(14 days)
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.
For primary image diagnosis in mammography only uncompressed or non-lossy compressed images and only pre-processed DICOM "For Presentation" images must be used. Also only monitors which received FDA clearance for mammography must be used. syngo® Imaging also supports storage and archiving of DICOM Structured 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.
This premarket notification covers Siemens' enhanced PACS system syngo® Imaging, version V31.
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.
For primary image diagnosis in mammography only uncompressed or non-lossy compressed images and only pre-processed DICOM "For Presentation" images must be used.
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, especially by supporting the role based and context sensitive RIS portals (such as "Portal Radiologist").
Enhanced syngo® Imaging workplaces use a variety of advanced post processing 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 V31 contains 2 improvements on front end for usability, such as query enhancements and calibration improvements.
The provided 510(k) summary for Siemens' syngo® Imaging (version V31) is a software-only system described as a Picture Archiving and Communication System (PACS). It is intended to display, process, read, report, communicate, distribute, store, and archive digital radiological images, including digital mammography images. It supports physicians in diagnosis and treatment planning.
Crucially, this 510(k) submission does not contain a study presenting specific acceptance criteria or device performance data in the format of a clinical trial or performance study. Instead, it is a Special 510(k), indicating a modification to an already cleared device. The primary method for proving safety and effectiveness in such cases is demonstrating substantial equivalence to previously cleared predicate devices, by showing that the new device does not introduce new potential safety risks and performs as well as the predicates.
Therefore, many of the requested elements for a study proving acceptance criteria will not be present in this document.
Here's an analysis based on the available information:
1. Table of Acceptance Criteria and Reported Device Performance:
As this is a Special 510(k) focused on substantial equivalence to predicate devices for a PACS system, there are no specific quantitative acceptance criteria (e.g., sensitivity, specificity, accuracy) or performance metrics for a diagnostic task reported in the document. The acceptance for a PACS system is generally tied to its ability to reliably perform its stated functions (display, process, store, etc.) and integrate with existing systems, rather than diagnostic accuracy metrics.
| Acceptance Criteria | Reported Device Performance |
|---|---|
| Functional Equivalence to Predicates: The device should perform all the intended functions (image display, processing, reporting, storage, archiving) as well as the predicate devices. | The document states: "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." |
| Safety and Effectiveness: No new potential safety risks introduced. | Risk management (risk analysis, software development, verification and validation testing) is stated to ensure safety and effectiveness. Device labeling contains necessary cautions and warnings. |
| Digital Mammography Image Handling: For primary image diagnosis in mammography, only uncompressed or non-lossy compressed images and pre-processed DICOM "For Presentation" images must be used. Only FDA-approved monitors for mammography must be used. | The device explicitly states adherence to these conditions for mammography. Specific FDA-approved monitors are mentioned (e.g., Siemens AG: SMVD 21500 or DjSB-2103-D-5MP - K043122). |
| DICOM Conformance: Data Management can be used as a DICOM-Archive (LTS Long-term Storage) in accordance with the DICOM Conformance Statement. | Explicitly stated. |
| Integration with RIS: Integration with HL7- / DICOM-compatible RIS (IHE Year 5) to enable consistent workflows. | Explicitly stated. |
2. Sample Size Used for the Test Set and Data Provenance:
No specific test set or data provenance is mentioned as there isn't a performance study evaluating diagnostic accuracy. The "test set" for a PACS system mainly involves verification and validation testing to ensure software functionality, interoperability, and adherence to DICOM standards. These tests are typically conducted internally by the manufacturer and are not detailed in the 510(k) summary concerning specific image datasets or patient cohorts.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:
Not applicable. As there is no diagnostic performance study, there's no "ground truth" to establish for a test set in the context of expert review of images for disease detection.
4. Adjudication Method for the Test Set:
Not applicable for the reasons stated above.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done:
No, an MRMC comparative effectiveness study was not done or reported in this 510(k) summary. This type of study is typically performed for AI or CAD devices that directly aid in diagnostic interpretation, not for a general PACS system like syngo® Imaging.
6. If a Standalone Study Was Done:
No, a standalone (algorithm only without human-in-the-loop performance) study was not done for diagnostic accuracy. The device itself is a PACS, which is inherently a human-in-the-loop system designed to present images for human interpretation.
