Wednesday, December 10, 2014

Framework

Project Framework

Artifact:
Helius ingestible sensor in a pill
A Proteus Digital Health Product

Format:
Script for a (comic if it sounds like one) skit


Introduction
- What does it do?
- How does it work?
- Current Status of the technology


What does it consist of? - opening the black box and seeing the connections
What made this technology possible?

Radio
-       earlier used in AM and FM radio
-       now, used in cellphones, wireless internet, Bluetooth, Zigbee 
-       scaling down of devices because of current device technology 
Potato Battery
-    powering sensors like powering with a potato
Mobile phone technology
-    new Smartphone Technology

Here I want to explore the design awareness tactics:

-     Open the black box. Ask – what is connected?
-     Innovation is not always about the future – be alert to the shock of the old

At the same time I want to explore some of the themes from the class:
  • thing involves networked associations of material and immaterial forms – assemblages; think therefore of things as "gatherings"
  • innovation is about crossover - pre-existing design solutions applied to new problems



What makes this product a great product?

Looking the context of health industry and exploring the importance of this product locally in pharmaceutical companies and medical sector
-   pharmaceutical companies and expensive drug trials and medication adherence
   chronic diseases
-     high health cost due to chronic diseases

User centric design
-       For pharmaceutical phase trials
-    Empathizing with people
-       Making technology disappear
-     FDA approval

By asking this question, I want to explore the real need of the medical sector. I want to see how this product recognizes the real need and addresses it. 
I also want to see why this product is so appealing to the users - patients, clinicians and the medical industry.
Related to design tactic awareness:

Consider the particulars of experience - they make an artifact what it is 


·       Overall, nothing new, but just a crossover of old existing things with the mobile technology.

What makes this better than any other wearable or technology?

By tackling this question, I want to see the design approach of this particular product. There are many wearable devices out there that monitor the physical activities, or for medicine adherence but this product is better than others. So, how have they put the user in the center (user-centric approach)? How is the experience of the users with this artifact?


What other concerns are there for a product like this - which consists of an ingestible sensor and also the sharing of patient's data?

Safety concerns
Reliability concerns
Privacy concerns

Chapter 0

Chapter 0: The irrelevant Segway

This scene is set in the medieval ages, when there were kings and kinsmen. Through a portal that had been accidently discovered a messenger of the King had been sent to the future to learn the ways of the men of the future. Today, he arrived at the palace of the king with the news from and about the future.

At the court of the palace.

The King: Before you begin your tale of adventures, enlighten me first why you have arrived so late?

The messenger: Your majesty let me start by saying – it’s not really my fault. First of all they took away my horse and thought I was some kind of mad man.

The King: Oh! So, people have become thieves, all of them, in the future, have they?

The messenger: No, your majesty. They don’t use any horses anymore.

The King: (surprised) Are you barking mad? Do you hear what you are saying? People more advanced than us don’t use any horses? Have you gone mad?

The messenger: No, your majesty. I am speaking the complete truth.

The King: Well, you must be kidding? So, what do they do? Just walk on foot? And how do they send their messengers to different places? On foot? That just sounds ridiculous.

The messenger: They use mobile phones, your majesty.

The King: What in the God’s name is that? Is that a name of a new species of bird? Or an animal?

The messenger: Well, it’s a wireless communication system where people can make and receive phone calls using a radio link.

The King: (just stares back at the messenger for a while) What gibberish talk is this? (Before the messenger can say anything, ordering the other servants) He is just speaking gibberish. Give him some wine. He must be thirsting for it. (The servants go and fetch some wine)

The messenger: No need for that, my lord. I brought me some Coca-Cola and some delicious French wine.

The King: What on earth is that? (Suddenly realizing) And how dare you bring wine from the enemy? 

The messenger: In the future, we become friends.

The King: Nobody becomes friend with the French. I will tell you what will happen in the future? France will be no more. That’s going to happen in the future.

The messenger: But you majesty, future already happened and that what you just said did not happen.

The King: How dare you speak against the King? (The wine arrives)

[The Kings gets up and by himself gets the messenger to drink the wine forcefully.]

The King: Now he will talk some sense. (Goes and sits in his throne) Speak now. What were you saying about the messengers?

The messenger: (After recovering from the King’s assault) I was saying, your Majesty, they don’t use messengers anymore. They use what they call the mobile phones to make calls over long distances.

The King: All of them? Even the miserable low bunch?

The messenger: Yes, sir. Everyone uses mobile phones, everyone, kings, ministers, common people, everyone. They can talk to anyone, anywhere on this earth. It’s incredible, sir.

