PUMAS Life
PERSONAL UNIVERSAL MOBILE MEDICAL POLICE FIRE ALERT SECURITY
PUMAS Life, LLC is a new venture of DARBY Hold company, created and registered in 2012 as a High-Tech research, High Tech transfer and High-Tech Business Integrator company, primarily engaged in High Tech hardware & software applications.
PUMAs Life patented and develops the Wireless Wearable Personal Medical, Police and Fire Universal Mobile Alert Security System.
PUMAS Life USA Patent:
Abroad under Paris Convention US 62/722,724 AP 18/212’676
FOREIGN FILING UNDER: Title 35, United States Code, Section 184 Title 37, Code of Federal Regulations, 5.11 & 5.15
PUMAS continuously monitors client’s personal Medical Vital Signs, working 24/7/365 as a standalone independent system or can be wirelessly connected to Smart Phones for the quickest possible Emergency Alert response, intervention and help for PUMAS clients by local Emergency Alert teams in case of client’s life critical and dangerous Medical Police and Fire situations.
If PUMAS client is sleeping, or unconscious, or in a diabetic coma, or suffering a heart attack, or stroke or for any other reasons is unable to speak and/or push Medical Alert push button, and his dynamic Vital Signs approaching and crossing the life Dangerous Red Zone borders, PUMAS automatically and instantly transmits the client’s Static and dynamic Current Vital Signs information to Medical, Police and Fire Emergency Alarm teams, instantly available on screens of Medical, Police and Fire Medical Emergency teams and local hospital Emergency department for quickest possible intervention and assistance on the way to the hospital, greatly reducing delay and saving precious time for quickest possible medical intervention.
Doctors call the first hour to provide medical help in case of heart attack, stroke, diabetes emergencies as a “golden hour”, greatly decreasing (up to 92%) the mortality, morbidity, and disability rates. In case of Police and Fire emergencies it could be “golden minutes”.
PUMAS works nationwide on USA Mobile Virtual Network Operators (MVNOs) cellular carriers: AT&T Mobility, T-Mobile US, Verizon, and the regional carriers such as US cellular across the nation such as Metro by T-Mobile, Boost Mobile, Cricket Wireless, and Tracfone brands. PUMAS 100% compatible with USA Emergency Alarm system.
PUMAS service covers USA, Canada and can be easy modified for the rest of world cellular network communications.
All PUMAS devices are technologically 100% compatible (“talk with”) with all Emergency Alert systems on today USA market, protecting client’s private information.
PUMAS technology is in accordance with HIPAA requirements.
PUMAS – Emergency Alert connectivity:
PUMAS is the Personal Universal Medical, Police and Fire Security Emergency Alarm System, monitoring 24/7/365 personal clients vital signs as a standalone independent system or wirelessly combined with any standard Smart Phone providing PUMAS personal users with quickest possible Emergency Alarm response and help by local Medical, Police and Fire local departments through Regional Rapid Response Centers in case of life critical and dangerous emergency situations.
PUMAS is part of Personal Area Network (PAN) and works nationwide on USA Mobile Virtual Network Operators (MVNOs) – three major cellular carriers: AT&T Mobility, T-Mobile US, and Verizon, as well as the regional carriers such as US cellular. As of 2016, MVNOs across the nation such as Metro by T-Mobile, Boost Mobile, Cricket Wireless, and Tracfone brands including Straight Talk have served about 36 million subscribers, cellular network, other USA national and on International cellular networks.
PUMAS service will cover USA, Canada and South American countries.
PUMAS will be modified for the rest of the world’s continents/territories cellular network communication.
PUMAS Individual users are direct clients of Emergency Alert companies and indirect clients of PUMAS Business project.
Personal and medical information of users/clients is protected by USA law.
Leakage/dissemination of personal and medical information of clients is civil and, in many cases, criminal violation punishable by heavy fines and class actions against violating entities.
All contracts with medical, business and law institutions require the user’s permission to limit where and how to use personal user’s information.
Emergency Alert companies, to protect personal and medical information of individual users, created their own specific RF 2 -way encrypted, enciphered communication channel between user and Emergency Alert operator – single point/user to single point/operator encrypted RF line. Emergency Alert basic units, bracelets and medallion devices are designed with this specific RF 2-way encrypted Medical Alert channel for informational transfer between user and operator, one point to one point.
