FDA-cleared profile

Oncospace

Oncospace, Inc.

Authorized purpose: Oncospace supports trained radiation therapy professionals with protocol configuration, machine-learning achievable-dose prediction, planning-objective exchange, and plan review across head-and-neck, thoracic, abdominal, and pelvic workflows using locked models.

Evidence status: each field states its source quality, applicability, and review date. Research pending, information not established, and vendor documentation pending remain distinct outcomes.

Product overview

Start with the essentials

Authorized purpose: Oncospace supports trained radiation therapy professionals with protocol configuration, machine-learning achievable-dose prediction, planning-objective exchange, and plan review across head-and-neck, thoracic, abdominal, and pelvic workflows using locked models.

Overview status: Source-reviewed overview

Clinical takeaway

Clinical role: Oncospace supports trained radiation therapy professionals with protocol configuration, machine-learning achievable-dose prediction, planning-objective exchange, and plan review across head-and-neck, thoracic, abdominal, and pelvic workflows using locked models.

Evidence takeaway

Evidence from the reviewed source record: Exact FDA summaries describe retrospective model development, internal and external testing, and clinical validation intended to preserve plan quality while reducing planning effort. A 2026 vendor-authored publication reports a larger two-institution development and validation program; its financial-support disclosure and release mapping should be considered before generalizing results.

Clinical details

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
Oncospace supports trained radiation therapy professionals with protocol configuration, machine-learning achievable-dose prediction, planning-objective exchange, and plan review across head-and-neck, thoracic, abdominal, and pelvic workflows using locked models.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Clinical-use display mirrors the exact FDA-supported purpose reconciled from the decision-summary packet.

Intended users
Qualified and trained radiation-therapy professionals, including radiation oncologists, medical physicists, and dosimetrists, using the system under a physician prescription.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Exact FDA decision-summary packet reviewed on 2026-09-19; existing wording is supported without expansion.

Care setting and population
Radiation-therapy departments in hospitals, clinics, and other qualified treatment-planning facilities.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-03
Workflow role
Protocol management, achievable-dose prediction, planning-objective exchange, and plan review
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03
Required input
DICOM RT planning data, dose prescriptions, target and organ-at-risk geometry, protocol definitions, plan parameters, and user-confirmed structure-name mappings.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Exact FDA decision-summary packet reviewed on 2026-09-19; existing wording is supported without expansion.

Output and human action
Oncospace sets up radiotherapy treatment protocols, associates a potential treatment plan with the protocol(s), submits a dose prescription and achievable dosimetric goals to a treatment planning system, and supports treatment-plan review.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

The exact indication describes protocol setup, plan association, dose-prescription and dosimetric-goal submission, and plan review; it does not establish the dossier's protocol-scorecard wording.

Limitations
The system does not edit regions of interest, make treatment decisions, or control a radiation-delivery device. Its algorithms are locked before clinical use, but structure-name matching and prediction applicability still require user confirmation. Model support and validation differ by disease site and release.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Exact FDA decision-summary packet reviewed on 2026-09-19; existing wording is supported without expansion.

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K242748
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Modality
Radiotherapy Planning Imaging
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Exact FDA decision-summary packet reviewed on 2026-09-19; existing wording is supported without expansion.

Anatomy
Multi-region
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-19

Exact FDA decision-summary packet reviewed on 2026-09-19; existing wording is supported without expansion.

Clearance type
510(k)
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Decision date
2025-04-11
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
FDA status
FDA-cleared
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
DICOM-RT compliant browser-based workflow with treatment-planning-system scripts used to transmit DICOM files and plan parameters; exact supported TPS versions and scripting permissions require local verification.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03
Deployment and data flow
FDA summaries describe a Windows-server and web-browser architecture, including cloud Windows servers and client machines. The current vendor FAQ describes enterprise identity integration; confirm tenancy, data residency, availability, backups, and interface ownership.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03
Security and privacy
The current vendor FAQ states that Oncospace can use an organization's Active Directory or Azure policies for user authentication and invites deployment-specific security review. This is product-family information, not an attestation for a particular installation.
  • Vendor supplied
  • Product family
  • Checked 2026-09-03

Request the current security package and contract controls for the proposed deployment.

