Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 1 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 1 of 22
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`EXHIBIT 4
`EXHIBIT 4
`
`
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 2 of 22
`ee———=— "NTAAT
`
`US007088233B2
`
`a2) United States Patent
`US 7,088,233 B2
`(10) Patent No.:
`
`(45) Date of Patent: Aug. 8, 2006
`Menard
`
`(54) PERSONAL MEDICAL DEVICE
`COMMUNICATION SYSTEM AND METHOD
`
`(56)
`
`(75)
`
`Inventor: Raymond J. Menard, Hastings, MN
`(US)
`
`(73) Assignee: Royal Thoughts, LLC, Minneapolis,
`MI (US)
`
`Notice:
`
`Subject to any disclaimer, the term ofthis
`patent is extended or adjusted under 35
`U.S.C. 154(b) by 0 days.
`
`(21)
`
`Appl. No.: 10/165,624
`
`Filed:
`
`(22)
`
`(65)
`
`Jun. 7, 2002
`Prior Publication Data
`
`US 2004/0027244 A9 Feb. 12, 2004
`
`Related U.S. Application Data
`
`(63) Continuation-in-part of application No. 09/956,474, filed on
`Sep. 19, 2001, which is a continuation of application No.
`09/384, 165, filed on Aug. 27, 1999, now Pat. No. 6,356,192,
`application No. 10/165,624, which is a continuation-in-part
`of application No. 10/112,669, filed on Mar. 28, 2002, and
`a continuation-in-part of application No. PCT/US01/18734,
`filed on Jun. 8, 2001.
`
`(60)
`
`(51)
`
`Provisional application No. 60/135,862, filed on May 25,
`1999, provisional application No. 60/105,493, filed on Oct.
`23, 1998, and provisional application No. 60/279,401, filed
`on Mar. 28, 2001.
`Int. Cl.
`GO8B 1/08
`
`(2006.01)
`
`(52) U.S. Ch cece 340/539.1; 340/539.11;
`340/539.12; 340/539.13; 340/506; 340/531;
`340/3.1; 340/533; 340/825.49
`
`(58) Field of Classification Search .............. 340/539.1,
`340/539.11, 539.12, 539.13, 506, 511, 517,
`340/524, 533, 537, 3.1, 825.36, $25.49
`
`References Cited
`U.S. PATENT DOCUMENTS
`
`3,843,841 A
`3,969,709 A
`4,237,344 A
`
`10/1974 Rubinstein
`7/1976 Isaacsetal.
`12/1980 Moore
`
`(Continued)
`FOREIGN PATENT DOCUMENTS
`
`DE
`WO
`WO
`
`19962915 Al
`WO 01/26335 A3
`WO 01/47597 A2
`
`9/2001
`4/2001
`7/2001
`
`OTHER PUBLICATIONS
`
`Bluetooth Product Design—a natural progression of our
`existing business,;RTX; 4 pgs.
`Your Vision—OurSolution; RTX Telecom; 5 pgs.
`Lucent Technologies and Bluetooth; Lucent Technologies,
`Inc.; Dec., 1999; 2 pgs.
`
`(Continued)
`
`Primary Examiner—Dary] Pope
`(74) Attorney, Agent, or Firm—Gerald E. Helget; Briggs
`and Morgan, P.A.
`
`(57)
`
`ABSTRACT
`
`A personal and/orinstitutional health and wellness commu-
`nications system, which may be used for a variety of
`emergency and non-emergency situations using two-way
`communication devices and a bi-directional communication
`network. In one application two-waypagers are adapted for
`use in the system. In one application cellular devices are
`adapted for use in the system. In one application an assisted
`living response center is established using various embodi-
`ments of the present personal and/or institutional commu-
`nications system. The system provides multiple levels of
`prioritization, authentication of person (task, step, process or
`order), and confirmation via interrogation of person, device,
`or related monitor. One embodiment provides a method for
`receiving, evaluating and responding to calls received from
`a subscriber, patient, related party, or health care provider or
`health care system.
`
`See application file for complete search history.
