Smart. Simple. Supportive.
A Shared Mission for Ending Limb Loss
Proudly Serving Veterans
Orpyx proudly supports the Veterans Affairs’ (VA) National Initiative to End Diabetic Limb Loss. In alignment with Prosthetic and Sensory Aids Service (PSAS), our remote patient pedal monitoring (RPPM) solution helps podiatrists deliver proactive, preventative care for Veterans at risk of diabetic foot ulcers (DFUs).
The Orpyx Sensory Insole program combines advanced sensory insoles with remote patient monitoring to support proactive care. The system continuously monitors plantar pressure, temperature, and activity data, while our US-based nursing team reviews trends and supports patient adherence.
For Veterans, the system is simple and doesn't require charging. For the provider, we deliver trusted support that keeps you and your patient connected between medical visits.
The Growing Burden of DFUs
DFUs are Increasing at an Alarming Rate
136M Americans live with diabetes or pre-diabetes, and 1/3 will develop a foot ulcer in their lifetime.1
75K New DFUs are Treated Annually
DFUs are a growing challenge in the VA, reinforcing the critical need for prevention and early action.2
49% of DFUs Recur in the First Year³
DFUs are complex and require proactive care to reduce complications and prevent limb loss.
The Orpyx Sensory Insole Program
Empowering Veterans. Supporting Providers.
Our Between Visit Services provides trusted support that keeps you and your Veteran connected between visits, because your care doesn’t stop when the appointment ends.
Ongoing Personalized Coaching
US-based nurses support the Veteran’s foot care plan and help them make healthy changes that fit their lifestyle.
Flexible Communication Options
Every Veteran is assigned a remote nurse for personalized support via phone or text.
Proactive Behavior Modification
Our remote nurses spot concerns early and guide changes to help prevent foot complications and avoid more serious interventions.
Scheduled and As-Needed Calls
Our remote nurses conduct monthly wellness calls to monitor and identify early foot health concerns before escalation.
Minimal Escalation
Only 4% of cases are escalated to the provider, as nurses support Veterans through early intervention and education.4
Actionable Insights
Multimodal insole data offers actionable insights to help inform the Veteran’s foot care plan.
Clinical Rounds
We host collaborative clinical rounds to interpret RPM data, leveraging informatics to uncover insights, guide decisions, and enhance outcomes and engagement.
Seamless, Secure Integration
Our program integrates seamlessly into your workflows, providing secure, encrypted, HIPAA-compliant data.
The Orpyx Program is Backed by a Robust and Growing Body of Evidence
Backed by 12 publications, including a randomized controlled trial that demonstrated 86% reduction in DFU recurrence when the Orpyx technology* was worn 4.5+ hours a day.11
People are highly engaged and adherent to the program averaging 17 days per month for 8 hours per day.12
49% of flags generated with once-daily temperature monitoring would have been wrongly flagged as a concern, compared to those generated using continuous temperature monitoring.13
Only 4% of concerning data trends require escalation to the provider, and 96% of identified trends are addressed between Orpyx Nurse, Veteran, and Orpyx algorithms.4
Authorized Distributor of Orpyx Sensory Insoles
Marathon Medical Corporation
Marathon Medical is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Aurora, Colorado, with key operations in Brownwood, Texas. Specializing in delivering premium medical supplies nationwide, Marathon Medical prioritizes serving our nation's heroes.
FSS Contract #: 36F79718D0321
Phone: (877) 431-4753
Fax: (855) 339-4309
CS@marathonmed.com
1. American Diabetes Association. Statistics About Diabetes. Published online November 2, 2023. Accessed February 26, 2024. https://diabetes.org/about-dia.... 2. Veterans Affairs (2024). Reducing Hospital Admissions and Amputation Prevention: Remote Temperature Monitoring. https://marketplace.va.gov/inn.... 3. Armstrong, D. G., Tan, T. W., Boulton, A. J. M., & Bus, S. A. (2023). Diabetic Foot Ulcers: A Review. JAMA, 330(1), 62–75.https://doi.org/10.1001/jama.2.... 4. Data on file—Escalations Analysis 2024. 5. Bus, S. A. (2016). The role of pressure offloading on diabetic foot ulcer healing and prevention of recurrence. Plastic and Reconstructive Surgery, 138(3 Suppl), 179S–187S. 6. Alavi, A., Sibbald, R. G., Phillips, P., & et al. (2014). Diabetic foot ulcers: Part I. Pathophysiology and prevention. Journal of the American Academy of Dermatology, 70(1), 1.e1-18. https://doi.org/10.1016/j.jaad.... 7. Lavery, L. A., Armstrong, D. G., Harkless, L. B., & et al. (2004). Home monitoring of foot skin temperatures to prevent ulceration. Diabetes Care, 27(11), 2642–2647. https://doi.org/10.2337/diacar.... 8. Matijevich, E., Gagnon, S., Erickson, K., & et al. (2025, January). Personalized plantar temperature monitoring for DFU risk reduction. White Paper. 9. Crews, R. T., Gannon, W., Schneider, R., & et al. (2016). Role and determinants of adherence to off-loading in diabetic foot ulcer healing: A prospective investigation. Diabetes Care, 39(8), 1371-1377. https://doi.org/10.2337/dc16-0.... 10. Francia, P., Cavallo, F., Padua, E., & et al. (2019). Continuous movement monitoring of daily living activities for prevention of diabetic foot ulcer: A review of literature. International Journal of Preventive Medicine, 10(1), 22. 11. Abbott, C. A., Hartshorn, S., Solis, S., & et al. (2019, October). Innovative intelligent insole system reduces diabetic foot ulcer recurrence at plantar sites: A prospective, randomized, proof-of-concept study. The Lancet Digital Health, 1(1), e24-e32. https://doi.org/10.1016/S2589-...(19)30012-0. 12. Data on file—BSC2024. 13. Data on file—Continuous_temperature_monitoring. *Study was conducted with first generation SurroSense Rx® which has the same pressure algorithm as Orpyx Sensory Insoles.