Care Delivery Model

Risk-Stratified Mobile Wound Care

Bringing specialist-level diagnostics, imaging, and therapeutics directly to patients wherever they are—from hospitals to care facilities to homes. Comprehensive wound management spanning diabetic foot ulcers, pressure injuries, venous ulcers, surgical wounds, burns, and traumatic wounds. Integrated with British NICE guidelines for risk stratification.

Four-Tier Risk Stratification Framework

Based on NICE NG19 guidelines, ensuring appropriate care intensity matched to clinical risk and urgency.

4

Active Disease

URGENT

Active ulceration, spreading infection, critical ischaemia, gangrene, or suspected acute Charcot arthropathy

Hospital MDfT
Multidisciplinary Team
Within 24 Hours
Response Time
Full Technology Suite
All Diagnostics & Therapeutics
Team Composition:
Diabetologist, Specialist Podiatrist, Vascular/Orthopaedic Surgeon, Microbiologist, Diabetes Specialist Nurse, Interventional Radiologist, Orthotist, Plaster Technician
3

High Risk

SPECIALIST SURVEILLANCE

Previous ulceration/amputation, renal replacement therapy, neuropathy + PAD, or multiple risk factors combined

Community FPT3
Specialist Foot Protection
1-3 Months
Assessment Frequency
Mobile Service
On-Site Care Delivery
Technology Deployed:
MESI + VICORDER vascular assessment, MIIS MPD100 multi-modal imaging, CureVision BacteriaScan, eKare AI platform, Vaporox VHT, Numobag® THOT®, Debriflo debridement, Altrazeal wound sealing
2

Moderate Risk

COMMUNITY PODIATRY

Single risk factor: deformity OR neuropathy OR peripheral arterial disease

Community FPT2
Podiatry Team
3-6 Months
Assessment Frequency
Care Facilities
SNF, ALF, Homes
Technology Deployed:
MESI mTABLET vascular screening, eKare mobile imaging, telehealth consultation access
1

Low Risk

PRIMARY CARE

No risk factors present (no neuropathy, no PAD, no deformity beyond simple callus)

Primary Care
GP Practice
Annual
Diabetes Review
Education Focus
Prevention & Self-Care
Technology Deployed:
Basic MESI mTABLET vascular screening, monofilament neuropathy testing, visual foot inspection

We Bring the Wound Center to You

Mobile specialist teams deploy advanced diagnostics and therapeutics directly to hospitals, care facilities, and patient homes—eliminating transportation barriers and ensuring timely access to specialist care.

Service Delivery Locations

Hospitals
Inpatient consultations and MDfT coordination
Outpatient Wound Centers
Supplement local capacity with specialist expertise
Long-Term Care Facilities
On-site specialist assessment and treatment
Skilled Nursing Facilities
Regular surveillance and wound management
Assisted Living & Group Homes
Accessible care for residential communities
Patient Homes
Hospital-grade care for homebound individuals

Clinical Excellence + Education

Mobile teams don't just deliver treatment—they build local capacity through hands-on education for facility staff, family caregivers, and patients.

Assessment and treatment plan review at every visit
Hands-on demonstration of wound care techniques
Education about warning signs requiring immediate consultation
Regular training sessions for facility staff on risk stratification
Written treatment plans shared with all care team members

Technology Designed for Mobile Deployment

Every component of the image-guided wound healing system is engineered for portability, enabling hospital-grade diagnostics and therapeutics at any location.

MESI mTABLET
Tablet-based simultaneous 4-limb ABI/TBI measurement in under 3 minutes
Clinical Impact: Detects PAD with ABI <0.9 (sensitivity 95%), identifies critical ischaemia (ABI <0.5) requiring urgent revascularization, and measures TBI for calcified vessels common in diabetes.
eKare Mobile
Smartphone 3D wound imaging with cloud AI analytics
MIIS MPD100
Mobile cart with 3D, thermal, and color imaging
CureVision BacteriaScan
Portable spectral imaging for bacterial detection via fluorescence
Numobag® THOT®
Portable topical hyperbaric oxygen therapy (Numobag)
Vaporox VHT
Portable vaporous hyperoxia therapy system
Debriflo
Handheld ultrasonic wound irrigation device
Altrazeal
Transforming powder dressing (30-day extended wear)

Quality Metrics & Accountability

Clear performance standards at every tier ensure timely access, appropriate care intensity, and measurable outcomes.

