About RIVANNA: Our Mission and World-First Imaging Technology

RIVANNA® is a medical technology company developing clinical decision-support solutions powered by proprietary clinical datasets, AI models, and purpose-built imaging hardware. The company’s platform automates complex anatomical analysis at the point of care, enabling faster, more confident clinical decisions while reducing variability and expanding access to advanced capabilities. The first applications target significant market opportunities in regional anesthesia and fracture care.

RIVANNA’s AI-powered clinical decision-support platform is protected by a strong IP portfolio, with FDA-cleared devices and next-generation AI software on defined 510(k) pathways. The company is headquartered in Charlottesville, Virginia, and operates an FDA-registered, ISO 13485:2016-certified manufacturing facility.

Key Achievements in Medical Innovation

A track record of regulatory clearances, clinical validation, strategic partnerships, and foundational IP — from university lab to commercial-stage platform.

2026
Regulatory

510(k) Clearance — Accuro XV Diagnostic Ultrasound System

FDA granted 510(k) clearance for the Accuro XV platform, authorizing commercial use for musculoskeletal imaging by trained healthcare professionals.

2025
Regulatory

510(k) Clearance — Accuro 3S Diagnostic Ultrasound System & SpineNav-AI Software

FDA cleared the Accuro 3S platform and its AI-powered image processing software for spinal navigation.

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Regulatory

510(k) Clearance — Accuro 3S Needle Guide Kit Consumables

Cleared consumables enable full procedural workflow on the Accuro 3S platform.

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Clinical

Multi-Site Clinical Expansion — Accuro XV

Expanded the Accuro XV clinical program from two to eight academic medical centers nationwide, building the proprietary datasets required to train automated fracture detection algorithms.

Clinical

UVA Feasibility Study Published — Journal of Emergency Medicine

First peer-reviewed publication demonstrated non-physician operators acquired diagnostic-quality extremity images with just one hour of training. Over 90% of scans rated adequate for diagnostic interpretation.

Strategic

BARDA Partnership — Accuro XV CADe/X AI Module Development

Continued collaboration with BARDA to advance the AI-powered fracture detection module toward FDA submission.

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Commercial

MedTech Innovator 2025 Accelerator — Top 4% of 1,500 Global Applicants

Selected as one of 65 companies for the MTI accelerator. Named a finalist in the Early-Stage Grand Prize competition.

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2024
Clinical

Multi-site First-in-Human Study — Accuro XV Musculoskeletal Imaging

Initiated multi-site clinical evaluation of Accuro XV performance and efficacy in musculoskeletal imaging.

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Patent / IP

Exclusive Patent License from Duke University

Licensed key patent to advance next-generation ultrasound-guided imaging technology.

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2023
Clinical

First Clinical Cases — Accuro 3S

Successfully completed initial clinical cases demonstrating utility in real-world settings.

Strategic

BARDA Partnership — Accuro XV Comprehensive MSK Diagnostics & FDA Submission

Follow-on collaboration with BARDA to support further development and FDA clearance application for Accuro XV.

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2021
Strategic

BARDA Partnership — Accuro XV Platform for Rapid Triage of Blast-Related Injuries

Initial collaboration with BARDA to develop point-of-care triage capabilities on the Accuro XV platform.

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Commercial

Facility Expansion & True-View Product Launch

Purchased 10,000 sq ft facility for manufacturing, commercial, and R&D growth. Launched the True-View product line.

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Strategic

Tri-anim Distribution Alliance

Formed U.S. distribution partnership with Tri-anim to expand Accuro reach across clinical channels.

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2020
Commercial

Accuro Second-Generation Launch

Launched second-generation Accuro with thoracic paramedian epidural guidance preset.

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2019
Strategic

B.Braun Japan Distribution Alliance

Established international distribution partnership in Japan.

2018
Regulatory

Accuro 510(k) Pediatric Imaging Clearance

FDA cleared Accuro for pediatric imaging applications.

Regulatory

Chinese CFDA Registration

Secured regulatory registration for the Chinese market.

2016
Regulatory

Accuro CE Mark

Received European CE Mark certification, enabling commercial distribution in the EU.

2015
Regulatory

Accuro FDA 510(k) Clearance & Product Launch

First FDA clearance and commercial launch of the Accuro platform.

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2013
Patent / IP

Foundational IP — Ultrasound-Based Fracture Detection

Initial development of core fracture detection technology that would become the Accuro XV platform.

2010
Founded

RIVANNA is Founded

Founded by University of Virginia graduate students. First prototype built with a toaster oven, a trailer hitch, and a deer-spine phantom.

Funding & Grants: RIVANNA’s development has been accelerated by over $50M in non-dilutive federal awards from NIH, CDMRP, and other government programs. For a complete listing of awarded grants and funding milestones, view our complete funding history →

Pioneering Ultrasound Technology

RIVANNA began in 2010, founded by graduate students at the University of Virginia. Co-founder Will Mauldin initiated the company after taking a Darden School of Business course while pursuing his Ph.D. in Biomedical Engineering (BME). Will identified an opportunity to apply his expertise in medical ultrasound technologies to address the high failure rates associated with epidural and spinal anesthesia placement. He recruited fellow BME graduate student Kevin Owen, who had industrial product development experience, to help establish the company.

Without company facilities or funding, they performed early-stage development in Kevin’s home attic, assembling the first circuit boards in a toaster oven. Will created the first prototype ultrasound transducers using a trailer hitch and hot glue, testing it in a deer spine phantom with materials from a recent hunting trip. This initial prototype provided the basic concept and preliminary data that attracted RIVANNA’s first outside funding from the Wallace H. Coulter Foundation in collaboration with Dr. John Hossack’s laboratory at the University of Virginia. Private seed investment followed, allowing Will and Kevin to lease office space and hire the company’s first employees.

From these humble beginnings, RIVANNA’s growth was marked by continuous improvement in product technology and securing subsequent rounds of funding. This relentless pursuit of excellence led to a significant milestone in 2015, when the Accuro product obtained FDA clearance and began commercialization. This achievement not only validated the founders’ vision but also marked the beginning of a new chapter in RIVANNA’s journey.

Our Origin Story

With a toaster oven, a trailer hitch, and deer-spine phantom, the initial Accuro prototype was a functional ultrasound scanning system due to resourcefulness and shared vision and responsibility.

Join Us in Transforming Point-of-Care Diagnostics

We’re seeking strategic partners and investors who share our vision for AI-powered clinical decision-support platforms. Let’s discuss how RIVANNA fits your portfolio.