Q2 2026 AI/ML FDA Clearances and De Novos

 July 08, 2026
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Figure 1. The sponsor wall for the Q2 2026 FDA Device Explorer cohort..

Executive Summary 🔗

  • FDA authorized 86 AI/ML devices in Q2 2026: 84 510(k)s and 2 De Novos.
  • Decisions ran from April through June 2026. June was the heaviest month, with 28 authorizations.
  • Sixty-three records were SaMD. The remaining 23 show the other side of the AI device market: AI embedded in imaging systems, sensors, procedure tools, diagnostic hardware, or acquisition/reconstruction platforms.
  • Radiology still dominated with 59 records, but the quarter also included cardiovascular, neurology, GI/urology, anesthesiology, orthopedics, dental, surgery, hematology, pathology, clinical chemistry, and microbiology records.
  • Twelve authorization records referenced a PCCP. Those were not confined to radiology: they appeared in anesthesiology, cardiovascular, pathology, and radiology contexts.
  • Observed received-to-decision timing varied sharply by route, making route strategy a runway issue as well as a regulatory issue.
  • The two De Novos each created a new device category. Automated Imaging Diagnostics' neuropacs created a Parkinsonian-syndrome diffusion-MRI classification category, and SpectralMD's DeepView AI System created a burn-wound AI aid category tied to healing prediction and tissue segmentation. Every follow-on entrant inherits their special controls.

Most Of The Quarter Ran Through 510(k) 🔗

Eighty-four of 86 records cleared through 510(k). For anyone allocating capital, that ratio is the headline: the predicate-based route, the cheapest and fastest path to market, is absorbing nearly all AI device activity. The use cases, meanwhile, kept spreading.

But the 2 is where the ambition lives. If you want to shoot big and set the rules of a new category, De Novo is the route. The first mover writes the special controls every follow-on competitor inherits. The trade is runway: review runs longer, and the evidence package usually includes studies a predicate path would skip. The advantages are real, and we help teams decide when they justify the extra time and cost.

A note on the numbers. They come from FDA Device Explorer, the database our own analytics team built and maintains. We define AI by industry norms rather than FDA's definition, and our classification updates in real time. FDA's AI list takes months to catch up. If our counts differ from FDA's, that is why.

The cohort stretched from ECG-based amyloidosis screening, sepsis flagging, fetal ultrasound anomaly detection, coronary plaque support, concussion eye tracking, and vascular occlusion triage to breast-pathology prognostics, burn-wound healing assessment, dental disease support, sleep support, radiation-oncology planning, PACS workflow software, and lung-sound wheeze detection. The established radiology core remained large: mammography CAD, colonoscopy CADe, prostate MRI analysis, CT/PET reconstruction, lung nodule support, and ultrasound guidance all appeared in the quarter. The master table below lists all 86 records.

FDA's AI/ML activity is no longer just chest X-ray triage and radiology quantification. If your board is still asking "will FDA clear AI?", that question is settled. The question that sets budget and timeline is "which evidence story fits this intended use, user, environment, and change model?"

Figure 3. Weekly FDA AI/ML authorizations returned in the refreshed Q2 cohort.

There were 72 Traditional 510(k)s, 12 Special 510(k)s, and 2 Direct De Novo records. The Special 510(k)s are the clearest window into what an AI device business looks like after first clearance. They cover architecture moves, such as Aidoc's shift of head CTA triage toward a Linux-based cloud environment; output and model changes, such as Lunit's mammography update; population expansions, such as Imeka's adolescent-use expansion for diffusion MRI analysis; and workflow or system changes, such as Dexcom's AI-generated glucose insights, DESKi's HeartFocus acquisition guidance, Sonio's fetal-ultrasound workflow software, Fujifilm's Synapse PACS update, and Therapixel's MammoScreen update.

Observed review timing reinforces why route strategy is a financing and roadmap issue, not just a regulatory filing detail. In this cohort, Traditional 510(k)s had a median received-to-decision interval of 170.5 days, Special 510(k)s had a median of 29 days, and the two De Novos took 328 and 485 days. Those numbers should not be treated as future FDA timelines, but they are useful for executive planning: the wrong route assumption can change runway, launch sequencing, and fundraising milestones.

