MOVING TECHNOLOGY. Business Perspectives for Fall Risk Assessment. Falls Festival. Rob C. van Lummel, MsC Founder and CEO McRoberts.

Transcription

1 MOVING TECHNOLOGY Business Perspectives for Fall Risk Assessment Falls Festival Rob C. van Lummel, MsC Founder and CEO McRoberts 1

2 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 2

3 McRoberts Innovative SME Dutch Company Body Fixed Sensors (BFS) 14 people (movement technology, movement sciences and ICT) Medical device (FDA accepted)

4 Medical Device - Quality Management System In accordance and compliance with 21 CFR Part 820 (FDA) EN ISO 13485: AC 2007 Quality Manual Standard Operating Procedures (SOPs) Design Controls Management Controls Work Instructions, Quality Records, External Documents (e.g. standards, regulations) Production & Process Controls 4

5 McRoberts partners RADBOUD UNIVERSITEIT

6 Two Product Lines Physical Function Physical Activity

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8 Functionality of the DynaPort MoveTest

9 Pre-defined Protocols

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12 Functionality of the DynaPort MoveMonitor

13 Use case of Cloud Computing: Data management Test Sites Coordinator Site 1 Site 1 Site 2 Site 2 Site 3 Site 3 Site 4 Etc Data* Site 4 Etc Wearing compliance check Study Coordinator My McRoberts/ database* All Outcomes Wearing compliance Wearing compliance * Backed up

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15 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?

16 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

17 Projects related to fall prevention and body fixed sensors Track record SensAction-AAL ( ) Prof. Lorenzo Chiari, Prof. Clemens Becker, Prof. Jeff Hausdorff, Prof. Wiebren Zijlstra, Prof. Walter Maetzler FARAO ( ) Dr. Miriam Pijnappels, Dr. Kim van Schooten, Prof. Jaap van Dieën and Prof. Peter Beek E-NO-FALLS ( ) Lord Group - Professor Stephen Lord ( ) 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)

18 BFS FOR FALL DETECTION ( )

19 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

20 BFS FOR FALL RISK

21 Choice of McRoberts / Fall prevention Fall detection focus on alarming Fall risk focus on fall prevention Shift from Fall detection assessment to Fall risk

22 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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24 Physical Function Low High Physical Activity interventions: potential aims Physical Activity (PA) Low High Can do, But do not do Can do, And do Cannot do, And do not do Cannot do, But do

25 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

26 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

27 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

28 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