clinicians.build interactive · July 27, 2026

The Predicate Lane Economy

On Friday FDA codified a new device lane — the diabetes digital behavioral therapeutic, 21 CFR 880.5735. A lane's value is the traffic it carries. Here are all 846 FDA product-code lanes with meaningful 510(k) traffic since 2016: how busy each one is, and how fast FDA moves the cars through.

Primary source: Federal Register, 91 FR 46719 (Jul 24, 2026)
Data: FDA device classification + 510(k) databases via MIMI Labs · decisions Jan 2016 – Jul 2, 2026 · a clinicians.build interactive
6,987
product-code lanes FDA maintains
1,511
lanes with any 510(k) since 2016
18,335
clearances since 2016
78%
of all lanes: zero traffic in a decade

Traffic vs. review speed, one dot per lane

Each dot is one FDA product code. Right = more 510(k)s ride the lane. Up = FDA's median review takes longer. Dot size tracks traffic. The red dots are the 13 digital-behavioral-therapeutic lanes — the family the new diabetes classification just joined. Hover anything; filter by specialty; then drag the sample-size floor and watch the "fastest lane" headline change.

Specialty Min clearances 3
lanes shown
"fastest" lane at this floor
"slowest" lane at this floor
Median days from FDA receipt to "Substantially Equivalent" decision, per lane, 2016–Jul 2026. Chart shows lanes with ≥3 clearances (846 of 1,511); red DTx dots are shown regardless of traffic — five of them, including QXC (★, codified Friday), sit on the zero shelf at far left. DTx review times are means (their n is tiny — that's the point).
Read this before you quote it

The empty 78% is invisible here. A log axis that starts at 3 hides 5,476 lanes that carried nothing for a decade. The modal FDA lane is not LLZ — it's silence. A new classification like QXC starts there, and most never leave.

Small-n medians lie. At the floor of 3, the "fastest lane in FDA" is a 3-clearance fluke (a lane's median can be set by a single resubmission). Drag the floor to 20+ and the extremes converge toward the boring middle (~90–160 days). Any vendor deck quoting a lane's "typical clearance time" off a handful of 510(k)s is quoting noise.

What's not counted: De Novo grants (the lane-creating pioneer devices), PMAs, and non-SE decisions. Review days measure FDA's clock, not your build — a 517-day outlier usually means additional-information cycles, not a slow reviewer.

Read the FDA final order (91 FR 46719) →