A VR session that helps a patient through a painful procedure or a stroke rehab exercise is clinical software, with a headset that someone has to charge, clean and get back. Agnotic Technologies builds VR therapy and rehab apps together with the fleet tools, session data handling and clinician dashboard they depend on.
Trusted by global innovators
VR healthcare software development is building virtual reality applications that deliver or support clinical care, such as pain distraction, motor rehabilitation after stroke, exposure therapy and clinician training, together with the headset fleet tools, session data handling and clinician dashboard around them. Agnotic Technologies builds this software for digital health companies, providers and device makers.
Each use needs different data and a different level of clinician control. We design the session, the data and the dashboard for the use you are building.
Immersive sessions during procedures, or a home program for chronic pain.
Reach, grasp and range of motion exercises after a stroke or injury, set by a therapist.
Graded scenes for phobias and anxiety, run by a therapist.
Procedure rehearsal and team drills for staff.
Calm environments for waiting rooms or staff rest areas, with no disease claim.
The failure points we design against from the first prototype.
Cybersickness: motion, frame rate or session length makes patients nauseous, and they stop using the program.
Home headsets are lost, kept or returned with a flat battery and a broken controller.
Shared clinic headsets are not cleaned between patients, and the next patient opens the previous session.
Motion and session data leave the headset unencrypted, or sit on a consumer cloud account.
A headset firmware or OS update changes tracking behaviour and nobody retests the exercises.
Clinicians cannot see session results in the record, so the therapy is invisible in the chart.
Charging and storage are not planned, so half the fleet is flat on a clinic morning.
Our starting decision table. Regulatory status depends on the intended use and claims you make; your regulatory team or counsel confirms it for your product.
| VR use | Likely regulatory position | Data it captures | Clinician control it needs |
|---|---|---|---|
| Behavioral therapy for pain relief | FDA device, Class II under 21 CFR 890.5800, when intended to provide behavioral therapy for pain | Pain scores, session time, adverse events | Prescription, program set-up and review of results |
| Upper limb motor rehabilitation | Often a device when it claims to treat or rehabilitate a condition; your regulatory team confirms the pathway | Range of motion, repetitions, reach and adherence | Difficulty and targets set per patient |
| Exposure therapy for phobia or anxiety | A device when it claims to treat a psychiatric condition | Distress ratings, step reached, session notes | Live control of scene intensity |
| Relaxation or stress management, no disease claim | General wellness under FDA's January 2026 policy, if the claims stay within it | Minimal: session use only | None required |
| Clinical staff training | Usually not a medical device, because it is not used to diagnose or treat patients | Completion and performance for training records | Educator review |
Three decisions that shape the code, the data and the rollout.
The intended use decides the regulatory path, the evidence and the records. We agree it before the first scene is built, so the software is designed for the path it will take.
Sessions work offline, store data encrypted on the device and sync when a connection is available, so a weak home connection never stops a therapy session.
Each patient has a profile, sessions are cleared between patients and the device is managed centrally, in clinics and in homes.
Software across the headset, the cloud and the clinician's screen.
Exercises and scenes built on OpenXR, so the app is not tied to one headset model.
Session length, locomotion options and a stop control designed to reduce cybersickness.
Reach, range of motion and repetitions calculated from controller or hand tracking data.
Prescribe programs, adjust difficulty and review results for each patient.
Per-patient sign-in, with sessions cleared between patients.
Device management, kiosk mode, app updates and battery status for every headset.
Headset shipping, check-in calls and returns tracked per patient.
Session results sent to the EHR as FHIR Observations or documents.
Chosen for the headsets your program can buy, manage and clean.
A VR therapy or rehab build is sized by the headsets supported, the number of modules, the hand and body tracking data kept, the clinician dashboard and remote prescribing, session data sent to the EHR, device fleet management and offline use, and whether the product is a device under FDA rules. Agnotic Technologies scopes each driver with clinicians.
