Georgia Tech Research Corp. Invention Disclosure Form
OTL USE ONLY
Login Date:
GTRC ID:
Assigned to:
Georgia Institute of Technology
Office of Technology Licensing
Mail Code: 0415
505 10th Street, N.W.
Atlanta, GA 30332-0415
Please complete all items and return to the above address. If you have any questions, please call (404)894-6287.
Title
Title of Invention: Family Information Recreation Space Transit
Short Title: F.I.R.S.T
Previous Invention
Is this invention related to a previous invention disclosed to the OTL?
If yes, Title:
GTRC ID:
Yes
No
Inventors

Inventors should include only those persons that are believed to have contributed to the concepts included in the invention. Please make your
best effort at this time to include all inventors. Should OTL proceed with patent filing, patent counsel will separately investigate and make a
final legal determination of inventorship of patent applications in accordance with applicable patent laws.
The “Contribution %” should reflect each inventor’s contribution to the concepts of the invention and be agreed upon by all inventors. (If the
inventors cannot agree to contribution percentages, the OTL will assume an equal distribution.)


Use additional sheets as necessary.
Full Name: Hui Cai
Citizenship: China
Title:
Department:
Mail Code:
Contribution %: 33.3
Office Address: PhD Program, College of Architecture
247 4th Street, Atlanta, GA, 30318
Home Address: 1185 Collier Rd. NW
Atlanta, GA, 30318Error! Not a valid bookmark self-reference.
Phone: (
)
Phone: ( 404 ) 519-5497
Fax:
)
Fax:
(
(
College of Architecture
)
Email:
Email: hcai3@mail.gatech.edu
Execution by Inventor(s):
I/We inventor(s) hereby solemnly swear and affirm under
oath that I/we am/are the only inventor(s) of this invention and that
I/we have not knowingly omitted the inclusion of any other inventor(s)
besides me/us, and that the information provided in this disclosure is,
to the best of my/our knowledge, true and accurate.
Signature:
Full Name: Stephanie T. Nguyen
Citizenship: United States of America
Title:
Department: College of Architecture
Mail Code:
Contribution %: 33.3
Office Address:
Home Address: 162 4th Street NW,
Atlanta, GA 30332
Phone: (
)
Phone: (404) 697.7991
Fax:
)
Fax:
Email:
(
(
Date:
)
Email: trang@gatech.edu
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Execution by Inventor(s):
I/We inventor(s) hereby solemnly swear and affirm under
oath that I/we am/are the only inventor(s) of this invention and that
I/we have not knowingly omitted the inclusion of any other inventor(s)
besides me/us, and that the information provided in this disclosure is,
to the best of my/our knowledge, true and accurate.
Full Name: Evan Zasoski
Signature:
Title: Mr.
Department: CS
Mail Code:
Contribution %: 33.3
Office Address:
Home Address: 799 Argonne Ave. Apt. 2
Atlanta, GA 30308
Phone: (
)
Fax:
)
Date: 12.11.07
Citizenship: US
Phone: (601
(
Fax:
(
) 540-6435
)
Email:
Email: evan.zasoski@gatech.edu
Execution by Inventor(s):
I/We inventor(s) hereby solemnly swear and affirm under
oath that I/we am/are the only inventor(s) of this invention and that
I/we have not knowingly omitted the inclusion of any other inventor(s)
besides me/us, and that the information provided in this disclosure is,
to the best of my/our knowledge, true and accurate.
Signature:
Full Name:
Citizenship:
Title:
Department:
Mail Code:
Contribution %:
Office Address:
Home Address:
Phone: (
)
Phone: (
)
Fax:
)
Fax:
)
(
(
Email:
Email:
Execution by Inventor(s):
I/We inventor(s) hereby solemnly swear and affirm under
oath that I/we am/are the only inventor(s) of this invention and that
I/we have not knowingly omitted the inclusion of any other inventor(s)
besides me/us, and that the information provided in this disclosure is,
to the best of my/our knowledge, true and accurate.
Signature:
Date:
Date:
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Invention Description
Brief Description:
The goal of this project was to integrate information, recreation, and technology into a cohesive design solution for the
hospital waiting room. Focused primarily on children ages 6-12, the project revolves around a ball pit in which each
individual ball is encoded with a RFID or micro chip which holds information. When the ball is “plugged in” to the matrix,
the computer will read the information encoded into each chip and display it on a monitor. On the interface there are three
main demos, a virtual aquarium, a virtual doctor environment, and an interactive game. When each ball is read it will
display information related to the three demos. The child can then learn about hospital procedures, common ailments, or
even check themselves into the hospital. In the future each ball can be encoded with personal information for the child,
and each child can have their own ball. When they go visit the doctor after the first visit and plug in the ball to the matrix it
can then recognize the child, welcome him or her, and pull up medical records in the back for check in purposes. The
purpose of this project is to teach children about hospital procedures and relieve the check in process through the simple
action of play. A more detailed description of each demo and purpose is attached.
Virtual Aquarium – The demo works by displaying an aquarium on the screen. Users can then select various balls from
the pit with fish on them. When the ball is inserted, the fish on the ball begins swimming in the aquarium. When the balll is
removed, so is the fish.
Virtual Doctor – Users are asked to insert a ball describing the ailment that they wish to know more information about. The
balls are labeled with pictures relevant to various conditions. When a ball is selected and inserted, the user will see a short
slide show or movie about the condition as well as its causes, preventative measures, and treatments.
Interactive Game – In its current incarnation, the only game available is tic-tac-toe, played by inserting colored balls into
the matrix in the appropriate places just like in real tic-tac-toe.
(PLEASE ATTACH MORE DETAILED DESCRIPTIONS, ANY SUPPORT MATERIALS, REPORTS AND PROPOSED PUBLICATION).
Source of Support
Did this invention result from sponsored research?
Yes
No
If NO, how was this work funded, including salaries, charges of time, materials, supplies, equipment?
If YES, please provide information on all:
Sponsor: Perkins + Will Architects
Sponsor:
GIT Project Number/PeopleSoft No.:
GIT Project Number/PeopleSoft No.:
Was this project funded through a Center with Industry Membership? For example, PRC, IPST, GEDC, etc.
Yes
No
If YES, list name of Center.
Did you use any material obtained from another party in developing this technology?
Yes
No
If YES, please provide all appropriate licenses and agreements.
Establishment of Invention History

