FDA-cleared profile

Annalise Enterprise CXR Triage Pneumothorax

Annalise-AI

Intended Context Annalise Triage is a device designed to be used in the medical care environment to aid in triage and prioritization of studies with features suggestive of the following findings: Chest X-ray (CXR) • pleural effusion 1 • pneumoperitoneum 2 • pneumothorax • tension pneumothorax CT brain (CTB) • acute subdural/epidural hematoma 3 • acute subarachnoid hemorhage 3 • intra-axial hemorrhage 3 • intraventricular hemorrhage 3 • mass effect • obstructive hydrocephalus • vasogenic edema See additional information below The device analyzes studies using an artificial intelligence algorithm to identify findings. It makes study-level output available to an order and imaging management system for worklist prioritization or triage. The device is not intended to direct attention to specific portions of an image and only provides notification for suspected findings. Its results are not intended: • to be used on a standalone basis for clinical decision making • to rule out specific findings, or otherwise preclude clinical assessment of CXR or CTB studies Intended Modality Annalise Triage identifies suspected findings in Chest X-ray (CXR) • Digitized (CR) or digital (DX) chest X-ray studies CT brain (CTB) • Non-contrast brain CT studies Intended User The device is intended to be used by trained clinicians who are qualified to interpret chest X-ray studies (for chest X-ray findings) and brain CT studies (for brain CT findings) as part of their scope of practice. Intended Patient Population The intended population is patients who are 22 years or older. Additional Information The following additional information relates to the finding listed above: 1 Pleural effusion: • specificity may be reduced in the presence of scarring and/or pleural thickening • standalone performance evaluation was performed on a dataset that included supine and erect positioning • use of this device with prone positioning may result in differences in performance 2 Pneumoperitoneum • standalone performance evaluation was performed on a dataset that included supine and erect positioning where most cases were of unilateral right-sided and bilateral pneumoperitoneum • use of this device with prone positioning and for unilateral left-sided pneumoperitoneum may result in differences in performance 3 Acute subdural/epidural hematoma, acute subarachnoid hemorrhage, intra-axial hemorrhage and intraventricular hemorrhage • intended to be used together as one device

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
Intended Context Annalise Triage is a device designed to be used in the medical care environment to aid in triage and prioritization of studies with features suggestive of the following findings: Chest X-ray (CXR) • pleural effusion 1 • pneumoperitoneum 2 • pneumothorax • tension pneumothorax CT brain (CTB) • acute subdural/epidural hematoma 3 • acute subarachnoid hemorhage 3 • intra-axial hemorrhage 3 • intraventricular hemorrhage 3 • mass effect • obstructive hydrocephalus • vasogenic edema See additional information below The device analyzes studies using an artificial intelligence algorithm to identify findings. It makes study-level output available to an order and imaging management system for worklist prioritization or triage. The device is not intended to direct attention to specific portions of an image and only provides notification for suspected findings. Its results are not intended: • to be used on a standalone basis for clinical decision making • to rule out specific findings, or otherwise preclude clinical assessment of CXR or CTB studies Intended Modality Annalise Triage identifies suspected findings in Chest X-ray (CXR) • Digitized (CR) or digital (DX) chest X-ray studies CT brain (CTB) • Non-contrast brain CT studies Intended User The device is intended to be used by trained clinicians who are qualified to interpret chest X-ray studies (for chest X-ray findings) and brain CT studies (for brain CT findings) as part of their scope of practice. Intended Patient Population The intended population is patients who are 22 years or older. Additional Information The following additional information relates to the finding listed above: 1 Pleural effusion: • specificity may be reduced in the presence of scarring and/or pleural thickening • standalone performance evaluation was performed on a dataset that included supine and erect positioning • use of this device with prone positioning may result in differences in performance 2 Pneumoperitoneum • standalone performance evaluation was performed on a dataset that included supine and erect positioning where most cases were of unilateral right-sided and bilateral pneumoperitoneum • use of this device with prone positioning and for unilateral left-sided pneumoperitoneum may result in differences in performance 3 Acute subdural/epidural hematoma, acute subarachnoid hemorrhage, intra-axial hemorrhage and intraventricular hemorrhage • intended to be used together as one device
FDA source Exact FDA submission Checked 2026-08-31

Clinical-use display mirrors the best exact-submission purpose source because the reviewed FDA packet did not provide a more specific usable abstraction.

