In an exclusive conversation with MedTech Spectrum, Ms. Shruthi Narayan, President, Interventional at Penumbra, discusses how the Ruby® XL System is setting a new benchmark in vascular embolization. Engineered to be the world’s longest, largest, and softest coil, Ruby® XL is designed to enhance control, precision, and efficiency in treating complex, high-volume cases. With its unmatched performance characteristics, the system empowers physicians to achieve faster occlusion and reduce procedural complexity. As Penumbra continues to lead innovation in interventional care, Ruby® XL reinforces its commitment to delivering transformative technologies that improve both clinician workflow and patient outcomes.

What inspired the development of the Ruby® XL System, and how does it address unmet needs in complex embolization procedures?

The inspiration for Ruby XL came from physician feedback and the need for a larger, longer, softer coil compatible with diagnostic catheters. The Ruby XL System is designed to provide what physicians have been asking for: a coil platform with more volume and fewer exchanges that can be delivered without a microcatheter. The system addresses a lot of the limitations of existing .035 coils, delivering mechanical occlusion through more volume without sacrificing softness or deliverability.