ECG-enabled personal emergency response systems

• US 9,177,459 B2
• Filed: 04/21/2015
• Issued: 11/03/2015
• Est. Priority Date: 05/16/2012
• Status: Expired due to Fees

• Current Assignee: Innovage LLC (Innovage)
• Original Assignee: Innovage LLC (Innovage)
• Inventors: Sholder, Jason A.
• Primary Examiner(s): Blount, Eric
• Application Number:
  US14/691,717
• Publication Number:
  US 20150228176A1
• Time in Patent Office: 196 Days
• Field of Search: 340/539.12, 340/539.13, 600/300, 600/301
• US Class Current: 1/1
• CPC Class Codes: A61B 2560/0468 Built-in electrodes
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/1112 Global tracking of patients, e.g. by using GPS
• CPC Class Codes: A61B 5/1117 Fall detection
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/6898 Portable consumer electronic devices, e.g. music players, telephones, tablet computers
• CPC Class Codes: A61B 5/7415 Sound rendering of measured values, e.g. by pitch or volume variation A61B5/741 takes precedence
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61B 5/747 in case of emergency, i.e. alerting emergency services
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: G08B 21/02 Alarms for ensuring the safety of persons
• CPC Class Codes: G08B 21/0211 Combination with medical sensor, e.g. for measuring heart rate, temperature
• CPC Class Codes: G08B 21/0269 System arrangements wherein the object is to detect the exact location of child or item using a navigation satellite system, e.g. GPS
• CPC Class Codes: G08B 21/0283 via a telephone network, e.g. cellular GSM
• CPC Class Codes: G08B 21/043 : detecting an emergency event, e.g. a fall
• CPC Class Codes: G08B 21/0446 : worn on the body to detect changes of posture, e.g. a fall, inclination, acceleration, gait
• CPC Class Codes: G08B 25/001 : Alarm cancelling procedures or alarm forwarding decisions, e.g. based on absence of alarm confirmation
• CPC Class Codes: G08B 25/016 : Personal emergency signalling and security systems emergency non-personal manually actuated alarm activators G08B25/12
• CPC Class Codes: G16H 40/67 : for remote operation

Abstract

The invention provides personal emergency response systems (PERS) with expanded life-saving capabilities. One embodiment of the invention provides a wearable PERS pendant that incorporates a cell phone transmitter or transceiver, a GPS location system, an accelerometer-based fall detector that automatically triggers an alert, and an electrocardiogram (ECG) recorder permitting a remote service center or medical personnel to receive and respond to transmitted alerts and electrocardiographic data.

Claims

1. A personal emergency response system apparatus, comprising:

a portable housing sized and configured to be hand carried, held in pocket, or removably attached to a human user or clothing worn by the user;

at least one processor;

processor-accessible memory;

processor-implementable computer instructions stored in the processor-accessible memory;

a cellular telephone transmitter or cellular telephone transceiver operably linked to the processor;

a speaker operably linked to the processor;

an electrocardiographic monitoring circuit operably linked to the processor;

electrocardiographic monitoring electrodes operably connected to the electrocardiographic monitoring circuit, said electrodes being at least partially externally disposed for contact with the user'"'"'s body; and

a user input device operably linked to the processor,

wherein the at least one processor, the processor-accessible memory, the cellular telephone transmitter or transceiver and the electrocardiographic monitoring circuit are disposed within the housing,

wherein said computer instructions are configured to direct the at least one processor to perform the steps of;

transmitting the electrocardiographic data obtained from a user using the apparatus to at least one remote recipient using the cellular telephone transmitter or transceiver, and

in response to operation of the user input device, transmitting an emergency alert message to at least one remote recipient using the cellular telephone transmitter or transceiver,

wherein the apparatus is configured to automatically initiate electrocardiographic data recording in response to a drop in impedance between the ECG electrodes when said electrodes are contacted with the user'"'"'s body, and

wherein the apparatus is configured to audibly indicate to the user via the speaker when proper contact with the user'"'"'s skin to detect an ECG signal is made.

2. The apparatus of claim 1, wherein the apparatus is configured to configured to audibly indicate to the user via the speaker when the ECG recording has been completed.

3. The apparatus of claim 1, wherein the apparatus is further configured to automatically initiate the electrocardiographic data recording after the drop in impedance is maintained without interruption for a preset duration.

4. The apparatus of claim 1, wherein the computer instructions are further configured to direct the at least one processor to perform the step of:

storing electrocardiographic data obtained from a user by contacting the apparatus of the user with the user'"'"'s body in the computer-accessible memory of the apparatus.

5. The apparatus of claim 1, further comprising a microphone and a speaker, each operably linked to the cellular telephone transmitter or transceiver module.

6. The apparatus of claim 1, further comprising a geographic location detection device capable of detecting the geographic location of the apparatus, said geographic location detection device operably linked to the processor, and

wherein the computer instructions are further configured to direct the at least one processor to perform the step of:

in response to actuation of the user input device, transmitting the geographic location of the apparatus as determined by the geographic location detection device to at least one remote recipient using the cellular telephone transmitter or transceiver.

