SKOUT system

by Iterative Health  · Based in United States → — Powering research, accelerating outcomes
Gastroenterology

Regulatory Status Disclosed

Overview

The SKOUT system by Iterative Health is a real-time computer-aided detection (CADe) software device designed to assist qualified and trained gastroenterologists in identifying potential colorectal polyps during colonoscopy examinations in adult patients undergoing colorectal cancer screening or surveillance. It utilizes advanced computer vision technology to recognize suspicious tissue and provides real-time visual feedback, typically a bounding box, that highlights and tracks polyps on the endoscopic monitor. SKOUT aims to enhance procedure quality by increasing adenoma detection rates, demonstrating a 27% relative increase in the detection of adenomas per colonoscopy in clinical trials. The system is designed to integrate seamlessly into existing clinical workflows without impacting total procedure or withdrawal time. Importantly, SKOUT is intended to augment, not replace, physician judgment and is not for primary interpretation of endoscopic procedures, medical diagnosis, or treatment recommendations.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Use Cases

  • Colorectal cancer screening for adult patients
  • Colorectal cancer surveillance for adult patients
  • Assisting gastroenterologists in identifying potential colorectal polyps during colonoscopy examinations
  • Improving adenoma detection rates during GI procedures
  • Enhancing overall procedure quality in gastroenterology practices

What Physicians Need to Know

Polyp Detection During Colonoscopy
SKOUT is an FDA-cleared, AI-assisted polyp detection system designed to identify potential colorectal polyps in real time during colonoscopy examinations. It uses advanced computer-vision technology to recognize colorectal polyps and provides real-time feedback to gastroenterologists. The system helps detect various polyp types, including flat polyps and those in the proximal colon, which can be challenging to identify. When a potential polyp is detected, a bounding box appears on the procedure monitor, tracking the polyp as it moves across the visual field.
Real-Time Endoscopy AI
SKOUT operates in real-time, providing immediate feedback to gastroenterologists during colonoscopy procedures. The AI-powered system uses computer vision to analyze live endoscopic video feeds. The bounding box feature automatically disappears if a medical tool enters the frame, ensuring it doesn't obstruct the physician's view during polyp removal.
Adenoma Detection Rate Improvement
Clinical studies have shown that SKOUT significantly improves overall adenoma detection in screening and surveillance colonoscopies compared to standard colonoscopy. It has demonstrated a 27% relative increase in the detection of adenomas per colonoscopy (APC), with an average of one additional adenoma resected for every 4.5 patients examined. The system has also shown a 44% relative increase in 5-9 mm polyp detection in the proximal colon and a 29% relative increase in 5-9 mm polyp detection overall.
IBD Assessment Tools
Iterative Health, the developer of SKOUT, is also pioneering the use of AI-based precision medicine in gastroenterology to optimize clinical trials investigating the treatment of inflammatory bowel disease (IBD). Their technology uses advanced machine learning and computer vision to interpret endoscopic images and other data, helping clinicians better assess patients with potential GI problems. This includes identifying over two dozen clinical features such as inflammation, ulcers, bleeding, and erosions, and providing objective, reproducible scoring of disease severity in patients with ulcerative colitis.
Procedure Documentation
SKOUT is designed to integrate seamlessly into existing clinical workflows and does not impact total procedure or withdrawal time. Iterative Health has partnered with Provation, a provider of clinical productivity and workflow automation solutions, which will act as an exclusive distributor of SKOUT.
Endoscopy System Compatibility
SKOUT is a software device that connects between the endoscope's video processor and the display, suggesting it can be adopted without requiring changes to existing record systems. It is indicated for white light colonoscopy only.
Physician Tip

SKOUT is an assistive tool, not a replacement for a full patient evaluation or physician judgment. Gastroenterologists are responsible for reviewing SKOUT's suspected polyp areas and confirming the presence or absence of a polyp based on their medical judgment. The system does not make judgments on whether a potential polyp is adenomatous or neoplastic, and users should rely on their medical training for resection decisions. Over-reliance on the software notification without clinical judgment may lead to false positives or negatives. SKOUT can help maintain a high-quality colonoscopy throughout the day, potentially reducing physician fatigue.