Please provide your best estimate for the date when the following occurred (will occur):
Date:(mm/dd/yy)
A. Conception of Invention 11/04/07
B. First written description (please attach a copy if available) 12/15/07
C. First non-confidential disclosure (e.g. abstract, proposal, paper submission, talk, or meeting with industry – please attach a copy
if available) 12/04/07
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To whom:
D. Completion of model or prototype 12/04/07
E. First successful operational test
F. Is a publication, paper, or other disclosure planned within 6 months?
If YES, Disclosure Date:
Yes
No
Type of disclosure:
Prior Art
Please conduct a literature and patent search and attach a list of all relevant patents and publications. Two useful sites for patents searches are:
1) www.uspto.gov.patft/index.html
2) www.surfip.gov.sg
Please explain differences or advantages over prior art.
Commercialization Potential
A.
What are the commercial applications for the invention?
It can be applied in the waiting rooms in different hospitals, especially children hospitals. It makes the waiting experience fun and informative.
We can tailor our database and interface according to different needs of hospitals, like including different information about different target
diseases (e.g. asthma, sickle cell, diabetes etc.)
B.
What are the limitations that must be overcome prior to practical application?
The limitation we need to overcome is to improve the disinfection approach in this system.Error! Not a valid bookmark self-reference.
C.
What are the advantages of the invention versus present technologies?
This invention has integrated the play with information for the children that is presented in non-conventional ways to help get and keep their attention. It can
also facilitate the patient check in process by providing them “personalized ball”. The technology has combined many different technologies together, yet
provides a more thoughtful approach to create a friendlier care environment. Error! Not a valid bookmark self-reference.
D.
Please provide any available data or information on market potential/size.
E.
Is work on the invention continuing?
F.
Do you know of any appropriate industrial organizations that may be interested in licensing this technology? (Please attach
additional sheet if more space is required.)
Company Name
Yes
No
If Yes, please provide source of on-going funding.
Contact Person
Contact Information
Execution by Witnesses

This disclosure should be witnessed by two individuals who are not co-inventors and who are technically qualified to understand the subject
matter.
Print Name
Signature
Date
I have read this invention
disclosure (including the attached
pages, if any) and understand its
subject matter
I have read this invention
disclosure (including the attached
pages, if any) and understand its
subject matter
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