FDA Adverse Event Injury Summary report: N

ILET BIONIC PANCREAS

MDR report key: 24793319 · Received April 6, 2026

Report

Report Number
3019004087-2026-41454
Event Type
Injury
Date Received
April 6, 2026
Date of Event
July 8, 2025
Report Date
April 6, 2026
Manufacturer
BETA BIONICS, INC.
Product Code
QFG
UDI-DI
850050080015
PMA / PMN Number
K231485
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS MDR IS PART OF A REMEDIAL SUBMISSION MADE IN RESPONSE TO FDA FORM 483 OBSERVATIONS TO ENSURE FULL REPORTING COMPLIANCE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE USER EXPERIENCED LOW BLOOD GLUCOSE WHILE USING A CONTINUOUS GLUCOSE MONITORING SYSTEM IN CONJUNCTION WITH THE ILET, WITH FINGERSTICK READINGS OF 68 AND 66 MG/DL AND CONCERNS ABOUT SENSOR CONNECTIVITY DUE TO LACK OF INTERNET OR WI-FI. SYMPTOMS INCLUDED HYPOGLYCEMIA. OUTCOMES INCLUDED SELF-TREATMENT WITH ORAL GLUCOSE. INVESTIGATION INCLUDED TROUBLESHOOTING AND EDUCATION PROVIDED BY SUPPORT, INCLUDING GUIDANCE TO RECONNECT WHEN INTERNET OR WI-FI IS AVAILABLE TO IMPROVE DATA TRANSMISSION AND SENSOR FUNCTIONALITY. INVESTIGATION OF THIS CASE REVEALED THAT THE CAUSE OF THE HYPOGLYCEMIA WAS UNCLEAR, AND NO DEVICE MALFUNCTION WAS IDENTIFIED BASED ON AVAILABLE INFORMATION. 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
600560 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS, INC. BB1001 850050080015

Patients

Seq Age Sex Outcome Treatment
1 70 YR Male Other