Vital Signs Alarm Systems for Cryonicists Ben Best Past President – Cryonics Institute Life Extension Foundation – Director of Research Oversight 1
Cryonics Links to Future Life Timely pronouncement & response at legal death n Well-equipped and well-trained standby team n Well-equipped and skillful perfusion team n Well-equipped and stable storage organization n A chain is only as strong as its WEAKEST LINK 2
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 3
Most of those who receive standby are cryonicists dying of cancer Sudden death does not allow for standby team involvement 4
Sudden Cardiac Death (SCD) n Males aged 20 -64 32% of all deaths due to SCD n 25% showed no prior sign of heart disease n n n Males aged 45 -75 n 60% of SCDs had no prior evidence of heart disease n n AMERICAN JOURNAL OF CARDIOLOGY; 43: 313 (1979) CIRCULATION; 51: 606 (1975) After menopause heart disease is the number one cause of death in women, and is comparable to the rate of death in men 5
Cryonicists living alone n n n Many elderly cryonicists live alone Cryonics Institute (CI) Member Hugh Hart (45 th patient) n Died on a Friday and was not discovered until Monday Alcor Patient FM 2030 n Dead for about a week in his apartment CI’s 76 th 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) 6
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 n Young CI patient found dead in bed in the morning was preserved by a relative n Alcor 2012 conference Martine Rothblatt calculated only 3% chance of unobserved death n n n My CI experience 10 -20% (living alone or not) A cryonics-friendly spouse could awaken to discover the cryonicist spouse dead in their bed 7
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 n “Panic-button systems” can alert cryonicists and cryonics organizations as well as 911 n 911 can give chest compressions/ventilations while driving to a hospital, even if the heart is stopped n Declaration of death can be obtained at a hospital n Cryonicists can rush to hospital and begin cooling n 8
MEDIC ALERT SYSTEM REVIEW n Top Ten Reviews rates Medical Guardian the best 9
MEDIC ALERT SYSTEM REVIEW n Medical Alert Advice rates Life. Station the best 10
Mobile. Help 24/7 call center (like all Medical Alert Systems) n GPS and fall detector n 11
MOBILE HELP Automatic fall detection pendant and wristband with “panic button” n $10 extra per month for fall detection in wristband n n n Only recommended for frail clients Pendant and wristband can communicate with base station or mobile device n Could fall thousands of miles from home and base station GPS would provide location Recommends monthly testing (DEMONSTRATE) n Key. Guard Lock. Box on my doorknob n 12
ELECTRONIC CAREGIVER “Panic button” system with call center n Has an activity sensor (pass by location daily) n 13
ELECTRONIC CAREGIVER No pendants (troublesome or too easily activated) n Inactivity detection system (affix to bedroom wall) n n Sends alarm if no activity 5 -10 AM or 5 -10 PM If expect to be away, can inactivate the alarm n Forgot to inactivate or plans changed n n I was called on my cell phone Good for an elderly person usually at home n Discontinued: don’t want to be on an airplane when I remember I forgot to inactivate n Monthly testing requires notification before test n 14
Valuable to monitor “vital signs”? Does not require victim alertness Medical Alert System won’t give rapid response if die in sleep or experience SCD n Movement (bed alarm, inactivity alarm) n X minutes with no movement n Out of bed in the night to go to the bathroom n Pet or companion in bed n Nick Pavlica’s bed alarm, too many false alarms n Respiration n Heartbeat, pulse n 15
POLAR H 7 HEART RATE SENSOR Heart-rate from chest strap bluetooth connection n Communicate with Sweetbeat app n 16
Sweetbeat i. PAD app Resting HR and HRV n i. PAD app with Bluetooth connection to chest strap n 17
Heart Rate Variability (HRV) n Average Heart Rate (HR) 60 -100 n n Athlete HR usually below 60 Heart Rate Variability measures variation in distances between ECG peaks HRV measures control of heart by autonomic nervous system n High HRV indicates adaptive, flexible control of the body by the brain n High HRV = low stress, low HRV = high stress n Low HRV is predicts cardiovascular disease CIRCULATION 94(11): 2850 (2012) n 18