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 prediction and plan-review performance by software and model version, disease site, protocol, target and OAR geometry, structure-name mapping, objective acceptance, optimization iterations, plan quality, overrides, transfer failures, and update. Revalidate when models, protocols, TPS versions, interfaces, or clinical policies change.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03

Release and scope verification

This release updated prostate and head-and-neck models and added thoracic, abdominal, and gynecological regions while keeping algorithms locked before clinical use. Procurement should map the installed build, modules, models, anatomies, inputs, and outputs to K242748 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-RT compliant browser-based workflow with treatment-planning-system scripts used to transmit DICOM files and plan parameters; exact supported TPS versions and scripting permissions require local verification.

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 prediction and plan-review performance by software and model version, disease site, protocol, target and OAR geometry, structure-name mapping, objective acceptance, optimization iterations, plan quality, overrides, transfer failures, and update. Revalidate when models, protocols, TPS versions, interfaces, or clinical policies change.

product family · checked 2026-09-03

Trend failures and edits by exact software version, model, anatomy, scanner, protocol, and site.

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version. Candidate literature without exact product and version linkage is not shown as product evidence.

Evidence summary
Exact FDA summaries describe retrospective model development, internal and external testing, and clinical validation intended to preserve plan quality while reducing planning effort. A 2026 vendor-authored publication reports a larger two-institution development and validation program; its financial-support disclosure and release mapping should be considered before generalizing results.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03
Reported sensitivity
Not applicable
  • Not applicable
  • Not applicable
  • Checked 2026-09-03

Sensitivity is not an applicable primary endpoint for this radiation-planning software. Review structure-, model-, workflow-, and release-specific geometric, clinical-review, dosimetric, and edit-burden evidence instead.

Reported specificity
Not applicable
  • Not applicable
  • Not applicable
  • Checked 2026-09-03

Specificity is not an applicable primary endpoint for this radiation-planning software. Review structure-, model-, workflow-, and release-specific geometric, clinical-review, dosimetric, and edit-burden evidence instead.

Retrospective development and validation plans

5334 plans

  • EndpointPhoton-beam plans used across model development and validation
  • PopulationTwo-institution multi-region cohort
  • Tested versionOncospace Predictive Planning product family

Development institutions

2 institutions

  • EndpointInstitutions contributing retrospective plans
  • PopulationMulti-region photon treatment plans
  • Tested versionOncospace Predictive Planning product family

K242748 FDA performance package for Oncospace

  • DesignManufacturer retrospective model development, internal or external performance testing, and clinical plan-quality validation
  • PopulationRelease-specific retrospective radiation plans and supported disease-site models described in the FDA summary
  • Scopeexact submission
  • Tested versionOncospace release cleared in K242748
  • IndependenceSponsor or vendor study

K242748

Manufacturer evidence submitted for substantial equivalence. This release updated prostate and head-and-neck models and added thoracic, abdominal, and gynecological regions while keeping algorithms locked before clinical use.

Development and clinical validation of Oncospace Predictive Planning

  • DesignRetrospective development, internal testing, and clinical validation of protocol-agnostic dose-volume prediction models
  • Population5,334 photon-beam plans across head and neck, thoracic, abdominal, and pelvic regions
  • Scopeproduct family
  • Tested versionOncospace Predictive Planning product family; exact release mapping was not established for every submission
  • Samplen=5334
  • Sites2
  • IndependenceSponsor or vendor study

PMID 42382856

Authors were affiliated with Oncospace and the publication reports company and grant support; treat it as vendor-involved product-family evidence.

