K242104 · Penumbra, Inc. · NRY · Feb 13, 2025 · Cardiovascular
Device Facts
Record ID
K242104
Device Name
Penumbra System (Reperfusion Catheter RED 72)
Applicant
Penumbra, Inc.
Product Code
NRY · Cardiovascular
Decision Date
Feb 13, 2025
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 870.1250
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
Penumbra Reperfusion Catheters and Separators As part of the Penumbra System, the Reperfusion Catheters and Separators are indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral – M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for thrombolytic drug therapy or who failed thrombolytic drug therapy are candidates for treatment. Penumbra 3D Revascularization Device As part of the Penumbra System, the Penumbra 3D Revascularization Device is indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral - M1 and M2 segments) within 8 hours of symptom onset. Patients who are ineligible for thrombolytic drug therapy or who failed thrombolytic drug therapy are candidates for treatment. Penumbra Aspiration Tubing As part of the Penumbra System, the Penumbra Sterile Aspiration Tubing is indicated to connect the Penumbra Reperfusion Catheters to the Penumbra Aspiration Pump. Penumbra Aspiration Pump The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems.
Device Story
Penumbra System is a neurovascular aspiration device designed to remove thrombus and restore blood flow in patients with acute ischemic stroke. The system consists of a reperfusion catheter, 3D revascularization device, aspiration pump, tubing, and separator. The reperfusion catheter is introduced via guide catheter or femoral sheath, navigated over a guidewire to the occlusion site under fluoroscopic guidance. The aspiration pump provides vacuum pressure, transmitted through the tubing to the catheter, to aspirate the clot. The 3D revascularization device or separator may be used to facilitate clot removal or clear the catheter lumen if blocked. The device is operated by physicians in a clinical setting. By removing the thrombus, the system aims to restore cerebral perfusion, potentially improving patient outcomes in acute stroke cases.
Clinical Evidence
No clinical or animal studies were conducted. Substantial equivalence is supported by bench testing, including dimensional/visual verification, friction, radiopacity, simulated use, particulate/coating integrity, hub/air leak, tensile, pressure, elongation, corrosion, torque, burst, distal tip stiffness, kink resistance, and shelf life/packaging/sterilization validation. Biocompatibility testing followed ISO 10993 and USP standards, confirming the device is non-cytotoxic, non-sensitizing, non-irritating, non-toxic, non-pyrogenic, and hemocompatible.
Indicated for revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (internal carotid, M1/M2 middle cerebral, basilar, and vertebral arteries) within 8 hours of symptom onset. Candidates include patients ineligible for or who failed thrombolytic drug therapy.
Regulatory Classification
Identification
A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.
Predicate Devices
Penumbra System (Reperfusion Catheter RED 72) (K211654)
Reference Devices
Penumbra System (Reperfusion Catheter JET 7) (K173761)
Submission Summary (Full Text)
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.
February 13, 2025
Penumbra, Inc. Sindokht (Sisi) Soltanzadeh Sr. Regulatory Affairs Specialist One Penumbra Place Alameda, California 94502
Re: K242104
Trade/Device Name: Penumbra System (Reperfusion Catheter RED 72) Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: NRY Dated: January 8, 2025 Received: January 10, 2025
Dear Sindokht (Sisi) Soltanzadeh:
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 (the 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.
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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatory
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assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
# Naira Muradyan -S
Naira Muradyan, Ph.D. Assistant Director DHT5A: Division of Neurosurgical, Neurointerventional, and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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### Indications for Use
Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below.
Submission Number (if known)
K242104
Device Name
Penumbra System (Reperfusion Catheter RED 72)
Indications for Use (Describe)
Penumbra Reperfusion Catheters and Separators
As part of the Penumbra System, the Reperfusion Catheters and Separators are indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral – M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for thrombolytic drug therapy or who failed thrombolytic drug therapy are candidates for treatment.
### Penumbra 3D Revascularization Device
As part of the Penumbra System, the Penumbra 3D Revascularization Device is indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral - M1 and M2 segments) within 8 hours of symptom onset. Patients who are ineligible for thrombolytic drug therapy or who failed thrombolytic drug therapy are candidates for treatment.
