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System Quick Reference Guide

System Quick Reference Guide
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System Quick Reference Guide

Product catalog summary
Introduction
The iLet Bionic Pancreas System is an advanced insulin delivery device designed for individuals with type 1 diabetes. It autonomously adjusts insulin doses using continuous glucose monitoring (CGM) data to regulate blood glucose levels.
Pre-Training Checklist
Users must ensure the device is charged and equipped with necessary supplies like insulin, cartridges, and CGM sensors. Training with a certified iLet trainer is required before use.
Important User Information
This section highlights the importance of reading the guide and receiving proper training to prevent incorrect insulin delivery, which could pose serious health risks.
Indications for Use
The iLet system is intended for home use by individuals aged 6 and older with type 1 diabetes. It requires a prescription and is compatible with specific CGM systems.
Device Navigation
The guide explains the components of the iLet system and how to navigate its touchscreen interface.
Maintaining Your iLet System
Instructions for charging the device, replacing CGM sensors, and managing insulin cartridges are provided to ensure proper device function.
Meal Announcements and Insulin Management
Guidance is provided on announcing meals, entering blood glucose levels, and pausing insulin delivery.
Alerts and Troubleshooting
The system issues alerts for various issues, and users are advised to keep an emergency kit and regularly verify device functionality.
Care and Technical Information
Guidelines for handling and cleaning the device, along with technical specifications and safety information, are included.
Additional Information
This section covers insulin compatibility, potential risks, and clinical performance data from trials, along with warnings for pediatric and caregiver users.
Device Activation and Home Screen
The iLet device requires activation via the Sleep/Wake button. The Home Screen displays status information and notifications.
Status Bar and Notifications
The Status Bar shows icons for CGM, paired devices, alerts, and battery status. Notifications must be addressed promptly.
Glucose Status and Trend Arrows
CGM glucose values and trend arrows are displayed, providing a summary of recent patterns and insulin dosing.
Menu Screen and Limited Access
The Menu Screen allows access to various features, with Limited Access mode restricting certain functions.
Settings Menu
Settings include device information and therapy adjustments, which should be made with healthcare provider guidance.
Maintaining Your iLet System
Regular charging and proper handling of components are crucial to avoid device shutdown and ensure accurate dosing.
Insulin Cartridge Preparation
Steps for filling the insulin cartridge are provided to prevent air bubbles and ensure accurate dosing.
Device Preparation for New Cartridge
Instructions for replacing the insulin cartridge and tubing are included.
Cartridge and Connect Tubing
Warnings are provided to prevent insulin leakage and ensure proper connection.
Meal Announcements
Guidance on timing and adjusting meal size announcements is provided to avoid hypoglycemia.
Insert Insulin Infusion Set
Instructions for proper placement and hygiene of infusion sets are included.
Enter BG
The device relies on CGM data, with a temporary BG-run mode available if needed.
Pause Insulin
Insulin delivery can be paused when disconnected from the infusion set.
Responding to Alerts
The device issues alerts with different priority levels, requiring appropriate action.
CGM and Glucose Alerts
Alerts for glucose levels and sensor issues are provided, with recommended actions.
Sensor Alerts and Actions
Guidance on addressing sensor issues and replacing sensors is included.
Insulin Delivery Alerts
Alerts for insulin levels and occlusions are provided, with troubleshooting steps.
Battery Alerts
Users are advised to charge the device to avoid shutdown.
Reminders
Regular checks and updates are recommended for effective device use.
Troubleshooting and Care
Guidance on emergency kits, device checks, and cleaning is provided.
Technical Information
The system uses algorithms for insulin delivery and includes safety measures.
Bolus Delivery Performance
The document evaluates insulin delivery performance, showing precise delivery within specified ranges.
Explanation of Symbols
Symbols used in the system are explained, referencing relevant standards.
Electromagnetic Compatibility
The system complies with electromagnetic standards, ensuring safe operation.
Wireless Service and Data Security
The system uses Bluetooth for communication, with measures for data integrity and interference mitigation.
FCC Compliance
The device complies with FCC rules, with guidance on avoiding interference.
Insulin Compatibility
The system is compatible with specific rapid-acting insulin analogs.
Compatible iCGMs
Compatible CGMs include Dexcom G6, G7, and Abbott FreeStyle Libre 3 Plus Sensor.
General CGM and Sensor Warnings
Warnings for sensor use and placement are provided to ensure accurate readings.
Specific CGM Warnings
Warnings for specific CGM models are included to prevent issues.
Interfering Substances
Certain substances can affect glucose readings, impacting insulin delivery.
Pediatric and Caregiver Information
Caregivers should ensure the system's suitability and secure components.
General Warnings and Precautions
The system is not suitable for certain individuals and should be used with compatible insulins and CGMs.
Specifications and Handling
The iLet Cartridge and infusion set should be checked for damage and handled properly.
Device Usage and Safety
Correct settings and caution with nearby devices are advised to prevent issues.
Mobile App and Security
The iLet Mobile App is compatible with iOS and Android, with security measures in place.
Potential Risks
Risks include hypoglycemia, hyperglycemia, and device failure, with precautions advised.
Clinical Performance
The Bionic Pancreas Pivotal Trial showed the system's efficacy in insulin delivery.
Study Overview
The study involved participants with diabetes, showing improvements in HbA1c and glucose management.
Primary Endpoint
The primary endpoint was a reduction in HbA1c levels after 13 weeks.
Secondary Endpoints
Improvements in CGM glucose levels and time in range were observed.
Adverse Effects
Adverse events were reported, primarily related to infusion set failures.
Extension Study
The extension study showed improvements in HbA1c and glucose management without increased adverse events.
Key Findings
Significant reductions in HbA1c and improvements in CGM outcomes were noted.
Data Analysis
Improvements in CGM metrics were observed in different age cohorts.
Safety and Efficacy
The study highlights the system's safety and efficacy in managing type 1 diabetes in youth.
References
Multiple studies support the findings and conclusions presented.
Manufacturer Information
The iLet Bionic Pancreas is manufactured by Beta Bionics, Inc., with contact details for support.
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Catalog excerpts

