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Partnership Proposal
Draft v0.5 · May 2026
Confidential — for review

A digital workflow,
built around the way you scale.

Point Designs is approaching a structural ceiling — in throughput, in per-seat tooling cost, and in customer extensibility. This proposal frames a 12-month, two-phase partnership with Spentys that resolves each constraint in turn, under a single fixed development fee.

Because Point Designs is already operating on the Spentys OMS, this initiative is positioned as a configuration and expansion of an existing digital foundation — not a new deployment. Phase 1 is intentionally contained: a guided, browser-based workflow for the internal design team, with no new haptic hardware and no machine-learning dependencies. The customer-facing rollout follows in Phase 2, only once the internal workflow is validated. The objective is meaningful operational gains in fabrication scalability while keeping the level of engagement controlled.

Prepared for
Point Designs & Hanger Healthcare
Prepared by
Spentys R&D
Scope window
12 months
Version
Draft v0.5 — May 2026
§ 01

The brief, in production terms.

The discovery work with the Point Designs clinical and engineering team converged on a single observation: the current workflow is technically capable but structurally capped. The team can produce excellent partial-hand sockets, but every axis of growth — designer count, throughput, international expansion, customer empowerment — runs into either a per-seat license tax, a labor floor set by physical plaster handling, or a tooling stack that fundamentally cannot be put in front of an external clinician.

Three constraints define that ceiling today. The phased project below resolves each in sequence, without forcing PD to commit to phases 2+ before phase 1 is validated in production.

Constraint 01

Labor floor

~1.65 hrs of active labor plus one overnight cure per case to pour, modify, and scan the plaster. A hard floor on throughput regardless of how fast digital design becomes.

Phase 1Algorithmic plaster modification removes the floor.
Constraint 02

Shipment chain

Five physical shipments per case (two of them round-trips). In the US that adds ≥ 4 days per leg; internationally it multiplies and adds customs friction to every order.

Phase 2Digital alignment cuts the chain from five shipments to three.
Constraint 03

Scaling tax + customer wall

Every additional designer = +1 Geomagic Freeform license ($22k upfront, $3.5k/yr) + 1 haptic device. Customer-facing usage is structurally impossible on this stack.

Phase 2Web-native delivery, no per-seat tax, clinician-facing.

"Our current model doesn't scale at all with enabling customers to be more involved in the process… we can't achieve this vision if our model relies on access to Freeform+ and a haptic device."— Point Designs, scoping questionnaire

What this partnership delivers

A browser-native design environment owned and operated by Point Designs, replacing the Freeform-based workflow over 12 months. Designed first for the internal team — the diagnostic-device workflow (Phase 1) — then extended to the definitive device, finger alignment, and a clinician-facing workflow for distributors worldwide (Phase 2). Delivered under a single fixed development fee that includes engineering, software licenses, and operational use during the build.

§ 02

Twelve months, two phases.

Each phase delivers a tool that PD can use in production before the next phase begins. The gate is explicit and verifiable — Phase 2 does not start until Phase 1 has passed clinical adherence review. This protects both parties: PD doesn't pay for capability they haven't validated; Spentys doesn't build on requirements that haven't survived contact with real patients.

M0 M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12 PHASE 1 PHASE 2 PD R&D VALIDATION Diagnostic Device Workflow Scan intake · modify · liner region · frame + strap · OMS connection Definitive Device & Alignment Liner model · finger alignment · render on hand · clinician-facing UI Liner material + anchor geometry Closure system (zipper replacement) P1 acceptance P2 clinician beta GATE 1 Clinical adherence LAUNCH Customer rollout
Phase 1 — Diagnostic device workflow Phase 2 — Definitive device & alignment PD-side R&D dependency Validation window
Click timeline to expand

The shipment chain, before and after

Today
5 shipments / case
Impression kit out · impression in · diagnostic out · aligned diagnostic in · definitive out. Each shipment ~10 min prep, ~$25 domestic / ~$100 international.
After Phase 2
3 shipments / case
Impression kit out · diagnostic device out · definitive device out. Customers scan and upload through the OMS instead of shipping plaster and aligned diagnostics back.
§ 03

What gets built, and what doesn't.