That is a good map of where AI device work actually lives after first clearance: architecture changes, output changes, use-population changes, workflow expansions, system integration, and model refinements.

The Two De Novos Set Boundaries 🔗

The two De Novos will outlast most of the quarter's 510(k)s. Each created a new classification, and its special controls will define what every follow-on device in the category must show.

Automated Imaging Diagnostics received De Novo grant DEN240071 for neuropacs, a software application that analyzes diffusion MRI data from patients 40 and older with Parkinson's disease, multiple system atrophy Parkinsonian variant, or progressive supranuclear palsy. The output is a classification report based on degenerative brain patterns, intended to help neuroradiologists and neurologists differentiate those conditions from Parkinson's disease. The intended use is carefully bounded: it supplements standard neurological assessment and other clinical tests; it is not a stand-alone diagnostic; and clinicians must rule out other causes of Parkinsonism before relying on it.

The record requires clinical performance validation to demonstrate diagnostic accuracy and reproducibility against a clinically relevant reference standard, plus software verification, validation, hazard analysis, and technical descriptions of model inputs and outputs. That is the entry price for every future device in the category. De Novo is a category-creation exercise: FDA is not only clearing one product, it is writing the rulebook the first mover's competitors will have to follow.

SpectralMD received De Novo grant DEN250028 for the DeepView AI System, an AI-enabled burn-wound assessment system. The software analyzes optical images, detects deep partial-thickness and full-thickness burn tissue, highlights regions unlikely to heal within 21 days with conservative treatment alone, and calculates wound area and percent total body surface area. It is an aid to physicians and must be used with clinical assessment. It does not provide definitive excision margins.

This is not a classic software-only SaMD example. It pairs AI software with a clinical imaging system and a treatment-planning-adjacent claim, the combination most relevant to hardware companies adding AI to existing product lines. The evidence expectations are correspondingly specific: standalone performance testing, sensitivity and specificity, segmentation accuracy, subgroup analysis, and validation that users improve diagnostic characterization compared with unaided assessment.

Together, the two De Novos show the current FDA posture well. New AI categories are possible, but the claim needs tight boundaries, the reference standard needs to be defensible, and labeling has to prevent over-reading the output.

Radiology Still Dominated, But The Edges Are Moving 🔗

Figure 4. Review-panel spread for Q2 2026 AI/ML FDA records.

Radiology accounted for 59 of the 86 records. That is expected. Radiology has the longest AI device precedent stack, clear digital inputs, mature reader-study patterns, and many measurable outputs.

The non-radiology records are the planning signal. The cardiovascular panel included six records: Anumana's ECG-AI Cardiac Amyloidosis algorithm, Conavi's Novasight Hybrid System, Abbott's OPTIS Mobile Next imaging system, Biozen's fingertip blood pressure monitor, iRhythm's ZEUS Platform, and Pathwai's EchoNext. Two more cardiac-focused records (Anumana's WatchMate Software and ADAS 3D cardiac image post-processing) were reviewed under the radiology panel, a reminder that panel assignment follows the device and imaging modality, not just the clinical organ system.

Other panels brought in colonoscopy CADe, sepsis flagging, dental disease support, neurological classification and review software, orthopedic control systems, burn-wound assessment, radiation oncology planning, sleep support, and TytoCare's wheeze-detection software, which FDA assigned to the anesthesiology panel.

It is great to see different review panels increase their proficiency in AI review, and very fruitful to see the industry taking advantage of that and deploying AI in other body systems and disciplines other than just radiology.

PCCP Became A Practical Design Topic 🔗

Twelve authorization records referenced a PCCP: Anumana's ECG amyloidosis algorithm, Siemens Healthineers' syngo Dynamics, Conavi's Novasight Hybrid System, ArteraAI Breast, Biozen's BP1000 monitor, SubtleHD-PET, DeepHealth BAC, SmartAlpha's MSK Go, TytoCare's wheeze-detection software, DESKi's HeartFocus, Brainomix 360 Hyperdensity, and Siemens Healthineers' syngo.CT Coronary Cockpit.