System Quick Reference Guide-1

System Quick Reference Guide G e t t i n g s tarte d? W e are he re to he lp ! P l e a s e do not GO BIO NIC on your own. Training is i m p or t ant to mak e s ure you k now how to use t he iL et s a f e l y and have the b e s t e x p e ri e nce p ossible! A C e r ti fi e d i Le t T rai ne r wi ll contact you so o n. Yo u c a n l e arn more ab out the i Le t whi le you wait at www. b e t a b i oni cs . com/re s ource s or call 1-855 -745-3800. iLet Bionic Pancreas System Quick Reference Guide

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System Quick Reference Guide-2

i Let Bionic Pancreas Pre-Training Checklist 4 Welcome to the Beta Bionics family! 6 1. Important User Information 7 1.1 About this Quick Reference Guide 7 1.4 Working With Your Healthcare Provider 10 2. Home Screen and Device Navigation 10 2.1 Parts of your iLet System 10 2.7 Glucose Trend Arrows 16 2.8 Graph and Therapy Summary Screens 16 3. Maintaining Your iLet System 20 3.1 Charging Your iLet Device 20 3.2 Replacing Your CGM Sensor 21 3.3 Switching CGM Sensor Types 22 3.4 Replacing Your Insulin Cartridge, Tubing and Infusion Set 22 3.5 Preparing the Insulin Cartridge 23 3.6 Preparing the...

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System Quick Reference Guide-3

7.1 i Let System Alerts Overview 33 7.3 Insulin Delivery Alert 44 8.1 Always Have an Emergency Kit 48 8.2 Verify Proper Functionality 49 9.2 Cleaning Your iLet Device 51 10.1 iLet Dosing Decision Software 51 10.2 iLet System Specifications (iLet Device, CGM Sensor, and CGM Transmitter) 55 10.3 iLet Device Specifications 56 10.4 iLet System Delivery Accuracy 59 11.3 Quality of Wireless Service and Data Security 74 11.4 FCC Notice Concerning Interference 75 12.4 Important Pediatric and Caregiver User Information 79 12.5 General Warnings and Precautions 80 13.2 The Bionic Pancreas Pivotal Trial...

