ICF and ISO9999 to express Intended use of assistive technology Ir. Theo Bougie BOUGIE Revalidatie Techniek

Ir.Theo Bougie; WHO Collaborating Centres; Koln 2 Content of the presentation n 1. Modern disability policy n 2. Aims of assistive technology n 3. ISO/CEN/9999 Classification of assistive technology n 4. Other relevant ISO standards on assistive technology n 5. Detailed classification of assistive technology n 6. ICF and assistive technology n 7. References

Ir.Theo Bougie; WHO Collaborating Centres; Koln 3 1. Modern Disability Policy n Aim normal participation in society n 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 n Care System client driven; should facilitate client in decision making and selection n Technology contributes to an accessible society –accessible buildings and design for all technology –accessible services and information –additionally assistive technology

Ir.Theo Bougie; WHO Collaborating Centres; Koln 4 2. Aims of assistive technology n 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) n Intended use of assistive technology has to be expressed (where is it for, what does it do, etc.) n Intended use is a (EU MDD: manufacturer) product characteristic

Ir.Theo Bougie; WHO Collaborating Centres; Koln 5 3a. ISO/CEN/9999 Classification of assistive technology n mainly individual used technology n based on function of technology n content and structure –three levels –codes (ab.cd.ef) and names –comments and references n 500 items –body worn assistive technology (prostheses and orthoses –assistive technology for particular activities –technology for creating an accessible environment

Ir.Theo Bougie; WHO Collaborating Centres; Koln 6 3b. ISO/CEN/9999 Scope of classification3b. ISO/CEN/9999 Scope of classification n technology for personal medical treatment n technology for training skills n prostheses and orthoses n technology for personal care and protection n aids for personal mobility n technology for housekeeping n furnishing and adaptation to homes and other premises n technology for communication and information n technology for handling products and goods n technology for environmental improvements, tools and machines n technology for recreation

Ir.Theo Bougie; WHO Collaborating Centres; Koln 7 4. Other relevant ISO standards on assistive technology n Prostheses and orthoses family (ISO TC168) n Assistive technology family (ISO TC173) –wheelchairs –hoists for persons –walking aids –etc. etc.

Ir.Theo Bougie; WHO Collaborating Centres; Koln 8 5. Detailed Classification of assistive technology n Based on ISO9999 and other ISO standards n 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 n Wrist Orthoses –ISO9999: –for immobilising the wrist joint –flexible fitting n Lower leg Prosthesis –ISO9999: –for walking in- and externally on all surfaces –push resistant coverage

Ir.Theo Bougie; WHO Collaborating Centres; Koln 9 6a. ICF and assistive technology n Used to specify any item from the classification: –specify product characteristics n where is it for n what is the intended use n what does it offer to me and my impairment, restriction or problems –specify user characteristics n what characterises the intended user in terms of impaired body functions and structures, restricted activities or problems in participation domains

Ir.Theo Bougie; WHO Collaborating Centres; Koln 10 6b. ICF to characterise assistive technology (product types) Specify the intended use of the product n n how it acts on body structures (if relevant) – –e.g. stabilises a joint (knee orthosis) n n how it acts on body functions – –e.g. relieves breathing (spinal corset) n n how it enables activities – –e.g. enables moving outside home (wheelchair) n n how it supports in participation domains (e.g. ICT for vocation)

Ir.Theo Bougie; WHO Collaborating Centres; Koln 11 6c. ICF to characterise the user of assistive technology (product types) Specify the intended user of the product User may be characterised by specific n impairments of body structures –e.g. missing extremity after amputation (leg prosthesis) n impairments of body functions –e.g. bad stability of spine, bad breathing capacity (corsets for spinal impairments) n restrictions of activities –e.g. unable to walk out home (wheelchairs for paralysed persons) n problems with participation –unable to work (ICT for blind people)

Ir.Theo Bougie; WHO Collaborating Centres; Koln References n International Nomenclature on Prostheses and Orthoses –INTERBOR, global umbrella of prostheses and orthoses workshop – n Dutch Functional Classification on assistive devices based on ISO9999 –CLiQ (Classificatie Implementeert Qualiteit); Dutch national project –to be published soon