Saige-Q
K203517DeepHealth, Inc. · cleared 2021-04-16 · product code QFM · Radiology
Premarket evidence — what FDA accepted
source quote (p.3)
“Saige-Q is a software workflow tool designed to aid radiologists in prioritizing exams within the standard-of-care image worklist for compatible full-field digital mammography (FFDM) and digital breast tomosynthesis (DBT) screening mammograms.”
source quote (p.5)
“The preprocessed images become the input to the AI algorithm, which generates the Saige-Q code using deep neural networks that have been trained on large numbers of mammograms where cancer status is known.”
Validation studies (2)
Retrospective clinical
n=1,333 cases · 8 site(s)
endpoints: sensitivity; specificity; processing time
Retrospective clinical
n=1,528 cases · 6 site(s)
endpoints: sensitivity; specificity; processing time
Reported performance (14 observations)
source quote (p.8)
“The primary endpoint for FFDM was successfully met with Saige-Q demonstrating a specificity at 86.9% sensitivity of 92.2% (95% CI: [90.2%, 93.8%]) and a sensitivity at 88.9% specificity of 91.2% (95%: [88.4%, 93.4%]).”
source quote (p.8)
“The primary endpoint for FFDM was successfully met with Saige-Q demonstrating a specificity at 86.9% sensitivity of 92.2% (95% CI: [90.2%, 93.8%]) and a sensitivity at 88.9% specificity of 91.2% (95%: [88.4%, 93.4%]).”
source quote (p.8)
“In the FFDM study, Saige-Q achieved an overall area under the receiver operating characteristic curve (AUC) of 0.966 (95% CI: [0.957, 0.975]).”
source quote (p.8)
“In the DBT study, Saige-Q achieved an overall AUC of 0.985 (95% CI: [0.979, 0.990]) on the DBT data.”
source quote (p.8)
“The primary endpoint for DBT was also successfully met with Saige-Q demonstrating a specificity at 86.9% sensitivity: 98.3% (95% CI: [97.3%, 99.0%]) and a sensitivity at 89.9% specificity of 95.7% (95% CI: [93.6%, 97.2%]).”
source quote (p.8)
“The primary endpoint for DBT was also successfully met with Saige-Q demonstrating a specificity at 86.9% sensitivity: 98.3% (95% CI: [97.3%, 99.0%]) and a sensitivity at 89.9% specificity of 95.7% (95% CI: [93.6%, 97.2%]).”
source quote (p.9)
“For instance, on FFDM, Saige-Q achieved an AUC of 0.964 (95% CI: [0.954, 0.974]) on soft tissue densities and an AUC of 0.973 (95% CI: [0.958, 0.988]) on calcifications.”
source quote (p.9)
“For instance, on FFDM, Saige-Q achieved an AUC of 0.964 (95% CI: [0.954, 0.974]) on soft tissue densities and an AUC of 0.973 (95% CI: [0.958, 0.988]) on calcifications.”
source quote (p.9)
“For DBT, Saige-Q achieved an AUC of 0.983 (95% CI: [0.977, 0.990]) on soft tissue densities and an AUC of 0.989 (95% CI: [0.983, 0.996]) on calcifications.”
source quote (p.9)
“For DBT, Saige-Q achieved an AUC of 0.983 (95% CI: [0.977, 0.990]) on soft tissue densities and an AUC of 0.989 (95% CI: [0.983, 0.996]) on calcifications.”
source quote (p.9)
“For breast density, Saige-Q achieved an AUC of 0.959 (95% CI: [0.945, 0.973]) on dense breasts and an AUC of 0.972 (95% CI: [0.961, 0.984]) on non-dense breasts for FFDM exams.”
source quote (p.9)
“For breast density, Saige-Q achieved an AUC of 0.959 (95% CI: [0.945, 0.973]) on dense breasts and an AUC of 0.972 (95% CI: [0.961, 0.984]) on non-dense breasts for FFDM exams.”
source quote (p.9)
“For DBT, Saige-Q achieved an AUC of 0.980 (95% CI: [0.971, 0.988]) on dense breasts and an AUC of 0.988 (95% CI: [0.981, 0.996]) on non-dense breasts.”
source quote (p.9)
“For DBT, Saige-Q achieved an AUC of 0.980 (95% CI: [0.971, 0.988]) on dense breasts and an AUC of 0.988 (95% CI: [0.981, 0.996]) on non-dense breasts.”
