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POWERED BY DE NOVO ORTHOPEDICS

De Novo xGrid™

The Last Line of Defense When the Grid Goes Down

Imagine this:

Earthquake strikes. Cell towers collapse. Power and communications gone. How does the surgeon access emergency patient records? What's the emergency transfusion protocol? How long can oxygen and backup power last?

How does the shelter maintain volunteer operations? How to register and triage? How to coordinate emergency supplies? How to handoff patient transfers? How does the pharmacist dispense medications?

With power and network completely down, how does the command center know real-time status of personnel, supplies, and equipment to coordinate, request aid, and evacuate?

No need to go back to all-paper era. De Novo xGrid keeps everything running offline — medical data instantly accessible, ensuring every minute counts for saving lives.

De Novo xGrid Medical Appliance - Raspberry Pi hub with tablets showing anesthesia monitoring and Lifeboat Mode
xIRS Field Medical Station - MIRS App with PWA fleet
xIRS Field Medical Station - PWA labels explained
CIRS Shelter Exercise - Check-in, Triage, Pharmacy stations
CIRS Shelter Exercise - PWA labels explained
xIRS Command Center - MIRS Resilience Dashboard
xIRS Command Center - PWA labels explained

Each pin represents an offline-capable PWA — scroll down to learn more

When Disaster Strikes

Earthquake, typhoon, battlefield — when the network goes down, xGrid is the last line of defense.

Network Down

Earthquake collapses cell towers. Typhoon cuts fiber lines. Cloud services become unreachable — but patients still need care.

Equipment Damaged

Flooding, lightning, shelling — when equipment is damaged and data becomes inaccessible, you need a system that already lives on every device.

Field Operations

Remote disaster sites, mobile clinics, forward operating bases — no stable network, but nurses can run the full patient workflow from a phone.

De Novo xGrid: Built for the Worst

An offline-first medical platform on a credit-card-sized Raspberry Pi. Nurses operate the full patient workflow from their phones — registration, triage, surgery, transfusion, discharge billing. Sync when connected, operate independently when not.

Offline-first designLocal data storageSelf-healing capability
Architecture Validation

Built for Real Disasters

Designed with input from emergency responders and medical professionals

Walkaway Test

If the dev team dissolves and servers shut down, can the system keep running? We validate with 5 tests.

wk01Offline operation
wk02Hub recovery
wk03No IT maintenance
wk04License grace period
wk05Data integrity audit

Lifeboat Protocol

When the hub fails, edge devices can rebuild the system.

Disaster Strikes
Replace Hub
One-Click Restore

Like a starfish regenerating a limb, every De Novo xGrid edge device can rebuild the central brain.

When designing a system, assume you'll be hit by a bus tomorrow. Can your users continue without you? This is our standard for every line of code.

System Validationv7.14 · Feb 2026

149-Step Automated Test — 10 Patient Scenarios

The most demanding test: 3 of 8 medical stations forced to evacuate simultaneously — with active blood transfusions and an ongoing surgery. The system ensured every patient record, blood bag, and medication transfer was tracked and verified, without interrupting care.

649
Test Steps
648
Passed
0
Failed
13
Patient Scenarios

Validated on Raspberry Pi 5 · 20 concurrent stations · zero errors

View Full Report

Core Operations

Three scenarios for high flexibility and resilience

Nhân nội bộ (Kernel)

Máy chủ tại chỗ cho phép mọi điện thoại trong trạm chia sẻ cùng dữ liệu

SDK giải quyết phối hợp giữa các PWA trên cùng một thiết bị. Nhưng khi một trạm y tế có 5 y tá, 3 bác sĩ và 2 nhân viên hậu cần làm việc trên các điện thoại khác nhau cùng lúc, ai đảm bảo dữ liệu bệnh nhân nhất quán cho tất cả? Đó là Kernel — một Raspberry Pi nhỏ bằng thẻ tín dụng chạy như máy chủ tại chỗ trong mỗi trạm. Mọi điện thoại kết nối qua Wi-Fi trạm, không cần internet bên ngoài, mọi PWA chia sẻ cùng dữ liệu theo thời gian thực.

