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A Humanitarian Engineering Problem

zrosener asks: "A have a friend who has ALS (Stephen Hawking's ailment), a particularly nasty disease in which her motor neurons deteriorate over time, slowly waylaying her. She is in pretty bad shape now, and her movement is restricted to moving her eyes, and very limited (1 inch in each direction) hand movement. She has very light bell that she uses to wake up her husband when she needs assistance, but as her strength wanes it is becoming less and less effective. She is afraid at night now that if something were to go wrong she would not be able to rouse her husband. My challenge to you is to design a noise-making-husband-alerting device cheaply and quickly assembled from strip mall parts (Radioshack, Walmart, etc.) that she could use with her extremely restricted movement. Buttons are out of the questions, as are anything that requires gripping. Analog answers are encouraged too! Please email all suggestions or post them."

34 of 382 comments (clear)

  1. Sort-of button idea by Xunker · · Score: 5, Informative

    Oi! Oi! The first cool Askslashdot question in a long time!

    An idea, that is sort of like a button but not quite is to use those touch-sensetive lightswitch panels (the on/off kind, not dimmer kind) so you only need a very light touch to trigger the switch.

    --
    Hilary Rosen's speech was about her love of money and her desire to roll around naked in a pile of money.
    1. Re:Sort-of button idea by wuzoe · · Score: 5, Informative

      I found such a component on digikey yesterday acutally. I haven't had a chance to use it yet, but it seems quite nice.

      "QProx(tm) QT110/QT110H Charge-Transfer Touch Sensor"
      datasheet
      related products

      Digi-Key part number 427-1006-ND. Available in single units for 2.53USD. 8-]

      --

      --Wuzoe

      I'm a nice person. People like me.

    2. Re:Sort-of button idea by payotr · · Score: 5, Interesting

      I have seen those buttons often in elevators here in Europe, they don't need any pressure, just touching them makes a difference of potential, between the button and ground and activates a very simple circuit with an Operational Amplifier and a transistor. The only drawback is that they don't work with globes or with dielectric matherials. (Skin is obviously ok). So I think those are cheap and easy to get. In order to be useful: a buzzer should be attached to the switch ( a domestic buzzer will do ) or to a electrical switch if the buzzer exceeds the amperage of the presureless switch. I think it would be interesting to make it able to use a battery just in case the lights go off and she has to call for assistance. Assembling the parts shouldn't be difficult. I hope it helps. Pedro Larroy

  2. Breath Button by Student_Tech · · Score: 5, Informative

    I have seen this before, just set it up so there is an air tube that the person can blow some of their breath through to activate a button that could sound something.

    I know some people do morse code this way because they can't move their hands or legs.

    1. Re:Breath Button by no_opinion · · Score: 4, Informative

      It's called a Sip & Puff switch. There are a bunch of different kinds (like this) and they're not that expensive. Do a google search to find some vendors. The companies that sell this kind of product also have other items that may be of interest, such as tongue switches or P switches that detect very small muscle movements.

  3. how about a photodetector? by Chirs · · Score: 5, Informative


    Simple. Get a small lightbulb and arrange it to shine on a photodetector. Hook it up so that a buzzer will sound if the detector output drops.

    Then all she has to do is move her hand to cover the detector and the buzzer will sound.

    For slightly more technical than Rat Shack, use an IR LED with corresponding detector.

  4. Complete the circut Switch with two metal plates. by puto · · Score: 5, Informative

    Two metal plates that are only several inches apart and near her hand. Her hand alwas rests on one plate with her fingers just shy of the second plate.

    When she needs help she moves that tiny distance and her hand touches both plates and completes the circut which is then wired to any bell and whistle you might choose.

    Simple but effective and easy.

    Puto

    --
    The Revolution Will Not Be Televised
  5. Optical switch and buzzer by MBCook · · Score: 3, Insightful
    It shouldn't be too hard to make a simple little light beam on a stick type thing. It would simply shine into a small opening (I'd use IR light) and have a small buzzer go off when the light beam is broken. You could make it so you had to keep the beam broken for a second or two to avoid accidental tripping. This was, as long as she is able to move some part of her (other than her eyes), you can use this device to alert her husband.

