FDA-cleared profile

a2z-Unified-Triage

A2z Radiology Ai, Inc.

a2z-Unified-Triage is a radiological computer-aided triage and notification software indicated for use in the analysis of abdominal/pelvic CT images in adults aged 22 and older. The device is intended to assist hospital networks and appropriately trained medical specialists in workflow triage by flagging and communicating suspected positive cases of the 7 specified abdominopelvic findings: Acute Cholecystitis, Acute Pancreatitis, Unruptured Abdominal Aortic Aneurysm, Acute Diverticulitis, Free Air, Hydronephrosis, and Small Bowel Obstruction. These findings are intended to be used together as one device. The device supports both cloud-based and on-premises deployment, with integration either directly with healthcare facility systems or through third-party healthcare technology platforms. a2z-Unified-Triage uses an artificial intelligence algorithm to analyze images and flag cases with detected findings in parallel to the ongoing standard of care image interpretation. The device provides analysis results that enable client systems to generate notifications for cases with suspected findings. These results can include DICOM instance UIDs for key images, which are meant for informational purposes only and not intended for primary diagnosis beyond notification. The device does not alter the original medical image and is not intended to be used as a diagnostic device. The results of a2z-Unified-Triage are intended to be used in conjunction with other patient information and based on clinicians' professional judgment, to assist with triage/prioritization of medical images. Notified clinicians are responsible for viewing full images per the standard of care.

Evidence status: each field shows source quality, applicability, and review date. Research pending, information not established in reviewed sources, and vendor documentation pending are distinct outcomes.

Clinical fit

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
a2z-Unified-Triage is a radiological computer-aided triage and notification software indicated for use in the analysis of abdominal/pelvic CT images in adults aged 22 and older. The device is intended to assist hospital networks and appropriately trained medical specialists in workflow triage by flagging and communicating suspected positive cases of the 7 specified abdominopelvic findings: Acute Cholecystitis, Acute Pancreatitis, Unruptured Abdominal Aortic Aneurysm, Acute Diverticulitis, Free Air, Hydronephrosis, and Small Bowel Obstruction. These findings are intended to be used together as one device. The device supports both cloud-based and on-premises deployment, with integration either directly with healthcare facility systems or through third-party healthcare technology platforms. a2z-Unified-Triage uses an artificial intelligence algorithm to analyze images and flag cases with detected findings in parallel to the ongoing standard of care image interpretation. The device provides analysis results that enable client systems to generate notifications for cases with suspected findings. These results can include DICOM instance UIDs for key images, which are meant for informational purposes only and not intended for primary diagnosis beyond notification. The device does not alter the original medical image and is not intended to be used as a diagnostic device. The results of a2z-Unified-Triage are intended to be used in conjunction with other patient information and based on clinicians' professional judgment, to assist with triage/prioritization of medical images. Notified clinicians are responsible for viewing full images per the standard of care.
Public source Exact FDA submission Checked 2026-09-01

Exact-submission indication text from the ACR AI Central model card. FDA labeling remains controlling.

Intended users
Appropriately trained medical specialists in hospital networks and clinical settings
Public source Exact FDA submission Checked 2026-09-01

Intended-user text reported in the exact-submission ACR model card.

Care setting and population
Adult
Public source Exact FDA submission Checked 2026-09-01

Patient-population text reported in the exact-submission ACR model card; institutional setting may still require vendor confirmation.

Workflow role
Triage or notification support
Public source Exact FDA submission Checked 2026-09-01

Conservative normalization of explicit wording in an exact-submission source.

Required input
CT images or data. Inclusion criteria: Abdominal/pelvic CT images (with or without contrast) from adults aged 22 and older
Public source Exact FDA submission Checked 2026-09-01

Conservative normalization of explicit wording in an exact-submission source.

Output and human action
The device outputs a JSON object with binary classification (present/absent) for each of the 7 abdominopelvic findings: Acute Cholecystitis, Acute Pancreatitis, Unruptured Abdominal Aortic Aneurysm, Acute Diverticulitis, Free Air, Hydronephrosis, and Small Bowel Obstruction. For positive cases, DICOM instance UIDs for key images are provided for informational purposes. Results are used to generate notifications and enable worklist prioritization.
Public source Exact FDA submission Checked 2026-09-01

Clinical output reported in the exact-submission ACR model card.

Limitations
Slice thickness: 2-5 mm
Public source Exact FDA submission Checked 2026-09-01

Limitations and supported-acquisition details reported in the exact-submission ACR model card.

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K252366
FDA source Exact FDA submission Checked 2026-08-31
Modality
CT/CTA
Public source Exact FDA submission Checked 2026-09-01

Imaging modality reported in the exact-submission ACR AI Central model card.

Anatomy
Heart/Cardiovascular
Public source Exact FDA submission Checked 2026-09-01

Anatomy normalized from explicit exact-submission ACR model-card wording.

Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2025-11-24
FDA source Exact FDA submission Checked 2026-08-31
FDA status
FDA-cleared
FDA source Exact FDA submission Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
The exact-submission ACR model card explicitly references DICOM and JSON in the described input, output, or workflow; exact interfaces, versions, and local compatibility require confirmation.
Public source Exact FDA submission Checked 2026-09-01

Interoperability terms explicitly reported in the exact-submission ACR model card; interface versions and local compatibility still require confirmation.

Deployment and data flow
Cloud-based and on-premises deployment are explicitly described in the exact-submission ACR model card; hosting region, data flow, and current commercial configuration require vendor confirmation.
Public source Exact FDA submission Checked 2026-09-01

Deployment mode explicitly reported in the exact-submission ACR model card; hosting region and current commercial configuration still require vendor confirmation.

Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-08-13

FDA authorization does not establish the current commercial security posture. Request data-flow diagrams, hosting and retention details, access controls, audit logging, attestations, and incident-response documentation.

Training and support
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-08-13

Training, onboarding, competency, and support commitments are commercial implementation details that require current vendor documentation.

Monitoring and change control
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-08-13

Local acceptance testing, production monitoring, drift review, update control, and incident escalation require a current vendor and site-specific governance plan.

Input or output interoperability

DICOM is explicitly referenced in the described input, output, or workflow.

exact submission · checked 2026-09-01

The model card does not establish every supported DICOM object, transfer method, or local interface.

Deployment model

Cloud-based and on-premises deployment are explicitly described in the exact-submission ACR model card; hosting region, data flow, and current commercial configuration require vendor confirmation.

exact submission · checked 2026-09-01

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version.

Evidence summary
Study type: Stand-Alone Performance. Cases: 675. Sites: 12. Reference standard: Interpretation by Reviewing Clinician. Reported sensitivity: Acute Cholecystitis: 96.1% [89.2-98.7%], Acute Pancreatitis: 98.0% [92.9-99.4%], Unruptured AAA: 100.0% [95.2-100.0%, Acute Diverticulitis: 98.7% [92.9-99.8%], Free Air: 89.3% [82.2-93.8%], Hydronephrosis: 89.7% [82.1-94.3%], Small Bowel Obstruction: 94.9% [88.7-97.8%]. Reported specificity: Acute Cholecystitis: 89.3% [86.6-91.5%], Acute Pancreatitis: 87.8% [84.9-90.3%], Unruptured AAA: 86.3% [83.3-88.8%], Acute Diverticulitis: 89.3% [86.6-91.5%], Free Air: 88.6% [85.7-91.0%], Hydronephrosis: 92.9% [90.5-94.7%], Small Bowel Obstruction: 91.7% [89.1-93.7%]
Public source Exact FDA submission Checked 2026-09-01

Structured study metadata from the exact-submission ACR model card; this is not an independent evidence synthesis.

Reported sensitivity
Acute Cholecystitis: 96.1% [89.2-98.7%], Acute Pancreatitis: 98.0% [92.9-99.4%], Unruptured AAA: 100.0% [95.2-100.0%, Acute Diverticulitis: 98.7% [92.9-99.8%], Free Air: 89.3% [82.2-93.8%], Hydronephrosis: 89.7% [82.1-94.3%], Small Bowel Obstruction: 94.9% [88.7-97.8%]
Public source Exact FDA submission Checked 2026-09-01

Model sensitivity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

Reported specificity
Acute Cholecystitis: 89.3% [86.6-91.5%], Acute Pancreatitis: 87.8% [84.9-90.3%], Unruptured AAA: 86.3% [83.3-88.8%], Acute Diverticulitis: 89.3% [86.6-91.5%], Free Air: 88.6% [85.7-91.0%], Hydronephrosis: 92.9% [90.5-94.7%], Small Bowel Obstruction: 91.7% [89.1-93.7%]
Public source Exact FDA submission Checked 2026-09-01

Model specificity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.

a2z-Unified-Triage regulatory performance study summary

Stand-Alone Performance · Adult

exact submission · Tested version: Exact product version not reported; regulatory study summarized for FDA submission K252366 · n=675 · 12 sites · Independence not established

K252366

ACR AI Central summarizes the regulatory study; consult the exact FDA materials before comparative use.

Economics and lifecycle

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-08-13

FDA submission materials do not establish current commercial pricing. Request the pricing unit, term, minimum commitment, implementation fees, and included support from the vendor.

Reimbursement and coding
Research pending
Needs research Exact FDA submission Checked 2026-08-31

Determine whether any product-specific CPT/HCPCS pathway exists and separate it from billing for the underlying imaging service.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-04

No native submission-identifier match was found in the checked openFDA radiology recall snapshot. Product-name, manufacturer, and adverse-event searches remain necessary; this does not establish that no recall or safety report exists.

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Exact FDA record reviewedStatus
2026-09-04Last searched
20Fields reviewed
6Source classes checked
0Unreviewed PubMed leads
0Unreviewed trial leads
0Unreviewed FDA recall leads

Exact-submission ACR model-card fields were normalized under the current provenance rules; vendor and independent-study confirmation remain distinct. Automated exact-name discovery found 0 PubMed and 0 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads remain unpublished until a human confirms the exact product and tested version.

Source classes: fda ai list, fda decision summary, acr ai central product, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-02.

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