Eleven of the twelve PCCP records were Traditional 510(k)s; only DESKi's HeartFocus paired a PCCP with a Special 510(k). Note, however, a PCCP was mentioned in the Special 510k, but it was not added as part of the Special 510k since that is not allowed. The PCCP already existed in the Traditional, and it appears in the Special they are just making known what changes were done as part of a PCCP already cleared in the original traditional 510(k).

PCCPs are no longer a radiology novelty, nor are they reserved for standalone diagnostic algorithms. They appear wherever a sponsor can define a controlled future-change envelope: what can change, how performance will be verified, and how the sponsor will decide whether a change stays inside the authorized plan.

Figure 5. Lifecycle signals extracted from Q2 2026 AI/ML FDA records.

For teams building AI SaMD, the implication is straightforward: treat PCCP strategy as a design input. A PMA is not for everyone, and it can complicate your submission unnecessarily if you don't have a fully baked plan. However, if done correctly, it can save a lot of money by obviating the need for follow-on specials or traditional 510(k)s. If the product roadmap depends on model updates, new data sources, threshold changes, population expansions, or workflow integration changes, the regulatory strategy needs to describe that future state early enough for engineering and validation to support it.

Real-World Data Was Common, But Uneven 🔗

We flagged 37 records with real-world-evidence-related content. Four were marked as primary clinical evidence: Anumana's ECG amyloidosis algorithm, Bayesian Health's sepsis flagging device, Pathwai's EchoNext, and Alpha Intelligence Manifolds' DeepXray Spina. Of the remaining flagged records, 31 used real-world data as supportive validation, one as supplemental clinical evidence, and one for postmarket surveillance.

The distinction is regulatory, not semantic. "We used clinical data" is not the same as "real-world evidence is the primary support for the claim." Many AI submissions use retrospective clinical cases, external validation datasets, procedure reports, images, scans, or clinical records. The question is what regulatory job the data is doing. The way that I like to conceptualize real-world evidence is in a way that significantly moves the needle on the cost of a study. Meaningful real-world evidence is when you don't have to hire humans to ground truth data. Ground truth already exists from the standard of care record.

In Q2, RWE-style evidence appeared in diverse contexts: ECG amyloidosis, sepsis flagging, appendicitis assessment, mammography, sleep support, prostate MRI, ultrasound, CT/PET enhancement, TAVR planning, lung nodule support, radiation oncology planning, vascular occlusion triage, neurology review, and orthopedic planning. This is consistent with the market moving away from one-off curated datasets and toward evidence packages that connect technical performance to deployment-relevant clinical data.

Route Mix Still Means Predicate Strategy 🔗

Figure 6. FDA route and submission-type mix.

The route mix is an executive planning signal. Most records still turned on substantial-equivalence arguments, but the evidence burden changes depending on where the AI function sits. A software-only triage or detection system often lives or dies on standalone performance, reader impact, workflow, and labeling. An imaging system with AI reconstruction may need to show image quality, artifact correction, quantitative consistency, and safety in the context of scanner operation.

For leadership, predicate selection, device architecture, and release roadmap need to be decided together. Otherwise, a commercial feature choice can become a validation burden, a review-timeline problem, or a diligence issue later.

What This Means For Investors, Executives, And Founders 🔗

The quarter suggests five planning questions leadership should answer before freezing the roadmap or committing capital.

First, is the claim boundary financeable and reviewable? The most persuasive records are narrow about who uses the output, what the output means, and what it does not mean.

Second, does the predicate story match the product story leadership is selling? If the roadmap requires a predicate leap, a new population, a different architecture, or a new kind of output, the evidence plan has to account for that well before verification closes out.

Third, is the change-control plan owned by engineering, quality, and regulatory together? PCCP is not a regulatory writing exercise after model development. It is a controlled-change contract between the intended use, model lifecycle, validation methods, and labeling.

