Clarius Ejection Fraction AI
K253593Clarius Mobile Health Corp. · cleared 2026-03-02 · product code QIH · Radiology
Premarket evidence — what FDA accepted
source quote (p.5)
“Clarius Ejection Fraction AI is a machine learning algorithm that is integrated into the Clarius App software as part of the complete Clarius Ultrasound Scanner system for use in cardiac ultrasound applications, specifically intended for use by trained healthcare practitioners for semi-automatic real-time measurement of the left ventricular (LV) ejection fraction (EF) on ultrasound image data acquired by the Clarius Ultrasound Scanner system (i.e., phased array and curvilinear scanners) using a deep learning image segmentation algorithm. (...) Clarius Ejection Fraction AI is not a stand-alone software device.”
source quote (p.5)
“Clarius Ejection Fraction AI is a machine learning algorithm that is integrated into the Clarius App software as part of the complete Clarius Ultrasound Scanner system for use in cardiac ultrasound applications, specifically intended for use by trained healthcare practitioners for semi-automatic real-time measurement of the left ventricular (LV) ejection fraction (EF) on ultrasound image data acquired by the Clarius Ultrasound Scanner system (i.e., phased array and curvilinear scanners) using a deep learning image segmentation algorithm.”
source quote (p.9)
“Ultrasound image processing software implementing artificial intelligence utilizing non-adaptive machine learning algorithms trained with clinical and/or artificial data intended for measurements of cardiac ultrasound data.”
source quote (p.1)
“FDA's substantial equivalence determination also included the review and clearance of your Predetermined Change Control Plan (PCCP).”
source quote (p.11)
“Cybersecurity and vulnerability analyses were conducted, and it has been determined that Clarius conforms to the cybersecurity requirements by implementing a process of preventing unauthorized access, modifications, misuse or denial of use, or the unauthorized use of information that is stored, accessed or transferred from a medical device to an external recipient.”
Validation studies (3)
Bench
sample size not stated
standards: IEC 62304:2006 + A1:2015, ISO 14971:2019, IEC 62366-1:2015 + A1:2020, ISO 15223-1:2021
Retrospective clinical
n=279 cases · 30 site(s)
endpoints: determine whether Clarius Ejection Fraction AI measurements are non-inferior to those obtained manually by human experts/qualified ultrasound users by determining if the magnitude of the mean absolute difference between Clarius Ejection Fraction AI and mean reviewer measurements is greater than the magnitude of the mean absolute difference among reviewers themselves; determine the correlation between Clarius Ejection Fraction AI predictions and those of human experts among the different Clarius scanner models (i.e., C3 HD3, PA HD3)
Standalone
sample size not stated
endpoints: evaluate the design and clinical usage of Clarius Ejection Fraction AI, as it is integrated into the Clarius App software, to determine if it performs as intended in a representative user environment, meets the product requirements, is clinically usable, and meets users' needs for use in semi-automated measurements of the left ventricular ejection fraction
Reported performance (1 observation)
source quote (p.15)
“Table 3: ICC values of Reviewers and Clarius Ejection Fraction AI (...) AI EF vs. Mean Reviewers 0.78 [0.71 0.83]”
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.