FDA Adverse Event Malfunction Summary report: N

ILET BIONIC PANCREAS

MDR report key: 23187237 · Received September 30, 2025

Report

Report Number
3019004087-2025-03927
Event Type
Malfunction
Date Received
September 30, 2025
Date of Event
September 2, 2025
Report Date
September 30, 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 THAT THE USER¿S ILET DISPLAYED AN EMPTY CARTRIDGE ALERT DESPITE USE OF A NEW CARTRIDGE. THE USER ATTEMPTED TO PROCEED BUT RECEIVED REPEATED ¿UNABLE TO PROCEED¿ MESSAGES, ALONG WITH A BODY WEIGHT ALERT. AFTER CONFIRMING WEIGHT AND RETRYING, THE ALERT PERSISTED. THE AGENT GUIDED THE USER THROUGH A DRY RUN, WHICH SUCCESSFULLY REACHED 120 UNITS, AND THEN THROUGH A FULL SUPPLY CHANGE. INSULIN DELIVERY RESUMED WITHOUT FURTHER ISSUE. BLOOD GLUCOSE WAS UNAFFECTED. NO SYMPTOMS, EXTERNAL ASSISTANCE, OR MEDICAL INTERVENTION OCCURRED. NO SYMPTOMS, EXTERNAL ASSISTANCE, OR MEDICAL INTERVENTION OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2155390 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.