# US 11,432,776 B2 · Medical device administration and interaction

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- Number: US 11,432,776 B2
- Document ID: US11432776B2
- Status: Granted
- Kind: B2
- Application number: 16/440,285
- Filed: 2019-06-13
- Published: 2020-12-17
- Granted: 2022-09-06
- Earliest claimed: 2019-06-13
- Assignees: International Business Machines Corporation
- Applicants: International Business Machines Corporation
- Inventors: Paul R Bastide; Fang Lu; Ishwarya Rajendrababu; Sathyanarayanan Srinivasan
- Web page: https://patentgrep.com/patent/US11432776B2

## CPC

- A61B 5/165: {Evaluating the state of mind, e.g. depression, anxiety}
- A61B 5/7282: {Event detection, e.g. detecting unique waveforms indicative of a medical condition (cough events A61B5/0823; seizures A61B5/4094; sleep apnoea A61B5/4818)}
- A61B 5/0533: Measuring galvanic skin response
- A61B 5/082: {Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath (A61B5/083, A61B5/091 take precedence)}
- G16H 10/60: for patient-specific data, e.g. for electronic patient records
- G16H 20/10: relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H 40/40: for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
- G16H 40/67: for remote operation
- A61B 5/4839: {combined with drug delivery}
- A61M 15/009: {using medicine packages with incorporated spraying means, e.g. aerosol cans (pocket atomiser of the injector type A61M11/08)}
- A61M 2205/505: Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

The present disclosure provides for medical device administration and interaction by identifying a medical event affecting a first individual, a medical device associated with treating the medical event, and an initial attentiveness level of an administering individual; outputting a tutorial for how to use the medical device to treat the medical event with a first control level, wherein the first control level based on the initial attentiveness level of the administering individual; and in response to receiving a triggering event while outputting the tutorial: determining a current attentiveness level for the administering individual; and in response to the current attentiveness level indicating a change from the initial attentiveness level, adjusting the tutorial based on a second control level, different than the first control level, based on the change from the initial attentiveness level.

## Claims

### Claim 1

A computer implemented method, comprising:
performing by a computer operations comprising:
identifying a medical event affecting a first individual, a medical device for treating the medical event, and an initial attentiveness level of an administering individual, wherein the initial attentiveness level of the administering individual is determined based at least in part on whether the first individual has experienced a medical condition associated with the medical event for a duration relative to a threshold length of time;
controlling a monitoring device to display a tutorial for how to use the medical device to treat the medical event with a first control level, wherein the first control level is based on the initial attentiveness level of the administering individual; and
in response to receiving a triggering event while outputting the tutorial, wherein the triggering event is detected using the monitoring device:
determining a current attentiveness level for the administering individual;
in response to the current attentiveness level indicating a reduction in attentiveness from the initial attentiveness level, adjusting the tutorial based on a second control level, different than the first control level, wherein:
the second control level is based on the reduction in attentiveness from the initial attentiveness level;
the second control level includes a greater number of sequentially provided instructions for the tutorial than the first control level includes; and
each instruction at the second control level is provided at a slower speed than each instruction at the first control level which is provided at a faster speed; and
controlling the monitoring device to display the tutorial at the second control level, comprising:
sequentially outputting instructions via a sequence of interfaces, wherein the first control level provides instructions on a single interface;
determining to output audio based on the second control level;
supplementing the tutorial with additional information not provided using the first control level; and
requiring the administering individual to provide more elaborate triggering event conditions, as compared to the first level of control, to advance to a subsequent instruction in the tutorial.

### Claim 2 (depends on 1)

The computer implemented method of claim 1, wherein the first individual is the administering individual.

### Claim 3 (depends on 1)

The computer implemented method of claim 1, wherein the first individual and the administering individual are two different human beings.

### Claim 4 (depends on 1)

The computer implemented method of claim 1, wherein identifying the initial attentiveness level of the administering individual further comprises:
determining, based on a physical condition and a medical record for the first individual who is different from the administering individual, whether the medical event is one of an emergent condition that has affected the first individual less than a threshold number of times or a routine condition that has affected the first individual at least the threshold number of times.

### Claim 5 (depends on 4)

The computer implemented method of claim 4, wherein the first individual is a non-human animal and the administering individual is a human, wherein the medical record is a species-specific veterinary record.

### Claim 6 (depends on 1)

The computer implemented method of claim 1, wherein identifying the initial attentiveness level of the administering individual further comprises:
monitoring a galvanic skin response in the administering individual;
monitoring a mood of the administering individual via facial analysis;
monitoring a breathing rate of the administering individual via a gyroscope;
monitoring speech patterns of the administering individual;
monitoring a direction of gaze of the administering individual;
monitoring a current position of the medical device relative to the first individual; and
monitoring a current deployment state of the medical device.

### Claim 7 (depends on 1)

The computer implemented method of claim 1, the computer operations further comprising, in response to receiving the triggering event:
updating a location in the tutorial to a subsequent instruction in the tutorial.

### Claim 8 (depends on 1)

The computer implemented method of claim 1, wherein the first control level differs from the second control level by at least one of:
a volume of the output audio;
a brightness of a display of the monitoring device;
a highlighted portion of the tutorial on the display of the monitoring device; or
a zoom amount of the tutorial on the display of the monitoring device.

