(9 days)
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No
The document describes a standard PACS system with image manipulation, storage, and viewing capabilities, without mentioning any AI or ML features.
No.
The device is a Picture Archiving and Communication System (PACS) intended for image manipulation, storage, viewing, and reporting to assist in diagnosis or treatment planning, not to directly treat a condition.
Yes
The Intended Use section states, "The system is a "software only" solution and is intended to assist the physician in diagnosis or treatment planning." Also, the "syngo® Reporting Studio - Advanced Application Bundle" workplace deployment is described as having "advanced reporting functionality" and the workplace deployments are generally "medical diagnostic and viewing workstations."
Yes
The device description explicitly states multiple times that SIENET Cosmos is a "software only"- solution and is delivered on CD-ROM / DVD for installation. While it has hardware requirements, the device itself is the software.
Based on the provided text, the SIENET Cosmos is not an In Vitro Diagnostic (IVD) device.
Here's why:
- IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
- SIENET Cosmos Function: The SIENET Cosmos is a Picture Archiving and Communication System (PACS). Its primary function is to manage, store, view, and distribute radiological softcopy images. These images are generated by imaging modalities (like X-ray, CT, MRI) that examine the body externally, not by analyzing specimens taken from the body.
- Intended Use: The intended use clearly states it's for managing and assisting with the diagnosis and treatment planning based on radiological images.
- Device Description: The description reinforces that it's a "software only" solution for handling radiological softcopy images and structured reports.
Therefore, the SIENET Cosmos falls under the category of medical imaging software or a PACS system, not an In Vitro Diagnostic device.
N/A
Intended Use / Indications for Use
The SIENET Cosmos is a Picture Archiving and Communication System (PACS) intended to enhance the complete imaging workflow, i.e.
- Manipulating .
- . Reading
- . Reporting
- Vicwing .
- Communicating / distributing .
- Storing / archiving
- of radiological softcopy images and
- Storing / archiving of structured (DICOM) reports.
The system is a "software only" solution and is intended to assist the physician in diagnosis or treatment planning.
Therefore SIENET Cosmos supports the following generic imaging workflow:
- Receive scheduled exams from IS at the SIENET Cosmos archiving component SDM .
- Provide relevant prior exams and reports (Structured Reports only) to the Modalities and Workplaces .
- Receive and store new exams from the Modalities at the SDM .
- Prepare images for reading .
- Report new images, if required by comparing them with prior exams and reports .
- Demonstrate exams at Radiological Demos .
- Domonstante onations at Radiology (e.g. Surgery, Intensive Case Unit, wards, external referring physicians).
Note:
The workstation deployment syngo Viewing Studio is not intended for primary diagnosis.
Product codes
LLZ
Device Description
This premarket notification covers Siemens' cnhanced PACS system SIENET Cosmos.
SIENET Cosmos is a "software only"- solution, including a backend communication and storage component and three different workplace deployments for medical imaging tasks and applications.
SIENET Cosmos is the integrated radiology suite for large radiological practices and community hospitals. Important factors are the centralized server structure, the wideranging data distribution and the overall integrated concept, ranging from scheduling the examination to reporting and archiving as well as image and report distribution.
The three SIENET Cosmos workplace deployments ...
a) syngo® Viewing Studio - for image distribution (web-based viewing application not intended for primary diagnosis!)
b) syngo® Reporting Studio - for basic reporting, inside as well as outside of the radiology (standalone workstation)
c) syngo® Reporting Studio - Advanced Application Bundle - for use inside the radiology with advanced reporting functionality
... are medical diagnostic and viewing workstations intended for manipulating, reading, reporting, viewing and communicating / distributing of radiological softcopy images and so allows radiologists and radiological technicians to receive and process all data needed.
SIENET Cosmos Image Data Management
... ensures all authorized personnel fast and continuous access to radiological data. It's main functionality ranges from availability of images having regard to data security, open interfaces, storage media, central system administration, back-up, software distribution to providing a flexible storage hierarchy.
The main purpose is storing and archiving of radiological softcopy images and structured (DICOM) reports.
Integration: SIENET Cosmos Imaging Workflow Management
The Workflow Management enables by integration of any HL7- / DICOM-compatible RIS (IHF Year 5) to the SIENET Cosmos PACS a consistent workflow – from patient registration to requirement scheduling to a personal worklist and supports therefore reporting, documentation or administrative tasks.
