Abstract
Compliance in medicine dispensation has proven critical for dosage control, diagnosis, and treatment. We have designed, manufactured, and characterized a novel dynamically programmable e-pill dispensing system. Our system is initially programmed remotely through a cell phone. After programming, the system may be reconfigured in order to adapt pill dispensation to new conditions. In this paper we describe the mechanics, electronics, control, and communication protocols implemented. Our dyn-e-pill devices can be actuated for over 350 h with two pill retrievals per hour. We challenged the charging circuit and demonstrated that the system has a lifetime longer than 6 h with a 30 min charging cycle, while it lasts for 14 h of uninterrupted use with a full charge.
Similar content being viewed by others
References
Wertheimer, A. I., and Santella, T. M., Medication compliance research: still so far to go. J. Appl. Res. Clin. Exp. Ther. 3 (3)254–261, 2003.
Rogers, P. G., and Bullman, R., Prescription medicine compliance: a review of the baseline of knowledge. A report of the national council on patient information and education. J. Pharmacoepidemiol. 2:3–36, 1995.
Corlett, A. J., Caring for older people: aids to compliance with medication. BMJ. 313:926–929, 1996.
Doughty, K., Williams, G., and Holloway, L., TEMPEST-An intelligent pill reminder and delivery system for telecare applications, Proceedings of the 20th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, vol. 20, no 3, pp. 1206–1209, 1998. doi 10.1109/IEMBS.1998.747089.
Greenberg, R. N., Overview of patient compliance: a study of elderly patients in the community. J. R. Coll. Gen. Pract. 29:391–396, 1979.
Sabaté, E. (ed.): Adherence to long term therapies: Evidence for action, World Health Organization, Geneva, Switzerland, 2003.
Lee, R., Chen, K., Hsiao, C., and Tseng, C., Mobile care system with alert mechanism. IEEE Trans. Inf. Technol. Biomed. 11 (5)507–517, 2007. doi:10.1109/TITB.2006.888701.
Hadzievski, L., Bojovic, B., Vukcevic, V., Belicev, P., Pavlovic, S., Vasiljevic-Pokrajcic, Z., and Ostojic, M., A novel mobile transtelephonic system with synthesized 12-Lead ECG. IEEE Trans. Inf. Technol. Biomed. 8:428–438, 2004. doi:10.1109/TITB.2004.837869.
Boquete, L., Bravo, I., Barea, R., and García, M. A., Telemetry and control system with GSM communications. Microprocess. Microsyst. 27:1–8, 2003. doi:10.1016/S0141-9331(02)00080-7.
Pruna, S. S., Dixon, R., and Harris, N. D., Black Sea TeleDiab: diabetes computer system with communication technology for Black Sea region. IEEE Trans. Inf. Technol. Biomed. 2:193–196, 1998. doi:10.1109/4233.735784.
Bellazzi, R., Larizza, C., Montani, S., Riva, A., Stefanelli, M., d'Annunzio, G., et al., A telemedicine support for diabetes management: the T-IDDM project. Comput. Methods Programs Biomed. 69:147–161, 2002. doi:10.1016/S0169-2607(02)00038-X.
Gómez, E. J., Hernando, M. E., García, A., del Pozo, F., Cermeño, J., Corcoy, R., Brugués, E., and de Leiva, A., Telemedicine as a tool for intensive management of diabetes: the DIABETel experience. Comput. Methods Programs Biomed. 69:163–177, 2002. doi:10.1016/S0169-2607(02)00039-1.
Woodward, B., Istepanian, R. S., and Richards, C. I., Design of a telemedicine system using a mobile telephone. IEEE Trans. Inf. Technol. Biomed. 5:13–15, 2001. doi:10.1109/4233.908361.
Salvador, C. H., Pascual, M., González, M. A., Muñoz, A., Márquez, J., Sosa, L., et al., Airmed-cardio: a GSM and internet services-based system for out-of-hospital follow-up of cardiac patients. IEEE Trans. Inf. Technol. Biomed. 9:73–85, 2005. doi:10.1109/TITB.2004.840067.
