510(k) Report

510(k) · Cleared

Cleared

HEM-4030

K110501510(k) SpecialCleared Mar 21, 201127-day reviewClass II21 CFR 870.1130

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

Omron Healthcare, Inc. · DXN System, Measurement, Blood-Pressure, Non-Invasive

Cleared on Mar 21, 2011 as substantially equivalent to K903133 (Omron Marshall Products, Inc., 1991) after a 27-day review. Its family tree reaches back 1 generation to 1991.

Decided
Mar 21, 2011
Review
27 days
Class
Class II
Product code
DXN
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K903133 (1991). No later device cites it as a predicate yet.

K903133 · Omron Oscillometric Digital BP Monitor-Hem-405C · Omron Marshall Products, Inc. · 199119901995200020052010
  1. Root · 1 generation backK903133 Omron Oscillometric Digital BP Monitor-Hem-405COmron Marshall Products, Inc. · 1991
  2. This deviceK110501 HEM-4030Omron Healthcare, Inc. · 2011
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K903133Omron Oscillometric Digital BP Monitor-Hem-405COmron Marshall Products, Inc.1991—
0 (this device)K110501HEM-4030Omron Healthcare, Inc.2011—
FIG. 1 — Lineage of K110501, 1991–2011Source: 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 DXN? 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 DXN device

  1. #1 K222125 Arm Blood Pressure Monitor, models AOJ-30A…score 18.5 · 8 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
*K903133Omron Oscillometric Digital BP Monitor-Hem-405C
Summary page 1
…sure measurement system. CFR 870.1130 Device: HEM-4030 Modified Device: Omron - HEM-405C - K903 133 Device Description: The HEM-4030 is a non-invasive blood pressure monitor that determines blood pressure by the oscillometric me…
Omron Marshall Products, Inc.1991—

Also cleared against K903133: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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?

  • Its one ancestor has no recall.
  • 1 other device also cites its predicate K903133.

How does its category compare?

All DXN devices

DXN System, Measurement, Blood-Pressure, Non-Invasive: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · DXN

28in 2025

2007: 272008: 232009: 462010: 432011: 342012: 362013: 342014: 292015: 302016: 302017: 332018: 222019: 332020: 242021: 232022: 252023: 352024: 172025: 282026 (partial year): 29
2007high 46 (2009) · low 17 (2024)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DXN

142in 2025

2007: 118 days median2008: 82 days median2009: 73 days median2010: 94 days median2011: 72 days median2012: 116 days median2013: 150 days median2014: 133 days median2015: 97 days median2016: 144 days median2017: 184 days median2018: 235 days median2019: 156 days median2020: 198 days median2021: 190 days median2022: 137 days median2023: 182 days median2024: 107 days median2025: 142 days median2026 (partial year): 147 days median
2007high 235 (2018) · low 72 (2011)2026

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

Recalls per year · DXN

3in 2024

2008: 12009: 32011: 12013: 12016: 12019: 12024: 3
2007high 3 (2009) · low 0 (2007)2026

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

Adverse event reports per year · DXN

239in 2025

2007: 212008: 82009: 172010: 142011: 102012: 192013: 722014: 472015: 622016: 542017: 902018: 6172019: 962020: 1302021: 1622022: 1552023: 1622024: 2702025: 239
2007high 617 (2018) · low 8 (2008)2025

MAUDE reports naming product code DXN, 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
200727118021
2008238218
20094673317
20104394014
20113472110
201236116019
201334150172
201429133047
20153097062
201630144154
201733184090
2018222350617
201933156196
2020241980130
2021231900162
2022251370155
2023351820162
2024171073270
2025281420239
2026291470—

What is it indicated for?

The HEM-4030 is a digital monitor intended for measuring systolic and diastolic blood pressure and pulse rate in adults.

The Omron HEM-4030 is not intended to be a diagnostic device. Contact your physician if hypertensive values are indicated.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K110501: HEM-4030.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K110501

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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