510(k) Report

510(k) · Cleared

Cleared

Holter Plus

K042463510(k) TraditionalCleared Sep 22, 20049-day reviewClass II21 CFR 870.1425

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

Rozinn Electronics, Inc. · DQK Computer, Diagnostic, Programmable

Cleared on Sep 22, 2004 as substantially equivalent to K930564 (North East Monitoring, Inc., 1995) and 4 other predicates after a 9-day review. Its family tree reaches back 1 generation to 1988. 35 later devices descend from it.

Decided
Sep 22, 2004
Review
9 days
Class
Class II
Product code
DQK
Recalls
None
Predicates
5

Its longest line of descent runs back 1 generation to K881905 (1988). 5 ancestors in all. 35 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2000: 1 other ancestor1995: 1 other ancestor1988: 1 other ancestor2009: 1 descendant cleared2006: 1 descendant cleared2015: 2 descendants cleared2014: 1 descendant cleared2017: 3 descendants cleared2022: 4 descendants cleared2020: 1 descendant cleared2018: 2 descendants cleared2023: 3 descendants cleared2024: 6 descendants cleared2026: 5 descendants cleared2025: 4 descendants cleared2019: 1 descendant cleared2021: 1 descendant clearedK881905 · Model Micro SI Ambulatory Ecg Monitor · Advanced Medical Products, Inc. · 19881990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant4 generations forward: 9 descendants5 generations forward: 7 descendants6 generations forward: 4 descendants7 generations forward: 4 descendants8 generations forward: 4 descendants9 generations forward: 2 descendants K881905 · Model Micro SI Ambulatory Ecg Monitor · Advanced Medical Products, Inc. · 19880+5
  1. Root · 1 generation backK881905 Model Micro SI Ambulatory Ecg MonitorAdvanced Medical Products, Inc. · 1988
  2. This deviceK042463 Holter PlusRozinn Electronics, Inc. · 2004
  3. Descendant · cites it directly · 32 of its ownK091075 Zeus (Zio Ecg Utilization Service) SystemiRhythm Technologies, Inc. · 2009
  4. Descendant · 2 generations on · 31 of its ownK142681 ZEUS (ZIO ECG Utilization Service) SystemiRhythm Technologies, Inc. · 2014
  5. Descendant · 3 generations on · 30 of its ownK143513 ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc. · 2015
  6. Descendant · 4 generations on · 18 of its ownK163512 Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2017 · Recalled
  7. Descendant · 5 generations on · 12 of its ownK181502 Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc. · 2018

Showing 5 of 35 descendants. See all descendants

Descendants cleared per year

2006: 12009: 12014: 12015: 22017: 32018: 22019: 12020: 12021: 12022: 42023: 32024: 62025: 42026: 5
2006high 6 (2024) · low 0 (2007)2026

Most influential descendants

Showing 5 of 35 · See all
  • K091075Zeus (Zio Ecg Utilization Service) SystemiRhythm Technologies, Inc. · 2009 · cites it directly32descendants
  • K142681ZEUS (ZIO ECG Utilization Service) SystemiRhythm Technologies, Inc. · 2014 · 2 generations on31descendants
  • K143513ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc. · 2015 · 3 generations on30descendants
  • K163512Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2017 · 4 generations on18descendants
  • K181502Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc. · 2018 · 5 generations on12descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K881905Model Micro SI Ambulatory Ecg MonitorAdvanced Medical Products, Inc.1988—
0 (this device)K042463Holter PlusRozinn Electronics, Inc.2004—
+1K091075Zeus (Zio Ecg Utilization Service) SystemiRhythm Technologies, Inc.2009—
+2K142681ZEUS (ZIO ECG Utilization Service) SystemiRhythm Technologies, Inc.2014—
+3K143513ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc.2015—
+4K163512Zio AT ECG Monitoring SystemiRhythm Technologies, Inc.20171
+5K181502Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199510
200010
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200910
201410
201520
201730
201820
201910
202010
202110
202240
202330
202460
202540
202650
FIG. 1 — Lineage of K042463, 1988–2026Source: 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 DQK? 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 DQK device

  1. #1 K213682 HemoSphere Advanced Monitor, HemoSphere…score 26.7 · 28 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? (5)

