WO2024009277A1

WO2024009277A1 - Patient onboarding and autoinjector integration

Info

Publication number: WO2024009277A1
Application number: PCT/IB2023/057031
Authority: WO
Inventors: Katherine Ford BRIGHAM; III Martin Michael Coyne; Matthew Conner D'AURIA; Graham B. Jones; Sathish KAVERIPAKAM
Original assignee: Novartis Ag
Priority date: 2022-07-08
Filing date: 2023-07-07
Publication date: 2024-01-11

Abstract

Systems and processes for guiding a user through the initial use and general use of an injection device are described. In some embodiments, a user's biometric characteristics are considered prior to recommending proceeding with initiating an injection process. In some embodiments, an injection device with one or more sensors is used to help identify issues with the manner a user is performing an injection process.

Description

PATIENT ONBOARDING AND AUTOINJECTOR INTEGRATION

CROSS-REFERENCE TO RELATED APPLICATIONS

[0001] The application claims priority to U.S. Provisional Patent Application No. 63/359,580, entitled “PATIENT ONBOARDING AND AUTOINJECTOR INTEGRATION,” filed July 8, 2022. The contents of which is hereby incorporated herein by reference in its entirety.

FIELD

[0002] The present disclosure relates generally to training and guiding a user through operation of a therapeutic injection device. In particular, a device is employed that provides guidance and corrections in the use of the injection device.

BACKGROUND

[0003] Modern therapeutic injection devices come in many different shapes and sizes with a variety of different characteristics. Consequently, when a user is first beginning to use a new injection device there can be confusion in the proper operation of the new injection device due to differences between a previous injection device and the new injection device. Given that injection devices cause pain during their operation, a user may also experience a certain amount of anxiety and/or fear when operating an injection device that adversely affects their ability to properly utilize the injection device. For these reasons, systems and methods for ameliorating these injection device operating issues are desirable.

SUMMARY

[0004] This disclosure describes operation of an interactive application configured to assist a user while operating an injection device. [0005] A method is disclosed that includes performing the following at an electronic device in communication with a display device and an input device: displaying, via the display device, a prior therapeutic injection device selection user interface; while displaying the prior therapeutic injection device selection user interface, receiving, via the input device, a set of one or more inputs that identify a prior therapeutic injection device; and displaying, via the display device, a first instruction user interface corresponding to a current therapeutic injection device, wherein the first instruction user interface includes: in accordance with a determination that a first characteristic of the prior therapeutic injection device corresponds to a first characteristic of the current therapeutic injection device, a first set of instructional content; and in accordance with a determination that the first characteristic of the prior therapeutic injection device does not correspond to the first characteristic of the current therapeutic injection device, a second set of instructional content that is different from the first set of instructional content.

[0006] A non-transitory or optionally transitory computer-readable storage medium storing one or more programs is described. The one or more programs comprise instructions, which when executed by one or more processors of an electronic device in communication with a display device and an input device, cause the electronic device to: display, via the display device, a prior therapeutic injection device selection user interface; while displaying the prior therapeutic injection device selection user interface, receive, via the input device, a set of one or more inputs that identify a prior therapeutic injection device; and display, via the display device, a first instruction user interface corresponding to a current therapeutic injection device, wherein the first instruction user interface includes: in accordance with a determination that a first characteristic of the prior therapeutic injection device corresponds to a first characteristic of the current therapeutic injection device, a first set of instructional content; and in accordance with a determination that the first characteristic of the prior therapeutic injection device does not correspond to the first characteristic of the current therapeutic injection device, a second set of instructional content that is different from the first set of instructional content.

[0007] A method is disclosed that includes performing the following at an electronic device in communication with a display device and an input device: receiving, via the input device, a request to initiate an injection process; after receiving the request, receiving biometric data for a biometric characteristic of a user of the electronic device; and displaying, via the display device, a user interface that includes: in accordance with a determination that a set of pre-inj ection ritual criteria have been met, the set of pre-inj ection ritual criteria including a criterion that is met when the biometric data indicates the biometric characteristic has exceeded a threshold level, pre-injection ritual instructions; and in accordance with a determination that the set of preinjection ritual criteria have not been met, injection instructions.

[0008] A non-transitory or optionally transitory computer-readable storage medium storing one or more programs, the one or more programs comprising instructions, which when executed by one or more processors of an electronic device, cause the electronic device to: receive, via the input device, a request to initiate an injection process; after receiving the request, receive biometric data for a biometric characteristic of a user of the electronic device; and display, via the display device, a user interface that includes: in accordance with a determination that a set of pre-injection ritual criteria have been met, the set of pre-injection ritual criteria including a criterion that is met when the biometric data indicates the biometric characteristic has exceeded a threshold level, pre-injection ritual instructions; and in accordance with a determination that the set of pre-injection ritual criteria have not been met, injection instructions.

[0009] A method is disclosed that includes performing the following at an electronic device in communication with a display device, an input device and a therapeutic injection device: receiving, via the input device, a request to initiate an injection process; receiving from the therapeutic injection device data indicating an orientation; and after receiving the data indicating the orientation of the therapeutic injection device, displaying, via the display device, a user interface, wherein the user interface includes: in accordance with a determination a set of device orientation correction criteria are met, the set of device orientation criteria including a criterion that is met when the data indicating an orientation of the therapeutic injection device indicates that the therapeutic injection device is not within a range of acceptable orientations, instructions for correcting the orientation of the therapeutic injection device; and in accordance with a determination that the orientation of the therapeutic injection device is within a threshold orientation from the instructed orientation, instructions for administering an injection using the therapeutic injection device. [0010] A non-transitory or optionally transitory computer-readable storage medium storing one or more programs, the one or more programs comprising instructions, which when executed by one or more processors of an electronic device in communication with a display device, an input device and a therapeutic injection device, cause the first electronic device to: receive, via the input device, a request to initiate an injection process; receive from the therapeutic injection device data indicating an orientation of the therapeutic injection device; and after receiving the data indicating the orientation of the therapeutic injection device, display, via the display device, a user interface, wherein the user interface includes: in accordance with a determination a set of device orientation correction criteria are met, the set of device orientation correction criteria including a criterion that is met when the data indicating an orientation of the therapeutic injection device indicates that the therapeutic injection device is not within a range of acceptable orientations, instructions for correcting the orientation of the therapeutic injection device; and in accordance with a determination that the orientation of the therapeutic injection device is within a range of acceptable orientations, instructions for administering an injection using the therapeutic injection device.

[0011] Other aspects and advantages of the methods and devices disclosed herein will become apparent from the following detailed description taken in conjunction with the accompanying drawings which illustrate, by way of example, the principles of the described embodiments.

BRIEF DESCRIPTION OF THE DRAWINGS

[0012] The disclosure will be readily understood by the following detailed description in conjunction with the accompanying drawings, wherein like reference numerals designate like structural elements.

[0013] FIGS. 1 A - IB show user interfaces configured to ask for and receive information about a user’s previous experience with injection devices.

[0014] FIGS. 1C - ID show user interfaces configured for display on a portable electronic device that introduces a user to a new injection device. [0015] FIGS. 2A - 2B show user interfaces with instructions teaching a user how to perform a first instruction of a set of injection instructions for the new injection device.

[0016] FIG. 2C - 2D show user interfaces with instructions teaching a user how to perform a second instruction of the set of injection instructions.

[0017] FIG. 2E - 2K show user interfaces with instruction teaching a user how to perform injection instructions with an alternative injection device type.

[0018] FIGS. 3A - 3B show user interfaces with instructions teaching a user how to perform a second instruction of the set of injection instructions for the new injection device.

[0019] FIGS. 4A - 4B show user interfaces with instructions teaching a user how to perform a third instruction of the set of injection instructions for the new injection device.

[0020] FIGS. 5 A - 5B show user interfaces that summarize the teachings provided in the user interfaces depicted in FIGS. 1 A - 4B.

[0021] FIGS. 6A - 6B show user interfaces for guiding a user through one or more breathing exercises in response to a measured biometric characteristic exceeding a threshold value.

[0022] FIG. 7A shows user interfaces describing injection instructions that walk the user through initiating an injection.

[0023] FIG. 7B shows user interfaces providing a count-down timer for a user informing the user how much longer the user needs to hold the injection device in place.

[0024] FIGS. 8 A - 8H show multiple user interfaces relating to initiating and carrying out an injection using an injection device having one or more sensors capable of monitoring an injection process.

[0025] FIG. 9 shows an electronic device suitable for use with the described embodiments.

[0026] FIG. 10 is a flow diagram of a method for introducing a user to a current therapeutic injection device in accordance with some embodiments. [0027] FIG. 11 is a flow diagram of a method for determining whether a user is ready to initiate an injection process and then helping the user get to a mental state in which they are ready to proceed with the injection process if they are not initially ready in accordance with some embodiments.

