K053133 · Siemens Medical Solutions USA, Inc. · LLZ · Dec 5, 2005 · Radiology
Device Facts
Record ID
K053133
Device Name
SYNGO DYNAMICS, VERSION 5.0
Applicant
Siemens Medical Solutions USA, Inc.
Product Code
LLZ · Radiology
Decision Date
Dec 5, 2005
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 892.2050
Device Class
Class 2
Indications for 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.
Device Story
syngo® Dynamics v5.0 is a digital image management system (PACS) including a DICOM server. It receives, stores, distributes, and archives images from acquisition devices like ultrasound and x-ray angiography machines. The system provides workstations for clinicians to review, edit, and manipulate image data, generate quantitative/qualitative data, and create diagnostic reports. It features cardiology-oriented tools for x-ray angiography and echocardiography, with additional support for radiology, obstetrics, and nuclear medicine. The system is deployed as a turnkey solution on OEM hardware or as an optional software-only workplace installed by end-users. Clinicians use the output for diagnostic review and clinical decision-making. The system supports hosting 3rd party software applications.
Clinical Evidence
No clinical data provided. Substantial equivalence is supported by bench testing, risk analysis, and software verification and validation protocols.
Technological Characteristics
Software-based PACS; operates on off-the-shelf OEM computer hardware; utilizes Microsoft Windows 2003 Server or Windows XP operating systems. Supports DICOM-formatted images and structured report objects. Turnkey or software-only deployment models. No specific hardware materials or energy sources defined beyond standard computing infrastructure.
Indications for Use
Indicated for use as a Picture Archiving and Communication System (PACS) for the acceptance, transfer, display, storage, archive, and manipulation of digital medical images, including quantification and report generation. No specific patient population, age, or disease state contraindications are specified.
Regulatory Classification
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.
Special Controls
*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).
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K053133
510(k) Summary
syngo® Dynamics (version 5.0)
Date of Summary Preparation: [Date]
This summary of 510(k) safety and effectiveness information is being This Submitted in accordance with the requirements of 21 CFR §807.92.
#### General Information 1.
# 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.
Ludmilla Foubert Sr. Manager, Regulatory Affairs and Quality
| Telephone: | (610) 219-5373 |
|----------------|------------------------------|
| Fax: | (610) 219-1521 |
| email Address: | ludmilla.foubert@siemens.com |
#### Device Name and Classification 3.
| Trade Name: | syngo® Dynamics<br>Version 5.0 |
|-----------------------|---------------------------------------------|
| 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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#### 4. Device Description
This premarket notification covers Siemens' enhanced system syngo® Dynamics, version 5.0.
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 angiography machines. The system has workplaces that can be used to review, edit, and manipulate image data, as well as to generate quantitative data, qualitative data, and diagnostic reports.
synad® Dynamics provides advanced reporting features, including cardiology oriented features for review and analysis of x-ray angiographic images, and the capability to host additional 3rd party software applications.
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. syngo® Dynamics is installed by Siemens service engineers.
Version 5.0 contains extended reporting features to address a broader range of diagnostic imaging needs and other added capabilities for Radiology and Obstetric imaging, while continuing to provide special focus on Cardiology needs including echocardiography, x-ray anqiography, and image storage for nuclear medicine.
synqo® Dynamics, version 5.0 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
svngo® 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.
#### 6. Substantial Equivalence
The syngo® Dynamics, addressed in this premarket modification, is substantially equivalent to the following commercially available devices:
| Predicate Device Name and | 510(k) | Clearance | Product |
|-------------------------------------------|---------|------------|---------|
| Manufacturer | Number | Date | Code |
| KinetDx<br>Siemens Medical Solutions, Inc | K041029 | 07/05/2004 | LLZ |
CONE:DENTIAL
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| Predicate Device Name and<br>Manufacturer | 510(k)<br>Number | Clearance<br>Date | Product<br>Code |
|--------------------------------------------------------------------------------------|------------------|-------------------|-----------------|
| VERICIS Cardiovascular Image and<br>Information System<br>Camtronics Medical Systems | K051649 | 08/02/2005 | LLZ |
| AscentiaTM (formally EncompassTM)<br>Heartlab Inc | K050228 | 02/18/2005 | LLZ |
### 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 syngo@ Dynamics is a bonthan off-the-shelf OEM computer hardware. syngo® Dynamics is installed by Siemens service engineers.
syngo® Dynamics, version 5.0 also offers an optional "software only" workplace Syngo® Dynamics, version 3.0 also on on will be delivered on CD-ROM and with full viewing and report generation, when computer hardware. This software-only installed by the cha ason on his the customer's computer hardware meet defined requirements.
synqo® Dynamics servers use the Microsoft Windows 2003 Server operating syngo® Dynamics Servere ase the Microsoft Windows XP operating system.