    Of course, you'd need a second one to signal when the first one's batteries go out.

    And and third to do that for the second.

    And a fourth to do that for the third.

    She has an infinite number of fingers right? That will solve this. If not, I guess you should just build one.

    --
    Comment forecast: Bits of genius surrounded by a sea of mediocrity.
  6. biofeedback device? by brulman · · Score: 3, Informative

    I recall as a kid buying cheap little biofeedback devices from radio shack. Straps to a finger if I remember correctly and works based on some galvinic skin response increasing conductivity (or I may be entirely confused.) Interesting thing is, one can train oneself to elicit the feedback response, and innately they function well in registering stress. Perhaps this could be used as a trigger for some other alarm to wake the husband? Just a thought, hope you are able to figure something out to help your friend.

    --
    "the best safety of the frontier...will be secured by total annihilation of the few remaining indians" L Frank Baum 1890
  7. Re:Complete the circut Switch with two metal plate by RollingThunder · · Score: 5, Interesting

    Possibly even easier, depending on teh reliability of her muscle control, is a pair of finger cymbals. Each is connected to one side of the wire - tap them together, on it goes.

  8. heart rate monitor by Laplace · · Score: 5, Insightful

    When the wife becomes nervous her heart rate probably goes up. Get a heart rate monitor that has an upper target rate alarm. Set it to a reasonable value through trial and error.

    --
    The middle mind speaks!
    1. Re:heart rate monitor by TicTacTux · · Score: 4, Insightful

      You could also use some of the sids (sudden infant death syndrome) preventing devices. A good baby shop might even lend you one for a test drive.
      [Thanking to The Great Nerd Up There I haven't been struck with either fate]

      --Ben

      --
      Use The Source, Luke!
  9. Infared beam break sensor? by mkettler · · Score: 5, Insightful

    Why not have a small IR beam sensor (you can buy the parts at most ratshacks) and have that set off a buzzer/siren. Position the beam sensor pair within range of motion of her hand so all she needs to to is interrupt the beam with her fingertip.

    Ratshack even used to sell a larger-scale version of this as a door entry bell. You placed the unit and a reflector on either side of a doorway and anytime someone walks through the beam a chime sounds. Most ratshacks had these set up and operating to alert the salespeople to incoming customers during off-hours.

    You might be able to find a pre-made version of this device on a small scale for detecting cabinet openings, or as a small portable "hotel room alarm" but most of these kinds of devices will not use this mode of sensing. (most cabinet alarms sense the light pouring in from the room into the cabinet, and most hotel alarms hang on the doorknob and sense being rocked around with a mercury switch.)

    --
    -Matt
  10. Well... by A+Rabid+Tibetan+Yak · · Score: 3, Funny

    ...there's always this.

  11. skin is conductive by NMerriam · · Score: 3, Insightful

    If the motion is that severaly limited, something simple would be a circuit that is completed by her putting a finger on top of two contacts -- maybe a millimeter away from where her finger is supposed to rest.

    Or some lightweight convex surface with the contacts mounted underneath -- much lower resistance than a mechanical button or switch but less likely to go off accidentally. You could use the material from a small speaker dome and put conductive traces on the inside. Along with a cheap piezo buzzer and a 9V battery.

    --
    Recursive: Adj. See Recursive.
  12. Some thoughts... by GAPeach3 · · Score: 5, Insightful

    Would she be able to use a light switch panel that has the large, flat switch (as opposed to a regular light switch)?

    Also, a sensitive motion detector? It might be able to pick up blinking or other movements she could make moving an object like a pencil.

    How about a handicapped-helper dog?

    Another idea is a button she could bite on that triggers a noisemaker.

    Advice: I hope you find something. Be creative. Use functions of her body which are not affected by ALS, i.e. respiration or heart rate. If either vital signs drop or accelerate to a certain point, a simple breathing monitor or heart monitor would make noise.

