FDA-cleared profile

CINA

AVICENNA.AI

CINA analyzes non-enhanced head CT and head CTA DICOM in parallel with standard interpretation to flag suspected intracranial hemorrhage and anterior-circulation large-vessel occlusion (distal ICA, MCA-M1 or proximal MCA-M2), issuing worklist and active notifications with informational previews for trained-radiologist triage; it does not diagnose or alter original images.

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

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
CINA analyzes non-enhanced head CT and head CTA DICOM in parallel with standard interpretation to flag suspected intracranial hemorrhage and anterior-circulation large-vessel occlusion (distal ICA, MCA-M1 or proximal MCA-M2), issuing worklist and active notifications with informational previews for trained-radiologist triage; it does not diagnose or alter original images.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Intended users
Hospital networks and trained radiologists; notified clinicians remain responsible for full-image review and professional judgment.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Care setting and population
Hospital radiology networks using head CT and CTA worklists for acute neurovascular triage.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Workflow role
Parallel worklist prioritization and notification for suspected ICH or anterior-circulation LVO; not a diagnostic device or replacement for standard interpretation.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Required input
DICOM non-enhanced head CT for the ICH application and DICOM head CTA for the LVO application, subject to the recommended acquisition protocols.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Output and human action
Active pop-up and passive worklist notifications identifying the suspected finding type, plus a small compressed unannotated grayscale preview marked not for diagnostic use; original images are not altered.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Limitations
LVO scope is limited to distal ICA, MCA-M1, or proximal MCA-M2 in the anterior circulation. Notifications and compressed previews are informational only, do not localize the finding, and require review of the full original images with other patient information.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08

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
K221716
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Modality
CT/CTA
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Anatomy
Brain
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Clearance type
510(k)
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Decision date
2022-11-22
  • 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
The on-premise CINA Platform exchanges DICOM with CT modalities, routers, and PACS, runs the ICH and LVO applications, and transfers result files for worklist prioritization. Local routing, identifiers, failure handling, and workstation behavior require acceptance testing.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Deployment and data flow
On-premise server or workstation using a standard off-the-shelf operating environment and an on-premise Worklist Application.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08

This is the exact K221716 architecture; newer AVI Platform deployment claims are family context only.

Security and privacy
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-08

The reviewed exact packet does not establish the current scoped security controls, retention, access control, audit, vulnerability management, or incident-response package for K221716.

Training and support
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-08

The indication requires trained radiologists, but exact-version training and competency requirements were not established.

Monitoring and change control
Monitor protocol eligibility, DICOM receipt, per-application processing failures, notification latency, worklist delivery, false-negative and false-positive review, reader overrides, downtime, updates, complaints, and exact-submission recalls.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08

Buyer acceptance guidance derived from the exact workflow and validation endpoints; it is not a claimed vendor monitoring service.

Exact on-premise DICOM worklist path

The exact submission describes DICOM exchange among CT, routers or PACS, an on-premise CINA Platform and Worklist Application, and result files returned for worklist prioritization.

exact submission · checked 2026-09-08

Current AVI Platform family context

Avicenna.AI's 2025 AVI announcement describes automated PACS/RIS integration, centralized orchestration, and DICOM, HL7, and FHIR support for the current platform hosting the CINA portfolio. It also describes de-identification, encryption, access controls, and auditable operations. These are family claims and do not establish the exact K221716 deployment or assurance scope.

product family · checked 2026-09-08

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
K221716 contains two separately sized retrospective validation cohorts: 814 NCCT cases for ICH and 476 CTA cases for LVO. Results are reported per application and are not pooled.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Reported sensitivity
ICH 91.4% (95% CI 87.2%-94.5%); LVO 97.9% (95% CI 94.6%-99.4%)
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08
Reported specificity
ICH 97.5% (95% CI 95.8%-98.6%); LVO 97.6% (95% CI 95.1%-99.0%)
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-08

ICH sensitivity

91.4 percent

  • EndpointSuspected ICH triage sensitivity against concurrence of three US-board-certified neuroradiologists
  • Population814 anonymized non-contrast head CT cases; 255 ICH-positive
  • Tested versionCINA ICH/LVO triage configuration described in K221716

