FDA-cleared profile

AIAS Cephalon

Metamorphosis GmbH

AIAS Cephalon assists qualified healthcare professionals during adult proximal femur fracture surgery by measuring and positioning implant components relative to bone structures in intraoperative C-arm X-ray images; clinical judgment remains required and the software is not a primary image-interpretation device.

Evidence status: each field shows source quality, applicability, and review date. Research pending, information not established in reviewed sources, and vendor documentation pending are distinct outcomes.

Clinical fit

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
AIAS Cephalon assists qualified healthcare professionals during adult proximal femur fracture surgery by measuring and positioning implant components relative to bone structures in intraoperative C-arm X-ray images; clinical judgment remains required and the software is not a primary image-interpretation device.
FDA source Exact FDA submission Checked 2026-09-04
Intended users
Orthopedic surgeons and other trained healthcare professionals who can acquire and interpret intraoperative C-arm X-ray images.
FDA source Exact FDA submission Checked 2026-09-04
Care setting and population
Intraoperative orthopedic surgery using a compatible C-arm X-ray system.
FDA source Exact FDA submission Checked 2026-09-04
Workflow role
Updates implant-position measurements after new intraoperative X-ray images to support proximal femur fracture fixation workflow.
FDA source Exact FDA submission Checked 2026-09-04
Required input
Intraoperative C-arm X-ray images in which the relevant anatomy, implant, instruments, and identifiable reference points are visible.
FDA source Exact FDA submission Checked 2026-09-04
Output and human action
Measurements and position guidance for anteversion, CCD angle, entry point, nail insertion, head-element length and insertion, distal locking, and distal screw lengths.
FDA source Exact FDA submission Checked 2026-09-04
Limitations
Adults with proximal femur fracture implant positioning using the supported Depuy Synthes TFNA workflow; identifiable points and compatible C-arm images are required; the clinician must use judgment, the software is not a primary image interpreter, and it is not intended for mobile phones.
FDA source Exact FDA submission Checked 2026-09-04

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K252214
FDA source Exact FDA submission Checked 2026-08-31
Modality
Fluoroscopy/Angiography
FDA source Exact FDA submission Checked 2026-09-04
Anatomy
Femur/hip
FDA source Exact FDA submission Checked 2026-09-04
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2025-10-07
FDA source Exact FDA submission Checked 2026-08-31
FDA status
FDA-cleared
FDA source Exact FDA submission Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
The FDA material describes a response to each new compatible intraoperative X-ray image and a workflow in which the user may acquire another image or proceed conventionally.
FDA source Exact FDA submission Checked 2026-09-04

This is the interface boundary described in the exact FDA decision material; current local compatibility, routing, identity, archive, and downtime behavior still require acceptance testing.

Deployment and data flow
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-04

The exact public FDA decision material does not establish the complete deployment topology, hosting responsibility, availability, upgrade path, or service contract.

Security and privacy
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-04

Public materials reviewed for this exact release do not establish the complete security posture. Request data-flow, identity, audit, encryption, retention, remote-access, vulnerability-management, backup, and incident-response evidence.

Training and support
Only Orthopedic surgeons and other trained healthcare professionals who can acquire and interpret intraoperative C-arm X-ray images should operate or interpret the product; local onboarding must cover the exact release, supported population, limitations, failure examples, escalation, downtime, and competency documentation.
FDA source Exact FDA submission Checked 2026-09-04
Monitoring and change control
Monitor K252214 by exact hardware, software, model, algorithm version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates. Track these product-specific limits: Adults with proximal femur fracture implant positioning using the supported Depuy Synthes TFNA workflow; identifiable points and compatible C-arm images are required; the clinician must use judgment, the software is not a primary image interpreter, and it is not intended for mobile phones.
FDA source Exact FDA submission Checked 2026-09-04

Buyer-facing monitoring guidance derived from the exact cleared scope; it is not a claim that the FDA package provides a live monitoring service.

Release and scope verification

Map installed model, build, options, population, anatomy, inputs, outputs, and enabled functions to K252214 before acceptance.

exact submission · checked 2026-09-04

Later product-family features are not evidence that this cleared release includes them.

Deployment boundary

The exact public deployment topology remains incomplete; establish hosting responsibility, data flow, availability, upgrade, service, and downtime boundaries locally.

exact submission · checked 2026-09-04

FDA-described deployment boundaries do not establish current hosting contracts, security controls, uptime, or local qualification.

