Smiths Medical Issues Urgent Ddevice Recall of Certain Bivona® Neonatal, Pediatric, and Fflextend Tracheostomy Tubes

Date of Recall
2011-12-27

Recall Details
- December 22, 2011 - Smiths Medical, a leading global medical device manufacturer, announced today that it is initiating a nationwide voluntary recall of Bivona® Neonatal, Pediatric and FlexTend™ Tracheostomy Tubes with integrated connector which is not designed to be used with a disconnect wedge. The FDA has been apprised of this action.

Smiths Medical is conducting this recall because some customers have experienced difficulty disconnecting accessories from the connectors of the Affected Tubes. In some cases, the customer was unable to disconnect the accessory or excessive force led to decannulation of the tube, and an emergency tracheostomy tube change was required. If the accessory is correctly connected to the Affected Tubes, then there will be no issue with disconnection. A copy of the customer notification letter, along with pictures to distinguish the affected tubes, is posted on the Smiths Medical website at http://www.smiths-medical.com.

Consumers who have the Affected Tubes should:

  1. Identify all affected unused product in inventory and segregate it to a quarantine location.
  2. Complete the Confirmation Form located at http://www.smiths-medical.com and return it by Fax to 219-989-7259 or by email to [email protected].
  3. Upon receipt of your completed Confirmation Form, Customer Service will contact you with a Return Material Authorization Number (RMA#), and will schedule the shipment of a replacement Bivona® Neonatal, Pediatric and FlexTend™ Tracheostomy Tube. If you are opting to return the product, credit will be issued upon receipt of the returned product.

If an Affected Tube is currently in use with a patient, there is no evidence to suggest that immediate removal of the Tracheostomy Tube is necessary. Please visit Smiths Medical's website at http://www.smiths-medical.com/education-resources/videos/airway/index.html for a video demonstration on how to properly connect and disconnect accessories from the Affected Tubes.

Details of Affected Devices:
Bivona® Neonatal, Pediatric and FlexTend™ Tracheostomy Tubes
Lot Numbers 1631477 through 1923406