Technological Characteristics:
SIENET Cosmos is a "software only"-system, which will be delivered on CD-ROM / DVD and installed by Siemens service engineers. Hardware-Requirements to be met arc therefore defined.
The backend communication and storage solution (SDM) is based on the Solaris 8 operating system. The workplaces are based on Windows 2000 / Windows XP operating system.
- The herewith described SIENET Cosmos supports DICOM formatted images and objects.
Mentions image processing
Yes
Mentions AI, DNN, or ML
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Input Imaging Modality
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Anatomical Site
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Indicated Patient Age Range
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Intended User / Care Setting
radiologists and radiological technicians
Radiological practices and community hospitals
radiology (e.g. Surgery, Intensive Case Unit, wards, external referring physicians)
Description of the training set, sample size, data source, and annotation protocol
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Description of the test set, sample size, data source, and annotation protocol
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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)
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Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
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Predicate Device(s)
K920309, K935694, K955394, K010938, K973131, K920310
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
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§ 892.2050 Medical image management and processing system.
(a)
Identification. A medical image management and processing system is a device that provides one or more capabilities relating to the review and digital processing of medical images for the purposes of interpretation by a trained practitioner of disease detection, diagnosis, or patient management. The software components may provide advanced or complex image processing functions for image manipulation, enhancement, or quantification that are intended for use in the interpretation and analysis of medical images. Advanced image manipulation functions may include image segmentation, multimodality image registration, or 3D visualization. Complex quantitative functions may include semi-automated measurements or time-series measurements.(b)
Classification. Class II (special controls; voluntary standards—Digital Imaging and Communications in Medicine (DICOM) Std., Joint Photographic Experts Group (JPEG) Std., Society of Motion Picture and Television Engineers (SMPTE) Test Pattern).
0
510(k) Summary
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.
GENERAL INFORMATION I.
Establishment:
| Address: | Siemens AG, Medical Solutions
Henkestrasse 127
D-91052 Erlangen
Germany | | |
|----------------------|-----------------------------------------------------------------------------------------------|--|--|
| Registration Number: | 3002808157 | | |
| Contact Person: | Eva Reiter
Quality Manager
Telephone: +49 (9131) 84-2680
Telcfax: +49 (9131) 84-8812 | | |
Device Name and Classification:
| Trade Name: | will be first marketed as SIENET Cosmos |
|---|---|
| Classification Name: | Picture Archiving and Communications System |
| Classification Panel: | Radiology |
| CFR Section: | 21 CFR §892.2050 |
| Device Class: | Class II |
| Product Code: | LLZ |
II. SAFETY AND EFFECTIVENESS INFORMATION SUPPORTING THE SUBSTANTIAL EQUIVALENCE DETERMINATION
Device Description and Intended Use: .
This premarket notification covers Siemens' cnhanced PACS system SIENET Cosmos.
SIENET Cosmos is a "software only"- solution, including a backend communication and storage component and three different workplace deployments for medical imaging tasks and applications.
SIENET Cosmos is the integrated radiology suite for large radiological practices and community hospitals. Important factors are the centralized server structure, the wideranging data distribution and the overall integrated concept, ranging from scheduling the examination to reporting and archiving as well as image and report distribution.
1
SIENET Cosmos Integrated Workplaces / SIENET Cosmos Image Distribution
The three SIENET Cosmos workplace deployments ...
a) syngo® Viewing Studio - for image distribution (web-based viewing application not intended for primary diagnosis!)
b) syngo® Reporting Studio - for basic reporting, inside as well as outside of the radiology (standalone workstation)
c) syngo® Reporting Studio - Advanced Application Bundle - for use inside the radiology with advanced reporting functionality
... are medical diagnostic and viewing workstations intended for manipulating, reading, reporting, viewing and communicating / distributing of radiological softcopy images and so allows radiologists and radiological technicians to receive and process all data needed.
SIENET Cosmos Image Data Management
... ensures all authorized personnel fast and continuous access to radiological data. It's main functionality ranges from availability of images having regard to data security, open interfaces, storage media, central system administration, back-up, software distribution to providing a flexible storage hierarchy.
The main purpose is storing and archiving of radiological softcopy images and structured (DICOM) reports.
