510(k) Report

510(k) · Cleared

Recalled · Class I · 2015

Shiley Neonatal Tracheostomy Tube Cuffless, Shiley Pediatric Tracheostomy Tube Cuffless, Shiley Pediatric Tracheostomy T

K122531510(k) SpecialCleared Oct 9, 201250-day reviewClass II21 CFR 868.5800Recalls 1 (1 Class I)

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

Covidien · JOH Tube Tracheostomy And Tube Cuff

Cleared on Oct 9, 2012 as substantially equivalent to K945513 (Mallinckrodt Medical, 1995) and 1 other predicate after a 50-day review. Its family tree reaches back 2 generations to 2008. 2 of the 6 devices in its family, counting itself, have a Class I recall. 2 later devices descend from it. It has been recalled once, including a Class I recall.

Decided
Oct 9, 2012
Review
50 days
Class
Class II
Product code
JOH
Recalls
1 (1 Class I)
Predicates
2

Its longest line of descent runs back 2 generations to K081440 (2008). 3 ancestors in all, the oldest K945513 (1995). 2 later devices descend from it, 2 citing it directly. 2 of the 6 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1995: 1 other ancestor2015: 1 descendant cleared, 1 with a Class I recall12017: 1 descendant clearedK081440 · Bivona Adjustable and Fixed Neckflange Hyperflex Tracheostomy Tubes · Smiths Medical Asd, Inc. · 2008 · recalledK083641 · Bivona Tracheostomy Tubes · Smiths Medical Asd, Inc. · 2009 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 2 descendants, 1 with a Class I recall1 K083641 · Bivona Tracheostomy Tubes · Smiths Medical Asd, Inc. · 2009 · recalledK081440 · Bivona Adjustable and Fixed Neckflange Hyperflex Tracheostomy Tubes · Smiths Medical Asd, Inc. · 2008 · recalled0
  1. Root · 2 generations backK081440 Bivona Adjustable and Fixed Neckflange Hyperflex Tracheostomy TubesSmiths Medical Asd, Inc. · 2008 · Recalled
  2. 1 generation backK083641 Bivona Tracheostomy TubesSmiths Medical Asd, Inc. · 2009 · Recalled
  3. This deviceK122531 Shiley Neonatal Tracheostomy Tube Cuffless, Shiley Pediatric…Covidien · 2012
  4. Descendant · cites it directly · 0 of its ownK170720 Portex Blue Line Ultra Paediatric Tracheosomy TubeSmiths Medical Asd, Inc. · 2017
  5. Descendant · cites it directly · 0 of its ownK142298 Shiley Neonatal, Pediatric & Pediatric Long Tracheostomy Tubes with…Covidien · 2015 · Recalled (Class I)

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K170720Portex Blue Line Ultra Paediatric Tracheosomy TubeSmiths Medical Asd, Inc. · 2017 · cites it directly0descendants
  • K142298Shiley Neonatal, Pediatric & Pediatric Long Tracheostomy Tubes with TaperGuard CuffCovidien · 2015 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K081440Bivona Adjustable and Fixed Neckflange Hyperflex Tracheostomy TubesSmiths Medical Asd, Inc.20081
−1K083641Bivona Tracheostomy TubesSmiths Medical Asd, Inc.20093
0 (this device)K122531Shiley Neonatal Tracheostomy Tube Cuffless, Shiley Pediatric Tracheostomy Tube…Covidien2012—
+1K170720Portex Blue Line Ultra Paediatric Tracheosomy TubeSmiths Medical Asd, Inc.2017—
+1K142298Shiley Neonatal, Pediatric & Pediatric Long Tracheostomy Tubes with TaperGuard…Covidien2015Class I

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201511
201710
FIG. 1 — Lineage of K122531, 2008–2017Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

2 devices in this family have 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
Get a 510(k) Report

What was it cleared against? (2)

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
*K945513Mallinckrodt Shiley Neonatal, Pediatric, Long Pediatric Tracheostomy Tube
Summary page 1
…Shiley Pediatric and Neonatal Tracheostomy Tubes Device Common Name: Tube Tracheostomy and Tube Cuff 510(k) Number: K945513 Manufacturer: Covidien, formerly Tyco Healthcare Trade Name:…
Mallinckrodt Medical19951
*K083641Bivona Tracheostomy Tubes
Summary page 2
…Bivona Tracheostomy Tube Tracheostomy Tubes Device Common Name: Tube Tracheostomy and Tube Cuff 510(k) Number: K083641 Manufacturer: Smiths Medical ASID, Inc. Intended Use The device is intended to be used to provide…
Smiths Medical Asd, Inc.20093

Also cleared against K945513: 1 other device →

What descends from it? (2)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K170720Portex Blue Line Ultra Paediatric Tracheosomy TubeSmiths Medical Asd, Inc.20170
K142298Shiley Neonatal, Pediatric & Pediatric Long Tracheostomy Tubes with TaperGuard Cuff Class ICovidien20150

Has anything in its family been recalled? (2 Class I)

Recalls of this device

DateClassRecallRoot causeReason
May 8, 2015Class IZ-1951-2015Device DesignReports where patients who recently switched from the current Shiley Neonatal and Pediatric products to the affected products experienced discomfort and in some cases, breathing difficulties, corresponding to a negative effect on oxygen…

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.

  • K142298Shiley Neonatal, Pediatric & Pediatric Long Tracheostomy Tubes with TaperGuard CuffCovidien · 2015 · Cites it directly · ◆ in the 2015 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 4 years and passes through 2 companies; a new generation was cleared every 3.6 years on median.
  • 3 of the 3 ancestors have a recall of any class.
  • Of its descendants, K170720 (Smiths Medical Asd, Inc., 2017) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K945513.

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. 2012, this device’s year, is highlighted.

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?

This device is intended for use in providing tracheal access for airway management.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122531: Shiley Neonatal Tracheostomy Tube Cuffless, Shiley Pediatric Tracheostomy Tube Cuffless, Shiley Pediatric Tracheostomy T.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K122531

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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