Penumbra Aspiration Tubing
As part of the Penumbra System, the Penumbra Sterile Aspiration Tubing is indicated to connect the Penumbra Reperfusion 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)
> Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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# K242104
### 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 subject Penumbra System (Reperfusion Catheter RED 72).
#### 1.1 Submitter
Penumbra, Inc. One Penumbra Place Alameda, CA 94502 USA
Contact Person: Sindokht (Sisi) Soltanzadeh Sr. Regulatory Affairs Specialist Tel: (510) 995-9792 E-mail: ssoltanzadeh(@penumbrainc.com
Date of Preparation:
February 10, 2025
### 1.2 Subject Device
Penumbra System (Reperfusion Catheter RED 72)
Regulatory Class: II Classification Panel: Neurology Classification Name: Percutaneous Catheter Regulation Number: 21 CFR 870.1250 Product Code: NRY
#### Predicate and Reference Devices 1.3
| 510(k) Number | Name of Device | Name of Manufacturer |
|------------------|-----------------------------------------------|----------------------|
| Predicate Device | | |
| K211654 | Penumbra System (Reperfusion Catheter RED 72) | Penumbra, Inc. |
| Reference Device | | |
| K173761 | Penumbra System (Reperfusion Catheter JET 7) | Penumbra, Inc. |
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Image /page/5/Picture/0 description: The image shows the Penumbra logo. The word "Penumbra" is written in red, with a stylized red circle and a white line through it to the right of the word. The logo is simple and modern.
#### 1.4 Device Description
The Penumbra System is comprised of the following devices:
- Penumbra Reperfusion Catheter ●
- . Penumbra 3D Revascularization Device
- Penumbra Aspiration Pump ●
- . Penumbra Aspiration Pump Canister/Tubing
- Penumbra Aspiration Tubing ●
- Penumbra Separator .
The Penumbra System is designed to remove thrombus and restore blood flow in the neurovasculature using aspiration. The Reperfusion Catheter delivers aspiration from the pump directly to the site of occlusion to remove the clot. The 3D Revascularization Device is used with Reperfusion Catheters to facilitate aspiration and removal of the thrombus when needed. Alternatively, a Separator may be used to clear the lumen of the Reperfusion Catheter should it become blocked with thrombus. The Reperfusion Catheter is introduced through a guide catheter or long femoral sheath and into the intracranial vasculature and guided over a neurovascular guidewire to the site of the primary occlusion. The Penumbra Reperfusion Catheter is used with the Penumbra Aspiration Pump to aspirate thrombus from an occluded vessel. The Penumbra Reperfusion Catheter is connected to the Penumbra Aspiration Pump using the Penumbra Aspiration Tubing and the Penumbra Aspiration Pump Canister. The Penumbra Reperfusion Catheter is provided with a steam shaping mandrel, rotating hemostasis valve (RHV), peelable sheath, and optionally, SENDit Technology (cleared under K191946). The Penumbra 3D Revascularization Device is provided with an introducer sheath. The Penumbra Separator is provided with an introducer and torque device. The devices are visible under fluoroscopy.
#### Indications For Use 1.5
### Penumbra Reperfusion Catheters and Separators
As part of the Penumbra System, the Reperfusion Catheters and Separators are indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral -M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for thrombolytic drug therapy or who failed thrombolytic drug therapy are candidates for treatment.
### Penumbra 3D Revascularization Device
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Image /page/6/Picture/0 description: The image contains the word "Penumbra" in a red sans-serif font. To the right of the word is a red circle with a white "P" inside. The logo is simple and modern.
As part of the Penumbra System, the Penumbra 3D Revascularization Device is indicated for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral -M1 and M2 segments) within 8 hours of symptom onset. Patients who are ineligible for thrombolytic drug therapy or who failed thrombolytic drug therapy are candidates for treatment.
### Penumbra Aspiration Tubing
As part of the Penumbra System, the Penumbra Sterile Aspiration Tubing is indicated to connect the Penumbra Reperfusion Catheters to the Penumbra Aspiration Pump.
