510(k) Report

De Novo · Granted

Granted

ECG App

DEN180044De NovoGranted Sep 11, 201828-day reviewClass II21 CFR 870.2345

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Apple, Inc. · QDA Electrocardiograph Software For Over-The-Counter Use

Granted on Sep 11, 2018 as a new device type through De Novo after a 28-day review. 12 later devices descend from it.

Decided
Sep 11, 2018
Review
28 days
Class
Class II
Product code
QDA
Recalls
None

12 later devices descend from it, 5 citing it directly.

Descendants, by year cleared 2020: 4 descendants cleared2023: 2 descendants cleared2021: 2 descendants cleared2025: 3 descendants cleared2024: 1 descendant cleared201620182020202220242026
  1. This deviceDEN180044 ECG AppApple, Inc. · 2018
  2. Descendant · cites it directly · 3 of its ownK201525 ECG AppApple, Inc. · 2020
  3. Descendant · cites it directly · 3 of its ownK201168 ECG Monitor AppSamsung Electronics Co., Ltd. · 2020
  4. Descendant · cites it directly · 2 of its ownK191406 KardiaMobile, KardiaStationAliveCor, Inc. · 2020
  5. Descendant · 2 generations on · 1 of its ownK230292 Samsung ECG Monitor Application with Irregular Heart Rhythm…Samsung Electronics Co., Ltd. · 2023
  6. Descendant · 2 generations on · 0 of its ownK240795 Withings ECG AppWithings · 2025

Showing 5 of 12 descendants. See all descendants

Descendants cleared per year

2020: 42021: 22023: 22024: 12025: 3
2020high 4 (2020) · low 0 (2022)2026

Most influential descendants

Showing 5 of 12 · See all
  • K201525ECG AppApple, Inc. · 2020 · cites it directly3descendants
  • K201168ECG Monitor AppSamsung Electronics Co., Ltd. · 2020 · cites it directly3descendants
  • K191406KardiaMobile, KardiaStationAliveCor, Inc. · 2020 · cites it directly2descendants
  • K230292Samsung ECG Monitor Application with Irregular Heart Rhythm NotificationSamsung Electronics Co., Ltd. · 2023 · 2 generations on1descendant
  • K240795Withings ECG AppWithings · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)DEN180044ECG AppApple, Inc.2018—
+1K201525ECG AppApple, Inc.2020—
+1K201168ECG Monitor AppSamsung Electronics Co., Ltd.2020—
+1K191406KardiaMobile, KardiaStationAliveCor, Inc.2020—
+2K230292Samsung ECG Monitor Application with Irregular Heart Rhythm NotificationSamsung Electronics Co., Ltd.2023—
+2K240795Withings ECG AppWithings2025—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202040
202120
202320
202410
202530
FIG. 1 — Lineage of DEN180044, 2018–2025Source: 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 De Novo 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.

Planning a device in QDA? 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 QDA device

  1. #1 K240795 Withings ECG Appscore 9.8 · 2 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

Does it have a predicate?

De Novo decisions do not claim a predicate device.

What descends from it? (12)

See all 12

5 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K201525ECG AppApple, Inc.20203
K201168ECG Monitor AppSamsung Electronics Co., Ltd.20203
K191406KardiaMobile, KardiaStationAliveCor, Inc.20202
K221774Garmin ECG AppGarmin International, Inc.20230
K200948Fitbit ECG AppFitbit, Inc.20200

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K201525 (Apple, Inc., 2020) has gone furthest, with 3 descendants of its own.

How does its category compare?

All QDA devices

QDA Electrocardiograph Software For Over-The-Counter Use: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · QDA

2in 2025

2018: 12020: 32023: 22024: 12025: 2
2007high 3 (2020) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QDA

122in 2020

2020: 122 days median
2007high 122 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · QDA

No recall names QDA since 2007.

Adverse event reports per year · QDA

5in 2025

2021: 42022: 32023: 52024: 142025: 5
2007high 14 (2024) · low 0 (2007)2025

MAUDE reports naming product code QDA, 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
20181—00
20190—00
2020312200
20210—04
20220—03
20232—05
20241—014
20252—05
20260—0—

What is it indicated for?

The ECG app is a software-only mobile medical application intended for use with the Apple Watch to create, record, store, transfer, and display a single channel electrocardiogram (ECG) similar to a Lead I ECG. The ECG app determines the presence of atrial fibrillation (AFib) or sinus rhythm on a classifiable waveform. The ECG app is not recommended for users with other known arrhythmias. The ECG app is intended for over-the-counter (OTC) use. The ECG…

Read the full statement (153 words)

The ECG app is a software-only mobile medical application intended for use with the Apple Watch to create, record, store, transfer, and display a single channel electrocardiogram (ECG) similar to a Lead I ECG. The ECG app determines the presence of atrial fibrillation (AFib) or sinus rhythm on a classifiable waveform. The ECG app is not recommended for users with other known arrhythmias.

The ECG app is intended for over-the-counter (OTC) use. The ECG data displayed by the ECG app is intended for informational use only. The user is not intended to interpret or take clinical action based on the device output without consultation of a qualified healthcare professional. The ECG waveform is meant to supplement rhythm classification for the purposes of discriminating AFib from normal sinus rhythm and not intended to replace traditional methods of diagnosis or treatment.

The ECG app is not intended for use by people under 22 years old.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “DEN180044: ECG App.” Lineage record from FDA De Novo data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/DEN180044

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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