FDA-cleared profile

SpotLight/SpotLight Duo (with DLIR option)

Arineta Ltd.

SpotLight and SpotLight Duo acquire dedicated cardiovascular and thoracic CT images; the optional deep-learning reconstruction reduces image noise while maintaining CT number accuracy, high-contrast resolution, and diagnostic image quality.

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
SpotLight and SpotLight Duo acquire dedicated cardiovascular and thoracic CT images; the optional deep-learning reconstruction reduces image noise while maintaining CT number accuracy, high-contrast resolution, and diagnostic image quality.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Qualified CT technologists, radiologists, and cardiologists.
FDA source Exact FDA submission Checked 2026-09-03
Care setting and population
Cardiovascular and thoracic CT departments and specialty imaging centers.
FDA source Exact FDA submission Checked 2026-09-03
Workflow role
Rapid cardiovascular and thoracic CT acquisition with optional deep-learning image reconstruction.
Public source Exact FDA submission Checked 2026-09-03
Required input
X-ray projection data from axial, cine, or cardiac acquisitions, with or without contrast.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
Cross-sectional and reformatted cardiovascular or thoracic CT images reconstructed with ASiR-CV or optional DLIR.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
DLIR is limited to patients older than 2 years and to the 250 mm and extended-field configurations described in K230370. The retrospective reader study established noninferiority to ASiR-CV image quality, not improved diagnosis or clinical outcomes.
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
K230370
FDA source Exact FDA submission Checked 2026-08-31
Modality
CT/CTA
FDA source Exact FDA submission Checked 2026-09-03
Anatomy
Heart/Cardiovascular
FDA source Exact FDA submission Checked 2026-09-03
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2023-10-13
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
Installed CT acquisition and reconstruction chain with DICOM export; validate ECG gating, protocol selection, reconstruction method, field of view, image labeling, PACS display, quantitative stability, and downstream cardiac applications.
Public source Exact FDA submission Checked 2026-09-03
Deployment and data flow
Dual-tube 192-detector-row CT scanner with gantry, table, console, power distribution, and optional DLIR reconstruction 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 qualified ct technologists, radiologists, and cardiologists. 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: DLIR is limited to patients older than 2 years and to the 250 mm and extended-field configurations described in K230370. The retrospective reader study established noninferiority to ASiR-CV image quality, not improved diagnosis or clinical outcomes.
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 K230370 before acceptance.

exact submission · checked 2026-09-03

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

Interoperability acceptance

Installed CT acquisition and reconstruction chain with DICOM export; validate ECG gating, protocol selection, reconstruction method, field of view, image labeling, PACS display, quantitative stability, and downstream cardiac applications.

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. DLIR is limited to patients older than 2 years and to the 250 mm and extended-field configurations described in K230370. The retrospective reader study established noninferiority to ASiR-CV image quality, not improved diagnosis or clinical outcomes.

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: DLIR is limited to patients older than 2 years and to the 250 mm and extended-field configurations described in K230370. The retrospective reader study established noninferiority to ASiR-CV image quality, not improved diagnosis or clinical outcomes.

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.

Evidence summary
K230370 reports phantom and clinical-data comparisons of DLIR with ASiR-CV across noise, low-contrast detectability, CT number, uniformity, resolution, artifacts, and noise power spectrum. Five CT readers found DLIR diagnostic image quality noninferior to ASiR-CV in a blinded retrospective evaluation.
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 quantitative-biomarker 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 quantitative-biomarker function. Use the task-specific endpoints and tested population reported below.

Blinded CT readers

5 readers

DLIR diagnostic image-quality noninferiority to ASiR-CV in SpotLight/SpotLight Duo (with DLIR option).

Tested version: SpotLight / SpotLight Duo with optional DLIR cleared in K230370

K230370 FDA performance package for SpotLight/SpotLight Duo (with DLIR option)

Manufacturer phantom testing plus blinded retrospective multireader noninferiority image-quality study · Cardiovascular and thoracic cases spanning anatomies, scan types, body mass index, clinical features, and multiple sites

exact submission · Tested version: SpotLight / SpotLight Duo with optional DLIR cleared in K230370 · n=5 · Sponsor or vendor study

K230370

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

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, 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 K230370 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.

Human reviewedStatus
2026-09-04Last searched
24Fields reviewed
8Source classes checked
20Unreviewed PubMed leads
10Unreviewed trial leads
0Unreviewed FDA recall leads

Recovered from the prior exact-submission extraction and normalized under the current provenance rules. Exact FDA materials, current product-family sources, selected clinical literature, reimbursement context, and exact-identifier recall candidates were reviewed. Pricing, contracted services, enabled options, final security architecture, and local interoperability remain organization-specific evidence. Automated exact-name discovery found 20 PubMed and 10 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, vendor product page, reimbursement policy, fda device recall, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-03.

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