Reported Reactions

Devices › Tube tracheostomy and tube cuff

Device brand name · Tube tracheostomy and tube cuff

Bivona Customized Tracheostomy Tubes: medical device reports filed with FDA

200 reports name it, 2021–2026. Manufacturer given most often on reports: Smiths Medical Asd. Product code JOH.

200
device reports naming the brand
0% of all MAUDE reports · about 39 a year
24
reports, 12 months to August 2026
20 in the 12 months before
80.5%
classified as malfunction
63.9% across the product code
1%
classified as death, as reported
2 reports · not verified by FDA

FDA's MAUDE database holds 200 reports that name the brand "Bivona Customized Tracheostomy Tubes" (tube tracheostomy and tube cuff), received between June 2021 and August 2026; the manufacturer given most often on reports is Smiths Medical Asd. Spellings of one product vary from report to report.

24 reports arrived in the 12 months to August 2026, up 20% from 20 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (80.5%), injury (18.5%) and death (1%); across all tube tracheostomy and tube cuff reports (product code JOH) death is recorded in 1.1% and malfunction in 63.9%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are inflation problem (28%), gas/air leak (10%) and break (9%). The patient problems coded most often are decreased respiratory rate, respiratory insufficiency and low oxygen saturation. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

0714Sep 2021: 0Oct 2021: 0Nov 2021: 1Dec 2021: 12022Jan 2022: 1Feb 2022: 1Mar 2022: 0Apr 2022: 1May 2022: 0Jun 2022: 4Jul 2022: 5Aug 2022: 6Sep 2022: 13Oct 2022: 14Nov 2022: 0Dec 2022: 12023Jan 2023: 6Feb 2023: 11Mar 2023: 5Apr 2023: 9May 2023: 9Jun 2023: 3Jul 2023: 2Aug 2023: 9Sep 2023: 9Oct 2023: 8Nov 2023: 8Dec 2023: 02024Jan 2024: 1Feb 2024: 0Mar 2024: 6Apr 2024: 6May 2024: 3Jun 2024: 5Jul 2024: 2Aug 2024: 4Sep 2024: 0Oct 2024: 2Nov 2024: 2Dec 2024: 22025Jan 2025: 4Feb 2025: 0Mar 2025: 1Apr 2025: 6May 2025: 1Jun 2025: 1Jul 2025: 0Aug 2025: 1Sep 2025: 2Oct 2025: 1Nov 2025: 0Dec 2025: 12026Jan 2026: 1Feb 2026: 4Mar 2026: 7Apr 2026: 0May 2026: 1Jun 2026: 4Jul 2026: 1Aug 2026: 2

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

040792021: 420212022: 4620222023: 7920232024: 3320242025: 1820252026: 202026

Event type and report source

Event type, as classified on the report

Death1%2
Injury18.5%37
Malfunction80.5%161
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%200
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 15,022 reports carrying product code JOH. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Inflation problem5628%12.4%
Gas/air leak2010%10.4%
Breakthe device broke189%5.1%
Fracturea broken bone178.5%1.3%
Microbial contamination of device168%0.1%
Contamination147%0.4%
Material puncture/hole136.5%1.1%
Material split, cut or torn115.5%4.1%
Material separation84%1.7%
Material deformation73.5%0.9%
Defective devicethe device was defective63%1.2%
Leak/splashthe device leaked63%7.9%
Unintended deflation63%0.2%
Defective component52.5%3.4%
Tear, rip or hole in device packaging52.5%0.3%
Fluid/blood leak42%2.9%
Material protrusion/extrusion42%0.1%
Material rupture42%1.1%
Crackthe device cracked31.5%1.9%
Detachment of device or device componentpart of the device came off31.5%0.9%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Decreased respiratory rate52.5%
Respiratory insufficiency52.5%
Low oxygen saturation42%
Sore throat31.5%
Airway obstruction21%
Apnea21%
Aspiration/inhalation21%
Tachycardiafast heart rate21%
Abscessa collection of pus10.5%
Dyspneashortness of breath10.5%
Painpain, site not specified10.5%
Pneumonialung infection10.5%
Stomatitissore mouth10.5%
Upper respiratory tract injury10.5%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureBivona Customized Tracheostomy TubesProduct code JOHAll MAUDE reports
Reports20015,02226,136,888
Share of that pool—1.3%0%
Classified as death, per 1,000 reports10119
Classified as injury18.5%34.6%36.2%
Classified as malfunction80.5%63.9%62.3%
Filed by the manufacturer100%95.5%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code JOH

BrandReportsLatest 12 monthsClassified as death
Shiley12,2361,5131.1%
Bivona768111%
Shiley Disposable Cannula Low Pressure52200.8%
Shiley Low Pressure Cuffed49900.4%
Bivona Flextend Pediatric and Neonatal Trach Tube180440%
Bivona Tracheostomy Tube Neonatal/Pediatric23270.9%
Shiley Fenestrated Low Pressure Cuffed19800%
Portex97080.6%
Portex Blue Line Ultra Tracheostomy Tube287300%
Mallinckrodt3,10511.2%
Portex Endotracheal Tube281250%
Kangaroo Joey Pump W/Pole Clmp57100.4%
Scd 700 Compression System-Us16900%
Flextend6,8362030.7%
Level 1 Hotline Low Flow System Hl-9017000%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Bivona Customized Tracheostomy Tubes reports

How many FDA reports name Bivona Customized Tracheostomy Tubes?

200 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 24 in the latest 12 months.

What kinds of events are reported?

malfunction (80.5%), injury (18.5%) and death (1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

inflation problem (28%), gas/air leak (10%), break (9%), fracture (8.5%) and microbial contamination of device (8%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Bivona Customized Tracheostomy Tubes was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.