United States (federal)Rulemaking Final

FDA classifies cardiovascular machine learning-based notification software into class II with special controls

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Summary

The Food and Drug Administration issued a final order classifying cardiovascular machine learning-based notification software into class II (special controls) and codifying it at 21 CFR 870.2380. The device type uses machine learning to suggest the likelihood of a cardiovascular condition for further referral or follow-up. The order follows a De Novo request received from Viz.ai, Inc. on January 10, 2023, with the classification applicable on August 3, 2023. Special controls cover clinical performance testing, software verification and validation, human factors assessment and labeling. The device remains subject to premarket notification requirements under section 510(k) of the FD&C Act. The order is effective September 11, 2026.

Why it matters

Developers of machine learning-based cardiovascular notification software now have a defined class II pathway with specific special controls, including testing on independent datasets from geographically diverse sites and labeling warnings. Future similar devices can use the classified device as a predicate and the less burdensome premarket notification process under 510(k) instead of a De Novo request.

Parties involved
Food and Drug Administration; Viz.ai, Inc.
Federal Register doc. no.
2026-18612
Citation
91 FR 57785
Docket number
FDA-2026-N-9907
Primary source
Federal Register (US) (federalregister.gov)
Source retrieved: . Sources are often in other languages; links open the original.
Topics
Healthcare & medical AI

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