510(k) Report

510(k) · Cleared

Cleared

FreeStyle Libre 2 System, FreeStyle Libre 3 System

K223537510(k) TraditionalCleared Feb 21, 202390-day reviewClass II21 CFR 862.1355

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 Feb 21, 2023 as substantially equivalent to K210943 (Abbott Diabetes Care, Inc., 2021) and 2 other predicates after a 90-day review. Its family tree reaches back 5 generations to 2018. 2 of the 7 devices in its family, counting itself, have a Class I recall.

Decided
Feb 21, 2023
Review
90 days
Class
Class II
Product code
QLG
Recalls
None
Predicates
3

Its longest line of descent runs back 5 generations to DEN170088 (2018). 6 ancestors in all. No later device cites it as a predicate yet. 2 of the 7 devices in this family, counting this one, have a Class I recall.

  1. Root · 5 generations backDEN170088 Dexcom G6 Continuous Glucose Monitoring SystemDexcom, Inc. · 2018
  2. 4 generations backK193371 FreeStyle Libre 2 Flash Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2020 · Recalled (Class I)
  3. 3 generations backK201761 FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle…Abbott Diabetes Care, Inc. · 2021
  4. 2 generations backK210943 FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle…Abbott Diabetes Care, Inc. · 2021
  5. 1 generation backK213996 FreeStyle Libre 3 Continuous Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2022 · Recalled
  6. This deviceK223537 FreeStyle Libre 2 System, FreeStyle Libre 3 SystemAbbott Diabetes Care, Inc. · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5DEN170088Dexcom G6 Continuous Glucose Monitoring SystemDexcom, Inc.2018—
−4K193371FreeStyle Libre 2 Flash Glucose Monitoring SystemAbbott Diabetes Care, Inc.2020Class I
−3K201761FreeStyle 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—
−1K213996FreeStyle Libre 3 Continuous Glucose Monitoring SystemAbbott Diabetes Care, Inc.20221
0 (this device)K223537FreeStyle Libre 2 System, FreeStyle Libre 3 SystemAbbott Diabetes Care, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
202211
FIG. 1 — Lineage of K223537, 2018–2023Source: 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.

2 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? (3)

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
*K210943FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle Libre 2 App)
Summary page 5
…3 Predicate Device Predicate Device: FreeStyle Libre 2 Flash Glucose Monitoring System (with FreeStyle Libre 2 App), K210943 cleared November 22, 2021 FreeStyle Libre 3 Continuous Glucose Monitoring System, K213996…
Abbott Diabetes Care, Inc.2021—
*K213996FreeStyle Libre 3 Continuous Glucose Monitoring System
Summary page 5
…FreeStyle Libre 2 App), K210943 cleared November 22, 2021 FreeStyle Libre 3 Continuous Glucose Monitoring System, K213996 and K212132 cleared May 26, 2022 510(k) Summary…
Abbott Diabetes Care, Inc.20221
*K212132FreeStyle Libre 3 Continuous Glucose Monitoring System
Summary page 5
…210943 cleared November 22, 2021 FreeStyle Libre 3 Continuous Glucose Monitoring System, K213996 and K212132 cleared May 26, 2022 510(k) Summary Page 1 of 14 ===…
Abbott Diabetes Care, Inc.2022Class I

Also cleared against K210943: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (2 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.

  • K212132FreeStyle Libre 3 Continuous Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2022 · Direct predicate · ◆ in the 2022 ancestors bar of FIG. 13 Class I recalls
  • K193371FreeStyle Libre 2 Flash Glucose Monitoring SystemAbbott Diabetes Care, Inc. · 2020 · 3 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 5 years and passes through 2 companies; a new generation was cleared every 9 months on median.
  • 3 of the 6 ancestors have a recall of any class; 2 have a Class I recall.
  • 2 other devices also cite its predicate K210943.

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. 2023, 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 (252 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.

The FreeStyle Libre 3 Continuous Glucose Monitoring System is a real time continuous glucose monitoring (CGM) device with 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. “K223537: FreeStyle Libre 2 System, FreeStyle Libre 3 System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223537

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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