This application claims the benefit of U.S. Provisional Application No. 62/959,089 filed Jan. 9, 2020, entitled Wearable Band with Primary Battery Providing Location Presence and Fall Detection.
Today's growing senior population wants to age in place. Families want to support their independence, worry-free, knowing loved ones are safe, while living apart. Consequently, relatively healthy older adults are often at risk for accidents in the home, the most common being falls. In other cases, an older adult may live with their children, but may be left alone while their children are at work or engaging in other activities. As adults advance in age, they may suffer cognitive difficulties such as Alzheimer's disease or dementia. The consequences of wandering vary from minor injuries, to high search and rescue costs and death. In these scenarios, older adult's caregivers have a need to monitor the status of older adult's whereabouts. In the following discussion of prior art, the term “subject” refers to the person whose health and location is of concern and to be monitored.
There have been inventions to address this need that involve wearable devices with associated sensing and communication capabilities. U.S. Pat. No. 8,766,789 by Cosentino et al, entitled First emergency response device discloses a wearable device that functions mainly as a subject-activated means for requesting emergency assistance. The device includes a button for the subject to activate in the event of a health emergency. This use case assumes that the subject is conscious and with sufficient mental acuity to perform the activation. There are many health related emergencies where this would not be the case, for example in the event of severe coronary arrest that results in a fall, or an accidental fall where the subject struck their head and was unconscious.
U.S. Pat. No. 7,893,844 by Gottlieb, entitled Fall detection system having a floor height threshold and a resident height detection device discloses a fall detection system that may be implemented with a range of height detection sensors that are used to determine the subject's height in relation to a reference structure. All of the height sensing technologies require a subject-worn sensor and a second reference sensor to provide an operable level of accuracy. Because of this requirement to wirelessly communicate with respect to the reference sensors, the power consumption of the subject-worn device will be significant, requiring that the device be removed or powered down often for recharging or battery replacement.
An imperative for a wearable alert device is constancy of monitoring and access, therefore the device must be worn or be accessible by the subject at all times. If a subject removed the device even briefly, for example while bathing, the device would potentially be out of reach in the case of a fall or other significant incapacitating health emergency. A device that is subject to frequent charging or battery replacement is more likely to be forgotten, or for the subject to decide not to retain the device.
To solve these drawbacks to the above mentioned inventions, what is required is an always-worn, long battery life monitoring device that reliably senses a fall. Location is another valuable sensing function for such a device. This always-worn device would also provide a subject-activated alert function so that the subject can alert caregivers in the event of a wide range of health-related or otherwise distress situations. Additionally the device should not be easily removable by the subject, insuring significant constancy of monitoring.
The wearable band providing location presence and fall detection is a system that functions continuously to monitor the location of the band wearing subject and to automatically communicate an alert to caregivers if the subject experiences a fall. The wearable band providing location and fall detection system is comprised of a wearable band device, a local communication gateway, and a cloud software application. The wearable band device includes a microcontroller, a fall detection subsystem, a wireless communication subsystem, and a battery. The fall detection and wireless communication subsystems are configured to use minimal power such that the band device can thus be worn continuously for many months without the need to re-charge or replace the battery. The band may also include a closure system that requires the use of two hands to remove the device from the subject's wrist.
The local communication gateway is line powered and is always on. The wearable band provides continuous information on the location of the band subject by periodically and briefly communicating with the gateway. If the band subject moves out of range of wireless communication with the gateway, absence of the periodic communication triggers the gateway to send a message with that information to the cloud application, which in turn will alert the subject's caregivers and/or other responders.
Likewise the fall detection sensing subsystem is configured to continuously monitor band motion. If a human fall motion is detected, the wireless communication subsystem is powered on and a fall alert message is sent to the gateway which in turn sends a fall alert message to the cloud server. The cloud application is programmed to alert the subject's caregivers and/or other responders.
In one embodiment the band includes an easily accessible button that the subject can press in the event of experiencing distress. When the button is pressed, the wireless communication subsystem is powered on and sends a message to the gateway, which in turn transmits an alert message to the cloud server. The cloud application is programmed to alert the subject's caregivers and/or other responders.
In another embodiment the wearable band includes a lower power display, for example an E-ink display that does not require power to maintain content on the display. In the event of a fall or distress button press, the display will show the subject's relevant information for the attending caregivers or responders.
