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See what our clients say about working with Bonami Software across 200+ projects for 18+ industries. EXPLORE NOW!
We don't just build software. We deliver results. EXPLORE NOW!
See why businesses choose Bonami Software for reliable, scalable solutions. EXPLORE NOW!
We turn ideas into scalable products with proven delivery across 18+ industries. EXPLORE NOW!

Your Clinical Software Is a Medical Device.

Clinical decision software is an FDA medical device — we build it to clear.

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Yatra
Kellton
Jade Global
Optum
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Book Your Free Demo

We reply within 24 hours.

  • Your idea is 100% protected by our NDA
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
Turing
BrowserStack
Persistent
Yatra
Kellton
Jade Global
Optum
PokerBaazi
Walmart
Turing

Award-Winning SaMD Development

100 Fastest Growth Companies
Global Spring Winner
Top App Development Company
AWS Partner Network
Google Cloud Partner
Highly Rated on Trustpilot
Verified Agency
Top App Development Company
ASSOCHAM Member
100 Fastest Growth Companies
Global Spring Winner
Top App Development Company
AWS Partner Network
Google Cloud Partner
Highly Rated on Trustpilot
Verified Agency
Top App Development Company
ASSOCHAM Member

What Qualifies as SaMD — Because the Line Matters

Four intended-use categories push software into SaMD territory. Your intended use statement draws the line — not the label.

Software as a Medical Device classification

Treat or Prevent

Drives therapeutic action — closed-loop insulin dosing, ventilator control.

Diagnose

Identifies disease or injury — AI imaging, arrhythmia and sepsis models.

Monitor

Tracks clinical state for immediate action — real-time deterioration alerts.

Predict

Risk scores that drive decisions — treatment choice, escalation timing.

SaMD Categories We Build

Six categories — each with its own regulatory pathway and clinical-validation requirements.

The Regulatory Pathway — Choosing the Right One Before Development

Most diagnostic AI and CDS is Class II.

SaMD Products, Measured by What Cleared and What It Took

Hover to explore the numbers behind the standalone clinical software we've built and carried through FDA review.

Clinical Validation — The Evidence That Makes or Breaks a SaMD Submission

Clinical validation is a study, not testing.

Study Design Matches the Intended Use

Academic-center data may not generalize to the community setting you deploy in.

Performance on the Metrics That Matter Clinically

Sensitivity, specificity and PPV/NPV at realistic prevalence — not raw accuracy.

Subgroup Performance, Not Just Population-Level

FDA expects equitable performance across demographic and clinical subgroups.

Real-World Evidence Supplements Controlled Data

Post-market real-world data weighs heavily for AI/ML products. We build for it.

SaMD Products We've Built and Cleared. What the Submissions Showed.

Each card is a SaMD product we designed and cleared.

Talk to Our Team
De Novo
AI Diabetic Retinopathy Detection — Ophthalmology diagnostic SaMD. FDA De Novo granted. Sensitivity 91%, specificity 96% in validation study.
510(k)
Cardiac Arrhythmia Detection Algorithm — ECG analysis SaMD. 510(k) cleared first submission. AUC 0.97 across validation dataset.
De Novo
Sepsis Early Warning System — Clinical decision support SaMD. De Novo granted. 40% improvement in early identification vs. standard care.
510(k)
Surgical Implant Planning Software — Orthopedic planning SaMD. 510(k) cleared. Adopted by 3 health systems within 6 months of clearance.
510(k)
Radiology AI — Chest X-Ray Analysis — Diagnostic imaging SaMD. 510(k) cleared. Sensitivity 94.2%, specificity 91.8% on held-out clinical dataset.
De Novo
CGM Data Analysis Software — Remote monitoring SaMD. De Novo granted. Integrated into RPM platform serving 15,000 patients.

How We Build SaMD

Regulatory strategy shapes architecture, validation, and timeline.

  • Regulatory Strategy First

    Regulatory Strategy First

    Regulatory Strategy First

    Intended use, risk class, and pathway — set before design.

