CASE STUDY
product
Validation
Design
AI

re.flex

Patient Treatment
Digital Therapy
Country
Germany
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Platforms
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Mobile
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Web
2021

re.flex

DURATION
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First Romanian company to achieve DiGA (Digital Health Applications) certification in 2022
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Clinical trial security deblocking for the German healthcare market entry
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Multi-phase backend development supporting IoT sensor integration
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01

Project Overview

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Precise digital physical therapy assistant

re.flex is a digital MSK (musculoskeletal) therapy assistant using motion sensors and real-time feedback to guide patients through clinically validated recovery exercises for the knee, hip, and lower back.

The system includes 3D movement visualizations, instant form correction, and sensor-based accuracy. By combining precision hardware with guided software, re.flex empowers patients to complete therapy programs remotely, safely and effectively.

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Industry challenges

Building digital therapeutics for the regulated European health market requires strict adherence to compliance, security, and stability standards.

02

Geographical Focus

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Primary target market

German healthcare system.

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Cultural considerations

Developed specifically for German DiGA requirements, ISO 27001 information security standards, and CE medical device certification for European market expansion.

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03

Problem

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Client's challenge

re.flex faced two mission-critical obstacles:

1. Overcoming tight penetration testing requirements, which blocked entry into clinical trials

2. Delays in launching on Android, which prevented patient onboarding for the study

Without solving these fast, re.flex risked losing momentum and the chance to become a DiGA-certified solution.

Additionally, they needed to expand their Android App Store presence to reach the required number of patients for their clinical trial.

04

Solution

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Proposed solution

Linnify stepped in to provide targeted backend development and security enhancement services to help re.flex unblock their clinical trial path and move toward DiGA certification.

Phase I: Security-First Clinical Trial Enablement 

Linnify's expert development team focused on penetration testing, compliance, and Android platform expansion to unlock clinical trial progression and meet German healthcare security standards.

  • Passed a penetration test required to proceed with clinical validation
  • Delivered Android deployment support for fast rollout to trial participants


Phase II: Performance-Driven Code Modernization
 

Implemented comprehensive JavaScript to TypeScript migration with customer satisfaction integration, feedback systems, and structured code refactoring using industry best practices and Linnify's proprietary boilerplates.

Phase III: Advanced Patient Engagement Features 

Developed PDF training report generation system providing personalized patient progress documentation throughout their entire rehabilitation journey.

05

Linnify's Involvement

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Role in the project

Linnify delivered targeted backend development and security enhancement services for re.flex's digital therapy platform, providing deep expertise in healthcare technology compliance and IoT sensor integration.

Collaboration based on an agile, iterative approach together with re.flex’s CTO, including:

  1. Architectural proposals and best practices agreements
  2. Detailed documentation of technical impact, risks, and timelines
  3. Joint decision-making and transparent execution
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Application of expertise

  • Penetration testing, compliance & security enhancement
  • Backend API development & integration
  • JavaScript to TypeScript migration
  • Patient data management systems
  • PDF report generation & patient progress tracking
  • Android platform development support

Services

  • Team Augmentation - Fullstack Development

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"The re.flex team has been truly open from the beginning. The fact that they've acknowledged our expertise and created space for us to communicate efficiently has definitely proved their trust in us and their objective perspective on their product's needs."
Darius Bogdan, Software Architect, Linnify
06

Results and Achievements

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Outcomes

  • Successfully unblocked the clinical trial via pen test resolution
  • Enabled re.flex to become the first Romanian product certified by DiGA
  • Delivered new backend functionalities including training reports, feedback collection, and satisfaction tracking
  • Improved code quality, documentation, and future developer onboarding through TypeScript migration

Re.flex achieved breakthrough DiGA certification in 2022, becoming the first Romanian company to successfully navigate Germany's rigorous digital health application approval process.

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07

Conclusion and Future Outlook

Linnify’s focused backend development support helped re.flex meet compliance needs, deliver on user-centric features, and achieve a major milestone: obtaining DiGA certification.

The project showcases Linnify’s capabilities in building secure healthcare applications, especially in regulated European markets where stability and documentation are key.

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Learning and Growth

This digital health project significantly enhanced Linnify's expertise in healthcare regulatory compliance, medical device integration, patient data security, and multi-phase product development for complex healthcare technology solutions.

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Photo with BulkExchange's CTO that provided the testimonial
"We tried intermediary solutions to fix certain challenges we've encountered. But we were done with half measures. This is why when Linnify approached us proactively with solutions that better our product we realised that's exactly the type of collaboration we wanted for re.flex. We realized we do not have the know-how Darius has and this is why we built this collab based on expertise trust."
08

Frequently Asked Questions (FAQ)

1. What is re.flex and who is it for?

re.flex is a digital physical therapy assistant that uses IoT motion sensors and real-time feedback to guide patients through MSK (musculoskeletal) rehabilitation exercises. It’s designed for patients recovering from knee, hip, or lower back injuries.


2. What makes re.flex different from other digital health solutions?

re.flex combines real-time 3D movement visualization with IoT sensors to offer accurate form correction and guided therapy. It also meets rigorous compliance standards, including DiGA, ISO 27001, and CE medical device certification.


3. What challenges did re.flex face before working with Linnify?

re.flex was blocked from entering clinical trials due to penetration testing issues and lacked Android deployment capabilities, putting their DiGA certification at risk and slowing patient onboarding.


4. How did Linnify support re.flex in overcoming these challenges?

Linnify provided backend development, security enhancements, TypeScript migration, Android deployment support, and patient reporting systems to unblock clinical trials and improve platform reliability.


5. What is DiGA certification and why is it important?

DiGA is Germany’s official certification for digital health applications. Achieving DiGA status allows a product to be prescribed by doctors and reimbursed through health insurance—critical for healthcare market access in Germany.


6. What were the project results after Linnify’s involvement?

re.flex became the first Romanian company to earn DiGA certification, passed clinical trial security requirements, launched Android capabilities, and added personalized training reports and satisfaction tracking.


7. What does this case study demonstrate about Linnify’s capabilities?

It showcases Linnify’s deep expertise in regulated healthcare product development, especially in security, IoT sensor integration, patient data systems, and scalable backend architecture.

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