U.S. patent application number 14/059072 was filed with the patent office on 2014-07-31 for system for automatic journaling of a user's context.
The applicant listed for this patent is BodyMedia, Inc.. Invention is credited to David Andre, Jonathan Farringdon, Christopher Pacione, Raymond Pelletier, Scott Safier, John M. Stivoric, Eric Teller, Suresh Vishnubhatla.
Application Number | 20140213856 14/059072 |
Document ID | / |
Family ID | 32093978 |
Filed Date | 2014-07-31 |
United States Patent
Application |
20140213856 |
Kind Code |
A1 |
Teller; Eric ; et
al. |
July 31, 2014 |
SYSTEM FOR AUTOMATIC JOURNALING OF A USER'S CONTEXT
Abstract
Various methods and apparatuses for measuring a state parameter
of an individual using signals based on one or more sensors are
disclosed. In one embodiment, a first set of signals is used in a
first function to determine how a second set of signals is used in
one or more second functions to predict the state parameter. In
another embodiment, first and second functions are used where the
state parameter or an indicator of the state parameter may be
obtained from a relationship between the first function and the
second function. The state parameter may, for example, include
calories consumed or calories burned by the individual. Various
methods for making such apparatuses are also disclosed.
Inventors: |
Teller; Eric; (Palo Alto,
CA) ; Farringdon; Jonathan; (Pittsburgh, PA) ;
Andre; David; (San Francisco, CA) ; Pacione;
Christopher; (Pittsburgh, PA) ; Stivoric; John
M.; (Pittsburgh, PA) ; Safier; Scott; (New
York, NY) ; Pelletier; Raymond; (Ben Avon, PA)
; Vishnubhatla; Suresh; (Louisville, KY) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
BodyMedia, Inc. |
Pittsburgh |
PA |
US |
|
|
Family ID: |
32093978 |
Appl. No.: |
14/059072 |
Filed: |
October 21, 2013 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11930036 |
Oct 30, 2007 |
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14059072 |
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10682293 |
Oct 9, 2003 |
8157731 |
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11930036 |
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60417163 |
Oct 9, 2002 |
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Current U.S.
Class: |
600/301 |
Current CPC
Class: |
A61B 5/0533 20130101;
A61B 5/4872 20130101; Y10S 128/905 20130101; A61B 5/0496 20130101;
G06F 8/00 20130101; A61B 5/021 20130101; A61B 5/02405 20130101;
A61B 5/1118 20130101; Y10S 128/921 20130101; A61B 5/7278 20130101;
A61B 5/0476 20130101; A61B 5/0488 20130101; A61B 5/743 20130101;
A61B 5/7225 20130101; A61B 2562/0219 20130101; G16H 20/60 20180101;
A61B 5/6824 20130101; A61B 5/7264 20130101; A61B 5/7282 20130101;
G16H 40/67 20180101; G16H 50/20 20180101; A61B 5/0002 20130101;
A61B 5/0022 20130101; A61B 5/411 20130101; A61B 5/0833 20130101;
A61B 5/4866 20130101; A61B 5/4809 20130101; A61B 5/4884 20130101;
A61B 5/0816 20130101; A61B 5/14532 20130101; A61B 5/002 20130101;
A61B 5/11 20130101; A61B 5/7475 20130101; A61B 5/01 20130101; A61B
5/0402 20130101; G16H 40/63 20180101; A61B 5/0205 20130101; A63B
2024/0065 20130101; A61B 5/4875 20130101; G06F 17/00 20130101; A63B
24/0062 20130101; A61B 5/7267 20130101; A61B 5/7275 20130101; A61B
5/7445 20130101; A61B 5/6801 20130101; Y10S 128/92 20130101; A61B
5/02055 20130101; G16H 10/60 20180101 |
Class at
Publication: |
600/301 |
International
Class: |
A61B 5/11 20060101
A61B005/11 |
Claims
1. (canceled)
2. A system for deriving a state parameter of an individual having:
a wearable device comprising: a. at least a first sensor generating
sensor output signals, b. at least a second sensor generating
sensor output signals, a processor programmed to utilize said
sensor output signals to: (i) identify one or more contexts of said
individual, each of said one or more context corresponding to an
algorithm; (ii) determine probability that a user is engaged in the
one or more identified activities and assign a mathematical weight
associated with each of the one or more algorithms based on the
probability; (iii) apply the one or more algorithms to the sensor
output signals according to the mathematical weight; and (iv)
predict said state parameter of said individual utilizing the one
or more algorithms and the associated mathematical weights.
3. An apparatus according to any of the preceding claims, wherein
said one or more algorithms further comprise a regression
algorithm.
4. An apparatus according to any of the preceding claims, wherein
said state parameter is the caloric expenditure of said
individual.
5. An apparatus according to claim 4 as dependent on claim 3,
wherein said identified activities include a resting and an active
state of said individual.
6. An apparatus according to any of the preceding claims, wherein
said sensors are selected from the group consisting of a body
motion sensor, a heat flux sensor and a skin conductance
sensor.
7. An apparatus according to claim 6, wherein said body motion
sensor is an accelerometer and said skin conductance sensor is a
GSR sensor.
8. An apparatus according to claim 1, wherein said state parameter
is caloric expenditure of said individual for a period of time,
said processor generating caloric consumption data for said
individual for said period of time, the apparatus further
comprising a display which identifies said caloric expenditure data
and said caloric consumption data.
9. An apparatus according to claim 8, further comprising an
input/output device, said caloric consumption data being determined
from information collected by said input/output device from said
individual relating to foods eaten by said individual.
10. An apparatus according to claim 8, wherein said displayed
information includes energy balance data.
11. An apparatus according to claim 18, wherein said displayed
information includes a rate of weight loss or gain of said
individual.
12. An apparatus according to claim 8, wherein said displayed
information includes information relating to one or more goals of
said individual, said goals relating to one or more of caloric
consumption, caloric expenditure, energy balance and rate of weight
loss or gain.
13. An apparatus according to claim 1, wherein said processor is
included in a wearable device to be placed in contact with the
individual's body.
14. An apparatus according to claim 13, wherein said sensors are
included in said wearable device.
15. An apparatus according to claim 13, wherein said sensors are
located separately from said wearable device.
16. An apparatus according to claim 1, wherein said processor is
included in a computing device located separately from a sensor
device including said sensors which is mounted on said individual,
each of said computing device and said sensor device having
transmitting and receiving circuitry for generating and receiving
electronic signals which include said electronic communication
link.
17. An apparatus as claimed in claim 1, further comprising a data
input/output device, said processor combining said derived state
parameter with a second state parameter of said individual to
define a relationship between said first and second state
parameters, said data output device communicating said relationship
to a recipient.
18. An apparatus according to claim 1, said processor, combines the
outputs of said one or more algorithms in a post processing step to
predict said state parameter.
19. An apparatus according to claim 1, wherein said state parameter
is caloric expenditure of said individual for a period of time,
said processor further comprising generating caloric consumption
data for said individual for said period of time and displaying
information based on said caloric expenditure data and said caloric
consumption data.
20. An apparatus according to claim 19, wherein said displayed
information includes information relating to one or more goals of
said individual, said goals relating to one or more of caloric
consumption, caloric expenditure, energy balance and rate of weight
loss or gain.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation of co-pending U.S. patent
application Ser. No. 10/682,293 filed Oct. 9, 2003, which claims
the benefit of U.S. Provisional Application No. 60/417,163 filed on
Oct. 9, 2002.
BACKGROUND
[0002] 1. Field
[0003] The present invention relates to methods and apparatuses for
measuring a state parameter of an individual using signals based on
one or more sensors. The present invention also relates to various
methods for making such apparatuses.
[0004] 2. Description of the Related Art
[0005] Research has shown that a large number of the top health
problems in society are either caused in whole or in part by an
unhealthy lifestyle. More and more, our society requires people to
lead fast paced, achievement oriented lifestyles that often result
in poor eating habits, high stress levels, lack of exercise, poor
sleep habits and the inability to find the time to center the mind
and relax. Recognizing this fact, people are becoming increasingly
interested in establishing a healthier lifestyle.
[0006] Traditional medicine, embodied in the form of an HMO or
similar organizations, does not have the time, the training, or the
reimbursement mechanism to address the needs of those individuals
interested in a healthier lifestyle. There have been several
attempts to meet the needs of these individuals, including a
perfusion of fitness programs and exercise equipment, dietary
plans, self help books, alternative therapies, and most recently, a
plethora of health information web sites on the Internet. Each of
these attempts are targeted to empower the individual to take
charge and get healthy. Each of these attempts, however, addresses
only part of the needs of individuals seeking a healthier lifestyle
and ignores many of the real barriers that most individuals face
when trying to adopt a healthier lifestyle. These barriers include
the fact that the individual is often left to himself or herself to
find motivation, to implement a plan for achieving a healthier
lifestyle, to monitor progress, and to brainstorm solutions when
problems arise; the fact that existing programs are directed to
only certain aspects of a healthier lifestyle, and rarely come as a
complete package; and the fact that recommendations are often not
targeted to the unique characteristics of the individual or his
life circumstances.
SUMMARY
[0007] The present invention relates to an apparatus for measuring
a state parameter of an individual including a processor, at least
two sensors in electronic communication with the processor, at
least one of the sensors being a physiological sensor, and a memory
for storing software executable by the processor. The software
includes instructions for collecting a plurality of sensor signals
from the at least two sensors, and utilizing a first set of signals
based on one or more of the plurality of sensor signals in a first
function, the first function determining how a second set of
signals based on one or more of the plurality of sensor signals is
utilized in one or more second functions, each of the one or more
second functions having an output, wherein one or more of the
outputs are used to predict the state parameter of the
individual.
[0008] The present invention also relates to a method of measuring
a state parameter of an individual, including collecting a
plurality of sensor signals from at least two sensors in electronic
communication with a sensor device worn on a body of the
individual, at least one of the sensors being a physiological
sensor, and utilizing a first set of signals based on one or more
of the plurality of sensor signals in a first function, the first
function determining how a second set of signals based on one or
more of the plurality of sensor signals is utilized in one or more
second functions, each of the one or more second functions having
an output, wherein one or more of the outputs are used to predict
the state parameter of the individual.
[0009] In one embodiment of either the apparatus or method, the
first function recognizes one or more contexts based on the first
set of signals and one or more of the second functions is chosen
based on the one or more recognized contexts. The outputs of the
chosen second functions are used to predict the state parameter of
the individual. In another embodiment, the first function
recognizes each of a plurality of contexts based on the first set
of signals and each of the one or more second functions corresponds
to one of the contexts. The first function assigns a weight to each
of the one or more second functions based on a recognition
probability associated with the corresponding context, and the
outputs of the one or more second functions and the weights are
used to predict the state parameter of the individual. The outputs
may be combined in a post processing step to predict the state
parameter. In addition, in either the apparatus or the method, the
state parameter may be caloric expenditure the second functions may
be regression algorithms, the contexts may comprise rest and active
and, the first function may comprise a naive Bayesian classifier.
Where the state parameter is caloric expenditure, caloric
consumption data for the individual may be generated and
information based on the caloric expenditure data and the caloric
consumption data may be displayed, such as energy balance data,
rate of weight loss or gain, or information relating to one or more
goals of the individual.
[0010] In one embodiment of the apparatus, the processor and the
memory are included in a wearable sensor device. In another
embodiment, the apparatus includes a wearable sensor device, the
processor and the memory being included in a computing device
located separately from the sensor device, wherein the sensor
signals are transmitted from the sensor device to the computing
device.
[0011] The present invention also relates to a method of making
software for an apparatus for measuring a state parameter of an
individual including providing a first sensor device, the first
sensor device receiving a plurality of signals from at least two
sensors, using the first sensor device to create a first function
and one or more second functions, each of the one or more second
functions having an output, the first function utilizing a first
set of signals based on one or more of the plurality of sensor
signals to determine how a second set of signals based on one or
more of the plurality of sensor signals is utilized in the one or
more second functions, wherein one or more of the outputs are used
to predict the state parameter of the individual. The method
further includes creating the software including instructions for:
(i) receiving a second plurality of signals collected by a second
sensor device substantially structurally identical to the first
sensor device for a period of time; (ii) utilizing a third set of
signals based on one or more of the second plurality of sensor
signals in the first function to determine how a fourth set of
signals based on one or more of the second plurality of sensor
signals is utilized in the one or more second functions; and (iii)
utilizing the one or more outputs produced by the one or more
second functions from the fourth set of signals to predict the
state parameter of the individual. In the method, the step of using
the sensor device to create the first function and the one or more
second functions may include gathering a first set of the plurality
of signals under conditions where the state parameter is present,
contemporaneously gathering gold standard data relating to the
state parameter, and using one or more machine learning techniques
to generate the first function and the one or more second functions
from the first set of the plurality of signals and the gold
standard data. In addition, A the first function may recognize one
or more contexts based on the first set of signals and one or more
of the second functions may be chosen based on the one or more
recognized contexts, wherein the outputs of the chosen second
functions are used to predict the state parameter of the
individual. Alternatively, the first function may recognize each of
a plurality of contexts based on the first set of signals and each
of the one or more second functions may correspond to one of the
contexts, wherein the first function assigns a weight to each of
the one or more second functions based on a recognition probability
associated with the corresponding context, and wherein the outputs
of the one or more second functions and the weights are used to
predict the state parameter of the individual.
[0012] One specific embodiment of the present invention relates to
a method of measuring energy expenditure of an individual including
collecting a plurality of sensor signals from at least two of a
body motion sensor, a heat flux sensor, a skin conductance sensor,
and a skin temperature sensor, each in electronic communication
with a sensor device worn on a body of the individual, and
utilizing a first set of signals based on one or more of the
plurality of sensor signals in one or more functions to predict the
energy expenditure of the individual. The utilizing step may
include utilizing the first set of signals in a first function, the
first function determining how a second set of signals based on one
or more of the plurality of sensor signals is utilized in one or
more second functions, each of the one or more second functions
having an output, wherein one or more of the outputs are used to
predict the energy expenditure of the individual. In addition, the
collecting step may include collecting the plurality of sensor
signals from a body motion sensor, a heat flux sensor, and a skin
conductance sensor, the second set of signals comprising a heat
flux high gain average variance (HFvar), a vector sum of transverse
and longitudinal accelerometer SADs (VSAD), and a galvanic skin
response low gain (GSR), wherein the second functions have the form
of A*VSAD+B*HF+C*GSR+D*BMR+E, wherein A, B, C, D and E are
constants and BMR is a basal metabolic rate for the individual.
[0013] The present invention also relates to an apparatus for
measuring energy expenditure of an individual including a
processor, at least two of a body motion sensor, a heat flux
sensor, a skin conductance sensor, and a skin temperature sensor in
electronic communication with the processor, and a memory storing
software executable by the processor. The software includes
instructions for collecting a plurality of sensor signals from the
at least two of a body motion sensor, a heat flux sensor, a skin
conductance sensor, and a skin temperature sensor, and utilizing a
first set of signals based on one or more of the plurality of
sensor signals in one or more functions to predict the energy
expenditure of the individual. The utilizing instruction may
include utilizing the first set of signals in a first function, the
first function determining how a second set of signals based on one
or more of the plurality of sensor signals is utilized in one or
more second functions, each of the one or more second functions
having an output, wherein one or more of the outputs are used to
predict the energy expenditure of the individual. The collecting
instruction may include collecting the plurality of sensor signals
from a body motion sensor, a heat flux sensor, and a skin
conductance sensor, the second set of signals comprising a heat
flux high gain average variance (HFvar), a vector sum of transverse
and longitudinal accelerometer SADs (VSAD), and a galvanic skin
response low gain (GSR), wherein the second functions have the form
of A*VSAD+B*HF+C*GSR+D*BMR+E, wherein A, B, C, D and E are
constants and BMR is a basal metabolic rate for the individual.
[0014] The present invention also relates to a method of making
software for an apparatus for measuring energy expenditure of an
individual, including providing a first sensor device, the first
sensor device receiving a plurality of signals from at least two of
a body motion sensor, a heat flux sensor, a skin conductance
sensor, and a skin temperature sensor, and using the first sensor
device to create one or more functions that predict the energy
expenditure of the individual using a first set of signals based on
one or more of the plurality of sensor signals. The method further
includes creating the software including instructions for: (i)
receiving a second plurality of signals collected by a second
sensor device substantially structurally identical to the first
sensor device for a period of time, the second sensor device
receiving the second plurality of signals from at least two of a
body motion sensor, a heat flux sensor, a skin conductance sensor,
and a skin temperature sensor; and (ii) utilizing a second set of
signals based on one or more of the second plurality of sensor
signals in the one or more functions to predict the energy
expenditure of the individual. The step of using the sensor device
to create the one or more functions may include gathering a first
set of the plurality of signals under conditions where energy
expenditure data for the individual is present, contemporaneously
gathering gold standard data relating to the energy expenditure
data for the individual, and using one or more machine learning
techniques to generate the one or more functions from the first set
of the plurality of signals and the gold standard data. In
addition, the utilizing instruction may include utilizing the
second set of signals in a first function, the first function
determining how a third set of signals based on one or more of the
second plurality of sensor signals is utilized in one or more
second functions, each of the one or more second functions having
an output; wherein one or more of the outputs are used to predict
the energy expenditure of the individual.
[0015] In yet another embodiment, the present invention relates to
an apparatus for automatically measuring a first state parameter of
an individual, including a processor, one or more sensors for
generating one or more signals over a period of time, the processor
receiving the one or more signals, and a memory storing software
executable by the processor. The software includes instructions for
inputting one or more signal channels based on the one or more
signals into a first function having a first output that predicts
one or more second state parameters of the individual and either
the first state parameter or an indicator of the first state
parameter, wherein the first state parameter may be obtained from
the indicator based on a first relationship between the first state
parameter and the indicator, inputting the one or more signal
channels into a second function having a second output that
predicts the one or more second state parameters but not the first
state parameter or the indicator of the first state parameter, and
obtaining either the first state parameter or the indicator from
the first and second outputs based on a second relationship between
the first function and the second function, and, if the indicator
is obtained, obtaining the first state parameter from the indicator
based on the first relationship.
[0016] The present invention also relates to a method of
automatically measuring a first state parameter of an individual,
including collecting for a period of time one or more signals from
one or more sensors in electronic communication with a sensor
device worn on a body of the individual, inputting one or more
signal channels based on the one or more signals into a first
function having a first output that predicts one or more second
state parameters of the individual and either the first state
parameter or an indicator of the first state parameter, wherein the
first state parameter may be obtained from the indicator based on a
first relationship between the first state parameter and the
indicator, inputting the one or more signal channels into a second
function having a second output that predicts the one or more
second state parameters but not the first state parameter or the
indicator of the first state parameter, and obtaining either the
first state parameter or the indicator from the first and second
outputs based on a second relationship between the first function
and the second function, and, if the indicator is obtained,
obtaining the first state parameter from the indicator based on the
first relationship.
[0017] In either the method or the apparatus, the first state
parameter may be a number of calories consumed by the individual
during the period of time. In such an embodiment, the indicator may
include a first effect on the body of food consumed, and in
particular, the indicator may be the thermic effect of food. In the
case of thermic effect of food, the first output may comprise total
energy expenditure, wherein the one or more second state parameters
include basal metabolic rate, activity energy expenditure and
adaptive thermogenesis, and the first state parameter may be
obtained from the indicator by dividing the indicator by 0.1. In
one specific embodiment, the software further includes instructions
for generating caloric expenditure data for the individual for the
period of time from one or more of the one or more signal channels
and displaying information based on the caloric expenditure data
and the number of calories consumed by the individual. The
apparatus may include a display, such as part of a separate I/O
device, for displaying the information based on the caloric
expenditure data and the number of calories consumed by the
individual.
[0018] In yet another embodiment, the present invention relates to
a method of making software for an apparatus for automatically
measuring a first state parameter of an individual. The method
includes providing a first sensor device, the first sensor device
receiving one or more signals from one or more sensors, using the
first sensor device to create a first function having a first
output that predicts one or more second state parameters of the
individual and either the first state parameter or an indicator of
the first state parameter, wherein the first state parameter may be
obtained from the indicator based on a first relationship between
the first state parameter and the indicator, the first function
taking as inputs one or more signal channels based on the one or
more signals, and using the first sensor device to create a second
function having a second output that predicts the one or more
second state parameters but not the first state parameter or the
indicator of the first state parameter, the second function taking
as inputs the one or more signal channels. The method further
includes creating the software including instructions for: (i)
receiving a second one or more signals collected by a second sensor
device substantially structurally identical to the first sensor
device for a period of time; (ii) inputting a second one or more
signal channels based on the second one or more signals into the
first function and the second function for generating the first
output and the second output, respectively; and (iii) obtaining
either the first state parameter or the indicator from the first
and second outputs generated in the inputting step based on a
second relationship between the first function and the second
function, and, if the indicator is obtained, obtaining the first
state parameter from the indicator based on the first relationship.
The step of using the sensor device to create the first function
may include gathering a first set of the one or more signals under
conditions where the second state parameters and either the first
state parameter or the indicator are present, contemporaneously
gathering gold standard data relating to the second state
parameters and either the first state parameter or the indicator,
and using one or more machine learning techniques to generate the
first function from the first set of one or more signals and the
gold standard data, and the step of using the sensor device to
create the second function may include gathering a second set of
the one or more signals under conditions where neither the first
state parameter nor the indicator are present, contemporaneously
gathering second gold standard data relating to the second state
parameters but not the first state parameter or the indicator, and
using one or more machine learning techniques to generate the
second function from the second set of one or more signals and the
second gold standard data.
[0019] In still another alternate embodiment, the present invention
relates to a method of measuring caloric consumption of an
individual for a time period, including determining a weight
differential for the individual between a beginning of the time
period and an end of the time period, multiplying the weight
differential by a constant, such as 3500, to obtain a caloric
differential, measuring a caloric expenditure of the individual for
the time period using a wearable sensor device having one or more
sensors, and determining the caloric consumption from the caloric
differential and the caloric expenditure. The step of measuring the
caloric expenditure may comprises collecting a plurality of sensor
signals from at least two sensors in electronic communication with
the sensor device, at least one of the sensors being a
physiological sensor, and utilizing a first set of signals based on
one or more of the plurality of sensor signals in a first function,
the first function determining how a second set of signals based on
one or more of the plurality of sensor signals is utilized in one
or more second functions, each of the one or more second functions
having an output, wherein one or more of the outputs are used to
predict the caloric expenditure.
BRIEF DESCRIPTION OF THE FIGURES
[0020] Further features and advantages of the present invention
will be apparent upon consideration of the following detailed
description of the present invention, taken in conjunction with the
following drawings, in which like reference characters refer to
like parts, and in which:
[0021] FIG. 1 is a diagram of an embodiment of a system for
monitoring physiological data and lifestyle over an electronic
network according to the present invention;
[0022] FIG. 2 is a block diagram of an embodiment of the sensor
device shown in FIG. 1;
[0023] FIG. 3 is a block diagram of an embodiment of the central
monitoring unit shown in FIG. 1;
[0024] FIG. 4 is a block diagram of an alternate embodiment of the
central monitoring unit shown in FIG. 1;
[0025] FIG. 5 is a representation of a preferred embodiment of the
Health Manager web page according to an aspect of the present
invention;
[0026] FIG. 6 is a representation of a preferred embodiment of the
nutrition web page according to an aspect of the present
invention;
[0027] FIG. 7 is a representation of a preferred embodiment of the
activity level web page according to an aspect of the present
invention;
[0028] FIG. 8 is a representation of a preferred embodiment of the
mind centering web page according to an aspect of the present
invention;
[0029] FIG. 9 is a representation of a preferred embodiment of the
sleep web page according to an aspect of the present invention;
[0030] FIG. 10 is a representation of a preferred embodiment of the
daily activities web page according to an aspect of the present
invention;
[0031] FIG. 11 is a representation of a preferred embodiment of the
Health Index web page according to an aspect of the present
invention;
[0032] FIG. 12 is a front view of a specific embodiment of the
sensor device shown in FIG. 1;
[0033] FIG. 13 is a back view of a specific embodiment of the
sensor device shown in FIG. 1;
[0034] FIG. 14 is a side view of a specific embodiment of the
sensor device shown in FIG. 1;
[0035] FIG. 15 is a bottom view of a specific embodiment of the
sensor device shown in FIG. 1;
[0036] FIGS. 16 and 17 are front perspective views of a specific
embodiment of the sensor device shown in FIG. 1;
[0037] FIG. 18 is an exploded side perspective view of a specific
embodiment of the sensor device shown in FIG. 1;
[0038] FIG. 19 is a side view of the sensor device shown in FIGS.
12 through 18 inserted into a battery recharger unit;
[0039] FIG. 20 is a block diagram illustrating all of the
components either mounted on or coupled to the printed circuit
board forming a part of the sensor device shown in FIGS. 12 through
18;
[0040] FIG. 21 is a block diagram of an apparatus for monitoring
health, wellness and fitness according to an alternate embodiment
of the present invention.
[0041] FIG. 22 is a front view of an alternate embodiment of a
sensor device according to the present invention;
[0042] FIG. 23 is a back view of an alternate embodiment of a
sensor device according to the present invention;
[0043] FIG. 24 is a cross-sectional view of the sensor device shown
in FIG. 22 taken along lines A-A;
[0044] FIG. 25 is a cross-sectional view of the sensor device shown
in FIG. 22 taken along lines B-B;
[0045] FIG. 26 is a cross-sectional view of the sensor device shown
in FIG. 22 taken along lines A-A showing the internal components of
the housing of the sensor device;
[0046] FIG. 27 is a block diagram illustrating the components
mounted on or coupled to the printed circuit board forming a part
of an embodiment of the sensor device shown in FIGS. 22 through
26;
[0047] FIG. 28 is a front view of an alternate embodiment of a
sensor device according to the present invention including an
LCD;
[0048] FIG. 29 is a block diagram illustrating the components
mounted on or coupled to the printed circuit board forming a part
of an alternate embodiment of the sensor device shown in FIGS. 22
through 26;
[0049] FIGS. 30 and 31 are isometric views of an alternate
embodiment of a sensor device according to the present invention
having a housing adapted to be removably attached to a flexible
section;
[0050] FIG. 32 is an isometric view of a further alternate
embodiment of a sensor device according to the present invention
having a housing adapted to be removably attached to a flexible
section;
[0051] FIG. 33 is an isometric view of an embodiment of a sensor
device having adjustable operating parameters according to an
aspect of the present invention;
[0052] FIG. 34 is an isometric view of an alternate embodiment of a
sensor device according to the present invention having a housing
having an adhesive material on an external surface thereof for
removably attaching the housing to the body;
[0053] FIGS. 35A and B are cross-sectional views of a housing for a
prior art sensor device;
[0054] FIGS. 35C through H are cross-sectional views of various
embodiments of a housing for a sensor device according to an aspect
of the present invention taken along lines C-C in FIG. 23.
[0055] FIG. 36A is a cross-sectional view of a housing for a prior
art sensor device;
[0056] FIGS. 36B through H are cross-sectional views of various
embodiments of a housing for a sensor device according to an aspect
of the present invention taken along lines D-D in FIG. 23;
[0057] FIG. 37 is an isometric view of an embodiment of a housing
for a sensor device according to the present invention having a
bottom or inner surface having a concavity in one direction and a
convexity in another direction;
[0058] FIGS. 38A through D are cross-sectional views of a housing
for a sensor device having a flat top surface and flat lateral
ends;
[0059] FIGS. 39A through F are cross-sectional views of various
embodiments of a housing for a sensor device having surfaces
designed to deflect objects and prevent movement of the
housing;
[0060] FIG. 39G is a cross-sectional view of the housing shown in
FIG. 39E attached to a flexible section;
[0061] FIG. 40 is a top plan view of a data input and output device
according to the present invention;
[0062] FIG. 41 is a partial cross-sectional view of the data input
and output device shown in FIG. 40 taken along lines A-A in FIG.
