(25 days)
syngo® Dynamics is a Picture Archiving and Communication System (PACS) intended for acceptance, transfer, display, storage, archive and manipulition of digital medical images, including quantification and report generation.
syngo® Dynamics is not intended to be used for reading of mammography images.
This premarket notification covers Siemens' enhanced system syngo® Dynamics, version 6.0.
syngo® Dynamics is a digital image management system that includes a DICOM server. This system receives, stores, distributes, and archives images from digital image acquisition devices such as ultrasound and x-ray anglography machines. The system has workplaces that can be used to review, edit, and masinilate image data, as well as to generate quantitative data, qualitative data, and diagnostic reports.
syngo® Dynamics provides advanced reporting features, including cardiology oriented features for review and analysis of x-ray angiographic images, and the capability to launch 3rd party software applications either as stand alone application or via Internet Explorer,
syngo® Dynamics is a software device that is shipped as a turn key system with pre-installed software on common, off-the-shelf OEM computer hardware. syngg® Dynamics is installed by Siemens service engineers.
Version 6.0 contains extended features for cardiac cath viewing and reporting as well as for cardiac echo reporting. Further on syngo® Dynamics 6.0 includes enhanced integration of the Siemens Sequoia Ultrasound Product and the Siemens Axiom Sensis product for reporting in the cath lab environment.
syngo® Dynamics, version 6.0 also offers an optional "software only" workplace with full viewing and report generation, which will be delivered on CD-ROM and installed by the end user on his own computer hardware.
Here's an analysis of the provided text regarding the acceptance criteria and study details for the syngo® Dynamics (version 6.0) device.
However, it's important to note that the provided 510(k) summary (K070322) for syngo® Dynamics (version 6.0) does NOT contain information about specific performance acceptance criteria or a study designed to prove the device meets those criteria, as one might find for a diagnostic or AI-driven CAD device. This document is a Class II device clearance for a PACS system, which primarily focuses on image management, storage, and display functionality. The regulatory pathway for such devices often emphasizes substantial equivalence to predicate devices and adherence to general safety and effectiveness concerns rather than specific clinical performance metrics like sensitivity or specificity.
Therefore, many of the requested details, particularly those related to clinical performance studies, ground truth establishment, expert review, and sample sizes for training/test sets, are not present in the provided text.
The information below reflects what can be extracted from the document, with explicit notation where information is missing.
1. Table of Acceptance Criteria and Reported Device Performance
As stated above, this 510(k) summary does not outline specific, quantifiable performance acceptance criteria (e.g., sensitivity, specificity, accuracy) typical of diagnostic or AI-driven devices, nor does it report such performance metrics. The clearance is based on substantial equivalence for a Picture Archiving and Communication System (PACS).
The "acceptance criteria" for this type of device primarily revolve around:
- Functional equivalence to predicate devices: Performing the same functions (acceptance, transfer, display, storage, archive, manipulation of digital medical images, quantification, report generation) as cleared predicate devices.
- Adherence to standards: Compliance with DICOM (Digital Imaging and Communications in Medicine) standards.
- Software validation and verification: Ensuring the software performs as intended without introducing new safety risks.
- Safety assessment: Risk management to identify and control potential hazards.
Therefore, a table of acceptance criteria and reported performance, in the sense of clinical metrics, cannot be directly constructed from this document.
