WO2015196293A1 - Système et procédé pour la distribution de pilules - Google Patents

Système et procédé pour la distribution de pilules Download PDF

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Publication number
WO2015196293A1
WO2015196293A1 PCT/CA2015/050591 CA2015050591W WO2015196293A1 WO 2015196293 A1 WO2015196293 A1 WO 2015196293A1 CA 2015050591 W CA2015050591 W CA 2015050591W WO 2015196293 A1 WO2015196293 A1 WO 2015196293A1
Authority
WO
WIPO (PCT)
Prior art keywords
pill
user
package
dispensing system
pills
Prior art date
Application number
PCT/CA2015/050591
Other languages
English (en)
Inventor
Terry FAGEN
Original Assignee
Medipense Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medipense Inc. filed Critical Medipense Inc.
Priority to CA2953399A priority Critical patent/CA2953399A1/fr
Publication of WO2015196293A1 publication Critical patent/WO2015196293A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
    • A61J7/04—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers
    • A61J7/0409—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
    • A61J7/04—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers
    • A61J7/0409—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers
    • A61J7/0454—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers for dispensing of multiple drugs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J2200/00—General characteristics or adaptations
    • A61J2200/30—Compliance analysis for taking medication

Definitions

  • the present disclosure relates to a system and method for the dispensing of pills, and more specifically to a personal pill-dispensing system and method of use thereof that ensures that patients or seniors take the correct medication on time.
  • Each individual container contains a predetermined set of medication pills to be taken a specific day, and at a predetermined time by the patient.
  • These type of packages are usually prepared in advance by a pharmacist or other health professional and it is the responsibility of the patient, or a care provider thereof (as a relative, spouse, visiting health professional, etc.), to take each set of pill(s) at the right time, the right day, and not to make any mistake on the specific individual container it is time to open.
  • An advantage of embodiments of the present disclosure is that the pill-dispensing system helps ensure that patients, especially seniors living alone at home, take the correct medication on time and notifies caregivers if they miss a dose.
  • pill- dispensing system by monitoring the medication input of the patient or senior, can reduce the risk of medication non-compliance, prolongs life and time spent at home for the patient, and reduce the cost to government and insurance.
  • a pill dispensing system for dispensing pills to a user, said pills being located in individual scheduled containers of an array-type pill package provided with an identifier.
  • the pill dispensing system includes: a pill release mechanism; a reader for reading the array-type pill package identifier; and a processing unit in communication with the pill release mechanism and the reader.
  • the processing unit includes: an identifier acquisition module configured to acquire the array-type pill package identifier from the reader; an identifier interpretation module configured to obtain a package user ID, a layout format information and a pill distribution schedule using the acquired identifier; a matching module configured to match the package user ID with a system user ID associated with the system; and a dispensing module configured to, upon a match of the package user ID and the system user ID, operate the pill release mechanism to release pills from at least one of the scheduled containers of the array-type pill package in accordance with the layout format information and the pill distribution schedule.
  • the package user ID corresponds to a patient to whom the pills in the array-type pill package are prescribed.
  • the system user ID corresponds to a patient associated with the pill dispensing system.
  • the package user ID corresponds to a patient to whom the pills in the array-type pill package are prescribed
  • the system user ID corresponds to a patient associated with the pill dispensing system
  • the matching module is configured to match the patient associated with the system with the patient to whom the pills in the array-type pill package are prescribed.
  • the dispensing module is configured to prevent operation of the pill release mechanism if the pills in the array-type pill package are not prescribed to the patient associated with the pill dispensing system.
  • the scheduled containers are ordered in the array-type pill package and the pill release mechanism is configured to release pills from the at least one of the scheduled containers out of order.
  • the layout format information includes a position of the scheduled containers in the array-type pill package in relation to their order.
  • the dispensing module is configured to operate the release mechanism to skip at least one of the individual scheduled containers in the array-type pill package when releasing pills from another one of the individual scheduled containers in the array-type pill package.
  • the pills dispensed from the at least one of the scheduled containers correspond to an early dose
  • the identifier interpretation module is further configured to obtain an early dosage permission indicator from the acquired identifier
  • the processing unit further includes an early dose verification module configured to verify that the early dosage permission indicator indicates that the early dose is permitted.