Referring now to
In one embodiment MCU 2 is part number ATSAMD21G18A-48QFN, manufactured by Microchip, Inc. of Chandler, Ariz., and RF communication module 10 is part number NINA-W1X-102, manufactured by u-blox of Thalwil, Switzerland. Radio-frequency (RF) communication module 10 incorporates an ESP32 Wifi-Bluetooth LE combo integrated circuit (IC), manufactured by Espressif Systems of Shanghai, China. The ESP32 IC is an ultra-low power device. In one embodiment accelerometer 14 is part number ADXL345, manufactured by Analog Devices of Norwood, Mass.
In one embodiment display 30 is a tri-color E-ink display that will retain an image when power is turned off.
In one embodiment RFID transmitter subsystem 6 includes a Si4012 crystal-less transmitter IC that is configured to transmit data in the 915 MHz ISM band.
In one embodiment acoustic transducer is a small piezoelectric transducer. In another embodiment acoustic transducer is a small full range speaker such as is found in many smartphones.
In one embodiment battery 18 is comprised of two AAAA size primary zinc manganese-dioxide batteries with a capacity of 700 milliamp hours (mAh).
In another embodiment the band includes a removable, rechargeable battery module. The removable battery module includes a lithium polymer cell, a protection circuit, and a V+ and ground charging contact.
In another embodiment wearable band electronics subsystem includes an audio processing subsystem comprised of a CODEC and a microphone.
In another embodiment electronics subsystem includes an external USB port to support functions such as updating software and adding new graphics files without utilizing internal battery power.
Gateway 5 includes an electronics subsystem comprising an MCU 78, an RFID receiver 86, a power conversion subsystem 106, an Ethernet transceiver subsystem 102, a Wifi transceiver 90 configured as an access point, and a backup battery 98 connected to power supply subsystem 106. Gateway 5 is normally powered by AC power by use of an external AC-DC converter.
In one embodiment Wifi transceiver 90 is part number NINA-W1X-102, manufactured by u-blox.
In one embodiment RFID receiver 86 is part number Si4355 Low Current sub-GHz receiver and is configured to receive data transmissions from RFID transmitter 6.
In another embodiment both band 1 and gateway 5 incorporate a low power integrated UHF transceiver operating at 915 MHz as the RFID communication subsystem, specifically, part number SX1231, manufactured by Semtech Corporation of Camarillo, Tex. The use of this transceiver part provides a low power bi-directional communication link between band 1 and gateway 5.
In another embodiment gateway includes a cellular data modem that communicates with cloud server via the cellular data network.
In another embodiment gateway 5 includes a GSM cellular modem for communication with cloud server. In one embodiment GSM transceiver is part number SARA-G450, a Quad-band GSM/GPRS module.
In another embodiment a gateway includes a charging dock for charging one or more rechargeable band battery modules. In this embodiment, the gateway includes a lithium ion battery charging subsystem.
Mechanical Hardware
When assembled, flexible enclosure provides ingress protection rated at IP68, dust tight and immersible in one meter of water or more.
Lockable Band
In one embodiment wearable band includes a conventional buckle with a frame, bar, and prong. In another embodiment buckle is configured with a lock mechanism that requires two hands and a tool to unlock. Referring now to
After band 1 is placed on the wrist and buckle 41 is fastened, lock pin 118 is placed between boss A 130 and boss B 134 on frame 110. Screw A 114 is placed through a boss A 130 and screwed into lock pin 118. Screw B 116 is placed through a boss B 134 and screwed into the opposite side of lock pin 118. Prong 126 is configured with a protrusion such that when lock pin 118 is fixed in place, prong 126 is substantially constrained against the flat portion of frame 110 and buckle 41 cannot be unbuckled.
In one embodiment each of screw A 114 and screw B 134 are Torx flat head M1.6 thread size screws with a length of 3 millimeters. In one embodiment frame 110, prong 126, and lock pin 118 are made of stainless steel. Prong 126 is manufactured by metal injection-molding with a straight protrusion that is bent around bar 122 during band 1 assembly. Band 1 is not removable by the subject since lock pin 118 will rotate if a Torx screwdriver is applied to unscrew one of screw A 114 or screw B 116. Therefore in this embodiment two Torx screwdrivers are required to unbuckle buckle 41.