`
`57 Claims, 9 Drawing Sheets
`
`
`a BUILDING
`SECURITY
`“CD
`SYSTEM
`
`~CENTRAL
`
`{
`500
`~ PERSONAL
`
`
`
`DEVICE
`400
`|
`————,
`
`
`
`100
`
`( yo
`TEDICAL |
`DEVICE
`
`
`
`
`
`
`
`
`
`
`
`
`CENTRAL,
`MONITORING
`STATION
`
`COMMUNICATIONS
`BASE STATION
`
`
`PERSONAL
`MEDICAL,
`DEVICE
`
`
`LePERSONAL
`
`
`
`‘WIRELESS
`DEVICE
`
`
`
`100
`
`
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 3 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 3 of 22
`
`US 7,088,233 B2
`
`Page 2
`
`U.S. PATENT DOCUMENTS
`
`8/1981
`12/1981
`TN985
`9/1988
`6/1989
`8/1989
`3/1990
`2/1991
`2/1991
`5/1991
`6/1991
`10/1991
`1/1992
`7/1992
`1/1993
`3/1993
`6/1993
`T1993
`1/1994
`1/1994
`6/1994
`6/1994
`TN994
`9/1994
`2/1995
`3/1995
`3/1995
`4/1995
`5/1995
`5/1995
`T1995
`9/1995
`1/1996
`4/1996
`10/1996
`10/1996
`12/1996
`12/1996
`5/1997
`6/1997
`TN997
`TN997
`11/1997
`1/1998
`2/1998
`4/1998
`4/1998
`4/1998
`5/1998
`5/1998
`7/1998
`7/1998
`7/1998
`8/1998
`9/1998
`9/1998
`10/1998
`10/1998
`12/1998
`12/1998
`12/1998
`12/1998
`2/1999
`2/1999
`2/1999
`4/1999
`4/1999
`4/1999
`4/1999
`5/1999
`
`Andersonet al.
`Andersonet al.
`Reinhold, Jr.
`.
`Laud
`Fuller et al.
`Saunders
`Martinez
`Smith et al.
`Kratt et al.
`Dessertine
`Roizenetal.
`Pickett
`Droriet al.
`Reich etal.
`Schilling
`Carrier et al.
`Mansell et al.
`Christ et al.
`Pagliaroli et al.
`Lauterbachet al.
`Russeketal.
`Glidewell
`Seazholtz et al.
`Lahtinen
`Kirk et al.
`Talbot
`Delahanty
`Zuckerman etal.
`Parkhurst et al.
`Stutman et al.
`Rimer
`Rappaport et al.
`Ohnsorge
`Wortham
`Sheffer et al.
`Johnson
`Churchill et al.
`Hess
`Gitlin et al.
`Cheket al.
`Winbush
`Lepkofker
`Timm et al.
`Simkin
`Flick
`Bulferet al.
`Flick
`Hoffman etal.
`Duffin etal.
`Garcia
`Hess
`Stanford et al.
`Lombardoet al.
`Davis
`Manduely
`Orr et al.
`Dorinski et al.
`Camhi
`LaDue
`Hess
`Conkright
`Christiansen et al.
`Harrison, Jr.
`Comer
`Higdonet al.
`Ozery
`Tamayo
`Jefferies et al.
`Wang
`Webb
`
`PPPrrrrrrrerPEPEEEEEPPSEEEeePSPEEEeeEeeEeeEeEeEeeEeeEeeeeeeeemeeeeeee
`
`4,284,849
`4,303,801
`4,531,527
`4,772,876
`4,843,377
`4,856,047
`4,908,600
`4,993,059
`4,994,787
`5,016,172
`5,025,374
`5,062,147
`5,081,667
`5,128,979
`5,179,571
`5,195,126
`5,223,844
`5,228,449
`5,276,728
`5,278,539
`5,319,355
`5,319,698
`5,333,173
`5,351,235
`5,390,238
`5,398,782
`5,402,466
`5,404,577
`5,412,372
`5,416,695
`5,432,841
`5,451,839
`5,485,504
`5,513,111
`5,568,535
`5,570,083
`5,583,831
`5,587,701
`5,630,207
`5,640,147
`5,652,564
`5,652,570
`5,687,215
`5,712,619
`5,719,551
`5,736,932
`5,739,748
`5,742,233
`5,752,976
`5,754,111
`5,777,551
`5,784,685
`5,786,746
`5,793,283
`5,812,536
`5,815,417
`5,821,854
`5,825,283
`5,845,203
`5,850,180
`5,850,344
`5,852,408
`5,870,020
`5,873,043
`5,874,889
`5,892,442
`5,894,591
`5,898,391
`5,898,904
`5,902,234
`
`5,907,279 A
`5,917,405 A
`5,933,080 A
`5,959,529 A
`6,023,223 A
`6,023,241 A
`6,028,514 A
`6,035,021 A
`6,044,257 A
`6,057,758 A
`6,087,952 A
`6,118,866 A
`6,288,641 Bl
`6,295,346 Bl
`6,340,928 Bl
`6,388,612 Bl
`
`5/1999 Bruinsetal.
