) of an existing device. It does not involve human readers evaluating images or clinical outcomes, either with or without AI assistance.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

No, a standalone performance study in the context of an algorithm or AI was not performed. This submission is for a physical medical device (aspiration system), not a software or AI diagnostic device.

7. The Type of Ground Truth Used

For the non-clinical tests described:

  • Biocompatibility: Ground truth is established by standardized biological assays and observation against criteria defined in EN ISO 10993 guidelines.
  • Design Verification (Bench-top Testing): Ground truth is established by objective measurements against predefined engineering design specifications, performance standards, and risk analyses.
  • Shelf Life: Ground truth is established by measuring material degradation or performance changes over time, often using accelerated aging models and real-time stability studies, against pre-defined performance specifications.
  • Sterilization: Ground truth is established by standardized microbiological and chemical tests (e.g., bioburden, sterility assurance level, EO residual levels) against criteria defined in EN ISO 11135, EN ISO 10993-7, AAMI TIR 28, and ANSI/AAMI ST72.
  • Packaging: Ground truth is established by visual inspection and performance tests (e.g., seal integrity, transportation conditioning) to ensure sterility maintenance and device protection.

8. The Sample Size for the Training Set

This information is not applicable. There is no "training set" as this submission is for a physical medical device, not an algorithm or AI.

9. How the Ground Truth for the Training Set Was Established

This information is not applicable for the same reason as point 8.

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Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the FDA acronym in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

May 3, 2018

Penumbra, Inc. Mr. Richard Kimura Senior Regulatory Specialist One Penumbra Place Alameda, California 94502

Re: K180939

Trade/Device Name: Indigo Aspiration System Regulation Number: 21 CFR 870.5150 Regulation Name: Embolectomy Catheter Regulatory Class: Class II Product Code: DXE Dated: April 9, 2018 Received: April 10, 2018

Dear Mr. Kimura:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

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Page 2 - Mr. Richard Kimura

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Kenneth J. Cavanaugh -S

for

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K180939

Device Name Indigo Aspiration System

Indications for Use (Describe)

INDIGO Aspiration Catheters and Separators:

As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems.

INDIGO Aspiration Tubing:

As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump.

Penumbra Aspiration Pump:

The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/1 description: The image shows the word "Penumbra" in a bold, red font. To the right of the word is a circular logo, also in red, with a white "P" inside. The logo is a stylized "P" formed by a white line that creates the shape of the letter within the red circle.

1 510(k) Summary

(as required by 21 CFR 807.92)

Pursuant to Section 12, Part (a)(i)(3A) of the Safe Medical Devices Act of 1990, Penumbra, Inc. is providing the summary of Substantial Equivalence for the Indigo Aspiration System® with modified 110 Aspiration Tubing.

1.1 Sponsor/Applicant Name and Address

Penumbra, Inc. One Penumbra Place Alameda, CA 94502 USA

1.2 Sponsor Contact Information

Richard Kimura Senior Regulatory Affairs Specialist Phone: (510) 995-2034 FAX: (510) 217-6414 Email: rkimura@penumbrainc.com

1.3 Date of Preparation of 510(k) Summary

April 9, 2018

1.4 Device Trade or Proprietary Name

Indigo Aspiration System®

1.5 Device Classification

Regulatory Class:II
Classification Panel:Cardiovascular
Classification Name:Catheter, Embolectomy
Regulation Number:21 CFR §870.5150
Product Code:DXE

1.6 Predicate Device

510(k) Number / Clearance DateName of DeviceName of Manufacturer
Predicate Device
K180105 cleared on March 8, 2018Indigo Aspiration SystemPenumbra, Inc.One Penumbra PlaceAlameda, CA 94502 USA

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Image /page/4/Picture/0 description: The image contains the word "Penumbra" in a bold, red font. To the right of the word is a circular logo, also in red. The logo features a white, stylized "P" shape within the circle.

1.7 Predicate Comparison

Predicate DeviceSubject Device1
Trade NameIndigo Aspiration SystemSAME
510(k) No.K180105To Be Determined
ClassificationClass II, DXESAME
Indication for UseINDIGO Aspiration Catheters andSeparatorsAs part of the INDIGO Aspiration System,the INDIGO Aspiration Catheters andSeparators are indicated for the removal offresh, soft emboli and thrombi from vesselsof the peripheral arterial and venoussystems.INDIGO Aspiration TubingAs part of the INDIGO Aspiration System,the INDIGO Sterile Aspiration Tubing isindicated to connect the INDIGO AspirationCatheters to the Penumbra AspirationPump.Penumbra Aspiration PumpThe Penumbra Aspiration Pump is indicatedas a vacuum source for PenumbraAspiration Systems.SAME
Aspiration Tubing
Current 110 Aspiration TubingModified 110 Aspiration Tubing
Tubing InnerDiameter (ID)0.110 inSAME
Tubing OuterDiameter (OD)0.188 inSAME
Overall Length112.0 in100.0 in
Distal Length7.0 inN/A (Single Piece Construction)
MaterialsBiocompatible, commonly utilized forinterventional devicesSAME
PackagingConfigurationIndividually packagedSAME
SterilizationEOSAME
Shelf Life36 monthsSAME