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 n HRR of less than 12 bpm is highly associated with risk of cardiovascular death n HRR of 12 bpm has about twice the risk of CV death as HRR of 25 bpm NEW ENGLAND JOURNAL OF MEDICINE 341: 1351 (1999) n 19
Heart Rate Recovery (HRR) 20
Heart Rate Recovery (HRR) 21
WAHOO FITNESS n Heart rate monitor from chest strap 22
RUNTASTIC Heart-rate and GPS n Chest strap n 23
My. Pulse Heart rate monitor from chest strap n Low heart-rate alarm dials several phone numbers n 24
My. Pulse Wireless Heart Monitor n n 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 25
SPREE SPORTS HEAD-BAND Senses heart-rate from head-band n “Freedom From Chest Straps” (no alarm) n 26
Withings Blood Pressure Monitor 27
Blood Pressure (Withings) i. PAD app connects to Blood Pressure Monitor n Pressing “Start” inflates the monitor cuff n 28
Blood Pressure (Withings) n Green line shows progress of measurement 29
Blood Pressure (Withings) Systolic Blood Pressure = 126 mm. Hg n Diastolic Blood Pressure = 74 mm. Hg n 30
Hexoskin i. PAD app n Measure heart rate, respiration rate, steps, etc n 8 -hour battery life 31
Hexoskin 32
TINKE Place thumb in computer-connected detector n Get heart-rate, respiration-rate, and blood oxygen n Monitoring of heart-rate is not continuous n 33
TINKE 34
PC-60 C FINGERTIP PULSE OXIMETER n Gives heart-rate and blood oxygen n Blood oxygen = Sp. O 2 35
NONIN FINGERTIP PULSE OXIMETER Gives heart-rate and blood oxygen n Not continuous monitoring n 36
HEARTMATH n Measures heart-rate and HRV from earlobe 37
PERFORMEK IRIVERON n Senses heart-rate from earphones 38
Cardiograph Android App Cover camera lens with finger tip n Gives pulse rate and ECG display n 39
“Real Blood Pressure” Android App n Android cell phone application n Finger tips on front and on camera lens n Gives both pulse rate and blood pressure 40
Desired features n Detection of loss of vital signs (heartbeat) n CONTINUOUS and preferably rapid Comfortable and convenient to use (bathing) n Sends messages by phone numbers, e-mail, etc. n n Preferably to a call center GPS is identified and transmitted with message n Low power consumption, convenient to recharge n Wirelessly operational anywhere n False alarms minimal and easily-handled n 41
Athena GTX n n Monitors ECG, Sp. O 2, blood pressure, etc. Portable Requires prescription Not comfortable or convenient 42
NUVANT MCT 43
NUVANT MCT n n Continuous wireless heart monitor Requires prescription n For patients vulnerable to cardiac arrhythmia Physician access Monitoring center 44
“Coming Soon” n I have been hearing for over 15 years that The technology is trivial n There will be soon be a consumer product available n Cryonicists don’t need to create the product themselves n 2012/2013 has made a big difference n Many convenient and helpful heart monitors have come on the market in 2013 n Canadian cryonicist Dennis started Cryonics. Vital. Signs. Alert Yahoo group and has created a vital signs app for Android smartphones n 45
Wristband Heart-Rate Monitors available in January 2014 n Exmovere EMPATH Sensor Phone n Basis Health Tracker n Mio Alpha Heart Rate Monitor n DREAM SPORT DG-BT TOP 46
Exmovere EMPATH Sensor Phone 47
Exmovere EMPATH Sensor Phone Watch, phone, contacts, FM radio, calculator n Heart-rate, skin temperature & moisture, pedometer, GPS n 8 -hour battery life n Heart rate monitoring only when selected n Heart rate monitoring interrupted by phone calls n 48
Basis Health Tracker 49
Basis Health Tracker Periodic rather than continuous monitoring of heart -rate, skin temperature, steps, etc. n Samples taken every 5 minutes in the background n n Not continuous, but frequent and automatic Values displayed on command, but quickly reverts to watch mode n Communicates with bluetooth to smartphone and then to “cloud” (for internet access by PC/i. Pad) n 80 -hour battery life, can recharge while wearing n Proprietary software ? Android ? n 50
Basis Heart Rate ― One Day Online graphical display of a full day n Heart rate elevated while exercising n 51
Basis Sleep ― One Day n Graphical display of light, deep, and REM sleep 52
Basis Activity ― One Day n Display of HR, steps, skin temp, perspiration, etc 53
BASIS PEAK BASIS company bought by Intel in March 2014 n New product called BASIS PEAK n Release date November 20, 2014 n Advertising emphasizes sleep tracking n 54