40;
[0063] FIG. 42 is a block diagram illustrating the operation of
prior art software that enables a prior art input device having a
dial and a button to control the operation of a computer by
identifying and selecting hot spots;
[0064] FIGS. 43A-F is a top plan view of a data input and output
device according to an embodiment of the present invention in which
energy related data for an individual is collected or generated by
the data input and output device and a sensor device in electrical
communication therewith and displayed by the data input and output
device on an LCD provided thereon;
[0065] FIGS. 43G and H are a plan views of interfaces for entering
nutrition information into a data input and output device according
to an alternate embodiment of the present invention;
[0066] FIG. 43I and J are scatter plots between estimates of the
caloric content in meals consumed using an embodiment of the
present invention and caloric content computed from full diet diary
entries;
[0067] FIG. 44 is a block diagram showing the components attached
or otherwise coupled to a printed circuit board housed within a
data input and output device according to an embodiment of the
present invention;
[0068] FIG. 45 is a partial cross-sectional view of a data input
and output device according to an alternate embodiment of the
present invention having one or more sensors that enable it to
collect data indicative of physiological and/or contextual
parameters;
[0069] FIG. 46 is a block diagram of an alternate embodiment of the
present invention in which a data input and output device acts as a
hub or terminal for collection and, optionally, processing of data
from a variety of sources;
[0070] FIG. 47 is a block diagram showing the format of algorithms
that are developed according to an aspect of the present invention;
and
[0071] FIG. 48 is a block diagram illustrating an example algorithm
for predicting energy expenditure according to the present
invention.
DETAILED DESCRIPTION
[0072] In general, according to the present invention, data
relating to the physiological state, the lifestyle and certain
contextual parameters of an individual is collected and
transmitted, either subsequently or in real-time, to a site,
preferably remote from the individual, where it is stored for later
manipulation and presentation to a recipient, preferably over an
electronic network such as the Internet. Contextual parameters as
used herein means parameters relating to the environment,
surroundings and location of the individual, including, but not
limited to, air quality, sound quality, ambient temperature, global
positioning and the like. Referring to FIG. 1, located at user
location 5 is sensor device 10 adapted to be placed in proximity
with at least a portion of the human body. Sensor device 10 is
preferably worn by an individual user on his or her body, for
example as part of a garment such as a form fitting shirt, or as
part of an arm band or the like. Sensor device 10, includes one or
more sensors, which are adapted to generate signals in response to
physiological characteristics of an individual, and a
microprocessor. Proximity as used herein means that the sensors of
sensor device 10 are separated from the individual's body by a
material or the like, or a distance such that the capabilities of
the sensors are not impeded.
[0073] Sensor device 10 generates data indicative of various
physiological parameters of an individual, such as the individual's
heart rate, pulse rate, beat-to-beat heart variability, EKG or ECG,
respiration rate, skin temperature, core body temperature, heat
flow off the body, galvanic skin response or GSR, EMG, EEG, EOG,
blood pressure, body fat, hydration level, activity level, oxygen
consumption, glucose or blood sugar level, body position, pressure
on muscles or bones, and UV radiation exposure and absorption. In
certain cases, the data indicative of the various physiological
parameters is the signal or signals themselves generated by the one
or more sensors and in certain other cases the data is calculated
by the microprocessor based on the signal or signals generated by
the one or more sensors. Methods for generating data indicative of
various physiological parameters and sensors to be used therefor
are well known. Table 1 provides several examples of such well
known methods and shows the parameter in question, the method used,
the sensor device used, and the signal that is generated. Table 1
also provides an indication as to whether further processing based
on the generated signal is required to generate the data.
TABLE-US-00001 TABLE 1 Further Parameter Method Sensor Signal
Processing Heart Rate EKG 2 Electrodes DC Voltage Yes Pulse Rate
BVP LED Emitter and Change in Yes Optical Sensor Resistance
Beat-to-Beat Heart Rate 2 Electrodes DC Voltage Yes Variability EKG
Skin Surface 3-10 Electrodes DC Voltage No Potentials Respiration
Rate Chest Volume Strain Gauge Change in Yes Change Resistance Skin
Temperature Surface Thermistors Change in Yes Temperature
Resistance Probe Core Temperature Esophageal or Thermistors Change
in Yes Rectal Probe Resistance Heat Flow Heat Flux Thermopile DC
Voltage Yes Galvanic Skin Skin 2 Electrodes Change in No Response
Conductance Resistance EMG Skin Surface 3 Electrodes DC Voltage No
Potentials EEG Skin Surface Multiple DC Voltage Yes Potentials
Electrodes EOG Eye Movement Thin Film DC Voltage Yes Piezoelectric
Sensors Blood Pressure Non-Invasive Electronic Change in Yes
Korotkuff Sphygromarometer Resistance Sounds Body Fat Body
Impedance 2 Active Change in Yes Electrodes Impedance Activity in
Body Movement Accelerometer DC Voltage, Yes Interpreted G
Capacitance Shocks per Minute Changes Oxygen Oxygen Uptake
Electro-chemical DC Voltage Yes Consumption Change Glucose Level
Non-Invasive Electro-chemical DC Voltage Yes Change Body Position
N/A Mercury Switch DC Voltage Yes (e.g. supine, Array Change erect,
sitting) Muscle Pressure N/A Thin Film DC Voltage Yes Piezoelectric
Change Sensors UV Radiation N/A UV Sensitive DC Voltage Yes
Absorption Photo Cells Change
[0074] The types of data listed in Table 1 are intended to be
examples of the types of data that can be generated by sensor
device 10. It is to be understood that other types of data relating
to other parameters can be generated by sensor device 10 without
departing from the scope of the present invention.
[0075] The microprocessor of sensor device 10 may be programmed to
summarize and analyze the data. For example, the microprocessor can
be programmed to calculate an average, minimum or maximum heart
rate or respiration rate over a defined period of time, such as ten
minutes. Sensor device 10 may be able to derive information
relating to an individual's physiological state based on the data
indicative of one or more physiological parameters. The
microprocessor of sensor device 10 is programmed to derive such
information using known methods based on the data indicative of one
or more physiological parameters. Table 2 provides examples of the
type of information that can be derived, and indicates some of the
types of data that can be used therefor.
TABLE-US-00002 TABLE 2 Derived Information Data Used Ovulation Skin
temperature, core temperature, oxygen consumption Sleep onset/wake
Beat-to-beat variability, heart rate, pulse rate, respiration rate,
skin temperature, core temperature, heat flow, galvanic skin
response, EMG, EEG, EOG, blood pressure, oxygen consumption
Calories burned Heart rate, pulse rate, respiration rate, heat
flow, activity, oxygen consumption Basal metabolic rate Heart rate,
pulse rate, respiration rate, heat flow, activity, oxygen
consumption Basal temperature Skin temperature, core temperature
Activity level Heart rate, pulse rate, respiration rate, heat flow,
activity, oxygen consumption Stress level EKG, beat-to-beat
variability, heart rate, pulse rate, respiration rate, skin
temperature, heat flow, galvanic skin response, EMG, EEG, blood
pressure, activity, oxygen consumption Relaxation level EKG,
beat-to-beat variability, heart rate, pulse rate, respiration rate,
skin temperature, heat flow, galvanic skin response, EMG, EEG,
blood pressure, activity, oxygen consumption Maximum oxygen EKG,
heart rate, pulse rate, respiration consumption rate rate, heat
flow, blood pressure, activity, oxygen consumption Rise time or the
time it Heart rate, pulse rate, heat flow, oxygen takes to rise
from a consumption resting rate to 85% of a target maximum Time in
zone or the time Heart rate, pulse rate, heat flow, oxygen heart
rate was above 85% consumption of a target maximum Recovery time or
the Heart rate, pulse rate, heat flow, oxygen time it takes heart
rate consumption to return to a resting rate after heart rate was
above 85% of a target maximum
[0076] Additionally, sensor device 10 may also generate data
indicative of various contextual parameters relating to the
environment surrounding the individual. For example, sensor device
10 can generate data indicative of the air quality, sound
level/quality, light quality or ambient temperature near the
individual, or even the global positioning of the individual.
Sensor device 10 may include one or more sensors for generating
signals in response to contextual characteristics relating to the
environment surrounding the individual, the signals ultimately
being used to generate the type of data described above. Such
sensors are well known, as are methods for generating contextual
parametric data such as air quality, sound level/quality, ambient
temperature and global positioning.
[0077] FIG. 2 is a block diagram of an embodiment of sensor device
10. Sensor device 10 includes at least one sensor 12 and
microprocessor 20. Depending upon the nature of the signal
generated by sensor 12, the signal can be sent through one or more
of amplifier 14, conditioning circuit 16, and analog-to-digital
converter 18, before being sent to microprocessor 20. For example,
where sensor 12 generates an analog signal in need of amplification
and filtering, that signal can be sent to amplifier 14, and then on
to conditioning circuit 16, which may, for example, be a band pass
filter. The amplified and conditioned analog signal can then be
transferred to analog to digital converter 18, where it is
converted to a digital signal. The digital signal is then sent to
microprocessor 20. Alternatively, if sensor 12 generates a digital
signal, that signal can be sent directly to microprocessor 20.
[0078] A digital signal or signals representing certain
physiological and/or contextual characteristics of the individual
user may be used by microprocessor 20 to calculate or generate data
indicative of physiological and/or contextual parameters of the
individual user. Microprocessor 20 is programmed to derive
information relating to at least one aspect of the individual's
physiological state. It should be understood that microprocessor 20
may also comprise other forms of processors or processing devices,
such as a microcontroller, or any other device that can be
programmed to perform the functionality described herein.
[0079] The data indicative of physiological and/or contextual
parameters can, according to one embodiment of the present
invention, be sent to memory 22, such as flash memory, where it is
stored until uploaded in the manner to be described below. Although
memory 22 is shown in FIG. 2 as a discrete element, it will be
appreciated that it may also be part of microprocessor 20. Sensor
device 10 also includes input/output circuitry 24, which is adapted
to output and receive as input certain data signals in the manners
to be described herein. Thus, memory 22 of the sensor device 10
will build up, over time, a store of data relating to the
individual user's body and/or environment. That data is
periodically uploaded from sensor device 10 and sent to remote
central monitoring unit 30, as shown in FIG. 1, where it is stored
in a database for subsequent processing and presentation to the
user, preferably through a local or global electronic network such
as the Internet. This uploading of data can be an automatic process
that is initiated by sensor device 10 periodically or upon the
happening of an event such as the detection by sensor device 10 of
a heart rate below a certain level, or can be initiated by the
individual user or some third party authorized by the user,
preferably according to some periodic schedule, such as every day
at 10:00 p.m. Alternatively, rather than storing data in memory 22,
sensor device 10 may continuously upload data in real time.
[0080] The uploading of data from sensor device 10 to central
monitoring unit 30 for storage can be accomplished in various ways.
In one embodiment, the data collected by sensor device 10 is
uploaded by first transferring the data to personal computer 35
shown in FIG. 1 by means of physical connection 40, which, for
example, may be a serial connection such as an RS232 or USB port.
This physical connection may also be accomplished by using a
cradle, not shown, that is electronically coupled to personal
computer 35 into which sensor device 10 can be inserted, as is
common with many commercially available personal digital
assistants. The uploading of data could be initiated by then
pressing a button on the cradle or could be initiated automatically
upon insertion of sensor device 10. The data collected by sensor
device 10 may be uploaded by first transferring the data to
personal computer 35 by means of short range wireless transmission,
such as infrared or RF transmission, as indicated at 45.
[0081] Once the data is received by personal computer 35, it is
optionally compressed and encrypted by any one of a variety of well
known methods and then sent out over a local or global electronic
network, preferably the Internet, to central monitoring unit 30. It
should be noted that personal computer 35 can be replaced by any
computing device that has access to and that can transmit and
receive data through the electronic network, such as, for example,
a personal digital assistant such as the Palm VII sold by Palm,
Inc., or the Blackberry 2-way pager sold by Research in Motion,
Inc.
[0082] Alternatively, the data collected by sensor device 10, after
being encrypted and, optionally, compressed by microprocessor 20,
may be transferred to wireless device 50, such as a 2 way pager or
cellular phone, for subsequent long distance wireless transmission
to local telco site 55 using a wireless protocol such as e mail or
as ASCII or binary data. Local telco site 55 includes tower 60 that
receives the wireless transmission from wireless device 50 and
computer 65 connected to tower 60. According to the preferred
embodiment, computer 65 has access to the relevant electronic
network, such as the Internet, and is used to transmit the data
received in the form of the wireless transmission to the central
monitoring unit 30 over the Internet. Although wireless device 50
is shown in FIG. 1 as a discrete device coupled to sensor device
10, it or a device having the same or similar functionality may be
embedded as part of sensor device 10.
[0083] Sensor device 10 may be provided with a button to be used to
time stamp events such as time to bed, wake time, and time of
meals. These time stamps are stored in sensor device 10 and are
uploaded to central monitoring unit 30 with the rest of the data as
described above. The time stamps may include a digitally recorded
voice message that, after being uploaded to central monitoring unit
30, are translated using voice recognition technology into text or
some other information format that can be used by central
monitoring unit 30.
[0084] In addition to using sensor device 10 to automatically
collect physiological data relating to an individual user, a kiosk
could be adapted to collect such data by, for example, weighing the
individual, providing a sensing device similar to sensor device 10
on which an individual places his or her hand or another part of
his or her body, or by scanning the individual's body using, for
example, laser technology or an iStat blood analyzer. The kiosk
would be provided with processing capability as described herein
and access to the relevant electronic network, and would thus be
adapted to send the collected data to the central monitoring unit
30 through the electronic network. A desktop sensing device, again
similar to sensor device 10, on which an individual places his or
her hand or another part of his or her body may also be provided.
For example, such a desktop sensing device could be a blood
pressure monitor in which an individual places his or her arm. An
individual might also wear a ring having a sensor device 10
incorporated therein. A base, not shown, could then be provided
which is adapted to be coupled to the ring. The desktop sensing
device or the base just described may then be coupled to a computer
such as personal computer 35 by means of a physical or short range
wireless connection so that the collected data could be uploaded to
central monitoring unit 30 over the relevant electronic network in
the manner described above. A mobile device such as, for example, a
personal digital assistant, might also be provided with a sensor
device 10 incorporated therein. Such a sensor device 10 would be
adapted to collect data when mobile device is placed in proximity
with the individual's body, such as by holding the device in the
palm of one's hand, and upload the collected data to central
monitoring unit 30 in any of the ways described herein.
[0085] Furthermore, in addition to collecting data by automatically
sensing such data in the manners described above, individuals can
also manually provide data relating to various life activities that
is ultimately transferred to and stored at central monitoring unit
30. An individual user can access a web site maintained by central
monitoring unit 30 and can directly input information relating to
life activities by entering text freely, by responding to questions
posed by the web site, or by clicking through dialog boxes provided
by the web site. Central monitoring unit 30 can also be adapted to
periodically send electronic mail messages containing questions
designed to elicit information relating to life activities to
personal computer 35 or to some other device that can receive
electronic mail, such as a personal digital assistant, a pager, or
a cellular phone. The individual would then provide data relating
to life activities to central monitoring unit 30 by responding to
the appropriate electronic mail message with the relevant data.
Central monitoring unit 30 may also be adapted to place a telephone
call to an individual user in which certain questions would be
posed to the individual user. The user could respond to the
questions by entering information using a telephone keypad, or by
voice, in which case conventional voice recognition technology
would be used by central monitoring unit 30 to receive and process
the response. The telephone call may also be initiated by the user,
in which case the user could speak to a person directly or enter
information using the keypad or by voice/voice recognition
technology. Central monitoring unit 30 may also be given access to
a source of information controlled by the user, for example the
user's electronic calendar such as that provided with the Outlook
product sold by Microsoft Corporation of Redmond, Wash., from which
it could automatically collect information. The data relating to
life activities may relate to the eating, sleep, exercise, mind
centering or relaxation, and/or daily living habits, patterns
and/or activities of the individual. Thus, sample questions may
include: What did you have for lunch today? What time did you go to
sleep last night? What time did you wake up this morning? How long
did you run on the treadmill today?
[0086] Feedback may also be provided to a user directly through
sensor device 10 in a visual form, for example through an LED or
LCD or by constructing sensor device 10, at least in part, of a
thermochromatic plastic, in the form of an acoustic signal or in
the form of tactile feedback such as vibration. Such feedback may
be a reminder or an alert to eat a meal or take medication or a
supplement such as a vitamin, to engage in an activity such as
exercise or meditation, or to drink water when a state of
dehydration is detected. Additionally, a reminder or alert can be
issued in the event that a particular physiological parameter such
as ovulation has been detected, a level of calories burned during a
workout has been achieved or a high heart rate or respiration rate
has been encountered.
[0087] As will be apparent to those of skill in the art, it may be
possible to Adownload@ data from central monitoring unit 30 to
sensor device 10. The flow of data in such a download process would
be substantially the reverse of that described above with respect
to the upload of data from sensor device 10. Thus, it is possible
that the firmware of microprocessor 20 of sensor device 10 can be
updated or altered remotely, i.e., the microprocessor can be
reprogrammed, by downloading new firmware to sensor device 10 from
central monitoring unit 30 for such parameters as timing and sample
rates of sensor device 10. Also, the reminders/alerts provided by
sensor device 10 may be set by the user using the web site
maintained by central monitoring unit 30 and subsequently
downloaded to the sensor device 10.
[0088] Referring to FIG. 3, a block diagram of an embodiment of
central monitoring unit 30 is shown. Central monitoring unit 30
includes CSU/DSU 70 which is connected to router 75, the main
function of which is to take data requests or traffic, both
incoming and outgoing, and direct such requests and traffic for
processing or viewing on the web site maintained by central
monitoring unit 30. Connected to router 75 is firewall 80. The main
purpose of firewall 80 is to protect the remainder of central
monitoring unit 30 from unauthorized or malicious intrusions.
Switch 85, connected to firewall 80, is used to direct data flow
between middleware servers 95a through 95c and database server 110.
Load balancer 90 is provided to spread the workload of incoming
requests among the identically configured middleware servers 95a
through 95c. Load balancer 90, a suitable example of which is the
F5 Serverlron product sold by Foundry Networks, Inc. of San Jose,
Calif., analyzes the availability of each middleware server 95a
through 95c, and the amount of system resources being used in each
middleware server 95a through 95c, in order to spread tasks among
them appropriately.
[0089] Central monitoring unit 30 includes network storage device
100, such as a storage area network or SAN, which acts as the
central repository for data. In particular, network storage device
100 comprises a database that stores all data gathered for each
individual user in the manners described above. An example of a
suitable network storage device 100 is the Symmetrix product sold
by EMC Corporation of Hopkinton, Mass. Although only one network
storage device 100 is shown in FIG. 3, it will be understood that
multiple network storage devices of various capacities could be
used depending on the data storage needs of central monitoring unit
30. Central monitoring unit 30 also includes database server 110
which is coupled to network storage device 100. Database server 110
is made up of two main components: a large scale multiprocessor
server and an enterprise type software server component such as the
8/8i component sold by Oracle Corporation of Redwood City, Calif.,
or the 506 7 component sold by Microsoft Corporation of Redmond,
Wash. The primary functions of database server 110 are that of
providing access upon request to the data stored in network storage
device 100, and populating network storage device 100 with new
data. Coupled to network storage device 100 is controller 115,
which typically comprises a desktop personal computer, for managing
the data stored in network storage device 100.
[0090] Middleware servers 95a through 95c, a suitable example of
which is the 22OR Dual Processor sold by Sun Microsystems, Inc. of
Palo Alto, Calif., each contain software for generating and
maintaining the corporate or home web page or pages of the web site
maintained by central monitoring unit 30. As is known in the art, a
web page refers to a block or blocks of data available on the
World-Wide Web comprising a file or files written in Hypertext
Markup Language or HTML, and a web site commonly refers to any
computer on the Internet running a World-Wide Web server process.
The corporate or home web page or pages are the opening or landing
web page or pages that are accessible by all members of the general
public that visit the site by using the appropriate uniform
resource locator or URL. As is known in the art, URLs are the form
of address used on the World-Wide Web and provide a standard way of
specifying the location of an object, typically a web page, on the
Internet. Middleware servers 95a through 95c also each contain
software for generating and maintaining the web pages of the web
site of central monitoring unit 30 that can only be accessed by
individuals that register and become members of central monitoring
unit 30. The member users will be those individuals who wish to
have their data stored at central monitoring unit 30. Access by
such member users is controlled using passwords for security
purposes. Preferred embodiments of those web pages are described in
detail below and are generated using collected data that is stored
in the database of network storage device 100.
[0091] Middleware servers 95a through 95c also contain software for
requesting data from and writing data to network storage device 100
through database server 110. When an individual user desires to
initiate a session with the central monitoring unit 30 for the
purpose of entering data into the database of network storage
device 100, viewing his or her data stored in the database of
network storage device 100, or both, the user visits the home web
page of central monitoring unit 30 using a browser program such as
Internet Explorer distributed by Microsoft Corporation of Redmond,
Wash., and logs in as a registered user. Load balancer 90 assigns
the user to one of the middleware servers 95a through 95c,
identified as the chosen middleware server. A user will preferably
be assigned to a chosen middleware server for each entire session.
The chosen middleware server authenticates the user using any one
of many well known methods, to ensure that only the true user is
permitted to access the information in the database. A member user
may also grant access to his or her data to a third party such as a
health care provider or a personal trainer. Each authorized third
party may be given a separate password and may view the member
user's data using a conventional browser. It is therefore possible
for both the user and the third party to be the recipient of the
data.
[0092] When the user is authenticated, the chosen middleware server
requests, through database server 110, the individual user's data
from network storage device 100 for a predetermined time period.
The predetermined time period is preferably thirty days. The
requested data, once received from network storage device 100, is
temporarily stored by the chosen middleware server in cache memory.
The cached data is used by the chosen middleware server as the
basis for presenting information, in the form of web pages, to the
user again through the user's browser. Each middleware server 95a
through 95c is provided with appropriate software for generating
such web pages, including software for manipulating and performing
calculations utilizing the data to put the data in appropriate
format for presentation to the user. Once the user ends his or her
session, the data is discarded from cache. When the user initiates
a new session, the process for obtaining and caching data for that
user as described above is repeated. This caching system thus
ideally requires that only one call to the network storage device
100 be made per session, thereby reducing the traffic that database
server 110 must handle. Should a request from a user during a
particular session require data that is outside of a predetermined
time period of cached data already retrieved, a separate call to
network storage device 100 may be performed by the chosen
middleware server. The predetermined time period should be chosen,
however, such that such additional calls are minimized Cached data
may also be saved in cache memory so that it can be reused when a
user starts a new session, thus eliminating the need to initiate a
new call to network storage device 100.
[0093] As described in connection with Table 2, the microprocessor
of sensor device 10 may be programmed to derive information
relating to an individual's physiological state based on the data
indicative of one or more physiological parameters. Central
monitoring unit 30, and preferably middleware servers 95a through
95c, may also be similarly programmed to derive such information
based on the data indicative of one or more physiological
parameters.
[0094] It is also contemplated that a user will input additional
data during a session, for example, information relating to the
user's eating or sleeping habits. This additional data is
preferably stored by the chosen middleware server in a cache during
the duration of the user's session. When the user ends the session,
this additional new data stored in a cache is transferred by the
chosen middleware server to database server 110 for population in
network storage device 100. Alternatively, in addition to being
stored in a cache for potential use during a session, the input
data may also be immediately transferred to database server 110 for
population in network storage device 100, as part of a
write-through cache system which is well known in the art.
[0095] Data collected by sensor device 10 shown in FIG. 1 is
periodically uploaded to central monitoring unit 30. Either by long
distance wireless transmission or through personal computer 35, a
connection to central monitoring unit 30 is made through an
electronic network, preferably the Internet. In particular,
connection is made to load balancer 90 through CSU/DSU 70, router
75, firewall 80 and switch 85. Load balancer 90 then chooses one of
the middleware servers 95a through 95c to handle the upload of
data, hereafter called the chosen middleware server. The chosen
middleware server authenticates the user using any one of many well
known methods. If authentication is successful, the data is
uploaded to the chosen middleware server as described above, and is
ultimately transferred to database server 110 for population in the
network storage device 100.
[0096] Referring to FIG. 4, an alternate embodiment of central
monitoring unit 30 is shown. In addition to the elements shown and
described with respect to FIG. 3, the embodiment of the central
monitoring unit 30 shown in FIG. 4 includes a mirror network
storage device 120 which is a redundant backup of network storage
device 100. Coupled to mirror network storage device 120 is
controller 122. Data from network storage device 100 is
periodically copied to mirror network storage device 120 for data
redundancy purposes.
[0097] Third parties such as insurance companies or research
institutions may be given access, possibly for a fee, to certain of
the information stored in mirror network storage device 120.
Preferably, in order to maintain the confidentiality of the
individual users who supply data to central monitoring unit 30,
these third parties are not given access to such user's individual
database records, but rather are only given access to the data
stored in mirror network storage device 120 in aggregate form. Such
third parties may be able to access the information stored in
mirror network storage device 120 through the Internet using a
conventional browser program. Requests from third parties may come
in through CSU/DSU 70, router 75, firewall 80 and switch 85. In the
embodiment shown in FIG. 4, a separate load balancer 130 is
provided for spreading tasks relating to the accessing and
presentation of data from mirror drive array 120 among identically
configured middleware servers 135a through 135c. Middleware servers
135a through 135c each contain software for enabling the third
parties to, using a browser, formulate queries for information from
mirror network storage device 120 through separate database server
125. Middleware servers 135a through 135c also contain software for
presenting the information obtained from mirror network storage
device 120 to the third parties over the Internet in the form of
web pages. In addition, the third parties can choose from a series
of prepared reports that have information packaged along subject
matter lines, such as various demographic categories.
[0098] As will be apparent to one of skill in the art, instead of
giving these third parties access to the backup data stored in
mirror network storage device 120, the third parties may be given
access to the data stored in network storage device 100. Also,
instead of providing load balancer 130 and middleware servers 135a
through 135c, the same functionality, although at a sacrificed
level of performance, could be provided by load balancer 90 and
middleware servers 95a through 95c.
[0099] When an individual user first becomes a registered user or
member, that user completes a detailed survey. The purposes of the
survey are to: identify unique characteristics/circumstances for
each user that they might need to address in order to maximize the
likelihood that they will implement and maintain a healthy
lifestyle as suggested by central monitoring unit 30; gather
baseline data which will be used to set initial goals for the
individual user and facilitate the calculation and display of
certain graphical data output such as the Health Index pistons;
identify unique user characteristics and circumstances that will
help central monitoring unit 30 customize the type of content
provided to the user in the Health Manager's Daily Dose; and
identify unique user characteristics and circumstances that the
Health Manager can guide the user to address as possible barriers
to a healthy lifestyle through the problem-solving function of the
Health Manager.
[0100] The specific information to be surveyed may include: key
individual temperamental characteristics, including activity level,
regularity of eating, sleeping, and bowel habits, initial response
to situations, adaptability, persistence, threshold of
responsiveness, intensity of reaction, and quality of mood; the
user's level of independent functioning, i.e., self-organization
and management, socialization, memory, and academic achievement
skills; the user's ability to focus and sustain attention,
including the user's level of arousal, cognitive tempo, ability to
filter distractions, vigilance, and self-monitoring; the user's
current health status including current weight, height, and blood
pressure, most recent general physician visit, gynecological exam,
and other applicable physician/healthcare contacts, current
medications and supplements, allergies, and a review of current
symptoms and/or health-related behaviors; the user's past health
history, i.e., illnesses/surgeries, family history, and social
stress events, such as divorce or loss of a job, that have required
adjustment by the individual; the user's beliefs, values and
opinions about health priorities, their ability to alter their
behavior and, what might contribute to stress in their life, and
how they manage it; the user's degree of self-awareness, empathy,
empowerment, and self-esteem, and the user's current daily routines
for eating, sleeping, exercise, relaxation and completing
activities of daily living; and the user's perception of the
temperamental characteristics of two key persons in their life, for
example, their spouse, a friend, a co-worker, or their boss, and
whether there are clashes present in their relationships that might
interfere with a healthy lifestyle or contribute to stress.