[0028] FIG. 12 is a flow diagram of a method for monitoring a user’s interaction with an injection device during and leading up to execution of injection processes in accordance with some embodiments.

DETAILED DESCRIPTION

[0029] In the following description of examples, reference is made to the accompanying drawings in which are shown by way of illustration specific examples that can be practiced. It is to be understood that other examples can be used and structural changes can be made without departing from the scope of the various examples.

[0030] Therapeutic injection devices and particularly more complex auto-injection devices and prefilled syringes often vary substantially due to differences in the design philosophy a particular manufacturer chooses and/or due to requirements of the drug being administered by a particular injection device. These changes may be nuanced and not apparent to a user of the devices, such as the patient themselves, or their caregiver. For this reason, a user of one or more of these types of devices may have trouble operating the injection device properly, particularly when transitioning between injection devices.

[0031] One solution to this issue is to provide a user with an interactive application capable of assisting the user in a number of different ways. The application can be configured to provide an introduction to a new injection device. In the event the user has no experience with a previous injection device, the application walks through the various features and operation of the injection device. If the user has experience with the previous injection device the application can, in addition to describing the features and operation of the injection device, also compare and contrast the injection device with one or more previously used injection devices. In some embodiments, the application can also be configured to provide an operation update even after a particular injector has been used for a long period of time. This might be helpful in the event a doctor changes a dosage being administered by the injection device that results in a difference in operation of the injection device or in the event the manufacturer of a drug being administered by the injection device makes one or more changes to the injection device or medication label (e.g., instructions for use or other regulatory requirements) that result in an effect on the operation of the injection device.

[0032] In addition to being configured to introduce the injection device to a new user, the interactive application can also be configured to monitor and provide instruction to a user of the injection device prior to, during and after an injection is performed. An electronic device running the application is typically responsible for monitoring the user. The electronic device can have sensors or be in wireless or wired communication with sensors responsible for monitoring the user as the user begins to prepare to administer a dosage. In the event the injection device identifies that the user is undergoing amounts of stress or anxiety likely to impair an ability of the user to properly operate the injection device, the injection device can be configured to run the user through one or more relaxation rituals or exercises prior to instructing the user to proceed with performing an injection. In some embodiments, the interactive application can provide instructions to the user describing in detail each step the user must take to properly perform the injection. These instructions can also include mechanisms for reducing the user’s stress and/or anxiety by interspersing breathing techniques and/or count down instructions.

[0033] In embodiments in which the injection device includes one or more sensors, the electronic device can be configured to communicate with and allow the interactive application to access sensor readings generated by the one or more sensors of the injection device. These sensor readings allow the interactive application additional insight into how well the user is doing with a particular injection process (e.g., the interactive application can assign one or more numeric or other quantitative ratings indicating how well the user is using the injection device during each injection process). This allows the interactive application to make corrections as the user is performing an injection process and/or to make updates to injection instructions tailored to help the user to avoid similar mistakes in the future.

[0034] These and other embodiments are discussed below with reference to the embodiments of FIGS. 1 A - 12; however, those skilled in the art will readily appreciate that the detailed description given herein with respect to these figures is for explanatory purposes only and should not be construed as limiting.

[0035] An interactive application for assisting a user with operation of an injection device can be executed on any number of electronic devices and generally includes a setup routine to help a user become acquainted with a new injection device. The setup routine includes a series of user interfaces for collecting information about a new user. FIGS. 1 A - IB shows how the series of user interfaces can be configured to collect information about a prior injection device the user has most recently used and would therefore be most familiar with.

[0036] FIG. 1A shows a user interface 100 configured for display on an electronic device 101 that introduces a user to a new injection device 102. In FIG. 1 A, electronic device 101 is schematically represented as a dashed box, which is omitted in the remaining figures, for brevity. In some embodiments, electronic device 101 is a smart phone, a tablet computer, a personal computer, or a smart watch. In some embodiments, electronic device 101 includes one or more features of personal electronic device 900, described below. In the embodiments of FIGS. 1 A- 8H, the depicted user interfaces are displayed by electronic device 101. In FIG. 1A user interface 100 asks the user whether the user has experience with a device similar to injection device 102. User interface 100 shows an example in which injection device 102 is an autoinjector type injection device but it should be appreciated that the interactive application could also help describe and assist with operation of other types of injection devices. In the event the user responds by selecting affordance 104 that indicates the user has injected biologies with an autoinjector before and then subsequently actuates affordance 104 a user interface as depicted in FIG. IB is displayed to the user. FIG. IB asks the user to identify which autoinjector that the user has previously used. While user interface 120 only depicts five possible injection devices to choose from it should be appreciated that in some embodiments, user interface can include an expansive list of injection devices to choose from that includes both branded and generic injection devices to maximize compatibility of the interactive application. User interface 120 also provides a “none of these” option in the event the previous device is not listed. Once the user selects the autoinjector with which the user has most recently used, the user can actuate affordance 122 to bring up a user interface 140 as shown in FIG. 1C. In some embodiments, user interfaces 120 allows a user to select multiple prior autoinjectors. In such embodiments, subsequent user interfaces (e.g., the interfaces of FIGS. IB to 5B) can include information (e.g., comparison information) between the new autoinjector (e.g., injection device 102) and the selected, multiple prior autoinjectors. It should be noted that while the user interfaces described herein are listed and presented in a particular order that the order of the user interfaces could vary depending on the features of a device and/or the differences between devices.

[0037] In FIG. 1C, user interface 140 identifies a number of characteristics of injection device 102. In particular, user interface 140 shows a location where injection device 102 is held, a location of an injection needle, a location of a cap relative to the injection needle and a brief written description of the identified characteristics of injection device 102. User interface 140 also includes a comparison summary panel 144 providing instructional content summarizing how one or more characteristic of injection device 102 differ from characteristics of a prior injection device selected from user interface 120. In the event the one or more characteristics of injection device 102 described in user interface 140 do not differ from corresponding characteristics of the prior injection device or in the event no prior injection device was identified by the user, comparison summary panel 144 would be left off of user interface 140. In the event that a different prior injection device was identified with differing characteristics, comparison summary panel 144 can display different instructional content than that seen in FIG. 1C, based on the characteristics of that different prior injection device. Comparison summary panel 144 also generally includes a read more link allowing the user to bring up another user interface 160. It should be noted that while a read more link is used for purpose of example, in some embodiments, user interface 160 could also be accessed by selection of any part of the region occupied by comparison summary panel 144. Exemplary user interface 160, as shown in FIG. ID, provides additional detail as to the differences between injection device 102 and the identified prior injection device 122. In exemplary user interface 140, the primary difference identified is that prior injection device 162 generally requires the use of two prior injection devices whereas injection device 102 requires only a single injection device 102. In the event that a different prior injection device was identified (e.g., via user interfaces 100 and 120), user interfaces 140 and 160 would display information relevant to that other prior injection device. In FIG. ID, electronic device 101, in response to selection of the “close” affordance, re-displays user interface 140. In some embodiments, similar “close” affordances in FIGS. 2B-8H provide similar functions.

[0038] FIG. 2A shows a user interface 200 with instructions teaching a user how to perform a first instruction of a set of injection instructions. In some embodiments, electronic device 101 displays user interface 200 in response to detecting a selection of the “continue” affordance 146 of user interface 140. In some embodiments and in the event a user has not yet gone through the initial instructions teaching the user how to use the injection device, electronic device 101 displays user interface 200 in response to a signal received from injection device 102 (e.g., sent when injection device 102 detects that it is lifted to a raised position). In this example, user interface 200 depicts how a user can remove the cap from injection device 102 and accompanying instructions informing a user that the cap should only be removed once the user is ready to perform an injection and that the cap should not be placed back on injection device 102. User interface 200 also includes a comparison summary panel 204 describing how injection device 102 only has one cap to remove since a prior injection device 222 required the removal of a cap from each end. Comparison summary panel 202 includes a read more link that in response to selection by a user brings up a user interface 220 depicted in FIG. 2B. User interface 220 shows plan views of both injection device 102 and prior injection device 222 to clearly illustrate the difference in cap configurations. In some embodiments, the additional information can also provide a user with information about how long the cap can be left off before it results in degradation of the injectable medication therein (e.g., degradation caused by exposure to air, aggregation of biological material, and needle clogging). It should be noted that, electronic device 101 displays different user interfaces that guide a user through actual injection processes. These user interfaces are described in greater detail below. Electronic device 101 (or injection device 102) can be configured with sensors that allow electronic device 101 to alert a user if the cap is approaching a time at which degradation of injection device 102 is likely to commence.

