FDA Adverse Event Malfunction Summary report: N

ILET BIONIC PANCREAS

MDR report key: 24867207 · Received April 13, 2026

Report

Report Number
3019004087-2026-42403
Event Type
Malfunction
Date Received
April 13, 2026
Date of Event
March 29, 2026
Report Date
April 13, 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 THE USER EXPERIENCED DIFFICULTY DEPLOYING MULTIPLE TEFLON INFUSION SETS WHEN UNWINDING TUBING AND REMOVING ADHESIVE LINERS, RESULTING IN TWO INFUSION SETS DISENGAGING FROM THEIR APPLICATORS BEFORE INSERTION, WHILE A THIRD SET WAS SUCCESSFULLY INSERTED; THE AFFECTED LOT WAS 6011007, AND NO ALARMS OCCURRED, WITH TROUBLESHOOTING AND EDUCATION PROVIDED REGARDING CORRECT INFUSION SET HANDLING AND INSERTION. NO REPORTED INJURY OR ADVERSE PHYSIOLOGICAL EFFECTS. OUTCOMES INCLUDED NO CLINICAL IMPACT, NO EMERGENCY TREATMENT, AND NO HOSPITALIZATION. INVESTIGATION INCLUDED CUSTOMER INTERVIEW AND REVIEW OF USE PROCEDURES TO ASSESS HANDLING, INSERTION TECHNIQUE, AND PRODUCT LOT INFORMATION. INVESTIGATION OF THIS CASE REVEALED USE-RELATED HANDLING ISSUES CONSISTENT WITH PREMATURE APPLICATOR DISENGAGEMENT DURING TUBING UNWINDING AND ADHESIVE LINER REMOVAL, WITHOUT EVIDENCE OF DEVICE MALFUNCTION OR CONNECTIVITY FAILURE. IT WAS CONCLUDED, BASED ON PREVIOUSLY ESTABLISHED FINDINGS FOR SIMILAR REPORTS, THAT THE CAUSE WAS USER TECHNIQUE DURING PREPARATION AND DEPLOYMENT OF THE INFUSION SET.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
541023 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS INC. BB1001 850050080015

Patients

Seq Age Sex Outcome Treatment
1 60 YR Unknown DEXCOM G7 CONTINUOUS GLUCOSE MONITOR