Kirsch, C., Mattingley-Scott, M., Muszynski, C., Schaefer, F., and Weiss, C., Monitoring chronically ill patients using mobile technologies. IBM Syst. J. 46:1, 2007. doi:10.1147/sj.461.0085.
Szeto, A. Y., and Giles, J. A., Improving oral medication compliance with and electronic aid. IEEE Eng. Med. Biol. Mag. 16:48–54, 1997. doi:10.1109/51.585517.
Sachpazidis, I., Fragou, S., and Sakas, G., Medication adherence system using SMS technology. ISSNIP. 2004:571–576, 2004. doi:10.1109/ISSNIP.2004.1417524.
Hodgson, Y., Short message service as a support tool in medication adherence and chronic disease management, Health Care & Informatics Review Online, 1 September 2005.
Gudish, W. A., “Medication Dispenser”, U.S. Patent 6 145 697, 2000.
Lapsker, J., “Dial-type pill dispenser with timer and reminder means”, US2006/0163267 A1, 2006.
Baum, E., “Pill Dispenser”, U.S. Patent 7100793 B2, 2006.
Lim, J., “Programmable automatic pill dispenser”, U.S. Patent 6510962B1, 2003.
Jekle, C., Krämer, I., OtCM (objective therapy compliance measurement): smart blister packages for measuring patient compliance, Hospital Pharmacy Europe, Number 40, September/October 2008.
Landry, P., Iorillo, D., Darioli, R., Burnier, M., and Genton, B., Do travelers really take their mefloquine malaria chemoprophylaxis? Estimation of adherence by an electronic pill box. J. Travel Med. 13:8–14, 2006. doi:10.1111/j.1708-8305.2006.00005.x.
Rodríguez-Oroz, M., et al., Bilateral deep brain stimulation in Parkinson's disease: a multicentre study with 4 years follow-up. Brain. 128 (10)2240–2249, 2005. doi:10.1093/brain/awh571.
Grosset, K. A., and Grosset, D. G., Effect of educational intervention on medication timing in Parkinson's disease: a randomized controlled trial. BMC Neurol. 7:20–26, 2007. doi:10.1186/1471-2377-7-20.
Sriskanthan, N., Tan, F., and Karande, A., Bluetooth based home automation system. Microprocess. Microsyst. 26:281–289, 2002. doi:10.1016/S0141-9331(02)00039-X.
Kanma, H., Wakabayashi, N., Kanazawa, R., and Ito, H., Home appliance control system over bluetooth with a cellular phone. IEEE Trans. Consum. Electron. 49:1049–1053, 2003. doi:10.1109/TCE.2003.1261194.
Leen, G., and Heffernan, D., Vehicles without wires. IEE Comput. Contr. Eng. J. 12:201–211, 2001.
Choi, S. H., Kim, B. K., Park, J., Kang, C. H., and Eom, D. S., An implementation of wireless sensor network for security system using bluetooth. IEEE Trans. Consum. Electron. 50:236–244, 2004. doi:10.1109/TCE.2004.1277868.
Rasid, M. F. A., and Woodward, B., Bluetooth telemedicine processor for multichannel biomedical signal transmission via mobile cellular networks. IEEE Trans. Inf. Technol. Biomed. 9:35–43, 2005. doi:10.1109/TITB.2004.840070.
Marshall, A., Medvedev, O., and Antonov, A., Use of a smartphone for improved self-management of pulmonary rehabilitation. Int. J. Telemed. Appl. 2008:753064, 2008. doi:10.1155/2008/753064.
Acknowledgement
The project “Development of a pill dispenser controlled by cell phone”, ref. 28/05, was supported by the IMSERSO (Ministerio de Trabajo y Asuntos Sociales), Spain.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Boquete, L., Rodriguez-Ascariz, J.M., Artacho, I. et al. Dynamically Programmable Electronic Pill Dispenser System. J Med Syst 34, 357–366 (2010). https://doi.org/10.1007/s10916-008-9248-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10916-008-9248-3