[0039] FIG. 2C shows a user interface 230 with instructions teaching a user a second instruction of the set of injection instructions. In particular, the second instruction relates to the proper way of holding injection device 102 and at what angle injection device 102 should be held relative to a patient’s body. In cases in which a user has access to a smart demonstration device while reviewing these instructions, the user reviewing the instructions may get additional cueing information, which is described in greater detail below in FIGS. 8C and 8D, in the event that user is positioning the smart demonstration device relative to the user’s body. User interface 230 also includes a “why is this important” link 232 that, when selected, causes display of a user interface 240 depicted in FIG. 2D.

[0040] FIGS. 2E - 2K show a series of user interfaces similar to those depicted in FIGS. 2C - 2D that are part of a series of device instructions that apply to a syringe type device instead of to an autoinjector device. In particular, user interface 250 as depicted in FIG. 2E includes diagrams showing how a user’s hand 252 can be applied to a patient’s skin to properly pinch the skin prior to injection. User interface 250 also includes a “why is this important” link 254 that, when selected, causes display of a user interface 260 depicted in FIG. 2F. User interface 260 shows the same images related to pinching the skin prior to initiating an injection and provides further context as to why pinching of the skin is particularly important when using a syringe device.

[0041] FIG. 2G shows a user interface 270 with instructions teaching a proper orientation for insertion of syringe device 272. In particular, an orientation of syringe device 272 is shown both prior to and after insertion of syringe device 272 into the skin. The instructions specify again that the skin remain pinched after insertion and during injection. User interface 270 also includes a “why is this important” link 274 that, when selected, causes display of a user interface 280 depicted in FIG. 2H.

[0042] FIG. 2H shows a first illustration of an improper angle of insertion for syringe device 272 just above a second illustration of a proper angle of insertion for syringe device 272. User interface 280 also includes instructions describing how to practice the insertion technique and mentions that it is important to fully insert the needle into the skin to get a full dose of medication. FIG. 2G also includes a comparison summary panel 276 that provides instructions that the pinch be maintained after needle insertion and includes a “read more” link that, when selected, causes display of a user interface 290 depicted in FIG. 21. User interface 290 informs a user that with the previous identified device 292 a user would release the skin following needle insertion and that this differs from the injection device 272 where the user maintains the pinch after needle insertion and during a dosage administration.

[0043] FIGS. 2 J - 2K shows an illustration showing removal of syringe device 272 from the skin and explain that the needle should be pulled straight out and that syringe device 272 includes a guard that covers the needle after removal of syringe device 272. FIG. 2J also includes a comparison summary panel 296 that points out that the previous identified device did not include a needle guard and includes a “read more” link that, when selected, causes display of a user interface 298 depicted in FIG. 2K. User interface 298 includes further description of the needle guard operation and provides a plan view of previous identified device 299 along with a plan view of syringe device 272 to illustrate the difference in appearance due to the lack of a needle guard in previous identified device 299.

[0044] FIG. 3 A shows a user interface 300 with instructions for performing a third instruction of the set of injection instructions. In some embodiments, electronic device 101 displays user interface 300 in response to detecting a selection of the “continue” affordance 204 of user interface 200. In some embodiments, electronic device 101 displays user interface 300 after determining that the cap of injection device 102 has been removed for a predetermined period of time (e.g., 30 seconds, 1 minute, 2 minutes). In this example, user interface 300 depicts a user initiating the injection using injection device 102. User interface 300 also points out in the depiction and in the accompanying text description that injection device 102 lacks a push button to avoid confusion since many injection devices require a button be actuated to initiate an injection operation. The text description also informs the user that there will be a first click that indicates the injection has been initiated. User interface 300 also includes a comparison summary panel 302 that reminds the user again that there is no push button because the previously identified injection device required the actuation of a push button to initiate an injection. In some embodiments, if the identified prior injection device also did not have a push button, comparison summary panel 302 may not be present or highlight a different distinction, instead. User interface 320 is accessible by selecting the read more link located in comparison summary panel 302 and provides additional information as to the characteristic differences in actuation between injection device 102 and previously used injection device 322. In some embodiments, this information can include bodily locations where the injection device can be applied or not applied, or an angle at which the device should be positioned relative to a user’s skin during an injection process.

[0045] FIG. 4A shows a user interface 400 with instructions for performing a fourth instruction of the set of injection instructions. In some embodiments, electronic device 101 displays user interface 400 in response to detecting a selection of the “continue” affordance 304 of user interface 300. In some embodiments, electronic device 101 displays user interface 400 in response to detecting that the first stage (e.g., first click) of injection was completed. In this example, user interface 400 depicts injection device 102 still in an injection position and an ear icon indicating the occurrence of a second click. The accompanying written description may optionally instruct the user to confirm that the plunger has finished moving after hearing the second click. Comparison summary panel 402 points out that injection device 102 will make an audible second click since a prior injection device 422 did not provide this type of auditory feedback. User interface 420 as shown in FIG. 4B can be displayed by selecting the read more link in comparison summary panel 402 and describes in greater detail how to tell when the injection device has finished performing an injection. In this particular example, the description for injection device 102 in user interface 420 includes a suggestion to hold injection device 102 in place for 10 seconds following the end of movement of the plunger. The description on user interface 420 also demonstrates how the presence or lack of colored components can also help in distinguishing different devices from one another, identifying relevant color cues when they are available, or interpreting different color cues during specific injection process steps. While a few specific examples of indicators are provided for monitoring the progress of an injection these are exemplary only and it should be appreciated that any combination of visible, auditory and tactile feedback could be provided by the injection device and/or the interactive application to help a user know when the injection processes transition from an initial phase to a progression phase during which the medication is administered and finally to a completion phase when the injection device can be removed.

[0046] FIG. 5 A shows a user interface 500 that is displayed near the end of the introduction to injection device 102. In some embodiments, electronic device 101 displays user interface 500 in response to detecting a selection of the “continue” affordance 404 of user interface 400. In some embodiments, electronic device 101 displays user interface 500 in response to detecting the completion of the injection routine. User interface 500 provides a user a list of key points about injection device 102. After reviewing the key points, a user can select the “continue” affordance 502 on user interface 500 to access a list of summarized differences between injection device 102 and a prior injection device as shown in FIG. 5B. It should be noted that while the exemplary user interfaces on each of the preceding drawings show the broad variety of prior injection devices the interactive application can address, during a typical user experience the prior injection device would be the one selected by the user from user interface 120 from FIG. IB.

[0047] Additional features of the interactive application and the injection device are described below and are related generally to information the interactive application can provide a user about various characteristics of an injection device and how the characteristics may compare to prior injection devices previously used by the user. Due to the large amount of information available, not all of this information may be provided to the user during an initial on-boarding presentation in the described in FIGS. 1 A - 4A, however the information may be presented selectively at various points during a patient’s treatment with the medication, or may be searchable or available as an index or supplementary set of comparison user interfaces in the event a user faces a particular problem or is wondering about a particular aspect of the injection device. In some embodiments, the interactive application can be configured to inform a user that a particular warmup period should or must be applied before proceeding with an injection as this can prevent an occurrence where a user suffers discomfort from a cold temperature of medication while performing an injection or where an actual problem with the injection occurs in cases where the injector must be at a particular temperature to achieve a desired injection process outcome. In some embodiments, the interactive application can direct the user to perform a skin preparation process prior to beginning an injection during which the skin in a region surrounding and including a prospective injection site can be cleaned. The user can also be instructed whether any pinching or folding of the skin is necessary prior to the injection. In some embodiments, the interactive application can inform the user as to whether priming operations are need and if so how to perform a priming operation. In some embodiments the interactive application can compare and contrast the method of holding a new injection device with the method of holding a prior injection device. In some embodiments, the interactive application can instruct the user what to look for when inspecting an injection device for defects or problems (e.g., by looking for expiration date, injector discoloration or for the presence of particulate matter). In some embodiments, the interactive application can be configured to assist with troubleshooting a connection between an electronic device on which the interactive application is running and an injection device and/or another device having a biometric sensor for monitoring the user of the injection device during an injection. In some embodiments, the interactive application can describe the change out of components and in particular for devices that rely upon a reusable component such as a wireless module that can be rotated from one disposable injector to another. In some embodiments, the interactive injection device can inform a user whether the injection device performs automatic dose logging or whether the user is required to manually perform dose logging. In some embodiments, the interactive application may describe infrastructure requirements for the injection device, such as whether a hub or wireless connection is required. In some embodiments, the interactive application can inform a user whether the injection device includes replaceable parts and if so at what interval do the parts require replacement or cleaning. In some embodiments, the interactive application can advise a user as to proper disposal instructions for the injection device or its disposable parts (e.g., needles, caps, etc.). In some embodiments, the interactive application can inform a user as to whether problems may be experienced when travelling with the injection device to foreign countries or remote destinations. In some embodiments, the interactive application can inform a user as to whether the injection device or a component thereof requires recharging and if so at what interval. In some embodiments, the interactive application can be configured to inform a user as to whether special care / storage need be taken for reusable components of the injection device. In some embodiments, the interactive application can be configured to report on whether the user can opt- in to research programs and whether the interactive application is able to receive push notifications associated with particular research programs. In some embodiments, the interactive application can be configured to describe how the injection device can be disassembled to allow for the removal of a needle shield or device interlock. In some embodiments, the interactive application is configured to inform a user about how to adhere an injection device to a user’s skin. In some embodiments, the interactive application can be configured to inform a user of any special orientation of the injection device necessary to allow the user to see feedback provided by the injection device and visible on the injection device from an exterior of the injection device. In some embodiments, the interactive application can be configured to identify locations of graphical display screens and other interactive elements (e.g., LED segments, LED indicators, iconography, keypad, buttons, etc.) of an injection device. In some embodiments, the interactive application can be configured to describe proper processes to have an injection device repaired or replaced, such as provided contact information for an authorized repair location or return address. In some embodiments, the interactive application can be configured to inform a user as to whether the injection device must be connected to a network for data collected by the injection device to be stored and if there is storage to inform the user how many injections can be logged before an on-device memory container is filled up. In some embodiments, the interactive application can be configured to inform a user as to particular safety activation methods or processes.

