Adaptiiv

What Adaptiiv does

Adaptiiv Medical Technologies Inc. is a Halifax, Nova Scotia-based privately held medical device and software company that develops regulatory-cleared software for designing and 3D printing patient-specific radiation therapy accessories used in cancer treatment. Its platform converts patient DICOM imaging data from treatment planning systems (TPS) into digital 3D models that can be 3D printed, and is organized into five core software modules: 3D Bolus (Simple Bolus and Modulated Electron Bolus with a patented hotspot correction algorithm), 3D Brachy (Nova Surface Applicator with Varian BRAVOS compatibility), ProstatePlan RT (automated prostate IMRT/VMAT planning within Varian Eclipse, launching March 2026), and DermaPlan RT (automated skin treatment planning). The company holds the first FDA 510(k) clearance globally for 3D printing software in radiation oncology, alongside CE Mark and TGA approval, and has invested over 10,000 hours validating 3D printers and materials (HP MJF and Formlabs SLA).

Adaptiiv monetizes through three revenue streams: (1) on-premise or Eclipse-co-located software licenses with recurring upgrade entitlement and custom enterprise pricing; (2) Adaptiiv On Demand, an FDA 510(k) cleared pay-per-use manufacturing service in North America where the company prints and ships TrueFit Bolus, TrueFlex Bolus, and Nova Surface Applicators directly to clinics on a 4-business-day turnaround; and (3) professional services for implementation and training. Go-to-market combines direct enterprise sales targeting radiation oncology centers (major academic medical centers, community hospitals, VA Health Care), with channel partners including Eckert & Ziegler BEBIG (DACH, Italy, Spain, France), Cablon Medical (Benelux), NL-Tec (Australia), and MD Surgical (U.S. Mid-Atlantic). The company has reported clinical usage in 18 countries across North America, Europe, and Oceania.

The company is led by co-founder and CEO Alex Dunphy, President Erin Brown, Executive Chairperson Joshua Levine (former CEO of Accuray Incorporated), and Engineering Director Adem Hamidovic. Strategic technology alliances include HP Inc. (manufacturing), Varian/Siemens Healthineers (Gold Tier member of the Varian 3cosystem with Eclipse and BRAVOS integration), and Formlabs (validated printing for Adaptiiv On Demand). Adaptiiv was founded as 3D Bolus, rebranded to Adaptiiv, and has cumulatively raised approximately $9.5M across multiple rounds from 2017 through 2023, including non-dilutive support from Atlantic Canada Opportunities Agency. Named customers include Mayo Clinic, Cedars-Sinai, Sutter Health, Oxford University Hospitals, Clatterbridge Cancer Centre, U.S. VA Health Care, and others.

Name

Adaptiiv

Legal name

Adaptiiv Medical Technologies Inc.

Website

https://adaptiiv.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

Adaptiiv Medical Technologies is a Halifax-based medtech company that develops FDA 510(k), CE Mark, and TGA-cleared software for designing and 3D printing patient-specific radiation therapy accessories, sold via enterprise licenses, pay-per-use Adaptiiv On Demand manufacturing, and channel partners to radiation oncology centers in 18 countries.

Ownership category

akta.pro rank

Product category

Radiation Oncology Software

NAICS

Surgical Appliance and Supplies Manufacturing (339113), Surgical and Medical Instrument Manufacturing (339112)

SIC

Surgical & Medical Instruments & Apparatus (3841), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro industry

PRIMARYIMAAADAG

Medical & Dental 3D Printing Services (patient-specific devices, dental labs)

Industrials, Manufacturing & Construction/3D Printing/3D Printing Services (On-Demand Manufacturing & Service Bureaus)

SECONDARYIMAAAFAI

Medical & Dental Prototyping (Models, Guides, Pre-Op Planning)

Industrials, Manufacturing & Construction/3D Printing/Rapid Prototyping & Product Development (Additive)

Keywords

• Radiation oncology software
• 3D printed bolus
• Brachytherapy applicators
• Patient-specific treatment
• Medical 3D printing

Headquarters

HQ city

Halifax

HQ country

Canada

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Marketing or Sales, Operations, Others

Revenue model

1. Software Licenses (On-Premise): Adaptiiv provides regulatory-cleared software (3D Bolus, 3D Brachy, ProstatePlan RT, DermaPlan RT) that clinics install on their own workstations or TPS systems. The software integrates with existing RT workflows. Software upgrades are provided at no additional charge throughout the contract term. Implementation and training services are available for additional fees.
2. Adaptiiv On Demand (Pay-per-use Manufacturing): A pay-as-you-go FDA 510(k) cleared service allowing clinical teams to customize patient-specific radiotherapy accessories that are 3D printed by Adaptiiv and shipped directly to the clinic. No upfront financial or contractual commitment required. Currently available in North America. Accessories include TrueFit Bolus (HP MJF printed Ultrasint PA12 or clear resin), TrueFlex Bolus (silicone-filled moulds), and Nova Surface Applicators (Formlabs SLA printed).
3. Professional Services & Training: Adaptiiv provides installation, training, and ongoing system services for its software platform. Training is provided for standard fees. Implementation support includes a dedicated team that helps customers map processes, define metrics, and establish success schedules.

