510(k) Report

510(k) · Cleared

Cleared

VST3

K040942510(k) TraditionalCleared Sep 15, 2004156-day reviewClass II21 CFR 870.2920

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

Biowatch Medical, Inc. · DXH Transmitters And Receivers, Electrocardiograph, Telephone

Cleared on Sep 15, 2004 as substantially equivalent to K012223 (Card Guard Scientific Survival, Ltd., 2001) after a 156-day review. Its family tree reaches back 2 generations to 1997. 18 later devices descend from it.

Decided
Sep 15, 2004
Review
156 days
Class
Class II
Product code
DXH
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K963725 (1997). 3 ancestors in all. 18 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2007: 1 descendant cleared2009: 1 descendant cleared2008: 1 descendant cleared2012: 1 descendant cleared2013: 1 descendant cleared2015: 2 descendants cleared2018: 3 descendants cleared2016: 1 descendant cleared2022: 2 descendants cleared2020: 1 descendant cleared2023: 2 descendants cleared2021: 1 descendant cleared2025: 1 descendant clearedK963725 · Model CG-2206 Personal Electrocardiogram (Ecg) Transmitter Device (Modified) · Card Guard, Ltd. · 1997K012223 · CG-2211 Selfcheck Ecg Transmitter · Card Guard Scientific Survival, Ltd. · 20011995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 2 descendants4 generations forward: 3 descendants5 generations forward: 4 descendants6 generations forward: 3 descendants7 generations forward: 2 descendants8 generations forward: 1 descendant K012223 · CG-2211 Selfcheck Ecg Transmitter · Card Guard Scientific Survival, Ltd. · 2001K963725 · Model CG-2206 Personal Electrocardiogram (Ecg) Transmitter Device (Modified) · Card Guard, Ltd. · 19970+5
  1. Root · 2 generations backK963725 Model CG-2206 Personal Electrocardiogram (Ecg) Transmitter Device…Card Guard, Ltd. · 1997
  2. 1 generation backK012223 CG-2211 Selfcheck Ecg TransmitterCard Guard Scientific Survival, Ltd. · 2001
  3. This deviceK040942 VST3Biowatch Medical, Inc. · 2004
  4. Descendant · cites it directly · 17 of its ownK063609 River- 1 Electrocardiograph (Ecg) Recorder and TransmitterShl Telemedicine International, Ltd. · 2007
  5. Descendant · 2 generations on · 11 of its ownK080047 Cardiosen'cShl Telemedicine International, Ltd. · 2008
  6. Descendant · 3 generations on · 10 of its ownK113514 SmartheartShl Telemedicine International, Ltd. · 2012
  7. Descendant · 4 generations on · 6 of its ownK142476 Master Caution Device MCDHealthwatch, Ltd. · 2015
  8. Descendant · 5 generations on · 5 of its ownK161431 SimplECGNanowear, Inc. · 2016

Showing 5 of 18 descendants. See all descendants

Descendants cleared per year

2007: 12008: 12009: 12012: 12013: 12015: 22016: 12018: 32020: 12021: 12022: 22023: 22025: 1
2007high 3 (2018) · low 0 (2010)2026

Most influential descendants

Showing 5 of 18 · See all
  • K063609River- 1 Electrocardiograph (Ecg) Recorder and TransmitterShl Telemedicine International, Ltd. · 2007 · cites it directly17descendants
  • K080047Cardiosen'cShl Telemedicine International, Ltd. · 2008 · 2 generations on11descendants
  • K113514SmartheartShl Telemedicine International, Ltd. · 2012 · 3 generations on10descendants
  • K142476Master Caution Device MCDHealthwatch, Ltd. · 2015 · 4 generations on6descendants
  • K161431SimplECGNanowear, Inc. · 2016 · 5 generations on5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K963725Model CG-2206 Personal Electrocardiogram (Ecg) Transmitter Device (Modified)Card Guard, Ltd.1997—
−1K012223CG-2211 Selfcheck Ecg TransmitterCard Guard Scientific Survival, Ltd.2001—
0 (this device)K040942VST3Biowatch Medical, Inc.2004—
+1K063609River- 1 Electrocardiograph (Ecg) Recorder and TransmitterShl Telemedicine International, Ltd.2007—
+2K080047Cardiosen'cShl Telemedicine International, Ltd.2008—
+3K113514SmartheartShl Telemedicine International, Ltd.2012—
+4K142476Master Caution Device MCDHealthwatch, Ltd.2015—
+5K161431SimplECGNanowear, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
200810
200910
201210
201310
201520
201610
201830
202010
202110
202220
202320
202510
FIG. 1 — Lineage of K040942, 1997–2025Source: 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 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 DXH? 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 DXH device

  1. #1 K243438 MEMO Patch M (MPT-E08R-UNC01)score 12.9 · 9 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? (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
*K012223CG-2211 Selfcheck Ecg Transmitter
Summary page 1
…VST 3 is substantially equivalent to the following cleared predicate devices: K012223 Device Description The VST 3 is an ambulatory ECG monitor. It is a wearable device…
Card Guard Scientific Survival, Ltd.2001—

Also cleared against K012223: 4 other devices →

What descends from it? (18)

See all 18

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

NumberDeviceApplicantDecidedDescendants
K063609River- 1 Electrocardiograph (Ecg) Recorder and TransmitterShl Telemedicine International, Ltd.200717

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?

  • The line of descent spans 7 years and passes through 3 companies; a new generation was cleared every 4.0 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K063609 (Shl Telemedicine International, Ltd., 2007) has gone furthest, with 17 descendants of its own.
  • 4 other devices also cite its predicate K012223.

How does its category compare?

All DXH devices

DXH Transmitters And Receivers, Electrocardiograph, Telephone: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · DXH

4in 2025

2007: 32008: 72009: 22010: 22012: 12013: 32014: 62015: 42016: 12017: 52018: 42019: 62020: 52021: 32022: 42023: 12025: 42026 (partial year): 1
2007high 7 (2008) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DXH

322in 2025

2007: 202 days median2008: 41 days median2013: 206 days median2014: 186 days median2015: 142 days median2017: 150 days median2018: 294 days median2019: 177 days median2020: 141 days median2021: 107 days median2022: 150 days median2025: 322 days median
2007high 322 (2025) · low 41 (2008)2026

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

Recalls per year · DXH

1in 2015

2008: 42011: 32015: 12026 (partial year): 1
2007high 4 (2008) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · DXH

27in 2025

2009: 12010: 42011: 12012: 12013: 12014: 12016: 52017: 42020: 52021: 22022: 62023: 42024: 22025: 27
2007high 27 (2025) · low 0 (2007)2025

MAUDE reports naming product code DXH, 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
2007320200
200874140
20092—01
20102—04
20110—31
20121—01
2013320601
2014618601
2015414210
20161—05
2017515004
2018429400
2019617700
2020514105
2021310702
2022415006
20231—04
20240—02
20254322027
20261—1—

What is it indicated for?

The Biowatch Medical VST3 is indicated for use to monitor adults with abnormal heart rhythms and other symptoms of cardiac disease, such as:

* Arrhythmia or dysrhythmia

* Skipped beats or pauses

* Rapid, slow, or irregular heart rate

* Lightheadedness or faintness

* Palpitations

The VST3 records and transmits ECG data to a remote central receiving station for interpretation by certified critical care specialists and/or a licensed over-read physician to identify cardiac rhythm disorders. The device is not intended to sound any alarms

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040942: VST3.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K040942

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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