### Penumbra Aspiration Pump
The Penumbra Aspiration Pump is indicated as a vacuum source for Penumbra Aspiration Systems.
| Device<br>Attribute | Predicate Device | Subject Device |
|-------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Trade Name | Penumbra System<br>(Reperfusion Catheter RED 72) | Penumbra System<br>(Reperfusion Catheter RED 72) |
| FDA Product<br>Classification | Class II, NRY, 21 CFR 870.1250 | SAME |
| 510(k)<br>Number | K211654 | K242104 |
| Indications<br>for Use | Penumbra Reperfusion Catheters and<br>Separators<br>As part of the Penumbra System, the<br>Reperfusion Catheters and Separators are<br>indicated for use in the revascularization of<br>patients with acute ischemic stroke<br>secondary to intracranial large vessel<br>occlusive disease (within the internal<br>carotid, middle cerebral – M1 and M2<br>segments, basilar, and vertebral arteries)<br>within 8 hours of symptom onset. Patients<br>who are ineligible for intravenous tissue<br>plasminogen activator (IV t-PA) or who fail<br>IV t-PA therapy are candidates for<br>treatment.<br><br>Penumbra 3D Revascularization Device<br>As part of the Penumbra System, the<br>Penumbra 3D Revascularization Device is<br>indicated for use in the revascularization of | Penumbra Reperfusion<br>Catheters and Separators<br>As part of the Penumbra<br>System, the Reperfusion<br>Catheters and Separators are<br>indicated for use in the<br>revascularization of patients<br>with acute ischemic stroke<br>secondary to intracranial large<br>vessel occlusive disease (within<br>the internal carotid, middle<br>cerebral – M1 and M2<br>segments, basilar, and vertebral<br>arteries) within 8 hours of<br>symptom onset. Patients who<br>are ineligible for thrombolytic<br>drug therapy or who failed<br>thrombolytic drug therapy are<br>candidates for treatment. |
| Device<br>Attribute | Predicate Device | Subject Device |
| Trade Name | Penumbra System<br>(Reperfusion Catheter RED 72) | Penumbra System<br>(Reperfusion Catheter RED 72) |
| | patients with acute ischemic stroke<br>secondary to intracranial large vessel<br>occlusive disease (within the internal<br>carotid, middle cerebral – M1 and M2<br>segments) within 8 hours of symptom<br>onset. Patients who are ineligible for<br>intravenous tissue plasminogen activator<br>(IV t-PA) or who fail IV t-PA therapy are<br>candidates for treatment.<br><br>Penumbra Aspiration Tubing<br>As part of the Penumbra System, the<br>Penumbra Sterile Aspiration Tubing is<br>indicated to connect the Penumbra<br>Reperfusion Catheters to the Penumbra<br>Aspiration Pump.<br><br>Penumbra Aspiration Pump<br>The Penumbra Aspiration Pump is<br>indicated as a vacuum source for Penumbra<br>Aspiration Systems. | Penumbra 3D<br>Revascularization Device<br>As part of the Penumbra<br>System, the Penumbra 3D<br>Revascularization Device is<br>indicated for use in the<br>revascularization of patients<br>with acute ischemic stroke<br>secondary to intracranial large<br>vessel occlusive disease (within<br>the internal carotid, middle<br>cerebral - M1 and M2<br>segments) within 8 hours of<br>symptom onset. Patients who<br>are ineligible for thrombolytic<br>drug therapy or who failed<br>thrombolytic drug therapy are<br>candidates for treatment.<br><br>Penumbra Aspiration Tubing<br>As part of the Penumbra<br>System, the Penumbra Sterile<br>Aspiration Tubing is indicated<br>to connect the Penumbra<br>Reperfusion Catheters to the<br>Penumbra Aspiration Pump.<br><br>Penumbra Aspiration Pump<br>The Penumbra Aspiration<br>Pump is indicated as a vacuum<br>source for Penumbra Aspiration<br>Systems. |
