510(k) Report

510(k) · Cleared

Cleared

Eko Analysis Software

K192004510(k) TraditionalCleared Jan 15, 2020173-day reviewClass II21 CFR 870.2300

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

Eko Devices, Inc. · MWI Monitor, Physiological, Patient (Without Arrhythmia Detection Or Alarms)

Cleared on Jan 15, 2020 as substantially equivalent to K170798 (Dictum Health, Inc., 2017) and 3 other predicates after a 173-day review. Its family tree reaches back 11 generations to 1991. 4 later devices descend from it.

Decided
Jan 15, 2020
Review
173 days
Class
Class II
Product code
MWI
Recalls
None
Predicates
4

Its longest line of descent runs back 11 generations to K910772 (1991). 97 ancestors in all, the oldest K771653 (1977). 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2017: 1 other ancestor2008: 3 other ancestors2016: 1 other ancestor2007: 4 other ancestors2002: 5 other ancestors2015: 1 other ancestor2006: 2 other ancestors2005: 4 other ancestors2000: 6 other ancestors1998: 7 other ancestors2011: 1 other ancestor2004: 4 other ancestors2010: 1 other ancestor2009: 1 other ancestor2003: 2 other ancestors2001: 5 other ancestors1999: 3 other ancestors1996: 8 other ancestors1997: 4 other ancestors1995: 4 other ancestors1994: 3 other ancestors1993: 3 other ancestors1992: 4 other ancestors1991: 1 other ancestor1986: 1 other ancestor1977: 1 other ancestor1990: 1 other ancestor1987: 3 other ancestors1988: 1 other ancestor2022: 1 descendant cleared2025: 2 descendants cleared2024: 1 descendant clearedK910772 · Propaq 102, 104 and 106 · Protocol Systems, Inc. · 1991×3: 3 generations cleared close together, K972020 (1998), K980879 (1998), K982776 (1998) K013319 · Nonin Model 2120 Pulse Oximeter and Noninvasive Blood Pressure (Nibp) Monitor · Nonin Medical, Inc. · 2002K041156 · Avant Digital Pulse Oximetry System, Models 4000, 4001 · Nonin Medical, Inc. · 2004 · recalledK043359 · 4100 Patient Oximeter Module · Nonin Medical, Inc. · 2005K083309 · Zargis Acoustic Cardioscan, Version 9.33 · Zargis Medical Corp. · 2009K110704 · SENSI · Diacoustic Medical Devices (Pty), Ltd. · 2011K121617 · Sensicardiac · Diacoustic Medical (Pty) · 2012K131044 · Sensicardiac Mobi Diagnostic Heart Murmur Application · Diacoustic Medical Devices (Pty), Ltd. · 201319801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 4 other ancestors3 generations back: 8 other ancestors4 generations back: 8 other ancestors5 generations back: 14 other ancestors6 generations back: 24 other ancestors7 generations back: 10 other ancestors8 generations back: 11 other ancestors9 generations back: 4 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 1 descendant K131044 · Sensicardiac Mobi Diagnostic Heart Murmur Application · Diacoustic Medical Devices (Pty), Ltd. · 2013K121617 · Sensicardiac · Diacoustic Medical (Pty) · 2012K110704 · SENSI · Diacoustic Medical Devices (Pty), Ltd. · 2011K083309 · Zargis Acoustic Cardioscan, Version 9.33 · Zargis Medical Corp. · 2009K043359 · 4100 Patient Oximeter Module · Nonin Medical, Inc. · 2005K041156 · Avant Digital Pulse Oximetry System, Models 4000, 4001 · Nonin Medical, Inc. · 2004 · recalledK013319 · Nonin Model 2120 Pulse Oximeter and Noninvasive Blood Pressure (Nibp) Monitor · Nonin Medical, Inc. · 2002K982776 · 9303 Neonatal/Adult Vital Signs Monitor · Cas Medical Systems, Inc. · 1998K980879 · Oscillomate Nibp / SP02 Ems Monitor · Cas Medical Systems, Inc. · 1998K972020 · Oscillomate Non-Invasive Blood Pressure Monitor · Cas Medical Systems, Inc. · 1998K910772 · Propaq 102, 104 and 106 · Protocol Systems, Inc. · 1991−10−50
  1. Root · 11 generations backK910772 Propaq 102, 104 and 106Protocol Systems, Inc. · 1991
  2. 7 generations between
  3. 3 generations backK110704 SENSIDiacoustic Medical Devices (Pty), Ltd. · 2011
  4. 2 generations backK121617 SensicardiacDiacoustic Medical (Pty) · 2012
  5. 1 generation backK131044 Sensicardiac Mobi Diagnostic Heart Murmur ApplicationDiacoustic Medical Devices (Pty), Ltd. · 2013
  6. This deviceK192004 Eko Analysis SoftwareEko Devices, Inc. · 2020
  7. Descendant · cites it directly · 3 of its ownK213794 Eko Murmur Analysis Software (EMAS)Eko Devices, Inc. · 2022
  8. Descendant · 2 generations on · 1 of its ownK240901 StethophoneSparrow Acoustics, Inc. · 2024
  9. Descendant · 3 generations on · 0 of its ownK252595 Stethophone ProSparrow Acoustics, Inc. · 2025
  10. Descendant · 2 generations on · 0 of its ownK251494 Eko Foundation Analysis Software with Transformers (EFAST)Eko Health, Inc. · 2025
Show all 11 generations
  1. Root · 11 generations backK910772 Propaq 102, 104 and 106Protocol Systems, Inc. · 1991
  2. 10 generations backK972020 Oscillomate Non-Invasive Blood Pressure MonitorCas Medical Systems, Inc. · 1998
  3. 9 generations backK980879 Oscillomate Nibp / SP02 Ems MonitorCas Medical Systems, Inc. · 1998
  4. 8 generations backK982776 9303 Neonatal/Adult Vital Signs MonitorCas Medical Systems, Inc. · 1998
  5. 7 generations backK013319 Nonin Model 2120 Pulse Oximeter and Noninvasive Blood Pressure…Nonin Medical, Inc. · 2002
  6. 6 generations backK041156 Avant Digital Pulse Oximetry System, Models 4000, 4001Nonin Medical, Inc. · 2004 · Recalled
  7. 5 generations backK043359 4100 Patient Oximeter ModuleNonin Medical, Inc. · 2005
  8. 4 generations backK083309 Zargis Acoustic Cardioscan, Version 9.33Zargis Medical Corp. · 2009
  9. 3 generations backK110704 SENSIDiacoustic Medical Devices (Pty), Ltd. · 2011
  10. 2 generations backK121617 SensicardiacDiacoustic Medical (Pty) · 2012
  11. 1 generation backK131044 Sensicardiac Mobi Diagnostic Heart Murmur ApplicationDiacoustic Medical Devices (Pty), Ltd. · 2013
  12. This deviceK192004 Eko Analysis SoftwareEko Devices, Inc. · 2020

