About Us


The Exersides™ Refraint™ system is the result of 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 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 NIH trial was successfully completed. FDA registration was obtained and a Notice of Allowance for patent was granted.

In 2020 the NIH granted Healthy Design another award 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 and staff availability.

Healthy Design Team


Marie Pavini MD FCCM FCCP

Assistant Professor of Research: University of  Vermont College of Medicine; Clinical Assistant Professor of Critical Care Medicine: New England College of Osteopathic Medicine

Marie Pavini MD FCCP

Marie Pavini is a Critical Care physician practicing in Vermont.

Dr. Pavini had always thought there was something inherently wrong with awakening a patient for team rounds only to re-sedate them afterward.

She felt it was not enough to provide physical and occupational therapy sporadically and return the patient to immobility for the rest of the day.

Dr. Pavini believed that patients should be as awake and interactive as comfortably possible while keeping them and staff safe – and that is how the concept of Refraint™ was born.

While a patient may require one level of sedation and restraint at one moment, this can change throughout their stay. Considering this, Dr. Pavini wanted there to be a device that could change according to patient needs, always providing the least restraint necessary. So she made one.


Stephen C. Flint

Decades of rich experience in all aspects of Medical Device

Chief Quality Officer

Electromechanical Engineer

Evan McKenzie B.M.E.

Biomedical Design Engineer

Jacob Lind

Industrial Sewing & Assembly

Dia Lind