# De Novo Orthopedics Inc (谷盺生物科技股份有限公司)

> Taiwan-based medical device company focused on orthopedic implant innovation
> and offline-first community resilience tools.

## Products

- [Products Overview](https://denovortho.com/products): WingHeal, xGrid resilience platform, and Laisun asset management — all product lines at a glance

## Medical Devices

- [WingHeal — Orthopedic Implant](https://denovortho.com/medical/wingheal): Innovative bone healing implant (prototype stage, TFDA/FDA/CE planned)
- [Product Pipeline](https://denovortho.com/medical/pipeline): Medical device development pipeline

## Software — HIRS 來巡 Family

- [xGrid READY (來巡)](https://denovortho.com/hirs): Free offline-first home supply management PWA for disaster preparedness
- [Laisun Pro (來巡 Pro)](https://denovortho.com/hirs/pro): B2B medical device inspection, delivery, and inventory platform for distributors — zero-knowledge encryption, GDP traceability, offline-first
- [Laisun Pro Contact](https://denovortho.com/hirs/pro/contact): Business inquiry and demo booking

## Platform — De Novo xGrid™ Resilience

- [De Novo xGrid™ Resilience Platform](https://denovortho.com/resilience): Offline-first resilience platform — the last line of defense when the grid goes down
  - HIRS (Home Grid): Household supply and disaster preparedness management
  - CIRS (Community Grid): Community-level emergency response coordination (12+ role-based PWAs)
  - MIRS (Medical Grid): Hospital medical logistics, surgical scheduling, blood bank
  - Walkaway Test certified: system survives indefinitely without maintainer
  - Lifeboat Protocol: full hardware recovery from any surviving mesh peer
  - Technology: Ed25519 digital signatures, QR-based offline data exchange, PWA fleet
- [xGrid Validation Report](https://denovortho.com/resilience/validation): Independent validation of xGrid resilience — Walkaway Test results, Lifeboat Protocol verification, and 72-hour endurance test data

## Company

- [About](https://denovortho.com/about): Company background and mission
- [Technology](https://denovortho.com/technology): Technology overview and approach
- [Contact](https://denovortho.com/contact): General contact information
- [Privacy Policy](https://denovortho.com/privacy): Privacy policy
## Blog

