510(k) Report

510(k) · Cleared

Cleared

King of Hearts Express + AF Monitor

K020825510(k) SpecialCleared Apr 5, 200222-day reviewClass II21 CFR 870.2800

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

Card Guard Scientific Survival, Ltd. · DSH Recorder, Magnetic Tape, Medical

Cleared on Apr 5, 2002 as substantially equivalent to K920984 (Instromedix, Inc., 1992) and 1 other predicate after a 22-day review. Its family tree reaches back 1 generation to 1992. 120 later devices descend from it.

Decided
Apr 5, 2002
Review
22 days
Class
Class II
Product code
DSH
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K920984 (1992). 2 ancestors in all. 120 later devices descend from it, 11 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1999: 1 other ancestor2007: 3 descendants cleared2014: 7 descendants cleared2011: 4 descendants cleared2008: 4 descendants cleared2006: 2 descendants cleared2005: 1 descendant cleared2010: 4 descendants cleared2009: 1 descendant cleared2015: 11 descendants cleared2020: 12 descendants cleared2017: 7 descendants cleared2012: 2 descendants cleared2013: 1 descendant cleared2018: 7 descendants cleared2021: 10 descendants cleared2016: 4 descendants cleared2019: 9 descendants cleared2023: 12 descendants cleared2022: 7 descendants cleared2024: 5 descendants cleared2025: 3 descendants cleared2026: 4 descendants clearedK920984 · King of Hearts Express (E.X.) Monitor · Instromedix, Inc. · 19921990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 11 descendants2 generations forward: 18 descendants3 generations forward: 23 descendants4 generations forward: 30 descendants5 generations forward: 21 descendants6 generations forward: 10 descendants7 generations forward: 4 descendants8 generations forward: 2 descendants9 generations forward: 1 descendant K920984 · King of Hearts Express (E.X.) Monitor · Instromedix, Inc. · 19920+5
  1. Root · 1 generation backK920984 King of Hearts Express (E.X.) MonitorInstromedix, Inc. · 1992
  2. This deviceK020825 King of Hearts Express + AF MonitorCard Guard Scientific Survival, Ltd. · 2002
  3. Descendant · cites it directly · 47 of its ownK052767 Afibalert Atrial Fibrillation DetectorLechnologies Research, Inc. · 2006
  4. Descendant · cites it directly · 46 of its ownK042108 Vista PlusNovacor · 2005
  5. Descendant · cites it directly · 40 of its ownK071641 Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient…Medtronic, Inc. · 2007
  6. Descendant · 2 generations on · 30 of its ownK071655 Reveal DX Insertable Cardiac Monitor, Reveal Patient Assistant…Medtronic, Inc. · 2007
  7. Descendant · 2 generations on · 28 of its ownK140933 Alivecor Heart MonitorAliveCor, Inc. · 2014 · Recalled

Showing 5 of 120 descendants. See all descendants

Descendants cleared per year

2005: 12006: 22007: 32008: 42009: 12010: 42011: 42012: 22013: 12014: 72015: 112016: 42017: 72018: 72019: 92020: 122021: 102022: 72023: 122024: 52025: 32026: 4
2005high 12 (2020) · low 1 (2005)2026

Most influential descendants

Showing 5 of 120 · See all
  • K052767Afibalert Atrial Fibrillation DetectorLechnologies Research, Inc. · 2006 · cites it directly47descendants
  • K042108Vista PlusNovacor · 2005 · cites it directly46descendants
  • K071641Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient Assistant (Model 9539)Medtronic, Inc. · 2007 · cites it directly40descendants
  • K071655Reveal DX Insertable Cardiac Monitor, Reveal Patient Assistant, Model (S) 9528,9538Medtronic, Inc. · 2007 · 2 generations on30descendants
  • K140933Alivecor Heart MonitorAliveCor, Inc. · 2014 · 2 generations on28descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K920984King of Hearts Express (E.X.) MonitorInstromedix, Inc.1992—
0 (this device)K020825King of Hearts Express + AF MonitorCard Guard Scientific Survival, Ltd.2002—
+1K052767Afibalert Atrial Fibrillation DetectorLechnologies Research, Inc.2006—
+1K042108Vista PlusNovacor2005—
+1K071641Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient Assistant (Model…Medtronic, Inc.2007—
+2K071655Reveal DX Insertable Cardiac Monitor, Reveal Patient Assistant, Model (S)…Medtronic, Inc.2007—
+2K140933Alivecor Heart MonitorAliveCor, Inc.20141