  • the pills dispensed from the at least one of the scheduled containers correspond to doses during an anticipated absence, the dispensing module being configured to operate the release mechanism to release pills from a plurality of scheduled containers corresponding to a period of anticipated absence of the user.
  • the pill distribution schedule includes a day and a time during which the pills in the scheduled containers are to be dispensed to the user.
  • the dispensing module is configured to automatically operate the pill release mechanism when a current day and time correspond to the day and time during which the pills in the scheduled containers are to be dispensed to the user.
  • the pill dispensing system further includes a camera configured to capture images of at least one of the releasing and dispensing of pills from the at least one of the scheduled containers.
  • the processing unit further includes an image analysis module configured to analyze the images captured by the camera and validate that the pills were correctly released or dispensed.
  • the reader includes a Radio-Frequency Identification (RFID) reader configured to read the array-type pill package identifier from an RFID chip in the array-type pill package.
  • RFID Radio-Frequency Identification
  • the reader includes an optical sensor for reading the array- type pill package identifier.
  • the optical sensor includes a barcode scanner or a Quick Response (QR) code scanner for reading a barcode or a QR code on the array-type pill package.
  • the optical sensor includes a camera for capturing an image of text on the array-type pill package.
  • the identifier interpretation module is configured to optically recognize characters in the image of text in order to obtain at least one of the package user ID, the layout format information and the pill distribution schedule. [0028] In an embodiment, the identifier interpretation module is configured to optically recognize the characters in a plurality of different languages.
  • the pill package identifier includes a link to a remote system, and the processing unit further includes a remote communications module configured to retrieve at least one of the package user ID, the layout format information and the pill distribution schedule from the remote system. [0030] In an embodiment, the processing unit further includes a user interface module.
  • the user interface module is configured to initiate at least one of a visual prompt and an audible prompt indicating to the user that it is time to take their medication.
  • the user interface module is configured to initiate at least one of a visual prompt and an audible prompt indicating to the user that they missed a dose of medication.
  • the user interface module is configured to display a visual indicator corresponding to the system user ID, the visual indicator allowing the user to recognize that the system user ID is associated to said user.
  • the visual indicator includes at least one of a name of the user and a picture of a face of the user.
  • the processing unit further includes a proximity sensing module configured to detect a user in proximity to the pill dispensing system and activate the user interface in response thereto.
  • the dispensing module is configured to wait for a user dispense command signal before operating the pill release mechanism to release pills from the at least one of the scheduled containers.
  • the dispensing module is configured to receive a user confirmation signal confirming that the dispensed pills were taken by the user.
  • the user interface module is configured to generate at least one of the user dispense command signal and the user confirmation signal in response to a user interaction with the interface module.
  • the pill dispensing system is operable between an open state wherein the pill dispensing system is configured to receive at least one array-type pill package, and a closed state wherein the pill dispensing system is configured to dispense pills from the at least one array-type pill package.
  • the processing unit further includes a sensing module configured to detect whether the pill dispensing system is in the open state or the closed state, the identifier acquisition module being configured to wait for the pill dispensing system to be in the closed state before acquiring the pill package identifier from the reader.
  • the user interface module is configured to initiate at least one of a visual prompt and an audible prompt indicating to the user that the pill dispensing system is in the open state.
  • the processing unit further includes an input/output interface module configured to send an alert to a caregiver in response to the user not taking its medication within a predefined amount of time.
  • the pill dispensing system further includes a user portable component in wireless communication with the processing unit, the user portable component providing emergency notifications and indicating to the user that it is time to take their medication.
  • the processor further includes a user identification module configured to identify the user and validate that the package user ID and the system user ID are associated with the user.
  • the system further includes an RFID reader operable by the user identification module, the user identification module being configured to read an RFID tag through the RFID reader and validate that the RFID tag corresponds to the package user ID and the system user ID.
  • the RFID tag is embedded in a hospital wristband issued to the user.
  • a method for dispensing pills from individual scheduled containers of an array-type pill package provided with an identifier. The method includes the steps of: a) providing a pill dispensing system including a pill release mechanism and a reader; b) loading the array-type pill package in the pill dispensing system; c) reading the array-type pill package identifier using the reader; d) obtaining a package user ID, a layout format information and a pill distribution schedule using the pill package identifier; e) matching the package user ID with a system user ID associated to the pill dispensing system; and f) upon a match of the package user ID and the system user ID, operating the pill release mechanism of the pill dispensing system to release pills from at least one of the scheduled containers of the array-type pill package in accordance with the layout format information and the pill distribution schedule.
