V5 Ultimate
Radiopharmacy hot lab: shielded lead-glass hot cells with automated synthesis modules under GMP cleanroom lighting
Connected MES + QMS + LIMS for radiopharmacies

From the cyclotron to the patient syringe — one decay-corrected system.

V5 Ultimate runs every step where the clock is part of the spec — precursor receipt, cyclotron target, synthesis module, QC, patient unit-dose dispense at injection time, Type A dispatch and retroactive sterility close-out. Activity decayed on every read. Conditional release under 212.70(d), enforced. One immutable BMR per batch.

Built for 21 CFR 212 (PET), 21 CFR 210/211, USP <823>, and NRC / state radioactive materials licensing.

One thread, target to injection
step 01
Precursor
Vendor qualified, COA on file
step 02
Cyclotron
Target loaded, EOB captured
step 03
Synthesis
Module-integrated, yield tracked
step 04
QC & release
212.71 gates, 2-sig release
step 05
Dispense
Decay-corrected unit doses
step 06
Patient
Type A dispatch, traceback
One system, three lenses

The same batch record — seen the way you run the pharmacy.

For a busy PET or therapy site, the small wins compound every synthesis. Finance sees more patient doses per curie and less wasted activity. Operations sees the next synthesis start on time. QA sees a BMR the FDA and NRC investigator will actually recognise.

The CFO view

More patient doses per synthesis — decay loss squeezed, wasted activity captured, and revenue per curie finally on the page.

  • Per-batch actual cost: precursors, cassettes, target time, labour and rework — visible in $, today.
  • Live revenue per curie by isotope, customer and imaging centre — the room you didn't know you had.
  • Fewer end-of-day decay write-offs from earlier release and better dispense sequencing.
  • Most radiopharmacies see V5 pay back well inside year one and keep compounding.
Revenue per curie · todaylive
F-18 FDG
+3.4%
F-18 PSMA
+2.1%
Ga-68 DOTATATE
+2.8%
Lu-177 PSMA
+4.1%
Tc-99m MDP
+1.6%
Activity recovered7-day
+$18,940
decay write-off falling ↓
Cost per dose · today
$126 / patient
Precursor 48% Cassette 24% Labour 18% QC 10%
+12%
Doses per synthesis
Tighter scheduling, faster QC release and decay-aware dispense recover activity that used to end up in the decay-in-storage drum.
−40%
QC release cycle time
Instrument-integrated LIMS with 212.71 gates — no re-keyed HPLC / GC / LAL results between the QC bench and the batch record.
Daily
True cost per dose
Actual precursor, cassette, labour and yield posted from each batch — not month-end reconciliation.
0
Orphan conditional releases
Every 212.70(d) conditional release closes out inside 14 days — with a supervisor-visible open list until it does.
Walk the process

From the precursor COA to the patient injection — one decay-corrected thread.

Follow one production morning. Every step below is a single screen in V5 — and the license, dosimetry and calibration layer runs underneath them all.

Step 01 · Precursor & goods-in

Qualified vendor, COA on file, license room checked — before the courier hands it over.

Every precursor, target, kit, cassette and sterile consumable is tied to a qualified vendor with live COAs, DMFs and quality agreements. Receipt is barcode-scanned at the dock; NRC / state license possession limits and room-by-room activity are checked at the scan. A shipment beyond your licensed limit physically refuses to book in.
  • COA, DMF and vendor status verified at receipt — no COA, no goods-in.
  • License possession limits enforced by isotope, room and total activity.
  • Every vial, kit and cassette barcoded into the shielded store with survey and wipe results attached.
  • Expired vendor qualifications block receipts and email the supplier automatically.
Gloved radiopharmacy technician scanning the barcode label on a small yellow Type A radioactive transport package on a stainless bench
Step 02 · Cyclotron, target & synthesis

The schedule fires the target, the synthesis module runs the recipe — every EOB activity captured live.

The day's schedule sequences cyclotron runs, target loads and synthesis-module batches by isotope, hot cell and crew. V5 talks directly to the target chamber and synthesis module — EOB activity, yield, radiochemical purity and synthesis log all stream straight into the batch record. No re-keyed numbers, no side spreadsheet.
  • Schedule built around cyclotron availability, target changeouts and hot-cell decontamination.
  • Direct integration with GE Tracerlab, Sofie ELIXYS, IBA Synthera, Trasis AllInOne and comparable modules.
  • EOB activity captured from the module — decay-corrected forward to calibration time automatically.
  • Live synthesis yield, purity and side-product trending — drift caught at run three, not run thirty.
+8 pts
synthesis yield uplift with live trending
−1 hr
release cycle time per batch
Automated PET radiochemistry synthesis module inside a shielded hot cell, HMI touchscreen showing synthesis run in progress
Step 03 · QC, batch release & conditional release

The dose can't ship until every QC gate is green — and conditional release forces the retroactive close-out.