| Principles of<br>Operation | See Section 1.4 | SAME |
| Device<br>Materials | Stainless Steel, PTFE, Polyurethane,<br>Polyether Block Amide, Nylon 12, Nitinol,<br>Platinum/Iridium | Stainless Steel, PTFE,<br>Polyurethane, differing Polyether<br>Block Amide, Nylon 12, Nitinol,<br>Platinum/Iridium |
| ID Band<br>Color | Polyolefin, PET black [white foil] | SAME |
| Coating | Hydrophilic coating (proprietary) | SAME |
| Min. ID | 0.072 in. (1.83 mm) | SAME |
| Max. OD | 0.085 in. (2.16 mm) | SAME |
| Device<br>Attribute | Predicate Device | Subject Device |
| Trade Name | Penumbra System<br>(Reperfusion Catheter RED 72) | Penumbra System<br>(Reperfusion Catheter RED 72) |
| Distal Flex<br>Length | 30 cm | SAME |
| Coating<br>Length | 30 cm | SAME |
| Effective<br>Lengths | 115, 120, 125, 127, 132 cm | SAME |
| Accessories | Peelable Sheath, Shaping Mandrel, RHV | Peelable Sheath, Shaping<br>Mandrel, RHV, SENDit<br>Technology (Optional, K191946) |
| Packaging<br>Materials | Polyester/Polyethylene/Tyvek, Polystyrene,<br>SBS Paperboard | SAME |
| Condition<br>Supplied | Sterile and Single Use | SAME |
| Sterilization<br>Method | Ethylene Oxide (EO) | SAME |
#### Comparison of Technological Characteristics with the Predicate Device 1.6
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### Performance Data 1.7
The following performance data were provided in support of the substantial equivalence determination:
- Design Verification .
- Biocompatibility ●
- Shelf Life .
- Packaging Validation o
- Sterilization
The subject device met all established requirements.
### Design Verification Testing 1.7.1
The following design verification tests were performed on the subject device:
| Test | Test Method Summary | Conclusion |
|-------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|
| Dimensional/Visual Test | Confirms the units meet all dimensional and visual product<br>specifications. | Acceptance Criteria Met |
| Friction Test | Confirms units meet product specification related to<br>friction. | Acceptance Criteria Met |
| Radiopacity Test | Confirms the markerband is fluoroscopically visible. | Acceptance Criteria Met |
| Simulated Use Test | Confirms the functionality of units using clinically<br>relevant benchtop model. | Acceptance Criteria Met |
| Particulate and Coating<br>Integrity Test | Particulates generated during simulated use and coating<br>integrity after simulated use (including multiple deployment<br>cycles) were evaluated. | Acceptance Criteria Met |
| Hub/Air Test | Confirms units have no leaks when tested. | Acceptance Criteria Met |
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Image /page/9/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 red sans-serif font. To the right of the word is a red circle with a white stylized "P" inside, which is the company's symbol.
