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

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Vital Signs Alarm Systems for Cryonicists

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

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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
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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
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Most of those who receive standby are cryonicists
dying of cancerSudden death does not allow for
standby team involvement
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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

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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)

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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

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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

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MEDIC ALERT SYSTEM REVIEW

• Top Ten Reviews rates Medical Guardian the best

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MEDIC ALERT SYSTEM REVIEW

• Medical Alert Advice rates LifeStation the best

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MobileHelp

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

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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

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ELECTRONIC CAREGIVER

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

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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

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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

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POLAR H7 HEART RATE SENSOR

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

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Sweetbeat iPAD app

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

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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)

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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)

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Heart Rate Recovery (HRR)
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Heart Rate Recovery (HRR)
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WAHOO FITNESS

• Heart rate monitor from chest strap

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RUNTASTIC

• Heart-rate and GPS
• Chest strap

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MyPulse

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

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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

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SPREE SPORTS HEAD-BAND

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

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Withings Blood Pressure Monitor
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Blood Pressure (Withings)

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

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Blood Pressure (Withings)

• Green line shows progress of measurement

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Blood Pressure (Withings)

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

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Hexoskin iPAD app

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

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Hexoskin
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TINKE

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

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TINKE
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PC-60C FINGERTIP PULSE OXIMETER

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

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NONIN FINGERTIP PULSE OXIMETER

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

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HEARTMATH

• Measures heart-rate and HRV from earlobe

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PERFORMEK IRIVERON

• Senses heart-rate from earphones

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Cardiograph Android App

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

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Real Blood Pressure Android App

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

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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

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Athena GTX

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

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NUVANT MCT

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NUVANT MCT

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

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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

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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

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Exmovere EMPATH Sensor Phone
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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

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Basis Health Tracker
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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 ?

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Basis Heart Rate ? One Day

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

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Basis Sleep ? One Day

• Graphical display of light, deep, and REM sleep

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Basis Activity ? One Day

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

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BASIS PEAK

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

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DREAM SPORT DG-BT TOP

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

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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

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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

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MIO ALPHA CHARGING

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

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BASIS HEALTH TRACKER CHARGING

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

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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

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Denniss Android App

• Start/Stop Menu includes Settings option

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Denniss Android App

• Can dial 3 numbers in cycles and send SMS

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Denniss Android App

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

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Denniss Android App

• Message displayed after hitting Start

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Denniss Android App

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

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Denniss Android App

• Message displayed after hitting Stop

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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

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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

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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

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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.

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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.

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MapMyFitness MioAlpha Monitor

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

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Sweetbeat iPAD app

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

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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

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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