510(k) Report

510(k) · Cleared

Cleared

Zio Patch

K121319510(k) TraditionalCleared Jul 18, 201277-day reviewClass II21 CFR 870.2800

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

iRhythm Technologies, Inc. · DSH Recorder, Magnetic Tape, Medical

Cleared on Jul 18, 2012 after a 77-day review. FDA’s file for it is a 510(k) statement, which names no predicate. 36 later devices descend from it.

Decided
Jul 18, 2012
Review
77 days
Class
Class II
Product code
DSH
Recalls
None
Predicates
0

36 later devices descend from it, 3 citing it directly.

Descendants, by year cleared 2021: 3 descendants cleared2015: 1 descendant cleared2017: 3 descendants cleared2022: 4 descendants cleared2020: 1 descendant cleared2018: 2 descendants cleared2023: 3 descendants cleared2024: 7 descendants cleared2025: 6 descendants cleared2026: 5 descendants cleared2019: 1 descendant cleared2010201520202025
  1. This deviceK121319 Zio PatchiRhythm Technologies, Inc. · 2012
  2. Descendant · cites it directly · 30 of its ownK143513 ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc. · 2015
  3. Descendant · 2 generations on · 18 of its ownK163512 Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2017 · Recalled
  4. Descendant · 3 generations on · 12 of its ownK181502 Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc. · 2018
  5. Descendant · 4 generations on · 6 of its ownK210822 DeepRhythmAIMedicalgorithmics S.A. · 2022
  6. Descendant · 4 generations on · 4 of its ownK190593 Zio XT ECG Monitoring System, Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2019

Showing 5 of 36 descendants. See all descendants

Descendants cleared per year

2015: 12017: 32018: 22019: 12020: 12021: 32022: 42023: 32024: 72025: 62026: 5
2015high 7 (2024) · low 0 (2016)2026

Most influential descendants

Showing 5 of 36 · See all
  • K143513ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc. · 2015 · cites it directly30descendants
  • K163512Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2017 · 2 generations on18descendants
  • K181502Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc. · 2018 · 3 generations on12descendants
  • K210822DeepRhythmAIMedicalgorithmics S.A. · 2022 · 4 generations on6descendants
  • K190593Zio XT ECG Monitoring System, Zio AT ECG Monitoring SystemiRhythm Technologies, Inc. · 2019 · 4 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K121319Zio PatchiRhythm Technologies, Inc.2012—
+1K143513ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc.2015—
+2K163512Zio AT ECG Monitoring SystemiRhythm Technologies, Inc.20171
+3K181502Zio AT ECG Monitoring System, ZEUS SystemiRhythm Technologies, Inc.2018—
+4K210822DeepRhythmAIMedicalgorithmics S.A.2022—
+4K190593Zio XT ECG Monitoring System, Zio AT ECG Monitoring SystemiRhythm Technologies, Inc.2019—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201730
201820
201910
202010
202130
202240
202330
202470
202560
202650
FIG. 1 — Lineage of K121319, 2012–2026Source: 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 510(k) statement (indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in DSH? 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 DSH device

  1. #1 K260157 LifeLens Physiological Monitorscore 17.9 · 22 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?

FDA’s file for it is a 510(k) statement, which names no predicate.

What descends from it? (36)

See all 36

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

NumberDeviceApplicantDecidedDescendants
K143513ZIO SR ECG Monitoring ServiceiRhythm Technologies, Inc.201530
K202359Zio MonitoriRhythm Technologies, Inc.20212
K201644QardioCoreQardio, Inc.20211

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?

  • Of its descendants, K143513 (iRhythm Technologies, Inc., 2015) has gone furthest, with 30 descendants of its own.

How does its category compare?

All DSH devices

DSH Recorder, Magnetic Tape, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · DSH

4in 2025

2007: 12008: 12009: 32010: 22011: 62012: 22013: 22014: 12015: 22016: 22017: 32018: 32019: 32020: 42021: 42022: 42023: 62024: 22025: 42026 (partial year): 2
2007high 6 (2011) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DSH

205in 2025

2009: 84 days median2011: 64 days median2017: 91 days median2018: 269 days median2019: 30 days median2020: 122 days median2021: 263 days median2022: 427 days median2023: 198 days median2025: 205 days median
2007high 427 (2022) · low 30 (2019)2026

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

Recalls per year · DSH

No recall names DSH since 2007.

Adverse event reports per year · DSH

213in 2025

2009: 12010: 82011: 32012: 12013: 22014: 32015: 82016: 62017: 312018: 302019: 762020: 912021: 1132022: 462023: 652024: 882025: 213
2007high 213 (2025) · low 0 (2007)2025

MAUDE reports naming product code DSH, 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
20071—00
20081—00
200938401
20102—08
201166403
20122—01
20132—02
20141—03
20152—08
20162—06
2017391031
20183269030
2019330076
20204122091
202142630113
20224427046
20236198065
20242—088
202542050213
20262—0—

What is it indicated for?

The Zio® Patch is a prescription-only, single-patient-use, continuously recording EGG monitor that can be worn up to 14 days. It is indicated for use on patients who may be asymptomatic or who may suffer from transient symptoms such as palpitations, shortness of breath, dizziness, light-headedness, pre-syncope, syncope, fatigue, or anxiety.

Indications for use as stated in the FDA 510(k) statement.

Cite this page

510(k) Report. “K121319: Zio Patch.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121319

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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