510(k) Report

510(k) · Cleared

Cleared

Matrix Mini ECG Monitor

K152701510(k) AbbreviatedCleared Apr 22, 2016214-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

Global Instrumentation, LLC · DSI Detector And Alarm, Arrhythmia

Cleared on Apr 22, 2016 as substantially equivalent to K984033 (Welch Allyn, Inc., 1999) and 1 other predicate after a 214-day review. Its family tree reaches back 5 generations to 1993. 1 of the 16 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it.

Decided
Apr 22, 2016
Review
214 days
Class
Class II
Product code
DSI
Recalls
None
Predicates
2

Its longest line of descent runs back 5 generations to K925411 (1993). 12 ancestors in all, the oldest K911598 (1991). 3 later devices descend from it, 1 citing it directly. 1 of the 16 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1999: 1 other ancestor1997: 1 other ancestor, 1 with a Class I recall11996: 1 other ancestor1991: 2 other ancestors1994: 1 other ancestor2000: 1 other ancestor2017: 1 descendant cleared2022: 1 descendant cleared2021: 1 descendant clearedK925411 · Model 2041-PC/ST Cardiac Telemetry Monitor · Accucore, Inc. · 1993K972121 · Acuity Central Station · Protocol Systems, Inc. · 1997K022453 · Modification to Acuity Central Monitoring System · Welch Allyn Protocol, Inc. · 2002 · recalledK052160 · Acuity Central Station, Model 020XXXXX (Note: Xxxxx = Various Config.) · Welch Allyn, Inc. · 2005 · recalledK120774 · Acuity Central Monitoring Station or Acuity Central Monitoring System, Mobile Acuity LT, Mobile Acuity, Mobile LT · Welch Allyn, Inc. · 20121990200020102020
  1. Root · 5 generations backK925411 Model 2041-PC/ST Cardiac Telemetry MonitorAccucore, Inc. · 1993
  2. 4 generations backK972121 Acuity Central StationProtocol Systems, Inc. · 1997
  3. 3 generations backK022453 Modification to Acuity Central Monitoring SystemWelch Allyn Protocol, Inc. · 2002 · Recalled
  4. 2 generations backK052160 Acuity Central Station, Model 020XXXXX (Note: Xxxxx = Various Config.)Welch Allyn, Inc. · 2005 · Recalled
  5. 1 generation backK120774 Acuity Central Monitoring Station or Acuity Central Monitoring…Welch Allyn, Inc. · 2012
  6. This deviceK152701 Matrix Mini ECG MonitorGlobal Instrumentation, LLC · 2016
  7. Descendant · cites it directly · 2 of its ownK171621 Welch Allyn Connex Vital Signs Monitor, Welch Allyn Connex…Welch Allyn, Inc. · 2017 · Recalled
  8. Descendant · 2 generations on · 0 of its ownK212473 Welch Allyn Connex Central StationWelch Allyn, Inc. · 2022
  9. Descendant · 2 generations on · 0 of its ownK201635 MouthLab Vital Signs Monitoring SystemMultisensor Diagnostics (Dba Aidar Health) · 2021

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K171621Welch Allyn Connex Vital Signs Monitor, Welch Allyn Connex Integrated Wall System…Welch Allyn, Inc. · 2017 · cites it directly2descendants
  • K212473Welch Allyn Connex Central StationWelch Allyn, Inc. · 2022 · 2 generations on0descendants
  • K201635MouthLab Vital Signs Monitoring SystemMultisensor Diagnostics (Dba Aidar Health) · 2021 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K925411Model 2041-PC/ST Cardiac Telemetry MonitorAccucore, Inc.1993—
−4K972121Acuity Central StationProtocol Systems, Inc.1997—
−3K022453Modification to Acuity Central Monitoring SystemWelch Allyn Protocol, Inc.20021
−2K052160Acuity Central Station, Model 020XXXXX (Note: Xxxxx = Various Config.)Welch Allyn, Inc.20052
−1K120774Acuity Central Monitoring Station or Acuity Central Monitoring System, Mobile…Welch Allyn, Inc.2012—
0 (this device)K152701Matrix Mini ECG MonitorGlobal Instrumentation, LLC2016—
+1K171621Welch Allyn Connex Vital Signs Monitor, Welch Allyn Connex Integrated Wall…Welch Allyn, Inc.20173
+2K212473Welch Allyn Connex Central StationWelch Allyn, Inc.2022—
+2K201635MouthLab Vital Signs Monitoring SystemMultisensor Diagnostics (Dba Aidar Health)2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199120
199410
199610
199711
199910
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
202110
202210
FIG. 1 — Lineage of K152701, 1993–2022Source: 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.

1 device in this family has a Class I recall. 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? (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
*K984033Atlas Monitor
Summary page 4
…Product Code – DRT (Atlas also includes BZQ function) Welch Allyn, Inc. 510(k) Number K984033 Acuity Central Monitoring Station (Supplemental Predicate Device…
Welch Allyn, Inc.1999—
*K120774Acuity Central Monitoring Station or Acuity Central Monitoring System, Mobile Acuity LT…
Summary page 4
…measurement and alarm) Product Code – DSI Welch Allyn, Inc. 510(k) Number K120774 Abbreviated 510(k) Matrix Mini ECG Monitor Page 1 of 16…
Welch Allyn, Inc.2012—

Also cleared against K984033: 2 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K171621Welch Allyn Connex Vital Signs Monitor, Welch Allyn Connex Integrated Wall System…Welch Allyn, Inc.20172

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K970209Capnocheck PlusBci Intl., Inc. · 1997 · 2 generations back · ◆ in the 1997 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 23 years and passes through 5 companies; a new generation was cleared every 4.7 years on median.
  • 3 of the 12 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K171621 (Welch Allyn, Inc., 2017) has gone furthest, with 2 descendants of its own.
  • 2 other devices also cite its predicate K984033.

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. 2016, 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 Matrix Mini ECG Monitor is intended for continuous measurement of heart rate, respiration rate and detection of cardiac standstill (asystole), ventricular tachycardia and ventricular fibrillation in general medical and surgical floors,

general hospital and alternate professional healthcare environments. The system is indicated for use in pediatric and adult

patients.

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. “K152701: Matrix Mini ECG Monitor.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K152701

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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