About Us

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. During this phase, the Remote Mobility Coach platform was created to educate and support hospital staff remotely. In 2021 Healthy Design was awarded a NIH CRP award to make the Exersides Refraint available to patients nationally and internationally.

Healthy Design Team


Marie Pavini MD FCCM FCCP

Founder & CEO

Assistant Professor of Research: University of Vermont College of Medicine 

ICU Physician and Inventor of the Exersides Refraint

Stephen C. Flint

Chief Operating Officer

Thomas Lichtman

Vice President Manufacturing

Arooj Fatima MD

Remote Mobility Coach Director

Michael Rosen PhD

Academic Liaison

Cortni Kapitanski

Quality, Regulatory and Business Process Administrator

Erica Caetano

Production and Operations Manager

Richard Merrifield MBA


Amadeu Pavini Jr. M.Ed


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