LIVIT — a digital clinic for medication adherence.

SharkDreams Labs was the engine behind all of it: one team building reusable sources — hardware, software, and field methods — that could power vertical after vertical, directly or through partners. The path ran across two countries (USA ↔ India), through real contracts and real deployments — and through real headwinds: trust issues, and lawsuits fought without a legal budget. This is the honest arc.

● active  ·  ● paused  ·  ● stopped  ·  ● restart

Two countries, real headwinds

The work moved continuously between the USA and India — chasing lower build cost, local contracts, and the communities that needed it most. It pushed through trust issues and lawsuits defended without a legal budget, which forced pauses and the collapse of the India operation. But the sources SharkDreams Labs built stayed reusable — which is exactly why the verticals can be restarted on a service basis rather than rebuilt from zero.

Operating history for context; some entries reflect engagements and field deployments rather than only formal commercial contracts. Not legal advice.

Research at SharkDreams led to LIVIT — a B2B compliance & adherence monitoring system for specialty pharmacy. LIVIT is two things working together: hardware (the sensing device) and software (virtual care connected to prescription management). Because the hardware was costly, the strategy was to monetize the software across adjacent healthcare verticals. The sections below follow exactly that order.

An India entity — SharkDreams Private Limited — was set up to offshore development (lower cost) and to win local contracts: hospitals, government, and insurance.

Proof of concept — the device & printed sensor

The hardware was built to prove the mechanics: a printed sensor cheap and small enough for any medication container, weight-change sensing to count pills, exposure/tamper detection, fingerprint authentication, and basic vitals. The same sensing core was designed to drop into 14+ form factors covering every form of medication packaging.

Form factors — one sensing core, many shapes

The printed sensor was designed to adapt to however a patient actually receives medication. A selection from the 14+ form-factor library:

Smart pillbox lidClips onto a standard pill-bottle lid.

Integrated smart bottleSensing built into the bottle itself.

Smart tape / ringAdhesive sensor that sticks to almost any container.

Printed sensor (SDX)The flexible core that drops into every form.

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Container cap insertdesign library

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Blister / strip packdesign library

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Smart sticker / bandagedesign library

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Multi-dose organizerdesign library

Add more form-factor renders to the gallery as needed — the empty tiles are placeholders for the remaining designs.

Manufacturing supply chain — proven

Building real hardware meant building a supply chain. Full and partial manufacturing was pursued across three countries as the design matured:

The vital patch — a research prototype

Prototype · never deployed Developed by VieMetrics — an NC State University PhD team forming their own company — and explored as a complement to LIVIT.

Where the medication device answers "did they take it?", the vital patch explored "is it working?" — a flexible, skin-worn sensor intended to stream clinical vitals and correlate vital performance with medication. It was an R&D collaboration, integrated and tested with LIVIT to study how vitals could complement adherence data.

Status: used only in internal testing by the founder and a few others — no commercial, public, or clinical deployment. Device engineering and IP belong to VieMetrics (the NC State PhD team's company).

Designed signals (per the team's spec)

The data loop

The value isn't the sensor — it's the closed loop. Was the lid opened? Was the dose taken? If not, the event flows to storage, through the transmitter, and out as a targeted alert. Software aggregates multiple data sets and applies algorithms to deliver adherence, compliance, effectiveness, and drug-performance metrics in a format pharmacy staff can use immediately.

The app & the platform

A full mobile/web application (iOS, Android, Windows) specified and built across 2017 — patient registration and secure cloud accounts, biometric + barcode/ship-address authentication, regimen sync at the pharmacy, reminders and over-dose alerts, and a real-time provider console for monitoring many patients at once.

• Secure per-patient cloud accounts; pharmacy-linked provider database.
• HIPAA-compliant communication, storage, and BAAs (2018–2019).
• Servers, healthcare security, and infrastructure hardened as real clients onboarded.

Hospital management → Vera (field staff)

The largest software opportunity was large hospital management — selling the virtual-care / remote-monitoring platform to hospitals. The Global Hospitals contract proved the demand. But running remote-monitoring services on the ground required trained healthcare staff — so Vera (VeraSmart / Vera Health, India) was built to supply technicians who operate the same software.

Proof: Global Hospitals (technology services + medication home delivery), government programs (iMASQ COVID sample collection), and the SharkDreams ↔ VeraSmart software agreement.

Fellow → insurance (no out-of-pocket care)

Fellow applied the same software with insurance companies to deliver annual care through virtual care — aimed at no out-of-pocket cost for low-income patients. Realized through a group health policy with Care Health Insurance ("Group Care 360°", Feb 2022), held by SharkDreams Private Limited (India).

How LIVIT was built

Built with design partner Generate Design and development partner Imaginovation, alongside SharkDreams engineering.

strong · partial · absent. Comparison reflects LIVIT's design intent and documented features versus typical category capabilities.

The engineering thesis

Incumbents optimized one slice — a smarter cap, or a reminder. LIVIT's bet was that adherence is a systems problem: only a universal, low-cost sensor + an analytics layer + a provider workflow, all HIPAA-clean, actually changes what a pharmacist can do. That's why the design spans device, data loop, app, and platform rather than any single piece.

Deployment to date

2 specialty-pharmacy clients — PerformRx and AcariaHealth — with 3,000 devices manufactured in China for specialty patients on complex regimens.

AmeriHealth/Perform was a health-plan engagement and Microsoft (Azure Sphere) a research-build interest with no formal partnership — distinct from the two specialty-pharmacy client deployments.

Signed contracts behind every expansion

Each vertical was backed by a real, executed instrument with a named counterparty — not an informal arrangement. Verified against the documents on file.

Policyholder on the Care policy is SharkDreams Private Limited (India). The PerformSpecialty 2023 LOI is, by its own terms, non-binding.

How it's used / the connected vision

Beyond the pharmacy, the LIVIT ecosystem was designed to extend into the connected world — enrolled patients linking smart appliances, and a use case connecting to smart cars to assist when a sensitive drug isn't consumed. The north star: replace manual follow-up, monitoring, and reporting with an automated, HIPAA-compliant system that lowers operating cost while improving outcomes.

Engineering partners

Generate Design (product/UI design) · Imaginovation (app development) · VieMetrics (an NC State University PhD team's company — hardware/board engineering, and the vitals-patch R&D prototype) · Microsoft / Avnet (Azure Sphere secured chip) · Porticos (product design & mechanical engineering — the load-cell device & cosmetic models).