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Bivona 670170Recalls & 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 has 131 adverse event reports on record, with 10 deaths and 52 injuries. The reports mostly describe the cuff leaking or failing to inflate or deflate, and some mention holes or tears in the tube material. There is 1 open recall, started in May 2024, because the flange that secures the tube may tear on specific lots. The last 12 months show 3 reports, compared with 9 in the 12 months before.

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
132
Deaths reported
10
Injuries reported
52
Recalls naming it
1

Summary

The FDA's MAUDE database contains 132 adverse event reports that list this exact device (DI 15021312006056), received between Feb 8, 2017 and Sep 30, 2026 — classified as 10 deaths, 52 injuries, 70 malfunctions.

The most frequently reported specific device problem is “Leak/Splash” (41 reports).

1 FDA recall record name this device's identifier, 1 still open.

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

Nov 2023: 4 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 2 reportsApr 2024: 1 reportsMay 2024: 1 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 2 reportsDec 2024: 2 reportsJan 2025: 0 reportsFeb 2025: 1 reportsMar 2025: 1 reportsApr 2025: 0 reportsMay 2025: 3 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 1 reportsMar 2026: 0 reportsApr 2026: 2 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 1 reportsOct 2026: 0 reports2024202520264
Last 36 months. The most recent month may be incomplete.

Recalls naming this device

  1. 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-2588-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗

Most reported problems

Device problems

  • Leak/Splash41
  • Gas/Air Leak21
  • Hole In Material15
  • Inflation Problem14
  • Material Rupture12
  • Material Puncture/Hole7
  • Break6
  • Deflation Problem5

Patient problems

  • No Clinical Signs, Symptoms or Conditions39
  • No Consequences Or Impact To Patient33
  • No Known Impact Or Consequence To Patient20
  • Death10
  • Discomfort8
  • Low Oxygen Saturation7
  • Airway Obstruction5
  • No Information5

Recent adverse event reports

The 25 most recent of 132 reports, in the reporter's own words as published by the FDA.

  • MalfunctionSep 30, 2026Gas/Air Leak

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 50951802 ↗
  • MalfunctionApr 28, 2026Gas/Air Leak

    IT WAS STATED THAT LEAKAGE WAS IDENTIFIED ON THE THIRD DAY OF USE WHILE THE DEVICE WAS IN USE WITH A PATIENT. THE ISSUE WAS RESOLVED BY REPLACING THE DEVICE WITH ANOTHER BRAND. THE EVENT OCCURRED IN A HOSPITAL AND WAS HANDLED BY A HEALTH PROFESSIONAL. THE OUTCOME WAS RESOLVED. THERE WAS PATIENT INVOLVEMENT BUT NO PATIENT HARM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25015556 ↗
  • MalfunctionApr 7, 2026Deflation Problem

    IT WAS STATED THAT AFTER 29 DAYS OF USE, AN ATTEMPT WAS MADE TO REMOVE THE TRACHEOSTOMY TUBE. CUFF DEFLATION WAS DIFFICULT, AND ONLY 2 CC OF WATER WAS WITHDRAWN. THE TUBE WAS SLOWLY REMOVED WHILE THE CUFF REMAINED INFLATED. SUBSEQUENT TESTING CONFIRMED THAT THE CUFF COULD NEITHER BE DEFLATED NOR INFLATED. THERE WAS PATIENT INVOLVEMENT AND UNKNOWN PATIENT HARM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24802263 ↗
  • MalfunctionFeb 26, 2026Gas/Air Leak

    THE PATIENT BEGAN TO EXPERIENCE INCREASED WORK OF BREATHING DUE TO A LARGE LEAK, BUT ONCE THE NEW DEVICE WAS INSERTED, THE PATIENT'S CONDITION STABILIZED. NO INCREASE IN OXYGEN OR OTHER MANEUVERS WAS NEEDED. THERE WAS NO PATIENT INJURY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24465465 ↗
  • MalfunctionMay 28, 2025Contamination; Contamination

