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MyRoomMate
Fall Detection System


         Overview for
  GrandCare Systems Webinar
       January 28, 2010
                                  Mike Dempsey
                                 (978) 337-0864
                    miked@IndependenceLabs.com
The Problem
     • In the community, one-in-three people over 65 will fall this
       year
     • This results in 1.8M emergency room visits, 433,000
       hospitalizations and almost 15,000 deaths
     • These falls cost almost $40B annually
     • In addition, 50 to 75% of nursing home residents fall each
       year resulting in 1800 deaths
     • One injurious fall increases nursing home costs by
       $5325/yr
     • Over half of the elders who fall are unable to get up
       without assistance and after a fall “longer times spent
       helpless…were associated with the person’s being found
       dead or being transported to the hospital, being admitted,
       and being discharged to other care rather than to
       independent living.”
                                                                         Confidential
                                                         © 2009 Independence Labs &
2   www.IndependenceLabs.com                                  Caduceus Wireless, Inc.
Solution Objectives
     • Detect falls without the elder having to do
       anything, wear anything, push any buttons
     • Should be as reliable as a smoke detector
     • Assumed elders are living alone with no technical
       help and little money
     • Low cost – in residential settings, probably
       offered using a leasing model with PERS
     • Very simple - installed by elder
     • Integrates into existing PERS infrastructure
     • False negatives are worse than false positives

                                                                Confidential
                                                © 2009 Independence Labs &
3   www.IndependenceLabs.com                         Caduceus Wireless, Inc.
System Overview
                                           Phone
                                            Line


                               PERS Console         Response
                                                     Center
                                   Residential Settings




                                      Nurses Station
          Fall Sensors             Institutional Settings
         (one per room)

                                                                            Confidential
                                                            © 2009 Independence Labs &
4   www.IndependenceLabs.com                                     Caduceus Wireless, Inc.
Sensor Overview
       •4” x 6” surface- or flush-mount
        sensor
       •Battery Powered (3xAA)
       •Battery life of > 1 year
       •Panic Button
       •Nurse call interface (including
        power)
       •Pears with any PERS system
       •Patent pending optical sensing
        system creates zones and a
        proprietary algorithm looks for
        unique fall signatures
       •Mounted ~12” above floor


                                                          Confidential
                                          © 2009 Independence Labs &
5   www.IndependenceLabs.com                   Caduceus Wireless, Inc.
Reception Patterns
            ~9 ft




             ~3 ft
    ~1 ft



                               Side View of Room   ~ 25 ft


                                                                     Confidential
                                                     © 2009 Independence Labs &
6   www.IndependenceLabs.com                              Caduceus Wireless, Inc.
Simple Algorithmic Concept
      A “true” fall is fast and uncontrolled motion toward
      the floor. A large amount of energy moves from
      the top field into the bottom field relatively quickly.
      The signals should be well correlated in time. The
      activity in the top and bottom fields sensed before
      and after the fall should be consistent with the
      circumstances expected during a fall.




                                                                     Confidential
                                                     © 2009 Independence Labs &
7   www.IndependenceLabs.com                              Caduceus Wireless, Inc.
The “Perfect” Fall                                                                                300




                                                                                                      200




                               Blue Long Dash is Bottom, Black Short Dash is Top, Solid Red is Fall
                                                                                                      100




                                                                                                        0




                                                                                                      -100




                                                                                                      -200




                                                                                                      -300
                                                                                                                                                                 Confidential
                                                                                                             0   5     10              15   20   © 2009 Independence Labs &
8   www.IndependenceLabs.com                                                                                         Time in Seconds
                                                                                                                                                      Caduceus Wireless, Inc.
Walk, Fall and Crawl                                                                              300




                                                                                                      200




                               Blue Long Dash is Bottom, Black Short Dash is Top, Solid Red is Fall
                                                                                                      100




                                                                                                        0




                                                                                                      -100




                                                                                                                 walk                    crawl
                                                                                                      -200



                                                                                                                                  fall

                                                                                                      -300                                                                 Confidential
                                                                                                                                                           © 2009 Independence Labs &
                                                                                                             0   5      10   15            20    25   30
9   www.IndependenceLabs.com                                                                                                                                    Caduceus Wireless, Inc.
                                                                                                                             Time in Seconds
Some Newer Developments
      • Over the last 9 months, this smaller, lower cost,
        more accurate sensor was developed
      • It turns out this system also reliably detects a
        person getting out of bed (GOOB)…
      • …it also detects “restless sleep”
      • These new features make the system very
        appealing for institutional settings (skilled nursing
        and assisted living)




                                                                     Confidential
                                                     © 2009 Independence Labs &
10   www.IndependenceLabs.com                             Caduceus Wireless, Inc.
Development Status
             Basic         Proof of    Lab       Field     Lab       Field        Production
            Research       Concept    Proto 1   Testing   Proto 2   Testing       Prototype




       • Now initially focusing on institutional settings –
         large benefit, professional installations, more
         controlled data, “cleaner” channel
       • “Close” to signing an exclusive agreement with a
         partner for these markets
       • Unclear what to do about residential markets –
         what is your advice?