### Claim 9

A system, comprising:
a processor; and
a memory storage device, including processor-executable instructions that when performed by the processor perform an operation comprising:
identifying a medical event affecting a first individual, a medical device for treating the medical event, and an initial attentiveness level of an administering individual, wherein the initial attentiveness level of the administering individual is determined based at least in part on whether the first individual has experienced a medical condition associated with the medical event for a duration relative to a threshold length of time;
outputting a tutorial on a monitoring device for how to use the medical device to treat the medical event with a first control level, wherein the first control level based on the initial attentiveness level of the administering individual; and
in response to receiving a triggering event while outputting the tutorial, wherein the triggering event is detected using the monitoring device:
determining a current attentiveness level for the administering individual; and
in response to the current attentiveness level indicating a reduction in attentiveness from the initial attentiveness level, adjusting the tutorial based on a second control level, different than the first control level, wherein:
the second control level is based on the reduction in attentiveness from the initial attentiveness level;
the second control level includes a greater number of sequentially provided instructions for the tutorial than the first control level includes; and
each instruction at the second control level is provided at a slower speed or with more detail than each instruction at the first control level which is provided at a faster speed or with less detail; and
controlling the monitoring device to display the tutorial at the second control level, comprising:
sequentially outputting instructions via a sequence of interfaces, wherein the first control level provides instructions on a single interface;
determining to output audio based on the second control level;
supplementing the tutorial with additional information not provided using the first control level; and
requiring the administering individual to provide more elaborate triggering event conditions, as compared to the first level of control, to advance to a subsequent instruction in the tutorial.

### Claim 10 (depends on 9)

The system of claim 9, wherein the first individual is the administering individual.

### Claim 11 (depends on 9)

The system of claim 9, wherein identifying the initial attentiveness level of the administering individual further comprises:
determining, based on a physical condition and a medical record for the first individual who is different from the administering individual, whether the medical event is one of an emergent condition that has affected the first individual less than a threshold number of times or a routine condition that has affected the first individual at least the threshold number of times.

### Claim 12 (depends on 9)

The system of claim 9, wherein identifying the initial attentiveness level of the administering individual further comprises:
monitoring a galvanic skin response in the administering individual;
monitoring a mood of the administering individual via facial analysis;
monitoring a breathing rate of the administering individual via a gyroscope;
monitoring speech patterns of the administering individual;
monitoring a direction of gaze of the administering individual;
monitoring a current position of the medical device relative to the first individual; and
monitoring a current deployment state of the medical device.

### Claim 13 (depends on 9)

The system of claim 9, further comprising, in response to receiving the triggering event:
updating a location in the tutorial to a subsequent instruction in the tutorial.

### Claim 14 (depends on 9)

The system of claim 9, wherein the first control level differs from the second control level by at least one of:
a volume of the output audio;
a brightness of a display of the monitoring device;
a highlighted portion of the tutorial on the display of the monitoring device; or
a zoom amount of the tutorial on the display of the monitoring device.

### Claim 15

A computer program product comprising:
a computer-readable storage medium having computer-readable program code embodied therewith, wherein the computer-readable program code is executable by one or more computer processors to:
identify a medical event affecting a first individual, a medical device for treating the medical event, and an initial attentiveness level of an administering individual, wherein the initial attentiveness level of the administering individual is determined based at least in part on whether the first individual has experienced a medical condition associated with the medical event for a duration relative to a threshold length of time;
output a tutorial on a monitoring device for how to use the medical device to treat the medical event with a first control level, wherein the first control level based on the initial attentiveness level of the administering individual; and
in response to receiving a triggering event while outputting the tutorial, wherein the triggering event is detected using the monitoring device:
determine a current attentiveness level for the administering individual; and
in response to the current attentiveness level indicating a reduction in attentiveness from the initial attentiveness level, adjust the tutorial based on a second control level, different than the first control level, wherein:
the second control level is based on the reduction in attentiveness from the initial attentiveness level;
the second control level includes a greater number of sequentially provided instructions for the tutorial than the first control level includes; and
each instruction at the second control level is provided at a slower speed or with more detail than each instruction at the first control level which is provided at a faster speed or with less detail; and
controlling the monitoring device to display the tutorial at the second control level, comprising:
sequentially outputting instructions via a sequence of interfaces, wherein the first control level provides instructions on a single interface;
determining to output audio based on the second control level;
supplementing the tutorial with additional information not provided using the first control level; and
requiring the administering individual to provide more elaborate triggering event conditions, as compared to the first level of control, to advance to a subsequent instruction in the tutorial.

### Claim 16 (depends on 15)

The computer program product of claim 15, wherein the first individual is the administering individual.

### Claim 17 (depends on 15)

The computer program product of claim 15, wherein to identify the initial attentiveness level of the administering individual the computer-readable program code is further executable by one or more computer processors to:
determine, based on a physical condition and a medical record for the first individual who is different from the administering individual, whether the medical event is one of an emergent condition that has affected the first individual less than a threshold number of times or a routine condition that has affected the first individual at least the threshold number of times.

### Claim 18 (depends on 15)

The computer program product of claim 15, wherein to identify the initial attentiveness level of the administering individual the computer-readable program code is further executable by one or more computer processors to:
monitor a galvanic skin response in the administering individual;
monitor a mood of the administering individual via facial analysis;
monitor a breathing rate of the administering individual via a gyroscope;
monitor speech patterns of the administering individual;
monitor a direction of gaze of the administering individual;
monitor a current position of the medical device relative to the first individual; and
monitor a current deployment state of the medical device.

### Claim 19 (depends on 15)

The computer program product of claim 15, wherein in response to receiving the triggering event the computer-readable program code is further executable by one or more computer processors to:
update a location in the tutorial to a subsequent instruction in the tutorial.

### Claim 20 (depends on 15)

The computer program product of claim 15, wherein the first control level differs from the second control level by at least one of:
a volume of the output audio;
a brightness of a display of the monitoring device;
a highlighted portion of the tutorial on the display of the monitoring device; or
a zoom amount of the tutorial on the display of the monitoring device.