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SystemAIS-001Medical device and SaMD

Retinal Screening Assistant

Support ophthalmology screening services by detecting referable diabetic retinopathy in colour fundus images and prioritising cases for specialist review.

Device class
Class IIa (MDR)
FDA
Class II, 510(k)
EU AI Act
High-risk (Annex I)
Status
Approved for operation
State
Deployed
Owner
Cirocco Jones
Readiness
0
Blockers
12

Findings are computed from record state on every read, evaluated on 2026-07-30. Nothing here is stored on a record.

Where this AI System stands
12 blockers hold this AI System back. Each names the record and the action that clears it.

Blockers

A blocker stops a governance gate from passing.

  • BlockerTRACE-01MV-004 has no training suitability record

    No Dataset Model record states which Dataset Version was used for training or why it is suitable.

    Affects
    MV-004
    Effect
    Blocks continued operation and PCCP generation.
    Record dataset suitability
  • BlockerDATA-01DV-004 has no quality assessment

    A Dataset Version cannot be used for training or evaluation until its quality assessment is recorded.

    Affects
    DV-004
    Effect
    Blocks model approval and change authorisation for records that use it.
    Complete quality assessment
  • BlockerRISK-01RSK-003 residual risk is not accepted

    New capture hardware shifts image characteristics away from training data. No accepted residual position is recorded.

    Affects
    RSK-003
    Effect
    Blocks continued operation and change authorisation.
    Assess and control the risk
  • BlockerRISK-01RSK-005 residual risk is not accepted

    Draft progression use case is used clinically before authorisation. No accepted residual position is recorded.

    Affects
    RSK-005
    Effect
    Blocks continued operation and change authorisation.
    Assess and control the risk
  • BlockerREV-01REV-011 condition is overdue

    Close the drift risk RSK-003 with a verified control. Owner Louis Wu, due 2026-06-30.

    Affects
    REV-011
    Effect
    Blocks change authorisation until closed.
    Close the condition
  • BlockerMON-01Monitoring threshold breached: Sensitivity, northern sites

    Observed 0.88 against threshold "Not below 0.92" on 2026-07-01.

    Affects
    AIS-001
    Effect
    Requires an AI Risk assessment and a change or restriction decision.
    Review monitoring response
  • BlockerMON-01Monitoring threshold breached: Image statistics drift

    Observed 0.21 against threshold "Not above 0.15" on 2026-07-01.

    Affects
    AIS-001
    Effect
    Requires an AI Risk assessment and a change or restriction decision.
    Review monitoring response
  • BlockerCE-01PM-003 has no impact assessment

    A Planned Modification cannot be authorised or included in a PCCP without one.

    Affects
    PM-003
    Effect
    Excludes the modification from the generated PCCP.
    Complete the impact assessment
  • BlockerREPRO-01MV-004 cannot be reproduced

    No commit, environment, hyperparameters or dataset versions are recorded, so the result cannot be re-derived.

    Affects
    MV-004
    Effect
    Blocks continued operation. The deployed result is not evidenced.
    Record reproducibility
  • BlockerSIG-01Performance signal not acknowledged: Sensitivity below threshold, northern sites

    Sensitivity 0.88 against a floor of 0.92 across four northern sites over the July window. Observed 2026-07-01.

    Affects
    AIS-001
    Effect
    Restriction is proposed. Blocks continued operation until answered.
    Open the signal inbox
  • BlockerSIG-01Drift signal not acknowledged: Image statistics drift above tolerance

    Population drift metric 0.21 against a tolerance of 0.15, coincident with a camera fleet replacement at two sites. Observed 2026-07-01.

    Affects
    AIS-001
    Effect
    Requires triage and a recorded response.
    Open the signal inbox
  • BlockerUDI-02UDI-DI (01)05412345000041 is not registered

    Threshold recalibration for the northern sites. Performance changes, so registration is required before release. A change that affects performance or safety carries a new UDI-DI, and that UDI-DI is registered before the version is placed on the market.

    Affects
    (01)05412345000041
    Effect
    Blocks release of this version.
    Register the UDI-DI

Warnings

A warning lowers readiness but does not stop a gate.

  • WarningSTRUCT-02UC-003 references no AI Model

    Use case "Longitudinal progression flag" cannot be traced to a model, so its performance cannot be evidenced.

    Affects
    UC-003
    Effect
    Blocks approval of this use case.
    Link an AI Model
  • WarningTRACE-01MV-003 has no training suitability record

    No Dataset Model record states which Dataset Version was used for training or why it is suitable.

    Affects
    MV-003
    Effect
    Blocks model approval.
    Record dataset suitability
  • WarningTRACE-02MV-001 has no testing suitability record

    Performance cannot be traced to a specific, immutable Dataset Version.

    Affects
    MV-001
    Effect
    Blocks model approval.
    Record testing suitability
  • WarningTRACE-02MV-003 has no testing suitability record

    Performance cannot be traced to a specific, immutable Dataset Version.

    Affects
    MV-003
    Effect
    Blocks model approval.
    Record testing suitability
  • WarningREV-01REV-011 condition is open

    Complete the quality assessment for DV-004 before use in training. Owner Louis Wu, due 2026-08-31.

    Affects
    REV-011
    Effect
    Must be closed before the next periodic review.
    Close the condition
  • WarningEVID-01DHF-2291-RMR-003 is stale

    Approved 2025-02-06. Review interval is 12 months.

    Affects
    DHF-2291-RMR-003
    Effect
    Weakens the mapping that depends on it.
    Review the mapping
  • WarningREPRO-01MV-003 cannot be reproduced

    No commit, environment, hyperparameters or dataset versions are recorded, so the result cannot be re-derived.

    Affects
    MV-003
    Effect
    Blocks model approval.
    Record reproducibility
  • WarningREPO-01Repository event main has no governance response

    Site-level threshold recalibration, northern cohort, Performance changes. Freeze a new AI Model Version, open a change authorisation review, and assign a new UDI-DI.

    Affects
    4de90c1
    Effect
    Change is happening in the repository ahead of the record set.
    Answer the event
  • WarningREPO-01Repository event #412 has no governance response

    Add second input modality: OCT volumes, Outside the declared Controlled Evolution boundary. Requires a new authorisation and a new Basic UDI-DI.

    Affects
    77b0aa3
    Effect
    Change is happening in the repository ahead of the record set.
    Answer the event

For information

Recorded so nothing is silently dropped.

No findings. Every rule in scope passes.

Nothing to note.