K Number
K111861
Device Name
SYNGO.MR ONCO, SYNGO.MR 3D LESION SEGMENTATION, SYNGO.MR ONCO ENGINE
Date Cleared
2012-01-06

(190 days)

Product Code
Regulation Number
892.2050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
syngo.MR Oncology is a syngo.via-based image viewing, processing and reading software. This software allows for oncological MR image evaluation in a structured way. It is a reading application primarily for convenient reading of MR scans of single or multiple body regions up to the entire body which have been acquired for clinical purposes such as oncological screening, staging and grading. The reading application does not block the display of data from other modalities that syngo.via supports. syngo.MR Oncology is designed to support the oncological workflow including interpretation and evaluation of examinations, and follow-up documentation of findings. Note: The clinician retains the ultimate responsibility for making the pertinent diagnosis based on their standard practices and visual comparison of the separate unregistered images. syngo.MR Oncology is a tool to support the standard practices and visual comparisons. The system is not intended for the displaying of digital mammography images for diagnosis in the U.S.
Device Description
In addition to the reading and reporting functions/tools that are available in the predicate syngo.via basic software configuration, Siemens Healthcare intends to offer MR specific workflow configurations that are adapted for MR Oncology (syngo.MR Oncology). syngo.MR Oncology is a syngo-based image viewing, processing and reading software. This software allows for oncological MR image evaluation in a structured way. It is a reading application supporting convenient reading of MR scans of single or multiple body regions, up to the entire body which have been acquired for clinical purposes such as oncological screening, diagnosis and staging. The medical device software syngo.MR Oncology consists of the following two applications: syngo.MR Onco Workflows and the syngo.MR 3D Lesion Segmentation Tool. The syngo.MR Onco Workflow application consists of the following tools: MR Onco Multi-Region, MR Onco Liver, MR Onco Brain, MR Onco TimCT and an Onco report. The syngo.MR 3D Lesion Segmentation Tool also known as MR Segmentation tool, is a tool using the Random walker algorithm (default algorithm) or the Level Set algorithm. 3D Lesion Segmentation provides convenient volumetric evaluation of lesions and/or other structure of interest as well as a particularly useful tool for oncology applications (for example volumetric evaluation of tumors, lymph nodes and metastases), and nononcology lesions or other structures of interest with sufficient contrast to surrounding tissue.
More Information

Not Found

No
The document describes image processing and segmentation tools using algorithms like Random Walker and Level Set, but does not mention AI or ML.

No.
The device is described as image viewing, processing, and reading software that supports the oncological workflow by aiding in the interpretation, evaluation, and documentation of findings from MR scans. It is a support tool for diagnosis but does not directly deliver therapy or treat a condition.

Yes.
The "Intended Use / Indications for Use" section states that the software allows for "oncological MR image evaluation" and is a "reading application primarily for convenient reading of MR scans... which have been acquired for clinical purposes such as oncological screening, staging and grading." Furthermore, it mentions, "syngo.MR Oncology is designed to support the oncological workflow including interpretation and evaluation of examinations, and follow-up documentation of findings." This clearly indicates its role in the diagnostic process.

Yes

The device is described as "syngo.MR Oncology is a syngo.via-based image viewing, processing and reading software" and its components are listed as software applications and tools. There is no mention of accompanying hardware being part of the device itself.

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

Here's why:

  • IVDs analyze biological samples (like blood, urine, tissue) outside of the body. The description of syngo.MR Oncology clearly states it is a software for viewing, processing, and reading MR images. MR images are generated from the body using magnetic fields and radio waves, not by analyzing biological samples.
  • The intended use is for image evaluation and interpretation. The software supports the oncological workflow by helping clinicians interpret and evaluate MR scans. This is distinct from the analysis of biological markers or substances in a lab setting, which is the domain of IVDs.

The device is a medical image processing and viewing software, not an IVD.

N/A

Intended Use / Indications for Use

syngo.MR Oncology is a syngo.via-based image viewing, processing and reading software. syngo.MR Oncology is a syngo.via Babea image evaluation in a structured way. It is a This soltware allows for orloological will image even of single or multiple body reading application primarily for convenient reading of MR scans of single or multiple body regions up to the entire body which have been acquired for clinical purposes such as oncological screening, staging and grading. The reading application does not block the display of data from other modalities that syngo.via supports.

syngo.MR Oncology is designed to support the oncological workflow including interpretation and evaluation of examinations, and follow-up documentation of findings.

