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Bivona Trach Tube Shortage

Bivona has informed Pediatric Home Service (PHS) of a severe nationwide shortage of the material used to make tracheostomy tubes.  PHS is working with patient families and local hospitals and clinics to develop plans that ensure patient safety.  Check back for more details to come soon. 

Cleaning a Bivona Trach Tube


Cleaning a bivona trach tube - step 1

Place trach tube, obturator, and wedge in clean container filled with hot water and standard dish soap.

Allow parts to soak in soapy water for 60 minutes.


Cleaning a bivona trach tube - step 2

Use cotton tip swab to thoroughly clean inside and outside of:

– Trach tube flange
– Trach tube hub
– Trach tube shaft

Repeat steps 1 and 2 until you remove all mucus from the trach tube.


Cleaning a bivona trach tube - step 3

Completely rinse trach tube, obturator, and wedge with hot water.

Disinfect trach tube, obturator, and wedge.

Disinfecting a Bivona Trach Tube


disinfecting a bivona trach tube - step 1

Fill clean pot with water. Bring water to rolling boil on stove.

Remove pot from heat after water begins to rapidly boil.


disinfecting a bivona trach tube - step 2

Immediately place trach tube, obturator, and wedge into water.

Cover pot with lid and allow water to cool.


Disinfecting bivona trach tubes - step 3

Wash work surface and cover with clean towel.

Place all items on the clean towel and allow to air dry completely.

Store items in clean container.

Contact us with any questions

As always, PHS is available 24/7 to answer any questions or concerns related to our patient’s medical needs. Feel free to contact us or your respiratory therapist for more information.

Originally published: March 6, 2019
Showing 2 comments
  • Raymond Cahill
    Reply to Raymond CahillComment ID#: 49166

    I don’t have a spare, so what do i do just remove it and clean it and reinstall when I’m done cleaning it ? or should I see my Ent? Thx.

    • Pediatric Home Service
      Reply to Pediatric Home ServiceComment ID#: 49170

      Hi Raymond, Thanks for your question. Thankfully, the shortage has been resolved and all suppliers should be back to full stock. Regardless, it is a good idea to talk with your ENT about the benefits of a backup.

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