Most influential descendants

Showing 4 of 4 · See all
  • K213794Eko Murmur Analysis Software (EMAS)Eko Devices, Inc. · 2022 · cites it directly3descendants
  • K240901StethophoneSparrow Acoustics, Inc. · 2024 · 2 generations on1descendant
  • K252595Stethophone ProSparrow Acoustics, Inc. · 2025 · 3 generations on0descendants
  • K251494Eko Foundation Analysis Software with Transformers (EFAST)Eko Health, Inc. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K910772Propaq 102, 104 and 106Protocol Systems, Inc.1991—
−10K972020Oscillomate Non-Invasive Blood Pressure MonitorCas Medical Systems, Inc.1998—
−9K980879Oscillomate Nibp / SP02 Ems MonitorCas Medical Systems, Inc.1998—
−8K9827769303 Neonatal/Adult Vital Signs MonitorCas Medical Systems, Inc.1998—
−7K013319Nonin Model 2120 Pulse Oximeter and Noninvasive Blood Pressure (Nibp) MonitorNonin Medical, Inc.2002—
−6K041156Avant Digital Pulse Oximetry System, Models 4000, 4001Nonin Medical, Inc.20041
−5K0433594100 Patient Oximeter ModuleNonin Medical, Inc.2005—
−4K083309Zargis Acoustic Cardioscan, Version 9.33Zargis Medical Corp.2009—
−3K110704SENSIDiacoustic Medical Devices (Pty), Ltd.2011—
−2K121617SensicardiacDiacoustic Medical (Pty)2012—
−1K131044Sensicardiac Mobi Diagnostic Heart Murmur ApplicationDiacoustic Medical Devices (Pty), Ltd.2013—
0 (this device)K192004Eko Analysis SoftwareEko Devices, Inc.2020—
+1K213794Eko Murmur Analysis Software (EMAS)Eko Devices, Inc.2022—
+2K240901StethophoneSparrow Acoustics, Inc.2024—
+3K252595Stethophone ProSparrow Acoustics, Inc.2025—
+2K251494Eko Foundation Analysis Software with Transformers (EFAST)Eko Health, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198610
198730
198810
199010
199110
199240
199330
199430
199540
199680
199740
199870
199930
200060
200150
200250
200320
200440
200540
200620
200740
200830
200910
201010
201110
201510
201610
201710
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202410
202520
FIG. 1 — Lineage of K192004, 1991–2025Source: 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 MWI? 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 MWI device

  1. #1 K230457 Empatica Health Monitoring Platform…score 28.0 · 39 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? (4)

