510(k) Report

510(k) · Cleared

Recalled · Class II · 2019

Endo Tool Glucose Management System (Egms)

K132547510(k) AbbreviatedCleared Apr 17, 2014247-day reviewClass II21 CFR 868.1890Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Monarch Medical Technologies · NDC Calculator, Drug Dose

Cleared on Apr 17, 2014 as substantially equivalent to K113853 (Glytec, LLC, 2012) and 1 other predicate after a 247-day review. Its family tree reaches back 9 generations to 1994. 1 of the 44 devices in its family, counting itself, has a Class I recall. 8 later devices descend from it. It has been recalled once.

Decided
Apr 17, 2014
Review
247 days
Class
Class II
Product code
NDC
Recalls
1
Predicates
2

Its longest line of descent runs back 9 generations to K941811 (1994). 35 ancestors in all, the oldest K822695 (1982). 8 later devices descend from it, 3 citing it directly. 1 of the 44 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2001: 2 other ancestors2005: 2 other ancestors2004: 3 other ancestors, 1 with a Class I recall11998: 1 other ancestor2002: 2 other ancestors1992: 3 other ancestors2000: 1 other ancestor1999: 4 other ancestors1997: 2 other ancestors1993: 1 other ancestor1982: 1 other ancestor1996: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestor2020: 2 descendants cleared2017: 1 descendant cleared2015: 1 descendant cleared2018: 1 descendant cleared2021: 1 descendant cleared2024: 1 descendant cleared2026: 1 descendant clearedK941811 · HP M1175A, M1176A, Component Monitoring System · Hewlett-Packard Co. · 1994K960934 · HP M1205A Omnicare Component Monitor System Model 24 · Hewlett-Packard Co. · 1996×2: 2 generations cleared close together, K981376 (1999), K990125 (1999) K992636 · HP Carevue 9000 Clinical Information System, Model M2331A · Hewlett-Packard Co. · 1999 · recalledK023674 · Philips Drug Calculator Software · Philips Medical Systems · 2002K061110 · Glucommander Plus · Collaborativemed, LLC · 2006K101344 · G+ System · Glytec, LLC (Formally Known AS Glucotec, Inc.) · 2010K113853 · G+ System · Glytec, LLC · 201219801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor4 generations back: 5 other ancestors, 1 with a Class I recall15 generations back: 4 other ancestors6 generations back: 9 other ancestors7 generations back: 2 other ancestors8 generations back: 4 other ancestors 1 generation forward: 3 descendants2 generations forward: 2 descendants3 generations forward: 2 descendants4 generations forward: 1 descendant K113853 · G+ System · Glytec, LLC · 2012K101344 · G+ System · Glytec, LLC (Formally Known AS Glucotec, Inc.) · 2010K061110 · Glucommander Plus · Collaborativemed, LLC · 2006K023674 · Philips Drug Calculator Software · Philips Medical Systems · 2002K992636 · HP Carevue 9000 Clinical Information System, Model M2331A · Hewlett-Packard Co. · 1999 · recalledK990125 · HP Viridia Component Monitoring System, Model Rev. K · Hewlett-Packard GmbH · 1999K981376 · Hewlett-Packard M1205A Viridia 24 CT · Hewlett-Packard Co. · 1999K960934 · HP M1205A Omnicare Component Monitor System Model 24 · Hewlett-Packard Co. · 1996K941811 · HP M1175A, M1176A, Component Monitoring System · Hewlett-Packard Co. · 1994−50
  1. Root · 9 generations backK941811 HP M1175A, M1176A, Component Monitoring SystemHewlett-Packard Co. · 1994
  2. 5 generations between
  3. 3 generations backK061110 Glucommander PlusCollaborativemed, LLC · 2006
  4. 2 generations backK101344 G+ SystemGlytec, LLC (Formally Known AS Glucotec, Inc.) · 2010
  5. 1 generation backK113853 G+ SystemGlytec, LLC · 2012
  6. This deviceK132547 Endo Tool Glucose Management System (Egms)Monarch Medical Technologies · 2014
  7. Descendant · cites it directly · 3 of its ownK200443 EndoTool IV 1.10Monarch Medical Technologies, LLC · 2020
  8. Descendant · 2 generations on · 2 of its ownK201619 EndoTool IV SystemMonarch Medical Technologies, LLC · 2020
  9. Descendant · cites it directly · 2 of its ownK142918 EndoTool SubQMonarch Medical Technologies · 2015
  10. Descendant · 3 generations on · 1 of its ownK241088 EndoTool IV (3.1)Monarch Medical Technologies · 2024
  11. Descendant · 2 generations on · 1 of its ownK180366 EndoTool SubQAl Pacheco and Associates · 2018
Show all 9 generations
  1. Root · 9 generations backK941811 HP M1175A, M1176A, Component Monitoring SystemHewlett-Packard Co. · 1994
  2. 8 generations backK960934 HP M1205A Omnicare Component Monitor System Model 24Hewlett-Packard Co. · 1996
  3. 7 generations backK981376 Hewlett-Packard M1205A Viridia 24 CTHewlett-Packard Co. · 1999
  4. 6 generations backK990125 HP Viridia Component Monitoring System, Model Rev. KHewlett-Packard GmbH · 1999
  5. 5 generations backK992636 HP Carevue 9000 Clinical Information System, Model M2331AHewlett-Packard Co. · 1999 · Recalled
  6. 4 generations backK023674 Philips Drug Calculator SoftwarePhilips Medical Systems · 2002
  7. 3 generations backK061110 Glucommander PlusCollaborativemed, LLC · 2006
  8. 2 generations backK101344 G+ SystemGlytec, LLC (Formally Known AS Glucotec, Inc.) · 2010
  9. 1 generation backK113853 G+ SystemGlytec, LLC · 2012
  10. This deviceK132547 Endo Tool Glucose Management System (Egms)Monarch Medical Technologies · 2014