1 The Indigo System Aspiration Catheters, Separators, and Aspiration Pumps are unchanged and remain identical to those of the currently cleared Indigo System (K180105).

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Image /page/5/Picture/0 description: The image shows the logo for Penumbra, Inc., a global healthcare company focused on innovative therapies. The word "Penumbra" is written in a bold, red font. To the right of the word is a red circle with a stylized white "P" inside. The logo is simple and modern, and it is likely used on the company's website, marketing materials, and products.

1.8 Device Description

The Indigo Aspiration System ("Indigo System") is intended for the removal of fresh, soft emboli and thrombi from vessels of the peripheral and venous systems using the Indigo Aspiration Catheter, Indigo Separator, Indigo Aspiration Tubing, and Penumbra Aspiration Pump. The Indigo System was most recently cleared under K180105.

The Indigo System is designed to remove thrombus from the vasculature using continuous aspiration. The Aspiration Catheter targets aspiration from the Aspiration Pump directly to the thrombus. The Separator may be used to clear the lumen of the Aspiration Catheter should it become blocked with thrombus. The use of the Separator may not be necessary when using an Aspiration Catheter with an I.D. of 0.054in or larger. The Aspiration Catheter is introduced through a guide catheter or long femoral sheath and into the site of the primary occlusion. The Aspiration Catheter is used with the Aspiration Pump to aspirate thrombus from an occluded vessel. As needed, a Separator may be deployed from the Aspiration Catheter to assist with thrombus removal. The Separator is advanced and retracted through the Aspiration Catheter at the proximal margin of the primary occlusion to facilitate clearing of the thrombus from the Aspiration Catheter tip. For the aspiration source, the Aspiration Catheter is used in conjunction with the Aspiration Pump, which is connected using the Aspiration Tubing and Canister. The Aspiration Catheter may be provided with a steam shaping mandrel and rotating hemostasis valve, and a peelable sheath. The Separator is provided with an introducer and torque device. The Aspiration Catheters and Separators are visible under fluoroscopy.

The Indigo Aspiration Tubing

The Indigo Aspiration Tubing connects the Penumbra Aspiration Pump Canister to the Indigo Aspiration Catheter within the sterile field, providing a means for introducing vacuum during procedures. The Aspiration Tubing has a flow switch that allows the physician to start and stop the flow of aspiration. The Aspiration Tubing is available in three inner diameters: 0.071 in [1.80mm] for IST1, 0.088 in [2.24mm] for IST2, and 0.110 in [2.79mm] for IST3 and IST4. The Aspiration Tubing is designed and composed of materials which are commonly used in interventional devices.

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Image /page/6/Picture/0 description: The image shows the Penumbra logo. The word "Penumbra" is written in a sans-serif font in a dark red color. To the right of the word is a circular logo, which is also dark red with a white "P" inside. The logo is simple and modern.

1.9 Indications for Use

INDIGO Aspiration Catheters and Separators

As part of the INDIGO Aspiration System, the INDIGO Aspiration Catheters and Separators are indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems.

INDIGO Aspiration Tubing

As part of the INDIGO Aspiration System, the INDIGO Sterile Aspiration Tubing is indicated to connect the INDIGO Aspiration Catheters to the Penumbra Aspiration Pump.

Penumbra Aspiration Pump

The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems.

1.10 Summary of Non-Clinical Data

As required under Section 12, Part (a)(i)(3A) of the Safe Medical Devices Act of 1990, a summary of any information regarding substantial equivalence of the device follows.

Included in this section are summary descriptions of the testing which substantiates the performance of the subject Indigo System with modified 110 Aspiration Tubing as well as its substantial equivalence to the predicate device:

  • Biocompatibility o
  • Design Verification (Bench-Top Testing) ●
  • Shelf Life o
  • Sterilization ●
  • o Packaging

The subject Indigo System with modified 110 Aspiration Tubing met all established requirements.

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Image /page/7/Picture/0 description: The image shows the word "Penumbra" in a red sans-serif font, followed by a red circle with a white "P" inside. The "P" is stylized with a horizontal line extending from the top of the "P" to the edge of the circle. The logo is simple and modern, and the red color gives it a sense of energy and excitement. The word "Penumbra" is likely the name of a company or product, and the logo is likely used to identify the company or product.

