Medical Instrumentation: Accessibility and Usability Considerations

Editors: Jack M. Winters and Molly Follette Story

Now available for order! Published October 31, 2006 by CRC Press

Motivation

The book is written by leaders in these areas, and is an offshoot of a workshop entitled Accessible Interfaces for Medical Instrumentation: Draft Guidelines and Future Directions, which was sponsored by the Rehabilitation Engineering Research Center on Accessible Medical Instrumentation (funded by the National Institute on Disability and Rehabilitation Research of the U.S. Department of Education) and the Office of Science and Engineering Laboratories of the Food and Drug Administration and held at FDA facilities in Rockville, Maryland in October 2005.

Parts I-IV of this book were intended to help develop a foundation for the discussions at the Workshop, as well as serve as the critial resource in this area for the next few years. First drafts of these chapters are available to participants, for personal use and not to be copied. Chapters were then mildly updated by authors during the month after the workshop. Part V serves as the primary output of the Workshop.

Table of Contents:

List of Contributors

Part 1 - Background: The Problem, Existing Infrastructure, and Possible Solutions

  1. The Patient's Perspective on Access to Medical Equipment (June Isaacson Kailes) [related to RERC-AMI's R1]
  2. Results of a National Survey on Accessibility of Medical Instrumentation for Consumers (Jill M. Winters, Molly Follette Story, Kris Barnekow, June Isaacson Kailes, Brenda Premo, Erin Schweir, Sarma Danturthi, and Jack M.Winters) [report of RERC-AMI's R1.1]
  3. Emerging Human Factors and Ergonomics Issues for Health Care Professionals (Molly Follette Story) [related to RERC-AMI's R1.2]
  4. Toward a New Health Care Policy: Accessible Medical Equipment and Instrumentation (June Isaacson Kailes, Brenda Premo, and Curtis Richards) [related to RERC-AMI's R4]
  5. Role of Tax Law in the Development and Use of Accessible Medical Instrumentation (Steven Mendelsohn) [supported by and related to RERC-AMI's R4]

Part 2 - Tools for Usability and Accessibility Analysis

  1. Applying the Principles of Universal Design to Medical Devices (Molly Follette Story)
  2. Using Ethnographic Research to Develop Inclusive Products (Stephen B. Wilcox)
  3. Educating Engineers in Universal and Accessible Design (Robert E. Erlandson, John D. Enderle, and Jack M. Winters) [related to RERC-AMI's Training Activities and D2.2]
  4. Assistive Technology Devices and Universal Design Assessments: Theoretical Relationships and Implications on Measurement (Roger O. Smith, Kathy Longenecker Rust, and Stephanie Siegler)
  5. Tools for Sensor-Based Performance Assessment and Hands-Free Control (Gerald E. Miller)
  6. Ergonomic Evaluation and Design of Handheld Medical Devices (David M. Rempel, Thomas M. Armstrong, and Ira Janowitz)
  7. Usability Testing by Multimedia Video Task Analysis (Thomas Y. Yen and Robert G. Radwin)
  8. The Mobile Usability Lab Tool for Accessibility Analysis of Medical Devices: Design Strategy and Use Experiences (Jack M. Winters, David M. Rempel, Molly Follette Story, Melissa R. Lemke, Alan Barr, Sean Campbell, and R. Sarma Danturthi) [report of RERC-AMI's D1]
  9. Comparison of Accessibility Tools for Biomechanical Analysis of Medical Devices: What Experts Think (Melissa R. Lemke and Jack M. Winters) [report of RERC-AMI's D1]

Part 3 - Considerations in Design Guideline Development

  1. Accessibility Standards and their Application to Medical Device Accessibility (Daryle Gardner-Bonneau)
  2. Human Factors Standards for Medical Devices Promote Accessibility (Michael E. Wiklund)
  3. Designing Accessible Medical Devices (Ron Kaye and Jay Crowley)
  4. Letting User Ability Define Usability (James L. Mueller)
  5. Macroergonomic and Implementation Issues of Guidelines for Accessible Medical Devices (Pascale Carayon, Anne-Sophie Grenier, and Carla Alvarado)
  6. Reducing Error and Enhancing Access to Home Use of Medical Devices: Designing from the Perspective of the Home Care Provider (Marilyn Sue Bogner)
  7. Use of Problem-Solving Tools of TRIZ to Address Equipment Design for Home Care (John W. Gosbee)
  8. Development of the Medical Equipment Device Accessibility and Universal Design Information Tool (Roger O. Smith, Kris Barnekow, Melissa R. Lemke, Rochelle Mendonca, Melinda Winter, Todd Schwanke, and Jack M. Winters) [preliminary report of RERC-AMI's R3]
  9. Access to Medical Instrumentation: The Role of Web Accessibility (Judy Brewer)

Part 4 - Considerations in Emerging Trends and Technologies

  1. Technology for Full Citizenship: Challenges for the Research Community (Katherine D. Seelman)
  2. Future Possibilities for Interface Technologies that Enhance Universal Access to Health Care Devices and Services (Jack M. Winters) [related to RERC-AMI's D3]
  3. Trends to Watch: Trends in Information and Communications Technology That May Influence Developments in Access to Medical Instrumentation (Alfred S. Gilman)
  4. Emerging Personalized Home Rehabilitation: Integrating Service with Interface (Xin Feng and Jack Winters) [report of RERC-AMI's D3.1]
  5. Progress in Using the Universal Remote Console Standard to Create User-Customized Interfaces for Future Medical Devices (R. Sarma Danturthi, Pawan Shroff, and Jack M. Winters) [report of RERC-AMI's D3.2]
  6. Usability and Access Issues in Telerehabilitation (Linda van Roosmalen)
  7. Applications and Issues with Wireless Technology in Medical Care (John W. Peifer and Michael L. Jones)

Part 5 - Outputs of the Workshop: Key Knowledge Gaps, Barriers, Recommendations

  1. Report of the Workshop on Accessible Interfaces for Medical Instrumentation: Draft Guidelines and Future Directions (Jack M. Winters and Molly Follette Story), see also html version of final report [targeted especially toward RERC-MI's D4, R4 and D3]
    • Appendix 1: Chairs' Perspectives on Workshop Breakout Theme C: Interfaces for Home Health Care Devices (Daryle Gardner-Bonneau and Binh Q. Tran)
    • Appendix 2: Commentary on Distinguishing Accessibility from Accommodation (David Baquis)
    • Appendix 3: Commentary on Data, Models, and Procedures for Design of Accessible Medical Instrumentation (Thomas J. Armstrong)
    • Appendix 4: Commentary on What is Accessibility? And What Does it Have to Do with Medical Device Design? (Ron Kaye and Jay Crowley)
    • Appendix 5: Commentary on the Differency between "Usability" and "Accessibility," Which May Be the End Users (Molly Follette Story)

Glossary of Terms

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