ILET BIONIC PANCREAS
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
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.
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 |