Medtronic has earned FDA approval that will allow it to broaden the scope of its MiniMed 780G system portfolio.
FDA has cleared Medtronic’s SmartGuard algorithm as an interoperable automated glycemic controller, allowing integration with the Instinct sensor, made by Abbott, for type 1 diabetes. The MiniMed 780G system has also been approved for use in adults over 18 with insulin-requiring type 2 diabetes.
These clearances complete Medtronic’s FDA pre-market approval pathway for the Instinct sensor integration with MiniMed 780G system for people living with type 1 diabetes. Medtronic previously earned clearance for the MiniMed 780G insulin pump as an alternate controller enabled pump.
The Instinct sensor was designed by Abbott for MiniMed automated insulin delivery and Smart MDI systems. It is the world's smallest, thinnest, and most discreet integrated CGM, according to the company, and offers a wear time of up to 15 days.
"We're working together to do what's best for people living with diabetes," Chris Scoggins, Executive Vice President of Abbott's diabetes care business, said in a prepared statement. "Abbott's biowearable technology has long set the standard for accurate, accessible, easy-to-use continuous glucose monitoring. Connecting it with the MiniMed™ 780G system aims to reduce the mental load of daily management, making it easier for people to live with diabetes."
Over the next several weeks, Medtronic and Abbott will work together on required compliance documentation, and enable sensor integration and marketing to complete regulatory approvals. Once approvals are complete, patients will be able to order the Instinct sensor with the MiniMed 780G system. Pre-orders for Simplera Sync sensor will also begin later this month.
FDA’s approval of the MiniMed 780G system for people with insulin-requiring type 2 diabetes, makes it the first and only automated insulin delivery system with Meal Detection technology available to patients living with type 2.
"This approval extends the benefits of automated insulin delivery to people with type 2 diabetes," Natalie Bellini, an Endocrine Nurse Practitioner and Program Director for Diabetes Technology at University Hospitals in Cleveland, Ohio, said in a prepared statement. "It also aligns with the ADA Standards of Care, which now formally endorse AID systems for individuals with type 2 diabetes on intensive insulin therapy."
According to clinical studies, the MiniMed 780G system can improve glycemic outcomes and reduce treatment burden for patients living with type 2, easing the burden of frequent injections, meal planning, and glucose monitoring.
The MiniMed 780G system is currently available for type 2 diabetes with the Guardian 4 sensor and will be available with Simplera Sync sensor when pre-orders begin later this month.
Medtronic is also seeking clearance for an interoperable pump indicated for type 2 diabetes, which would enable future integration with the Instinct sensor.
Medtronic Diabetes has been a pioneer in the space for the last 40 years, designing nextgen CGMs, smart dosage systems, and more, and this is not the company’s first time teaming up with Abbott in the space.
In August 2024, the two companies
announced
a collaboration that would have Abbott design a continuous glucose monitor system for Medtronic.
The two worked on an integrated CGM based on Abbott’s FreeStyle Libre technology that connects with Medtronic’s automated insulin delivery and smart insulin pen systems. The integration of Abbott's CGM sensor with Medtronic's AID algorithms aimed to enable automatic adjustments of insulin to keep glucose in range.
Abbott has
continued
to become a majorly sought-after partner in the space, teaming up with other rivals for glucose and ketone sensing technology.
The company announced collaborations with Beta Bionics, Tandem, and Ypsomed’s partner CamDiab for 2025.
In addition, both Abbott and Medtronic have held weight on their own in the diabetes and CGM space.
In April, Medtronic
reported
FDA approval of the Simplera Sync sensor for use with the MiniMed 780G system, a disposable, all-in-one sensor that requires no fingersticks with SmartGuard or overtape.
In January, Abbott
reported
triple growth drivers in diabetes tech, as its CGM platform continued to shine bright , with theLibre CGM contributing $1.8 billion in sales in the fourth quarter of 2024.
In its Q1 FY2026 earnings call, Medtronic teased the Abbott partnership.
“In diabetes, we expect performance to accelerate as we launch two new sensors, Simplera Sync this fall and the Abbott based sensor, which we're calling Instinct, in the coming months. Simplera is half the size of our current sensor,” Geoff Martha, Medtronic’s CEO, said on the call.
“It's disposable, and it's much easier to put on with with no over tape. And with Instinct, our customers will get access to Abbott's most advanced CGM platform. And when you combine these these improved sensors with our MiniMed seven eighty g and its exclusive meal detection technology, we expect to see a positive inflection in our installed base and revenue growth. As for the separation of our diabetes business, MiniMed, we're calling it, is proceeding according to plan. MiniMed is entering a strong innovation cycle in its own right.”