510(k) Report

510(k) · Cleared

Cleared

Medtronic Patient Asistant

K150117510(k) TraditionalCleared May 27, 2015127-day reviewClass II21 CFR 870.1025

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

Medtronic, Inc. · DSI Detector And Alarm, Arrhythmia

Cleared on May 27, 2015 as substantially equivalent to K103764 (Medtronic, Inc., 2011) after a 127-day review. Its family tree reaches back 9 generations to 1987. 1 later device descends from it.

Decided
May 27, 2015
Review
127 days
Class
Class II
Product code
DSI
Recalls
None
Predicates
1

Its longest line of descent runs back 9 generations to K864889 (1987). 57 ancestors in all, the oldest K832113 (1983). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 1 other ancestor2002: 2 other ancestors2005: 1 other ancestor2001: 3 other ancestors2000: 3 other ancestors1999: 7 other ancestors1992: 2 other ancestors2004: 2 other ancestors2003: 1 other ancestor1998: 2 other ancestors1996: 3 other ancestors1995: 7 other ancestors1994: 3 other ancestors1986: 1 other ancestor1997: 2 other ancestors1993: 2 other ancestors1991: 1 other ancestor1990: 1 other ancestor1989: 1 other ancestor1988: 1 other ancestor1983: 1 other ancestor1987: 1 other ancestor2019: 1 descendant clearedK864889 · Omni-Trak · Invivo Research Labs, Inc. · 1987K950264 · Maglife · Odam · 1996K023195 · Maglife C/Maglife C Plus · Schiller Medical S.A. · 2003K040915 · Magnitude 3150M Mri Patient Monitor, Model 3150M · Invivo Research, Inc. · 2004×2: 2 generations cleared close together, K050399 (2005), K053462 (2006) K071641 · Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient Assistant (Model 9539) · Medtronic, Inc. · 2007K082475 · Reveal XT Insertable Cardiac Monitor, Model 9529, Revel DX Insertable Cardiac Monitor, Model 9528 · Medtronic, Inc. · 2008K103764 · Reveal XT Insertable Cardiac Monitor, Model 9529 and Reveal DX Insertable Cardiac Monitor, Model 9528 · Medtronic, Inc. · 201119801990200020102020
  1. Root · 9 generations backK864889 Omni-TrakInvivo Research Labs, Inc. · 1987
  2. 5 generations between
  3. 3 generations backK071641 Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient…Medtronic, Inc. · 2007
  4. 2 generations backK082475 Reveal XT Insertable Cardiac Monitor, Model 9529, Revel DX…Medtronic, Inc. · 2008
  5. 1 generation backK103764 Reveal XT Insertable Cardiac Monitor, Model 9529 and Reveal DX…Medtronic, Inc. · 2011
  6. This deviceK150117 Medtronic Patient AsistantMedtronic, Inc. · 2015
  7. Descendant · cites it directly · 0 of its ownK190574 Patient Assistant Model PA97000Medtronic, Inc. · 2019
Show all 9 generations
  1. Root · 9 generations backK864889 Omni-TrakInvivo Research Labs, Inc. · 1987
  2. 8 generations backK950264 MaglifeOdam · 1996
  3. 7 generations backK023195 Maglife C/Maglife C PlusSchiller Medical S.A. · 2003
  4. 6 generations backK040915 Magnitude 3150M Mri Patient Monitor, Model 3150MInvivo Research, Inc. · 2004
  5. 5 generations backK050399 Mri Compatible Patient Monitoring System, Model 3160Invivo Research, Inc. · 2005
  6. 4 generations backK053462 3160 Mri Patient Monitoring SystemInvivo Corporation · 2006 · Recalled
  7. 3 generations backK071641 Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient…Medtronic, Inc. · 2007
  8. 2 generations backK082475 Reveal XT Insertable Cardiac Monitor, Model 9529, Revel DX…Medtronic, Inc. · 2008
  9. 1 generation backK103764 Reveal XT Insertable Cardiac Monitor, Model 9529 and Reveal DX…Medtronic, Inc. · 2011
  10. This deviceK150117 Medtronic Patient AsistantMedtronic, Inc. · 2015