[0048] While the previous figures and accompanying description describe an introduction to an injection device 102, the following few figures describe ways in which the interactive application can intervene to help a user experiencing stress and/or anxiety as the user prepares to begin an injection process. Generally these methods for ameliorating feelings of stress and/or anxiety can be triggered by monitoring one or more biometric characteristics of a user. For example, elevated heart rate variability (HRV) readings or galvanic skin response (GSR) sensor readings could trigger the implementation of one of the below described interventions or rituals. The interactive application is configured to take baseline biometric characteristic readings (e.g., using one or more sensors of electronic device 101 and/or of a device (e.g., a smartwatch; the autoinjector) connected to electronic device 101) to help identify threshold values for various biometric characteristics for which an intervention should be performed. It should also be noted that in certain instances a user may not be sufficiently calmed after a single intervention. In some cases, the interactive application will determine that the user is still experiencing substantial amounts of stress following a single intervention and will display a user interface asking the user to repeat the previously performed ritual again or provide a new ritual to help calm the user prior to the injection. The interactive application may make such a determination using data from a single injection by a user (e.g., the present injection), historical data from past injections for a specific user, historical data from multiple users, or combinations thereof.

[0049] FIGS. 6A - 6B show user interfaces 602 and 604 for guiding a user through one or more breathing exercises in response to a measured biometric characteristic exceeding a threshold value. In some embodiments, user interface 602 can be presented to a user when an injection schedule setup by the user indicates that the user should be preparing for another injection. FIG. 6A shows how an animated graphic 606 can be displayed in the center of the user interface that gradually increases in size when the user is supposed to inhale and gradually decreases in size when the user is supposed to exhale. The text inside animated graphic 606 also switches between listing the inhale command and the exhale command to minimize any chance for confusion. In some embodiments, electronic device 101 detects the user’s breathing via one or more sensors (e.g., microphones that detect breathing sounds) and varies one or more graphical or textual elements of user interfaces 602 and/or 604 based on the detected breathing. This provides the user something to focus on other than the impending injection and allows the body to calm as the breathing exercise helps to oxygenate the user. In some embodiments, the interactive application can be configured to monitor how well the user is following the breathing exercise using one or more microphones of electronic device 101. In the event the user is struggling to follow the breathing instructions another intervention can be employed and/or additional interventions could be run concurrent with the breathing exercise.

[0050] FIG. 6B shows an alternative animated graphic 608. Animated graphic 608 alternates between graphic states that represent inhaling, exhaling and holding one’s breath and includes a serene face that encourages a user to relax. It will be apparent that many different breathing patterns may be communicated by animated graphic 608, for example, evenly or unevenly spaced breathing intervals or combinations thereof. While user interfaces 602 and 604 depicted in FIGS. 6 A and 6B both describe different user interfaces for guiding a user through breathing exercises, interventions and rituals can take many other forms. For example, in the event the user has smart lighting setup in the location they are performing their injections, the interactive application could send a request to a home automation system requesting the smart lighting be dimmed and/or changed in color to help relax the user. The interactive application could also be configured to play relaxing music in a situation in which the breathing exercise is insufficient to calm a user. A user can also be prompted to go through a guided meditation. In some cases a user might set up multiple of the aforementioned interventions to help them deal with the stress involved prior to an injection. In some embodiments, a user may select from predetermined combinations or themes of one or more of meditation, smart lighting, or music.

[0051] Once a user’s level of stress decreases to a level where the user is deemed to be capable of managing the injection process effectively, the user can be provided injection instructions. In instances where a user’s biometric characteristic or parameters never fall below a threshold level required to move to an injection process, the user can manually prompt the interactive application to provide injection instructions (e.g., by selecting “done” affordance 606).

[0052] FIG. 7A shows user interfaces 700 - 704 describing injection instructions that walk the user through initiating an injection. Electronic device 101 displays user interface 700 and provides visual and written descriptions describing proper removal of the cap from injection device 102. When the user has finished removing the cap, the user can select the “tap when ready” affordance 702 when the user is ready for electronic device 101 to display a user interface 720. User interface 720 depicts a proper orientation for injection device 102 to help the user achieve the proper orientation of the injection device. Once the user has properly oriented injection device 102 the user can select the “tap when ready” affordance 722 to move on to a user interface 740. User interface 740 instructs the user to push injection device 102 against the skin to initiate the injection. It should be noted that, in some embodiments, a user may wish to continue their breathing exercises while performing the injection and can setup the interactive application to continue the pre-inj ection ritual while receiving the injection instructions and performing the injection. In cases where the user has a companion application for the interactive application on a wearable device, such as a smartwatch, the pre-inj ection ritual could be displayed on the smartwatch while the user receives injection instructions on a smart phone or tablet. In some embodiments, the interactive application may also automatically prompt the user to continue with the pre-inj ection ritual in cases where a user’s biometric characteristics indicate the user’s stress or anxiety levels are just slightly below a threshold level where the user is prompted to continue with an injection process.

[0053] FIG. 7B shows user interfaces 760-766 providing a count-down timer for a user informing them how much longer they need to hold the injection device in place. In some embodiments, user interface 760 is displayed by electronic device 101 in response to detecting a selection of the “tap when ready” affordance 742 of user interface 740. While a countdown timer of four seconds is shown here it should be appreciated that the timer may be shorter or longer depending on the type of injection device, the amount of medicine being injected and the type of medicine being injected. In cases where the interactive application has a sensor that identifies the injection device has been removed early or where the user informs the interactive application that the injection device was removed too early the interactive application can increase a duration of time of the countdown to lower the likelihood of the injection device being removed too early during subsequent injections.

[0054] FIGS. 8A - 8H show user interfaces 800-870 relating to initiating and carrying out an injection using an injection device 802 having one or more sensors capable of monitoring an injection process. FIG. 8A shows an illustration indicating how a user should position their body prior to initiating the injection process. In the illustration, the user is prompted to assume a sitting position in preparation for administering the injection into a thigh of the user. The interactive application could prompt the user to assume different positions, such as a standing position, depending on where the injection is supposed to be administered. For example, an injection might alternatively be administered in a stomach region. Certain types of medicine may benefit from rotating a location where the injection is administered. The interactive application can be configured to keep track of where and at what interval subsequent injections should be administered by establishing a rotation of locations at predetermined dates and times based on the number of permissible injection locations for a particular medication and an associated dosing interval.

[0055] FIG. 8B depicts removal of the cap of an injection device 802 and informs the user that removal of the cap will establish a connection between the electronic device running the interactive application and injection device 802. Once injection device 802 connects to the interactive application and confirms removal of the cap, interactive application can automatically progress to a next user interface. In embodiments where there is no connection or injection device 802 does not include a sensor for detecting removal of the cap, electronic device 101 running the interactive application can be configured to listen for the sound of the cap being removed using one or more microphones of electronic device 101. A cap of injection device 802 may be specially configured to make a loud noise on removal so that the interactive application is able to confirm removal of the cap. It should be appreciated that this more manual form of cap removal detection can be implemented in any of the previously described processes.

