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What medical devices use AI to assist in ultrasounds?

Answer

A variety of medical devices use artificial intelligence (AI) to assist in ultrasound imaging. These devices span from AI-powered software applications integrated into ultrasound systems to standalone AI tools that analyze ultrasound images for specific clinical tasks. Below is a summary of notable FDA-cleared devices and their AI-assisted functionalities, based on the provided datasets:


1. **Cardiac Ultrasound (Echocardiography) AI Assistance

  • UltraSight AI Guidance:
    • Provides real-time, AI-based guidance to help non-expert users acquire diagnostic-quality cardiac ultrasound images. It offers probe guidance, view detection, and image quality feedback for standard cardiac views in transthoracic echocardiography (2D-TTE) 124.
  • Caption Health's Caption Guidance:
    • Assists medical professionals in acquiring cardiac ultrasound images by providing real-time AI guidance on probe positioning and view acquisition 14.
  • Philips EPIQ and Affiniti Series with Auto Measure:
    • Features AI/ML-enabled algorithms for semi-automated 2D and Doppler measurements during echocardiography, reducing manual input and variability 1416233544.
  • GE Vivid Series (E80/E90/E95, iq, T8/T9, S60N/S70N):
    • Incorporates AI Auto Measure for automated cardiac measurements (e.g., PLAX, LV function), spectrum recognition, and strain analysis using deep learning 27334352.
  • Us2.ai (Us2.v1 and Us2.v2):
    • Software for automated analysis and measurement of cardiac ultrasound images, including view classification and border detection using machine learning 3659.
  • AISAP Cardio V1.0:
    • AI-based decision support software for cardiac point-of-care ultrasound, providing automated analysis and measurements of cardiac structures and valvular function 5322.
  • Exo AI Platform 2.0:
    • Provides AI-based quality score feedback and automated measurements for echocardiography and lung ultrasound 921.
  • Lumify Diagnostic Ultrasound System (Philips) with Auto EF Quantification:
    • Uses AI to automatically trace and quantify left ventricular ejection fraction (EF) from cardiac ultrasound images 5460.
  • Caption Interpretation Automated Ejection Fraction Software:
    • AI software for automated estimation of left ventricular ejection fraction from cardiac ultrasound images 62.

2. Obstetric and Fetal Ultrasound AI Assistance

  • Clarius OB AI:
    • Embedded AI for automatic detection and measurement of fetal biometric parameters (head circumference, abdominal circumference, femur length, etc.) during obstetric ultrasound 371532.
  • Sonio Detect:
    • AI SaaS solution for real-time detection of fetal ultrasound views, anatomical structures, and verification of image quality criteria during routine fetal exams 253067.
  • Samsung HERA Series (W9/W10, Z20/R20/Z30/R30, V8/V7, V5/H5/XV5/XH5/V4/H4/XV4/XH4):
    • Features such as BiometryAssist, HeartAssist, and ViewAssist use deep learning for automatic view recognition, segmentation, and measurement in fetal and cardiac ultrasound 26283437394249515563.
  • Philips EPIQ/Affiniti/5000 Compact Series with Auto Measure:
    • AI-driven semi-automated measurements for fetal and obstetric ultrasound 174435.

3. Bladder and Prostate Ultrasound AI Assistance

  • Clarius Bladder AI:
    • AI segmentation and measurement of bladder volume from ultrasound images, with automatic detection of bladder dimensions and view classification 10194557.
  • Exo Bladder AI (AIBV01):
    • Standalone AI software for semi-automatic landmark placement and bladder volume measurement from ultrasound images 18.
  • Clarius Prostate AI:
    • AI-based segmentation and measurement of prostate volume on ultrasound images 1238.

4. Musculoskeletal, Vascular, and Other Applications

  • Clarius AI (MSK model):
    • AI segmentation and measurement of musculoskeletal structures (e.g., tendons) in ultrasound images 61329.
  • See-Mode AVA (Augmented Vascular Analysis):
    • AI for automated analysis of lower limb vascular ultrasound images 20.
  • PIUR tUS Infinity:
    • Uses computer vision and machine learning for 2D to 3D reconstruction and analysis of thyroid ultrasound images 5.
  • Koios DS:
    • AI for automated risk assessment and classification of breast and thyroid lesions in ultrasound images 50.
  • Imagio® Breast Imaging System:
    • Includes AI-based software to assist in BI-RADS classification of breast ultrasound images 56.
  • Cycle Clarity Follicle Clarity:
    • AI for automated detection and measurement of ovarian follicles in gynecological ultrasound 31.
  • LARALAB:
    • Deep learning algorithms for automatic segmentation and measurement of cardiovascular structures in ultrasound images 5865.