`6/1999 Joao
`8/1999 Nojima
`9/1999 Kail, IV
`2/2000 Baxter, Jr.
`2/2000 Clapper
`2/2000 Lemelson et al.
`3/2000 Katz
`3/2000 Boling etal.
`5/2000 Dempseyet al.
`7/2000 Prabhakaran
`9/2000 Shtivelman
`9/2001 Casais
`9/2001 Markowitz et al.
`1/2002 McCurdy
`5/2002 Neher
`
`OTHER PUBLICATIONS
`
`Houston, Jerry; Socket Teams with Cambridge Silicon
`Radio for Bluetooth Cordless Networking on Windows CE;
`Socket Communications, Inc., 1999; 2 pgs.
`Technology Solutions for Bluetooth; Ericsson Microelec-
`tronics; Nov., 1999; 2 pgs.
`The Secret of Success!, Signal Newletter No. 3—The Offi-
`cial Newsletter of the Bluetooth Special Interest Group;
`Nov., 1999; 8 pgs.
`Unleash the World—Core Technology for Bluetooth appli-
`cations; Ericsson Mobile Communications AB, 1999; 7 pgs.
`Wireless Connections Made Easy; Bluetooth; 19 pgs.
`Geta better vantage point and outmaneuver the competition;
`Cadence Design Systems, Inc.; 1999; 2 pgs.
`Empowering the mobile enterprise; Puma Technology, Inc.;
`1996-1999; 2 pgs.
`Designing Solutions for the Internet Economy, Intel Devel-
`oper Forum Spring 2000; Feb. 15-17, 2000; 2 pgs.
`Socket’s Bluetooth Cordless Communications Card; Socket
`Communications, Inc.; Dec., 1999; 2 pgs.
`Nobel, Carmen; Microsoft jumps on Bluetooth bandwagon;
`PC Week; Dec. 6, 1999; 1 pg.
`CreataLink; Motorola, Inc., 1999; 2 pgs.
`Bluetooth White Paper; AU-System AB; 1999; entire pam-
`phlet.
`Object GEODE—The Most Advanced Integrated Environ-
`ment for the Development of Distributed Real-time Sys-
`tems; VERIOLOGS.A.; 1998; entire brochure.
`Bluetooth—solutions for personal area networking; TDK
`Systems, Inc.; 4 pgs.
`Digianswer Bluetooth—Development and Demonstration
`Tools Product Sheet; DIGIANSWERA/S; 6 pgs.
`The Ericsson Bluetooth Development Kit, Ericsson Mobile
`Communications, AB; 1999; 2 pgs.
`Bluetooth Blue—-Share Product Brief; ACER NeWeb Corpo-
`ration; 1 pg.
`Blue—Connect Product Brief; ACER NeWeb Corporation; 1
`pg.
`Bluetooth Development using SDL, MSC and TTCN;Tele-
`logic AB; 13 pgs.
`Emlation System Speeds Development of CDMA Satcom
`Handsets; Penton Publishing, Inc.; 1997; 4 pgs.
`DIGIANSWER/Bluetooth Technology; Digainswer
`Ltd.; 8 pgs.
`UMTS W-CDMA Technology Development Using the
`Aptix System Explorer MP4 for Algorithm Verification;
`Aptix Corporation; 1999; 4 pgs.
`ARM9 Thumb Family; Arm Ltd.; 6 pgs.
`Enabling Innovation; Arm Ltd.; 1999; 10 pgs.
`
`(rl)
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 4 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 4 of 22
`
`US 7,088,233 B2
`Page 3
`
`Arm7 Thumb Family; Arm Powered; 4 pgs.
`IVT—Bluetooth Protocol Stack SDL/C Source Code; Blue-
`tooth; 2 pgs.
`Spontaneous Connections; CommVerge; May, 2000; 6 pgs.
`OSE—the new generation realtime operating system; ENA
`OSE Systems; 1999; entire booklet.
`Alarmnet-M Mobitex System; ArlamNet; 2000; 1 pg/.
`AlarmNet-C Control Channel Cellular; AlarmNet; 2000; 2
`pgs.
`Samsung Electronics Joins Home Radio Frequency Group in
`Development of Wireless Network for the Home; Samsung
`Electronics, 1998; pp. 1-2.
`Tachless Remote Engine Starters; ALMEX, 2000; pp. 1-3.
`Introduction to the HomeRF Technical Specification; Hom-
`eRF; 2000; pp. 1-17.
`Posti, J.; Motorola Introduces CreataLink 2 XT two-way
`data transceiver; Motorola Press Release; Mar., 1999; 2 pgs.
