FDA Adverse Event Malfunction Summary report: N

ILET BIONIC PANCREAS

MDR report key: 23809466 · Received December 15, 2025

Report

Report Number
3019004087-2025-13802
Event Type
Malfunction
Date Received
December 15, 2025
Date of Event
December 13, 2025
Report Date
December 15, 2025
Manufacturer
BETA BIONICS INC.
Product Code
QFG
UDI-DI
00850050080206
PMA / PMN Number
K231485
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THE ILET DISPLAYED RECURRENT INSULIN OCCLUSION ALERTS WHILE USING A CONTACT DETACH 6 MM STEEL INFUSION SET, RESULTING IN INTERRUPTED INSULIN DELIVERY AND PERSISTENT HYPERGLYCEMIA IN THE 230¿370 MG/DL RANGE, WHICH RESOLVED ONLY AFTER A FULL SUPPLY CHANGE AND REPEATED TROUBLESHOOTING INCLUDING TUBING INSPECTION, FILL TUBING, AND CANNULA FILL. CUSTOMER CARE PROVIDED SUPPORT WHICH INCLUDED GUIDED TROUBLESHOOTING TO CHECK FOR KINKS OR BLOCKAGES, AND RESUMPTION OF INSULIN DELIVERY AFTER SUPPLY CHANGES, ALONG WITH FOLLOW-UP CALLS TO ASSESS GLUCOSE TRENDS. INVESTIGATION OF THIS CASE REVEALED THAT THE OCCLUSION ALERTS PERSISTED DESPITE CLEAR TUBING AND VISIBLE DROPS DURING PRIMING, AND THAT REPLACING THE INFUSION SET AND SUPPLIES ALLOWED INSULIN DELIVERY TO RESUME WITHOUT FURTHER IMMEDIATE ALERTS, INDICATING AN INFUSION SET OR DISPOSABLE SUPPLY-RELATED OCCLUSION. NO CLINICAL SYMPTOMS ASSOCIATED WITH HIGH BLOOD GLUCOSE READINGS REPORTED. OUTCOMES INCLUDED TRANSIENT INTERRUPTION OF AUTOMATED INSULIN THERAPY AND THE NEED FOR MANUAL INSULIN INJECTIONS AND SUPPLY REPLACEMENT. IT WAS CONCLUDED, BASED ON PREVIOUSLY ESTABLISHED FINDINGS FOR SIMILAR REPORTS, THAT THE CAUSE WAS AN INFUSION SET OCCLUSION RELATED TO DISPOSABLE COMPONENTS, RESOLVED BY SUPPLY CHANGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
765769 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS INC. BB1001 00850050080206

Patients

Seq Age Sex Outcome Treatment
1 58 YR Unknown CONVATEC STEEL CONTACT DETACH (23", 6MM).