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We also do everything in our power to protect user data offline. $55900. ID x 6 Fr Proximal OD, Ace 64 Reperfusion Catheter with Hi-Flow Aspiration Tubing, 0.64 in. A puzzle expansion with nine levels for the Black Plague Gold Edition. If a user rejects the cookie, they may still browse our site. Heart disease and stroke statistics2020 update: a report from the American Heart Association. Use of these devices may cause serious injuries or death. (mm) (in.) 0000052130 00000 n Share the recall notification with all users of the product within your facility to ensure that they are also aware of this recall. . 0000053959 00000 n If you feel that your inquiry has not been satisfactorily addressed, you should contact TRUSTarc, an independent privacy organization. Penumbra collects information from our users at several different areas on our site. Today, Penumbra has grown into a full-service talent management consulting practice, specializing in selection, retention and development services for clients worldwide. Detachment Handle. . Penumbra is notable for its horror styling and for allowing advanced physical interaction with the game environment.[1]. Many Git commands accept both tag and branch names, so creating this branch may cause unexpected behavior. Until 05.03.2023 The kind of security procedures in place to protect the loss, misuse or alteration of information under Penumbra control, How to correct any inaccuracies in the information. OUR TEAMOUR SERVICESCONTACTPRIVACY POLICYSITEMAP. Last Updated: Aug 7, 2017. 0000013302 00000 n Device failure modes reported in the MDRs include ballooning, expansion, rupture, breakage or complete separation, and exposure of internal support coils near the distal tip region of the JET 7 Xtra Flex catheter. 0000010881 00000 n POD400/PAC400. Except for historical information, certain statements in this press release are forward-looking in nature and are subject to risks, uncertainties and assumptions about us. H\n0. The "re-purposing" of these devices for venous clot is sub-optimal due to clot morphology and vessel sizes. Penumbra III by Matera $849.00 Finish (Rustic Walnut) Size 30.5" X 60" 48" X 94.5" Quantity Add To Cart Only 1 left in stock ! 0000029721 00000 n There may be additional risks of which we are not presently aware or that we currently believe are immaterial which could have an adverse impact on our business. 0000009180 00000 n Penumbra order forms request data from users including: Contact information such as name and shipping address; financial information such as credit card number, expiration date, billing address, and billing phone number. 286 0 obj <>stream Ask us. Users are required to provide their name, email address, zip code, phone number and a password of 5-16 characters in length. Penumbra designs, develops, manufactures and markets novel products and has a broad portfolio that addresses challenging medical conditions in markets with significant unmet need. During the spring, Penumbra Online takes a brief hiatus, as Penumbra, our university's print journal, prepares to launch by mid May. [CI] Updating repo.json for refs/tags/0.6.5.2, https://raw.githubusercontent.com/xivdev/Penumbra/master/repo.json, No need to back up your install - mods don't touch game files, Disable and enable mods without restarting the game, Resolve conflicts between mods by changing mod order, Files can be edited and are often replicated in-game after a map change or closing and reopening a window, You will now see Penumbra listed in the Available Plugins tab in the Dalamud Plugin Installer. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Date Initiated by Firm: December 15, 2020. LINKSThis web site contains links to other sites. Any information placed in the cookie is accessible only to Penumbra, and will not be sold or shared with anyone else under any circumstances. 0000011939 00000 n This recall does not apply to the Penumbra JET 7 Reperfusion Catheter with Standard Tip. Our systems require time to update we reserve the right to modify this privacy statement at any time, so please review it frequently. Set in the year 2001, Penumbra: Overture follows the story of Philip, a thirty-year-old physicist whose mother recently died. Bur! V@`\B\ao We use a cookie to store a unique session identifier, which allows us to maintain shopping cart and web site selections from one page request to the next, and maintain session information from one visit to the next. Lightning 12 and Separator 12 are designed for the removal of fresh, soft emboli and thrombi from the peripheral arterial and venous systems, and for the treatment of pulmonary