K Number
K052461
Device Name
SYNGO IMAGING VERSION V20A
Date Cleared
2005-09-22

(14 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
syngo® Imaging is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store and archive digital radiological images, including digital mammography images. It supports the physician in diagnosis and treatment planning. syngo® Imaging also supports storage and archiving of Structured DICOM Reports. In a comprehensive imaging suite syngo® Imaging integrates Radiology Information Systems (RIS) to enable customer specific workflows. Enhanced syngo® Imaging workplaces use a variety of advanced postprocessing applications.
Device Description
This premarket notification covers Siemens enhanced PACS system syngo® Imaging, version V20A. syngo® Imaging is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store and archive digital radiological images, including digital mammography images. It supports the physician in diagnosis and treatment planning. syngo® Imaging also supports storage and archiving of Structured DICOM Reports. Enhanced syngo® Imaging workplaces use a variety of advanced postprocessing applications. The system is a "hardware independent" solution to be distributed either as software only or combined with common IT hardware which must comply to predefined minimum hardware requirements. The version V20A contains improvements for workplace functionality, such as layout enhancements and display improvements (user interface) and amended functionality. The three syngo® Imaging workplace deployments ... - syngo® Web Studio a web-based viewing application mainly used for image distribution a) - syngo® Basic Studio for basic reporting, inside as well as outside of the radiology b) (standalone workstation) - syngo® Advanced Studio Advanced Application Bundle for use inside the radiology c) with advanced reporting functionality ... are medical diagnostic and viewing workstations intended for postprocessing, reporting, viewing and communicating / distributing of radiological softcopy images (including digital mammographic images) and so allow radiologists and radiological technicians to receive and process all data needed. Based on Siemens syngo® software, the syngo® Imaging supports the wide variety of image types and its modular design and is capable of combining applications from different modalities in one workstation. The syngo® Advanced Studio integrates the modality specific application package syngo® CT Colonography (K042605). By usage of specific FDA approved monitors (Barco: Coronis dual head 21.3" Medical -K042221; Siemens AG: SMVD 21500 or DjSB-2103-D-5MP - K043122; Planar, Dome C5i-1 and C5i-2 - K032202) diagnosis on digital mammography images is possible, if images are not compressed lossy, as disclaimed respectively. syngo® Imaging 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. For PACS server the syngo® Imaging Data Management can be used as a DICOM-Archive (LTS Longterm Storage) in accordance with the DICOM Conformance Statement. syngo® Imaging (version V20A) is a "software only"-system, which will be delivered on CD-ROM / DVD or as a complete radiology solution consisting of common IT hardware and preinstalled software. syngo® Imaging will be installed by Siemens service engineers. Defined Hardware requirements are to be met. The backend communication and storage solution (DM) is based on the Solaris 8 operating system. The workplaces are based on Windows XP, as well as LINUX and IBM operating systems. The herewith described syngo® Imaging supports DICOM formatted images and objects.
More Information

No
The document describes a PACS system with image processing and postprocessing capabilities, but there is no mention of AI, ML, or related terms. The focus is on standard PACS functionalities and advanced postprocessing applications, which are not inherently AI/ML.

No.
The device is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store, and archive digital radiological images. It supports diagnosis and treatment planning by enabling physicians and technicians to view and process radiological data. It is a diagnostic and viewing tool, not a device that directly applies therapy.

Yes
The device is described as "supporting the physician in diagnosis and treatment planning" and the workstations are "medical diagnostic and viewing workstations." It processes and displays radiological images, including mammograms, used for diagnosis by radiologists.

Yes

The device description explicitly states that syngo® Imaging (version V20A) is a "software only"-system, even though it can be delivered with common IT hardware. The core functionality is described as software.

Based on the provided text, this device is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs are used to examine specimens derived from the human body. The intended use and device description clearly state that syngo® Imaging is used to display, process, and manage radiological images. These images are generated from imaging modalities (like X-ray, CT, MRI, etc.) that visualize structures within the body, not from analyzing biological samples taken from the body (like blood, urine, tissue).
  • The focus is on image processing and management. The text emphasizes the system's capabilities for displaying, processing, storing, and distributing digital radiological images. This aligns with the function of a PACS system, which is a core component of medical imaging workflows.
  • The intended users are radiologists and radiological technicians. These professionals work with medical images, not with laboratory specimens.

