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Vital Signs Alarm Systems for Cryonicists

Vital Signs Alarm Systems for Cryonicists. Ben Best Past President – Cryonics Institute Life Extension Foundation – Director of Research Oversight. Cryonics Links to Future Life. Timely pronouncement & response at legal death Well-equipped and well-trained standby team

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Vital Signs Alarm Systems for Cryonicists

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  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; 43:313 (1979) • Males aged 45-75 • 60% of SCDs had no prior evidence of heart disease • 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

  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 • CI’s 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) • KeyGuardLockBox 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: don’t 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 won’t 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 Pavlica’s 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. SweetbeatiPAD 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 341:1351 (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. HexoskiniPAD 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 don’t 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 ?

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