Bivona 67PFSS35Recalls & reported problems
Icu Medical, Inc. · Class 2
All models of Bivona (469)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
1 open recall names this device. See the recall details and contact the manufacturer or your healthcare provider.
Quick summary
This Bivona tracheostomy tube is a tube placed in the windpipe. Of its 165 adverse event reports, 133 are malfunctions and 32 are injuries, with no deaths. Most describe the inflatable cuff failing to inflate or inflating only partly, with some reports of leaks and breaks. One open recall, started in May 2024, concerns a flange that holds the tube in place and may tear on some lots.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 166
- Deaths reported
- 0
- Injuries reported
- 32
- Recalls naming it
- 1
Summary
The FDA's MAUDE database contains 166 adverse event reports that list this exact device (DI 10351688518682), received between Apr 12, 2017 and Sep 29, 2026 — classified as 32 injuries, 134 malfunctions.
The most frequently reported specific device problem is “Inflation Problem” (97 reports).
1 FDA recall record name this device's identifier, 1 still open.
1 other recall cover devices cleared under the same FDA submission (K923878); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Recalls naming this device
- May 29, 2024Open, Classified
Smiths Medical has identified that the securement flange of specific lots of the Bivona Neonatal/Pediatric and Adult Tracheostomy products may tear because of a manufacturing defect.
Z-2614-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗
Most reported problems
Device problems
- Inflation Problem97
- Leak/Splash15
- Break7
- Gas/Air Leak7
- Defective Device5
- Material Split, Cut or Torn5
- Fracture4
- Material Puncture/Hole4
Patient problems
- No Clinical Signs, Symptoms or Conditions120
- Insufficient Information24
- No Consequences Or Impact To Patient12
- Respiratory Distress10
- No Known Impact Or Consequence To Patient4
- Decreased Respiratory Rate2
- Low Oxygen Saturation2
- Respiratory Insufficiency2
Recent adverse event reports
The 25 most recent of 166 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 29, 2026Material Separation
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50939873 ↗MalfunctionApr 15, 2026Inflation Problem
IT WAS REPORTED THAT THE CUFF DID NOT INFLATE. THE PATIENT DID NOT HAVE ANY CONDITION THAT CAUSED CONVULSIONS OR SEIZURES. THERE WAS PATIENT INVOLVEMENT AND NO REPORTED PATIENT HARM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24888750 ↗MalfunctionApr 15, 2026Inflation Problem
IT WAS REPORTED THAT THE CUFF DID NOT INFLATE. THE PATIENT DID NOT HAVE ANY CONDITION THAT CAUSED CONVULSIONS OR SEIZURES. THERE WAS PATIENT INVOLVEMENT AND NO REPORTED PATIENT HARM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24887530 ↗MalfunctionFeb 2, 2026Material Deformation
IT WAS STATED THAT THE BALLOON WAS NOT EXPANDING, LEAVING THE WATER REMAINED IN THE CUFF. THERE WAS NO REPORTED PATIENT INVOLVEMENT AND THERE WAS NO PATIENT HARM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24238384 ↗MalfunctionDec 8, 2025Break; Break
IT WAS REPORTED THAT THE FLEX TRACH WIRE WAS EXPOSED. THE EVENT OCCURRED WHILE IN USE WITH PATIENT AT PATIENT'S HOME. THE OUTCOME OF THE EVENT WAS ON GOING AND AWAITING FOR REPLACEMENT. THE CHILD WAS VENT DEPENDENT. THERE WAS PATIENT INVOLVEMENT AND NO PATIENT HARM REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23745611 ↗MalfunctionDec 1, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE BALLOON WAS INFLATED TO CHECK PATENCY AND WAS FULLY INFLATED APPROPRIATELY. THE PATIENT REMAINED AGITATED, SO ANOTHER TRACH CHANGE WAS PERFORMED. THE REMOVED