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
*K170798Dictum Health
Summary page 4
…Usual Name: CardiacAI Classification Name: Cardiac monitor Regulatory Class: Class II Product Code: MWI, DQD, DPS Predicate Devices Dictum Health Inc., IDM100 (K170798) Diacoustic Medical Devices (Pty) Ltd, SensiCardiac Mobi (K131044) Inovise Medical, AUDICOR 200 (K073545) ph…
Dictum Health, Inc.2017—
*K131044Sensicardiac Mobi Diagnostic Heart Murmur Application
Summary page 4
…ass: Class II Product Code: MWI, DQD, DPS Predicate Devices Dictum Health Inc., IDM100 (K170798) Diacoustic Medical Devices (Pty) Ltd, SensiCardiac Mobi (K131044) Inovise Medical, AUDICOR 200 (K073545) physIQ Inc, physIQ Heart Rhythm Module (K180234) Device Description…
Diacoustic Medical Devices (Pty), Ltd.2013—
*K073545Audicor, Hemo Ambulatory Monitor
Summary page 4
…dicate Devices Dictum Health Inc., IDM100 (K170798) Diacoustic Medical Devices (Pty) Ltd, SensiCardiac Mobi (K131044) Inovise Medical, AUDICOR 200 (K073545) physIQ Inc, physIQ Heart Rhythm Module (K180234) Device Description The Eko Analysis Software is a cloud-based s…
Inovise Medical, Inc.2008—
*K180234physiQ Heart Rhythm Module
Summary page 4
…98) Diacoustic Medical Devices (Pty) Ltd, SensiCardiac Mobi (K131044) Inovise Medical, AUDICOR 200 (K073545) physIQ Inc, physIQ Heart Rhythm Module (K180234) Device Description The Eko Analysis Software is a cloud-based software API that allows a user to upload synchron…
Physiq, Inc.2018—

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K213794Eko Murmur Analysis Software (EMAS)Eko Devices, Inc.20223

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 29 years and passes through 7 companies; a new generation was cleared every 2.4 years on median.
  • 4 of the 97 ancestors have a recall of any class.
  • Of its descendants, K213794 (Eko Devices, Inc., 2022) has gone furthest, with 3 descendants of its own.

How does its category compare?

All MWI devices

MWI Monitor, Physiological, Patient (Without Arrhythmia Detection Or Alarms): FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · MWI

4in 2025

2007: 92008: 92009: 62010: 172011: 112012: 132013: 202014: 162015: 192016: 122017: 132018: 112019: 142020: 82021: 92022: 52023: 82024: 102025: 42026 (partial year): 6
2007high 20 (2013) · low 4 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MWI

247in 2025

2007: 42 days median2008: 49 days median2009: 112 days median2010: 58 days median2011: 78 days median2012: 104 days median2013: 85 days median2014: 148 days median2015: 127 days median2016: 165 days median2017: 205 days median2018: 217 days median2019: 255 days median2020: 138 days median2021: 161 days median2022: 231 days median2023: 250 days median2024: 202 days median2025: 247 days median2026 (partial year): 239 days median
2007high 255 (2019) · low 42 (2007)2026

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

Recalls per year · MWI

9so far in 2026, the most since 2007

2007: 12008: 12009: 22010: 22011: 32012: 52013: 32014: 62015: 12017: 22019: 42022: 22024: 52026 (partial year): 9
2007high 9 (2026) · low 0 (2016)2026

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

Adverse event reports per year · MWI

182in 2025

2007: 32008: 32009: 202010: 172011: 162012: 312013: 422014: 302015: 312016: 512017: 852018: 1582019: 1692020: 1102021: 1882022: 1682023: 1792024: 1202025: 182
2007high 188 (2021) · low 3 (2007)2025

MAUDE reports naming product code MWI, 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
200794213
200894913
20096112220
20101758217
20111178316
201213104531
20132085342
201416148630
201519127131
201612165051
201713205285
2018112170158
2019142554169
202081380110
202191610188
202252312168
202382500179
2024102025120
202542470182
202662399—

What is it indicated for?

The Eko Analysis Software is intended to provide support to the physician in the evaluation of patients' heart sounds and ECG’s. The software analyzes simultaneous ECG and heart sounds. The software will detect the presence of suspected murmurs in the heart sounds. The software also detects the presence of atrial fibrillation and normal sinus rhythm from the ECG signal. In addition, it calculates certain cardiac time intervals such as heart rate, QRS…

Read the full statement (131 words)

The Eko Analysis Software is intended to provide support to the physician in the evaluation of patients' heart sounds and ECG’s. The software analyzes simultaneous ECG and heart sounds. The software will detect the presence of suspected murmurs in the heart sounds. The software also detects the presence of atrial fibrillation and normal sinus rhythm from the ECG signal. In addition, it calculates certain cardiac time intervals such as heart rate, QRS duration and EMAT. The software does not distinguish between different kinds of murmurs and does not identify other arrhythmias.

It is not intended as a sole means of diagnosis. The interpretations of heart sounds and ECG offered by the software are only significant when used in conjunction with physician over-read and is for use on adults (> 18 years).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192004: Eko Analysis Software.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K192004

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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