eCART vs Zio

iRhythm sells a service. A patient wears the Zio patch, a deep neural network flags arrhythmias in the cloud, cardiac technicians validate the preliminary findings, and a physician report follows, with 99% physician agreement on end-of-wear reports by the vendor's figure. There is no list price, and billing goes to payers through Medicare-enrolled IDTFs. A cardiology practice or health system ordering ambulatory monitoring is the customer, backed by 18 FDA 510(k) clearances, the newest for the ZEUS Platform in May 2026. The record also carries a May 25, 2023 warning letter, and the FY2025 10-K says FDA issues remain open and that another warning letter, a consent decree or a recall is possible. AgileMD's eCART serves the nursing or quality lead watching inpatient wards, scoring from validated EHR data such as RN-confirmed vitals, with one 510(k) on record.