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A lead extraction procedure commenced to remove a right atrial (ra) lead due to non-function.A spectranetics lld ez lead locking device (lld ez) was inserted into the lead to provide traction.Beginning with a spectranetics 14f glidelight laser sheath, advancement was made to the middle of the superior vena cava (svc).However, when switching to another tool, the patient's blood pressure dropped, and a pericardial effusion was detected.Rescue efforts began, including rescue balloon, pericardiocentesis, and sternotomy.An svc perforation was discovered and repaired, and the decision was made to cut/cap the ra lead, along with the lld ez (mdr #3007284006-2026-00042), and remained in the patient.There was no attempt made to unlock the lld ez.The patient survived the procedure.This report captures the 14f glidelight in use when the perforation occurred, requiring intervention.There was no alleged malfunction of any spectranetics devices in use during the procedure.
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A2) patient date of birth - not available from facility.A3b) patient gender - not available from facility.A4) patient weight - not available from facility.B6/b7) patient information regarding relevant tests/laboratory data or medical history - not available from facility.D4) device serial number- not available from facility.H3) the glidelight was discarded, thus no product investigation was performed.H6) per ifu, perforation is listed as a potential adverse event with use of the glidelight device.Submission of this report does not, in itself, represent a conclusion by the manufacturer and/or authorized representative or the national competent authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to an alleged death or deterioration in the state of the health of any person.
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