510(k) Report

510(k) · Cleared

Cleared

t:flex Insulin Delivery System

K143189510(k) TraditionalCleared Jan 9, 201565-day reviewClass II21 CFR 880.5725

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

Tandem Diabetes Care, Inc. · LZG Pump, Infusion, Insulin

Cleared on Jan 9, 2015 as substantially equivalent to K141758 (Tandem Diabetes Care, Inc., 2014) after a 65-day review. Its family tree reaches back 8 generations to 1990. 3 of the 16 devices in its family, counting itself, have a Class I recall. 2 later devices descend from it.

Decided
Jan 9, 2015
Review
65 days
Class
Class II
Product code
LZG
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K901588 (1990). 13 ancestors in all. 2 later devices descend from it, 1 citing it directly. 3 of the 16 devices in this family, counting this one, have a Class I recall.

  1. Root · 8 generations backK901588 Minimed (R) Model 506 External Insulin PumpMedtronic Minimed · 1990
  2. 7 generations backK960001 Minimed Infusion Pump, Model MMT-507Medtronic Minimed · 1996
  3. 6 generations backK013309 Glucopro Evo Infusion PumpNipro Diabetes Systems, Inc. · 2002 · Recalled
  4. 5 generations backK050312 Amigo Insulin PumpNipro Diabetes Systems, Inc. · 2005
  5. 4 generations backK071613 Amigo Insulin PumpNipro Diabetes Systems, Inc. · 2007
  6. 3 generations backK111210 T:Slim (TM) Insulin Delivery SystemTandem Diabetes Care, Inc. · 2011 · Recalled (Class I)
  7. 2 generations backK133593 T:Slim Insulin Delivery SystemTandem Diabetes Care, Inc. · 2014
  8. 1 generation backK141758 T:Slim Insulin Delivery SystemTandem Diabetes Care, Inc. · 2014
  9. This deviceK143189 t:flex Insulin Delivery SystemTandem Diabetes Care, Inc. · 2015
  10. Descendant · cites it directly · 1 of its ownK160482 t:slim Insulin Delivery System, t:flex Insulin Delivery System…Tandem Diabetes Care, Inc. · 2016
  11. Descendant · 2 generations on · 0 of its ownK162080 t:slim Insulin Delivery System, t:flex Insulin Delivery System…Tandem Diabetes Care, Inc. · 2016

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K160482t:slim Insulin Delivery System, t:flex Insulin Delivery System, Tandem Device UpdaterTandem Diabetes Care, Inc. · 2016 · cites it directly1descendant
  • K162080t:slim Insulin Delivery System, t:flex Insulin Delivery System, Tandem Device UpdaterTandem Diabetes Care, Inc. · 2016 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K901588Minimed (R) Model 506 External Insulin PumpMedtronic Minimed1990—
−7K960001Minimed Infusion Pump, Model MMT-507Medtronic Minimed1996—
−6K013309Glucopro Evo Infusion PumpNipro Diabetes Systems, Inc.20021
−5K050312Amigo Insulin PumpNipro Diabetes Systems, Inc.2005—
−4K071613Amigo Insulin PumpNipro Diabetes Systems, Inc.2007—
−3K111210T:Slim (TM) Insulin Delivery SystemTandem Diabetes Care, Inc.2011Class I
−2K133593T:Slim Insulin Delivery SystemTandem Diabetes Care, Inc.2014—
−1K141758T:Slim Insulin Delivery SystemTandem Diabetes Care, Inc.2014—
0 (this device)K143189t:flex Insulin Delivery SystemTandem Diabetes Care, Inc.2015—
+1K160482t:slim Insulin Delivery System, t:flex Insulin Delivery System, Tandem Device…Tandem Diabetes Care, Inc.2016—
+2K162080t:slim Insulin Delivery System, t:flex Insulin Delivery System, Tandem Device…Tandem Diabetes Care, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199710
199911
200411
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201620
FIG. 1 — Lineage of K143189, 1990–2016Source: 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.

