Practice·September 20, 2026 · 3 min read

AI-enabled is a list. Not a field.

FDA's Artificial Intelligence-Enabled Medical Devices page names every 510(k), De Novo, and PMA device its own staff could identify by reading decision-summary language for AI terms. It is the only place that status exists — no field on any openFDA endpoint a monitoring feed actually reads carries it.

By Connor Griggs — Regulatory & Quality Strategist

FDA keeps a public page titled Artificial Intelligence-Enabled Medical Devices — every 510(k), De Novo, and PMA device the agency itself has flagged as AI or machine-learning enabled. It is the only place that status exists. No field on any openFDA endpoint this pipeline, or any comparable one, actually reads carries it.

Identified, not declared

A 510(k) applicant does not check a box marked “AI-enabled.” Nothing on the submission asks. FDA’s Digital Health Center of Excellence built the list itself, after the fact, by reading the decision-summary and classification language behind each clearance and approval for terms matching FDA’s own Digital Health and Artificial Intelligence glossary — a transparency commitment from the January 2021 AI/ML-Based Software as a Medical Device Action Plan. The list is a reading exercise FDA staff repeat periodically, not a designation any applicant applies for or is granted.

No field carries it

Every 510(k) FDA clears publishes to a fixed field set: K-number, applicant, device name, product code, device class, regulation number, decision code, the third-party-review flag, the statement-or-summary choice. The classification endpoint adds the review panel, the GMP-exempt flag, the implant and life-sustaining flags. None of those fields, on any endpoint, says whether the device behind them uses AI or machine learning at all. A relevance join built on the identifiers FDA actually publishes — product code, CFR regulation, application number, firm — has no key to join on here, because the fact has no column.

The list exists because a person at FDA read the file and decided the word applied. That is precisely the work a structured monitoring feed is built to replace — and precisely the one place here where it can’t.

The list says so about itself

FDA does not present the page as a complete count. Because identification runs on matching AI-related terms in decision-summary language rather than a structured designation, a device whose summary describes its function without using recognizable AI or machine-learning terminology can clear or gain approval and simply not appear — the page itself disclaims being an exhaustive or comprehensive resource. A competitor’s device that is functionally AI-enabled but was reviewed and described in earlier or plainer language is a gap the list acknowledges, not one a reader discovers by accident.

The practice

Reading a product code’s clearance history off openFDA, the way FDA Radar and any comparable feed does, per what we monitor and how often, shows every clearance in that code and says nothing about which of them are AI-enabled, because the fact never travels with the record. Cross-referencing a competitor’s K-number or device name against FDA’s own list by hand, periodically, is the only way to close that gap today, and the list’s own stated limits travel with whatever a reader concludes from it. This is regulatory intelligence and method, never regulatory advice about whether a specific device is, or should be, described as AI-enabled.

Method
Congress ordered a guidance, not a rule
Practice
The companion diagnostic list changed its name
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The master file neither of you can read
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The condition inside the approval order
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The repair FDA calls manufacturing
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Vacated in March. Filed in September.
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Classified. Not waived.
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Emergency use isn't defined in Part 812
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The two-year inspection clock is gone
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The PMA clock starts at the last module
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The Q-Sub that doesn't buy you more time
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Lapsed and revoked end an EUA differently
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A recall strategy has a grade. openFDA doesn't.
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A granted De Novo becomes a predicate.
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Least burdensome changes the ask, not the bar.
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The lab is accredited. Not the device.
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Breakthrough is law. STeP is a guidance.
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MDSAP replaces routine. Not for-cause.
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No field on a 510(k) says what it treats
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Discretion is a policy. Exclusion is a statute.
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Designated by one office. Approved by another.
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MedSun sits beside MAUDE, not inside it
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The five-unit device never gets a K-number
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Meeting the criteria isn't a tracking order
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The PMA clock doesn't stop at approval
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The K-number doesn't track today's device
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A MAUDE report proves it was filed
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Not every MDR starts with the manufacturer
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Completed. Not terminated.
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The device-ban list has three entries
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The UDI exception has its own deadline
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MDUFA VI is being negotiated in public
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The inspection manual changed, not the rule
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The count Congress had to legislate
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The small-business rate isn't retroactive
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A detention order has no docket to read
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PMA approvals moved off the Federal Register
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A citizen petition names names
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A market withdrawal isn't a recall
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Not every device letter comes from CDRH
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Closed on one device. Open on the rest.
Method
No IDE is confirmed until the PMA is
Practice
The remedial-action call sets the clock
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Jurisdiction is a letter, not a field
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An address is not a footprint
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The final rule that isn't final yet
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The special controls aren't in the record
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Exempt from GMP. Not from complaints.
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The notify list isn't the shortage list
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A constraint can't be skipped. A script can.
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No cron sends this. A person does.
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Corrected, not rewritten
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Quiet is a finding, not a default
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The summary is public. The statement isn't.
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A competitor's 513(g) leaves no trace
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An empty response field proves nothing
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A petition is public. Its outcome isn't.
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The panel is a category, not a meeting
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An accessory carries its own classification
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A TPLC report is a category, not a device
Practice
A 522 order is a question, not a verdict
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A PCCP change leaves no new record
Practice
Not every signal becomes a recall
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eSTAR did not remove the acceptance check
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An early alert has no recall number yet
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A consent decree isn't a database row
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The record has no cybersecurity field
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Classification Change is not one event
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Publication date is not effective date
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One event. Many recall numbers.
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Quantity is a sentence, not a number
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How a firm told you is a field too
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A RIN outlives the document number
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The docket ID is not the comments
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The 510(k) record doesn't name the predicate
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The 510(k) FDA didn't review first
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The letter FDA doesn't have to post
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Cleared doesn't say which track it took
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The clock stops. The calendar doesn't.
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Why a guessed match never reaches you
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The standards list never names a device
Method
The guidance isn't in the Federal Register.
Practice
Filtered. Not discarded.
Method
There are two recall databases, not one
Practice
Breakthrough status is confidential by law
Practice
One MAUDE report is not one malfunction
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A supplement number is not a track
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Cleared is not approved
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Nationwide doesn't mean your building
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Not every correction reaches FDA
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Registered. Not reviewed.
Method
Contact ODE is not a pathway
Practice
Almost no recall is FDA-mandated
Method
FDA's device names read like a card catalog
Practice
openFDA is free. It is not unlimited.
Method
GUDID stores the model. Not the box.
Practice
Detention doesn't need a warning letter
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A Class I device, a Class I recall
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21 CFR 820 didn't move. Its contents did.
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The product code that doesn't exist yet
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The classification posts. The 483 behind it doesn't.
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A recall has three dates, and the pipeline had to pick one
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The count is real. The rate is not.
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The firm on the record is not the firm on the box
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Low confidence is an instruction, not a hedge
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The same company, spelled three ways
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A device that was never a medical device
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FDA's warning letters, addressed by column number
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Your regulation has a decimal. FDA's watch doesn't.
Method
Three letters is too short to search for
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Most warning letters never close
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The guidance that skipped the draft
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Ongoing, as of when?
Method
The least interesting fact in a 510(k)
Practice
No recall arrives with a product code attached
Practice
The deadline that doesn't email you
Method
The warning letter has two dates
Method
How to monitor FDA without drowning
Practice
Your predicate was recalled. Now what?
Method
Why no item reaches you without a human