Phase descriptions below are deliberately specific about what is out of scope at each stage. This is the single most common source of cost overrun in partnership programs and the easiest to prevent at scoping time. The engagement is two phases: a diagnostic-device workflow built for the internal team first, then the definitive-device and alignment workflow extended to clinicians.

PHASE 01

Diagnostic Device Workflow — internal MVP

Months 0 – 6

In scope

  • OMS-driven intake of plaster-positive scans (Spentys OMS already in production at PD)
  • Two starting points: scan of the plaster, and scan of the plaster with the silicone diagnostic device — the latter skips the modification and liner-region steps, since that geometry is already present on the scan
  • Mesh viewer with region-marking tools (replacing the physical blue/red pen markings)
  • Guided, region-by-region modification — the editor walks the designer through each region and applies that region's preset edit (reduce / smooth / raise), with granular parameters to tune
  • Liner region definition — sets where the liner sits, not the liner's 3D shape
  • Frame & strap generation enforcing socket parameters (1.5–2mm silicone, ≥8mm frame cross-section)
  • Manual landmark placement for anchors, screw connectors, strap and zipper path
  • STL export pipeline: PA12 rigid frame — the Phase-1 diagnostic-device output. The printable flexible (TPU) liner is a Phase-2 deliverable, once PD has settled the liner material and closure
  • OMS connection — design output written back into the order record
  • Joint validation protocol design (patient fitting, clinical adherence, edge-case)

Explicitly NOT in Phase 1

  • Liner 3D shape generation and printable (TPU) liner export — region only in Phase 1; the printed liner device is a Phase-2 deliverable
  • Digit / finger alignment (Phase 2)
  • Liner model plug-in (Phase 2)
  • Finger rendering on the hand (Phase 2)
  • Customer / clinician-facing UI (Phase 2)
  • Partial finger amputations — out of scope for this engagement
  • Closure system (zipper replacement) — gated on PD-side material R&D
  • Full automation of marking or modification (future perspective)

Acceptance criteria

  • PD designers complete a diagnostic device end-to-end in the web editor with no Freeform fallback
  • Patient fittings produced from web-editor designs meet PD's clinical adherence review
  • Edge-case test suite passes: step-skipping, principle-violation, out-of-order workflow
  • Diagnostic device design time substantially below the current Freeform-based workflow

Point Designs deliverables to Spentys

  • Existing digital tooling files (zippers, anchors, straps, connectors)
  • Representative scan dataset for development & QA (plaster and plaster-with-diagnostic)
  • Clinical reviewer time for design-principle audit at gate
  • Patient-fitting cohort for acceptance testing
Gate 1 Clinical adherence review + edge-case validation passed. PD produces diagnostic devices end-to-end from the web editor. Phase 2 does not begin until this gate is cleared.
PHASE 02

Definitive Device & Alignment — customer-facing

Months 6 – 12

In scope

  • Liner model plug-in — the definitive liner model integrated into the Phase-1 workflow, including printable (TPU) liner export once PD has settled the liner material and closure
  • Finger alignment for full fingers and full thumb amputations (incl. Point Pivot Plus thumb)
  • Finger alignment from either of two starting points: a scan of the physically aligned device, or manual landmark placement on the liner
  • Removable alignment component: check alignment, remove, glue fingers, rescan, validate as-is when no correction is needed
  • Integration of alignment into the design workflow and render of fingers on the hand
  • Direct-to-definitive path for high-confidence cases (skip the diagnostic loop)
  • Clinician-facing UI in the OMS: easy mode (template-driven) + advanced mode (region marking)
  • Optional visibility of the web editor directly in the order form
  • Permissions, project sharing, audit trail for clinician submissions
  • Beta rollout in international markets (highest shipment-pain leverage first)

