FDA-cleared profile

RUS

Hutom Inc.

Authorized purpose: RUS processes CT images for trained professionals using organ and vessel segmentation, pneumoperitoneum estimation, measurements, paths, and two- or three-dimensional visualization to support reporting and treatment or surgical planning.

Evidence status: each field states its source quality, applicability, and review date. Research pending, information not established, and vendor documentation pending remain distinct outcomes.

Product overview

Start with the essentials

Authorized purpose: RUS processes CT images for trained professionals using organ and vessel segmentation, pneumoperitoneum estimation, measurements, paths, and two- or three-dimensional visualization to support reporting and treatment or surgical planning.

Overview status: Source-reviewed overview

Clinical takeaway

Clinical role: RUS processes CT images for trained professionals using organ and vessel segmentation, pneumoperitoneum estimation, measurements, paths, and two- or three-dimensional visualization to support reporting and treatment or surgical planning.

Evidence takeaway

Evidence from the reviewed source record: Exact-submission testing used 60 patient CT studies with institution-level separation. Organ and vessel Dice and pneumoperitoneum error met prespecified targets. A 2026 prospective multicenter lung-segmentectomy study adds product-family implementation evidence.

Clinical details

What this tool is for

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

Exact purpose
RUS processes CT images for trained professionals using organ and vessel segmentation, pneumoperitoneum estimation, measurements, paths, and two- or three-dimensional visualization to support reporting and treatment or surgical planning.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Clinical-use display mirrors the exact FDA-supported purpose reconciled from the decision-summary packet.

Intended users
Trained healthcare professionals reading, interpreting, reporting, or planning treatment from CT images.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Exact FDA decision-summary packet reviewed on 2026-09-19; existing wording is supported without expansion.

Care setting and population
Hospital clinical image-review and surgical-planning environments.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-03
Workflow role
CT-based anatomical segmentation, 3D reconstruction, measurement, and patient-specific surgical-planning support.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03
Required input
DICOM CT image studies received through configured storage or network services.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Exact FDA decision-summary packet reviewed on 2026-09-19; existing wording is supported without expansion.

Output and human action
Basic 2D viewing, volume rendering and 3D volume viewing, image fusion, surface rendering, measurements, reporting, organ-segment detection and labeling, path definition through vascular structures, segmentation of visible bones, organs, vascular structures, and skin, and pneumoperitoneum generated by a model.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

The exact text supports these visualization, segmentation, path, measurement, reporting, and pneumoperitoneum functions but does not mention airway output.

Limitations
This product is not intended for use with or for the primary diagnostic interpretation of Mammography images. Surgical planning in RUS does not replace actual surgery and can only be used as an auxiliary tool. The clinician is solely responsible for making all final patient management decisions.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

The exact packet directly states the mammography exclusion, auxiliary surgical-planning role, and clinician responsibility; the current product-family lung-surgery sentence is not in the packet.

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
K233457
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Modality
CT/CTA
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

The exact indication specifies iodine contrast-enhanced abdomen CT and does not establish the broader CT/CTA value. Controlled directory display reconciled from exact FDA wording: Iodine contrast-enhanced abdomen CT. -> CT/CTA.

Anatomy
Chest/Abdomen
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

The exact packet specifies abdomen CT and names abdominal organs and vascular structures; it does not establish a chest scope. Controlled directory display reconciled from exact FDA wording: Abdomen (including liver, stomach, spleen, gallbladder, pancreas, and vessels). -> Chest/Abdomen.

Clearance type
510(k)
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Decision date
2024-07-12
  • 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
Windows PC software with DICOM SCP/SCU functions and 2D/3D visualization and reporting.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03
Deployment and data flow
On-premises Windows workstation or server configuration described for the cleared software.
  • Public 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 batch do not establish the complete security posture for the exact release. Request data-flow, identity, audit, encryption, retention, support-access, vulnerability-management, backup, and incident-response evidence.

Training and support
Only trained healthcare professionals reading, interpreting, reporting, or planning treatment from ct images. should operate or interpret the system. 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 and model 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 the limits that matter for this product: RUS is CT-only in K233457. Three models have distinct endpoints, and all automated outputs require professional review. Current lung-surgery research is product-family clinical evidence, not exact-release validation.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03

Release and scope verification

Map the installed model, build, options, population, anatomy, inputs, and outputs to K233457 before acceptance.

exact submission · checked 2026-09-03

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

Interoperability acceptance

Windows PC software with DICOM SCP/SCU functions and 2D/3D visualization and reporting.

exact submission · checked 2026-09-03

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. RUS is CT-only in K233457. Three models have distinct endpoints, and all automated outputs require professional review. Current lung-surgery research is product-family clinical evidence, not exact-release validation.

