Eko Murmur Analysis Software (EMAS)
Overview
Eko Murmur Analysis Software (EMAS) is a cloud-based, FDA-cleared AI tool designed to assist clinicians in the early detection and differentiation of heart murmurs. Integrated with Eko’s digital stethoscopes (such as CORE 500™, DUO™, and CORE™), EMAS analyzes heart sound (phonocardiogram) and optional electrocardiogram (ECG) data. The software uses advanced signal processing and machine learning algorithms to automatically detect the presence, timing, and character of murmurs, including innocent and structural heart murmurs, in both adult and pediatric patients.
The Eko platform enhances the traditional physical exam by providing digitally amplified audio, active noise cancellation, and visual waveforms of heart sounds and ECG tracings via a mobile app. This technology offers clinical decision support, helping healthcare professionals to diagnose with greater confidence and streamline their workflow. EMAS is part of Eko’s broader SENSORA® Cardiac Early Detection Platform, which also includes FDA-cleared algorithms for detecting atrial fibrillation (AFib) and low ejection fraction (Low EF).
The Eko App, available on iOS and Android, is central to the system, enabling users to record, play back, annotate, and securely store exam recordings. It also facilitates the generation and sharing of PDF reports, which can be uploaded to compatible Electronic Health Record (EHR) systems. Eko’s solutions are designed for a wide range of healthcare settings, supporting individual providers, clinics, and health systems, and are compatible with telehealth solutions for remote care.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- FDA-cleared AI for murmur detection
- Analyzes heart sound (PCG) and optional ECG data
- Differentiates innocent and structural heart murmurs
- Provides clinical decision support
- Integrates with Eko digital stethoscopes (CORE 500, DUO, CORE)
- Mobile app for recording, playback, annotation, and saving
- Wireless Bluetooth connectivity to mobile devices
- PDF report generation and sharing (EHR compatible)
- Telehealth compatible for live streaming (with subscription)
- Secure storage of patient recordings
Use Cases
- Early detection of heart and lung disease
- Screening for valvular heart disease
- Enhancing clinical expertise and diagnostic confidence
- Remote patient monitoring and telehealth consultations
- Medical education and patient engagement
- Identifying low ejection fraction and atrial fibrillation (with broader Eko platform)
What Physicians Need to Know
Eko Murmur Analysis Software (EMAS) and its integrated AI capabilities serve as powerful decision support tools, augmenting rather than replacing clinical judgment. Physicians should leverage EMAS to differentiate between innocent and structural murmurs, guiding appropriate referrals for further diagnostics like echocardiography. Utilize the real-time ECG analysis for prompt detection of AFib and sinus rhythm in adults. The Low EF AI offers a critical advantage for early identification of heart failure risk during routine physical exams, enabling timely intervention. Seamless integration with EHRs facilitates efficient documentation and longitudinal patient monitoring, while telehealth compatibility supports remote consultations. Remember that AI interpretations are assistive and require review by a trained professional in conjunction with the patient's full clinical picture.
Eko's platform is designed for robust integration, offering seamless connectivity with Electronic Health Records (EHRs) for streamlined workflows, including single sign-on, real-time data transmission (audio, ECG, vitals), and direct pushing of AI analysis results (e.g., via PDF or anonymous URL). The cloud-based nature of the software ensures secure storage and sharing of recorded exams. Furthermore, Eko Connect enables unparalleled sound and ECG live streaming for telehealth solutions, integrating with existing telemedicine carts and video platforms. The system is HIPAA compliant and SOC2 certified, ensuring data security.
Details
| Category | Cardiology AI |
| Pricing |
Free for basic ai analysis with the eko app; paid subscriptions required for full features (eko+) and live streaming telehealth capabilities.
|
| Deployment | Cloud-based service, accessed via mobile application. |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
1 AI-estimated Eko Murmur Analysis Software (EMAS) received FDA 510(k) clearance (K213794) on June 29, 2022. It is cleared for detecting and identifying heart murmurs in adult and pediatric patients, and for differentiating innocent and structural murmurs associated with valvular heart disease. |
| Integrations | |
| EHR | Not specified |
| Specialties | Cardiology, Internal Medicine, Pediatrics |
What the Web Says
Eko Murmur Analysis Software (EMAS) is an FDA-cleared, cloud-based machine learning algorithm that assists healthcare professionals in detecting and characterizing heart murmurs in both adult and pediatric patients. It analyzes heart sounds, phonocardiograms, and, when available, ECG signals captured by Eko's smart stethoscopes. The software is intended as a decision-support tool for clinicians, not a sole diagnostic means, and has shown significantly improved performance in identifying valvular heart disease compared to traditional auscultation.
Overall: PositiveStrengths
- Improved accuracy in detecting structural heart murmurs and valvular heart disease compared to traditional stethoscopes.
- Ability to record and visualize heart sounds, which can be beneficial for education, training, and patient communication.
- Enhanced sound quality, amplification, and noise cancellation, particularly useful in noisy environments or for clinicians with hearing impairments.
- Can differentiate between innocent and structural heart murmurs, and identify murmur timing.
- Integration with digital stethoscopes allows for a more objective and consistent screening process.
- Potential to improve early detection of heart conditions, leading to better patient outcomes and treatment paths.
Limitations
- AI features, including murmur and AFib detection, may not be available or cleared for use in all countries (e.g., UK).
- Some users have reported difficulties with app setup and customer support responsiveness.
- The device can be cumbersome in certain fast-paced environments like the ED, and some users prefer detaching the chest piece.
- Concerns about the device potentially picking up clinically insignificant murmurs or making pulmonary auscultation worse for some users.
- Requires stable network connectivity for full functionality, which can be an issue in rural areas.
- Some reports of durability issues with the hardware (earpiece malfunction) and shipping delays.
Based on reviews from: PR Newswire, Design News, Patient Care Online, Eko Health, accessdata.fda.gov, PubMed, MD+DI, ClinicalTrials.gov, Fierce Biotech, MedGrade, Physicians Practice, REVIEWS.io, Reddit, Apple App Store, YouTube, Health Innovation North East North Cumbria (HI NENC)
Last updated: 2026-07-19
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