The Recall Desk
SevereFDA (Devices)·Z-0713-2025·Announced 2025-01-22

Endoscopic Access Overtube May Cause Dangerous Pressure Buildup During Procedures

Trokamed's endoscopic access overtube may cause rapid pressure buildup in the kidney if inflow speed is too fast. The device can become obstructed by tissue and blood fragments, restricting outflow.

What this means for you

Illness, injury, or structural failure has been reported. Stop using the product immediately and contact the manufacturer for a refund or repair.

Our severity reasoning: FDA Class I classification requires a minimum severity rating of Severe (4). The device poses risk of intrarenal pressure buildup due to flow obstruction during endoscopic procedures.

Plain-English summary

Trokamed GmbH is recalling the Sheath 20 Fr., 130 mm (REF: WA2PS20S) gastroenterology-urology endoscopic access overtube.

The device poses a risk of dangerous pressure buildup inside the kidney (intrarenal pressure) if the inflow speed is too rapid during use. When inflow speed exceeds safe limits, outflow through the shaft can become restricted due to accumulation of blood, tissue fragments, and kidney stone fragments. This blockage can cause rapid pressure buildup that may result in patient harm.

This recall affects 34 units distributed within the United States (Pennsylvania) and internationally (Germany). The affected lot is 154125, identified by UDI-DI 04251303810926 and product reference number WA2PS20S.

Facilities that have used or possess this device should cease use immediately and contact Trokamed GmbH for recall instructions. Healthcare providers should evaluate patients who may have been exposed to affected devices.

The recalled product

Product
Sheath, 20 Fr., 130 mm (REF: WA2PS20S), gastroenterology-urology endoscopic access overtube.
Manufacturer
Trokamed GmbH
Hazard
  • obstruction
  • intrarenal-pressure-buildup

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (3)

  • REF: WA2PS20S
  • UDI-DI: 04251303810926
  • Lot Numbers: 154125

Distribution

Distributed in 1 state:

  • PA