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autoSCORE (V 2.0.0)

Holberg EEG AS • Neurology • 04/09/2025

510(k)IEC 62304 Class B
FDA Summary PDF

Device Purpose

Holberg EEG AS developed autoSCORE (V 2.0.0), a Class II software-only artificial intelligence device engineered to aid qualified medical practitioners in reviewing EEG recordings by identifying and categorizing potential abnormalities with associated probability levels. This AI-driven tool acts as a decision support system, validated through comprehensive non-clinical and retrospective clinical studies, demonstrating comparable safety and effectiveness to predicate devices, notably achieving a higher positive predictive value.

Summary

Holberg EEG AS has developed autoSCORE (V 2.0.0), a Class II software-only device designed to assist qualified medical practitioners in reviewing electroencephalogram (EEG) recordings. This artificial intelligence model identifies and indicates sections of EEG that may contain abnormalities, providing a probability level for their presence and categorizing them into four predefined types: Focal epileptiform, generalized epileptiform, focal non-epileptiform, and diffuse non-epileptiform. The device integrates with compatible EEG reviewing software and is intended for use in various clinical settings where EEG data is evaluated, for patients aged three months or older for shorter EEGs, and two years or older for longer EEGs. It functions as a decision support tool, complementing visual assessment by users, and does not provide diagnostic conclusions or treatment recommendations.Comprehensive performance validation, encompassing non-clinical software verification and validation, as well as a retrospective clinical study, was conducted for autoSCORE (V 2.0.0). The clinical evaluation assessed the device's performance against human expert consensus and existing predicate devices. The results demonstrated that autoSCORE (V 2.0.0) achieved a higher positive predictive value (PPV) compared to the primary predicate device and a similar PPV to its previous version. The evaluation concluded that the device's safety and effectiveness profile is comparable to legally marketed predicate devices, affirming that it performs as well and introduces no new safety or effectiveness concerns for its intended use.

AI Regulatory Concerns

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Keywords

autoSCOREEEGArtificial intelligenceMedical practitionersAbnormalitiesEpileptiformDecision support toolClinical evaluationPositive predictive value (PPV)Predicate devices

Device Metadata

Submission Number
K243743
Company
Holberg EEG AS
Panel
Neurology
Product Code
N/A
Data Type
N/A
Clinical Function
N/A
AI Function
N/A
AI Subclass
N/A

Relevant Clinical Questions

  • Q1. What specific AI algorithms or methodologies does autoSCORE utilize to identify and categorize EEG abnormalities?; How does autoSCORE's performance (e.g., sensitivity, specificity, negative predictive value) compare to human expert consensus and predicate devices across different abnormality types?; What are the limitations of autoSCORE regarding patient age ranges and EEG recording durations, and how might these impact its utility in broader clinical practice?; Could autoSCORE's probability levels and categorization assist in prioritizing complex EEG reviews or aid in the training of new EEG readers?; Are there plans for prospective studies or real-world clinical integration trials to further assess autoSCORE's impact on diagnostic efficiency and patient outcomes?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via 510(k) pathway; IEC 62304 Class B (software safety classification); Post-§524B but no clear network capability detected

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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 in summary - likely in full submission per §524B
Cyber Risk Assessment⚠ Not in summary - likely in full submission per §524B
Postmarket Plan✓ Detected in Summary
§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(algorithm)
✓ 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.

• 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.

• 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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autoSCORE (V 2.0.0) - Holberg EEG AS | ESL FDA AI Device Intelligence