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2015: 12017: 12018: 12020: 22021: 12024: 12026: 1
2015high 2 (2020) · low 0 (2016)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 8 · See all
  • K200443EndoTool IV 1.10Monarch Medical Technologies, LLC · 2020 · cites it directly3descendants
  • K201619EndoTool IV SystemMonarch Medical Technologies, LLC · 2020 · 2 generations on2descendants
  • K142918EndoTool SubQMonarch Medical Technologies · 2015 · cites it directly2descendants
  • K241088EndoTool IV (3.1)Monarch Medical Technologies · 2024 · 3 generations on1descendant
  • K180366EndoTool SubQAl Pacheco and Associates · 2018 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K941811HP M1175A, M1176A, Component Monitoring SystemHewlett-Packard Co.1994—
−8K960934HP M1205A Omnicare Component Monitor System Model 24Hewlett-Packard Co.1996—
−7K981376Hewlett-Packard M1205A Viridia 24 CTHewlett-Packard Co.1999—
−6K990125HP Viridia Component Monitoring System, Model Rev. KHewlett-Packard GmbH1999—
−5K992636HP Carevue 9000 Clinical Information System, Model M2331AHewlett-Packard Co.19998
−4K023674Philips Drug Calculator SoftwarePhilips Medical Systems2002—
−3K061110Glucommander PlusCollaborativemed, LLC2006—
−2K101344G+ SystemGlytec, LLC (Formally Known AS Glucotec, Inc.)2010—
−1K113853G+ SystemGlytec, LLC2012—
0 (this device)K132547Endo Tool Glucose Management System (Egms)Monarch Medical Technologies2014—
+1K200443EndoTool IV 1.10Monarch Medical Technologies, LLC2020—
+2K201619EndoTool IV SystemMonarch Medical Technologies, LLC2020—
+1K142918EndoTool SubQMonarch Medical Technologies2015—
+3K241088EndoTool IV (3.1)Monarch Medical Technologies2024—
+2K180366EndoTool SubQAl Pacheco and Associates2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
199230
199310
199410
199510
199610
199720
199810
199940
200010
200120
200220
200431
200520
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201710
201810
202020
202110
202410
202610
FIG. 1 — Lineage of K132547, 1994–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

1 device in this family has a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NDC device

