Method and apparatus for verification of medication administration adherence

• US 10,297,030 B2
• Filed: 06/04/2014
• Issued: 05/21/2019
• Est. Priority Date: 11/18/2009
• Status: Active Grant

• Current Assignee: AI Cure Technologies LLC
• Original Assignee: AI Cure Technologies LLC
• Inventors: Hanina, Adam, Kessler, Gordon
• Primary Examiner(s): Burgess, Joseph D
• Application Number:
  US14/295,485
• Publication Number:
  US 20140288954A1
• Time in Patent Office: 1,812 Days
• CPC Class Codes: G06F 16/24573 using data annotations, e.g. user-defined metadata
• CPC Class Codes: G06T 7/20 Analysis of motion motion estimation for coding, decoding, compressing or decompressing digital video signals H04N19/43, H04N19/51
• CPC Class Codes: G06V 40/166 using acquisition arrangements
• CPC Class Codes: G06V 40/20 Movements or behaviour, e.g. gesture recognition recognition of facial expressions G06V40/16
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: H04N 23/61 based on recognised objects
• CPC Class Codes: H04N 23/611 where the recognised objects include parts of the human body
• CPC Class Codes: H04N 23/63 by using electronic viewfinders
• CPC Class Codes: H04N 23/634 Warning indications
• CPC Class Codes: H04N 7/183 for receiving images from a single remote source

Abstract

A system and method of confirming administration of medication is provided. The method comprises the steps of receiving information identifying a particular medication prescription regimen, determining one or more procedures for administering such prescription regimen and identifying one or more activity sequences associated with such procedures. Activity sequences of actual administration of such prescription regimen are captured and then compared to the identified activity sequences to determine differences therebetween. A notice is provided if differences are determined.

Claims

1. A method for confirming proper administration of medication, comprising:

providing on a display of a local device one or more instruction prompts instructing a user how to follow one or more predefined movement sequences associated with proper medication administration;

capturing one or more video activity sequences by the local device of a user following the one or more instruction prompts instructing the user to perform the one or more predefined movement sequences, including at least an instruction prompt to properly position a medication to be administered within a field of view of the local device;

storing the captured one or more video activity sequences to a non-transitory computer readable storage medium of the local device;

determining by a computer recognition technique differences between the stored one or more activity sequences and the identified predefined movement sequences;

providing one or more further instructions via the display of the local device in real time if differences are determined by the computer recognition technique between the stored one or more activity sequences and the identified one or more predefined movement sequences, and it is therefore determined that the user has failed to properly perform the one or more predefined movement sequences; and

confirming in real time that the user has properly performed the one or more predefined movement sequences in accordance with the one or more further instructions, thus confirming proper medication administration, if no differences are determined.

2. The method of claim 1, where the determining of differences is performed by a computer processor associated with the local device.

3. The method of claim 1, wherein the determining of differences is performed at a location remote from the local device.

4. The method of claim 1, further comprising the steps of:

before capturing the one or more video activity sequences of the user following the one or more instruction prompts, determining the identity of a particular medication to be used in such administration; and

issuing a warning if it is determined by the computer processor that the determined identity is not the medication associated with the medication prescription regimen.

5. The method of claim 1, wherein the warning includes contact to a medical professional.

6. The method of claim 1, further comprising the steps of:

capturing video activity sequences by the local device of the user following the one or more instruction prompts instructing the user to perform the one or more predefined movement sequences during multiple instances of administration;

transmitting the captured video activity sequences to a remote server location;

further analyzing the captured video activity sequences by a computer processor associated with the remote server location by comparing each of the captured video activity sequences to the identified predefined movement sequences to determine differences therebetween, thereby automatically determining by the computer processor associated with the remote server location that one or more additional activities of the video activity sequence have been improperly performed across one or more of the multiple instances of administration including ingestion; and

providing an analysis of adherence to a particular prescription regimen and the additional activities of the video activity sequence in accordance with the determination of the multiple instances of administration.

7. The method of claim 6, further comprising the step of providing additional instructions to a medication administrator in accordance with the provided analysis.

8. The method of claim 1, further comprising a second notice comprising additional instructions to a medication administrator.

