Driven by Market Demand

AI-Automated Clinical Decision Support at the Point of Care

AI-guided platforms for spinal needle intervention and musculoskeletal diagnostics — purpose-built to accelerate clinical decision-making, standardize procedural outcomes, and reduce operator variability at the point of care. Where unmet need meets ready adoption.

THE CHALLENGE

Key Critical Gaps in Healthcare Delivery

Healthcare systems worldwide face procedural challenges and diagnostic bottlenecks that delay treatment, increase costs, and compromise patient outcomes.

Emergency Medicine Delays

70%+ of extremity fracture cases are simple rule-outs. Patients still wait hours for radiology—tying up resources and delaying treatment decisions.

ED hours wasted annually

Procedure Complications

Neuraxial anesthesia procedures rely on landmark palpation, leading to variable success rates and increased patient risk, especially in challenging anatomies.

%

First-attempt failure rate in challenging anatomy

Resource Constraints

Rural and underserved facilities lack access to advanced imaging, forcing transfers and delaying care for vulnerable patient populations.

Americans in rural areas with limited imaging access

Our Solution

Scalable Decision Intelligence

Faster, more confident clinical decisions at the point of care. RIVANNA’s AI-powered platforms automate complex anatomical analysis within clinician-friendly workflows, reducing variability and supporting consistent outcomes across care settings.

A Platform Built for Clinical Impact

  • AI-Automated Imaging — Removes operator dependency with automated acquisition and analysis, enabling high-quality results with minimal training
  • SafeTrack™ Technology — Smart sensor technology overlays real-time needle tip position and trajectory on the ultrasound display
  • Dual-Array™ Technology — Patented multi-angle probe transmits converging sound waves along the needle trajectory for significantly improved in-plane visibility
  • 3D Volumetric Imaging — Proprietary transducer technology captures complete anatomical context in a single acquisition
  • Portable Form Factor — Designed for bedside deployment in emergency, surgical, and ambulatory settings

Deep Learning Core

Neural networks trained on proprietary clinical datasets

Robotic 3D Transducer

Gel-free automated acquisition via patented volumetric transducer technology

Edge + Cloud Computing

Real-time on-device processing with cloud connectivity for fleet analytics and continuous AI improvement

Connected Clinical Workflow

Seamless EMR and DICOM integration with device-level analytics driving operational insights

PRODUCT PIPELINE

One Platform. Two Breakthrough Products.

A unified AI imaging architecture powers two purpose-built product assets — procedural guidance for neuraxial anesthesia and point-of-care fracture care in emergency medicine — maximizing R&D leverage and market opportunity.

AI Procedure Guidance — Neuraxial Anesthesia

 
Next-Generation Spinal Navigation
510(k) FDA Pathway $1.9B TAM

AI FRACTURE CARE — EMERGENCY MEDICINE

 
AI-Powered Bedside Fracture Triage
510(k) FDA Pathway $1.5B TAM

VALIDATION & TRACTION

Validated by Government Partners, Regulators & Clinical Evidence

Government Validation

NIH federal validation of clinical and commercial viability, accelerating development.

Regulatory Pathway

FDA clearance secured for Accuro 3S device and consumables, with SafeTrack™ needle tracking and fracture platform submissions pending.

Clinical Studies

8 clinical sites nationwide, 1,200+ patients enrolled. Peer-reviewed publication in Journal of Emergency Medicine (2026).

Market Access & Reimbursement

ICD-10-PCS code pending; partnering with major medical societies to validate CPT coding pathways.

Investment Thesis

Why RIVANNA

01

Platform Technology

Core AI and 3D ultrasound IP enables expansion across multiple clinical applications with shared R&D investment.

02

De-Risked Development

Key technical and regulatory milestones funded through non-dilutive awards delivers significant leverage on equity investment.

03

Massive Market Opportunity

Combined TAM of $3.4B+ across neuraxial guidance and fracture detection, with clear expansion roadmap.

04

Regulatory Clarity

Defined FDA 510(k) pathways with pre-submission engagement completed. Experienced regulatory team with prior device clearances.

05

Proven Leadership

Experienced medtech team with track record from GE Healthcare, Philips, and successful device development.

06

Strategic Timing

AI in medical imaging at inflection point. First-mover advantage in AI-powered point-of-care diagnostics.

AI algorithms: 1 FDA‑cleared & 2 in development

FDA clearances

Global patents & patents pending

Proprietary datasets from 1,200 subjects across 8 sites nationwide

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.

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FUNDING & SOCIETY PARTNERS

National Institutes of Health (NIH) Congressionally Directed Medical Research Programs (CDMRP) American Society of Anesthesiologists (ASA) Society for Obstetric Anesthesia and Perinatology (SOAP) The American College of Emergency Physicians (ACEP)

Sources: ~70% non-fracture rate — A conservative floor, actual rates range 71–82% across anatomical regions (Gordon et al., Am J Emerg Med, 2021). ~20M wasted hours — Based on 5.5M annual ED visits for extremity injuries (Ootes 2012; Albright 2022, NEISS data), average ED time of 4.5 hours (ACEP/RIVANNA 2022; n = 7,139), and a mid-range non-fracture rate of 82% across anatomical regions (Gordon et al., 2021). 4.5 hrs — RIVANNA / ACEP Focus Group, 2022. 68% — Chin KJ et al., Anesthesiology, 2011;115(1):94–101. 60M+ — U.S. GAO; CMS.