Explicitly NOT in Phase 2

  • Partial finger amputations — out of scope for this engagement
  • Transradial amputations (future perspective — device not yet developed)
  • Hand landmark detection & ML-driven modification (future perspective)
  • Full automation of the design workflow (future perspective)
  • Body-powered products & new product categories (separate addendum)
  • Rescan-driven volume changes to the socket or liner — Phase 2 transfers finger alignment and re-projects trim lines (manual nudge) only; volume re-modification from the returned diagnostic is deferred to a future phase

Acceptance criteria

  • Alignment accuracy validated against PD's current Freeform-based tolerance
  • Manual alignment time reduced to roughly 10% of the current 1–2 hour effort
  • Clinician beta cohort: 10+ cases completed via clinician-driven web UI without PD design intervention
  • International distributor onboarding completed in two pilot markets

Point Designs deliverables to Spentys

  • Definitive liner model and specification
  • Alignment-component geometry and removable-fit specification
  • Anatomical reference dataset (scans paired with alignment outcomes)
  • Clinician beta cohort + onboarding support; distributor selection for pilot markets
Launch Customer-facing rollout. Definitive devices designed and aligned through the web editor; international pilot markets onboarded; clinician-driven cases completed without PD design intervention. Project complete.
Future perspective — beyond the 12-month scope

Foundation first; automation when the data is ready.

Two directions sit beyond this engagement. Transradial amputations — once Point Designs has developed the device itself, alignment is expected to be relatively straightforward to bring into the same workflow. And full automation — once the workflows established in Phases 1–2 are in production and generating clean, structured design data, PD and Spentys will have the foundation to discuss hand-landmark detection, ML-driven modification, and direct-from-anatomy placement. Neither is priced or scoped here: both depend on Phase 1–2 acceptance and, in the automation case, on a curated training dataset that the deployment itself begins to produce. When the time is right, each becomes a separate addendum with its own timeline and budget.

§ 04

Resourcing, in days per month.

The fixed development fee funds a defined, costed engineering build. Decomposed sub-process by sub-process in the internal scope map, the work totals 62 engineering-days across three tracks — App, OMS, and Device — split Phase 1 29.5 days / Phase 2 32.5 days. The 12-month calendar is paced by the clinical-adherence validation gate and by Point Designs’ own material and closure R&D — not by engineering hours — so focused build sprints sit inside a schedule held open for review. Spentys provides the team and absorbs all coordination overhead; PD does not staff the engineering build — its commitment is the clinical-reviewer, patient-cohort and onboarding time noted at the gates (§03 / §07).

Engineering load across 12 months

M0M2M4M6M8M10M12 PHASE 1 PHASE 2 0d 5d 8d 29.5 days 6 months 32.5 days 6 months 62 ENGINEERING-DAYS · ~5 DAYS/MONTH PACED BY VALIDATION GATES
Phase tinted band Monthly load (days) ~5-day monthly average
Click chart to expand

Days & tracks, mapped to the timeline

Every block below represents one discipline's commitment within a phase. Block opacity scales with weekly intensity — heavier blocks are where the work concentrates. Discipline totals sit on the right; phase totals on the bottom. Phases align with the timeline Gantt in §02 and the load curve above.

M0M2M4M6M8M10M12 PHASE 1 PHASE 2 App Dev 16.5d 14d 30.5dDevice Dev 9d 16d 25dOMS Dev 4d 2.5d 6.5d 29.5 days 6 mo 32.5 days 6 mo 62 ENGINEERING-DAYS · ~5 DAYS/MONTH AVG 3 TRACKS · 2 PHASES
Phase 1 — Diagnostic device workflow Phase 2 — Definitive device & alignment Bar length proportional to days per phase
Click chart to expand

Days are committed at the phase level; Spentys retains flexibility to rebalance tracks within each phase to deliver acceptance criteria. Phase totals are fixed; PD does not staff the engineering build.

§ 05

Pricing, in three components.

The commercial structure is built to match how Point Designs actually buys: a fixed development fee for budget predictability, predictable per-product expansion pricing for the multi-year roadmap, and a tiered license that scales with usage without becoming a per-click tax.