3 devices in this family have 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 LZG device

  1. #1 K253534 Pivot Insulin Delivery Systemscore 16.8 · 10 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

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
*K141758T:Slim Insulin Delivery System
Summary page 4
…Usual Name Insulin infusion pump Classification Name Infusion Pump per 21 CFR 880.5725 Predicate Devices Tandem Diabetes Care, Inc. t:slim® Insulin Delivery System (K141758) Purpose of the 510(k) notification The t:flexŒ Insulin Delivery System is a modification to the previously cleared t:slim ® In…
Tandem Diabetes Care, Inc.2014—

Also cleared against K141758: 2 other devices →

What descends from it? (2)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K160482t:slim Insulin Delivery System, t:flex Insulin Delivery System, Tandem Device UpdaterTandem Diabetes Care, Inc.20161

Has anything in its family been recalled? (3 Class I)

No FDA recall names this device.

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.

  • K111210T:Slim (TM) Insulin Delivery SystemTandem Diabetes Care, Inc. · 2011 · 2 generations back · ◆ on the line of descent in FIG. 11 Class I recall
  • K990801Minimed 508 Insulin PumpMedtronic Minimed · 1999 · 3 generations back · ◆ in the 1999 ancestors bar of FIG. 11 Class I recall
  • 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 25 years and passes through 3 companies; a new generation was cleared every 2.9 years on median.
  • 7 of the 13 ancestors have a recall of any class; 3 have a Class I recall.
  • Of its descendants, K160482 (Tandem Diabetes Care, Inc., 2016) has gone furthest, with 1 descendant of its own.
  • 2 other devices also cite its predicate K141758.

How does its category compare?

All LZG devices

LZG Pump, Infusion, Insulin: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · LZG

2in 2024

2007: 32008: 62009: 22010: 22011: 42012: 32013: 22014: 42015: 12016: 42017: 12018: 12019: 22021: 12022: 12023: 12024: 22026 (partial year): 2
2007high 6 (2008) · low 0 (2020)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LZG

116in 2016

2007: 112 days median2008: 129 days median2011: 189 days median2012: 73 days median2014: 123 days median2016: 116 days median
2007high 189 (2011) · low 73 (2012)2026

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

Recalls per year · LZG

1in 2022

2007: 12008: 132009: 22010: 42011: 22012: 42013: 3, 1 Class I2014: 2, 1 Class I2015: 2, 2 Class I2018: 3, 2 Class I2019: 52022: 1, 1 Class I2026 (partial year): 2, 2 Class I
2007high 13 (2008) · low 0 (2016)2026

Class I (9 since 2007) Class II/III not classified

Adverse event reports per year · LZG

12,004in 2025

2007: 5,1102008: 5,7112009: 9,4712010: 10,1752011: 12,8582012: 18,3672013: 30,0592014: 49,1882015: 69,1362016: 56,5812017: 44,4722018: 32,6522019: 29,0272020: 32,5882021: 31,5222022: 28,2252023: 21,9722024: 18,2282025: 12,004
2007high 69,136 (2015) · low 5,110 (2007)2025

MAUDE reports naming product code LZG, 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
2007311215,110
20086129135,711
20092—29,471
20102—410,175
20114189212,858
2012373418,367
20132—3 (1)30,059
201441232 (1)49,188
20151—2 (2)69,136
20164116056,581
20171—044,472
20181—3 (2)32,652
20192—529,027
20200—032,588
20211—031,522
20221—1 (1)28,225
20231—021,972
20242—018,228
20250—012,004
20262—2 (2)—

What is it indicated for?

The t:flex™ Insulin Delivery System is indicated for the subcutaneous delivery of insulin at set and variable rates, for the management of diabetes mellitus in persons requiring insulin, for individuals 12 years of age and greater.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K143189: t:flex Insulin Delivery System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K143189

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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