FDA Adverse Event Malfunction Summary report: N

ILET BIONIC PANCREAS

MDR report key: 25285263 · Received May 26, 2026

Report

Report Number
3019004087-2026-48446
Event Type
Malfunction
Date Received
May 26, 2026
Date of Event
May 7, 2026
Report Date
May 26, 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 ILET USER EXPERIENCED MULTIPLE FAILED INFUSION SET INSERTIONS WHEN THE INFUSION SET DETACHED FROM THE APPLICATOR SEVERAL TIMES, RESULTING IN FOUR TO SIX UNUSABLE INFUSION SETS FROM LOT 6011935. SIX REPLACEMENT INFUSION SETS WERE PROVIDED, AND TROUBLESHOOTING AND EDUCATION WERE COMPLETED REGARDING CORRECT INFUSION SET DEPLOYMENT. SYMPTOMS INCLUDED NO CLINICAL SIGNS, SYMPTOMS, OR CONDITIONS. OUTCOMES INCLUDED NO HEALTH CONSEQUENCES OR IMPACT. INVESTIGATION INCLUDED INTERVIEWS AND ANALYSIS OF INFORMATION PROVIDED BY THE USER. INVESTIGATION OF THIS CASE REVEALED NO DEVICE PROBLEM AND IDENTIFIED A USAGE ISSUE RELATED TO AN IMPROPER OR INCORRECT PROCEDURE INVOLVING THE INFUSION SET COMPONENT. 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
74236 ILET BIONIC PANCREAS ALTERNATE CONTROLLER ENABLED INSULIN INFUSION PUMP QFG BETA BIONICS, INC. BB1001 850050080015

Patients

Seq Age Sex Outcome Treatment
1