- Integration
- DICOM 3.0 import, export, and network exchange with imaging systems and treatment-planning systems; exact supported objects and automation depend on the cleared release and local configuration.
Public source Exact FDA submission Checked 2026-09-03
- Deployment and data flow
- Software platform used in radiation-therapy hospitals and clinics. FDA summaries describe account-based projects, browser-accessible functions in later releases, DICOM network exchange, and batch-mode operations; hosting, tenancy, interfaces, and compute sizing require site-specific confirmation.
Public source Exact FDA submission Checked 2026-09-03
- Security and privacy
- Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-03
Public materials reviewed for this batch do not establish the complete security posture for the exact release. Request architecture, data flow, identity, audit, encryption, retention, support-access, vulnerability-management, and incident-response evidence.
- Training and support
- Only trained and qualified radiation-therapy professionals should operate the software and review, correct, and approve its outputs. Local onboarding must include release-specific limitations, failure examples, escalation, and competency documentation.
Public source Exact FDA submission Checked 2026-09-03
- Monitoring and change control
- Monitor by exact software and model version, anatomy, structure, scanner and protocol, patient position, contrast, unusual or postsurgical anatomy, reviewer role, edit time, rejected outputs, DICOM-transfer failures, downstream plan effects, incidents, recalls, and updates. Revalidate after material workflow or model changes.
Public source Exact FDA submission Checked 2026-09-03
Release and scope verification
This special 510(k) added 48 structures to existing Annotate localizations, extended support to workflows including lung SBRT, and included eight bug fixes without changing the indication. Procurement should map the installed build, modules, models, anatomies, inputs, and outputs to K230023 before acceptance.
exact submission · checked 2026-09-03 Later product-family features are not evidence that an earlier cleared release includes them.
Interoperability acceptance
DICOM 3.0 import, export, and network exchange with imaging systems and treatment-planning systems; exact supported objects and automation depend on the cleared release and local configuration.
exact submission · checked 2026-09-03 Test representative imports, exports, identifiers, orientation, geometry, structure names, units, failure handling, and round trips in the local environment.
Clinical acceptance
Use a signed local test set spanning supported anatomies, scanners, protocols, unusual or postsurgical anatomy, and small or complex structures. Measure edit burden, rejection, downstream plan effects, and reviewer agreement rather than relying only on average overlap metrics.
product family · checked 2026-09-03 Define stop-use, escalation, rollback, and revalidation triggers before production use.
Economic evaluation
Model total annual and per-plan cost against hands-on and elapsed time after review, correction, failed transfers, rework, support, upgrades, downtime, and any effect on plan quality or throughput.
product family · checked 2026-09-03 Vendor time-saving results are scenario inputs, not guaranteed local savings.
Lifecycle monitoring
Monitor by exact software and model version, anatomy, structure, scanner and protocol, patient position, contrast, unusual or postsurgical anatomy, reviewer role, edit time, rejected outputs, DICOM-transfer failures, downstream plan effects, incidents, recalls, and updates. Revalidate after material workflow or model changes.
product family · checked 2026-09-03 Trend failures and edits by exact software version, model, anatomy, scanner, protocol, and site.