    1. Re:Some thoughts... by DJPsychoChild · · Score: 5, Insightful

      I think a really good idea would be a breathing monitor. Assuming she has control of her breathing (which it is possible she doesn't), she could speed her breath up rapidly to set it off, or hold her breath to set it off, or something like that.

      Good luck! I hope your friend finds something to help!

      --
      CODITO, ERGO SUM: I Code, therefore I am.
  13. optical or sip/puff switches by marcgul · · Score: 4, Interesting

    I used to work at Dynavox -- they make augmentative communication devices for people who have ALS among other ailments.
    While most people accessed the devices (made them talk) by touching the touch panel, some people used sip/puff or optical switches (among other types of switches) to activate the devices.

    The tash mercury switch bottom of this page might be an option, also look into proximity switches.

  14. Capacitive Proximity Sensors by dlleigh · · Score: 3, Informative
    The capacitive sensor circuit described in here is easy and cheap to make, and is sensitive enough to be used as a proximity sensor.

    We've been able to sense a finger from several inches away with one of these that has been adjusted correctly. If a person can move a finger up to an inch, even without being able to apply pressure with it, a sensor like this will have no problem detecting that.

    (Yes, this is a tech report about the Mitsubishi Electric "Smart Drinking Glass" that was reported earlier on slashdot.)

  15. Touch lamp. by dnoyeb · · Score: 3, Interesting

    Several things come to mind

    1. touch lamp technology.
    2. motion detector.
    3. interrupting the path of a lazer.
    4. galvonic (sp?)response, skin voltage detector.

  16. Simple Solutions by Milo_Mindbender · · Score: 5, Interesting

    Take a piezo buzzer or Sonaralert (if you want something LOUD) and wire it to a standard-issue microswitch. You can get microswitches with actuators that are a short piece of metal about the size of a ball-point-pen clip. Actuation force can be VERY tiny (grams) with motion as little as 1/8 to 1/4 inch.

    Some versions with cat-whisker actuators are also avaiable, just a bit of wire sticking straight up that you give a push in any direction. You can build something similar out of a couple of paper clips if you want REAL cheap.

    You could add a latch/time circuit so you wouldn't have to keep the switch depressed, ie: a quick press would sound the alarm for some set period of time.

    There are also preassembled photosensors with a light source and sensor and a gap between the two, stick a finger between them and it triggers, zero force required.

    I've also seen the microswitch thing work as a blink/squint sensor. You stick the wire actuator to the skin above/below the eye and a good squint will trigger it.

    One last idea, shine a low-power IR led at the corner of the eye, read the reflection brightness with a photocell. Now looking to that side causes the colored part of the eye to reduce the reflected light, triggering the sensor.

    The biggest problem with running something off the eyebrow or eye look/blink is usually preventing it from going off by accident, or if the person goes to sleep.

    There are also devices that actuate by sucking/blowing on a straw or pushing with the toung or chin...though these don't work so well if you're on a respirator.

    --

    Milo from Kangaroo Koncepts

  17. Re:Complete the circut Switch with two metal plate by Sawbones · · Score: 5, Insightful
    Similar theme is used in an incredibly annoying singing reindeer in my house. Battery powered the device has two small metal contacts about 1/2 a cm apart on the bottom of the device. when it's held in the palm the skin creates a path for just enough electricity to flow through to start the annoying jingle. It's got no moving parts so there is no physical resistance and so long as she can make contact with both nodes at the same time with the same finger/palm/whatever it will sound.

    you could work in some extra circuitry to make certian very quick brushes don't trigger the sound, but that's optional.

    --

    Ad in classifieds: Pandora's Box (no box) $5
  18. Re:Complete the circut Switch with two metal plate by zbuffered · · Score: 3, Insightful

    Two wires/contact points on her fingertips, the wires go to the watch on her wrist, and set the watch alarm off when she touches her fingers together.

