K Number
K083524
Device Name
SYNGO DUAL ENERGY WITH EXTENDED FUNATIONALLY
Date Cleared
2009-04-01

(124 days)

Product Code
Regulation Number
892.1750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Syngo Dual Energy is designed to operate with Siemens Dual Source CT scanners. CT images taken at the same time, using two different kV levels, of the same anatomical region of a patient are used. Depending on the region of interest, contrast agents may be used. The differences in the energy dependence of the attenuation coefficient of the different materials provide information about the chemical composition of body materials. The images are combined to visualize and analyze information about anatomical and pathological structures. The functionality of the syngo® Dual Energy applications are as follows: - Lung Nodules - Xenon (Lung Ventilation) - Monoenergetic - Brain Haemorrhage - Gout Evaluation - Lung Vessels - Heart PBV - Dual Energy Bone Removal - Cartilage, Tendon, Ligament - Lung Perfusion - Liver - Hard Plaques in Vessels - Kidney Stones
Device Description
Syngo Dual Energy is designed to operate with Siemens Dual Source CT scanners. CT images taken at the same time, using two different kV levels, of the same anatomical region or a pattern a le penting our trist egion of minterest contrast agentis may be useum int differences in the energy dependence of the attenuation coefficient of the different materials provide information about the chemical composition of body materials. The Images are combined to visualize and analyze information about anatomical and pathological structures. The functionality of the syngo® Dual Energy applications are as follows: - Lung Nodules . - Xenon (Lung Ventilation) . - · Monoenergetic · · · · - Brain Haemorrhage ● - Gout Evaluation . - . Lung Vessels - Heart PBV . - Dual Energv Bone Removal - Cartilage, Tendon, Ligament - Lung Perfusion . - Liver ● - Hard Plaques in Vessels - Kidney Stones
More Information

Not Found

No
The summary describes image processing and analysis based on dual-energy CT principles, but there is no mention of AI, ML, or related concepts like training data, performance metrics associated with learning algorithms, or specific AI/ML functionalities.

No
The device is described as an imaging and analysis tool used to visualize anatomical and pathological structures, not a device that provides treatment.

Yes

The device's "Intended Use / Indications for Use" states that it "visualize and analyze information about anatomical and pathological structures" and lists specific applications such as "Lung Nodules", "Brain Haemorrhage", and "Kidney Stones", which are conditions that would typically be diagnosed by a medical professional.

No

The device is described as operating with Siemens Dual Source CT scanners and processing images from those scanners. While the software performs the analysis and visualization, it is dependent on and integrated with a hardware medical device (the CT scanner) for image acquisition. It is not a standalone software application that operates independently of hardware medical devices.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used outside of the body.
  • Device Function: The description clearly states that Syngo Dual Energy operates with Siemens Dual Source CT scanners and uses CT images taken of the patient. This is an in vivo imaging technique, meaning it is performed within the living body.
  • Purpose: The purpose is to visualize and analyze anatomical and pathological structures based on the physical properties of tissues (attenuation coefficients) using imaging data, not to analyze biological samples.

Therefore, Syngo Dual Energy is a medical imaging software application used in conjunction with a CT scanner, which is not an IVD.

N/A

Intended Use / Indications for Use

Syngo Dual Energy is designed to operate with Siemens Dual Source CT scanners. CT images taken at the same time, using two different kV levels, of the same anatomical region of a patient are used. Depending on the region of interest, contrast agents may be used. The differences in the energy dependence of the attenuation coefficient of the different materials provide information about the chemical composition of body materials. The images are combined to visualize and analyze information about anatomical and pathological structures.

The functionality of the syngo® Dual Energy applications are as follows:

  • Lung Nodules
  • Xenon (Lung Ventilation)
  • Monoenergetic
  • Brain Haemorrhage
  • Gout Evaluation
  • Lung Vessels
  • Heart PBV
  • Dual Energy Bone Removal
  • Cartilage, Tendon, Ligament
  • Lung Perfusion
  • Liver
  • Hard Plaques in Vessels
  • Kidney Stones

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

90 JAK

Device Description

Syngo Dual Energy is designed to operate with Siemens Dual Source CT scanners. CT images taken at the same time, using two different kV levels, of the same anatomical region or a pattern a le penting our trist egion of minterest contrast agentis may be useum int differences in the energy dependence of the attenuation coefficient of the different materials provide information about the chemical composition of body materials. The Images are combined to visualize and analyze information about anatomical and pathological structures.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT

Anatomical Site

Lung, Brain, Heart, Liver, Kidney, Vessels

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

Risk management is ensured via a hazard analysis, which is used to identify potential hazards. These potential hazards are controlled via software development, verification and validation testing.

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.

K073003, K071310, K837107

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.

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).

Not Found

§ 892.1750 Computed tomography x-ray system.