[0056] FIGS. 8C - 8D show user interfaces describing how a user should orient injection device 802 prior to actuation of injection device 802. FIG. 8C shows injection device 802 held vertically up and down and FIG. 8D shows injection device 802 oriented horizontally. Injection device 802 can include an orientation sensor, such as an accelerometer or gyroscope that allows injection device 802 to accurately report its orientation. In some embodiments, the illustration of injection device 802 in the user interfaces depicted in FIGS. 8C and 8D can show an actual position of itself as reported by its orientation sensor. In some embodiments, interactive application will show only an indicia, such as indicia 804, indicating a proper orientation of injection device 802 has been achieved. In some embodiments, the user interface will show an arrow directing a user what direction to tilt injection device 802 to achieve the desired orientation. The arrow or other correction indicia can vary in size, shape and/or color based on a magnitude of the error in orientation. The orientation sensor can also be used to help determine a level of stress of the user particularly if a user’s hand that is holding injection device 802 is shaking enough to be detectable by on-board sensors of injection device 802. In the event injection device 802 is a training injection device, detection of hand shaking can be used to help establish a baseline for other biometric sensors that would ordinarily be used during a standard injection process. The orientation sensor can also be configured to help avoid the possibility of the user injecting the wrong region of the body. For example, a user directed to apply the injection to his upper thigh while seated would not inadvertently inject their stomach since the injector orientation for the stomach would be 90 degrees off from the upper thing while seated and the injection device would report an orientation issue.

[0057] FIGS. 8E - 8F show user interfaces depicting and describing how to start the injection once the proper orientation of injection device 802 has been achieved and how to maintain a hold on the injector for the duration of an injection. The interactive application automatically transitions from the user interface shown in FIG. 8E to the user interface depicted in FIG. 8F in response to the interactive application receiving a notification, generated by injection device 802, informing the interactive application that the injection has started. The interactive application then moves from the user interface depicted in FIG. 8F to the user interface depicted in FIG. 8G once the injection device is nearing completion of the injection. The user interface in FIG. 8G shows a countdown timer helping inform a user of when to expect the injection process to be finished. In the event the user removes injection device 802 from the patient’s skin prior to the injection being complete, the user interface shown in FIG. 8H is depicted. As described previously, the interactive application can be configured to increase an amount of time it asks the user to hold the injection device in place to avoid premature removal of the injection device during future injection operations. As depicted in FIG. 8H, the user interface can include a button or affordance allowing the user to repeatedly practice using injection device 802 in the event injection device 802 is a practice device allowing a user to gain skill using the practice device before performing a live injection; the interactive application may also be configured to allow practice injection device 802 to be used as part of the pre- injection ritual if desired.

[0058] It should be appreciated that injection device 802 can take the form of a refillable (i.e., reusable) injection device, a practice (i.e., needleless, medicationless) injection device, an auto injector injection device or a one-time use prefilled syringe type injection device. A onetime use injection device can have fewer and/or less expensive sensors embedded within it to lower costs. Furthermore, while the application, in general, discusses the use of the injection device by the person receiving the injection, the injection device can also be manipulated by others as well, such as a caregiver. The biometric characteristic thresholds may be different for a caregiver than they would be for a person performing a self-injection. The interactive application could be reconfigured for the caregiver by accepting a caregiver login that would allow the interactive application to monitor the caregiver’s biometric sensors rather than the biometric sensors of the individual receiving the injection.

[0059] FIG. 9 depicts exemplary personal electronic device 900 suitable for running the described interactive application. Device 900 has bus 912 that operatively couples I/O section 914 with one or more computer processors 916 and memory 918. I/O section 914 is connected to display 904, which can have touch-sensitive component 922 and, optionally, touch-intensity sensitive component 924. In addition, I/O section 914 is connected with communication unit 930 for receiving application and operating system data, using Wi-Fi, Bluetooth, near field communication (NFC), cellular, and/or other wireless communication techniques. Device 900 includes input mechanisms 906 and/or 908. Input mechanism 906 is a rotatable input device or a depressible and rotatable input device, for example. Input mechanism 908 is a button, in some examples.

[0060] Input mechanism 908 is a microphone, in some examples. Personal electronic device 900 includes, for example, various sensors, such as GPS sensor 932, accelerometer 934, directional sensor 940 (e.g., compass), gyroscope 936, motion sensor 938, and/or a combination thereof, all of which are operatively connected to I/O section 914.

[0061] Memory 918 of personal electronic device 900 is a non-transitory computer-readable storage medium, for storing computer-executable instructions, which, when executed by one or more computer processors 916, for example, cause the computer processors to perform the techniques and processes described below. The computer-executable instructions, for example, are also stored and/or transported within any non-transitory computer-readable storage medium for use by or in connection with an instruction execution system, apparatus, or device, such as a computer-based system, processor-containing system, or other system that can fetch the instructions from the instruction execution system, apparatus, or device and execute the instructions. Personal electronic device 900 is not limited to the components and configuration of FIG. 9, but can include other or additional components in multiple configurations.

[0062] As used here, the term “affordance” refers to a user-interactive graphical user interface object that is, for example, displayed on the display screen of device 900. For example, an image (e.g., icon), a button, and text (e.g., hyperlink) each constitutes an affordance.

[0063] In some embodiments described herein, one or more operations are performed in response to detecting a gesture that includes a respective press input or in response to detecting the respective press input performed with a respective contact (or a plurality of contacts), where the respective press input is detected based at least in part on detecting an increase in intensity of the contact (or plurality of contacts) above a press-input intensity threshold. In some embodiments, the respective operation is performed in response to detecting the increase in intensity of the respective contact above the press-input intensity threshold (e.g., a “down stroke” of the respective press input). In some embodiments, the press input includes an increase in intensity of the respective contact above the press-input intensity threshold and a subsequent decrease in intensity of the contact below the press-input intensity threshold, and the respective operation is performed in response to detecting the subsequent decrease in intensity of the respective contact below the press-input threshold (e.g., an “up stroke” of the respective press input).

[0064] In some embodiments, the device employs intensity hysteresis to avoid accidental inputs sometimes termed “jitter,” where the device defines or selects a hysteresis intensity threshold with a predefined relationship to the press-input intensity threshold (e.g., the hysteresis intensity threshold is X intensity units lower than the press-input intensity threshold or the hysteresis intensity threshold is 75%, 90%, or some reasonable proportion of the press-input intensity threshold). Thus, in some embodiments, the press input includes an increase in intensity of the respective contact above the press-input intensity threshold and a subsequent decrease in intensity of the contact below the hysteresis intensity threshold that corresponds to the press-input intensity threshold, and the respective operation is performed in response to detecting the subsequent decrease in intensity of the respective contact below the hysteresis intensity threshold (e.g., an “up stroke” of the respective press input). Similarly, in some embodiments, the press input is detected only when the device detects an increase in intensity of the contact from an intensity at or below the hysteresis intensity threshold to an intensity at or above the press-input intensity threshold and, optionally, a subsequent decrease in intensity of the contact to an intensity at or below the hysteresis intensity, and the respective operation is performed in response to detecting the press input (e.g., the increase in intensity of the contact or the decrease in intensity of the contact, depending on the circumstances).

[0065] FIG. 10 is a flow diagram illustrating a method 1000 for introducing a user to a current therapeutic injection device in accordance with some embodiments. Method 1000 is performed at an electronic device (e.g., a smartphone, a tablet, a personal computer; device 101 and/or 900) in communication with a display device (e.g., display 904, which can be an integrated or external display) and an input device (e.g., a touch-sensitive surface, a mouse, a keyboard, such as touch sensitive component 922). Some operations in method 1000 are, optionally, combined, the orders of some operations are, optionally, changed, and some operations are, optionally omitted.

[0066] As described below method 1000 provides a comprehensive introduction to the therapeutic injection device and comparisons between the therapeutic injection device and a prior therapeutic injection device used by the user. This allows the user to much more quickly appreciate the differences between devices and be less likely to inadvertently apply the operation of the prior injection device to the current injection device.

[0067] The electronic device displays (1002), via the display device, a prior therapeutic injection device selection user interface (e.g., user interfaces 100 and 120) that can include a list of possible prior injection devices (e.g., 162, 222, 322, 422) having some degree of similarity with the current therapeutic injection device.

[0068] While displaying the prior therapeutic injection device selection user interface, the electronic device receives (1004), via the input device, a set of one or more inputs that identify a prior therapeutic injection device (e.g., selection from a presented list of options and/or manual entry via a keyboard).

[0069] After receiving the prior therapeutic injection device selection the electronic device displays (1006), via the display device, a first instruction user interface (e.g., 200) corresponding to the current therapeutic injection device (e.g., 102), wherein the first instruction user interface includes: in accordance with a determination that a first characteristic (e.g., cap removal process or injection initiation process) of the prior therapeutic injection device corresponds to a first characteristic of the current therapeutic injection device, a first set of instructional content (1008) (e.g., 202); and in accordance with a determination that the first characteristic of the prior therapeutic injection device does not correspond to the first characteristic of the current therapeutic injection device, a second set of instructional content that is different from the first set of instructional content.