  1. #1 K242775 InPen System App (MMT-8060 (iOS), MMT-8061…score 18.0 · 10 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (2)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K113853G+ System
Summary page 1
…Name: Predictive pulmonary-function value calculator Device Classification: Class 11 Regulation Number: 21 CFR 868.1890 Product Code: NDC Predicate Devices: K113853 - Glytec LLC, G+System K053137 - MD Scientific Inc., EndloToo[ Drug Dose Calculator Indications for Use:…
Glytec, LLC2012—
*K053137Endotool Drug Dose Calculator
Summary page 1
…alue calculator Device Classification: Class 11 Regulation Number: 21 CFR 868.1890 Product Code: NDC Predicate Devices: K113853 - Glytec LLC, G+System K053137 - MD Scientific Inc., EndloToo[ Drug Dose Calculator Indications for Use: By evaluating current and cumul…
MD Scientific, LLC2006—

Also cleared against K113853: 4 other devices →

What descends from it? (8)

3 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K200443EndoTool IV 1.10Monarch Medical Technologies, LLC20203
K142918EndoTool SubQMonarch Medical Technologies20152
K160673Insulin Algorithms SystemInsulin Algorithms20170

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
May 3, 2019Class IIZ-1786-2019Software change controlInsulin dosing calculations were erroneously high.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K042873Animas Model IR1250 Insulin Infusion PumpAnimas Corp. · 2004 · 4 generations back · ◆ in the 2004 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 20 years and passes through 7 companies; a new generation was cleared every 2.1 years on median.
  • 6 of the 35 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K200443 (Monarch Medical Technologies, LLC, 2020) has gone furthest, with 3 descendants of its own.
  • 4 other devices also cite its predicate K113853.

How does its category compare?

All NDC devices

NDC Calculator, Drug Dose: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · NDC

2in 2025

2007: 12008: 22010: 12012: 22014: 32015: 32016: 22017: 82018: 32019: 12020: 52021: 32023: 32024: 32025: 22026 (partial year): 4
2007high 8 (2017) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NDC

60in 2024

2014: 118 days median2015: 199 days median2017: 189 days median2018: 220 days median2020: 53 days median2021: 269 days median2023: 126 days median2024: 60 days median2026 (partial year): 90 days median
2007high 269 (2021) · low 53 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · NDC

1in 2025

2016: 12017: 22018: 12019: 12022: 12025: 12026 (partial year): 2
2007high 2 (2017) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · NDC

299in 2025

2008: 72009: 42010: 182011: 112012: 22013: 12014: 12015: 12016: 182017: 252018: 212019: 182020: 102021: 112022: 3472023: 4632024: 1682025: 299
2007high 463 (2023) · low 0 (2007)2025

MAUDE reports naming product code NDC, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20071—00
20082—07
20090—04
20101—018
20110—011
20122—02
20130—01
2014311801
2015319901
20162—118
20178189225
20183220121
20191—118
2020553010
20213269011
20220—1347
202331260463
20243600168
20252—1299
20264902—

What is it indicated for?

By evaluating current and cumulative blood glucose levels, the Endo-rool Glucose Management Sysstem (EGMS) - a glycemic management software support program is designed for use by healthcare professionals in all patient care settings to recommend intravenous and subcutaneous transition dosing, as well as dextrose, to adjust and maintain the blood glucose level within a configurable clinician-determined target range. The EndoTool Drug Delivery Calculator…

Read the full statement (115 words)

By evaluating current and cumulative blood glucose levels, the Endo-rool Glucose Management Sysstem (EGMS) - a glycemic management software support program is designed for use by healthcare professionals in all patient care settings to recommend intravenous and subcutaneous transition dosing, as well as dextrose, to adjust and maintain the blood glucose level within a configurable clinician-determined target range.

The EndoTool Drug Delivery Calculator is indicated for use in adult and pediatric patients ages 2 years and above and who weigh 12 kgs. or more.

The EGMS logic is not a substitute for, but rather an adjunct to clinical reasoning. No medical decision should be based solely on the recommended guidance provided by this software program.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K132547: Endo Tool Glucose Management System (Egms).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K132547

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026