Firstkind Ltd

Firstkind Ltd is a subsidiary of Sky Medical technology Ltd.
 We are a UK based science-led medical devices company.

Through our innovative mechanism of non-invasive neuromuscular electrostimulation we have developed a ground-breaking NMES technology platform, OnPulse™, embedded in our industry-leading brand, the geko™ device.

The geko™ device is a

  • Wrist-watch size, battery operated
  • Self-adhesive, easy to use
  • Single use, daily disposable

The geko™ device triggers the body’s built in mechanisms to increase blood circulation. Small electrical impulses gently stimulate the common peroneal nerve which in turn activates the muscle pumps of the lower leg that return blood towards the heart. In this way, neuromuscular stimulation in the lower limb emulates the process normally achieved by walking (up to 60%) but without the patient having to move or exert energy and without discomfort.

The geko™ neuromuscular stimulator device is FDA approved and requires your physician’s prescription.  It is approved for:

  • Edema reduction
  • Post-surgical blood clot prevention
  • Increasing local blood circulation
  • Non-surgical blood clot prevention ie; stroke, heart failure, infection patients

This device size makes it easy to walk around when you are first recovering from surgery in the hospital or at home as opposed to the use of elastic stockings or sequential compression devices (squeezy boots). Geko™ also allows the patient to perform physical therapy exercises while still helping to reduce the swelling and preventing blood clots while contining on into your recovery process.

Post-operative edema is known to occur in over 90% of hip and knee replacement patients1  with peak swelling occurring 6–8 days following surgery.2 In a similar way, swelling throughout the lower extremity could contribute to the decline in strength of hip extensors and abductors, shown to occur following TKA and known to contribute to functional performance.  Swelling may also alter functional recovery by contributing to factors such as limited joint mobility and increased pain.3

Swelling has been identified by patients as critical to successful recovery and health care providers including, nurses, physicians, and physical therapist are often consulted by patients regarding the expected trajectory and duration of swelling.4

In a clinical study, the geko device was worn post-operatively for up to 24 hours per day. The results indicate that the geko™ device is more effective than elastic stockings at preventing the build-up of post-operative edema and was much easier to apply and better tolerated than elastic stockings.

gekoTM Product Brochures

(please click image to download)

1. Kluga, K., WeberBuchholz, S., & Semanik, P. A. (2019). Improving Orthopedic-Related Postoperative Edema Management in a Reha- bilitative Nursing Setting. Rehabilitation Nursing, 44(3), 151–160
2. Brian J. Loyd, Andrew J. Kittelson, Jeri Forster, Scott Stackhouse & Jennifer Stevens-Lapsley (2019) Development of a reference chart to monitor postoperative swelling following total knee arthroplasty, Disability and Rehabilitation, DOI:10.1080/09638288.2018.1534005
3. Loyd et al, The Knee 26 (2019) 382–391
4. Wainwright TW et al. A Feasibility Randomised Controlled Trial to Evaluate the Effective- ness of a Novel Neuromuscular Electro-stimulation Device in Preventing the Formation of Oedema Following Total Hip Replacement Surgery. Heliyon 18 Jul 2018- Volume 4, Issue 7