510(k) Report

510(k) · Cleared

Cleared

iLet® Dosing Decision Software

K220916510(k) TraditionalCleared May 19, 2023415-day reviewClass II21 CFR 862.1356

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

Beta Bionics, Inc. · QJI Interoperable Automated Glycemic Controller

Cleared on May 19, 2023 as substantially equivalent to K200467 (Tandem Diabetes Care, Inc., 2020) after a 415-day review. Its family tree reaches back 2 generations to 2019. 2 later devices descend from it.

Decided
May 19, 2023
Review
415 days
Class
Class II
Product code
QJI
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to DEN190034 (2019). 2 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2023: 1 descendant cleared2026: 1 descendant clearedDEN190034 · Control-IQ Technology · Tandem Diabetes Care, Inc. · 2019K200467 · Control-IQ Technology · Tandem Diabetes Care, Inc. · 2020201620182020202220242026
Descendants, by generation 1 generation forward: 1 descendant2 generations forward: 1 descendant K200467 · Control-IQ Technology · Tandem Diabetes Care, Inc. · 2020DEN190034 · Control-IQ Technology · Tandem Diabetes Care, Inc. · 20190
  1. Root · 2 generations backDEN190034 Control-IQ TechnologyTandem Diabetes Care, Inc. · 2019
  2. 1 generation backK200467 Control-IQ TechnologyTandem Diabetes Care, Inc. · 2020
  3. This deviceK220916 iLet® Dosing Decision SoftwareBeta Bionics, Inc. · 2023
  4. Descendant · cites it directly · 1 of its ownK232224 iLet® Dosing Decision SoftwareBeta Bionics, Inc. · 2023 · Recalled
  5. Descendant · 2 generations on · 0 of its ownK262763 iLet Dosing Decision SoftwareBeta Bionics, Inc. · 2026

Most influential descendants

Showing 2 of 2 · See all
  • K232224iLet® Dosing Decision SoftwareBeta Bionics, Inc. · 2023 · cites it directly1descendant
  • K262763iLet Dosing Decision SoftwareBeta Bionics, Inc. · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2DEN190034Control-IQ TechnologyTandem Diabetes Care, Inc.2019—
−1K200467Control-IQ TechnologyTandem Diabetes Care, Inc.2020—
0 (this device)K220916iLet® Dosing Decision SoftwareBeta Bionics, Inc.2023—
+1K232224iLet® Dosing Decision SoftwareBeta Bionics, Inc.20231
+2K262763iLet Dosing Decision SoftwareBeta Bionics, Inc.2026—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202610
FIG. 1 — Lineage of K220916, 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.

Planning a device in QJI? 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 QJI device

  1. #1 K253701 SmartGuard Technology; Predictive Low Glucose…score 17.1 · 12 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
*K200467Control-IQ Technology
Summary page 4
…ler (iAGC) Classification Name: Interoperable automated glycemic controller (21 CFR 862.1356, QJI) Predicate Devices Control-IQ Technology (Tandem Diabetes Care, Inc., K200467) Description of Device and Principle of Operation The iLet Dosing Decision Software is an iAGC indicated for the management of t…
Tandem Diabetes Care, Inc.2020—

Also cleared against K200467: 3 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
K232224iLet® Dosing Decision SoftwareBeta Bionics, Inc.20231

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 4 years and passes through 2 companies; a new generation was cleared every 2.9 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K232224 (Beta Bionics, Inc., 2023) has gone furthest, with 1 descendant of its own.
  • 3 other devices also cite its predicate K200467.

How does its category compare?

All QJI devices

QJI Interoperable Automated Glycemic Controller: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · QJI

8so far in 2026, the most since 2007

2019: 12020: 12022: 22023: 42024: 42025: 52026 (partial year): 8
2007high 8 (2026) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QJI

130in 2025

2023: 251 days median2024: 174 days median2025: 130 days median2026 (partial year): 65 days median
2007high 251 (2023) · low 130 (2025)2026

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

Recalls per year · QJI

No recall names QJI since 2007.

Adverse event reports per year · QJI

3in 2025

2020: 12021: 12022: 42023: 262024: 152025: 3
2007high 26 (2023) · low 0 (2007)2025

MAUDE reports naming product code QJI, 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
20191—00
20201—01
20210—01
20222—04
20234251026
20244174015
2025513003
20268650—

What is it indicated for?

The iLet Dosing Decision Software is intended for use with compatible integrated continuous glucose monitors (iCGM) and alternate controller enabled (ACE) pumps. A self-monitoring of blood glucose (SMBG) meter may also be used for manual input of blood glucose values to continue insulin dosing for a limited period of time when input from the iCGM is temporarily not available. The iLet Dosing Decision Software autonomously determines and commands an…

Read the full statement (145 words)

The iLet Dosing Decision Software is intended for use with compatible integrated continuous glucose monitors (iCGM) and alternate controller enabled (ACE) pumps. A self-monitoring of blood glucose (SMBG) meter may also be used for manual input of blood glucose values to continue insulin dosing for a limited period of time when input from the iCGM is temporarily not available. The iLet Dosing Decision Software autonomously determines and commands an increase, decrease, maintenance, or suspension of all basal doses of insulin and autonomously determines and commands correction doses of insulin based on input from an iCGM, and it autonomously determines and commands meal doses of insulin based on meal announcements. iLet Dosing Decision Software is intended for the management of type 1 diabetes mellitus in people 6 years of age or older. iLet Dosing Decision Software is intended for single patient use and requires a prescription.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220916: iLet® Dosing Decision Software.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220916

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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