The King: So, what do they do with this mobile phone? Do they take it to the top of the towers and just shout?

The messenger: They don’t have to, your majesty. You can just sit here and use radio link to call anyone around the globe. (The king looks puzzled) It’s not a problem. And then they use computers to do all of their work. And they use cars instead of horses which carries themselves to wherever they like. (the king stares at him more and more disbelievingly)

The King: And tell me, do they also fly like birds?

The messenger: In fact, they do, your majesty. They fly in those big flying planes and you can reach from England to India in less than a day.

The King: (whispers to his chief commander beside him) Earth going round, people flying, I told you he has gone mad. Take him to the prison.

[The commander orders his soldiers to drag him out of the court.]

The King: Take him to the dungeons and bring him back when he starts speaking some sense.

[They drag him out of the King’s court as he protests, saying he is perfectly sane. He mutters to himself “I should have just stayed there in future, and not come back. It was better there.”]


[Soon after few days, the king gets ill and he sends for his guards to fetch the messenger.]

The King: (upon arrival of the messenger) How are you feeling now? Better? Can you remember who you are, where you are, and who I am?

The messenger: Of course, I do, my King.

The King: I am very glad to hear that. So, now tell me, what did people do for treating diseases and illnesses?

The messenger: They are incredibly good at treating diseases and illnesses, your majesty. They have their medicines manufactured in a pharmaceutical industry, which are usually round or cylindrical shaped pills. And some of the medicines have sensors in them, so when you ingest them, you can know or your kin or your doctors can know if you have taken the medicine or not, and when you have taken it.

The King: (looking suspiciously at him) So, you said, that the medicine that you just ingested tells your kinsmen or your doctors, from the inside of your stomach that it had been eaten or swallowed, and it also tells you what time it, itself was eaten by me or whoever has swallowed it. Is that right?

The messenger: Yes, your majesty. But you also have to have a smart …..

[Before, the messenger can complete, the King speaks to his commander again.]

The King: I don’t think he is cured yet. Take him to the dungeons.


[The messenger is again dragged out of the King’s place helplessly.]

Chapter 1

Chapter 1: Introduction

Now, back to the future. Back to the future of the medieval times. And even more back to the future of the present, we discover that some kids are discussing about a project about the history of ingestible sensors.

Student A: So, it all started with Helius, which was a digital health feedback system used to support care delivery of a patient. It is a medical adherence system for patients. Basically some patients weren’t very good in following the routine of taking medicines in time and so people used to get worse in their illnesses.

Student B: That’s very odd. I don’t see any kind of problem like that now.

Student C: That’s because we have those sensors in all of our medicines and so nobody misses their medications. If they do miss, they are alerted immediately.

Student B.: Oh, really?

Student A: That’s what we are writing this report about, remember. About these sensors that are in all of our pills and monitor our health, our routine of taking pills, and help us remain so fit.

Student B: I didn’t know that at all.

Student A: Well, that’s our project, right?

Student B: Oh, really? (confused) I thought we were going to talk about baboons. Maybe I am in the wrong group. (leaves immediately, the other two students just stare at him leaving)

Student A: So, what do you think?

Student C: About what?

Student A: The Helius thing?

Student C: Oh! It’s good. But it sounds really primitive now.

Student A: Well, at that time, it was revolutionary. It was a great tool to, first of all, keep track of your own health, as it would provide daily information on your activities, daily medication taking and rest patterns. Besides yourself, your family members could also remain acknowledged about your health condition by sharing your information on daily medication taking, your activities, and physical body condition. For example, if a daughter was 20 miles away from her mother and her mother was suffering from a chronic condition, then the daughter, with the help of Helius, can keep on getting information on whether she is regularly taking medication. Similarly, the mother herself gets alert messages if she misses her medication dose. (1)

Student C: It doesn’t really sound revolutionary to me.

Student A: That’s because people hardly get sick nowadays because of their proper monitoring of health activities and dietary patterns, all thanks to this type of sensor technology like this pill. 

Student C: Then, what was in it for the doctors?

Student A: For doctors also, it was very useful. The doctors could use the activities data acquired about medication-taking patterns, activities and rest patterns and body markers like blood pressure to gain insight into the patient’s needs and conditions, and thus manage the support for the patients accordingly.(2)

Student C: That sounds really boring.

[Student D enters]
Student D: No, it doesn’t.

Student C: Why?

Student D: I’m sorry. What were you talking about?