V5 enforces the 21 CFR 212.71 acceptance criteria in the LIMS — radiochemical purity by radio-TLC / HPLC, radionuclidic identity and purity, residual solvents by GC, endotoxin by kinetic LAL, pH, appearance, filter integrity. For PET, 212.70(d) conditional release ships the dose before sterility closes, then a system-enforced 14-day retroactive sterility sign-off ties back to the original batch and operator — with a supervisor-visible open list until it closes.
  • All 212.71 acceptance criteria configured as gates — no green, no release.
  • Instrument integration for HPLC, radio-TLC, GC, LAL, dose calibrator, MCA — results wired to the batch.
  • Conditional release under 212.70(d) with forced 14-day sterility close-out — no orphan doses.
  • Two-signature review-and-release per 211.186 / 211.188 — preparer plus independent reviewer.
Radiopharma QC lab technician in cleanroom PPE running a gas chromatograph on a PET drug sample
Step 04 · Patient unit-dose dispense

One synthesis, many patient doses — each decay-corrected to injection time.

Every patient unit-dose carries its own calibration datetime, syringe or vial ID, dispenser signature and activity computed as A(t) = A₀·e^(−λt) — live from the isotope master. Under-dose or over-dose against the prescription is blocked at the dose calibrator, not caught on paper afterwards. The dispense record joins the batch record automatically.
  • Decay correction from EOB or calibration time to injection time — Pb-212, Ac-225, Lu-177, F-18, Ga-68, Tc-99m, I-131.
  • Dose calibrator readings streamed live — Capintec, Biodex, Comecer, Sun Nuclear.
  • Prescription cross-check with tolerance band — out-of-spec dispense blocked at the cell.
  • Patient / order / referring-site mapping — dose record ties one syringe to one order.
Operator in cleanroom PPE dispensing a patient unit-dose into a tungsten syringe shield next to a dose calibrator display
Step 05 · Dispatch, Class-7 transport & recall

"If we recalled batch F18-24-0142 right now — which patients are exposed?"

Every syringe ships in a 49 CFR 173 Type A pig with a courier manifest, TI index, activity at ship-time and expiry-at-arrival already computed. When a deviation triggers a recall, V5's dose tree paints the affected batches, syringes, imaging centres and patient orders — forward from the synthesis and backward to every precursor lot and cassette that built it.

49 CFR 173 Type A dispatch packImaging-centre / patient dose traceForward & backward dose tree
The dose tree

Precursor supplier flags Mannose triflate lot MT-8821. V5 walks the tree — the [¹⁸F]FDG synthesis it built, the dose lots it filled, the imaging centres and patient orders that received it. Pull the lever to see the exposure.

downstream · 4 imaging-centre orders
Baylor PET/CT · Dallas
12 syringes · 09:15 T-cal
UTSW Imaging · Fort Worth
8 syringes · 10:00 T-cal
Presby Cardiology · PET stress
6 patient draws · 10:30
Methodist Oncology · FDG PET
4 patient draws · 11:15
2 dispensed dose lots
Dose lot D-4471A · unit-dose syringes
24 syringes · 370 MBq @ T-cal
Dose lot D-4471B · multi-dose vial
1 vial · 3.7 GBq @ T-cal
1 synthesis batch
F18-24-0142 · [¹⁸F]FDG
EOS 07:42 · 42.6 GBq @ T-cal · FASTlab #2 · conditional release per 212.70(d)
upstream · 4 precursor & consumable lots
Mannose triflate · lot MT-8821
ABX · CoA on file
[18O]H₂O target water · lot O18-3310
Rotem · CoA on file
FASTlab cassette · lot C-9902
GE Healthcare · CoC on file
0.9% saline diluent · lot S-2210
Hospira · CoA on file
Affected doses
0
Imaging sites
0
Forward depth
2 hops
Backward depth
4 lots
Running underneath · maintenance, dosimetry & calibration

Cyclotron PM, TLD cycles and dose-calibrator constancy — on the same tablet as production.

Built-in CMMS with radiopharma-native asset types — cyclotron, synthesis modules, hot cells, HVAC, dose calibrators, well counters, HPLCs. PM schedules, calibration cycles and qualification runs on one calendar. Occupational-dosimetry TLDs and ring badges cycle-tracked per operator; ALARA reports assemble themselves for the RSO.
  • PM and qualification schedules per cyclotron target, hot cell, dose calibrator and HPLC.
  • Constancy, linearity, accuracy and geometry checks scheduled and evidenced against ANSI N42.13 / NRC guidance.
  • Operator TLD / ring badge cycle tracking, ALARA reporting and quarterly RSO review.
  • Spares stock and vendor lead times in the same ledger as precursors and cassettes.
Maintenance engineer inspecting a shielded medical cyclotron in a concrete vault
Running underneath · quality & radiation safety

Quality and radiation safety run through every batch — not stapled to the record at the end.

