Draft Meeting Minutes 1 **Medical Diagnostic Equipment Accessibility Standards**

**Advisory Committee Minutes** 

**January 22 and**  **23 , 201**  **3 U.S. Access Board,**  **Washington, DC**

**MEMBERS PRESENT:_________________________________________________________**  John L aViola, Hologic, Inc. Tamara James, Duke Univ. & Medical Ctr. Kevin Patmore, Stry

ker Medical Lisa Iezzoni, Boston CIL (Chair) Jon Wells, Midmark Corporation Renee Kielich, Hill

- Rom Company , Inc. Elisabeth George, Philips Healthcare Kleo J. King, United Spinal Association Kat Taylor, Equal Rights Center June I saacson Kailes, HFCDHP & DREDF Molly Follette Story , FDA Zita Johnson

- Betts, DOJ Mark E. Derry , NCIL Hans Beinke, Siemens Medical Solutions Maureen Simonson, PVA Kaylan M. Dunlap, Evan Terry Associates John Jaeckle, GE Healthcare Jeffery Baker, MTI Joseph Drago, Scale

- Tronix, Inc. Carol J. Bradley , Sutter Health Rochelle J. Mendonca, Univ. Sciences Phila JB Risk, MPI (via teleconference) Jack DeBraal, Brewer Co mpany (via teleconference) Don Brandon, ADA National Network (via teleconference) Mary Ann Spohrer , CRCPD (via teleconference)

**A LTERNATES PRESENT**  **:______________________________________________________** John Metellus, Siemens Medical Solutions Sarah DeCosse, DOJ Bob Menke, Midmark Corporation Janice Carroll, Sutter Health Glenn Nygard, Hologic, Inc. (via teleconference) Richard M. Eaton, MITA

**ACCESS BOARD MEMBERS AND**  **STAFF PRESENT :___** 

**__________________________** Rex Pace (Committee DFO) Matthew McCollough David Capozzi Marsha Mazz James Raggio Rose Bunales Earlene Sesker

**OTHERS PRESENT:__ _____________________________________________________**  Darren Walters, MTI Mary Adams, DOJ Michelle Lustrino, Hologic, Inc. Douglas Coldwell, Univ. of L ouisville Heather Bo yd, Applied Policy Irene Bowen, ADA One, LLC Jim Scott, Applied Policy Janice Majewski, DOJ Dennis Monty , Beth Israel Deaconess Med. Ctr. Jim Bostrom, DOJ Jonathan Young, Midmark Corporation Paul Farber (via teleconference) Gloria Romanelli, Amer. Coll. Radiology Cara Brickley (via teleconference) Dee Kumpar (via teleconference) Theresa Branham, Amer. Coll. of Radiology Christian Hendrickson (via teleconference) Alexa Rosenb loom (via teleconference) Cathy Ellis, National Rehab. Hospital Angela Scott (via teleconference)Draft Meeting Minutes 2

Barbara Ridley , Alta Bates Summitt Med. Ctr. (via teleconference) Lauren Snowden , Kessler Institute for Rehab. (via teleconference) Michael Yochelson , MedStar National Rehab. Network Willa Crolius, In stit. for Human Centered Design Nuket Curran , UPMC Ctrs. for Rehab. Services (via teleconference)

Opening Remarks and Approval of Minutes The Committee Chair, L isa Iezzoni, opened the meeting. The committee approved the minutes from its December meeting and did a roll call

. Exceptions and Transfer Supports : Presentation and Discussion Rex Pace gave a PowerPoint presentation explaining how exceptions are used when writing accessibility

guidelines and reviewing the proposed requirements for the transfer supports.

Presentations and Discussion Medical practitioners, clinician and manufactures were in attendance to present information to the committee. The pre senters were Willa Crolius (Institute for Human Centered Design), Barbara Ridley

(Alta Bates Summit Medical Center), Cathy Ellis (National Rehabilitation Hospital), Michael Yochelson (MedStar National Rehabilitation Network) , L auren Snowden (Kessler Institute for Rehabilitation, Nüket Curran (UPMC Centers for Rehabilitation Services), Elisabeth George (Philips Healthcare), Michelle Lustrino (Hologic), John LaViola (Hologic), John Jaeckle (GE Healthcare), John Metellus (Siemens Healthcare), Douglas Coldwell (University of Louisville) and Theresa Branham (American College of Radiology). The practitioners and clinicians provided information on h ow people transfer onto medical diagnostic equipment. The manufacturers described current mammography, DEXA and other radiological equipment highlighting elements that currentl y comply and those that may

not be able to compl y with the proposed standards.

Based on the presentation s each committee member stated their current thoughts concerning the 28 inches versus 30 inches minimum width and the minimum height of 17 inches

. The committee questioned their authority to mandate alternate methods to obtain accessibility to equipment requiring redesign. They expressed concerns that requiring redesign taking 5 to 10
ye ars where alternate method can be achieved in a shorter period of time. Jim Raggio explained the scope of the Access Board work

, based on statute , as mandating specification for the equipment

. Mr. Raggio discussed alternate methods as something that will possibly be decided by FDA and/or DOJ. Several committee members felt th at how the industry defines medical equipment (space in room included/ancillary pieces) and is different than how it may be defined for this standard. Zita Johnson

- Betts Several clarified that although the committee can discuss alternate means of providin g accessibility the Access Board does not have the authority to write standards addressing alternate means of accessibility

.Draft Meeting Minutes 3

Subcommittees After a discussion, the committee decided to proceed with the subcommittees on mammography and weight scale equipment . The committee decided that the proposed subcommittees for i maging equipment with bores and other imaging equipment should be combined into a committee named radiological equipment. Additionally it was decided that beds are not usually for dia gnosis thus the subcommittee proposed for stretchers and beds would focus only on stretchers. Mr. Pace agreed to start scheduling dates for the subcommittee meetings.

Public Comment Dennis Monty

from the Beth Israel Deaconess Medical Center in Bosto n stated that he found the presentations to be very

informative but wanted to remind the committee that ensuring proper weight capacity

is important no matter what other specifications are mandated

Wrap Up and Adjournment The Chair thanked everyone for their participation and reiterated how important it is to start subcommittee meeting as soon as possible. The meeting was adjourned at approximately 2: 07

.