This article reports the first operation of a double-sided CMOS pixelated ladder in a collider experiment, namely in the inner tracker volume of the Belle II experiment during the Phase 2 run of the SuperKEKB collider. Design and integration of the detector system in the experiment interaction region is first described. The two modules operated almost continuously during slightly more than four months, recording data for the monitoring of the hit rate close to beams. Details of the off-line data analysis are provided and a method to estimate particle momentum from the 2 hits measured per crossing particle is proposed.