Intended users
The device is intended to be used by trained clinicians who are qualified to interpret chest X-rays (for chest x-ray findings) and brain CT studies (for brain CT findings) as part of their scope of practice.
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 2026-08-31

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

Required input
X-ray/Radiography images or data involving Chest/Lung; consult the FDA labeling for exact protocol, series, and quality requirements.
Public source Exact FDA submission Checked 2026-08-31

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

Output and human action
The device analyzes studies using an artificial intelligence algorithm to identify findings. It makes study-level output available to an order and imaging management system for worklist prioritization or triage.
Public source Exact FDA submission Checked 2026-09-01

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

Limitations
Exclusion criteria: NA. Supported hardware: Unspecified. Scanner manufacturers: All
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
K213941
FDA source Exact FDA submission Checked 2026-08-31
Modality
X-ray/Radiography
FDA source Exact FDA submission Checked 2026-08-31
Anatomy
Chest/Lung
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
2022-02-24
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
Standards-based DICOM/PACS integration was identified in the FDA submission materials; compatibility with a specific PACS, RIS, EHR, or orchestrator requires confirmation.
Public source Exact FDA submission Checked 2026-08-13

Normalized from the prior exact-submission review. Confirm interface versions and local compatibility during technical evaluation.

Deployment and data flow
On-premise
Public source Exact FDA submission Checked 2026-08-13

Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.

Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-09

Exact-release security controls, data retention, hosting boundaries, and scoped assurance documentation require vendor confirmation.

Training and support
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-09

Current training prerequisites, competency checks, and support commitments for the exact configuration require vendor confirmation.

Monitoring and change control
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-09

Current drift, quality, uptime, alert, escalation, and incident-response commitments for the exact configuration require vendor confirmation.

Supported acquisition environment

Supported hardware: Unspecified. Scanner manufacturers: All

exact submission · checked 2026-09-01

Confirm currently supported software versions, protocols, and site-specific acquisition configurations.

ACR exact-submission catalog context

ACR AI Central provides an exact-submission model card for Annalise Enterprise CXR Triage Pneumothorax; FDA labeling remains controlling for clinical use, limitations, and performance.

exact submission · checked 2026-09-09

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: 949. Reference standard: Interpretation by Reviewing Clinician. Reported sensitivity: Pneumothorax: 93.9% (95% CI: 91.8%, 96.1%) Tension Pneumothorax: 94.3% (95% CI: 90.2%, 98.4%). Reported specificity: Pneumothorax: 92.2% (95% CI: 89.9%, 94.4%) Tension Pneumothorax: 95.8% (95% CI: 94.3%, 97.1%). Additional reported metrics: Performance assessed at multiple operating points, refer to Performance Guide
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
Pneumothorax: 93.9% (95% CI: 91.8%, 96.1%) Tension Pneumothorax: 94.3% (95% CI: 90.2%, 98.4%)
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
Pneumothorax: 92.2% (95% CI: 89.9%, 94.4%) Tension Pneumothorax: 95.8% (95% CI: 94.3%, 97.1%)
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.

Annalise CXR - Pneumothorax / Tension Pneumothorax regulatory performance study summary

Stand-Alone Performance · Adult

exact submission · Tested version: 3.3+ · n=949 · Independence not established

K213941

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 2026-09-09

No public price or quote for the exact K213941 configuration was established in this review.

Reimbursement and coding
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-09

No exact-product payer policy, coding instruction, or payment determination was established; eligibility must be evaluated by payer, site of service, and use case.

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
The exact-identifier FDA recall query returned no native recall record for K213941. This limited result does not establish absence of recalls or other safety information and does not cover later versions, family records, MAUDE reports, corrections, or field notices.
Public source Exact FDA submission Checked 2026-09-09

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.

Automated sources checkedStatus
2026-09-09Last searched
25Fields reviewed
9Source 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. Exact FDA and recall packets were prepared and identity matched, but no new clinical or performance claim was promoted in the conservative fallback. Existing exact-submission facts retain their original source status and applicability; candidate literature remains quarantined. 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, fda device recall, literature index, trial registry, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-09.

Alternatives

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Rayvolve PTX-PE

AZmed

Passive study-level worklist triage for suspected pneumothorax and/or pleural effusion on adult PA or AP chest X-rays; it is not a proactive specialist alert.

Modality
X-ray/Radiography
Anatomy
Chest/Lung
Decision
2025-03-21