[0070] In some embodiments, after displaying the first or second set of instructional content with the first instruction user interface, the electronic device optionally displays (1012), via the display device a second instruction user interface corresponding to the current therapeutic injection device, wherein the second instruction user interface includes: in accordance with a determination that a second characteristic of the prior therapeutic injection device corresponds (e.g., matches, is the same as, satisfies a set of similarity criteria) to a second characteristic of the current therapeutic injection device, a third set of instructional content (1014); and in accordance with a determination that the second characteristic of the prior therapeutic injection device does not correspond to the second characteristic of the current therapeutic injection device, a fourth set of instructional content that is different from the first set of instructional content.

[0071] In some embodiments, the first characteristic of the current therapeutic injection device is selected from the group consisting of a number of therapeutic injection devices required per dosing interval, a cap removal process (e.g., as seen in FIGS. 2A-2B), an activation process and a feedback mechanism for injection completion (e.g., as seen in FIGS. 3A-3B and 4A-4B). [0072] In some embodiments, the first region includes an option (e.g., 144, 202, 302) to view a more detailed comparison (e.g., 160, 220, 320) of the differences between the first characteristic of the current therapeutic injection device and the first characteristic of the prior therapeutic injection device.

[0073] In some embodiments, the first set of instructional content include instructions for removing a cap of the current therapeutic injection device (e.g., FIG. 2A).

[0074] In some embodiments, the first set of instructional content includes instructions for initiating an injection using the current therapeutic injection device (e.g., FIG. 3A).

[0075] In some embodiments, the first set of instructional content informs a user how to tell when the current therapeutic injection device is finished administering an injection (e.g., FIG. 4A).

[0076] In some embodiments, the second set of instructional content informs a user that the current therapeutic injection device lacks a push button for initiating an injection (e.g., FIG. 3 A).

[0077] In some embodiments, the second set of instructional content describes differences between a cap of the prior therapeutic injection device and a cap of the current therapeutic injection device (e.g., FIG. 2A).

[0078] In some embodiments, the method further includes displaying, via the display device, a summary of differences between characteristics of the prior therapeutic injection device and respective characteristics of the current therapeutic injection device (e.g., FIG. 5A-5B).

[0079] FIG. 11 is a flow diagram illustrating a method 1100 for determining whether a user is ready to initiate an injection process and then helping the user get to a mental state in which they are ready to proceed with the injection process if they are not initially ready. Method 1100 is performed at an electronic device (e.g., 900, 101) in communication with a display device (e.g., display 904, which can be an integrated or external display) and an input device (e.g., touch sensitive component 922, a mouse or a keyboard). The electronic device can take many forms including that of a smartphone, a tablet and a personal computer. Some operations in method 1100 are, optionally, combined, the orders of some operations are, optionally, changed, and some operations are, optionally omitted. [0080] As described below, method 1100 provides a number of ways of monitoring biometric characteristics of a user and then presenting pre- injection ritual instructions (e.g., breathing or guided meditation rituals, as seen in FIGS. 6A and 6B) to the user to help the user prepare to proceed with an injection process. The pre-inj ection rituals are designed to assist a user by providing breathing instructions, a guided meditation, a more relaxing atmosphere, or the like.

[0081] The electronic device receives (1102), via the input device, a request to initiate an injection process. In some embodiments, the request to begin the injection process can be initiated by an injection schedule setup by the user. The request to initiate the injection process can also take the form of activation of a software or hardware button of the electronic device or activation of a component of an injection device (e.g., a smart syringe) in communication with the electronic device. The request to initiate the injection process can also be characterized as a request to initiate tracking of a user’s progress in performing the injection and biometric characteristics of the user.

[0082] After receiving the request to initiate the injection process, the electronic device receives (1104) biometric data for a biometric characteristic of a user of the electronic device. The biometric data can be retrieved by a wearable sensor such as a smart watch that can include one or more biometric sensors. For example, the smartwatch can include one or more sensors capable of measuring the user’s HRV or GSR characteristics prior to the injection process.

[0083] After receiving the biometric data, the electronic device displays (1106) a user interface that includes: in accordance with a determination that a set of pre-inj ection ritual criteria have been met, the set of pre-inj ection ritual criteria including a criterion that is met when the biometric data indicates the biometric characteristic has exceeded a threshold level (e.g., a predetermined threshold level), pre-injection ritual instructions (1108) (e.g., instructions for a set of one or more tasks to perform prior to performing an injection, e.g., as seen in FIGS. 6A-6B) and in accordance with a determination that the set of pre-injection ritual criteria have not been met, injection instructions (1110). The pre-injection ritual criteria can be increased or decreased based on a user’s performance in executing the injection processes. For example, in response to a user prematurely terminating the injection process, the user applying the injection at an improper angle/orientation and/or the user terminating the injection process, the pre- injection criteria can be lowered. Similarly, the pre-inj ection criteria can also be raised after the user completes a number of successful or error- free executions of the injection processes.

[0084] In some embodiments, after the user completes one or more pre-inj ection rituals, the electronic device displays (1112) a user interface that includes: in accordance with a determination that the set of pre-inj ection ritual criteria continue to be met a threshold period of time after receiving the request, the injection instructions (1114) (e.g., as seen in FIGS. 7A - 7B). This allows a user to continue with the injection process after a sufficiently long period of time has passed in the event the user is struggling to reach a requisite level of calm needed to avoid meeting the pre- injection ritual criteria.

[0085] In some embodiments, the set of pre-inj ection ritual criteria is based on baseline biometric data for the user.

[0086] In some embodiments, the baseline biometric data for the user includes biometric data collected during an injection without providing pre-injection ritual instructions.

[0087] In some embodiments, the method further comprises lowering the predetermined threshold in response to a failed injection process.

[0088] In some embodiments, the method further comprises raising the predetermined threshold in response to one or more successful injection processes.

[0089] In some embodiments, the method further comprises administering a measure of emotional well-being to a patient and subsequently lowering the predetermined threshold in response to a substantially negative patient response to said measure of emotional well-being.

[0090] In some embodiments, the method further comprises, displaying, via the display device, a user interface that includes: in accordance with a determination that the set of preinjection ritual criteria continue to be met a threshold period of time after receiving the request, injection instructions (e.g., as seen in FIGS. 7A-7B) .

[0091] In some embodiments, the method further comprises, displaying, via the display device, a user interface (e.g., as seen in FIGS. 7A-7B) that includes the injection instructions in response to a user request to bypass the pre-injection ritual instructions.

[0092] In some embodiments, the pre-injection ritual instructions include a breathing ritual (e.g., FIGS. 6A-6B). [0093] In some embodiments, the pre-inj ection ritual instructions include a guided meditation or a meditation ritual.

[0094] In some embodiments, the method further comprises initiating a change in lighting surrounding the user when providing the pre-inj ection ritual instructions.

[0095] In some embodiments, the biometric data comprises heart rate variability (HRV) data.

[0096] In some embodiments, the biometric data comprises galvanic skin response (GSR) data.

[0097] In some embodiments, the method further comprises presenting additional different types of pre-inj ection rituals in response to the biometric data continuing to exceed the threshold level.

[0098] In some embodiments, the biometric data for the user is obtained in real-time from a wearable electronic device worn by the user and in wireless communication with the electronic device.

[0099] In some embodiments, the wearable electronic device is a smartwatch.

[0100] In some embodiments, the injection instructions include a countdown timer displayed during administration of the injection.

[0101] In some embodiments, the injection instructions include breathing instructions displayed during administration of the injection.

[0102] FIG. 12 is a flow diagram illustrating a method 1200 for monitoring a user’s interaction with an injection device during and leading up to execution of injection processes. Method 1200 is performed at an electronic device (e.g., personal electronic device 900, electronic device 101) in communication with a display device (e.g., display 904, which can be an integrated or external display) and an input device (e.g., touch sensitive component 922, a mouse or a keyboard). Some operations in method 1200 are, optionally, combined, the orders of some operations are, optionally, changed, and some operations are, optionally omitted.

[0103] As described below method 1200 provides a way of providing additional feedback to a user performing an injection process. This allows the user to much more quickly identify any issues with which they are struggling and allows for the incorporation of interventions to help the user avoid errors during the execution of subsequent injection processes.

[0104] The electronic device receives (1202), via the input device, a request to initiate an injection process. The request to initiate the injection process can take the form of activation of a software or hardware button of the electronic device or activation of a component of an injection device (e.g., a smart syringe) in communication with the electronic device. The request to initiate the injection process can also be characterized as a request to initiate tracking of a user’s progress in performing the injection and biometric characteristics of the user.

