FDA Adverse Event Injury Summary report: N

ILET BIONIC PANCREAS

MDR report key: 25125696 · Received May 8, 2026

Report

Report Number
3019004087-2026-46411
Event Type
Injury
Date Received
May 8, 2026
Date of Event
April 6, 2026
Report Date
May 8, 2026
Manufacturer
BETA BIONICS, INC.
Product Code
QFG
UDI-DI
850050080015
PMA / PMN Number
K231485
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE USER EXPERIENCED SEVERE HYPOGLYCEMIA RESULTING IN SEIZURE REQUIRING EMS TRANSPORT AND HOSPITALIZATION WHILE ON ILET THERAPY. ENGINEERING LOG REVIEW CONFIRMED THAT DEVICE DATA CORRESPONDING TO THE REPORTED EVENT DATE WERE AVAILABLE AND SHOWED NO MALFUNCTION ALERTS, NO FACTORY RESET, AND NO MOTOR ERRORS; THE ILET WAS DELIVERING INSULIN AS REQUESTED AND RESPONDING APPROPRIATELY TO CGM GLUCOSE VALUES. THE EVENT OCCURRED DURING SLEEP AND LIMITED ADDITIONAL INFORMATION WAS AVAILABLE REGARDING CONTRIBUTING FACTORS. BASED ON AVAILABLE INFORMATION, NO DEVICE MALFUNCTION WAS IDENTIFIED AND THE CAUSE REMAINS NOT ESTABLISHED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, A SUPPLEMENTAL MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

ON (B)(6) 2026 IT WAS REPORTED THAT ON (B)(6) 2026 THE USER EXPERIENCED HYPOGLYCEMIA WITH BLOOD GLUCOSE (BG) LEVELS OF 21 MG/DL, RESULTING IN HOSPITALIZATION. EMERGENCY MEDICAL SERVICES WERE CONTACTED, AND THE USER WAS TRANSPORTED TO THE HOSPITAL WHERE THE USER WAS ADMITTED ON (B)(6) 2026, TREATED WITH IV DEXTROSE, AND DISCHARGED ON (B)(6) 2026. NO LONG-TERM HEALTH EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49735 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS, INC. BB1001 850050080015

Patients

Seq Age Sex Outcome Treatment
1