1st Edition

Medical Instrumentation Accessibility and Usability Considerations

Edited By Jack M. Winters, Molly Follette Story Copyright 2007
    474 Pages 100 B/W Illustrations
    by CRC Press

    474 Pages 100 B/W Illustrations
    by CRC Press

    Two of the most important yet often overlooked aspects of a medical device are its usability and accessibility. This is important not only for health care providers, but also for older patients and users with disabilities or activity limitations. Medical Instrumentation: Accessibility and Usability Considerations focuses on how lack of usability and accessibility pose problems for designers and users of medical devices, and how to overcome these limitations.

    Divided into five broad sections, the book first addresses the nature and extent of the problem by identifying access barriers, human factors, and policy issues focused on the existing infrastructure. The subsequent sections examine responses to the problem, beginning with tools for usability and accessibility analysis and principles of design for medical instrumentation. Building on this foundation, the third section focuses on recommendations for design guidelines while the fourth section explores emerging trends and future technologies for improving medical device usability. The final section outlines key challenges, knowledge gaps, and recommendations from accomplished experts in the field presented at the recent Workshop on Accessible Interfaces for Medical Instrumentation.

    Integrating expert perspectives from a wide array of disciplines, Medical Instrumentation traces a clear roadmap for improving accessibility and usability for a variety of stakeholders and provides the tools necessary to follow it.

    Background: The Problem, Existing Infrastructure, and Possible Solutions
    The Patient’s Perspective on Access to Medical Equipment; June Isaacson Kailes
    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 Schwier, Sarma Danturthi, and Jack M. Winters
    Emerging Human Factors and Ergonomics Issues for Health Care Professionals; Molly Follette Story
    Toward a New Health Care Policy: Accessible Medical Equipment and Instrumentation; June Isaacson Kailes, Brenda Premo, and Curtis Richards
    Role of Tax Law in the Development and Use of Accessible Medical Instrumentation; Steven Mendelsohn
    Tools for Usability and Accessibility Analysis
    Applying the Principles of Universal Design to Medical Devices; Molly Follette Story
    Using Ethnographic Research to Develop Inclusive Products; Stephen B. Wilcox
    Educating Engineers in Universal and Accessible Design; Robert Erlandson, John Enderle, and Jack Winters
    Assistive Technology Devices and Universal Design Assessments: Theoretical Relationships and Implications on Measurement; Roger O. Smith, Kathy Longenecker Rust, and Stephanie Siegler
    Tools for Sensor-Based Performance Assessment and Hands-Free Control; Gerald E. Miller
    Ergonomic Evaluation and Design of Handheld Medical Devices; David Rempel, Tom Armstrong, and Ira Janowitz
    Usability Testing by Multimedia Video Task Analysis; Thomas Y. Yen and Robert G. Radwin
    The Mobile Usability Lab Tool for Accessibility Analysis of Medical Devices: Design Strategy and Use Experiences; Jack Winters, David Rempel, Molly Story, Melissa Lemke, Alan Barr, Sean Campbell, and Sarma Danturthi
    Comparison of Accessibility Tools for Biomechanical Analysis of Medical Devices: What Experts Think; Melissa R. Lemke and Jack M. Winters
    Considerations in Design Guideline Development
    Accessibility Standards and their Application to Medical Device Accessibility; Daryle Gardner-Bonneau
    Human Factors Standards for Medical Devices Promote Accessibility; Michael E. Wiklund
    Designing Accessible Medical Devices; Ron Kaye and Jay Crowley
    Letting User Ability Define Usability; James Mueller
    Macroergonomic and Implementation Issues of Guidelines for Accessible Medical Devices; Pascale Carayon, Anne-Sophie Grenier, and Carla Alvarado
    Reducing Error and Enhancing Access to Home Use of Medical Devices: Designing from the Perspective of the Home Care Provider; Marilyn Sue Bogner
    Use of Problem-Solving Tools of TRIZ to Address Equipment Design for Home Care; John Gosbee
    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
    Access to Medical Instrumentation: The Role of Web Accessibility; Judy Brewer
    Considerations in Emerging Trends and Technologies
    Technology for Full Citizenship: Challenges for the Research Community; Katherine D. Seelman
    Future Possibilities for Interface Technologies that Enhance Universal Access to Health Care Devices and Services; Jack M. Winters
    Trends to Watch: Trends in Information and Communications Technology That May Influence Developments in Access to Medical Instrumentation; Alfred S. Gilman
    Emerging Personalized Home Rehabilitation: Integrating Service with Interface; Xin Feng and Jack Winters
    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
    Usability and Access Issues in Telerehabilitation; Linda van Roosmalen
    Applications and Issues with Wireless Technology in Medical Care; John Peifer and Michael Jones
    Outputs of the Workshop: Key Knowledge Gaps, Barriers, Recommendations
    Report of the Workshop on Accessible Interfaces for Medical Instrumentation: Draft Guidelines and Future Directions; Jack M. Winters and Molly Follette Story
    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 Difference between “Usability” and “Accessibility” May Be the End Users; Molly Follette Story
    Glossary of Terms


    Jack M. Winters, Ph.D., is professor of biomedical engineering and John P. Raynor Distinguished Chair at Marquette University and director of the RERC on Accessible Medical Instrumentation. Since receiving a Ph.D. in bioengineering from the University of California, Berkeley and San Francisco, he has been a biomedical engineering faculty member for 20 years, twice serving as department chair. His areas of research include movement biomechanics, neurorehabilitation, telerehabilitation, and accessible medical instrumentation. Molly Follette Story, M.S., is president of Human Spectrum Design, L.L.C. and codirector of the RERC on Accessible Medical Instrumentation. From 1994 to 2004, she was coordinator of research at the Center for Universal Design at North Carolina State University and twice served as its interim executive director. She is also a Ph.D. student in ergonomics at University of California–Berkeley.