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Recall Observatory FDA recall evidence

Device product

iLet Ace Pump Kit REF: BB1001 iLet Dosing Decision Software

Z-1809-2026

August 13, 2025

Class II

Product summary

Firm
Beta Bionics, Inc.
Event
Event 98528
Status
Ongoing
Classification
Class II
Quantity
15 units
Official record key
device-enforcement:Z-1809-2026

Official wording

Reason: it was found that in versions 1.3.7, 1.4.2, and 1.4.3, the Lock Screen and Limited Access Passcode Screen on the iLet graphical user interface (GUI) include certain icons displayed in the status bar that are active, thereby allowing the user to bypass those screens when those icons on the status bar are pressed, allowing unauthorized access while the device is in Limited Access Mode. A Health Risk associated with Limited access mode includes severe hypoglycemia due to unauthorized access to the iLet if someone were to make unauthorized meal announcements or stopped insulin delivery.

Code information: ILet Ace Pumps containing software version BOM000036 Rev C (version 1.4.2) or older.

Distribution pattern: US Nationwide distribution including in the states of AL, AR, AZ, CA, CO, CT, DE, FL, GA, ID, IL, IN, LA, MA, MD, ME, MI, ME, MI, MN, MO, MT, NC, NE, NH, NJ, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WY AND WASHINGTON DC.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    it was found that in versions 1.3.7, 1.4.2, and 1.4.3, the Lock Screen and Limited Access Passcode Screen on the iLet graphical user interface (GUI) include certain icons displayed in the status bar that are active, thereby allowing the user to bypass those screens when those icons on the status bar are pressed, allowing unauthorized access while the device is in Limited Access Mode. A Health Risk associated with Limited access mode includes severe hypoglycemia due to unauthorized access to the iLet if someone were to make unauthorized meal announcements or stopped insulin delivery.