Zio vs PaceMate
PaceMate's homepage describes bi-directional integration with Epic, Oracle Health and athenahealth, and Auto-Triage ranks device alerts by clinical priority. The vendor claims a 61% reduction in physician alert burden, and its security page states HITRUST r2 and SOC 2 Type 2 with a BAA available. The pricing page shows Software, Flexible, Premium and Elite tiers without amounts. OpenFDA returns no 510(k) under the PaceMate applicant name, and the pages read make no regulatory statement. It is built for device clinics working through pacemaker alert queues.
iRhythm sells ambulatory ECG monitoring as one service made of the Zio patch, cloud analysis, technician review and a physician report, and openFDA lists 18 of its 510(k) records, the latest the ZEUS Platform, K252859, in May 2026. An FDA warning letter on May 25, 2023 said the Zio AT had been changed without clearance and marketed to a new high-risk population. A Form 483 followed inspections in July 2024, and two Zio AT 510(k)s were cleared that October. The company's FY2025 10-K says FDA issues remain open.
A practice ordering ambulatory ECG monitoring is iRhythm's customer, and a device clinic is PaceMate's.
Decision support · Reviewed November 2, 2026
Zio
by iRhythm Technologies · founded 2006
Zio ECG patch service: a deep-learning algorithm flags arrhythmias, cardiac technicians validate them, and a physician report follows.

PaceMate
by PaceMate
Cardiac device remote monitoring platform whose Auto-Triage ranks device alerts by clinical priority for device clinics.
When to pick each one
Zio
- Patch, analysis and physician report as one service
- Zio monitor cleared August 2025, K243650
PaceMate
- Epic, Oracle Health, athenahealth, all bi-directional
- HITRUST r2, ISO 27001, SOC 2 Type 2
- Four pricing tiers, no amounts shown
Score
Each row shows points earned of points available under the published rubric.
Zio
69of 100
PaceMate
47of 100
| Dimension | Zio | PaceMate | Difference |
|---|---|---|---|
| FDA clearance | 12 / 12 | 0 / 12 | +12 |
| HIPAA / SOC2 / BAA | 0 / 10 | 10 / 10 | -10 |
| EHR integrations (count) | 0 / 5.6 | 1.7 / 5.6 | -1.7 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 4.8 | 4.8 / 4.8 | -4.8 |
| Bidirectional write-back | 0 / 1.2 | 0 / 1.2 | 0 |
| Peer-reviewed papers | 21 / 21 | 14.7 / 21 | +6.3 |
| RCT / meta-analysis / systematic review | 9 / 9 | 4.5 / 9 | +4.5 |
| Funding & adoption signal | 8.4 / 12 | 3 / 12 | +5.4 |
| Pricing transparency | 1.3 / 2.5 | 1.3 / 2.5 | 0 |
| Years in market | 6 / 6 | 0 / 6 | +6 |
Scroll horizontally to see every column.
Pricing
Zio
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
PaceMate
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
Evidence
Zio
FDA decisions
K252859 (opens in new tab)510(k)2026-05-29
ZEUS Platform (FG0501US, DQK)
K243650 (opens in new tab)510(k)2025-08-15
Zio monitor (DFG0001)
K240177 (opens in new tab)510(k)2024-10-30
Zio AT device (A100A1001, DSI)
K240029 (opens in new tab)510(k)2024-10-21
Zio AT device (A100A1001, QYX)
K222389 (opens in new tab)510(k)2023-02-15
ZEUS System
Show 13 more
K213409 (opens in new tab)510(k)2022-07-19
ZEUS System (Zio Watch)
K202359 (opens in new tab)510(k)2021-05-21
Zio Monitor
K202527 (opens in new tab)510(k)2021-05-21
ZEUS System
K190593 (opens in new tab)510(k)2019-08-23
Zio XT ECG Monitoring System, Zio AT
K181502 (opens in new tab)510(k)2018-08-29
Zio AT ECG Monitoring System, ZEUS System
K163512 (opens in new tab)510(k)2017-06-02
Zio AT ECG Monitoring System
K143513 (opens in new tab)510(k)2015-06-19
ZIO SR ECG Monitoring Service
K142681 (opens in new tab)510(k)2014-11-21
ZEUS System
K121319 (opens in new tab)510(k)2012-07-18
ZIO PATCH
K113862 (opens in new tab)510(k)2012-02-06
ZIO PATCH
K091075 (opens in new tab)510(k)2009-07-21
ZEUS (ZIO ECG UTILIZATION SERVICE) SYSTEM
K090363 (opens in new tab)510(k)2009-05-08
ZIO PATCH Z100
K081471 (opens in new tab)510(k)2008-06-24
ECARD AND CCARD
Peer-reviewed
5 PubMed records name Zio.
- Physical activity cut-points for older adults using the Zio XT onboard accelerometer. (opens in new tab)
- Validation of a Zio XT Patch Accelerometer for the Objective Assessment of Physical Activity in the Atherosclerosis Risk in Communities (ARIC) Study. (opens in new tab)
- Zio® XT Patches in Pediatrics During the COVID-19 Pandemic: Comparisons Between In-Person and Mail-Home Application. (opens in new tab)
PaceMate
FDA decisions
No FDA decision cited in our research as of November 2, 2026.
Peer-reviewed
3 PubMed records name PaceMate.
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Zio | PaceMate |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Epic, Oracle Health, athenahealth |
| Founded | 2006 | n/a |
| HQ | US | n/a |
Scroll horizontally to see both columns.
Common questions
Open the full decision support comparison
Differential diagnosis, treatment guidance, drug interactions, evidence-grounded Q&A. The CDS landscape ranges from the UpToDate gold standard to physician-only OpenEvidence. We compared what clinicians actually use.
