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EKOS™ Endovascular System

EKOS offers a safe and effective treatment to dissolve thrombus in the body's vascular system. With Level 1, Long-Term, and Quality of Life data, EKOS is the most studied device in the space.

EKOS uses targeted ultrasonic waves in combination with clot-dissolving drugs in the treatment of PE. Clinical evidence shows the therapy's ability to effectively target an entire clot without an increase in bleeding complications.

Key resources

EKOS indications, safety, and warnings
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EKOS clinical data guide

EKOS clinical data guide

Efficacy

EKOS has been shown to yield safe and effective results for acute, massive and submassive PE.

  • Reduces RV/LV ratio by more than 23% on average in as little as 2 hours
  • Reduces PA pressures by 28% (at 48 hours)
  • Up to 88-92% less thrombolytic dose than standard systemic treatment 1,2
  • Minimized risk of bleeding
Study RV/LV reduction
ULTIMA 23% (24 hours)
SEATTLE II 25% (48 hours)
OPTALYSE 23-26% (48 hours)

Safety

EKOS has been shown to have a low risk of bleeding and ICH.

  • Low major bleeding rate across studies (1.44%)
  • ICH rate of 0.4% across major studies, two with 0 instances of ICH
Study Safety Total dose
ULTIMA 0% (Major bleed) | 0 (ICH) 20mg
SEATTLE II 0.67% (Severe bleed) | 0 (ICH)  24mg
OPTALYSE 3% (Major bleed) | 1 (ICH) 4/8mg-12/24mg
1. Tapson V et al. A randomized trial of the optimum duration of acoustic pulse thrombolysis procedure in acute intermediate-risk pulmonary embolism. JACC:Cardiovascular Interventions 2018; 11(14):1401-1410.
2. Konstantinides S, Geibel A, Heusel G, et al. Heparin plus alteplase compared with heparin alone in patients with submassive pulmonary embolism. N Engl J Med.2002;347:1143–1150.
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