FDA-Cleared AI Device

LumineticsCore (IDx-DR)

Digital Diagnostics

The first autonomous AI diagnostic device authorized in the United States. Produces a screening result from retinal photographs without a clinician interpreting the image.

At A Glance

Manufacturer
Digital Diagnostics
Medical specialty
Ophthalmology
Clearance route
De Novo
Year authorized
2018
Modality
Retinal photography
Role in workflow
Autonomous diagnostic

This is the device that made the autonomous category exist. Every other device on this list produces something a clinician then interprets. IDx-DR produces a result, and no physician reads the image. That is a different liability structure, a different validation requirement, and a different regulatory conversation entirely.

It was also validated prospectively at primary care sites with the intended non-specialist staff, rather than retrospectively on curated images, which is still uncommon in this field.

Where It Is Used

  • Diabetic retinopathy screening in primary care
  • Screening where no ophthalmologist is present
  • Closing care gaps in diabetes management

Limitations Worth Knowing

The device screens for more-than-mild diabetic retinopathy and does not assess other retinal pathology. A negative result means the screening indication was not met, not that the eye is normal. Image quality gating means some patients cannot be screened at all and still require referral.

Regulatory status, indications, and labeling change over time. Confirm current status on the FDA's AI/ML-Enabled Medical Devices list and in the manufacturer's current instructions for use before relying on anything stated here.