`CreataLink 2XT; Motorola Messaging Products; Mar., 1999;
`1 pg.
`CreataLink 2XT; Motorola; Nov., 2000; 1 pg.
`Skyroute Wireless Communications; 1974; pp. 1-4.
`21% Century Emergency Safety Communications Policy;
`ComCAREAlliance; 2000; pp. 1-3.
`
`AllNetDevices:—Geoworks, Openwave End Patent Fight;
`allNetDevices; 2000; 1 pg.
`Automatic Crash Notification, ComCARE Alliance; 2000; 2
`pgs.
`
`Connect 24 Data Communications; Connect 24; 2001; 1 pg.
`Emergency 911 Cellular Phone and Cellular Phone Acces-
`sories; AAA Communications; 2001; 7 pgs.
`Glossary; ComCARE Alliance; 2000; 3 pgs.
`PSAP Updates and Third—Party Call Centers; ComCARE
`Alliance; 2000; 2 pgs.
`Will the push—not pull—of Internet information dramati-
`cally alter our Web interactions?; Sunworld; 2000; 6 pgs.
`ORA Electronics Introduces Rescue Mate, a Complete Cel-
`lular Telephone Safety Package; Hands—Free Operation,
`Instant Emergency 911 Access, Roadside Assistance Ser-
`vices; Business Wire; 1998; 2 pgs.
`AllNetDevices:—The Device-Centric Home
`
`in 2000:
`
`Close, But No Cigar; Dec. 26, 2000; 3 pgs.
`AlarmNet—A Original AlarmNet; Dec. 27, 2000; 2 pgs.
`Bluetooth; Wireless Connections Made Easy; 20 pgs.
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 5 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 5 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 1 of 9
`
`US 7,088,233 B2
`
`900
`
`500
`
`PERSONAL
`WIRELESS
`DEVICE
`
`
`
`PERSONAL
`MEDICAL
`DEVICE
`
`
`
`
`800
`
`
`
`
`
`CENTRAL
`MONITORING
`
`
`STATION
`
`
`
`
`
`CENTRAL
`COMMUNICATIONS
`
`BASE STATION
`
`
`
`
`
`PERSONAL
`MEDICAL
`
`
`DEVICE
`
`100
`
`500
`
`600
`
`FIG. 1
`
`
`INTERFACE
`
`
`MEDICAL DEVICE
`
`PERSONAL
`WIRELESS
`DEVICE
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 6 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 6 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 2 of 9
`
`US 7,088,233 B2
`
`PROCESSOR130
`
`MEMORY120
`
`POWER MODULE110
`
`DETECTOR INPUTS 140
`
`OUTPUTS150
`
`DATA YO PORTS160
`
`300
`
`WIRELESS COMM. MODULE
`
`USER INTERFACE MODULE
`200
`
`FIG. 2
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 7 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 7 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 3 of 9
`
`US 7,088,233 B2
`
`200
`
`DISPLAY
`220
`
`DATA INPUT
`
`240 SPEAKER/MIC
`
`260
`
`FIG. 3
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 8 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 8 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 4 of 9
`
`US 7,088,233 B2
`
`PWD 500
`
`
` LAW 330
`
`
`MDI 600 >)
`
`FIG. 4B
`
`FIG. 4C
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 9 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 9 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 5 of 9
`
`US 7,088,233 B2
`
`MDI 600 >
`
`NETWORK
`
`400 PMD 100
`
`DATA PORT
`160
`
`PMD100
`
`LAW 330
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 10 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 10 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 6 of 9
`
`US 7,088,233 B2
`
`( 100
`
`
`PERSONAL
`MEDICAL
`DEVICE
`
`( 100
`
`
`
`
`
`PERSONAL
`MEDICAL
`DEVICE
`
` PERSONAL
`
`MEDICAL
`DEVICE
`
`
`
`FIG. 4F
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 11 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 11 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 7 of 9
`
`US 7,088,233 B2
`
`bystanderB
`
`crranten
`
`Processor P
`
`
`
`
`500,600
`
`|
`
`T/
`
`Victim V
`
`a, “ 500,600 LJ Fy
`
`——N
`
`Responding Personnel R, Responsible Parties RP
`
`Dispatcher or
`Medical Caregiver D
`
`FIG. 5
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 12 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 12 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 8 of 9
`
`US 7,088,233 B2
`
`sound and view of
`user/scene/bystander
`
`location information
`
`medical device data
`
`medical data
`
`responsestrategies ————> Ll
`
`IF
`
`connection to responsibleparties
`
`Dispatcher or
`Medical Caregiver
`
`—_— analysis
`
`Automated and human
`
`responders
`
`medical device control
`
`contact/assistance/direction
`to user/bystanders
`
`FIG. 6
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 13 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 13 of 22
`
`U.S. Patent
`
`Aug.8, 2006
`
`Sheet 9 of 9
`
`US 7,088,233 B2
`
`800
`
`810
`
`820
`
`FIG. 7
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 14 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 14 of 22
`
`US 7,088,233 B2
`
`1
`PERSONAL MEDICAL DEVICE
`COMMUNICATION SYSTEM AND METHOD
`
`The present application is a continuation-in-part of US.
