Modular Medical said on September 3 that FDA cleared a set of software changes to Pivot, its tubeless insulin patch pump. The headline change is customizable bolus dosing, which lets a user set how much insulin each button press delivers. The clearance also covers an updated user interface and other software upgrades.

Pivot itself cleared in April 2026. The San Diego company (Nasdaq: MODD) is aiming at people with diabetes who have never adopted a pump, and it delivers basal and bolus insulin over a three-day wear period. CEO Jeb Besser said the clearance arrived in advance of a planned fourth quarter launch.

The sequencing is worth copying. Clear the device on the smallest software configuration you can defend, launch, then file the feature set as a follow-on 510(k) against your own predicate. Each round is a narrower review than trying to clear the full roadmap at once, and the second submission has real use behind it.