Component 01 · Development
$58,000 total
One-time development fee covering both phases — the diagnostic-device workflow and the definitive-device & alignment build. Roughly $4,833/month across the 12-month build.

Covers all engineering delivery (62 days), infrastructure, third-party licenses, hosting, and Spentys-side coordination. No per-seat fees, no per-case click fees during the build. Fixed price — no NRE escalation.

Component 02 · Expansion
$19,000 / product line
Predictable per-unit pricing for adding new partial-hand or thumb workflows after the foundation is live.

The Phase 1–2 platform provides the reusable building blocks; each new product line plugs into them with substantially less effort than greenfield development. Quoted per line in advance, payable on delivery.

Component 03 · License
Tiered monthly
Per-user OR per-credit (order). Volume tiers reduce unit pricing as usage scales.

Two pricing tracks; Point Designs selects the model that best matches operational reality. See full tier table below. Existing OMS $3k/mo flat baseline remains as the floor for low-volume periods.

License tiers — per-credit and per-user options

A credit is one order processed through the system. The two tracks are functionally equivalent revenue-wise at typical PD volumes; choice depends on whether PD prefers to anchor billing on users (designers + clinicians) or on order throughput.

Per-user pricing Alternative
0 – 100 users $100 / user / mo 101 – 250 users $50 / user / mo 251 – 500 users $35 / user / mo 500+ users $7,500 / mo flat
Predictable for clinician-facing rollout where user count grows but order volume varies.

What the development fee includes

Engineering delivery ~5 days/month of focused engineering across three tracks — 62 days over 12 months
Clinical validation support Joint protocol design, edge-case test suite, gate reviews with PD clinical team
Project management & clinical liaison Coordination, milestone tracking, gate documentation, PD-side liaison
Infrastructure & overhead Hosting, scan storage, compute, third-party licenses, platform amortization
OMS integration (already deployed at PD) Intake reuses the deployed OMS pipeline at no cost; design write-back, order-form embed and in-OMS 3D review are built inside the fixed fee
Operational use during build No per-seat fees, no per-case click fees, no transaction charges across the 12-month build

"In Phase 1, we need to carefully evaluate the cost model relative to our current system. If the recurring SaaS license fees and click fees are high, then it actually may be more costly to develop and use this digital tool than it would be to just buy more Freeform licenses and hire more people."— Point Designs, scoping questionnaire

The three-component structure is designed specifically to answer this concern. The development fee is fixed. The license is tiered with volume discounts that reward growth rather than penalising it. Per-product-line expansion is quoted in advance at $19k each so the multi-year roadmap is fully budgetable from day one. There are no per-click fees, no escalating SaaS surprises, and no per-seat scaling tax during the 12-month build. Work requested outside the agreed scope during the build is billed separately at a variable hourly rate of $120/hour (time-and-materials, ≈ $960/day) — billed by the hour so even small change requests are accessible and priced fairly, the fixed fee stays fixed, and nothing turns into a renegotiation.

§ 06

The benchmark, and the delta.

There is a clock on this. Since 1 April 2026, US partial-hand reimbursement codes have been cut — reductions reported between 20% and 80%. The way to protect margin under the new codes is to reduce the time spent per patient and per case. That makes the efficiency case below not just an ROI exercise but a direct response to a live external pressure.

PD set the benchmark themselves: if the partnership costs more than buying additional Freeform licenses, haptic devices, and hiring designers to handle the projected growth from ~400 to 800–1,000 units, it isn't worth doing. The math below uses PD's stated baselines and the Geomagic pricing PD provided, scoped to the same 12-month window as the development fee.