    --
    Synergy is your friend
  19. Re:Complete the circut Switch with two metal plate by Sawbones · · Score: 3, Informative
    Yep... (warning, will robinson, Electronics 12 and far too long since then being brought into play) probably a capacitor on the line to require a minimum connection time, and a locking transistor-based gate (or even a relay, if you're into things that go click) to hold it on after it's been held for the minimum amount

    Exactly. Minimal distance between the contacts for a lower amperage power supply (I don't think a standard battery will connect through 4-5 inches of human skin, but 1/2 cm obviously works). a cap in parallel with whatever you want to go off (alarm or relay) after the contacts will give you a small delay as the cap charges to keep quick brushes from setting it off.

    I'd love to do an ascii circuit diagram but the lameness filter will have none of that :)

    --

    Ad in classifieds: Pandora's Box (no box) $5
  20. Re:Err, correction. no buttons by Incongruity · · Score: 3

    The idea might be to use microswitches. They're highly functional electronic switches that (often) need very little force in order to trip it.

    -inco

  21. without having read any other of the ideas... by TinCanFury · · Score: 3, Insightful

    this is what came to my mind...

    get one of the touchpad light switches. all they require is human contact to complete the circuit. No force required. Connect this to a FM transmitter that will send a signal to a device her husband can keep next to him to wake him up. The beauty of this is she can be anywhere within the transmission range and the husband can still be alerted. Plus they could have extra receivers if they wanted.

  22. Slingshot armbrace? by photon317 · · Score: 3, Interesting

    Both conductive touch sensors and tripping light beams are good ideas, mentioned multiply above. In both cases all parts can be had at radio shack, and check out the Mini Engineer's Notebooks by Forrest Mims for circuit designs for both (also sold at Radio Shack). They used to come as seperate small thin booklets, but I think recently they've compiled them all into one larger book.

    In either case you'll probably want to mount the device to her hand/arm so that her finger/wrist movement (whichever is still available) is always in range of the touch/light sensor. If you're doing it on the cheap, you might look around the sporting goods section of walmart (or a sports store like Oshmans or whatever) for mounting hardware. One thing that comes to mind is the professional-style slinghots that have a brace going back over the forearm, I'm sure there's lots more material to work from around there like medical wrist supports with the metal band that goes up under the wrist and whatnot.

    If you're worried about your device failing on her, and both hands work - you could build two devices, mount one on each arm, and encourage her to alternate using them so she knows they both work. You could take redundancy a step further by making one of them light-based and the other touch-based, in case one or the other designs fails in some wierd circumstance.

    --
    11*43+456^2
  23. Clarification by cr@ckwhore · · Score: 4, Informative

    ALS is commonly known as "Lou Gehrig's Disease", not "Stephen Hawking's Ailment".

    --
    Skiers and Riders -- http://www.snowjournal.com
  24. There is alot of adaptive technology already there by dr_canak · · Score: 5, Informative

    I work on a spinal cord injury unit at a VA hospital. We work with people of all levels of disability, including advanced ALS patients.

    Can she move her tounge? There are simple switching devices that can be placed in a person's mouth that can be tripped with a tounge movement.

    Can she breathe (i.e. not on a ventilator). There are all kind of "sip-and-puff" devices out there that can generate several signals based on whether or not the person is sipping or blowing.

    You said she can see, and has some eye movement. We have patients who are trained using eye gaze computers.

    A search on google for adaptive devices, adaptive technology, a call to a local rehab hospital should all be able to provide you with information with regard to devices already available. Even if this person can't afford these things, it may give you ideas as to what you can build for her. I'm sorry I can't provide specific info, as our rehab staff/prosthetics department takes care of actual building and ordering.

    When you work with people with a serious impairment, in a rehab setting, its truly remarkable what can be built/developed to take advantage of even the slightest behavior a person can elicit.

    hth,
    jeff

  25. Sensor ideas by Cef · · Score: 5, Informative

    Having done some work with the disabled, here are some suggestions for sensors.