The clinician retains the ultimate responsibility for making the pertinent Note: diagnosis based on their standard practices and visual comparison of the separate unregistered images. syngo.MR Oncology is a tool to support the standard practices and visual comparisons.

The system is not intended for the displaying of digital mammography images for diagnosis in the U.S.

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

LLZ, LNH

Device Description

In addition to the reading and reporting functions/tools that are available in the predicate syngo.via basic software configuration, Siemens Healthcare intends to offer MR specific workflow configurations that are adapted for MR Oncology (syngo.MR Oncology).

syngo.MR Oncology is a syngo-based image viewing, processing and reading software. This software allows for oncological MR image evaluation in a structured way. It is a reading application supporting convenient reading of MR scans of single or multiple body regions, up to the entire body which have been acquired for clinical purposes such as oncological screening, diagnosis and staging.

The medical device software syngo.MR Oncology consists of the following two applications: syngo.MR Onco Workflows and the syngo.MR 3D Lesion Segmentation Tool.

The syngo.MR Onco Workflow application consists of the following tools: MR Onco Multi-Region, MR Onco Liver, MR Onco Brain, MR Onco TimCT and an Onco report.

The syngo.MR 3D Lesion Segmentation Tool also known as MR Segmentation tool, is a tool using the Random walker algorithm (default algorithm) or the Level Set algorithm. 3D Lesion Segmentation provides convenient volumetric evaluation of lesions and/or other structure of interest as well as a particularly useful tool for oncology applications (for example volumetric evaluation of tumors, lymph nodes and metastases), and nononcology lesions or other structures of interest with sufficient contrast to surrounding tissue.

Mentions image processing

syngo.MR Oncology is a syngo.via-based image viewing, processing and reading software.

Mentions AI, DNN, or ML

The syngo.MR 3D Lesion Segmentation Tool also known as MR Segmentation tool, is a tool using the Random walker algorithm (default algorithm) or the Level Set algorithm.

Input Imaging Modality

MR scans

Anatomical Site

single or multiple body regions, up to the entire body

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)

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.

K082427, K092519, K093621, K101119

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

§ 892.2050 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

SIEMENS

KIII 861

510(k) Summary: syngo.MR Oncology

This summary of 510(k) safety and effectiveness information is being submitted in This burnmary of STO(1) Caroly at Safe Medical Device Act 1990 and 21 CFR § 807.92.

General Information l.

| Establishment | Siemens Medical Solutions USA, Inc.
51 Valley Stream Parkway
Mail Code D02
Malvern, PA 19355, USA |
|----------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Registration Number | 2240869 |
| Manufacturer | Siemens AG
Henkestrasse 127
D-91052 Erlangen, Germany |
| Registration Number | 8010024 |
| Contact Person | Ms. Nadia Sookdeo
Technical Specialist
Regulatory Affairs/Clinical Affairs
Phone: (610) 448-4918
Fax: (610) 448-1787
Email: nadia.sookdeo@siemens.com |
| Device Name
Classification Name:
Classification Panel:
Regulation number:
Device Class:
Product Code: | syngo.MR Oncology
Picture Archiving and Communications System
(PACS)
Radiology
21 CFR § 892.2050
II
LLZ, LNH |

1

Image /page/1/Picture/16 description: The image shows the word "SIEMENS" in all capital letters. The letters are outlined in black and filled with a textured pattern. The font is bold and sans-serif, giving the word a strong and clear appearance.

Safety and Effectiveness Information Supporting Substantial Equivalence II.

Indications for Use:

manations for oncology is a syngo.via-based image viewing, processing and reading offware. This software allows for oncological MR image evaluation in a structured way. It is a reading application primarily for convenient reading of MR scans of way. It is a lually and regions up to the entire body which have been acquired for clinical purposes such as oncological screening, staging and grading. The reading application does not block the display of data from other modalities that syngo.via supports.

syngo.MR Oncology is designed to support the oncological workflow including interpretation and evaluation of examinations, and follow-up documentation of findings.

The clinician retains the ultimate responsibility for making the pertinent Note: diagnosis based on their standard practices and visual comparison of the separate unregistered images. syngo.MR Oncology is a tool to support the standard practices and visual comparisons.

The system is not intended for the displaying of digital mammography images for diagnosis in the U.S.

Device Description

In addition to the reading and reporting functions/tools that are available in the predicate syngo.via basic software configuration, Siemens Healthcare intends to offer MR specific workflow configurations that are adapted for MR Oncology (syngo.MR Oncology).

syngo.MR Oncology is a syngo-based image viewing, processing and reading software. This software allows for oncological MR image evaluation in a structured way. It is a reading application supporting convenient reading of MR scans of single or multiple body regions, up to the entire body which have been acquired for clinical purposes such as oncological screening, diagnosis and staging.