SDK — Phối hợp cùng thiết bị

Thư viện mã chung cho mọi PWA trên một thiết bị đồng bộ cross-tab thời gian thực

Kernel — Phối hợp cùng trạm

Raspberry Pi tại chỗ cho phép nhiều thiết bị trong một trạm chia sẻ cùng nguồn dữ liệu bệnh nhân

Mesh — Phối hợp xuyên trạm

Cấu trúc Hub-Spoke cho phép các trạm dự phòng lẫn nhau và khôi phục sau thảm họa

Community Grid

CIRS Engine

Command center for community resilience. Orchestrate shelter operations, coordinate volunteer dispatch, delivery tracking (offline ledger + contract pricing)—all offline.

Check-in SystemResource TriageMutual Aid
Demo Version

Medical Grid

MIRS Engine

Critical medical data, even offline. Complete patient records, real-time triage classification, medication inventory tracking.

Medication TrackingBlood BankEquipment Status
Demo Version

xGrid READY

Making resilience part of everyday life. Free offline-first supply management app for families.

ReleasedOpen READY

Built for Every Role

From field medics to command center operators, De Novo xGrid adapts to your workflow.

Clinical Ops

Seamless patient handoff from field to hospital. Offline triage, prescriptions, and medical records.

Logistics Ops

Real-time inventory visibility across all nodes. Track supplies, medications, and equipment status.

Command Ops

Data-driven decisions when the internet is down. Dashboard analytics and resource allocation.

What is a PWA?

A website that installs like an app. No app store needed — just visit and add to your home screen.

How Does It Work?

PWAs cache everything locally. Once installed, the app runs from your device, even without internet.

Why Does It Matter?

In disasters, networks fail first. PWAs keep working when you need them most — offline, reliable, instant.

Event Bus

Real-time cross-tab synchronization. When a nurse updates a patient status, doctors see it instantly.

Unified API

Standardized communication protocol with automatic retry, timeout handling, and error recovery.

Offline Queue

Operations continue seamlessly without internet. Data syncs automatically when connection returns.

15
PWAs Deployed
19
Bus Events
100%
Offline Capable
De Novo xGrid SDK Architecture

Started November 2025, built a complete resilience ecosystem in 3 months

2025-11

Kernel (本地伺服器)

Unlocked: Raspberry Pi làm máy chủ tại chỗ trong mỗi trạm — đó là Kernel. Mọi điện thoại trong trạm kết nối qua Wi-Fi trạm, các PWA chia sẻ cùng một nguồn dữ liệu. SDK, Mesh và toàn bộ nền tảng xGrid đều xây trên nền tảng này.

2025-11

MIRS v2.0

Unlocked: Offline-first anesthesia records, equipment tracking, blood bank

2025-12

HIRS + CIRS

Unlocked: Home preparedness + community shelter management

2026-01

PWA Fleet

Unlocked: 15+ role-specific PWA interfaces

2026-01-20

De Novo xGrid SDK

Unlocked: Unified offline queue, Event Bus standardization

2026-01-23

Walkaway Test

Unlocked: Data sovereignty validation passed

2026-01-26

Lifeboat Protocol

Unlocked: Edge devices can rebuild central hub

2026-01-27

De Novo xGrid™

Unlocked: Medical appliance, bus factor approaching infinity

2026-02-24

Medical Grid v5.1

Unlocked: 136-step E2E test: 135 pass, 0 fail, 0 gap. Station consolidation validated.

2026-02-24

Medical Grid v6.0

Unlocked: LSCO battlefield medicine: 8 modules complete. 149-step E2E across 10 scenarios.

2026-02-26

Medical Grid v6.5

Unlocked: 173-step E2E: 172 pass, 0 fail. CIRS Walkaway DR, Cross-Proxy API, idempotent sync, LSCO walkaway coverage verified 17/17.

2026-03-19NOW

Medical Grid v7.14

Unlocked: 649-step E2E across 6 suites. LSCO Readiness 4/4 complete: Sync 11P + DR 12P + Merge 13P + 72H 364P. 100% pass rate.

Build Resilience for Your Medical Unit

De Novo xGrid is a backup solution for your existing HIS. When your system goes down, continue seeing patients.