TRACH WAS INSPECTED, AND WHEN THE CUFF WAS REINFLATED, THE BALLOON WAS FOUND TO INFLATE ONLY ON ONE SIDE. THERE WAS NO HARM OCCURRED TO THE PATIENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23687005 ↗MalfunctionDec 1, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT DURING A TRACH CHANGE, THE BALLOON WAS INITIALLY INFLATED TO CONFIRM PATENCY AND FULLY INFLATED AS EXPECTED. AFTER PLACEMENT, THE PATIENT REMAINED AGITATED, PROMPTING AN ADDITIONAL TRACH CHANGE. UPON INSPECTION OF THE REMOVED TRACH, REINFLATION OF THE CUFF SHOWED THAT THE BALLOON INFLATED ONLY ON ONE SIDE. NO HARM WAS REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23682593 ↗MalfunctionNov 12, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE BALLOON FAILED TO INFLATE. PATIENT INVOLVEMENT WAS NOTED; HOWEVER, IT IS UNCLEAR WHETHER THE EVENT OCCURRED DURING PRE-USE TESTING OR DURING ACTUAL PATIENT USE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23532472 ↗MalfunctionNov 12, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE BALLOON FAILED TO INFLATE. PATIENT INVOLVEMENT WAS NOTED; HOWEVER, IT IS UNCLEAR WHETHER THE EVENT OCCURRED DURING PRE-USE TESTING OR DURING ACTUAL PATIENT USE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23532369 ↗MalfunctionAug 14, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE TRACHEOSTOMY TUBE DID NOT INFLATE. THERE WAS PATIENT INVOLVEMENT, NO PATIENT INJURY WAS REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22804841 ↗MalfunctionJul 28, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE CUFF DID NOT INFLATE. THERE WAS UNKNOWN REPORTED PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22632366 ↗MalfunctionApr 4, 2025Break; Break
IT WAS REPORTED THAT THE FLANGE WAS BROKEN IN THE BILATERAL DIRECTION. THERE WAS UNKNOWN PATIENT HARM REPORTED AS A RESULT OF THE EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21778001 ↗MalfunctionApr 1, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE DEVICE DID NOT INFLATE. THEY DID NOT USE IT ON A PATIENT AFTER THEY DISCOVERED THE DEFECT. THERE WAS NO PATIENT HARM OR ADVERSE EVENT REPORTED AS A RESULT OF THE EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21748411 ↗MalfunctionMar 26, 2025Deflation Problem; Deflation Problem
IT WAS REPORTED THAT THE TRACH TUBE WAS DEFLATING. THE EVENT OCCURRED DURING TESTING BY NURSE. THERE WAS NO PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21698439 ↗InjuryMar 25, 2025Degraded; Unintended Deflation; Degraded; Unintended Deflation
IT WAS REPORTED THAT THE TRACH WAS IN PLACE, AND THERE WAS A CONCERN FOR CUFF LEAK DUE TO CUFF FOUND AT 0.5ML INSTEAD OF 1 ML MULTIPLE TIMES IN 1 WEEK. TRACH WAS SUBSEQUENTLY CHANGED. UPON THE CHANGE, THE TRACH WAS INSPECTED, AND THE CUFF WAS FOUND TO BE ROUGH/WARN OUT/DEGRADED TO TOUCH. NO ACTIVE LEAKAGE NOTED. THE EVENT OCCURRED WHILE IN USE WITH PATIENT AND NO PATIENT HARM/ADVERSE EVENT REPORTED. A NEW TRACH TUBE WAS PLACED TO RESOLVE THE ISSUE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21690247 ↗MalfunctionMar 24, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE BALLOON WOULD NOT INFLATE. THERE WAS UNKNOWN PATIENT INVOLVEMENT AND UNKNOWN PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21676679 ↗MalfunctionFeb 11, 2025Inflation Problem; Mechanical Problem; Inflation Problem; Mechanical Problem
IT WAS REPORTED THAT THE DEVICE BALLOON FAILED WOULD NOT FUNCTION. THERE WAS NO PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21356728 ↗MalfunctionJan 10, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE CUFF ON THE TRACH WILL NOT INFLATE. THERE WAS UNKNOWN PATIENT INVOLVEMENT AND UNKNOWN PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21125173 ↗MalfunctionJan 6, 2025Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE BALLOON/CUFF WOULDN'T INFLATE WITH AIR/WATER. THERE WAS UNKNOWN PATIENT INVOLVEMENT AND UNKNOWN PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21079681 ↗MalfunctionDec 26, 2024Fracture; Fracture
