Know where we started.
Both feet. Four-photo capture. Shoe context. Initial monitoring plan.
- Trusted originals
- SHA-256 integrity
- Foot baseline
FOOTLABOS / BUILD BY DESIGN
One minute
from the client.
We take it from there.
Receive a trusted text or email. Tap the secure link. Take four guided photos. Done.
No app. No standing password. No special hardware for the client. FootLabOS handles the longitudinal record, local compute, monitoring workflow, manufacturing lineage and follow-through.
Local servers
Local Synology NAS
Provider-operated compute
Phone-first client experience
9:41
● ● ●
OpenFootLab
Your secure foot check-in is ready.
check.footlabos.com/c/••••••••
01
Right plantar
ready
02
Left plantar
ready
03
Right targeted
ready
04
Left targeted
ready
You're done. We'll take care of the rest.
≈1 min
client workload
4
guided photos
0
app installs
0
client cloud accounts
LOCAL
longitudinal record
THE PRODUCT IS NOT
an insert transaction.
THE PRODUCT IS
continuity.
THE OPERATING LOOP
The insert is the beginning.
FootLabOS is designed around what happens between visits: wearing the device, watching both feet, collecting feedback, surfacing meaningful changes for human review and improving the system over time.
Build the bilateral system.
Geometry, shoe fit, materials, accommodation, manufacturing and version lineage.
- Right + left together
- Asymmetric by need
- Traceable manufacturing
The real work starts here.
The client wears the device. We keep listening, watching and improving.
- Photo monitoring
- Wear feedback
- Human review
- Adjustments
Update from evidence.
Feet change. Shoes change. Loading changes. The next version learns from the last.
- Refresh
- Revision
- Re-baseline
AFTER DELIVERY
A living feedback loop.
Delivery does not close the case. Delivery starts the in-service relationship.
Wear
insert + shoe
→
Check in
about 1 minute
→
Compare
longitudinal evidence
→
Review
human owned
→
Adjust
device + plan
↺
IN-SERVICE PROTOCOL
Monitoring changes with the moment.
A new device deserves more attention than an established one. FootLabOS changes the cadence as the client moves from baseline through first wear and into established use.
Build the longitudinal starting point before design decisions depend on a stale snapshot.
Device, shoe, skin, comfort and client feedback are watched together as the insert enters real life.
Lower-friction continuity while preserving the ability to tighten cadence when something meaningfully changes.
New shoe. New device. Structural change. New pressure pattern. Significant change means the system deserves another look.
DOCTRINE
At-risk feet come as a pair.
RULE
Bilateral by design.
Asymmetric by need.
Asymmetric by need.
WHY
One side can change how the whole system loads.
BILATERAL SYSTEM THINKING
Don't engineer “the bad foot.” Engineer the system.
One foot having the active problem does not make the opposite foot irrelevant. Both feet participate in the same standing, walking, footwear and load-transfer system.
01
Capture and monitor both feet.
02
Assess geometry and shoe fit bilaterally.
03
Inserts can be different while still functioning as one coordinated system.
04
Meaningful structural, shoe, device or loading changes trigger review and possible re-baseline.
THE APPLIANCE
The device is part of the service.
FootLabOS delivers personalized bilateral inserts designed for real-world wear, monitored over time and improved through feedback, follow-through and refresh.
We do not think in terms of “just the bad foot.” We think in terms of a bilateral system: both feet, the shoes, the device, the client experience and what happens after delivery.
Bilateral by design
right and left engineered as one system
Asymmetric by need
each side can be built differently when required
Monitored in service
adjustments and refresh informed by real evidence
Personalized bilateral insert system / monitored over time
THE APPLIANCE
The device is part of the service.
Personalized bilateral inserts built for real-world use, then monitored after delivery through FootLabOS.
We do not build around only “the bad foot.” We treat the right foot, left foot, footwear, loading, device and client experience as one connected system.
Bilateral by design
Right and left are considered together from baseline
through in-service monitoring.
Asymmetric by need
Each side can use different geometry, accommodation,
materials or offloading strategy.
Built for iteration
Wear feedback and longitudinal evidence can inform
adjustments, revisions and refreshes.
Part of a monitored system
Delivery is the beginning of the in-service loop,
not the end of the transaction.