Iterative Health has partnered with Provation, a leading software and SaaS provider of clinical productivity and workflow automation solutions, for the exclusive distribution of SKOUT to academic centers, health systems, and GI-focused practices. The system is designed to integrate seamlessly into existing clinical workflows.

Details

Category Gastroenterology AI
Pricing Unknown — unknown
DeploymentThe SKOUT system integrates into existing clinical workflows.
Data ExportUnknown
TrainingUnknown
Compliance
BAA AvailableUnknown
HIPAA Compliant Yes AI-estimated
FDA Status Cleared AI-estimated

SKOUT system received 510(k) clearance from the U.S. Food and Drug Administration (FDA) on September 22, 2022, for adults undergoing colorectal cancer screening or surveillance. It is a real-time computer-aided polyp detection device. The device assists qualified and trained endoscopists in identifying potential colorectal polyps during colonoscopy examinations. SKOUT was evaluated in the largest U.S.-based multicenter clinical study for a computer-aided polyp detection (CADe) device. The study showed a 27% relative increase in the detection of adenomas per colonoscopy (APC) with SKOUT. It also demonstrated a 44% relative increase in the detection of 5-9mm polyps in the proximal colon and a 29% relative increase in detecting these polyps overall. The system integrates seamlessly into existing clinical workflows and does not increase total procedure or withdrawal time. When a potential polyp is detected, a bounding box appears on the procedure monitor and tracks the polyp. If a medical tool enters the frame, the bounding box automatically disappears to avoid obstructing the physician's view. SKOUT is indicated for white light colonoscopy only. Iterative Health has also received additional FDA clearances for the SKOUT system, including K251126 on May 9, 2025, and K253664 on December 22, 2025.

Integrations
EHR Not specified
Specialties Gastroenterology

Social Proof

UsageIterative Health's global site network spans over 100 sites across three continents.

Support & Reliability

Training ProvidedUnknown

What the Web Says

The SKOUT system by Iterative Health is an AI-assisted polyp detection device designed to enhance colorectal cancer screenings during colonoscopies. It uses computer vision to identify potential polyps in real-time, providing visual feedback to gastroenterologists. Clinical trials have shown that SKOUT significantly improves adenoma detection rates without increasing procedure time or the number of unnecessary biopsies.

Overall: Positive

Strengths

  • Increased adenoma detection rate (ADR), with one study showing a 27% relative increase in adenomas per colonoscopy.
  • Does not significantly increase total procedure time or withdrawal time.
  • Aids in detecting difficult-to-see and flat lesions.
  • Reduces variability in screenings based on provider factors, supporting consistently high-quality procedures.
  • Intuitive user interface that seamlessly integrates with existing clinical workflows.
  • FDA-cleared and clinically proven.

Limitations

  • No specific cons were identified in the provided search results.
  • No reviews from Reddit, G2, or Capterra were found.
  • SKOUT is not intended to replace a full patient evaluation or physician judgment.

Based on reviews from: Iterative Health, Obvious Ventures, Fierce Biotech, Tracxn, AiThority, Business Wire, BioSpace, Healthcare Technology Report

