Vital%20Signs%20Alarm%20Systems%20for%20Cryonicists - PowerPoint PPT Presentation

Title: Vital%20Signs%20Alarm%20Systems%20for%20Cryonicists


1
Vital Signs Alarm Systems for Cryonicists

• Ben Best
• Past President Cryonics Institute
• Life Extension Foundation Director
  of Research Oversight

2
Cryonics Links to Future Life

• Timely pronouncement response at legal death
• Well-equipped and well-trained standby team
• Well-equipped and skillful perfusion team
• Well-equipped and stable storage organization

A chain is only as strong as its WEAKEST LINK
3
Historically, less than half of cryonicists who
have arranged for standby have actually received
standby at deanimation, although the situation
has improved in recent years
4
Most of those who receive standby are cryonicists
dying of cancerSudden death does not allow for
standby team involvement
5
Sudden Cardiac Death (SCD)

• Males aged 20-64
• 32 of all deaths due to SCD
• 25 showed no prior sign of heart disease
• AMERICAN JOURNAL OF CARDIOLOGY 43313 (1979)
• Males aged 45-75
• 60 of SCDs had no prior evidence of heart
  disease
• CIRCULATION 51606 (1975)
• After menopause heart disease is the number one
  cause of death in women, and is comparable to the
  rate of death in men

6
Cryonicists living alone

• Many elderly cryonicists live alone
• Cryonics Institute (CI) Member Hugh Hart (45th
  patient)
• Died on a Friday and was not discovered until
  Monday
• Alcor Patient FM2030
• Dead for about a week in his apartment
• CIs 76th patient was a paraplegic found dead in
  his wheelchair on Christmas Day
• Elderly CI patient found dead in bed in the
  morning by his landlady (asked for daily checkup)

7
Cryonicists not living alone

• A CI activist was discovered by his spouse lying
  on the floor of a room of their house, dead for
  hours
• Young CI patient found dead in bed in the morning
  was preserved by a relative
• Alcor 2012 conference Martine Rothblatt
  calculated only 3 chance of unobserved death
• My CI experience 10-20 (living alone or not)
• A cryonics-friendly spouse could awaken to
  discover the cryonicist spouse dead in their bed

8
Medic Alert Systems (panic-button systems) could
help

• Some elderly cryonicists have lain on the floor
  who could have been saved by a panic-button
  system
• Panic-button systems can alert cryonicists and
  cryonics organizations as well as 911
• 911 can give chest compressions/ventilations
  while driving to a hospital, even if the heart is
  stopped
• Declaration of death can be obtained at a
  hospital
• Cryonicists can rush to hospital and begin cooling

9
MEDIC ALERT SYSTEM REVIEW

• Top Ten Reviews rates Medical Guardian the best

10
MEDIC ALERT SYSTEM REVIEW

• Medical Alert Advice rates LifeStation the best

11
MobileHelp

• 24/7 call center (like all Medical Alert Systems)
• GPS and fall detector

12
MOBILE HELP

• Automatic fall detection pendant and wristband
  with panic button
• 10 extra per month for fall detection in
  wristband
• Only recommended for frail clients
• Pendant and wristband can communicate with base
  station or mobile device
• Could fall thousands of miles from home and base
  station GPS would provide location
• Recommends monthly testing (DEMONSTRATE)
• KeyGuard LockBox on my doorknob

13
ELECTRONIC CAREGIVER

• Panic button system with call center
• Has an activity sensor (pass by location daily)

14
ELECTRONIC CAREGIVER

• No pendants (troublesome or too easily activated)
• Inactivity detection system (affix to bedroom
  wall)
• Sends alarm if no activity 5-10 AM or 5-10 PM
• If expect to be away, can inactivate the alarm
• Forgot to inactivate or plans changed
• I was called on my cell phone
• Good for an elderly person usually at home
• Discontinued dont want to be on an airplane
  when I remember I forgot to inactivate
• Monthly testing requires notification before test

15
Valuable to monitor vital signs?Does not
require victim alertness

• Medical Alert System wont give rapid response if
  die in sleep or experience SCD
• Movement (bed alarm, inactivity alarm)
• X minutes with no movement
• Out of bed in the night to go to the bathroom
• Pet or companion in bed
• Nick Pavlicas bed alarm, too many false alarms
• Respiration
• Heartbeat, pulse

16
POLAR H7 HEART RATE SENSOR

• Heart-rate from chest strap bluetooth connection
• Communicate with Sweetbeat app

17
Sweetbeat iPAD app

• Resting HR and HRV
• iPAD app with Bluetooth connection to chest strap

18
Heart Rate Variability (HRV)

• Average Heart Rate (HR) 60-100
• Athlete HR usually below 60
• Heart Rate Variability measures variation in
  distances between ECG peaks
• HRV measures control of heart by autonomic
  nervous system
• High HRV indicates adaptive, flexible control of
  the body by the brain
• High HRV low stress, low HRV high stress
• Low HRV is predicts cardiovascular disease
• CIRCULATION 94(11)2850 (2012)

