Personal emergency response (PER) system

1. A method of automatically requesting assistance for a patient, comprising:

wearing a wireless device with one or more accelerometers on the patient to detect patient motion, said wireless device including a button for the patient to manually transmit a request assistance to a telephone;

extracting a first set of body signature sequences representing one or more motion types;

matching a second set of body signature sequences to identify a fall motion;

and

automatically requesting assistance for the patient if needed using the telephone.

2. The method of claim 1 , comprising detecting if the patient has fallen based on a plurality of accelerometer signals and indicating the fall if the accelerometer signals indicate that the patient is unable to get up.

3. The method of claim 1 , comprising estimating an indoor location of the wireless device based on detection of local wireless signals.

4. The method of claim 1 , comprising distinguishing between falls and other types of normal body movement.

5. The method of claim 1 , comprising notifying an emergency service for assistance automatically without a user pressing a button to call for help.

6. The method of claim 1 , comprising reading outputs of one or more accelerometers in the wireless device to detect the fall and calling for assistance using the wireless device.

7. The method of claim 1 , comprising detecting a fall, and sending an alert to a call center which contacts the patient to confirm if a responder can assist and sending local emergency services if needed.

8. The method of claim 1 , comprising capturing movement activities and comparing the movement activities to one or more fall patterns and determining if a fall has occurred.

9. The method of claim 1 , comprising detecting the fall by analyzing changes in height and accelerations associated with the changes in height.

10. The method of claim 1 , comprising confirming the fall by having a call center contact the patient using the wireless device and requesting help if needed.

11. The system of claim 1 , wherein the wireless device sends accelerometer patterns to a remote processor to detect falls to conserve battery power.

12. The method of claim 1 , wherein patient motions form a sequence of elemental motions, comprising:

identifying each elemental motion of a sequence of elemental motions of the accelerometer; and

identifying the activity of the patient, comprising matching the sequence of identified elemental motions with a library of stored sequences of elemental motions, wherein each stored sequence of elemental motions corresponds with an activity.

13. The method of claim 1 , comprising identifying each elemental motion by:

generating an acceleration signature based on sensed acceleration of the device;

matching the acceleration signature with at least one of a plurality of stored acceleration signatures, wherein each stored acceleration signatures corresponds with a type of motion;

identifying the type of motion of the device based on the matching of the acceleration signature with the stored acceleration signature.

14. The method of claim 1 , further comprising refining identification of the activity, comprising analyzing timing of the identified activity, analyzing at least one identified location of the identified activity, analyzing a rate of change of a location of the patient, or analyzing patterns of a plurality of identified activities.

15. The method of claim 1 , further comprising determining changes in height of the wireless device.

16. The method of claim 1 , further comprising determining acceleration of movements from a fall.

17. The method of claim 1 , further comprising

determining if the patient has fallen based on a plurality of sensor signals indicating changes in height or accelerations associated with the changes in height;

waiting for a predetermined period to detect if the patient can independently recover from the fall; and

requesting assistance if the sensor signals indicate that the patient is unable to independently recover from the fall.

18. The method of claim 1 , further comprising determining a predetermined time between the fall and when the patient gets up.

19. The method of claim 18 , further comprising determining a severity of the fall based on the predetermined time or based on one or more accelerometers' output magnitudes.

20. The method of claim 1 , further comprising determining the fall based on acceleration pattern characteristics of a fall.

21. A method to provide personal emergency response for a patient, comprising:

wearing a wireless device with a first sensor including at least one or more accelerometers on the patient to detect patient motion and a second sensor not on the patient;

determining a fall based on detected motions including one or more changes in height or one or more accelerations associated with movements by the patient detected using the first and second sensors;

waiting for a predetermined period to detect if the patient can recover from the fall and automatically requesting assistance if the patient is unable to recover from the fall; and

requesting assistance for the patient if the patient pushes a button requesting assistance.

22. The method of claim 21 , wherein the second sensor comprises a passive infrared (PIR) sensor.

23. The method of claim 21 , comprising calling the patient to determine if the patient needs assistance and requesting help if the patient fails to respond to the call.

24. The method of claim 21 , further comprising determining a severity of the fall based on the predetermined period or based on one or more accelerometers' output magnitudes.

25. The method of claim 21 , further comprising determining the fall based on acceleration pattern characteristics of a fall.