2026-08424RuleWallet

Radiation Marking Devices Get FDA Class II Nod

Published Date: 4/30/2026

Rule

Summary

The FDA is officially putting radiation therapy marking devices into Class II, meaning they’ll have special safety rules but less red tape than before. This change helps make sure these devices are safe and effective while making it easier for patients to get new, helpful tech. The new rules took effect April 30, 2026, but the classification has been in place since December 2021, so manufacturers should already be on board.

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Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Easier Patient Access to Marking Devices

The FDA has classified radiation therapy marking devices as Class II with special controls, effective April 30, 2026, and noted the classification has applied since December 10, 2021. The agency says this change reduces regulatory burdens and will help patients get access to new marking technologies that guide radiation therapy.

Manufacturers Gain 510(k) Pathway Option

By classifying this device type via the De Novo process, FDA said the radiation therapy marking device can serve as a predicate for future devices, allowing other sponsors to use the less-burdensome 510(k) process. The order also states these devices remain subject to premarket notification requirements under section 510(k).

New Safety and Labeling Requirements for Devices

The rule sets specific special controls manufacturers must meet, including biocompatibility testing, sterility and shelf-life testing, software validation, electrical safety testing, and labeling that includes operation, reprocessing instructions for reusable components, disposal instructions, and shelf life for sterile parts. These controls are required for the device to fall within Class II and to provide reasonable assurance of safety and effectiveness.

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Key Dates

Published Date
Rule Effective
4/30/2026
4/30/2026

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Food and Drug Administration
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