[0101] Each member user will have access, through the home web page
of central monitoring unit 30, to a series of web pages customized
for that user, referred to as the Health Manager. The opening
Health Manager web page 150 is shown in FIG. 5. The Health Manager
web pages are the main workspace area for the member user. The
Health Manager web pages comprise a utility through which central
monitoring unit 30 provides various types and forms of data,
commonly referred to as analytical status data, to the user that is
generated from the data it collects or generates, namely one or
more of: the data indicative of various physiological parameters
generated by sensor device 10; the data derived from the data
indicative of various physiological parameters; the data indicative
of various contextual parameters generated by sensor device 10; and
the data input by the user. Analytical status data is characterized
by the application of certain utilities or algorithms to convert
one or more of the data indicative of various physiological
parameters generated by sensor device 10, the data derived from the
data indicative of various physiological parameters, the data
indicative of various contextual parameters generated by sensor
device 10, and the data input by the user into calculated health,
wellness and lifestyle indicators. For example, based on data input
by the user relating to the foods he or she has eaten, things such
as calories and amounts of proteins, fats, carbohydrates, and
certain vitamins can be calculated. As another example, skin
temperature, heart rate, respiration rate, heat flow and/or GSR can
be used to provide an indicator to the user of his or her stress
level over a desired time period. As still another example, skin
temperature, heat flow, beat-to-beat heart variability, heart rate,
pulse rate, respiration rate, core temperature, galvanic skin
response, EMG, EEG, EOG, blood pressure, oxygen consumption,
ambient sound and body movement or motion as detected by a device
such as an accelerometer can be used to provide indicators to the
user of his or her sleep patterns over a desired time period.
[0102] Located on the opening Health Manager web page 150 is Health
Index 155. Health Index 155 is a graphical utility used to measure
and provide feedback to member users regarding their performance
and the degree to which they have succeeded in reaching a healthy
daily routine suggested by central monitoring unit 30. Health Index
155 thus provides an indication for the member user to track his or
her progress. Health Index 155 includes six categories relating to
the user's health and lifestyle: Nutrition, Activity Level, Mind
Centering, Sleep, Daily Activities and How You Feel. The Nutrition
category relates to what, when and how much a person eats and
drinks. The Activity Level category relates to how much a person
moves around. The Mind Centering category relates to the quality
and quantity of time a person spends engaging in some activity that
allows the body to achieve a state of profound relaxation while the
mind becomes highly alert and focused. The Sleep category relates
to the quality and quantity of a person's sleep. The Daily
Activities category relates to the daily responsibilities and
health risks people encounter. Finally, the How You Feel category
relates to the general perception that a person has about how they
feel on a particular day. Each category has an associated level
indicator or piston that indicates, preferably on a scale ranging
from poor to excellent, how the user is performing with respect to
that category.
[0103] When each member user completes the initial survey described
above, a profile is generated that provides the user with a summary
of his or her relevant characteristics and life circumstances. A
plan and/or set of goals is provided in the form of a suggested
healthy daily routine. The suggested healthy daily routine may
include any combination of specific suggestions for incorporating
proper nutrition, exercise, mind centering, sleep, and selected
activities of daily living in the user's life. Prototype schedules
may be offered as guides for how these suggested activities can be
incorporated into the user's life. The user may periodically retake
the survey, and based on the results, the items discussed above
will be adjusted accordingly.
[0104] The Nutrition category is calculated from both data input by
the user and sensed by sensor device 10. The data input by the user
comprises the time and duration of breakfast, lunch, dinner and any
snacks, and the foods eaten, the supplements such as vitamins that
are taken, and the water and other liquids consumed during a
relevant, pre-selected time period. Based upon this data and on
stored data relating to known properties of various foods, central
monitoring unit 30 calculates well known nutritional food values
such as calories and amounts of proteins, fats, carbohydrates,
vitamins, etc., consumed.
[0105] The Nutrition Health Index piston level is preferably
determined with respect to the following suggested healthy daily
routine: eat at least three meals; eat a varied diet consisting of
6-11 servings of bread, pasta, cereal, and rice, 2-4 servings
fruit, 3-5 servings of vegetables, 2-3 servings of fish, meat,
poultry, dry beans, eggs, and nuts, and 2-3 servings of milk,
yogurt and cheese; and drink 8 or more 8 ounce glasses of water.
This routine may be adjusted based on information about the user,
such as sex, age, height and/or weight. Certain nutritional targets
may also be set by the user or for the user, relating to daily
calories, protein, fiber, fat, carbohydrates, and/or water
consumption and percentages of total consumption. Parameters
utilized in the calculation of the relevant piston level include
the number of meals per day, the number of glasses of water, and
the types and amounts of food eaten each day as input by the
user.
[0106] Nutritional information is presented to the user through
nutrition web page 160 as shown in FIG. 6. The preferred
nutritional web page 160 includes nutritional fact charts 165 and
170 which illustrate actual and target nutritional facts,
respectively as pie charts, and nutritional intake charts 175 and
180 which show total actual nutritional intake and target
nutritional intake, respectively as pie charts. Nutritional fact
charts 165 and 170 preferably show a percentage breakdown of items
such as carbohydrates, protein and fat, and nutritional intake
charts 175 and 180 are preferably broken down to show components
such as total and target calories, fat, carbohydrates, protein, and
vitamins. Web page 160 also includes meal and water consumption
tracking 185 with time entries, hyperlinks 190 which allow the user
to directly access nutrition-related news items and articles,
suggestions for refining or improving daily routine with respect to
nutrition and affiliate advertising elsewhere on the network, and
calendar 195 for choosing between views having variable and
selectable time periods. The items shown at 190 may be selected and
customized based on information learned about the individual in the
survey and on their performance as measured by the Health
Index.
[0107] The Activity Level category of Health Index 155 is designed
to help users monitor how and when they move around during the day
and utilizes both data input by the user and data sensed by sensor
device 10. The data input by the user may include details regarding
the user's daily activities, for example the fact that the user
worked at a desk from 8 a.m. to 5 p.m. and then took an aerobics
class from 6 p.m. to 7 p.m. Relevant data sensed by sensor device
10 may include heart rate, movement as sensed by a device such as
an accelerometer, heat flow, respiration rate, calories burned, GSR
and hydration level, which may be derived by sensor device 60 or
central monitoring unit 30. Calories burned may be calculated in a
variety of manners, including: the multiplication of the type of
exercise input by the user by the duration of exercise input by the
user; sensed motion multiplied by time of motion multiplied by a
filter constant; or sensed heat flux multiplied by time multiplied
by a filter constant.
[0108] The Activity Level Health Index piston level is preferably
determined with respect to a suggested healthy daily routine that
includes: exercising aerobically for a pre-set time period,
preferably 20 minutes, or engaging in a vigorous lifestyle activity
for a pre-set time period, preferably one hour, and burning at
least a minimum target number of calories, preferably 205 calories,
through the aerobic exercise and/or lifestyle activity. The minimum
target number of calories may be set according to information about
the user, such as sex, age, height and/or weight. Parameters
utilized in the calculation of the relevant piston level include
the amount of time spent exercising aerobically or engaging in a
vigorous lifestyle activity as input by the user and/or sensed by
sensor device 10, and the number of calories burned above
pre-calculated energy expenditure parameters.
[0109] Information regarding the individual user's movement is
presented to the user through activity level web page 200 shown in
FIG. 7, which may include activity graph 205 in the form of a bar
graph, for monitoring the individual user's activities in one of
three categories: high, medium and low intensity with respect to a
pre-selected unit of time. Activity percentage chart 210, in the
form or a pie chart, may also be provided for showing the
percentage of a pre-selected time period, such as one day, that the
user spent in each category. Activity level web page 200 may also
include calorie section 215 for displaying items such as total
calories burned, daily target calories burned, total caloric
intake, and duration of aerobic activity. Finally, activity level
web page 200 may include at least one hyperlink 220 to allow a user
to directly access relevant news items and articles, suggestions
for refining or improving daily routine with respect to activity
level and affiliate advertising elsewhere on the network. Activity
level web page 200 may be viewed in a variety of formats, and may
include user-selectable graphs and charts such as a bar graph, pie
chart, or both, as selectable by Activity level check boxes 225.
Activity level calendar 230 is provided for selecting among views
having variable and selectable time periods. The items shown at 220
may be selected and customized based on information learned about
the individual in the survey and on their performance as measured
by the Health Index.
[0110] The Mind Centering category of Health Index 155 is designed
to help users monitor the parameters relating to time spent
engaging in certain activities which allow the body to achieve a
state of profound relaxation while the mind becomes focused, and is
based upon both data input by the user and data sensed by the
sensor device 10. In particular, a user may input the beginning and
end times of relaxation activities such as yoga or meditation. The
quality of those activities as determined by the depth of a mind
centering event can be measured by monitoring parameters including
skin temperature, heart rate, respiration rate, and heat flow as
sensed by sensor device 10. Percent change in GSR as derived either
by sensor device 10 or central monitoring unit 30 may also be
utilized.
[0111] The Mind Centering Health Index piston level is preferably
calculated with respect to a suggested healthy daily routine that
includes participating each day in an activity that allows the body
to achieve profound relaxation while the mind stays highly focused
for at least fifteen minutes. Parameters utilized in the
calculation of the relevant piston level include the amount of time
spent in a mind centering activity, and the percent change in skin
temperature, heart rate, respiration rate, heat flow or GSR as
sensed by sensor device 10 compared to a baseline which is an
indication of the depth or quality of the mind centering
activity.
[0112] Information regarding the time spent on self reflection and
relaxation is presented to the user through mind centering web page
250 shown in FIG. 8. For each mind centering activity, referred to
as a session, the preferred mind centering web page 250 includes
the time spent during the session, shown at 255, the target time,
shown at 260, comparison section 265 showing target and actual
depth of mind centering, or focus, and a histogram 270 that shows
the overall level of stress derived from such things as skin
temperature, heart rate, respiration rate, heat flow and/or GSR. In
comparison section 265, the human figure outline showing target
focus is solid, and the human figure outline showing actual focus
ranges from fuzzy to solid depending on the level of focus. The
preferred mind centering web page may also include an indication of
the total time spent on mind centering activities, shown at 275,
hyperlinks 280 which allow the user to directly access relevant
news items and articles, suggestions for refining or improving
daily routine with respect to mind centering and affiliate
advertising, and a calendar 285 for choosing among views having
variable and selectable time periods. The items shown at 280 may be
selected and customized based on information learned about the
individual in the survey and on their performance as measured by
the Health Index.
[0113] The Sleep category of Health Index 155 is designed to help
users monitor their sleep patterns and the quality of their sleep.
It is intended to help users learn about the importance of sleep in
their healthy lifestyle and the relationship of sleep to circadian
rhythms, being the normal daily variations in body functions. The
Sleep category is based upon both data input by the user and data
sensed by sensor device 10. The data input by the user for each
relevant time interval includes the times the user went to sleep
and woke up and a rating of the quality of sleep. As noted in Table
2, the data from sensor device 10 that is relevant includes skin
temperature, heat flow, beat-to-beat heart variability, heart rate,
pulse rate, respiration rate, core temperature, galvanic skin
response, EMG, EEG, EOG, blood pressure, and oxygen consumption.
Also relevant is ambient sound and body movement or motion as
detected by a device such as an accelerometer. This data can then
be used to calculate or derive sleep onset and wake time, sleep
interruptions, and the quality and depth of sleep.
[0114] The Sleep Health Index piston level is determined with
respect to a healthy daily routine including getting a minimum
amount, preferably eight hours, of sleep each night and having a
predictable bed time and wake time. The specific parameters which
determine the piston level calculation include the number of hours
of sleep per night and the bed time and wake time as sensed by
sensor device 10 or as input by the user, and the quality of the
sleep as rated by the user or derived from other data.
[0115] Information regarding sleep is presented to the user through
sleep web page 290 shown in FIG. 9. Sleep web page 290 includes a
sleep duration indicator 295, based on either data from sensor
device 10 or on data input by the user, together with user sleep
time indicator 300 and wake time indicator 305. A quality of sleep
rating 310 input by the user may also be utilized and displayed. If
more than a one day time interval is being displayed on sleep web
page 290, then sleep duration indicator 295 is calculated and
displayed as a cumulative value, and sleep time indicator 300, wake
time indicator 305 and quality of sleep rating 310 are calculated
and illustrated as averages. Sleep web page 290 also includes a
user-selectable sleep graph 315 which calculates and displays one
sleep related parameter over a pre-selected time interval. For
illustrative purposes, FIG. 9 shows heat flow over a one-day
period, which tends to be lower during sleeping hours and higher
during waking hours. From this information, a person's bio-rhythms
can be derived. Sleep graph 315 may also include a graphical
representation of data from an accelerometer incorporated in sensor
device 10 which monitors the movement of the body. The sleep web
page 290 may also include hyperlinks 320 which allow the user to
directly access sleep related news items and articles, suggestions
for refining or improving daily routine with respect to sleep and
affiliate advertising available elsewhere on the network, and a
sleep calendar 325 for choosing a relevant time interval. The items
shown at 320 may be selected and customized based on information
learned about the individual in the survey and on their performance
as measured by the Health Index.
[0116] The Activities of Daily Living category of Health Index 155
is designed to help users monitor certain health and safety related
activities and risks and is based entirely on data input by the
user. The Activities of Daily Living category is divided into four
sub categories: personal hygiene, which allows the user to monitor
activities such as brushing and flossing his or her teeth and
showering; health maintenance, that tracks whether the user is
taking prescribed medication or supplements and allows the user to
monitor tobacco and alcohol consumption and automobile safety such
as seat belt use; personal time, that allows the user to monitor
time spent socially with family and friends, leisure, and mind
centering activities; and responsibilities, that allows the user to
monitor certain work and financial activities such as paying bills
and household chores.
[0117] The Activities of Daily Living Health Index piston level is
preferably determined with respect to the healthy daily routine
described below. With respect to personal hygiene, the routine
requires that the users shower or bathe each day, brush and floss
teeth each day, and maintain regular bowel habits. With respect to
health maintenance, the routine requires that the user take
medications and vitamins and/or supplements, use a seat belt,
refrain from smoking, drink moderately, and monitor health each day
with the Health Manager. With respect to personal time, the routine
requires the users to spend at least one hour of quality time each
day with family and/or friends, restrict work time to a maximum of
nine hours a day, spend some time on a leisure or play activity
each day, and engage in a mind stimulating activity. With respect
to responsibilities, the routine requires the users to do household
chores, pay bills, be on time for work, and keep appointments. The
piston level is calculated based on the degree to which the user
completes a list of daily activities as determined by information
input by the user.
[0118] Information relating to these activities is presented to the
user through daily activities web page 330 shown in FIG. 10. In
preferred daily activities web page 330, activities chart 335,
selectable for one or more of the sub categories, shows whether the
user has done what is required by the daily routine. A colored or
shaded box indicates that the user has done the required activity,
and an empty, non-colored or shaded box indicates that the user has
not done the activity. Activities chart 335 can be created and
viewed in selectable time intervals. For illustrative purposes,
FIG. 10 shows the personal hygiene and personal time sub-categories
for a particular week. In addition, daily activities web page 330
may include daily activity hyperlinks 340 which allow the user to
directly access relevant news items and articles, suggestions for
improving or refining daily routine with respect to activities of
daily living and affiliate advertising, and a daily activities
calendar 345 for selecting a relevant time interval. The items
shown at 340 may be selected and customized based on information
learned about the individual in the survey and on their performance
as measured by the Health Index.
[0119] The How You Feel category of Health Index 155 is designed to
allow users to monitor their perception of how they felt on a
particular day, and is based on information, essentially a
subjective rating, that is input directly by the user. A user
provides a rating, preferably on a scale of 1 to 5, with respect to
the following nine subject areas: mental sharpness; emotional and
psychological well being; energy level; ability to cope with life
stresses; appearance; physical well being; self-control;
motivation; and comfort in relating to others. Those ratings are
averaged and used to calculate the relevant piston level.
[0120] Referring to FIG. 11, Health Index web page 350 is shown.
Health Index web page 350 enables users to view the performance of
their Health Index over a user selectable time interval including
any number of consecutive or non-consecutive days. Using Health
Index selector buttons 360, the user can select to view the Health
Index piston levels for one category, or can view a side-by-side
comparison of the Health Index piston levels for two or more
categories. For example, a user might want to just turn on Sleep to
see if their overall sleep rating improved over the previous month,
much in the same way they view the performance of their favorite
stock. Alternatively, Sleep and Activity Level might be
simultaneously displayed in order to compare and evaluate Sleep
ratings with corresponding Activity Level ratings to determine if
any day-to-day correlations exist. Nutrition ratings might be
displayed with How You Feel for a pre-selected time interval to
determine if any correlation exists between daily eating habits and
how they felt during that interval. For illustrative purposes, FIG.
11 illustrates a comparison of Sleep and Activity Level piston
levels for the week of June 10 through June 16. Health Index web
page 350 also includes tracking calculator 365 that displays access
information and statistics such as the total number of days the
user has logged in and used the Health Manager, the percentage of
days the user has used the Health Manager since becoming a
subscriber, and percentage of time the user has used the sensor
device 10 to gather data.
[0121] Referring again to FIG. 5, opening Health Manager web page
150 may include a plurality of user selectable category summaries
156a through 156f, one corresponding to each of the Health Index
155 categories. Each category summary 156a through 156f presents a
pre-selected filtered subset of the data associated with the
corresponding category. Nutrition category summary 156a displays
daily target and actual caloric intake. Activity Level category
summary 156b displays daily target and actual calories burned. Mind
Centering category summary 156c displays target and actual depth of
mind centering or focus. Sleep category summary 156d displays
target sleep, actual sleep, and a sleep quality rating. Daily
Activities category summary 156e displays a target and actual score
based on the percentage of suggested daily activities that are
completed. The How You Feel category summary 156f shows a target
and actual rating for the day.
[0122] Opening Health Manager web page 150 also may include Daily
Dose section 157 which provides, on a daily time interval basis,
information to the user, including, but not limited to, hyperlinks
to news items and articles, commentary and reminders to the user
based on tendencies, such as poor nutritional habits, determined
from the initial survey. The commentary for Daily Dose 157 may, for
example, be a factual statement that drinking 8 glasses of water a
day can reduce the risk of colon cancer by as much as 32%,
accompanied by a suggestion to keep a cup of water by your computer
or on your desk at work and refill often. Opening Health Manager
web page 150 also may include a Problem Solver section 158 that
actively evaluates the user's performance in each of the categories
of Health Index 155 and presents suggestions for improvement. For
example, if the system detects that a user's Sleep levels have been
low, which suggest that the user has been having trouble sleeping,
Problem Solver 158 can provide suggestions for way to improve
sleep. Problem Solver 158 also may include the capability of user
questions regarding improvements in performance. Opening Health
Manager web page 150 may also include a Daily Data section 159 that
launches an input dialog box. The input dialog box facilitates
input by the user of the various data required by the Health
Manager. As is known in the art, data entry may be in the form of
selection from pre defined lists or general free form text input.
Finally, opening Health Manager web page 150 may include Body Stats
section 161 which may provide information regarding the user's
height, weight, body measurements, body mass index or BMI, and
vital signs such as heart rate, blood pressure or any of the
identified physiological parameters.
[0123] Referring to FIGS. 12-17, a specific embodiment of sensor
device 10 is shown which is in the form of an armband adapted to be
worn by an individual on his or her upper arm, between the shoulder
and the elbow. The specific embodiment of sensor device 10 shown in
FIGS. 12-17 will, for convenience, be referred to as armband sensor
device 400. Armband sensor device 400 includes computer housing
405, flexible wing body 410, and, as shown in FIG. 17, elastic
strap 415. Computer housing 405 and flexible wing body 410 are
preferably made of a flexible urethane material or an elastomeric
material such as rubber or a rubber-silicone blend by a molding
process. Flexible wing body 410 includes first and second wings 418
each having a thru-hole 420 located near the ends 425 thereof.
First and second wings 418 are adapted to wrap around a portion of
the wearer's upper arm.
[0124] Elastic strap 415 is used to removably affix armband sensor
device 400 to the individual's upper arm. As seen in FIG. 17,
bottom surface 426 of elastic strap 415 is provided with Velcro
loops 416 along a portion thereof. Each end 427 of elastic strap
415 is provided with Velcro hook patch 428 on bottom surface 426
and pull tab 429 on top surface 430. A portion of each pull tab 429
extends beyond the edge of each end 427.
[0125] In order to wear armband sensor device 400, a user inserts
each end 427 of elastic strap 415 into a respective thru-hole 420
of flexible wing body 410. The user then places his arm through the
loop created by elastic strap 415, flexible wing body 410 and
computer housing 405. By pulling each pull tab 429 and engaging
Velcro hook patches 428 with Velcro loops 416 at a desired position
along bottom surface 426 of elastic strap 415, the user can adjust
elastic strap 415 to fit comfortably. Since Velcro hook patches 428
can be engaged with Velcro loops 416 at almost any position along
bottom surface 426, armband sensor device 400 can be adjusted to
fit arms of various sizes. Also, elastic strap 415 may be provided
in various lengths to accommodate a wider range of arm sizes. As
will be apparent to one of skill in the art, other means of
fastening and adjusting the size of elastic strap may be used,
including, but not limited to, snaps, buttons, or buckles. It is
also possible to use two elastic straps that fasten by one of
several conventional means including Velcro, snaps, buttons,
buckles or the like, or merely a single elastic strap affixed to
wings 418.
[0126] Alternatively, instead of providing thru-holes 420 in wings
418, loops having the shape of the letter D, not shown, may be
attached to ends 425 of wings 418 by one of several conventional
means. For example, a pin, not shown, may be inserted through ends
425, wherein the pin engages each end of each loop. In this
configuration, the D-shaped loops would serve as connecting points
for elastic strap 415, effectively creating a thru-hole between
each end 425 of each wing 418 and each loop.
[0127] As shown in FIG. 18, which is an exploded view of armband
sensor device 400, computer housing 405 includes a top portion 435
and a bottom portion 440. Contained within computer housing 405 are
printed circuit board or PCB 445, rechargeable battery 450,
preferably a lithium ion battery, and vibrating motor 455 for
providing tactile feedback to the wearer, such as those used in
pagers, suitable examples of which are the Model 12342 and 12343
motors sold by MG Motors Ltd. of the United Kingdom.
[0128] Top portion 435 and bottom portion 440 of computer housing
405 sealingly mate along groove 436 into which O-ring 437 is fit,
and may be affixed to one another by screws, not shown, which pass
through screw holes 438a and stiffeners 438b of bottom portion 440
and apertures 439 in PCB 445 and into threaded receiving stiffeners
451 of top portion 435. Alternately, top portion 435 and bottom
portion 440 may be snap fit together or affixed to one another with
an adhesive. Preferably, the assembled computer housing 405 is
sufficiently water resistant to permit armband sensor device 400 to
be worn while swimming without adversely affecting the performance
thereof.
[0129] As can be seen in FIG. 13, bottom portion 440 includes, on a
bottom side thereof, a raised platform 430. Affixed to raised
platform 430 is heat flow or flux sensor 460, a suitable example of
which is the micro-foil heat flux sensor sold by RdF Corporation of
Hudson, N.H. Heat flux sensor 460 functions as a self-generating
thermopile transducer, and preferably includes a carrier made of a
polyamide film. Bottom portion 440 may include on a top side
thereof, that is on a side opposite the side to which heat flux
sensor 460 is affixed, a heat sink, not shown, made of a suitable
metallic material such as aluminum. Also affixed to raised platform
430 are GSR sensors 465, preferably comprising electrodes formed of
a material such as conductive carbonized rubber, gold or stainless
steel. Although two GSR sensors 465 are shown in FIG. 13, it will
be appreciated by one of skill in the art that the number of GSR
sensors 465 and the placement thereof on raised platform 430 can
vary as long as the individual GSR sensors 465, i.e., the
electrodes, are electrically isolated from one another. By being
affixed to raised platform 430, heat flux sensor 460 and GSR
sensors 465 are adapted to be in contact with the wearer's skin
when armband sensor device 400 is worn. Bottom portion 440 of
computer housing 405 may also be provided with a removable and
replaceable soft foam fabric pad, not shown, on a portion of the
surface thereof that does not include raised platform 430 and screw
holes 438a. The soft foam fabric is intended to contact the
wearer's skin and make armband sensor device 400 more comfortable
to wear.
[0130] Electrical coupling between heat flux sensor 460, GSR
sensors 465, and PCB 445 may be accomplished in one of various
known methods. For example, suitable wiring, not shown, may be
molded into bottom portion 440 of computer housing 405 and then
electrically connected, such as by soldering, to appropriate input
locations on PCB 445 and to heat flux sensor 460 and GSR sensors
465. Alternatively, rather than molding wiring into bottom portion
440, thru-holes may be provided in bottom portion 440 through which
appropriate wiring may pass. The thru-holes would preferably be
provided with a water tight seal to maintain the integrity of
computer housing 405.
[0131] Rather than being affixed to raised platform 430 as shown in
FIG. 13, one or both of heat flux sensor 460 and GSR sensors 465
may be affixed to the inner portion 466 of flexible wing body 410
on either or both of wings 418 so as to be in contact with the
wearer's skin when armband sensor device 400 is worn. In such a
configuration, electrical coupling between heat flux sensor 460 and
GSR sensors 465, whichever the case may be, and the PCB 445 may be
accomplished through suitable wiring, not shown, molded into
flexible wing body 410 that passes through one or more thru-holes
in computer housing 405 and that is electrically connected, such as
by soldering, to appropriate input locations on PCB 445. Again, the
thru-holes would preferably be provided with a water tight seal to
maintain the integrity of computer housing 405. Alternatively,
rather than providing thru-holes in computer housing 405 through
which the wiring passes, the wiring may be captured in computer
housing 405 during an overmolding process, described below, and
ultimately soldered to appropriate input locations on PCB 445.
[0132] As shown in FIGS. 12, 16, 17 and 18, computer housing 405
includes a button 470 that is coupled to and adapted to activate a
momentary switch 585 on PCB 445. Button 470 may be used to activate
armband sensor device 400 for use, to mark the time an event
occurred or to request system status information such as battery
level and memory capacity. When button 470 is depressed, momentary
switch 585 closes a circuit and a signal is sent to processing unit
490 on PCB 445. Depending on the time interval for which button 470
is depressed, the generated signal triggers one of the events just
described. Computer housing 405 also includes LEDs 475, which may
be used to indicate battery level or memory capacity or to provide
visual feedback to the wearer. Rather than LEDs 475, computer
housing 405 may also include a liquid crystal display or LCD to
provide battery level, memory capacity or visual feedback
information to the wearer. Battery level, memory capacity or
feedback information may also be given to the user tactily or
audibly.
[0133] Armband sensor device 400 may be adapted to be activated for
use, that is collecting data, when either of GSR sensors 465 or
heat flux sensor 460 senses a particular condition that indicates
that armband sensor device 400 has been placed in contact with the
user's skin. Also, armband sensor device 400 may be adapted to be
activated for use when one or more of heat flux sensor 460, GSR
sensors 465, accelerometer 495 or 550, or any other device in
communication with armband sensor device 400, alone or in
combination, sense a particular condition or conditions that
indicate that the armband sensor device 400 has been placed in
contact with the user's skin for use. At other times, armband
sensor device 400 would be deactivated, thus preserving battery
power.
[0134] Computer housing 405 is adapted to be coupled to a battery
recharger unit 480 shown in FIG. 19 for the purpose of recharging
rechargeable battery 450. Computer housing 405 includes recharger
contacts 485, shown in FIGS. 12, 15, 16 and 17, that are coupled to
rechargeable battery 450. Recharger contacts 485 may be made of a
material such as brass, gold or stainless steel, and are adapted to
mate with and be electrically coupled to electrical contacts, not
shown, provided in battery recharger unit 480 when armband sensor
device 400 is placed therein. The electrical contacts provided in
battery recharger unit 480 may be coupled to recharging circuit
481a provided inside battery recharger unit 480. In this
configuration, recharging circuit 481 would be coupled to a wall
outlet, such as by way of wiring including a suitable plug that is
attached or is attachable to battery recharger unit 480.