  • the array-type pill package identifier is generated by a pharmacist.
  • the method further includes an initial step of detecting that the pill dispensing system is in an open state, and waiting for the pill dispensing system to be in a closed state before continuing from step a).
  • step b) includes optically recognizing characters in the pill package identifier in order to obtain at least one of the package user ID, the layout format information and the pill distribution schedule.
  • the method further includes the step of receiving a user input corresponding to a pill dispense command prior to proceeding with step d).
  • the scheduled containers of the array-type pill package are ordered, and wherein in step d), the pill release mechanism is operated to release pills from the at least one of the scheduled containers out of order.
  • the pills released from the at least one of the scheduled containers out of order corresponds to an early dosage
  • the method further including the step of verifying if the acquired identifier includes an early dosage permission prior to proceeding with step d).
  • the method further includes the step of capturing an image of the pills released from the at least one of the scheduled containers to confirm that the pills were properly released.
  • the method includes the steps of identifying a user using an RFID tag embedded in a hospital wristband issued to said user, and validating that the user is associated with the package user ID and the system user ID.
  • a computer readable medium which includes instructions executable by a processor in a pill dispensing system for dispensing pills located in individual scheduled containers of an array-type pill package provided with an identifier.
  • the instructions cause the processor to perform the steps of: acquiring the array-type pill package identifier using a reader; obtaining a package user ID, a layout format information and a pill distribution schedule from the acquired identifier; matching the package user ID with a system user ID associated with the pill dispensing system; and upon a match of the package user ID and the system user ID, operating a pill release mechanism to release pills from a at least one of the scheduled containers of the array-type pill package in accordance with the layout format information and the pill distribution schedule.
  • a pill dispensing system for dispensing pills located into individual containers of an array-type pill package provided with an identifier, said pill dispensing system including a pill release mechanism; a reader for reading the array-type pill package identifier; and a processor in communication with the pill release mechanism and the reader.
  • the processor has an associated memory having stored therein processor executable instructions for configuring the processor to perform the steps of: acquiring the array-type pill package identifier from the reader; obtaining a package user ID, a layout format information and a pill distribution schedule using the acquired identifier; matching the package user ID against a system user ID stored in the memory; upon a match of the package user ID and the system user ID, operating the pill release mechanism to open and release pills from a scheduled container of the array-type pill package in accordance with the layout format information and the pill distribution schedule; wherein the released pills are provided in the open scheduled container for a user to take.
  • the pill dispensing system further includes a user interface providing at least one of a visual prompt and an audible prompt to the user that is time to take their medication.
  • the pill dispensing system further includes an input/output interface in communication with the processor, the processor executable instructions further including instructions for configuring the processor to perform the step of sending an alert to a caregiver through the input/output interface in response to the user not taking its medication within a predefined amount of time.
  • the pill dispensing system further includes a user portable component in wireless communication with the pill dispensing system, the user portable component providing emergency notifications and indicating to the user that is time to take their medication.
  • Figure 1 is a perspective view of a pill dispensing system in accordance with an embodiment of the present disclosure
  • Figure 2 is a transparent perspective view of the pill dispensing system of Figure 1 ;
  • Figures 3A and 3B are schematic representations of the control system for the pill dispensing system of Figure 1 ;
  • Figures 4 to 22 show examples of the user/communication interface screens in accordance with the illustrative embodiment of the present disclosure. DETAILED DESCRIPTION OF THE DISCLOSURE
  • the non-limitative illustrative embodiment of the present disclosure provides a pill-dispensing system that helps ensure that patients, especially seniors living alone at home, take the correct medication on time and notifies caregivers if they miss a dose.
  • the pill-dispensing system does this with one or more prompts, for example visual, audible and/or vibrational prompts, to the patient or senior and optionally, email, SMS and Cloud-based recording for caregivers.
  • the pill-dispensing system includes an online monitoring service to reduce the risk of medication non-compliance, prolonging life and time spent at home for the patient or senior, and reducing the cost to government and insurance.
  • an online monitoring service to reduce the risk of medication non-compliance, prolonging life and time spent at home for the patient or senior, and reducing the cost to government and insurance.