5. Lung Ultrasound AI Assistance

  • Exo Lung AI:
    • AI software to identify and mark regions of interest in lung ultrasound images, assisting in the interpretation of lung findings 41.
  • Philips Lumify with Expanded B-lines Software Feature:
    • AI-based automated B-line counting for lung ultrasound 46.

6. Additional Notable AI Ultrasound Devices

  • EchoGuide (Sonavex, Inc.):
    • 3D automated ultrasound solution with AI for arteriovenous fistula/graft cannulation guidance 61.
  • MEDO ARIA:
    • AI software for semi-automatic landmark placement and measurement in pediatric hip ultrasound 24.

Summary Table of Example Devices:

Device/SystemAI FunctionalityClinical AreaSource
UltraSight AI GuidanceProbe guidance, view detectionCardiac12
Clarius OB AIFetal biometry measurementObstetrics332
Clarius Bladder AIBladder segmentation and volume measurementUrology1045
Philips EPIQ/Affiniti/5000 CompactAuto Measure for cardiac/fetal measurementsCardiac/Obstetrics141744
GE Vivid SeriesAI Auto Measure, spectrum recognitionCardiac273352
Sonio DetectView/anatomy detection, quality verificationFetal/Obstetrics2567
Exo AI Platform 2.0Quality score, automated measurementsCardiac/Lung921
Us2.aiAutomated cardiac measurementsCardiac3659
Koios DSLesion/nodule classificationBreast/Thyroid50
Imagio® Breast Imaging SystemBI-RADS classification assistanceBreast56
Cycle Clarity Follicle ClarityFollicle detection and measurementGynecology31
Exo Bladder AIBladder volume measurementUrology18
LARALABCardiovascular segmentation/measurementCardiac5865

Conclusion: A wide range of medical devices now use AI to assist in ultrasound imaging, covering applications in cardiology, obstetrics, urology, musculoskeletal, vascular, breast, thyroid, and lung imaging. These devices leverage AI for tasks such as real-time acquisition guidance, automated view and anatomy detection, segmentation, measurement, and diagnostic support, ultimately aiming to improve workflow efficiency, measurement consistency, and diagnostic accuracy 1231014252732364550565967.

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What kinds of mouthwashes have been approved by the FDA / EMA and which regulatory pathways have they taken?

Answer

Based on the provided FDA and EMA datasets, the following summarizes the types of mouthwashes approved and the regulatory pathways they have taken:


1. Mouthwashes Approved as Medical Devices (FDA 510(k) Pathway)

These products are typically classified as medical devices and are cleared via the FDA's 510(k) premarket notification process. They are often "substantially equivalent" to predicate devices already on the market.

A. Dry Mouth Relief / Artificial Saliva Mouthwashes

  • Examples:
    • Biotene Dry Mouth Oral Rinse 2241939
    • Oral-B Dry Mouth Oral Rinse 59505672
    • SmartMouth DryMouth Oral Rinse 73454
    • TheraBreath Dry Mouth Oral Rinse 11123361
    • Oral7 Moisturizing Mouthwash 6465962
    • GuruNanda Dry Mouth Oral Rinse 31
    • Hydris Oral Rinse 28294078
    • GUM HYDRAL Dry Mouth Oral Rinse 14
    • Moisyn Dry Mouth Oral Rinse 1558
    • Dr. Fresh Dry Mouth Mouthwash 11730
  • Regulatory Pathway: FDA 510(k) clearance as "saliva, artificial" (Product Code: LFD), typically unclassified or Class II medical devices. These products are reviewed for substantial equivalence to predicate devices and are subject to general controls (registration, labeling, GMP, etc.) 22457111415283134465056586272.