Alternatively, electrical contacts 480 may be coupled to wiring
that is attached to or is attachable to battery recharger unit 480
that in turn is coupled to recharging circuit 481b external to
battery recharger unit 480. The wiring in this configuration would
also include a plug, not shown, adapted to be plugged into a
conventional wall outlet.
[0135] Also provided inside battery recharger unit 480 is RF
transceiver 483 adapted to receive signals from and transmit
signals to RF transceiver 565 provided in computer housing 405 and
shown in FIG. 20. RF transceiver 483 is adapted to be coupled, for
example by a suitable cable, to a serial port, such as an RS 232
port or a USB port, of a device such as personal computer 35 shown
in FIG. 1. Thus, data may be uploaded from and downloaded to
armband sensor device 400 using RF transceiver 483 and RF
transceiver 565. It will be appreciated that although RF
transceivers 483 and 565 are shown in FIGS. 19 and 20, other forms
of wireless transceivers may be used, such as infrared
transceivers. Alternatively, computer housing 405 may be provided
with additional electrical contacts, not shown, that would be
adapted to mate with and be electrically coupled to additional
electrical contacts, not shown, provided in battery recharger unit
480 when armband sensor device 400 is placed therein. The
additional electrical contacts in the computer housing 405 would be
coupled to the processing unit 490 and the additional electrical
contacts provided in battery recharger unit 480 would be coupled to
a suitable cable that in turn would be coupled to a serial port,
such as an RS R32 port or a USB port, of a device such as personal
computer 35. This configuration thus provides an alternate method
for uploading of data from and downloading of data to armband
sensor device 400 using a physical connection.
[0136] FIG. 20 is a schematic diagram that shows the system
architecture of armband sensor device 400, and in particular each
of the components that is either on or coupled to PCB 445.
[0137] As shown in FIG. 17, PCB 445 includes processing unit 490,
which may be a microprocessor, a microcontroller, or any other
processing device that can be adapted to perform the functionality
described herein. Processing unit 490 is adapted to provide all of
the functionality described in connection with microprocessor 20
shown in FIG. 2. A suitable example of processing unit 490 is the
Dragonball EZ sold by Motorola, Inc. of Schaumburg, Ill. PCB 445
also has thereon a two-axis accelerometer 495, a suitable example
of which is the Model ADXL210 accelerometer sold by Analog Devices,
Inc. of Norwood, Mass. Two-axis accelerometer 495 is preferably
mounted on PCB 445 at an angle such that its sensing axes are
offset at an angle substantially equal to 45 degrees from the
longitudinal axis of PCB 445 and thus the longitudinal axis of the
wearer's arm when armband sensor device 400 is worn. The
longitudinal axis of the wearer's arm refers to the axis defined by
a straight line drawn from the wearer's shoulder to the wearer's
elbow. The output signals of two-axis accelerometer 495 are passed
through buffers 500 and input into analog to digital converter 505
that in turn is coupled to processing unit 490. GSR sensors 465 are
coupled to amplifier 510 on PCB 445. Amplifier 510 provides
amplification and low pass filtering functionality, a suitable
example of which is the Model AD8544 amplifier sold by Analog
Devices, Inc. of Norwood, Mass. The amplified and filtered signal
output by amplifier 510 is input into amp/offset 515 to provide
further gain and to remove any bias voltage and into
filter/conditioning circuit 520, which in turn are each coupled to
analog to digital converter 505. Heat flux sensor 460 is coupled to
differential input amplifier 525, such as the Model INA amplifier
sold by Burr-Brown Corporation of Tucson, Ariz., and the resulting
amplified signal is passed through filter circuit 530, buffer 535
and amplifier 540 before being input to analog to digital converter
505. Amplifier 540 is configured to provide further gain and low
pass filtering, a suitable example of which is the Model AD8544
amplifier sold by Analog Devices, Inc. of Norwood, Mass. PCB 445
also includes thereon a battery monitor 545 that monitors the
remaining power level of rechargeable battery 450. Battery monitor
545 preferably comprises a voltage divider with a low pass filter
to provide average battery voltage. When a user depresses button
470 in the manner adapted for requesting battery level, processing
unit 490 checks the output of battery monitor 545 and provides an
indication thereof to the user, preferably through LEDs 475, but
also possibly through vibrating motor 455 or ringer 575. An LCD may
also be used.
[0138] PCB 445 may include three-axis accelerometer 550 instead of
or in addition to two-axis accelerometer 495. The three-axis
accelerometer outputs a signal to processing unit 490. A suitable
example of three-axis accelerometer is the .mu.PAM product sold by
I.M. Systems, Inc. of Scottsdale, Ariz. Three-axis accelerometer
550 is preferably tilted in the manner described with respect to
two-axis accelerometer 495.
[0139] PCB 445 also includes RF receiver 555 that is coupled to
processing unit 490. RF receiver 555 may be used to receive signals
that are output by another device capable of wireless transmission,
shown in FIG. 20 as wireless device 558, worn by or located near
the individual wearing armband sensor device 400. Located near as
used herein means within the transmission range of wireless device
558. For example, wireless device 558 may be a chest mounted heart
rate monitor such as the Tempo product sold by Polar Electro of
Oulu, Finland. Using such a heart rate monitor, data indicative of
the wearer's heart rate can be collected by armband sensor device
400. Antenna 560 and RF transceiver 565 are coupled to processing
unit 490 and are provided for purposes of uploading data to central
monitoring unit 30 and receiving data downloaded from central
monitoring unit 30. RF transceiver 565 and RF receiver 555 may, for
example, employ Bluetooth technology as the wireless transmission
protocol. Also, other forms of wireless transmission may be used,
such as infrared transmission.
[0140] The fact that RF Transceiver 565 may be used for wirelessly
uploading data from and wirelessly downloading data to armband
sensor device 400 is advantageous because it eliminates the need to
remove armband sensor device 400 to perform these functions, as
would be required with a physical connection. For example, if
armband sensor device 400 was being worn under the user's clothing,
requiring removal of armband sensor device 400 prior to uploading
and/or downloading data increases user inconvenience. In addition,
the wearing of armband sensor device 400 has an effect on the
user's skin and underlying blood vessels, which in turn may effect
any measurements being made with respect thereto. It may be
necessary for a period of time during which armband sensor device
400 is worn by the user to elapse before a steady state is achieved
and consistent, accurate measurements can be made. By providing
armband sensor device 400 with wireless communications capability,
data can be uploaded and downloaded without disturbing an
established steady state equilibrium condition. For example,
programming data for processing unit 490 that controls the sampling
characteristics of armband sensor device 400 can be downloaded to
armband sensor device 400 without disturbing the steady state
equilibrium condition.
[0141] In addition, antenna 560 and RF transceiver 565 permit
armband sensor device 400 to communicate wirelessly with other
devices capable of wireless communication, i.e., transmit
information to and receive information from those devices. The
devices may include, for example, devices that are implanted in the
body of the person using armband sensor device 400, such as an
implantable heart pacemaker or an implantable insulin dispensing
device, for example the MiniMed.RTM. 2007 implantable insulin pump
sold by MiniMed Inc. of Northridge, Calif., devices worn on the
body of the person using armband sensor device 400, or devices
located near the person using armband sensor device 400 at any
particular time, such as an electronic scale, a blood pressure
monitor, a glucose monitor, a cholesterol monitor or another
armband sensor device 400. With this two-way wireless communication
capability, armband sensor device 400 may be adapted to transmit
information that activates or deactivates such a device for use or
information that programs such a device to behave in a particular
way. For example, armband sensor device 400 may be adapted to
activate a piece of exercise equipment such as a treadmill and
program it to operate with certain parameters that are dictated or
desired by or optimal for the user of armband sensor device 400. As
another example, armband sensor device 400 may be adapted to adjust
a computer controlled thermostat in a home based on the detected
skin temperature of the wearer or turn off a computer controlled
lighting system, television or stereo when the wearer is determined
to have fallen asleep.
[0142] Vibrating motor 455 is coupled to processing unit 490
through vibrator driver 570 and provides tactile feedback to the
wearer. Similarly, ringer 575, a suitable example of which is the
Model SMT916A ringer sold by Projects Unlimited, Inc. of Dayton,
Ohio, is coupled to processing unit 490 through ringer driver 580,
a suitable example of which is the Model MMBTA14 CTI darlington
transistor driver sold by Motorola, Inc. of Schaumburg, Illinois,
and provides audible feedback to the wearer. Feedback may include,
for example, celebratory, cautionary and other threshold or event
driven messages, such as when a wearer reaches a level of calories
burned during a workout.
[0143] Also provided on PCB 445 and coupled to processing unit 490
is momentary switch 585. Momentary switch 585 is also coupled to
button 470 for activating momentary switch 585. LEDs 475, used to
provide various types of feedback information to the wearer, are
coupled to processing unit 490 through LED latch/driver 590.
[0144] Oscillator 595 is provided on PCB 445 and supplies the
system clock to processing unit 490. Reset circuit 600, accessible
and triggerable through a pin-hole in the side of computer housing
405, is coupled to processing unit 490 and enables processing unit
490 to be reset to a standard initial setting.
[0145] Rechargeable battery 450, which is the main power source for
the armband sensor device 400, is coupled to processing unit 490
through voltage regulator 605. Finally, memory functionality is
provided for armband sensor device 400 by SRAM 610, which stores
data relating to the wearer of armband sensor device 400, and flash
memory 615, which stores program and configuration data, provided
on PCB 445. SRAM 610 and flash memory 615 are coupled to processing
unit 490 and each preferably have at least 512K of memory.
[0146] In manufacturing and assembling armband sensor device 400,
top portion 435 of computer housing 405 is preferably formed first,
such as by a conventional molding process, and flexible wing body
410 is then overmolded on top of top portion 435. That is, top
portion 435 is placed into an appropriately shaped mold, i.e., one
that, when top portion 435 is placed therein, has a remaining
cavity shaped according to the desired shape of flexible wing body
410, and flexible wing body 410 is molded on top of top portion
435. As a result, flexible wing body 410 and top portion 435 will
merge or bond together, forming a single unit. Alternatively, top
portion 435 of computer housing 405 and flexible wing body 410 may
be formed together, such as by molding in a single mold, to form a
single unit. The single unit however formed may then be turned over
such that the underside of top portion 435 is facing upwards, and
the contents of computer housing 405 can be placed into top portion
435, and top portion 435 and bottom portion 440 can be affixed to
one another. As still another alternative, flexible wing body 410
may be separately formed, such as by a conventional molding
process, and computer housing 405, and in particular top portion
435 of computer housing 405, may be affixed to flexible wing body
410 by one of several known methods, such as by an adhesive, by
snap-fitting, or by screwing the two pieces together. Then, the
remainder of computer housing 405 would be assembled as described
above. It will be appreciated that rather than assembling the
remainder of computer housing 405 after top portion 435 has been
affixed to flexible wing body 410, the computer housing 405 could
be assembled first and then affixed to flexible wing body 410.
[0147] Referring to FIG. 21, a block diagram of an alternate
embodiment of the present invention is shown. This alternate
embodiment includes stand alone sensor device 700 which functions
as an independent device, meaning that it is capable of collecting
and/or generating the various types of data described herein in
connection with sensor device 10 and sensor device 400 and
providing analytical status data to the user without interaction
with a remotely located apparatus such as central monitoring unit
30. Stand alone sensor device 700 includes a processor that is
programmed and/or otherwise adapted to include the utilities and
algorithms necessary to create analytical status data from the data
indicative of various physiological and/or contextual parameters of
the user, the data derived therefrom, and the data input by the
user, all of which is stored in and accessed as needed from memory
provided in stand alone sensor device 700. Stand alone sensor
device 700 may comprise sensor device 10 shown in FIGS. 1 and 2
that includes microprocessor 20 and memory 22 or armband sensor
device 400 shown in FIGS. 12-17 that includes processing unit 490
and SRAM 610.
[0148] As shown schematically in FIG. 21, data may be input into
stand alone sensor device 700 in a number of ways. Stand alone
sensor device 700 may include one or more physiological sensors 705
as described herein for facilitating the collection of data
indicative of various physiological parameters of the user. Stand
alone sensor device 700 may also include one or more contextual
sensors 710 as described herein for facilitating the collection of
data indicative of various contextual parameters of the user. As
indicated by reference number 715, stand alone sensor device 700
may be adapted to enable the manual entry of data by the user. For
example, stand alone sensor device 700 may include a data input
button, such as a button 470 of armband sensor device 400, through
which a user could manually enter information such as information
relating to various life activities of the user as described herein
or information relating to the operation and/or control of stand
alone sensor device 700, for example, the setting of reminders or
alerts as described herein. In this example, activation of button
470 may simply record or time stamp that an event such as a meal
has occurred, with the wearer needing to assign a meaning to that
time stamp through data entry at a later time. Alternatively,
activation of button 470 in certain sequences, such as one
activation, two successive activations, three successive
activations, etc., can be preset to have different specific
meanings. A wearer would need to follow a menu or guide of such
preset activation sequences to input relevant data. Alternatively,
stand alone sensor device 700 may include a more sophisticated
means for manual entry of information such as a keypad, a touch
screen, a microphone, or a remote control device, for example a
remote control device incorporated into a wristwatch. In the case
of a microphone, the processor of stand alone sensor device 700
would be provided with well known voice recognition software or the
like for converting the input speech into usable data.
[0149] As indicated by reference numbers 720 and 725, information
comprising data indicative of various physiological and/or
contextual parameters and data derived therefrom may be input into
stand alone sensor device 700 through interaction with other
devices. In addition, information such as handshake data or data
indicative of various physiological and/or contextual parameters
and data derived therefrom may be output from stand alone sensor
device 700 to such other devices. According to one embodiment, the
interaction is in the form of wireless communication between stand
alone sensor device 700 and another device capable of wireless
communication by way of a wireless transceiver provided in stand
alone sensor device 700, such as wireless transceiver 565 shown and
described in connection with FIG. 20. The device-to-device
interaction may, as shown by reference number 720, be explicit,
meaning that the user of stand alone sensor device 700 has
knowingly initiated the interaction. For example, a user may
activate a button on a scale to upload data to stand alone sensor
device 700. The device-to-device interaction may also, as shown by
reference number 725, be hidden, meaning that the user of stand
alone sensor device 700 does not knowingly initiate the
interaction. For example, a gym may have a sensor that wirelessly
transmits a signal to sensing device 700 when the user enters and
leaves the gym to time stamp when the user began and ended a
workout.
[0150] As shown schematically in FIG. 21, information may be output
or transmitted from stand alone sensor device 700 in a number of
ways. Such information may include the data indicative of various
physiological parameters and/or contextual parameters, the data
derived therefrom, the data manually input by the user, the
analytical status data, or any combination thereof. As shown by
reference numbers 730, 735 and 740, information may be output or
transmitted in an audible fashion such as by a series of tones or
beeps or a recorded voice by a device such as a speaker, in a
visual fashion such as by one or more LEDs, or in a tactile fashion
such as by vibration. For example, stand alone sensor device 700
may be adapted to output a tone or tones, light an LED or LEDs, or
vibrate as a reminder for an event, such as a reminder to eat or
exercise at a particular time, or when a goal has been reached,
such as a target number of calories burned during a workout, or a
condition has been sensed, such as ovulation. Alternatively, stand
alone sensor device 700 may be provided with a more sophisticated
visual output means such as an LCD similar to those found on
commercially available cell phones, pagers and personal digital
assistants. With an LCD or a similar device and the expanded visual
output capabilities it would provide, stand alone sensor device 700
may be adapted to output or transmit some or all of the information
described in connection with FIGS. 5 through 11 in the same or a
similar format. For example, stand alone sensor device 700 could
provide analytical status data in the form of the Health Index to
the user. As a further alternative, stand alone sensor device 700
may be coupled to computing device 750 such as a personal computer,
a cell phone, a pager, a personal digital assistant, another stand
alone sensor device 700 or any other device having a processor by
either wired connection 755 or wireless connection 760. For
example, battery recharger unit 480 shown in FIG. 19 may be used to
provide the wired connection 755 or wireless connection 760. In
this configuration, the display of the computing device could be
used to visually output information from stand alone sensor device
700. It will be appreciated that since computing device 750
includes a sophisticated output means such as an LCD, it may be
used to output or transmit to the user some or all of the
information described in connection with FIGS. 5 through 11, such
as the Health Index, in the same or a similar format.
[0151] Also, computing device 750 may in turn be used to control
other devices, such as the lights or thermostat in a home, based on
data output by stand alone sensor device 700, such as the fact that
the wearer has fallen asleep or the fact that the wearer's skin
temperature has reached a certain level. In other words, stand
alone sensor device 700, and in particular its processor, may be
adapted to cause a computing device 750 to trigger an event upon
detection of one or more physiological and/or contextual conditions
by stand alone sensor device 700. Alternatively, stand alone sensor
device 700 may be adapted to cause a computing device 750 to
trigger an event based upon information received from another
computing device 750.
[0152] Stand alone sensor device 700 may be adapted to interact
with and influence an interactive electronic media device, such as
a video game, or non-interactive electronic media device, such as
on a display device such as a DVD or digital video disc player
playing a digitally recorded movie. For example, stand alone sensor
device 700 may be adapted to transmit information relating to the
physiological state of the wearer to the video game, which in turn
adjusts the characteristics of the game, such as the level of
difficulty. As another example, stand alone sensor device 700 may
be adapted to transmit information relating to the physiological
state of the wearer to the device displaying the digitally recorded
movie which in turn adjusts the characteristics, such as the
outcome, of the movie.
[0153] Furthermore, stand alone sensor device 700 may include
location sensing device 765, such as an ultrasonic or a
radio-frequency identification tag, for enabling a computing device
750 to detect the geographic location of stand alone sensor device
700, such as the location of stand alone sensor device 700 within a
defined space such as a building. In one embodiment, a location
indication causes computing device 750 to trigger an event, such as
lowering the temperature in a room corresponding to the indicated
location, preferably based on the detection by stand alone sensor
device 700 of one or more physiological conditions of the wearer,
such as skin temperature. In another embodiment, the location
indication causes computing device 750 to trigger an event, such as
lowering the temperature in a room corresponding to the indicated
location, if stand alone sensor device 700 detects one or more
physiological conditions, such as a skin temperature of the wearer
being above a certain level. In addition, the input means of the
computing device, such as the mouse and keyboard of a personal
computer, the keypad of a cell phone or pager, or the touch screen
of a personal digital assistant, may be used to manually input
information into stand alone sensor device 700.
[0154] The different modes of output may be used in combination to
provide different types and levels of information to a user. For
example, stand alone sensor device 700 could be worn by an
individual while exercising and an LED or a tone can be used to
signal that a goal of a certain number of calories burned has been
reached. The user could then transmit additional data wirelessly
from stand alone sensor device 700 to a computing device 750 such
as a cell phone after he or she is finished exercising to view data
such as heart rate and/or respiration rate over time.
[0155] As a further alternative embodiment of the present
invention, rather than the processor provided in stand alone sensor
device 700 being programmed and/or otherwise adapted to generate
the derived data and to include the utilities and algorithms
necessary to create analytical status data, computing device 750
could be so programmed. In this embodiment, stand alone sensor
device 700 collects and/or generates the data indicative of various
physiological and/or contextual parameters of the user, the data
manually input by the user, and/or data input as a result of
device-to-device interaction shown at 720 and 725, all of which is
stored in the memory provided in stand alone sensor device 700.
This data is then periodically uploaded to computing device 750
which in turn generates derived data and/or analytical status data.
Alternatively, the processor of stand alone sensor device 700 could
be programmed to generate the derived data with computing device
750 being programmed and/or otherwise adapted to include the
utilities and algorithms necessary to create analytical status data
based on data indicative of one or more physiological and/or
contextual parameters, data derived therefrom, data manually input
by the user and/or data input as a result of device-to-device
interaction shown at 720 and 725 uploaded from stand alone sensor
device 700. As still a further alternative, the processor of stand
alone sensor device 700 could be programmed and/or otherwise
adapted to include the utilities and algorithms necessary to create
analytical status data based on data indicative of one or more
physiological and/or contextual parameters, data derived therefrom,
data manually input by the user and/or data input as a result of
device-to-device interaction shown at 720 and 725 uploaded from
stand alone sensor device 700 with computing device 750 being
programmed to generate the derived data. In either alternative, any
or all of the data indicative of physiological and/or contextual
parameters of the user, the data derived therefrom, the data
manually input by the user, the data input as a result of
device-to-device interaction shown at 720 and 725 and the
analytical status data may then be viewed by the user using the
output means of the programmed computing device 750 or another
computing device 750 to which the data is downloaded. In the latter
alternative, everything but the analytical status data may also be
output by stand alone sensor device 700 as described herein.
[0156] Computing device 750 in these alternative embodiments may be
connected to an electronic network, such as the Internet, to enable
it to communicate with central monitoring unit 30 or the like. The
programming of computing device 750 that enables it to generate the
derived data and/or the analytical status data may, with such a
configuration, be modified or replaced by downloading the relevant
data to computing device 750 over the electronic network.
[0157] As still a further alternative embodiment, computing device
750 may be provided with a custom written plug-in adapted to
provide data display functionality through use of a well known
browser program. In this embodiment, stand alone sensor device 700
collects and/or generates the data indicative of various
physiological and/or contextual parameters of the user, the derived
data, the data input by the user, data input as a result of
device-to-device interaction shown at 720 and 725, and/or
analytical status data based thereon and uploads this data to
computing device 750. The plug-in provided in computing device 750
then generates appropriate display pages based on the data which
may be viewed by the user using the browser provided with computing
device 750. The plug-in may be modified/updated from a source such
as central monitoring unit 30 over an electronic network such as
the Internet.
[0158] Referring to FIGS. 22-26, an alternate embodiment of a
sensor device is shown at 800. Sensor device 800 may be a specific
embodiment of either sensor device 10 described in connection with
FIGS. 1-11 or stand alone sensor device 700 described in connection
with FIG. 21. Sensor device 800 includes housing 805 affixed to
flexible section 810, which is similar to flexible wing body 410
shown in FIGS. 12-17. Flexible section 810 is adapted to engage,
such as by wrapping around or conforming to, at least a portion of
the human body, such as the upper arm, to enable sensor device 800,
in combination with a removable strap 811 inserted through slots
812 provided in flexible section 810, to be worn on the body.
Preferably, flexible section 810 is made of a material having a
durometer of between 75 and 85 Shore A. Flexible section 810 may
take on a variety of shapes and may be made of a cloth material, a
flexible plastic film, or an elastic material having an adhesive
similar in structure to a Band-Aid.RTM. disposable adhesive
bandage. In the embodiment shown in FIGS. 22-26, housing 805 is
permanently affixed to flexible section 810, such as by an over
molding or co-molding process, through the use of an adhesive
material, or by a fastening mechanism such as one or more screws.
Housing 805 includes top portion 815 affixed to bottom portion 820
by any known means, including, for example, an adhesive material,
screws, snap fittings, sonic welding, or thermal welding. According
to a preferred embodiment, a watertight seal is provided between
top portion 815 and bottom portion 820. Such a water-tight seal is
provided when sonic welding or thermal welding is used.
Alternatively, an O-ring could be provided between top portion 815
and bottom portion 820 to create the water-tight seal.
[0159] As can be seen most readily in FIGS. 23, 24 and 26, affixed
to bottom portion 820 of housing 805 are GSR sensors 825. GSR
sensors 825 measure the conductivity of the skin between two points
and may comprise electrodes formed of a material such as stainless
steel, gold or a conductive carbonized rubber. Preferably, GSR
sensors 825 have an oblong, curved shape as shown in FIG. 23, much
like a kidney bean shape, that allows some portion of GSR sensors
825 to maintain contact with the body even if sensor device 800 is
rocking or otherwise moving while being worn. Most preferably, GSR
sensors 825 include raised bumps 830, or some other
three-dimensional textured surface, along the surface thereof to
perturb the skin and push between hairs to ensure good contact with
the skin. In addition, raised bumps 830 provide channels for the
movement of sweat underneath sensor device 800, rather than
trapping sweat, no matter the orientation of sensor device with
respect to the body. Also affixed to bottom portion 820 are heat
flux skin interface component 835 and skin temperature skin
interface component 840, each comprising a plate made of a
thermally conductive material such as stainless steel. Preferably,
heat flux skin interface component 835 and skin temperature skin
interface component 840 are made of a material having thermal
conduction properties of at least 12.9 W/mK, such as 304 stainless
steel. Preferably, GSR sensors 825 are spaced at least 0.44 inches
apart from one another, and at least 0.09 inches apart from heat
flux skin interface component 835 and skin temperature skin
interface component 840. GSR sensors 825, heat flux skin interface
component 835 and skin temperature skin interface component 840 are
adapted to be in contact with the wearer's skin when sensor device
800 is worn, and facilitate the measurement of GSR, heat flux from
the body and skin temperature data. As can be seen most readily in
FIGS. 22, 24 and 26, affixed to top portion 815 of housing 805 are
heat flux ambient interface component 845 and ambient temperature
interface component 850, which also are made of a thermally
conductive material such as stainless steel, preferably a material
having thermal conduction properties of at least 12.9 W/mK, such as
304 stainless steel. Heat flux ambient interface component 845 and
ambient temperature interface component 850 facilitate the
measurement of heat flux from the body and ambient temperature,
respectively, by providing a thermal interface to the surrounding
environment. To further enhance the measurement of these
parameters, holes 855 are provided in flexible section 810 to
expose heat flux ambient interface component 845 and ambient
temperature interface component 850 to the ambient air. Preferably,
holes 855 are sized so that flexible section 810 occludes as little
skin as possible in the regions surrounding heat flux ambient
interface component 845 and ambient temperature interface component
850 so as to allow air flowing off of the skin of the wearer to
pass these components.
[0160] GSR Sensors 825, heat flux, skin interface component 835,
skin temperature skin interface component 840, or any other sensing
component that comes into contact with the skin may be provided
with a plurality of microneedles for, among other things, enhancing
electrical contact with the skin and providing real time access to
interstitial fluid in and below the epidermis, which access may be
used to measure various parameters such as pH level of the skin
through electrochemical, impedance based or other well known
methods. Microneedles enhance electrical contact by penetrating the
stratum corneum of the skin to reach the epidermis. Such
microneedles are well known in the art and may be made of a metal
or plastic material. Prior art microneedles are described in, for
example, U.S. Pat. No. 6,312,612 owned by the Procter and Gamble
Company. Based on the particular application, the number, density,
length, width at the point or base, distribution and spacing of the
microneedles will vary.
[0161] Referring to FIG. 26, which is a cross-section taken along
lines A-A in FIG. 22, the internal components of sensor device 800,
housed within housing 805, are shown. Printed circuit board or PCB
860 is affixed to top portion 815 of housing 805 and receives and
supports the electronic components provided inside housing 805.
Affixed to a bottom side of PCB 860 and electronically coupled to
GSR sensors 825 are contacts 865, which preferably comprise gold
plated contact pins such as the Pogo.RTM. contacts available from
Everett Charles Technologies in Pomona, Calif. Also affixed to the
bottom side of PCB 860 is skin temperature thermistor 870, a
suitable example of which is the model 100K6D280 thermistor
manufactured by BetaTherm Corporation in Shrewsbury, Mass. Skin
temperature thermistor 870 is, according to a preferred embodiment,
thermally coupled to skin temperature skin interface component 840
by a thermally conductive interface material 875. Thermally
conductive interface material 875 may be any type of thermally
conductive interface known in the art, including, for example,
thermally conductive gap fillers, thermally conductive phase change
interface materials, thermally conductive tapes, thermally
conductive cure-in-place compounds or epoxies, and thermal greases.