embolism. The latest generation of Penumbras continuous aspiration thrombectomy system features Indigo System Lightning 12 which combines the new Indigo System CAT 12 Aspiration Catheter with Lightning Intelligent Aspiration powered by Penumbra ENGINE, enabling physicians to focus on optimizing thrombus removal using the systems unique clot detection mechanism. hYr683Hnm8Z-6cE*SC sv]Z Authorize.net do not retain, share, store or use personally identifiable information for any secondary purposes. Health care professionals and consumers may report adverse reactions or quality problems they experienced using these devices to MedWatch: The FDA Safety Information and Adverse Event Reporting Program using an online form, regular mail, or FAX. It may take up to ten days (10) days for your opt-out choices to be fully effective for electronic or e-mail messages and up to ninety days (90) for physical catalogs. 0000020000 00000 n The online catalog is a set of documents, whereas the demo request is a set of physical products. $514.28 (38 used & new offers) Built in tooling will be added to Penumbra over time to avoid many common TexTools use cases. 27 August 2008. 0000021037 00000 n No problem! Please do not install Penumbra manually by downloading a release zip and unpacking it into your devPlugins folder. Adverse events and quality problems may be reported to the FDAs MedWatch Adverse Event Reporting Program either online, by regular mail, or by fax. The FDA has identified this as a Class I recall, the most serious type of recall. It is the dark center of the eclipse shadow. Smart Coil - Extra Soft - 3mm x 8cm x 185cm - Non-Expired. 0000051677 00000 n The Indigo Systems proprietary Separator technology, Separator 12 is also available with Lightning 12 and is designed to enable unobstructed aspiration for the duration of the procedure. We have no access to or control over these cookies. The story of Black Plague begins as an email sent by Philip to a friend, explaining what has happened to him and begging him to finish the work he could not. For the best experience on our site, be sure to turn on Javascript in your browser. Are you sure you want to create this branch? The average salary for Ordering and Inventory Clerk at companies like PENUMBRA INC in the United States is $77,800 as of February 27, 2023, but the salary range typically falls between $67,200 and $91,100. 0000051278 00000 n Penumbra's Indigo Aspiration System Lightning 12 received FDA clearance for the treatment of pulmonary embolism. 0000046049 00000 n 0000023951 00000 n 0000001929 00000 n The latest generation of Penumbra's continuous aspiration thrombectomy system features Indigo System Lightning 12 which combines the new Indigo System CAT 12 Aspiration Catheter with Lightning . Download it once and read it on your Kindle device, PC, phones or tablets. Featuring a unique physics based interaction system, allowing the player to interact with the environment in a new and detailed fashion. SHARINGWe use Authorize.net to bill users for goods and services. Penumbra is a first person horror adventure series for Windows, Mac OS X and Linux. Penumbra, the Penumbra P logo, Indigo, CAT, Separator, Lightning, and Penumbra ENGINE are trademarks of Penumbra, Inc. For more information, visit www.penumbrainc.com and connect on Twitter and LinkedIn. 2020;141(9):e139e596. 0000054329 00000 n Factors that could cause actual results to differ from those projected include, but are not limited to: the impact of the COVID-19 pandemic on our business, results of operations and financial condition; failure to sustain or grow profitability or generate positive cash flows; failure to effectively introduce and market new products; delays in product introductions; significant competition; inability to further penetrate our current customer base, expand our user base and increase the frequency of use of our products by our customers; inability to achieve or maintain satisfactory pricing and margins; manufacturing difficulties; permanent write-downs or write-offs of our inventory; product defects or failures; unfavorable outcomes in clinical trials; inability to maintain our culture as we grow; fluctuations in foreign currency exchange rates; and potential adverse regulatory actions. If you have any questions about the security at our website, you can contact us. 0000010264 00000 n Every quarter and whenever new policies are implemented, our employees are reminded about the importance of keeping customer data secure and safe at all times. WHAT THIS PRIVACY POLICY COVERSThis Privacy Policy covers our treatment of personally identifiable information that we may collect when you are on the web site, and when you use our site services. 