FDA Adverse Event Injury Summary report: N

ILET BIONIC PANCREAS

MDR report key: 23006581 · Received September 9, 2025

Report

Report Number
3019004087-2025-02390
Event Type
Injury
Date Received
September 9, 2025
Date of Event
August 13, 2025
Report Date
September 9, 2025
Manufacturer
BETA BIONICS INC
Product Code
QFG
UDI-DI
850050080015
PMA / PMN Number
K231485
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ON 13-AUG-2025 THE USER REPORTED EXPERIENCING HYPOGLYCEMIA WITH A BLOOD GLUCOSE OF 63 MG/DL. THE USER WAS ABLE TO TREAT THE HYPOGLYCEMIA BY CONSUMING FAST-ACTING ORAL CARBOHYDRATES. THE USER REPORTED THEY WERE STABLE FOLLOWING TREATMENT.

Description of Event or Problem · 0

ON 13-AUG-2025 THE USER REPORTED EXPERIENCING HYPOGLYCEMIA WITH A BLOOD GLUCOSE OF 63 MG/DL. THE USER WAS ABLE TO TREAT THE HYPOGLYCEMIA BY CONSUMING FAST-ACTING ORAL CARBOHYDRATES. THE USER REPORTED THEY WERE STABLE FOLLOWING TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2824471 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INFUSION PUMP QFG BETA BIONICS INC BB1001 850050080015

Patients

Seq Age Sex Outcome Treatment
1 39 YR Female Other