50%
Amputation Reduction Goal
Over 5 years with integrated care model
24h
Active Disease Response
100% of patients seen by MDfT within 24 hours
90%
Timely Access
Moderate/high risk patients assessed within target timeframes

Process Metrics

• Documented risk stratification at every encounter
• Written treatment plan communicated to primary care
• Wound measurements and photographs at every visit
• Patient education documented at every encounter
• Facility staff training sessions (minimum quarterly)
• Real-time data entry into centralized registry
AI-Guided Escalation Protocol

pH-Triggered Immune Suppression Response

Grounded in the 2026 Cell Host & Microbe landmark study (MIT/Singapore/Geneva), this protocol closes the loop between wound pH monitoring and targeted intervention. When E. faecalis produces lactic acid, wound pH rises above 7 — activating the immune suppression cascade. HealPath360 AI detects this biomarker and triggers a structured escalation response.

1
EVOSens pH Sensor

Dressing Turns Blue

EVOSens integrated dressing changes color to bright blue, signalling wound pH >7 (alkaline). This visual alert is detectable by nurses, carers, or the patient — no specialist required at this stage.

AI Action: Automated flag raised in eKare platform. Patient risk score updated. Escalation timer initiated.
2
CureVision BacteriaScan

Fluorescence Scan Triggered

AI dispatches community nurse or specialist for CureVision BacteriaScan within 24 hours. Porphyrin fluorescence maps bacterial distribution — confirming presence and location of E. faecalis and polymicrobial co-infection.

AI Action: Bacterial map uploaded to eKare. Wound trajectory model updated. Treatment pathway selected based on bioburden pattern.
3
E. faecalis Confirmed

Immune Suppression Confirmed

Fluorescence confirms lactic-acid-producing bacteria. AI cross-references wound pH, bacterial map, vascular status (MESI ABI/TBI), and healing trajectory to determine intervention intensity and select the optimal therapeutic combination.

AI Action: Personalised treatment protocol generated. Dressing selection (SAM™ PainGuard™ or Microlyte®), debridement plan, and oxygen therapy schedule recommended.
4
AI-Directed InterventionNumobag® THOT® + Debriflo Ultrasonic Debridement + Targeted Dressing

Targeted Immune Suppression Reversal

Numobag® THOT®

100% medical-grade oxygen at 1.03–1.05 ATA disrupts the anaerobic environment that enables E. faecalis lactic acid production. 4 hrs/day × 4 days/week protocol. Restores immune macrophage function by reversing GPR81-mediated NF-κB suppression.

Debriflo Ultrasonic Debridement

AI-guided debridement targets bacterial hotspots identified by CureVision fluorescence map. Ultrasonic energy disrupts biofilm matrix, removes devitalised tissue, and eliminates lactic acid-producing bacterial colonies with precision.

SAM™ PainGuard™ / Microlyte®

AI selects dressing based on wound size, pain level, and bacterial load. SAM™ PainGuard™ delivers 72-hour antimicrobial silver + controlled-release lidocaine for painful procedures. Microlyte® provides bioresorbable scaffold for chronic DFU closure (79% at 3 weeks).

AI Monitoring & Follow-Up:

eKare platform tracks pH normalisation (target <6.5), wound area reduction, and bacterial fluorescence response at each visit. If pH remains elevated after 72 hours, AI escalates to Tier 3 specialist review and considers systemic antibiotic stewardship consultation. All data feeds into the healing trajectory model for continuous protocol optimisation.

pH Normalised — Immune Function Restored

EVOSens dressing returns to normal colour (pH <6.5). CureVision confirms bacterial clearance. AI updates healing trajectory — patient returns to standard surveillance tier with continued monitoring. Wound closure pathway initiated.

Implement Risk-Stratified Mobile Care

Transform your wound care delivery model with integrated technology, specialist teams, and proven protocols that bring care directly to patients.