0000014849 00000 n Santa Cruz Animal Health. trailer <<102E2AC9172B49FCBE70C9619632C238>]/Prev 411936/XRefStm 1733>> startxref 0 %%EOF 803 0 obj <>stream %PDF-1.6 % Continue to report adverse events and quality problems experienced with the use of this product. Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company focused on innovative therapies. Your account information is password-protected for your privacy and security. . Ruby Coil LP | Volume Advantage LP System Ordering Information LP System Detachment Handle Catalog Number Product RLPH1 LP System Detachment Handle LPSYSTEM Catalog Number . 0000009644 00000 n Medical Device Recalls, Recalls, Market Withdrawals and Safety Alerts, Penumbras Recall of the JET 7 Reperfusion Catheter Due to Distal Tip Damage, https://www.accessdata.fda.gov/scripts/medwatch/index.cfm, report adverse reactions or quality problems, Penumbra JET 7 Reperfusion Catheter with Xtra Flex Technology, also known as JET 7 Xtra Flex, Manufacturing Dates: May 10, 2019 December 11, 2020, Distribution Dates: June 17, 2019 - December 14, 2020; 30,882 devices distributed. ID x 5.75 Fr Distal OD, ACE Reperfusion Catheter with Hi-Flow Aspiration Tubing, 6 Fr Size, Ace 60 Reperfusion Catheter, 0.68 in. Disable and enable mods without restarting the game. Our business and operations are subject to a variety of risks and uncertainties and, consequently, actual results may differ materially from those projected by any forward-looking statements. $800.00. 0000013709 00000 n 0000013908 00000 n Photographs taken by and on file at Penumbra, Inc. Tests performed and data on file at Penumbra, Inc. 0000024620 00000 n Penumbras peripheral vascular products are used primarily to treat conditions affecting the upper and lower limbs, kidneys, neck, or lungs. Contributions are welcome, but please make an issue first before writing any code. When new books are released, we'll charge your default payment method for the lowest price available during the pre-order period. Penumbra is a runtime mod loader for FINAL FANTASY XIV, with a bunch of other useful features baked in: No need to back up your install - mods don't touch game files. That will require manually updating Penumbra and you will miss out on features and bug fixes as you won't get update notifications automatically. If your bank does hold you liable for any portion of this $50.00, we will cover the entire liability for you, up to the full $50.00. The Indigo System Lightning 12 was launched in July and is available immediately for patients needing interventional treatment for PE. (mm) (Crosscut Valve, RHV, and Dilator Included) on behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Report any adverse events or. Penumbra will never ask you for sensitive information, such as social security numbers, via a job seeking platform. ID x 105 cm Length, BenchMark 071 Intracranial Access Redefined Catheter Kit, 0.071 in. penumbra: pnml6f088904m Neuron Max 088 Soft Tip Long Sheath, 0.088 in. The penumbra gets larger as it goes away from the sun. The games use the HPL Engine 1, initially developed as a tech demo. Add. Catalog Number Description (cm) (cm) (in.) Please be aware that Penumbra is not responsible for the privacy practices or content of other sites. Your dedicated Penumbra team is with you from start to finish, becoming experts on your company structure and culture. If you feel that our company is not abiding by its posted privacy policy, please contact us. Penumbra has support for most TexTools modpacks however this is provided on a best-effort basis and support is not guaranteed. According to the American Heart Association, PE affects roughly 367,000 Americans per year.1. 0000017316 00000 n Brain Conditions Body Penumbra's peripheral vascular products are used primarily to treat conditions affecting the upper and lower limbs, kidneys, neck, or lungs. Blood clots in the lungs can block the lungs from absorbing oxygen, causing strain on the heart and other organs. In the event of unauthorized use of your credit card, you must notify your credit card provider in accordance with its reporting rules and procedures. "5LZ&p|1^6016j40D5[xU2dii7La6\;; a j^ n* endstream endobj 1394 0 obj <>/Metadata 84 0 R/Outlines 174 0 R/Pages 1391 0 R/StructTreeRoot 181 0 R/Type/Catalog>> endobj 1395 0 obj <. COOKIESCookies are data stored on the end-users hard drive with information that relates directly to the end-users visit to our web site. Twenty of these MDRs describe 14 unique patient deaths, which include reports from different reporting sources for a single adverse event. Penumbra Coil 400. Penumbra sells its products to