    IT WAS REPORTED THAT THERE WERE ISSUES WITH RESIDUE WITHIN THE CUFF AFTER REPROCESSING TRACH. IT WAS VERIFIED WITH THE PATIENT THAT THE STERILE WATER IN THE CUFF WAS BEING USED, AND PROPER TECHNIQUE WAS BEING FOLLOWED. THE REPORTER TRIED TO FLUSH IT OUT OF THE TRACHEOSTOMY TUBE, BUT SMALL AMOUNT REMAINED. THERE WAS NO PATIENT HARM OR ADVERSE EVENTS REPORTED AS A RESULT OF THE EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22096707 ↗
  • MalfunctionMay 23, 2025Deflation Problem; Deflation Problem

    IT WAS REPORTED THAT THE TUBE CUFF COULD NOT BE DEFLATED, AND THE WATER COULD NOT BE REMOVED. THE NURSE CUT THE INFLATION LINE, INSERTED A NEEDLE INTO IT, AND GRADUALLY ASPIRATED THE CUFF'S CONTENTS. THE EVENT TOOK PLACE AT THE PATIENT'S HOME AND WAS CONDUCTED BY A HEALTH PROFESSIONAL. THERE WAS UNKNOWN PATIENT HARM REPORTED AS A RESULT OF THE EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22079079 ↗
  • MalfunctionMay 6, 2025Gas/Air Leak; Gas/Air Leak

    IT WAS REPORTED THAT LEAKAGE WAS FOUND AT THE POINT WHERE CUFF INFLATION TUBE CONNECTS TO SECUREMENT FLANGE AFTER INSERTING IN 1 HR. THE ISSUE WAS RESOLVED AFTER REPLACING A NEW ONE. THERE WAS PATIENT INVOLVEMENT AND UNKNOWN PATIENT HARM/ADVERSE EVENT REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21972492 ↗
  • MalfunctionMar 11, 2025Fluid/Blood Leak; Gas/Air Leak; Fluid/Blood Leak; Gas/Air Leak

    IT WAS REPORTED THAT CUFF LEAKAGE WAS FOUND AFTER USING THE TRACH ON THE PATIENT FOR ABOUT 2 WEEKS. THE PROBLEM WAS RESOLVED WHEN A NEW TRACH TUBE WAS PLACED. THE EVENT OCCURRED WHILE IN USE WITH PATIENT AT THE HOSPITAL. THIS WAS REPORTED TO THE FDA. THE OPERATOR OF THE DEVICE WAS A HEALTH PROFESSIONAL. THERE WAS PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21573134 ↗
  • MalfunctionFeb 20, 2025Contamination; Contamination

    IT WAS REPORTED THAT THERE WERE ISSUES WITH RESIDUE WITHIN THE CUFF AFTER REPROCESSING TRACH. IT WAS VERIFIED WITH THE PATIENT THAT THE STERILE WATER IN THE CUFF WAS BEING USED, AND PROPER TECHNIQUE WAS BEING FOLLOWED. THE REPORTER TRIED TO FLUSH IT OUT OF THE TRACHEOSTOMY TUBE, BUT SMALL AMOUNT REMAINED. THERE WAS NO PATIENT HARM OR ADVERSE EVENTS REPORTED AS A RESULT OF THE EVENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21428607 ↗
  • InjuryDec 6, 2024Gas/Air Leak; Gas/Air Leak

    IT WAS REPORTED THAT CUFF LEAKAGE WAS FOUND ON THE 10TH DAY OF USING THE TRACHEOSTOMY TUBE. THE EVENT OCCURRED WHILE IN USE WITH PATIENT. THE PROBLEM WAS RESOLVED BY REPLACING WITH A NEW ONE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20860235 ↗
  • MalfunctionDec 3, 2024Inflation Problem; Inflation Problem

    IT WAS REPORTED THAT THE CUFF WAS DEFECTIVE AND DID NOT COMPLETELY ENCIRCLE THE TUBE/STUCK TO ONE SIDE OF THE TUBE. THE ISSUE WAS DISCOVERED PRIOR TO PATIENT USE. THE EVENT OCCURRED DURING TESTING OF THE CUFF. THERE WAS NO HARM/ADVERSE EVENT REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20833243 ↗
  • InjuryNov 5, 2024Material Rupture; Material Rupture

