Reported Reactions

Devices › Tube tracheostomy and tube cuff

Device brand name · Tube tracheostomy and tube cuff

Bivona: medical device reports filed with FDA

768 reports name it, 1997–2026. Manufacturer given most often on reports: Smiths Medical Asd. Product code JOH.

768
device reports naming the brand
0% of all MAUDE reports · about 26 a year
11
reports, 12 months to August 2026
5 in the 12 months before
73.7%
classified as malfunction
63.9% across the product code
1%
classified as death, as reported
8 reports · not verified by FDA

768 medical device reports received by FDA name the brand "Bivona" (tube tracheostomy and tube cuff); the manufacturer given most often on reports is Smiths Medical Asd; received from March 1997 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

11 reports arrived in the 12 months to August 2026, up 120% from 5 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 (73.7%), injury (23%) 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 (27.2%), leak/splash (9.1%) and gas/air leak (7.7%). The patient problems coded most often are airway obstruction, no patient involvement and hypoventilation. 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

061121Sep 2021: 28Oct 2021: 22Nov 2021: 12Dec 2021: 162022Jan 2022: 13Feb 2022: 17Mar 2022: 2Apr 2022: 0May 2022: 7Jun 2022: 4Jul 2022: 0Aug 2022: 2Sep 2022: 121Oct 2022: 3Nov 2022: 2Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 1Apr 2023: 0May 2023: 4Jun 2023: 1Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 02024Jan 2024: 1Feb 2024: 2Mar 2024: 0Apr 2024: 0May 2024: 0Jun 2024: 1Jul 2024: 0Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 1Dec 2024: 12025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 1Jun 2025: 0Jul 2025: 0Aug 2025: 2Sep 2025: 0Oct 2025: 0Nov 2025: 3Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 5Jun 2026: 1Jul 2026: 1Aug 2026: 1

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

01402801997: 519971998: 102001: 420012003: 202004: 1720042005: 162006: 320062009: 42011: 620112012: 52015: 320152017: 42019: 5320192020: 1412021: 28020212022: 1712023: 620232024: 62025: 620252026: 8

Event type and report source

Event type, as classified on the report

Death1%8
Injury23%177
Malfunction73.7%566
Other0.9%7
Not given1.3%10

Who filed the report

Manufacturer report89.1%684
Voluntary report2.2%17
User facility report0%0
Distributor report0.8%6
Not given7.9%61

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 problem20927.2%12.4%
Leak/splashthe device leaked709.1%7.9%
Gas/air leak597.7%10.4%
Breakthe device broke516.6%5.1%
Defective devicethe device was defective334.3%1.2%
Material split, cut or torn263.4%4.1%
Material integrity problema problem with the device material233%1.1%
Defective component182.3%3.4%
Fluid/blood leak152%2.9%
Product quality problem121.6%0.4%
Gel leak111.4%0.1%
Material discolored111.4%0.6%
Replace111.4%1.1%
Loose or intermittent connection101.3%0.4%
Fracturea broken bone91.2%1.3%
Material fragmentation81%0.4%
Tear, rip or hole in device packaging81%0.3%
Device alarm system70.9%0.1%
Device markings/labelling problema problem with the device markings or label70.9%0.6%
Mechanical problema mechanical problem70.9%0.5%

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
Airway obstruction212.7%
No patient involvement182.3%
Hypoventilation131.7%
Hypoxialow oxygen91.2%
Low oxygen saturation91.2%
Deaththe patient died; cause not stated by this term50.7%
Distress40.5%
Irritationirritation40.5%
Respiratory distressdifficulty breathing40.5%
Anxietyanxiety30.4%
Bleeding30.4%
Hospitalization required30.4%
Sudden cardiac deatha sudden death from the heart30.4%
Dural tear20.3%
Therapy/non-surgical treatment, additional20.3%

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

In context

MeasureBivonaProduct code JOHAll MAUDE reports
Reports76815,02226,136,888
Share of that pool—5.1%0%
Classified as death, per 1,000 reports10119
Classified as injury23%34.6%36.2%
Classified as malfunction73.7%63.9%62.3%
Filed by the manufacturer89.1%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%
Shiley Disposable Cannula Low Pressure52200.8%
Shiley Low Pressure Cuffed49900.4%
Bivona Customized Tracheostomy Tubes200241%
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 reports

How many FDA reports name Bivona?

768 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 11 in the latest 12 months.

What kinds of events are reported?

malfunction (73.7%), injury (23%) 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 (27.2%), leak/splash (9.1%), gas/air leak (7.7%), break (6.6%) and defective device (4.3%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (89.1%), voluntary reports (2.2%) and distributor reports (0.8%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Bivona 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.