Regulated clinical AI

Evidence infrastructure for AI-enabled medical products.

Glacis helps clinical AI teams generate runtime evidence for PCCP-ready change records, post-market monitoring, drift review, model-change records, and control-execution proof — without moving sensitive clinical data out of their infrastructure.

Or read the PCCP & runtime evidence guide →

Why now

Regulated AI medical products need proof from real operation.

AI medical products change, drift, touch clinical workflows, and generate outputs that reviewers and health-system buyers will question. Screenshots and retrospective logs are weak evidence when the important question is whether the right controls ran at the right time.

Glacis turns consequential runtime events into signed receipts, then assembles those receipts into evidence packs for regulatory review, PCCP updates, post-market monitoring, and internal quality review.

What gets instrumented

Runtime evidence for the AI lifecycle.

Each consequential event in the lifecycle — change, control execution, drift, post-market signal — emits a signed receipt that maps to your PCCP and post-market plan.

01 / CHANGE

Model-change evidence

Version, policy, threshold, and deployment context tied to the behavior that changed. PCCP-ready.

FDA · “What changed in the model since clearance?”

02 / CONTROL

Control execution

Which guardrail, review rule, redaction, escalation, or block executed at decision time.

FDA · “Did the safety boundary fire on edge cases?”

03 / DRIFT

Drift & near misses

Operational patterns that show where performance, population, or workflow behavior is moving.

FDA · “Is real-world performance still inside the envelope?”

04 / POST-MARKET

Post-market proof

Receipts that support lifecycle management, health-system review, and audit readiness.

FDA · “Where is the post-market evidence?”

Receipts first. Packs second.

Receipts at runtime. Packs for regulatory review.

Receipts are generated at runtime — not in a document created after the fact. Evidence packs are assembled from receipts. The distinction keeps the evidence grounded in what the system actually did.

SDK · TypeScriptWrap a PCCP-tracked control.

import { attest } from '@glacis/runtime';

const receipt = await attest({
  workflow: 'cdss.recommend',
  policy:   'pccp.threshold.v3',
  decision: 'ESCALATE',
  rules:    ['review.threshold'],
});

// → signed OVERT receipt; PHI never leaves

Lifecycle pack · OVERT 1.0What the regulator reviews.

Evidence PackCDSS · Q2 2026
Verified
Issuer
did:web:notary.glacis.io
Workflow
cdss.recommend · v4.2 / PCCP v3
Receipts
12,403 control executions
Drift signal
Within envelope
Schema
overt://schema/v1.0/runtime-attestation
Maps to
PCCP · 21 CFR 820 · ISO 13485
ED25519 · ed25519-2026-q2 · chain depth 12,403

Sensitive environments

Built for PHI and proprietary clinical context.

Glacis runs inside your infrastructure. Local controls generate signed receipts that controls executed and behavior stayed within boundaries — without moving clinical payloads.

Local runtime controls

Observe, allow, block, redact, escalate, or require review at the AI boundary — executed inside your stack.

Signed evidence receipts

Every consequential decision can carry tamper-evident proof of what ran and which boundary held.

No sensitive payload egress

Hashes, signatures, and verification metadata travel for review — without prompts, outputs, PHI, customer data, code, credentials, or proprietary context leaving your stack.

Sprint route

A 10-day path to PCCP-readiness.

Clinical AI products carry agentic surface too — ambient scribes, clinical chatbots, decision-support copilots, and tool-calling workflows all sit inside the same prompt-injection and tool-misuse threat model as horizontal agents.

The Sprint is a fixed-scope way to map that surface and stand up the runtime evidence behind it. Outputs feed change records, post-market monitoring, and drift review.

In scope
Agentic surface mapping, prompt-injection and tool-misuse review, runtime control plan, evidence gap map, signed receipt demo
Shape
10 business days, one named workflow
Frame
Clinical buyers often call this PCCP-readiness or evidence-pack scoping
Outputs
Feed change records, post-market monitoring, drift review

Related guides

For regulatory and quality teams.

Bring one regulated AI workflow.

We’ll map the runtime evidence your clinical AI product needs for change records, post-market monitoring, drift review, and control-execution proof — without prompts, outputs, PHI, customer data, code, credentials, or proprietary context leaving your stack.