Last updated: 2026-10-19

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Press & Coverage

AI Device Index
SKOUT system by Iterative Health · FDA AI device (K251126)
The SKOUT system by Iterative Health received FDA 510(k) clearance on May 9, 2025, classified as a Gastrointestinal Lesion Software Detection System (product code QNP). It is listed on the FDA's AI-enabled medical device list.
2025-05
Fierce Biotech
Iterative Health, Gastro Health partner over AI-enabled GI care and precision medicine R&D
In January 2023, Iterative Health partnered with Gastro Health to implement its AI-enabled gastroenterology technology, including the SKOUT system, across Gastro Health's endoscopy centers. The SKOUT system works in real-time to recognize potentially cancerous tissue and has shown a 27% increase in the number of precancerous adenomas discovered per colonoscopy in a randomized clinical trial.
2023-01
Fortune Business Insights
AI in Endoscopy Market Size, Share | Growth Report [2026-2034]
A September 2026 report on the AI in Endoscopy Market highlights Iterative Health's SKOUT system, noting its FDA clearance in May 2025 as a gastrointestinal lesion software detection system. The report emphasizes the system's role in real-time detection during endoscopy procedures.
2026-09
accessdata.fda.gov
April 19, 2024 Iterative Scopes, Inc. Janice Hogan Partner Hogan Lovells US LLP 1735 Market St. Floor 23 Philadelphia, Penns - accessdata.fda.gov
An FDA document from April 2024 details the SKOUT system's intended use, stating it assists gastroenterologists in identifying suspected colorectal polyps during white light colonoscopy. It clarifies that SKOUT is not intended to replace a full patient evaluation or make primary interpretations or treatment recommendations.
2024-04
Fierce Biotech
Iterative Scopes goes a step further with FDA clearance in AI colonoscopy - Fierce Biotech
In September 2022, Iterative Scopes secured FDA clearance for its SKOUT system, an AI-powered computer vision technology designed to help spot suspicious polyps during colonoscopy. A clinical trial demonstrated that SKOUT helped gastroenterologists detect 27% more potentially precancerous adenomas per colonoscopy.
2022-09
Iterative Health
SKOUT AI-Assisted Polyp Detection - Iterative Health
Iterative Health's website describes the SKOUT system as a software device that uses machine learning and AI to detect potential colorectal polyps in real-time during colonoscopy examinations. It functions as a computer-aided detection tool to assist qualified gastroenterologists.
unknown
MedTech Spectrum
The 2025 Index: 100 FDA-Approved AI-Driven Medical Devices - MedTech Spectrum
A July 2025 article lists the SKOUT system by Iterative Health among over 100 AI-enabled medical devices recently authorized by the FDA, with a decision date of May 9, 2025, and categorized under Gastroenterology-Urology. This reflects the growing integration of AI in healthcare to enhance diagnostic accuracy and clinical workflows.
2025-07
Endoscopy International Open (via PMC)
Improvement in adenoma detection using a novel artificial intelligence-aided polyp detection device - PMC
A February 2021 study published in Endoscopy International Open details the effectiveness of the SKOUT system, an AI-aided device using a deep neural network to identify potential polyps in real-time during colonoscopies. The study found a significant increase in adenoma detection rates with the use of SKOUT.
2021-02

Videos

Product demos, reviews, and walkthroughs for SKOUT system.

View all on YouTube

Frequently Asked Questions

The SKOUT system uses advanced computer vision and AI to detect potential colorectal polyps in real time during colonoscopy examinations. It highlights suspicious areas with a bounding box on the monitor, assisting gastroenterologists in identifying polyps that might otherwise be missed.
The SKOUT system has received FDA 510(k) clearance as a computer-aided detection tool for adult patients undergoing colorectal cancer screening or surveillance. It is intended to assist, not replace, the gastroenterologist's medical judgment and is indicated for white light colonoscopy only.
SKOUT is designed as an assistive tool and does not replace the physician's full patient evaluation, medical diagnosis, or treatment recommendations. It also does not make judgments on whether a potential polyp is adenomatous or neoplastic, and users must rely on their medical training for resection decisions. Additionally, there are ongoing concerns in AI in gastroenterology regarding legal liability and ethical implications.
Yes, other FDA-approved AI-assisted polyp detection systems include Medtronic's GI Genius, Wision AI's EndoScreener, and Fujifilm's CAD EYE. While comparative studies are limited, SKOUT has demonstrated a significant increase in adenoma detection rates without increasing total procedure or withdrawal time.
Specific pricing details for the SKOUT system are not publicly available in the provided information. However, some providers state that SKOUT is available to eligible colonoscopy patients at no additional cost, and most insurance plans cover colonoscopy procedures. It is recommended to consult with the provider and insurance company for specific coverage details.

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Suggest an Edit → | Report an issue | Last Verified: 2026-04-18 | First Added: 2026-04-18

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