The herewith described syngo® Dynamics supports DICOM-formatted images and structured report objects.
#### 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 hisk management to onsared have are controlled via software development and hazards. Those potonial hazarsa To minimize electrical, mechanical and vellication and valiation toot.hg. To recognized and established industry practices and standards.
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### Conclusion as to Substantial Equivalence ರು.
In summary, Siemens is of the opinion that syngo@ Dynamics does not introduce In summary, Slemens is of the opinion that Syngos Bynamouth.
any new potential safety risks and is substantially equivalent to and performs as well as the predicate devices.
R, L, L,
11/04/2005
---
Date
Date
Ludmilla Foubert Eudmilla Foubox
Sr. Manage, Regulatory Affairs and Quality
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Image /page/4/Picture/1 description: The image shows the logo for the Department of Health and Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES USA" written around it. Inside the circle is a stylized symbol that resembles three human profiles facing to the right, stacked on top of each other.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
DEC 5 2005
Ms. Judith Campbell Regulatory Technical Specialist Regulatory Submissions Siemens Medical Solutions USA, Inc. 51 Valley Stream Parkway, E-50 MALVERN PA 19355
K053133 Re.: Trade/Device Name: syngo® Dynamics (version 5.0) Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system. Regulatory Class: II Product Code: LLZ Dated: November 4, 2005 Received: November 8, 2005
Dear Ms. Campbell:
We have reviewed your Section 510(k) premarket notification of intent to market the device estated in we have reviewed your Section 510(ts) premaintially equivalent (for the indications for use tated in above and have decemined the devices marketed in interstate commerce prior to the enclosure) to regally marketed productions accessful with a mendments or to devices that have been May 26, 1978, the claculibilit dato of the Federal Food, Drug, and Cosmetic Act (Act) that reclassified in accordance with the provide of therefore, market the device, do not require approval of a provisions of the Act. The general controls provisions of the Act include subject to the general confors provisions of affects, 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 II your device is classified (see above) into exist regulations affecting your device can be found in the be subject to additional connolis. Entrolling in addition, FDA may publish further Oode of Peachar concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that Please be advised mar 127 's issualled on a saceaanna sight other requirements of the Act or any
FDA has made a determination that your device complies with other requirement Federal statutes and regulations administered by other Federal agencies. You must comply with all the line Federal statues and tegulations administered of other Fration and listing (2) CFR Part 807); tabeling Act sTequirements, melading, but not minication requirements as set forth in the quality systems (QS) (ZT CFR Part 801); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.
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This letter will allow you to begin marketing your device as described in your Section 510(k)
Children and consideration TRAC Coliner of unction of your device to a legally This letter will allow you to begin marketing your actives of your device of your device of your device to a legally
premarket notification. The FDA innder if your device an premarket notification. The FDA finding of substantial equivalion of your device to procced to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please
r in the regulation of the filler following pumbers, based on the regulat If you desire specific advice for your device on our labeling regaration (1) vol
contact the Office of Compliance at one of the following numbers, based on the regulation num the top of this letter:
| 21 CFR 876.xxxx<br>21 CFR 884.xxxx<br>21 CFR 892.xxxx<br>Other | (Gastroenterology/Renal/Urology)<br>(Obstetrics/Gynecology)<br>(Radiology) | 240-276-0115<br>240-276-0115<br>240-276-0120<br>240-276-0100 |
|----------------------------------------------------------------|----------------------------------------------------------------------------|--------------------------------------------------------------|
|----------------------------------------------------------------|----------------------------------------------------------------------------|--------------------------------------------------------------|
Also, please note the regulation while be reference to prematic notification" (21 CFR Also, please note the regulation entitled, " Misoralians on your responsibilities under the Act from the 807.97). You may obtain other general information on your responsible in toll-free number (800)
Division of Small Manufacturers, International deco DIVISION of Binan 1443-6597 or at its Internet address 038-2041 of (2017) · 1301) · 1301) · 1301 · 1000 · 11:11 · 1
Sincerely yours,
Nancy C. Hogdon
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): _ Ko23133 _______________________________________________________________________________________
## Device Name: syngo® Dynamics (version 5.0)
Indications for Use:
syngo® Dynamics is a Picture Archiving and Communication System (PACS) Syngo® Dynamios is a Protate Kranker, display, storage, archive and manipulation informou for doosplanes, including quantification and report generation.
### (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)
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
David G. Ingram
(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K053133
Page 1 of 1
CONFIDENTIA!
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1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
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Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
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Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
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Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
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Reading rule for every project: how many summaries do you read in full?
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5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
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What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
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Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.