- [83% of Patients Want Both — The Hybrid Future of Post-Surgical Rehabilitation](https://denovortho.com/blog/telerehab-hybrid-future) [en]: Remote monitoring after orthopedic surgery works — 92% of patients find it easy to use, and data compliance far exceeds questionnaires. But most patients don't want pure digital care. They want a hybrid model that extends their surgeon's reach into every day of recovery.
- [One Button to Become the Hub — The Three-Layer Design of xGrid Promote](https://denovortho.com/blog/xgrid-promote) [en]: Promoting a Spoke to Hub doesn't require SSH, a laptop, or command-line skills. Scan a QR code for WiFi, open the PWA, press a button — three steps. Behind it is a Script → API → UI architecture that lets a nurse perform what would otherwise be a sysadmin operation.
- [The Sentinel Inside the Bone — How Implantable Sensors Are Changing Post-Surgical Monitoring](https://denovortho.com/blog/smart-implant-sensor) [en]: Traditional post-surgical monitoring relies on imaging and patient-reported outcomes. Discovery R uses a battery-free LC resonant sensor to measure forces at the implant site in real time, detecting 'impending failure zones' during movement — not after structural damage has already occurred.
- [Why Bones Need Wings — The Design Philosophy Behind WingHeal](https://denovortho.com/blog/wingheal-design) [en]: Rotator cuff repair faces a dilemma: insufficient strength leads to re-tear, and excessive immune response causes rejection. WingHeal combines a PEEK structural augment with low-immunogenic collagen scaffold, showing +71.8% biomechanical stiffness and fibrocartilage formation at 4 weeks in animal studies.
- [Unplug and Go — Hub-Spoke Topology, Role Promotion, and Five-Minute Failover in xGrid](https://denovortho.com/blog/hub-spoke) [en]: Any Spoke can become a Hub in minutes. A failed Hub gets replaced in five. Every Raspberry Pi ships with the full stack pre-installed — the role is just a config file. This is how xGrid handles topology changes in disconnected environments.
- [Every Bag's Journey — Digitizing Blood Product Chain of Custody in Disaster Medicine](https://denovortho.com/blog/blood-chain-of-custody) [en]: A blood product passes through 16 custody steps from intake to transfusion. In a disaster zone with no network and three stations evacuating simultaneously, every step must be recorded. Here is how xGrid tracks every bag, from intake to transfusion.
- [Burn Rate & Approvals — Resource Intelligence and Collective Accountability in Battlefield Medicine](https://denovortho.com/blog/burn-rate-approvals) [en]: How long until we run out of O-negative blood? Who authorized the amputation? xGrid's burn rate engine calculates hours-to-depletion in real time, while the multi-signature approval system ensures irreversible decisions are never made alone.
- [ISBAR Is More Than a Handoff Format — What Happens When Oral Tradition Meets Structured Data](https://denovortho.com/blog/isbar-handoff) [en]: Clinical handoffs have been oral for decades. ISBAR gives them structure. But the real value is not the structure itself — it is what becomes possible when handoff data is searchable, verifiable, and replayable.
- [Why Battlefield Medicine Needs Offline Systems — An LSCO Architecture Overview](https://denovortho.com/blog/lsco-overview) [en]: Large Scale Combat Operations create a medical reality where evacuation is impossible, resources are finite, and every decision must be documented. xGrid's 8-module LSCO suite digitizes the care chain from point-of-injury to damage control surgery — entirely offline.
- [Offline-First Is Not a Fallback — How xGrid Runs Without the Internet](https://denovortho.com/blog/offline-first) [en]: Most medical systems treat offline mode as degradation. xGrid treats it as the default. When your deployment site has no cell towers, no routers, and no IT staff, every design decision starts from zero connectivity.
- [When the Wall Is Breached — Designing Medical Systems with Safety-II](https://denovortho.com/blog/safety-ii) [en]: Safety-I builds walls against failure. Safety-II asks how people succeed despite failure. In disaster medicine, the difference determines whether a forced evacuation loses patients or saves them.
