FDA-approved profile

Imagio Breast Imaging System

Seno Medical Instruments, Inc.

Imagio combines ultrasound and optoacoustic imaging to evaluate palpable or non-palpable breast abnormalities in adults referred for diagnostic workup. Ultrasound can assign BI-RADS, and optoacoustic features can assist assessment of BI-RADS 3-5 masses based on vascularity and blood oxygen saturation.

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
Imagio combines ultrasound and optoacoustic imaging to evaluate palpable or non-palpable breast abnormalities in adults referred for diagnostic workup. Ultrasound can assign BI-RADS, and optoacoustic features can assist assessment of BI-RADS 3-5 masses based on vascularity and blood oxygen saturation.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Qualified breast-imaging technologists and interpreting physicians.
FDA source Exact FDA submission Checked 2026-09-03
Care setting and population
Breast-imaging departments performing supported ultrasound and optoacoustic diagnostic workups.
FDA source Exact FDA submission Checked 2026-09-03
Workflow role
Ultrasound and optoacoustic breast examination, BI-RADS support, and adjunctive mass assessment.
FDA source Exact FDA submission Checked 2026-09-03
Required input
Supported adult breast ultrasound acquisitions and optoacoustic data from the Imagio system.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
Ultrasound images, optoacoustic vascularity and oxygen-saturation features, BI-RADS assistance, and reviewed breast findings.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
The system is adjunctive to diagnostic workup and is not a replacement for mammographic screening or definitive pathology. Use optoacoustic assessment only for labeled BI-RADS 3-5 masses and review the underlying ultrasound and clinical context.
FDA source Exact FDA submission Checked 2026-09-03

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
P200003
FDA source Exact FDA submission Checked 2026-08-31
Modality
Optoacoustic Imaging
FDA source Exact FDA submission Checked 2026-09-03
Anatomy
Breast
FDA source Exact FDA submission Checked 2026-09-03
Clearance type
PMA
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2021-01-11
FDA source Exact FDA submission Checked 2026-08-31
FDA status
FDA-approved
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
Validate the acquisition console, data storage, image review, patient matching, report workflow, and any export or archive interface.
FDA source Exact FDA submission Checked 2026-09-03
Deployment and data flow
Installed Imagio breast-imaging system with the cleared ultrasound and optoacoustic modes.
FDA source Exact FDA submission Checked 2026-09-03
Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-03

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 qualified breast-imaging technologists and interpreting physicians 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 2026-09-03
Monitoring and change control
Monitor 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: The system is adjunctive to diagnostic workup and is not a replacement for mammographic screening or definitive pathology. Use optoacoustic assessment only for labeled BI-RADS 3-5 masses and review the underlying ultrasound and clinical context.
FDA source Exact FDA submission Checked 2026-09-03

Release and scope verification

Map the installed model, build, options, population, anatomy, inputs, outputs, and enabled AI functions to P200003 before acceptance.

exact submission · checked 2026-09-03

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

Interoperability acceptance

Validate the acquisition console, data storage, image review, patient matching, report workflow, and any export or archive interface.

exact submission · checked 2026-09-03

Test representative identifiers, orientation, geometry, measurements, units, routing, failure handling, and round trips locally. The capability is derived from the exact FDA workflow and still requires local acceptance testing.

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. The system is adjunctive to diagnostic workup and is not a replacement for mammographic screening or definitive pathology. Use optoacoustic assessment only for labeled BI-RADS 3-5 masses and review the underlying ultrasound and clinical context.

exact submission · checked 2026-09-03

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 2026-09-03

No exact-product price was found in the reviewed public material; vendor productivity claims are scenario inputs, not guaranteed local savings.

Lifecycle monitoring

Monitor 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: The system is adjunctive to diagnostic workup and is not a replacement for mammographic screening or definitive pathology. Use optoacoustic assessment only for labeled BI-RADS 3-5 masses and review the underlying ultrasound and clinical context.

exact submission · checked 2026-09-03

Revalidate after material software, hardware, model, protocol, interface, or clinical-policy changes. The capability is derived from the exact FDA workflow and still requires local acceptance testing.

Evidence

Performance evidence

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

Evidence summary
The PMA approval describes ultrasound and optoacoustic modes, AI assistance for BI-RADS assessment, and the diagnostic-workup indication. Optoacoustic mode is not indicated for BI-RADS 1 or 2 findings, and the system is not a replacement for mammographic screening or definitive pathology; the approval statement is not a universal sensitivity or specificity claim.
FDA source Exact FDA submission Checked 2026-09-03
Reported sensitivity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Sensitivity is not the primary endpoint for this system, reconstruction, segmentation, guidance, or quantitative function. Use the task-specific evidence below.

Reported specificity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Specificity is not the primary endpoint for this system, reconstruction, segmentation, guidance, or quantitative function. Use the task-specific evidence below.

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

P200003 FDA performance package for Imagio Breast Imaging System

FDA PMA review of analytical, clinical, usability, and optoacoustic breast-imaging evidence · Adults with palpable or non-palpable breast abnormalities referred for diagnostic workup after clinical presentation or prior imaging

exact submission · Tested version: Imagio Breast Imaging System · Sponsor or vendor study

P200003

Manufacturer evidence submitted for FDA clearance or approval; local clinical, technical, and workflow acceptance remains necessary.

IMAging With Opto-acoustics to downgradE BI-RADS claSsificaTion Relative tO Other Diagnostic Methodologies (MAESTRO)

ClinicalTrials.gov candidate identified by exact-name search; full product and version applicability review pending · Breast or related Optoacoustic Imaging workflow; exact product and version linkage not established

product family · Tested version: Candidate source; exact FDA submission and product version not established · Independence not established

NCT02364388

Candidate source was found by automated exact-name search; product or version linkage and clinical endpoint were not independently established, so it must not be treated as exact-submission performance evidence.

The PIONEER-01 Study of the Imagio Breast Imaging System

ClinicalTrials.gov candidate identified by exact-name search; full product and version applicability review pending · Breast or related Optoacoustic Imaging workflow; exact product and version linkage not established

product family · Tested version: Candidate source; exact FDA submission and product version not established · Independence not established

NCT01943916

Candidate source was found by automated exact-name search; product or version linkage and clinical endpoint were not independently established, so it must not be treated as exact-submission performance evidence.

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 2026-09-03

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, procedural, or surgical service line and verify payer, site-of-service, and coding assumptions independently.
Public source Not applicable Checked 2026-09-03

No product-specific code

No separate named-product payment identified in reviewed public material

Centers for Medicare & Medicaid Services · United States

Build a local total-cost and value model; do not infer reimbursement from FDA clearance or approval.

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 P200003 by exact submission identifier. This does not exclude product-family, later, or adverse-event information.
Public source Exact FDA submission Checked 2026-09-03

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
25Fields reviewed
10Source classes checked
0Unreviewed PubMed leads
3Unreviewed trial leads
0Unreviewed FDA recall leads

Recovered from the prior exact-submission extraction and normalized under the current provenance rules. Exact FDA decision materials were reviewed for identity, indication, users, workflow, limitations, and submitted performance. Current vendor material is labeled product-family context where it does not establish the exact release. PubMed and ClinicalTrials.gov results are retained as candidate evidence with version applicability pending; CMS reimbursement context and exact-identifier openFDA postmarket results were also checked. Pricing, final security architecture, contracted services, enabled options, and local interoperability remain organization-specific evidence. Automated exact-name discovery found 0 PubMed and 3 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, 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 2026-09-03.

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