Fourth, have you separated FDA evidence from buyer evidence? FDA may accept a specific validation package for clearance. A hospital, payer, strategic partner, acquirer, or investor may still ask whether performance holds at their sites, with their users, in their workflow, and under their monitoring expectations. The best consultants will be able to harmonize both, so one is directly reused by the other.

Fifth, are you studying De Novos even if you plan to file a 510(k)? De Novo special controls often become tomorrow's predicate framework. neuropacs and DeepView AI System are not just two products; they are new examples of FDA’s policy setting on AI.

Master Clearance Table 🔗

The table below lists all 86 AI/ML records in the Q2 2026 FDA Device Explorer cohort.

Date FDA ID Route Company Device Panel Code SaMD PCCP RWE
2026-04-03 DEN240071 De Novo Automated Imaging Diagnostics neuropacs Neurology SHO Yes No No
2026-04-03 K253674 510(k) Stryker Blueprint Patient-Specific Instrumentation Orthopedics PHX Yes No No
2026-04-03 K260524 510(k) United Imaging uMI Panvivo (uMI Panvivo LS) Radiology KPS No No No
2026-04-03 K260724 510(k) Magentiq Eye, Ltd. MAGENTIQ-COLO (ME-APDS) Gastroenterology / Urology QNP Yes No No
2026-04-06 K253288 510(k) Esaote, S.p.A. 6450 Ultrasound System (MyLabE80) Radiology IYN No No No
2026-04-07 K253801 510(k) Anumana ECG-AI Cardiac Amyloidosis (CA) 12-Lead Algorithm (1040) Cardiovascular SHP Yes Yes Yes
2026-04-09 K252228 510(k) Checkcells Seaman Pro/Seaman Hematology POV No No No
2026-04-10 K252190 510(k) Aitewan Biomedical Technology DeepBT Detector-Plus Radiology QKB Yes No Yes
2026-04-10 K252548 510(k) Siemens Healthineers AI-Rad Companion Organs RT Radiology QKB Yes No Yes
2026-04-10 K253689 510(k) Siemens Healthineers syngo Dynamics (VA41F) Radiology QIH Yes Yes Yes
2026-04-10 K253930 510(k) Overjet Overjet Iris Intelligent Imaging System Radiology QIH Yes No No
2026-04-10 K260082 510(k) 3Shape TRIOS A/S TRIOS Dx (R1) Dental SHQ Yes No No
2026-04-14 K253502 510(k) GE HealthCare Critical Care Suite with Enteric Tube Positioning AI Algorithm Radiology QIH Yes No No
2026-04-17 K252237 510(k) Edgecare EdgeFlow UW20 Radiology IYO No No No
2026-04-17 K252945 510(k) Conavi Medical Novasight Hybrid System Cardiovascular OBJ No Yes No
2026-04-20 K252332 510(k) Mim Fertility Folliscan Radiology QIH Yes No Yes
2026-04-22 K253163 510(k) Ever Fortune.Ai, Co., Ltd. EFAI ERSUITE CT APPENDICITIS ASSESSMENT SYSTEM (APPEN-CT-100) Radiology QAS Yes No Yes
2026-04-22 K253256 510(k) Ottobock myosmart. (13E522) Neurology GXY No No No
2026-04-23 K260320 510(k) Lunit Lunit INSIGHT MMG (v1.1.10) Radiology QDQ Yes No No
2026-04-23 K260785 510(k) Dentsply Sirona DS Core CBCT Anatomy Radiology QIH Yes No No
2026-04-24 K253459 510(k) ABBOTT MEDICAL OPTIS Mobile Next Imaging System (1014932) Cardiovascular NQQ No No Yes
2026-04-27 K252628 510(k) Wesper CASSIE Anesthesiology MNR Yes No Yes
2026-04-29 K253682 510(k) Quantib B.V. DeepHealth ProstateAI Radiology QDQ Yes No Yes
