Medscape Medical NewsAll articles

Fibresolve

Imvaria, Inc • Radiology • 01/12/2024

De NovoIEC 62304 Class B§524B Cyber Device
FDA Summary PDF

Device Purpose

Fibresolve is an AI-powered software utilizing convolutional neural networks to analyze chest CT scans for suspected interstitial lung disease by detecting key fibrotic patterns like honeycombing and traction bronchiectasis. It aims to improve noninvasive diagnosis and risk stratification for conditions such as idiopathic pulmonary fibrosis through a 'digital biomarker' score, potentially reducing the need for biopsies and aiding multidisciplinary evaluation.

Summary

Fibresolve is an advanced artificial intelligence (AI) software designed for the detailed analysis of chest CT scans in patients suspected of having interstitial lung disease. It processes 3D CT images to classify subtypes of fibrotic lung disease, with a particular emphasis on idiopathic pulmonary fibrosis, by identifying specific imaging patterns such as honeycombing, traction bronchiectasis, and ground glass opacities. The software provides a ‘digital biomarker’ score, intended to assist pulmonologists with risk stratification and in deciding whether a multidisciplinary evaluation is warranted for the patient. The core technology of Fibresolve is built upon convolutional neural networks (CNNs) trained using extensive datasets of interstitial lung disease cases. These networks perform segmentation of lung anatomy and quantify the extent of fibrotic features identified in the CT scans. Clinical studies have supported its reliability in distinguishing patterns characteristic of idiopathic pulmonary fibrosis. Notably, Fibresolve is recognized as the first Breakthrough-designated AI tool for lung fibrosis, offering a significant contribution towards noninvasive diagnosis and potentially lessening the necessity for invasive procedures like lung biopsies.

AI Regulatory Concerns

Powered byJev by TypeSafe AI

Jev reads the full FDA letter and returns calibrated concern probabilities per regulatory category. These are AI estimates, not regulatory advice.

Keywords

FibresolveAI softwarechest CT scansinterstitial lung diseaseidiopathic pulmonary fibrosishoneycombingtraction bronchiectasisground glassdigital biomarkerconvolutional neural networks

Device Metadata

Submission Number
DEN220040
Company
Imvaria, Inc
Panel
Radiology
Product Code
N/A
Data Type
Images
Clinical Function
Assessment
AI Function
Analysis
AI Subclass
diagnosis

Relevant Clinical Questions

  • Q1. How does Fibresolve's performance vary when analyzing CT scans from different manufacturers or with varying acquisition parameters?; What is the specific impact of Fibresolve's 'digital biomarker' on long-term patient outcomes or treatment selection for interstitial lung diseases?; How does the software differentiate between idiopathic pulmonary fibrosis and other fibrotic ILDs that may present with overlapping imaging features like honeycombing?; What are the sensitivity and specificity of Fibresolve in detecting early or subtle signs of fibrotic lung disease compared to expert radiologist interpretation?; How does Fibresolve account for or mitigate the influence of co-existing pulmonary conditions (e.g., emphysema, infection) on the quantification of fibrotic patterns?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via De Novo pathway; IEC 62304 Class B (software safety classification); Qualifies as a cyber device under §524B (post-Dec 2023, networked)

Learn how Parasoft automates IEC 62304 compliance testing →

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 Score10/100
SBOM Evidence⚠ Not in summary - likely in full submission per §524B
Cyber Risk Assessment⚠ Not in summary - likely in full submission per §524B
Postmarket Plan⚠ Not in summary - likely in full submission per §524B
§524B ApplicableYes

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(neural network, dataset)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials(network)
✓ 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, SaaSBOM detected in AI-generated device summary.

• SBOM not mentioned in AI-generated device summary. Under §524B (effective Oct 2023), cyber devices must provide a SBOM.

• Cybersecurity risk assessment not referenced in AI-generated device summary. FDA cybersecurity guidance (2023) expects this for cyber devices.

• Postmarket cybersecurity monitoring plan not clearly documented in AI-generated device summary.

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

Preparing a similar submission?

ESL takes complete ownership of your software evidence work - SBOM & CVE remediation with SBOMator™, static analysis & unit testing with Parasoft, traceability, and full IEC 62304 lifecycle support.

Assess Your Readiness →Or contact ESL directly
Fibresolve - Imvaria, Inc | ESL FDA AI Device Intelligence