Aspirex Thrombectomy System
K220270 · C.R. Bard, Inc. · QEW · Jun 21, 2022 · Cardiovascular
Device Facts
| Record ID | K220270 |
| Device Name | Aspirex Thrombectomy System |
| Applicant | C.R. Bard, Inc. |
| Product Code | QEW · Cardiovascular |
| Decision Date | Jun 21, 2022 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 870.5150 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
The Aspirex™ Thrombectomy System is indicated for the removal of acute emboli and thrombi from vessels of the peripheral venous system.
Device Story
Aspirex™ Thrombectomy System removes thrombi from peripheral venous vessels via continuous aspiration. System includes a motorized Drive System (control unit, motor, footswitch) and a catheter set (catheter, guidewire, collection bag). Catheter features a braided shaft for torque and a metallic head with side windows; head is smooth/rounded/atraumatic. Catheter connects to Drive System via magnetic clutch. Physician navigates guidewire across thrombus; catheter tracks over guidewire. Drive System powers internal helix to facilitate aspiration. Used in clinical settings by physicians. Output is aspirated thrombus collected in bag. Benefits include efficient, controlled thrombus removal without requiring vessel wall contact.
Clinical Evidence
No human clinical data. Evidence consists of extensive in vitro bench testing (dimensional, simulated use, kink resistance, heat generation, aspiration rate, debris removal, fatigue, particulate, biocompatibility per ISO 10993-1) and a GLP animal study. Animal study compared Aspirex™ to Indigo Aspiration System in healthy veins; results showed equivalent local/systemic tolerance, no evidence of vessel injury (stenosis, occlusion, dissection, perforation), and similar usability/performance.
Technological Characteristics
System includes catheter, motorized drive unit, guidewire, collection bag. Catheter: braided shaft, metallic head with side windows. Guidewire: LubriSkin PTFE-coated nitinol core, gold-plated tungsten tip, DSM ComfortCoat® hydrophilic coating. Rotation: 40k-60k RPM. Aspiration: 45-130 ml/min. Materials meet ISO 10993-1. Sterilization: Ethylene Oxide (EO). Connectivity: Standalone motorized system.
Indications for Use
Indicated for removal of acute emboli and thrombi from peripheral venous system vessels. Not for use in cardiac, pulmonary, coronary, or neurovasculature.
Regulatory Classification
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.
Predicate Devices
- Indigo Aspiration System (K192833)
Reference Devices
- Straub Endovascular System (K172315)
- Rotarex® S catheter (K172315)
Related Devices
- K230356 — Aspirex Thrombectomy System · C.R. Bard, Inc. · Mar 31, 2023
- K232679 — Cleaner Pro Thrombectomy System; Cleaner Pro Aspiration Catheter with Handpiece; Cleaner Pro Aspiration Canister · Argon Medical Devices, Inc. · Jan 19, 2024
- K211798 — Cleaner Plus Thrombectomy System · Argon Medical Devices, Inc. · Feb 24, 2022
- K260028 — CLEANER Vac Thrombectomy System, CLEANER Vac Aspiration Catheter with Handpiece, CLEANER Vac Aspiration Canister · Argon Medical Devices, Inc. · Feb 5, 2026
- K223216 — Symphony Thrombectomy System · Truvic Medical, Inc. · Feb 23, 2023
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). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo in blue, with the words "U.S. FOOD & DRUG" stacked on top of the word "ADMINISTRATION".
June 21, 2022
C.R. Bard, Inc. Aaron Conovaloff Regulatory Affairs Manager 1625 West 3rd St Tempe, Arizona 85281
Re: K220270
Trade/Device Name: Aspirex™ Thrombectomy System Regulation Number: 21 CFR 870.5150 Regulation Name: Embolectomy Catheter Regulatory Class: Class II Product Code: QEW, DQX Dated: May 19, 2022 Received: May 20, 2022
## Dear Aaron Conovaloff:
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. 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 located 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.