                                                                                              Confidential
                                                                              © 2009 Independence Labs &
11   www.IndependenceLabs.com                                                      Caduceus Wireless, Inc.

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Fall Prevention AgeTech Call 1 28 10

  • 1. MyRoomMate Fall Detection System Overview for GrandCare Systems Webinar January 28, 2010 Mike Dempsey (978) 337-0864 miked@IndependenceLabs.com
  • 2. The Problem • In the community, one-in-three people over 65 will fall this year • This results in 1.8M emergency room visits, 433,000 hospitalizations and almost 15,000 deaths • These falls cost almost $40B annually • In addition, 50 to 75% of nursing home residents fall each year resulting in 1800 deaths • One injurious fall increases nursing home costs by $5325/yr • Over half of the elders who fall are unable to get up without assistance and after a fall “longer times spent helpless…were associated with the person’s being found dead or being transported to the hospital, being admitted, and being discharged to other care rather than to independent living.” Confidential © 2009 Independence Labs & 2 www.IndependenceLabs.com Caduceus Wireless, Inc.
  • 3. Solution Objectives • Detect falls without the elder having to do anything, wear anything, push any buttons • Should be as reliable as a smoke detector • Assumed elders are living alone with no technical help and little money • Low cost – in residential settings, probably offered using a leasing model with PERS • Very simple - installed by elder • Integrates into existing PERS infrastructure • False negatives are worse than false positives Confidential © 2009 Independence Labs & 3 www.IndependenceLabs.com Caduceus Wireless, Inc.
  • 4. System Overview Phone Line PERS Console Response Center Residential Settings Nurses Station Fall Sensors Institutional Settings (one per room) Confidential © 2009 Independence Labs & 4 www.IndependenceLabs.com Caduceus Wireless, Inc.
  • 5. Sensor Overview •4” x 6” surface- or flush-mount sensor •Battery Powered (3xAA) •Battery life of > 1 year •Panic Button •Nurse call interface (including power) •Pears with any PERS system •Patent pending optical sensing system creates zones and a proprietary algorithm looks for unique fall signatures •Mounted ~12” above floor Confidential © 2009 Independence Labs & 5 www.IndependenceLabs.com Caduceus Wireless, Inc.
  • 6. Reception Patterns ~9 ft ~3 ft ~1 ft Side View of Room ~ 25 ft Confidential © 2009 Independence Labs & 6 www.IndependenceLabs.com Caduceus Wireless, Inc.
  • 7. Simple Algorithmic Concept A “true” fall is fast and uncontrolled motion toward the floor. A large amount of energy moves from the top field into the bottom field relatively quickly. The signals should be well correlated in time. The activity in the top and bottom fields sensed before and after the fall should be consistent with the circumstances expected during a fall. Confidential © 2009 Independence Labs & 7 www.IndependenceLabs.com Caduceus Wireless, Inc.
  • 8. The “Perfect” Fall 300 200 Blue Long Dash is Bottom, Black Short Dash is Top, Solid Red is Fall 100 0 -100 -200 -300 Confidential 0 5 10 15 20 © 2009 Independence Labs & 8 www.IndependenceLabs.com Time in Seconds Caduceus Wireless, Inc.
  • 9. Walk, Fall and Crawl 300 200 Blue Long Dash is Bottom, Black Short Dash is Top, Solid Red is Fall 100 0 -100 walk crawl -200 fall -300 Confidential © 2009 Independence Labs & 0 5 10 15 20 25 30 9 www.IndependenceLabs.com Caduceus Wireless, Inc. Time in Seconds
  • 10. Some Newer Developments • Over the last 9 months, this smaller, lower cost, more accurate sensor was developed • It turns out this system also reliably detects a person getting out of bed (GOOB)… • …it also detects “restless sleep” • These new features make the system very appealing for institutional settings (skilled nursing and assisted living) Confidential © 2009 Independence Labs & 10 www.IndependenceLabs.com Caduceus Wireless, Inc.
  • 11. Development Status Basic Proof of Lab Field Lab Field Production Research Concept Proto 1 Testing Proto 2 Testing Prototype • Now initially focusing on institutional settings – large benefit, professional installations, more controlled data, “cleaner” channel • “Close” to signing an exclusive agreement with a partner for these markets • Unclear what to do about residential markets – what is your advice? Confidential © 2009 Independence Labs & 11 www.IndependenceLabs.com Caduceus Wireless, Inc.