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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
In operation
State
Deployed
Owner
Cirocco Jones
Record completeness
0

100, less 12 for each open blocker and 4 for each warning. It measures the record, not the performance of the AI System.

The system is in operation while its record stands below the floor of 70. That contradiction is raised as blocker STATE-01.

Blockers
14

A control is not effective until its effectiveness is verified and the verification is linked to evidence.

Risk lifecycle

Where the risks of this AI System stand. A risk moves one stage at a time, and every move is written to the audit trail.

Identified
1
Assessed
1
Controlled
3
Accepted
0
Closed
0

Risks

Risks arising from the AI System, its use cases, its models or its data. Open risks are listed first; closed risks are kept below.

RiskRSK-005

Progression flag applied outside intended purpose

Identified
Severity
Critical
Likelihood
Unlikely
Category
Intended purpose
Residual
Not accepted
Model versions
Not recorded
Stage

Draft progression use case is used clinically before authorisation. Harm: Unvalidated recall decisions.

ControlsNo control recorded.

No control is recorded, so there is nothing to verify yet.
RiskRSK-001

Missed referable disease in under-represented population

Controlled
Severity
Serious
Likelihood
Possible
Category
Performance
Residual
Accepted
Model versions
Model versionMV-002
Stage

Model under-performs on populations under-represented in training data. Harm: Delayed referral and avoidable vision loss.

ControlsSubgroup performance reported per release.; Monthly monitoring by site with a defined action threshold.; Clinician retains the referral decision.

VerificationDHF-2291-RMR-003Risk management report
RiskRSK-002

Automation bias in reviewing clinicians

Controlled
Severity
Serious
Likelihood
Possible
Category
Human factors
Residual
Accepted
Model versions
Model versionMV-002
Stage

Reviewer accepts the recommendation without independent assessment. Harm: Incorrect referral decision.

ControlsConfidence value and image evidence shown with every recommendation.; Training record required before access.

VerificationDHF-2291-HF-001Human factors validation summary
RiskRSK-003

Performance drift after camera replacement

Assessed
Severity
Serious
Likelihood
Likely
Category
Data
Residual
Not accepted
Model versions
Model versionMV-002
Stage

New capture hardware shifts image characteristics away from training data. Harm: Reduced sensitivity without detection.

ControlsDrift metric on image statistics, monthly.

Verification
RiskRSK-004

Re-identification from retained images

Controlled
Severity
Minor
Likelihood
Unlikely
Category
Privacy
Residual
Accepted
Use cases
Not recorded
Model versions
Not recorded
Stage

Retained training images allow re-identification of a screening participant. Harm: Loss of confidentiality.

ControlsPseudonymisation at ingest.; Access restricted to the data platform role.

VerificationPIMS-DPIA-041Data protection impact assessment

You are acting as AI System Owner; the audit trail will say so.