510(k) Report

510(k) · Cleared

Recalled · Class I · 2026

t:slim X2 Insulin Pump with Interoperable Technology

K201214510(k) SpecialCleared Jun 4, 202030-day reviewClass II21 CFR 880.5730Recalls 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

Tandem Diabetes Care, Inc. · QFG Alternate Controller Enabled Insulin Infusion Pump

Cleared on Jun 4, 2020 as substantially equivalent to DEN180058 (Tandem Diabetes Care, Inc., 2019) after a 30-day review. Its family tree reaches back 1 generation to 2019. 7 of the 19 devices in its family, counting itself, have a Class I recall. 17 later devices descend from it. It has been recalled 3 times, including a Class I recall.

Decided
Jun 4, 2020
Review
30 days
Class
Class II
Product code
QFG
Recalls
3 (1 Class I)
Predicates
1

Its longest line of descent runs back 1 generation to DEN180058 (2019). 17 later devices descend from it, 2 citing it directly. 7 of the 19 devices in this family, counting this one, have a Class I recall.

Descendants, by year cleared 2023: 5 descendants cleared, 3 with a Class I recall32022: 1 descendant cleared, 1 with a Class I recall12025: 4 descendants cleared2024: 2 descendants cleared, 2 with a Class I recall22026: 5 descendants clearedDEN180058 · t:slim X2 insulin pump with interoperable technology · Tandem Diabetes Care, Inc. · 2019201620182020202220242026
Descendants, by generation 1 generation forward: 2 descendants, 1 with a Class I recall12 generations forward: 3 descendants, 2 with a Class I recall23 generations forward: 4 descendants, 1 with a Class I recall14 generations forward: 5 descendants, 1 with a Class I recall15 generations forward: 2 descendants, 1 with a Class I recall16 generations forward: 1 descendant DEN180058 · t:slim X2 insulin pump with interoperable technology · Tandem Diabetes Care, Inc. · 20190+5
  1. Root · 1 generation backDEN180058 t:slim X2 insulin pump with interoperable technologyTandem Diabetes Care, Inc. · 2019
  2. This deviceK201214 t:slim X2 Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc. · 2020
  3. Descendant · cites it directly · 12 of its ownK203234 t:slim X2 Insulin Pump with Interoperable Technology (with t:connect…Tandem Diabetes Care, Inc. · 2022 · Recalled (Class I)
  4. Descendant · 2 generations on · 6 of its ownK232380 t:slim X2 Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc. · 2023 · Recalled (Class I)
  5. Descendant · 3 generations on · 4 of its ownK251032 MiniMed 780G insulin pumpMedtronic Minimed, Inc. · 2025 · Recalled
  6. Descendant · 2 generations on · 4 of its ownK223213 Tandem Mobi Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc. · 2023 · Recalled (Class I)
  7. Descendant · 3 generations on · 3 of its ownK233044 Tandem Mobi insulin pump with interoperable technologyTandem Diabetes Care, Inc. · 2023 · Recalled (Class I)

Showing 5 of 17 descendants. See all descendants

Descendants cleared per year

2022: 12023: 52024: 22025: 42026: 5
2022high 5 (2023) · low 1 (2022)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 17 · See all
  • K203234t:slim X2 Insulin Pump with Interoperable Technology (with t:connect mobile app)Tandem Diabetes Care, Inc. · 2022 · cites it directly12descendants
  • K232380t:slim X2 Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc. · 2023 · 2 generations on6descendants
  • K251032MiniMed 780G insulin pumpMedtronic Minimed, Inc. · 2025 · 3 generations on4descendants
  • K223213Tandem Mobi Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc. · 2023 · 2 generations on4descendants
  • K233044Tandem Mobi insulin pump with interoperable technologyTandem Diabetes Care, Inc. · 2023 · 3 generations on3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN180058t:slim X2 insulin pump with interoperable technologyTandem Diabetes Care, Inc.2019—
0 (this device)K201214t:slim X2 Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc.2020—
+1K203234t:slim X2 Insulin Pump with Interoperable Technology (with t:connect mobile app)Tandem Diabetes Care, Inc.2022Class I
+2K232380t:slim X2 Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc.2023Class I
+3K251032MiniMed 780G insulin pumpMedtronic Minimed, Inc.20256
+2K223213Tandem Mobi Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc.2023Class I
+3K233044Tandem Mobi insulin pump with interoperable technologyTandem Diabetes Care, Inc.2023Class I

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202211
202353
202422
202540
202650
FIG. 1 — Lineage of K201214, 2019–2026Source: 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.

