Articles / Adoption & cost

How to choose a virtual reality for clinical use solution: a checklist for healthcare institutions

A decision guide for clinical and management leads: the criteria that actually matter when choosing virtual reality for clinical use, and what to get in writing before you sign.

Topic
Adoption & cost
Read
8 min read
Published
July 9, 2026
Author
Pedro Thomaz
Scope
Base product · Class I

On this page

Choosing virtual reality for clinical use for a healthcare institution is not choosing a headset. It is choosing content, workflow, data security and support: the technology is merely what carries all of that. This guide gathers the criteria that actually matter and shows how to test before you decide.

Start with the clinical problem, not the technology

The most common mistake is to start with "what device should I buy?". The right question is "what clinical problem do I want to solve?":

  • Distraction and pain management during procedures?
  • Reducing pre-operative anxiety, or anxiety in settings like haemodialysis and oncology?
  • Cognitive stimulation and reminiscence for older people or people with dementia?
  • Supporting motor rehabilitation and adherence to physiotherapy?
  • Relaxation and wellbeing in long-term or palliative care?

Once the goal is defined, everything else follows. A solution that is excellent for pain management may be irrelevant for cognitive stimulation, because what changes is not the headset, it is the content and the framing.

Where RVer sits in the medical device regime Three bands. At the top, wellbeing or lifestyle with no medical purpose: not a device. In the middle, a medical purpose but supplying no information for diagnostic or therapeutic decisions: Class I, where RVer’s base product sits, the immersive video library. At the bottom, supplying information used in those decisions: Class IIa or above. 01 Wellbeing or lifestyle, with no medical purpose Not a device 02 Medical purpose, but supplies no information for clinical decisions RVer IS HERE: BASE PRODUCT Class I 03 Supplies information used in those decisions Class IIa or above
The three bands of the software regime for medical devices, and where RVer’s base product sits. RVer Motion, RVer Neuro and RVer Exposure are modules in development, not covered by that registration. Source: MDCG 2019-11 and Rule 11 of Annex VIII of the MDR.

Essential criteria (checklist)

Use this list to grade any vendor. If you are still getting to grips with the concept, start with what is virtual reality for clinical use; the Portuguese framing is in clinical virtual reality in Portugal.

  • Validated, appropriate content. Is there a library built for healthcare, not just generic games? Is the content suitable for the patient profile (geriatrics, paediatrics, mental health, palliative care)?
  • Ease of use for staff. Can a nurse start a session in seconds, with no technical training? If it is complicated, it will not be used.
  • Works without internet. In care homes and homes, the network fails. Content should live on the device and sessions should run offline (it is the criterion that decided RVer's headsets).
  • Hygiene and durability. Is the equipment easy to clean and disinfect between patients? Does it withstand intensive use in a clinical setting?
  • Data security and GDPR. What data is collected, where is it stored, and how is GDPR met? Demand clear answers.
  • Clinical follow-up. Can you record sessions and track use over time, to integrate into the care plan?
  • Regulatory framing. What is the declared intended purpose and framing (for example, a Class I medical device with CE marking)?
  • Support and training. Is there initial staff training and ongoing support, or does the vendor disappear after the sale?
  • Total cost. What is the real cost (device, licences, content, support, replacements), not just the sticker price? And how it is paid for: funding and procurement routes are in How to fund and procure.

The best solution is not the one with the most features. It is the one your team will actually use, every week, without friction.

Questions to ask the vendor

Bring these to the first meeting:

  1. What evidence supports using this content for my clinical goal?
  2. How does a typical session work, start to finish, from the team's perspective?
  3. What happens when there is no internet?
  4. How do you handle patient data and GDPR compliance?
  5. What is the regulatory framing of the solution?
  6. What training and support are included?
  7. What does the start look like: who configures, who trains the team, and how long does it take?

Red flags

Be wary when you see:

  • Promises of guaranteed results. Virtual reality for clinical use is a complementary tool, used under supervision, not a miracle cure.
  • Marketing over clinical substance. Lots of enthusiasm, little clarity about content, evidence and framing.
  • Dependence on internet in settings where the network is unreliable.
  • Vagueness about data and GDPR.
  • No ongoing training or support.

How to test before you decide: the pilot

Do not roll out across the institution without starting with one service. A good pilot is short, bounded and measurable:

  • One service, one goal. Pick one setting and one concrete clinical goal.
  • A defined period. For example, 4 to 8 weeks.
  • Success criteria up front. Staff adoption, ease of use, patient feedback, workflow integration.
  • Involve the people who will use it. The view of frontline nursing staff is worth more than any sales demo.

At the end of the pilot you have real data to decide, not a salesperson's impression.

In short

Choosing virtual reality for clinical use is, above all, a decision about content, people and process, not hardware. Start with the clinical problem, evaluate with the checklist, ask the right questions, recognise the red flags, and test with a pilot. That is how you adopt clinical technology your team actually uses and that makes a difference for patients.

Before comparing suppliers, it helps to know which safety questions to ask: is virtual reality bad for you?.

If the choice goes through a tender, the same reasoning as a specification is in how to write a tender specification.

Frequently asked questions

What should I evaluate first when choosing virtual reality for clinical use?

Start with the clinical problem you want to solve (pain management, anxiety, cognitive stimulation, rehabilitation), not the technology. The right solution is the one that answers that goal with appropriate content, is easy for your team to use, and fits into your existing workflow. The headset is the last criterion, not the first.

Does the solution need to work without internet?

In many settings, yes. Care homes, long-term care units and home settings often have weak or no connectivity. A solution where the content lives on the device and sessions run offline is more reliable in those scenarios. Always confirm this point with the vendor.

Is virtual reality for clinical use a medical device?

It depends on the product's intended purpose. Solutions with a therapeutic purpose may be classed as a medical device (often Class I in the EU), which implies CE marking and conformity requirements. Ask the vendor for the regulatory framing in writing.

How do I start without involving the whole institution?

With a short, bounded pilot: one service, one clinical goal, a defined period (for example 4 to 8 weeks), and success criteria agreed up front: staff adoption, patient feedback, ease of use.

What red flags should I look for in a vendor?

Promises of guaranteed clinical results, no validated clinical content, vagueness about data protection and GDPR, dependence on stable internet in settings without a network, and lack of training or ongoing support. Marketing over clinical substance is the main red flag.

A concrete case?

Tell us what the situation is

We answer yes, “it needs testing”, or no. All three happen, and the last one is useful too.

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