Most influential descendants

Showing 1 of 1 · See all
  • K190574Patient Assistant Model PA97000Medtronic, Inc. · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K864889Omni-TrakInvivo Research Labs, Inc.1987—
−8K950264MaglifeOdam1996—
−7K023195Maglife C/Maglife C PlusSchiller Medical S.A.2003—
−6K040915Magnitude 3150M Mri Patient Monitor, Model 3150MInvivo Research, Inc.2004—
−5K050399Mri Compatible Patient Monitoring System, Model 3160Invivo Research, Inc.2005—
−4K0534623160 Mri Patient Monitoring SystemInvivo Corporation20062
−3K071641Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient Assistant (Model…Medtronic, Inc.2007—
−2K082475Reveal XT Insertable Cardiac Monitor, Model 9529, Revel DX Insertable Cardiac…Medtronic, Inc.2008—
−1K103764Reveal XT Insertable Cardiac Monitor, Model 9529 and Reveal DX Insertable…Medtronic, Inc.2011—
0 (this device)K150117Medtronic Patient AsistantMedtronic, Inc.2015—
+1K190574Patient Assistant Model PA97000Medtronic, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198610
198710
198810
198910
199010
199110
199220
199320
199430
199570
199630
199720
199820
199970
200030
200130
200220
200310
200420
200510
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
FIG. 1 — Lineage of K150117, 1987–2019Source: 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 DSI? 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 DSI device

  1. #1 K243349 BodyGuardian Remote Monitoring System (BGRMS…score 13.1 · 9 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
*K103764Reveal XT Insertable Cardiac Monitor, Model 9529 and Reveal DX Insertable Cardiac…
Summary page 4
…alarm Product Code: DSI Device Predicate: Patient Assistant Model 9538 – 510(k) K103764 Summary of Substantial Equivalence and Predicate Device The intended use, design, materials and performance of the Medtronic Pa…
Medtronic, Inc.2011—

Also cleared against K103764: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K190574Patient Assistant Model PA97000Medtronic, Inc.20190

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 28 years and passes through 6 companies; a new generation was cleared every 1.8 years on median.
  • 3 of the 57 ancestors have a recall of any class.
  • Of its descendants, K190574 (Medtronic, Inc., 2019) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K103764.

How does its category compare?

All DSI devices

DSI Detector And Alarm, Arrhythmia: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · DSI

1in 2025

2007: 72008: 52009: 62010: 62011: 62012: 32013: 12014: 42015: 92016: 62018: 22019: 32020: 22023: 22024: 12025: 12026 (partial year): 1
2007high 9 (2015) · low 0 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DSI

243in 2019

2007: 151 days median2008: 70 days median2009: 73 days median2010: 111 days median2011: 114 days median2012: 113 days median2014: 200 days median2015: 127 days median2016: 224 days median2019: 243 days median
2007high 243 (2019) · low 70 (2008)2026

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

Recalls per year · DSI

18in 2025

2007: 42008: 82009: 32010: 52011: 32012: 12018: 12019: 42020: 22022: 12023: 22025: 182026 (partial year): 1
2007high 18 (2025) · low 0 (2013)2026

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

Adverse event reports per year · DSI

712in 2025

2007: 642008: 1562009: 2792010: 8232011: 7932012: 7662013: 7952014: 1,0002015: 1,6452016: 4,3522017: 3,5942018: 3,6482019: 3,4852020: 3,0842021: 3,0922022: 1,6382023: 1,6162024: 1,3202025: 712
2007high 4,352 (2016) · low 64 (2007)2025

MAUDE reports naming product code DSI, 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
20077151464
20085708156
20096733279
201061115823
201161143793
201231131766
20131—0795
2014420001,000
2015912701,645
2016622404,352
20170—03,594
20182—13,648
2019324343,485
20202—23,084
20210—03,092
20220—11,638
20232—21,616
20241—01,320
20251—18712
20261—1—

What is it indicated for?

The Patient Assistant is intended for unsupervised patient use away from a hospital or clinic.

The Patient Assistant activates the data management features in the Reveal Family of Insertable Cardiac Monitors (ICM) to initiate recording of cardiac event data in the implanted device memory.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K150117: Medtronic Patient Asistant.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K150117

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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