Costs and setup

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Not established in reviewed sources
  • Reviewed sources checked
  • Exact FDA submission
  • Checked 2026-09-03

No public list price for the exact cleared release was found. Obtain a written quote separating license basis, sites or users, enabled modules or models, implementation, interfaces, compute, storage, training, support, upgrades, renewal, and exit costs.

Reimbursement and coding
No separate named-product Medicare payment was identified in the reviewed CMS Radiation Oncology Model material. Evaluate the product within the radiation-therapy planning service line using net staff time after review, plan quality, rework, throughput, implementation cost, and recurring cost.
  • Public source
  • Not applicable
  • Checked 2026-09-03

No product-specific code

No separate named-product payment identified in reviewed CMS material

Centers for Medicare & Medicaid Services · United States

Build a local total-cost and value model; do not infer reimbursement from FDA clearance.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
The 2026-09-02 openFDA device-recall snapshot contained no record matched to K242748 by exact submission identifier.
  • Public source
  • Exact FDA submission
  • Checked 2026-09-03

A zero-result exact-identifier search does not prove that no recall, correction, adverse-event report, or product-family safety signal exists. Maintain ongoing FDA and vendor surveillance.

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Exact FDA record reviewedStatus
2026-09-20Last searched
27Fields reviewed
13Source classes checked
4Screened PubMed leads
1Screened trial leads
0Unreviewed FDA recall leads

The refreshed discovery snapshot contains 4 PubMed and 1 ClinicalTrials.gov candidate records. Discovery metadata alone does not establish exact tested-product, version, population, and endpoint applicability, so all candidates remain quarantined and none was promoted. The current discovery snapshot contains 4 PubMed and 1 ClinicalTrials.gov candidate records; its dated, count-matched human screening remains current. Unlinked candidates remain quarantined. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads were screened against the exact product and tested version. Unlinked records remain quarantined.

Source classes: fda ai list, fda decision summary, vendor product page, peer reviewed publication, health technology guidance, reimbursement policy, fda device recall, fda decision summary packet, literature index, trial registry, pubmed, clinical trials, openfda device recall

Sources & history

How this profile was documented

Open the ledger for source dates, scope, and research-record updates.

View source ledger and history

Source ledger

  1. FDA K242748: Oncospace

    U.S. Food and Drug Administration - Published 2025-04-11 - Accessed 2026-09-19

    Scope: purpose, modality, anatomy, intendedUsers, input, limitations, output, evidenceSummary, clinicalUse

  2. Artificial Intelligence-Enabled Medical Devices

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, modalityContext

  3. PubMed biomedical literature index

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery

  4. ClinicalTrials.gov study registry

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery, studyStatus

  5. openFDA Device Recall API

    U.S. Food and Drug Administration - Accessed 2026-09-02

    Scope: recallDiscovery, nativeSubmissionMatching

  6. Radiation Oncology Model

    Centers for Medicare & Medicaid Services - Accessed 2026-09-02

    Scope: reimbursement, radiationTherapyPaymentContext

  7. Artificial intelligence technologies to aid contouring for radiotherapy treatment planning

    National Institute for Health and Care Excellence - Published 2023-09-27 - Accessed 2026-09-02

    Scope: limitations, training, pricing, evidenceSummary, economics, monitoring, implementationCapabilities

  8. Oncospace product and implementation frequently asked questions

    Oncospace, Inc. - Accessed 2026-09-03

    Scope: productFamily, workflowRole, integration, deployment, security, currentCommercialContext, implementationCapabilities

  9. Development and clinical validation of a protocol-agnostic machine-learning platform for automated treatment planning

    Advances in Radiation Oncology - Published 2026-04-01 - Accessed 2026-09-03

    Scope: limitations, evidenceSummary, evidenceStudy, evidenceMetrics, economics, monitoring, implementationCapabilities

Research history

  1. K242748 FDA decision

    Regulatory record

    510(k)

  2. Source-review record updated

    Research record

    fda record reviewed

  3. Reader overview source-reviewed

    Editorial review

    Source-reviewed editorial overlay

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