510(k) Report

510(k) · Cleared

Recalled · 2004

Shiley Flextra Tracheostomy Tube

K030787510(k) TraditionalCleared Nov 14, 2003247-day reviewClass II21 CFR 868.5800Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Nellcor Puritan Bennett, Inc. · JOH Tube Tracheostomy And Tube Cuff

Cleared on Nov 14, 2003 as substantially equivalent to K003315 (Mallinckrodt, Inc., 2000) and 5 other predicates after a 247-day review. Its family tree reaches back 2 generations to 1979. 1 of the 15 devices in its family, counting itself, has a Class I recall. It has been recalled once.

Decided
Nov 14, 2003
Review
247 days
Class
Class II
Product code
JOH
Recalls
1
Predicates
6

Its longest line of descent runs back 2 generations to K792222 (1979). 14 ancestors in all. No later device cites it as a predicate yet. 1 of the 15 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2000: 1 other ancestor1997: 1 other ancestor1988: 2 other ancestors1981: 4 other ancestors1995: 1 other ancestor1987: 1 other ancestor1984: 1 other ancestor1982: 1 other ancestorK792222 · Shiley Low Pressure Thin-Cuffed Trach. · Shiley, Inc. · 1979K962173 · Shikey Tracheostomy Tubes and Accessories · Mallinckrodt Medical · 1996 · Class I recall1975198019851990199520002005
Other ancestors, by generation 1 generation back: 5 other ancestors2 generations back: 7 other ancestors K962173 · Shikey Tracheostomy Tubes and Accessories · Mallinckrodt Medical · 1996 · Class I recallK792222 · Shiley Low Pressure Thin-Cuffed Trach. · Shiley, Inc. · 19790
  1. Root · 2 generations backK792222 Shiley Low Pressure Thin-Cuffed Trach.Shiley, Inc. · 1979
  2. 1 generation backK962173 Shikey Tracheostomy Tubes and AccessoriesMallinckrodt Medical · 1996 · Recalled (Class I)
  3. This deviceK030787 Shiley Flextra Tracheostomy TubeNellcor Puritan Bennett, Inc. · 2003

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K792222Shiley Low Pressure Thin-Cuffed Trach.Shiley, Inc.1979—
−1K962173Shikey Tracheostomy Tubes and AccessoriesMallinckrodt Medical1996Class I
0 (this device)K030787Shiley Flextra Tracheostomy TubeNellcor Puritan Bennett, Inc.2003—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198140
198210
198410
198710
198820
199510
199710
200010
FIG. 1 — Lineage of K030787, 1979–2003Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

1 device in this family has a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new JOH device