2026-04-29 K254184 510(k) Siemens Healthineers syngo Application Software Radiology QIH No No Yes
2026-04-30 K250680 510(k) Bayesian Health Bayesian Health Sepsis Flagging Device Gastroenterology / Urology SAK Yes No Yes
2026-04-30 K252503 510(k) Canon Medical Intelligent NR Radiology OWB Yes No No
2026-04-30 K254189 510(k) Fujifilm Synapse 3D Base Tools (V7.2) Radiology QIH Yes No No
2026-05-04 K252954 510(k) Savelife.ai MammoSightAI Radiology QFM Yes No Yes
2026-05-04 K254115 510(k) Artera ArteraAI Breast Pathology SHW Yes Yes No
2026-05-05 K252558 510(k) Philips Lumify Diagnostic Ultrasound System Radiology IYN Yes No Yes
2026-05-06 K253152 510(k) Biozen, LLC BP1000 Ultra-Compact Fingertip Blood Pressure Monitor (BP1000) Cardiovascular DXN No Yes No
2026-05-07 K253992 510(k) Restor3D Veritas Reverse Total Shoulder System Orthopedics PHX No No No
2026-05-08 K260419 510(k) Hangzhou ChohoTech Co., Ltd. LingOral Dental Design System Dental PNN Yes No No
2026-05-11 K252953 510(k) Velmeni Velmeni for Dentists (V4D) Endo-Perio Radiology MYN Yes No No
2026-05-12 K260378 510(k) AZmed Rayvolve Radiology QBS Yes No No
2026-05-13 K260032 510(k) BeauBrain Healthcare Morph Radiology QIH Yes No No
2026-05-14 K254013 510(k) Subtle Medical SubtleHD-PET (1.x) Radiology LLZ Yes Yes Yes
2026-05-14 K261317 510(k) Aidoc BriefCase-Triage Radiology QAS Yes No Yes
2026-05-15 K252563 510(k) Neurophet. Neurophet SCALE PET Radiology QIH Yes No No
2026-05-15 K253716 510(k) United Imaging uSONIQUE Genesis, uSONIQUE Genesis Pro, uSONIQUE Genesis Elite, uSONIQUE Genesis Super, uSONIQUE Pulse, uSONIQUE Pulse Pro, uSONIQUE Pulse Elite, uSONIQUE Pulse Super, uSONIQUE Venus, uSONIQUE Venus Pro, uSONIQUE Venus Elite, uSONIQUE Venus Super Radiology IYN No No Yes
2026-05-15 K254120 510(k) Subtle Medical SubtleHD-CT (1.x) Radiology QIH Yes No Yes
2026-05-15 K261273 510(k) Neurophet. Neurophet AQUA Radiology QIH Yes No No
2026-05-20 K253596 510(k) Canon Medical Systems Aquilion ONE (TSX-308A/TSX-306A) V2.0 Radiology JAK No No No
2026-05-21 DEN250028 De Novo SpectralMD DeepView AI® System Surgery SHY No No No
2026-05-21 K253720 510(k) United Imaging uSONIQUE Nova, uSONIQUE Nova Elite, uSONIQUE Vita, uSONIQUE Vita Elite, uSONIQUE Grace, uSONIQUE Grace Elite Radiology IYN No No No
2026-05-21 K254131 510(k) DeepHealth BAC Radiology QIH Yes Yes Yes
2026-05-21 K260234 510(k) Smart Alfa Teknoloji San. Ve Tic. A.S. MSK Go Radiology QIH Yes Yes No
2026-05-21 K261359 510(k) Dexcom Stelo Glucose Biosensor System Clinical chemistry SAF No No No
2026-05-22 K260113 510(k) United Imaging uMR Astra Radiology LNH No No No
2026-05-22 K260324 510(k) Canon Medical Informatics Vitrea CT Transcatheter Aortic Valve Replacement (TAVR) Planning Radiology QIH Yes No Yes
2026-05-27 K253971 510(k) Visby Medical Visby Medical Flu and COVID-19 Test Microbiology SIA Yes No No
2026-05-27 K254075 510(k) Fujifilm Synapse Lung Nodule AI Radiology OEB Yes No Yes