The medical device software syngo.MR Oncology consists of the following two applications: syngo.MR Onco Workflows and the syngo.MR 3D Lesion Segmentation Tool.

The syngo.MR Onco Workflow application consists of the following tools: MR Onco Multi-Region, MR Onco Liver, MR Onco Brain, MR Onco TimCT and an Onco report.

The syngo.MR 3D Lesion Segmentation Tool also known as MR Segmentation tool, is a tool using the Random walker algorithm (default algorithm) or the Level Set algorithm. 3D Lesion Segmentation provides convenient volumetric evaluation of lesions and/or other structure of interest as well as a particularly useful tool for oncology applications (for example volumetric evaluation of tumors, lymph nodes and metastases), and nononcology lesions or other structures of interest with sufficient contrast to surrounding tissue.

2

Image /page/2/Picture/1 description: The image shows the word "SIEMENS" in a bold, outlined font. The letters are large and evenly spaced, filling the frame of the image. The font style gives the word a distinct and recognizable appearance.

syngo.MR Oncology 510(k)

General Safety and Effectiveness Concerns:

General Oalery and Enternetions for use and any necessary cautions and warnings to provide for safe and effective use of the device.

Risk management is ensured via a risk analysis in compliance with ISO 14971:2007 to identify and provide mitigation to potential hazards beginning early in the design cycle and continuing throughout the development of the product.

These potential hazards are controlled via software development, verification and validation testing. To minimize hazards, Siemens adheres to recognized and established industry practice and standards.

Substantial Equivalence

The syngo.MR Oncology is substantially equivalent to the following devices:

| Predicate
Software Name | 510(K) Clearance
Number | 510(k) Clearance Date |
|-------------------------------------|----------------------------|-----------------------|
| Software
syngo MR B17 | K082427 | November 7, 2008 |
| Software
syngo.x (syngo.via) | K092519 | August 27, 2009 |
| Software
syngo PET&CT Oncology | K093621 | February 23, 2010 |
| Syngo Dosimetrist Workspace
v2.7 | K101119 | June 6, 2010 |

In summary, modifications made to the predicate device software do not affect the intended use of the device nor alter its fundamental scientific technology. Siemens believes that the subject software (syngo.MR Oncology) is substantially equivalent to the above listed predicate devices.

3

Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services. The logo includes the department's seal on the left and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES" on the right. The seal features a stylized human figure and a circle of text around it.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room - WO66-G609 Silver Spring, MD 20993-0002

JAN - 6 2012

Ms. Nadia Sookdeo Technical Specialist Regulatory & Clinical Affairs Siemens Medical Solutions USA, Inc. Customer Solutions Group 51 Valley Stream Parkway, Mail Code D02 MALVERN PA 19355

Re: K111861

Trade/Device Name: syngo. MR Oncology Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: December 7, 2011 Received: December 8, 2011

Dear Ms. Sookdeo:

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 class II (Special Controls), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of

4

medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely Yours.

Mary Pastel

Mary S. Pastel, Sc.D. Director Division of Radiological Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

Indications for Use Statement

510(k) Number (if known): K111861

Device Name: syngo MR Oncology

Indications for Use:

syngo.MR Oncology is a syngo.via-based image viewing, processing and reading software. syngo.MR Oncology is a syngo.via Babea image evaluation in a structured way. It is a This soltware allows for orloological will image even of single or multiple body
reading application primarily for convenient reading of MR scans of single or reading application primanly for corrective en acquired for clinical purposes such as regions up to the entire body which have been application does not block the display of data from other modalities that syngo.via supports.

syngo.MR Oncology provides analytical tools to help the user assess and document syngo.MR Oneonogy provides andryther to the diagnostic and therapy follow-up examinations.

syngo.MR Oncology is designed to support the oncological workflow including interpretation Syngolian Shoology is examinations, and follow-up documentation of findings.

Note: The clinician retains the ultimate responsibility for making the pertinent diagnosis Note. The Citilician relains the untinute respensibility to of the separate unregistered images. syngo.MR Oncology is a tool to support the standard practices and visual comparisons.

The system is not intended for the displaying of digital mammography images for diagnosis in the U.S.

Prescription Use X (Part 21 CFR 801 Subpart D)

Over-The-Counter Use _ AND/OR (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Mary Storts

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K111861/3
Page 1 of 1