Transforming medical treatment through human-centered design.
Developed in collaboration with Nēsos, this breakthrough wearable delivers targeted neurostimulation through a discreet, earbud-based system that treats chronic conditions such as rheumatoid arthritis. By stimulating the vagus nerve via gentle electrical pulses, Nēsos offers a non-invasive, drug-free alternative to managing inflammation and pain. RKS partnered with the Nēsos team to design a universally fitting, consumer-friendly form that preserves medical efficacy while ensuring daily comfort, accessibility, and scalability, bridging the gap between advanced science and human experience.

Psycho-Aesthetics® & Research
Key Outputs
- User personas and behavioral insights
- Emotional journey maps
- Comfort and perception studies
- Design criteria for trust, ease, and familiarity
To ensure Vorso resonated both functionally and emotionally, RKS began with in-depth user research and Psycho-Aesthetics® analysis. The team studied the emotional barriers patients face with medical wearables (discomfort, self-consciousness, and distrust of complex technology) and mapped these insights to aesthetic and ergonomic opportunities. By reframing Vorso through the lens of empathy and daily usability, RKS identified the core emotional driver of the experience: restoring a sense of normalcy and control. These findings guided the design language, resulting in a form that feels familiar, balanced, and discreet while maintaining clinical precision.
How We Used Psycho-Aesthetics™ to Identify Unique Opportunities in the Project.
Using our proprietary Psycho-Aesthetics® 2.0 framework, RKS conducted in-depth interviews and observational research to understand how patients perceive and interact with medical wearables. We identified key emotional and usability barriers, such as anxiety around electrical stimulation, discomfort from prolonged wear, and hesitation toward clinical-looking devices. These insights informed the physical form and tactile experience of Vorso, guiding our team toward a design that conveys safety, familiarity, and confidence while maintaining medical precision.


Industrial Design
Key Outputs
- Ergonomic and anthropometric studies
- Universal fit geometry for 95th percentile users
- 3D CAD and high-fidelity mockups
- Form exploration and design refinement
To help Nēsos bring its groundbreaking neurostimulation therapy to life, RKS designed Vorso, a wearable medical device that delivers targeted vagus nerve stimulation through a comfortable, earbud-style form. The design team focused on ergonomics, scalability, and universal fit, developing a form that adapts seamlessly to 95% of users without the need for custom fittings. Each iteration balanced medical precision with consumer sensibility, ensuring the device felt effortless, approachable, and clinically effective.



Testing & Validation
Key Outputs
- Physical fit validation prototypes
- Comfort and usability test reports
- Electrode placement and contact optimization
- Iterative material and geometry refinement
RKS conducted extensive fit testing to validate comfort, usability, and electrode performance. Multiple prototype rounds were tested across a diverse user base to confirm optimal contact points, stability, and long-term wearability. Insights from these evaluations informed key refinements in material softness, ear geometry, and assembly methods, ensuring the device performed consistently in both comfort and efficacy.


Engineering & Refinement
Key Outputs
- Integrated CAD assemblies and DFMA refinement
- Component tolerance and sealing analysis
- Electrode and sensor housing integration
- Prototype engineering documentation
Collaborating closely with Nēsos engineers, RKS translated functional and electronic requirements into a manufacturable, integrated design. Careful consideration of housing tolerances, electrode interfaces, and assembly processes enabled precision alignment of medical-grade components within a compact form. The result was a refined, production-ready design that balances mechanical integrity with everyday usability.


Packaging Design / IFU
Key Outputs
- Packaging concept and graphic system
- Instruction for Use (IFU) design and layout
- User flow and unboxing sequence
- Labeling and regulatory design compliance
To complement the sophistication of Vorso’s design, RKS developed packaging and Instructions for Use (IFU) that communicated clarity, trust, and ease of use. The experience was designed to guide patients intuitively (from unboxing to daily operation) while maintaining compliance with medical device labeling standards.



Final Design
Key Outputs
- Final production-ready design
- Scalable manufacturing strategy
- Clinical-grade usability validation
- High-fidelity product visualizations
Through our partnership with Nēsos, RKS transformed complex neuromodulation technology into Vorso, a comfortable, elegant, and scalable wearable medical device. The final design embodies the intersection of science and empathy, offering patients a non-invasive, drug-free alternative for managing chronic conditions through precision-engineered simplicity.