`patent application Ser. No. 09/956,474 filed Sep. 19, 2001,
`which is a continuation of U.S. patent application Ser. No.
`09/384,165, filed Aug. 27, 1999 and now issued as U.S. Pat.
`No. 6,356,192, which claims priority to U.S. provisional
`patent application Ser. No. 60/135,862, filed May 25, 1999
`and to U.S. provisional patent application Ser. No. 60/105,
`493 filed Oct. 23, 1998. The present application is also a
`continuation-in-part of co-pending U.S. patent application
`Ser. No. 10/112,669, filed Mar. 28, 2002, which claims
`priority to a provisional patent application Ser. No. 60/279,
`401, filed Mar. 28, 2001. The present application is also a
`continuation-in-part and claims the benefit of International
`Application No. PCT/US01/18734, filed Jun. 8, 2001.
`BACKGROUND OF THE INVENTION
`
`The present invention relates generally to bi-directional
`personal and health-wellness provider communication sys-
`tem and in particular to a personal communication system
`suitable for use with children, vulnerable adults (such as
`those in assisted living situations), and more specifically,
`medically distressed persons and those in whom anpersonal
`medical device has been deployed, for medical testing, and
`for otherlife enhancements.
`
`There are several trends which taken together are causing
`a change in the way medical services are delivered. Among
`other things, these include longer lifespan, medical technol-
`ogy improvements, automation of diagnostic processes, spe-
`cialization of caregivers, the rapid pace of technology that
`causes a shortening of the amortization of development and
`investment costs,
`increasing expense of medical care
`centers, and the shortage of health care workers.
`The results of these trends are manifold. They include
`moving more of the delivery of services out of a medical
`center and away from the direct supervision of highly
`trained medical personnel. They include providing personal
`medical devices to allow long-term patients to resume a
`more mobile lifestyle. They include allowing patients to be
`treated from home for issues of cost and comfort. They
`include reducing the level of training associated with car-
`egivers so that in some cases, even a casual passerbyis able
`to provide meaningful assistance with devices once associ-
`ated only with properly trained medical personnel,
`for
`example using Portable Automated Defibrillators. However,
`the remoteness of patients from professional caregivers
`increases the need for communications systems to monitor
`the patient, deliver care, and communicate.
`Whatis neededin the art is an improved detection system
`that is friendly to a mobile user, that is easy to adapt to
`existing devices, that is easy to install, that is inexpensive,
`and that provides substantial interoperability between wire-
`less technologies, communication network providers, and
`other widely used medical and public systems.
`SUMMARY OF THE INVENTION
`
`One skilled in the art will readily recognize that the
`embodiments described solve all of these problems and
`many more not mentioned expressly herein.
`Personal Medical Devices (PMD) take many forms.
`PMDs maybesurgically implanted, strapped externally to
`the body, carried in a pocket, transported in a carrying case,
`or installed as a home appliance. They may be used only for
`rare emergencies, on an occasional basis, on a regular
`
`wa
`
`10
`
`15
`
`20
`
`30
`
`35
`
`40
`
`45
`
`50
`
`55
`
`60
`
`65
`
`2
`schedule, or in a continuous or nearly continuous fashion.
`PMDs may monitor individual or combinations of body
`functions such as heart
`function,
`respiration, body
`chemistry, brain function, or muscular/skeleton actions.
`PMDs may provide body functions such as mechanical
`hearts, kidney dialysis, digestive or respiratory activities.
`PMDsmaybe usedto deliver drugs, heart defibrillation, or
`other treatment. PMDs may be used to enhance wellness,
`test drug therapies, monitor patient health, deliver long-term
`care, or treat acute conditions.
`Wedescribe a device and method to couple with PMDsto
`provide wireless communication and locating functions. The
`purpose for communications include but are not limited to
`the following:
`to provide health care professionals with
`access to information for remote diagnostic capabilities; to
`provide notification of acute conditions possibly requiring
`immediate assistance, transportation to a medical center, or
`remote treatmentaction; to provide a location information of
`mobile persons for caregivers; to notify responsible parties
`of the occurrence of a medical condition; and to provide
`remote intervention assistance by caregivers through verbal
`or visual interaction.