19
Heart Rate Recovery (HRR)

• HRR measure the drop in heart rate in Beats Per
  Minute (bpm) during the first minute after
  completion of endurance exercise
• HRR of less than12 bpm is highly associated with
  risk of cardiovascular death
• HRR of 12 bpm has about twice the risk of CV
  death as HRR of 25 bpm
  NEW ENGLAND JOURNAL OF MEDICINE 3411351
  (1999)

20
Heart Rate Recovery (HRR)
21
Heart Rate Recovery (HRR)
22
WAHOO FITNESS

• Heart rate monitor from chest strap

23
RUNTASTIC

• Heart-rate and GPS
• Chest strap

24
MyPulse

• Heart rate monitor from chest strap
• Low heart-rate alarm dials several phone numbers

25
MyPulse Wireless Heart Monitor

• Spent many years testing for use with Robert
  Ettinger
• Many connectivity and false alarm problems
• Helped with product development (may be better
  now)
• Robert Ettinger refused to wear a chest strap

26
SPREE SPORTS HEAD-BAND

• Senses heart-rate from head-band
• Freedom From Chest Straps (no alarm)

27
Withings Blood Pressure Monitor
28
Blood Pressure (Withings)

• iPAD app connects to Blood Pressure Monitor
• Pressing Start inflates the monitor cuff

29
Blood Pressure (Withings)

• Green line shows progress of measurement

30
Blood Pressure (Withings)

• Systolic Blood Pressure 126 mmHg
• Diastolic Blood Pressure 74 mmHg

31
Hexoskin iPAD app

• Measure heart rate, respiration rate, steps, etc
• 8-hour battery life

32
Hexoskin
33
TINKE

• Place thumb in computer-connected detector
• Get heart-rate, respiration-rate, and blood
  oxygen
• Monitoring of heart-rate is not continuous

34
TINKE
35
PC-60C FINGERTIP PULSE OXIMETER

• Gives heart-rate and blood oxygen
• Blood oxygen SpO2

36
NONIN FINGERTIP PULSE OXIMETER

• Gives heart-rate and blood oxygen
• Not continuous monitoring

37
HEARTMATH

• Measures heart-rate and HRV from earlobe

38
PERFORMEK IRIVERON

• Senses heart-rate from earphones

39
Cardiograph Android App

• Cover camera lens with finger tip
• Gives pulse rate and ECG display

40
Real Blood Pressure Android App

• Android cell phone application
• Finger tips on front and on camera lens
• Gives both pulse rate and blood pressure

41
Desired features

• Detection of loss of vital signs (heartbeat)
• CONTINUOUS and preferably rapid
• Comfortable and convenient to use (bathing)
• Sends messages by phone numbers, e-mail, etc.
• Preferably to a call center
• GPS is identified and transmitted with message
• Low power consumption, convenient to recharge
• Wirelessly operational anywhere
• False alarms minimal and easily-handled

42
Athena GTX

• Monitors ECG, SpO2, blood pressure, etc.
• Portable
• Requires prescription
• Not comfortable or convenient

43
NUVANT MCT

44
NUVANT MCT

• Continuous wireless heart monitor
• Requires prescription
• For patients vulnerable to cardiac arrhythmia
• Physician access
• Monitoring center

45
Coming Soon

• I have been hearing for over 15 years that
• The technology is trivial
• There will be soon be a consumer product
  available
• Cryonicists dont need to create the product
  themselves
• 2012/2013 has made a big difference
• Many convenient and helpful heart monitors have
  come on the market in 2013
• Canadian cryonicist Dennis started
  CryonicsVitalSignsAlert Yahoo group and has
  created a vital signs app for Android smartphones

46
Wristband Heart-Rate Monitors available in
January 2014

• Exmovere EMPATH Sensor Phone
• Basis Health Tracker
• Mio Alpha Heart Rate Monitor
• DREAM SPORT DG-BT TOP

47
Exmovere EMPATH Sensor Phone
48
Exmovere EMPATH Sensor Phone

• Watch, phone, contacts, FM radio, calculator
• Heart-rate, skin temperature moisture,
  pedometer, GPS
• 8-hour battery life
• Heart rate monitoring only when selected
• Heart rate monitoring interrupted by phone calls

49
Basis Health Tracker
50
Basis Health Tracker

• Periodic rather than continuous monitoring of
  heart-rate, skin temperature, steps, etc.
• Samples taken every 5 minutes in the background
• Not continuous, but frequent and automatic
• Values displayed on command, but quickly reverts
  to watch mode
• Communicates with bluetooth to smartphone and
  then to cloud (for internet access by PC/iPad)
• 80-hour battery life, can recharge while wearing
• Proprietary software ? Android ?

