1. technology and computing

MOVING TECHNOLOGY
Business Perspectives for
Fall Risk Assessment
Falls Festival
Rob C. van Lummel, MsC
Founder and CEO McRoberts
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Our company
McRoberts B.V.
Mission
Improve quality of life through the use
of advanced monitoring, recording
and signalling of daily movements.
Working field
We have 25 years of experience in
innovative ambulant monitoring in
Clinical Research and Care &
Prevention in:
• Respiratory (COPD & Asthma)
• Neurology (Parkinson)
• Geriatrics (Fragility)
• Orthopaedics (RA, OA and pain)
• Rehabilitation
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McRoberts
•
•
•
•
Innovative SME
Dutch Company
Body Fixed Sensors (BFS)
14 people (movement technology, movement sciences and
ICT)
• Medical device (FDA accepted)
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Medical Device - Quality Management System
In accordance and compliance with
• 21 CFR Part 820 (FDA)
• EN ISO 13485:2003 + AC 2007
Quality
Design
Controls
Management
Controls
Manual
Standard
Operating
Procedures
(SOPs)
Work Instructions, Quality
Records, External
Documents (e.g.
standards, regulations)
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Production &
Process
Controls
4
McRoberts partners
RADBOUD
UNIVERSITEIT
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Two Product Lines
Physical Function
Physical Activity
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Functionality of the DynaPort MoveTest
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Pre-defined Protocols
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Functionality of the DynaPort MoveMonitor
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Use case of Cloud Computing: Data management
Test Sites
Coordinator
Site 1
Site 1
Site 2
Site 2
Site 3
Site 3
Site 4
Data*
Study
Coordinator
Etc…
Site 4
Wearing
compliance
check
Etc…
My McRoberts/
database*
Wearing compliance
* Backed up
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All Outcomes
Wearing compliance
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14
Business must focus on the market
• Business perspective in the medical domain:
– Prove of concept
– Acceptance by the market
– Willingness to spend money
• Focus on market development and product
development
• How can we support fall prevention in the
clinical practice and clinical trials?
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Acceptance by different stakeholders for implementation
of our medical devices
• Research (Fall Festival)
– Develop new methods
• Epidemiology
– Assessing Measurement Properties of
Health Measurement Instruments
• Care givers
– Easy and fast to use (reports within one hour)
– Fast support
• Perspective of the patients
– Acceptability, improve Quality of Life
• Perspective of the Health insurance
– Cost effective
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Projects related to fall prevention and body fixed sensors –
Track record
• SensAction-AAL (2007-2010)
Prof. Lorenzo Chiari, Prof. Clemens Becker, Prof. Jeff
Hausdorff, Prof. Wiebren Zijlstra, Prof. Walter Maetzler
• FARAO (2010-2014)
Dr. Miriam Pijnappels, Dr. Kim van Schooten, Prof.
Jaap van Dieën and Prof. Peter Beek
• E-NO-FALLS (2013-2016)
• Lord Group - Professor Stephen Lord (20142018) and VU Amsterdam
Dr. Mat Body, Dr. Miriam Pijnappels, Dr. Kim van
Schooten, Prof. Jaap van Dieën
• VUmc – Geriatrics (2015 – )
Mobility outpatient clinic (Prof. Andrea Maier)
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BFS FOR FALL DETECTION
(2006-2010)
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Use of body fixed sensors for fall detection
• Fall detection
– Personal alarming systems
E-NO-FALLS identified 30 different alarming
systems in the market
– The business case is clear!
• Verklizan
• Philips
• ……..
– Still under development
• Success dependent from validity
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BFS FOR FALL RISK
2010 moving technology
Choice of McRoberts / Fall prevention
• Fall detection focus on alarming
• Fall risk focus on fall prevention
• Shift from Fall detection
assessment
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to Fall risk
Potential of Fall Risk assessment
• Personalizing the content of the intervention
– One Size fits all?
• Evaluation of interventions that focus on fall
prevention
• Assigning to fall prevention interventions:
who, when and what
• Help to identify the starting moment of fall
prevention
– Not too late, not too early
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Physical Activity interventions: potential aims
High
Can do,
But do not do
Can do,
And do
Low
Physical Function
Physical Activity (PA)
Low
High
Cannot do,
And do not do
Cannot do,
But do
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Balance fall prevention and physical activity level
•
•
•
•
•
Older adults, often with disabilities
They loose physical capacity
Bones are getting weaker
Muscles are getting weaker
Brain is getting weaker
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How can we reduce fall risk?
• Is not only physical function improvement
(e.g. gait, sit-to-stand)
• Exposure of fall risk is in daily life
It is behavior
• Changing lifestyle (Active and Healthy
Aging)
–
–
–
–
Walk longer
Breaking up sitting periods
Be careful
Don’t avoid to be active
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What does this mean?
Risk of falling is multi factorial
Fall prevention has to be
multi factorial
Fall prevention evaluation
has to be multi factorial
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Conclusions
• Fall risk assessment can play a key role in fall
prevention
• We need to know fall risk to advise and
assign patients to fall prevention
interventions
• Fall risk can support fall prevention to be
more personalized
• Falls risk can be used for the evaluation of
fall prevention
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