| Test | Test Method Summary | Conclusion |
|-------------------------------------------|---------------------------------------------------------------------------------------|-------------------------|
| Tensile Test | Confirms units meet product specification related to tensile<br>strength. | Acceptance Criteria Met |
| Pressure Test | Confirms units meet product specification related to<br>pressure. | Acceptance Criteria Met |
| Elongation Test | Confirms units meet product specification related to<br>elongation. | Acceptance Criteria Met |
| Corrosion Resistance<br>Test | Confirms there is no visible corrosion on the units when<br>tested. | Acceptance Criteria Met |
| Torque Strength Test | Confirms units have sufficient torque strength. | Acceptance Criteria Met |
| Burst Pressure Test | Confirms units can withstand sufficient pressure. | Acceptance Criteria Met |
| Distal Tip Stiffness Test | Confirms units have distal tip stiffness comparable to the<br>reference device. | Acceptance Criteria Met |
| Kink Resistance Test | Confirms units meet product specification related to kink<br>resistance. | Acceptance Criteria Met |
| Simulated Use Physician<br>Usability Test | Confirms the usability of units in clinically relevant benchtop<br>model. | Acceptance Criteria Met |
| Shelf Life | Confirms expiration date based on accelerated aging test<br>studies. | Acceptance Criteria Met |
| Packaging Validation | Confirms the packaging of the units meets all product<br>specifications. | Acceptance Criteria Met |
| Sterilization Test | Confirms the units are sterilized in accordance with ISO<br>11135+A1 and ISO 10993-7. | Acceptance Criteria Met |
#### 1.7.2 Biocompatibility
The biocompatibility evaluation for the subject device was conducted in accordance with ISO 10993-1, USP standards, and 21 CFR, Part 58, Good Laboratory Practices (GLP). The battery of testing included the following tests:
| Tests | Acceptance Criteria | Conclusion |
|--------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|
| Cytotoxicity:<br>MEM Elution | Sample extracts must have a cytotoxic reactivity<br>score of Grade 2 or lower. | Pass<br>Non-cytotoxic |
| Sensitization:<br>Magnusson-Kligman Method | Test group shall yield Grade $< 1$ score on<br>Magnusson and Kligman scale (provided control<br>group yields Grade $< 1$ ). | Pass<br>Non-sensitizing |
| Irritation:<br>Intracutaneous Reactivity | The difference between the average scores for<br>the extract of the test article and the control is $\leq$<br>1.0. | Pass<br>Non-irritating |
| Systemic Toxicity:<br>Acute Systemic Injection | Sample extracts must not cause significant<br>biological reaction greater than control. That is:<br>Death in 2 or more animals. Signs of toxicity in 2 or more animals (i.e.<br>convulsions, prostration). Weight loss $> 10%$ in 3 or more animals. | Pass<br>Non-toxic |
| Systemic Toxicity: Material-<br>Mediated Pyrogen | Sample extracts must not cause a total rise in<br>body temperature of $\geq 0.5$ °C. | Pass<br>Non-pyrogenic |
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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 bold, red font, followed by a stylized "P" symbol enclosed in a red circle. The "P" symbol is formed by a white line that creates the shape of the letter within the circle. The logo is clean and modern, reflecting the company's focus on innovation and technology in the healthcare industry.
| Tests | Acceptance Criteria | Conclusion |
|---------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|---------------------------------------------------|
| Hemocompatibility:<br>In-vitro Thrombogenicity | Device must not be thrombogenic in vitro when<br>compared to a predicate device. | Pass<br>Comparable to the<br>predicate |
| Hemocompatibility: Partial<br>Thromboplastin Time (PTT) | Clotting times of test article must be similar to<br>predicate values. | Pass<br>Comparable to the<br>predicate |
| Hemocompatibility:<br>Complement Activation | The concentration of SC5b-9 of test article must<br>be similar to predicate values. | Pass<br>Non-activator of the<br>complement system |
| Hemocompatibility:<br>Hemolysis (indirect contact) | Sample extracts must be non-hemolytic (≤ 2%<br>hemolytic index). | Pass<br>Non-hemolytic |
| Hemocompatibility:<br>Hemolysis (direct contact) | Sample must be non-hemolytic (≤ 2% hemolytic<br>index). | Pass<br>Non-hemolytic |
| Hemocompatibility: Platelet<br>and Leukocyte Count | Sample must meet the requirements of ASTM<br>F2888-19, Standard Practice for Platelet<br>Leukocyte Count. | Pass<br>Similar to the<br>predicate |
Biocompatibility test results demonstrate biological safety per ISO 10993 and USP requirements.
### Performance Data - Animal, Clinical 1.7.3
No animal or clinical study was conducted as bench and biocompatibility testing were determined sufficient for verification and validation purposes.
#### 1.8 Conclusions
The subject Penumbra System (Reperfusion Catheter RED 72) is substantially equivalent to the predicate Penumbra System (Reperfusion Catheter RED 72). The subject device has the identical intended use and similar operating principle, design concept, fundamental technology as the predicate. The differences between the subject and predicate devices do not raise new or different questions of safety or effectiveness. The device testing described in this 510(k) Summary demonstrates the subject device performs as intended.
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Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.