ASSURE Wearable ECG vs Zio AT ECG Monitoring System

Direct competitors — feature-level head-to-head below. Comparability 92/100 Comparability is an AI-graded 0–100 score of how directly these two tools compete — higher means a more apples-to-apples comparison.
by Kestra Medical Technologies
VS
by iRhythm Technologies, Inc.

AI Verdict

These two tools are direct competitors, both offering FDA-cleared, AI-powered wearable ECG monitoring for cardiac patients. While Tool A (ASSURE) emphasizes continuous heart rate monitoring with advanced artifact filtering and alert notifications, Tool B (Zio AT) focuses on long-term, uninterrupted ECG recording for up to 14 days with a deep-learned AI algorithm for comprehensive arrhythmia detection and reporting. The choice between them may depend on the desired monitoring duration and specific algorithmic focus for arrhythmia detection versus broader heart rate trends.

Choose ASSURE Wearable ECG if…

Choose ASSURE Wearable ECG if you need continuous heart rate monitoring for at-risk cardiac patients, prioritizing comfort and data quality in active individuals. Its SensorFit Garment and Adaptive Patient Intelligence effectively filter motion artifacts, providing reliable physiologic trend data and alert-based notifications for proactive management.

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Choose Zio AT ECG Monitoring System if…

Choose Zio AT ECG Monitoring System if your primary goal is comprehensive, long-term arrhythmia detection via a mobile cardiac telemetry (MCT) service. This system excels at identifying both symptomatic and asymptomatic cardiac events over up to 14 days, leveraging an FDA-cleared AI algorithm for detailed diagnostic reporting and real-time data transmission.

View Zio AT ECG Monitoring System →

When choosing between the ASSURE Wearable ECG and the Zio AT ECG Monitoring System, physicians should consider their primary need for continuous cardiac monitoring. The ASSURE Wearable ECG, from Kestra Medical Technologies, excels in providing continuous heart rate monitoring and data collection through its SensorFit Garment and Quad Channel Processing™ algorithm, specifically designed to filter motion artifacts. It offers automatic episode storage and alert-based notifications, integrated into the Kestra CareStation remote patient data platform for clinician review. This tool is best suited for at-risk cardiac patients requiring ongoing, adaptable monitoring with a focus on artifact reduction and real-time alerts.

The Zio AT ECG Monitoring System by iRhythm Technologies, on the other hand, specializes in long-term arrhythmia detection through its wearable Zio AT patch and FDA-cleared deep-learned AI algorithm (ZEUS System). It provides continuous, uninterrupted ECG recording for up to 14 days, detecting both symptomatic and asymptomatic cardiac events, and delivers comprehensive end-of-wear reports. The key practical difference lies in their data transmission and reporting: ASSURE offers more immediate, alert-based notifications and trend data, while Zio AT focuses on extended, uninterrupted recording for comprehensive retrospective analysis. Physicians prioritizing long-duration, detailed arrhythmia detection with comprehensive post-monitoring reports would likely prefer the Zio AT system, whereas those needing continuous, adaptive monitoring with real-time alerts and motion artifact filtering for ongoing patient management may find ASSURE more suitable.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature ASSURE Wearable ECG Zio AT ECG Monitoring System
Pricing Contact for pricing. Contact for pricing
Deployment Wearable device, mobile application, and cloud-based remote patient data platform. Cloud-based (data analytics and clinician portal)
FDA Status 1 AI-estimated 1 AI-estimated

Head-to-Head

AI-generated assessment across six dimensions based on each tool's documented features and compliance posture. Grounded in public data — not a substitute for hands-on evaluation.

Usability

ASSURE Wearable ECG

Tool A emphasizes patient comfort and data quality with its 'SensorFit Garment' featuring non-adhesive, cushioned sensors and 'Adaptive Patient Intelligenceu2122' for motion artifact filtering. This design directly addresses the wearability and reliability crucial for continuous monitoring, potentially leading to higher patient adherence and a better overall experience. While Tool B offers a patient app, Tool A's focus on the physical interface for extended wear provides a stronger usability advantage.

Clinical Value

Zio AT ECG Monitoring System

Tool B is explicitly described as an 'FDA-cleared, wearable mobile cardiac telemetry (MCT) service' offering 'continuous, AI-powered ECG monitoring for long-term arrhythmia detection' for up to 14 days. Its 'FDA-cleared deep-learned AI algorithm (ZEUS System)' and comprehensive end-of-wear reports suggest a more robust and specialized clinical utility for arrhythmia diagnosis compared to Tool A's general continuous heart rate monitoring and data collection.

Pricing & Value

Tie

Both tools require direct contact for pricing information, and neither provides publicly disclosed details on their cost structure. Without specific pricing or detailed value propositions beyond their features, it is not possible to differentiate between them on this dimension.

Enterprise Readiness

Tie

Both Tool A and Tool B demonstrate strong enterprise readiness, being FDA-cleared, HIPAA compliant, and offering Business Associate Agreements (BAA). Both also deploy via cloud-based platforms with clinician portals, indicating they meet essential requirements for integration into healthcare systems.

Innovation

ASSURE Wearable ECG

Tool A showcases innovation through its 'SensorFit Garment' with non-adhesive, embedded, and cushioned ECG sensors, which represents a novel approach to patient comfort and wearability. Additionally, its 'Adaptive Patient Intelligenceu2122' for filtering motion artifacts highlights an innovative solution for improving data quality in real-world conditions. While Tool B features a deep-learned AI algorithm, Tool A's multi-faceted innovation in both hardware design and data integrity for the wearable experience gives it a slight edge.

Support & Docs

Tie

The provided structured facts do not contain any information regarding the availability, quality, or scope of support services or documentation for either Tool A or Tool B. Therefore, a meaningful comparison on this dimension cannot be made.

Feature-by-Feature

Detail beyond the Quick Comparison summary. For pricing, deployment, BAA, FDA, and HIPAA see the Overview tab.

Feature ASSURE Wearable ECG Zio AT ECG Monitoring System
Company Kestra Medical Technologies iRhythm Technologies, Inc.
Description Non-therapeutic device for continuous heart rate monitoring and data collection, integrated into their digital healthcare platform for at-risk cardiac patients. FDA-cleared, wearable mobile cardiac telemetry (MCT) service offering continuous, AI-powered ECG monitoring for long-term arrhythmia detection and comprehensive reporting.
Core Monitoring Device Wearable ECG device for continuous heart rate monitoring; SensorFit Garment with non-adhesive, embedded, and cushioned ECG sensors. Wearable Zio AT patch for continuous ECG recording; Wireless gateway for real-time data transmission.
AI Algorithm/Detection ASSURE Detection Algorithm with Quad Channel Processingu2122; Adaptive Patient Intelligenceu2122 for filtering motion artifacts. FDA-cleared deep-learned AI algorithm (ZEUS System) for arrhythmia detection.
Clinician Interface Kestra CareStation remote patient data platform for clinician review. ZioSuiteu00ae clinician portal and mobile app for patient management and report interpretation.
Patient Interface Mobile application (part of deployment) MyZiou00ae patient mobile app for symptom logging and education.
Monitoring Duration Not specified Continuous, uninterrupted ECG recording for up to 14 days.

Videos

Demos, reviews, and walkthroughs featuring ASSURE Wearable ECG and Zio AT ECG Monitoring System.

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Frequently Asked Questions

The ASSURE Wearable ECG uses a SensorFit Garment with non-adhesive, embedded, and cushioned ECG sensors. The Zio AT ECG Monitoring System utilizes a wearable Zio AT patch for continuous ECG recording, supported by a MyZiou00ae patient mobile app for symptom logging and education.
The ASSURE Wearable ECG features the ASSURE Detection Algorithm with Quad Channel Processingu2122 and Adaptive Patient Intelligenceu2122 for filtering motion artifacts. The Zio AT ECG Monitoring System employs an FDA-cleared deep-learned AI algorithm (ZEUS System) for arrhythmia detection.
The ASSURE Wearable ECG provides continuous heart rate monitoring, but a specific maximum duration is not detailed in the provided information. The Zio AT ECG Monitoring System offers continuous, uninterrupted ECG recording for up to 14 days.
Clinicians can review patient data through the Kestra CareStation remote patient data platform for the ASSURE Wearable ECG, which provides physiologic trend data and alert-based notifications. The Zio AT ECG Monitoring System features the ZioSuiteu00ae clinician portal and mobile app for patient management and report interpretation, with a wireless gateway for real-time data transmission.
The ASSURE Wearable ECG focuses on continuous heart rate monitoring, automatic episode storage, and alert-based notifications for at-risk cardiac patients. The Zio AT ECG Monitoring System is designed for long-term arrhythmia detection, including both symptomatic and asymptomatic cardiac events, and provides comprehensive end-of-wear reports.

Backers

Who funded each tool's parent company.

ASSURE Wearable ECG

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