Suitable thermally conductive interface materials include a boron
nitride filled expanded polytetrafluoroethylene matrix sold under
the trademark PolarChip CP8000 by W. L. Gore & Associates, Inc.
and a boron nitride and alumina filled silicone elastomer on an
adhesive backed 5 mil. (0.013 cm) thick aluminum foil carrier
called A574, which is available from the Chomerics division of
Parker Hannefin Corp. located in Woburn, Mass. Provided on top of
PCB 860 is near-body ambient temperature thermistor 880, a suitable
example of which is the model NTHSO40ZN0IN100KJ thermistor
manufactured by Vishay Intertechnology, Inc. in Malvern, Pa.
Near-body ambient temperature thermistor 880 is thermally coupled
to ambient temperature interface component 850 by thermally
conductive interface material 875.
[0162] Still referring to FIG. 26, a preferred embodiment of sensor
device 800 includes a particular embodiment of an apparatus for
measuring heat flux between a living body and the ambient
environment described in co-pending application Ser. No.
09/822,890, the disclosure of which is incorporated herein by
reference in its entirety. Specifically, heat conduit 885 is
provided within housing 805. As used herein, the term heat conduit
refers to one or more heat conductors which are adapted to singly
or jointly transfer heat from one location to another, such as a
conductor made of stainless steel. Heat conduit 885 is thermally
coupled to heat flux skin interface component 835 by thermally
conductive interface material 875. Provided on the bottom side of
PCB 860 is a first heat flux thermistor 890A, and provided on the
top side of PCB 860 is a second heat flux thermistor 890B. PCB 860
acts as a base member for supporting these components. It will be
appreciated that a base member separate and apart from PCB 860 may
be substituted therefor as an alternative configuration. A suitable
example of both heat flux thermistors 890A and 890B is the. Heat
flux Thermistor 890A and 890B are soldered to pads provided on PCB
860. The second heat flux thermistor 890B is thermally coupled to
heat flux ambient interface 845 by thermally conductive interface
material 875. As is well-known in the art, PCB 860 is made of a
rigid or flexible material, such as a fiberglass, having a
preselected, known thermal resistance or resistivity K. The heat
flux off of the body of the wearer can be determined by measuring a
first voltage V1 with heat flux thermistor 890A and a second
voltage V2 with heat flux thermistor 890B. These voltages are then
electrically differenced, such as by using a differential
amplifier, to provide a voltage value that, as is well known in the
art, can be used to calculate the temperature difference (T2-T1)
between the top and bottom sides of PCB860. Heat flux can then be
calculated according to the following formula:
Heat Flux=K(T2-T1)
[0163] The combination of PCB 860 and heat flux thermistors 890A
and 890B are thus a form of a heat flux sensor One advantage of the
configuration of the apparatus for measuring heat flux shown in
FIG. 26 is that, due to the vertical orientation of the components,
assembly of the apparatus for measuring heat flux, and thus sensor
device 800 as a whole, is simplified. Also adding to the simplicity
is the fact that thermally conductive interface materials that
include a thin adhesive layer on one or both sides may be used for
thermally conductive interface materials 875, enabling components
to be adhered to one another. In addition, thermistors 890A and
890B are relatively inexpensive components, as compared to an
integral heat flux sensor such as those commercially available from
RdF Corporation of Hudson, N.H., thereby reducing the cost of
sensor device 800. Although heat flux thermistors 890A and 890B are
described as being provided on PCB 860 in the embodiment shown in
FIG. 26, it will be appreciated that any piece of material having a
known resistivity K may be used. Furthermore, other temperature
measuring devices known in the art, such as a thermocouple or
thermopile, may be substituted for heat flux thermistors 890A and
890B. As a further alternative, heat conduit 885 may be omitted
such that thermal communication between heat flux thermistor 890A
and heat flux skin interface component 835 is provided by one or
more pieces of thermally conductive interface material 875. As
still a further alternative, heat flux skin interface component 835
may be omitted such that thermal communication between heat flux
thermistor 890A and the skin is provided by either or both of heat
conduit 885 and one or more pieces of thermally conductive
interface material 875. In any of the embodiments described herein,
the combination of one or more of heat conduit 885, one or more
pieces of thermally conductive interface material 875, and heat
flux skin interface component 835 act as a thermal energy
communicator for placing heat flux thermistor 890A in thermal
communication with the body of the wearer of sensor device 800.
[0164] FIG. 27 is a schematic diagram that shows an embodiment of
the system architecture of sensor device 800, and in particular
each of the components that is either provided on or coupled to PCB
860.
[0165] As shown in FIG. 27, PCB 860 includes processing unit 900,
which may be a microprocessor, a microcontroller, or any other
processing device that can be adapted to perform the functionality
described herein, in particular the functionality described in
connection with microprocessor 20 shown in FIG. 2, processing unit
490 shown in FIG. 20, or stand alone sensor device 700 shown in
FIG. 21. A suitable example of processing unit 900 is the
Dragonball EZ sold by Motorola, Inc. of Schaumburg, Illinois. Also
provided on PCB 860 is accelerometer 905, which may be either a
two-axis or a three-axis accelerometer. A suitable example of a
two-axis accelerometer is the Model ADXL202 accelerometer sold by
Analog Devices, Inc. of Norwood, Mass., and a suitable example of a
three-axis accelerometer is the model ACH-04-08-05 accelerator sold
by Measurement Specialties Incorporated in Norristown, Pa. The
output signals of accelerometer 905 are passed through buffers 910
and input analog to digital, referred to as A/D, converter 915 that
in turn is coupled to processing unit 900. GSR sensors 825 are
coupled to A/D converter 915 through current loop 920, low pass
filter 925, and amplifier 930. Current loop 920 comprises an opamp
and a plurality of resistors, and applies a small, fixed current
between the two GSR sensors 825 and measures the voltage across
them. The measured voltage is directly proportional to the
resistance of the skin in contact with the electrodes. Similarly,
heat flux thermistors 890A and 890B are coupled to A/D converter
915 and processing unit 900, where the heat flux calculations are
performed, through low pass filter 935 and amplifier 940.
[0166] Battery monitor 945, preferably comprising a voltage divider
with low pass filter to provide average battery voltage, monitors
the remaining power level of rechargeable battery 950. Rechargeable
battery 950 is preferably a LiIon/LiPolymer 3.7 V Cell.
Rechargeable battery 950, which is the main power source for sensor
device 800, is coupled to processing unit 900 through voltage
regulator 955. Rechargeable battery 950 may be recharged either
using recharger 960 or USB cable 965, both of which may be coupled
to sensor device 800 through USB interface 970. Preferably, USB
interface 970 is hermetically sealable, such as with a removable
plastic or rubber plug, to protect the contacts of USB interface
970 when not in use.
[0167] PCB 860 further includes skin temperature thermistor 870 for
sensing the temperature of the skin of the wearer of sensor device
800, and near-body ambient temperature thermistor 880 for sensing
the ambient temperature in the area near the body of the wearer of
sensor device 800. Each of these components is biased and coupled
to processing unit 900 through A/D converter 915.
[0168] According to a specific embodiment of sensor device 800, PCB
860 may include one or both of an ambient light sensor and an
ambient sound sensor, shown at 975 in FIG. 27, coupled to A/D
converter 915. The ambient light sensor and ambient sound sensor
may be adapted to merely sense the presence or absence of ambient
light or sound, the state where a threshold ambient light or sound
level has been exceeded, or a reading reflecting the actual level
of ambient light or sound. A suitable example of an ambient sound
sensor is the WM-60A Condenser Microphone Cartridge sold by
Matsushita Electric Corporation of America located in Secaucus,
N.J., and suitable examples of an ambient light sensor are the
Optek OPR5500 phototransistor and the Optek OPR5910 photodiode sold
by Optek Technology, Inc. located in Carrollton, Tex. In addition,
PCB 860 may include ECG sensor 980, including two or more
electrodes, for measuring the heart rate of the wearer, and
impedance sensor 985, also including a plurality of electrodes, for
measuring the impedance of the skin of the wearer. Impedance sensor
985 may also be an EMG sensor which gives an indication of the
muscular activity of the wearer. The electrodes forming part of ECG
sensor 980 or impedance sensor 985 may be dedicated electrodes for
such sensors, or may be the electrodes from GSR sensors 825
multiplexed for appropriate measurements. ECG sensor 980 and
impedance sensor 985 are each coupled to A/D converter 915.
[0169] PCB 860 further includes RF transceiver 990, coupled to
processing unit 900, and antenna 995 for wirelessly transmitting
and receiving data to and from wireless devices in proximity to
sensor device 800. RF transceiver 990 and antenna 995 may be used
for transmitting and receiving data to and from a device such as a
treadmill being used by a wearer of sensor device 800 or a heart
rate monitor worn by the wearer of sensor device 800, or to upload
and download data to and from a computing device such as a PDA or a
PC. In addition, RF transceiver 990 and antenna 995 may be used to
transmit information to a feedback device such as a bone
conductivity microphone worn by a fireman to let the fireman know
if a condition that may threaten the fireman's safety, such as
hydration level or fatigue level, has been sensed by sensor device
800. As described in detail in connection with FIG. 21, stand along
sensor device 700 may be coupled to computing device 750 to enable
data to be communicated therebetween. Thus, as a further
alternative, RF transceiver 990 and antenna 995 may be used to
couple sensor device 800 to a computing device such as computing
device 750 shown in FIG. 21. Such a configuration would enable
sensor device 800 to transmit data to and receive data from the
computing device 750, for example a computing device worn on the
wrist. The computing device could be used to enable a user to input
data, which may then be stored therein or transmitted to sensor
device 800, and to display data, including data transmitted from
sensor device 800. The configuration would also allow for computing
tasks to be divided between sensor device 800 and computing device
750, referred to herein as shared computing, as described in detail
in connection with FIG. 21.
[0170] As shown in FIG. 27, PCB 860 may include proximity sensor
1000 which is coupled to processing unit 900 for sensing whether
sensor device 800 is being worn on the body. Proximity sensor 1000
may also be used as a way to automatically power on and off sensor
device 800. Proximity sensor preferably comprises a capacitor, the
electrical capacitance of which changes as sensor device 800 gets
closer to the body. PCB 860 may also include sound transducer 1005,
such as a ringer, coupled to processing unit 900 through driver
1010.
[0171] Sensor device 800 may also be provided with sensors in
addition to those shown in FIG. 27, such as those taught by U.S.
Pat. No. 5,853,005, the disclosure of which is incorporated herein
by reference. The '005 patent teaches a sound transducer coupled to
a pad containing an acoustic transmission material. The pad and
sound transducer may be used to sense acoustic signals generated by
the body which in turn may be converted into signals representative
of physiological parameters such as heart rate or respiration rate.
In addition, rather than being integrated in sensor device 800 as
part of one or more of housing 805, flexible section 810 or strap
811, a sensing apparatus as taught by the '005 patent may be
provided separate from sensor device 800 and be coupled, wired or
wirelessly, to sensor device 800. According to the '005, the sound
or acoustic transducer is preferably a piezoelectric, electret, or
condenser-based hydrophone, similar to those used by the Navy in
sonar applications, but can be any other type of waterproof
pressure and motion sensing type of sensor.
[0172] The sensing apparatus as taught by the '005 patent is an
example of what shall be referred to herein as a non-ECG heart
parameter sensor, meaning that it has the following two qualities:
(1) it does not need to make measurements across the torso using at
least two contact separated by some distance; and (2) it does not
measure electrical activity of the heart. The sensing apparatus as
taught by the '005 patent has been shown to be capable of detecting
heart rate information and information relating to individual beats
of the heart with high reliability under certain circumstances,
depending primarily on factors including the proximity of the
apparatus to the heart, the level of ambient noise, and motion
related sound artifacts caused by the movement of the body. As a
result, the sensing apparatus as taught by the '005 patent is most
reliable when worn in an ambient environment with a low level of
ambient noise and when the body is not moving.
[0173] Certain characteristics, sensors and sensing capabilities of
sensor device 800 are able to improve the reliability and accuracy
of an acoustic-based non-ECG heart parameter sensor 1012 such as
the sensing apparatus as taught by the '005 patent that is
incorporated therein or coupled thereto. For example, in one
specific embodiment, sensor device 800 is particularly suited to be
worn on the upper arm. The upper arm is a good location for a
sensor device 800 having an acoustic-based non-ECG heart parameter
sensor 1012 incorporated therein because it is near the heart and
provides a space for sensor device that allows it to be unobtrusive
and comfortable to wear. In addition, ambient sound sensor shown at
975 in FIG. 27 may be used to filter out ambient noise from the
signals detected by the acoustic-based non-ECG heart parameter
sensor 1012 in order to isolate the sound signal originating from
the body. Filtering of the signal produced by an acoustic-based
non-ECG heart parameter sensor 1012 such as the sensing apparatus
as taught by the '005 patent in this manner may be used both in the
case where such an apparatus is incorporated in sensor device 800
and in the case where it is separated from but coupled to sensor
device 800 as described above. Furthermore, the sound generated
from the motion of the body that is not created by the heart can be
accounted for and adjusted for through the use of a sensor or
sensors that detect or that may be used to identify body sounds
generated as a result of motion of the body, such as accelerometer
905 shown in FIGS. 27 and 29 or the body position or muscle
pressure sensors identified in Table 1. For example, footfalls
create sound within the body that can lower the signal to noise
ratio of an acoustic-based non-ECG heart parameter sensor 1012,
which will likely result in false positive and false negative heart
beat identifications. As is well known in the art, accelerometer
905 may function as a footfall indicator. Accelerometer 905 may
thus be used to filter or subtract out from the signal detected by
the acoustic-based non-ECG heart parameter sensor 1012 signals
related sound motion artifacts caused by the movement of the body
such as by footfalls.
[0174] Several methodologies for performing the filtering or
subtracting of signals described herein are known to those of
ordinary skill in the art. Such filtering or subtracting of signals
used in connection with the monitoring of disparate signal, some
used for noise cancellation and some used for their direct measure,
is also known as data integration.
[0175] Sensor device 800 may also be used to put parameters around
and provide a context for the readings made by a non-ECG heart
parameter sensor 1012 so that inaccurate reading can be identified
and compensated for. For example, sensor device 800 may be used to
detect real time energy expenditure of the wearer as well as the
type of activity in which the wearer is engaging, such as running
or riding a bike. Thus, as another example of how the sensors and
sensing capabilities of sensor device 800 may be used to increase
the reliability and accuracy of a non-ECG heart parameter sensor
1012 through data integration, the energy expenditure and activity
type information can be used to provide a context in which the
heart related parameters detected by the non-ECG heart parameter
sensor 1012 can be assessed and possibly filtered. For example, if
sensor device 800 detects that a person is burning 13 calories per
minute and is biking, and the non-ECG heart parameter sensor 1012
is indicating that the wearer's heart rate is 60 beats per minute,
then it is highly likely that further filtration of the signal from
the non-ECG heart parameter sensor 1012 is necessary.
[0176] Other well known non-ECG heart parameter sensing devices
include, for example, those based on micro-power impulse radar
technology, those based on the use of piezo-electric based strain
gauges, and those based on plethysmography, which involves the
measurement of changes in the size of a body part as modified by
the circulation of blood in that part. It will be appreciated that
the performance of these devices may also be enhanced through the
use of data integration as described herein.
[0177] Another sensor that may be incorporated into the sensor
device 800 measures the pressure with which sensor device 800 is
held against the body of the wearer. Such a sensor could be
capacitive or resistive in nature. One such instantiation places a
piezo-resistive strain gauge on the back of the enclosure to
measure the small deflection of the plastic as increasing force is
applied. Data gathered from such a sensor can be used to compensate
the readings of other sensors in sensor device 800 according to the
readings of such a sensor.
[0178] Also provided on PCB 860 and coupled to processing unit 900
is switch 1015. Switch 1015 is also coupled to button 1020 provided
on housing 805. Button 1020, by activating switch 1015, may be used
to enter information into sensor device 800, such as a time stamp
to mark the occurrence of an event such taking medication.
Preferably, button 1020 has a tactile, positive d-tent feedback
when depressed, and a concave shape to prevent accidental
depression. Also, in the embodiment shown in FIGS. 22-26, flexible
section 810 includes membrane 1022 that covers and seals button
1020. In the embodiments shown in FIGS. 30-32, a similar membrane
1022 may be provided on flexible section 810, and, preferably, also
on housing 805 such that button 1020 is sealed when housing 805 is
removed from flexible section 810. Alternatively, a hole may be
provided in flexible section 810 exposing button 1020 and membrane
1022 when housing 805 is attached to flexible section 810. In
addition, coupled to processing unit 900 on PCB 860 are LCDs and/or
LEDs 1025 for outputting information to the wearer. FIG. 28 shows
an alternate embodiment of sensor device 800 in which LCD 1025 is
provided on a top face of housing 805. As an alternative to LCDs or
LEDs 1025, sensor device 800 may include a prior art
electrochemical display that retains its ability to display
information even when power is no longer being provided thereto.
Such a display is described in U.S. Pat. No. 6,368,287 B1, the
disclosure of which is incorporated herein by reference, and
includes a plurality of markers comprising a miniature heating
element and a coating of heat sensitive material. When current is
passed through one of the heating elements, it heats up, thereby
inducing a change in the color of the coating material. The color
change is permanent, even after the heating element cools down.
Such displays are relatively inexpensive and thus are well adapted
for use in embodiments of sensor device 800 that are designed to be
disposable, possibly single use, items.
[0179] Oscillator 1030 is provided on PCB 860 and supplies the
system clock to processing unit 900. Reset circuit 1035 is coupled
to processing unit 900 and enables processing unit to be reset to a
standard initial setting.
[0180] Finally, non-volatile data storage device 1040, such as a
FLASH memory chip, is provided for storing information collected
and/or generated by sensor device 800. Preferably, data storage
device 1040 includes at least 128K of memory. Non-volatile program
storage device 1045, such as a FLASH ROM chip, is provided for
storing the programs required to operate sensor device 800.
[0181] As an alternative, a microprocessor with integral A/D
converters, data storage, and program storage may be substituted
for processing unit 900, A/D converter 915, data storage device
1040 and non-volatile memory 1045. A suitable example of such a
microprocessor is the Texas Instruments Model MSP430 processor.
[0182] Any component forming a part of sensor device 800 that comes
in contact with the wearer's skin should not, in a preferred
embodiment, degrade in durometer, elasticity, color or other
physical or chemical properties when exposed to skin oils,
perspiration, deodorant, suntan oils or lotions, skin moisturizers,
perfume or isopropyl alcohol. In addition, such components
preferably are hypoallergenic.
[0183] FIG. 29 shows an alternate embodiment of PCB 860 in which
rechargeable battery 950, voltage regulator 955, recharger 960 and
USB cable 965 have been replaced by disposable AAA battery 1050 and
boost converter 1055. Boost converter 1055 uses an inductor to
boost the voltage of AAA battery 1050 to the 3.0-3.3 V required to
run the electronics on PCB 860. A suitable boost converter 1055 is
the model MAX1724 sold by Maxim Integrated Products, Inc. of
Sunnydale, Calif.
[0184] Referring to FIGS. 30 and 31, an alternate embodiment of
sensor device 800 is shown in which housing 805 is removably
attached to flexible section 810. As shown in FIGS. 30 and 31,
housing 805 is provided with groove 1060 along with outer edge
thereof which is adapted to receive therein tongue 1065 provided on
the bottom side of flexible section 810 for securely but removably
attaching housing 805 to flexible section 810. Through the
interaction of groove 1060 and tongue 1065, housing 805 may thus be
readily popped in and out of flexible section 810. Such a
configuration enables housing 805 to be readily attached to
multiple flexible sections having sizes and shapes that are
different than flexible section 810 as long as the flexible section
includes a tongue similar to tongue 1065. Such alternate flexible
sections may be sized and shaped to fit on particular parts of the
body, such as the calf or thigh, and may comprise a garment such as
a shirt having the tongue or tongues located in places of interest,
such as the upper arm or upper left chest, the latter enabling
housing 805 to be positioned over the heart of the wearer.
Co-pending U.S. application Ser. No. 09/419,600, owned by the
assignee of the present application and incorporated herein by
reference, identifies several locations on the body that are
particularly well adapted to receive particularly sized and shaped
sensor devices so as to avoid interference with the motion and
flexibility of the body. As will be appreciated by those of skill
in the art, groove 1060 and tongue 1065 may be swapped such that
groove 1060 is provided in flexible section 810 and tongue 1065 is
provided on housing 805. As will also be appreciated by those of
skill in the art, multiple alternative structures exist for
securely but removably attaching housing 805 to flexible section
810. These alternative structures include, without limitation,
temporary adhesives, screws, a tight fit between having 805 and
flexible section 810 that holds the two together by friction,
magnets provided in each of housing 805 and flexible section 810,
well-known snaps and snapping mechanisms, a threaded portion
provided on housing 805 adapted to be received by threads in
flexible section 810, an O-ring or similar elastic band adapted to
fit around a portion of flexible section 810 and into a groove
provided in housing 805 when flexible section 810 is placed over
housing 805, or merely pressure when housing 805 is placed on the
body and flexible section 810 is placed thereover and attached to
the body such as by strap 811. Referring to FIG. 32, a still
further alternative structure for removably securing flexible
section 810 to housing 805 is shown in which flexible section 810
comprises and elastic or similar band that is adapted to fit into a
groove 1062 provided in housing 805. Housing 805 and flexible
section 810 may then be placed on the body and held in place by
strap 811 or the like inserted through gaps 1064 between housing
805 and flexible section 810.
[0185] FIG. 33 shows an alternate embodiment of sensor device 800
as shown in FIGS. 30 and 31 that is adapted to automatically adjust
or alter the operating parameters of sensor device 800, such as its
functionality, settings or capabilities, depending on the
particular flexible section to which housing 805 is attached. For
example, the calculation of a parameter, such as energy
expenditure, may depend on information that is particular each
individual, such as age, height, weight, and sex. Rather than
having each individual enter that information in sensor device 800
each time he or she wants to wear the device, each individual that
is going to wear the device could enter the information once and
have their own flexible section that causes sensor device to make
measurements based on his or her particular information.
Alternatively, the memory in sensor device 800 for storage of user
data may be divided into several compartments, one for each user,
so as to avoid co-mingling of user data. Sensor device 800 may be
adapted to alter where collected data is stored depending on the
particular flexible section that is being used. In addition, sensor
device 800 may be calibrated and recalibrated differently over time
depending on the particular flexible section to which housing 805
is attached as it learns about each particular wearer and his or
her habits, demographics and/or activities.
[0186] According to a particular embodiment, housing 805 is
provided with first magnetic switch 1070 and second magnetic switch
1075, each on PCB 860. Provided on or inside flexible section 810,
such as by an insert molding technique, is magnet 1080. Magnet 1080
is positioned on or inside flexible section 810 such that it aligns
with and thereby activates one of first magnetic switch 1080 and
second magnetic switch 1075 when housing 805 is attached to
flexible section 810. In the embodiment shown in FIG. 33, second
magnetic switch 1075 will be activated. A second flexible section
810 similar to flexible section 810 shown in FIG. 33 will also be
provided, the difference being that the magnet 1080 provided
therewith will be positioned such that first magnetic switch 1070
is activated when housing 805, the same housing 805 shown in FIG.
33, is attached to the second flexible section 810. Housing 805,
and in particular processing unit 900, may be programmed to alter
its functionality, settings or capabilities depending on which one
of first magnetic switch 1070 and second magnetic switch 1075 is
activated, i.e., which particular flexible section 810 is being
used. Thus, a husband and wife may share a single housing 805 but
have different flexible wings 810 with magnets 1080 located in
different places. In such a case, housing 805 may be programmed to
operate with functionality, settings or capabilities particular to
the husband when first magnetic switch 1070 is activated, and with
functionality, settings or capabilities particular to the wife when
second magnetic switch 1075 is activated. Although only two
magnetic switches are shown in FIG. 33, it will be appreciated that
multiple magnetic switches and multiple flexible sections may be
used to allow sensor device 800 to be programmed for multiple
wearers, such as an entire family, with each family member having
his or her own flexible section. As still a further alternative,
multiple flexible sections may be provided that are adapted to be
worn on different parts of the body, each having a magnet placed in
a different location. Housing 805 may then be programmed to have
functionality, settings or capabilities particular to the type of
sensing to be done on each different part of the body, with
magnetic switches placed so as to be activated when housing 805 is
attached to the appropriate flexible section. Sensor device 800
according to this embodiment is thus a "smart" device. As will be
appreciated by one of skill in the art, many alternatives to first
and second magnetic switches 1070 and 1075 and magnet 1080 may be
used to provide the functionality described in connection with FIG.
33. Such alternatives include, without limitation, mechanical
switches provided in housing 805 that are activated by a protruding
portion, such as a pin, provided at a particular location on
flexible section 810, optical switches comprising an array of light
sensors provided in housing 805 that are activated when the
surrounding light is blocked, reflected or filtered in a particular
way with one or more translucent sections and a single opaque,
reflective or filtering section being selectively provided on
flexible section 810 at particular locations, the translucent
sections not activating the corresponding optical switches and the
opaque, reflective or filtering section activating the
corresponding optical switch, electronic switches provided in
housing 805 activated by a conductor provided in particular
locations in flexible section 810. As still a further alternative,
housing 805 may be provided with multiple switches and each
flexible section 810 may be provided with one or more switch
activators positioned to activate certain selected switches. The
operating parameters of housing 805 would in this embodiment be
adapted to change depending upon the particular set of one or more
switches that are activated. This embodiment thus employs an
encoding scheme to alter the operating parameters of housing 805
depending on which flexible section 810 is used. As still a further
alternative, housing 805 may be provided with a single switch
adapted to alter the operating parameters of housing 805 depending
upon the way in which or state in which it is activated, such as by
the properties of the switch activators. For example, the switch
may be a magnetic switch that is activated a plurality of different
ways depending upon the magnetic level or strength of the magnet
provided in each flexible section 810. A plurality of flexible
sections 810 could then be provided, each having a magnet of a
different strength. In addition, any particular flexible section
810 may be provided with a plurality of magnets having different
strengths with each magnet being able to activate the switch in
housing 805 in a different manner. Such a flexible section 810
would be able to selectively trigger different operating parameters
of housing 805, such as by rotating a portion of flexible wing 805
to align a particular magnet with the switch. As an alternative,
the switch could be an electrical switch and the switch activators
could be conductors having different resistances. The switch would,
in this embodiment, be activated in different ways depending on the
measured resistance of the switch activator that closes the
circuit.
[0187] Referring to FIG. 34, as still a further embodiment of
sensor device 800, housing 805 may be provided with adhesive
material 1085 on a back side thereof to enable housing 805 to be
removably attached to selected portions of the body, such as the
upper left chest over the heart, without flexible section 810.
Adhesive material 1085 may be any well-known adhesive that would
securely attach housing 805 to the body and enable it to be worn
for a period of time, but that would also readily enable housing
805 to be removed from the body after use. Adhesive material 1085
may comprise, for example, a double sided adhesive foam backing
that would allow for comfortable attachment of housing 805 to the
body. Furthermore, housing 805 may be made of a well-known flexible
plastic film or the like, such as that taught in U.S. Pat. No.
6,368,287 B 1, the disclosure of which is incorporated herein by
reference, that would, due to low cost, enable sensor device 800 to
be disposable. Such a disposable sensor device may also include an
electrochemical display described above to enhance its
disposability. In an embodiment adapted for placement over the
upper left chest or any other appropriate region for detecting
heart related parameters, sensor device 800 would include one or
more sensors described herein for sensing heart related parameters
such as heart rate, beat-to-beat or interbeat variability, ECG or
EKG, pulse oximetry, heart sounds, such as detected with a
microphone, and mechanical action of the heart, such as detected
with ultrasound or micro-pulse radar devices.
[0188] FIGS. 35A-H and 36A-H illustrate aspects of the present
invention relating to the ergonomic design of sensor device 800.
Referring to FIGS. 35A and 35B, a housing 1100 of a prior art
sensor device having a rectangular cross-section is shown resting
on the body 1110 of a wearer of the prior art sensor device. As
seen in FIG. 35B, when body 1110 flexes and forms a concavity, as
may happen many times each minute on various parts of the body or
for extended periods of time depending on the position of various
body parties during particular activities, a significant portion of
housing 1100 is caused to be removed from body 1110. When housing
1100 is caused to be removed in this manner, the ability of the
prior art sensor device to accurately make measurements and collect
data will be jeopardized, especially for any readings to be taken
near the center of the cross-section indicated by the arrows in
FIG. 35B.