Accelerometer 14 is a microelectromechanical system (MEMS) device configured for continuous low-power processing for sensing acceleration patterns indicative of a body falling from a substantially vertical orientation. In the embodiment incorporating part number ADXL345, the IC register setup and algorithm for human body fall detection is described in detail in the application note entitled “Detecting Human Falls with a 3-Axis Digital Accelerometer”, published by Analog Devices, and is incorporated here by reference.
RFID transmitter 6 data transmission packet includes the following data: 1) unique band identification number, and 2) battery charge state. In one embodiment RFID data transmission packet is encoded with 128-bit encryption.
In one embodiment wearable band 1 is designed to be worn by a user continuously without charging and therefore operates with extremely low power consumption to function as described herein for approximately one year.
In one embodiment wearable band 1 hardware and software is configured with three modes of operation:
Deep Sleep—All subsystems are powered down except for 1) a clock timer subsystem internal to MCU 2 and 2) accelerometer 14. The total power consumption in this mode is approximately 5 μA (microamps).
RFID Ping—A timer clock subsystem in MCU 2 functions as a counter to periodically wake specific subsystems in MCU 2, which executes software instruction to activate RFID transmitter IC 6. In one embodiment RTC subsystem wakes every 10 minutes to trigger RFID transmitter IC 6 to send a data transmission packet (a pulse transmission). In one embodiment MCU 2 wake-up and signaling to RFID transmitter IC 6, and subsequent RFID pulse transmission occurs in approximately 0.25 seconds. The net system power consumption during this function is 60 milliamps. Therefore band 1 operating at a 10 minute ping period for one year will use 31 percent of battery 18 with a 700 mAh capacity.
Fall Detection—Accelerometer 14 is configured to trigger MCU 2 interrupt upon three distinct events that are indicative of a body falling from a standing orientation: 1) freefall (gravity-like acceleration), 2) impact (sudden deceleration), and 3) minimal motion.
Fall Detection Function
Before a fall, MCU 2 is in Deep Sleep mode. Accelerometer 14 is operational and set up to detect falling, impact, and minimal motion. The maximum accelerometer 14 power consumption in this state is 120 μA. During periods of inactivity accelerometer 14 is in a deep sleep mode with lower power consumption.
Referring now to
The absence of at least one of the two interrupts indicates that a fall has not happened. In that case a timer interval executing on MCU 2 expires and software instructions function to revert MCU 2 back into Deep Sleep mode.
Upon receiving the three acceleration interrupts sequentially, and within a specific time frame, MCU 2 enters a higher power functional mode. RF communication subsystem 10, display 30 and driver circuitry, are also powered on. Referring to
RF communication Link Established—RF communication subsystem 10 connects to a Wifi access point in gateway 5. Gateway 5 Ethernet transceiver subsystem 102 is also connected to internet cloud server 9.
Fall Alert Message—Referring again to
Medical Alert Message on Display—The Fall Alert software routine executing on MCU 2 erases the existing image on display 30, and writes a text message with the user's name, contact info of a responsible party, and relevant medical information, for example listing chronic conditions or medication information.
Sound Alert—In embodiments that include a sound transducer in band 1, the Fall Alert software routine executing on MCU 2 also triggers periodic audio alerts via the sound transducer.
Live Man Switch—The Fall Alert software routine executing on MCU 2 monitors switch 42 associated with the button 62 on wearable band 1. If the user activates button 62 within a specific time period after a Fall Alert has been transmitted, a Fall Alert Termination message is sent via the communication link described herein, to the responsible party.
Distress Alert—If button 62 on wearable band 1 is activated at any time not during a Fall Alert function, a Distress Alert message is sent to responsible parties via the communication link described herein.
Emergency Medical Services Call—Optionally cloud server 9 response control application 64 may be configured to send a text message and/or call to a first responder 21, such as an Emergency Medical Services (EMS) provider near the location of the subject, which dispatches EMS to the subjects's location. In this case cloud database 46 includes the physical address of the subject.
Real Time Audio Link—In the embodiment where wearable band 1 includes an audio processing subsystem and full range speaker, a voice link is established with one or more of the following, 1) an automated attendant, 2) a call center with live attendant 13, and 3) a nearby caregiver 25. Response Control application 64 includes an IP telephony software application that routes the audio stream to the selected entities.