This 2-way channel is protected from smart phone channels.
This is the Platform of Emergency Alert companies, imposed on all Emergency Alert devices.
Therefore, any new universal PLATFORM cannot work with Emergency Alert companies.
PUMAS can be accepted by Emergency Alert partners only on the basis of encrypted Emergency Alert specific Platform.
The same requirements are imposed by Police and Fire Emergency Alert 2-way RF communication channels between user and operator.
All PUMAS devices are technologically 100% compatible (“talk with”) with all Emergency Alert systems on today USA market, protecting client’s private information.
PUMAS technology is in accordance with HIPAA requirements.
Comparison of present day simplified Medical Alert technology and new PUMAS Medical Alert technology:
Presently available on the USA and World market, the simplified Mobile Medical Alert Wearable Wireless system for private clients was introduced on the USA market in 1970.
Fundamental problems of the simplified Mobile Medical Alert Wearable Wireless system:
It does not 24/7/365 continuously monitor the life Vital Signs of client.
This is the Major Problem of simplified Medical Alert technology.
It does not respond automatically when Vital Signs are approaching and crossing client’s basic Danger Vital Signs Red Zones
To get Medical Emergency help, the client must push the Alarm push button.
When client push button, he is receiving loud message that he must wait first for his Alarm request processing, then wait when available local Alarm Operator will contact client (delay “due to heavy workload”), finally available Alert operator request client to repeat his name and address, and then Alarm Operator is asking client to describe what kind of health problem client is experiencing.
When the local Medical Alarm team arrives, members of the team ask the client for his health problem and start to measure his basic vital signs (heart rhythm, blood pressure, blood oxygen, etc.)
All this is a wasting the precious time for providing help to clients.
When a client is sleeping, unconscious, in a diabetic coma, or has a stroke, or for any other reason is unable to push the Alarm button, – most Medical Alarm cases – (up 92%) – results in morbidity, disability and mortality.
There is no feedback from medical office in order intervene wirelessly in case of Vital Signs approaching client’s Danger Red Zones – for example, remote wirelessly readjust of heart pacemaker heart rate or remote adjusting of the medication doze.
This technology is completely useless in Telemedicine, Dynamic Observation of current Vital Signs deterioration and Digital Archiving.
It does not have client’s personal electronic Medical Conditions Tag and Medical Identification Alert QR code including prescriptions warranting.
Without client’s personal Medical Conditions Tag and Medical Identification Alert QR code including prescriptions warranting does not allow the first Medical Responder team, Emergency Alert operators and doctors in the hospital Emergency department to avoid deadly mistakes, especially when client cannot speak.
PUMAS solves all fundamental problems of above mentioned present simplified Medical Alert technology:
PUMAS maximally reduces the delay time in case of Medical Emergency Alert.
Local Medical Emergency, Police, Fire departments and Emergency Alert teams respond by quickest intervention, providing quickest possible Emergency Alert help to PUMAS users during so-called (by doctors!) “golden” hour.
Doctors call the first hour to provide medical help in case of heart attack, stroke, diabetes, and other emergencies as a “golden hour”, decreasing the mortality, morbidity, and disability rate by more than 92%.
When a client is sleeping, unconscious, in a diabetic coma, or has a stroke, or for any other reason is unable to push the Emergency Alarm push button and client’s dynamic Vital Signs approaching and crossing the dangerous Red Zone Borders, PUMAS automatically responds and sends to local Emergency Alarm teams, Police and Fire departments, Rapid Response Medical Centers and Emergency department of local hospital the Emergency Alarm signal with client’s Static and Mobile dynamic Current Vital Signs information.
Emergency teams will have on screen patient’s Static and dynamic Current Vital Signs information on the way to patient and do not need to spent time by taking Vital Signs at patient’s location.
The Medical Emergency team will provide the patient’s Current dynamic Vital Signs information in advance to an appropriate hospital Emergency department.
The emergency team on the way to the patient will already have the personal Vital Signs of patient on screen and send this information to hospital Emergency department team specialized in emergency care of patient with such Vital Signs.