[0105] The electronic device receives (1204) orientation data from the therapeutic injection device indicating an orientation of the therapeutic injection device in real-time (e.g., as seen in FIGS. 8C - 8D) and can also receive the user’s biometric data. The orientation data is generally received wirelessly via Bluetooth® or another wireless protocol and includes the therapeutic injection devices orientation with respect to multiple referential axes.

[0106] After receiving the therapeutic injection device orientation the electronic device displays (1206), via the display device, a user interface that includes: in accordance with a determination a set of device orientation correction criteria are met, the set of device orientation criteria including a criterion that is met when the data indicating an orientation of the therapeutic injection device indicates that the therapeutic injection device is not within a range of acceptable orientations, instructions for correcting the orientation of the therapeutic injection device (1208) and in accordance with a determination that the orientation of the therapeutic injection device is within a threshold orientation from the instructed orientation, instructions for administering (e.g., proceeding with) an injection using the therapeutic injection device(1210). In the latter case no correction instructions will be provided and the device will proceed with instructing the user to proceed with performing the injection.

[0107] In some embodiments, following performance of the injection processes the electronic device displays (1212), via the display device, an error message user interface (e.g., as seen in FIG. 8H) informing the user of one or more errors detected during execution of the injection processes. In some embodiments, an error can take the form of the injection device being removed prematurely from the user’s body. In addition the interactive application running on the electronic device can incorporate safeguards such as a longer counter length to avoid similar errors during the execution of additional injection processes.

[0108] In some embodiments, the method further comprises after receiving the request to initiate the injection process, displaying, via the display device, a first instructional user interface (e.g., FIG. 8 A) including instructions for the user to assume a specific body position.

[0109] In some embodiments, the method further comprises after displaying the first instructional user interface, displaying, via the display device, a second instructional user interface including instructions for the user to orient a therapeutic injection device for injection (e.g., FIGS. 8C - 8D).

[0110] In some embodiments, the method further comprises: instructing the user to remove a cap of the injection device (e.g., FIG. 8B); and detecting removal of the cap with a sensor of the electronic device, wherein instructions for the user to orient the injection device are displayed only after detecting removal of the cap from the injection device.

[0111] In some embodiments, the sensor of the electronic device is a microphone.

[0112] In some embodiments, instructions for correcting the orientation of the therapeutic injection device are displayed graphically to show a direction in which to move the therapeutic injection device.

[0113] In some embodiments, the instructions for correcting the orientation of the therapeutic injection device vary based on a magnitude of an error in the orientation of the therapeutic injection device.

[0114] In some embodiments, the method further comprises displaying, via the display device, a user interface (e.g., FIGS. 8F - 8G) instructing the user to continue to maintain the position and orientation of the therapeutic injection device for a predetermined period of time.

[0115] In some embodiments, the instructions for administering the injection include instructing the user how long to hold the therapeutic injection device in place prior to completing the injection process.

[0116] In some embodiments, the therapeutic injection device is a therapeutic injection training device. [0117] In some embodiments, the orientation of the therapeutic injection device is measured by an inertial measurement unit of the therapeutic injection device.

[0118] In some embodiments, the method further comprises displaying, via the display device, an error message user interface (e.g., FIG. 8H) informing the user of a premature removal of the therapeutic injection device in response to the electronic device receiving information from the therapeutic injection device indicating premature removal of the therapeutic injection device.

[0119] The foregoing description, for purposes of explanation, used specific nomenclature to provide a thorough understanding of the described embodiments. However, it will be apparent to one skilled in the art that the specific details are not required in order to practice the described embodiments. Thus, the foregoing descriptions of specific embodiments are presented for purposes of illustration and description. They are not intended to be exhaustive or to limit the described embodiments to the precise forms disclosed. It will be apparent to one of ordinary skill in the art that many modifications and variations are possible in view of the above teachings.

Claims

WHAT IS CLAIMED IS:

1. A method comprising: at an electronic device in communication with a display device and an input device: displaying, via the display device, a prior therapeutic injection device selection user interface; while displaying the prior therapeutic injection device selection user interface, receiving, via the input device, a set of one or more inputs that identify a prior therapeutic injection device; and displaying, via the display device, a first instruction user interface corresponding to a current therapeutic injection device, wherein the first instruction user interface includes: in accordance with a determination that a first characteristic of the prior therapeutic injection device corresponds to a first characteristic of the current therapeutic injection device, a first set of instructional content; and in accordance with a determination that the first characteristic of the prior therapeutic injection device does not correspond to the first characteristic of the current therapeutic injection device, a second set of instructional content that is different from the first set of instructional content.

2. The method of claim 1, wherein the first characteristic of the current therapeutic injection device is selected from the group consisting of a number of therapeutic injection devices required per dosing interval, a cap removal process, an activation process and a feedback mechanism for injection completion.

3. The method of claim 1, further comprising: displaying, via the display device, a second instruction user interface corresponding to the current therapeutic injection device, wherein the second instruction user interface comprises: in accordance with a determination that a second characteristic of the prior therapeutic injection device corresponds to a second characteristic of the current therapeutic injection device, a third set of instructional content; and in accordance with a determination that the second characteristic of the prior therapeutic injection device does not correspond to the second characteristic of the current therapeutic injection device, a fourth set of instructional content that is different from the third set of instructional content.

4. The method of claim 1, wherein the second set of instructional content comprises: differences between the first characteristic of the current therapeutic injection device and the first characteristic of the prior therapeutic injection device that are displayed in a first region of the display device and the first set of instructional content displayed in a second region of the display device separate and distinct from the first region.

5. The method of claim 4, wherein the first region includes an option to view a more detailed comparison of the differences between the first characteristic of the current therapeutic injection device and the first characteristic of the prior therapeutic injection device.

6. The method of claim 1 , wherein the first set of instructional content include instructions for removing a cap of the current therapeutic injection device.

7. The method of claim 1 , wherein the first set of instructional content includes instructions for initiating an injection using the current therapeutic injection device.

8. The method of claim 1, wherein the first set of instructional content informs a user how to tell when the current therapeutic injection device is finished administering an injection.

9. The method of claim 1 , wherein the second set of instructional content informs a user that the current therapeutic injection device lacks a push button for initiating an injection.

10. The method of claim 1, wherein the second set of instructional content describes differences between a cap of the prior therapeutic injection device and a cap of the current therapeutic injection device.

11. The method of claim 1 , further comprising: displaying, via the display device, a summary of differences between characteristics of the prior therapeutic injection device and respective characteristics of the current therapeutic injection device.

12. A non-transitory computer-readable storage medium storing one or more programs, the one or more programs comprising instructions, which when executed by one or more processors of an electronic device in communication with a display device and an input device, cause the electronic device to: display, via the display device, a prior therapeutic injection device selection user interface; while displaying the prior therapeutic injection device selection user interface, receive, via the input device, a set of one or more inputs that identify a prior therapeutic injection device; and display, via the display device, a first instruction user interface corresponding to a current therapeutic injection device, wherein the first instruction user interface includes: in accordance with a determination that a first characteristic of the prior therapeutic injection device corresponds to a first characteristic of the current therapeutic injection device, a first set of instructional content; and in accordance with a determination that the first characteristic of the prior therapeutic injection device does not correspond to the first characteristic of the current therapeutic injection device, a second set of instructional content that is different from the first set of instructional content.

13. A method comprising: at an electronic device in communication with a display device and an input device: receiving, via the input device, a request to initiate an injection process; after receiving the request, receiving biometric data for a biometric characteristic of a user of the electronic device; and displaying, via the display device, a user interface that includes: in accordance with a determination that a set of pre-inj ection ritual criteria have been met, the set of pre-inj ection ritual criteria including a criterion that is met when the biometric data indicates the biometric characteristic has exceeded a threshold level, pre- injection ritual instructions; and in accordance with a determination that the set of pre-inj ection ritual criteria have not been met, injection instructions.

14. The method of claim 13, wherein the set of pre-inj ection ritual criteria is based on baseline biometric data for the user.

15. The method of claim 14, wherein the baseline biometric data for the user includes biometric data collected during an injection without providing pre-injection ritual instructions.

16. The method of claim 15, wherein the baseline biometric data for the user includes biometric data collected during an injection performed after providing the user pre-injection ritual instructions.

17. The method of claim 13, further comprising lowering the predetermined threshold in response to a failed injection process.

18. The method of claim 13, further comprising raising the predetermined threshold in response to one or more successful injection processes.

19. The method of claim 13, further comprising administering a measure of emotional wellbeing to a patient and subsequently lowering the predetermined threshold in response to a substantially negative patient response to said measure of emotional well-being.

