FDA-cleared profile

CINA-iPE

Avicenna.AI

Worklist triage and notification for suspected incidental pulmonary embolism on contrast-enhanced CT acquired for another indication; not a diagnostic 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
Worklist triage and notification for suspected incidental pulmonary embolism on contrast-enhanced CT acquired for another indication; not a diagnostic device
FDA source Exact FDA submission Checked 2026-09-08
Intended users
Hospital networks and trained radiologists
FDA source Exact FDA submission Checked 2026-09-08
Care setting and population
Hospital radiology worklist workflow for adults and transitional adolescents aged 18-21 treated as adults
FDA source Exact FDA submission Checked 2026-09-08
Workflow role
Standalone triage application operating in parallel with standard of care; all studies appear in the worklist, flagged series receive notification and passive marking, and the original images remain the basis for review
FDA source Exact FDA submission Checked 2026-09-08
Required input
DICOM contrast-enhanced CT scans, not dedicated CTPA, including at least part of the lung; intended for adults and transitional adolescents aged 18-21 treated as adults
FDA source Exact FDA submission Checked 2026-09-08
Output and human action
Passive worklist icon and active notification for suspected incidental PE, with a compressed grayscale unannotated preview marked not for diagnostic use; results files are transferred for PACS/workstation prioritization and the original image is not altered
FDA source Exact FDA submission Checked 2026-09-08
Limitations
Not designed to detect PE in subsegmental arteries; preview images are informational and not diagnostic; results are not for standalone diagnosis and notified clinicians must review the full study using standard of care; the input is CT for another indication rather than a dedicated CTPA protocol
FDA source Exact FDA submission Checked 2026-09-08

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
K233968
FDA source Exact FDA submission Checked 2026-08-31
Modality
CT/CTA
FDA source Exact FDA submission Checked 2026-09-08
Anatomy
Lung and pulmonary arterial segments containing incidental pulmonary embolism; subsegmental arteries are out of scope
FDA source Exact FDA submission Checked 2026-09-08
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2024-03-13
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
CINA-iPE can run with the CINA Platform cleared under K200855 or another medical image communications device. DICOM services communicate with CT modalities, routers, PACS, and the Worklist Application; exact local interface versions are not established
FDA source Exact FDA submission Checked 2026-09-08
Deployment and data flow
On-premise
Public source Exact FDA submission Checked 2026-08-13

Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.

Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

Exact-release security controls, data retention, hosting boundaries, and scoped assurance documentation require vendor confirmation.

Training and support
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

Current training prerequisites, competency checks, and support commitments for the exact configuration require vendor confirmation.

Monitoring and change control
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

Current drift, quality, uptime, alert, escalation, and incident-response commitments for the exact configuration require vendor confirmation.

ACR exact-submission catalog context

ACR AI Central provides an exact-submission model card for CINA-iPE; FDA labeling remains controlling for clinical use, limitations, and performance.

exact submission · checked 2026-09-08

Evidence

Performance evidence

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

Evidence summary
Retrospective multicenter, multinational, blinded standalone study of 381 cases: 181 positive and 200 negative, with ground truth by consensus of three US-board-certified expert radiologists. Global sensitivity was 87.8% (95% CI 82.2%-92.2%) and specificity 92.0% (87.3%-95.4%) against an 80% performance goal. Sensitivity by overlapping lesion-location groups was main 96.3%, interlobar 94.5%, lobar 92.9%, and segmental 88.3%. Mean time-to-notification was 1.5 minutes for all cases and 1.5 minutes for 159 true-positive cases
FDA source Exact FDA submission Checked 2026-09-08
Reported sensitivity
87.8% (95% CI: 82.2%, 92.2%)
Public source Exact FDA submission Checked 2026-09-01

Model sensitivity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

Reported specificity
92.0% (95% CI: 87.3%, 95.4%)
Public source Exact FDA submission Checked 2026-09-01

Model specificity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.

CINA-iPE regulatory performance study summary

Stand-Alone Performance · Adult

exact submission · Tested version: Exact product version not reported; regulatory study summarized for FDA submission K233968 · n=381 · Independence not established

K233968

ACR AI Central summarizes the regulatory study; consult the exact FDA materials before comparative use.

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
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

No public price or quote for the exact K233968 configuration was established in this review.

Reimbursement and coding
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-08

No exact-product payer policy, coding instruction, or payment determination was established; eligibility must be evaluated by payer, site of service, and use case.

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 exact-identifier FDA recall query returned no native recall record for K233968. This limited result does not establish absence of recalls or other safety information and does not cover later versions, family records, MAUDE reports, corrections, or field notices.
Public source Exact FDA submission Checked 2026-09-08

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.

Exact FDA record reviewedStatus
2026-09-08Last searched
23Fields reviewed
9Source classes checked
2Unreviewed PubMed leads
0Unreviewed trial leads
0Unreviewed FDA recall leads

Exact-submission ACR model-card fields were normalized under the current provenance rules; vendor and independent-study confirmation remain distinct. Exact FDA scope controls clinical claims. ACR provides bounded exact-submission catalog context. Candidate literature metadata remains a discovery queue until full-text identity, endpoint, population, and version review is completed. Automated exact-name discovery found 2 PubMed and 0 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads remain unpublished until a human confirms the exact product and tested version.

Source classes: fda ai list, fda decision summary, acr ai central product, fda device recall, literature index, trial registry, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-08.

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