  • the pill-dispensing system 10 in accordance with an embodiment of the present disclosure comprises a pill release mechanism 12 for use with one or more array-type pill packages 13.
  • the pill release mechanism 12 consist in an arc-shaped holding mechanism 14, a cutting mechanism 16 and a pill dispensing mechanism 18, examples of which are disclosed in co-pending US provisional Patent Applications entitled “Arc-Shaped Holding Mechanism For Array-Type Pill Packages", “Cylindrical-Shaped Dispenser For Array-Type Pill Packages", “Cutting Mechanism In A Dispenser For Array-Type Pill Packages” and “Mechanism For Dispensing Pills From An Array-Type Pill Package Into An Original Container Thereof", which are herein incorporated by reference.
  • the pill-dispensing system can be operated between an open state, in which the holding mechanism 18 can be loaded with a new array-type pill package, and a closed state, in which the array-type pill package is preferably locked in the holding mechanism, and the pill release mechanism 12 and pill dispensing mechanism 18 can be operated to dispense pills.
  • the array-type pill packages 13 can be, for example, two dimensional arrays of individual scheduled containers, such as DispillTM blister packs prefilled by a pharmacist, having printed thereon an identifier which clearly identifies and links the patient to the pills and the pill dispensing system 10.
  • the identifier provides pill dispensing data which can include layout format information and other information such as the ID of the patient which can use the array-type pill package 13, pill distribution, dispensing time for each pill pouch, if an early dose is permitted and at what time an early dose can be dispensed.
  • the identifier can comprise, for example, a quick response (QR) code, a barcode, -a frequency identifier (RFID), or other identifier, such as text data.
  • QR quick response
  • RFID frequency identifier
  • the identifier can directly contain the pill dispensing data, or can include a reference from which the pill dispensing data can be retrieved, such as a file number for example.
  • the pill dispensing system 10 further comprises a control system 20, which includes a processor or processing unit 22 with an associated memory 24 having stored therein processor executable instructions 40 for configuring the processor 22 to perform control, monitoring and alarm procedures and set configuration parameters 42.
  • the processor can comprise a number of different modules containing instructions to perform various tasks which will be described hereafter, such as an identifier acquisition module, and identifier interpretation module, a matching module, a dispensing module, an early dose verification module, an image analysis module, a user interface module, a remote communications module, a sensing module and an input/output module.
  • modules containing instructions to perform various tasks which will be described hereafter, such as an identifier acquisition module, and identifier interpretation module, a matching module, a dispensing module, an early dose verification module, an image analysis module, a user interface module, a remote communications module, a sensing module and an input/output module.
  • modules containing instructions to perform various tasks which will be described hereafter, such as an identifier acquisition module, and identifier interpretation module, a matching module, a dispensing module, an early dose verification module, an image analysis module, a user interface module, a remote communications module, a sensing module and an input/output module.
  • the system 10 may further include a user/communication interface 26, one or more Input/Output (I/O) interface 28, reader 30, a power source 32, sensors 34, mechanical systems controller 36 and optional portable component 38.
  • the user/communication interface 26 may include a touchscreen and, optionally, a microphone, speaker and camera, which may be used for video conferencing. Furthermore, the camera can be used to capture images of the pills as they are dispensed and released.
  • the processing unit 22 can, for example, contain an image analysis module configured to analyze the pictures capture by the camera, and validate that the pills were correctly released or dispensed.
  • the user interface 26 may also include a visual indicator such as a strobe light to indicate, for example, an alarm condition, indicate to the patient that an important message is displayed on the touchscreen, remind the patient that it is time to take their medication, or notify the user that they missed a dosage.
  • a visual indicator such as a strobe light to indicate, for example, an alarm condition, indicate to the patient that an important message is displayed on the touchscreen, remind the patient that it is time to take their medication, or notify the user that they missed a dosage.
  • the user/communication interface 26 is used to display various information, such as the current date and time and the time the next pills are going to be dispensed.
  • An early dose virtual button might be provided if the next pills can be taken early according to the information provided by the QR code, barcode, RFID, file number or other identifier, or remote configuration. It can also be used to display reminders of the current day, which will automatically disappear at or a couple of minutes after the event.
  • the various screens of the user/communication interface 26 will be further detailed bellow.