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200620
200730
200840
200910
201040
201140
201220
201310
201470
2015110
201640
201770
201870
201990
2020120
2021100
202270
2023120
202450
202530
202640
FIG. 1 — Lineage of K020825, 1992–2026Source: 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 510(k) 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 DSH? 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 DSH device

  1. #1 K260157 LifeLens Physiological Monitorscore 17.9 · 22 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (2)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K920984King of Hearts Express (E.X.) Monitor
Summary page 1
…ransmitter Classification Name: Telephone Electrocardiograph Transmitter and Receiver (Per 21 CFR section 870.2920) Predicate Devices: King of Hearts® Express Monitor (K920984) and King of Hearts® Express II Monitor g(983626) [Instromedix] [21 CFR 807.92(a)(3)] The King of Hearts Express + AF Monitor is…
Instromedix, Inc.1992—
*K983626King of Hearts Express II & King of Hearts Express EZ II
Summary page 1
…cardiograph Transmitter and Receiver (Per 21 CFR section 870.2920) Predicate Devices: King of Hearts® Express Monitor (K920984) and King of Hearts® Express II Monitor g(983626) [Instromedix] [21 CFR 807.92(a)(3)] The King of Hearts Express + AF Monitor is equivalent to our predicate devices in that this…
Alaris Medical Systems, Inc.1999—

Also cleared against K920984: 2 other devices →

What descends from it? (120)

See all 120

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

NumberDeviceApplicantDecidedDescendants
K052767Afibalert Atrial Fibrillation DetectorLechnologies Research, Inc.200647
K042108Vista PlusNovacor200546
K071641Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient Assistant (Model 9539)Medtronic, Inc.200740
K082475Reveal XT Insertable Cardiac Monitor, Model 9529, Revel DX Insertable Cardiac Monitor…Medtronic, Inc.200828
K103764Reveal XT Insertable Cardiac Monitor, Model 9529 and Reveal DX Insertable Cardiac…Medtronic, Inc.201126
K132649Reveal Linq Insertable Cardiac MonitorMedtronic, Inc.201423
K063609River- 1 Electrocardiograph (Ecg) Recorder and TransmitterShl Telemedicine International, Ltd.200717
K053378Loop Recorder Vitaphone, 3100 SeriesTms Telemedizinische Systeme GmbH20062
K103706The Core (Cardiac Outpatient Realtime Ecg) MonitorApplied Cardiac Systems, Inc.20111
K111745King of Hearts Express AF Cardiac Event RecorderCard Guard Scientific Survival, Ltd.20110

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?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K052767 (Lechnologies Research, Inc., 2006) has gone furthest, with 47 descendants of its own.
  • 2 other devices also cite its predicate K920984.

How does its category compare?

All DSH devices

DSH Recorder, Magnetic Tape, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · DSH

4in 2025

2007: 12008: 12009: 32010: 22011: 62012: 22013: 22014: 12015: 22016: 22017: 32018: 32019: 32020: 42021: 42022: 42023: 62024: 22025: 42026 (partial year): 2
2007high 6 (2011) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DSH

205in 2025

2009: 84 days median2011: 64 days median2017: 91 days median2018: 269 days median2019: 30 days median2020: 122 days median2021: 263 days median2022: 427 days median2023: 198 days median2025: 205 days median
2007high 427 (2022) · low 30 (2019)2026

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

Recalls per year · DSH

No recall names DSH since 2007.

Adverse event reports per year · DSH

213in 2025

2009: 12010: 82011: 32012: 12013: 22014: 32015: 82016: 62017: 312018: 302019: 762020: 912021: 1132022: 462023: 652024: 882025: 213
2007high 213 (2025) · low 0 (2007)2025

MAUDE reports naming product code DSH, 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
20071—00
20081—00
200938401
20102—08
201166403
20122—01
20132—02
20141—03
20152—08
20162—06
2017391031
20183269030
2019330076
20204122091
202142630113
20224427046
20236198065
20242—088
202542050213
20262—0—

What is it indicated for?

This device is indicated for diagnostic evaluation of patlents who experience transient symptoms such as; Dizziness Palpitations Syncope Chest pain

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K020825: King of Hearts Express + AF Monitor.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K020825

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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