$258k USD
Cost to scale via hiring + licenses
(12-month, year 1)
$58k USD
Spentys fixed development fee
(12-month, one-time)
4.4×
Status-quo path costs
this much more, year 1
Customer-facing capability:
structurally impossible w/ status quo

Path A — Status quo: scale through hiring and licenses

Path A · Status quo

Add 2 designers + seats + haptics

Loaded designer salary × 2 (US, fully loaded, year 1)$200,000
Geomagic Freeform licenses × 2 ($22k upfront + $3.5k/yr each)$51,000
Haptic devices × 2 (capex)$6,900
Year-1 outlay$258k

Year-1 blends one-time capex (~$50.9k: 2×$22k Freeform upfront + $6.9k haptics) with recurring opex ($200k salary + $7k/yr Freeform maintenance). In Year 2 the status-quo cost is ~$207k recurring — so the 4.4× is a Year-1 comparison, and a recurring cost gap persists every year after.

Unlocks per-designer throughput. Does not unlock customer-facing usage, does not reduce shipment count, does not remove the plaster-labor floor.

Path B · Spentys partnership

Fixed development fee

Year-1 outlay · fixed
$58,000
One-time · 12 months · ~$4,833/month
Engineering delivery (62 days, 3 tracks)included
Infrastructure, hosting, third-party licensesincluded
OMS integration (already deployed at PD)included
No per-seat fees, no per-click fees during buildincluded
After rollout
Per additional product line $19,000
Out-of-scope change requests $120/hour

A tiered license activates once the build is complete — per-credit or per-user, with volume discounts (full tiers in §05), and includes maintenance (no separate maintenance fee). It supplements the existing $3k/mo OMS baseline, which remains as the low-volume floor. Not part of Year-1 fixed outlay; scales with PD's realised order volume after launch. Set against this, Path B lets PD retire Freeform licenses it no longer needs (~$10.5k/yr across the current three) — a recurring saving the status-quo path keeps paying.

Unlocks customer-facing capability, cuts the shipment chain from five to three, removes the plaster-labor floor, scales without per-seat tax, opens international distribution model.

Year-1 fixed outlay savings vs. status quo
$200k
Status-quo path costs 4.4× what the partnership's fixed Year-1 commitment does. And the partnership unlocks a customer-facing distribution model the status-quo stack cannot support at any spend level.
Operational leverage

Economies of scale, by design.

The current fabrication model scales largely through proportional increases in specialised labour, workstation licensing, haptic devices, shipping coordination, and manual production effort. By transitioning key stages of the workflow into a browser-enabled design environment, Point Designs establishes a more scalable operational structure where increases in fabrication volume no longer require equivalent increases in physical processing, shipping coordination, or specialised CAD resources.

This is the foundation for long-term economies of scale across international fabrication, customer onboarding, workflow standardisation, and — when the time is right — customer-facing digital workflows.

Traditional scaling
Linear. Every unit of volume costs the same to add.
  • More volume
  • More designers
  • More Freeform licenses
  • More haptic devices
  • More shipping coordination
  • More manual labour
Digital scaling
Non-linear. Volume grows faster than cost.
  • More volume
  • Structured OMS workflow
  • Embedded Point Designs design logic
  • Guided browser-based operations
  • Incremental labour growth only
  • Same per-seat tooling footprint

Operational savings beyond the headline

The figures above only count the avoided cost of scaling. The partnership also reduces per-case operating cost on every fabrication PD already does today. Point Designs' own targets from the workflow review:

  • Total workflow time: the full journey — administrative, O&P, and related steps — currently runs 30–40 hours. PD's target is roughly 13 hours, largely by reducing time spent with the patient.
  • Throughput without linear hiring: today ~2 designers produce ~400 units/yr (~25/month average, ~50/month ceiling). Path A reaches 800–1,000 units only by adding designers, seats and haptics in proportion; the digital workflow instead lifts per-designer throughput by removing the plaster-labor floor and cutting per-case design time, so volume scales toward the target without a matching headcount step.
  • Diagnostic device production: ~4 hours of labor today (pour, scan, modify, build liner, design). Phase 1 removes the plaster-modification and Freeform design labor via the digital workflow and printed PA12 frame; once the printable (TPU) liner comes online in Phase 2, diagnostic production targets about 1 hour.
  • Manual alignment: currently 1–2 hours per case; the digital alignment workflow targets roughly 10% of that.
  • Shipping & customs: cutting the chain from five shipments to three removes direct cost (~$25 domestic, ~$100 international per shipment) plus ~10 min prep each and customs friction — on exactly the international population PD wants to grow.
  • International expansion without new sites: replicating the current process abroad would mean opening a location and training silicone-liner staff over 6–12 months. A digital workflow with printable diagnostics (PA12 frame from Phase 1; printed liner from Phase 2) avoids that entirely — and avoids additional Geomagic Freeform license cost.