    IT WAS REPORTED THAT THE PATIENT HAD 4 SEPARATE INCIDENTS OF BLOWN CUFFS ON 4 DIFFERENT #7 BIVONA TRACHEOSTOMY TUBES. THE EVENT OCCURRED WHILE IN USE WITH THE PATIENT IN THE HOSPITAL. THE OPERATOR OF THE DEVICE WAS A HEALTH PROFESSIONAL. THERE WAS MEDICAL INTERVENTION REQUIRED; 5 TRACH CHANGES IN 48 HOURS, AND THIS WAS NOT REPORTED TO THE FDA. THE ISSUE WAS RESOLVED BY REPLACING THE TRACH WITH A DIFFERENT DEVICE. THERE WAS PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20610340 ↗
  • InjuryNov 5, 2024Material Rupture; Material Rupture

    IT WAS REPORTED THAT THE PATIENT HAD 4 SEPARATE INCIDENTS OF BLOWN CUFFS ON 4 DIFFERENT # 7 BIVONA TRACHEOSTOMY TUBES. THE EVENT OCCURRED WHILE IN USE WITH THE PATIENT IN THE HOSPITAL. THE OPERATOR OF THE DEVICE WAS A HEALTH PROFESSIONAL. THERE WAS MEDICAL INTERVENTION REQUIRED; 5 TRACH CHANGES IN 48 HOURS, AND THIS WAS NOT REPORTED TO THE FDA. THE ISSUE WAS RESOLVED BY REPLACING THE TRACH WITH A DIFFERENT DEVICE. THERE WAS PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20610339 ↗
  • InjuryMay 21, 2024Detachment of Device or Device Component; Detachment of Device or Device Component

    IT WAS REPORTED THAT THE SPRING MECHANISM IN THE PILOT BALLOON FELL OUT. THERE WAS DESATURATION EVENT AND SHORTNESS OF BREATH. THE PATIENT REQUIRED A TRACHEOSTOMY CHANGE.

    Patient problems: Dyspnea; Low Oxygen Saturation

    MAUDE report 19359980 ↗
  • MalfunctionApr 10, 2024Defective Component; Defective Component

    IT WAS REPORTED THAT THE ISO COUPLING WAS TOO SMALL, AND SPEAKING VALVES AND HME CASSETTES WOULD NOT STICK WHEN USING AN INNER CANNULA. THERE WAS NO PATIENT INVOLVEMENT AND NO HARM/ADVERSE EVENT REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 19082000 ↗
  • InjuryMar 14, 2024Gas/Air Leak; Gas/Air Leak

    IT WAS REPORTED THAT THE PILOT BALLOON WAS FOUND LEAKING WHILE IN USE WITH PATIENT AFTER USE FOR 19 DAYS. THE PROBLEM WAS SOLVED BY REPLACING A NEW ONE. "NO INJURY" REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18908853 ↗
  • MalfunctionMar 4, 2024Difficult to Insert; Difficult to Remove; Difficult to Insert; Difficult to Remove

    IT WAS REPORTED THAT THE CUFF WAS DIFFICULT TO INJECT AND EXTRACT WATER FROM DURING THE PRE-TEST. THERE WAS NO PATIENT INVOLVEMENT AND NO PATIENT HARM/ADVERSE EVENT REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18832588 ↗
  • MalfunctionNov 30, 2023Labelling, Instructions for Use or Training Problem; Device Markings/Labelling Problem; Missing Information; Labelling, Instructions for Use or Training Problem; Device Markings/Labelling Problem; Missing Information

    IT WAS REPORTED THAT "DURING A SUBMISSION OF A TENDER IN DENMARK, THE INCLUDED INSTRUCTIONS FOR USE (IFU) WAS INCOMPLETE AND THE DANISH TRANSLATION WAS MISSING. ADDITIONALLY THE TRANSLATION OF THE PRODUCT NAME CONTAINED A TYPO ON THE LABEL (READS SILICONETRAKEOSTOMITUDE, CORRECT IS SILICONETRAKEOSTOMITUBE)".