| Acceptance Criterion (Inferred from PACS Classification) | Reported Device Performance (Inferred from Substantial Equivalence Claim) |
|---|---|
| Functional Equivalence | |
| Acceptance, transfer, display, storage, archive of digital medical images | syngo® Dynamics performs these functions, including "enhanced features for cardiac cath viewing and reporting as well as for cardiac echo reporting," and "pediatric hemodynamics, electro-physiology, and enhanced adult cath reporting." |
| Manipulation of image data | Capable of manipulating image data. |
| Quantification and report generation | Provides "advanced reporting features" and "report generation." |
| Support for DICOM-formatted images and structured report objects | Supports DICOM-formatted images and structured report objects. |
| Not for mammography reading | syngo® Dynamics is "not intended to be used for reading of mammography images." |
| Safety & Effectiveness | |
| No new potential safety risks | "Siemens is of the opinion that syngo® Dynamics does not introduce any new potential safety risks." |
| Performance as well as predicate devices | "performs as well as the predicate devices." |
| Risk management | Risk analysis used to identify and control potential hazards via "software development and verification and validation testing." |
| Compliance with industry practices & standards | "Siemens adheres to recognized and established industry practices and standards" to minimize electrical, mechanical, and radiation hazards. |
2. Sample Size for the Test Set and Data Provenance
- Sample Size for Test Set: Not specified. The document describes software verification and validation testing, but does not quantify a "test set" in terms of patient cases or images for clinical performance evaluation.
- Data Provenance: Not specified. Given it's a PACS system and the assessment focuses on functional equivalence and safety, the "data" likely refers to simulated or representative medical images and related data used for software testing, rather than a clinical dataset for performance evaluation.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications
- Number of Experts: Not specified.
- Qualifications of Experts: Not specified.
- Explanation: For a PACS system, "ground truth" as typically understood in AI or diagnostic device evaluation (e.g., confirming a diagnosis) is not the primary focus. Development and testing would focus on accurate data handling, display, and workflow, which might involve domain experts (e.g., radiologists, cardiologists) for usability and functional validation, but not typically for establishing diagnostic "ground truth" for an algorithm's performance.
4. Adjudication Method for the Test Set
- Adjudication Method: Not specified.
- Explanation: Since a clinical performance test set with diagnostic "ground truth" is not described, an adjudication method for reconciling expert opinions would not be applicable in the context presented.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done
- Was an MRMC study done? No, not mentioned in the document.
- Effect size of human readers with/without AI assistance: Not applicable, as no MRMC study or AI assistance is discussed in the context of improving human reader performance.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done
- Was a standalone study done? No. The device is a PACS system, which supports human clinical workflow. While it has components for "quantification," these are tools for human interpretation, not an autonomous diagnostic algorithm.
7. The Type of Ground Truth Used
- Type of Ground Truth: Not specified in the context of clinical performance.
- Explanation: For a PACS, "ground truth" in testing would generally relate to the correctness of data storage, retrieval, display accuracy (e.g., does the image display correctly?), and functional execution (e.g., does the measurement tool calculate correctly?). This relies on adherence to standards (DICOM) and internal system logic rather than external expert consensus, pathology, or outcomes data for diagnostic accuracy.
8. The Sample Size for the Training Set
- Sample Size for Training Set: Not applicable. The document does not describe an AI or machine learning component that would require a "training set" in the context of learning to make diagnostic predictions. This is a traditional software system.
9. How the Ground Truth for the Training Set was Established
- How Ground Truth for Training Set was Established: Not applicable, as there is no mention of a training set or an AI/ML component.
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510(k) Summary
syngo® Dynamics (version 6.0)
Date of Summary Preparation: February 23rd, 2007
FEB 27 2007
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR §807.92.
1. General Information
Specification Developer and Manufacturer Name and Address
Siemens Medical Solutions, Inc. 400 W. Morgan Road, Suite 100 Ann Arbor, MI 48108
Establishment Registration Number
1836549
Contact Person 2.