`
`In one embodiment, in order to provide mobility for users
`of PMDs in a public environment, we employ standard
`network communication systems to deliver a comprehensive
`medical communications service. In one embodiment, the
`communications network links together the PMD, casual
`caregivers, a medical center, an emergency dispatch center,
`medical databases, and related responsible parties. This
`group of associated parties is able to combine resources to
`improve the survivability during an acute medical event.
`In one embodiment, the medical communications system
`delivers an end-to-end comprehensive solution to provide
`care to a remote or mobile user of a PMD.
`
`BRIEF DESCRIPTION OF THE DRAWINGS
`
`FIG. 1 is a block diagram showing the overall structure of
`the system of the present invention.
`FIG. 2 is a block diagram showing the internal structure
`of a portable device.
`FIG.3 is a block diagram showingthe structure of a user
`interface module.
`
`FIGS. 4A-4F are block diagrams showing various con-
`figurations of the system of the present invention.
`FIG. 5 is a network diagram showing communications
`through the system of the present invention.
`FIG. 6 is a chart showing the uses of various data by a
`dispatcher or medical caregiver.
`FIG. 7 is a block diagram of the power management
`function.
`
`DETAILED DESCRIPTION OF THE
`PREFERRED EMBODIMENTS
`
`This detailed description provides a numberof different
`embodiments of the present system. The embodiments pro-
`vided herein are not intended in an exclusive or limited
`sense, and variations may exist in organization, dimension,
`hardware, software, mechanical design and configuration
`without departing from the claimed invention, the scope of
`which is provided by the attached claims and equivalents
`thereof.
`
`The present system provides manybenefits, including but
`not limited to, low cost, easy installation, limited power
`requirements and wireless operation and signal transmis-
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 15 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 15 of 22
`
`US 7,088,233 B2
`
`3
`sion. Many other benefits will be appreciated by those
`skilled in the art upon reading and understanding the present
`description.
`US. Provisional Patent Application No. 60/098,392, filed
`Aug. 29, 1998; U.S. Provisional Patent Application No.
`60/098,270 filed Aug. 28, 1998; U.S. Provisional Patent
`Application No. 60/105,493 filed Oct. 23, 1998; and U.S.
`Provisional Patent Application No. 60/135,862 filed May,
`25, 1999, are all hereby incorporated by reference in their
`entirety.
`Personal Medical Device
`FIG. 1 is a block diagram showingthe interoperability of
`a personal medical device (PMD) 100 with a medical device
`interface (MDI) 200 and a network 400. As can be seen, the
`PMD 100 may interact directly with the network 400 or
`through the mediation of the MDI 200. Alternatively, the
`PMD may interact with a personal wireless device 500
`which in turn interacts with the network.
`FIG. 2 is a block diagram depicting the components of
`one embodiment of a PMD 100. In one embodiment, the
`PMDincludes a power module 110. The power module 110
`may be a battery or a line connection. Ifa battery, it may be
`rechargeable.
`In one embodiment
`the PMD includes a
`memory 120. In one embodiment
`the PMD includes a
`processor 130. The processor 130 executes instructions from
`its programming and also may participate in data transfer
`between other components of the PMD 100.
`Optionally, PMD 100 has connections to related external
`or embedded devices.
`In one embodiment, PMD 100
`includes connections to detectors 140. Detectors 140 may be
`any sensorof bodily or physiological parameters such as, but
`not limited to: temperature, motion, respiration, blood oxy-
`gen content, electrocardiogram (ECG), electroencephalo-
`gram (EEG), and other measurements.
`Optionally, PMD 100 has connections to outputs 150. The
`outputs may be signaled by changesin voltages, impedance,
`current, magneticfield, electromagnetic energy such as radio
`frequency signals, infrared signals or optical signals, and
`audible or other forms of mechanical energy. The outputs
`may be direct changes of state, analog, or digital in form.
`Several embodiments are possible, and the examples given
`herein are not intendedin a limiting orrestrictive sense. The
`outputs may be activated and controlled by the medical
`device interface 200 or the processor 130, or by the actuation
`of the detector 140 or a combination of these. The outputs
`150 may be used, for example, to actuate solenoids, operate
`motors, or apply electrical current to the heart.
`Optionally, PMD 100 has connectionsto data input/output
`ports 160. Data I/O ports 160 may include, but are not
`limited to: serial, parallel, USB, etc.
