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 |