Incoming inspection, in-process checks, finished-dose release, internal audits, deviations, CAPA, surveys, wipe-tests and decay-in-storage — all in one loop, all tied to the batch and room they affect. Operators are blocked at the hot cell if training or dosimetry is overdue. Vendors are blocked at the dock if a doc has expired. Auditor evidence — FDA, NRC, state DPH, ACR — is a single indexed export.
  • Incoming checks per precursor, kit and cassette — COA match, seal, activity, wipe-test.
  • In-process gates — synthesis yield, radiochemical purity, GC solvents, LAL endotoxin, pH, appearance.
  • Finished-dose release — QP / QA can't be skipped before a syringe leaves the cell.
  • Surveys, wipe-tests, TLD reads and decay-in-storage waste all logged against the batch, room and operator.
  • Deviations, OOS and CAPA loop from raised → root cause → verification → close, tied to the batch and instrument.
  • Document control and training matrix — superseded SOPs and lapsed dosimetry hard-block the hot cell.
Radiopharma QA technician in cleanroom gear running a QC instrument on a batch sample
The V5 quality kit — for a radiopharmacy

Every quality feature in V5 — mapped to a hot lab.

The same platform that runs pharma cleanrooms and medical-device assembly — set up for the way a PET or therapy radiopharmacy actually checks, releases and audits its dose.

Incoming inspection checklists

Configurable per precursor, kit and cassette. The receiver can't close the goods-in until every check is signed — and a failed check raises a hold automatically.

hot lab: Precursor COA · seal · activity · wipe-test

In-process gates & 212.71 acceptance

Scheduled QC checks on the batch — radiochemical purity, radionuclidic identity, residual solvents, LAL endotoxin, pH, filter integrity. Limits enforced; out-of-spec opens a deviation.

hot lab: RCP · GC solvents · LAL · pH · filter integrity

Batch release & conditional release

Two-signature review-and-release per 211.186 / 211.188 before any dose ships. PET conditional release under 212.70(d) with a system-enforced 14-day retroactive sterility close-out.

hot lab: F18-24-0142 · conditional · sterility due 08 Aug

Deviations, OOS & CAPA

One workflow from issue raised to root cause, action, verification and close. Linked to the batch, module, hot cell, operator and vendor involved.

hot lab: OOS RCP · Module B · trend + CAPA

Surveys, wipe-tests & dosimetry

Room surveys, wipe-tests, TLD reads and ring-badge cycles tracked against the room, operator and quarter — ALARA reports assemble themselves for the RSO.

hot lab: Hot lab B · daily survey · wipe < LLD

Document control & training

Two-person e-sig approval, version control, hybrid numbering. The hot cell hard-blocks any operator on a superseded SOP or with overdue dosimetry / training.

hot lab: F-18 FDG synthesis SOP · v6 · trained: 14 / 14

Vendor scorecards & re-qualification

On-time delivery, COA quality, complaint rate and audit findings rolled into a live vendor score. Expired qualifications block goods-in automatically.

hot lab: Precursor vendor #2 · OTIF 98% · COA 99.6%

Calibration & instrument qualification

Dose calibrators, well counters, HPLCs, GCs, MCAs and pH meters on a calibration and constancy calendar — with certificates attached and next-due enforced.

hot lab: Capintec CRC-25R · constancy daily · cal due 14 d

Recall & imaging-centre complaints

Complaint in, dose traced, root cause and response back to the imaging centre — closed-loop, with the batch record updated for the next inspection.

hot lab: Imaging centre PET-4 · dose 12 · 8D issued
Talks to your kit

Live on the cyclotron, synthesis modules and QC instruments — no rip-and-replace.

We connect at the level your engineers and QA expect — OPC UA, Modbus, MQTT, REST, HL7, DICOM, EDI, file drops, SQL. Most radiopharmacies are live on day one with the cyclotron, synthesis modules, dose calibrators and HPLCs already in the plant.

Cyclotrons

IBA Cyclone, GE PETtrace, Sumitomo, ACSI, Best Medical. Target load, beam-on, EOB activity and yield streamed to the batch record.

Synthesis modules

GE Tracerlab / FASTlab, Sofie ELIXYS, IBA Synthera, Trasis AllInOne, Comecer Taddeo. Recipes, synthesis logs and purity trend into V5 automatically.

Dose calibrators & well counters

Capintec, Biodex, Comecer, Sun Nuclear, MIRION. Live activity reads, constancy, linearity and geometry checks tied to instrument and batch.

QC instruments — HPLC, GC, radio-TLC, LAL

Agilent, Waters, Shimadzu, Eckert & Ziegler, Charles River Endosafe. Results wired to the acceptance gate — no manual re-key.

