Reported Reactions

Devices › Tube tracheostomy and tube cuff

Device brand name · Tube tracheostomy and tube cuff

Bivona Flextend Pediatric and Neonatal Trach Tube: medical device reports filed with FDA

180 reports name it, 2022–2026. Manufacturer given most often on reports: Smiths Medical Asd. Product code JOH.

180
device reports naming the brand
0% of all MAUDE reports · about 45 a year
44
reports, 12 months to August 2026
45 in the 12 months before
81.7%
classified as malfunction
63.9% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

180 medical device reports received by FDA name the brand "Bivona Flextend Pediatric and Neonatal Trach Tube" (tube tracheostomy and tube cuff); the manufacturer given most often on reports is Smiths Medical Asd; received from July 2022 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

44 reports arrived in the 12 months to August 2026, close to the 45 of 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 (81.7%) and injury (18.3%); 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 (38.9%), material split, cut or torn (10%) and break (8.9%). The patient problems coded most often are discomfort, decreased respiratory rate and airway obstruction. 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

0815Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 6Aug 2022: 1Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 4Mar 2023: 10Apr 2023: 6May 2023: 6Jun 2023: 9Jul 2023: 15Aug 2023: 6Sep 2023: 3Oct 2023: 2Nov 2023: 4Dec 2023: 22024Jan 2024: 2Feb 2024: 2Mar 2024: 1Apr 2024: 5May 2024: 1Jun 2024: 4Jul 2024: 2Aug 2024: 0Sep 2024: 1Oct 2024: 6Nov 2024: 5Dec 2024: 22025Jan 2025: 4Feb 2025: 1Mar 2025: 6Apr 2025: 6May 2025: 2Jun 2025: 6Jul 2025: 1Aug 2025: 5Sep 2025: 2Oct 2025: 5Nov 2025: 6Dec 2025: 52026Jan 2026: 1Feb 2026: 2Mar 2026: 3Apr 2026: 5May 2026: 2Jun 2026: 6Jul 2026: 2Aug 2026: 5

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

034672022: 720222023: 6720232024: 3120242025: 4920252026: 262026

Event type and report source

Event type, as classified on the report

Death0%0
Injury18.3%33
Malfunction81.7%147
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.4%179
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.6%1

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 problem7038.9%12.4%
Material split, cut or torn1810%4.1%
Breakthe device broke168.9%5.1%
Gas/air leak116.1%10.4%
Material separation105.6%1.7%
Fracturea broken bone95%1.3%
Detachment of device or device componentpart of the device came off73.9%0.9%
Crackthe device cracked63.3%1.9%
Material puncture/hole52.8%1.1%
Fluid/blood leak42.2%2.9%
Material discolored42.2%0.6%
Contamination31.7%0.4%
Degraded31.7%0.1%
Device reprocessing problem31.7%0%
Disconnection31.7%2.4%
Insufficient device problem information31.7%0.9%
Retraction problem31.7%0%
Corrodedthe device corroded21.1%0%
Defective component21.1%3.4%
Deflation problem21.1%1.6%

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
Discomfortdiscomfort52.8%
Decreased respiratory rate42.2%
Airway obstruction21.1%
Distress21.1%
Low oxygen saturation21.1%
Bradycardiaslow heart rate10.6%
Dyspneashortness of breath10.6%
Hyperextension10.6%
Hypoxialow oxygen10.6%
Respiratory insufficiency10.6%
Upper respiratory tract injury10.6%

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

In context

MeasureBivona Flextend Pediatric and Neonatal Trach TubeProduct code JOHAll MAUDE reports
Reports18015,02226,136,888
Share of that pool—1.2%0%
Classified as death, per 1,000 reports0119
Classified as injury18.3%34.6%36.2%
Classified as malfunction81.7%63.9%62.3%
Filed by the manufacturer99.4%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 Customized Tracheostomy Tubes200241%
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 Flextend Pediatric and Neonatal Trach Tube reports

How many FDA reports name Bivona Flextend Pediatric and Neonatal Trach Tube?

180 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 44 in the latest 12 months.

What kinds of events are reported?

malfunction (81.7%) and injury (18.3%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

inflation problem (38.9%), material split, cut or torn (10%), break (8.9%), gas/air leak (6.1%) and material separation (5.6%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.4%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Bivona Flextend Pediatric and Neonatal Trach Tube 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.