DASI Dimensions (V1.0)
K231324DASI Simulations · cleared 2024-01-08 · product code QIH · Radiology
Premarket evidence — what FDA accepted
source quote (p.4)
“DASI Dimensions is an image post-processing software system intended for clinical decision support in the context of pre-procedural planning of Transcatheter Aortic Valve Replacement (TAVR) procedures. The software provides users with a report of generated dimensions of cardiac structures. DASI Dimensions software is not operated by physicians.”
source quote (p.4)
“The report is generated using proprietary algorithms that (a) detect key aortic root control points with the assistance of a static deep learning artificial intelligence (AI) model and (b) calculate anatomical measurements relevant for pre-TAVR evaluation.”
source quote (p.4)
“The report is generated using proprietary algorithms that (a) detect key aortic root control points with the assistance of a static deep learning artificial intelligence (AI) model and (b) calculate anatomical measurements relevant for pre-TAVR evaluation.”
source quote (p.7)
“(ii) Cybersecurity testing (TP130 and TR130) was conducted to ensure that there were no unidentified vulnerabilities and that the appropriate risk control measures were implemented to protect from known vulnerabilities when the device is subject to a source of threat. The testing showed that appropriate risk control measures were implemented.”
Validation studies (5)
Standalone
sample size not stated
endpoints: error resulted in a success rate of 75.3% of points; acceptance criteria of ≤ 3 mm
Standalone
sample size not stated
endpoints: primary measurements showed ≤15% error in ≤95% of cases; secondary measurements showed ≤20% error in ≤95% of the cases
Retrospective clinical
n=40 patients
endpoints: Al generated control points performed at an 85.3% success rate achieving the acceptance criteria of ≥75%; mean percentage error in primary outputs was 0.93% (Cl: positive 8.65%, negative -6.80%) and -1.02% (CI: positive 3.49%, negative -5.54%) respectively for the annulus area and perimeter, satisfying the acceptance criteria of ≤10% error in ≥95% of cases; mean percentage difference in secondary outputs was 4.77% (Cl: positive 11.26%, negative -1.72%), 4.13% (CI: positive 11.61%, negative -3.35%), 3.29% (CI: 8.83%, negative -2.25%) respectively for the left-, right- and non-coronary sinus of valsalva diameters, 1.25% (CI: positive 8.80%, negative -6.30%) and 2.20% (CI: positive 8.46%, negative -4.06%) respectively for sinotubular junction maximum and minimum diameters, and 0.12% (Cl: positive 5.29%, negative -5.05%) for the ascending aorta maximum diameter, satisfying the acceptance criteria of ≤15% error in ≥95% of cases; mean percentage difference in the tertiary output between DASI Dimensions and clinician truthing was 2.66% (CI: positive 24.98%, negative - 19.66%) for the aortic valve angle, satisfying the acceptance criteria of ≤25% error in ≥95% of cases
Standalone
n=14 cases
endpoints: excellent inter-operator agreement (precision) and to clinician ground truth measurements (accuracy), with an ICC of 0.96 and ≤ 10% difference from clinician measurements in ≥95% of cases
Bench
n=14 cases
endpoints: resulting automatic annulus area measurements had percent errors ≤ 10%, meeting the acceptance criteria
Reported performance (0 observations)
FDA source did not state a quantitative performance metric — non-reporting is itself the signal.
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
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.