K061964 · Siemens AG Medical Solutions · LLZ · Jul 27, 2006 · Radiology
Device Facts
Record ID
K061964
Device Name
SYNGO MULTIMODALITY WORKPLACE
Applicant
Siemens AG Medical Solutions
Product Code
LLZ · Radiology
Decision Date
Jul 27, 2006
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 892.2050
Device Class
Class 2
Attributes
Software as a Medical Device, 3rd-Party Reviewed
Indications for Use
The syngo MultiModality Workplace is a medical diagnostic workstation for viewing, manipulation, communication, and storage of medical images and data on exchange media. The syngo MultiModality Workplace can be configured as a stand-alone diagnostic review and post-processing workplace with a variety of syngo- or Windows XP-based software options, that are intended to assist the physician in diagnosis, surgical planning, interventional procedures or treatment planning. These options include commercially available post-processing software. The syngo MultiModality Workplace does not support the display of mammography images for diagnosis.
Device Story
syngo MultiModality Workplace (MMWP) is a diagnostic imaging workstation; operates on Windows XP platform; supports DICOM-formatted medical images. Functions as stand-alone review and post-processing station; enables viewing, manipulation, communication, and storage of radiological data. Configurable with various syngo or Windows XP-based software modules tailored to clinical focus. Used by physicians in clinical settings to assist in diagnosis, surgical planning, interventional procedures, and treatment planning. Does not support mammography diagnosis. System marketed as software-only or complete hardware/software workstation; installed by Siemens service engineers. Benefits include centralized access to multi-modality diagnostic information, aiding clinical decision-making through image optimization and processing tools.
Clinical Evidence
Bench testing only. Device safety and effectiveness established through risk analysis, software verification, and validation testing. No clinical data provided.
Technological Characteristics
Windows XP-based software platform; supports DICOM standard for image/data communication. Marketed as software-only or integrated hardware/software workstation. Connectivity via standard network interfaces. Risk management via software development lifecycle and verification/validation testing.
Indications for Use
Indicated for use by physicians as a diagnostic workstation for viewing, manipulating, communicating, and storing medical images and data to assist in diagnosis, surgical planning, interventional procedures, or treatment planning. Not indicated for the display of mammography images for 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).
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Siemens Medical Solutions, Inc 510(k) for syngo MultiModality Workplace_
# 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
JUL 27 2006
Establishment: . Address:
| Siemens AG |
|-------------------|
| Medical Solutions |
| Henkestrasse 127 |
| D-91052 Erlangen |
| Germany |
- 3002808157 Registration Number: .
- Ms. Sieglinde West Regulatory Affairs Manager Phone: +49 (9131) 84-3144 Fax: +49 (9131) 84-2792
Device Name:
.
- syngo MultiModality Workplace (syngo MM WP) Trade Name: . Picture Archiving and Communications System (PACS)
- . Classification:
- Classification Panel: .
Contact Person:
- 21 CFR §892.2050 CFR Section: .
- . Device Class: Class Hass H 1902
Radiology
. Product Code:
Date of Preparation of Summary: June 24th, 2006
## II. SAFETY AND EFFECTIVENESS INFORMATION SUPPORTING THE SUBSTANTIAL EQUIVALENCE DETERMINATION
#### . Device Description and Intended Use:
This premarket notification covers Siemens syngo MultiModality Workplace (syngo MM WP), a syngo-based workplace that supports different modalities. syngo is a universal imaging platform based on Windows XP. syrgo MultiModality Workplace offers a comprehensive solution to view, optimize, process diagnostic information and aid the doctors in the evaluation of digital radiological examinations and patient information.
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Due to special customer requirements based on the modality image type and the clinical focus, the syngo MultiModality Workplace can be configured with different combinations of clinical applications. syngo applications can be added to the multimodality workplace either individually or as clinically focused packages.
The syneo MultiModality Workplace is a medical diagnostic workplace for realtime viewing, manipulation, communication, and storage of medical images and data on exchange media.
The syrgo MultiModality Workplace can be configured as a stand-alone diagnostic review and post-processing workplace with a variety of syngo- or Windows XPbased software options, that are intended to assist the physician in diagnosis, surgical planning, interventional procedures or treatment planning. These options include commercially available post-processing software. The syngo MultiModality Workplace does not support the display of mammography images for diagnosis.
#### Technological Characteristics: .
The syngo MultiModality Workplace will be marketed as a software only solution for the end-user (with recommended hardware requirements) or as a complete work station for the end-user (hardware and software package). It will be installed by Siemens service engineers. The syngo MultiModality Workplace described supports DICOM formatted images and information. The workplace is based on the Windows XP operating system.
#### General Safety and Effectiveness Concerns: .
The device labeling 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 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 Multimodality Workplace, addressed in this premarket notification, is substantially equivalent to the following commercially available device:
syngo MultiModality Workplac (K052775) MAGNETOM Systems with Expert-i option (K052423)
The syngo MultiModality Workplace described in this premarket notification has the same intended use and similar technical characteristics as the devices listed above.
In summary, Siemens is of the opinion that the syngo MultiModality Workplace does not introduce any new potential safety risks and is substantially equivalent to and performs as well as the predicate device.
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Image /page/2/Picture/1 description: The image shows a logo for the Department of Health & Human Services - USA. The logo is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the circle is an abstract symbol that resembles a stylized eagle or bird in flight, composed of three curved lines.
Food and Drug Administration 9200 Corporate Blvd. Rockville MD 20850
JUL 27 2006
Siemens AG Medical Solutions % Mr. Stefan Preiss Responsible Third Party Official TÜV America, Inc., TÜV Product Service 1775 Old Highway 8 NEW BRIGHTON MN 55112-1891
Re: K061964
Trade/Device Name: syngo MultiModality Workplace (MMWP) Regulation Number: 21 CFR 892.2050 Regulation Name: Picture archiving and communications system Regulatory Class: II Product Code: LLZ Dated: July 5, 2006 Received: July 12, 2006
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/2/Picture/10 description: The image is a circular logo with the text "1906-2006" at the top. Below the text is the letters "FDA" in a bold, sans-serif font. Underneath the letters is the word "Centennial" in a cursive font. There are three stars below the word "Centennial". The logo is surrounded by a dotted border.
oting Public .
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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 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 894.xxx | (Radiology) | 240-276-0120 |
| Other | | 240-276-0100 |
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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/cdrl/industry/support/index.html.
Sincerely yours,
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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Section 1: Indications for Use
## Indications for Use
| 510(k) Number (if known): | K06 1964 |
|---------------------------|--------------------------------------|
| Device Name: | syngo MultiModality Workplace (MMWP) |
### Indications for Use
The syngo MultiModality Workplace is a medical diagnostic workstation for viewing, manipulation, communication, and storage of medical images and data on exchange media.
The syngo MultiModality Workplace can be configured as a stand-alone diagnostic review and post-processing workplace with a variety of syngo- or Windows XP-based software options, that are intended to assist the physician in diagnosis, surgical planning, interventional procedures or treatment planning. These options include commercially available post-processing software.
The syngo MultiModality Workplace does not support the display of mammography images for diagnosis.
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Concurrence of the CDRH, Office of Device Evaluation (ODE)
Prescription Use _ V OR Over-The-Counter Use (Per 21 CFR 801.109)
| June 24th, 2006 | CONFIDENTIAL | Page 6 |
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Division
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| 510(k) Number | KC61964 |
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Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
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.
