A 510(k) depends on showing equivalence to a legally marketed device, but a headset-delivered therapy or overlay often differs from older products in design, display and software. Choosing a predicate that holds up, and arguing the differences do not change safety or effectiveness, is a recurring hurdle.
Regulatory
What clearance does it need, and where?
Device classification, submissions, and quality systems. Region- and date-specific.
What is still hard here
Unsolved engineering problems at this stage, each linked to work documenting the difficulty.
Medical XR software runs on consumer-grade headsets whose operating system and firmware change on the platform vendor's schedule. Each change can alter rendering, tracking or timing, and manufacturers must decide what needs re-verification and what a pre-agreed change plan can cover.
The FDA lists cybersecurity and privacy among the probable risks of AR/VR medical devices but sets no headset-specific controls, so each manufacturer has to decide what sensor data to collect and how to protect it.
1 record at this stage
A plan built from imaging has to be carried into theatre and aligned with the patient on the table, where attention and sterile field both constrain how it can be shown.
2 records at this stage
Transforms medical imaging into interactive 3D models for surgical planning, rehearsal, patient engagement, and intraoperative XR visualization.
A prescription-use immersive VR system providing adjunctive, skills-based treatment for adults with chronic lower-back pain.
3 records at this stage
Developer of immersive therapeutics, including the prescription-use RelieVRx system for chronic lower-back pain.
Developer of augmented and mixed reality visualisation for cardiac electrophysiology, including an FDA-cleared platform that renders real-time catheter data as a hands-free 3D hologram.
VR therapy platform delivering structured social and communication practice for neurodiverse learners, delivered on headsets, phones, or a browser.
1 record at this stage
FDA summary describing RelieVRx, its intended use, device classification, and relationship to the predicate device.