WHY THIS EXISTS
FOUNDER / LIVED EXPERIENCEBuilt from living the gap between a device and real life.
FootLabOS did not start as a software exercise. It came from living through bilateral foot risk, repeated procedures, ulcers, amputations, changing structure and changing load — while seeing how much of the real work happens outside the exam room.
“The device cannot be the end of the conversation. The real work starts when the client goes home and wears it.”
The mission is not to replace the care team. It is to build the support system around the person: simple check-ins, longitudinal evidence, manufacturing, follow-through and a better feedback loop between visits.
WE OWN THE RACKS
Local is the architecture.
The client's longitudinal FootLab record lives on provider-operated infrastructure. Outside communication services are replaceable pipes — not the system of record.
CLIENT
Phone
SMS / email / browser
↓
FOOTOS EDGE
Secure capture
token • validation • staging • hashes
↓
LOCAL POSTGRES
Operational truth
events • status • ingest state
↓
DEFENDABLE
Trusted ingest
verification • receipts • chain of custody
↓
SYNOLOGY NAS
Client Vault
durable longitudinal record
↓
LOCAL COMPUTE
FootLabOS intelligence
review • comparison • reports • manufacturing
No app required
The browser is enough.
No client cloud account
Participation stays simple.
Originals stay originals
Derived media remains separate.
Cloud is replaceable
Messaging is transport, not authority.
BLOCKZERO / PROVEN LOOP
This is not a slide deck.
The first complete FootLabOS capture has already moved through the local stack end to end: secure link, four originals, integrity hashes, trusted ingest, local Client Vault and Flight Sheet.
01
Secure link
opaque token / no standing password
→
02
4 originals
bilateral capture package
→
03
Verify
type / bytes / SHA-256 / manifest
→
04
Trusted ingest
provider-operated node
→
05
Client Vault
local Synology NAS
→
06
Flight Sheet
longitudinal operating record
CAPTURE
PASS
INTEGRITY
VERIFIED
INGEST
LOCAL
CLIENT RECORD
DURABLE
CLIENT VAULT
The record compounds.
The moat is not a single printed insert. It is longitudinal evidence, device lineage, shoe history, adjustments and follow-through.
private/identity + contact
block-zero/baseline + plan
photos/originals + derived
flights/Flight Sheets
audit/integrity records
geometry/scans + measurements
inserts/device lineage
in-service/wear monitoring
shoes/shoe library
care-team/sharing + routing
wellness/optional context
reports/client outputs
HUMAN IN THE LOOP
FootLabOS is not the doctor.
FootLabOS organizes evidence, supports monitoring, manufactures devices and surfaces meaningful changes for human review.
Diagnosis and treatment decisions belong to the licensed care team.
FootLabOS
evidence • continuity • manufacturing • follow-through
Care team
clinical judgment • diagnosis • treatment • escalation
Client
one minute • feedback • consistent participation
WORKING BUSINESS MODEL
Membership, not a transaction.
Pricing is intentionally shown as a working hypothesis while we model monitoring, support, manufacturing and long-term value.
WORKING MODEL
$9
/month
FootLab Membership
- Secure FootLabOS check-ins
- Longitudinal photo history
- Flight Sheet continuity
- Monitoring reminders
- Local Client Vault
- In-service feedback loop
FIRST INSERT
Included with qualifying annual membership
REFRESH
$99 working target
CORE VALUE
Continuity after delivery
The insert gives us something useful to monitor and improve. The membership supports the ongoing relationship.
THE CLIENT CONTRACT
We absorb the complexity.
The client should not need to understand our stack. They need a phone, a trusted message and about one minute.
No app because we want an app. No dashboard because we can build one. No extra forms because structured data is easier for us.
Never make the client do work because it makes our backend easier.
THE WHITEBOARD
Rules we don't compromise.
This board grows as FootLabOS grows.
OPENFOOTLAB / CONTACT
Start the conversation.
Client questions, referrals, clinician relationships, partnerships or FootLabOS onboarding — reach us directly.
EMAIL
care@openfootlab.com
→
PHONE
561.532.7120
→
THE CLIENT EXPERIENCE
Trusted text or email.
Tap the link.
Take the photos.
Done.
FOOTLABOS
Wear it. Check in.
We take it from there.
The person is the destination.