Reorder Numbers

Reorder Number Product Name Size
60NFP40 Bivona® Uncuffed Neonatal FlexTend™ Plus Tracheostomy Tube 4.5
60NFPS25 Bivona® Uncuffed Neonatal FlexTend™ Plus Tracheostomy Tube 2.5
60NFPS30 Bivona® Uncuffed Neonatal FlexTend™ Plus Tracheostomy Tube 3.0
60NFPS35 Bivona® Uncuffed Neonatal FlexTend™ Plus Tracheostomy Tube 3.5
60NFPS40 Bivona® Uncuffed Neonatal FlexTend™ Plus Tracheostomy Tube 4.0
60P025 Bivona® Uncuffed Pediatric Tracheostomy Tube 2.5
60P030 Bivona® Uncuffed Pediatric Tracheostomy Tube 3.0
60P035 Bivona® Uncuffed Pediatric Tracheostomy Tube 3.5
60P040 Bivona® Uncuffed Pediatric Tracheostomy Tube 4.0
60P045 Bivona® Uncuffed Pediatric Tracheostomy Tube 4.5
60P050 Bivona® Uncuffed Pediatric Tracheostomy Tube 5.0
60P055 Bivona® Uncuffed Pediatric Tracheostomy Tube 5.5
60PFP40 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 4.0
60PFP45 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 4.5
60PFP50 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 5.0
60PFP55 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 5.5
60PFP60 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 6.0
60PFPS40 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 4.0
60PFPS45 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 4.5
60PFPS50 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 5.0
60PFPS55 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 5.5
60PFPS60 Bivona® Uncuffed Pediatric FlexTend™ Plus Extra Length Tracheostomy Tube 6.0
60PFS25 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 2.5
60PFS30 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 3.0
60PFS35 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 3.5
60PFS40 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 4.0
60PFS45 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 4.5
60PFS50 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 5.0
60PFS55 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 5.5
60PFSS25 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 2.5
60PFSS30 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 3.0
60PFSS35 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 3.5
60PFSS40 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 4.0
60PFSS45 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 4.5
60PFSS50 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 5.0
60PFSS55 Bivona® Uncuffed Pediatric FlexTend™ Plus Standard Tracheostomy Tube 5.5
60SN025 Bivona® Uncuffed Neonatal Tracheostomy Tube 2.5
60SN030 Bivona® Uncuffed Neonatal Tracheostomy Tube 3.0
60SN035 Bivona® Uncuffed Neonatal Tracheostomy Tube 3.5
60SN040 Bivona® Uncuffed Neonatal Tracheostomy Tube 4.0
60SP025 Bivona® Uncuffed Neonatal Tracheostomy Tube 2.5
60SP030 Bivona® Uncuffed Neonatal Tracheostomy Tube 3.0
60SP035 Bivona® Uncuffed Neonatal Tracheostomy Tube 3.5
60SP040 Bivona® Uncuffed Neonatal Tracheostomy Tube 4.0
60SP045 Bivona® Uncuffed Neonatal Tracheostomy Tube 4.5
60SP050 Bivona® Uncuffed Neonatal Tracheostomy Tube 5.0
60SP055 Bivona® Uncuffed Neonatal Tracheostomy Tube 5.5
65N025 Bivona® Aire-Cuf® Neonatal Tracheostomy Tube 2.5
65N030 Bivona® Aire-Cuf® Neonatal Tracheostomy Tube 3.0
65N035 Bivona® Aire-Cuf® Neonatal Tracheostomy Tube 3.5
65N040 Bivona® Aire-Cuf® Neonatal Tracheostomy Tube 4.0
65N025 Bivona® Aire-Cuf® Neonatal Tracheostomy Tube 2.5
65P030 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 3.0
65P035 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 3.5
65P040 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 4.0
65P045 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 4.5
65P050 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 50
65P055 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 5.5
65SN025 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 2.5
65SN030 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 3.0
65SN035 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 3.5
65SN040 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 4.0
65SP025 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 2.5
65SP030 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 3.0
65SP035 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 3.5
65SP040 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 4.0
65SP045 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 4.5
65SP050 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 5.0
65SP055 Bivona® Aire-Cuf® Pediatric Tracheostomy Tube 5.5
67N025 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 2.5
67N030 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.0
67N035 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.5
167N040 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 4.0
67P025 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 2.5
67P030 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.0
67P035 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.5
67P040 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 4.0
67P045 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 4.5
67P050 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 5.0
67P055 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 5.5
67SN025 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 2.5
67SN030 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.0
67SN035 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.5
67SN040 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 4.0
67SP025 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 2.5
67SP030 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.0
67SP035 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 3.5
67SP040 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 4.0
67SP045 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 4.5
67SP050 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 5.0
67SP055 Bivona® TTS™ Cuffed Pediatric Tracheostomy Tube 5.5

Smiths Medical is notifying its customers through the U.S. mail. Recipients of the Urgent Field Safety Notice who have distributed the Affected Tubes to other persons or facilities should promptly forward a copy of the Urgent Field Safety Notice accordingly.

For questions regarding this Recall, customers should contact:

Smiths Medical Customer Service (Monday - Friday 8am - 8pm CST)
800-258-5361, Option 1
[email protected]

Customers should report any issues with the Bivona® Neonatal, Pediatric and FlexTend Tracheostomy Tubes to Smiths Medical's Complaints Department at 1-866-216-8806.

Any adverse events that may be related to the use of this product should be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax.

About Smiths Medical
Smiths Medical www.smiths-medical.com is a leading supplier of specialized medical devices and equipment for global markets, focusing on the medication delivery, vital care and safety devices market segments. It is part of Smiths Group www.smiths.com, a global leader in applying advanced technologies for markets in threat and contraband detection, energy, medical devices, communications and engineered components. Smiths Group employs around 22,000 people in more than 50 countries.

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