Pricing tiers

Go-to-market motion3 records

Distribution channels6 records

Marketing channels9 records

Core offering

Adaptiiv develops regulatory-cleared (FDA 510(k), CE Mark, TGA) software that converts patient DICOM data from treatment planning systems into digital 3D models for designing patient-specific radiation therapy accessories that can be 3D printed. Its portfolio includes Simple Bolus, Modulated Electron Bolus (MEB), 3D Brachy (Nova Surface Applicator), ProstatePlan RT, and DermaPlan RT modules, plus the Adaptiiv On Demand pay-per-use manufacturing service that ships FDA-cleared 3D printed accessories directly to clinics.

Differentiator

Problem solved

Functional benefit

Brands

• Adaptiiv On Demand: FDA 510(k) cleared service that allows clinical teams to customize and order 3D printed, patient-specific radiotherapy (RT) accessories
• 3D Bolus
• 3D Brachy
• ProstatePlan RT
• DermaPlan RT

Products and services

• Simple Bolus Software Software module that converts patient DICOM data into a digital model for 3D printing patient-specific bolus used in external beam radiation therapy. Includes smoothing, cropping, patient ID labeling, cleaving, and In Vivo Dosimetry features. Designed for medical physicists, radiation therapists, and radiation oncologists in cancer centers.
• Modulated Electron Bolus (MEB) Software Automated design of patient-specific, plan-specific modulated thickness bolus that can be 3D printed. The MEB algorithm produces a modulated shape conforming the prescribed dose to the distal part of a target volume while sparing underlying healthy tissue. Includes a patented hotspot correction algorithm. MEB design generation takes under 2 minutes. Designed for radiation oncology departments performing electron therapy.
• Nova Surface Applicator Software (3D Brachy) Software module for automatically designing patient-specific brachytherapy applicators with hollow catheter trajectories with constant user-defined stand-off and separation distances. Includes safety features for controlling minimum bend-radius of curvature to prevent source sticking. Compatible with Varian BRAVOS afterloader system. Designed for brachytherapy teams.
• ProstatePlan RT Automated prostate treatment planning module that opens from within Varian Eclipse. Automatically creates required structures (PTVs, PRVs, rectal tuning, separating nested targets), performs strategic beam placement, and executes fully automated IMRT or VMAT optimization. Plan generation completes in minutes with built-in hotspot cooling at up to three dose levels. Designed for radiation oncology departments with Varian Eclipse TPS.
• DermaPlan RT Automated skin treatment planning module that opens from within Varian Eclipse. Automatically creates planning structures based on PTV geometry, generates bolus, and creates tuning structures for dose compactness. Provides two options for intelligent IMRT beam placement: based on tangent to PTV or minimizing peripheral dose. Fully automated IMRT or VMAT optimization. Designed for radiation oncology departments treating skin cancer.
• Adaptiiv On Demand FDA 510(k) cleared pay-per-use manufacturing service that allows clinical teams to customize patient-specific radiotherapy accessories (TrueFit Bolus printed on HP MJF, TrueFlex silicone-filled bolus, and Nova Surface Applicators printed on Formlabs SLA) that are 3D printed by Adaptiiv and shipped directly to the clinic. No upfront financial or contractual commitment required. Standard order turnaround is 4 business days plus shipping. Currently available in North America. Designed for radiation oncology clinics without in-house 3D printing capability.

Quantifiable outcome

• Air gap occurrence reduced from 30% to 13% when using 3D printed bolus vs conventional sheet bolus (Robar et al. study)
• +5 more outcomes

Named customers15 records

Segments2 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability2 records

Feature7 records

Partnerships

Ten partnerships are on record, tiered core, minor and strategic.