7. The apparatus of claim 6, wherein the geographic location detection device comprises a GPS or A-GPS module.

8. The apparatus of claim 1, further comprising one or both of a tilt-switch and an accelerometer operably linked to the at least one processor, and

wherein the computer instructions are further configured to direct the at least one processor to perform the step of:

in response to the detection by one or more of the tilt-switch and the accelerometer of a change in one or more of orientation and acceleration, transmitting an emergency response message to at least one remote recipient using the cellular telephone transmitter or transceiver.

9. The apparatus of claim 1, further comprising:

a geographic location detection device capable of determining the geographic location of the apparatus, said geographic location detection device operably linked to the processor; and

one or both of a tilt-switch and an accelerometer, operably linked to the at least one processor, and

wherein the computer instructions are further configured to direct the at least one processor to perform the steps of;

in response to operation of the user input device, transmitting an emergency alert message comprising the geographic location of the apparatus as determined by the geographic location detection device to at least one remote recipient using the cellular telephone transmitter or transceiver, and

in response to the detection by one or more of the tilt-switch and the accelerometer of a change in one or more of orientation and acceleration, transmitting an emergency alert message, transmitting an emergency alert message comprising the geographic location of the apparatus as determined by the geographic location detection device to at least one remote recipient using the cellular telephone transmitter or transceiver.

10. The apparatus of claim 1, further configured to store baseline electrocardiographic information obtained using the apparatus in the computer accessible memory of the apparatus.

11. A multi-user personal emergency response system, comprising:

a plurality of personal emergency response system (PERS) apparatuses according to claim 1, each assigned to an individual user; and

a central monitoring computer system remote from the plurality of PERS apparatuses, comprising;

at least one processor,

processor-accessible memory operably linked to the at least one processor,

processor-implementable computer instructions recorded in the processor-accessible memory,

at least one communications module capable of receiving data transmitted by the plurality of personal emergency response systems apparatuses; and

at least one display operably linked to the at least one processor, wherein said computer instructions are configured to direct the at least one processor to perform the steps of;

storing electrocardiographic data received by the central monitoring system from a personal emergency response system apparatus of a user in the processor-accessible memory of the central monitoring computer system, wherein said data is correlated to the user therein.

12. A method for configuring a personal emergency response system device for electrocardiographic evaluation of a human user:

as a user, obtaining baseline electrocardiographic data from oneself by contacting the ECG electrodes of a personal emergency response system apparatus according to claim 1 with one'"'"'s body under non-emergency conditions for a period of time,

wherein the obtained baseline electrocardiographic data is automatically stored in a processor-accessible memory for later retrieval.

13. The method of claim 12, wherein the period of time is at least 5 seconds.

14. The method of claim 12, wherein the processor-accessible memory is the processor-accessible memory of the personal emergency response system apparatus.

15. The method of claim 12, wherein the processor-accessible memory is processor-accessible memory of a remote computer system.

16. A personal emergency response system apparatus, comprising:

a portable housing sized and configured to be hand carried, held in pocket, or removably attached to a human user or clothing worn by the user;

at least one processor;

processor-accessible memory;

processor-implementable computer instructions stored in the processor-accessible memory;

a wireless transmitter or transceiver operably linked to the processor;

a speaker operably linked to the processor;

an electrocardiographic monitoring circuit operably linked to the processor;

electrocardiographic monitoring electrodes operably connected to the electrocardiographic monitoring circuit, said electrodes being at least partially externally disposed for contact with the user'"'"'s body; and

a user input device operably linked to the processor,

wherein the at least one processor, the processor-accessible memory, the wireless transmitter or transceiver and the electrocardiographic monitoring circuit are disposed within the housing,

wherein said computer instructions are configured to direct the at least one processor to perform the steps of;

transmitting the electrocardiographic data obtained from a user using the apparatus to at least one remote recipient using the transmitter or transceiver,

in response to operation of the user input device, transmitting an emergency alert message to at least one remote recipient using the transmitter or transceiver,

wherein the apparatus is configured to automatically initiate electrocardiographic data recording in response to a drop in impedance between the ECG electrodes when said electrodes are contacted with the user'"'"'s body, and

wherein the apparatus is configured to audibly indicate to the user via the speaker when proper contact with the user'"'"'s skin to detect an ECG signal is made.

17. The apparatus of claim 16, wherein the wireless transmitter or transceiver is configured to transmit the electrocardiographic data and the emergency alert message via a communications base station at the user'"'"'s residence.

18. The apparatus of claim 17, wherein the communications base station is connected to a non-cellular telephone network.

19. The apparatus of claim 16, wherein the wireless transmitter or transceiver is configured to transmit the electrocardiographic data and the emergency alert message over a wireless communications network without the use of a dedicated communications base station at the user'"'"'s residence.

20. The apparatus of claim 16, further configured to store baseline electrocardiographic information obtained using the apparatus in the processor-accessible memory of the apparatus.