  • the configuration of the pill-dispensing system 10 can be modified from the user/communication interface 26 or remotely through the I/O interface 28 and saved in configuration parameters 42 stored locally in memory 24 in order for the pill dispensing system 10 to operate even in the absence of remote communications.
  • control, monitoring and alarm procedures 40 can be configured and used through the user/communication interface 26, or remotely though the I/O interface 28, using a security code or sequence.
  • parameters that may be configured include:
  • User ID used to uniquely identify a patient, and allows the unique association of a user to an array-type pill package 13 and a user to a pill dispensing system 10.
  • a package user ID is included in the identifier provided with the array-type pill package 13. This allows for the array-type pill package 13 to be uniquely associated to a patient to whom the pills in the package 13 were prescribed.
  • a system user ID is provided in the pill dispensing system 10. This allows the pill dispensing system 10 to be uniquely associated with a user who will be using the system 10 to dispense pills. The pill dispensing system 10 will only distribute pills if the package user ID and the system user ID match. It should be understood that a system 10 can be associated with one or a plurality of users.
  • the system can be provided with a plurality of system user IDs and can be loaded with a plurality of pill packages 13.
  • the system can be configured to dispense pills from one of the pill packages 13 only if the package user ID of that package corresponds to a system user ID of a user currently operating the system.
  • Early dose indicates if a pill might be taken early. This feature can be globally turned ON of OFF and needs to be enabled by the pharmacist through the identifier provided with the array-type pill package 13, which also contains information about how earlier the pill can be taken. This feature can be overridden remotely if required.
  • Language the language of the user/communication interface 26, including the voice instruction feature, can be customized choosing one of the following languages, for example English, French, Spanish, etc.
  • Voice instructions the user/communication interface 26 can generate voice instructions to the patient when pills are ready to be taken. These instructions are in the form of pre-recorded messages available in the different languages supported by the pill dispensing system 10.
  • Reminders can be configured to repeat every day, week, month or at specific dates. If a monthly reminder is selected on a date which doesn't exist in the current month, the last day of the month will show the reminder. Reminders can be disabled without losing the current configuration; they can also be re-enabled at any time.
  • Emergency call a phone number can be configured as an emergency number in case of a serious problem like a fall or sickness. This number can be any number from a caregiver to 91 1 or to the local alarm monitoring company.
  • the call may be transmitted using the I/O interface 28 through, for example, a conventional phone line, Voice over Internet Protocol (VoIP) or a 3G/4G transmitter.
  • VoIP Voice over Internet Protocol
  • SMS Short message service
  • Email Email
  • the emergency called may be initiated either by pressing an emergency button displayed on the user/communication interface 26 or through activation of a Bluetooth 4.0 enabled portable component 38.
  • Video conferencing an optional video conferencing feature allows the patient to communicate with a remote caller using a PC or mobile device.
  • Alerts are sent to the caregiver and family members if required and configured to do so. Alerts are sent to a mobile phone using SMS and/or through email, selectable on a per-user basis. An alert is sent, for example, in the presence of the following events: pills are ready to be taken but have not been taken, power loss, low battery, pill reload required or emergency call sent.
  • the I/O interface 28 includes one or more of a 3G, 4G, LTE or other cellular/mobile communication interface, WiFi transmitter, an Ethernet port, a universal serial bus (USB) port, a serial port, a public switched telephone network (PSTN) port for conventional phone line connectivity.
  • the I/O interface 28 may also optionally include a Bluetooth 4.0 interface to a portable component 38 for the patient to wear or hold and communicate with the pill-dispensing system 10 via the processing unit 22 and/or a Z-Wave interface used to control home automation devices, lighting and alarm systems allowing notifications/alarms by flashing room lights or other means.
  • the I/O interface 28 can be used to remotely upgrade the control system 20 as well as the mechanical systems controller 36.
  • the reader 30 may be in the form of an optical sensor such as a barcode reader, camera, other type of sensor depending on the means selected to identify the array-type pill packages 13 with the patient, such as an RFID reader for example.
  • the reader can be operated by an identifier acquisition module in the processor to obtain a pill package identifier associated with the array-type pill packages 13.
  • the identifier can be interpreted by an identifier interpretation module in the processor in order to extract dispensing information contained therein.