[0189] FIGS. 35C-H illustrate a cross-section of housing 805 of
sensor device 800 taken along lines C-C shown in FIG. 23 according
to various aspects of the present invention. The cross-section
shown in FIGS. 35C-H is taken near the middle portion of housing
805 shown in FIG. 23 between GSR sensors 825. As seen in FIG. 35C,
bottom surface 1115 of housing 805 is provided with a generally
convex shape such that, when body 1110 flexes and forms a
concavity, a substantial portion of bottom surface 1115 of housing
805 remains in contact with body 1110 by fitting into the
concavity. As seen in FIG. 35D, when body 1110 flexes in the
opposite direction so as to create a convexity, the center portion
of housing 805, indicated by the arrow in FIG. 35D, remains in
contact with body 1110. As shown in FIG. 35E, this is true even if
housing 805 were to rock within the concavity formed in body 1110.
Referring to FIG. 35F, body 1110 may, at times, flex to an extreme
degree, i.e., more than the anticipated maximum that it was
designed for, such that, even if bottom surface 1115 is provided
with a convex shape, it may still cause bottom surface 1115 to be
removed from body 1110. A solution to this problem is illustrated
in FIG. 35G, wherein the lateral ends 1120A and 1120B of housing
805 are provided with radiused portions 1125A and 1125B,
respectively adjacent to and including opposite lateral ends of
bottom surface 1115. Radiused portions 1125A and 1125B enable
housing 805 to sit lower and fit into the concavity created when
body 1110 flexes to an extreme degree. In addition, radiused
portions 1125A and 1125B provide for more comfortable wear as they
eliminate sharp edges 1130A and 1130B shown in FIG. 35F that
contact body 1110. FIG. 35H shows how body 1110 will tend to
conform to the shape of housing 805 due at least in part to the
viscosity of the skin when body 1110 is in a relaxed condition.
[0190] FIG. 36A shows a cross-section of housing 1100 of prior art
sensor device taken along a line perpendicular to the line on which
the cross-section shown in FIGS. 35A and 35B was taken. As seen in
FIG. 36A, when housing 1100 is placed on a convex portion of body
1110, significant portions of housing 1100, specifically the
lateral ends thereof indicated by the arrows in FIG. 36A, are not
in contact body 1110. FIGS. 36B-H show a cross-section of housing
805 according to various aspects of the present invention taken
along lines D-D shown in FIG. 23. As seen in FIG. 36B, bottom
surface 1115 of housing 805 is provided with a generally concave
shape adapted to receive the convex portion of body 1110. Referring
to FIG. 36C, lateral ends 1130A and 1130B may be provided with
radiused portions 1135A and 1135B adjacent to and including
opposite lateral ends of bottom surface 1115, which allow housing
805 to rest in closer contact with body 1110, even when body 1110
flexes to an extreme degree, i.e., more than the anticipated
maximum that it was designed for, and remove sharp edges 1140A and
1140B shown in FIG. 36B, providing for more comfortable wear. As
shown in FIG. 36D, body 1110 will tend to conform to the shape of
housing 805 when body 1110 is in a relaxed condition. As shown in
FIGS. 36E and 36F, good contact with body 1110 is maintained at the
points illustrated by the arrows when body 1110 is flexed in a
manner that decreases the convex shape thereof or that creates a
convexity therein. Thus, it will be appreciated that it is
advantageous to place sensors or sensing elements at the points
indicated by the arrows because those points will tend to remain in
contact with body 1110. FIGS. 36G and 36H, showing, for example,
heat flux skin interface component 835 and skin temperature skin
interface component 840 placed at the points indicated by the
arrows, illustrate this point. As seen in FIGS. 36G and 36H, there
is more than point contact between body 1110 and skin temperature
skin interface component 840.
[0191] FIG. 37 is an isometric view of housing 805 according to an
embodiment of the present invention in which bottom surface 1115
has both the generally convex shape shown in FIGS. 35C-H and the
generally concave shape shown in FIGS. 36B-H. Specifically, bottom
surface 1115, which is the inner surface of housing 805 for
mounting adjacent to the body of the wearer, includes a
longitudinal axis 1141 and a transverse axis 1142. Bottom surface
115 has a generally concave shape having an axis of concavity 1143
that is coincident with longitudinal axis 1141, meaning that it
runs in a first direction from first lateral end 1144 of inner
surface 1115 to second lateral end 1145 of inner surface 1115.
Bottom surface 1115 has a generally convex shape having an axis of
convexity 1146 that is coincident with transverse axis 1142,
meaning that it runs in a second direction from third lateral end
1147 of inner surface 1115 to fourth lateral end 1148 of inner
surface 1115. As seen if FIG. 37, the first and second directions,
and longitudinal axis 1141 and transverse axis 1142, are generally
perpendicular to one another.
[0192] Referring to FIGS. 38A-D, it will be appreciated that
housing 805 having a flat top surface 1150 and flat lateral ends
1130A and 1130B may tend to be jostled and bumped by object 1155,
such as a wall or door or the corner or edge of a drawer, cabinet
or desk, thereby moving housing 805 on body 1110 because such flat
surfaces are not well adapted to deflect object 1155. Movement of
housing 805 on body 1110 will detrimentally effect the ability of
sensor device 800 to accurately make measurements and collect data.
FIGS. 39A-G illustrate various aspects of the present invention
that are adapted to deflect object 1155 and substantially prevent
movement of housing 805 on body 1110. In addition, the forms shown
in FIGS. 39A-G increase the durability of sensor device 800 and
make it easier to put on and wear clothing and the like, such as a
wetsuit, over sensor device 800. As seen in FIG. 39A, housing 805
may have tapered sides 1160A and 1160B such that the width of
housing 805 decreases in the direction from bottom surface 1115 to
top surface 1150. Alternatively, referring to FIG. 39B, top surface
1150 of housing 805 may have a convex shape. As a further
alternative, as seen in FIG. 39C, housing 805 may be provided with
radiused portions 1165A and 1165B that meet with radiused portions
1135A and 1135B such that the lateral ends of housing 805 have a
substantially semicircular shape. As shown in FIG. 39D, housing 805
may have both tapered sides 1160A and 1160B and a top surface 1150
with a convex shape. FIG. 39E is a modification of housing 805
shown in FIG. 39E in which the points 1170A and 1170B where
radiused portions 1135A and 1135B meet tapered sides 1160A and
1160B, respectively, are themselves radiused. FIG. 39F is a
variation of housing 805 shown in FIG. 39E having elongated tapered
sides 1160A and 1160B. FIG. 39G shows how the ability of housing
805, such as the embodiment shown in FIG. 39E, to deflect object
1155 may be enhanced by the addition of flexible section 810 having
a substantially convex outer surface. In addition, an air channel
is provided between flexible section 810 and body 1110 to allow for
heat to flow away from body 1110.
[0193] Referring to FIG. 40, a top plan view of a data input and
output, abbreviated I/O, device 1200 is shown. FIG. 41 is a partial
cross-sectional view of I/O device 1200 taken along lines A-A in
FIG. 40. According to one embodiment of the present invention, I/O
device 1200 is in electronic communication with sensor device 1201
shown in FIG. 40 through communications connection 1230, which may
comprise a wired connection or a wireless connection as described
elsewhere herein. Sensor device 1201 detects human physiological
and/or contextual parameters, and may be any one of sensor device
400 shown in FIGS. 12-17, stand alone sensor device 700 shown in
FIG. 21, or sensor device 800 shown in FIGS. 22-26. I/O device 1200
includes housing 1205 and LCD 1210 attached to housing 1205.
Various alternative display devices may be used instead of an LCD
for displaying information, and such displaying of information and
display devices are not limited to visual display devices, but may
include various tactile or audible displays as described elsewhere
herein. LCD 1210 may display information relating to the human
physiological and/or contextual parameters detected by sensor
device 1201 that is transmitted to I/O device by sensor device 1201
over communications connection 1230. Thus, I/O device 1200 may
display the same information and give the same feedback that any of
the previously described sensor devices. I/O device 1200 also
includes button 1215 and dial 1220. Dial 1220 is moveably mounted
within groove 1225 provided in housing 1205 such that dial 1220 is
free to rotate about the top surface of housing 1205 in both
clockwise and counter-clockwise directions within groove 1225.
Button 1215 and dial 1220 may be used to enter or input information
into I/O device 1200 for subsequent storage in and use by I/O
device 1200 and/or transmission to sensor device 1201. Thus, LCD
1210 may also display information that is entered or input into I/O
device 1200, or information generated from such entered or input
information. I/O device 1200 may take on any number of forms,
including, but not limited to, a watch-like form adapted to be worn
on the wrist, a form that may be clipped to or integrated within a
bag or clothing, or otherwise easily carried in a pocket or a bag,
a form similar to well known commercially available pagers or PDAs,
a form that may be removably, such as magnetically, attached to
sensor device 1201 or another apparatus such as a car dashboard, or
the form of a key fob. I/O device 1200 could also be a separate
electronic device such as a weight scale, in which case the weight
scale may comprise a sensor that communicates information to sensor
device 1201.
[0194] It will be appreciated that, in the embodiment where sensor
device 1201 is stand alone sensor device 700, I/O device 1200 may
perform the manual data entry functions indicated by and described
in connection with reference numeral 715 in FIG. 21. Furthermore,
in this embodiment, I/O device 1200 may be the computing device 750
shown in FIG. 21. As described in connection with FIG. 21, this
configuration provides several possibilities for data collection,
generation and display. Specifically, sensor device 1201, as
described in connection with stand alone sensor device 700 shown in
FIG. 21 and the subject of co-pending application Ser. No.
09/923,181 owned by the assignee hereof, may collect and/or
generate data indicative of various physiological and/or contextual
parameters of the user, data manually input by the user, such as by
using button 1215 and dial 1220, and/or data input as a result of
device-to-device interaction shown at 720 and 725 in FIG. 21.
Sensor device 1201 may then generate derived data and analytical
status data which may be transmitted to I/O device 1200 for
display. Alternatively, sensor device 1201 may be programmed to
generate derived data, which, along with the data collected by
sensor device 1201, may be transmitted to I/O device 1200, and I/O
device 1200 may be programmed and/or otherwise adapted to include
the utilities and algorithms necessary to create analytical status
data based on the data indicative of one or more physiological
and/or contextual parameters, the data derived therefrom, the data
manually input by the user and/or the data input as a result of
device-to-device interaction. The derived data and the analytical
status data so created may be displayed to the user with LCD 1210.
As still a further alternative, the data indicative of various
physiological and/or contextual parameters, the manually input
data, and/or the data input as a result of device-to-device
interaction may be transmitted to I/O device 1200, and I/O device
1200 may be programmed and/or otherwise adapted to include the
utilities and algorithms necessary to create derived data and/or
analytical status data from the foregoing sources of data, all of
which may then be displayed to the user with LCD 1210. I/O device
1200 may also use the information input into it, such as by using
button 1215 and dial 1220, to create derived data and/or analytical
status data, or may use data sensed by a sensor provided on I/O
device 1200 as described elsewhere herein for the same purpose. In
addition, the generation of such data may be shared with or
offloaded to a separate computing device in electronic
communication with I/O device 1200, such as a local PC or a remote
server. In each of the foregoing embodiments, I/O device may be in
electronic communication with and transmit data to still another
device, such as a computing device or an earpiece or tactile
communications device worn by a firefighter or other first
responder or a runner. In this case, I/O device 1200 acts as a
relay of information. In the case of the firefighter or other first
responder, the data may indicate an important physiological state,
such as level of hydration, as determined by sensor device 1201,
and in the case of a runner, the data may indicate caloric
expenditure or distance traveled.
[0195] As known in the art, a number of configurations exist for
constructing I/O device 1200 so that button 1215 and dial 1220 may
be used to input information into I/O device 1200. Such buttons and
dials are commercially available from Duraswitch Industries, Inc.
located in Mesa, Ariz. under the names PUSHGATE.TM. pushbutton and
thiNcoder.TM. ROTOR, respectively. U.S. Pat. No. 5,666,096, the
disclosure of which is incorporated herein by reference, is owned
by Duraswitch Industries, Inc. and describes the rotary switch
technology used in the thiNcoder.TM. ROTOR switch. The '096 patent
describes a rotary switch including a bottom substrate layer and a
top membrane layer separated by a non-conductive spacer. The
internal surface of the membrane layer carries a set of electrodes
which define the spaced contacts of at least one electrical switch.
The membrane layer also carries an electrically conductive metallic
armature, in the form of a flat circular disc, that is received in
an annular opening provided in the spacer. The switch further
includes a rotatable actuating knob that carries a coupler in its
underside. The coupler is a magnet which may be molded or otherwise
entrapped in the knob. The coupler forces the armature against the
internal surface of the membrane by means of the magnetic field
originating from the coupler. The coupler functions both to create
the switch contact pressure as well as to drag the armature from
one contact to another when a user rotates the knob. In operation,
when the knob is rotated, the coupler rotates with the knob and, by
virtue of the magnetic coupling between the coupler and the
armature, the armature rotates with the knob as well. As the
armature rotates, it moves into and out of shorting contact with
the contact or contacts on the membrane. When the armature is in
shorting contact with a contact, the corresponding switch is
closed. As will be appreciated by those of skill in the art,
various encoding schemes are known for converting the actuation of
one or more switches into information that may be used by a
processor or other device coupled to the switch.
[0196] Alternatively, U.S. Pat. No. 6,225,980 B1, the disclosure of
which is incorporated herein by reference, describes a rotary dial
input device for portable computers including an insulating member
overlying a printed circuit board, a spine rigidly connected to the
printed circuit board, a rotatable dial, a switch ring carried by
the dial and a snap ring rigidly connected to the dial. The dial,
the switch ring and the snap ring rotate together around the
periphery of the spine. The switch ring carries at least two
magnets located 180.degree. apart, and a plurality of Hall effect
sensors are mounted on the printed circuit board and lie just under
the surface of the insulating material. The position of the magnets
relative to any of the Hall effect sensors may be used to generate
an output signal based on the position of the dial. The '980 patent
also describes a spring-based mechanism for enabling the dial to be
moved between first and second vertical positions, wherein the
springs biases the dial toward the first vertical position and
downward pressure is required to move the dial toward the second
vertical position. An additional magnet is included on a flexible
arm carried by the switch ring. Upon movement of the dial from the
first vertical position to the second vertical position, the magnet
is moved in a direction toward another Hall effect sensor mounted
on the printed circuit board. This Hall effect sensor produces a
signal whenever the dial is depressed, which signal may be used to
control the associated portable computer. The '980 patent further
states that a momentary switch may be provided, such as in the
center of the dial, for producing another computer control
signal.
[0197] According to the '980 patent, the multiple switch rotary
dial input device described therein, that generates signals from
the rotation of the dial and the depression of the dial and/or a
momentary switch, may be used in place of conventional mouse input
devices as a mechanism for controlling and entering information
into a computer. For example, the '980 patent states that the dial
may be rotated to scroll through a list of items appearing on a
display device of the computer, and the dial or monetary switch may
be depressed to select an identified item. In the preferred
embodiment, the dial cannot be depressed while it is being rotated
and vice versa.
[0198] As another example, U.S. Pat. No. 5,959,611, the disclosure
of which is incorporated herein by reference, describes a portable
computer system including a CPU, an input interface, a display and
an input device, wherein the input device comprises a rotary switch
or dial and three on/off switches. The rotary switch may be a 16
position, binary coded rotary switch which outputs a four-digit
gray code representing the position of the switch. As is known in
the art, a gray code is a special binary encoding scheme in which
adjacent numbers or positions have codes that differ in only one
bit position. The on/of switches may be momentary push button
switches positioned so as to surround the rotary switch.
[0199] The input interface translates the rotational movement of
the rotary switch and the depressions of the on/off switches into
data appropriately formatted for the CPU. Specifically, four
conductors carry a first input signal produced by the rotary switch
indicative of its position, and each of three separate conductors
carry second input signals generated by depression of each of the
on/off switches. The '611 patent states that the first input signal
may be used to sequentially identify, through rotation of the dial,
information appearing on the display, and the second input signals
may be used to select an identified piece of information. The input
interface may be implemented using a PIC microcontroller that is
programmed to encode the first and second input signals into, for
example, an eight bit byte transmitted to the CPU consisting of one
byte for each switch depression and every turn of the rotary
switch. Such an eight bit byte, according to the '611 patent,
consists of six significant bits. Bits 5 and 6 represent the rotary
switch turning clockwise and counterclockwise, respectively. If one
of those bits is set to one, thereby indicating either a clockwise
or counter-clockwise rotation, then bits 1 through 4 represent the
gray code input signal. If both of those bits are set to zero, then
bits 1 through 4 represent the depression of one of four possible
on/off switches, only three of which are actually in use in the
device described in the '611 patent. In other words, if any of bits
1 through 4 is set to one, then the corresponding switch was just
depressed.
[0200] As is known in the art, particular portions or zones of a
computer display showing a particular character, word or image can
be selected, using a mouse or other input device, to cause the
computer to perform an action. The '611 patent refers to such zones
as hot spots. According to the '611 patent, a user can sequentially
identify or step through hot spots provided on the display by
rotating the rotary switch in a clockwise direction. Rotation of
the rotary switch in a counter-clockwise direction enables the user
to step through the hot spots in the reverse order. When the
desired hot spot is identified, such as by being made bold or
otherwise highlighted, any one of the on/off switches may be
depressed to select the identified hot spot, thereby causing the
computer to perform an action. Thus, the input device described in
the '611 patent may be used to input information into and control a
computer much like a conventional mouse.
[0201] FIG. 42 is a reproduction of FIG. 5 of the '611 patent and
is a block diagram illustrating the operation of the software that
enables the input device to identify and select hot spots. In FIG.
42, a screen is drawn or redrawn at step 6200. Thereafter, process
control proceeds to step 6200 in which the software awaits input
from the user, i.e., the eight bit byte of information provided to
the CPU from the input interface. When input is received from the
user, step 6600 determines if a selection has been made, i.e.,
whether of the of on/off switches has been depressed. If none of
the switches has been depressed, then the input must be rotation of
the rotary switch and process control proceeds with step 6800. At
step 6800, a determination is made as to whether the rotary switch
has been rotated in a clockwise direction. If so, process control
proceeds with step 7200 wherein the next hot spot becomes the
active hot spot. If the rotary switch has been rotated in a
counter-clockwise direction, process control proceeds with step
7000 in which the previous hot spot becomes the current hot spot.
After either step 7000 or 7200, process control returns to step
6400 to await additional user input.
[0202] If at step 6600 a selection was made, process control
proceeds with step 7400 to determine if a system command had been
invoked. If not, the type of hot spot is checked at step 7600, the
relevant code is executed, and the screen is redrawn at step 6200.
If, on the other hand, a system command is invoked at step 7400, at
step 7800 an execution of the next screen or previous screen, as
appropriate, is performed and the appropriate screen is redrawn at
step 6200. Thereafter, process control returns to step 6400 to
await additional user input. In this manner, the rotation of the
rotary switch coupled with operation of the push-button switches
controls the hot spots and ultimately controls the information
displayed on the display and the actions taken by the computer.
Those of ordinary skill in the art will recognize that the process
illustrated in FIG. 42 can be implemented in software in a variety
of ways.
[0203] Thus, as is known in the art and as taught by, for example,
the '980 and '611 patents, dial 1220 may be used to step through or
toggle between or among various input or command or control
possibilities presented on LCD 1210 by selectively rotating dial
1220 in either the clockwise or counter-clockwise direction. As
dial 1220 is rotated, the various input or command or control
possibilities are highlighted. Highlighted items may be selected
and a corresponding action commenced by pressing button 1215, or
alternatively dial 1220 itself, in which case dial 1220 acts as
both a dial and a button as those terms are used herein such that
the device in question would be considered to have both a dial and
a button. One alternate example of dial 1220 is the knob on the
side of a watch that rotates about the side external surface of the
watch.
[0204] As an alternative to dial 1220, one or more buttons, such as
an up button and a down button or left and right buttons, may be
used to step through or toggle between or among various input or
command or possibilities presented on LCD 1210. In this embodiment,
button 1215 may still be used to select and commence a highlighted
items. As a further alternative, I/O device 1200 may be provided
with voice recognition software and voice commands may be used to
step through or toggle between or among various input or command or
possibilities presented on LCD 1210. Voice commands may also be
used to select and commence a highlighted items. As still a further
alternate embodiment, voice commands in combination with voice
recognition software may be used to directly enter information,
such as nutrition information described below, into I/O device
1200.
[0205] Referring to FIGS. 43A-F, an embodiment of the present
invention including I/O device 1200 is shown in which energy
related data for an individual is collected or generated by I/O
device 1200 and sensor device 1201 and displayed by I/O device 1200
on LCD 1210. As seen in FIGS. 43 A-C, the energy related data may
include calories consumed and calories burned by the individual
over specific time periods such as a day, a week or a month. In
FIG. 43A, this data is presented in a format that provides a
comparison to a predetermined goal for each value. The example
shown in FIG. 43A shows that a daily goal of 2000 calories consumed
was set by the individual and that the individual has consumed
1,483 calories on the day in question, and that a daily goal of
2,400 calories burned was set by the individual and that the
individual has burned 2,750 calories on the day in question.
Referring to FIGS. 43 B and C, the data is presented in a format
referred to as energy balance in which the amount of calories
consumed by the individual is compared to the amount of calories
expended or burned by the individual for daily, weekly or monthly
periods. It will be appreciated that the individual may toggle
between the goal based and energy balance formats just described,
and among the various time periods within each, by rotating dial
1220 and, in one embodiment, also pressing button 1215. Depending
upon the rotation of dial 1220 and, in one embodiment, upon
pressing of button 1215, appropriate information is displayed
sequentially on LCD 1210. For example, in FIG. 43A, LCD 1210 is
shown displaying data in the goal based format for a daily time
period. LCD 1210 may be caused to display the data in the goal
based format for a weekly or monthly period by progressively
rotating dial 1220 in the clockwise direction. Similarly, LCD 1210
may be caused to switch from displaying data in the goal based
format shown in FIG. 43A to displaying data in the energy balance
format for the various time periods by progressively rotating dial
1220 in the counter-clockwise direction.
[0206] The calories burned data that is displayed by I/O device
1200 may, according to one embodiment of the present invention, be
generated by sensor device 1201 from the physiological and/or
contextual parameters it detects and thereafter transmitted to I/O
device 1200 for storage, use in appropriate calculations and/or
display. The calories burned data may also be generated using data
that is input by the user in addition to the detected parameters.
Furthermore, the caloric consumption data that is displayed by I/O
device 1200 may, according to one embodiment of the present
invention, be generated, preferably by I/O device 1200 but also by
sensor device 1201, from data input into I/O device 1200 by the
individual relating to foods consumed (as described elsewhere
herein, caloric consumption data may also be generated using
various detected parameters in addition to information that is
input manually). Specifically, I/O device 1200 may be provided with
access to a user accessible database of foods and corresponding
caloric value. Such a database may be provided as part of I/O
device 1200 itself, as in the case of the preferred embodiment of
the present invention, or I/O device 1200 may be able to access a
database stored and maintained on a computing device located
separately from the I/O device such as through short or long
distance wireless or wired communications. Referring to FIG. 43D,
LCD 1210 is shown displaying an ENTER NUTRITION menu screen that
may be accessible from, for example, a main menu screen presented
on LCD 1210 using dial 1220 and button 1215. When the individual
eats a particular food, he or she may enter it into I/O device 1200
for storage and/or use thereby by rotating dial 1220 until the FOOD
DATABASE line of the ENTER NUTRITION menu screen shown on LCD 1210
is highlighted and thereafter pressing button 1215 to select same.
Once the food database has been selected, the individual is, in
this embodiment, presented with the search screen shown on LCD 1210
in FIG. 43E. The individual may sequentially spell out the name of
the food consumed by rotating dial 1220 to each letter and
selecting the letter by pressing button 1215. When the individual
has finished spelling the food in question, he or she rotates dial
1220 until SEARCH is highlighted and then presses button 1215. In
response, as shown in FIG. 43 F, I/O device 1200 presents a list on
LCD 1210 of foods that match the entered search information. The
individual may then select the appropriate food by rotating dial
1220 and pressing button 1215. When this is done, the corresponding
caloric information may be displayed to the user on LCD 1210 and
will be stored by I/O device 1200 as part of the caloric
consumption data for that day. The database may include several
sub-entries for each food that correspond to particular serving
sizes, such as a 3 oz. slice of pie or a 6 oz. piece of chicken,
and the appropriate caloric value associated therewith. As will be
appreciated by one of skill in the art, these sub-entries may be
presented to the user and selected using dial 1220 and button 1215
in the manner described above. Referring again to FIG. 43D, I/O
device may also be used to store a list of favorite foods that are
consumed frequently. By selecting the FAVORITE FOODS line from the
Enter Nutrition menu screen provided on LCD 1210 and subsequently
selecting the appropriate favorite food, both done by using dial
1220 and button 1215, an individual eliminates the need to search
through the database as described above. In addition, an individual
may add a custom food and associated caloric value to the food
database using dial 1220 and button 1215 by selecting the ADD
CUSTOM FOOD line from this Enter Nutrition menu screen provided on
LCD 1210 and using a subsequently provided alpha-numeric entry
screen similar to that shown in FIG. 43E to enter the food name and
caloric information. Once entered, this custom food will be
accessible from the food database. As will be appreciated to those
of skill in the art, the information displayed on LCD 1210 may be
shown in list menu or serial menu format.
[0207] Although FIGS. 43D-F illustrate the use of a database of
food information according to one embodiment of the present
invention, it will be appreciated that any database of information
may be used with I/O device 1200 without departing from the scope
of the present invention. For example, the database could store a
number of activities, such as walking, running or biking for a
particular time period, and the caloric expenditure associated with
each. In such a configuration, I/O device 1200 would enable an
individual to input and track his or her caloric expenditure over a
period of time. Furthermore, it will be appreciated that I/O device
1200 is not limited to receiving and displaying information
relating to caloric consumption and expenditure as shown in FIGS.
43A-F. Instead, I/O device may receive and display many different
types of information from one or both of sensor device 1201 and the
user, including, for example, information relating to sleep states
and patterns.
[0208] It is also possible to enter nutrition information in a
considerably simplified manner in any of several potential forms,
including single dimensional point systems, single dimensional
categorical rating systems, and multi-dimensional categorical
rating systems. For a simple example of a single-dimensional point
system, the user may select from a 7 point scale, where each point
value corresponds to a rough approximation of the relative size of
the meal in relation to the user's normal sized meal. For an
example of a categorical system, the user may select from the set
{tiny, small, medium, large, and super-size} when describing a
meal. An example of a multi-dimensional categorical system is the
grid system described below.
[0209] For each of these systems, the users are asked to score each
meal (including snacks) according to the choice of scoring system.
The user's classification of the meal, as identified by a
classification identifier chosen by the user, is used as an input
to an algorithm that estimates the caloric content of the meal. The
algorithm that does this calculation may take other factors into
consideration, including, but not limited to, the time of day, the
day of the week, the season, whether the day is a holiday, the
user's past meal habits, the raw or derived values from a body
monitoring product such as sensor device 1201, demographic
information, and trends in the user's reporting of data. The
algorithm may be a simple look-up table where each classification
identifier is associated with a caloric amount, but can be more
complicated as well.
[0210] Referring to FIG. 43G, an alternate interface 1250 displayed
on LCD 1210 for entering nutrition information into I/O device 1200
is shown which simplifies user interaction. In connection with
interface 1250, users are provided with a two-dimensional
grid-based system based on grid 1255 and are asked to rate each
meal, including snacks, according to a grid system based on the
size of the meal or snack, shown on the horizontal axis of grid
1255, and the estimated caloric density of the meal or snack
(essentially the fat content), shown on the vertical axis of grid
1255. The grid squares are then translated into caloric estimates
(or caloric estimate ranges) using any of a variety of algorithms.
