This report is being submitted for the lead locking device that broke during the procedure, with a potential to cause serious injury with recurrence.A lead extraction procedure commenced to remove 2 leads that had been implanted in 1998: a right atrial (ra) lead and a right ventricular (rv) lead after an unsuccessful attempt at performing a pacemaker generator extrusion due to bacteremia, non function and occlusion; therefore a total system extraction was indicated.Spectranetics devices in use: glidelight, tightrail and lead locking devices (lld''s) placed in each lead.While using the tightrail and glidelight devices, it was reported the physician had difficulty advancing, and reported low efficiency with attempts to advance the glidelight device.It was at that point it was noted that light was escaping from the glidelight device, being covered by the device's outer sheath (please refer to mdr #1721279-2019-00088 which captures the glidelight product problem).A new device was then needed.At this time, the lld, present in the ra lead, broke, necessitating removal of the broken lld (which was successful) and replacement with another lld in the lead.Unfortunately, it was not possible to complete extraction of both electrodes, with the tip of the ra lead and approximately 5 cm of the rv remaining in the patient.The lld''s were successfully removed from both leads and just the leads themselves remained in the patient.No reported injury or harm occurred to the patient.
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