(a)
Identification. A computed tomography x-ray system is a diagnostic x-ray system intended to produce cross-sectional images of the body by computer reconstruction of x-ray transmission data from the same axial plane taken at different angles. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

1083524

Attachment 8

Summary

APR - 1 2009

510(k) - Summary

SIEMENS

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

  • Device Name and Classification 1.
Product Name:syngo® Dual Energy with extended functionality
Classification Name:Accessory to Computed Tomography System
Classification Panel:Radiology
CFR Section:21 CFR §892.1750
Device Class:Class II
Product Code:90 JAK

2. Importer/Distributor Establishment: Registration Number: 2240869

Siemens Medical Solutions, Inc. 51 Valley Stream Pkwy Malvern, PA 19355

3. Manufacturing Facility:

Siemens AG Medical Solutions Henkestrasse 127

D-91052 Erlangen, Germany

  • Contact Person: 4.
    Mrs. Corrine McLeod

Date of Preparation of Summary: September 10th 2007 ട.

510(k) submission for SIEMENS ' syngo Dual Energy

1

Summary

SIEMENS

SAFETY AND EFFECTIVENESS INFORMATION SUPPORTING THE SUBSTANTIAL II. EQUIVALENCE DETERMINATION

General Safety and Effectiveness Concerns: 6.

The device Iabeling contains instructions for use and any necessary cautions and warnings, to provide for safe and effective use of the device.

Risk management is ensured via a hazard 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: 7.

The syngo® Dual Energy software package that is addressed in this premarket notification, is substantially equivalent to the following commercially available Siemens Medical Systems devices :

ManufacturerProduct510(k)Clearance date
1. Siemenssyngo Dual EnergyK07300302/07/2008
2. Siemenssyngo OncologyK07131006/08/2007
3. SiemensSOMATOM DR IK83710703/09/1983

Device Description and Intended Use: 8.

Device Name: syngo® Dual Energy with extended functionality

Syngo Dual Energy is designed to operate with Siemens Dual Source CT scanners. CT images taken at the same time, using two different kV levels, of the same anatomical region or a pattern a le penting our trist egion of minterest contrast agentis may be useum int differences in the energy dependence of the attenuation coefficient of the different materials provide information about the chemical composition of body materials. The Images are combined to visualize and analyze information about anatomical and pathological structures.

The functionality of the syngo® Dual Energy applications are as follows:

  • Lung Nodules .
  • Xenon (Lung Ventilation) .
  • · Monoenergetic · · · ·
  • Brain Haemorrhage ●
  • Gout Evaluation .
  • . Lung Vessels
  • Heart PBV .
  • Dual Energv Bone Removal
  • Cartilage, Tendon, Ligament
  • Lung Perfusion .
  • Liver ●
  • Hard Plaques in Vessels
  • Kidney Stones

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with three lines representing its wings and body. The eagle is facing to the right.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR - 1 2009

Ms. Corrine McLeod Regulatory Affairs Specialist Siemens Medical Solutions USA, Inc. Corporate Headquarters 51 Valley Stream Parkway MALVERN PA 19355

Re: K083524

Trade/Device Name: syngo® Dual Energy with extended functionality Regulation Number: 21 CFR 892.1750 Regulation Name: Computed tomography x-ray system

Regulatory Class: II

Product Code: JAK

Dated: March 4, 2009

Received: March 16, 2009

Dear Ms. McLeod:

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.

3

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 (OS) 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 os 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 892.xxx(Radiology)(240) 276-0120
Other(240) 276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometrics' (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 Manufactures, 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/cdrh/industry.suppo/index.html.

Sincerely yours,

Janine M. Morris

anine M. Morris Acting Director, Division of Reproductive. Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Page 2

4

Indication for use

510(k) Number: K083524

Device Name: syngo Dual Energy with extended functionality

Syngo Dual Energy is designed to operate with Siemens Dual Source CT scanners. CT images taken at the same time, using two different kV levels, of the same anatomical region of a patient are used. Depending on the region of interest, contrast agents may be used. The differences in the energy dependence of the attenuation coefficient of the different materials provide information about the chemical composition of body materials. The images are combined to visualize and analyze information about anatomical and pathological structures.

The functionality of the syngo® Dual Energy applications are as follows:

  • Lung Nodules �
    Xenon (Lung Ventilation)

  • Monoenergetic .

  • Brain Haemorrhage .

  • Gout Evaluation

  • Lung Vessels

  • Heart PBV

  • Dual Energy Bone Removal

  • Cartilage, Tendon, Ligament .

  • Lung Perfusion .

  • Liver .

  • Hard Plaques in Vessels

  • Kidney Stones

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)

Concurrence of the CDRH, Office of Device Evaluation (ODE)Page ___ of ___
(Division Sign-Off)
Division of Reproductive, Abdominal and Radiological Devices
510(k) NumberK083524