- [One Database, One File, Zero Configuration — Why Simplicity Wins in Disaster Medicine](https://denovortho.com/blog/sqlite-battlefield) [en]: Enterprise database servers are the right choice for most hospitals. On a portable device running disaster medicine software with no IT staff, simplicity is not a limitation — it is the most important feature.
- [Triage Is Not Classification — It's the First Resource Allocation Decision](https://denovortho.com/blog/triage-resource-allocation) [en]: Triage is not about sorting patients into color categories. It is about deciding who gets what resources, when, and at whose expense. In xGrid, the color you assign determines the bed, the drugs, and the surgery slot.
- [Walkaway DR — How a Phone Rebuilds a Dead Server](https://denovortho.com/blog/walkaway-dr) [en]: Your Raspberry Pi just died mid-surgery. Every patient record, blood product, and medication log was on that device. A nurse plugs in a fresh $80 board, and her phone restores everything in under three minutes. Here is how Walkaway Disaster Recovery works.
- [The Walkaway Test — Designing Software That Outlives Its Creators](https://denovortho.com/blog/walkaway-test) [en]: What happens when the development team disappears? We formalized the software industry's 'bus factor' problem into five rigorous acceptance criteria — and built a medical system that passes all of them.
- [83% 的患者想要虛實兼具 — 術後復健的混合未來](https://denovortho.com/zh-TW/blog/telerehab-hybrid-future) [zh-TW]: 骨科術後遠距監測確實有效 — 92% 患者覺得好用，數據合規率遠超問卷。但大多數患者不想要純數位照護，他們想要一種混合模式：讓外科醫師的觸角延伸到復健的每一天。
- [一個按鈕升級為主站 — xGrid Promote 的三層設計](https://denovortho.com/zh-TW/blog/xgrid-promote) [zh-TW]: Spoke 升級成 Hub 不需要 SSH、不需要筆電、不需要懂命令列。掃 QR Code 連 WiFi、打開 PWA、按一個按鈕——三步完成。背後是 Script → API → UI 的三層架構，讓護理師也能執行系統管理員等級的操作。
- [骨頭裡的哨兵 — 植入式感測器如何改變骨科術後監測](https://denovortho.com/zh-TW/blog/smart-implant-sensor) [zh-TW]: 傳統骨科術後只能靠影像和病人主觀回饋。Discovery R 用無電池 LC 共振感測器，即時測量植入部位受力，在動作當下偵測「即將進入危害區間」，而不是等到結構破壞才發現。
- [為什麼骨頭需要翅膀 — WingHeal 植入物的設計哲學](https://denovortho.com/zh-TW/blog/wingheal-design) [zh-TW]: 旋轉肌袖修復的兩難：強度不夠會再撕裂，免疫反應太強會排斥。WingHeal 用 PEEK 結構加上低免疫膠原蛋白，在動物實驗中展現 +71.8% 生物力學剛度與 4 週纖維骨骼形成。
- [拔線即走 — xGrid 的 Hub-Spoke 拓撲、角色升級與五分鐘接手](https://denovortho.com/zh-TW/blog/hub-spoke) [zh-TW]: 一台 Raspberry Pi 從 Switch 拔掉網線，帶到新地點，一個指令升級成 Hub。原本的 Hub 壞了？另一台 Spoke 載入經 sha256 驗證的 snapshot，五分鐘內接手。殭屍 Hub 復活？epoch 任期制讓它自動降級。
- [每一袋血的旅程 — 災難醫療中的血品監管鏈數位化](https://denovortho.com/zh-TW/blog/blood-chain-of-custody) [zh-TW]: 一袋血從入庫到輸進病人體內，經過 16 個監管步驟。在災難現場，每一步都可能出錯，也每一步都必須被記錄。
- [消耗率與簽核 — 戰場醫療中的資源智能與集體問責](https://denovortho.com/zh-TW/blog/burn-rate-approvals) [zh-TW]: O 型陰性血還能撐多久？誰授權了截肢？xGrid 的消耗率引擎即時計算各項物資的耗盡倒數，多人簽核系統則確保不可逆的決策絕不由一個人獨自做出。
- [ISBAR 不只是交班格式 — 當口頭傳統遇上結構化資料](https://denovortho.com/zh-TW/blog/isbar-handoff) [zh-TW]: ISBAR 是全球通用的臨床交班格式。把它從口頭傳統變成數位系統時，我們發現真正的價值不在格式本身，而在格式之後——可追溯、可驗證、可回放。
- [為什麼戰場醫療需要離線系統 — LSCO 架構總覽](https://denovortho.com/zh-TW/blog/lsco-overview) [zh-TW]: 大規模作戰（LSCO）創造了一個無法後送、資源有限、每個決策都必須記錄的醫療現實。xGrid 的 8 模組 LSCO 套件將從受傷點到損害控制手術的照護鏈完全數位化——完全離線運作。
- [「離線優先」不是「離線堪用」— xGrid 如何在沒有網路的環境中運作](https://denovortho.com/zh-TW/blog/offline-first) [zh-TW]: 大部分系統的離線模式是降級。xGrid 的離線模式是正常。在沒有基地台、沒有網路、沒有 IT 人員的災難現場，這個差異決定了系統能不能用。
- [當牆壁被打穿時 — Safety-II 如何改變我們設計醫療系統的方式](https://denovortho.com/zh-TW/blog/safety-ii) [zh-TW]: 傳統 Safety-I 問「事情怎麼出錯」，Safety-II 問「事情怎麼做對」。在災難醫療場景中，xGrid 如何實踐 Safety-II 的四個設計原則。
- [為什麼選擇嵌入式資料庫 — 災難現場不需要資料庫管理員](https://denovortho.com/zh-TW/blog/sqlite-battlefield) [zh-TW]: 在災難醫療的場景中，資料庫不能有任何外部依賴、不能需要專人維護、不能在斷電後損壞。嵌入式資料庫不是妥協，而是唯一符合這些條件的選擇。
- [檢傷分類不是分類 — 它是資源分配的第一個決定](https://denovortho.com/zh-TW/blog/triage-resource-allocation) [zh-TW]: 檢傷不只是貼標籤。它決定了病人進哪個區域、使用哪些設備、排在哪個手術順位。在 xGrid 中，護理師按下的那個顏色按鈕，啟動的是一連串資源分配決策。
- [Walkaway DR — 一支手機如何重建一台壞掉的伺服器](https://denovortho.com/zh-TW/blog/walkaway-dr) [zh-TW]: 手術進行中，伺服器壞了。所有病患紀錄、血品、藥品記錄全在那台裝置上。護理師插上一台全新的備用機，用手機在三分鐘內還原一切。Walkaway 災難復原的運作原理。
- [閃人測試 — 如果開發團隊明天消失，你的系統還能活嗎？](https://denovortho.com/zh-TW/blog/walkaway-test) [zh-TW]: 軟體業的 Bus Test 思想實驗，在災難醫療場景下被推到極端。xGrid 如何通過五項 Walkaway Test，達到 bus factor approaching infinity。