It will greatly reduce the delay time of medical intervention in hospital, providing medical help to patient during so-called (by doctors!) “golden” hour.
Doctors call the first hour to provide medical help in case of heart attack, stroke, diabetes emergencies as a “golden hour”, greatly decreasing (up to 92%) the mortality and disability rate. In case of Police and Fire Alert emergencies it could be “golden minutes”.
PUMAS have client’s personal electronic Medical Conditions Tag and Medical Identification Alert QR code including prescriptions warranting.
Without client’s personal Medical Conditions Tag and Medical Identification Alert QR code including prescriptions warranting, does not allow the first Medical Responder team, Emergency Alert operators and doctors in the hospital Emergency department to avoid deadly mistakes, especially when client cannot speak.
In case of Police and Fire Alert emergencies it could be “golden minutes”.
The Emergency Alarm team on the way to the client and Emergency department of local hospital already have on screen the client’s all personal Current and specific Static health information.
Major advantages of PUMAS telemedicine technology:
PUMAS provides the Dynamic Observation of Current Vital Signs deterioration and Digital Archiving of client’s medical information.
- PUMAS provides Static and dynamic Current Vital Signs and real time 2-way loud and printable channel for Client – Telemedical operator.
- Reductions in the cost of providing quality care to the chronically ill, estimated by the
- Improved global and local public health surveillance, with a resultant reduction in epidemics, increased control over infectious disease and improved drug safety
- Diminished rate of medical errors
- Better “customer service” in healthcare
- Ongoing preventive health, with attendant reductions in morbidity, disability, mortality and the cost of care
- Consumer engagement in health and responsible self-management
- Safer and more effective clinical trials.
Wireless Wearable Vital Signs sensors for PUMAS standard set available on today market:
PUMAS VITAL SIGNS:
Wireless Wearable devices, available in various forms like attachments and patches, play a pivotal role in detecting physical, chemical, and electrophysiological signals for disease diagnosis and management. Recent strides in research focus on devising wearables capable of measuring multiple bio-signals concurrently, archive digitally and investigate vital signs dynamic changing over time.
For every human rase, gender, age, Medicine medically established the Reference Range (Normal Limits) for each human Vital Signe and for medically testing parameters.
When Vital Sign is in limits of its Reference Range, it is medically accepted as a normal for healthy human being.
When the Vital Sign is not in Reference Range limits, the human being is not in a healthy condition.
When Vital Sign approaching and crossing its Reference Range limits, it is the client’s life Danger Red Zone.
For each PUMAS client, for each client’s Vital Sign, the MEDICAL Reference Range can be customized in medical office wirelessly by USB computer, in a few minutes.
When any of client’s customized Vital Sign is crossing its Red Line Border, the PUMAS instantly triggers and transmits the Alarm Signal and client’s Static and dynamic Current Vital Signs to all local Medical Alert operators and Medical Alert teams to be seen on display the all client’s Static and dynamic Current Vital Signs, approaching and crossing client’s life Dangerous Red Zone.
When all client’s current Vital Signs are in Reference Range, PUMAS is working in silent mode.
When any of client’s customized Vital Signs approaching and crossing the Reference Range limits, it is the life Danger Zone and PUMAS instantly start to transmit Medical Alarm signal and all client’s Static and Current Vital Signs.
For example, customized acceptable medically Reference Range for client’s heart rhythm is between 45 and 130 per minute.
If a client’s heart rhythm is below or above Reference Range, the heart rhythm is in Danger Red Zone.
Human heart rhythm is changing all the time and depends on physical activity, danger, mental stress, etc. It can be changed in a few seconds, specifically for every human.
It controls by brain electric signals and hormones.
As long as client’s personally customized heart rhythm is within the normal limits of client’s established Reference Range, it is normal.
PUMAS Standard Set of client’s Customizable Dynamic Personal Vital Signs for 7/24/365 monitoring:
Heart Rhythm.
Heart Variable rate
Oxygen Saturation Rate/Pulse Oximetry
ECG (ELECTOGARDIOGRAM), AFIB and VFIB
Blood Pressure (direct measuring and indirect estimation by Wrist Bracelet sensor information)
Blood Glucose/Sugar
Life Danger Red Line limits of Vital Signs
Falling Alarm sensors
AUSCULTATION – HEART -LUNGS, body temperature
PUMAS Modification for Police and Fire Departments:
BLOOD: SUBSTANCE USE and OVERDOSE,
BLOOD POISONS,
AIR QUALITIES IN LIFE DANGEROUS Environment.