Each value carries its own analysis unit and task — never compare or pool across devices. Source: 510(k) summary PDF.
Predicate network
Postmarket — what happened after clearance
- re_clearance
The FDA AI/ML device list shows a newer 510(k) K251873 (decision 2025-08-11) from DeepHealth, Inc. for a matching device line ("Saige-Dx") — a new clearance for the same line is a change event.
first seen 2026-07-08 · k_number:K251873
- re_clearance
The FDA AI/ML device list shows a newer 510(k) K243705 (decision 2024-12-19) from DeepHealth, Inc for a matching device line ("Saige-Density (2.5.0)") — a new clearance for the same line is a change event.
first seen 2026-07-08 · k_number:K243705
- re_clearance
The FDA AI/ML device list shows a newer 510(k) K243688 (decision 2024-12-19) from DeepHealth, Inc. for a matching device line ("Saige-Dx (3.1.0)") — a new clearance for the same line is a change event.
first seen 2026-07-08 · k_number:K243688
- re_clearance
The FDA AI/ML device list shows a newer 510(k) K241747 (decision 2024-11-18) from DeepHealth, Inc for a matching device line ("Saige-Dx") — a new clearance for the same line is a change event.
first seen 2026-07-08 · k_number:K241747
- re_clearance
The FDA AI/ML device list shows a newer 510(k) K222275 (decision 2022-12-16) from DeepHealth, Inc. for a matching device line ("Saige-Density") — a new clearance for the same line is a change event.
first seen 2026-07-08 · k_number:K222275
- re_clearance
The FDA AI/ML device list shows a newer 510(k) K220105 (decision 2022-05-12) from DeepHealth, Inc. for a matching device line ("Saige-Dx") — a new clearance for the same line is a change event.
first seen 2026-07-08 · k_number:K220105
Recall and MAUDE counts are product-code-level (reports aren't reliably attributable to one device); a recall is shown as device-attributed only when the recall record itself lists this clearance number. Signals are descriptive observables with sources — never a judgment that the device is unsafe or drifting. Snapshot 2026-07-08.
Reimbursement — how devices like this got paid
Not yet tracked — no payment pathway indexed for this clearance (the reimbursement corpus is a growing seed set).
Applicable FDA guidance — what the submission is measured against
FDA guidance documents and guiding principles applicable to 510(k) AI/ML devices in the Radiology panel. A curated reference index, not legal or regulatory advice — each item states its own status, and a draft is never binding.
- Final guidanceRadiology-specific2022-09Computer-Assisted Detection Devices Applied to Radiology Images and Radiology Device Data - Premarket Notification [510(k)] Submissions
Radiology CADe/CADx · Software premarket content
Original July 2012; current database date reflects a Sept 2022 reissue. Governs CADe device 510(k) content.
- Final guidanceRadiology-specific2022-09Clinical Performance Assessment: Considerations for Computer-Assisted Detection Devices Applied to Radiology Images and Radiology Device Data in Premarket Notification (510(k)) Submissions
Radiology CADe/CADx
Original July 2012, revised 2020; current database date Sept 2022. Covers standalone and reader-study performance assessment for CADe.
- Final guidanceRadiology-specific2022-06Technical Performance Assessment of Quantitative Imaging in Radiological Device Premarket Submissions
Quantitative imaging · Radiology CADe/CADx
Final (June 2022). Relevant to devices outputting quantitative imaging measurements.
- Final guidance2026-01Clinical Decision Support Software
Clinical decision support · SaMD (general)
New final guidance issued Jan 2026, superseding the Sept 2022 version; narrows the device-CDS scope. Applies to software that informs clinical management.
