510(k) Report

510(k) · Cleared

Cleared

King of Hearts Express II & King of Hearts Express EZ II

K983626510(k) AbbreviatedCleared Feb 5, 1999113-day reviewClass II21 CFR 870.2920

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

Alaris Medical Systems, Inc. · DXH Transmitters And Receivers, Electrocardiograph, Telephone

Cleared on Feb 5, 1999 after a 113-day review. The FDA summary names its predicate without a number. 121 later devices descend from it.

Decided
Feb 5, 1999
Review
113 days
Class
Class II
Product code
DXH
Recalls
None
Predicates
0

121 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2002: 1 descendant cleared2007: 3 descendants cleared2014: 7 descendants cleared2011: 4 descendants cleared2008: 4 descendants cleared2006: 2 descendants cleared2005: 1 descendant cleared2010: 4 descendants cleared2009: 1 descendant cleared2015: 11 descendants cleared2020: 12 descendants cleared2017: 7 descendants cleared2012: 2 descendants cleared2013: 1 descendant cleared2018: 7 descendants cleared2021: 10 descendants cleared2016: 4 descendants cleared2019: 9 descendants cleared2023: 12 descendants cleared2022: 7 descendants cleared2024: 5 descendants cleared2025: 3 descendants cleared2026: 4 descendants cleared1995200020052010201520202025
  1. This deviceK983626 King of Hearts Express II & King of Hearts Express EZ IIAlaris Medical Systems, Inc. · 1999
  2. Descendant · cites it directly · 120 of its ownK020825 King of Hearts Express + AF MonitorCard Guard Scientific Survival, Ltd. · 2002
  3. Descendant · 2 generations on · 47 of its ownK052767 Afibalert Atrial Fibrillation DetectorLechnologies Research, Inc. · 2006
  4. Descendant · 2 generations on · 46 of its ownK042108 Vista PlusNovacor · 2005
  5. Descendant · 2 generations on · 40 of its ownK071641 Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient…Medtronic, Inc. · 2007
  6. Descendant · 3 generations on · 30 of its ownK071655 Reveal DX Insertable Cardiac Monitor, Reveal Patient Assistant…Medtronic, Inc. · 2007

Showing 5 of 121 descendants. See all descendants

Descendants cleared per year

2002: 12005: 12006: 22007: 32008: 42009: 12010: 42011: 42012: 22013: 12014: 72015: 112016: 42017: 72018: 72019: 92020: 122021: 102022: 72023: 122024: 52025: 32026: 4
2002high 12 (2020) · low 0 (2003)2026

Most influential descendants

Showing 5 of 121 · See all
  • K020825King of Hearts Express + AF MonitorCard Guard Scientific Survival, Ltd. · 2002 · cites it directly120descendants
  • K052767Afibalert Atrial Fibrillation DetectorLechnologies Research, Inc. · 2006 · 2 generations on47descendants
  • K042108Vista PlusNovacor · 2005 · 2 generations on46descendants
  • K071641Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient Assistant (Model 9539)Medtronic, Inc. · 2007 · 2 generations on40descendants
  • K071655Reveal DX Insertable Cardiac Monitor, Reveal Patient Assistant, Model (S) 9528,9538Medtronic, Inc. · 2007 · 3 generations on30descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K983626King of Hearts Express II & King of Hearts Express EZ IIAlaris Medical Systems, Inc.1999—
+1K020825King of Hearts Express + AF MonitorCard Guard Scientific Survival, Ltd.2002—
+2K052767Afibalert Atrial Fibrillation DetectorLechnologies Research, Inc.2006—
+2K042108Vista PlusNovacor2005—
+2K071641Reveal XT; Insertable Cardiac Monitor (Model 9529), Patient Assistant (Model…Medtronic, Inc.2007—
+3K071655Reveal DX Insertable Cardiac Monitor, Reveal Patient Assistant, Model (S)…Medtronic, Inc.2007—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200510
200620
200730
200840
200910
201040
201140
201220
201310
201470
2015110
201640
201770
201870
201990
2020120
2021100
202270
2023120
202450
202530
202640
FIG. 1 — Lineage of K983626, 1999–2026Source: 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 DXH? 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 DXH device

  1. #1 K243438 MEMO Patch M (MPT-E08R-UNC01)score 12.9 · 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? (7)

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
*—Instromedix King of Hearts Express 3X
Named without a submission number
—
*—Instromedix Prince
Named without a submission number
—
*—Instromedix 1200
Named without a submission number
—
*—Instromedix CarryAll
Named without a submission number
—
*—Braemar ER720
Named without a submission number
—
*—TZ Medical HeartAide Plus II
Named without a submission number
—
*—Card Guard CG-6500
Named without a submission number
—

What descends from it? (121)

See all 121

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

NumberDeviceApplicantDecidedDescendants
K020825King of Hearts Express + AF MonitorCard Guard Scientific Survival, Ltd.2002120

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?

  • Of its descendants, K020825 (Card Guard Scientific Survival, Ltd., 2002) has gone furthest, with 120 descendants of its own.

How does its category compare?

All DXH devices

DXH Transmitters And Receivers, Electrocardiograph, Telephone: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · DXH

4in 2025

2007: 32008: 72009: 22010: 22012: 12013: 32014: 62015: 42016: 12017: 52018: 42019: 62020: 52021: 32022: 42023: 12025: 42026 (partial year): 1
2007high 7 (2008) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DXH

322in 2025

2007: 202 days median2008: 41 days median2013: 206 days median2014: 186 days median2015: 142 days median2017: 150 days median2018: 294 days median2019: 177 days median2020: 141 days median2021: 107 days median2022: 150 days median2025: 322 days median
2007high 322 (2025) · low 41 (2008)2026

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

Recalls per year · DXH

1in 2015

2008: 42011: 32015: 12026 (partial year): 1
2007high 4 (2008) · low 0 (2007)2026

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

Adverse event reports per year · DXH

27in 2025

2009: 12010: 42011: 12012: 12013: 12014: 12016: 52017: 42020: 52021: 22022: 62023: 42024: 22025: 27
2007high 27 (2025) · low 0 (2007)2025

MAUDE reports naming product code DXH, 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
2007320200
200874140
20092—01
20102—04
20110—31
20121—01
2013320601
2014618601
2015414210
20161—05
2017515004
2018429400
2019617700
2020514105
2021310702
2022415006
20231—04
20240—02
20254322027
20261—1—

What is it indicated for?

The King of Hearts Express® II cardiac event recorder is a patient-activated device designed for diagnostic evaluation of transient symptoms such as dizziness, palpitations, syncope and chest pain. The recorder provides single lead or multiple lead ECG morphology, which may be used to visualize arrhythmias, ST segment changes, SVT, heart block, re-entrant phenomena, and p-waves. The recorder may also provide automatic recording for detected bradycardia or tachycardia rhythms. The recorder may be used with pacemaker patients to assess pacemaker activity.

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. “K983626: King of Hearts Express II & King of Hearts Express EZ II.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K983626

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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