IT WAS REPORTED THAT THE CUFF PILOT BALLOON WAS NOTED AS BROKEN ON TEST INFLATION. THE ONE-WAY VALVE WAS WEDGED. THERE WAS PATIENT INVOLVEMENT WITH NO HUMAN HARM REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21019682 ↗MalfunctionNov 20, 2024Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE CUFF DID NOT INFLATE. THERE WAS A PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20739136 ↗MalfunctionNov 14, 2024Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE CUFF ITSELF DID NOT INFLATE. SHE OPENED ANOTHER TRACH AND LUCKILY IT WOULD FULLY INFLATE. THE TRACH THAT LASTED 24 HOURS WAS TAKEN OUT AND SHE REINFLATED THE CUFF AND ONLY ONE SIDE OF THE CUFF WOULD INFLATE. HER DAUGHTER GONE THROUGH THREE TRACHES IN LESS THAN 72 HOURS. THERE WAS PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20690231 ↗MalfunctionNov 14, 2024Inflation Problem; Inflation Problem
IT WAS REPORTED THAT THE BALLOON FILLED, BUT THE CUFF ITSELF DID NOT INFLATE. SHE OPENED ANOTHER TRACH AND LUCKILY IT WOULD FULLY INFLATE. THE TRACH THAT LASTED 24 HOURS WAS TAKEN OUT AND SHE REINFLATED THE CUFF AND ONLY ONE SIDE OF THE CUFF WOULD INFLATE. HER DAUGHTER GONE THROUGH THREE TRACHES IN LESS THAN 72 HOURS. THERE WAS NO PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20689932 ↗InjuryNov 14, 2024Inflation Problem; Inflation Problem
IT WAS STATED THAT THE PATIENT'S PARENTS PERFORMED PRE-TESTING THE OF THE DEVICE AND FOUND THAT THE CUFF DID NOT EXPAND. THEY ATTEMPTED A TOTAL OF TRACHES FOR THEIR DAUGHTER IN LESS THAN 72 HOURS. ONE OF DEVICES EVENTUALLY WORKED AND LASTED FOR 24 HOURS. HOWEVER, WITH THIS SAID DEVICE, ONLY ONE SIDE OF THE CUFF INFLATED EVENTUALLY. PATIENT IS A 19-MONTH-OLD FEMALE. THERE WAS MEDICAL INTERVENTION REQUIRED, AND AN INCREASE OF OXYGEN FLOW WAS FOUND. THERE WAS PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20689573 ↗MalfunctionOct 22, 2024Gas/Air Leak; Gas/Air Leak
IT WAS REPORTED THAT THE PATIENT HAD AN AUDIBLE LEAK ON THEIR TRACHEOSTOMY TUBE. THERE WERE LOW MINUTE VOLUMES. A TUBE CHANGE WAS PERFORMED. THERE WAS PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20507064 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K923878. One submission often covers many models, so check the product and lot details in each record.
- Z-0260-2007 · Nov 17, 2006 · TerminatedCustom 5.5 mm Bivona Uncuffed Hyperflex Tracheostomy Tube, I.D. 5.5 mm, O.D. 8.0 mm, length 4.75 mm, Mfrd by Smiths Medical Critical Care; REF HU05JS55NNA112S.
Other Tube tracheostomy and tube cuff devices
- Shiley 8CN85HCovidien LP · Tube tracheostomy and tube cuff1 recall2 deaths354 reports
- Shiley 6CN75HCovidien LP · Tube tracheostomy and tube cuff1 recall3 deaths240 reports
- Shiley 7CN80RCovidien LP · Tube tracheostomy and tube cuff2 recalls148 reports
- Bivona 670180Icu Medical, Inc. · Tube tracheostomy and tube cuff1 recall140 reports
- Bivona 670170Icu Medical, Inc. · Tube tracheostomy and tube cuff1 recall10 deaths132 reports
- Shiley 6CN75RCovidien LP · Tube tracheostomy and tube cuff1 recall1 death121 reports
- Bivona 67PFSS40Icu Medical, Inc. · Tube tracheostomy and tube cuff1 recall115 reports
- Shiley 6FENCovidien LP · Tube tracheostomy and tube cuff1 recall106 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026 · each recall links to the FDA recall notice
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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