Miranda Wenske came to Las Vegas last summer to celebrate her birthday and wedding anniversary, not to try to kill herself. But try she did, just as she’d unwittingly done for years. She would have succeeded if it hadn’t been for Dr. Raj Agrawal, who knew how to use a vacuum cleaner. When a patient was admitted to Spring Valley Hospital, Agrawal realized, to mobilize the special procedures team and use what amounts to a tiny Penumbra Inc. vacuum the Valley Health System made available to him about two years ago.

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