A Bio-Engineered Ergonomic Solution

Our Mission

Maximizing body balance, energy and performance while reducing and eliminating pain through a bioengineered ergonomic solution.

The Need

According to the CDC, 85% of the US Population has biomechanical disease necessitating the utilization of a bio engineered medical grade orthotic. Less than 1% of the US population currently get access to product. Approximately 70% of the world population are diagnosed with an ailment called over-pronation, this effects all load bearing joints and is often overlooked and misunderstood. The causes are complex but simplified using 3DO Imaging.

Research & Development

Research & development began in 1995. Developed by a retired research physician with over 35 years experience in the development of biomechanical imaging systems & ergonomic treatments. 3DO is Weight Bearing Kinematic Imaging Latest 3D weight bearing assessment tool for common and complex disease analysis of the body

What makes 3DO Unique

Legitimate 3D Geometry

Technicians see what you see

3D Static & Dynamic Data

Static & dynamic data

Manufacturing requirements are more stringent than plaster

You can not make a 3D Orthotic Device from a 2D Source.

Too much guess work is required

3D CNC Milling to Thermo pressed Product manufacturing

Analysis of Function is Critical for effective control

Stable Foundation

3DO uses a resting static start point and builds to Neutral using 7 unique 3D sets of data, (Mass, Motion, Pressure, Balance, Symmetry, Gait, 3D Geometry). We then perform a neutral joint build through software.

The foot works differently in static versus dynamic Analysis of dynamic gait, balance, motion, pressure, balance, symmetry and 3D plantar geometry.

Neutral Joint Casting has too many problems, (27 error points) due to Art

4 anatomical quadrants are analyzed along with 1st Ray function

Inconsistent and unreliable

How we see anatomy. . .

Transverse Plane

How we see anatomy

What makes 3DO Unique

The analysis of foot and limb function is vital to the manufacturing of a Bio Engineered Devices which provide corrective control (Foot Spine). Static Laser and Plaster casting do not provide adequate solutions for complex cyclic loading (biomechanical and ergonomic function).

How we see anatomy

Frontal - Axial Plane

Frontal Plane
Heel Contact 4-6 Inversion to floor Midstance Heel vertical (90 degrees to floor)

Propulsion - Re-Inversion of the foot Plantarflexion of the 1st Ray Active hallux flexion External rotation of the leg
PL = Peroneal Longus PT = Posterior Tibial

Heel Contact

Midstance

Propulsive

RESISTING PRONATION
C = Calcaneous perpendicular to Forefoot (FF)
FF = Forefoot parallel to floor (metatarsal heads) PL = Peroneus Longus Tendon PT = Posterior Tibial Tendon Posterior Tibial (PT), assists deRight Foot acceleration of pronation of the Subtalar and Mistarsal Joints from PT heel contact into the propulsive phase of gait. Peroneus Longus (PL), actively plantar flexes 1st Ray during midstance. 1 2 3 5

PL C

Medial
FF

Lateral

How we see anatomy

Lateral Plane

Midstance Gait = Full Contact Phase 2 (Quadrants 1- 2- 3- 4)

Vertical Calcaneous The foot quickly migrates from shock absorber to stabilizer via wedge locking of the midtarsal joints against the sub talar joint. Oblique and longitudinal MTJ axis is locked.

Foot Function changes from Shock Absorption Rigidity In a precise millisecond during midstance

Right Foot

Equinus Effect on Body Mass

(X)

Effects all 3 body planes Equinus Effect - (2 Types)

1. 2.

HS

Hamstring Equinus (majority in men) Gastrocnemius Equinus (majority in women) Accelerates pronation motion & velocity of joint motion

Anterior Shifting of body mass (Sagittal Plane) (X)

GS

Subtalar and Midtarsal Joints Increase in Plantar fascia and flexor intrinsic trauma Plantar fascia and heel pain syndromes Increase in transverse plane limb rotation Metatarsalgia and Intermetatarsal Neuromas HS = Hamstrings

(X)

Increases metatarsal head pressures

GS = Gastroc/Soleus

Upper Load Mechanics Knee

Knee Mechanics (mechanical hinge) Very vulnerable to transverse plane limb rotation created by foot pronation. Important to consider biomechanical control with knee implants. Knee is also vulnerable to lateral plane pathomechanics such as equinus disease as well as frontal plane conditions such as pelvic tilting secondary to leg shortages

Upper Load Mechanics Hip & Spine

Hip and spinal conditions are effected the majority of time with abnormal cyclic load conditions resulting from pathomechanical diseases in all three body planes.

Manufacturing

Production Imaging Software calculates frontal plane (varus valgus) deformities (Rearfoot & Forefoot) and provides corrections based on the calculations from static & dynamic analysis.

Graphic visual analysis confirms mathematical calculations through software.

Bio-engineered devices are precisely developed via man made stressed induced Polypropylene to ensure correction, and rigidity . This minimizes plastic fatigue providing long lasting anatomical correction despite repetitive cyclic loading.