| Driver | Question to answer before scoping | What it changes in the build |
|---|---|---|
| Headsets supported | Will the program run on one standalone headset model, or on several models and brands? | Each extra model adds performance tuning, input differences and a test pass on real hardware. |
| Number of therapy modules | How many exercises or exposure scenes does the first release need, and who designs their clinical content? | Modules are usually the largest share of the build, since each needs 3D content, difficulty levels and clinician review. |
| Hand and body tracking data kept | Does the clinician need range of motion or movement data, or only completion and session length? | Keeping tracking data adds on-device processing, storage, encryption and a data retention rule. |
| Clinician dashboard and remote prescribing | Will clinicians assign exercises and review sessions remotely for home patients? | Adds a web dashboard, patient assignment, remote configuration of the headset and messaging to the patient. |
| Session data sent to the EHR | Must session results appear in the EHR, and does your EHR accept FHIR Observations or only documents? | Adds an interface, mapping of session measures and testing with your EHR team. |
| Device fleet management and offline use | Are headsets shared in a clinic or sent home, and will they work without Wi-Fi? | Shared headsets need kiosk mode and patient sign-in; offline use needs local storage and later sync. |
| Device status under FDA rules | Does the intended use make the software a medical device, or does it stay a general wellness or distraction tool? | Device status adds design controls, risk management and the documentation a submission needs. |
Measures we build into the clinician dashboard and the program report.
Prescribed sessions against completed sessions, per patient.
Sessions stopped early and discomfort reports.
Sessions with pain scores or range of motion recorded.
Headsets charged, updated and assigned, by site.
A HIPAA-ready maternal health platform enabling remote patient monitoring, care coordination, and personalized engagement from pre-pregnancy through postpartum.
A women’s health product experience focused on guided care journeys, education, and compliance-aware workflows to support long-term engagement.
Teams putting VR in front of patients, not just in a demo room.
A VR therapy product with the records a regulatory path needs.
Therapist-set exercise programs for clinic and home.
Procedural distraction on shared headsets.
Therapist-led exposure therapy sessions.
VR modules for existing therapy or rehab devices.
Staff training scenarios with completion records.
The systems around the headset.
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
Implement lawful consent flows, data minimization, and secure processing for global data privacy.
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
Our architectures are built to handle massive data loads and user bases, keeping performance steady whether you're serving ten or ten million.
Using our suite of internal tools and proven frameworks, we cut setup work so your first release reaches users sooner.
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
We test on the real headset early. Timing depends on scope; we agree a fixed first release on the scoping call.
We review the clinical use, the claim you plan to make, the headsets and the care setting.
Clinicians, therapists and your regulatory lead agree the session, the data and the intended use.
One exercise or scene tested for comfort with clinicians before more are built.
Sessions, patient profiles, the clinician dashboard and fleet set-up working for a pilot site.
More exercises, sites and home patients, with retesting after every headset update.
Short facts we design the product, data and devices around, each linked to its primary source.
FDA keeps an AR/VR Medical Device List of augmented and virtual reality medical devices authorized for marketing in the United States, and describes VR as an immersive experience that may use a headset to replace the user's surrounding view.
Source: FDA, Augmented Reality and Virtual Reality in Medical DevicesA virtual reality behavioral therapy device for pain relief is a Class II device with special controls, including software verification, validation and hazard analysis, and labeling that warns of the risk of nausea and motion sickness.
Source: 21 CFR 890.5800 (eCFR)FDA's General Wellness guidance, issued 6 January 2026, lists claims to promote relaxation or manage stress among general wellness claims that make no reference to a disease or condition.
Source: FDA, General Wellness: Policy for Low Risk Devices (January 2026)The HIPAA Security Rule requires a unique name or number to identify and track each user, and treats automatic logoff and encryption of ePHI as addressable implementation specifications.
Source: 45 CFR 164.312(a)(2) (eCFR)OpenXR is a royalty-free open standard from the Khronos Group that gives developers a common set of APIs for XR applications running across a wide range of AR and VR devices.
Source: Khronos Group, OpenXRWe don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”
Aaron Phelan
Founder, Benchmark
“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”
Kim Smith
Founder, My Lauren
This page covers VR delivered to patients. These pages cover the therapy programs and immersive learning around it.
XR for classrooms, learning systems and assessment.
Software-based therapies and their evidence programs.
Capturing therapy data from home programs.
Software for physical therapy practices and home programs.
Software for neurology practices, including stroke care.
Surgical training simulation, preoperative planning from imaging and intraoperative AR.
Explore other production-grade engineering platforms we deliver across healthcare.
The technical patterns behind this platform translate naturally into adjacent verticals.