ICH specificity

97.5 percent

  • EndpointSuspected ICH triage specificity against concurrence of three US-board-certified neuroradiologists
  • Population814 anonymized non-contrast head CT cases
  • Tested versionCINA ICH/LVO triage configuration described in K221716

LVO sensitivity

97.9 percent

  • EndpointAnterior-circulation LVO triage sensitivity against concurrence of three US-board-certified neuroradiologists
  • Population476 anonymized head CTA cases; 188 LVO-positive
  • Tested versionCINA ICH/LVO triage configuration described in K221716

LVO specificity

97.6 percent

  • EndpointAnterior-circulation LVO triage specificity against concurrence of three US-board-certified neuroradiologists
  • Population476 anonymized head CTA cases
  • Tested versionCINA ICH/LVO triage configuration described in K221716

ICH mean time to notification

13.2 seconds

  • EndpointMean per-case time to notification
  • Population814 non-contrast head CT cases
  • Tested versionCINA ICH/LVO triage configuration described in K221716

LVO mean time to notification

25.8 seconds

  • EndpointMean per-case time to notification
  • Population476 head CTA cases
  • Tested versionCINA ICH/LVO triage configuration described in K221716

K221716 CINA ICH retrospective validation

  • DesignRetrospective blinded multicenter multinational standalone validation against concurrence of three US-board-certified neuroradiologists.
  • Population814 anonymized non-contrast head CT cases from three clinical sources (two US, one outside the US), including 255 ICH-positive cases and multiple scanner manufacturers.
  • Scopeexact submission
  • Tested versionCINA ICH/LVO triage configuration described in K221716
  • Samplen=814
  • Sites3
  • IndependenceSponsor or vendor study

K221716

Manufacturer-conducted FDA evidence; this is not an independent clinical-outcome study.

K221716 CINA LVO retrospective validation

  • DesignRetrospective blinded multicenter multinational standalone validation against concurrence of three US-board-certified neuroradiologists.
  • Population476 anonymized head CTA cases from three clinical sources, including 188 anterior-circulation LVO-positive cases and multiple scanner manufacturers.
  • Scopeexact submission
  • Tested versionCINA ICH/LVO triage configuration described in K221716
  • Samplen=476
  • Sites3
  • IndependenceSponsor or vendor study

K221716

Manufacturer-conducted FDA evidence; this is not an independent clinical-outcome study.

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 2026-09-08

No public exact-version price, pricing unit, term, minimum, or implementation fee was established.

Reimbursement and coding
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-09-08

No exact-product payer policy or claim eligibility was established.

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-submission FDA recall query returned no native recall record for K221716. This limited query does not establish absence of recalls or other safety information and does not cover family or later-version records.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-08

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
2026-09-08Last searched
26Fields reviewed
11Source classes checked
20Screened PubMed leads
10Screened trial leads
0Unreviewed FDA recall leads

Stored exact-name candidate metadata was screened. The returned PubMed and trial records were unrelated to the CINA radiology product, so none was promoted; this is metadata triage, not a systematic literature review. 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, acr ai central product, vendor press release, fda device recall, literature index, trial registry, stored candidate metadata, 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 510(k) K221716: CINA

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

    Scope: identity, clinicalUse, modality, anatomy, intendedUsers, careSetting, workflowRole, input, output, limitations, integration, deployment, evidenceMetrics, evidenceStudies

  2. Artificial Intelligence-Enabled Medical Devices

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

    Scope: regulatoryIdentity, modalityContext

  3. CINA-ICH model card (K221716)

    American College of Radiology - Published 2026-08-17 - Accessed 2026-09-01

    Scope: purpose, modality, intendedUsers, output, limitations, reportedSensitivity, reportedSpecificity, evidenceSummary, integration, anatomy, evidenceStudies, implementationCapabilities

  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. Avicenna.AI AVI Platform launch

    Avicenna.AI - Published 2025-11-13 - Accessed 2026-09-07

    Scope: productFamily, implementationCapabilities

  8. openFDA exact recall query for K221716

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

    Scope: postmarketSafety

Research history

  1. K221716 FDA decision

    Regulatory record

    510(k)

  2. Source-review record updated

    Research record

    human reviewed

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