Interoperability acceptance

The FDA material describes a response to each new compatible intraoperative X-ray image and a workflow in which the user may acquire another image or proceed conventionally.

exact submission · checked 2026-09-04

Test representative identifiers, orientation, geometry, measurements, units, routing, failure handling, and round trips locally.

Clinical acceptance

Use a signed local test set for the supported population and workflow. Include common and difficult cases, exclusions, acquisition variation, failed or low-quality inputs, reviewer overrides, and downstream effects. Adults with proximal femur fracture implant positioning using the supported Depuy Synthes TFNA workflow; identifiable points and compatible C-arm images are required; the clinician must use judgment, the software is not a primary image interpreter, and it is not intended for mobile phones.

exact submission · checked 2026-09-04

Define stop-use, escalation, rollback, and revalidation triggers before production use.

Economic evaluation

Model capital and recurring cost against net staff time after review, throughput, repeat imaging or rework, room time, consumables, infrastructure, training, service, downtime, upgrade, and replacement costs.

product family · checked 2026-09-04

No exact-product price was found in the reviewed public material; productivity or value claims require local evidence.

Lifecycle monitoring

Monitor K252214 by exact hardware, software, model, algorithm version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates.

exact submission · checked 2026-09-04

Revalidate after material software, hardware, model, protocol, interface, or clinical-policy changes.

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version.

Evidence summary
The K252214 FDA decision material describes verification using digitally reconstructed radiographs and real X-ray images, including neural-network evaluation on at least 11,000 DRRs per network generated from CT scans of 18 patients; it does not establish clinical outcome performance.
FDA source Exact FDA submission Checked 2026-09-04
Reported sensitivity
Not applicable
Not applicable Not applicable Checked 2026-09-04

Sensitivity is not promoted as a product-wide endpoint. Compare only an exact endpoint, threshold, population, version, and source if later verified.

Reported specificity
Not applicable
Not applicable Not applicable Checked 2026-09-04

Specificity is not promoted as a product-wide endpoint. Compare only an exact endpoint, threshold, population, version, and source if later verified.

Neural-network DRR evaluation per network

11000 DRRs (minimum)

Verification evaluation set size in CT-derived DRRs from 18 patients for the exact K252214 configuration.

Tested version: AIAS Cephalon configuration described in K252214

DRR source patient count

18 patients

CT source cohort for digitally reconstructed radiographs in Patients represented in the FDA verification material.

Tested version: AIAS Cephalon configuration described in K252214

K252214 FDA evidence package for AIAS Cephalon

FDA 510(k) software verification and validation using digitally reconstructed radiographs, real X-ray images, and a senior orthopedic-surgeon reference. · CT-derived DRRs from 18 patients and real X-ray images of human specimens for the supported proximal femur implant workflow.

exact submission · Tested version: AIAS Cephalon configuration described in K252214 · n=18 · Sponsor or vendor study

K252214

The FDA summary states that each neural network was evaluated on at least 11,000 DRRs; these are verification data, not a clinical outcomes study.

Economics and lifecycle

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-04

No public list price for the exact cleared configuration was found. Obtain a written quote separating hardware or license basis, implementation, interfaces, infrastructure, training, service, upgrades, renewal, consumables, and exit costs.

Reimbursement and coding
No separate named-product Medicare payment was identified in the reviewed CMS coverage material. Evaluate the product within the applicable imaging or clinical service line and verify payer, site-of-service, coding, and coverage assumptions independently.
Public source Not applicable Checked 2026-09-04

No product-specific code

No separate named-product payment identified in reviewed public material

Centers for Medicare & Medicaid Services · United States

This is not a product-specific reimbursement determination. Verify payer, site-of-service, coding, and coverage assumptions independently.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
The 2026-09-02 openFDA device-recall snapshot contained no record matched to K252214 by exact native submission identifier. This does not exclude product-family, later-version, or adverse-event information.
Public source Exact FDA submission Checked 2026-09-04

Exact-identifier review does not prove absence of all product-family safety signals.

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Human reviewedStatus
2026-09-04Last searched
32Fields reviewed
10Source classes checked
0Reviewed PubMed leads
0Reviewed trial leads
0Unreviewed FDA recall leads

The discovery snapshot contains no PubMed or ClinicalTrials.gov candidates for K252214; no external evidence was promoted. The current discovery snapshot contains 0 PubMed and 0 ClinicalTrials.gov candidate records; its dated, count-matched human screening remains current. Unlinked candidates remain quarantined. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads were screened against the exact product and tested version. Unlinked records remain quarantined.

Source classes: fda ai list, fda decision summary, fda decision material, peer reviewed literature, clinical trial registry, reimbursement policy, fda device recall, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-04.

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