MAUDE Adverse Event Report: Spectranetics Corporation TightRail Rotating Dilator Sheath; Dilator, Vessel, For Percutaneous Catheterization

Model Number	545-513
Medical Device Problem Code	Entrapment of Device (1212)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/09/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
A lead extraction procedure commenced to remove a right ventricular (rv) and right atrial (ra) lead due to cied system/pocket infection.Spectranetics lld ez lead locking devices (lld ezs) were inserted into each lead to provide traction.Beginning with a spectranetics 13f tightrail rotating dilator sheath on the rv lead, the tightrail became stuck on the lead and lld ez, requiring intervention by cutting the rv lead and lld ez (mdr #3007284006-2026-00459).Therefore, the rv lead and lld ez remnant remained in the patient (3007284006-2026-00463).The extraction procedure continued, a new tightrail was used, and the ra lead was successfully removed.The patient survived the procedure.This report captures the 13f tightrail that entrapped the lead and lld, requiring intervention.
Additional Manufacturer Narrative
A4) patient weight - not available from facility.B6/b7) patient information regarding relevant tests/laboratory data or medical history - not available from facility.H3/h6) the tightrail was not returned, thus no product investigation was performed.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.

• Brand Name: TightRail Rotating Dilator Sheath
• Common Device Name: Dilator, Vessel, For Percutaneous Catheterization
• 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: 50937831
• Report Number: 3007284006-2026-00459
• Device Sequence Number: 18826273
• Product Code: DRE
• UDI-Device Identifier: 00813132021658
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: K150360
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Distributor
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 09/29/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Model Number: 545-513
• Device Catalogue Number: 545-513
• Device Lot Number: 0303635556
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 09/09/2026
• Initial Report FDA Received Date: 09/29/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 11/17/2025
• 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
• Concomitant Medical Products and Therapy/Usage Dates: Boston Scientific 0154 RV ICD lead; Boston Scientific 4244 RA pacing lead; Spectranetics LLD EZ Lead Locking Devices
• Patient Age: 52 YR
• Patient Sex: Male
• Patient Race: Asian