Therefore, syngo® Imaging falls under the category of medical imaging software and systems, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

syngo® Imaging is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store and archive digital radiological images, including digital mammography images.

It supports the physician in diagnosis and treatment planning.

syngo® Imaging also supports storage and archiving of Structured DICOM Reports.

In a comprehensive imaging suite syngo® Imaging integrates Radiology Information Systems (RIS) to enable customer specific workflows.

Enhanced syngo® Imaging workplaces use a variety of advanced postprocessing applications.

Product codes (comma separated list FDA assigned to the subject device)

LLZ

Device Description

This premarket notification covers Siemens enhanced PACS system syngo® Imaging, version V20A.

syngo® Imaging is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store and archive digital radiological images, including digital mammography images.

It supports the physician in diagnosis and treatment planning.

syngo® Imaging also supports storage and archiving of Structured DICOM Reports.
Enhanced syngo® Imaging workplaces use a variety of advanced postprocessing applications.

The system is a "hardware independent" solution to be distributed either as software only or combined with common IT hardware which must comply to predefined minimum hardware requirements.

The version V20A contains improvements for workplace functionality, such as layout enhancements and display improvements (user interface) and amended functionality.

syngo® Imaging Workplaces

The three syngo® Imaging workplace deployments ...

  • syngo® Web Studio a web-based viewing application mainly used for image distribution a)
  • syngo® Basic Studio for basic reporting, inside as well as outside of the radiology b) (standalone workstation)
  • syngo® Advanced Studio Advanced Application Bundle for use inside the radiology c) with advanced reporting functionality

... are medical diagnostic and viewing workstations intended for postprocessing, reporting, viewing and communicating / distributing of radiological softcopy images (including digital mammographic images) and so allow radiologists and radiological technicians to receive and process all data needed.

Based on Siemens syngo® software, the syngo® Imaging supports the wide variety of image types and its modular design and is capable of combining applications from different modalities in one workstation.

The syngo® Advanced Studio integrates the modality specific application package syngo® CT Colonography (K042605).

By usage of specific FDA approved monitors (Barco: Coronis dual head 21.3" Medical -K042221; Siemens AG: SMVD 21500 or DjSB-2103-D-5MP - K043122; Planar, Dome C5i-1 and C5i-2 - K032202) diagnosis on digital mammography images is possible, if images are not compressed lossy, as disclaimed respectively.

syngo® Imaging 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.

For PACS server the syngo® Imaging Data Management can be used as a DICOM-Archive (LTS Longterm Storage) in accordance with the DICOM Conformance Statement.

Mentions image processing

syngo® Imaging is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store and archive digital radiological images, including digital mammography images.
Enhanced syngo® Imaging workplaces use a variety of advanced postprocessing applications.
... are medical diagnostic and viewing workstations intended for postprocessing, reporting, viewing and communicating / distributing of radiological softcopy images (including digital mammographic images) and so allow radiologists and radiological technicians to receive and process all data needed.

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

digital radiological images, including digital mammography images

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physician
radiologists
radiological technicians
radiology

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K042832, K040970, K042868

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K042605, K042221, K043122, K032202

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).

Not Found

§ 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

K0524lel

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
Regulatory Affairs Manager
Telephone: +49 (9131) 84-2680
Telefax: +49 (9131) 84-2792 |

---------------------------------------------------------------------------------------------------------------------------

Device Name and Classification:

| Trade Name: | syngo® Imaging
Version V20A |
|-----------------------|---------------------------------------------|
| 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 enhanced PACS system syngo® Imaging, version V20A.

syngo® Imaging is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store and archive digital radiological images, including digital mammography images.

It supports the physician in diagnosis and treatment planning.

syngo® Imaging also supports storage and archiving of Structured DICOM Reports.

1

Enhanced syngo® Imaging workplaces use a variety of advanced postprocessing applications.

The system is a "hardware independent" solution to be distributed either as software only or combined with common IT hardware which must comply to predefined minimum hardware requirements.