Integration: SIENET Cosmos Imaging Workflow Management
The Workflow Management enables by integration of any HL7- / DICOM-compatible RIS (IHF Year 5) to the SIENET Cosmos PACS a consistent workflow – from patient registration to requirement scheduling to a personal worklist and supports therefore reporting, documentation or administrative tasks.
Technological Characteristics:
SIENET Cosmos is a "software only"-system, which will be delivered on CD-ROM / DVD and installed by Siemens service engineers. Hardware-Requirements to be met arc therefore defined.
The backend communication and storage solution (SDM) is based on the Solaris 8 operating system. The workplaces are based on Windows 2000 / Windows XP operating system.
- The herewith described SIENET Cosmos supports DICOM formatted images and objects.
General Safety and Effectiveness Concerns: =
The device labelling contains instructions for use and any necessary cautions and warning, to provide for safe and effective use of the device.
2
Risk management is ensured via a risk analysis, which is used to identify potential hazards. These potential hazards are controlled via software development, verification and validation testing. To minimize electrical, mechanical, and radiation hazards, Siemens adheres to recognized and established industry practice and standards.
. Substantial Equivalence:
The SIENET Cosmos, addressed in this premarket notification, is substantially equivalent to the following commercially available devices:
| SIENET Diagnostic Reporting Console (DRC) | K920309 |
|---|---|
| SIENET Diagnostic Reporting Console VA02 Upgrade | K935694 |
| SIENET Teleradiology Product Line | K955394 |
| syngo® Multimodality Workstation | K010938 |
| SIENET MagicWeb (Webserver), SIENET MagicLink I | K973131 |
| SIENET Archive Server, ISA I, ISA II, Storage Server | K920310 |
The SIENET Cosmos described in this 510(k) has the same intended use and similar technical characteristics as the devices listed above together.
In summary, Siemens is of the opinion that SIENET Cosmos does not introduce any new potential safety risks and is substantially equivalent to and performs as well as the predicate devices.
3
Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a stylized eagle with three stripes forming its body, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged in a circular fashion around the eagle. The eagle is facing to the right.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
DEC 1 9 2003
Siemens AG Medical Solutions % Mr. Stefan Preiss Responsible Third Party Official TÜV America, Inc. TÜV Product Service 1775 Old Highway 8 NEW BRIGHTON MN 55112-1891 Re: K033831
Trade/Device Name: SIENET Cosmos Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications systems Regulatory Class: II Product Code: 90 LLZ Dated: November 28, 2003 Received: December 10, 2003
Dear Mr. Preiss:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the clectronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
4
This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of the letter:
| 8xx.1xxx | (301) 594-4591 |
|---|---|
| 876.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4616 |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | (301) 594-4616 |
| 892.2xxx, 3xxx, 4xxx, 5xxx | (301) 594-4654 |
| Other | (301) 594-4692 |
Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.
Sincerely yours,
Nancy C. Bugden
Nancy C. Brogdon Director, Division of Reproductive, Abdominal and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
5
INDICATIONS FOR USE
| 510(k) Number (if known): | K033831 |
|---|---|
| Device Name: | SIENET Cosmos |
Indications For Use:
The SIENET Cosmos is a Picture Archiving and Communication System (PACS) intended to enhance the complete imaging workflow, i.e.
- Manipulating .
- . Reading
- . Reporting
- Vicwing .
- Communicating / distributing .
- Storing / archiving �
- of radiological softcopy images and
- Storing / archiving of structured (DICOM) reports. �
The system is a "software only" solution and is intended to assist the physician in diagnosis or treatment planning.
Therefore SIENET Cosmos supports the following generic imaging workflow:
- Receive scheduled exams from IS at the SIENET Cosmos archiving component SDM .
- Provide relevant prior exams and reports (Structured Reports only) to the Modalities and Workplaces .
- Receive and store new exams from the Modalities at the SDM .
- Prepare images for reading .
- Report new images, if required by comparing them with prior exams and reports .
- Demonstrate exams at Radiological Demos .
- Domonstante onations at Radiology (e.g. Surgery, Intensive Case Unit, wards, external � referring physicians).
Note:
The workstation deployment syngo Viewing Studio is not intended for primary diagnosis.
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices K033831
510(k) Number
(Please do not write below this line - continue on another page if needed)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Concurrence of the CDRH, Office of Device Evaluation (ODE)
Over-The-Counter Use_ OR Prescription Use (Per 21 CFR 801.109)