Path A figures based on a fully-loaded US designer salary of $100k/yr (base + benefits + overhead) and Geomagic Freeform pricing of $22,000 upfront plus $3,500/year per license, as stated by Point Designs. A higher-loaded senior salary would push the comparison further in favor of the partnership. Path B compares the Year-1 fixed commitment only; the tiered license activates after rollout and is volume-scaled rather than per-seat. Per-product expansion priced at $19,000 per added line.

§ 07

Risks, owners, mitigations.

SeverityRiskMitigationOwner
High Scope creep during the 12-month build. Fixed-price contracts are most exposed at the boundary — when "small" feature requests accumulate beyond the agreed scope. Phase deliverables documented in §03 with explicit "Explicitly NOT in scope" lists. New requests outside that perimeter are billed at the $120/hour variable rate, hourly so even small change requests are accessible, or, for whole new product lines, priced as a $19k product-line expansion. Contract language reserves Spentys' final say on whether a request fits the original scope. Joint
High Closure-system geometry blocked on PD material R&D. Anchor geometry, closure mechanism, TPU/lattice parameters undefined. Both phases deliver tooling that is material-agnostic on the liner side. Closure-path logic is explicitly excluded from this scope and treated as a future-perspective addendum, unblocked when PD finalises the geometry. PD
Medium Validation protocol not yet fully defined by PD. Joint Spentys-PD workstream in Phase 1, M0-M2, produces the protocol before substantive build. Validation is itself a deliverable. Joint
Medium Hanger procurement preference for owned IP may surface during contract review. Fixed development fee is bounded and one-time. PD retains perpetual operational use of the delivered tool after the 12-month build. The tiered license is the only recurring component — maintenance is included in it, with no separate fee — and it is volume-scaled (tied to PD's order throughput), not a per-seat SaaS tax. Joint
Medium New product categories (body-powered, future suite) explicitly out of scope. Treated as future-scope addendum. Each new product line priced at $19k expansion (Component 02 of §05); no re-negotiation needed to add a category. Aaron-side expectation set at contract signing. Joint
Low DynaBots / Freeform script reuse still TBD. PD's discovery review suggests Spentys' existing toolset covers the gap. Confirmed at M0 kickoff; rebuild risk assessed as low. Spentys' OMS and existing Web Editor infrastructure significantly reduce greenfield engineering. Joint
Low Clinician adoption in Phase 2 may lag behind tool readiness. International beta cohort prioritised — these are the customers with the highest shipment-pain incentive and most likely to adopt. US adoption follows the proven international rollout. PD
§ 08

From here.

Path to OT World & signature

  1. Draft review with Point Designs leadership. Spentys (Bryan, LP) to circulate this proposal to Benjamin Pulver and Chris Baschuk for technical & commercial review. Surface any in-scope / out-of-scope changes before OT World.
  2. OT World working session (next week). Present the consolidated draft, capture feedback in the same working format, and identify any blocking concerns from the broader Hanger team.
  3. Joint validation protocol kickoff. Spentys clinical lead + PD clinical reviewers convene to scope the acceptance test suite as the first M0-M2 deliverable of Phase 1.
  4. Hanger capex review. Put the business case — fixed fee, perpetual operational use, and the volume-scaled license — in front of Aaron Flores / Hanger capital-expenditure approval; this is the gate that governs sign-off.
  5. Commercial close. Final license-tier terms (maintenance included) and signature. Anticipated within four weeks of OT World.
  6. Phase 1 kickoff. Spentys onboards engineering team. PD ships existing tooling files, scan dataset, and clinical reviewer schedule. M0 begins.