510(k) Report

510(k) · Cleared

Recalled · Class I · 2023

FreeStyle Libre 2 Flash Glucose Monitoring System

K193371510(k) TraditionalCleared Jun 12, 2020190-day reviewClass II21 CFR 862.1355Recalls 3 (1 Class I)

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

Abbott Diabetes Care, Inc. · QLG Integrated Continuous Glucose Monitoring System, Factory Calibrated, Not For Use With Automated Insulin Delivery Systems

Cleared on Jun 12, 2020 as substantially equivalent to DEN170088 (Dexcom, Inc., 2018) after a 190-day review. Its family tree reaches back 1 generation to 2018. 3 of the 15 devices in its family, counting itself, have a Class I recall. 13 later devices descend from it. It has been recalled 3 times, including a Class I recall.

Decided
Jun 12, 2020
Review
190 days
Class
Class II
Product code
QLG
Recalls
3 (1 Class I)
Predicates
1

Its longest line of descent runs back 1 generation to DEN170088 (2018). 13 later devices descend from it, 3 citing it directly. 3 of the 15 devices in this family, counting this one, have a Class I recall.

Descendants, by year cleared 2021: 4 descendants cleared2022: 2 descendants cleared, 1 with a Class I recall12023: 4 descendants cleared2024: 3 descendants cleared, 1 with a Class I recall1DEN170088 · Dexcom G6 Continuous Glucose Monitoring System · Dexcom, Inc. · 2018201620182020202220242026
Descendants, by generation 1 generation forward: 3 descendants2 generations forward: 3 descendants, 1 with a Class I recall13 generations forward: 3 descendants4 generations forward: 3 descendants5 generations forward: 1 descendant, 1 with a Class I recall1 DEN170088 · Dexcom G6 Continuous Glucose Monitoring System · Dexcom, Inc. · 20180+5
  1. Root · 1 generation backDEN170088 Dexcom G6 Continuous Glucose Monitoring SystemDexcom, Inc. · 2018
  2. This deviceK193371 FreeStyle Libre 2 Flash Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2020
  3. Descendant · cites it directly · 9 of its ownK201761 FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle…Abbott Diabetes Care, Inc. · 2021
  4. Descendant · 2 generations on · 7 of its ownK210943 FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle…Abbott Diabetes Care, Inc. · 2021
  5. Descendant · 3 generations on · 4 of its ownK222447 FreeStyle Libre 2 Flash Glucose Monitoring System; Freestyle Libre 3…Abbott Diabetes Care, Inc. · 2023
  6. Descendant · 4 generations on · 1 of its ownK223435 FreeStyle Libre 3 Continuous Glucose Monitoring System; FreeStyle…Abbott Diabetes Care, Inc. · 2023
  7. Descendant · 2 generations on · 1 of its ownK212132 FreeStyle Libre 3 Continuous Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2022 · Recalled (Class I)

Showing 5 of 13 descendants. See all descendants

Descendants cleared per year

2021: 42022: 22023: 42024: 3
2021high 4 (2021) · low 0 (2025)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 13 · See all
  • K201761FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle Libre 2 App)Abbott Diabetes Care, Inc. · 2021 · cites it directly9descendants
  • K210943FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle Libre 2 App)Abbott Diabetes Care, Inc. · 2021 · 2 generations on7descendants
  • K222447FreeStyle Libre 2 Flash Glucose Monitoring System; Freestyle Libre 3 Continuous Glucose…Abbott Diabetes Care, Inc. · 2023 · 3 generations on4descendants
  • K223435FreeStyle Libre 3 Continuous Glucose Monitoring System; FreeStyle Libre 2 Flash Glucose…Abbott Diabetes Care, Inc. · 2023 · 4 generations on1descendant
  • K212132FreeStyle Libre 3 Continuous Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2022 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN170088Dexcom G6 Continuous Glucose Monitoring SystemDexcom, Inc.2018—
0 (this device)K193371FreeStyle Libre 2 Flash Glucose Monitoring SystemAbbott Diabetes Care, Inc.2020—
+1K201761FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle Libre 2 App)Abbott Diabetes Care, Inc.2021—
+2K210943FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle Libre 2 App)Abbott Diabetes Care, Inc.2021—
+3K222447FreeStyle Libre 2 Flash Glucose Monitoring System; Freestyle Libre 3…Abbott Diabetes Care, Inc.2023—
+4K223435FreeStyle Libre 3 Continuous Glucose Monitoring System; FreeStyle Libre 2…Abbott Diabetes Care, Inc.2023—
+2K212132FreeStyle Libre 3 Continuous Glucose Monitoring SystemAbbott Diabetes Care, Inc.2022Class I