Client’s personal Static Mandatory information installed on PUMAS standard Basic, Wrist and Pendent units:
Client’s personal PUMAS ID, address, phone, email, medications, group of blood, personal customized Vital Signs Red Danger Zone limits, client’s doctor, hospital, and names/phones to contact in case of Emergency Alert signal and client’s personal customizable electronic Medical Alert tags and personal Medical Identification Alert QR code including prescriptions warranting for clients with specific genetic, allergies, chronic deceases needed to prevent the first Medical Responder team, Emergency Alert operators and doctors in the hospital Emergency department from deadly mistakes, especially when client is not speaking.
The Emergency Alarm team on the way to the client and Emergency department of local hospital already have on screen the client’s all personal Current and specific Static health information.
Medical identification alert is the USB and Wireless Wearable Medical Alert tag, essentially a USB flash drive with capacity to store a great deal of emergency information, including contacts and serious medical conditions. This Medical Alert information, in accordance with patient’s personal health chronic conditions, mandatory installed by computer USB in Medical office into all PUMAS devices and be accessible by medical computer wirelessly or with a USB port at PUMAS basic device.
It should be protected from malware. The tag wirelessly incorporated into PUMAS should 100% belong to legal PUMAS client, excluding medical staff from risks to health and legal liability of medical personnel, if device is carried by an unconscious person may not be their own.
Additional new type of personal Medical Identification Alert is QR code based Medical Alert installed at all PUMAS devices. The QR code on the PUMAS links to a web service that contains the individual’s emergency information. The information is accessed by any first Responder or Emergency personnel by scanning the QR code by using a special medical smartphone or PUMAS devices. In addition to QR codes in all PUMAS devices included an embedded RFID chip that allows a first responder to simply tap their smart phone against the device. Since a web service is used to store the information in cloud, there is normally no limitation on how much information can be stored.
Examples of Medical Conditions tags to be installed in PUMAS and using typical conditions and prescriptions warranting. The wearing of such a tag includes but are not limited to:
- Allergies
- Adrenal insufficiency
- Advance Medical Directives (Do Not Resuscitate, POLST, Lasting Power of Attorney, Living Will)
- Anaphylaxisallergies (food, drug, insect)
- Alzheimer’s disease[2]
- Angioedema(hereditary)
- Anemia[3]
- Asthma
- Asplenia
- Autism[4]
- Cerebrovascularincident[5]
- Chemotherapy
- Blood type (rare)
- Dementia
- Diabetic (Type 1 and 2)
- Epilepsy
- Hemodialysis
- Hemophilia
- Hypoglycemia
- Hypopituitarism
- Lamotrigine
- Drug-induced Long-QT syndrome
- Lymphedemarisk
- Use of a monoamine oxidase inhibitor (MAOI) drug, which can interact fatally with epinephrine
- Memory disorders
- Pacemakeror other implantable medical devices
- Porphyria (acute)
- Seizuredisorders
- Situs inversus
- Von Willebrand Disease
Plus over 100+ autoimmune diseases, including disorders:
Anxiety
Parkinson’s disease
Alzheimer’s disease
Dementia
Multiple sclerosis
Epilepsy
Autism spectrum disorder
Depression
Anxiety Plus over 100+ autoimmune diseases, including:
disorders
Bipolar disorder
Hepatic encephalopathy
Neuropathic pain
And more
Presently available on USA market WEARABLE WIRELESS biomedical customizable Vital Signs sensors for future PUMAS applications:
HEART:
- Heart Rhythm • Heart Rhythm Variability • Stress • Personalization • Heart Rate Training Zone • Heart Rate Recovery • Respiration Rate • More under development
ECG (electrocardiogram)
PC (heart pacemaker) remote wireless adjustment by medical office to patient through PUMAS.
Heart attack detection
Arrythmia: Atrial FIB and Ventricular FIB
Blood Glucose monitoring for remote diabetes management/coma prevention.