hospitals and healthcare providers primarily through its direct sales organization in the U.S., most of Europe, Canada and Australia, and through distributors in select international markets. ID, 90 cm Working Length, Neuron Max 088 Soft Tip Long Sheath, 0.088 in. Additional information about Penumbras products can be located on Penumbras website at http://www.penumbrainc.com/healthcare-professionals. All products sold by WestCMR are in-date. Users who no longer wish to receive catalogs and other special announcements via mail can send a letter to us at Customer Service. As part of the Indigo Aspiration System, Lightning 12 (Indigo System CAT 12 Aspiration Catheter with Lightning Intelligent Aspiration) and Separator 12 are now indicated for the removal of fresh, soft emboli and thrombi from vessels of the peripheral arterial and venous systems as well as for the treatment of pulmonary embolism. 3D Revascularization Device. (cm) This website is intended for US audience only. ALAMEDA, Calif.--(BUSINESS WIRE)--Penumbra, Inc. (NYSE: PEN), a global healthcare company focused on innovative therapies, today announced U.S. Food and Drug Administration 510(k) clearance for expanded indication of the latest iteration of the Indigo Aspiration System, Lightning 12. Lightning 12 combines the Indigo System CAT12 Aspiration Catheter with Lightning Intelligent Aspiration, enabling physicians to focus on optimizing thrombus removal using the systems unique clot detection mechanism. Ordering from USA/Canada? 0000023446 00000 n 310-560-8176. 47p({.vDYvA:rltq4Od$U5c'!h"qLi"'QlNU^Hg12rT;7ax] Z=H$R 3 /(*x Penumbra is an episodic survival horror video game series developed by Frictional Games and published by Paradox Interactive and Lexicon Entertainment. Create enable/disable functions and clean up PR. Lightning 12 and Separator 12 Now Indicated for Treatment of PE, The Indigo Aspiration System Lightning 12 received FDA clearance for the treatment of pulmonary embolism. Specs Details Shipping & Returns Color Canvas Finish Rustic Walnut Material Matte Canvas Size 30.5" X 60" Brand Four Hands Dimensions D 2" / W 30 1 2 " / H 60" / 35.00 lbs Product ID Customers may also call their Penumbra Sales Representative. 0000000016 00000 n Files can be edited and are often replicated in-game . Individual Coils. Tests performed and data on file at Penumbra, Inc. 1. Internet Explorer presents a security risk. 3MAX Penumbra JET 7 Smaller Catheter OD Higher TRF High Thrombus . The games use the HPL Engine 1, initially developed as a tech demo. If you have questions or concerns regarding this statement, you should first contact us. Collecting the information, how the information is used, with whom the information is shared. Diagram of Umbra and Penumbra. %PDF-1.6 % On December 15, 2020, Penumbra sent an Urgent Medical Device Recall notification to all affected customers with the following instructions: Customers who have questions or concerns, please contact Penumbra Customer Service by phone at 1-888-272-4606, Monday - Friday between 7:30 am to 4:00 pm (Pacific Time), or by emailing order@penumbrainc.com. You can also modify your login information and opt out of newsletter delivery. We encourage our users to be aware when they leave our site and to read the privacy statements of each site that collects personally identifiable information. While this project is still a work in progress, you can use it by adding the following URL to the custom plugin repositories list in your Dalamud settings 0000053601 00000 n Penumbra is the sole owner of the information collected on this site. ID, 95 cm Working Length, 6 cm Distal Flexible, Neuron 053 Intracranial Access Delivery Catheter, 0.053 in. All employees are kept up to date on our security and privacy practices. Health care providers using this device during procedures for acute stroke. The rest of the game then proceeds as a flashback narrated by Philip to his friend in the email, beginning from where the previous game left off. The Indigo System Lightning 12 is the companys newest generation aspiration system for peripheral thrombectomy. hb``a``{AAMFmzLeIIp9_&u.+R All rights reserved. 