7. The Type of Ground Truth Used:
Not applicable. For a PACS system, "ground truth" relates to the correct functioning of the software, adherence to standards, and successful image archiving/retrieval, not to a diagnostic outcome or pathology finding from a specific image dataset.
8. The Sample Size for the Training Set:
Not applicable. This device is a PACS, not an AI or CAD system that would typically undergo a training phase on a large dataset of medical images.
9. How the Ground Truth for the Training Set Was Established:
Not applicable, as there is no training set for a machine learning model.
In summary, the 510(k) K081734 for syngo® Imaging (version V31) is a Special 510(k) demonstrating substantial equivalence to previously cleared PACS devices. It focuses on proving that the enhanced version maintains safety and effectiveness and performs comparably to its predicates, particularly highlighting compliance with conditions for digital mammography image handling and general PACS functionalities. It does not present a clinical performance study with specific diagnostic acceptance criteria, test sets, or ground truth establishment because it's a PACS, not a diagnostic AI/CAD system.
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JUL - 3 2008
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.
I. GENERAL INFORMATION
Establishment:
| · Address: | Siemens AG, Medical SolutionsHenkestrasse 127D-91052 ErlangenGermany |
|---|---|
| · Registration Number: | 3002808157 |
| · Contact Person: | Sabine SchroedelRegulatory Affairs ManagerTelephone: +49 (9131) 84-8285Telefax: +49 (9131) 84-2792 |
Device Name and Classification:
| Trade Name: | syngo® ImagingVersion V31 |
|---|---|
| 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 V31.
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.
For primary image diagnosis in mammography only uncompressed or non-lossy compressed images and only pre-processed DICOM "For Presentation" images must be used.
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Also only monitors which received FDA approval for mammography must be used.
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, especially by supporting the role based and context sensitive RIS portals (such as "Portal Radiologist").
Enhanced syngo® Imaging workplaces use a variety of advanced post processing 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 V31 contains 2 improvements on front end for usability, such as query enhancements and calibration improvements.
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 post processing, reading, 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).
The syngo Imaging supports external post processing via the OEM interface by integration of the 3rd party application syngo® WebSpace (K062673).
By usage of only specific FDA approved monitors (e.g Siemens AG: SMVD 21500 or DjSB-2103-D-5MP - K043122) validated together with the software, 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.
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For PACS server the syngo® Imaging Data Management can be used as a DICOM-Archive (LTS Long-term Storage) in accordance with the DICOM Conformance Statement.
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 work list and supports therefore reporting, documentation or administrative tasks.
Technological Characteristics: .
syngo® Imaging (version V31) 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 LINUX and Windows 2003 operating system. The workplaces are based on Windows XP. Any hardware platform, which is Windows / Windows XP certified, will be supported.
The herewith described syngo® Imaging supports DICOM formatted images and objects.
By usage of redundant hardware component and cluster software a high availability concept could be realized, which provides as less as possible system downtime.
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:
| Siemens | syngo Imaging | K071114 |
|---|---|---|
| Siemens | syngo MultiModality Workplace | K061964 |
The sungo® 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.
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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 stylized eagle with three stripes forming its wing and tail feathers. The eagle is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular fashion around the left side of the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
.1111 - 3 2008
Siemens AG, Medical Solutions % Mr. Stefan Preiss Responsible Third Party Official TÜV SÜD America 1775 Old Hwy 8 NW, Ste 104 NEW BRIGHTON MN 55112-1891
Re: K081734
Trade/Device Name: syngo® Imaging (version V31) Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: June 16, 2008 Received: June 19, 2008
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:
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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 arctinents are 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 finding of substantial equivalence of wour device to a legally marketed predicate device results in a classification for your device and thus, vernoits 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 Center for Devices and Radiological Health's (CDRH's) Office of Compliarice prome 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 |
| Other | 240-276-0100 |
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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) 639-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrb/industry/support/index.html.
Sincerely vours.
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
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INDICATIONS FOR USE
510(k) Number (if known): 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.
For primary image diagnosis in mammography only uncompressed or non-lossy compressed images and only pre-processed DICOM "For Presentation" images must be used. Also only monitors which received FDA clearance for mammography must be used. syngo® Imaging also supports storage and archiving of DICOM Structured 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)
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N Coneurrence of the CDRH, Office of Device Evaluation (ODE)
Division of Reproductive. Abdominal and
(Division Sian-Off)
Radiological Devices 510(k) Number
Special 510(k) for syngo® Imaging
April 29, 2008
§ 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).