FDA-cleared profile

BriefCase

Aidoc Medical, Ltd.

Chest CT (with or without contrast) triage and notification for suspected three or more acute rib fractures in adults or transitional adolescents age 18 or older; notifications are non-diagnostic and clinicians review the original study.

Evidence status: each field states its source quality, applicability, and review date. Research pending, information not established, and vendor documentation pending remain distinct outcomes.

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
Chest CT (with or without contrast) triage and notification for suspected three or more acute rib fractures in adults or transitional adolescents age 18 or older; notifications are non-diagnostic and clinicians review the original study.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Intended users
Hospital networks and appropriately trained medical specialists.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Care setting and population
Hospital-network radiology workflows for adults and transitional adolescents aged 18 years and older.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Workflow role
Computer-aided triage and notification: a suspect case generates a desktop pop-up and unannotated compressed preview while the original worklist and standard-of-care interpretation continue.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Required input
Filtered DICOM chest CT images, with or without contrast, processed chronologically by series.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Output and human action
A desktop notification for a suspected RibFx case and a compressed, low-quality, grayscale, unannotated preview captioned for prioritization only; the original medical image is not altered.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Limitations
The preview and notification are informational and not for diagnostic use beyond notification. Clinicians must review the full original images in PACS with other patient information and professional judgment; the device does not remove or deprioritize cases from the worklist.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07

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
K230020
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Modality
CT/CTA
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Anatomy
Chest/Lung
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Clearance type
510(k)
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Decision date
2023-02-01
  • 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
Uses DICOM CT input, an image communication or routing platform for acquisition, an algorithm module for processing, and a desktop application/feed with a non-diagnostic viewer for workflow integration; clinicians return to the local PACS for full-image review.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Deployment and data flow
The exact FDA description places the algorithm on a Linux-based server in a cloud environment and describes processing through a compatible image communication platform before notification reaches the desktop application.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07

This is the submission-era architecture; current tenant, hosting, security and contract terms require vendor confirmation.

Security and privacy
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-07

Cloud architecture language does not establish formal security controls for a current installed configuration.

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.

Exact DICOM triage and notification path

The exact FDA record describes filtered DICOM CT acquisition, algorithm processing, and a desktop feed/preview that prompts review of the original study in local PACS without changing or deprioritizing the standard worklist.

exact submission · checked 2026-09-07

Current Aidoc radiology platform integration

Aidoc's current radiology page describes deep integrations with EHR, PACS, scheduling and reporting; its Widget runs on the workstation and places AI triage results directly in the worklist with key images and a summary of AI results.

product family · checked 2026-09-07

Current family platform context is buyer-relevant but does not establish the exact K230020 tenant, release or contractual interfaces.

Family hospital deployment example

Aidoc's official Atlantic Health announcement describes deployment across several hospitals, where physicians use Aidoc AI to triage CT scans and receive alerts for potential rib fractures and other findings.

product family · checked 2026-09-07

This is a vendor-reported family deployment example, not evidence that the exact K230020 configuration was installed there.

Evidence

Performance evidence

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
K230020's exact FDA pivotal study evaluated 308 chest CT cases at five U.S. sites against majority-vote ground truth from three senior board-certified radiologists. The study reported observed AUC, sensitivity, specificity and notification-time results; its performance goals were thresholds and are kept separate from the observed values.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Reported sensitivity
98%
  • 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
93%
  • 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.

Study-level AUC

0.98 proportion

  • EndpointROC discrimination for three or more acute rib fractures
  • PopulationChest CT cases from five U.S. clinical sites
  • Tested versionBriefCase rib-fracture triage release reviewed in FDA submission K230020

Sensitivity

98.08 percent

  • EndpointDetection of suspected three or more acute rib fractures
  • PopulationChest CT cases from five U.S. clinical sites
  • Tested versionBriefCase rib-fracture triage release reviewed in FDA submission K230020

Specificity

93.14 percent

  • EndpointExclusion of suspected three or more acute rib fractures
  • PopulationChest CT cases from five U.S. clinical sites
  • Tested versionBriefCase rib-fracture triage release reviewed in FDA submission K230020