The version V20A contains improvements for workplace functionality, such as layout enhancements and display improvements (user interface) and amended functionality.

syngo® Imaging Workplaces

The three syngo® Imaging workplace deployments ...

  • syngo® Web Studio a web-based viewing application mainly used for image distribution a)
  • syngo® Basic Studio for basic reporting, inside as well as outside of the radiology b) (standalone workstation)
  • syngo® Advanced Studio Advanced Application Bundle for use inside the radiology c) with advanced reporting functionality

... are medical diagnostic and viewing workstations intended for postprocessing, reporting, viewing and communicating / distributing of radiological softcopy images (including digital mammographic images) and so allow radiologists and radiological technicians to receive and process all data needed.

Based on Siemens syngo® software, the syngo® Imaging supports the wide variety of image types and its modular design and is capable of combining applications from different modalities in one workstation.

The syngo® Advanced Studio integrates the modality specific application package syngo® CT Colonography (K042605).

By usage of specific FDA approved monitors (Barco: Coronis dual head 21.3" Medical -K042221; Siemens AG: SMVD 21500 or DjSB-2103-D-5MP - K043122; Planar, Dome C5i-1 and C5i-2 - K032202) diagnosis on digital mammography images is possible, if images are not compressed lossy, as disclaimed respectively.

syngo® Imaging 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.

For PACS server the syngo® Imaging Data Management can be used as a DICOM-Archive (LTS Longterm Storage) in accordance with the DICOM Conformance Statement.

105246

2

Integration:

The Workflow Management enables by integration of any HL7- / DICOM-compatible RIS (IHE Year 5) to the syngo® Imaging PACS a consistent workflow - from patient registration to requirement scheduling to a personal worklist and supports therefore reporting, documentation or administrative tasks.

Technological Characteristics: .

syngo® Imaging (version V20A) is a "software only"-system, which will be delivered on CD-ROM / DVD or as a complete radiology solution consisting of common IT hardware and preinstalled software. syngo® Imaging will be installed by Siemens service engineers.

Defined Hardware requirements are to be met.

The backend communication and storage solution (DM) is based on the Solaris 8 operating system. The workplaces are based on Windows XP, as well as LINUX and IBM operating systems.

The herewith described syngo® Imaging 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.

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 syngo® Imaging, addressed in this premarket notification, is substantially equivalent to the following commercially available devices:

SiemensSIENET CosmosK042832
SiemensLEONARDOK040970
SiemensMammoReport Softcopy WorkstationK042868

The syngo® Imaging described in this 510(k) has the same intended use and similar technical characteristics as the devices listed above in regard to the specific functionalities.

In summary, Siemens is of the opinion that syngo® Imaging 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 U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines.

SEP 2 2 2005

Food and Drug Administratio 9200 Corporate Boulevard Rockville MD 20850

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: K052461

Trade/Device Name: syngo® Imaging (Version V20A) Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system

Regulatory Class: II . Product Code: LLZ Dated: September 1, 2005 Received: September 8, 2005

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 (Premarket : Approval), 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 electronic 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) I his icter will anow you to begin maneting your antial equivalence of your device to a legally premarket nothleation: "The I Driving of easilication 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 If you desire specific advice for your active of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Also, please note the regulation entition, to mation on your responsibilities under the Act from the 807.97). You may obtain other gollord missistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Nancy C. Brogdon

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): K 052461 Device Name: _________________________________________________________________________________________________________________________________________________________________

Indications For Use:

syngo® Imaging is a Picture Archiving and Communication System (PACS) intended to display, process, read, report, communicate, distribute, store and archive digital radiological images, including digital mammography images.

It supports the physician in diagnosis and treatment planning.

syngo® Imaging also supports storage and archiving of Structured DICOM Reports.

In a comprehensive imaging suite syngo® Imaging integrates Radiology Information Systems (RIS) to enable customer specific workflows.

Enhanced syngo® Imaging workplaces use a variety of advanced postprocessing applications.

X Prescription Use (Part 21 CFR 801 Subpart D)

AND / OR

Over-The-Counter Use (Part 21 CFR 801 Subpart C)

(Please do not write below this line - continue on another page if needed)

============================================================================================================================================================================== ncurrence of the CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number R052461