  • the interpretation module can be configured to optically recognize characters in an image of the text captured by the camera in order to obtainer the dispensing information.
  • the optical character recognizing (OCR) can be performed in a number of languages, which can be preloaded in the system, or which can be downloaded to the system at a later time.
  • the reader 30 can be operated by other modules in the processing unit 22 if necessary.
  • the processing unit 22 can comprise a user identification module configured to identify a user using the pill dispensing system, and validate that the user is associated with the package user ID and the system user ID. In this fashion, pills in the system will only be dispensed to a user who is associated with the system user ID, and thus only to a user who is prescribed the pills in the array- type pill package.
  • the reader can be an RFID reader configured to read an RFID tag embedded within a hospital wristband issued to a patient. The user identification module can obtain the RFID tag from the reader, and validate that it corresponds to the package user ID and the system user ID before dispensing pills.
  • the user identification module can use other means in order to identify the user. For example, it could identify a user through the use of a password, or a biometric sensor.
  • the power source 32 may include an AC-DC converter, charger and battery pack in order to provide autonomy, for example two days, to the pill-dispensing system 10 in case of power outages.
  • the sensors 34 detect if the pill dispensing system 10 is open or closed.
  • a sensing module in the processing unit 22 can be configured to detect when the dispensing system 10 is open or closed, and cause the identifier acquisition module to wait for the pill dispensing system 10 to be closed before acquiring the pill package identifier from the reader.
  • Sensors 34 are also present in the pill release mechanism 12 in order for the mechanical systems controller 36 to properly position the array-type pill packages 13 using in the arc-shaped holding mechanism 14 and operate the cutting mechanism 16.
  • the sensors may also include a proximity sensor, for example an ultrasonic sensor, to activate the user/communication interface 26 when it senses someone within range.
  • the mechanical systems controller 36 includes the necessary circuitry to control the motors and actuators of the pill release mechanism 12 and related sensors 30. This control decoupling between the mechanical systems controller 36 and the processor 22 of the control system 20 prevents the processor 22 from doing real-time tasks, which could interfere with its high-level operating system running the control, monitoring and alarm procedures 40.
  • the mechanical systems controller 36 communicates with the processor 22 using high level commands.
  • the optional portable component 38 which could also be in the form of a handheld device, necklace or bracelet, may be Bluetooth 4.0 enabled for communication with the pill dispensing system 10 through the I/O interface 28 in order to facilitate emergency notifications, for example in the case of a fall, as well as lighting up or vibrating to indicate to the patient that an important message is displayed on the user/communication interface 26 or that it is time to take their medication.
  • Pill Dispensing [0092] A pill dispensing process according to one non-limitative implementation is described herein below in more details.
  • the pill dispensing system 10 locks it in.
  • the pill dispensing system 10 can be locked and unlocked either manually, through the user/communication interface 26 and even remotely though the I/O interface 28 using a security code or sequence.
  • the reader 30 reads the identifier printed on, or provided with, the array-type pill packages 13.
  • the identifier provides layout format information and other information such as the user ID of the patient who is prescribed to use the array-type pill package 13, pill distribution and order, dispensing time for each container, if an early dose is permitted and at what time an early dose can be dispensed, and the layout format of the pills in the package 13.
  • the pill dispensing system 10 will only distribute pills if the configured user ID matches the user ID from the array-type pill package 13.
  • the control, monitoring and alarm procedures 40 executed by the processor 22 through a dispensing module then operates the pill release mechanism 12 through the mechanical systems controller 36 in accordance with the layout format information and the schedule information provided by the identifier.
  • the dispensing schedule can be correlated with the layout format information in order to operate the pill release mechanism 12 to release pills from a particular individual scheduled container of the array-type pill package.
  • the scheduled containers can be ordered in rows corresponding to days of a week, and columns corresponding to a time of day to take the medication.
  • the pill release mechanism 12 can be operated to dispense pills from a scheduled container in a particular row and column.
  • the described configuration is advantageous because it allows pills to be dispensed early or out of order.
  • the pill release mechanism 12 can be operated to release pills from a scheduled container ahead of schedule.
  • the processor can be provided with an early dose verification module to verify that an early dosage permission indicator obtained from the pill package identifier indicates that the early dose is permitted, and/or if a setting in the pill dispensing system 10 allows for early doses.