9. A method for confirming proper administration of medication, comprising:

receiving information identifying a particular medication prescription regimen provided by an authenticated medical professional;

determining one or more procedures for administration of the medication in accordance with the identified medication prescription regimen from one or more databases;

modifying the one or more procedures, if necessary, by the authenticated medical professional;

providing on a display of a local device a set of interactive instructions and associated instruction prompts instructing a user how to follow one or more predefined movement sequences associated with such determined medication administration procedures;

capturing one or more video activity sequences by a video capture device of the local device of the user following the one or more instruction prompts displayed on the display to the user instructing the user to perform the one or more predefined movement sequences, including at least an instruction prompt to properly position a medication to be administered within a field of view of the local device;

storing the captured one or more video activity sequences to a non-transitory computer readable storage medium;

comparing by a computer processor in real time employing a computer recognition technique the one or more stored video activity sequences to the identified predefined movement sequences to determine differences therebetween;

providing one or more further interactive instructions to the user via the display of the local device in real time if differences are determined by the computer recognition technique, the one or more further interactive instructions further instructing a user how to properly administer the medication during a current medication administration session in accordance with the one or more predefined movement sequences; and

confirming in real time that the user has properly performed the one or more predefined movement sequences, thus confirming proper medication administration, if no differences are determined.

10. The method of claim 9, further comprising the step of performing a statistical analysis of differences determined in the comparing step.

11. A system for confirming administration of medication, comprising:

a storage device associated with a local device storing a set of instructions in accordance with which medication is to be administered and one or more identified predefined movement sequences associated with such instructions;

a processor associated with the local device configured to perform the steps of;

providing on an associated output device one or more instruction prompts associated with the set of instructions encouraging a user how to follow the one or more predefined movement sequences;

capturing one or more video activity sequences of the user following the one or more instruction prompts displayed on the output device by an associated video capture device, including at least an instruction prompt to properly position a medication to be administered within a field of view of the local device;

storing the captured video activity sequences to the storage medium associated with the local device; and

comparing in real time employing a computer recognition technique the stored video activity sequences to the identified predefined movement sequences;

wherein the output device associated with the processor provides in real time one or more further instructions if differences are determined by the computer recognition technique between the stored video activity sequences and the identified predefined movement sequences in the comparing step by the processor, the one or more further instructions further instructing a user how to properly administer the medication during a current medication administration session in accordance with the one or more predefined movement sequences; and

wherein the processor confirms in real time that the user has properly performed the one or more predefined movement sequences in response to the further instructions, thus confirming proper medication administration if no differences are determined.

12. The system of claim 11, wherein the information stored on the storage device may be modified by an authenticated medical professional.

13. The system of claim 11, wherein the capture device is further adapted to capture images of a particular medication to allow identification thereof.

14. A method for confirming proper administration of medication, comprising:

determining one or more procedures for administering a prescription regimen in accordance with prescription information provided by an authenticated medical professional;

modifying the procedures, if necessary, by the authenticated medical professional;

providing a set of instructions including one or more instruction prompts instructing a user to perform a predefined movement sequence in accordance with which the prescription regimen is to be administered;

providing via an output device of a local device one or more of the one or more instruction prompts instructing a user how to perform the predefined movement sequence;

capturing appropriate visual indicia by a video capture device associated with the local device of the user following the one or more instruction prompts and performing the predefined movement sequence, including at least an instruction prompt to properly position a medication to be administered within a field of view of the video capture device;

storing the captured visual indicia to a non-transitory computer readable storage medium of the local device;

comparing in real time employing a computer recognition technique the stored captured visual indicia to the predefined visual indicia by a computer processor associated with the local device to determine differences therebetween;

providing one or more further instructions via the output device in real time if differences are determined by the computer processor employing the computer recognition technique, and it is therefore further determined that the user has failed to follow the one or more instruction prompts and perform the predefined movement sequence; and

confirming that the user has properly performed the predefined movement sequence, thus confirming proper medication administration if no differences are determined.

15. The method of claim 14, wherein the visual indicia for determining confirmation of prescription administration comprises one or more video activity sequences.

16. The method of claim 15, wherein determining confirmation of prescription administration comprises an additional alternative method.

17. The method of claim 14, further comprising the steps of:

capturing visual indicia of activity of a patient before medication administration by the video capture device; and

providing a reminder to the patient at least in part in accordance with the captured visual indicia before medication administration.

18. The method of claim 14, further comprising the step of capturing visual indicia of activity of a patient by the video capture device before medication administration, wherein the captured visual indicia before medication administration comprises evidence of patient consent.

19. The method of claim 14, further comprising the steps of:

capturing visual indicia of activity of a patient by the video capture device after medication administration;

providing notification to a medical service provider of the activity; and

modifying at least one aspect of a prescription regimen in accordance with the captured visual indicia after medication administration.

20. The method of claim 19, wherein the captured visual indicia after medication administration comprises an adverse reaction to the medication.