FDA Regulatory Pipeline

Top 10 FDA Submissions 2026

510(k) clearances, PMA approvals, CE marks, and IDE studies shaping the 2026 medical device market โ€” 47 active submissions tracked

47 Active Submissions
8 Cleared in 2026
23 Pending Decision
6 Breakthrough Designations
๐Ÿ“‹ Top 10 Submissions Tracked 2026 Pipeline
# Company / Device Category Pathway Status Indication Est. Decision Signal
01 Diabetes 510(k) โœ“ Cleared Apr 25, 2026 Continuous glucose monitoring Cleared 15-day real-time CGM, no calibration required
NASDAQ: DXCM โ†—
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02 Imaging 510(k) โœ“ Cleared Mar 2026 Point-of-care ultrasound Cleared AI-guided whole-body POC ultrasound
NYSE: BFLY โ†—
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03 Spine 510(k) โœ“ Cleared Feb 2026 Spinal surgery navigation Cleared Machine-vision, radiation-free navigation
Private
04 Surgical Robotics 510(k) โณ Under Review Robotic-assisted soft tissue surgery Q2 2026 US soft tissue robotic surgery clearance
NYSE: MDT โ†—
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05
OMNI 2.0
Ophthalmology 510(k) โณ Under Review Canal MIGS glaucoma procedure Q2 2026 Canal-based MIGS expanded indications
Private
06 Neuromodulation PMA Supplement โณ Under Review Pediatric OSA expanded indication Q3 2026 HNS therapy โ€” pediatric OSA label expansion
NYSE: INSP โ†—
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07 Neuromodulation PMA Supplement โณ Under Review Chronic back & leg pain Q3 2026 New stimulation waveforms for SCS
Private
08 Surgical Robotics CE Mark โœ“ CE Mark Q1 2026 Collaborative laparoscopic robot Cleared EU Collaborative lap robot โ€” EU launch ready
Private
09 Diabetes PMA Supplement โณ Under Review Dual-hormone closed-loop insulin system Q4 2026 Bihormonal APS โ€” glucagon + insulin
Private
10 Diagnostics De Novo โšก Breakthrough Device Swallowable robotic GI capsule 2027 Remote-controlled robotic capsule endoscopy
Private

โœ… Recent Clearances

3 devices cleared in 2026
๐Ÿ“ก
Dexcom G8 CGM โœ“ Cleared
April 25, 2026 ยท 510(k) ยท Diabetes

World's first FDA-cleared 15-day wear CGM with no fingerstick calibration required. Replaces the G7 in Dexcom's core lineup with 20% improved accuracy at hypoglycemic range. Estimated 4M+ US users eligible for upgrade.

Market Impact

Extends Dexcom's CGM leadership, strengthens competitive moat vs. Abbott Libre 3+. GLP-1 + CGM convergence expands total addressable market.

๐Ÿ”ฌ
Butterfly iQ3 โœ“ Cleared
March 2026 ยท 510(k) ยท POC Imaging

Third-generation single-probe whole-body ultrasound with integrated AI guidance for 50+ clinical protocols. 40% thinner than iQ2, USB-C charging, battery life extended to 3 hours continuous scanning.

Market Impact

Hospital-at-home trends driving demand for portable diagnostics. iQ3 positions Butterfly for ED, ICU, and rural health center deployments globally.

๐Ÿฆด
7D Surgical Flash Nav โœ“ Cleared
February 2026 ยท 510(k) ยท Spine Navigation

Machine-vision surgical navigation system eliminating intraoperative radiation for spine surgeons and OR staff. Flash registration in under 30 seconds using standard OR lighting โ€” no fiducials, no extra CT scans.

Market Impact

Radiation-free navigation becoming a key differentiator for hospital purchasing. Positions 7D as disruptive alternative to legacy C-arm-dependent navigation systems.

๐Ÿ“Š Pathway Breakdown

6 510(k)
3 PMA Supplement
1 CE Mark
1 De Novo
3 Cleared 2026
5 Under Review
1 Breakthrough
2 Public Co.