`Optionally, PMD 100 includes a User Interface Module
`(UIM) 200. The UIM 200 may allow users to view or enter
`data, conduct voice communications, use a camera to trans-
`mit images, or view a screen for graphical images.
`Optionally, PMD 100 includes a wireless communications
`module 300. In one embodiment the wireless communica-
`tions module includes systems and standards for Local Area
`Wireless 330. In one embodiment the wireless communica-
`
`tions are designed to be Network Based Communications
`(NBC) 360.
`User Interface
`FIG. 3 depicts User Interface Module (UIM) 200. In one
`embodiment of UIM 200, display 220 is included. Display
`220 may be any standard device for displaying information,
`such as a CRT, plasma display, LED, LCD, etc. or equiva-
`lent.
`Preferably the UIM 200 includes data input means 240.
`Data input means may be any standard meansfor inputting
`
`4
`touch screen, bar code
`information, such as a keypad,
`scanner,
`telephone keypad, buttons, switches, etc., or
`equivalent.
`In one embodiment of UIM 200, a speaker/microphone
`module 260 is included. Speaker/microphone module may
`be any device for producing sound, such as a speaker or
`microphone or the equivalent.
`In one embodiment of UIM 200, a camera 280 is included.
`Camera 280 maybea still camera, video camera,etc.
`Communications
`
`FIGS. 4A—-4E depict various possible wireless communi-
`cation paths that may be used by the PMD 100 to connectto
`the long-range bi-directional network 400.
`FIG. 4A depicts one embodiment of the present system.
`PMD 100 communicates to Personal Wireless Device
`(PWD) 500 with local area wireless (LAW) 330. PWD 500
`includes a LAW 330 compatible with LAW 330 in PMD
`100. In one embodiment, PWD 500 includes a UIM 200.
`PWD 500 includes network based communications (NBC)
`360. NBC 360 communicates information received from
`LAW 330 to long-range bi-directional network 400.
`FIG. 4B depicts another embodimentof the present sys-
`tem. PMD 100 communicates to the network 400 through
`NBC 360. LAW 330 is not employed.
`FIG. 4C depicts another embodimentof the present sys-
`tem. PMD 100 communicates through data port 160 to
`Medical Device Interface (MDI) 600. In one embodiment,
`MDI 600 includes a UIM 200. In this embodiment, MDI 600
`includes a LAW 330 and communicates to PWD 500
`through LAW 330. PWD 500 includes a LAW 330 compat-
`ible with MDI 600. Preferably, PWD 500 includes UIM 200.
`Preferably, PWD 500 includes NBC 360 and communicates
`to long-range bi-directional 400 through NBC 360.
`FIG. 4D depicts another embodiment of the present
`system. PMD 100 communicates through data port 160 to
`MDI 600. MDI 600 may include UIM 200. Preferably, MDI
`600 includes NBC 360 and communicates to long-range
`bi-directional network 400 through NBC 360.
`FIG. 4E depicts another embodiment of the present sys-
`tem. PMD 100 communicates through LAW 330 to another
`PMD 100, which in turn communicates through data port
`160 to a third PMD 100.
`
`10
`
`15
`
`20
`
`25
`
`30
`
`35
`
`40
`
`FIG. 4F showsthat a single medical device interface 600
`can communicate simultaneously with multiple PMDs 100.
`About Local Area Wireless Communications
`
`45
`
`LAW 330 may include, but is not limited to, infrared or
`radio frequency (RF). Any suitable RF system that conforms
`to FCC requirements and power requirements may be used.
`Preferably,
`the BLUETOOTHstandard is used. BLUE-
`TOOTH is a 2.4 GHz wireless technology employed to
`transport data between cellular phones, notebook PCs, and
`other handheld or portable electronic gear at speeds of up to
`1 megabit per second. The BLUETOOTHstandard was
`developed by the Bluetooth Special
`Interest Group
`(“BSIG”), a consortioum formed by Ericsson, IBM,Intel,
`Nokia, and Toshiba. The BLUETOOTH standard is
`designed to be broadband compatible and capable of simul-
`taneously supporting multiple information sets and
`architecture, transmitting data at relatively high speeds, and
`providing data, sound, and video services on demand. Of
`course, other suitable wireless communication standards and
`methods now existing or developed in the future are con-
`templatedin the present invention.In addition, embodiments
`are contemplated that operate in conjunction with a BLUE-
`TOOTH or BLUETOOTH-like wireless communication
`standard, protocol, or system where a frequency other than
`2.4 GHz is employed, or where infrared, optical, or other
`
`50
`
`55
`
`60
`
`65
`
`

`

`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 16 of 22
`Case 1:19-cv-11586-FDS Document 265-4 Filed 01/04/22 Page 16 of 22
`
`US 7,088,233 B2
`
`5
`communication means are employed in conjunction with
`BLUETOOTH or BLUETOOTH-like wireless RF commu-
`
`6
`module and an optional base station using the short-range
`module or the network module. In one embodiment the
`
`nication techniques.
