- NRC Review of Emerging Medical Technologies
- Manufactures: Have a New Medical Use and Looking to get Started?
- Status of NRC Review of Emerging Technologies
- Past 35.1000 Licensing Guidance
NRC Review of Emerging Medical Technologies
In 2020, the NRC instituted a streamlined process for the reviews of emerging medical technologies. The NRC established a Standing Committee composed of NRC and Agreement State staff, to help facilitate early feedback regarding reviews of emerging medical technologies and licensing guidance development. The charter and State Agreement procedure for the Standing Committee for Reviewing Emerging Medical Technologies (SCREMT) are publicly available. The SCREMT meets on an as needed basis to provide feedback on licensing determination for emerging medical technologies, as well as to review and comment on draft licensing guidance documents developed by the NRC.
Manufacturers: Have a New Medical Use and Looking to get Started?
If you are a manufacturer or early user of a new medical use, see these frequently asked questions and answers for emerging medical technology (EMT) licensing. Frequently Asked Questions For Licensing of Emerging Medical Technologies.
Status of NRC Review of Emerging Technologies
The medical use of radioactive material is regulated in Title 10 of the Code of Federal Regulations (CFR), Part 35. Medical uses in 10 CFR Part 35 are divided into categories based on the type of material and the purpose of use. 10 CFR 35, Subpart K (also known as 10 CFR 35.1000), provides a licensing pathway for emerging medical technologies that are not addressed by the other categories described in 10 CFR Part 35 (i.e. 10 CFR 35 Subparts D through H) because of their unique use or other radiation safety properties, 10 CFR 35, Subpart K, or 10 CFR 35.1000.
Specifically, 10 CFR 35.1000 allows licensees to be approved for use of emerging medical technologies if the licensee has submitted the information required by § 35.12(b) through (d) and has received written approval from the NRC in a license and uses the material in accordance with the regulations and specific conditions the NRC considers necessary for the medical use of the material. The NRC publishes 10 CFR 35.1000 licensing guidance documents which contain one set of regulations and specific conditions that the NRC finds as an acceptable means of satisfying this requirement. In addition, these guidance documents contain additional guidance for use. The currently available guidance documents are found below.
Note: New entries will be added as additional emerging technologies are identified. Licensing guidance will be updated when necessary to address comments from stakeholders. To submit comments on or inquire about a specific licensing guidance document, contact the individual listed in that document or contact us using our electronic form. If applicable, you can also contact the appropriate NRC Regional Office or Agreement State for assistance.
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| 10 CFR 35.1000 licensing guidance | |||
|---|---|---|---|
| Technology Name | Status | Document Date |
Document(s) |
| Akesis Galaxy RTi | Licensed under 35.1000 | August 2024 | Licensing Guidance |
| Alpha Tau Alpha DaRTTM Manual Brachytherapy | Licensed Under 35.1000 | February 2025 | Licensing Guidance (Revision 1) Supersedes: March 2022 Consolidated Technical Analysis |
| Best Vascular, Inc. Beta-Cath Intravascular Brachytherapy (IVB) System | Licensed under 35.1000 | August 2006 | Licensing Guidance |
| Eye90 microspheres | Licensed Under 35.1000 | September 2024 | Licensing Guidance |
| Germanium-68/Gallium-68 Pharmaceutical Grade Generator (IRE Galli Eo, Eckert & Ziegler) | Licensed under 35.1000 | July 2019 | Licensing Guidance |
| Leksell Gamma Knife® Perfection™, Icon™, and Elekta Esprit | Licensed under 35.1000 | May 2023 | Licensing Guidance Supersedes: January 2019 May 2016 July 2007 (Perfexion only) |
| Low Activity Radioactive Seeds Used for Localization of Non-Palpable Lesions and Lymph Nodes Licensing Guidance | Licensed under 35.1000 | October 2016 | Licensing Guidance Supersedes: Sept 2006 |
| LV Liberty Vision Yttrium-90 Disc and iWand® Ophthalmic System | Licensed under 35.1000 | June 2025 | Licensing Guidance Consolidated Technical Analysis |
| NeoVista, Inc's Epi-Rad90 (Sr-90) Ophthalmic System | Licensed under 35.1000 | April 2009 | Licensing Guidance |
| TheraSphere and SIRSpheres Yttrium-90 Microspheres | Licensed under 35.1000 | April 2021 | Licensing Guidance (Revision 10.2) Supersedes: March 2020 November 2019 February 2016 June 2012 Oct 2011 Jan 2011 Sept 2008 Aug 2008 Dec 2007 Sept 2007 Jan 2004 Oct 2002 |
| Xcision® GammaPod™ | Licensed under 35.1000 | January 2020 | Licensing Guidance |
Many emerging medical technologies can be licensed under current 10 CFR Part 35 Subparts and is not required to be licensed under 10 CFR 35.1000. However, as the technology is new, there are sometimes questions associated with how to license it or use it safely. Therefore, the NRC also issues licensing memos to enable efficient licensing of the new use. These are found below:
Past 35.1000 Licensing Guidance
The table below provides retired 10 CFR Part 35.1000 Licensing Guidance documents for systems no longer being commercially sold and licensed.
| Retired Licensing Guidance | |||
|---|---|---|---|
| Technology Name | Status | Document Date |
Document(s) |
| ViewRay System for Radiation Therapy | Licensed under 35.1000 | July 2013 | Licensing Guidance |
| NorthStar Medical Radioisotopes, LLC RadioGenix™ Molybdenum-99/Technetium-99m Generator System | Licensed under 35.1000 and 10 CFR 30.33 | December 2021 | Licensing Guidance (Revision 2) Supersedes the Temporary Addendum and Revision 1 |
| May 2021 | Temporary COVID-19 Addendum | ||
| January 2020 |
Licensing Guidance Supersedes: |
||
| I-125 Iotrex Liquid Brachytherapy Source in Cytyc GliaSite Radiation Therapy Systemm | Licensed under 35.1000 | August 2006 | Licensing Guidance |
| Nucletron seedSelectron® System, Isotron Brachytherapy Sources and Nucletron FIRST™ System | Retracted | N/A | N/A |