510(k) Report

510(k) · Cleared

Recalled · Class I · 2012

Heartsine Samaritan Pad

K041067510(k) SpecialCleared May 25, 200432-day reviewClass III21 CFR 870.5310Recalls 1 (1 Class I)

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 May 25, 2004 as substantially equivalent to K023854 (Heartsine Technologies, Inc., 2003) and 1 other predicate after a 32-day review. Its family tree reaches back 2 generations to 2000. 1 of the 6 devices in its family, counting itself, has a Class I recall. 2 later devices descend from it. It has been recalled once, including a Class I recall.

Decided
May 25, 2004
Review
32 days
Class
Class III
Product code
MKJ
Recalls
1 (1 Class I)
Predicates
2

Its longest line of descent runs back 2 generations to K003565 (2000). 3 ancestors in all. 2 later devices descend from it, 1 citing it directly. 1 of the 6 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2013: 1 descendant cleared2015: 1 descendant clearedK003565 · Heartstream FR2 Aed, Model M3860A,M3861A · Agilent Technologies, Inc. · 2000 · recalledK023854 · Samaritan Aed, Model Sam-01 · Heartsine Technologies, Inc. · 2003 · recalled200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 1 descendant K023854 · Samaritan Aed, Model Sam-01 · Heartsine Technologies, Inc. · 2003 · recalledK003565 · Heartstream FR2 Aed, Model M3860A,M3861A · Agilent Technologies, Inc. · 2000 · recalled0
  1. Root · 2 generations backK003565 Heartstream FR2 Aed, Model M3860A,M3861AAgilent Technologies, Inc. · 2000 · Recalled
  2. 1 generation backK023854 Samaritan Aed, Model Sam-01Heartsine Technologies, Inc. · 2003 · Recalled
  3. This deviceK041067 Heartsine Samaritan PadHeartsine Technologies, Inc. · 2004
  4. Descendant · cites it directly · 1 of its ownK123881 Heartsine Samaritan Pad 350PHeartsine Technologies, Inc. · 2013 · Recalled
  5. Descendant · 2 generations on · 0 of its ownK142709 samaritan PAD 450PHeartsine Technologies, Inc. · 2015

Most influential descendants

Showing 2 of 2 · See all
  • K123881Heartsine Samaritan Pad 350PHeartsine Technologies, Inc. · 2013 · cites it directly1descendant
  • K142709samaritan PAD 450PHeartsine Technologies, Inc. · 2015 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K003565Heartstream FR2 Aed, Model M3860A,M3861AAgilent Technologies, Inc.200012
−1K023854Samaritan Aed, Model Sam-01Heartsine Technologies, Inc.20031
0 (this device)K041067Heartsine Samaritan PadHeartsine Technologies, Inc.2004—
+1K123881Heartsine Samaritan Pad 350PHeartsine Technologies, Inc.20131
+2K142709samaritan PAD 450PHeartsine Technologies, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201510
FIG. 1 — Lineage of K041067, 2000–2015Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
Get a 510(k) Report

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
*K023854Samaritan Aed, Model Sam-01
Summary page 1
…The Samaritan® PAD analysis algorithm is identical to the Samaritan®AED model which is in commercial distribution and which has been premarket cleared under K023854. The Samaritan® PAD functions identical to the earlier model SamaritaneAED. If a shock is required, the Samaritan® PA…
Heartsine Technologies, Inc.20031
*K020715Philips M5066A and M5068A
Summary page 3
…3 === Predicate Device: HeartSine Technologies, Inc. Samaritan®AED (K023854) Phillips Medical Onsite M5066A (K020715) Substantial Equivalence: The HeartSine Samaritan® PAD is substantially equivalent to those of the previously c…
Philips Medical Systems200212

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K123881Heartsine Samaritan Pad 350PHeartsine Technologies, Inc.20131

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

Recalls of this device

DateClassRecallRoot causeReason
Sep 13, 2012Class IZ-0124-2013Device DesignCertain Samaritan 300/300P PAD devices may experience one or both of the following conditions that could affect the ability to deliver therapy to a patient in an SCA event if needed: Issue 1 (On/Off Issue): the device may turn itself on…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 4 years and passes through 2 companies; a new generation was cleared every 2.2 years on median.
  • 3 of the 3 ancestors have a recall of any class.
  • Of its descendants, K123881 (Heartsine Technologies, Inc., 2013) has gone furthest, with 1 descendant of its own.

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® PAD is indicated for use on victims of cardiac arrest who are exhibiting the following signs:

* Unconscious

* Not breathing

- Without circulation

The Samaritan® PAD is intended for use by personnel who have been trained in its operation. Users should have received training in basic life support / AED, advanced life support or a physician-authorized emergency medical response training program. The Samaritan® PAD 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. “K041067: Heartsine Samaritan Pad.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K041067

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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