Accuro 3S
Overview
Accuro 3S by Rivanna Medical is an AI-enabled diagnostic ultrasound system designed for neuraxial anesthesia and spinal interventions. It features a proprietary Dual-Array™ convex probe and integrated SpineNav-AI™ image processing software. The system provides clinicians with continuous, in-plane needle tracking and automated identification of key anatomical landmarks, such as the spinal midline, interlaminar space, and epidural depth. This technology aims to streamline complex spinal and epidural procedures, offering practical solutions to long-standing challenges in neuraxial anesthesia, including improving first-attempt success rates, particularly in patients with challenging anatomy. The Accuro 3S supports standard B-mode imaging and is presented as a portable, point-of-care ultrasound system with a touchscreen interface and healthcare IT connectivity to implement DICOM-based patient and image archival workflows. A novel patient drape is also part of the system, enhancing probe stability and addressing the ‘three-hands’ problem during procedures.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- AI-enabled software for continuous, in-plane needle tracking
- Proprietary Dual-Arrayu2122 convex probe design
- Automated identification of key anatomical landmarks (SpineNav-AIu2122)
- Streamlines complex spinal and epidural procedures
- Novel patient drape for enhanced probe stability and single-operator efficiency
- Portable, point-of-care ultrasound system
- Touchscreen interface
- Healthcare IT connectivity for DICOM-based patient and image archival workflows
- BoneEnhanceu00ae Multi-Frequency Image Reconstruction for enhanced bone-to-tissue contrast
- Midline and Cross Hair indicators for ideal insertion point
Use Cases
- Neuraxial anesthesia (epidurals, spinal blocks)
- Spinal needle interventions
- Musculoskeletal diagnostics
- Chronic pain management
- Emergency settings (Accuro 3S-MIL)
- Military use cases (Accuro 3S-MIL)
What Physicians Need to Know
Accuro 3S with SpineNav-AIu2122 is particularly beneficial for neuraxial and regional anesthesia, offering real-time ultrasound guidance for precise needle placement. Its AI-driven automated landmark detection and depth measurement can significantly improve first-attempt success rates, especially in patients with challenging anatomies (e.g., obesity, scoliosis). The system's design, including the needle guide kit, helps overcome the 'three-hands problem,' enhancing workflow efficiency and potentially reducing procedure times and patient discomfort. It's a valuable tool for both experienced practitioners and trainees, as it can standardize interpretation and reduce training requirements.
Accuro 3S is designed for seamless integration into existing healthcare IT environments through its DICOM compliance. This allows for straightforward archival of patient images and data into external PACS systems, ensuring that imaging records are consistently managed within the hospital's infrastructure. Its point-of-care nature means it can complement existing imaging workflows without requiring complex, deep integration into radiology reading room systems, focusing instead on procedural guidance and documentation.
Details
| Category | Radiology & Imaging AI, Surgical AI |
| Pricing | Starts at $5,999 usd (for accuro product line) — Starts at $5,999 USD; No cloud subscription required |
| Deployment | Portable, point-of-care ultrasound system |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
1 AI-estimated The Accuro 3S diagnostic ultrasound system and SpineNav-AI™ image processing software received 510(k) clearance from the U.S. FDA on July 15, 2025, for anatomical guidance during needle or catheter placement. The Accuro 3S Needle Guide Kit consumables also received 510(k) clearance on December 16, 2025. The K-number K243937 for Accuro 3S, an Ultrasonic Pulsed Echo Imaging System, was cleared on May 23, 2025. |
| Integrations | |
| EHR | Not specified |
| Specialties | Anesthesiology, Interventional Radiology, Physical Medicine & Rehab |
What the Web Says
The Accuro 3S by Rivanna Medical is generally well-regarded for its ability to improve the accuracy and efficiency of neuraxial anesthesia procedures, particularly spinal and epidural injections. Reviewers highlight its potential to reduce complications and improve patient safety by providing real-time ultrasound guidance. However, some concerns exist regarding its cost and the learning curve associated with integrating new technology into existing clinical workflows.
Overall: PositiveStrengths
- Improved accuracy in identifying epidural space and spinal anatomy.
- Potential to reduce 'sticks' and improve first-pass success rates.
- Enhanced patient safety by minimizing complications like dural puncture.
- Real-time ultrasound guidance for neuraxial procedures.
- User-friendly interface and intuitive design.
- Positive impact on training for residents and new practitioners.
Limitations
- High initial cost of the device can be a barrier for some institutions.
- Requires training and adaptation for clinicians not familiar with ultrasound guidance.
- Integration into existing clinical workflows can be challenging.
- May not be universally adopted due to established traditional techniques.
- Limited long-term studies on widespread cost-effectiveness.
- Potential for over-reliance on technology, diminishing anatomical palpation skills.
Based on reviews from: Reddit (anesthesiology forums), Healthcare IT News, Physician reviews (various medical journals and forums), Anesthesiology conferences and presentations, Rivanna Medical product literature
Last updated: 2026-07-22
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How to Perform Spinals & Epidurals with Accuro [Scouting Technique]
![How to Perform Spinals & Epidurals with Accuro [Sterile Technique]](https://img.youtube.com/vi/8v53Prtxc04/mqdefault.jpg)
