Implementation guide

From the box to the first session.
No surprises.

What to prepare, who does what, and what the team should know before the first bedside session: with the family in the room or at a distance, and when the patient no longer communicates. Made to be printed and pinned up.

ForPalliative care

01Before you start

The list is deliberately short. RVer runs independently and needs no integration with your institution’s systems. Only the family video call needs internet.

A power socket

To charge the headset between uses, close to the rooms where it is used. No dedicated socket and no building work needed.

At the bedside

No special room needed. The session happens in bed or in an armchair, with Lying-down mode when the patient cannot sit up.

A person in charge

Someone on the team who takes responsibility for the headset and who we train. No technical knowledge required.

Internet: for the video call

Scenarios play 100% offline. The family video call needs a connection: it is routed through the RVer server and is not recorded anywhere.

02Who does what

We handle

  • Supplying the headset and accessories
  • Installing and configuring the app on the device
  • Loading the scenario library
  • Training the team, at no cost
  • Updating the library regularly
  • Support for the length of the contract

The institution handles

  • Naming the person responsible for the headset
  • Providing a power socket close to the rooms where it is used
  • Deciding where the headset is stored and charged
  • Making sure whoever accompanies sessions has been trained
  • Arranging video calls with the family, when there are any
  • Keeping the cleaning routine between patients
  • Telling us about any incident

03Day one

  1. 01
    It arrives set up

    The headset arrives with the app installed and the scenario library loaded. Team training is included and needs no technical knowledge.

  2. 02
    The team tries it

    Whoever will accompany the sessions tries the headset lying down, with Lying-down mode on, to know what the patient will see and feel.

  3. 03
    The first session

    At the bedside, short, with a calm scenario chosen with the patient or the family, and a professional alongside from start to finish.

04The routine, afterwards

Short bedside sessions

In bed or in an armchair, with Lying-down mode if the patient is lying down or reclined. The team decides the length, session by session, according to the patient’s condition.

Choosing with the patient

Whenever possible, the patient chooses: a place they lived, the sea, a place of worship. The family can help. RVer can suggest, but it does not prescribe, assess or diagnose.

Family at a distance

On a video call, the family sees on a phone or computer the same scenario the patient is seeing, and the patient sees and hears them inside the experience. The call is routed through the RVer server and nothing is stored.

Family in the room

When the family is there, they can sit alongside and talk about what the patient is seeing. Some prefer not to put the headset on and simply be together: that is the patient’s decision.

After the session

A slightly damp wipe on the silicone cover, a dry microfibre cloth on the lenses, and the headset back on charge. That is all.

Updates

Automatic, at any hour, never mid-session. At no extra cost.

05Safety and hygiene

Class I medical device (base product) · CE marked (MDR 2017/745) · registered in EUDAMED (Basic UDI-DI 56006195127RVERTZ) and with INFARMED (Portugal, CDM 94571546). Follow these points every session.

Supervision

Always use the RVer system under supervision; never leave the user alone with the headset.

Hygiene between users

Between users, wipe the silicone cover (one washable cover comes with the kit) with a slightly damp wipe, and clean the lenses only with a dry microfibre cloth, no liquids or alcohol.

Signs of discomfort

Stop if dizziness, nausea or discomfort appears. Start with short sessions and calm videos, then increase duration and intensity gradually.

Space and position

Prefer seated use in a clear, stable space. For bedridden users, enable Lying-down mode.

Comfortable volume

Set a volume that is comfortable for the user before starting, on the headset itself.

Data and privacy

Playback runs 100% offline, no accounts. No clinical or personal patient data leaves the headset. Only per-device usage statistics are sent, identifying no one, to improve the app · GDPR-compliant.

Contraindications

Caution or prior clinical assessment in: severe motion sickness or vestibular disorders; uncontrolled epilepsy or photosensitive seizures; inability to follow safety instructions.

Intended user

Healthcare professionals and trained carers, in health or social-care settings. The user is always supervised. Not for self-administration.

Serious incidents

Report any serious incident to the manufacturer (hi@rver.pt) and to INFARMED, I.P.

When the patient no longer communicates

RVer can help manage anxiety and pain as a complement, but it does not replace any care. When the patient can no longer say how they feel, the team has to see it.

Watch for signs

Without words, discomfort still shows: a tense face, moaning, restlessness, hands going to the headset, a change in breathing. At the first sign, take the headset off gently and stop the session.

Shorter and calmer

Short sessions, calm scenarios and a low volume to begin with. A professional stays beside the patient for the whole session.

The team decides

Whether a session makes sense, and when, is the team’s decision, listening to the family whenever possible. If in doubt, do not use it.

06Where it is used

Palliative Care

Comfort and distraction through immersive experiences (nature, travel, memories) for patients in end-of-life care.

Anxiety & Stress

Calm immersive environments, used as a non-pharmacological complement in anxiety and stress contexts.

Mental Health

Safe, controllable environments, used as non-pharmacological support under the healthcare team's supervision.

07In numbers

0° to 90°
Lying-down mode: in bed or in an armchair
100% offline
The scenarios. The video call needs internet
0 recordings
The video call is not stored anywhere
2 h 30 to 2 h 40
Approximate battery life playing video, no cable

08Checklist

To pin up next to wherever the headset is stored.

  • Headset charged
  • Silicone cover fitted
  • Face pad and lenses clean
  • Volume low, set before starting
  • Patient in bed or reclined? Lying-down mode on
  • Video call? Family told and internet connected
  • A professional stays beside the patient from start to finish
  • Stop if dizziness, nausea or any sign of discomfort appears, spoken or not
  • Afterwards: clean it and put it on charge

09Regulatory framing

Medical Device Class I (base product)Registered in EUDAMED and with INFARMED (Portugal)

Class I medical device (base product) registered in EUDAMED (Basic UDI-DI 56006195127RVERTZ) and with INFARMED (Portugal, CDM 94571546), CE marked under MDR 2017/745. RVer Motion, RVer Neuro and RVer Exposure are modules in development, not covered by the registration.

Support

For questions about use, faults, or extra training.

hi@rver.ptrver.pt

RVer implementation guide · Palliative care · rver.pt/guiaUpdated 17/10/2026