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Clinical Documents - Software Review Response Sheet

Status: Final protocol, consent, and synchronized IFU 1.17 device label checked; not an FDA submission attachment Crosswalk date: 2026-09-08

Reviewer

Field Entry
Clinical direction approved by Camille Powe, MD
Study role Clinical investigator
Approval dates 2026-08-27 and 2026-08-31 controlled correspondence
Decision record Clinical Approval of Software IDE Decisions
Protocol version reviewed Clinical Protocol BLS Clean-final.docx; Version 1.0; version date 1 September 2026; 41 pages; SHA-256 4bfb09542230c94c00dc5b5331a969657b5961b1c4bbd5a2759519a00f71d264
Consent version reviewed Consent Form BLS Clean -final.docx; consent version date 1 September 2026; 19 pages; SHA-256 6a0e1759997944522fa5dd9ba8dd9e9928cccb64ed7e6e4455b65f40c56a22cf
Device-labeling version reviewed 008_Device_Labeling.pdf; BionicLoop 1.0 Build 843 / IFU 1.17 dated 2026-09-04; 3 pages; SHA-256 561c4cd26171888454c27d2350162680a867190754a448fd4096d1dd8b10fe0c

Revised-Document Acceptance Checklist

The clinical direction is already approved. For each returned controlled file, record whether the approved behavior is incorporated accurately and identify any remaining discrepancy. Do not reinterpret the approved software behavior during this check.

ID Topic Approved direction Revised file/section Verified Remaining discrepancy or action
SW-01 Fingerstick BG mode Approved Protocol loss-of-CGM sections; consent CGM-unavailable section [x] Final documents verified against Build 843
SW-02 Meal availability during CGM interruption Approved Protocol loss-of-CGM sections; consent CGM-unavailable section; IFU outage instructions [x] Final document set verified against Build 843
SW-03 Standard, Pregnancy, and Temporary Targets Approved Protocol device description/outcomes; labeling [x] Verified against Build 843
SW-04 Standard-to-Pregnancy meal setting Approved Protocol device description; labeling [x] Verified against Build 843
SW-05 Participant-weight range Approved Protocol background/device description; labeling [x] Verified against Build 843
SW-06 Same-Participant Reset Approved Protocol Visit 10; consent Visit 10 sections [x] Final documents verified against Build 843
SW-07 G7 startup/replacement wording Approved Protocol loss-of-CGM sections; IFU replacement-sensor instructions [x] Final document set uses intended-sensor startup and usable-readings behavior
SW-08 Official study-data sources Approved hierarchy Protocol monitoring/source-data section [x] Final protocol hierarchy verified
SW-09 Software testing claim Approved claim boundary Protocol device description; labeling [x] Verified against controlled software evidence
SW-10 Participant-facing CGM-outage disclosure Approved Consent CGM-unavailable section; protocol loss-of-CGM section; IFU outage instructions [x] Final document set verified
SW-11 Software build and IFU labeling Build 843 approved 2026-09-03; IFU 1.17 approved 2026-09-04 Device-labeling cover and software description [x] Synchronized 008_Device_Labeling.pdf verified under D14

Controlled-Document Follow-Up

Required record Owner Final identifier/version/date or status
Final protocol Protocol owner Version 1.0, version date 1 September 2026; final software consistency verified
Final consent form Consent/IRB document owner Consent version date 1 September 2026; final software consistency verified
Final software/device labeling Labeling owner 008_Device_Labeling.pdf; Build 843 / IFU 1.17; verified under D14
Designated study build and IFU Study-team approver Build 843 approved 2026-09-03; IFU 1.17 approved 2026-09-04
Final consistency review Software Developer Protocol, consent, and synchronized device label complete

Review Statement

Completion of this sheet confirms that the listed controlled documents were checked against the approved software-description directions and Build 843. The synchronized IFU 1.17 device-labeling copy was received and verified under D14.