0000013483 00000 n going to finish up outlast and then im going to go through the penumbra series and amnesia series. Contact Penumbra Customer Service (order@penumbrainc.com or 1.888.272.4606 ), available Monday - Friday 7:30 AM to 4:00 PM PST, with any questions or concerns. Now offering all services in a virtual format. ID x 5.75 Fr Distal OD, 0.068 in. All sensitive information is restricted in our offices. ID x 5.4 Fr Distal OD, Jet 7 Reperfusion Catheter with Penumbra Hi-Flow Aspiration Tubing, 0.072 in. The developers admitted that they edited the original engine which was 2D to support 3D environments. Rethink how you buy and sell surgical supplies. Penumbra is an episodic survival horror video game series developed by Frictional Games and published by Paradox Interactive and Lexicon Entertainment. %PDF-1.4 % LV We use industry-standard SSL-encryption to protect data transmissions in certain areas such as our shopping-cart and account pages. ID, 105 cm Working Length, 8 cm Distal Flexible, Neuron 070 Intracranial Access Delivery Catheter, 0.07 in. The transformative power of innovation inspires our commitment to patients and all who serve them. Other MDRs describe serious patient injury, such as vessel damage, hemorrhage, and cerebral infarction. E-MAILIf a user wishes to subscribe to our emails we ask for contact information such as name and email address. This privacy statement applies solely to information collected by this Web site. Penumbra order forms request data from users including: Contact information such as name and shipping address; financial information such as credit card number, expiration date, billing address, and billing phone number. 0000016187 00000 n 1. Any forward-looking statements are based on our current expectations, estimates and assumptions regarding future events and are applicable only as of the dates of such statements. It will be fulfilled as soon as it is restocked. For the best experience on our site, be sure to turn on Javascript in your browser. Differentiated solutions for embolization, vessel occlusion, and thrombectomy for use widely in the peripheral vasculature. from what i read the order is penumbra overture, then black plague and finishing up with the expantion for black plauge which is requrium. Users who no longer wish to receive catalogs and other special announcements via mail can send a letter to us at Customer . 0000013824 00000 n Users who no longer wish to receive our electronic newsletter or promotional materials from our partners may opt-out of receiving these communications by changing the settings in your account page. Available in 3 sizes: Triever16: 16 French; Triever20: 20 French; Triever24: 24 French; New Gen.4 Trievers. Penumbra IV by Matera $849.00 Finish (Rustic Walnut) Size 30.5" X 60" 48" X 94.5" Quantity Add To Cart Out of stock. Copyright 2022 Penumbra, Inc. All rights reserved. COVID has increased the awareness of the need for therapies that remove blood clots, and we are thrilled with the FDA clearance of the PE treatment indication for Lightning 12.. Betsy Merryman Penumbra is a runtime mod loader for FINAL FANTASY XIV, with a bunch of other useful features baked in: No need to back up your install - mods don't touch game files. 0000015794 00000 n Thought Catalog Books (April 21, 2015) Publication date . The recall described in this notice is the same one that was announced in the Letter to Health Care Providers on December 15, 2020. Penumbra Group was formed in 1998, with a focus on employee training and development for clients on the West Coast of the US. Body Conditions Hear our Patient Stories Our Products 0000027963 00000 n In addition to Lightning 12, the Indigo System also now includes Lightning 8 which combines the Indigo System CAT 8 Aspiration Catheter with Lightning Intelligent Aspiration for the removal of fresh, soft emboli and thrombi from the peripheral arterial and venous systems, and for the treatment of pulmonary embolism. FREE delivery Tue, Feb 14. We may disclose this information to your credit card issuing bank if a fraudulent order is being investigated or disputed by you. CORRECTING AND UPDATING PERSONAL INFORMATIONYou can add new information and update your profile on your account page of our site. 1997-2023 WestCMR. The Indigo Aspiration System with Lightning 12 removes these difficult-to-access, life-threatening clots, potentially reducing the need for thrombolytics and their associated ICU stays. However, the user experience will be greatly curtailed. Lightning 12 and Lightning 8 expand the already broad offering of CAT8, CATD, CAT6, CAT5, and CAT3 and are paired with Penumbra ENGINE, the companys proprietary continuous, mechanical vacuum aspiration pump. This information is necessary in order for us to contact users about services on our site for which they have expressed interest and so that you may later login to our site to check your order status and account history. WEBSITE BY, 2753 E. Broadway Rd Ste. Photographs taken by and on file at Penumbra, Inc. Tests performed and data on file at Penumbra, Inc. 0000019191 00000 n All Trademarks & Logos belong to their respective owners. As a result, treatments include, or rely exclusively upon, thrombolytic drugs and their inherent . 