- Final guidance2026-01General Wellness: Policy for Low Risk Devices
SaMD (general) · Clinical decision support
Revised final (Jan 2026); now addresses noninvasive products estimating physiologic parameters (SpO2, BP, glucose). Reshapes the device / non-device line for AI wellness features.
- Final guidance2025-09Computer Software Assurance for Production and Quality Management System Software
SaMD (general) · Postmarket
Final (Sept 2025). Covers software used in production/QMS (incl. ML development-pipeline tooling), superseding Section 6 of the 2002 GPSV — not device software functions themselves.
- Final guidance2025-06Cybersecurity in Medical Devices: Quality Management System Considerations and Content of Premarket Submissions
Cybersecurity · Software premarket content
Reissued June 2025 (retitled 'Quality Management System', was Sept 2023 'Quality System'); adds coverage of FD&C Act §524B cyber devices.
- Final guidance2024-12Marketing Submission Recommendations for a Predetermined Change Control Plan for Artificial Intelligence-Enabled Device Software Functions
Predetermined Change Control Plan · AI/ML lifecycle · Software premarket content
Final (Dec 2024). Supersedes the April 2023 AI/ML PCCP draft.
- Final guidance2023-10Electronic Submission Template for Medical Device 510(k) Submissions
Software premarket content
eSTAR has been mandatory for 510(k)s since Oct 2023 — operationally unavoidable, though not AI-specific.
- Final guidance2023-08Off-The-Shelf Software Use in Medical Devices
Software premarket content · SaMD (general)
Final (Aug 2023). Applies when a device incorporates off-the-shelf software components (common in ML stacks).
- Final guidance2023-06Content of Premarket Submissions for Device Software Functions
Software premarket content · SaMD (general)
Final (June 2023); replaced the May 2005 'Software Contained in Medical Devices' guidance. Documentation level drives the software content of the submission.
- Final guidance2022-09Policy for Device Software Functions and Mobile Medical Applications
SaMD (general) · Clinical decision support
Current version Sept 2022. Frames which software functions FDA regulates as devices.
- Final guidance2021-10De Novo Classification Process (Evaluation of Automatic Class III Designation)
De Novo pathway
Final (Oct 2021), issued with the De Novo final rule. Most relevant to first-of-a-kind devices without a predicate (DEN-numbered clearances).
- Final guidance2016-12Postmarket Management of Cybersecurity in Medical Devices
Cybersecurity · Postmarket
- Final guidance2002-01General Principles of Software Validation
SaMD (general) · Software premarket content
Still active except Section 6 (superseded Sept 2025 by the Computer Software Assurance final guidance).
- Draft guidance2025-01Artificial Intelligence-Enabled Device Software Functions: Lifecycle Management and Marketing Submission Recommendations
AI/ML lifecycle · Software premarket content · Transparency
Draft as of July 2026 (published Jan 2025); finalization is on CDRH's FY2026 agenda but not yet published. Treat as FDA's stated direction, not a binding expectation.
- Draft guidance2024-08Predetermined Change Control Plans for Medical Devices
Predetermined Change Control Plan · Postmarket
Draft (Aug 2024) extending PCCPs beyond AI to all devices under FD&C §515C; not final as of July 2026.
- Guiding principles2024-06Transparency for Machine Learning-Enabled Medical Devices: Guiding Principles
Transparency · AI/ML lifecycle
- Guiding principles2023-10Predetermined Change Control Plans for Machine Learning-Enabled Medical Devices: Guiding Principles
Predetermined Change Control Plan · AI/ML lifecycle
FDA/Health Canada/MHRA joint principles (Oct 2023); companion to the GMLP and Transparency principles.
- Guiding principles2021-10Good Machine Learning Practice for Medical Device Development: Guiding Principles
AI/ML lifecycle · SaMD (general)
FDA/Health Canada/MHRA joint principles (Oct 2021). Foundational, not a binding guidance; IMDRF issued a related GMLP document Jan 2025.
Applicability is derived from the device's FDA advisory panel and pathway — cross-cutting guidances apply to every AI/ML device; panel-specific ones are flagged. Titles, dates, and links verified against fda.gov as of July 2026.