ERP, LIS & imaging-centre orders

SAP, NetSuite, Microsoft Dynamics 365, Oracle. HL7 / DICOM / REST for imaging-centre orders and dose confirmations.

BI & data warehouse

Power BI, Tableau, Looker, Snowflake, Databricks. Direct SQL access to your tenant — your data, your queries, your validated reports.

Audit-ready, every day

21 CFR 212, 210/211, USP <823> & <797>, 10 CFR 35, 49 CFR 173 — at the data layer.

The records build themselves as the batch synthesises. When the FDA investigator or NRC inspector walks in, the evidence pack is one click — not a week of re-assembly.

21 CFR 212
cGMP for PET drug products
21 CFR 210/211
cGMP for finished pharmaceuticals (therapy radiopharma)
21 CFR Part 11
Electronic records & signatures
USP <823>
Radiopharmaceuticals for PET — compounding, investigational, research
USP <797>
Pharmaceutical compounding — sterile preparations
10 CFR 35
NRC medical use of byproduct material
49 CFR 173
DOT shipping of Class 7 radioactive material (Type A)
Go-live in 8 to 14 weeks

Fixed-price, named team, one hot cell live before you pay for the next.

  1. Week 1–3·step 01
    Discovery & floor scan

    We walk one hot lab with your team — isotopes, precursors, modules, cyclotron, dose calibrators, HPLC, existing ERP fields. Out: a fixed scope and price.

  2. Week 4–7·step 02
    Configure & integrate

    Isotope master, formulas, BOMs, QC gates, label templates, cyclotron / module / dose-calibrator integrations and ERP feeds loaded. IQ / OQ on the bench.

  3. Week 8–11·step 03
    PQ, pilot & train

    One hot cell live in pilot. Three-shift operator training on the floor with the actual UI — not slides. PQ and UAT signed by QA, RSO and operations.

  4. Week 12–14·step 04
    Go live & hyper-care

    Cut over. Two weeks of hyper-care with your named delivery team on-site. KPIs published on the wall before we leave.

Cloud-hosted, US & EU regions· SOC 2 controls, SSO, audit log· Validated change control, 21 CFR Part 11
What buyers ask us

The first six questions on every radiopharma RFP.

How does V5 handle decay correction across EOB, calibration time and injection time?
Every isotope carries its half-life (t½) in the master; every read stores A₀ and t₀. V5 computes A(t) = A₀·e^(−λt) live for every downstream read — dispense screen, printed dose label, batch record view — so you never see a stale activity. Under-dose or over-dose against the prescription tolerance blocks the dispense at the dose calibrator.
How does V5 support 21 CFR 212.70(d) conditional release?
PET batches can be released under 212.70(d) before sterility completes. V5 flags every conditional release with a mandatory 14-day retroactive close-out task, tied back to the original batch, operator and reviewer. A supervisor-visible open list guarantees no dose ships and then falls off the sterility follow-up radar.
Will V5 talk to our cyclotron, synthesis modules and QC instruments?
Almost certainly. We support OPC UA, Modbus, MQTT, REST, HL7, DICOM and direct SQL — and we already have working connectors for IBA and GE cyclotrons, GE Tracerlab / FASTlab, Sofie ELIXYS, IBA Synthera, Trasis AllInOne, Comecer Taddeo, Capintec / Biodex / Comecer dose calibrators, and Agilent / Waters / Shimadzu HPLC / GC.
How does V5 handle NRC / state license limits and radiation safety records?
License possession limits are enforced by isotope, room and total activity — goods-in physically refuses a shipment that would exceed the limit. Surveys, wipe-tests, TLD / ring-badge cycles, decay-in-storage waste and ALARA reviews all live against the batch, room and operator. The RSO's quarterly pack is one indexed export.
Can operators actually use it in a three-shift hot lab?
Yes — the floor UI is built for gloved hands and a tablet on a shielded post, with two-tap downtime reasons, large touch targets and offline tolerance. Average operator training is half a shift; we run it on the floor with the actual synthesis modules and dose calibrators, not in a classroom.
What about IT — 21 CFR Part 11, SOC 2, validated change control?
Cloud-hosted in US and EU regions, SOC 2 controls, SSO (SAML / OIDC), full audit log, validated change-control process and 21 CFR Part 11 controls (identity, e-sig meaning, immutable audit trail) applied to every GxP screen. IQ / OQ / PQ pack shipped with go-live.
Ready to see it on your batches?

Book a 30-minute walkthrough with a radiopharma specialist.

We'll show a live decay-corrected BMR, an F-18 conditional release with retroactive sterility close-out, a Lu-177 therapy dispense, a Type A dispatch pack and a mock NRC inspection — on a workspace seeded for a working radiopharmacy.

Fixed-price go-live · No platform lock-in · Onboard in 8–14 weeks