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
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801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 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 4. Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about mediation-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-regulatoryassistance/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,
Gregory O'Connell Assistant Director DHT2C: Division of Coronary and Peripheral Intervention Devices OHT2: Office of Cardiovascular Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K220270
Device Name AspirexTM Thrombectomy System
Indications for Use (Describe)
The Aspirex™ Thrombectomy System is indicated for the removal of acute emboli and thrombi from vessels of the peripheral venous system.
| 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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#### Aspirex™ Thrombectomy System
#### 510(k) Summary 21 CFR 807.92
As required by the Safe Medical Devices Act of 1990, coded under Section 513, Part (1)(3)(A) of the Food, Drug and Cosmetic Act, a 510(k) summary upon which substantial equivalence determination is based is as follows:
#### Submitter Information:
| Applicant: | Bard Peripheral Vascular, Inc<br>1625 West 3rd Street<br>Tempe, Arizona 85281 |
|------------|-------------------------------------------------------------------------------|
| Phone: | 602-830-5453 |
| Fax: | 321-949-0436 |
| Contact: | Aaron Conovaloff, Regulatory Affairs Manager |
| Date: | January 28, 2022 |
## Subiect Device Name:
| Device Trade Name: | Aspirex ™ Thrombectomy System |
|-----------------------|-------------------------------|
| Common or Usual Name: | Embolectomy catheter |
| Product Code: | QEW, DQX |
| Classification: | Class II |
| Review Panel: | Cardiovascular |
| Regulation Number: | 21 CFR 870.5150 |
## Predicate Device:
- Indigo Aspiration System (K192833; cleared December 20, 2019) .
#### Reference Device:
- Straub Endovascular System (K172315; cleared April 12, 2018) .
#### Device Description:
The Aspirex™ Thrombectomy System-composed of the Aspirex™ Thrombectomy Catheter Set and the Drive System-is designed for efficient thrombus removal with strong, continuous, and controlled aspiration The Drive System is composed of the control unit, a motor, and a footswitch. The Drive System is small and portable, and designed for simple, quick set up and ease of use.
The Aspirex™ Thrombectomy Catheter Set is composed of multiple components, including the Aspirex™ Thrombectomy Catheter, the Aspirex™ Guidewire, collecting bag, and sterile drape. The Aspirex™ Thrombectomy Catheter consists of a braided shaft, to add strength and torque, through which runs a helix. The catheter shaft connects to a metallic head constructed with a
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side window(s) at the distal end. The head has a smooth, rounded, atraumatic shape so unintentional contact with the vessel wall will not cause to the vessel. Contact with the vessel wall is not necessary for the catheter to exert its effect. An ergonomic handle, connected to the catheter shaft at the proximal end, connects to the motorized Drive System via a magnetic clutch. The entire catheter tracks over the Aspirex™ Guidewire previously navigated across the thrombus/embolus.
The Aspirex™ Guidewire has a LubriSkin PTFE-coated nitinol core wire with a gold-plated tungsten tip coated with DSM ComfortCoat® hydrophilic coating. The guidewire is used to initially cross through the area to be treated.
| Catheter<br>Size | Minimum<br>Vessel<br>Diameter | Catheter<br>External<br>Diameter | Nominal<br>Rotation<br>(RPM) | Maximum<br>Aspiration<br>(ml/min) | Guidewire<br>Size &<br>Length |
|------------------|-------------------------------|----------------------------------|------------------------------|-----------------------------------|-------------------------------|
| 6F<br>110 cm | 3 mm | 2.0 mm | 60,000 | 45 | 0.018"<br>270 cm |
| 6F<br>135 cm | 3 mm | 2.0 mm | 60,000 | 45 | 0.018"<br>320 cm |
| 8F<br>85 cm | 5 mm | 2.7 mm | 40,000 | 75 | 0.018"<br>220 cm |
| 8F<br>110 cm | 5 mm | 2.7 mm | 40,000 | 75 | 0.018"<br>270 cm |
| 10F<br>110 cm | 8 mm | 3.3 mm | 40,000 | 130 | 0.025"<br>270 cm |
## Indications for Use of Device:
The Aspirex™ Thrombectomy System is indicated for the removal of acute emboli and thrombi from vessels of the peripheral venous system.
## Contraindications:
- . Not for use in vessels of the cardiac, pulmonary, coronary, or neurovasculature
## Comparison to Predicate and Reference Devices:
The subject Aspirex ™ Thrombectory System has the following similarities to the predicate Indigo Aspiration System (K192833; cleared December 20, 2019):
- . Intended use
- Target population/conditions of use (anatomical location of use, how device interacts with . other devices, interaction with patient)
- Sterilization method .
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K220270 Page 3
The subject Aspirex™ Thrombectomy System has the following similarities to the reference Rotarex® S catheter (a component of the Straub Endovascular System; K172315, cleared April 12, 2018):
- Intended use .
- . Indications for use
- Principles of operation/mechanism of action .
- . Fundamental scientific technology
- Target population/conditions of use (how device interacts with other devices, interaction with patient)
- . Sterilization method
- . Sterility assurance level
The subject Aspirex™ Thrombectomy System incorporates many of the design characteristics of the reference Rotarex® S catheter with the indication for use of the predicate Indigo Aspiration System.
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| Attribute | Subject Device - Aspirex™<br>Thrombectomy Catheter | Predicate Device - Indigo<br>Aspiration System<br>(K192833) | Reference Device –<br>Rotarex® S Catheter<br>(K172315) | Rationale |
|------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | Straub Medical AG | Penumbra, Inc. | Straub Medical AG | Identical to Rotarex® S |
| Product Code | QEW/DQX | QEW/DXE | MCW/QEW/DQX | Combination of predicate and<br>reference devices. |
| Intended Use | Thrombectomy | Thrombectomy | Atherectomy and thrombus<br>removal | Identical to Indigo, and<br>included in Rotarex® S use |
| Indications for<br>Use | The Aspirex™<br>Thrombectomy System is<br>indicated for the removal of<br>acute emboli and thrombi<br>from vessels of the<br>peripheral venous system. | As part of the Indigo<br>Aspiration System, the Indigo<br>Aspiration Catheters and<br>Separators are indicated for<br>the removal of fresh, soft<br>emboli and thrombi from<br>vessels of the peripheral<br>arterial and venous systems,<br>and for the treatment of<br>pulmonary embolism. | When operated with a<br>Rotarex™ S single use<br>catheter, the Straub<br>Endovascular System is<br>intended for use as an<br>atherectomy device and to<br>break up and remove<br>thrombus from upper and<br>lower extremity peripheral<br>arteries. It is not intended for<br>use in coronary, carotid,<br>pulmonary, iliac or renal<br>vasculature. | Similar to Indigo, but the<br>language has been clarified<br>in the subject indications to<br>be more clinically relevant.<br>Subject indications also do<br>not include treatment of<br>pulmonary embolism or<br>arterial vessels. |
| Contraindications | Not for use in vessels of<br>the cardiac, pulmonary,<br>coronary, or<br>neurovasculature | Not for use in the<br>coronaries or the<br>neurovasculature. | In the cardiopulmonary,<br>coronary, cerebral, iliac<br>and renal vasculature In the venous<br>vasculature In instances of persistent<br>vasospasm In patients not suitable<br>for atherectomy/<br>thrombectomy In patients with known or<br>suspected allergies to<br>any component of the<br>Straub Endovascular<br>System In patients with<br>haemodynamic<br>instability, shock or<br>severe coagulatory<br>disorders In patients where it is<br>impossible to achieve<br>sufficient anticoagulation<br>and platelet aggregation<br>inhibition In areas of known or<br>suspected infection,<br>especially at the puncture<br>site or target vessel<br>segment In vessels which are<br>oversized or undersized<br>for the particular<br>Rotarex® S catheter used In stents, stent grafts or<br>bypass grafts | Similar to Indigo, but use in<br>cardiac and pulmonary<br>vessels is also<br>contraindicated, as the<br>subject device is not<br>indicated for treatment of<br>pulmonary embolism.<br>Subject has different<br>contraindications from<br>Rotarex® S, but please note<br>that the vast majority of the<br>contraindications listed for<br>the reference device were<br>removed under K211738. |
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K220270
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K220270
