Bivona 60PFS40Recalls & reported problems
Icu Medical, Inc. · Class 2
All models of Bivona (469)
Data updated Oct 18, 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.
- Adverse event reports
- 15
- Deaths reported
- 0
- Injuries reported
- 5
- Recalls naming it
- 1
Summary
The FDA's MAUDE database contains 15 adverse event reports that list this exact device (DI 15021312005868), received between Aug 2, 2017 and Sep 29, 2026 — classified as 5 injuries, 10 malfunctions.
The most frequently reported specific device problem is “Material Separation” (4 reports).
1 FDA recall record name this device's identifier, 1 still open.
5 other recalls cover devices cleared under the same FDA submission (K083641, K944178); 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 18, 2026.
Reports received per month
Recalls naming this device
- May 29, 2024Class IOpen, 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-2599-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗
Most reported problems
Device problems
- Material Separation4
- Break3
- Defective Component2
- Material Split, Cut or Torn2
- Connection Problem1
- Decrease in Suction1
- Delivered as Unsterile Product1
- Incomplete or Inadequate Connection1
Patient problems
- No Clinical Signs, Symptoms or Conditions9
- No Consequences Or Impact To Patient3
- Decreased Respiratory Rate2
- Discomfort1
- No Known Impact Or Consequence To Patient1
Recent adverse event reports
The 15 most recent of 15 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 29, 2026Material Split, Cut or Torn
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50940150 ↗MalfunctionAug 24, 2026Incomplete or Inadequate Connection
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50420098 ↗MalfunctionMar 12, 2024Material Split, Cut or Torn; Material Split, Cut or Torn
IT WAS REPORTED THAT THE TRACHEOSTOMY TUBE RIPPED AT THE TRACH TIE DURING USE. THERE WAS PATIENT INVOLVEMENT, BUT NO PATIENT HARM/ADVERSE EVENT REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18886472 ↗MalfunctionJul 21, 2023Material Separation; Material Separation
IT WAS REPORTED THAT DURING BENCH TESTING, AFTER THE USER "PROCESS TRACH 2 TO 3 TIMES, THE TRACH BREAKS RIGHT AT THE BASE OF THE SHAFT." CALLER SAID THAT THEY WERE PROCESSING THE TRACHS ACCORDING TO DIRECTIONS. NO PATIENT INJURY OR ADVERSE EFFECTS HAVE BEEN REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17371107 ↗MalfunctionJul 19, 2023Material Separation; Material Separation
IT WAS REPORTED THAT DURING BENCH TESTING, AFTER THE USER "PROCESS TRACH 2 TO 3 TIMES, THE TRACH BREAKS RIGHT AT THE BASE OF THE SHAFT." CALLER SAID THAT THEY WERE PROCESSING THE TRACHS ACCORDING TO DIRECTIONS. NO PATIENT INJURY OR ADVERSE EFFECTS HAVE BEEN REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17349652 ↗MalfunctionJul 19, 2023Material Separation; Material Separation
IT WAS REPORTED THAT DURING BENCH TESTING, AFTER THE USER "PROCESS TRACH 2 TO 3 TIMES, THE TRACH BREAKS RIGHT AT THE BASE OF THE SHAFT." CALLER SAID THAT THEY WERE PROCESSING THE TRACHS ACCORDING TO DIRECTIONS. NO PATIENT INJURY OR ADVERSE EFFECTS HAVE BEEN REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17349649 ↗MalfunctionJul 13, 2023Material Separation; Material Separation
IT WAS REPORTED THAT DURING BENCH TESTING, AFTER THE USER "PROCESS TRACH 2 TO 3 TIMES, THE TRACH BREAKS RIGHT AT THE BASE OF THE SHAFT." CALLER SAID THAT THEY WERE PROCESSING THE TRACHS ACCORDING TO DIRECTIONS. NO PATIENT INJURY OR ADVERSE EFFECTS HAVE BEEN REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17317840 ↗MalfunctionSep 16, 2022Delivered as Unsterile Product; Delivered as Unsterile Product
IT WAS REPORTED THAT THERE WAS PRESENCE OF HAIR IN THE STERILE PACKAGING: NO PATIENT INJURY WAS REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 15437199 ↗InjuryMay 25, 2022Break; Defective Component; Break; Defective Component
IT WAS REPORTED THAT THE TRACH TUBE FLANGE SNAPPED WHILE IN USE WITH A PATIENT. THIS TUBE HAD BEEN RE-PROCESSED ONCE. AN EMERGENT TRACH CHANGE WAS PERFORMED. NO PATIENT INJURY REPORTED FROM TRACH CHANGE.
