Healthy Design Ltd. Co.

Healthy Design Ltd. Co. manufactures innovative ICU solutions and clinical education systems focused on preventing delirium, improving early mobility, and enhancing patient and staff safety. Based in downtown Rutland, Vermont, the company designs, prototypes, engineers, and manufactures its products onsite. Founded by Dr. Marie Pavini (MD, FCCM, FCCP), an early expert in bedside medicine, restraint alternatives, sedation management, and post-intensive care syndrome (PICS), the company partners with prestigious academic medical centers and the National Institutes of Health on groundbreaking innovations. Primary product offerings include the Exersides® Refraint® device—a clinically proven restraint alternative that enables safe active range of motion while minimizing agitation and protecting against line and tube dislodgement for both adult and pediatric patients—and an immersive virtual reality simulation platform that trains care teams to recognize and manage delirium through experiential learning. The A+O x 3™ educational program provides evidence-based, multi-modality instruction (interactive scenarios, VR, in-person and remote learning) covering delirium prevention, ventilator weaning, sedation reduction, early mobility, restraint alternatives, nurse safety, and family engagement. The company also offers confidential policy audits and unit inspections to assess and strengthen patient-centered protocols. Products are designed for mechanically ventilated ICU populations, with specific attention to reducing iatrogenic complications, improving patient cognition and dignity, and decreasing healthcare burden from delirium and immobility-related morbidity. The organization has received recognition as Manufacturer of the Year for Vermont and New England (2024).