FDA Adverse Event Malfunction Summary report: N

ILET BIONIC PANCREAS

MDR report key: 25258620 · Received May 22, 2026

Report

Report Number
3019004087-2026-48284
Event Type
Malfunction
Date Received
May 22, 2026
Date of Event
May 6, 2026
Report Date
May 22, 2026
Manufacturer
BETA BIONICS, INC.
Product Code
QFG
UDI-DI
00850050080190
PMA / PMN Number
K231485
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

INITIAL.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING THE ILET, THE USER EXPERIENCED ELEVATED BLOOD GLUCOSE OF 183¿187 MG/DL AFTER EATING A SNACK WITHOUT MAKING A MEAL ANNOUNCEMENT; THE USER HAD RECENTLY CHANGED THE INFUSION SITE AND THE AGENT ADVISED ALLOWING TIME FOR THE PUMP TO CORRECT, WITH NO ALERTS OR ALARMS REPORTED. NO ADVERSE CLINICAL SYMPTOMS ASSOCIATED WITH HYPERGLYCEMIA REPORTED. OUTCOMES INCLUDED A MINOR, NON-SERIOUS IMPACT. INVESTIGATION INCLUDED COMMUNICATION WITH THE USER AND ANALYSIS OF THE INFORMATION PROVIDED. INVESTIGATION OF THIS CASE REVEALED NO DEVICE PROBLEM AND IDENTIFIED A USAGE ISSUE RELATED TO AN IMPROPER OR INCORRECT PROCEDURE, SPECIFICALLY FAILURE TO FOLLOW INSTRUCTIONS FOR ANNOUNCING A MEAL VIA THE USER INTERFACE. IT WAS CONCLUDED, BASED ON PREVIOUSLY ESTABLISHED FINDINGS FOR SIMILAR REPORTS, THAT THE CAUSE WAS FAILURE TO FOLLOW INSTRUCTIONS AND AN UNINTENDED USE ERROR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
267769 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS, INC. BB1001 00850050080190

Patients

Seq Age Sex Outcome Treatment
1