FDA Adverse Event
Injury
Summary report: N
ILET BIONIC PANCREAS
MDR report key: 23129121
·
Received September 23, 2025
Report
- Report Number
- 3019004087-2025-03423
- Event Type
- Injury
- Date Received
- September 23, 2025
- Date of Event
- August 13, 2025
- Report Date
- September 23, 2025
- Manufacturer
- BETA BIONICS INC
- Product Code
- QFG
- PMA / PMN Number
- K231485
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
AT THE TIME OF THIS REPORT THE ILET EVALUATION IS STILL IN PROGRESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN INVESTIGATION IS COMPLETED.
Description of Event or Problem · 0
ON (B)(6) 2025 IT WAS REPORTED THAT THE USER EXPERIENCED HYPOGLYCEMIA WITH BLOOD GLUCOSE (BG) LEVELS OF 30 MG/DL WHILE USING THE ILET. THE USER CORRECTED THE EVENT WITH JUICE AND DID NOT REQUIRE HOSPITALIZATION. NO LONG-TERM HEALTH EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 734221 | ILET BIONIC PANCREAS | ALTERNATE CONTROLLER ENABLED INFUSION PUMP | QFG | BETA BIONICS INC | BB1001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR | Female | Other |