0000013597 00000 n ALL RIGHTS RESERVED. Penumbra SMART Coil. Pulmonary embolism (PE) is a condition that occurs when blood clots, typically traveling from the veins in the legs, get caught in the arteries of the lungs. A tag already exists with the provided branch name. The FDA has received over 200 medical device reports (MDRs) associated with the JET 7 Xtra Flex catheter, including deaths, serious injuries, and malfunctions. The Penumbra series is based on Frictional Games' earlier game "Penumbra Tech Demo", a short tech demo meant to demonstrate the capabilities of the company's HPL Engine 1. Bench test results may not be indicative of clinical performance. Should you want to verify an interview request or job offer that you have received, please reach out to (510) 748-3200 or twatts@penumbrainc.com. This means you pay nothing if unauthorized charges are made to your card as a result of shopping at our online store. 3mm x 8cm x 185cm. ID x 6 Fr Proximal OD, 132 cm Working Length, Ace 60 Reperfusion Catheter with Hi-Flow Aspiration Tubing, 0.68 in. 0000060199 00000 n If we make material changes to this policy, we will notify you by email. ID, 80 cm Working Length, Neuron Max 088 Catheter Sheath, 0.088 in. This information is collected from a secure web page and encrypted for our customers protection. The .gov means its official.Federal government websites often end in .gov or .mil. Got a question? These risks and uncertainties, as well as others, are discussed in greater detail in our filings with the Securities and Exchange Commission, including our Annual Report on Form 10-K for the year ended December 31, 2019 filed with the SEC on February 26, 2020, our Quarterly Report on Form 10-Q for the quarter ended March 31, 2020 filed with the SEC on May 7, 2020, our Quarterly Report on Form 10-Q for the quarter ended June 30, 2020 filed with the SEC on August 3, 2020, and our Quarterly Report on Form 10-Q for the quarter ended September 30, 2020 filed with the SEC on November 2, 2020. Sign up to receive email updates on medical device recalls, safety communications, and other safety information. 748 56 Only employees who need the information to perform a specific job (for example, a Customer Service representative) are required to sign non-disclosure agreements before being granted access to personally identifiable information, and are required to lock their station when they leave their station. 0000022857 00000 n To ensure the most secure and best overall experience on our website, we recommend the latest versions of, https://www.penumbrainc.com/indigo-lightning/, http://www.penumbrainc.com/healthcare-professionals. It is not sold to anyone else under any circumstances. Resolve conflicts between mods by changing mod order. 0000026107 00000 n FINAL FANTASY XIV modding, but actually good this time. 0000037180 00000 n Product images are for display only. INFORMATION COLLECTEDAt Penumbra, your privacy and the protection of your data is our main concern. Registration is required in order to use this website, and a user must create an account prior to completing any purchase. ID x 95 cm Length, Indigo 3 Sterile Aspiration Catheter, 4.1 Fr Proximal OD x 3.4 Fr Distal OD, 150 cm Length, Indigo CAT 3 Aspiration Catheter + Dynamic Aspiration Tubing, 4.1 Fr Proximal OD, 3.4 Fr Distal OD, Indigo 6 Sterile Aspiration Catheter, 6 Fr Proximal OD x 6 Fr Distal OD, 135 cm Length, Indigo CAT RX Aspiration Catheter + Large Lumen Aspiration Tubing, 5.3 Fr Distal OD, Indigo Large Lumen Aspiration Tubing, 112 in./285 cm Length, Max Non-Sterile Aspiration Canister, For Penumbra Pump Max, Penumbra Engine Disposable Canister Assembly, Sterile, Neuron 070 Intracranial Access Delivery Catheter, 0.07 in. .;w,s ^OMscbAbY'pBJCX|\~ f 7w(f8}8E2P Q>gA pppB!d 1Virani, S.S. et al. This commit does not belong to any branch on this repository, and may belong to a fork outside of the repository. WestCMR does not provide advice, training, or clinical support. All payments are securely processed by Authorize.net, At Penumbra, privacy of individual visitor data is of primary importance. (Photo: Business Wire). 0000048774 00000 n An official website of the United States government, : As a component of the Penumbra System with the Penumbra Aspiration Pump and Penumbra Aspiration Tubing, the JET 7 Xtra Flex catheter and JET 7MAX configuration (JET 7 Xtra Flex catheter and MAX Delivery Device) are medical devices intended to restore blood flow by removing clots using continuous aspiration in patients experiencing an acute ischemic stroke within 8 hours of symptom onset who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy.