510(k) Report

510(k) · Decided

Decided

INDIGO Aspiration System (CAT RX Aspiration Catheter and Separator 4)

K220683510(k) TraditionalDecided Oct 4, 2022210-day reviewClass II21 CFR 870.5150

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Penumbra, Inc. · QEW Peripheral Mechanical Thrombectomy With Aspiration

Cleared on Oct 4, 2022 as substantially equivalent to K180412 (Penumbra, Inc., 2018) after a 210-day review. Its family tree reaches back 10 generations to 2001. 1 of the 26 devices in its family, counting itself, has a Class I recall.

Decided
Oct 4, 2022
Review
210 days
Class
Class II
Product code
QEW
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K010579 (2001). 25 ancestors in all, the oldest K883718 (1989). No later device cites it as a predicate yet. 1 of the 26 devices in this family, counting this one, has a Class I recall.

  1. Root · 10 generations backK010579 Stent Support Guide CatheterMedtronic Vascular · 2001 · Recalled
  2. 6 generations between
  3. 3 generations backK161506 Penumbra Aspiration SystemPenumbra, Inc. · 2016
  4. 2 generations backK163618 INDIGO Aspiration SystemPenumbra, Inc. · 2017
  5. 1 generation backK180412 Indigo Aspiration System (CAT RX and Separator 4)- Penumbra Engine…Penumbra, Inc. · 2018
  6. This deviceK220683 INDIGO Aspiration System (CAT RX Aspiration Catheter and Separator 4)Penumbra, Inc. · 2022
Show all 10 generations
  1. Root · 10 generations backK010579 Stent Support Guide CatheterMedtronic Vascular · 2001 · Recalled
  2. 9 generations backK030201 Modification to Export Aspiration CatheterMedtronic Vascular · 2003
  3. 8 generations backK040869 Export CatheterMedtronic Vascular · 2004
  4. 7 generations backK071727 QXT Extraction CatheterVascular Solutions, Inc. · 2007
  5. 6 generations backK072810 Pronto Low Profile (LP) Extraction Catheter, Model 5010Vascular Solutions, Inc. · 2007
  6. 5 generations backK083784 Pronto V3 Extraction Center, Model 5003, Pronto LP Extraction…Vascular Solutions, Inc. · 2009
  7. 4 generations backK103405 Pronto V4 Extraction Catheter 5.5F; Pronto V4 Extraction Catheter…Vascular Solutions, Inc. · 2010 · Recalled
  8. 3 generations backK161506 Penumbra Aspiration SystemPenumbra, Inc. · 2016
  9. 2 generations backK163618 INDIGO Aspiration SystemPenumbra, Inc. · 2017
  10. 1 generation backK180412 Indigo Aspiration System (CAT RX and Separator 4)- Penumbra Engine…Penumbra, Inc. · 2018
  11. This deviceK220683 INDIGO Aspiration System (CAT RX Aspiration Catheter and Separator 4)Penumbra, Inc. · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K010579Stent Support Guide CatheterMedtronic Vascular200127
−9K030201Modification to Export Aspiration CatheterMedtronic Vascular2003—
−8K040869Export CatheterMedtronic Vascular2004—
−7K071727QXT Extraction CatheterVascular Solutions, Inc.2007—
−6K072810Pronto Low Profile (LP) Extraction Catheter, Model 5010Vascular Solutions, Inc.2007—
−5K083784Pronto V3 Extraction Center, Model 5003, Pronto LP Extraction Catheter, Model…Vascular Solutions, Inc.2009—
−4K103405Pronto V4 Extraction Catheter 5.5F; Pronto V4 Extraction Catheter 6F; Pronto…Vascular Solutions, Inc.20101
−3K161506Penumbra Aspiration SystemPenumbra, Inc.2016—
−2K163618INDIGO Aspiration SystemPenumbra, Inc.2017—
−1K180412Indigo Aspiration System (CAT RX and Separator 4)- Penumbra Engine Pump and…Penumbra, Inc.2018—
0 (this device)K220683INDIGO Aspiration System (CAT RX Aspiration Catheter and Separator 4)Penumbra, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199310
200010
200230
200310
200410
200550
200621
FIG. 1 — Lineage of K220683, 2001–2022Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

1 device in this family has a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new QEW device

  1. #1 K213402 Triever24, Triever20score 28.6 · 5 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K180412Indigo Aspiration System (CAT RX and Separator 4)- Penumbra Engine Pump and Canister
Summary page 6
…ÿ 789ÿÿ ÿÿ ÿ K220683 1.6 Predicate/Reference Device 510(k) Number ‘ Name of Device Predicate Device K180412 INDIGO Aspiration System (CAT RX Aspiration Catheter and Separator 4) - Penumbra Engine Pump and Canister Reference Device K1636…
Penumbra, Inc.2018—
†K163618INDIGO Aspiration SystemPenumbra, Inc.2017—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K060327Vascular Solutions Twin-Pass Dual Access Catheter and Skyway Support CatheterVascular Solutions, Inc. · 2006 · 6 generations back · ◆ in the 2006 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 21 years and passes through 3 companies; a new generation was cleared every 1.3 years on median.
  • 11 of the 25 ancestors have a recall of any class; 1 has a Class I recall.

How does its category compare?

All QEW devices

QEW Peripheral Mechanical Thrombectomy With Aspiration: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · QEW

14in 2025

2008: 22009: 22012: 12013: 22014: 22015: 42016: 42017: 22018: 142019: 82020: 162021: 112022: 122023: 232024: 142025: 142026 (partial year): 10
2007high 23 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QEW

58in 2025

2015: 88 days median2016: 63 days median2018: 61 days median2019: 51 days median2020: 105 days median2021: 60 days median2022: 140 days median2023: 102 days median2024: 65 days median2025: 58 days median2026 (partial year): 74 days median
2007high 140 (2022) · low 51 (2019)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · QEW

7in 2022

2022: 7, 7 Class I
2007high 7 (2022) · low 0 (2007)2026

Class I (7 since 2007) Class II/III not classified

Adverse event reports per year · QEW

207in 2025

2019: 332020: 1972021: 3222022: 1252023: 1652024: 1622025: 207
2007high 322 (2021) · low 0 (2007)2025

MAUDE reports naming product code QEW, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20082—00
20092—00
20100—00
20110—00
20121—00
20132—00
20142—00
201548800
201646300
20172—00
2018146100
2019851033
2020161050197
202111600322
2022121407 (7)125
2023231020165
202414650162
202514580207
202610740—

What is it indicated for?

The INDIGO CAT RX Aspiration Catheters and INDIGO Separator 4

As part of the INDIGO Aspiration System, the INDIGO CAT RX Aspiration Catheters and INDIGO Separator 4 are indicated for the removal of fresh, soft emboli and thrombi from vessels in the coronary and peripheral vasculature.

The INDIGO Aspiration Tubing

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

Penumbra Aspiration Pump

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

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K220683: INDIGO Aspiration System (CAT RX Aspiration Catheter and Separator 4).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220683

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026