British Virgin Islands-based Cara Medical has secured clearance from the U.S. Food and Drug Administration (FDA) for its Cara System, a CT angiography-based platform for noninvasive, patient-specific 3D visualization of the cardiac conduction system.
The system is intended to support preplanning and guidance of structural heart and pacing procedures, including transcatheter aortic valve replacement and conduction system pacing, the company said. It integrates two components: the Cara Metis Simulator, a preprocedural planning algorithm that generates a personalized 3D map of the cardiac conduction system, and the Cara Atlas Navigator, an intraprocedural guidance platform that overlays the conduction system model onto live fluoroscopic images, according to the firm.
The Cara System operates on a standard workstation, integrates with existing fluoroscopy systems, and uses AI-based algorithms for CT segmentation and catheter detection, Cara Medical said. The company plans to begin its U.S. commercial launch in the coming months.



















![Images show the pectoralis muscles of a healthy male individual who never smoked (age, 66 years; height, 178 cm; body mass index [BMI, calculated as weight in kilograms divided by height in meters squared], 28.4; number of cigarette pack-years, 0; forced expiratory volume in 1 second [FEV1], 97.6% predicted; FEV1: forced vital capacity [FVC] ratio, 0.71; pectoralis muscle area [PMA], 59.4 cm2; pectoralis muscle volume [PMV], 764 cm3) and a male individual with a smoking history and chronic obstructive pulmonary disorder (COPD) (age, 66 years; height, 178 cm; BMI, 27.5; number of cigarette pack-years, 43.2, FEV1, 48% predicted; FEV1:FVC, 0.56; PMA, 35 cm2; PMV, 480.8 cm3) from the Canadian Cohort Obstructive Lung Disease (i.e., CanCOLD) study. The CT image is shown in the axial plane. The PMV is automatically extracted using the developed deep learning model and overlayed onto the lungs for visual clarity.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/03/genkin.25LqljVF0y.jpg?auto=format%2Ccompress&crop=focalpoint&fit=crop&h=112&q=70&w=112)