| | | Without the use of a Straub provided guidewire When the Straub provided guidewire cannot completely cross the target lesion Where the Straub provided guidewire is in a subintimal position of any length Where the Straub provided guidewire has become threaded or entangled in the wire mesh of a stent, stent graft or the lining of a stent graft Where the target lesion is located in a region of marked vessel tortuosity (has a radius of curvature ≤2 cm) or is heavily calcified Where pre-existing damage is present in the vessel wall at or near the target lesion from prior surgery, aneurysms or other disease During MRI procedures or where electrical current may be passed to an undesired location via the catheter, e.g., during electrocautery, electrosurgery or |
|--|--|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|--|--|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
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| Attribute | Subject Device - Aspirex™<br>Thrombectomy Catheter | Predicate Device - Indigo<br>Aspiration System<br>(K192833) | Reference Device -<br>Rotarex® S Catheter<br>(K172315) | Rationale |
|----------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | | | defibrillation. The<br>Rotarex® S catheter and<br>guidewire must be<br>entirely removed before<br>these therapies are<br>administered, even in an<br>emergency situation<br>• Where the recommended<br>separation distances<br>from Radio Frequency<br>and Electro-Magnetic<br>Interference (EMI)<br>sources cannot be<br>maintained (Reference<br>the manual for the Drive<br>System)<br>• Where any component of<br>the Straub Rotarex® S<br>Endovascular System<br>has sustained damage,<br>including any breech of<br>the sterile barrier | |
| System<br>Components | Catheter, console/control<br>unit, guidewire, collecting<br>bag, sterile drape for motor | Catheter, aspiration pump<br>and canister, aspiration<br>tubing, separator | Catheter, console/control<br>unit, guidewire, collecting<br>bag, sterile drape for motor | Identical to Rotarex® S |
| Catheter<br>Diameter | 6F, 8F, 10F | 3F, 5F, 5.3F, 6F, 8F | 6F, 8F | 6F and 8F sizes identical to<br>both predicate and reference<br>devices. CAT12 model of<br>Indigo predicate (K192981) is<br>compatible with 12F sheath,<br>so 10F subject device is<br>within that range. |
| Catheter Length | 85, 110, 135 cm | 50, 85, 115, 132, 135, 140,<br>150 cm | 85, 110, 135 cm | Identical to Rotarex® S,<br>within same range as Indigo. |
| Attribute | Subject Device - Aspirex™<br>Thrombectomy Catheter | Predicate Device - Indigo<br>Aspiration System<br>(K192833) | Reference Device -<br>Rotarex® S Catheter<br>(K172315) | Rationale |
| Guidewire<br>Compatibility | 0.018", 0.025" | 0.014"-0.038" | 0.018" | Identical to Rotarex® S,<br>addition of 10F size for<br>0.025" wire, within same<br>range as Indigo. |
| Catheter Tip | Smooth, rounded stationary<br>head | Torq, XTorq, Straight | Rotating atraumatic beveled<br>head | Similar to Rotarex® S, but<br>less potential for vessel<br>trauma due to stationary<br>head. |
| Aspiration | Active (Drive System) | Active (Aspiration Pump) | Active (Drive System) | Identical to Rotarex® S |
| Mechanism of<br>Action | Aspiration | Aspiration | Front cutting/rotational | Identical to Indigo |
| Materials | All materials that come in<br>contact directly or indirectly<br>with body tissue or blood<br>meet the guidelines in ISO<br>10993-1. | Biocompatible, commonly<br>used for interventional<br>devices | All materials that come in<br>contact directly or indirectly<br>with body tissue or blood<br>meet the guidelines in ISO<br>10993-1. | Identical to Rotarex® S |
| Shelf Life | 3 years | 3 years | 3 years | Identical to predicate and<br>reference |
| Sterilization<br>Method | EO | EO | EO | Identical to predicate and<br>reference |
| Rotation Speed | 40k, 60k RPM | N/A | 40k. 60k RPM | Identical to Rotarex® S |
| Aspiration Rate | 45, 75, 130 ml/min | 42, 168, 270, 480 ml/min | 45, 75 ml/min | Identical to Rotarex, but with<br>130 ml/min rate for 10F size.<br>which is within range of<br>Indigo rates. |
| Corrosion<br>Resistance | When tested in accordance<br>with the method in EN ISO<br>10555-1 annex A, metallic<br>components of the catheter<br>shall show no signs of<br>corrosion. | Unknown | When tested in accordance<br>with the method in EN ISO<br>10555-1 annex A, metallic<br>components of the catheter<br>shall show no signs of<br>corrosion. | Identical to Rotarex® S |
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## Performance Data:
To demonstrate substantial equivalence of the subject device to the predicate device, its technological characteristics and performance criteria were evaluated. Using FDA Guidance Documents on non-clinical testing of medical devices and internal Risk Assessment procedures. the following in vitro tests were performed:
- Catheter .