  • Pills may need to be dispensed out of order for several reasons. For example, if a patient anticipates that they will not be able to access the pill dispenser 10 for an extended period of time, for example if they are on vacation, the pill release mechanism 12 can be operated to dispense pills from one or several scheduled containers corresponding to a period of the patient's anticipated absence. In such cases, the pill release mechanism 12 can be operated to skip one or several of the ordered scheduled containers so as to jump ahead and release pills in scheduled containers corresponding to the period of anticipated absence. Once the pills for the absence period have been dispensed, the pill release mechanism 12 can be operated to jump back and dispense pills in their proper order until the patient leave for their absence. Once the patient returns, the pill release mechanism 12 can be operated to continue dispensing pills in order, according to normal operation.
  • the pills are provided in their container (thus minimizing contamination and error), with the top cover removed, through the pill dispensing mechanism 18 and the user/communication interface 26 will use a visual and audible prompts to attract the attention of the patient. If present, the portable component 38 is also used to indicate to the patient that it is time to take their medication. Voice instructions may also be played if enabled. [0099] These notifications will remain active for a certain amount of time, which may be configured. When the timeout is reached, a message on the touchscreen of the user/communication interface 26 will appear to notify that a dose has been missed. This message will stay visible until the delivery drawer is removed. If the pill has not been taken within a certain amount of time, also configurable, the pill dispensing system 10 can send an alert to the caregiver and/or family members.
  • FIGS 4-22 show examples of the user/communication interface 26 screens in accordance with one illustrative embodiment of the present disclosure. It is to be understood that the various screens, menus and options provided may vary without departing from the spirit of the present disclosure.
  • the Home screen which welcomes the patient and in invites him/her to touch the touchscreen to access its various features.
  • the home screen can, for example, be provided with a visual indicator corresponding to the system user ID which allows the user to recognize that the system user ID, and thus the pill dispensing system, is associated to them.
  • the visual indicator could include the user's name, or a picture of the user's face.
  • the patient status screen is displayed, shown in Figure 5, which displays relevant data of the patient. From this screen the patient can initiate a Video Chat (i.e. teleconference) or an Emergency Call to a preprogramed person. The patient can select Return to go back the home screen, or the screen will automatically return home after a certain period of inactivity, for example 30 seconds. If the patient presses the Menu button, a security code or sequence is required to proceed to the Main Menu.
  • Video Chat i.e. teleconference
  • Emergency Call to a preprogramed person.
  • the patient can select Return to go back the home screen, or the screen will automatically return home after a certain period of inactivity, for example 30 seconds. If the patient presses the Menu button, a security code or sequence is required to proceed to the Main Menu.
  • the Video Chat interface screen shown in Figure 6, provides the visual interface as well as a Recording indicator that indicates that the session is being recorded.
  • An End button allows the patient to close the session and return to the Patient Status screen.
  • the Calendar screen shown in Figure 9, allows for the adding of events, such as appointments, and to set daily medication dispensing cycles (if not preprogramed by the identifier of the array-type pill package 13).
  • the Configuration screen shown in Figure 10, allows the modifying of the current settings, enabling/disabling of features, voice instructions, early dose, alerts, reminders, etc. More specifically:
  • - Alerts allows the configuring of messages (e.g. text, voice, Email, SMS, Zwave), the recording of voice message, the configuring of which messages to send to which contacts.
  • messages e.g. text, voice, Email, SMS, Zwave
  • - Reminders allows the setting of reminders, their frequency, what to do if the patient id non-responsive, links to pill dispensing and calendar appointments.
  • Video Chat allows the configuring of the video chat session, permissions, etc.
  • Connectivity allows the configuring of Network settings, Zwave or other interface setups.
  • the General screen shown in Figure 1 1 , displays the date/time, language, enable/disable early dose release by contact (patient, caregiver... ), etc.
  • the Store Local option enables or disables the storage of data locally including audit trails.
  • the Auto Firmware Update enables or disables automatic updates.
  • the Cloud Sync Interval specifies how often the pill-dispensing system 10 will synchronize data with a remote system or server.
  • the Save displays a confirmation that the settings have been saved while the Return returns to the Configuration Screen.
  • the Alerts screen shown in Figure 12, allows the enabling of the various types of alerts.
  • the Emergency Call screen shown in Figure 13 allows the setting of who to reach in case of an emergency and in which manner, i.e. call, Email, SMS, etc.
