FDA Adverse Event Malfunction Summary report: N

ILET BIONIC PANCREAS

MDR report key: 23952849 · Received January 3, 2026

Report

Report Number
3019004087-2026-18977
Event Type
Malfunction
Date Received
January 3, 2026
Date of Event
December 7, 2025
Report Date
January 2, 2026
Manufacturer
BETA BIONICS INC.
Product Code
QFG
UDI-DI
00850050080190
PMA / PMN Number
K231485
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THE USER EXPERIENCED UNEXPECTED HYPERGLYCEMIA WHILE USING THE CONTACT DETACH INFUSION SET (23 INCH, 6 MM; LOT 6013996), WITH GLUCOSE AROUND 220 MG/DL FOR A FEW HOURS, AFTER WHICH THE HEALTHCARE PROVIDER ADVISED REPLACING ALL SUPPLIES; BLOOD GLUCOSE RETURNED TO RANGE FOLLOWING THE CHANGE. SYMPTOMS INCLUDED THIRST, DIZZINESS, AND NAUSEA. OUTCOMES INCLUDED THE NEED TO REPLACE INFUSION SUPPLIES EARLIER THAN PLANNED. INVESTIGATION INCLUDED TROUBLESHOOTING AND USER EDUCATION. INVESTIGATION OF THIS CASE REVEALED NO OBSERVED INFUSION SET ABNORMALITIES SUCH AS LEAKS, BUBBLES, OR KINKS, AND THE CAUSE OF THE HYPERGLYCEMIA REMAINED UNCLEAR. IT WAS CONCLUDED, BASED ON PREVIOUSLY ESTABLISHED FINDINGS FOR SIMILAR REPORTS, THAT THE CAUSE WAS INCONCLUSIVE. IF THE DEVICE IS RETURNED, A PHYSICAL EVALUATION WILL BE PERFORMED, AND A SUPPLEMENTAL WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
14496 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS INC. 00850050080190

Patients

Seq Age Sex Outcome Treatment
1 41 YR Unknown