- o Dimensional verification
- Simulated use o
- Kink resistance с
- Heat generation O
- Aspiration rate o
- Debris removal and O collection
- Embolization analysis O
- Fatigue O
- Particulate evaluation o
- O Trackability
- Torsional strength O
- Biocompatibility o
- Acute systemic toxicitv
- Cell cvtotoxicitv
- Complement activation
- I Direct hemolysis
- Extractables characterization
- I Guinea piq maximization
- Intracutaneous reactivity
- 트 Material mediated pyrogenicity
- Partial thromboplastin time
- . Platelet and leukocyte count
## Animal Study
A GLP animal study was conducted to assess the safety and performance of the Aspirex™ catheter (test article) of the Aspirex Thrombectomy System in healthy veins, using the Indigo Aspiration Catheter (control article) of the Penumbra Indigo Aspiration System as a comparator. The secondary objective of this study was to assess the usability and performance of the other parts of the Aspirex™ Thrombectory System in association with the Aspirex™ catheter: Straub Medical Drive System, quidewire, collection baq and sterile drape.
No evidence of stenosis or occlusion was observed in the vessels of any of the study animals at any fluoroscopy (with contrast) assessment. No evidence of intimal irregularities, vessel dissection, perforation, rupture, or other evidence of vessel injury was observed in the vessels of
- . Guidewire
- o Surface
- Corrosion o
- Fracture о
- Bending O
- Tensile strength O
- Overall length O
- Coil length O
- Max tip diameter o
- Guidewire body diameter O
- Tip flexibility O
- O Coating integrity assessment
- Particulate evaluation O
- Kink resistance o
- Lubricity O
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any of the study animals at any fluoroscopy (with contrast) assessment or upon macroscopic assessment of the external aspect of the treated vessels. Microscopic findings in the treated vessels correlated with angiographic and macroscopic observations. Microscopic changes were of similar incidence and severity in both test and control groups and were limited to the intima (i.e. multifocal endothelial hypertrophy and intimal thickening due to fibrosis) in the treated vessels. with no vessel perforation, vessel dissection, rupture nor parietal hematoma, no medial injury (with the exception of degenerative changes in one acute control study animal) and no relevant inflammation of the vessel wall or surrounding tissues.
When comparing the results of clinical, biological and tissular response to the application of the Aspirex™ catheter and Indigo Aspiration Catheter, local and systemic tolerance appears equivalent in both groups. The usability and performance of the Aspirex™ catheter and Indigo Aspiration Catheter presented with similar results, with no adverse events.
## Conclusions:
The results from both in vitro studies and a GLP animal study demonstrate that the technological characteristics and performance criteria of the subject Aspirex™ Thrombectomy System are substantially equivalent to the predicate device, and that it can perform in a manner equivalent to devices currently on the market for the same intended use.
The subject device. the Aspirex™ Thrombectomy System, met all predetermined acceptance criteria of design verification and validation as specified by applicable standards, quidance, test protocols and/or customer inputs. The Aspirex™ Thrombectomy System is substantially equivalent to the legally marketed predicate device, the Indigo Aspiration System.