FDA-authorized profile

Caption Guidance

Bay Labs, Inc.

Ultrasound guidance software that helps users capture standard adult heart ultrasound clips.

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

Ultrasound guidance software that helps users capture standard adult heart ultrasound clips.

Overview status: Source-reviewed overview

Clinical takeaway

Caption Guidance supports ultrasound image capture rather than interpretation. The clinician remains responsible for adequate images and diagnosis.

Evidence takeaway

The FDA material reports studies of image quality and acquisition endpoints. The reported results are not sensitivity or specificity measures.

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
Real-time acquisition guidance and image-quality optimization for medical professionals obtaining standard adult 2D-TTE views; the device supports image acquisition, while qualified medical professionals remain responsible for image quality and diagnosis.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Intended users
Medical professionals, including trained sonographers and professionals without specialized echocardiography training; the evaluated groups included hospitalists, nurse practitioners or physician assistants, registered nurses, medical residents, and certified medical assistants.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Care setting and population
Point-of-care echocardiography, including bedside and clinical settings outside a traditional cardiology department.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Workflow role
Real-time acquisition guidance using Quality Meter feedback, Prescriptive Guidance for probe maneuvers, Auto-Capture of predicted diagnostic-quality clips, and Save Best Clip.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Required input
Adult 2D-TTE acquisitions on the labeled Terason uSmart 3200t Plus ultrasound system with the compatible 4V2A linear phased-array probe, covering the ten standard views listed in the FDA indication.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Output and human action
Real-time expected image-quality feedback, probe-maneuver guidance toward standard views, automatic capture of predicted diagnostic-quality clips, and retrospective saving of the highest-quality clip when Auto-Capture is not achieved.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Limitations
Prescription use only. Users remain responsible for image quality and diagnosis, and qualified professionals must inspect data for appropriate anatomy and spatial and temporal resolution. The device is not intended for transesophageal or other unlisted ultrasound exams, must be used only with the compatible Terason 4V2A probe, and requires ultrasound exposure to follow displayed MI/TI values and ALARA principles.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09

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
DEN190040
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Modality
Ultrasound
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Anatomy
Heart, including the standard PLAX, PSAX-AV, PSAX-MV, PSAX-PM, AP4, AP5, AP2, AP3, SubC4, and SC-IVC views.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Clearance type
De Novo
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Decision date
2020-02-07
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
FDA status
FDA-authorized
  • 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
Caption Guidance is installed on the third-party Terason uSmart 3200t Plus system, with access to both the Terason and Caption Guidance user interfaces. The reviewed FDA packet does not establish DICOM, PACS, RIS, or other downstream interface support.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Deployment and data flow
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-09

The reviewed sources do not establish the current exact-release hosting topology, data flow, region, tenancy, or disaster-recovery configuration.

Security and privacy
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-09

Exact-release security controls, data retention, hosting boundaries, and scoped assurance documentation require vendor confirmation.

Training and support
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-09

Current training prerequisites, competency checks, and support commitments for the exact configuration require vendor confirmation.

Monitoring and change control
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-09

Current drift, quality, uptime, alert, escalation, and incident-response commitments for the exact configuration require vendor confirmation.

ACR exact-submission catalog context

ACR AI Central provides an exact-submission model card for Caption Guidance; FDA labeling remains controlling for clinical use, limitations, and performance.

exact submission ยท checked 2026-09-09

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
A prospective specialist study scanned 50 patients with and without guidance and used three expert cardiologists with the ACEP quality scale; 97.85% of auto-captured clips were diagnostic. The pivotal study trained at least eight RNs to acquire 30 patients each with and without guidance and used five expert cardiologists. Four primary scan-level endpoints were satisfied: sufficient quality for LV size, global LV function, RV size, and non-trivial pericardial effusion at 98.8%, 98.8%, 92.5%, and 98.8%, respectively, with stated confidence intervals. Secondary agreement, clip-quality, AutoEF, linear-measurement, and human-factors results are separate workflow or usability endpoints, not sensitivity or specificity.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-09
Reported sensitivity
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-08-31

This field has not been curated yet.

Reported specificity
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-08-31

This field has not been curated yet.

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

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
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-09

No public price or quote for the exact DEN190040 configuration was established in this review.

Reimbursement and coding
Not established in reviewed sources
  • Reviewed sources checked
  • Exact FDA submission
  • Checked 2026-09-09

No exact-product payer policy, coding instruction, or payment determination was established; eligibility must be evaluated by payer, site of service, and use case.

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 exact-identifier FDA recall query returned no native recall record for DEN190040. This limited result does not establish absence of recalls or other safety information and does not cover later versions, family records, MAUDE reports, corrections, or field notices.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-09

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
2026-09-09Last searched
17Fields reviewed
10Source classes checked
0Awaiting review PubMed leads
0Awaiting review trial leads
0Unreviewed FDA recall leads

Exact-submission ACR model-card fields were normalized under the current provenance rules; vendor and independent-study confirmation remain distinct. Exact FDA scope controls clinical claims. ACR provides bounded exact-submission catalog context. Candidate literature metadata remains a discovery queue until full-text identity, endpoint, population, and version review is completed. Automated exact-name discovery found 0 PubMed and 0 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, acr ai central product, fda de novo summary, fda device recall, 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 DEN190040: Caption Guidance

    U.S. Food and Drug Administration - Published 2020-02-07 - Accessed 2026-09-09

    Scope: identity, clinicalUse, modality, anatomy, workflow, evidence, implementation

  2. Artificial Intelligence-Enabled Medical Devices

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

    Scope: regulatoryIdentity, modalityContext

  3. Caption Guidance model card (DEN190040)

    American College of Radiology - Published 2026-06-26 - Accessed 2026-09-01

  4. PubMed biomedical literature index

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

    Scope: evidenceDiscovery

  5. ClinicalTrials.gov study registry

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

    Scope: evidenceDiscovery, studyStatus

  6. openFDA Device Recall API

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

    Scope: recallDiscovery, nativeSubmissionMatching

  7. openFDA exact recall query for DEN190040

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

    Scope: postmarketSafety

Research history

  1. DEN190040 FDA decision

    Regulatory record

    De Novo

  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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