• MD SurgicalcoreChannel Partner/ Reseller/ Distributor · 10 September 2025MD Surgical is Adaptiiv's new sales agent representative group in the Mid-Atlantic United States, covering Pennsylvania, West Virginia, New York, New Jersey, and Delaware. MD Surgical brings deep understanding of the medical device market and strong commitment to customer service.
• FormlabscoreTechnology or Integration · 2 November 2023Adaptiiv validates Formlabs 3D printing solutions for its On Demand platform to offer FDA-cleared, patient-specific Nova Surface Applicators for HDR brachytherapy. Adaptiiv On Demand is validated with Formlabs Form 3B+ printers and Clear and BioMed Clear materials. BioMed Clear resin is biocompatible, made in an FDA-registered, ISO 13485-certified facility.
• HP Inc.coreTechnology or Integration · 6 May 2022Adaptiiv collaborates with HP to advance personalization in radiation oncology with 3D printed medical devices. HP's Multi Jet Fusion platform provides access to leading 3D printing technology for efficient, high-quality, scalable production of patient-specific RT accessories. Adaptiiv On Demand uses HP Jet Fusion 5200 printers for manufacturing TrueFit and TrueFlex bolus products.
• Varian (Siemens Healthineers)coreTechnology or Integration · 6 May 2022Adaptiiv collaborates with Varian to expand access to personalized, patient-specific 3D printed medical devices. Varian has developed cancer care technologies for over 70 years. The collaboration advances Varian's commitment to meeting evolving customer needs and improving patient experience. Adaptiiv is part of the Varian 3cosystem and is its first Gold Tier member. Nova Surface Applicators are compatible with Varian BRAVOS afterloader system.
• Dyndrite / HP Tech VenturesminorGTM or Marketing Partner · 18 January 2021Adaptiiv was selected as one of the top eight emerging companies at Digital Manufacturing Investor Day 2021, hosted by Dyndrite and sponsored by HP Tech Ventures. The event connected Adaptiiv with industry investors and successful entrepreneurs.
• Eckert & Ziegler BEBIG (BEBIG Medical)coreChannel Partner/ Reseller/ Distributor · 14 May 2020Eckert & Ziegler BEBIG resells Adaptiiv's 3D printing software solution in select European markets including Germany, Austria, Switzerland, Italy, Spain, and France. EZB is a European-based group active in the production and distribution of medical products for cancer treatment using brachytherapy.
• St. Jude Children's Research HospitalstrategicStrategic or Co-development Partner · 15 October 2019Adaptiiv and St. Jude's agreed to work together to develop a module in Adaptiiv software to advance proton radiation therapy treatment, aiming to improve current techniques that could result in additional sparing of healthy tissues. St. Jude's is one of the world's foremost pediatric radiation therapy centers.
• Cablon MedicalminorChannel Partner/ Reseller/ Distributor · 7 August 2019Cablon Medical, a leading developer and supplier of radiotherapy hardware and software, became Adaptiiv's distribution partner to offer personalized 3D printed medical accessories in Belgium, The Netherlands, and Luxembourg.
• NL-TecminorChannel Partner/ Reseller/ Distributor · 2 June 2019NL-Tec serves as Adaptiiv's valued Australian distribution partner, facilitating the adoption of Adaptiiv's software solution at Royal North Shore Hospital's Northern Sydney Cancer Centre.
• CHUM (Centre Hospitalier de l'Université de Montréal)minorStrategic or Co-development Partner · 1 March 2019Adaptiiv signed CHUM (Centre Hospitalier de l'Université de Montréal) as a collaboration partner. CHUM is a leading Canadian cancer centre. The partnership was focused on advancing 3D printing for radiation therapy in clinical settings.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• CIVCO Radiotherapy: CIVCO Radiotherapy manufactures and distributes patient positioning and radiation therapy accessories, including bolus and surface brachytherapy solutions. It was Adaptiiv's former global distribution partner until May 2022 and remains a direct competitor in the RT accessories category.
• Eckert & Ziegler BEBIG: European manufacturer and distributor of brachytherapy products and radiotherapy hardware. BEBIG is both a current Adaptiiv reseller in DACH/Italy/Spain/France and a competitor in brachytherapy applicators and HDR surface brachy workflows.
• Vision RT: Provider of surface-guided radiation therapy (SGRT) patient positioning systems that Adaptiiv's Simple Bolus module integrates with. Both companies sell adjacent patient-positioning and accessory workflows into radiation oncology departments.
• Sun Nuclear (Mirion Medical): Supplies quality assurance and patient safety hardware/software for radiation oncology, including phantoms and dosimetry tools. Competes for budget and workflow integration within the same medical physics customer base as Adaptiiv.
• .decimal: Specializes in patient-specific 3D printed bolus and radiation therapy accessories, often via partnership with linear accelerator vendors. Direct competitor to Adaptiiv's core 3D bolus and modulated electron bolus offerings.
• RaySearch Laboratories: Independent treatment planning software vendor (RayStation, RayCare) competing directly with Adaptiiv's ProstatePlan RT and DermaPlan RT modules in automated planning for advanced RT modalities.

Broad incumbents

• Varian (Siemens Healthineers): Global leader in radiation oncology hardware, software (Eclipse), and brachytherapy (BRAVOS). Both Adaptiiv's core partner and a broad incumbent whose internal product roadmap could absorb 3D printing and treatment planning automation.
• Elekta: Major radiation therapy and radiosurgery systems vendor with its own treatment planning software (Monaco) and brachytherapy afterloaders. Competes broadly with Adaptiiv across RT software, accessories, and clinical workflow integration.
• Accuray: Developer of CyberKnife and TomoTherapy radiation therapy systems. Comparable broad incumbent in radiation oncology; Adaptiiv's Executive Chair Joshua Levine is Accuray's former CEO, underscoring the leadership and competitive overlap.

Emerging players

• Brainlab: Medical software and hardware vendor with growing RT planning and intraoperative imaging offerings. Increasingly overlapping with Adaptiiv in radiation oncology software workflows.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/AdaptiivCo

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds6 records

Investors3 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Adaptiiv