510(k) Report

510(k) · Cleared

Cleared

EpiWatch Monitoring System

K243515510(k) TraditionalCleared Mar 7, 2025114-day reviewClass II21 CFR 882.1580

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

Epiwatch, Inc. · POS Physiological Signal Based Seizure Monitoring System

Cleared on Mar 7, 2025 as substantially equivalent to K181861 (Empatica S.r.l., 2018) after a 114-day review. Its family tree reaches back 3 generations to 2017.

Decided
Mar 7, 2025
Review
114 days
Class
Class II
Product code
POS
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to DEN140033 (2017). No later device cites it as a predicate yet.

  1. Root · 3 generations backDEN140033 CompanionLgch, Inc. · 2017
  2. 2 generations backK172935 EmbraceEmpatica S.r.l. · 2018
  3. 1 generation backK181861 EmbraceEmpatica S.r.l. · 2018 · Recalled
  4. This deviceK243515 EpiWatch Monitoring SystemEpiwatch, Inc. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3DEN140033CompanionLgch, Inc.2017—
−2K172935EmbraceEmpatica S.r.l.2018—
−1K181861EmbraceEmpatica S.r.l.20181
0 (this device)K243515EpiWatch Monitoring SystemEpiwatch, Inc.2025—
FIG. 1 — Lineage of K243515, 2017–2025Source: 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 POS? 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 POS device

  1. #1 K232915 EpiMonitorscore 19.5 · 39 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
*K181861Embrace
Summary page 6
…eted Predicate/Reference Devices 1.3.1 Empatica Embrace The primary predicate device for the EpiWatch Monitoring System is the Embrace cleared under K181861. 510(k) Number K181861 Trade Name: Embrace Common Name:…
Empatica S.r.l.20181
†K232915EpiMonitorEmpatica S.r.l.2024—

Also cleared against K181861: 3 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?

  • The line of descent spans 8 years and passes through 3 companies; a new generation was cleared every 11 months on median.
  • 1 of the 3 ancestors has a recall of any class.
  • 3 other devices also cite its predicate K181861.

How does its category compare?

All POS devices

POS Physiological Signal Based Seizure Monitoring System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · POS

4in 2025

2017: 12018: 22019: 12021: 12024: 12025: 4
2007high 4 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · POS

154in 2025

2025: 154 days median
2007high 154 (2025)2026

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

Recalls per year · POS

1in 2023

2023: 1
2007high 1 (2023) · low 0 (2007)2026

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

Adverse event reports per year · POS

1in 2025

2021: 12024: 12025: 1
2007high 1 (2021) · low 0 (2007)2025

MAUDE reports naming product code POS, 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
20171—00
20182—00
20191—00
20200—00
20211—01
20220—00
20230—10
20241—01
2025415401
20260—0—

What is it indicated for?

The EpiWatch Monitoring System is a prescription, software-only mobile medical application intended for use with a compatible wrist-worn device as an adjunct to seizure monitoring of adults and children ages 5 and up in home or healthcare settings during periods of rest. The EpiWatch Monitoring System continuously records, stores, displays, and transfers data from the compatible wrist-worn device’s built-in physiological-based sensors to support review…

Read the full statement (112 words)

The EpiWatch Monitoring System is a prescription, software-only mobile medical application intended for use with a compatible wrist-worn device as an adjunct to seizure monitoring of adults and children ages 5 and up in home or healthcare settings during periods of rest.

The EpiWatch Monitoring System continuously records, stores, displays, and transfers data from the compatible wrist-worn device’s built-in physiological-based sensors to support review by healthcare professionals, and people with epilepsy (PWE) or at risk of epilepsy.

When the EpiWatch Monitoring System detects and logs physiological patterns associated with generalized tonic-clonic seizures (TCS), the EpiWatch Monitoring System application alerts the user and/or the identified caregiver(s) to notify of detected possible seizure events.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K243515: EpiWatch Monitoring System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K243515

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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