Sieglinde Nina West Sr. Manager, Regulatory Affairs and Quality
| Telephone: | (734) 205-2423 |
|---|---|
| Fax: | (734) 998-0123 |
| email Address: | sieglinde.west@siemens.com |
3. Device Name and Classification
| Trade Name: | syngo® DynamicsVersion 6.0 |
|---|---|
| Classification Name: | Picture Archiving and Communications System |
| Classification Panel: | Radiology |
| CFR Number: | 21 CFR §892.2050 |
| Device Class: | Class II |
| Product Code: | LLZ |
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ব Device Description
This premarket notification covers Siemens' enhanced system syngo® Dynamics, version 6.0.
syngo® Dynamics is a digital image management system that includes a DICOM server. This system receives, stores, distributes, and archives images from digital image acquisition devices such as ultrasound and x-ray anglography machines. The system has workplaces that can be used to review, edit, and masinilate image data, as well as to generate quantitative data, qualitative data, and diagnostic reports.
syngo® Dynamics provides advanced reporting features, including cardiology oriented features for review and analysis of x-ray angiographic images, and the capability to launch 3rd party software applications either as stand alone application or via Internet Explorer,
syngo® Dynamics is a software device that is shipped as a turn key system with pre-installed software on common, off-the-shelf OEM computer hardware. syngg® Dynamics is installed by Siemens service engineers.
Version 6.0 contains extended features for cardiac cath viewing and reporting as well as for cardiac echo reporting. Further on syngo® Dynamics 6.0 includes enhanced integration of the Siemens Sequoia Ultrasound Product and the Siemens Axiom Sensis product for reporting in the cath lab environment.
syngo® Dynamics, version 6.0 also offers an optional "software only" workplace with full viewing and report generation, which will be delivered on CD-ROM and installed by the end user on his own computer hardware.
5. Intended Use
syngo® Dynamics is a Picture Archiving and Communication System (PACS) intended for acceptance, transfer, display, storage, archive and manipulation of digital medical images, including quantification and report generation. synggo Dynamics is not intended to be used for reading of mammography images,
6. Substantial Equivalence
The syngo® Dynamics, addressed in this premarket modification, is substantially equivalent to the following commercially available devices:
| Predicate Device Name andManufacturer | 510(k)Number | ClearanceDate | ProductCode |
|---|---|---|---|
| syngo DynamicsSiemens Medical Solutions, Inc | K053133 | 12/05/2005 | LLZ |
| XceleraPhilips Medical Systems North AmericaCompany | K061995 | 09/06/2006 | LLZ |
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Summary of Technological Characteristics of the Principal Device as 7. Compared with the Predicate Device
syngo® Dynamics is a software device that is shipped as a turnkey system with pre-installed software on common, off-the-shelf OEM computer hardware. syngo® Dynamics is installed by Siemens service engineers. It is also available as a "software only" workplace with full viewing and report generation. This softwareonly delivery mechanism does require that the customer's computer hardware meet defined requirements.
syngo® Dynamics servers use the Microsoft Windows 2003 Server operating system. The workplaces are based on the Microsoft Windows XP operating system.
The herewith described syngo® Dynamics supports DICOM-formatted images and structured report objects.
syngo® Dynamics 6.0 release adds pediatric hemodynamics, electro-physiology, and enhanced adult cath reporting. It improves clinical reporting for many departments and supports customer specific workflow.
General Safety and Effectiveness Concerns 8.
The device labeling contains instructions for use and any necessary cautions and warnings to provide for safe and effective use of this device.
Risk management is ensured via a risk analysis, which is used to identify potential hazards. These potential hazards are controlled via software development and verification and validation testing. To minimize electrical, mechanical and radiation hazards, Siemens adheres to recognized and established industry practices and standards.
9. Conclusion as to Substantial Equivalence
In summary, Siemens is of the opinion that syngo® Dynamics does not introduce any new potential safety risks and is substantially equivalent to and performs as well as the predicate devices.
