Regulatory Execution for Clinical AI

Turn AI Regulation Into
Real-World Deployment.

Precoh RegOS transforms fragmented regulatory requirements into structured, executable, and auditable workflows—so clinical AI can be evaluated, approved, and scaled with confidence.

Replace ad hoc validation with reproducible pipelines designed for regulators, health systems, and AI innovators.

FDA SaMD & EU MDR aligned
Tamper-evident audit trail
247+ evaluations run

Clinical AI is ready. Regulatory infrastructure isn't.

Healthcare AI development has outpaced the governance systems designed to validate and approve it. The result: capable models stuck in review limbo, ad hoc compliance processes, and regulators without structured tools to make defensible decisions.

See How RegOS Solves This
85%

of healthcare AI models never reach clinical deployment

$8B+

wasted annually on AI initiatives that fail to deliver value

82%

of health systems lack a formal AI governance policy

70%

of deployed models have no active drift monitoring

Advisory expertise meets regulatory execution.

Precoh brings together two complementary capabilities — expert consulting that builds clinical AI readiness, and the RegOS platform that executes it. Together, they replace ad hoc AI reviews with structured, reproducible pipelines.

Track 1

Advisory & Consulting

Expert consulting on clinical AI readiness, health data infrastructure, use-case development, and governance. We work directly with your teams to build the foundation that clinical AI requires.

  • Platform Assessment & Data Readiness
  • Use-Case Development
  • AI Governance & Health Equity
  • Medical Informatics Engineering
See All Services
Track 2

RegOS Platform

The regulatory execution layer that operationalizes advisory work. RegOS transforms clinical AI readiness into structured, executable, auditable pipelines — so every model is evaluated, approved, and scaled safely.

  • Structured intake & multi-domain validation
  • FDA SaMD & EU MDR aligned scoring
  • Tamper-evident audit trail
  • Submission-ready evidence packages
Explore RegOS

Advisory builds the readiness. RegOS ensures every model is evaluated, approved, and scaled safely — without stalling innovation or overloading clinicians and compliance teams.

RegOS: Regulatory infrastructure, not just a checklist

Most organizations assess clinical AI through ad hoc reviews and static documentation. Precoh RegOS replaces that with a structured, reproducible operating system — one that captures every input, runs every check, and generates tamper-evident records that hold up to regulatory scrutiny.

RegOS operationalizes FDA SaMD, EU MDR, and IMDRF frameworks so your team can focus on outcomes, not paperwork.

RegOS Evaluation Engine
eval_idRGS-M7X4K2-2026
modelThoraxNet v2.1.0
risk_classClass II · SaMD
data_governancePASS · 100
clinical_validationPASS · 88
fairness_biasWARN · 72
technical_standardsPASS · 91
post_market_govPASS · 85
composite_score88
decisionAPPROVED ✓
tamper_hashsha256:7f3c2a9e…f9d4

Three stages. One defensible record.

Every clinical AI model moves through the same structured pipeline — from structured intake through a sealed evidence package ready for regulatory submission.

Evaluate & Validate

Structured intake captures model identity, risk classification, and documentation. Five domain engines — Data Governance, Clinical Validation, Fairness & Bias, Technical Standards, and Post-Market Governance — run sequentially with real-time results.

Structured model intake
Multi-domain validation engine
Pass / warn / fail per domain

Score & Decide

Domain scores are weighted by clinical risk profile and aggregated into a composite score. The decision engine applies the SaMD framework to issue a defensible verdict: Approved, Conditional, or Not Approved — with full reasoning exposed.

Weighted composite scoring
Transparent approval thresholds
Reproducible, auditable verdicts

Package & Deploy

Every evaluation step is assembled into a sealed, tamper-evident evidence package. Decision traces link each verdict back to its inputs. The result: a complete, submission-ready record that holds up to regulatory scrutiny.

Sealed evidence package
Full dependency tracing
Submission-ready artifacts

Built for the people who bear accountability

RegOS serves three distinct constituencies — each with different roles in the clinical AI ecosystem, and different needs from a regulatory execution platform.

Regulators & Sandbox Operators

Run consistent, reproducible evaluations across every AI submission. Replace inconsistent ad hoc review with a structured pipeline that produces defensible decisions and a complete audit trail.

See their use case

Health Systems

Evaluate third-party AI models before procurement. Maintain an auditable record of every model in your clinical environment, with post-market monitoring conditions tracked and enforced by the platform.

See their use case

AI & MedTech Companies

Run pre-submission evaluations before regulatory filing. Identify gaps early, generate structured documentation, and arrive at FDA or EU MDR submission with a complete, defensible evidence record.

See their use case

Ready to operationalize clinical AI governance?

RegOS is available for SaMD developers, health systems, and compliance teams. Request a conversation to discuss deployment and integration with your existing regulatory workflows.