| Brand Name | GlideLight Laser Sheath |
| Common Device Name | Device, Removal, Pacemaker Electrode, Percutaneous |
| Manufacturer (Section D) |
| Spectranetics Corporation |
| 9965 federal drive |
| colorado springs CO 80921 |
|
| Manufacturer (Section G) |
| Spectranetics Corporation |
| 9965 federal drive |
|
| colorado springs CO 80921 |
|
| Manufacturer Contact |
|
nicole
worford
|
| 9965 federal drive |
| colorado springs, CO 80921
|
|
+1(719)447-2465
|
|
| MDR Report Key | 50809413 |
| Report Number | 3007284006-2026-00449 |
| Device Sequence Number | 13414610 |
| Product Code |
MFA
|
| UDI-Device Identifier | 00813132020330 |
| UDI-Public | (01)00813132020330(17)270806(10)0303547664 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | P960042 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/10/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 500-302 |
| Device Catalogue Number | 500-302 |
| Device Lot Number | 0303547664 |
| Was Device Available for Evaluation? |
No
|
| Date Returned to Manufacturer | 09/09/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/10/2026 |
| Initial Report FDA Received Date | 09/17/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Age | 80 YR |
| Patient Sex | Male |
| Patient Weight | 132 LB |
| Patient Race | Asian |