Student C: So, you just contradicted me without even hearing what we were talking about?

Student D: Well, (thinks) was I? I don’t know. I guess we will never know. I am D, the new guy.

Student C: I am C. I am the New Girl (and pointing to A). He is the Old boy.

Student D: Sorry, I am late. By mistake, I ended up in the group where they were talking about baboons. So, what are we talking about?

Student C: Proteus Digital Health's Helius Ingestible pill.

Student D: Oh, that. I did some research on that too. It’s pretty sick. First of all, there is a really really tiny sensor in the pill. When the patient ingests the pill, it goes into the stomach where it is eventually powered by the energy from the stomach juices. Then the sensor then sends signals to a skin patch electrode, which then wirelessly transmits information such as vital signs, body position, and verification of medication ingestion to a nearby smartphone. (2)

Student A: Good, you did some research too. (hits student D on the head with a stick)

Student D: Thanks for the stick.

Student A: So, have you done any research on it?

Student C: No. Not really. My parents told me off in the morning so I got upset. Recently, I hadn’t been drinking enough water, and because of these sensors in water, my mother noticed it and scolded me in the morning that I should drink the prescribed amount of water.

Student A: That happened to me, too. I got told off for eating too much carbohydrate and sugar. Because of these sensors now embedded in all the food that we eat, they found I was eating too many sweets and rice. So, although I ignored the alerts, my parents caught me.

Student D: Funny stories. They also put it in alcohol now, so if you are under the age limit and you decided to drink alcohol, you are screwed.

Student A: Anyway, let’s focus back on the topic. And I think we can talk about Proteus Digital Health in the year 2014 

Student C: Why 2014?

Student A: It seems that a student named Kiran was taking a course in 2014, and for its final project he wrote about Proteus Digital Health’s Helius ingestible pill. So, he has some good information related to Proteus Digital Health in his whatever he wrote. And he also sent us a message from the past saying that if we used his material in his project, he would write about us in his project paper.

Student D: Did he?

Student A: Yes, he did.

Student D: That’s going to be paradoxical. Does he actually mention us in his project?

Student A: Ummm…..let me see

Student C: (interrupts) So, what kind of information does he have from the year 2014?

Student A: So, here are some facts from his project. So, FDA approves the ingestible sensor in year 2012. In the year 2014, commercial pilots are underway in selected parts of USA and UK for chronic diseases like heart disease and hypertension. It is being used in inactive pills that are taken alongside medication but it is also partnering up with companies like Novartis and Otsuka Pharmaceutical to develop digital medicines in which case the sensors will be carried by active pills. Just as a startup, it had raised 62.5 million dollars in 2013, and 172 million dollars in 2014. So, definitely it looked like it was gaining the trust of a lot of investors because of its potential. (3)

Student C: So, who wants some cheesecake?

[Student A and D don’t do anything other than stare back at student C.]

Student C: Don’t worry. I won’t judge you for not enjoying life. (gets up to get cheesecake)

Chapter 2

Chapter 2: Opening the black box

While we let Student C enjoy her cheesecake, let’s go to the 20th century after the invention of radio, some inventor is proposing to an investor about his new invention. The investor is sitting on his chair while the so-called inventor is standing up and trying to persuade the investor.

Inventor: I have got a big idea. Here is the thing. We have this pill that everyone has to take but a lot of the times he or she forgets to take the pill, and this could be really dangerous for a heart patient or a diabetic patient. So, what do we do? We make a radio tiny enough to go into the patient’s stomach with the pill, and so we can keep track of his medication patterns when the radio gives out signal from inside the stomach.

Investor: So, we send radios down everyone’s throat?

Inventor: Yes.

Investor: You must be crazy. Have you seen the size of those things?

Inventor: Yes, but in 50 years we can make smaller…

Investor: Those things are never getting smaller. (ordering his guards) Kick him out.

[The guards take the inventor out of the room, and kick him in his butt onto the street. The inventor probably forgot he was in the wrong century.]

[Now, let’s go back a few years later into the early 21st century. The investor from earlier episode has got really old and there is an innovator who wants to talk about his idea.]

Innovator: I have got a big idea. Here is the thing. We have this pill that everyone has to take but a lot of the times he or she forgets to take the pill, and this could be really dangerous for a heart patient or a diabetic patient. So, what do we do? We make a radio tiny enough to go into the patient’s stomach with the pill. So, when the radio when the radio gives out signal from inside the stomach, we can keep track of his medication patterns and store it in a mobile phone app.