51
Basis Heart Rate ? One Day

• Online graphical display of a full day
• Heart rate elevated while exercising

52
Basis Sleep ? One Day

• Graphical display of light, deep, and REM sleep

53
Basis Activity ? One Day

• Display of HR, steps, skin temp, perspiration, etc

54
BASIS PEAK

• BASIS company bought by Intel in March 2014
• New product called BASIS PEAK
• Release date November 20, 2014
• Advertising emphasizes sleep tracking

55
DREAM SPORT DG-BT TOP

• Heart-rate monitor with GPS
• New from China January 2014 -- How to order?

56
ALPHA heart rate monitor

• New in 2012 gives CONTINUOUS heart-rate
• First heart-rate monitor worn as a watch
• Created for athletes
• www.alphaheartrate.com

57
Mio Alpha Heart Rate Monitor

• Watch (time) mode or heart rate mode ONLY
• Continuous monitoring of heart rate in HR mode
• Requires third party app (MapMyFitness)
• GPS from Android Smart phone
• Bluetooth 4 communication (low power bluetooth)
• 30-35 hour battery life
• One hour to charge
• When battery low, reverts to watch function

58
MIO ALPHA CHARGING

• Four brass contacts
• Charge from USB port or electrical socket

59
BASIS HEALTH TRACKER CHARGING

• Four brass contacts
• Charge from USB port or electrical socket
• Can wear while charging

60
Toronto Canada Dennis created app for Mio Alpha

• Dennis created Yahoo Group
• CryonicsVitalSignsAlerts
• Smart phone for Android operating system (O/S)
• Android is an open source O/S (can program)
• iOS on iPod and iPad is not open source
• Dennis has made his code open source for others
• When HR stops or slows, cyclically dials phone
  numbers in sequence, and leaves SMS messages

61
Denniss Android App

• Start/Stop Menu includes Settings option

62
Denniss Android App

• Can dial 3 numbers in cycles and send SMS

63
Denniss Android App

• Can set upper and lower HR to trigger alarm
• Can set number of warning beeps before dialing

64
Denniss Android App

• Message displayed after hitting Start

65
Denniss Android App

• SMS message gives location from GPS
• Phone number omitted for privacy reasons

66
Denniss Android App

• Message displayed after hitting Stop

67
Best coverage, January 2014

• MobileHelp Medical Alert System
• 24/7 call center availability
• Fall detection and emergency response
• GPS
• Electronic Caregiver Inactivity Alarm
• For elderly frail cryonicists living alone
• Mio Alpha Heart Rate Monitor
• Dennis Mathews app for Mio Alpha

68
Lost Bluetooth from February 2014

• My Droid Maxx android cell phone lost reliable
  Bluetooth connection to MIO ALPHA (GLOBAL)
• Worked intermittently until April 2014
• Search for devices lists available and paired
  devices, MIO GLOBAL usually not shown
• When MIO GLOBAL displayed as available and
  pairing is attempted, get message Couldnt pair
  with MIO GLOBAL because of an incorrect PIN or
  passkey
• No prompt for PIN or passkey

69
Moto 360 (September 2014)

• Android Wrist-watch app prompts for passkey
• Communicates with cell phone by Bluetooth
• Gives e-mail, steps, weather, cell phone, calls
• Heart-rate on command (not continuous)
• Requires once-daily charge

70
Lost Bluetooth from February 2014

• Moto 360 easily pairs with passkey
• MIO ALPHA support says pairing can only be done
  through third party apps like MapMyFitness
• MapMyFitness pairs without PIN or passkey
• Sweetbeat has paired without PIN or passkey
• At the November 2014 Laughlin conference, working
  with Dennis I was able to gain a Bluetooth
  connection for both my Droid Maxx and Nexus 5 to
  MIO ALPHA, but only through Denniss app, never
  directly through Bluetooth.

71
Lost Bluetooth from December 2014

• Moto 360 watch easily gains an Android Bluetooth
  pairing with my Droid Maxx cell phone with
  passkey
• MIO ALPHA watch was able to gain Bluetooth
  pairing with my Droid Maxx, Nexus 5, and iPAD
  without a passkey
• The Bluetooth connection was unreliable. More
  than once, the connection was lost with both cell
  phone devices simultaneously, and ultimately with
  all 3 devices. The problem is with MIO ALPHA
  Bluetooth.

72
MapMyFitness MioAlpha Monitor

• MIO ALPHA says Bluetooth connection only possible
  through an app like MapMyFitness
• Pairs without prompting for passkey

73
Sweetbeat iPAD app

• Resting HR and HRV
• iPAD app with Bluetooth connection to MIO ALPHA
• No password requested

74
SMART WATCHES FLOODING MARKET

• Too many features
• Apple watch, Pebble, Samsung Gear 2, etc
• Most give pulse rate, none continuous
• Pair with cell phone, usually proprietary software

75
Coming Soon

• I have been hearing for over 15 years that
• The technology is trivial
• There will be soon be a consumer product
  available
• Cryonicists dont need to create the product
  themselves
• 2013/2014 has made a big difference
• Not just empty promises as before
• ALMOST a cryonics-usable vital signs alert
  system
• Bluetooth problems soon be solved ?
• Panic button, fall detection, and activity
  monitoring systems can help many elderly
  cryonicists NOW