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

Vendor productivity claims are scenario inputs, not guaranteed local savings.

Lifecycle monitoring

Monitor by exact hardware, software and model 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 the limits that matter for this product: RUS is CT-only in K233457. Three models have distinct endpoints, and all automated outputs require professional review. Current lung-surgery research is product-family clinical evidence, not exact-release validation.

exact submission · checked 2026-09-03

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. Candidate literature without exact product and version linkage is not shown as product evidence.

Evidence summary
Exact-submission testing used 60 patient CT studies with institution-level separation. Organ and vessel Dice and pneumoperitoneum error met prespecified targets. A 2026 prospective multicenter lung-segmentectomy study adds product-family implementation evidence.
  • Public 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 applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or dose-delivery function. Use the task-specific endpoints and tested population reported below.

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

Specificity is not the primary applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or dose-delivery function. Use the task-specific endpoints and tested population reported below.

Organ segmentation Dice

0.927 DSC

  • EndpointOrgan segmentation versus reference
  • PopulationRUS
  • Tested versionRUS cleared in K233457

Vessel segmentation Dice

0.92 DSC

  • EndpointVessel segmentation versus reference
  • PopulationRUS
  • Tested versionRUS cleared in K233457

Pneumoperitoneum mean absolute error

0.972 mm

  • EndpointEstimated versus reference pneumoperitoneum
  • PopulationRUS
  • Tested versionRUS cleared in K233457

K233457 FDA performance package for RUS

  • DesignManufacturer independent CT performance verification of three locked models against reference annotations
  • Population60 patient CT studies separated from model development at the institution level
  • Scopeexact submission
  • Tested versionRUS cleared in K233457
  • Samplen=60
  • IndependenceSponsor or vendor study

K233457

Manufacturer evidence submitted for substantial equivalence; local clinical, technical, and workflow acceptance remains necessary.

Patient-specific virtual surgical navigation for lung segmentectomy

  • DesignProspective multicenter clinical evaluation
  • PopulationPatients undergoing lung segmentectomy with RUS planning support
  • Scopeproduct family
  • Tested versionRUS product family; exact K233457 build not established
  • IndependenceIndependent study

DOI 10.3389/fonc.2026.1774607

Product-family implementation evidence; abstract exact outcomes before publishing numerical claims.

Costs and setup

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, enabled features, 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 device within the applicable imaging 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.

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 K233457 by exact submission identifier.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03

A zero-result exact-identifier search does not prove that no recall, correction, adverse-event report, or product-family safety signal exists.

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
2026-09-20Last searched
27Fields reviewed
12Source classes checked
20Screened PubMed leads
10Screened trial leads
0Unreviewed FDA recall leads

The refreshed discovery snapshot contains 20 PubMed and 10 ClinicalTrials.gov candidate records. Discovery metadata alone does not establish exact tested-product, version, population, and endpoint applicability, so all candidates remain quarantined and none was promoted. The current discovery snapshot contains 20 PubMed and 10 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, vendor product page, peer reviewed publication, reimbursement policy, fda device recall, fda decision summary packet, literature index, trial registry, pubmed, clinical trials, openfda device recall

Sources & history

How this profile was documented

Open the ledger for source dates, scope, and research-record updates.

View source ledger and history

Source ledger

  1. FDA K233457: RUS

    U.S. Food and Drug Administration - Published 2024-07-12 - Accessed 2026-09-19

    Scope: purpose, intendedUsers, input, modality, anatomy, output, limitations, evidenceSummary, clinicalUse

  2. Artificial Intelligence-Enabled Medical Devices

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, modalityContext

  3. PubMed biomedical literature index

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery

  4. ClinicalTrials.gov study registry

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery, studyStatus

  5. Medicare Coverage Database

    Centers for Medicare & Medicaid Services - Accessed 2026-09-01

    Scope: coverage, codingContext

  6. openFDA Device Recall API

    U.S. Food and Drug Administration - Accessed 2026-09-02

    Scope: recallDiscovery, nativeSubmissionMatching

  7. RUS surgical planning software

    Hutom - Accessed 2026-09-03

    Scope: productFamily, workflowRole, integration, deployment, implementationCapabilities, currentCommercialContext

  8. Prospective multicenter evaluation of patient-specific virtual surgical navigation for lung segmentectomy

    Frontiers in Oncology - Accessed 2026-09-03

    Scope: limitations, evidenceSummary, evidenceStudy, implementationCapabilities, monitoring

Research history

  1. K233457 FDA decision

    Regulatory record

    510(k)

  2. Source-review record updated

    Research record

    fda record reviewed

  3. Reader overview source-reviewed

    Editorial review

    Source-reviewed editorial overlay

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