Blood Oxygen
Blood Pressure (plastic smart bio sensitive band)
Wearable sensors guide Precision Remote Drug Dosing from medical office to patient through POMAS.
Body Impedance (body poison remote wireless diagnostic)
Anemia
Dehydration
Chronic wound monitoring
Cannabis intoxication detection
Air contamination measurement
The changing of tumors size below the skin
Wearable wireless infrared body Temperature
Real-time, wearable wireless, continuous Auscultation to record and visualize.
modern auscultation (lung and heart diagnostic), to automate diagnoses of four types of disease in the lung, ranging from a crackle, to a wheeze, stridor and rhonchi, with 95% accuracy. The soft system is applicable for a sleep study to detect disordered breathing and to detect sleep apnea.
Chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) are predominant factors of mortality worldwide. Accurate auscultation is helpful to diagnose disease at an early stage and evaluate the treatment response. Similarly, heart sounds also facilitate diagnosis and the identification of vascular heart diseases.
Secondary Vital Signs for future PUMAS modifications:
SUBSTANCE USE and OVERDOSE, BLOOD POISONS AIR QUALITIES IN LIFE DANGEROUS CASES. For Police and Fire departments PUMAS modifications.
ECG (ELECTROENCEPHALOGRAPHY)
EMG (ELECTROMYOGRAPHY, electrical potential generated by muscle by neurologically activated)
Skin temperature and body impedance
Skin conductance (detect poison for unconscious patient)
Body impedance
Gait Speed
Environmental Danger sensors for future PUMAS modifications:
Air Carbon Dioxide, Smoke, PM2.5 and PM10 (2.5 microns and 10 microns most dangerous pollutants), Volatile Organic Compounds/Allergenic (VOC)
Bio sensor on skin surface of mosquito-borne viruses for early very critical medical intervention (Indiana Purdue University)
Leg diameter/swelling
Area Perimeter crossing lines (Geofencing)
Alarm Emergency Video activated by Emergency Alert signals.
PUMAS Telemedicine applications:
Major advantages of PUMAS telemedicine technology:
- PUMAS provides Static and dynamic Current Vital Signs and real time 2-way loud and printable channel for client – Telemedical 0perator help.
- Reductions in the cost of providing quality care to the chronically ill, estimated by the Center for Health Care Economics at the Milken Institute to be well over $1 trillion per year in 2014.
- Improved global and local public health surveillance, with a resultant reduction in epidemics, increased control over infectious disease and improved drug safety
- Diminished rate of medical errors
- Better “customer service” in healthcare
- Ongoing preventive health, with attendant reductions in morbidity, disability, mortality and the cost of care
- Consumer engagement in health and responsible self-management
- Safer and more effective clinical trials.
- PUMAS Telemedicine is the use of telecommunication and information technology to provide Clinical Health care from a distance.
- Telemedicine is to overcome distance barriers and to improve access to medical services that would often not be consistently available in distant rural communities.
- It will save lives in Critical Care, Emergency Situations and Remote Advanced Diagnostic Methods supported by distributed client/server applications to local medical centers.
- PUMAS Tele-epidemiology applies satellite communication systems to investigate and support investigations of world infectious disease outbreak, including disease reemergence
- Pumas technologies permit communications between patient and medical staff with both convenience and fidelity, as well as the transmission of medical, imaging and health informatics data from one site to another.
- Benefits
- Telemedicine is beneficial to patients in isolated communities and remote regions, who can receive care from doctors or specialists far away without the patient having to travel to visit them. Mobile Collaboration technology allow healthcare professionals in multiple locations to share information and discuss patient issues as if they were in the same place. Remote patient monitoring through Mobile Technology can reduce the need for outpatient visits and enable remote prescription verification and drug administration oversight, potentially significantly reducing the overall cost of medical care Telemedicine also facilitate medical education by allowing workers to observe experts in their fields and share best practices more easily.
- Telemedicine can eliminate the possible transmission of infectious diseases or parasites between patients and medical staff.
- This is particularly an issue where MRSA is a concern. Additionally, some patients who feel uncomfortable in a doctor’s office may do better remotely. For example, white coat syndrome may be avoided. Patients who are home-bound and would otherwise require an ambulance to move them to a clinic are also a consideration.