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
*K930564Holter for Windows
Summary page 1
…on: Class II (see 21 CFR - 870.1425) Predicate Devices: The predicate device(s) are the following: 1. Northeast Monitoring Inc. Holter for Windows System (5 10(k) K930564). 2. Caird Technology Bolter 2000 System. (510(k) K012686). 3. Advanced BioSensor ABS Bolter (formerly Micro SI Ambulator…
North East Monitoring, Inc.1995—
*K012686Caird Technology Holter 2000
Summary page 1
…predicate device(s) are the following: 1. Northeast Monitoring Inc. Holter for Windows System (5 10(k) K930564). 2. Caird Technology Bolter 2000 System. (510(k) K012686). 3. Advanced BioSensor ABS Bolter (formerly Micro SI Ambulatory ECU Monitor) System (5 10(k) K881905). 4. Oxford…
Caird Technology2001—
*K881905Model Micro SI Ambulatory Ecg Monitor
Summary page 1
…64). 2. Caird Technology Bolter 2000 System. (510(k) K012686). 3. Advanced BioSensor ABS Bolter (formerly Micro SI Ambulatory ECU Monitor) System (5 10(k) K881905). 4. Oxford Scientific Medilog Excel 2 System. (5 10(k) K002544). 5. Biomed Systems Inc. WinPV Bolter System. (510(k) K88…
Advanced Medical Products, Inc.1988—
*K002544Medilog Excel 2 - Holter Management System
Summary page 1
…3. Advanced BioSensor ABS Bolter (formerly Micro SI Ambulatory ECU Monitor) System (5 10(k) K881905). 4. Oxford Scientific Medilog Excel 2 System. (5 10(k) K002544). 5. Biomed Systems Inc. WinPV Bolter System. (510(k) K8841524). These predicate devices have the same performance specifica…
Oxford Instruments2000—
*K884152Century Color Trace
Summary page 1
…ECU Monitor) System (5 10(k) K881905). 4. Oxford Scientific Medilog Excel 2 System. (5 10(k) K002544). 5. Biomed Systems Inc. WinPV Bolter System. (510(k) K8841524). These predicate devices have the same performance specifications as the Holter PlusTM Ambulatory ECG Analysis System Device…
Biomedical Systems, Inc.1988—

Also cleared against K930564: 4 other devices →

What descends from it? (35)

See all 35

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

NumberDeviceApplicantDecidedDescendants
K091075Zeus (Zio Ecg Utilization Service) SystemiRhythm Technologies, Inc.200932
K062068Intelwave Heart Rate Variability System, Version 1.0Intelwave, LLC20061

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 5 ancestors has a recall.
  • Of its descendants, K091075 (iRhythm Technologies, Inc., 2009) has gone furthest, with 32 descendants of its own.
  • 4 other devices also cite its predicate K930564.

How does its category compare?

All DQK devices

DQK Computer, Diagnostic, Programmable: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · DQK

23so far in 2026, the most since 2007

2007: 132008: 42009: 122010: 92011: 122012: 72013: 132014: 92015: 72016: 152017: 72018: 142019: 152020: 162021: 162022: 192023: 212024: 132025: 222026 (partial year): 23
2007high 23 (2026) · low 4 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DQK

95in 2025

2007: 83 days median2008: 70 days median2009: 93 days median2010: 64 days median2011: 69 days median2012: 74 days median2013: 68 days median2014: 90 days median2015: 125 days median2016: 190 days median2017: 146 days median2018: 150 days median2019: 113 days median2020: 123 days median2021: 132 days median2022: 136 days median2023: 133 days median2024: 100 days median2025: 95 days median2026 (partial year): 151 days median
2007high 190 (2016) · low 64 (2010)2026

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

Recalls per year · DQK

1in 2025

2007: 42008: 12009: 22010: 32011: 22012: 32013: 12014: 42015: 22017: 22018: 62019: 12020: 12021: 12022: 22023: 22024: 242025: 12026 (partial year): 2
2007high 24 (2024) · low 0 (2016)2026

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

Adverse event reports per year · DQK

433in 2025

2007: 182008: 342009: 402010: 492011: 552012: 1292013: 1802014: 1152015: 1312016: 3402017: 2522018: 2612019: 2182020: 2152021: 3512022: 3192023: 3402024: 5572025: 433
2007high 557 (2024) · low 18 (2007)2025

MAUDE reports naming product code DQK, 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
20071383418
2008470134
20091293240
2010964349
20111269255
20127743129
201313681180
20149904115
201571252131
2016151900340
201771462252
2018141506261
2019151131218
2020161231215
2021161321351
2022191362319
2023211332340
20241310024557
202522951433
2026231512—

What is it indicated for?

The Holter PlusTM Ambulatory ECG Analysis System is intended for general hospital or clinical use by medical professionals whenever it is required to assess a patient's ambulatory ECG data. This product allows a trained physician or health care professional, after having performed a long-term continuous electrocardiograph (ECG) recording on a digital flash memory Holter recorder, to download and analyze the data from the recorder, review it and produce…

Read the full statement (165 words)

The Holter PlusTM Ambulatory ECG Analysis System is intended for general hospital or clinical use by medical professionals whenever it is required to assess a patient's ambulatory ECG data. This product allows a trained physician or health care professional, after having performed a long-term continuous electrocardiograph (ECG) recording on a digital flash memory Holter recorder, to download and analyze the data from the recorder, review it and produce printed reports. This will enable the evaluation of arrhythmias, ischemic attacks, reporting of PQRST intervals, clinical and epidemiological research studies, evaluation of a patients response after resuming occupational or recreational activities (e.g., after MI. or cardiac surgery, and/or evaluation of patients with pacemakers.

The need to record, review, edit and archive these ambulatory ECG data is most commonly encountered in the Cardiology areas of the hospital during cardiac patient assessment. This device is available for sale only upon the order of a physician or other related licensed medical professional, and not intended for any home use applications.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042463: Holter Plus.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K042463

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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