FDA Adverse Event Malfunction Summary report: N

ILET BIONIC PANCREAS

MDR report key: 24780760 · Received April 3, 2026

Report

Report Number
3019004087-2026-41034
Event Type
Malfunction
Date Received
April 3, 2026
Date of Event
March 11, 2026
Report Date
April 2, 2026
Manufacturer
BETA BIONICS INC.
Product Code
QFG
UDI-DI
850050080015
PMA / PMN Number
K231485
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT AN ILET USER EXPERIENCED HYPERGLYCEMIA WITH A BLOOD GLUCOSE OF 231 MG/DL AFTER A SMALL MEAL, FOLLOWING A BENT CANNULA EARLIER IN THE DAY AND INFUSION SET PLACEMENT UNDER THE RIB CAGE; THE USER RECEIVED TROUBLESHOOTING AND EDUCATION, INCLUDING ADVICE TO CHANGE INFUSION SITES, AND CHOSE TO WAIT FOR GLUCOSE TO DECLINE. SYMPTOMS INCLUDED ELEVATED BLOOD GLUCOSE. OUTCOMES INCLUDED NO HOSPITALIZATION AND NO DEVICE ALERTS OR ALARMS. INVESTIGATION INCLUDED A CUSTOMER INTERVIEW AND TROUBLESHOOTING. INVESTIGATION OF THIS CASE REVEALED USER-REPORTED INFUSION SET INSERTION DIFFICULTY CONSISTENT WITH A BENT CANNULA, WITH POSSIBLE SUBOPTIMAL INFUSION SITE SELECTION; DEVICE FUNCTION APPEARED NORMAL. IT WAS CONCLUDED, BASED ON PREVIOUSLY ESTABLISHED FINDINGS FOR SIMILAR REPORTS, THAT THE CAUSE WAS UNDETERMINED. 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
79089 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS INC. 850050080015

Patients

Seq Age Sex Outcome Treatment
1 51 YR Female