  1. #1 K251313 Shiley™ Adult Flexible Tracheostomy Tube XLT…score 11.2 · 3 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (6)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K003315Shiley Tracheosoft XLT Extended Length Tracheostomy Tube and Disposable Inner CannulaMallinckrodt, Inc.20001
*K962173Shikey Tracheostomy Tubes and Accessories
Summary page 1
…ft XLT Extended Length Tracheostomy Tube and Disposable Inner Cannula, Mallinckrodt Inc., KO033 15 2. Shiley Tracheostomy Tubes and Accessories, Mallinckrodt Medical, K962 173 3. Shiley Percutaneous Dual Cannula Tracheostomy Tube with Low Pressure / Lower Profile Cuff and Disposable Inner Cannula, Mal…
Mallinckrodt Medical1996Class I
*K963732Percutaneous Dual Cannula Tracheostomy Tube with Low Pressure/Low Profile Cuff and…
Summary page 1
…edical, K962 173 3. Shiley Percutaneous Dual Cannula Tracheostomy Tube with Low Pressure / Lower Profile Cuff and Disposable Inner Cannula, Mallinckrodt Medical Inc., K963732 4. Modified Shiley Low Pressure Cuffed Tracheostomy Tube, Shiley Inc., K880247 5. Shiley Disposable Cannula Tracheostomy Tube wit…
Mallinckrodt Medical19972
*K880247Modified Shiley Low Pressure Cuffed Tracheo. Tubes
Summary page 1
…Pressure / Lower Profile Cuff and Disposable Inner Cannula, Mallinckrodt Medical Inc., K963732 4. Modified Shiley Low Pressure Cuffed Tracheostomy Tube, Shiley Inc., K880247 5. Shiley Disposable Cannula Tracheostomy Tube with Low Pressure Cuff and Disposable Inner Cannula, Shiley Inc., K8 11447 6. S…
Shiley, Inc.1988—
*K811447Shiley Disposable Cannula Trach. Tube
Summary page 1
…essure Cuffed Tracheostomy Tube, Shiley Inc., K880247 5. Shiley Disposable Cannula Tracheostomy Tube with Low Pressure Cuff and Disposable Inner Cannula, Shiley Inc., K8 11447 6. Shiley Cuffed Single Cannula SCT Tracheostomy Tubes, Shiley Inc., K810106 DEVICEDESCRIPTION The Shiley FlexTra disposable tr…
Shiley, Inc.1981—
*K810106Shiley Single Cannula Tracheostomy Tube
Summary page 1
…nula Tracheostomy Tube with Low Pressure Cuff and Disposable Inner Cannula, Shiley Inc., K8 11447 6. Shiley Cuffed Single Cannula SCT Tracheostomy Tubes, Shiley Inc., K810106 DEVICEDESCRIPTION The Shiley FlexTra disposable tracheostomy tubes are double cannula tracheostomy tubes with disposable inner…
Shiley, Inc.19816

Also cleared against K003315: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Dec 9, 2004Not classifiedZ-0721-05OtherOuter cannula has the potential to separate from the head/flange assembly, leading to ineffective ventilation, which could result in serious injury.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K962173Shikey Tracheostomy Tubes and AccessoriesMallinckrodt Medical · 1996 · Direct predicate · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 24 years and passes through 3 companies; a new generation was cleared every 16.8 years on median.
  • 6 of the 14 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K003315.

How does its category compare?

All JOH devices

JOH Tube Tracheostomy And Tube Cuff: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JOH

1in 2025

2007: 12008: 22009: 12010: 22012: 12013: 32014: 32015: 32016: 12017: 12018: 32019: 22020: 12021: 22025: 1
2007high 3 (2013) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JOH

137in 2018

2013: 407 days median2014: 218 days median2015: 179 days median2018: 137 days median
2007high 407 (2013) · low 137 (2018)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · JOH

1in 2023

2007: 12009: 12010: 732011: 42016: 2, 1 Class I2020: 12023: 12026 (partial year): 1
2007high 73 (2010) · low 0 (2008)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · JOH

986in 2025

2007: 1672008: 1022009: 1952010: 1,2702011: 5872012: 5002013: 5442014: 5062015: 5082016: 5722017: 4412018: 8122019: 1,0192020: 7912021: 1,0412022: 1,6322023: 1,2332024: 1,1032025: 986
2007high 1,632 (2022) · low 102 (2008)2025

MAUDE reports naming product code JOH, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20071—1167
20082—0102
20091—1195
20102—731,270
20110—4587
20121—0500
201334070544
201432180506
201531790508
20161—2 (1)572
20171—0441
201831370812
20192—01,019
20201—1791
20212—01,041
20220—01,632
20230—11,233
20240—01,103
20251—0986
20260—1—

What is it indicated for?

The Shiley FlexTra Tracheostomy Tube with Disposable Inner Cannula is intended to provide tracheal access for airway management.

Cuffed Shiley FlexTra products sizes 7.0, 8.0, and 9.0 mm ID are also intended for use with Percutaneous Dilatational Tracheotomy (PDT) procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K030787: Shiley Flextra Tracheostomy Tube.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K030787

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026