510(k) Report

510(k) · Cleared

Cleared

Zeus (Zio Ecg Utilization Service) System

K091075510(k) TraditionalCleared Jul 21, 200998-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

iRhythm Technologies, Inc. · DQK Computer, Diagnostic, Programmable

Cleared on Jul 21, 2009 as substantially equivalent to K042463 (Rozinn Electronics, Inc., 2004) and 1 other predicate after a 98-day review. Its family tree reaches back 4 generations to 2000. 32 later devices descend from it.

Decided
Jul 21, 2009
Review
98 days
Class
Class II
Product code
DQK
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K003621 (2000). 10 ancestors in all, the oldest K881905 (1988). 32 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2001: 1 other ancestor2000: 1 other ancestor1995: 1 other ancestor1988: 2 other ancestors2014: 1 descendant cleared2015: 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 clearedK003621 · ST/AR ST and Arrhythmia Software, Model Release D.0 · Agilent Technologies, Inc. · 2000K013717 · Brentwood Real Time ST and Arrhythmia Analysis Software Library · Brentwood Medical Technology Corp. · 2002K043380 · Monebo Automatic Arrhythmia Detection Software Library, Version 1 · Monebo Technologies, Inc. · 2005K062282 · Monebo Automated Ecg Analysis and Interpretation Software Library, Version 3.0 · Monebo Technologies, Inc. · 20071990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 5 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 9 descendants4 generations forward: 7 descendants5 generations forward: 4 descendants6 generations forward: 4 descendants7 generations forward: 4 descendants8 generations forward: 2 descendants K062282 · Monebo Automated Ecg Analysis and Interpretation Software Library, Version 3.0 · Monebo Technologies, Inc. · 2007K043380 · Monebo Automatic Arrhythmia Detection Software Library, Version 1 · Monebo Technologies, Inc. · 2005K013717 · Brentwood Real Time ST and Arrhythmia Analysis Software Library · Brentwood Medical Technology Corp. · 2002K003621 · ST/AR ST and Arrhythmia Software, Model Release D.0 · Agilent Technologies, Inc. · 20000+5
  1. Root · 4 generations backK003621 ST/AR ST and Arrhythmia Software, Model Release D.0Agilent Technologies, Inc. · 2000
  2. 3 generations backK013717 Brentwood Real Time ST and Arrhythmia Analysis Software LibraryBrentwood Medical Technology Corp. · 2002
  3. 2 generations backK043380 Monebo Automatic Arrhythmia Detection Software Library, Version 1Monebo Technologies, Inc. · 2005
  4. 1 generation backK062282 Monebo Automated Ecg Analysis and Interpretation Software Library…Monebo Technologies, Inc. · 2007
  5. This deviceK091075 Zeus (Zio Ecg Utilization Service) SystemiRhythm Technologies, Inc. · 2009
  6. Descendant · cites it directly · 31 of its ownK142681 ZEUS (ZIO ECG Utilization Service) SystemiRhythm Technologies, Inc. · 2014
  7. Descendant · 2 generations on · 30 of its ownK143513 ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc. · 2015
  8. Descendant · 3 generations on · 18 of its ownK163512 Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2017 · Recalled
  9. Descendant · 4 generations on · 12 of its ownK181502 Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc. · 2018
  10. Descendant · 5 generations on · 6 of its ownK210822 DeepRhythmAIMedicalgorithmics S.A. · 2022

Showing 5 of 32 descendants. See all descendants

Descendants cleared per year

2014: 12015: 12017: 32018: 22019: 12020: 12021: 12022: 42023: 32024: 62025: 42026: 5
2014high 6 (2024) · low 0 (2016)2026

Most influential descendants

Showing 5 of 32 · See all
  • K142681ZEUS (ZIO ECG Utilization Service) SystemiRhythm Technologies, Inc. · 2014 · cites it directly31descendants
  • K143513ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc. · 2015 · 2 generations on30descendants
  • K163512Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2017 · 3 generations on18descendants
  • K181502Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc. · 2018 · 4 generations on12descendants
  • K210822DeepRhythmAIMedicalgorithmics S.A. · 2022 · 5 generations on6descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K003621ST/AR ST and Arrhythmia Software, Model Release D.0Agilent Technologies, Inc.2000—
−3K013717Brentwood Real Time ST and Arrhythmia Analysis Software LibraryBrentwood Medical Technology Corp.2002—
−2K043380Monebo Automatic Arrhythmia Detection Software Library, Version 1Monebo Technologies, Inc.2005—
−1K062282Monebo Automated Ecg Analysis and Interpretation Software Library, Version 3.0Monebo Technologies, Inc.2007—
0 (this device)K091075Zeus (Zio Ecg Utilization Service) SystemiRhythm Technologies, Inc.2009—
+1K142681ZEUS (ZIO ECG Utilization Service) SystemiRhythm Technologies, Inc.2014—
+2K143513ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc.2015—
+3K163512Zio AT ECG Monitoring SystemiRhythm Technologies, Inc.20171
+4K181502Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc.2018—
+5K210822DeepRhythmAIMedicalgorithmics S.A.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198820
199510
200010
200110
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201510
201730
201820
201910
202010
202110
202240
202330
202460
202540
202650
FIG. 1 — Lineage of K091075, 2000–2026Source: 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.

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
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
*K042463Holter Plus
Summary page 2
…ECG data up to 14 days in duration Page 20of3 SUBSTANTIAL EQUIVALENCE Legally marketed predicate systems §10(k) Number | Product Manufacturer Ambulatory ECG Analysis K042463 System Rozinn Electronics Inc Automated ECG Analysis and K062282 Interpretation Software Monebo Technologies Inc The ZEUS Syste…
Rozinn Electronics, Inc.2004—
*K062282Monebo Automated Ecg Analysis and Interpretation Software Library, Version 3.0
Summary page 2
…LENCE Legally marketed predicate systems §10(k) Number | Product Manufacturer Ambulatory ECG Analysis K042463 System Rozinn Electronics Inc Automated ECG Analysis and K062282 Interpretation Software Monebo Technologies Inc The ZEUS System 1s substantially equivalent to the Rozinn Holter Plus System and…
Monebo Technologies, Inc.2007—

Also cleared against K042463: 1 other device →

What descends from it? (32)

See all 32

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

NumberDeviceApplicantDecidedDescendants
K142681ZEUS (ZIO ECG Utilization Service) SystemiRhythm Technologies, Inc.201431

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 9 years and passes through 4 companies; a new generation was cleared every 2.3 years on median.
  • None of the 10 ancestors has a recall.
  • Of its descendants, K142681 (iRhythm Technologies, Inc., 2014) has gone furthest, with 31 descendants of its own.
  • 1 other device also cites its predicate K042463.

How does its category compare?

All DQK devices

DQK Computer, Diagnostic, Programmable: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

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 ZEUS System is intended for use by qualified medical professionals for assessment of a patient's recorded ambulatory ECG data. The system is intended to be marketed as a service that downloads and analyzes up to 14 days of ECG data. Analysis metrics are provided in a report which is available for clinician review and printing. The reported ECG metrics include single-lead analysis on a beat by beat basis, heart rate measurement and rhythm analysis. The report does not contain diagnostic interpretation; the reported analysis is provided for review by the intended user to render a diagnosis based on clinical judgment and experience.

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. “K091075: Zeus (Zio Ecg Utilization Service) System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K091075

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