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 and a magnetometer or other sensors on the patient to detect patient motion, body rotation or height;

using outputs of an accelerometer and one or more additional sensors, wherein the accelerometer and sensor are a single pendant, watch, or box to detect a fall, by analyzing changes in height and accelerations associated with changes in height and immediately thereafter determining if the patient is on a floor for a predetermined period;

transmitting a request for help over a telephone; and

confirming the fall when a person or a call center contacts the patient to verify the patient status and thereafter automatically requesting assistance for the patient.

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 and a telephone at the patient's home.

7. The method of claim 1 , comprising detecting a fall, 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 confirming the fall using one or more vital sign sensors.

9. 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.

10. The method of claim 1 , comprising distinguishing normal activities of life from the fall.

11. The method of claim 1 , comprising determining location by looking up a wireless local area network position database.

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

13. 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.

14. 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.

15. The method of claim 9 , further comprising refining identification of the activity, 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.

16. The method of claim 1 , further comprising communicating with a call center through two way voice communication and determining at least one of: identifying patient location using a plurality of user-locating technologies including global positioning system (GPS), wireless signal triangulation positioning, and a wireless local area network position database.

17. The method of claim 1 , wherein the wireless device is worn on a neck or belt inside or outside the home, further comprising pushing a button to initiate a call for help to a call center or, if a fall is detected, the automatically placing a call to the call center without the patient pushing the button.

18. The method of claim 1 , further comprising:

determining position based on wireless signal triangulation; and

requesting assistance with the position with either an in-home unit or a mobile telephone if the sensor signals indicate that the patient is unable to independently recover from the fall.

19. The method of claim 1 , further comprising determining a predetermined time between the fall and when the patient gets up before having a call center call to confirm if assistance is needed.

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

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

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

wearing a wireless device with at least one or more accelerometers and a magnetometer or other sensors on the patient to detect patient motion, wherein the accelerometer and sensor are a single pendant, watch, or box;

using outputs of the accelerometer and magnetometer or other sensor for analyzing rotations or changes in height and accelerations and determining if the patient is on a floor for a predetermined period;

determining a fall based on detected motions;

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

requesting assistance from a person or a call center for the patient if the patient pushes a button requesting assistance; and

confirming the fall when the person or call center contacts the patient.

23. The method of claim 22 , comprising capturing location information.

24. The method of claim 22 , further comprising capturing location information from one or more wireless base station location data.

25. The method of claim 22 , further comprising capturing location information using a positioning system and wireless base station location data.