510(k) Report

510(k) · Cleared

Recalled · 2005

Samaritan Aed, Model Sam-01

K023854510(k) TraditionalCleared Feb 14, 200387-day reviewClass III21 CFR 870.5310Recalls 1

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

Heartsine Technologies, Inc. · MKJ Automated External Defibrillators (Non-Wearable)

Cleared on Feb 14, 2003 as substantially equivalent to K003565 (Agilent Technologies, Inc., 2000) after an 87-day review. Its family tree reaches back 1 generation to 2000. 1 of the 5 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it. It has been recalled once.

Decided
Feb 14, 2003
Review
87 days
Class
Class III
Product code
MKJ
Recalls
1
Predicates
1

Its longest line of descent runs back 1 generation to K003565 (2000). 3 later devices descend from it, 1 citing it directly. 1 of the 5 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2004: 1 descendant cleared, 1 with a Class I recall12013: 1 descendant cleared2015: 1 descendant clearedK003565 · Heartstream FR2 Aed, Model M3860A,M3861A · Agilent Technologies, Inc. · 2000 · recalled200020052010201520202025
Descendants, by generation 1 generation forward: 1 descendant, 1 with a Class I recall12 generations forward: 1 descendant3 generations forward: 1 descendant K003565 · Heartstream FR2 Aed, Model M3860A,M3861A · Agilent Technologies, Inc. · 2000 · recalled0
  1. Root · 1 generation backK003565 Heartstream FR2 Aed, Model M3860A,M3861AAgilent Technologies, Inc. · 2000 · Recalled
  2. This deviceK023854 Samaritan Aed, Model Sam-01Heartsine Technologies, Inc. · 2003
  3. Descendant · cites it directly · 2 of its ownK041067 Heartsine Samaritan PadHeartsine Technologies, Inc. · 2004 · Recalled (Class I)
  4. Descendant · 2 generations on · 1 of its ownK123881 Heartsine Samaritan Pad 350PHeartsine Technologies, Inc. · 2013 · Recalled
  5. Descendant · 3 generations on · 0 of its ownK142709 samaritan PAD 450PHeartsine Technologies, Inc. · 2015

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K041067Heartsine Samaritan PadHeartsine Technologies, Inc. · 2004 · cites it directly2descendants
  • K123881Heartsine Samaritan Pad 350PHeartsine Technologies, Inc. · 2013 · 2 generations on1descendant
  • K142709samaritan PAD 450PHeartsine Technologies, Inc. · 2015 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K003565Heartstream FR2 Aed, Model M3860A,M3861AAgilent Technologies, Inc.200012
0 (this device)K023854Samaritan Aed, Model Sam-01Heartsine Technologies, Inc.2003—
+1K041067Heartsine Samaritan PadHeartsine Technologies, Inc.2004Class I
+2K123881Heartsine Samaritan Pad 350PHeartsine Technologies, Inc.20131
+3K142709samaritan PAD 450PHeartsine Technologies, Inc.2015—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200411
201310
201510
FIG. 1 — Lineage of K023854, 2000–2015Source: 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.

1 device in this family has a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (1)

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
*K003565Heartstream FR2 Aed, Model M3860A,M3861A
Summary page 1
…gy Predicate Device: The features and functions of the Heartsine Samaritan@AED are substantially equivalent to those of the Phillips Heartstream FR2 (K003565). Device Description: The HeartSine Samaritan@AEDis a small, portable, battery operated automated external de…
Agilent Technologies, Inc.200012

Also cleared against K003565: 3 other devices →

What descends from it? (3)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K041067Heartsine Samaritan Pad Class IHeartsine Technologies, Inc.20042

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Oct 5, 2005Not classifiedZ-1046-05Device DesignImmediately after battery installation the devices announce a low battery fault warning and shut themselves off, or the service indicator icon starts blinking indicating a fault condition.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K041067Heartsine Samaritan PadHeartsine Technologies, Inc. · 2004 · Cites it directly · ◆ in the 2004 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • Its one ancestor has a recall.
  • Of its descendants, K041067 (Heartsine Technologies, Inc., 2004) has gone furthest, with 2 descendants of its own.
  • 3 other devices also cite its predicate K003565.

How does its category compare?

All MKJ devices

MKJ Automated External Defibrillators (Non-Wearable): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MKJ

48in 2025

2007: 72008: 132009: 82010: 42011: 112012: 102013: 72014: 112015: 62017: 42018: 202019: 252020: 522021: 412022: 192023: 242024: 272025: 482026 (partial year): 31
2007high 52 (2020) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MKJ

156in 2015

2007: 69 days median2008: 141 days median2009: 165 days median2010: 250 days median2011: 36 days median2012: 197 days median2013: 191 days median2014: 196 days median2015: 156 days median
2007high 250 (2010) · low 36 (2011)2026

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

Recalls per year · MKJ

1in 2025

2007: 122008: 242009: 372010: 352011: 72012: 5, 1 Class I2013: 42014: 24, 15 Class I2015: 12016: 2, 1 Class I2017: 6, 4 Class I2018: 32019: 6, 2 Class I2020: 22021: 42022: 32023: 112024: 52025: 12026 (partial year): 3
2007high 37 (2009) · low 1 (2015)2026

Class I (23 since 2007) Class II/III not classified

Adverse event reports per year · MKJ

13,315in 2025

2007: 3,9582008: 4,7522009: 6,7822010: 7,3992011: 8,1702012: 9,7322013: 14,9552014: 15,3992015: 16,1292016: 17,0622017: 16,6842018: 16,5912019: 16,8612020: 16,1972021: 16,3002022: 14,8672023: 13,7662024: 15,1092025: 13,315
2007high 17,062 (2016) · low 3,958 (2007)2025

MAUDE reports naming product code MKJ, 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
2007769123,958
200813141244,752
20098165376,782
20104250357,399
2011113678,170
2012101975 (1)9,732
20137191414,955
20141119624 (15)15,399
20156156116,129
20160—2 (1)17,062
20174—6 (4)16,684
201820—316,591
201925—6 (2)16,861
202052—216,197
202141—416,300
202219—314,867
202324—1113,766
202427—515,109
202548—113,315
202631—3—

What is it indicated for?

The Heartsine Samaritan@AEDis indicated for use on victims of cardiac arrest who are exhibiting the following signs:

Unconscious

Not breathing

Without circulation

The Samaritan@AEDis intended for use by personnel who have been trained in its operation. Users should have received training in basic life support I AED, advanced life support or a physician-authorized emergency medical response training program. The Samaritan@AED is not currently indicated for use on children less than 8 years old.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K023854: Samaritan Aed, Model Sam-01.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K023854

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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