1.10.1 Biocompatibility

Biocompatibility testing was performed on the modified 110 Aspiration Tubing and the results are summarized in the table below. The studies were selected in accordance with EN ISO 10993-1 guidelines (Biological Evaluation of Medical Devices) for a limited exposure (≤24 hours), surface device, with skin contact. All studies were conducted pursuant to 21 CFR, Part 58, Good Laboratory Practices (GLP). The modified 110 Aspiration Tubing met all acceptance criteria and successfully passed all biocompatibility tests per EN ISO 10993-1 guidelines.

Test / StandardAcceptance CriteriaResultsPass / Fail
Cytotoxicity (MEM Elution) / EN ISO 10993-5Sample extracts must yield a cell lysis grade of 2 or lowerGrade 2: MildPass
Sensitization / EN ISO 10993-10Test Group shall yield Grade1 score on Magnusson andKligman scale (providedControl Grade < 1)Grade 0: No visible changePass
Irritation (IntracutaneousReactivity Irritation Test) /EN ISO 10993-10The difference in the mean testarticle and mean control scoremust be grade 1.0 or lowerGrade 0.0 difference (salineextract) and Grade 0.1difference (sesame oil extract)Pass

Summary of Biocompatibility Testing for Modified 110 Aspiration Tubing

The subject and predicate Indigo System Aspiration Catheters and Separators are identical (most recently cleared under K180105). There are no changes to the materials and processes of the Indigo System Aspiration Catheters and Separators, the biocompatibility data of which were reviewed and cleared under previous premarket notifications for the Indigo System. Therefore, no additional biocompatibility testing is required or was performed for the Indigo System Aspiration Catheters and Separators.

The Penumbra Aspiration Pumps (Pump MAX and Engine Pump) are non-sterile reusable capital equipment and their associated canisters are non-sterile, single use only. The pumps and canisters do not contact the patient, nor are they introduced into the sterile field. As such, biocompatibility testing is not required and was not performed for the Aspiration Pumps and canisters.

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Image /page/8/Picture/0 description: The image shows the logo for Penumbra, Inc., a global healthcare company focused on innovative therapies. The logo consists of the word "Penumbra" in a bold, red font, followed by a circular emblem. The emblem is also red and features a stylized "P" shape in white, creating a distinctive visual identity for the company.

1.10.2 Design Verification (Bench-top Testing)

With the exception of the modified flow switch assembly and the single piece of continuous tubing, the modified 110 Aspiration Tubing will have the same specifications as the current 110 Aspiration Tubing. Bench-top testing was conducted to evaluate the physical and mechanical properties of the modified 110 Aspiration Tubing. All benchtop studies were conducted using good scientific practices and statistical sampling methods as required by the Penumbra Design Control procedures. Performance testing was based on the design specifications, risk analysis, performance standards, and guidance documents. All testing was performed using units which were 2x EO-sterilized.

A summary of all testing performed on the modified 110 Aspiration Tubing is provided in the table below. The modified 110 Aspiration Tubing met all acceptance criteria and passed all tests.

Test/Test SubjectAttributeAcceptance CriteriaResult
Dimensional/Visual InspectionThese evaluations confirm that the testunits used in Design Verificationtesting meet all dimensional and visualspecifications.100% Must meet SpecificationPass
SuctionConnector /Canister LidCompatibilitySuction Connector of AspirationTubing Assembly securely attaches toPump Canister lid via press fit.100% Must meet SpecificationPass
Rotating Luer/RHVCompatibilityRotating Luer of Aspiration TubingAssembly securely connects to RHVport.100% Must meet SpecificationPass
AspirationTubing LumenOvalizationunder VacuumAspiration Tubing Assembly maintainsfunctionality and maintains an openlumen at vacuum pressure per productspecification.100% Must meet SpecificationPass
AspirationTubing JointLeak underVacuumAspiration Tubing Assembly maintainsfunctionality with no leaks at vacuumpressure per product specification.100% Must meet SpecificationPass
Flow ControlSwitch FunctionFlow Control Switch completely andimmediately stops fluid flow after aspecified number of ON/OFF cycles.100% Must meet SpecificationPass
PenumbraAspirationSystemCompatibilitywith AspirationThe Aspiration Tubing Assembly iscompatible with Penumbra AspirationSystem (Clot can be removed underminimum vacuum pressure per productspecification).100% Must meet SpecificationPass

Summary of Bench-Top Testing for Modified 110 Aspiration Tubing

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Image /page/9/Picture/0 description: The image shows the Penumbra logo. The logo consists of the word "Penumbra" in a red sans-serif font, followed by a red circle with a white "P" inside. The "P" is stylized with a horizontal line extending from the top of the letter to the edge of the circle. The logo is simple and modern, and the red color gives it a sense of energy and excitement.

