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Cognoa ASD Diagnosis Aid

Cognoa, Inc. • Neurology • 06/02/2021

De NovoIEC 62304 Class B
FDA Summary PDF

Device Purpose

The Cognoa ASD Diagnosis Aid is a software-based medical device designed to facilitate earlier identification of Autism Spectrum Disorder in children aged 18-72 months by integrating caregiver reports, clinician observations, and video-based behavioral analysis through a machine-learning algorithm. This system, trained on diverse pediatric data and demonstrating notable sensitivity and specificity, aims to provide clinicians with an objective risk score to improve referral decisions and expedite access to critical early interventions.

Summary

The Cognoa ASD Diagnosis Aid is a sophisticated software tool developed to support clinicians in the evaluation of Autism Spectrum Disorder (ASD) for children aged 18 to 72 months. Its core methodology involves a multi-modal data integration approach: it collects information from caregiver-completed questionnaires, data entered by clinicians via a dedicated portal, and parent-recorded videos of the child's behavior. These videos are subsequently reviewed and annotated by trained analysts, providing structured observational data which, combined with the other inputs, forms the basis for the diagnostic assessment. The scientific foundation of the Cognoa aid lies in a machine-learning classifier, which processes the integrated data inputs to generate a quantifiable ASD risk score. This score categorizes results as Positive for ASD, Negative for ASD, or No Result, thereby assisting clinicians in making informed referral decisions for further diagnostic workup or intervention. Validated through pivotal studies involving a comprehensive dataset of children with and without autism diagnoses, the device has demonstrated approximately 83% sensitivity and 83% specificity. It is intended for use as an adjunctive tool within standard diagnostic workflows, aiming to facilitate earlier ASD identification and improve access to interventions, particularly in community healthcare settings.

AI Regulatory Concerns

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Keywords

Autism Spectrum Disorder (ASD)Diagnosis AidMachine LearningPediatric AssessmentEarly DetectionCaregiver InputVideo AnalysisSensitivitySpecificityRisk Stratification

Device Metadata

Submission Number
DEN200069
Company
Cognoa, Inc.
Panel
Neurology
Product Code
N/A
Data Type
Images
Clinical Function
Assessment
AI Function
Analysis
AI Subclass
diagnosis

Relevant Clinical Questions

  • Q1. How does the 'No Result' output specifically guide clinicians, and what are the predominant factors leading to this outcome in the Cognoa ASD Diagnosis Aid?; What are the specific behavioral features or patterns extracted from the parent-recorded videos that most heavily influence the machine learning model's ASD risk assessment?; Beyond overall sensitivity and specificity, how does the diagnostic aid perform across diverse demographic subgroups, including different socioeconomic backgrounds or children with comorbid developmental conditions?; What is the training and inter-rater reliability protocol for the analysts reviewing parent-recorded videos, and how is this quality control maintained over time?; Are there comparative studies evaluating the real-world impact of implementing the Cognoa ASD Diagnosis Aid on metrics such as time-to-diagnosis and access to early intervention services versus standard care pathways?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via De Novo pathway; IEC 62304 Class B (software safety classification); Authorized before §524B enforcement

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Cybersecurity Evidence

Powered by SBOMator™

Based on AI-generated device summaries, not the full FDA submission. Items not detected here may still be present in the complete submission package.

Cyber Score20/100
SBOM Evidence⚠ Not mentioned in summary
Cyber Risk Assessment⚠ Not mentioned in summary
Postmarket Plan✓ Detected in Summary
§524B ApplicableNo

Supply Chain BOM Evidence

Based on the CycloneDX / OWASP ECMA-424 xBOM ecosystem. Detection is from the AI-generated summary.

SBOMSoftware Bill of Materials
- Not detected
ML-BOMMachine Learning Bill of Materials(machine learning, algorithm, dataset)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials
- Not detected
HBOMHardware Bill of Materials
- Not detected
CBOMCryptography Bill of Materials
- Not detected
VDR/VEXVulnerability Disclosure Report / Vulnerability Exploitability eXchange
- Not detected
OBOMOperations Bill of Materials
- Not detected

Analysis:

• Analysis is based on the AI-generated device summary, not the full FDA submission package. Click "Analyze Full FDA PDF" below to scan the actual submission document.

• Evidence of ML-BOM detected in AI-generated device summary.

• This device was authorized before §524B took effect. Cybersecurity evidence requirements were less prescriptive at the time.

• Not detected in AI-generated device summary: SBOM, SaaSBOM, HBOM, CBOM, VDR/VEX, OBOM. These may be present in the full FDA submission.

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Cognoa ASD Diagnosis Aid - Cognoa, Inc. | ESL FDA AI Device Intelligence