Location Presence Function
Gateway 5 MCU 82 executes a Location Monitoring software application that monitors the periodic RFID pulse transmissions from band 1. The Location Monitoring application is programmed to control an MCU 82 clock timer that resets upon receipt of a pulse transmission from wearable band 1. Assuming a 10 minute transmission pulse period, if a pulse is not received from wearable band 1 within 10.2 minutes from the last pulse transmission, gateway 5 will send a Location Alert message to cloud server 9.
In another embodiment, Location Monitoring application 104 includes a settings function to allow a caregiver to select a band 1 distance from gateway 5 at which a Location Alert message is sent to cloud server 9. The signal strength of band 1 pulse transmissions can be used to calculate the approximate distance between band 1 and gateway 5. The distance setting sent to gateway 5 is based on this distance calculation and will allow a caregiver to customize the allowable distance that a subject wearing band 1 can travel before a Location Alert message is sent.
The receipt of a Location Alert message by Response Control application 64 will likewise trigger a number of actions including an automatic text message/call transmitted to a responsible party stating that the subject has left the vicinity of gateway 5. In another embodiment a nearby responsible party receives a text message or other notification that includes a link to a map with the home location. In another embodiment where the subject lives in an assisted care facility, the text message/call is sent to responsible parties at the facility.
In another embodiment a text message is sent to the nearest law enforcement office.
Band Subject State Data Access
The data associated with band 1 subject such as location, fall detection, and other data is aggregated on cloud server 9 and is formatted for presentation by Response Control application 64 in a variety of formats. In one embodiment the data is available via a secure website that is accessible to responsible parties and requires a login and password.
In another embodiment the data is available to authenticated responsible parties via a smartphone Caregiving app 17 that includes push notification capability. Caregiving app 17 user can choose to be notified via on-screen and/or audible notifications in the case of a band 1 subject leaving the vicinity of the home location, and in the case of a fall detection event.
In another embodiment a pulse oximetry sensor is integrated into the band enclosure along the bottom surface so that the sensor is substantially in proximity with the skin. An exemplary sensor is part number MAX20102 High-Sensitivity Pulse Oximeter and Heart-Rate Sensor for Wearable Health, manufactured by Maxim Integrated Products, Inc., of San Jose, Calif. The sensor is nominally unpowered and is activated in the event of a fall or activation of the distress button. During one of these events, the subject's pulse oxygen level and heart rate are sensed and the data are sent to the cloud server where it is then distributed to the various responsible parties.
Each of C-spring A 178, C-spring B 174, C-spring C 202, and C-spring D 198 are fabricated out of spring steel sheet metal and are stamped with a permanent bend that is configured with a larger free width dimension—dimension W in
In an alternative embodiment, gateway is implemented with the Amazon Alexa interactive application. In Fall Detection mode, in addition to the processes described above, a software application running on MCU also includes programming for real-time voice interaction between wearable band 1 and the Alexa gateway. The subject interacts with Alexa to provide their status, describe their location, or terminate the fall alert. Alexa will update the subject as to the actions taken, for example annunciating that the responsible parties (by name), and or help such as EMS, has been alerted to the event.
In an alternative embodiment, communication between smart home connected devices/system/hub may activate/deactivate or otherwise control 1) locking/unlocking doors, 2) home alarm system, 3) doorbell/outside video camera (real-time viewing, recording), 4) smart lightbulbs in rooms upon entry, for example where gateway with speaker capability or where an inexpensive Android mobile phone is implemented with the Amazon Alexa interactive application or other to create a secure, private wireless communication providing actions between wearable and other. Updatable firmware in gateway/mobile phone provides instructions to smart home connected home devices/hub to begin and end actions based on wearable band's signals that have been selected in the subject's web account in the cloud. Communication and actions through software, wearable band and connected devices extend user's safety and protection safely enabling connected devices to make actions.
In Fall Detection mode, in addition to the processes described above, software application running on MCU also includes programming for real-time voice interaction between wearable band and Alexa gateway. In Location mode, in addition to the process described above, software application running on the MCU also includes programming for real-time interaction between wearable band and Ring camera, simpliSafe gateway, smart light bulbs and the like.
In one embodiment the periodic low power pulse transmission for location data, and Fall Alert messages configured to connect to a Low Power Wireless Network (LPWAN).
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
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