In one embodiment, the grid squares correspond directly to caloric
estimates via a lookup table derived from aggregate population
statistics. In another, the corresponding caloric estimates are
based on a weighted combination of a user's own previous data and
aggregate population statistics. The user may answer a pair of
questions instead of directly choosing a grid square. The pair of
questions first may ask about the size of the meal, and then may
ask about the caloric density.
[0211] This system of quick caloric entry has been tested and
verified in both an in-house pilot study with ten subjects over
several months conducted by the assignor of the present application
and a brief three-day study of 41 participants. In both studies,
the following method was used. For each subject, the data from all
of the other subjects was used to generate caloric estimates for
each grid category for each meal type. The estimates from that
aggregate information were then compared to the computed caloric
totals calculated from full diet diary entries. FIG. 43I shows a
scatter plot between the estimates of the caloric content based on
the present invention and those computed from the full diet diary
entries for one of the subjects in the in-house study, and FIG. 43J
shows the relationship between the estimates of the caloric content
based on the present invention and those computed from the full
diet diary entries for the three-day. The correlation between the
estimates of the in-house study and the diet diary caloric totals
was 0.80, and the estimates of the three-day study and the diet
diary caloric totals was 0.57, without any normalization by each
subject's basal metabolic rate. This data, taken with the most
simple of the embodiments of the system, strongly supports the
premise that diet recording using a quick entry system can result
in reasonably accurate estimates of a user's daily caloric
intake.
[0212] Referring to FIG. 43H, a further alternate interface 1250
displayed on LCD 1210 for entering nutrition information into I/O
device 1200 is shown which simplifies user interaction. In
connection with interface 1250, users are provided with a point
system based on grid 1255 and are asked to score each meal,
including snacks, according to a point system based on the size of
the meal (including snacks), shown on the horizontal axis of grid
1255, and the estimated caloric density for the meal (including or
snacks), shown on the vertical axis of grid 1255. The points act as
categories enabling the user to classify each meal, including any
snacks, and thereby associate a caloric amount with the meal. Users
may also be given a baseline size and calorie value to be
associated with each point level. For example, a 1 may be set to be
a meal that is the size of a first having an estimated calorie
value of 300-500 calories, a 2 may be set to be a meal that is
either the size of a first having an estimated calorie value of
500-700 calories, or the size of a first and a half with a calorie
value of 300-500 calories, and so on, with a 7 being a super-size
meal that exceeds any of the provided levels. In addition, the meal
score may further be weighted, by multiplying the score by a
weighting factor, depending on whether it is breakfast, lunch,
dinner or a snack. The user can use dial 1220, or alternatively one
or more buttons or voice commands, to toggle among the scores or
points shown in grid 1255 and button 1215 to select a score or
point level. Each point level has associated therewith a caloric
value or amount, which may be a range of calories, that is saved
for the meal in question. The associated caloric amounts may be a
generic values designed to suit the public at large, or may be
specific values tailored to particular individuals. It will be
appreciated that, depending on the grid 1255, the user, in
selecting a point level, may actually be making two selections, one
based on the horizontal axis of the grid (size of meal) and the
other based on the vertical axis of the grid (caloric density of
the meal). In addition, according to a particular embodiment, the
I/O device 1200 is programmed to adjust its settings over time
based on information that is collected. For example, if a user
begins a week weighing 200 pounds and at the end of the week should
weigh 197 pounds based on the input nutrition and other
information, but instead actually weighs 202 pounds, the problem
could be that what the user thinks is a 1 point meal is actually a
2 point meal. To account for this problem, I/O device 1200 can,
over time learn and adjust or calibrate its settings and how it
does its calculations to personalize itself for the user by, for
example, increasing the number of calories associated with a user's
classification. This learning process thus increases the accuracy
of I/O device 1200. One method for implementing this automatic
calibration is to use Bayesian statistics and use an initial prior
for the caloric value of the classifications based on aggregate
user statistics and then to train it for the given user over time
as data is entered into the system. As another embodiment, the
system can allow the wearer to input both simplified dietary
information (such as the grids shown in FIGS. 43G and H) and full
dietary information about the meals that are eaten. The caloric
amounts from the full dietary information can easily be calculated
and used to train the caloric estimates for each category. In
addition, as I/O device learns, adjusts or calibrates, it may also
modify the goals of the user and the program he or she is
following. As still a further alternative, I/O device 1200 can take
the information it has accumulated over time and provide
information automatically for a user. For example, if a user
forgets to enter a lunch value, I/O device may be programmed to
enter the average of a predetermined number of, such as the last
ten or even all, lunch values for the missing lunch. This may be
done automatically, or only after prompting the user for
verification of the values and authorization to do so.
Alternatively, I/O device may fill in such gaps by matching that
days routine to a previous day's routine, and using the lunch or
other missing value from that day, thereby taking advantage of the
fact that people tend to be creatures of habit.
[0213] Another aspect of the invention is that of automatic
adaptation of feedback given to the user by sensor device 1201 or
I/O device 1200. The feedback given to the user in this invention
(e.g. "you might want to run an extra 10 minutes today") can be
given exactly when appropriate by taking advantage of the system's
ability to detect contexts and to auto-journal as describe
elsewhere herein. For example, feedback for eating might be best
given just before a meal, and exercise feedback might be best given
right when the user is most likely to exercise. Furthermore, if the
system has detected that the user has already jogged that day, then
an alternate suggestion can be given. Finally, the user's response
to feedback can be utilized to further adapt the choice of the
given feedback. If the user never takes exercise suggestions,
advice can focus instead on nutrition. If the user tends to respond
better to feedback given in the morning, more feedback can be given
in the morning. The method of noticing their response would be
measured by adherence to the suggestions and by successful
maintenance of a healthy eating balance, as well as by noticing the
absence of "violent" responses such as hitting a button that turns
feed back off, turning the device off, or abruptly taking off the
device.
[0214] There are three main ways in which sensor device 1201 can
calibrate itself to the user. First, the device can use an initial
training or calibration period where the user performs some
additional tasks to train the system. For example, the user can
enter in a full diet diary in addition to the quick estimates,
allowing the system to learn the user's own definitions for each
meal classification. The user might additionally perform a program
of activities (such as walking around the block for at least 10
minutes or resting for 20 minutes) in order to calibrate a
subsystem for obtaining energy expenditure that may be provided in
sensor device 1201 and obtain personalized parameters for the
individual that are then used in later use of the system. The
subsystem for obtaining energy expenditure may also be calibrated
against gold standard data from, for example, a VO2 machine. The
second method involves repeating the training procedures (or a
subset thereof) every so often. One example of this would be for a
glucose level prediction algorithm where, each week (for example),
the user performs a finger-prick glucose test to calibrate the
prediction system. The third method involved doing continual
training while the user is using the system including sensor device
1201. For example, the system described above that utilizes
discrepancies in predicted weights between the system's prediction
and that reported by a scale to adjust the estimated caloric
amounts for each category is an example of this type of
training.
[0215] According to a further aspect of the present invention, the
user can be queried to answer questions that the sensor device 1201
or I/O device 1200 can not figure out for itself, or about which it
has too much uncertainty. For example, the sensor device 1201 or
I/O device 1200 may have enough information to ask the user only a
single question about breakfast, but may require more information
for a morning snack that the user doesn't have every day. The
system can ask the questions specifically when the range of its
uncertainty about a quantity is too large, and can thus minimize
the input required from the user.
[0216] According to a further aspect of the present invention, I/O
device 1200, sensor device 1201 and a computing device such as a PC
or a PDA may be used together as a weight management system.
Specifically, I/O device 1200, such as a watch like device, is used
to input and track information relating to calories consumed by an
individual and sensor device 1201 is used to measure calories
burned or expended by the individual. The caloric expenditure
information measured by sensor device 1201 is transmitted, by wire
or wirelessly, to I/O device 1200. I/O device 1200 then, based on
the caloric consumption and caloric expenditure information,
displays to the individual a current rate of weight loss or gain
and/or an energy balance value on LCD 1210. According to a specific
embodiment, sensor device 1201 assumes that the individual is
inactive if sensor device 1201 is not being worn, and uses the
individual's resting metabolic rate to calculate caloric
expenditure during such period.
[0217] In one embodiment, the individual, for each meal, including
snacks, rather than inputting a specific food or foods selected
from a database as described in connection with FIGS. 43D-43F,
merely classifies each meal according to an indication of the
estimated size of the meal (in terms of an estimated caloric value)
using classifiers such as small (S), medium (M), large (L) or extra
large (XL). Each classifier is assigned a corresponding caloric
amount, and I/O device 1200 stores for the meal the caloric amount
corresponding to the entered classifier. To enable the individual
to enter this information, I/O device 1200 first displays on LCD
1210 a list of each meal possibility, i.e., breakfast, lunch,
dinner or snack. The individual is able to toggle among these
selections using dial 1220 or one or more buttons, and select one
using button 1215. Once the meal classification is selected, I/O
device 1200 displays on LCD 1210 a list of the classifiers such as
S, M, L, and XL. Again, the individual is able to toggle among
these items using dial 1220 or one or more buttons, and select one
using button 1215. When one of these classifiers is selected, the
corresponding caloric amount is saved for the meal in question and
is used to generate the caloric consumption information used by I/O
device 1200. I/O device 1200 may be programmed to prompt the
individual to enter meal information if the individual has not done
so by a certain time or times each day.
[0218] In a preferred embodiment, the computing device is provided
with weight management software that enables the individual to
input information relating to foods actually eaten during each meal
using a database such as that shown in FIGS. 43D through F. Based
on the information that is input, a specific caloric amount is
assigned to each meal entry. The individual is also able to enter
information relating to weight goals, such as how much weight the
individual wants to lose and over what time period the individual
wants to lose the weight. Based on this information, a target
weight loss rate may be established for achieving the input goal.
In this embodiment, the individual, while entering information into
I/O device 1200 using the S, M, L, and XL classifier system, also
enters information into the computing device using the weight
management software for a predetermined time period. Sensor device
1201 is in electronic communication, by wire or wirelessly, with
the computing device to enable information to be transmitted from
the computing device to sensor device 1201. Specifically, the
information that is transmitted from the computing device includes
information relating to the weight goals, namely target weight loss
amount, time frame and rate, and information relating to the
caloric amount associated with each meal eaten by the individual
based on the food items input into the computing device. Sensor
device 1201 may then transmit the information to I/O device 1200.
Alternatively, I/O device 1201 may be in electronic communication,
by wire or wirelessly, with the computing device so that the
information may be transmitted directly to the I/O device 1200.
According to an aspect of the present invention, I/O device 1200
compares the caloric amounts entered for each meal using the S, M,
L, and XL classifiers with the caloric amounts entered for each
meal using the computing device and database of food information
over the predetermined time period, and make adjustments to the
caloric amounts that are associated with each of the classifiers so
that they more accurately reflect calories actually consumed. Thus,
in this specific embodiment, the individual enters nutrition
information both using I/O device 1200 and the computing and
database for a specified period of time, for example two weeks,
after which the entry system on I/O device 1200 is calibrated or
adjusted to bring the individual's perception of what should be
classified as S, M, L, or XL based on calories in line with more
accurate caloric data. After this initial period, the individual
only enters nutrition information using I/O device 1200 and the S,
M, L, and XL classifiers, and caloric data is recorded for each
meal depending on how the meal is classified.
[0219] In a preferred embodiment, I/O device 1200 is programmed to
provide suggestions to the individual, in the form of information
displayed on LCD 1210, on how to achieve the individual's weight
goals. These suggestions are based on the caloric expenditure and
caloric consumption data that is logged by I/O device 1200. For
example, if the individual is currently below the target weight
loss rate of, for example, 1 pound per week, I/O device 1200 may
display a message that instructs the individual to walk for 55
minutes to bring the current weight loss rate up to 1 pound per
week. The suggestions may be of many types, including, without
limitation, actions for the individual to take, explanations for
why the individual is experiencing certain things such as inability
to lose weight, feedback regarding the individual progress toward
goals, and/or relationships between or among the parameters being
measured and/or reported by sensor device 1201 and/or I/O device
1200. The suggestions may self adjust or learn based on the
individual's performance toward goals. The substance of the
suggestions may come from a number of sources, such as sensor
device 1201 and/or I/O device 1200 or a third party source,
including a person such as a trainer or health care provider, a
computing device such as a treadmill, or a remote computer, such as
an Internet source.
[0220] As noted above, in one embodiment, I/O device 1200 displays
a current weight loss or gain rate on display 1200. The current
weight loss or gain rate that is displayed on I/O device 1200 may
be a daily, weekly or monthly rate, or may be a rate calculated
based on the total time remaining until the weight loss target
date. I/O device 1200 may be programmed to selectively display each
of these rates depending on the desires of the individual, such as
by using dial 1220 or one or more buttons to toggle among these
various options.
[0221] FIG. 44 is a block diagram showing the components attached
or otherwise coupled to a printed circuit board (not shown) housed
within housing 1205 of an embodiment of I/O device 1200. Included
among these components is processing unit 1300, which may be a
microprocessor, a microcontroller, or any other processing device
that can be adapted to perform the functionality described herein.
Connected to processing unit 1300 are non-volatile data storage
device 1305, such as a flash memory, chip for storing information
input and/or transmitted to I/O device 1200, and non-volatile
program storage device 1310, such as a FLASH ROM chip, for storing
the programs required for operation of I/O device 1200. Also
provided is reference database 1315 which may, as described in
connection with FIGS. 43D-F, be used to provide user accessible and
selectable information for use by I/O device 1200 or sensor device
1201. As is known in the art, reference database 1315 includes a
software component for organizing and accessing data, and a memory
component for physically storing data. Also connected to processing
unit 1300 are one or both of wireless link 1320, such as an RF
transceiver, connected to antenna 1325, and hardware interface
1330, such as a USB port, connected to connector 1335. These
components are used to implement communications connection 1230
shown in FIG. 40, and may also be used to communicate
electronically with a wide variety of devices, such as a treadmill,
a weight scale or a transceiving device adapted to act as a data
collection and storage hub. Driver 1350 and ringer/buzzer 1345 may
also be connected to processing unit 1300 to provide audible and/or
tactile feedback to a user.
[0222] LCD 1210 and backlight 1350 for LCD 1210 are connected to
processing unit 1300 through appropriate well known drivers 1355.
Battery 1360, which may be disposable or rechargeable, provides
power for I/O device 1200 and is connected to processing unit 1300
through voltage regulator 1365. Oscillator 1370 provides the system
clock to processing unit 1300, and reset circuit 1375 enables
processing unit 1300 to be reset to a standard initial setting.
Finally, button 1215 and dial 1220 are electronically connected to
processing unit 1300 according to any known means, such as those
described in the '980 and '619 patents, which would enable button
1215 and dial 1220 to provide input or command or control signals
to processing unit 1300.
[0223] According to an alternate embodiment of the present
invention, I/O device 1200 may be adapted to operate on its own,
without being in communication with sensor device 1201. In this
embodiment, a user may enter information into I/O device 1200 as
described herein and may use I/O device to store and track such
information over time. For example, reference database 1315 may
store food and activity related information and a user may enter
caloric consumption and caloric expenditure or burn information as
described in connection with FIGS. 43D-F. The entered information
would in this embodiment be stored in data storage device 1305, and
processing unit 1300 would be programmed to generate and display
the information shown in FIGS. 43A-C. In such an embodiment, RF
link 1320, antenna 1325, hardware interface 1330 and connector 1335
would not be required since communication with sensor device 1201
is not necessary, but may be included as optional enhancements. For
further added functionality, one or more sensors 1400, such as
those described in connection with sensor device 400, stand alone
sensor device 700 and sensor device 800, may be, as shown in FIG.
45, attached to, supported by or otherwise coupled to I/O device
1200, enabling it to collect data indicative of physiological
and/or contextual parameters. In one specific embodiment, sensor
1400 may be a heart rate sensor in the form of a chest strap. In
another specific embodiment, sensor 1400 may be a non-ECG heart
parameter sensor such as that described in the '005 patent. Sensor
1400 in this embodiment may be used in connection with heart rate
information collected by sensor device 1201, such as ECG
information obtained from the upper arm, to make pulse transit time
measurements, which, as is known in the art, are an indication of
cardiovascular health and have a relationship to blood pressure.
Such pulse transit time measurements may also be calibrated against
measurement using a traditional blood pressure cuff for increased
accuracy. This collected data, other data entered by the user,
and/or one or both of derived data and analytical status data
generated therefrom, may be displayed to the user using LCD 1210 or
some other output/feedback device such as a screen on a treadmill,
headphones worn by the user, or an earpiece such as those worn by
first responders.
[0224] According to a further alternate embodiment of the present
invention, I/O device 1200 may act as a hub or terminal for
collection and, in a specific embodiment, processing data received
from a variety of sources. For example, referring to FIG. 46, I/O
device 1200 may be used as a hub or terminal in health club 1500 to
collect and, in a specific embodiment, process data relating to a
user's activities in health club 1500 received from a variety of
devices located in health club 1500. In this embodiment, I/O device
1200 may take the form of a watch-like device that is worn by the
user on his or her wrist, clipped to the clothing of the user, or
otherwise carried by the user. Referring to FIG. 46, I/O device
1200 is in electronic communication with exercise equipment 1505
through communications connection 1230, which may be a wired
connection, but which preferably is a wireless connection. Exercise
equipment 1505 may be any type of exercise equipment, such as a
treadmill or exercise bike, that possesses the ability to generate
data relating to the exercise being done and transmit the data to
I/O device 1200 over communications connection 1230. I/O device
1200 is thus able to collect and store data relating to exercise
activity such as the calories expended during a workout or the
duration of the workout. In addition, I/O device 1200 may be
programmed to store settings and/or exercise programs for each of
the various types of exercise equipment 1505 such that the settings
and/or exercise programs may be transmitted over communications
connection 1230 to exercise equipment 1505 prior to commencement of
a workout for controlling it during the workout. As a further
alternative, I/O device 1200 may be provided with an artificial
intelligence based program or algorithm that modifies, based on the
information collected by I/O device 1200, the exercise program
being followed by the user. As still a further alternative, the
settings used by and/or exercise programs followed by a user can be
set or modified remotely by a trainer or similar individual and be
communicated to I/O device from computing device 1515 or through
computing device 1515 from a remote source over the Internet,
described in detail below. It will be appreciated that I/O device
1200, preferably being portable, is able to collect and store data
from a number of different pieces of exercise equipment 1505 that
are used by the user as he or she moves around health club 1500,
or, as described elsewhere herein, while the user is outside of
health club 1500, for example at home or while traveling.
[0225] As seen in FIG. 46, I/O device 1200 may also be in
electronic communication with sensor device 1201 through
communications connection 1230, which preferably is a wireless
connection, but which may be a wired connection such as with a
cradle. Thus, as described in greater detail in connection with
FIGS. 41 through 45, I/O device 1200 is able to collect and store
data relating to the physiological parameters of the user before,
during and after any exercise activity. For low bandwidth
applications, methods are known for transmitting electronic signals
through the body. Thus, if both I/O device 1200 and sensor device
1201 are in contact with the user's skin, it may be possible to
transmit data using the user's body. Similarly, data may also be
transmitted in this manner to other devices by the user by touching
them. According to an alternate embodiment of the present
invention, sensor device 1201 acts as the hub or terminal for
collection and, in a specific embodiment, processing data received
from a variety of sources, and as such, would replace I/O device
1200 in FIG. 46.
[0226] According to one aspect of the present invention, I/O device
1200 stores a program or regimen preferably including a set of
goals that may be established by set by the user or a third party
such as a trainer or care giver. I/O device 1200 communicates with
and is programmed to control an apparatus in the environment such
as a treadmill or weight machine. Specifically, I/O device 1200 is
able to communicate instructions to the apparatus for setting the
apparatus up for the desired interaction/result, such as choosing
treadmill programs or setting or weight machine weight amounts.
While user interacts with the apparatus, I/O device 1200, being in
communication with the apparatus, tracks the user's performance,
preferably with respect to the program or regimen including goals.
The tracking may be based on information received from the
apparatus, such as repetitions on a weight machine or distances run
on or heart rate measured by a treadmill, and may also be based on
parameters being measured by sensor device 1201 or I/O device 1200
such as energy expenditure. I/O device 1200 may also adjust/control
the apparatus the user is interacting with to maximize the
performance toward the goal, such as by adjusting the treadmill
angle and/or resistance to decrease heart rate or energy
expenditure rate of the individual. Such adjustment may be
important if, for example, the individual is a CVD patient that
needs to watch how much they exert themselves. In addition, after
the use of the apparatus is complete, I/O device 1200 can adjust
the program or regimen so that the next time the user uses the
apparatus, the program or regimen will have been adjusted to comply
with the progress or lack of progress the person has made. This
adjustment could also include free-living exercise and other
information that gets collected between periods of use of the
apparatus. For example, if the person walked the rest of the week
according to their program or regimen, the next time they come to
use the apparatus, instead of using the same now outdated
program/regimen, the program/regimen is adjusted to meet the user's
new capabilities. The principle just described could also apply to
interaction with other types of equipment other than exercise
equipment, such as medication dispensers, CPAP machines used in
sleep therapy, or even a thermostat in the house.
[0227] Most health clubs include various devices for providing
entertainment to users while they are exercising. For example, a
health club may include a number of television monitors, with each
monitor providing a different channel of programming. Users are
able to listen to the audio portions accompanying the programming
while exercising by plugging headphones into an access device
provided adjacent to each piece of exercise equipment, and may use
the access device to select among the audio portions of the various
programming channels. Referring to FIG. 46, I/O device 1200 may be
in electronic communication through communications connection 1230
with entertainment equipment 1510, which comprises an access device
or similar equipment as just described provided adjacent to
exercise equipment 1505 that allows a user to select among various
entertainment options. In addition, users may be able to choose to
view and or listen to a prescribed program such as a health
education program or a motivational program. I/O device 1200 and
entertainment equipment 1510 may be adapted to enable I/O device
1200 to collect from entertainment equipment 1510 and store data
relating to the various entertainment or other programming options
selected by the user.
[0228] In addition, health club 1500 includes computing device
1515, which may be a PC or a server computer or the like. I/O
device 1200 is adapted to be in electronic communication with
computing device 1515 through communications connection 1230 to
enable the data collected, stored and, in a specific embodiment,
processed by I/O device 1200 to be transmitted to computing device
1515. For example, a wireless interface device in electronic
communication with computing device 1515 could be placed near the
front desk of health club 1500. As a user exits health club 1500,
he or she could place I/O device 1200 in proximity with the
wireless internet device and, either automatically or after a
further step such as pressing a button, the data collected, stored
and, in a specific embodiment, processed by I/O device 1200 while
the user was in health club 1500 would be downloaded from I/O
device 1200 and transmitted to computing device 1515. The data
transmitted to computing device 1515 may also include data manually
entered into I/O device 1200, such as caloric consumption data. As
an alternative, the wireless interface device could be replaced by
a docking station or a jack device that requires I/O device to be
physically coupled thereto to establish an electronic
communications path.
[0229] As seen in FIG. 46, computing device 1515 is in electronic
communication with remote server 1520 through the Internet or a
similar computer network. Remote server 1520 aggregates data
transmitted from computing device 1515 for a number of users and,
according to a specific embodiment, from similar devices located at
other health clubs. In an alternate embodiment, data may be
transmitted directly from I/O device 1200 to remote server 1520,
rather than through computing device 1515, by, for example a long
range wireless communications protocol such a those used with cell
phones or 2-way pagers. Remote server 1520 may include a web server
that makes the collected data, such as physiological, exercise
activity, and/or caloric consumption data, available to users over
the Internet through computing device 1525 under the control of the
user, such as a PC, cell phone or PDA. The data may, in one
embodiment, be presented to users in a form similar to that
described in connection with FIG. 5 through 11. In addition, remote
server 1520 may be used to segregate the data collected from
entertainment equipment 1510 and, in a specific embodiment,
demographic information about the users associated with the data.
The segregated data may be used to track the level of use of each
programming channel and provide ratings, similar to Nielsen
ratings, for each programming channel.
[0230] Furthermore, I/O device 1200 may also be used to collect
data from devices located outside of health club 1500 that have
capabilities and functionality that are similar to exercise
equipment 1505 or entertainment equipment 1510. For example, a user
that normally exercises at health club 1500 may be out of town for
a period of time and, while out of town, may exercise at another
facility. I/O device 1200 may be used to collect data from exercise
and/or entertainment equipment used at the other facility, provided
such equipment has capabilities and functionality similar to that
of exercise equipment 1505 and entertainment equipment 1510. I/O
device 1200 may also be used to collect data when a user is
exercising or watching or listening to some sort of programming, as
described herein, at home using compatible equipment. In addition,
I/O device 1200 can collect relevant information while the user is
not at health club 1500 through ways other than from compatible
equipment. For example, if a user takes a walk at home, I/O device
1200 could collect data relating to the walk from sensor device
1201 or from manual entry. When the user returns to health club
1500, he or she can transmit the data collected while he or she was
away or while exercising or engaging in other activities at home to
computing device 1515, thereby eliminating gaps in data collection
that otherwise would have occurred while the user was away from
health club 1500. By eliminating such gaps, a program being
followed by the user or goals set by the user can be more
accurately monitored and modified, for example by a personal
trainer or though an artificial intelligence program or algorithm
employed by I/O device 1200.
[0231] In one embodiment, I/O device 1200 would store information
about the user including demographic information, identification
information, musical preferences, and the type of program they are
on, such as rehab, cardio, or fat burning. I/O device 1200 may also
collect information about the specific room it was in while the
person interacted in the club, when they entered and left the room
and what machine they used. In one specific embodiment, a wireless
system may be utilized in which I/O device 1200 could understand
it's own location in the facility through means of triangulating
off two other RF transceivers in the facility.
[0232] According to yet another aspect of the present invention,
instead of a space or facility like a health club requiring all the
infrastructure for all it's machines to be networked with one
another, either wired or wirelessly, and with a central computer to
collect information about and control the machines, people can take
I/O device 1200 with them as they interact with the space and use
it to communicate with the equipment using local (not long distance
wireless, or wires), low power communication methods, so when they
use equipment such as a treadmill, I/O device 1200 tracks the
machine they were on, the use, how they performed, etc. I/O device
1200 may also select entertainment programs they want to watch
and/or listen to. At the end of the session in the space or
facility, the information can be downloaded to a specified site
such as the central computer of the facility and/or a remote
server. Thus, the space or facility avoided the need to establish a
specific and costly infrastructure to connect up every piece of
equipment in the facility. I/O device acts, instead, as an ad-hoc
infrastructure as needed.
[0233] According to one embodiment of the present invention, sensor
device 1201, which may be any one of sensor device 400 shown in
FIGS. 12-17, stand alone sensor device 700 shown in FIG. 21, or
sensor device 800 shown in FIGS. 22-26, includes a plurality of
physiological and/or contextual sensors. For example, one
particular embodiment of sensor device 400, stand alone sensor
device 700, or sensor device 800 includes a 2-axis accelerometer, a
heat flux sensor, a GSR sensor, a skin temperature sensor, a
near-body ambient temperature sensor, and a receiver for receiving
heart rate data from a heart rate sensor on, for example, a chest
strap being worn by the user.
[0234] One aspect of the present invention relates to a
sophisticated algorithm development process for creating a wide
range of algorithms for generating information relating to a
variety of variables from the data received from the plurality of
physiological and/or contextual sensors on sensor device 1201. Such
variables may include, without limitation, energy expenditure,
including resting, active and total values, daily caloric intake,
sleep states, including in bed, sleep onset, sleep interruptions,
wake, and out of bed, and activity states, including exercising,
sitting, traveling in a motor vehicle, and lying down, and the
algorithms for generating values for such variables may be based on
data from, for example, the 2-axis accelerometer, the heat flux
sensor, the GSR sensor, the skin temperature sensor, the near-body
ambient temperature sensor, and the heart rate sensor in the
embodiment described above.