Mean time-to-notification

70.1 seconds

  • EndpointDICOM receipt, de-identification, cloud upload, analysis and desktop notification for a true-positive case
  • PopulationTrue-positive cases in the K230020 time-to-notification analysis
  • Tested versionBriefCase rib-fracture triage release reviewed in FDA submission K230020

K230020 BriefCase RibFx pivotal study

  • DesignRetrospective, blinded, multicenter FDA submission study comparing BriefCase with ground truth from three senior board-certified radiologists using majority voting.
  • Population308 chest CT cases from five U.S.-based clinical sites; cases were distinct in time or center from training data.
  • Scopeexact submission
  • Tested versionBriefCase rib-fracture triage release reviewed in FDA submission K230020
  • Samplen=308
  • Sites5
  • IndependenceIndependence not established

K230020

The FDA summary reports the study and vendor submission; independent-investigator status was not established.

Assessment of a deep learning algorithm for the automatic detection of rib fractures on trauma CTs

  • DesignRetrospective trauma-CT prototype evaluation described on an official Aidoc clinical-study page.
  • Population511 trauma CTs from an emergency-department dataset collected January through December 2018; the page describes 102 positive and 409 negative cases by clinical report.
  • Scopeproduct family
  • Tested versionAidoc rib-fracture prototype; the page does not identify it as the exact K230020 release.
  • Samplen=511
  • IndependenceIndependence not established

Aidoc official clinical study page

The page reports 75 fractures not mentioned in written reports and potential reading assistance. This family/prototype evidence must not be used as K230020 release performance.

Costs and setup

Budget and ongoing governance

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

Pricing and total cost
Not established in reviewed sources
  • Reviewed sources checked
  • Exact FDA submission
  • Checked 2026-09-07

No public exact-submission price or procurement terms were reviewed.

Reimbursement and coding
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-09-07

CMS policy research was not performed by this worker; no coverage conclusion is made.

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.

Human reviewedStatus
2026-09-07Last searched
26Fields reviewed
13Source classes checked
20Screened PubMed leads
6Screened trial leads
0Unreviewed FDA recall leads

The stored PubMed and ClinicalTrials candidate metadata were screened in the exact stored order; this was metadata triage, not full-text paper or registry-record review, and no candidate was promoted. The stored recall query returned no records, so no event was promoted and no absence claim is made. The current discovery snapshot contains 20 PubMed and 6 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, vendor product page, vendor clinical study, vendor press release, literature index, trial registry, stored candidate metadata, stored recall candidates, 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 history

Source ledger

  1. K230020 FDA decision source

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, purpose, modality, anatomy

  2. Artificial Intelligence-Enabled Medical Devices

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, modalityContext

  3. BriefCase-Rib Fracture Triage model card (K230020)

    American College of Radiology - Published 2026-06-26 - Accessed 2026-09-01

    Scope: intendedUsers, careSetting, output, limitations, reportedSensitivity, reportedSpecificity, evidenceSummary, anatomy, evidenceStudies, implementationCapabilities

  4. PubMed biomedical literature index

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery

  5. ClinicalTrials.gov study registry

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery, studyStatus

  6. openFDA Device Recall API

    U.S. Food and Drug Administration - Accessed 2026-09-02

    Scope: recallDiscovery, nativeSubmissionMatching

  7. FDA 510(k) decision summary K230020: BriefCase RibFx triage

    U.S. Food and Drug Administration - Published 2023-02-01 - Accessed 2026-09-07

    Scope: identity, clinicalUse, purpose, modality, anatomy, input, output, limitations, deployment, integration, evidenceSummary, evidenceMetrics, evidenceStudies

  8. Aidoc radiology platform and workflow integrations

    Aidoc - Accessed 2026-09-07

    Scope: product_family, workflow, PACS_integration, EHR_integration, worklist, implementationCapabilities

  9. Assessment of a deep learning algorithm for the automatic detection of rib fractures on trauma CTs

    Aidoc - Accessed 2026-09-07

    Scope: product_family, clinical_evidence, rib_fracture_workflow

  10. Atlantic Health System and Aidoc AI deployment announcement

    Aidoc - Accessed 2026-09-07

    Scope: product_family, hospital_deployment, CT_triage, implementationCapabilities

Research history

  1. K230020 FDA decision

    Regulatory record

    510(k)

  2. Source-review record updated

    Research record

    human reviewed

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