7 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 QFG device

  1. #1 K251032 MiniMed 780G insulin pumpscore 19.6 · 11 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? (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
*DEN180058t:slim X2 insulin pump with interoperable technology
Summary page 4
…21 CFR 880.5730 VII. Device Class Class II VIII. Classification Product Code QFG IX. Predicate Device DEN 180058 t:slim X2 Insulin Pump with Interoperable Technology X. Purpose of Specia…
Tandem Diabetes Care, Inc.2019—

Also cleared against DEN180058: 2 other devices →

What descends from it? (17)

See all 17

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

NumberDeviceApplicantDecidedDescendants
K203234t:slim X2 Insulin Pump with Interoperable Technology (with t:connect mobile app) Class ITandem Diabetes Care, Inc.202212
K223846iLet® ACE PumpBeta Bionics, Inc.20233

Has anything in its family been recalled? (7 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 16, 2026Class IIZ-3330-2026Software Design ChangeA beta (early-release) version of the iOS application, version 2.13 (TestFlight) had a software issue preventing successful pairing of the t:slim application with Abbott FreeStyle Libre 3 Plus (FSL3P) continuous glucose monitoring (CGM)…
Aug 5, 2025Class IIZ-0232-2026Software change controlA software defect in versions 7.9.0.1 and 7.10.1 of the pump software for Tandem t:slim X2 and version 7.9.0.1 of the Tandem Mobi pump with Control-IQ+ technology that are paired with a G7 sensor may result in an unexpected automatic…
Jul 21, 2025Class IZ-2343-2025Nonconforming Material/ComponentInsulin pumps manufactured with speakers from Revision A and B may malfunction ("Malfunction 16") which prevents audible alerts and causes the pumps to become inoperable and stop infusing insulin which could result in a hyperglycemic…

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.

  • K203234t:slim X2 Insulin Pump with Interoperable Technology (with t:connect mobile app)Tandem Diabetes Care, Inc. · 2022 · Cites it directly · ◆ in the 2022 descendants bar of FIG. 11 Class I recall
  • K232380t:slim X2 Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc. · 2023 · 2 generations on · ◆ in the 2023 descendants bar of FIG. 11 Class I recall
  • K223213Tandem Mobi Insulin Pump with Interoperable TechnologyTandem Diabetes Care, Inc. · 2023 · 2 generations on · ◆ in the 2023 descendants bar of FIG. 11 Class I recall
  • K233044Tandem Mobi insulin pump with interoperable technologyTandem Diabetes Care, Inc. · 2023 · 3 generations on · ◆ in the 2023 descendants bar of FIG. 11 Class I recall
  • K240309Tandem Mobi insulin pump with interoperable technologyTandem Diabetes Care, Inc. · 2024 · 4 generations on · ◆ in the 2024 descendants bar of FIG. 11 Class I recall
  • K241078Tandem Mobi Insulin Pump with interoperable technologyTandem 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, K203234 (Tandem Diabetes Care, Inc., 2022) has gone furthest, with 12 descendants of its own.
  • 2 other devices also cite its predicate DEN180058.

How does its category compare?

All QFG devices

QFG Alternate Controller Enabled Insulin Infusion Pump: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · QFG

5in 2025

2019: 22020: 12022: 22023: 92024: 52025: 52026 (partial year): 6
2007high 9 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QFG

44in 2025

2023: 150 days median2024: 89 days median2025: 44 days median2026 (partial year): 103 days median
2007high 150 (2023) · low 44 (2025)2026

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

Recalls per year · QFG

8so far in 2026, the most since 2007

2022: 12023: 1, 1 Class I2025: 3, 1 Class I2026 (partial year): 8, 1 Class I
2007high 8 (2026) · low 0 (2007)2026

Class I (3 since 2007) Class II/III not classified

Adverse event reports per year · QFG

324,360in 2025

2020: 30,5222021: 74,7012022: 129,1192023: 188,0142024: 273,1802025: 324,360
2007high 324,360 (2025) · low 0 (2007)2025

MAUDE reports naming product code QFG, 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
20192—00
20201—030,522
20210—074,701
20222—1129,119
202391501 (1)188,014
20245890273,180
20255443 (1)324,360
202661038 (1)—

What is it indicated for?

The t:slim X2 insulin pump with interoperable technology (the Pump) is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in persons requiring insulin. The Pump is able to reliably and securely communicate with compatible, digitally connected devices, including automated insulin dosing software, to receive, execute, and confirm commands from these devices. The Pump is intended for single patient, home use and requires a prescription. The Pump is indicated for use with NovoLog or Humalog U-100 insulin. The Pump is indicated for use in individuals 6 years of age and greater.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K201214: t:slim X2 Insulin Pump with Interoperable Technology.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K201214

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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