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18242014 ↗
  • MalfunctionNov 29, 2023Microbial Contamination of Device; Optical Discoloration; Microbial Contamination of Device; Optical Discoloration

    IT WAS REPORTED THAT "MOLD" WAS FORMING IN THE CANNULA. THE EVENT OCCURRED DURING A PERIOD OF USE OF ABOUT ONE WEEK WHEN THE "DISCOLORATION" COULD BE SEEN, EVENT OCCURRED IN THE HOME ENVIRONMENT, AND THE OPERATOR OF THE DEVICE WAS THE PATIENT/RELATIVES. NO PATIENT INJURY OR INTERVENTION WAS REPORTED AND THE OUTCOME OF THE EVENT WAS RESOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18231882 ↗
  • MalfunctionNov 16, 2023Deflation Problem; Deflation Problem

    IT WAS REPORTED THAT IT WAS IMPOSSIBLE FOR THE CAREGIVERS TO DEFLATE THE BALLOON, THE PATIENT "FEELS UNABLE TO BREATHE". THE CAREGIVERS HAD TO CHANGE THE CANULA. NO PATIENT INJURY OR CLINICAL AFFECTS WAS REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18155385 ↗
  • InjuryNov 9, 2023Deflation Problem; Inflation Problem; Inadequacy of Device Shape and/or Size; Deflation Problem; Inflation Problem; Inadequacy of Device Shape and/or Size

    IT WAS REPORTED THAT THE CUFF PERFORMED NORMALLY DURING PRE-TEST BUT HAD DIFFICULTY TO INFLATE CUFF WHEN IN USE WITH PATIENT. AFTER REMOVAL, THEY TESTED SEVERAL TIMES AND THERE WERE INTERMITTENT DIFFICULTIES WHEN INJECTING AND WITHDRAWING WATER FROM THE CUFF, ON AND OFF. ASYMMETRIC CUFF WAS OBSERVED WHEN INFLATED. THIS PROBLEM WAS RESOLVED BY REPLACING WITH A NEW ONE. "THEY WERE INFORMED ABOUT THIS ISSUE ON (B)(6) ."

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18105815 ↗
  • MalfunctionMar 29, 2023Leak/Splash; Gas/Air Leak; Leak/Splash; Gas/Air Leak

    IT WAS REPORTED THAT A CUFF LEAK WAS DISCOVERED WHILE IN USE FOR NINE (9) DAYS WITH PATIENT AFTER THE SIXTH STERILIZATION. THE LEAKAGE WAS CONFIRMED WHEN THE PRODUCT WAS WITHDRAWN FROM PATIENT AND FURTHER TESTED. NO INJURY WAS REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16635847 ↗
  • InjuryMar 3, 2023Deflation Problem; Failure to Deflate; Deflation Problem; Failure to Deflate

    IT WAS REPORTED THAT THE CUFF ON THE TRACH WAS VERY DIFFICULT TO DEFLATE. THE ISSUE WAS DISCOVERED BY THE CARETAKERS WHILE TRYING TO DEFLATE THE CUFF. THEY CHANGED THE TRACH TO A BACKUP DEVICE THEY HAD. THERE HAS BEEN NO REPORT OF OBSERVABLE CLINICAL SYMPTOMS OR A CHANGE IN SYMPTOMS IDENTIFIED IN THE PATIENT.

    Patient problems: Decreased Respiratory Rate

    MAUDE report 16482895 ↗
  • InjuryMar 2, 2023Leak/Splash; Leak/Splash

    IT WAS REPORTED THAT A CUFF LEAK WAS DISCOVERED WHILE IN USE WITH A PATIENT. LEAKAGE CONFIRMED WHEN PRODUCT WAS WITHDRAWN FROM PATIENT AND FURTHER TESTED. CUSTOMER STATES THERE WAS NO PATIENT INJURY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16471489 ↗
  • MalfunctionFeb 24, 2023Fluid/Blood Leak; Fluid/Blood Leak

    IT WAS REPORTED THAT A CUFF WAS LEAKING. NO INJURY REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16436348 ↗

Other Tube tracheostomy and tube cuff devices

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Sources and updates

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