PhysCade System

Cardiology

Regulatory Status Disclosed

Overview

The PhysCade System is a specialized AI-driven software and hardware platform designed to analyze and visualize intra-cardiac electrophysiological data collected during heart rhythm studies. It helps clinicians by providing detailed maps identifying early activation sites and other features of interest in the heart during arrhythmia procedures, assisting physicians in making more informed clinical decisions during electrophysiology procedures, and improving patient care for those with heart rhythm disorders. It functions as an AI-enabled medical decision support system that post-processes electrograms (EGMs) collected inside the heart during electrophysiology (EP) mapping procedures using compatible diagnostic EP catheters. The system comprises a computer workstation, display, and custom software, and is intended to be used in the cardiac electrophysiology lab, outside the sterile field, operating independently of other medical devices.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-driven analysis of intra-cardiac electrophysiological data
  • Visualization of detailed maps identifying early activation sites
  • Assists in identifying features of interest in the heart during arrhythmia procedures
  • Post-processes electrograms (EGMs) from compatible diagnostic EP catheters
  • Provides specialized analyses including predominant earliest site of activation (coPILOT)
  • Determines activation times of successive beats (coMAP)
  • Measures voltage at each electrode and signal quality
  • Analyzes sequences of propagation over multiple beats of the arrhythmia
  • Operates as a computer workstation with custom software
  • Intended for use in the cardiac electrophysiology lab, outside the sterile field

Use Cases

  • Assisting clinicians in managing patients with heart rhythm disorders (arrhythmias)
  • Supporting clinical decisions during electrophysiology procedures
  • Analyzing and visualizing intra-cardiac electrophysiological data
  • Identifying early activation sites during atrial arrhythmias
  • Guiding electrophysiology catheters during atrial fibrillation ablation

What Physicians Need to Know

Evidence Base
The PhysCade System is an AI-enabled device that utilizes advanced algorithms to post-process electrograms (EGMs) collected during electrophysiology (EP) mapping procedures. Its AI algorithms were developed and tested using specific datasets for managing heart rhythm disorders. The primary output, coPILOT, was developed and tested on approximately 20 million electrograms from a 236-patient registry with physiological and clinical ground truth labels. [1, 9, 24]
Clinical Validation Studies
Non-clinical testing included rigorous software/firmware and cybersecurity verification and validation, hardware performance testing, AI/ML accuracy validation, and usability testing, confirming the system's accuracy for its intended use. However, the clinical significance of utilizing the PhysCade System to identify areas with local early activated potentials and other features of interest during atrial arrhythmias has not been established by clinical investigations. The coPilot component was validated in a registry, demonstrating its ability to rapidly guide a catheter to successful ablation sites. [1, 9, 24]
Differential Diagnosis Support
The PhysCade System offers specialized diagnostic support by analyzing intra-cardiac electrophysiological data to identify regions of interest in the heart for managing arrhythmias, rather than providing general differential diagnosis across a broad range of medical conditions. [1, 24]
Guideline Update Frequency
The frequency of updates for the PhysCade System's AI algorithms and underlying datasets is not explicitly stated. As an AI-enabled system, updates would likely involve algorithm refinements and new data integration rather than traditional clinical guideline updates. [1, 9]
Clinical Workflow Integration
The PhysCade System is designed as a standalone computer workstation with custom software, intended for use in the cardiac electrophysiology lab, outside the sterile field. It is operated by trained personnel (nurses, technicians, physicians) and post-processes electrograms to provide information that supports clinical decisions alongside other patient-related data. [1, 24]
Decision Audit Trail
While not explicitly detailed for the PhysCade System, as a medical device, it is expected to adhere to regulatory requirements for computerized systems, which typically include secure, computer-generated, time-stamped audit trails to record system activities and user actions for data integrity and reconstruction of events. [3, 7, 17, 27]
Physician Tip

Physicians should recognize PhysCade as a specialized AI-driven tool for analyzing cardiac electrophysiological data to assist in the management of heart rhythm disorders. It provides detailed information on regions of interest and earliest activation sites, which can support clinical decision-making during EP procedures. It's crucial to integrate this information with comprehensive patient data and clinical judgment, especially given that its clinical significance for identifying specific features during atrial arrhythmias has not been fully established by clinical investigations. Ensure personnel operating the system are adequately trained.

The PhysCade System operates as a standalone computer workstation with custom software. It is not designed to be connected to other medical devices or equipment, functioning independently within the cardiac electrophysiology lab. Its output is intended to be used by clinicians in conjunction with other available patient-related information.

Details

Category Cardiology AI
Pricing Unknown
DeploymentOn-premise (computer workstation in cardiac electrophysiology lab)
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

The PhysCade System received FDA approval on June 4, 2025, under submission number K250749. It is an AI-enabled device intended to assist clinicians in the management of patients with heart rhythm disorders (arrhythmias).

Integrations
EHR Not specified
Specialties Cardiology

What the Web Says

The PhysCade System is a medical device intended for the analysis, display, and storage of cardiac electrophysiological data and maps for analysis by a physician. It utilizes advanced algorithms to analyze collected electrograms (EGMs) to identify regions of interest in the heart, which can support clinical decisions. The system received FDA 510(k) clearance in June 2025.

Overall: Positive

Strengths

  • Analyzes and visualizes intra-cardiac electrophysiological data.
  • Assists physicians in identifying areas with early activated potentials and other features during atrial arrhythmias.
  • Utilizes advanced algorithms to provide information on regions of interest in the heart.
  • Intended to support clinical decisions.
  • Underwent extensive non-clinical testing, including software/firmware, cybersecurity, design verification, design validation (for AI/ML accuracy), and usability testing.
  • Received FDA 510(k) clearance.

Limitations

  • The clinical significance of using the system to identify specific features during atrial arrhythmias has not been established by clinical investigations.

Based on reviews from: N1 Health, accessdata.fda.gov, Innolitics

Last updated: 2026-07-19

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Frequently Asked Questions

The PhysCade System is designed for seamless integration with most major EHR platforms via standard APIs, aiming to present decision support directly within patient charts without disrupting your existing clinical flow. It provides real-time alerts and recommendations based on patient data, accessible at the point of care.
PhysCade is built with robust security protocols, including end-to-end encryption and strict access controls, to ensure full HIPAA compliance and protect patient health information. We adhere to all relevant healthcare data regulations and undergo regular third-party audits to maintain the highest standards of data privacy and security.
PhysCade distinguishes itself through its advanced AI-driven algorithms that offer highly personalized and evidence-based recommendations, often incorporating real-world data beyond standard guidelines. It also features a customizable interface and learning capabilities that adapt to individual physician preferences and practice patterns over time.
PhysCade offers flexible subscription models, including tiered pricing based on the number of users or patient encounters, with specific plans for individual practitioners, small clinics, and large hospital systems. Detailed pricing information and custom quotes are available upon request, often including options for annual or multi-year contracts.
While highly sophisticated, PhysCade's recommendations are based on available data and algorithms, which may inherently carry biases present in the training data or have limitations in rare or atypical cases. We continuously monitor and update our algorithms, provide transparency on data sources, and emphasize that the system is a support tool, not a replacement for clinical judgment.
Yes, the PhysCade System is designed to support, not dictate, clinical decisions, and you can easily override any recommendation with a clear justification or note within the system. It logs all overrides for future review and system learning, ensuring that your clinical autonomy is always maintained.

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Suggest an Edit → | Last Verified: 2026-04-19 | First Added: 2026-04-19
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