Transcript WHO Collaborating centres

ICF and ISO9999 to express
Intended use of
assistive technology
Ir. Theo Bougie
BOUGIE Revalidatie Techniek
[email protected]
www.interbor.org
Content of the presentation
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1. Modern disability policy
2. Aims of assistive technology
3. ISO/CEN/9999 Classification of assistive technology
4. Other relevant ISO standards on assistive
technology
5. Detailed classification of assistive technology
6. ICF and assistive technology
7. References
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Ir.Theo Bougie; WHO Collaborating
Centres; Koln
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1. Modern Disability Policy
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Aim normal participation in society
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Profile new target group: consumer instead of patient
– transparent market of the offer on products and services
– information on what is available; what can they do with it;
what is the intended use of products and services
– standardisation and qualification labels
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Care System client driven; should facilitate client in
decision making and selection
Technology contributes to an accessible society
– accessible buildings and design for all technology
– accessible services and information
– additionally assistive technology
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2. Aims of assistive technology
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Contribute to policy through:
– Compensates or relieves for body impairments (having legs
through a prosthesis)
– Compensates, relieves or enables to perform activities
(being mobile with a wheelchair)
– Supports participation in society (using ICT-equipment for
vocation)
Intended use of assistive technology has to
be expressed (where is it for, what does it do, etc.)
 Intended use is a (EU MDD: manufacturer)
product characteristic
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Centres; Koln
3a. ISO/CEN/9999 Classification
of assistive technology
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mainly individual used technology
based on function of technology
content and structure
– three levels
– codes (ab.cd.ef) and names
– comments and references
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500 items
– body worn assistive technology (prostheses and orthoses
– assistive technology for particular activities
– technology for creating an accessible environment
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•3b. ISO/CEN/9999 Scope of
classification
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technology for personal medical treatment
technology for training skills
prostheses and orthoses
technology for personal care and protection
aids for personal mobility
technology for housekeeping
furnishing and adaptation to homes and other premises
technology for communication and information
technology for handling products and goods
technology for environmental improvements, tools and machines
technology for recreation
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4. Other relevant ISO standards
on assistive technology
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Prostheses and orthoses family (ISO TC168)
Assistive technology family (ISO TC173)
– wheelchairs
– hoists for persons
– walking aids
– etc. etc.
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5. Detailed Classification of
assistive technology
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Based on ISO9999 and other ISO standards
Up to 12 digits (ab.cd.ef.gh.ij.kl)
– 3x2 from ISO/CEN/9999 ab.cd.ef
– additional up to 3x2 from other standards gh.ij.kl
– Examples
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Wrist Orthoses
– ISO9999: 06.09.12
– for immobilising the wrist joint 06.09.12.03
– flexible fitting 06.09.12.09.03
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Lower leg Prosthesis
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– ISO9999: 06.24.12
– for walking in- and externally on all surfaces 06.24.12.23
– push resistant coverage 06.24.12.23.03
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6a. ICF and assistive
technology
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Used to specify any item from the
classification:
– specify product characteristics
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where is it for
what is the intended use
what does it offer to me and my impairment, restriction
or problems
– specify user characteristics
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what characterises the intended user in terms of
impaired body functions and structures, restricted
activities or problems in participation domains
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6b. ICF to characterise assistive
technology (product types)
Specify the intended use of the product
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how it acts on body structures (if relevant)
– e.g. stabilises a joint (knee orthosis)
how it acts on body functions
– e.g. relieves breathing (spinal corset)
how it enables activities
– e.g. enables moving outside home (wheelchair)
how it supports in participation domains (e.g. ICT for
vocation)
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6c. ICF to characterise the user of
assistive technology (product types)
Specify the intended user of the product
User may be characterised by specific
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impairments of body structures
– e.g. missing extremity after amputation (leg prosthesis)
impairments of body functions
– e.g. bad stability of spine, bad breathing capacity (corsets for
spinal impairments)
restrictions of activities
– e.g. unable to walk out home (wheelchairs for paralysed persons)
problems with participation
– unable to work (ICT for blind people)
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7. References
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International Nomenclature on
Prostheses and Orthoses
– INTERBOR, global umbrella of prostheses and
orthoses workshop
– www.interbor.org
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Dutch Functional Classification on
assistive devices based on ISO9999
– CLiQ (Classificatie Implementeert Qualiteit); Dutch
national project
– to be published soon
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