We address clinical needs and gap in market to produce reliable and accurate physiological and clinical data to inform treatments. The founders have co-invented several medical devices to obtain reliable and accurate clinical data to inform treatment plans and improve and quality of life.

Excessive or insufficient 1^st ray mobility (FRM) is associated with numerous painful, disabling, and limb threatening pathologies, including hallux valgus^{1–4,8,12-16}, hallux rigidus^1,4,5,6,7, osteoarthrisis of the tarsometatarsal joint^1,7, metatarsalgia⁹, diabetic foot ulceration^10,11, pes cavus¹, and pes planus¹. Reliable measures of FRM can inform clinical and surgical decisions. In the absence of commercially available clinical instruments for FRM measurement, unreliable manual methods are employed to estimate FRM (Fig. 1). Clinicians could build treatment algorithms if a reliable, user-friendly commercially available was available.

To address this clinical gap, we designed, developed and evaluated the MAP1^st device (Fig. 2), a reliable user-friendly equipment for FRM measurement and better clinical diagnostics and informed treatment. MAP1^st provides reliable measures of 1^st ray mobility & position wirelessly (Fig. 3) in ≤1 minute on patients with foot pathologies, including Hallux Rigidus, Hallux Limitus, Hallux Rigidus, Metatarsalgia, Flatfoot, Diabetic Neuropathic Ulceration, and Plantar Fasciitis. The data can be saved pre- and post-intervention and accessed securely, allowing informed and efficient clinical treatment and improved patient care.

Venous ulcers are open lesions of the lower limb, difficult to manage, expensive to treat, often recurs, and are most prevalent among seniors with concomitant chronic venous insufficiency. The incidence rate is up to 1.33% and 60% of venous leg ulcers result in a chronic wound.

We designed, developed and tested a prototype intermittent pneumatic graduated compressive boot for the treatment of venous ulcers. The device comprises a microcomputer-based controller that regulates the magnitude and frequency of airflow in and out of the cuffs to improve circulation. A customized software and mobile app were developed to control the air pressure at different locations of the foot wirelessly. Significant augmentation of blood flow in the popliteal vein, following the compression cycle, was recorded by a miniature flat 8 MHz Doppler probe. The device could provide accessible, versatile and patient-specific treatment for venous ulcers.