K073418 · Siemens AG Medical Solutions · LLZ · Feb 29, 2008 · Radiology
Device Facts
Record ID
K073418
Device Name
SYNGO IMAGING CCF VA10A
Applicant
Siemens AG Medical Solutions
Product Code
LLZ · Radiology
Decision Date
Feb 29, 2008
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 892.2050
Device Class
Class 2
Attributes
3rd-Party Reviewed
Indications for Use
syngo Imaging CCF is a Picture Archiving and Communication System intended for enterprise wide storage, archiving and distribution of digital radiology images and reports to clinical personnel for viewing of current and prior studies. It is not intended for primary diagnosis. It offers the possibility to store the images in uncompressed/lossless compressed and lossy compressed format depending on modality specific configuration to optimize usage of storage space. All lossy compressed images are displayed with warning triangles to indicate that the images are not suitable for diagnosis. In DICOM transfers, the respective compression related DICOM attributes are filled. In a comprehensive imaging suite, syngo Imaging integrates hospital information systems (HIS) to enable customer specific workflows.
Device Story
syngo Imaging CCF VA10A is a PACS for enterprise-wide storage, archiving, and distribution of digital radiology images and DICOM reports. System integrates with hospital information systems (HIS) and RIS via HL7/DICOM to support clinical workflows; enables multi-site data replication, enterprise patient context, and server performance monitoring. Operates on common IT hardware (Linux/Windows 2003 backend; Windows XP workstations). Images stored in uncompressed, lossless, or lossy formats; lossy images flagged with warning triangles for non-diagnostic use. Clinicians access images/reports for review; system facilitates cross-reading and high availability. Benefits include fast, continuous access to radiological data and optimized storage management.
Clinical Evidence
No clinical data. Safety and effectiveness established via risk analysis, verification, and validation testing of software and hardware integration.
Technological Characteristics
PACS software system; hardware-independent (runs on certified Windows/Linux IT hardware). Supports DICOM image/object storage. Features: NAS-based central storage, data replication, automatic data reconciliation, enterprise patient context, and server performance monitoring. Software-based compression (lossless/lossy).
Indications for Use
Indicated for clinical personnel requiring enterprise-wide storage, archiving, and distribution of digital radiology images and reports for viewing current and prior studies. Not intended for primary diagnosis.
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).
SIENET MagicWeb (Web Server), MagicLink I (K973131)
Submission Summary (Full Text)
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K073418
# FEB 2 9 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 Solutions<br>Henkestrasse 127<br>D-91052 Erlangen<br>Germany |
|---------------------------------|----------------------------------------------------------------------------------------------------------------|
| Registration Number: | 3002808157 |
| Contact Person: | Sabine Schroedel<br>Regulatory Affairs Manager<br>Telephone: +49 (9131) 84-8285<br>Telefax: +49 (9131) 84-2792 |
| Device Name and Classification: | |
| • Trade Name: | syngo® Imaging<br>CCF_VA10A |
| • 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 addresses the Siemens syngo-based Picture Archiving and Communication System syngo® Imaging CCF VA10A.
syngo Imaging CCF is a Picture Archiving and Communication System intended for enterprise wide storage, archiving and distribution of digital radiology images and reports to clinical personnel for viewing of current and prior studies. It is not intended for primary diagnosis.
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It offers the possibility to store the images in uncompressed/lossless compressed and lossy compressed format depending on modality specific configuration to optimize usage of storage space.
All lossy compressed images are displayed with warning triangles to indicate that the images are not suitable for diagnosis. In DICOM transfers, the respective compression related DICOM attributes are filled.
In a comprehensive imaging suite, syngo Imaging integrates hospital information systems (HIS) to enable customer specific workflows.
The system is a "hardware independent" solution to be distributed combined with common IT hardware which must comply to predefined minimum hardware requirements.
syngo® Imaging CCF VA10A supports the following additional features:
- NAS based central enterprise storage of 10x compression 배
- . Data replication between sites in a multisite environment
- 트 Automatic data reconciliation (in synch with information systems)
- 프 Client redirectin - for high availability and to enable cross reading
- Enterprise patient context (multi MRN support)
- 의 Comprehensive server performance monitoring
Basically these functionalities do not alter the fundamental scientific technology of syngo® Imaging CCF VA10A.
### 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.
For PACS server the syngo® Imaging CCF VA10A 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 CCF VA10A PACS a consistent workflow - from patient registration to requirement scheduling to a personal work list and supports therefore reporting, documentation or administrative tasks.
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#### Technological Characteristics: .
syngo® Imaging (CCF VA10A) is a "software plus hardware"-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 CCF_VA10A 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 (CCF VA10A) supports DICOM formatted images and objects.
#### t 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.
#### t . Substantial Equivalence:
The syngo® Imaging CCF VA10A, addressed in this premarket notification, is substantially equivalent to the following commercially available devices:
| Siemens | syngo Imaging | K071114 |
|---------|-------------------------------------------|---------|
| Siemens | SIENET MagicWeb (Web Server), MagicLink I | K973131 |
The syngo® Imaging CCF VA10A 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 CCF VA10A 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 graphic of an abstract human figure with three lines extending upwards, enclosed within a circle. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper portion of the circle.
Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850
FEB 2 9 2008
Siemens AG, Medical Solutions % Mr. Stefan Preiss TUV SUD America, Inc. 1775 Old Highway 8 NW NEW BRIGHTON MN 55112-1891
Re: K073418
Trade/Device Name: syngo® Imaging CCF VA10A Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: February 11, 2008 Received: February 14, 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 (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/3/Picture/10 description: The image is a circular logo with the text "1906-2006" at the top. The letters "FDA" are in the center of the logo in a stylized font. Below the letters, the word "Centennial" is written in a cursive font. There are three stars at the bottom of the logo.
Protecting and Promoting Public Health.
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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 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 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 Part 801), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at one 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" (21 CFR 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) 638-2041 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 CCF is a Picture Archiving and Communication System intended for enterprise wide storage, archiving and distribution of digital radiology images and reports to clinical personnel for viewing of current and prior studies. It is not intended for primary diagnosis.
It offers the possibility to store the images in uncompressed/lossless compressed and lossy compressed format depending on modality specific configuration to optimize usage of storage space.
All lossy compressed images are displayed with warning triangles to indicate that the images are not suitable for diagnosis. In DICOM transfers, the respective compression related DICOM attributes are filled.
In a comprehensive imaging suite, syngo Imaging integrates hospital information systems (HIS) to enable customer specific workflows.
× 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) ーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーーー
Concurrence of the CDRH, Office of Device Evaluation (ODE)
510(k) for syngo® Imaging CCF VA10A
October 22nd, 20
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(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K073418
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Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
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.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
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).
2. The results table
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.
Where do you find a device's intended use without opening the PDF?
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.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
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.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
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.
8. Chart view
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.