2026-05-27 K260680 510(k) Philips EPIQ Series Diagnostic Ultrasound Systems Radiology IYN No No No
2026-05-28 K261405 510(k) Imeka Solutions ANDI 2.2 Radiology QIH Yes No No
2026-05-29 K252859 510(k) iRhythm Technologies ZEUS Platform (FG0501US) Cardiovascular DQK Yes No No
2026-05-29 K252947 510(k) HistoSonics HistoSonics® Planning Tool Radiology QTZ Yes No No
2026-05-29 K260077 510(k) OrthoGrid Systems OrthoGrid Hip AI® 4.0 Radiology QIH Yes No Yes
2026-05-29 K261369 510(k) Cosmo AI GI Genius™ Module 300 (GGM300-US) Gastroenterology / Urology QNP No No No
2026-06-02 K252844 510(k) TytoCare Tyto Insights for Wheeze Detection (with PCCP) Anesthesiology PHZ Yes Yes Yes
2026-06-03 K260780 510(k) DESKi HeartFocus Radiology QJU Yes Yes Yes
2026-06-04 K253984 510(k) Medtronic Instrument Exit Point on Touch Surgery™ Aide Surgery SFE Yes No No
2026-06-04 K260497 510(k) Keya Medical DEEPVESSEL Plaque Radiology QIH Yes No Yes
2026-06-04 K261519 510(k) Sonio Sonio Suspect Radiology POK Yes No No
2026-06-05 K254086 510(k) Oculogica EyeBOX SNAP Neurology QEA No No Yes
2026-06-08 K260332 510(k) Pathway Labs EchoNext Cardiovascular QXO Yes No Yes
2026-06-09 K260748 510(k) E-Scopics ES-Series Radiology IYN Yes No Yes
2026-06-10 K253192 510(k) Alpha Intelligence Manifolds DeepXray Spina Radiology SAO Yes No Yes
2026-06-12 K260406 510(k) Brainomix Brainomix 360 Hyperdensity Radiology QIH Yes Yes No
2026-06-15 K253172 510(k) Crescom MediAI-OA Radiology QIH Yes No No
2026-06-15 K253690 510(k) Siemens Healthineers LungMaps Radiology QIH Yes No No
2026-06-15 K253825 510(k) DeepHealth Saige-Dx Radiology QDQ Yes No Yes
2026-06-15 K260300 510(k) Anumana WatchMate Software Radiology QIH Yes No Yes
2026-06-16 K260844 510(k) Siemens Healthineers ACUSON Sequoia Diagnostic Ultrasound System Radiology IYN No No No
2026-06-18 K253050 510(k) Informai RadOncAI Radiology MUJ Yes No Yes
2026-06-18 K260190 510(k) ROPCA ARTHUR Radiology IYO No No Yes
2026-06-18 K260729 510(k) GuideAI Health Vascular Assist Occlusion Triage (VAOT) (v1.0) Radiology QAS Yes No Yes
2026-06-18 K261713 510(k) Fujifilm Synapse PACS (7.6.0) Radiology QIH Yes No No
2026-06-22 K253148 510(k) Rhythm Express RX-1 Sleep Anesthesiology MNR Yes No No
2026-06-24 K253560 510(k) GE HealthCare Enhanced Boundary for PCCT Radiology JAK No No No
2026-06-24 K260998 510(k) Ceribell Ceribell Neurology Review Software Neurology OMB Yes No Yes
2026-06-25 K253786 510(k) Siemens Healthineers syngo.CT Coronary Cockpit Radiology QIH Yes Yes Yes
2026-06-26 K260714 510(k) Therapixel MammoScreen® (5) Radiology QDQ Yes No No
2026-06-27 K253390 510(k) HoneyNaps SOMNUM (SOMNUM) Neurology OLZ Yes No Yes
2026-06-29 K253628 510(k) Agada Medical Auto-Seg (SO-0012), Spine Auto-Seg (SO-0012) Radiology QIH Yes No No
2026-06-29 K253969 510(k) ADAS 3D Medical ADAS 3D Radiology QIH Yes No No
2026-06-29 K260667 510(k) Philips Alturion Series Diagnostic Ultrasound System Radiology IYN No No Yes
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