Investor: So, we send radios down everyone’s throat?

Innovator: Yes. But since the invention of integrated circuits and advancement in the CMOS technology, many things that we thought were impossible are now possible. As we know CMOS is a technology used to make integrated circuits, and integrated circuits are used to make from microprocessors to memories. (4) With the current technology we can fit as many transistors in a very tiny area. Now, they are also widely used in making RF (radio frequency) circuits, for instance, in radios that receive transmit and receive signals in cellphones. So, now we really have the process technology, with the current state of the art 14 nm technology, we can really make tiny radios. We can make tiny sensors that can be swallowed by patients. Or we can make tiny implants to put in the patient’s bodies. 

Investor: That’s very impressive. But how are we going to power them?

Innovator: Well, we are going to put a 3 V battery with every radio that we use in the pill.

Investor: That’s just going to be a fucking waste of money on those batteries. Guards, kick him out.

[The innovator is kicked out.
One or two year later same investor, another entrepreneur comes up with the same idea.]

Entrepreneur: I have got a big idea. Here is the thing. We have this pill that everyone has to take but a lot of the times he or she forgets to take the pill, and this could be really dangerous for a heart patient or a diabetic patient. So, what do we do? We make a radio tiny…. (before he can complete)

Investor: A radio tiny enough to go into the patient’s stomach with the pill so that when the radio gives out signal from inside the stomach, we can keep track of his medication patterns and store it in a mobile phone app. I have heard that couple of times What next?

Entrepreneur: Don’t you want to know how we can do that?

Investor: (getting impatient of hearing the same things all over again) I already know. Because of the advanced CMOS technology you can make really tiny transistors. I know everything. What else have you got? How are you going to power them?

Entrepreneur: So, are you ready to hear this?

Investor: Of course, I am ready to hear anything. I am an investor. I am not here to dance. I am here to listen.

Entrepreneur: Well, sir, you must be really ready to hear this. This is amazingly mind blowing.

Investor: I am going to blow you away with my fart if you don’t speak and keep me waiting.

Entrepreneur: (intimidated) Okay, okay. It’s going to be powered by you.

Investor: What?

Entrepreneur: Powered by you, sir.

Investor: What are you talking about? Don’t drive me nuts. (he seems to be a patient of high blood pressure and a disease called severe anger) So, are you trying to use one of those energy-harvesting ideas? So, what do you want to use? Some kind of device that can get power from the RF waves in the ambient environment? Or some kind of device that can get power from the heat energy from your body or from the vibration of your body?

Entrepreneur: No, sir. It’s even better. You remember the potato battery from your high school? Two metals and a wet potato can produce electricity, right?

Investor: So, are you going to make all of them to swallow potatoes?

Entrepreneur: Nice one, sir. Very funny. (seeing investor’s stern face, continues) Just like the potato battery, we make a sensor, which beside having a CMOS chip, also has two electrodes, magnesium and copper chloride, which gives the best results, and when the sensor is in your stomach, the stomach juices acts as electrolyte, and hence, a battery is born, and the tiny sensor is powered by that battery until both of the electrodes dissolve. (5) Until then, the tiny sensor can relay information to the sensor patch on the body, which is connected to the smartphone. (hearing nothing from the investor) Are you shocked, sir?

Investor: That’s a great idea. Guards, kick him out.

Entrepreneur: (shocked at this response) Why, but why? (as guards approach him)

Investor: Just kidding. I just wanted to see you more shocked than me. We have a deal.

Both shake hands, and that’s how they say Proteus Digital Health as a company started.
Now, let’s go ahead a century to the 22nd century. We have been time travelling quite a bit now, so we might be losing some track of time here. But bear in mind, people often do lose the track of time.

So, now we move to the 22nd century, where Professor Billy is teaching a class. The classes are no more held in rooms, but it’s held online. Stanford University, as they say, has been recently by archeologists as the lost university buried underwater for about a decade or maybe more. Now, there are no more universities but online teaching corporations, and Billy is teaching a class called Advanced Archeology 152, and he is summarizing about the design of Proteus Digital Health, which is one of the artifacts he is discussing this semester.

