510(k) Report

510(k) · Cleared

Cleared

VitalScan ANS

K191266510(k) TraditionalCleared Jan 15, 2020250-day reviewClass II21 CFR 870.2780

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

Medeia, Inc. · JOM Plethysmograph, Photoelectric, Pneumatic Or Hydraulic

Cleared on Jan 15, 2020 as substantially equivalent to K083735 (Medtechs, LLC, 2009) and 2 other predicates after a 250-day review. Its family tree reaches back 5 generations to 1985.

Decided
Jan 15, 2020
Review
250 days
Class
Class II
Product code
JOM
Recalls
None
Predicates
3

Its longest line of descent runs back 5 generations to K853124 (1985). 14 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 5 generations backK853124 Novametrix Pulse Oximeter, Model 500Novametrix Medical Systems, Inc. · 1985
  2. 4 generations backK023238 McpulseMeridian Co., Ltd. · 2003
  3. 3 generations backK073323 SA-3000PMedicore Co., Ltd. · 2007
  4. 2 generations backK083735 Ansha Autonomic Nervous System Health Assessment PlusMedtechs, LLC · 2009
  5. 1 generation backK101983 Critical Care AssessmentCritical Patient Care, Inc. · 2010
  6. This deviceK191266 VitalScan ANSMedeia, Inc. · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K853124Novametrix Pulse Oximeter, Model 500Novametrix Medical Systems, Inc.1985—
−4K023238McpulseMeridian Co., Ltd.2003—
−3K073323SA-3000PMedicore Co., Ltd.2007—
−2K083735Ansha Autonomic Nervous System Health Assessment PlusMedtechs, LLC2009—
−1K101983Critical Care AssessmentCritical Patient Care, Inc.2010—
0 (this device)K191266VitalScan ANSMedeia, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199820
200120
200810
201310
201510
201810
FIG. 1 — Lineage of K191266, 1985–2020Source: 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 JOM? 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 JOM device

  1. #1 K220527 PADnet Xpressscore 5.1 · 4 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? (3)

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
*K083735Ansha Autonomic Nervous System Health Assessment Plus
Summary page 4
…Noninvasive blood pressure measurement system 21 CFR 870.1130 (DXN) a3 PREDICATE DEVICES: Primary Predicate Device: K083735; ANSHA‐QHRV1 Secondary Predicate Device: K101983; Critical Care Assessment Secondary Predicate Device: K172655; A…
Medtechs, LLC2009—
*K101983Critical Care Assessment
Summary page 4
…21 CFR 870.1130 (DXN) a3 PREDICATE DEVICES: Primary Predicate Device: K083735; ANSHA‐QHRV1 Secondary Predicate Device: K101983; Critical Care Assessment Secondary Predicate Device: K172655; ABPI MD Reference Device: K012647; Tono…
Critical Patient Care, Inc.2010—
*K172655Automated ankle brachial pressure index measuring device
Summary page 4
…CES: Primary Predicate Device: K083735; ANSHA‐QHRV1 Secondary Predicate Device: K101983; Critical Care Assessment Secondary Predicate Device: K172655; ABPI MD Reference Device: K012647; Tonoport V The FDA database for recalls was searched on 20 March…
Mesi D.O.O.; Mesi, Development of Medical Devices, Ltd.2018—
†K012647Tonoport VPar Medizintechnik GmbH2001—

Also cleared against K083735: 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?

  • The line of descent spans 35 years and passes through 6 companies; a new generation was cleared every 4.8 years on median.
  • 1 of the 14 ancestors has a recall of any class.
  • 1 other device also cites its predicate K083735.

How does its category compare?

All JOM devices

JOM Plethysmograph, Photoelectric, Pneumatic Or Hydraulic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · JOM

2in 2022

2007: 22009: 12010: 22011: 12012: 12013: 22015: 22017: 12018: 12020: 22021: 12022: 2
2007high 2 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JOM

Too few JOM 510(k)s in any year since 2007 to give a median.

Recalls per year · JOM

No recall names JOM since 2007.

Adverse event reports per year · JOM

1in 2007

2007: 1
2007high 1 (2007) · low 0 (2008)2025

MAUDE reports naming product code JOM, 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
20072—01
20080—00
20091—00
20102—00
20111—00
20121—00
20132—00
20140—00
20152—00
20160—00
20171—00
20181—00
20190—00
20202—00
20211—00
20222—00
20230—00
20240—00
20250—00
20260—0—

What is it indicated for?

VitalScan ANS is intended for non-invasive measurements of pulse waveforms by photoelectric plethysmography (PPG), heart rate electrocardiograph (ECG), Heart Variability measurements (HRV) and blood pressure (NIBP) in response to paced respiration and controlled testing procedures for physician assessment of the Cardiovascular Systems. VitalScan ANS also measures/calculates a patient's Brachial and Ankle Blood Pressure, Ankle Brachial Pressure Index…

Read the full statement (121 words)

VitalScan ANS is intended for non-invasive measurements of pulse waveforms by photoelectric plethysmography (PPG), heart rate electrocardiograph (ECG), Heart Variability measurements (HRV) and blood pressure (NIBP) in response to paced respiration and controlled testing procedures for physician assessment of the Cardiovascular Systems.

VitalScan ANS also measures/calculates a patient's Brachial and Ankle Blood Pressure, Ankle Brachial Pressure Index (ABPI) and Ankle Brachial Index (ABI) and provides Pulse Volume Recording (PVR) / volume plethysmography for assessing development of peripheral arterial disease (PAD).

The device is intended for use on transitional adolescents and adults, including those with unilateral lower limb amputation, in medical clinics, healthcare practices and out-patient departments of hospitals.

The physician has the responsibility of interpreting the significance of the resulting data.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191266: VitalScan ANS.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191266

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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