20. The method of claim 13, further comprising, displaying, via the display device, a user interface that includes: in accordance with a determination that the set of pre-injection ritual criteria continue to be met a threshold period of time after receiving the request, injection instructions.

21. The method of claim 13, further comprising, displaying, via the display device, a user interface that includes the injection instructions in response to a user request to bypass the preinjection ritual instructions.

22. The method of claim 13, wherein the pre- injection ritual instructions include a breathing ritual.

23. The method of claim 13, wherein the pre- injection ritual instructions include a guided meditation or a meditation ritual.

24. The method of claim 13, further comprising initiating a change in lighting surrounding the user when providing the pre-injection ritual instructions.

25. The method of claim 13, wherein the biometric data comprises heart rate variability data.

26. The method of claim 13, wherein the biometric data comprises galvanic skin response (GSR) data.

27. The method of claim 13, further comprising presenting additional different types of preinjection rituals in response to the biometric data continuing to exceed the threshold level.

28. The method of claim 13, wherein the biometric data for the user is obtained in real-time from a wearable electronic device worn by the user and in wireless communication with the electronic device.

29. The method of claim 28, wherein the wearable electronic device is a smartwatch.

30. The method of claim 28, wherein the injection instructions include a countdown timer displayed during administration of the injection.

31. The method of claim 13, wherein the injection instructions include breathing instructions displayed during administration of the injection.

32. A non-transitory computer-readable storage medium storing one or more programs, the one or more programs comprising instructions, which when executed by one or more processors of an electronic device, cause the electronic device to: receive, via the input device, a request to initiate an injection process; after receiving the request, receive biometric data for a biometric characteristic of a user of the electronic device; and display, via the display device, a user interface that includes: in accordance with a determination that a set of pre-inj ection ritual criteria have been met, the set of pre-inj ection ritual criteria including a criterion that is met when the biometric data indicates the biometric characteristic has exceeded a threshold level, preinjection ritual instructions; and in accordance with a determination that the set of pre-inj ection ritual criteria have not been met, injection instructions.

33. A method comprising: at an electronic device in communication with a display device, an input device and a therapeutic injection device: receiving, via the input device, a request to initiate an injection process; receiving from the therapeutic injection device data indicating an orientation of the therapeutic injection device; and after receiving the data indicating the orientation of the therapeutic injection device, displaying, via the display device, a user interface, wherein the user interface includes: in accordance with a determination a set of device orientation correction criteria are met, the set of device orientation correction criteria including a criterion that is met when the data indicating an orientation of the therapeutic injection device indicates that the therapeutic injection device is not within a range of acceptable orientations, instructions for correcting the orientation of the therapeutic injection device; and in accordance with a determination that the orientation of the therapeutic injection device is within a range of acceptable orientations, instructions for administering an injection using the therapeutic injection device.

34. The method of claim 33, further comprising: after receiving the request to initiate the injection process, displaying, via the display device, a first instructional user interface including instructions for the user to assume a specific body position.

35. The method of claim 34, further comprising: after displaying the first instructional user interface, displaying, via the display device, a second instructional user interface including instructions for the user to orient a therapeutic injection device for injection.

36. The method of claim 33, further comprising: instructing the user to remove a cap of the injection device; and detecting removal of the cap with a sensor of the electronic device, wherein instructions for the user to orient the injection device are displayed only after detecting removal of the cap from the injection device.

37. The method of claim 36, wherein the sensor of the electronic device is a microphone.

38. The method of claim 33, wherein instructions for correcting the orientation of the therapeutic injection device are displayed graphically to show a direction in which to move the therapeutic injection device.

39. The method of claim 33, wherein the instructions for correcting the orientation of the therapeutic injection device vary based on a magnitude of an error in the orientation of the therapeutic injection device.

40. The method of claim 33, further comprising displaying, via the display device, a user interface instructing the user to continue to maintain the position and orientation of the therapeutic injection device for a predetermined period of time.

41. The method of claim 33, wherein the instructions for administering the injection include instructing the user how long to hold the therapeutic injection device in place prior to completing the injection process.

42. The method of claim 33, wherein the therapeutic injection device is a therapeutic injection training device.

43. The method of claim 33, wherein the orientation of the therapeutic injection device is measured by an inertial measurement unit of the therapeutic injection device.

44. The method of claim 33, further comprising: displaying, via the display device, an error message user interface informing the user of a premature removal of the therapeutic injection device in response to the electronic device receiving information from the therapeutic injection device indicating premature removal of the therapeutic injection device.

45. A non-transitory computer-readable storage medium storing one or more programs, the one or more programs comprising instructions, which when executed by one or more processors of an electronic device in communication with a display device, an input device and a therapeutic injection device, cause the first electronic device to: receive, via the input device, a request to initiate an injection process; receive from the therapeutic injection device data indicating an orientation of the therapeutic injection device; and after receiving the data indicating the orientation of the therapeutic injection device, display, via the display device, a user interface, wherein the user interface includes: in accordance with a determination a set of device orientation correction criteria are met, the set of device orientation correction criteria including a criterion that is met when the data indicating an orientation of the therapeutic injection device indicates that the therapeutic injection device is not within a range of acceptable orientations, instructions for correcting the orientation of the therapeutic injection device; and in accordance with a determination that the orientation of the therapeutic injection device is within a range of acceptable orientations, instructions for administering an injection using the therapeutic injection device.

46. A computer system that is configured to communicate with a display device and one or more input devices, comprising: means for displaying, via the display device, a prior therapeutic injection device selection user interface; while displaying the prior therapeutic injection device selection user interface, means for receiving, via the input device, a set of one or more inputs that identify a prior therapeutic injection device; and means for displaying, via the display device, a first instruction user interface corresponding to a current therapeutic injection device, wherein the first instruction user interface includes: in accordance with a determination that a first characteristic of the prior therapeutic injection device corresponds to a first characteristic of the current therapeutic injection device, a first set of instructional content; and in accordance with a determination that the first characteristic of the prior therapeutic injection device does not correspond to the first characteristic of the current therapeutic injection device, a second set of instructional content that is different from the first set of instructional content.

47. A computer system that is configured to communicate with a display device and one or more input devices, comprising: means for receiving, via the input device, a request to initiate an injection process; after receiving the request, means for receiving biometric data for a biometric characteristic of a user of the electronic device; and means for displaying, via the display device, a user interface that includes: in accordance with a determination that a set of pre-inj ection ritual criteria have been met, the set of pre-inj ection ritual criteria including a criterion that is met when the biometric data indicates the biometric characteristic has exceeded a threshold level, preinjection ritual instructions; and in accordance with a determination that the set of pre-inj ection ritual criteria have not been met, injection instructions.

48. A computer system that is configured to communicate with a display device and one or more input devices, comprising: means for receiving, via the input device, a request to initiate an injection process; means for receiving from the therapeutic injection device data indicating an orientation of the therapeutic injection device; and after receiving the data indicating the orientation of the therapeutic injection device, means for displaying, via the display device, a user interface, wherein the user interface includes: in accordance with a determination a set of device orientation correction criteria are met, the set of device orientation correction criteria including a criterion that is met when the data indicating an orientation of the therapeutic injection device indicates that the therapeutic injection device is not within a range of acceptable orientations, instructions for correcting the orientation of the therapeutic injection device; and in accordance with a determination that the orientation of the therapeutic injection device is within a range of acceptable orientations, instructions for administering an injection using the therapeutic injection device.

49. A non-transitory computer-readable storage medium storing one or more programs, the one or more programs configured to be executed by one or more processors of an electronic device in communication with a display device and an input device, the one or more programs including instructions for performing the method of any of claims 1-11.

50. A computer system that is configured to communicate with a display device and an input device, the computer system comprising: one or more processors; and memory storing one or more programs configured to be executed by the one or more processors, the one or more programs including instructions for performing the method of any of claims 1 - 11.

51. A non-transitory computer-readable storage medium storing one or more programs, the one or more programs configured to be executed by one or more processors of an electronic device in communication with a display device and an input device, the one or more programs including instructions for performing the method of any of claims 13-31.

52. A computer system that is configured to communicate with a display device and an input device, the computer system comprising: one or more processors; and memory storing one or more programs configured to be executed by the one or more processors, the one or more programs including instructions for performing the method of any of claims 13 - 31.

53. A non-transitory computer-readable storage medium storing one or more programs, the one or more programs configured to be executed by one or more processors of an electronic device in communication with a display device and an input device, the one or more programs including instructions for performing the method of any of claims 33-44.

54. A computer system that is configured to communicate with a display device and one or more input devices, the computer system comprising: one or more processors; and memory storing one or more programs configured to be executed by the one or more processors, the one or more programs including instructions for performing the method of any of claims 33 - 44.