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202140
202221
202340
202431
FIG. 1 — Lineage of K193371, 2018–2024Source: 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 QLG device

  1. #1 K210943 FreeStyle Libre 2 Flash Glucose Monitoring…score 12.0 · 3 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
*DEN170088Dexcom G6 Continuous Glucose Monitoring System
Summary page 4
…e(s): QLG, NBW Review Panel: Clinical Chemistry 1.3 Predicate Device Predicate Device: Dexcom G6 Continuous Glucose Monitoring System, DEN170088 510(k) Summary, Page 1 of 31…
Dexcom, Inc.2018—

Also cleared against DEN170088: 3 other devices →

What descends from it? (13)

See all 13

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

NumberDeviceApplicantDecidedDescendants
K201761FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle Libre 2 App)Abbott Diabetes Care, Inc.20219
K202145Bigfoot Unity Diabetes Management SystemBigfoot Biomedical, Inc.20211
K211102FreeStyle Libre 2 Flash Glucose Monitoring SystemAbbott Diabetes Care, Inc.20210

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

Recalls of this device

DateClassRecallRoot causeReason
Jul 12, 2023Class IIZ-2414-2023Software Design ChangeIf blood glucose monitoring system users attempt to start a new sensor, when the old sensor wasn't used for the full 14-day wear time, then the reader may display "Incompatible Sensor" message. If users don't have the previous sensor, or…
Feb 13, 2023Class IZ-1275-2023Device DesignLithium-ion batteries in glucose monitoring system readers may swell, overheat, or pose fire hazard. Only use the charging cable/power adapter included with readers. Do not use reader if it is damaged, cracked, swelling, too hot to hold…
Mar 16, 2021Class IIZ-1931-2021Environmental controlDue to shipping delays the devices were exposed to temperature excursions of 31.9¿F, intermittently over a 2 hour and 15 minute period of time which may cause inaccurate results.

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.

  • K212132FreeStyle Libre 3 Continuous Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2022 · 2 generations on · ◆ in the 2022 descendants bar of FIG. 13 Class I recalls
  • K233537FreeStyle Libre 3 Continuous Glucose Monitoring System; FreeStyle Libre 2 Flash Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2024 · 5 generations on · ◆ in the 2024 descendants bar of FIG. 12 Class I recalls

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K201761 (Abbott Diabetes Care, Inc., 2021) has gone furthest, with 9 descendants of its own.
  • 3 other devices also cite its predicate DEN170088.

How does its category compare?

All QLG devices

QLG Integrated Continuous Glucose Monitoring System, Factory Calibrated, Not For Use With Automated Insulin Delivery Systems: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · QLG

2in 2023

2020: 12021: 42022: 22023: 2
2007high 4 (2021) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QLG

259in 2021

2021: 259 days median
2007high 259 (2021)2026

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

Recalls per year · QLG

4in 2025

2023: 12025: 4, 4 Class I
2007high 4 (2025) · low 0 (2007)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · QLG

20,199in 2025

2020: 1,0692021: 22,5002022: 26,5282023: 39,3212024: 35,1082025: 20,199
2007high 39,321 (2023) · low 0 (2007)2025

MAUDE reports naming product code QLG, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20201—01,069
20214259022,500
20222—026,528
20232—139,321
20240—035,108
20250—4 (4)20,199
20260—0—

What is it indicated for?

The FreeStyle Libre 2 Flash Glucose Monitoring System is a continuous glucose monitoring (CGM) device with real time alarms capability indicated for the management of diabetes in persons age 4 and older. It is intended to replace blood glucose testing for diabetes treatment decisions, unless otherwise indicated. The System also detects trends and tracks patterns and aids in the detection of episodes of hyperglycemia and hypoglycemia, facilitating both…

Read the full statement (126 words)

The FreeStyle Libre 2 Flash Glucose Monitoring System is a continuous glucose monitoring (CGM) device with real time alarms capability indicated for the management of diabetes in persons age 4 and older. It is intended to replace blood glucose testing for diabetes treatment decisions, unless otherwise indicated.

The System also detects trends and tracks patterns and aids in the detection of episodes of hyperglycemia and hypoglycemia, facilitating both acute and long-term therapy adjustments. Interpretation of the System readings should be based on the glucose trends and several sequential readings over time.

The System is also intended to autonomously communicate with digitally connected devices. The System can be used alone or in conjunction with these digitally connected devices where the user manually controls actions for therapy decisions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K193371: FreeStyle Libre 2 Flash Glucose Monitoring System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K193371

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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