A lead extraction procedure commenced to remove 3 leads, a right ventricular (rv), right atrial (ra) and a left ventricular (lv) due to leads being non- functional.It was reported that a spectranetics lead locking device was inserted into one of the leads, but the lead location is unknown.In addition, it is unknown if the second lead had an lld inserted in it (the llds would have provided traction to aid in the leads extractions).The physician tried numerous tools: a spectranetics 16f glidelight laser sheath, byrd telescoping sheaths, a spectranetics 13f tightrail sub-c rotating dilator sheath, a stainless steel sheath and femoral snares.There was significant binding at the clavicle and the physician believed the leads had grown into the bone.The lv lead was successfully removed; however, it was reported that the rv and ra leads snapped at the clavicle area during removal attempt.The physician then attempted to remove the ra and rv leads femorally without success; therefore they remained in the patient's body.There was no reported patient harm.It was reported that when the lead snapped which had an lld present within it (again, location of lead unknown), the lld was removed in its entirety from the lead.It is unknown whether an lld was present within the second lead, but it was reported that no lld in either lead remained within the patient's body.This report is being submitted to capture the lld (in the event that it was inserted into the rv lead), which may have caused or contributed to the lead snapping at the clavicle area.Please reference mdr #1721279-2021-00087 which captures the lld (in the event that it was inserted into the ra lead), which may have caused or contributed to the lead snapping at the clavicle area and with recurrence, may contribute to an injury.There is no alleged malfunction of any spectranetics devices in use during the procedure.
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