2D/3D Static Production Data

1:1 Scale 2D/3D Data v Raw Z Axis Data Points

Each box equates to a mean value of 10mm square, (pixel). Each pixel number represents the Z Axis data point in millimeters for this anatomical area. 3D Geometry

2D/3D Lab Producton Data

2D Dynamic Mass Curves 3D Dynamic Motion Analysis with full object rotation and display

Endorsements
Endorsed by the US Pentagon Army Health Clinic, VA Hospitals, US Olympic Committee, Physicians and Hospitals worldwide.

The Solution
Treat the cause of disease and not the symptom with a bio-engineered ergonomic devices.

Technology
With 3DO Technology, we can now take extremely accurate 3 dimensional images of the foot, both while standing and walking, to determine exactly what type of biomechanical correction is needed.

Reporting

Patient Care
Implementing Ergonomic Solutions improves patient care.
Reduce complications associated with joint implant failures, (total knee and hip). Reduce the use of toxic medications Prevent injury and disease of load bearing joints. High patient acceptance Improve Performance

Mechanical Problems require Mechanical Solutions

Ergonomic Footwear
Bio-Engineered Ergonomic Solution Represents a new and effective way to treat common disease by maximizing body ergonomics & biomechanics. Enables physicians to better treat load bearing musculoskeletal pain and organic disease. Identify and treat complex biomechanical disease using intelligent 3D imaging and software. Enhance medical and surgical outcomes by stabilizing the mechanical cause of disease. Reduce medical malpractice claims Non drug Non surgical Safe and effective. 100% Guaranteed

Custom Orthotics
Best quality available Hand-crafted Thermo-pressed for maximum memory Fully guaranteed 100% physician & patient satisfaction 48 72 hour average production turn-around Styles for any shoe type

Competition Comparison
3DO
Digital Capture / Archive 3D Surfacing

2D
[TOG, Footmaxx]

Light/Laser
[Foot Levelers]

Pin
[AmFit]

Plaster Cast/ Foam Box

Gait Analysis
Mass Displacement Analysis Pressure Analysis Body Balance Analysis User Friendly / No Technical Skill Outcome Measurement Reports Portable Neutral Position Consistency Accuracy / Return Rate Exam Time

<1%

Varies

Technical Skill Varies

Technical Skill Varies

Technical Skill Varies

90 sec

5 min

10 min

15 min

25 min/5 min

Income Projections Devices only

Scanning 20 25 patients a day
A high percentage will purchase product once educated Pricing Examples (per pair): Cash Price: $250 Insurance Estimate: $400 Additional CPT codes for diagnostic analysis billable to insurance companies We will provide codes for additional billings

Assuming conservative estimate of 10% provides 2 orders per day = $650 (average) 384 orders year = $124,800 income

(Based on a 4 day work week)

The Success System

Tip #1 Run Muted Multimedia video(s) in reception area for viewing and education. Have available print material for patients Tip #2 Place the 3DO System in the hallway between the Reception Room and treatment area(s)

Everyone gets a 90 Second Bio Mechanical Snapshot

The Success System (cont.)

Tip #3 Incentivize back office staff to further educate patients on the value of Ergonomic Footwear using Bio Engineered Ergonomic Devices which are guaranteed to provide value in treatment regimen.

CPT Code 95851 97100 X Rays S0395 Day One 85-150 70 50 210 70 Range of Motion Gait Analysis AP Lat Axial X2 Electronic Casting 3D Office Visit Range

96001
96000 S9476 96004 *

3D Kinematic Imaging*
Video Gait* Vestibular Balancing* Outcome Report Optional

150
70 70 150

Example Pay staff $5.00 per order

The Success System (cont.)

CPT Code L3000 Day Two 60-85 300-700 Orthotic Dispense Office Visit Range

Post Marketing

97760
97116 S0395

Orthotic Training
Gait w/Orthotics Electronic Casting 3D

35
50 70

Educate patient on Specialized Bio Engineered Ergonomic Devices

Golf Tennis Racquetball Hiking Running Style Pumps Aerobic Shoes Educate that children benefit the most through pediatric intervention as they are growing. Provide a discount for family members.

96004
CPT Code 97116 Follow-up Follow-up

Outcome Report
Day Three

150

Office Visit Range Gait w/Orthotics Every 3 months Diabetic & Children

60-85 50 Repeat

Every 6 months (norm) Repeat

ICDA-9 Diagnosis (Notes) Use codes which represent lower extremity and foot pathologies as priorities in diagnostic
codes lines 1-2-3-4 Structural deformities Example, Hallux Abducto Valgus, Calcaneal Heel Spur, Pes Planus, Pes Cavus Injury codes Plantar fasciaiitis, Metatarsalgia, Ankle Injury, Tendoniitis etc Metabolic Diabetes, Rheumatoid Arthritis, Gout etc. . .
Reduce reliance on toxic medications, and complications relative to load bearing surgery. All implant surgeries of the foot, knee and hip require analysis and custom bio-engineered devices. Provide proactive solutions to patients with Organic Diseases (CHF - Hypertension PVD - Obesity Diabetes) by getting these patients on walking programs using Ergonomic Footwear (Orthotics + Shoes).
Treatment scenarios are for information uses only. Consult your billing and insurance specialists for modifications pursuant to your style of practice.

For more information, please call or visit us online.

714.397.0586
www.3DOnow.com