It started at the bedside:
make medication adherence measurable.

The smart pillbox lid

It began with a simple, stubborn problem at the bedside: did the patient actually take the dose, on time? The answer was a sensor-equipped pillbox lid that could tell — and quietly notify a family member, pharmacist, or clinician when something was off.

• Notifies patient, family, and clinician about medication habits.
• Counts pills and can auto-reorder; flags missed or mistimed doses.
• Senses heat/cold exposure and tampering; fingerprint-locked.
• Measures basic body factors (heart rate, temperature).

From sketch to working sensor · patents & design files

The idea was carried into hardware — a printed-sensor architecture (SDX) small and cheap enough to sit on any medication container, with a ~40-day battery, unique device ID, and weight-change sensing to count pills. The work was documented the right way: a provisional patent filing, signed NDAs with development partners, and a contracted UI/design engagement.

• Printed sensor for universal medication containers.
• Weight-change sensing → pill count to phone + base station.
• Device activation, unique ID, critical-battery and sensor-error alerts.

LIVIT — the app the device talked to

Hardware needs a face. LIVIT was the companion app — the layer that turned sensor data into something a patient, a family member, or a pharmacist could actually see and act on. It carried the product idea from planning through prototype, client demos, and into production design across 2016–2017.

Sensor → storage → the right person

The value wasn't the sensor alone — it was the loop. Was the lid opened? Was the dose taken? If not, the event flows to storage, through the transmitter, and out as a notification to the person who can act: the patient, the pharmacist, or the caregiver. This closed loop is the reusable heart of the whole system.

Adherence → engagement → monitoring

Each capability revealed the next one it needed, and the product grew into a platform:

• 2017–2018 — Virtual patient engagement: a tool to keep patients and clinicians connected between visits.
• 2018–2019 — Vital monitoring: the first device for tracking critical patients remotely.
• 2019–2020 — Hospital management system: remote monitoring and home services layered onto traditional care.

Real customers, real deployment

This wasn't a slide deck — two specialty pharmacies put LIVIT in front of real patients:

• PerformRx, LLC — LIVIT Trial & License Agreement, Nov 30, 2017: a 90-day evaluation pilot of the device + web/mobile app.
• AcariaHealth, Inc. (Centene family) — LIVIT License Agreement, Apr 27, 2018, with a Services Attachment, amended Jul 22, 2019 to add a HIPAA Business Associate Agreement; ran until May 2, 2021.

A second pharmacy coming online in 2018 is exactly why that year's work was Software Version 1 plus servers, HIPAA, and healthcare security. The deployments serve a largely Medicare-eligible population — the group where adherence matters most — and are the evidence behind every concept above.

A real pharmacy partner — teams, process, and a business model to build against

PerformRx didn't just sign a pilot — they opened the door to work alongside their teams, their processes, and their business model. That access turned a good idea into an engineered product: it grounded the work in how compliance and adherence actually fail in a pharmacy, drove a hardware design built to prove the mechanics, and then expanded into software that surfaces what the hardware sees in a meaningful way — so a pharmacist can reach the exact patient who has an adherence problem, at the moment it matters.

The arc: understand compliance & adherence → design hardware to prove the mechanics → build software that turns hardware signals into pharmacist-ready actions.