510(k) Report

510(k) · Cleared

Cleared

Garmin ECG App

K221774510(k) TraditionalCleared Jan 12, 2023205-day reviewClass II21 CFR 870.2345

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

Garmin International, Inc. · QDA Electrocardiograph Software For Over-The-Counter Use

Cleared on Jan 12, 2023 as substantially equivalent to DEN180044 (Apple, Inc., 2018) after a 205-day review. Its family tree reaches back 1 generation to 2018.

Decided
Jan 12, 2023
Review
205 days
Class
Class II
Product code
QDA
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to DEN180044 (2018). No later device cites it as a predicate yet.

DEN180044 · ECG App · Apple, Inc. · 201820162018202020222024
DEN180044 · ECG App · Apple, Inc. · 20180
  1. Root · 1 generation backDEN180044 ECG AppApple, Inc. · 2018
  2. This deviceK221774 Garmin ECG AppGarmin International, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN180044ECG AppApple, Inc.2018—
0 (this device)K221774Garmin ECG AppGarmin International, Inc.2023—
FIG. 1 — Lineage of K221774, 2018–2023Source: 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 QDA? 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 QDA device

  1. #1 K240795 Withings ECG Appscore 9.8 · 2 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
*DEN180044ECG App
Summary page 4
…Regulatory Class Class II Predicate Device: Predicate Manufacturer Apple Inc. Predicate Trade Name Apple ECG App Predicate 510(k) DEN180044 3 Device Description The Garmin ECG App (ECG App) is a software-only, mobile medical application that has two components: (1)…
Apple, Inc.2018—

Also cleared against DEN180044: 4 other devices →

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?

  • Its one ancestor has no recall.
  • 4 other devices also cite its predicate DEN180044.

How does its category compare?

All QDA devices

QDA Electrocardiograph Software For Over-The-Counter Use: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · QDA

2in 2025

2018: 12020: 32023: 22024: 12025: 2
2007high 3 (2020) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QDA

122in 2020

2020: 122 days median
2007high 122 (2020)2026

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

Recalls per year · QDA

No recall names QDA since 2007.

Adverse event reports per year · QDA

5in 2025

2021: 42022: 32023: 52024: 142025: 5
2007high 14 (2024) · low 0 (2007)2025

MAUDE reports naming product code QDA, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20181—00
20190—00
2020312200
20210—04
20220—03
20232—05
20241—014
20252—05
20260—0—

What is it indicated for?

The Garmin ECG app is a software-only, mobile medical application intended for use with compatible Garmin smartwatches to create, record, store, transfer, and display a single-channel electrocardiograph similar to a Lead I ECG. The ECG app determines the presence of atrial fibrillation (AFib) or sinus rhythm (SR) on a classifiable waveform. The ECG app is not recommended for users with other known arrhythmias. The ECG app is intended for over-the-counter…

Read the full statement (154 words)

The Garmin ECG app is a software-only, mobile medical application intended for use with compatible Garmin smartwatches to create, record, store, transfer, and display a single-channel electrocardiograph similar to a Lead I ECG. The ECG app determines the presence of atrial fibrillation (AFib) or sinus rhythm (SR) on a classifiable waveform. The ECG app is not recommended for users with other known arrhythmias.

The ECG app is intended for over-the-counter (OTC) use. The ECG data displayed by the ECG app is intended for informational use only. The user is not intended to interpret or take clinical action based on the device output without consultation of a qualified healthcare professional. The ECG waveform is meant to supplement rhythm classification for the purposes of discriminating AFib from normal SR, and it is not intended to replace traditional methods of diagnosis or treatment.

The ECG app is not intended for use by people under 22 years old.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221774: Garmin ECG App.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221774

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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