[0235] Note that there are several types of algorithms that can be
computed. For example, and without limitation, these include
algorithms for predicting user characteristics, continual
measurements, durative contexts, instantaneous events, and
cumulative conditions. User characteristics include permanent and
semi-permanent parameters of the wearer, including aspects such as
weight, height, and wearer identity. An example of a continual
measurement is energy expenditure, which constantly measures, for
example on a minute by minute basis, the number of calories of
energy expended by the wearer. Durative contexts are behaviors that
last some period of time, such as sleeping, driving a car, or
jogging. Instantaneous events are those that occur at a fixed or
over a very short time period, such as a heart attack or falling
down. Cumulative conditions are those where the person's condition
can be deduced from their behavior over some previous period of
time. For example, if a person hasn't slept in 36 hours and hasn't
eaten in 10 hours, it is likely that they are fatigued. Table 3
below shows numerous examples of specific personal characteristics,
continual measurements, durative measurements, instantaneous
events, and cumulative conditions.
TABLE-US-00003 TABLE 3 personal age, sex, weight, gender, athletic
ability, characteristics conditioning, disease, height,
susceptibility to disease, activity level, individual detection,
handedness, metabolic rate, body composition continual mood,
beat-to-beat variability of heart beats, measurements respiration,
energy expenditure, blood glucose levels, level of ketosis, heart
rate, stress levels, fatigue levels, alertness levels, blood
pressure, readiness, strength, endurance, amenability to
interaction, steps per time period, stillness level, body position
and orientation, cleanliness, mood or affect, approachability,
caloric intake, TEF, XEF, `in the zone`-ness, active energy
expenditure, carbohydrate intake, fat intake, protein intake,
hydration levels, truthfulness, sleep quality, sleep state,
consciousness level, effects of medication, dosage prediction,
water intake, alcohol intake, dizziness, pain, comfort, remaining
processing power for new stimuli, proper use of the armband,
interest in a topic, relative exertion, location, blood- alcohol
level durative exercise, sleep, lying down, sitting, standing,
measurements ambulation, running, walking, biking, stationary
biking, road biking, lifting weights, aerobic exercise, anaerobic
exercise, strength-building exercise, mind-centering activity,
periods of intense emotion, relaxing, watching TV, sedentary, REM
detector, eating, in-the-zone, interruptible, general activity
detection, sleep stage, heat stress, heat stroke, amenable to
teaching/learning, bipolar decompensation, abnormal events (in
heart signal, in activity level, measured by the user, etc),
startle level, highway driving or riding in a car, airplane travel,
helicopter travel, boredom events, sport detection (football,
baseball, soccer, etc), studying, reading, intoxication, effect of
a drug instantaneous falling, heart attack, seizure, sleep arousal
events, events PVCs, blood sugar abnormality, acute stress or
disorientation, emergency, heart arrhythmia, shock, vomiting, rapid
blood loss, taking medication, swallowing cumulative Alzheimer's,
weakness or increased likelihood of conditions falling, drowsiness,
fatigue, existence of ketosis, ovulation, pregnancy, disease,
illness, fever, edema, anemia, having the flu, hypertension, mental
disorders, acute dehydration, hypothermia, being-in-the-zone
[0236] It will be appreciated that the present invention may be
utilized in a method for doing automatic journaling of a wearer's
physiological and contextual states. The system can automatically
produce a journal of what activities the user was engaged in, what
events occurred, how the user's physiological state changed over
time, and when the user experienced or was likely to experience
certain conditions. For example, the system can produce a record of
when the user exercised, drove a car, slept, was in danger of heat
stress, or ate, in addition to recording the user's hydration
level, energy expenditure level, sleep levels, and alertness levels
throughout a day.
[0237] According to the algorithm development process, linear or
non-linear mathematical models or algorithms are constructed that
map the data from the plurality of sensors to a desired variable.
The process consists of several steps. First, data is collected by
subjects wearing sensor device 1201 who are put into situations as
close to real world situations as possible (with respect to the
parameters being measured), such that the subjects are not
endangered and so that the variable that the proposed algorithm is
to predict can, at the same time, be reliably measured using highly
accurate medical grade lab equipment. This first step provides the
following two sets of data that are then used as inputs to the
algorithm development process: (i) the raw data from sensor device
1201, and (ii) the data consisting of the gold-standard labels
measured with the more accurate lab equipment. For cases in which
the variable that the proposed algorithm is to predict relates to
context detection, such as traveling in a motor vehicle, the
gold-standard data is provided by the subjects themselves, such as
through information input manually into sensor device 1201, a PC,
or otherwise manually recorded. The collected data, i.e., both the
raw data and the corresponding gold standard label data, is then
organized into a database and is split into training and test
sets.
[0238] Next, using the data in the training set, a mathematical
model is built that relates the raw data to the corresponding gold
standard labeled data. Specifically, a variety of machine learning
techniques are used to generate two types of algorithms: 1)
algorithms known as feature detectors that produce a result that is
highly correlated with the lab-measured level (e.g. VO2 level
information from a metabolic cart, douglas bag, or doubly labeled
water), and 2) algorithms known as context detectors that predict
various contexts (e.g., running, exercising, lying down, sleeping,
driving) useful for the overall algorithm. A number of well known
machine learning techniques may be used in this step, including
artificial neural nets, decision trees, memory-based methods,
boosting, attribute selection through cross-validation, and
stochastic search methods such as simulated annealing and
evolutionary computation. After a suitable set of feature and
context detectors are found, several well known machine learning
methods are used to cross-validate the models using the training
data and increase the quality of the models of the data. Techniques
used in this phase include, but are not limited to, multilinear
regression, locally weighted regression, decision trees, artificial
neural networks, stochastic search methods, support vector
machines, and model trees.
[0239] At this stage, the models make predictions on, for example,
a minute by minute basis. Inter-minute effects are next taken into
account by creating an overall model that integrates the minute by
minute predictions. A well known or custom windowing and threshold
optimization tool may be used in this step to take advantage of the
temporal continuity of the data. Finally, the model's performance
can be evaluated on the test set, which has not yet been used in
the creation of the algorithm. Performance of the model on the test
set is thus a good estimate of the algorithm's expected performance
on other unseen data. Finally, the algorithm may undergo live
testing on new data for further validation.
[0240] Further examples of the types of non-linear functions and/or
machine learning method that may be used in the present invention
include the following: conditionals, case statements, logical
processing, probabilistic or logical inference, neural network
processing, kernel based methods, memory-based lookup (kNN, SOMs),
decision lists, decision-tree prediction, support vector machine
prediction, clustering, boosted methods, cascade-correlation,
Boltzmann classifier, regression trees, case-based reasoning,
Gaussians, Bayes nets, dynamic Bayesian networks, HMMs, Kalman
filters, Gaussian processes, algorithmic predictors (e.g. learned
by evolutionary computation or other program synthesis tools).
[0241] Although one can view an algorithm as taking raw sensor
values or signals as input, performing computation, and then
producing a desired output, it is useful in one preferred
embodiment to view the algorithm as a series of derivations that
are applied to the raw sensor values. Each derivation produces a
signal referred to as a derived channel. The raw sensor values or
signals are also referred to as channels, specifically raw channels
rather than derived channels. These derivations, also referred to
as functions, can be simple or complex but are applied in a
predetermined order on the raw values and, possibly, on already
existing derived channels. The first derivation must, of course,
only take as input raw sensor signals, but subsequent derivations
can take as input previously derived channels. Note that one can
easily determine, from the order of application of derivations, the
particular channels utilized to derive a given derived channel.
Also note that inputs that a user provides on an I/O device or in
some fashion can also be included as raw signals which can be used
by the algorithms. For example, the category chosen to describe a
meal can be used by a derivation that computes the caloric estimate
for the meal. In one embodiment, the raw signals are first
summarized into channels that are sufficient for later derivations
and can be efficiently stored. These channels include derivations
such as summation, summation of differences, and averages. Note
that although summarizing the high-rate data into compressed
channels is useful both for compression and for storing useful
features, it may be useful to store some or all segments of high
rate data as well, depending on the exact details of the
application. In one embodiment, these summary channels are then
calibrated to take minor measurable differences in manufacturing
into account and to result in values in the appropriate scale and
in the correct units. For example, if, during the manufacturing
process, a particular temperature sensor was determined to have a
slight offset, this offset can be applied, resulting in a derived
channel expressing temperature in degrees Celsius.
[0242] For purposes of this description, a derivation or function
is linear if it is expressed as a weighted combination of its
inputs together with some offset. For example, if FOO and BAR are
two raw or derived channels, then all derivations of the form
A*FOO+B*BAR+C, where A, B, and C are constants, is a linear
derivation. A derivation is non-linear with respect to its inputs
if it is not expressed as a weighted sum of the inputs with a
constant offset. An example of a nonlinear derivation is as
follows: if (FOO>7) then return BAR*9, else return
(BAR*3.5+912). A channel is linearly derived if all derivations
involved in computing it are linear, and a channel is nonlinearly
derived if any of the derivations used in creating it are
nonlinear. A channel nonlinearly mediates a derivation if changes
in the value of the channel change the computation performed in the
derivation, keeping all other inputs constant. According to a
preferred embodiment of the present invention, the algorithms that
are developed using this process will have the format shown
conceptually in FIG. 47. Specifically, the algorithm will take as
inputs the channels derived from the sensor data collected by the
sensor device from the various sensors and demographic information
for the individual as shown in box 1600. The algorithm includes at
least one context detector 1605 that produces a weight, shown as W1
through WN, expressing the probability that a given portion of
collected data, such as is collected over a minute, was collected
while the wearer was in each of several possible contexts. Such
contexts may include whether the individual was at rest or active.
In addition, for each context, a regression algorithm 1610 is
provided where a continuous prediction is computed taking raw or
derived channels as input. The individual regressions can be any of
a variety of regression equations or methods, including, for
example, multivariate linear or polynomial regression, memory based
methods, support vector machine regression, neural networks,
Gaussian processes, arbitrary procedural functions, etc. Each
regression is an estimate of the output of the parameter of
interest in the algorithm, for example energy expenditure. Finally,
the outputs of each regression algorithm 1610 for each context,
shown as A1 through AN, and the weights W1 through WN are combined
in a post-processor 1615 which outputs the parameter of interest
being measured or predicted by the algorithm, shown in box 1620. In
general, the post-processor 1615 can consist of any of many methods
for combining the separate contextual predictions, including
committee methods, boosting, voting methods, consistency checking,
or context based recombination.
[0243] Referring to FIG. 48, an example algorithm for measuring
energy expenditure of an individual is shown conceptually. This
example algorithm may be run on sensor device 1201 having at least
an accelerometer, a heat flux sensor and a GSR sensor, or I/O 1200
that receives data from such a sensor device. In this example
algorithm, the raw data from the sensors is calibrated and numerous
values based thereon, i.e., derived channels, are created. In
particular, the following derived channels, shown at 1600 in FIG.
48, are computed from the raw signals and the demographic
information: (1) longitudinal accelerometer average (LAVE), based
on the accelerometer data; (2) transverse accelerometer sum of
average differences (TSAD), based on the accelerometer data; (3)
heat flux high gain average variance (HFvar), based on heat flux
sensor data; (4) vector sum of transverse and longitudinal
accelerometer sum of absolute differences or SADs (VSAD), based on
the accelerometer data; (5) galvanic skin response low gain (GSR),
based on the GSR data; and (6) Basal Metabolic Rate (BMR), based on
demographic information. Context detector 1605 consists of a naive
Bayesian classifier that predicts whether the wearer is active or
resting using the LAVE, TSAD, and HFvar derived channels. The
output is a probabilistic weight (W1 and W2 for the two contexts
rest and active). For the rest context, the regression algorithm
1610 is a linear regression combining channels derived from the
accelerometer, the heat flux sensor, the user's demographic data,
and the galvanic skin response sensor. The equation, obtained
through the algorithm design process, is
A*VSAD+B*HFvar+C*GSR+D*BMR+E, where A, B, C, D and E are constants.
The regression algorithm 1610 for the active context is the same,
except that the constants are different. The post-processor 1615
for this example is to add together the weighted results of each
contextual regression. If A1 is the result of the rest regression
and A2 is the result of the active regression, then the combination
is just W1*A1+W2*A2, which is energy expenditure shown at 1620. In
another example, a derived channel that calculates whether the
wearer is motoring (driving in a car) at the time period in
question might also be input into the post-processor 1615. The
process by which this derived motoring channel is computed is
algorithm 3. The post-processor 1615 in this case might then
enforce a constraint that when the wearer is predicted to be
driving by algorithm 3, the energy expenditure is limited for that
time period to a value equal to some factor (e.g. 1.3) times their
minute by minute basal metabolic rate.
[0244] This algorithm development process may be used to create
algorithms to enable sensor device 1201 to detect and measure
various parameters, including, without limitation, the following:
(i) when an individual is suffering from duress, including states
of unconsciousness, fatigue, shock, drowsiness, heat stress and
dehydration; and (ii) an individual's state of readiness, health
and/or metabolic status, such as in a military environment,
including states of dehydration, under-nourishment and lack of
sleep. In addition, algorithms may be developed for other purposes,
such as filtering, signal clean-up and noise cancellation for
signals measured by a sensor device as described herein. As will be
appreciated, the actual algorithm or function that is developed
using this method will be highly dependent on the specifics of the
sensor device used, such as the specific sensors and placement
thereof and the overall structure and geometry of the sensor
device. Thus, an algorithm developed with one sensor device will
not work as well, if at all, on sensor devices that are not
substantially structurally identical to the sensor device used to
create the algorithm.
[0245] Another aspect of the present invention relates to the
ability of the developed algorithms to handle various kinds of
uncertainty. Data uncertainty refers to sensor noise and possible
sensor failures. Data uncertainty is when one cannot fully trust
the data. Under such conditions, for example, if a sensor, for
example an accelerometer, fails, the system might conclude that the
wearer is sleeping or resting or that no motion is taking place.
Under such conditions it is very hard to conclude if the data is
bad or if the model that is predicting and making the conclusion is
wrong. When an application involves both model and data
uncertainties, it is very important to identify the relative
magnitudes of the uncertainties associated with data and the model.
An intelligent system would notice that the sensor seems to be
producing erroneous data and would either switch to alternate
algorithms or would, in some cases, be able to fill the gaps
intelligently before making any predictions. Determining when
sensors have failed and when data channels are no longer reliable
is a non-trivial task because a failed sensor can sometimes result
in readings that may seem consistent with some of the other sensors
and the data can also fall within the normal operating range of the
sensor.
[0246] Clinical uncertainty refers to the fact that different
sensors might indicate seemingly contradictory conclusions.
Clinical uncertainty is when one cannot be sure of the conclusion
that is drawn from the data. For example, the accelerometers might
indicate that the wearer is motionless (leading toward a conclusion
of "resting"), the galvanic skin response sensor might provide a
very high response (leading toward "active"), and the heat flow
sensor might indicate that the wearer is still dispersing
substantial heat (leading toward "active"). How should these
differing factors be assessed? An inferior system would simply try
to vote among the sensors or use similarly unfounded methods to
integrate the various readings. The present invention instead
weights the important joint probabilities and determines the
appropriate most likely conclusion (which might be, for this
example, that the wearer is currently performing or has recently
performed a low motion activity such as stationary biking).
[0247] According to a further aspect of the present invention, a
sensor device such as sensor device 400 shown in FIGS. 12-17, stand
alone sensor device 700 shown in FIG. 21, sensor device 800 shown
in FIGS. 22-26 or sensor device 1201 shown in FIG. 40, each of
which have a processor and either have one or more sensors or
receive signals from one or more sensors, may be used to
automatically measure, record, store and/or report a parameter Y
relating to the state of a person, preferably a state of the person
that cannot be directly measured by the sensors. State parameter Y
may be, for example and without limitation, calories consumed,
energy expenditure, sleep states, hydration levels, ketosis levels,
shock, insulin levels, physical exhaustion and heat exhaustion,
among others. The sensor device is able to observe a vector of raw
signals consisting of the outputs of certain of the one or more
sensors, which may include all of such sensors or a subset of such
sensors. As described above, certain signals, referred to as
channels, may be derived from the vector of raw sensor signals as
well. A vector X of certain of these raw and/or derived channels,
referred to herein as the raw and derived channels X, will change
in some systematic way depending on or sensitive to the state,
event and/or level of either the state parameter Y that is of
interest or some indicator of Y, referred to as U, wherein there is
a relationship between Y and U such that Y can be obtained from U.
According to the present invention, a first algorithm or function
f1 is created using the sensor device that takes as inputs the raw
and derived channels X and gives an output that predicts and is
conditionally dependent on (i) either the state parameter Y or the
indicator U, and (ii) some other state parameter(s) Z of the
individual. This algorithm or function f1 may be expressed as
follows:
[0248] According to the preferred embodiment, f1 is developed using
the algorithm development process described elsewhere herein which
uses data, specifically the raw and derived channels X, derived
from the signals collected by the sensor device, so-called gold
standard data relating to U or Y and Z contemporaneously measured
using a method taken to be the correct answer, for example highly
accurate medical grade lab equipment, and various machine learning
techniques to generate the algorithms from the collected data. The
algorithm or function f1 is created under conditions where the
indicator U or state parameter Y, whichever the case may be, is
present. As will be appreciated, the actual algorithm or function
that is developed using this method will be highly dependent on the
specifics of the sensor device used, such as the specific sensors
and placement thereof and the overall structure and geometry of the
sensor device. Thus, an algorithm developed with one sensor device
will not work as well, if at all, on sensor devices that are not
substantially structurally identical to the sensor device used to
create the algorithm.
[0249] Next, a second algorithm or function f2 is created using the
sensor device that takes as inputs the raw and derived channels X
and gives an output that predicts and is conditionally dependent on
everything output by f1 except either Y or U, whichever the case
may be and is conditionally independent of either Y or U, whichever
the case may be. The idea is that certain of the raw and derived
channels X from the one or more sensors make it possible to explain
away or filter out changes in the raw and derived channels X coming
from non-Y or non-U related events. This algorithm or function f2
may be expressed as follows:
[0250] Preferably, f2, like f1, is developed using the algorithm
development process referenced above. f2, however, is developed and
validated under conditions where U or Y, whichever the case may, is
not present. Thus, the gold standard data used to create f2 is data
relating to Z only measured using highly accurate medical grade lab
equipment.
[0251] Thus, according to this aspect of the invention, two
functions will have been created, one of which, f1, is sensitive to
U or Y, the other of which, f2, is insensitive to U or Y. As will
be appreciated, there is a relationship between f1 and f2 that will
yield either U or Y, whichever the case may be. In other words,
there is a function f3 such that f3 (f1, f2)=U or f3 (f1, f2)=Y.
For example, U or Y may be obtained by subtracting the data
produced by the two functions (U=f1-f2 or Y=f1-f2). In the case
where U, rather than Y, is determined from the relationship between
f1 and f2, the next step involves obtaining Y from U based on the
relationship between Y and U. For example, Y may be some fixed
percentage of U such that Y can be obtained by dividing U by some
factor.
[0252] One skilled in the art will appreciate that in the present
invention, more than two such functions (e.g. f1, f2, f3, . . .
f_n-1) could be combined by a last function f_n in the manner
described above. In general, this aspect of the invention requires
that a set of functions is combined whose outputs vary from one
another in a way that is indicative of the parameter of interest.
It will also be appreciated that conditional independence (or
dependence) as used here will be defined to be approximate
(in)dependence rather than precise (in)dependence.
[0253] The method just described may, for example, be used to
automatically measure and/or report the caloric consumption or
intake of a person using the sensor device, such as that person's
daily caloric intake, also known as DCI. Automatic measuring and
reporting of caloric intake would be advantageous because other
non-automated methods, such as keeping diaries and journals of food
intake, are hard to maintain and because caloric information for
food items is not always reliable or, as in the case of a
restaurant, readily available.
[0254] It is known that total body metabolism is measured as total
energy expenditure (TEE) according to the following equation:
TEE=BMR+AE+TEF+AT,
[0255] wherein BMR is basal metabolic rate, which is the energy
expended by the body during rest such as sleep, AE is activity
energy expenditure, which is the energy expended during physical
activity, TEF is thermic effect of food, which is the energy
expended while digesting and processing the food that is eaten, and
AT is adaptive thermogenesis, which is a mechanism by which the
body modifies its metabolism to extreme temperatures. It is
estimated that it costs humans about 10% of the value of food that
is eaten to process the food. TEF is therefore estimated to be 10%
of the total calories consumed. Thus, a reliable and practical
method of measuring TEF would enable caloric consumption to be
measured without the need to manually track or record food related
information. Specifically, once TEF is measured, caloric
consumption can be accurately estimated by dividing TEF by 0.1
(TEF=0.1*Calories Consumed; Calories Consumed=TEF/0.1).
[0256] According to a specific embodiment of the present invention
relating to the automatic measurement of a state parameter Y as
described above, a sensor device as described above may be used to
automatically measure and/or record calories consumed by an
individual. In this embodiment, the state parameter Y is calories
consumed by the individual and the indicator U is TEF. First, the
sensor device is used to create f1, which is an algorithm for
predicting TEE. f1 is developed and validated on subjects who ate
food, in other words, subjects who were performing activity and who
were experiencing a TEF effect. As such, f1 is referred to as
EE(gorge) to represent that it predicts energy expenditure
including eating effects. The gold standard data used to create f1
is a VO2 machine. The function f1, which predicts TEE, is
conditionally dependent on and predicts the item U of interest,
which is TEF. In addition, f1 is conditionally dependent on and
predicts Z which, in this case, is BMR+AE+AT. Next, the sensor
device is used to create f2, which is an algorithm for predicting
all aspects of TEE except for TEF. f2 is developed and validated on
subjects who fasted for a period of time prior to the collection of
data, preferably 4-6 hours, to ensure that TEF was not present and
was not a factor. Such subjects will be performing physical
activity without any TEF effect. As a result, f2 is conditionally
dependent to and predicts BMR+AE+AT but is conditionally
independent of and does not predict TEF. As such, f2 is referred to
as EE(fast) to represent that it predicts energy expenditure not
including eating effects. Thus, f1 so developed will be sensitive
to TEF and f2 so developed will be insensitive to TEF. As will be
appreciated, in this embodiment, the relationship between f1 and f2
that will yield the indicator U, which in this case is TEF, is
subtraction. In other words, EE (gorge)-EE (fast)=TEF.
[0257] Once developed, functions f1 and f2 can be programmed into
software stored by the sensor device and executed by the processor
of the sensor device. Data from which the raw and derived channels
X can be derived can then be collected by the sensor device. The
outputs of f1 and f2 using the collected data as inputs can then be
subtracted to yield TEF. Once TEF is determined for a period of
time such as a day, calories consumed can be obtained for that
period by dividing TEF by 0.1, since TEF is estimated to be 10% of
the total calories consumed. The caloric consumption data so
obtained may be stored, reported and/or used in lieu of the
manually collected caloric consumption data utilized in the
embodiments described elsewhere herein, such as in connection with
FIGS. 43A-43H.
[0258] Preferably, the sensor device in this embodiment is sensor
device 800 shown in FIGS. 22-26 that includes and/or is in
communication with a body motion sensor such as an accelerometer
adapted to generate data indicative of motion, a skin conductance
sensor such as a GSR sensor adapted to generate data indicative of
the resistance of the individual's skin to electrical current, a
heat flux sensor adapted to generate data indicative of heat flow
off the body, a body potential sensor such as an ECG sensor adapted
to generate data indicative of the rate or other characteristics of
the heart beats of the individual, and a temperature sensor adapted
to generate data indicative of a temperature of the individual's
skin. In this preferred embodiment, these signals, in addition the
demographic information about the wearer, make up the vector of
signals from which the raw and derived channels X are derived. Most
preferably, this vector of signals includes data indicative of
motion, resistance of the individual's skin to electrical current
and heat flow off the body.
[0259] As a limiting case of attempting to estimate TEF as
described above, one can imagine the case where the set of
additional state parameters Z is zero. This results in measuring
TEF directly through the derivational process using linear and
non-linear derivations described earlier. In this variation, the
algorithmic process is used to predict TEF directly, which must be
provided as the gold-standard training data.
[0260] As an alternative to TEF, any effect of food on the body,
such as, for example, drowsiness, urination or an electrical
effect, or any other signs of eating, such as stomach sounds, may
be used as the indicator U in the method just described for
enabling the automatic measurement of caloric consumption. The
relationship between U and the state parameter Y, which is calories
consumed, may, in these alternative embodiments, be based on some
known or developed scientific property or equation or may be based
on statistical modeling techniques.
[0261] As an alternate embodiment, DCI can be estimated by
combining measurements of weight taken at different times with
estimates of energy expenditure. It is known from the literature
that weight change (measured multiple times under the same
conditions so as to filter out effects of water retention and the
digestive process) is related to energy balance and caloric intake
as follows: (Caloric Intake-Energy Expenditure)/K=weight gain in
pounds, where K is a constant preferably equal to 3500. Thus, given
that an aspect of the present invention relates to a method and
apparatus for measuring energy expenditure that may take input from
a scale, the caloric intake of a person can be accurately estimated
based on the following equation: Caloric Intake=Energy
Expenditure+(weight gain in pounds*K). This method requires that
the user weigh themselves regularly, but requires no other effort
on their part to obtain a measure of caloric intake.
[0262] Also note also that DCI can be estimated using an algorithm
that takes sensor data and attempts to directly estimate the
calories consumed by the wearer, using that number of calories as
the gold standard and the set of raw and derived channels as the
training data. This is just an instance of the algorithmic process
described above.
[0263] Another specific instantiation where the present invention
can be utilized relates to detecting when a person is fatigued.
Such detection can either be performed in at least two ways. A
first way involves accurately measuring parameters such as their
caloric intake, hydration levels, sleep, stress, and energy
expenditure levels using a sensor device and using the two function
(f1 and f2) approach described with respect to TEF and caloric
intake estimation to provide an estimate of fatigue. A second way
involves directly attempting to model fatigue using the direct
derivational approach described in connection with FIGS. 47 and 48.
This example illustrates that complex algorithms that predict the
wearer's physiologic state can themselves be used as inputs to
other more complex algorithms. One potential application for such
an embodiment of the present invention would be for
first-responders (e.g. firefighters, police, soldiers) where the
wearer is subject to extreme conditions and performance matters
significantly. In a pilot study, the assignee of the present
invention analyzed data from firefighters undergoing training
exercises and determined that reasonable measures of heat stress
were possible using combinations of calibrated sensor values. For
example, if heat flux is too low for too long a period of time but
skin temperature continues to rise, the wearer is likely to have a
problem. It will be appreciated that algorithms can use both
calibrated sensor values and complex derived algorithms.
[0264] According to an alternate embodiment of the present
invention, rather than having the software that implements f1 and
f2 and determines U and/or Y therefrom be resident on and executed
by the sensor device itself, such software may be resident on and
run by a computing device separate from the sensor device. In this
embodiment, the computing device receives, by wire or wirelessly,
the signals collected by the sensor device from which the set of
raw and derived channels X are derived and determines U and/or Y
from those signals as described above. This alternate embodiment
may be an embodiment wherein the state parameter Y that is
determined by the computing device is calories consumed and wherein
the indicator is some effect on the body of food, such as TEF. The
computing device may display the determined caloric consumption
data to the user. In addition, the sensor device may also generate
caloric expenditure data as described elsewhere herein which is
communicated to the computing device. The computing device may then
generate and display information based on the caloric consumption
data and the caloric expenditure data, such as energy balance data,
goal related data, and rate of weight loss or gain data.
[0265] The terms and expressions which have been employed herein
are used as terms of description and not as limitation, and there
is no intention in the use of such terms and expressions of
excluding equivalents of the features shown and described or
portions thereof, it being recognized that various modifications
are possible within the scope of the invention claimed. Although
particular embodiments of the present invention have been
illustrated in the foregoing detailed description, it is to be
further understood that the present invention is not to be limited
to just the embodiments disclosed, but that they are capable of
numerous rearrangements, modifications and substitutions.
* * * * *