    Touch (Capactive switches)
    Beam (light, ultrasound, IR triggers)
    Magentic (Reed switches)
    Tilt (Mercury switches)

    I'll only touch on Magnetic and Tilt switches, as the others have adequately been covered by a number of people.

    Magnetic switches are easily and cheaply bought anywhere you can get house alarm parts. They are very simple, last a lifetime, and work really well. Using a tiny magnet strapped to a finger allows you to use a number of reed switches so there is a choice of "what to do".

    Tilt switches are easily worn on the finger, or on the head. Some care must be taken to encase the deadly mercury as the glass container may be easily broken, and mercury is poisonous. The way I would encase such switches would be by first finding a glue that is capable of sticking to GLASS and plastic, and coating the glass covered mercury switch in it. This way, if the glass cracks, the pieces will usually stay together. Let it dry, then dip it in hot plastic a number of times. You can then put it inside a piece of dense foam rubber (use a glue that sticks to rubber and plastic to keep it in place). The goal is that if you accidently stand on it, it won't break.

    I've used both methods before to provide something that a disabled child can use, usually to encourage them to make some sort of movement. One Example: Mercury tilt sensor attached to a head strap with velcro (for position adjustment), to encourage the child to 'lift' their head (helps build up the neck muscles and train the brain). The mercury switch was usually wired into a radio or tape deck, switching it on or off. It also provided some real insight into what sort of music some of the kids liked, as after a little training, they would drop their head when something they didn't like would come on, and then every now and then raise their head to "check" what was playing now.

    Good luck.

  26. Off the shelf portable biofeedback monitor, $500 by Local+Loop · · Score: 5, Interesting

    I suggest a portable biofeedback monitor. My GF uses one for muscle problems. They have a light, relatively small sensor that can be taped to the skin. When the muscle underneath is tensed, the alarm goes off - and the trigger level is widely adjustable.

    The device she uses is walkman sized and cost about $500 from a company in Canada. The brand name is Myotrac.

    Any working muscle will do and the thing is very sensitive, with gain as well as level controls. And very easy to use. Google turns up lots of hits, here's the manufacturers URL: http://www.thoughttechnology.com/myotrac.htm

    As a bonus, the engineers answer the phone and will gladly discuss your intended use.

  27. Use proven technology! by Jerf · · Score: 4, Insightful

    May I suggest that while Slashdot may enjoy playing "adaptive device technology developer", because it is kind of fun, you should absolutely do what the parent of this post suggested. This situation is too critical to use anything but proven technology. If you try to kludge something together and it fails, you may end up in a situation you will never forgive yourself for, not to mention anyone else who cares about this woman.

    I myself kinda think the idea of biofeedback is neat... but this isn't the time to experiment. Go to the experts and do what they say. Neither you nor the rest of Slashdot put together can possibly match the experiences of the entire community built around supporting these people.

    On a more prosaic note, I would be very deeply concerned about the potential legal liability of creating your own solution to this problem. You may find that your best friends are ir(?)rational enough to sue for damages if your homegrown device fails. (On reflection, perhaps that would be perfectly rational behavior, for some definitions of rational. Surprisingly deep philosophical question.)

    1. Re:Use proven technology! by FurryFeet · · Score: 3, Insightful

      I don't mean to be cold but... damages? What damages? She's already terminal, for God's sake. In fact, I have to wonder.. even if there is something wrong and she can alert her husband, what is he going to do?
      On the other hand, I'm assuming the requirements are not the poster's, but the husband's. Maybe he needs something cheap because he cannot afford the fancy equipment. Not everybody is insured.

  28. Proublem by mageben · · Score: 4, Insightful

    There's a small proublem with this idea, when in a deep sleep(non-rem) all you muscles tense, thus setting off the alarm. And as I read this question the alarm id for while she is sleeping and awakes with a proublem.

    -Ben
    (Yes I know my spelling is poor but it's 2 am and I've been up more than 36 hours)

    --

    ---PRESS ANY KEY TO CONTINUE---
    "Now, where's the damn 'any' key?"