FDA-cleared profile

Caption Interpretation Automated Ejection Fraction Software

Caption Health

Caption Interpretation Automated Ejection Fraction Software processes previously acquired adult transthoracic cardiac ultrasound images, stores and manipulates images, and measures them using an ultrasound device, personal computer, or compatible DICOM-compliant PACS to provide an automated estimate of left-ventricular ejection fraction that may assist a clinician in cardiac evaluation.

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
Caption Interpretation Automated Ejection Fraction Software processes previously acquired adult transthoracic cardiac ultrasound images, stores and manipulates images, and measures them using an ultrasound device, personal computer, or compatible DICOM-compliant PACS to provide an automated estimate of left-ventricular ejection fraction that may assist a clinician in cardiac evaluation.
FDA source Exact FDA submission Checked 2026-09-04
Intended users
Clinicians and trained echocardiography professionals performing adult cardiac evaluation.
FDA source Exact FDA submission Checked 2026-09-04
Care setting and population
Adult transthoracic echocardiography workflows using a compatible ultrasound device, computer, or DICOM PACS.
FDA source Exact FDA submission Checked 2026-09-04
Workflow role
Automated clip selection and left-ventricular ejection-fraction estimation for clinician review.
FDA source Exact FDA submission Checked 2026-09-04
Required input
Previously acquired adult transthoracic cardiac ultrasound images from supported apical four-chamber, apical two-chamber, or parasternal long-axis views.
FDA source Exact FDA submission Checked 2026-09-04
Output and human action
Left-ventricular ejection-fraction estimate expressed as a percentage, confidence information, selected clips, and reviewable results.
FDA source Exact FDA submission Checked 2026-09-04
Limitations
Use is limited to adult transthoracic cardiac ultrasound and supported views; clinicians must review clips and accept or reject automated estimates before clinical use.
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
K200621
FDA source Exact FDA submission Checked 2026-08-31
Modality
Ultrasound
FDA source Exact FDA submission Checked 2026-09-04
Anatomy
Heart; left ventricle; adult cardiac evaluation
FDA source Exact FDA submission Checked 2026-09-04
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2020-07-22
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 package describes use on an ultrasound device, personal computer, or compatible DICOM-compliant PACS and output of an ejection-fraction estimate with confidence information for clinician viewing.
FDA source Exact FDA submission Checked 2026-09-04

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

Deployment and data flow
The FDA labeling describes deployment on an ultrasound device, personal computer, or compatible DICOM-compliant PACS; current site topology, hosting responsibility, availability, security, and service remain unverified.
FDA source Exact FDA submission Checked 2026-09-04

This is the release-level boundary described in the exact FDA package; 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 clinicians and trained echocardiography professionals performing adult cardiac evaluation should operate or interpret the product. Local onboarding should 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 K200621 by exact hardware, software, model, and 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: Use is limited to adult transthoracic cardiac ultrasound and supported views; clinicians must review clips and accept or reject automated estimates before clinical use.
FDA source Exact FDA submission Checked 2026-09-04

This is buyer-facing monitoring guidance derived from the exact cleared or authorized 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 K200621 before acceptance.

exact submission · checked 2026-09-04

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

Deployment boundary

The FDA labeling describes deployment on an ultrasound device, personal computer, or compatible DICOM-compliant PACS; current site topology, hosting responsibility, availability, security, and service 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 package describes use on an ultrasound device, personal computer, or compatible DICOM-compliant PACS and output of an ejection-fraction estimate with confidence information for clinician viewing.

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. Use is limited to adult transthoracic cardiac ultrasound and supported views; clinicians must review clips and accept or reject automated estimates before clinical use.

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 K200621 by exact hardware, software, model, and 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: Use is limited to adult transthoracic cardiac ultrasound and supported views; clinicians must review clips and accept or reject automated estimates before clinical use.

exact submission · checked 2026-09-04

Revalidate after material software, hardware, model, protocol, interface, or clinical-policy changes. automated echocardiography ejection-fraction software limits remain submission-specific.

Evidence

Performance evidence

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

Evidence summary
K200621 FDA decision material identifies the exact automated echocardiography ejection-fraction software, labeled use, and submission-specific verification or approval evidence. It does not establish product-wide sensitivity, specificity, outcomes, or independent clinical validation beyond the exact evidence summarized here.
FDA source Exact FDA submission Checked 2026-09-04
Reported sensitivity
90%
FDA source Exact FDA submission Checked 2026-08-13

Values reported in the exact-submission materials. Consult the linked source for endpoint, threshold, population, and confidence interval before comparison.

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, study design, and source if separately verified.

Clip Annotator positive predictive value

0.97 proportion lower bound

Observed PPV point estimate across imaging modes and views in Clip Annotator study compared with expert readers.

Tested version: Caption Interpretation Automated Ejection Fraction Software configuration described in K200621

Clip Annotator sensitivity

0.9 proportion lower bound

Observed sensitivity point estimate across imaging modes and views in Clip Annotator study compared with expert readers.

Tested version: Caption Interpretation Automated Ejection Fraction Software configuration described in K200621

K200621 FDA evidence package for Caption Interpretation Automated Ejection Fraction Software

FDA 510(k) Clip Annotator study and pivotal clinical investigation comparing AutoEF to conventional ejection-fraction calculation methods. · Heart; left ventricle; adult cardiac evaluation

exact submission · Tested version: Caption Interpretation Automated Ejection Fraction Software configuration described in K200621 · Sponsor or vendor study

K200621

The FDA summary reports thresholded PPV and sensitivity point estimates and qualitative statements about RMSD acceptance criteria, but does not expose all study counts in the public decision material.

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 or authorized 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. Build a local total-cost and value model and 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
1 exact-submission FDA recall record matched K200621 in the 2026-09-02 openFDA snapshot. Confirm affected model, version, units, correction, and current manufacturer instructions locally. FDA recall Z-2111-2021 affected Caption AI version 1.2.0. Unintended video frames could produce incorrect automated ejection-fraction and image-quality-score estimates. FDA lists the recall as terminated.
FDA source Exact product version Checked 2026-09-04

Each published event was manually matched to the exact FDA submission and affected product or version; a recall does not establish an AI-algorithm defect or current site exposure unless the event states that scope.

recall: Z-2111-2021

Terminated

2021-05-19

Exact version match to Caption AI 1.2.0. This was a software-output issue involving AutoEF and IQS estimates.

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
26Fields reviewed
12Source classes checked
0Reviewed PubMed leads
0Reviewed trial leads
0Unreviewed FDA recall leads

The locked snapshot contains no PubMed or ClinicalTrials.gov candidates for K200621; no evidence was promoted or quarantined. 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. 1 FDA recall candidate was manually reviewed: 1 published and 0 rejected as a neighboring or otherwise inapplicable version. Native FDA recall identifiers produced 1 postmarket candidate record; 1 has been reviewed (1 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, fda pma record, 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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