Professor Billy: So, my fellow kids, today’s lesson was about Proteus Digital Health’s Helius and how it is an innovation that represents the crossroads of “sensors, wireless, remote monitoring and mobile”. So, innovation and invention is not always about making entirely new design. It is about a crossroad – applying pre existing solutions to new problems. Proteus Digital Health takes the already existing solutions or things such as a radio, which has been here with us for more than two centuries. But because of today’s technology, they can make the same radio, scale it down to a size of a grain and use them to transmit messages from inside a stomach. Similarly, a voltaic cell was invented in the 1800. It is just a very simple concept that has been taught in all physics and chemistry classes, and here they used the same simple concept, same simple cell to make a self-powering sensor inside a stomach. Similarly, the patch that is put on the skin of the user, it uses Bluetooth to connect to your mobile phone. It is again a solution that has been in existence for quite a bit since it was invented in 1994. It is just a standard transmission protocol every mobile phone has, and they just used it to transfer the data from the sensor to your phone, which is organized by software in your phone. Similarly, the advancement in the smartphone technology is also a huge contributor to this product. Since the advent of smartphones, innovators could write software apps for these smartphones, which when they combine with the available sensors, can do a lot of things. Now, this again was a preexisting technology at that time, which they exploited to empower the patients to take charge of their own health.

Professor Billy: Now, Proteus Digital Health’s Helius is a system that is not just about the thing itself. First of all, it is not just about a "thing". It is about gathering of things – it consists of a mobile phone, an ingestible sensor and a sensor patch on your torso. And each thing is a combination of other things, like the ingestible sensor is a combination of a drug, simple voltaic cell, and a radio in a tiny chip. But this system is not just about materials, but also about a network of people. The data that you get is first of all available to you. But you can also share it with your family or close relatives. You can also share it with your doctors for your health monitoring. Without these people, this system is not complete; it is not as powerful as a product or an artifact. So, it is also about an extra layer of network. Today, we have these sensors and this type of technology in everything, from food to water to every prescribed pill, so we don’t really care about it much. But while looking at its design, we have to look at these aspects of design. This is what we can learn from today’s class. Any more questions? (without waiting for more than 2 seconds) Alright, today we are done.


Professor Billy finishes his class. He is probably tired today and doesn’t want to hang around more to talk with his students. Once, in a while everyone gets tired. To get rid of this exhaustion, he goes to do some meditation center, which is a building where they have planted artificial trees inside so one can get a feeling that one is in a real forest. Sometimes, they also leave wild animals like fox to make the feeling more real.

Chapter 3

Chapter 3: A design case study

Now, too much of time traveling. Let’s go back to the year 2014, where two Biodesign students are talking about Proteus Digital’s Health smart pill. Since they are biodesign students they are talking about the design of this particular product. Of course, one doesn’t have to be a design student to talk about design; you can also be a medical student, or biologist but anyway, let’s hear what they have to say, since there is no-one around besides them.

Design student X: Oh, I am already tired of hearing about this Proteus Digital Health’s smart pills time and again. They seem to be everywhere.

Design student Y: (in a slower pace) Are you now?

Design student X: Ya, I am. I would rather go home and sleep.

Design student Y: Would you now? (slower and louder than before)

Design student X: I would rather do that.

Design student Y: Well, would you now? (just as loud as the last time)

Design student X: Yes, I would rather do that than read this shit. (pointing to his laptop)

Design student Y: Well, would you now? (louder again)

Design student X: Stop saying that. I don’t even understand why this is such a big deal. I think I would have to call Z now.

Design student Y: Would you now?

Design student X: Stop saying that. I am going to call Z. He is usually always near us. Hey, Z.

Design student Z: Yo, what’s up X? What’s up Y?

Design student X: How are you Z?

Design student Y: Are you Z, now? (to Z)

Design student X: Just ignore him. Do you know anything about Proteus Digital Health’s smart pills? Do you know why it’s a big deal?

Design student Z: You know what, I was just reading a paper about it written by Kiran, which he is going to write in the near future. Or something like that. Anyway, let’s not digress into that time paradox, but what do you want to know?

Design student X: Just want to know, why it’s actually a big thing? If it’s actually something that’s needed or people are just trying to do something cool shit with technology?

Design student Y: Would you now?

Design student X: Oh, shut up.

Design student Z: Yes, of course I can. So, why this kind of technology is necessary? That’s your question, right? So, first of all, you probably already know that the market is full of wearable devices. As of 30th September of this year 266 wearable devices, of which 118 were fitness wearables. (6) So, you can see that the market is saturated with these devices, but most of them are just tracking fitness data, and sleep patterns without really much purpose. Most of the companies are “interested in helping the affluent and tech-savvy” (6) to help them run more, make their bodies look better and not so much in chronically ill patients. “According to a Pew Foundations survey, 45 percent of US adults are dealing with at least one chronic condition.” (6) That’s a very large number that needs to be helped. And then, 42 percent of adults with one chronic condition and 62 percent of adults with two chronic conditions track their health indicators as opposed to 19 percent of people with no chronic conditions (6) and yet no companies want to work on making wearables for people with chronic conditions.