  • IEC 62304 From the First Sprint

    IEC 62304 From the First Sprint

    IEC 62304 From the First Sprint

    Safety class, plan, design, and testing — integrated, not retrofitted.

  • Algorithm Development and Validation in Parallel

    Algorithm Development and Validation in Parallel

    Algorithm Development and Validation in Parallel

    Study design, IRB prep, and sites run alongside the algorithm.

  • Documentation Built for Submission

    Documentation Built for Submission

    Documentation Built for Submission

    SDD, SBOM, hazard analysis, and PCCP — submission-ready.

  • Post-Market Planning Built In

    Post-Market Planning Built In

    Post-Market Planning Built In

    Performance monitoring, adverse events, and PCCP updates.

Compliance & Standards We Treat as Architecture, Not a Checklist

FDA device law, lifecycle standards, and risk management — built in from the start.

FDA Pathways

FDA SaMD & Submission Pathways

SaMD guidance and 510(k) / De Novo / PMA pathways.

  • FDA SaMD Guidance
  • FDA AI/ML-Based SaMD Action Plan
  • FDA Predetermined Change Control Plan
  • FDA 510(k) / De Novo / PMA
Quality

Quality System & Design Controls

Design-control requirements an FDA submission depends on.

  • 21 CFR Part 820
  • 21 CFR Part 803 (MDR)
  • ISO 13485
Software & Risk

Software Lifecycle, Risk & Usability

Lifecycle process, risk management, usability, and cybersecurity.

  • IEC 62304
  • ISO 14971
  • IEC 62366
  • FDA Cybersecurity Guidance 2023
Privacy & Security

Privacy, Security & Data Protection

PHI handling, encryption, access controls, and audited security.

  • HIPAA
  • HITECH
  • GDPR
  • SOC 2 Type II
  • ISO/IEC 27001
  • OWASP Top 10
Global

Global Market Access

EU MDR Article 22 SaMD provisions plus GDPR compliance.

  • EU MDR 2017/745 (Art. 22)
  • GDPR
Interop & Access

Interoperability & Accessibility

Clinical data exchange, imaging, and accessibility.

  • HL7 FHIR R4
  • DICOM
  • WCAG 2.1 AA
The Clinical Software You're Building Has a Regulatory Reality. The Sooner You Engage With It, the Better.

Organizations that discover SaMD requirements during development build them in. Those that discover them at launch redesign under pressure and delay market entry. The engagements that go well start with regulatory strategy. Thirty minutes. No pitch.

Book a Discovery Call
AI Readiness

Award-Winning AI Development & Consulting

2025

100 Fastest Growth Companies

2025

Global Spring Winner

2025

Top App Development Company

2024

AWS Partner Network

2024

Google Cloud Partner

2025

Highly Rated on Trustpilot

2024

Verified Agency

2024

Top App Development Company

2024

ASSOCHAM Member

Frequently Asked Questions

[ 1 ]

How do we know if our software is SaMD?

Intended use decides it. Analyzing patient data to detect, diagnose, treat, or monitor a condition is SaMD.

[ 2 ]

What's the difference between 510(k) and De Novo for SaMD?

510(k) needs a predicate and is faster. De Novo has none, takes longer, and sets a precedent.

[ 3 ]

How much clinical evidence does FDA require?

Class II 510(k) needs analytical and clinical validation. De Novo needs more. A pre-sub confirms scope.

[ 4 ]

How do you handle AI/ML algorithms that update after clearance?

A Predetermined Change Control Plan covers post-clearance updates. We build PCCP-eligible architectures.

[ 5 ]

How long does SaMD clearance take?

FDA review: 3–12 months for 510(k), 12–24 for De Novo. Build and prep add 6–18 months.

[ 6 ]

Who owns the cleared product?

You do. Full IP transfer at close — code, data infrastructure, validation and submission docs.

Global presence

Three offices. One team.

Hi, I'm ARIA. Ask me anything about Bonami's AI agents.