An ultrasound technologist reported the following issue with an evlt kit with spotlight ops sheath 25cm: "while dr.(b)(6) was performing an ssv evlt, the 25 cm evlt laser kit that was opened for the procedure could not be used due to a laser fiber that fractured completely in half right after dr.(b)(6) got it correctly positioned in the ssv.The laser fiber was initially locked into place within the catheter, but before we started to inject the tumescence, the laser fiber appeared to pop out of the catheter.Dr.(b)(6) commented that this was weird as he thought that it was locked into place.When he went to re-insert the laser fiber, he noticed that he couldn't pass the laser fiber through the catheter anymore.After trying for a few minutes, he used a scalpel to cut the lock end of the catheter off to see if he could figure out what was happening.It was after he cut the catheter that dr.(b)(6) realized that the laser fiber had cracked completely off inside the catheter.We removed the broken piece and put the broken fiber back into the original packaging before opening a new evlt kit to finish the laser ablation procedure." the patient did not experience any adverse effects, harm, or require medical intervention as a result of this incident.
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