`In one embodiment, the present system includes a trans-
`ceiver in compliance with BLUETOOTH®technical speci-
`fication version 1.0, herein incorporated by reference. In one
`embodiment, the present system includes a transceiver in
`compliance with standards established, or anticipated to be
`established, by the Bluetooth Special Interest Group.
`In one embodiment, the present system includes a trans-
`ceiver in compliance with standards established, or antici-
`pated to be established, by the Institute of Electrical and
`Electronics Engineers,
`Inc.,
`(IEEE). The IEEE 802.15
`WPANstandard is anticipated to include the technology
`developed by the BLUETOOTH® Special Interest Group.
`WPANrefers to Wireless Personal Area Networks. The
`
`TEEE 802.15 WPANstandard is expected to define a stan-
`dard for wireless communications within a personal oper-
`ating space (POS) which encircles a person.
`In one embodiment,
`the transceiver is a wireless,
`bi-directional,
`transceiver suitable for short-range, omni-
`directional communication that allows ad hoc networking of
`multiple transceivers for purposes of extending the effective
`range of communication. Ad hoc networking refers to the
`ability of one transceiver to automatically detect and estab-
`lish a digital communication link with another transceiver.
`The resulting network, known as a piconet, enables each
`transceiver to exchange digital data with the other trans-
`ceiver. According to one embodiment, BLUETOOTH®
`involves a wireless transceiver transmitting a digital signal
`and periodically monitoring a radio frequency for an incom-
`ing digital message encoded in a network protocol. The
`transceiver communicates digital data in the network pro-
`tocol upon receiving an incoming digital message.
`According to one definition, and subject to the vagaries of
`radio design and environmental factors, short-range may
`refer to systems designed primarily for use in and around a
`premises and thus, the range generally is below a mile.
`Short-range communications may also be construed as
`point-to-point communications, examples of which include
`those compatible with protocols such as BLUETOOTH®,
`HomeRF™, and the IEEE 802.11 WANstandard (described
`subsequently). Long-range, thus, may be construed as net-
`worked communications with a range in excess of short-
`range communications. Examples of long-range communi-
`cation may include, Aeris MicroBurst cellular
`communication system, and various networked pager, cel-
`lular telephone or, in some cases, radio frequency commu-
`nication systems.
`In the event that transceiver includes a transceiver com-
`
`patible with BLUETOOTH®protocol, for example, then the
`personal device may havesufficient range to conduct bidi-
`rectional communications over relatively short-range
`distances, such as approximately 10 to 1,000 meters or more.
`In some applications, this distance allows communications
`throughout a premise.
`LAW 330 mayinclude a separate, integrated or software
`based short-range bi-directional wireless module. The short-
`range network may be based upon HomeRF, 802.11, Blue-
`tooth or other conventional or unconventional protocols.
`However, these are short-range networks and the meaning
`imposed herein is to include premises and facility based
`wireless networks and not to describe long-range networks
`such as cellular telephone networks used to communicate
`over long-distances. Such a system may include program-
`mable or automatically selecting electronics to decide
`whether to conduct communications between the network
`
`25
`
`40
`
`45
`
`50
`
`system may employ different portions of the network to
`provide short-range or long-range network connections,
`depending on the distance between the devices and the base
`stations. In one such embodiment, the network automatically
`adjusts for different required transmission distances.
`In one embodiment, the transceiver is compatible with
`both a long-range communication protocol and a short-range
`communication protocol. For example, a person located a
`long distance away, such as several miles, may communicate
`with the transceiver using a cellular telephone compatible
`with the long-range protocol of transceiver.
`Other short-range communication protocols are also con-
`templated and the foregoing examples are not to be con-
`strued as limitations but merely as examples.
`About Long-Range Bi-Directional Network Based Commu-
`nications
`Long-range network based communications 360 refers to
`a type of communications system that has a greater range
`than LAW 330, primarily because more poweris available
`and/or because of an FCC license.
`NBC 360 may include a long-range wireless communi-
`cations network 362, such as a cellular network, satellite
`network, paging network, narrowband PCS, narrowband
`trunk radio, or other wireless communication network. Com-
`binations of