FDA Adverse Event
Malfunction
Summary report: N
ILET BIONIC PANCREAS
MDR report key: 23171482
·
Received September 29, 2025
Report
- Report Number
- 3019004087-2025-03665
- Event Type
- Malfunction
- Date Received
- September 29, 2025
- Date of Event
- August 29, 2025
- Report Date
- September 29, 2025
- Manufacturer
- BETA BIONICS, INC.
- Product Code
- QFG
- PMA / PMN Number
- K231485
- Product Problem
- 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 THE USER¿S ILET CONNECTOR DISCONNECTED WHILE THEY WERE ASLEEP, RESULTING IN A WET SPOT IN THE BED. THE USER WAS ABLE TO RECONNECT THE DEVICE, AND BLOOD GLUCOSE WAS NOT AFFECTED. NO SYMPTOMS, EXTERNAL ASSISTANCE, OR MEDICAL INTERVENTION OCCURRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2145045 | ILET BIONIC PANCREAS | ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP | QFG | BETA BIONICS, INC. | BB1001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | DEXCOM G7 CONTINUOUS GLUCOSE MONITOR |