The Exersides Refraint system was born from Dr. Pavini’s quest to develop a way for patients who have vital tubes and lines to safely maintain arm movement and cognition in order to improve short and long-term outcomes. 

In 2015 she began researching design concepts and gathering feedback from nurses, and physical & occupational therapists. In 2016, Dr. Pavini founded Healthy Design and the first prototype was manufactured. In 2017 she performed a Pilot study with that prototype. In 2018 she assembled a world-class research team and was awarded a NIH grant to produce and test a revised prototype. In 2019 a Phase I NIH trial was successfully completed. FDA registration was obtained and a patent was granted in the US and internationally. 

In 2020 the NIH granted Healthy Design another award for the ‘CALMER’ project – COVID Associated Lightning Manufacture of Exersides Refraints – specifically to enhance production efforts in time for COVID, to assist with decreased sedation usage and decreased agitation in the face of decreased family visitation, staff availability, and sedation shortages. In 2021 Healthy Design was awarded a NIH CRP award to make the Exersides Refraint available to patients nationally and internationally.

In 2023, HDmedical launched its pioneering DelTrain VR immersive education platform, which utilizes the unique capacity of virtual reality to create experiential learning and empathy that engages all generations of students and staff. In 2024, HDmedical brought it all together in   A+Ox3, a culture change implementation program that provides administrators with a turnkey pathway to stakeholder alignment, risk reduction, public image, and compliance with current best practices with an emphasis on workflow and satisfaction goals of bedside staff.

Since then, Healthy Design rebranded as HDmedical, and the Exersides Refraint began to enjoy adoption in presitigious medical centers. The company won Innovator of the Year from the Center for Economic Development in the Rutland Region (CEDRR), and was named SBA Small Business Manufacturer of the Year for New England and Vermont 2024. 

HDmedical continues to innovate and promote cutting-edge best practice with new products, education, and services that respect patients, their families, clinicians, administrators and the planet.