FDA-cleared profile

BoneMetrics (US)

Gleamer SAS

BoneMetrics is fully automated software that assists trained radiology professionals with Cobb-angle measurement on frontal spine radiographs in patients aged four years or older with suspected or present spinal deformity or scoliosis; it is not a replacement for complete evaluation or sole diagnosis.

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
BoneMetrics is fully automated software that assists trained radiology professionals with Cobb-angle measurement on frontal spine radiographs in patients aged four years or older with suspected or present spinal deformity or scoliosis; it is not a replacement for complete evaluation or sole diagnosis.
FDA source Exact FDA submission Checked 2026-09-04
Intended users
Trained radiologists, musculoskeletal radiologists, and other qualified healthcare professionals reviewing spine radiographs.
FDA source Exact FDA submission Checked 2026-09-04
Care setting and population
Radiology workflows using frontal spine radiographs in hospitals, clinics, and imaging facilities.
FDA source Exact FDA submission Checked 2026-09-04
Workflow role
Processes a frontal spine radiograph, identifies vertebral keypoints, calculates Cobb angles, and returns an annotated result for professional review.
FDA source Exact FDA submission Checked 2026-09-04
Required input
Frontal spine radiographs received through a DICOM source and supported gateway, API, PACS, or X-ray workflow.
FDA source Exact FDA submission Checked 2026-09-04
Output and human action
DICOM annotated secondary capture with overlays and a Cobb-angle table; original images are not altered, deleted, or reordered.
FDA source Exact FDA submission Checked 2026-09-04
Limitations
Patients are four years or older and the workflow is frontal spine radiography for suspected or present deformity or scoliosis; the software retains Cobb angles above 7 degrees and assists rather than replaces clinical diagnosis or full evaluation.
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
K241593
FDA source Exact FDA submission Checked 2026-08-31
Modality
X-ray/Radiography
FDA source Exact FDA submission Checked 2026-09-04
Anatomy
Spine
FDA source Exact FDA submission Checked 2026-09-04
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2025-02-05
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 cloud deployment connected through a DICOM source and destination using a gateway, API, PACS, or X-ray system and returning an annotated secondary capture.
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
The FDA material describes cloud processing with DICOM source and destination connections; current hosting responsibility, security, retention, uptime, and local configuration remain unverified.
FDA source Exact FDA submission Checked 2026-09-04

This is the release-level boundary described in the exact FDA decision material; current hosting, contracts, security, availability, upgrade path, and site configuration remain separate evidence.

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 Trained radiologists, musculoskeletal radiologists, and other qualified healthcare professionals reviewing spine radiographs 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 K241593 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: Patients are four years or older and the workflow is frontal spine radiography for suspected or present deformity or scoliosis; the software retains Cobb angles above 7 degrees and assists rather than replaces clinical diagnosis or full evaluation.
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 K241593 before acceptance.

exact submission · checked 2026-09-04

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

Deployment boundary

The FDA material describes cloud processing with DICOM source and destination connections; current hosting responsibility, security, retention, uptime, and local configuration remain unverified.

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 cloud deployment connected through a DICOM source and destination using a gateway, API, PACS, or X-ray system and returning an annotated secondary capture.

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. Patients are four years or older and the workflow is frontal spine radiography for suspected or present deformity or scoliosis; the software retains Cobb angles above 7 degrees and assists rather than replaces clinical diagnosis or full evaluation.

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 K241593 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
K241593 FDA material reports standalone performance on 345 frontal spine radiographs with ground truth from two musculoskeletal radiologists and one orthopedic surgeon; the largest-curvature mean absolute error was 2.56 degrees and the minor-curvature mean absolute error was 2.78 degrees.
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.

Largest-curvature Cobb-angle MAE

2.56 degrees

Mean absolute error for largest curvature in 212 frontal spine radiographs in the FDA validation analysis.

Tested version: BoneMetrics configuration described in K241593

Minor-curvature Cobb-angle MAE

2.78 degrees

Mean absolute error for minor curvature in 189 frontal spine radiographs in the FDA validation analysis.

Tested version: BoneMetrics configuration described in K241593

Standalone performance image count

345 frontal spine radiographs

Total standalone evaluation dataset in Children and adults with frontal spine radiographs.

Tested version: BoneMetrics configuration described in K241593

K241593 FDA evidence package for BoneMetrics (US)

FDA 510(k) standalone performance evaluation against ground truth from two musculoskeletal radiologists and one orthopedic surgeon. · 345 frontal spine radiographs from children and adults, with 212 largest-curvature and 189 minor-curvature cases reported for MAE analyses.

exact submission · Tested version: BoneMetrics configuration described in K241593 · n=345 · Sponsor or vendor study

K241593

No clinical outcome study is promoted; the exact Cobb-angle measurement endpoints are version- and image-set-specific.

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 K241593 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
11Source classes checked
7Reviewed PubMed leads
0Reviewed trial leads
0Unreviewed FDA recall leads

Screened seven PubMed records that identify Gleamer BoneMetrics. None identifies the tested software release as the exact K241593 configuration, so all seven were quarantined and none was promoted. The current discovery snapshot contains 7 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, acr ai central product, 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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