B. Desensitizing Mouthwashes

  • Examples:
    • Colgate Desensitizing Mouthwash / Sensitive Pro-Relief 82341
    • LISTERINE Sensitivity Defense Mouthrinse 33651
  • Regulatory Pathway: FDA 510(k) clearance, typically as "cavity varnish" (21 CFR 872.3260, Product Code: LBH), Class II devices. These are cleared based on substantial equivalence to predicate devices for the management of sensitive teeth 3823364151.

C. Oral Wound and Mucositis/Stomatitis Rinses

  • Examples:
    • Aftamed Mouthwash 4162126
    • MuGard Mucoadhesive Oral Wound Rinse 42
    • OraMagicRx Oral Wound Rinse 27
    • OraMagic Plus Oral Wound Rinse 74
  • Regulatory Pathway: FDA 510(k) clearance, often as "hydrogel wound dressing" or "mucositis/stomatitis oral rinse" (Product Code: MGQ), unclassified or Class II devices 4162126274274.

D. Plaque/Gingivitis Reduction Rinses (Non-drug)

  • Examples:
    • Decapinol Oral Rinse 2535
  • Regulatory Pathway: FDA 510(k) clearance as "oral rinse to reduce adhesion of dental plaque" (21 CFR 872.5580, Product Code: NTO), Class II devices with special controls 2535.

2. Mouthwashes Approved as Drugs (FDA NDA/ANDA Pathway)

Some mouthwashes, especially those with active pharmaceutical ingredients (APIs) like chlorhexidine gluconate or sodium fluoride, are regulated as drugs and require New Drug Applications (NDA) or Abbreviated New Drug Applications (ANDA).

A. Antimicrobial Mouthwashes (Chlorhexidine Gluconate)

  • Examples:
  • Regulatory Pathway: FDA NDA or ANDA approval. These are prescription (Rx) drugs. ANDA approvals require the generic product to be qualitatively and quantitatively (Q1/Q2) the same as the reference listed drug, and bioequivalence waivers are often granted due to the topical (oral cavity) use 224455606365667075.

B. Anticaries/Antiplaque/Antigingivitis Mouthwashes (Fluoride, Triclosan)

  • Examples:
    • Colgate Total (sodium fluoride 0.24%, triclosan 0.30%) 203848577173
  • Regulatory Pathway: FDA NDA approval (505(b)(1)), as these are considered new drugs due to their active ingredients and claims. The review includes efficacy and safety data for anti-caries and anti-gingivitis indications 203848577173.

3. EMA (European Medicines Agency) Approvals

  • The provided sources do not contain direct evidence of EMA approvals for mouthwashes. Some products are manufactured by European companies (e.g., Sinclair Pharmaceuticals, Bioplax Limited), but the regulatory pathway described is for FDA clearance, not EMA approval 18253552.
  • Note: In the EU, many mouthwashes are regulated as medical devices under the Medical Device Regulation (MDR) or as medicinal products, depending on their ingredients and claims. However, no EMA-specific approval data is present in the provided sources.

Summary Table

Type of MouthwashExample ProductsFDA Regulatory PathwayClass/Status
Dry Mouth/Artificial SalivaBiotene, Oral-B, SmartMouth, Oral7510(k)Unclassified/Class II
DesensitizingColgate Sensitive, Listerine Defense510(k)Class II
Oral Wound/MucositisAftamed, MuGard, OraMagic510(k)Unclassified/Class II
Plaque/Gingivitis (Non-drug)Decapinol510(k)Class II
Antimicrobial (Chlorhexidine)Peridex, ********NDA/ANDARx Drug
Anticaries/Antiplaque (Fluoride)Colgate TotalNDAOTC/Rx Drug

Key Points

  • Most dry mouth, desensitizing, and wound care mouthwashes are regulated as medical devices and cleared via the FDA 510(k) pathway.
  • Antimicrobial and anticaries mouthwashes with active drug ingredients (e.g., chlorhexidine, fluoride) are regulated as drugs and require NDA or ANDA approval.
  • Bioequivalence waivers are commonly granted for generic chlorhexidine gluconate rinses due to their topical use and identical formulation to reference products 224455606365667075.
  • No direct EMA approval data is present in the provided sources.

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