- Categories
- Telemedicine can be broken into three main categories: store-and-forward, remote patient monitoring and (real-time) interactive
- Store and forward
- Store-and-forward telemedicine involves acquiring medical data (like medical images, bio signals, blood test results etc.) and then transmitting this data to medical specialist at a convenient time for assessment offline. It does not require the presence of both parties at the same time.
- Dermatology (tele dermatology), radiology, and pathology are common specialties that are conducive to asynchronous telemedicine. A properly structured medical record preferably in electronic form should be a component of this transfer. The ‘store-and-forward’ process requires the clinician to rely on a history report and audio/video information in lieu of a physical examination.
- PUMAS Remote monitoring
- Remote monitoring, also known as self-monitoring or testing, enables medical professionals to monitor a patient remotely using various technological devices. This method is primarily used for managing chronic diseases or specific conditions, such as heart disease, diabetes mellitus, or asthma. These services can provide comparable health outcomes to traditional in-person patient encounters, supply greater satisfaction to patients, and may be cost-effective. Examples include home-based nocturnal dialysis and improved joint management.
- Real-time interactive
- Electronic consultations are possible through interactive telemedicine services which provide real-time interactions between patient and provider. Videoconferencing has been used in a wide range of clinical disciplines and settings for various purposes including management, diagnosis, counselling and monitoring of patients.
- Telenursing
- Telenursing refers to the use of telecommunications and information technology in order to provide nursing services in health care whenever a large physical distance exists between patient and nurse, or between any number of nurses.
- As a field it is part of telehealth, and has many points of contacts with other medical and non-medical applications, such as tele diagnosis, teleconsultation, telemonitoring, etc.
- Telenursing is achieving significant growth rates in many countries due to several factors: the preoccupation in reducing the costs of health care, an increase in the number of aging and chronically ill population, and the increase in coverage of health care to distant, rural, small or sparsely populated regions. Among its benefits, telenursing may help solve increasing shortages of nurses; to reduce distances and save travel time, and to keep patients out of hospital.
PUMAS market base and clientele:
Reductions in the cost of providing quality care to the chronically ill, estimated by the Center for Health Care Economics at the Milken Institute exceeded $1.3 trillion just in USA alone per year in 2014 and growing every year.
In 2030 the number of U.S. residents struggling with at least one chronic illness is expected to surpass 170 million. That’s more than half of our entire country. When someone develops a chronic disease, it can cause debilitating and life-altering changes that penetrate every aspect of life.
The expanding elderly population (over 80 million now) and adults aren’t the only age groups seeing an uptick. More than 40 percent of children and adolescents currently have at least one chronic or genetic illness, according to the Centers for Disease Control and Prevention (CDC). This is a tremendous cost burden. The spectrum of chronic diseases comprises a disproportionately large segment of U.S. health care costs. Of the nation’s $4.1 trillion annual health care expenditures, chronic diseases account for 90 percent, more than $3 trillion dollars of annual direct costs alone, more than the USA Defense budget. Add Police and Fire departments, agricultural and industrial workers, all who involved in the dangerous occupation.
All of them are PUMAS potential clientele for life.
PUMAS technology and Wearable Wireless Personal Security service is the perfect instrument to generate consumable, renewable, from year-to-year revenue for high quality PUMAS Medical Alert service.
PUMAS saves the Federal and States Health Care cost by decreasing mortality, morbidity and disability rate in cases of Medical, Polce and Fire Emergency, improves the quality of PUMAS clients life and significantly decreasing Health Care costs by decreasing workload of hospitals, rehabilitation centers, private medical institutions, Emergency Response teams and Emergency Call Center operators.
PUMAS Product Life – Cycle Strategy (PLS):
PUMAS products will enjoy a long and profitable life. PUMAS team will continuously modify PUMAS devices with new biomedical discoveries, sensors, chipsets, and technological innovations coming every day on market.
To biomedical basic PUMAS Vital Signs will be continuously adding specific Vital Signs for patients with heart, lung, gastrointestinal, allergy, oncology, immunity chronic health problems and infections/pandemics.
Hardware and software modifications can easily and inexpensively applied to PUMAS devices, diversifying PUMAs applications and decreasing cost and services.
21 First Century is century of biomedical discoveries.