All stagesStage 6 of 8

Regulatory

What clearance does it need, and where?

Device classification, submissions, and quality systems. Region- and date-specific.

Open technical problems

What is still hard here

Unsolved engineering problems at this stage, each linked to work documenting the difficulty.

Technical problem
Finding a defensible predicate for a headset-based device

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.

VRARMRMedical devices
United StatesOpen problem
Source reviewedAI-assisted
Technical problem
Headset and OS updates versus change control

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.

VRARMRMedical devices
United StatesOpen problem
Source reviewedAI-assisted
Technical problem
Privacy and security of what a headset senses

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.

VRARMRMedical devicesCross-specialty
United StatesOpen problem
Source reviewedAI-assisted
Problems

1 record at this stage

Clinical problem
Keeping the plan visible during the operation

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.

MRARNeurosurgerySpine surgery
GlobalActive challenge
Solutions

2 records at this stage

Surgical visualization platform
Surgical Theater XR

Transforms medical imaging into interactive 3D models for surgical planning, rehearsal, patient engagement, and intraoperative XR visualization.

ARVRNeurosurgerySpine surgery
United States / GlobalCommercial
Source reviewed
Prescription VR system
RelieVRx

A prescription-use immersive VR system providing adjunctive, skills-based treatment for adults with chronic lower-back pain.

VRPain management
United StatesCommercial medical device
Source reviewed
Organizations

3 records at this stage

Healthcare technology company
AppliedVR

Developer of immersive therapeutics, including the prescription-use RelieVRx system for chronic lower-back pain.

VRPain managementBehavioral health
United StatesCommercial
Source reviewed
Medical AR company
SentiAR

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.

ARMRCardiologyElectrophysiology
United StatesCommercial
Source reviewed
Immersive therapy company
Floreo

VR therapy platform delivering structured social and communication practice for neurodiverse learners, delivered on headsets, phones, or a browser.

VRBehavioral healthNeurodiversity
United StatesCommercial
Source reviewed
Evidence

1 record at this stage

Regulatory record
RelieVRx FDA 510(k) Summary — K243417

FDA summary describing RelieVRx, its intended use, device classification, and relationship to the predicate device.

VRPain management
United StatesPublic record
Source reviewed
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