  • the Reminders screen shown in Figure 14, allows the enabling of reminders, the configuring of reminder frequency, the number of reminder repetitions when the patient is non-responsive, etc. Alerts be triggered after Reminders have expired.
  • the Video Chat screen shown in Figure 15 allows the enabling of the Video Chat and access parameters.
  • the Connectivity screen shown in Figure 16, allows the configuring of the various I/O interface 28 parameters, which will vary depending on the provided I/O interfaces.
  • the Patient Profile screen shown in Figure 17, allows the modifying of the patient's information (e.g. name, address, telephone number, Email, language), the enabling/disabling or voice instructions, early dose, etc.
  • the patient's information e.g. name, address, telephone number, Email, language
  • the System Status screen shown in Figure 18, displays various information about the pill-dispensing system 10, for example how many containers have been dispensed or remain in the array-type pill packages 13, estimated refill date, version of firmware, software and any other pertinent info such as power source 32 status, etc.
  • the Contacts screen shown in Figure 19, allows for the adding and modifying of contacts, e.g. pharmacy, doctor, with their name, address, telephone number, Email, SMS, and the linking of each contact to actions/alerts.
  • the Early dose screen shown in Figure 20, allows the recording and programming of an early dose (i.e. vacation mode).
  • the Release screen shown in Figure 21 , instructs the patient that it is time to take meds. The patient must press Button to release the pills through the pill dispensing mechanism 18.
  • the Confirmation screen shown in Figure 22, instructs the patient to confirm that he/she has taken the medication by pressing the Button, after which the Home screen is displayed. In the case of the presence of the optional camera used to capture images of the pills as they are dispensed and released, the Confirmation screen may be displayed only when the removal of the pills from the pill dispensing mechanism 18 is detected.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

La présente invention concerne un système de distribution de pilules. Selon un mode de réalisation, le système comporte un mécanisme de libération de pilules, un lecteur pour la lecture d'un identifiant d'emballage de pilules de type tableau; et une unité de traitement en communication avec le mécanisme de libération de pilules et le lecteur. L'unité de traitement comporte un module pour l'acquisition de l'identifiant d'emballage de type tableau; un module pour l'obtention d'information de distribution au moyen de l'identifiant acquis; un module pour l'appariement de l'identifiant d'utilisateur d'emballage avec un identifiant d'utilisateur du système associé au système; et un module, lors d'une correspondance entre l'identifiant d'utilisateur d'emballage et l'identifiant d'utilisateur du système, pour le fonctionnement du mécanisme de libération de pilules pour libérer des pilules. L'invention concerne également un procédé et un support lisible par ordinateur pour le fonctionnement d'un système de distribution de pilules.
PCT/CA2015/050591 2014-06-25 2015-06-25 Système et procédé pour la distribution de pilules WO2015196293A1 (fr)

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US11458072B2 (en) 2015-11-02 2022-10-04 Dosentrx Ltd. Lockable advanceable oral dosage form dispenser containers
US9731103B1 (en) 2017-01-13 2017-08-15 Berkshire Biomedical, LLC Computerized oral prescription administration devices and associated systems and methods
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CN110114831B (zh) * 2017-02-28 2023-05-26 富士胶片株式会社 服药辅助装置、服药辅助系统、服药辅助方法及记录介质
US10792226B2 (en) 2017-06-07 2020-10-06 Berkshire Biomedical, LLC Refill and dosage management devices and associated systems and methods for use with computerized oral prescription administration devices
US10546100B2 (en) 2017-06-08 2020-01-28 Medicpen Ab Tablet dispenser
WO2018226136A1 (fr) * 2017-06-08 2018-12-13 Medicpen Ab Distributeur de comprimés
US10441509B2 (en) 2018-03-16 2019-10-15 Berkshire Biomedical, LLC Computerized oral prescription administration with refillable medication dispensing devices and associated systems and methods
US11412983B2 (en) 2018-03-16 2022-08-16 Berkshire Biomedical Corporation Computerized oral prescription administration with refillable medication dispensing devices and associated systems and methods
US10729860B1 (en) 2019-05-22 2020-08-04 Berkshire Biomedical, LLC Computerized oral prescription administration for securely dispensing a medication and associated systems and methods

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