S. Moore Carr
Sieglinde Nina West Sr. Manager, Regulatory Affairs and Quality
2/23/07
Date
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Third Party Review Quality Assessment
Section 1 - Submission Information
| 510(k) No.: | K070322 |
|---|---|
| Third Party Organization: | TÜV Product service |
| Third Party's Primary Reviewer(s): | Olaf Teichert |
| ODE/OIVD Division: | DRARD |
| Branch/Team: | Radiological Devices Branch |
Section 2 - 510(k) Decision
| Third party recommendation: | SE ", NSE ____ Other (specify): ____ |
|---|---|
| ----------------------------- | -------------------------------------- |
SE _ V___ NSE _____ Other (specify): _. ______________________________________________________________________________________________________________________________________ ODE/OIVD final decision:
Section 3 - Assessment of Third Party Review
| Review Element | Rating (check one) | ||
|---|---|---|---|
| Adequate | MinorIssue(s) | MajorIssue(s) | |
| a. Determination of device eligibility for third party review | √ | ||
| b. Extent of pre-submission consultation with ODE/OIVD division | |||
| c. Organization and format of review documentation | √ | ||
| d. Determination of 510(k) administrative completeness (screeningreview) | √ | ||
| e. Summary of device characteristics, intended use, and performance(including accessories, if applicable) and reason for 510(k) submission | √ | ||
| f. Comparison to legally marketed devices—identification and analysis ofkey similarities and differences | √ | ||
| g. Rationale for conclusions and recommendation | √ | ||
| h. Use of guidance documents and standards | √ | ||
| i. Resolution of 510(k) deficiencies and FDA requests for additionalinformation | |||
| j. Scope of reviewer expertise and use of consulting reviewers | |||
| k. Other (specify): |
Comments (explanation of ratings/issues): ____________________________________________________________________________________________________________________________________
Section 4 - ODE/OIVD Assessor Information
Assessed by: Sunder Rajan - Date: 21-Feb-2007 Tel. No .: 240 276 3968
Routing: Division--Clip completed assessment (this page only) to inside front cover of 510(k). DMC -- Forward this page only to Eric Rechen, POS/ODE, Rm. 120J, Corp. Blvd. (HFZ-402).
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Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850
Siemens Medical Solutions, Inc. % Mr. Stefan Preiss Responsible Third Party Official TÜV Product Service 1775 Old Hwy 8 NW, Ste 104 NEW BRIGHTON MN 55112-1891
FEB 2 7 2007
Re: K070322
Trade/Device Name: syngo® Dynamics (version 6.0) Regulation Number: 21 CFR 892,2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: January 31, 2007 Received: February 2, 2007
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 commence prior to May 28, 1976, the enactment date of the Medical Device Ameradments, 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.
Image /page/4/Picture/10 description: The image shows a circular logo with the text "FDA Centennial 1906-2006". The logo features the letters "FDA" prominently in the center, with the word "Centennial" underneath. The years "1906-2006" are displayed above the letters "FDA". The logo has a dotted border.
Protecting and Promoting Public Health
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Page 2 -
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.
This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA funding 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 this letter:
| 21 CFR 876.xxx | (Gastroenterology/Renal/Urology) | 240-276-0115 |
|---|---|---|
| 21 CFR 884.xxx | (Obstetrics/Gynecology) | 240-276-0115 |
| 21 CFR 894.xxx | (Radiology) | 240-276-0120 |
| Other | 240-276-0100 |
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 from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150
or at its Internet address http://www.fda.gov/cdrlv/industry/support/index.l1tml.
Sincerely yours,
Nancy Cbrogdon
Nancy C. Brogdon Director, Division of Reproductive. Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known): _ K070322
Device Name: syngo® Dynamics (version 6.0)
Indications for Use:
syngo® Dynamics is a Picture Archiving and Communication System (PACS) intended for acceptance, transfer, display, storage, archive and manipulition of digital medical images, including quantification and report generation.
syngo® Dynamics is not intended to be used for reading of mammography images.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
| Prescription Use(Part 21 CFR 801 Subpart D) | X | AND/OR | Over-The-Counter Use(21 CFR 801 Subpart C) |
|---|---|---|---|
| ------------------------------------------------- | ---------- | -------- | ------------------------------------------------ |
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
| 510(k) Number | K070322 |
|---|---|
| --------------- | --------- |
Special 510(k)Special 510(K)
Siemens Medical Solutions USA, Inc. syngo® Dynamics
Confidential
§ 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).