Patient problems: Decreased Respiratory Rate
MAUDE report 14499025 ↗InjuryMay 25, 2022Break; Defective Component; Break; Defective Component
IT WAS REPORTED THAT THE TRACH TUBE FLANGE SNAPPED WHILE IN USE WITH A PATIENT. THIS RESULTED IN THE NEED FOR AN EMERGENT TRACH CHANGE, NO PATIENT INJURY FROM TRACH CHANGE.
Patient problems: Decreased Respiratory Rate
MAUDE report 14498554 ↗InjuryMay 23, 2022Material Too Rigid or Stiff; Material Too Rigid or Stiff
IT WAS REPORTED THAT THE OBTURATOR WAS STIFF. NO PATIENT HARM, THE TUBE WAS NOT USED ON THE PATIENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 14471435 ↗InjuryAug 16, 2019Decrease in Suction; Suction Problem; Infusion or Flow Problem; Decrease in Suction; Suction Problem; Infusion or Flow Problem
INFORMATION WAS RECEIVED STATING THE DEVICE WAS A SIZE 8.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 8903740 ↗InjuryNov 7, 2017Connection Problem; Connection Problem
INFORMATION WAS RECEIVED INDICATING THAT UPON REMOVAL TRACHEOSTOMY TUBING FROM ANOTHER MANUFACTURER WAS STUCK AND UNABLE TO BE DISCONNECTED FROM THIS TRACHEOSTOMY. THE PROVIDED WEDGE WAS USED AND WAS UNABLE TO DISCONNECT THE TUBING. DUE TO THIS INCIDENT, THIS PATIENT EXPERIENCED DISCOMFORT. AN EMERGENCY TRACHEOSTOMY TUBE CHANGE WAS REQUIRED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.
Patient problems: Discomfort
MAUDE report 7007689 ↗MalfunctionAug 8, 2017Break; Break
IT WAS REPORTED THAT THE NECK FLANGE OF A PORTEX® BIVONA® UNCUFFED PEDIATRIC FLEXTEND¿ PLUS SILICONE TRACHEOSTOMY TUBE BROKE. THE FAULT WAS DISCOVERED WHEN TRYING TO PERFORM A TRACHEOSTOMY TUBE CHANGE. NO INJURY WAS REPORTED.
Patient problems: No Consequences Or Impact To Patient; No Known Impact Or Consequence To Patient
MAUDE report 6773740 ↗MalfunctionAug 2, 2017Split; Split
IT WAS REPORTED THAT THE LOOP OF A BIVONA® UNCUFFED PEDIATRIC FLEXTEND¿ PLUS SILICONE TRACHEOSTOMY TUBE SEEMS TO HAVE SPLIT AFTER USING THE TRACHEOSTOMY TUBE THREE TIMES. IT WAS NOTED THAT IT BROKE IN THE BOX, THE PATIENT'S PARENT SAID IT "POPPED". NO INJURY WAS REPORTED.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 6761464 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K083641, K944178. One submission often covers many models, so check the product and lot details in each record.
- Z-0205-2024 · Aug 22, 2023 · Open, ClassifiedSmiths Medical Portex Bivona Pediatric Tracheostomy Tube, Cuffless, Model 60P045, Sterile.
- Z-1145-2021 · Jan 18, 2021 · TerminatedTube Tracheostomy and Tube Cuff, Bivona Cuffless Neonatal/Pediatric FlexTend" Tracheostomy Tube (model 60PFS45, lots 3991171, 3991172, and 3988103) V Neck Flange 4.5mm - Product Us
- Z-0726-2021 · Dec 15, 2020 · TerminatedPORTEX Bivona Cuffless Neonatal/Pediatric FlexTend Tracheostomy Tube, REF 60PFSS45
- Z-2946-2020 · Aug 28, 2020 · TerminatedBivona Mid-Range Aire-Cuf Adult Tracheostomy Tube This tube is intended to provide direct airway access for a tracheotomized patient for up to 29 days. It may be reprocessed up to
- Z-1465-2017 · Feb 9, 2017 · TerminatedBivona TTS (Tight to Shaft) Pediatric Tracheostomy Tube, Model No. 67SP035, Reorder No. 67SP035.
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 67PFSS35Icu Medical, Inc. · Tube tracheostomy and tube cuff1 recall166 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
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 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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