Test/Test SubjectAttributeAcceptance CriteriaResult
Catheter andSeparator
PenumbraAspirationSystemCompatibilitywith AspirationCatheterThe Aspiration Tubing Assembly iscompatible with Penumbra AspirationSystem (Clot can be removed underminimum vacuum pressure per productspecification).100% Must meet SpecificationPass
SuctionConnector /Tubing JointTensileBreak force per product specification.100% Must meet SpecificationPass
Rotating MaleLuer / TubingJoint TensileBreak force per product specification.100% Must meet SpecificationPass

1.10.3 Shelf Life

The modified 110 Aspiration Tubing has demonstrated device stability for 36 months based on accelerated aging and may be labelled with a 36 month shelf life. Test units were 2x EO-sterilized and underwent transportation conditioning per ASTM D4169, Distribution Cycle 3, Assurance Level 2.

The subject and predicate Indigo System Aspiration Catheters and Separators are identical. Therefore, there are no changes to the previously determined stability of the Aspiration Catheters and Separators, the data for which were reviewed and cleared under previous Indigo System premarket notifications. No additional shelf life testing is required or was performed for the Indigo System Aspiration Catheters and Separators.

The subject and predicate Penumbra Aspiration Pumps (Pump MAX and Engine Pump) and their associated canisters are identical. Furthermore, the Aspiration Pumps are nonsterile reusable capital equipment. Therefore, shelf life testing is not applicable to the Aspiration Pumps. Both the Pump MAX and Engine Pump have established a 500 hour minimum operating life based on completed testing, the data for which were reviewed and cleared under previous Indigo System premarket notifications.

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Image /page/10/Picture/0 description: The image shows the logo for Penumbra, Inc., a global healthcare company focused on innovative therapies. The logo consists of the word "Penumbra" in a red, sans-serif font, followed by a circular emblem. The emblem is red with a white "P" shape inside, creating a modern and recognizable brand identity. The logo is clean and professional, reflecting the company's focus on medical technology.

1.10.4 Sterilization

The modified 110 Aspiration Tubing has demonstrated sterility by EO in accordance with EN ISO 11135. All test samples met the acceptance criteria for EO residual testing per EN ISO 10993-7, Comparative Resistance Testing per AAMI TIR 28, and Endotoxin (LAL) Testing per ANSI/AAMI ST72.

The subject and predicate Indigo System Aspiration Catheters and Separators (most recently cleared under K180105) are identical. There are no changes to the previously provided sterilization data of these devices, which were reviewed and cleared under previous Indigo System premarket notifications. No additional sterilization testing is required or was performed for these devices.

Sterilization testing is not applicable to the Penumbra Aspiration Pumps (Pump MAX/Canister Tubing and Engine Pump/Canister). Both are supplied non-sterile and are not intended to be sterilized.

1.10.5 Packaging

The packaging for the modified 110 Aspiration Tubing utilizes materials that are commonly used in other Penumbra device packaging. The modified 110 Aspiration Tubing is placed in a Nylon/ADH/HDPE/ Tyvek® pouch which is heat-sealed to maintain sterility post EO sterilization. The inner pouch is then placed in a display box for further protection. Both the inner pouch and display box receive a product label. An Instruction for Use (IFU) is placed inside the display box of each unit.

The packaging materials and process of the subject and predicate Indigo System Aspiration Catheters, Separators, and Aspiration Pumps (Pump MAX/Canister Tubing and Engine Pump/Canister) are identical (most recently cleared under K180105). There are no changes to the previously provided packaging material listing or the packaging process for these devices, which were reviewed and cleared under previous Indigo System premarket notifications. No additional packaging testing is required or was performed for these devices.

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Image /page/11/Picture/0 description: The image shows the word "Penumbra" in a bold, red font. To the right of the word is a circular logo, also in red, with a white stylized "P" inside. The logo appears to be a stylized representation of the company's name.

1.11 Summary of Substantial Equivalence

The subject Indigo System with modified 110 Aspiration Tubing is substantially equivalent to the predicate Indigo System with regard to indications, intended use, design, performance, materials, sterilization, and packaging.

§ 870.5150 Embolectomy catheter.

(a)
Identification. An embolectomy catheter is a balloon-tipped catheter that is used to remove thromboemboli, i.e., blood clots which have migrated in blood vessels from one site in the vascular tree to another.(b)
Classification. Class II (performance standards).