(The evriMED dispenser also goes by the name MERM in some markets)
The evriMED1000 is a tabletop dispenser, designed to easily hold a month’s supply of TB medication. The modular design allows for diverse container sizes. The evriMED1000 allows real-time adherence management automatically synchronizing with the Wisepill or 99DOTS cloud service. The evriMED system is an affordable scalable tool for managing TB medication adherence.
The evriMED1000 dispenser consist of two hardware components, namely the electronic module and the medication container. This modular design allows the electronic module to be reused and the container to be replaced if needed. The electronic module slots into the container so that the indicator LEDs are visible through the front of the container (see figure below). A USB port can be accessed by opening the container.
Wisepill is proud to be associated with the Stop TB Partnership’s TB Reach initiative.
read more about our TB reach partnership ...
The evriMED pillbox and software solution is an innovative medication adherence tracking system. A Simple aid for users and a powerful tool for caregivers and healthcare organisations.
Expert Pill Reminder and Monitor (evriMED500 and evriMED1000 , known also as MERM and MERM-RT)
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As treatment supervision alone is not likely to be sufficient to ensure good TB treatment outcomes, additional treatment adherence interventions need to be provided.”
*Wisebag Pouch This design was initially created in collaboration between Global Health Labs and The Better Lab.
The evriMED Corex Housing used in India
Latest news on evriMED : Smart Pill Device Keeps TB Medication Adherence on Track
POLICY RECOMMENDATIONS
From the WHO Medication adherence handbook
evriMED is referred to in the WHO Medication adherence handbook
“ evriMED TM (www.evrimed.com) is …developed specifically for TB care in resource-limited countries through funding by the Bill & Melinda Gates Foundation (BMGF). The system can be customized to the specific needs of patients on treatment for DS-TB, MDR-TB and TB/HIV. Its prototype is also being used in trials … for TB (35). One variant of the evriMED is the Easy Cure Box being used in India, which consists of a lightweight cardboard container housing a battery-operated electronic monitoring device that passively registers when the container is opened. Inside the box is a supply of TB FDC medication in blister-packs. Patients are given multiple days of medication upon refill and monitored remotely using an ICT interface. With 99DOTS, the FDC blisters are packaged in a custom envelop printed with phone numbers that are revealed each time patients takes their medication (see also Section 2.2.2). This approach is widely used across India. The dosing histories generated by the two technologies enable health providers to identify good and poor adherers to provide highly effective counseling, and thus use healthcare resources more efficiently and effectively”
Product Feature Matrix
BENEFITS OF DIGITAL MEDICATION MONITORS
The World Health Organisation (WHO) has concluded that adherence interventions significantly improve treatment outcomes for both DOT and SAT patients.
Digital medication monitors are a proven-effective adherence intervention, delivering reminders and enabling enhanced counseling and differentiated care.
Digital medication monitors are highly patient-centric and low patient burden. They permit remote, electronic observation of medication taking by self-administering patients.
Digital medication monitors should save health system time and money by focusing provider time on demonstrably poor adherers.
In large, cluster-randomized trials in China, digital medication monitors were shown to significantly improve medication adherence and be well accepted by both patients and provider
Pill Box shapes and sizes
The following Standard sizes are readily available.
Useful INNER pill area (W x L x H):
Plastic DSTB Box (130 mm x 120 mm X 60mm)
Cardboard DSTB/DRTB (200mm x 160mm x 60mm)*
Correx DSTB (210mm x 120mm x 60mm)
Correx DRTB REV3 (240 x 180 x 85 mm)
Correx DRTB REV4 (260mm x 180mm x 85mm)
Correx Jumbo (275 mm x 200 mm x 120mm)
Correx® is a corrugated plastic twin-walled extruded sheet. It is a light and rigid fluted structure. Twin-wall polypropylene sheets are fully recyclable and easy to die-cut.
* Cardboard is not recommended for humid climates
Standard Plastic Pillbox container
evriMED Correx box assembly instructions
TB REACH WAVE 6
The Stop TB Partnership has launched its TB REACH initiative’s sixth wave of funding for innovative and out of the box ideas, strategies, initiatives, and technologies which aim to increase the number of people diagnosed and treated for TB, to decrease the time to appropriate treatment and to improve treatment success rates.
The Stop TB Partnership has launched its TB REACH initiative’s sixth wave of funding for innovative and out of the box ideas, strategies, initiatives, and technologies which aim to increase the number of people diagnosed and treated for TB, to decrease the time to appropriate treatment and to improve treatment success rates.
All details about this call for proposals can be found here: http://www.stoptb.org/global/awards/tbreach/wave6.asp
This wave also includes some special funding for some innovative models of private provider engagement.