Design student Z: “Besides that, readmissions of patients through the emergency department cost the health care system billions of dollars per year.” (7) So, monitoring things like blood pressure, blood glucose, and oxygen saturation can help improve outcomes for the patients as well as reduce the costs of the US health care services. If you can carefully monitor the patient’s activities and health indicators, you can help them a lot as well. So you can see, that there is a need to develop technology for people with chronic conditions.

Design student Z: Next source of need is the pharmaceutical company. They are always looking for a breakthrough in drugs. But this depends on a "non-scientific variable: whether patients take their meds." (8) The experimental drugs have to be tested through a five-phase process from phase 0 to phase 4, and “hundreds of thousands of patients participate in clinical trials, often to treat life-threatening conditions or to get a better understanding of how to improve treatments for chronic disease, which accounts for more than half of healthcare spending.” (8) However, the patient adherence to drugs is as low as 50 %. This is a big hindrance to the research and development of the drugs as this undermines the statistical analysis and may lead to inaccurate failure of the drugs.

Design student X: And Proteus Digital Health addresses all of that?

Design student Z: Well, it does.

Design student Y: Does it now? (both stare at him)

Design student Z: So, if you look at the local context of the pharmaceutical industry and that of the medical field, you can see that there are these two severe needs that this “smart pill” addresses. If you just think generally, you might think that not taking medicines routinely is not really a problem, but if you look at it closely in the chronic conditions field, it is actually a problem and Proteus works toward with its medication adherence pill - Helius.

Design student X: So, is that why this startup is so successful and popular than any other wearable device companies?

Design student Y: Well, is it now? Aye?

Design student Z: What’s wrong with him?

Design student X: Just ignore him.

Design student Z: So, couple of reasons behind that. Okay, so first of all, as already stated earlier, it is a company that has actually embraced the actual need for people affected with chronic diseases, and also for the pharmaceutical companies. People with chronic diseases can keep track of their own health indicators, and similarly, the doctors and the patient’s relatives can keep know about patient’s medication adherence and indicators. This is going to help improve the condition of the patient, and if the patient needs close attention, then the doctors can be alerted by the insights they might gain by looking at the patient’s data. (1) Doing this is not just going to help the people, it’s also going to help the nation’s health care system, as this can reduce the cost of US health care system. And on the other hand, pharmaceutical companies will be very happy to work with them because now by using these ingestible sensors they can get a detailed record of what medications were taken and when. Now, the research won’t be affected by the patients’ non-adherence. These sensors can bring increased precision and consistency to drug tracking during clinical trials. (8) So, this is a great tool to be not just on the patients and clinicians side but also for stakeholders like the national health care and the pharmaceutical industry side.


Design student Z: I think one of the reasons it has been so successful is that it has put the users in the center. The fact that the FDA has approved it proves that Proteus seriously cares about its users. While most of the other companies tries not to deal with FDA regulations and try to take much simpler path Proteus Health “ has gone through vigorous approval processes by multiple agencies, addresses real clinical concerns, and may have a major impact on patient outcomes.” (9) Due to this fact it not only appeals to costumers but to clinicians as well. This is very important in health sector as we have to think not just about the patients but also about the health care providers, whether they too are willing to adopt this technology.

Design student Z: Another important thing about a product is the user's experience with it. I think this technology is really appealing because to reiterate again, it puts the users and their experiences at its center. Proteus Digital Health chief product office has said, “Part of the challenge is you have to have the technology disappear and you have to focus on something else. We feel strongly you have to focus on the consumer.” (10) And I think they have done it very well through this technology. Because the focus of their technology is not their product itself but the network or connection between the people involved. The connection between the patient and his/her family members, the connection between the doctor or caregiver and the patient these are the main focus of the product. Similarly, it has really empathized with its costumers as well. For instance, Laura is always worried about her aging mother who lives an hour away, and wishes she could do more for her mother, and make sure if she’s taking her meds or assist in her care. “This is a common problem for many families, in which elderly parents live just far enough away that their adult children can’t help them with their day-to-day care.” (11) Proteus Digital Health has really empathized with them and thus provided them the way to stay connected with their parents and help them in her care. I think this is what makes this product so great.


Design student Y: Well, is it now?

Design student Z: What's wrong with him?

Design student X: Just ignore him.