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syngo Application Software

Siemens Medical Solutions, USA, Inc. • Radiology • 06/09/2017

510(k)IEC 62304 Class C
FDA Summary PDF

Device Purpose

The syngo Application Software is engineered to enhance medical image visualization and provide advanced guidance for diagnostic and interventional procedures. Its "syngo TrueFusion" feature achieves this by integrating real-time transesophageal ultrasound with live fluoroscopy, employing automated machine learning-based co-registration and anatomical modeling to improve procedural navigation and decision-making.

Summary

The syngo Application Software (VD20) is a medical software platform designed for comprehensive medical image management, including real-time viewing, diagnostic review, post-processing, 3D visualization, communication, and storage. It supports a wide range of clinical applications, facilitating diagnostic image viewing and providing image-guided solutions for interventional procedures across specialties such as cardiology, electrophysiology, oncology, radiology, and neuroradiology. The software can be deployed on standalone workstations or integrated within Siemens Angiography, fluoroscopy, or radiographic systems, assisting physicians in diagnosis, treatment planning, and control, particularly for minimally invasive surgical procedures and tumor treatments. A key enhancement to this platform is the "syngo TrueFusion" feature, which enables the fusion of transesophageal ultrasound (TEE) information with live 2D fluoroscopic images. This is achieved through automated co-registration ("eSie Sync"), which incorporates machine learning for probe detection, and "eSie Valves" for anatomical modeling of heart valves. The system aims to improve anatomical orientation, streamline TEE guidance, and reduce complexity in challenging procedures. Non-clinical performance testing on phantom datasets for syngo TrueFusion demonstrated mean deviations in measurements between 2.13mm and 2.92mm with standard deviations between 1.29mm and 1.69mm, which were deemed clinically acceptable.

AI Regulatory Concerns

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Keywords

syngo Application Softwaresyngo TrueFusionImage FusionUltrasoundFluoroscopyInterventional GuidanceTEE (Transesophageal Echocardiography)Co-registrationMachine LearningMedical Image Processing

Device Metadata

Submission Number
K170747
Company
Siemens Medical Solutions, USA, Inc.
Panel
Radiology
Product Code
N/A
Data Type
Images
Clinical Function
Intervention
AI Function
Analysis
AI Subclass
quantification/feature localization

Relevant Clinical Questions

  • Q1. How does the machine learning algorithm for "eSie Sync" probe detection perform with diverse patient anatomies and challenging imaging conditions not fully represented by phantom data?; What is the documented impact of "syngo TrueFusion" on clinical outcomes, such as procedure duration, radiation dose, and contrast agent volume, in specific interventional cardiology or radiology procedures?; Are there plans to expand "syngo TrueFusion" to integrate other imaging modalities beyond TEE and fluoroscopy, or to support different types of ultrasound probes?; What are the accuracy limitations and validation details of the "eSie Valves" modeling feature, especially in cases of severe valvular disease or post-surgical anatomy?; What mechanisms are in place within the "syngo TrueFusion" workflow to detect and alert users to potential misregistration events, and what are the recommended protocols for correction?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via 510(k) pathway; IEC 62304 Class C (software safety classification); Authorized before §524B enforcement

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Cybersecurity Evidence

Powered by SBOMator™

Based on AI-generated device summaries, not the full FDA submission. Items not detected here may still be present in the complete submission package.

Cyber Score10/100
SBOM Evidence⚠ Not mentioned in summary
Cyber Risk Assessment⚠ Not mentioned in summary
Postmarket Plan⚠ Not mentioned in summary
§524B ApplicableNo

Supply Chain BOM Evidence

Based on the CycloneDX / OWASP ECMA-424 xBOM ecosystem. Detection is from the AI-generated summary.

SBOMSoftware Bill of Materials
- Not detected
ML-BOMMachine Learning Bill of Materials(machine learning, algorithm, dataset)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials(platform)
✓ Detected
HBOMHardware Bill of Materials
- Not detected
CBOMCryptography Bill of Materials
- Not detected
VDR/VEXVulnerability Disclosure Report / Vulnerability Exploitability eXchange
- Not detected
OBOMOperations Bill of Materials
- Not detected

Analysis:

• Analysis is based on the AI-generated device summary, not the full FDA submission package. Click "Analyze Full FDA PDF" below to scan the actual submission document.

• Evidence of ML-BOM, SaaSBOM detected in AI-generated device summary.

• This device was authorized before §524B took effect. Cybersecurity evidence requirements were less prescriptive at the time.

• Postmarket cybersecurity monitoring plan not clearly documented in AI-generated device summary.

• Not detected in AI-generated device summary: SBOM, HBOM, CBOM, VDR/VEX, OBOM. These may be present in the full FDA submission.

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syngo Application Software - Siemens Medical Solutions, USA, Inc. | ESL FDA AI Device Intelligence