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System Quick Reference Guide-4

have any questions or concerns at: +1-855-745-3800 0 Do not start to use your system without adequate training from your healthcare provider and/or a Certified iLet Trainer (CiT). CD Make sure your iLet is charged. Place it on the charging pad and let it charge until the battery is full. Once the battery is full, you can turn it off until your training by following these steps: - Set the date, time, and name to access the iLet home screen and menus. - In the upper left-hand corner, tap the Menu icon. - Select Shut Down. - Swipe right to shut down your iLet Device. □ iLet charger and cable □ One...

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System Quick Reference Guide-5

If you’re new to your CGM, complete the following steps: – Review the manufacturer’s instructions. If you are using a Dexcom CGM, you can start your CGM sensor before your iLet training visit. If you are using the Libre 3 Plus CGM, do not start your sensor before your training visit. If you are using a Dexcom CGM, will need your transmitter ID or sensor pairing code to connect your CGM sensor to your iLet Device. Record it here: _____________ Weigh yourself at home before your training visit if you have a scale. Current weight: _____________ Download the iLet mobile application from the Apple...

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System Quick Reference Guide-6

Welcome to the Beta Bionics family! The iLet® Bionic Pancreas System is an insulin delivery system that automatically regulates blood glucose (BG) levels. The iLet Bionic Pancreas System is the same as the iLet System, which uses autonomous lifelong learning to calculate and deliver insulin doses and to continually adapt these doses to your changing insulin needs. Read and follow the instructions in this quick reference guide before you start to use the iLet System. Need any help? Contact your healthcare provider or contact our Beta Bionics customer service team. Use this Quick Reference Guide...

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System Quick Reference Guide-7

1. Important User Information 1.1 About this Quick Reference Guide 1.1.1 Overview The iLet Bionic Pancreas System consists of the iLet Bionic Pancreas (iLet ACE Pump with iLet Dosing Decision Software), its disposables, a continuous glucose monitor and an infusion set (see Section 2.1 Parts of Your iLet System for details). This quick reference guide provides important information on how to operate your iLet Bionic Pancreas System (iLet System). It provides step-by-step instructions on how to safely set up, manage, and care for your iLet System. It also provides important safety information including...

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System Quick Reference Guide-8

| CAUTION: Federal law restricts this device to sale by or on the order of a physician. In this quick reference guide there are two kinds of safety statements: IWARNING: Statement that alerts the user to the possibility of injury, death, or other serious adverse reactions associated with the use or misuse of the device. I CAUTION: Statement that alerts the user to the possibility of a problem with the device associated with its use or misuse (i.e., device malfunction). Abbreviation Explanation Abbreviation Explanation GUI Graphical User Interface MRI Magnetic Resonance Imaging Continuous Glucose...

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System Quick Reference Guide-9

The person with diabetes is an intended operator of the iLet Bionic Pancreas, which consists of the iLet ACE Pump and the iLet Dosing Decision Software. The iLet Bionic Pancreas is for use according to the following: For people 6 years of age or older For use with a compatible iCGM For use with a prescription iLet Dosing Decision Software are • For a single person only • • For people with type 1 diabetes mellitus • The Indications for Use for the iLet ACE Pump and explained here: The iLet ACE Pump is an alternate controller enabled (ACE) pump intended to deliver insulin under the skin based on...

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System Quick Reference Guide-10

1.4 Working With Your Healthcare Provider Your healthcare provider (HCP) can help you establish diabetes management guidelines that best fit your lifestyle and health needs. WARNING: DO NOT start to use your system without adequate training from your HCP and/or a certified iLet trainer. DO NOT change your settings without guidance from your HCP. WARNING: Monitor your BG with the guidance of your healthcare provider. Improper or inadequate monitoring may result in undetected hyperglycemia or hypoglycemia. WARNING: Always notify your healthcare provider about your diabetes and your iLet System....

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System Quick Reference Guide-11

The iLet system consists of the iLet Device with iLet Dosing Decision Software, and disposable parts. a. iLet Device: Device that automatically delivers insulin subcutaneously based on input from an integrated continuous glucose monitor (iCGM) transmitter and an interoperable automated glycemic controller (iAGC). b. iLet Cartridge: Glass container with a soft membrane on top called a septum and a red rubber plunger. iLet Cartridge is filled with insulin and inserted into your iLet Device. c. Syringe: Plastic syringe (3 mL) that connects to the needle and is used to transfer insulin from a vial...

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