Authorized purpose: Workflow triage and notification of suspect cases with three or more acute rib-fracture (RibFx) pathologies in adults or transitional adolescents aged 18 and older.
Evidence status: each field states its source quality, applicability, and review date. Research pending, information not established, and vendor documentation pending remain distinct outcomes.
Product overview
Start with the essentials
Authorized purpose: Workflow triage and notification of suspect cases with three or more acute rib-fracture (RibFx) pathologies in adults or transitional adolescents aged 18 and older.
Overview status: Source-reviewed overview
What does this software do?Authorized purpose: Workflow triage and notification of suspect cases with three or more acute rib-fracture (RibFx) pathologies in adults or transitional adolescents aged 18 and older.
Which images or clinical context are in scope?Modality: CT/CTA Anatomy or clinical context: Ribs Input: Filtered DICOM CT images with or without contrast that include the ribs, from adults or transitional adolescents aged 18 and older; clinical testing used single-energy exams on scanners with at least 64 detectors and 0.5-5.0 mm axial slices.
Who uses it?Intended users: Appropriately trained medical specialists; the device is intended to support hospital-network workflow triage
What does the software produce?Output: A pop-up notification in the desktop image-review software with a compressed, low-quality, grayscale preview captioned for prioritization only; the preview has no finding markings, and the original study remains in the standard-of-care PACS workflow.
What is its most important limitation?Key limitation: The device is not diagnostic and the preview is informational only; notified clinicians must view the full images. Testing excluded technically inadequate studies, including motion artifacts, severe metal artifacts, and inadequate field of view, and was bounded by single-energy, 64-detector, 0.5-5.0 mm axial-slice, and adult/transitional-adolescent criteria.
Clinical takeaway
Clinical role: Workflow triage and notification of suspect cases with three or more acute rib-fracture (RibFx) pathologies in adults or transitional adolescents aged 18 and older.
Evidence takeaway
Evidence from the reviewed source record: FDA pivotal testing was retrospective, blinded, and multicenter: 308 cases from five US clinical sites were compared with ground truth from three senior board-certified radiologists. The standalone study-level AUC was 97.2% (95% CI: 95.5%-99.0%), sensitivity was 95.2% (95% CI: 89.1%-98.4%), and specificity was 95.1% (95% CI: 91.2%-97.6%). A separate secondary endpoint measured mean time to notification at 41.4 seconds (95% CI: 40.4-42.5) for 104 true-positive cases; four additional operating points were also reported, so these metrics are not one universal operating point.
Clinical details
What this tool is for
Start with the authorized purpose, then verify how it fits your service line and reading workflow.
Exact purpose
Workflow triage and notification of suspect cases with three or more acute rib-fracture (RibFx) pathologies in adults or transitional adolescents aged 18 and older.
Filtered DICOM CT images with or without contrast that include the ribs, from adults or transitional adolescents aged 18 and older; clinical testing used single-energy exams on scanners with at least 64 detectors and 0.5-5.0 mm axial slices.
A pop-up notification in the desktop image-review software with a compressed, low-quality, grayscale preview captioned for prioritization only; the preview has no finding markings, and the original study remains in the standard-of-care PACS workflow.
The device is not diagnostic and the preview is informational only; notified clinicians must view the full images. Testing excluded technically inadequate studies, including motion artifacts, severe metal artifacts, and inadequate field of view, and was bounded by single-energy, 64-detector, 0.5-5.0 mm axial-slice, and adult/transitional-adolescent criteria.
The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.
Use these fields to structure a vendor demo, security review, and implementation estimate.
Integration
The software runs on a Linux-based cloud server, receives filtered DICOM images through an image communication platform, processes series chronologically, and sends a notification to a desktop image-review application for PACS/worklist prioritization. A specific local PACS interface is not established.
Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.
ACR AI Central provides an exact-submission model card for BriefCase-Triage; FDA labeling remains controlling for clinical use, limitations, and performance.
Metrics are shown only when they are tied to a source, endpoint, population, and tested product version. Candidate literature without exact product and version linkage is not shown as product evidence.
Evidence summary
FDA pivotal testing was retrospective, blinded, and multicenter: 308 cases from five US clinical sites were compared with ground truth from three senior board-certified radiologists. The standalone study-level AUC was 97.2% (95% CI: 95.5%-99.0%), sensitivity was 95.2% (95% CI: 89.1%-98.4%), and specificity was 95.1% (95% CI: 91.2%-97.6%). A separate secondary endpoint measured mean time to notification at 41.4 seconds (95% CI: 40.4-42.5) for 104 true-positive cases; four additional operating points were also reported, so these metrics are not one universal operating point.
No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.
BriefCase-Triage for RibFx regulatory performance study summary
DesignStand-Alone Performance
PopulationAdult
Scopeexact submission
Tested versionExact product version not reported; regulatory study summarized for FDA submission K243548
Samplen=308
Sites5
IndependenceIndependence not established
K243548
ACR AI Central summarizes the regulatory study; consult the exact FDA materials before comparative use.
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 K243548 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 K243548. 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.
Verify security and privacy controls: Exact-release security controls, data retention, hosting boundaries, and scoped assurance documentation require vendor confirmation.
Verify training: Current training prerequisites, competency checks, and support commitments for the exact configuration require vendor confirmation.
Verify pricing and total cost: No public price or quote for the exact K243548 configuration was established in this review.
Verify reimbursement and coding relevance: No exact-product payer policy, coding instruction, or payment determination was established; eligibility must be evaluated by payer, site of service, and use case.
Verify local validation and lifecycle monitoring: Current drift, quality, uptime, alert, escalation, and incident-response commitments for the exact configuration require vendor confirmation.
This audit distinguishes completed source review from fields that have not yet been researched.
Exact FDA record reviewedStatus
2026-09-20Last searched
26Fields reviewed
9Source classes checked
0Screened PubMed leads
0Screened trial leads
0Unreviewed FDA recall leads
The refreshed discovery snapshot contains no PubMed or ClinicalTrials.gov candidates; no external evidence was promoted. The current discovery snapshot contains 0 PubMed and 0 ClinicalTrials.gov candidate records; its dated, count-matched human screening remains current. Unlinked candidates remain quarantined. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.
Candidate leads were screened against the exact product and tested version. Unlinked records remain quarantined.
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 & history
How this profile was documented
Open the ledger for source dates, scope, and research-record updates.
View source ledger and history7 sources - 3 history items
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