DREAM SPORT DG-BT TOP Heart-rate monitor with GPS n New from China January 2014 -- How to order? n 55
ALPHA heart rate monitor New in 2012 – gives CONTINUOUS heart-rate n First heart-rate monitor worn as a watch n Created for athletes n www. alphaheartrate. com n 56
Mio Alpha Heart Rate Monitor Watch (time) mode or heart rate mode ONLY n Continuous monitoring of heart rate in HR mode n Requires third party app (Map. My. Fitness) n GPS from Android Smart phone n Bluetooth 4 communication (low power bluetooth) n 30 -35 hour battery life n One hour to charge n When battery low, reverts to watch function n 57
MIO ALPHA CHARGING Four brass contacts n Charge from USB port or electrical socket n 58
BASIS HEALTH TRACKER CHARGING Four brass contacts n Charge from USB port or electrical socket n Can wear while charging n 59
Toronto Canada Dennis created app for Mio Alpha n Dennis created Yahoo Group n n Cryonics. Vital. Signs. Alerts Smart phone for Android operating system (O/S) Android is an open source O/S (can program) n i. OS on i. Pod and i. Pad is not open source n Dennis has made his code open source for others n When HR stops or slows, cyclically dials phone numbers in sequence, and leaves SMS messages n 60
Dennis’s Android App n Start/Stop Menu includes Settings option 61
Dennis’s Android App n Can dial 3 numbers in cycles and send SMS 62
Dennis’s Android App Can set upper and lower HR to trigger alarm n Can set number of warning beeps before dialing n 63
Dennis’s Android App n Message displayed after hitting “Start” 64
Dennis’s Android App SMS message gives location from GPS n Phone number omitted for privacy reasons n 65
Dennis’s Android App n Message displayed after hitting “Stop” 66
Best coverage, January 2014 n Mobile. Help Medical Alert System 24/7 call center availability n Fall detection and emergency response n GPS n n Electronic Caregiver Inactivity Alarm n For elderly frail cryonicists living alone Mio Alpha Heart Rate Monitor n Dennis Mathew’s app for Mio Alpha n 67
Lost Bluetooth from February 2014 My Droid Maxx android cell phone lost reliable Bluetooth connection to MIO ALPHA (GLOBAL) n Worked intermittently until April 2014 n “Search for devices” lists available and paired devices, MIO GLOBAL usually not shown n When MIO GLOBAL displayed as available and pairing is attempted, get message “Couldn’t pair with MIO GLOBAL because of an incorrect PIN or passkey” n No prompt for PIN or passkey n 68
Moto 360 (September 2014) n Android Wrist-watch app prompts for passkey n Communicates with cell phone by Bluetooth n Gives e-mail, steps, weather, cell phone, calls n Heart-rate on command (not continuous) n Requires once-daily charge 69
Lost Bluetooth from February 2014 Moto 360 easily pairs with passkey n MIO ALPHA support says pairing can only be done through third party apps like Map. My. Fitness n Map. My. Fitness pairs without PIN or passkey n Sweetbeat has paired without PIN or passkey n 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 Dennis’s app, never directly through Bluetooth. n 70
Lost Bluetooth from December 2014 Moto 360 watch easily gains an Android Bluetooth pairing with my Droid Maxx cell phone with passkey n MIO ALPHA watch was able to gain Bluetooth pairing with my Droid Maxx, Nexus 5, and i. PAD without a passkey n 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. n 71
Map. My. Fitness Mio. Alpha Monitor MIO ALPHA says Bluetooth connection only possible through an app like Map. My. Fitness n Pairs without prompting for passkey n 72
Sweetbeat i. PAD app n Resting HR and HRV n i. PAD app with Bluetooth connection to MIO ALPHA No password requested n 73
SMART WATCHES FLOODING MARKET Too many features n Apple watch, Pebble, Samsung Gear 2, etc n Most give pulse rate, none continuous n Pair with cell phone, usually proprietary software n 74
“Coming Soon” n I have been hearing for over 15 years that The technology is trivial n There will be soon be a consumer product available n Cryonicists don’t need to create the product themselves n 2013/2014 has made a big difference n Not just empty promises as before n ALMOST a cryonics-usable vital signs alert system n n n Bluetooth problems – soon be solved ? Panic button, fall detection, and activity monitoring systems can help many elderly cryonicists NOW 75
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