Original Investigation

FDA-Regulated AI-Enabled Medical Devices With Pediatric Indications

JAMA Network Open 10.1001/jamanetworkopen.2026.2636

March 20, 2026 at 11:00 AM EDT

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What proportion of marketing applications for artificial intelligence (AI)–enabled medical devices reviewed by the US Food and Drug Administration (FDA) from 1995 to 2024 had pediatric indications?In this cross-sectional analysis of 952 regulatory submissions between 1995 and 2024, few devices were specifically labeled for children (ages 0-17 years); fewer still were exclusively pediatric, with the first one authorized for marketing in 2020. The top 3 pediatric clinical areas were radiology, neurology, and cardiology, with no pediatric-specific devices in most areas.These findings indicate that despite 30 years of AI devices on the market, pediatric-specific technologies emerged recently and remain scarce.

Corresponding Author: Juan Espinoza, MD, Stanley Manne Children’s Research Institute, Ann jespinozasalomon@luriechildrens.org).

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