1、BSI Standards Publication BS ISO 8549-4:2014 Prosthetics and orthotics Vocabulary Part 4: Terms relating to limb amputationBS ISO 8549-4:2014 BRITISH STANDARD National foreword This British Standard is the UK implementation of ISO 8549-4:2014. The UK participation in its preparation was entrusted to
2、 Technical Committee CH/168, Prosthetics and orthotics. A list of organizations represented on this committee can be obtained on request to its secretary. This publication does not purport to include all the necessary provisions of a contract. Users are responsible for its correct application. The B
3、ritish Standards Institution 2014. Published by BSI Standards Limited 2014 ISBN 978 0 580 84459 1 ICS 01.040.11; 11.040.40 Compliance with a British Standard cannot confer immunity from legal obligations. This British Standard was published under the authority of the Standards Policy and Strategy Co
4、mmittee on 30 November 2014. Amendments issued since publication Date Text affectedBS ISO 8549-4:2014 ISO 2014 Prosthetics and orthotics Vocabulary Part 4: Terms relating to limb amputation Prothses et orthses Vocabulaire Partie 4: Termes relatifs lamputation de membres INTERNATIONAL STANDARD ISO 85
5、49-4 First edition 2014-11-15 Reference number ISO 8549-4:2014(E)BS ISO 8549-4:2014ISO 8549-4:2014(E)ii ISO 2014 All rights reserved COPYRIGHT PROTECTED DOCUMENT ISO 2014 All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized otherwise in any form
6、or by any means, electronic or mechanical, including photocopying, or posting on the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below or ISOs member body in the country of the requester. ISO copyright office Case postale 56 C
7、H-1211 Geneva 20 Tel. + 41 22 749 01 11 Fax + 41 22 749 09 47 E-mail copyrightiso.org Web www.iso.org Published in SwitzerlandBS ISO 8549-4:2014ISO 8549-4:2014(E)Contents Page Foreword v Introduction vi 1 Scope . 1 2 Normative references 1 3 T erms and definitions . 1 3.1 General limb amputation . 1
8、 3.2 Amputation procedures 3 3.3 Person who has had an amputation . 3 ISO 2014 All rights reserved iiiBS ISO 8549-4:2014ISO 8549-4:2014(E) Foreword ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work of prepari
9、ng International Standards is normally carried out through ISO technical committees. Each member body interested in a subject for which a technical committee has been established has the right to be represented on that committee. International organizations, governmental and non-governmental, in lia
10、ison with ISO, also take part in the work. ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization. The procedures used to develop this document and those intended for its further maintenance are described in the ISO/IEC Di
11、rectives, Part 1. In particular the different approval criteria needed for the different types of ISO documents should be noted. This document was drafted in accordance with the editorial rules of the ISO/IEC Directives, Part 2 (see www.iso.org/directives). Attention is drawn to the possibility that
12、 some of the elements of this document may be the subject of patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of any patent rights identified during the development of the document will be in the Introduction and/or on the ISO list of patent dec
13、larations received (see www.iso.org/patents). Any trade name used in this document is information given for the convenience of users and does not constitute an endorsement. For an explanation on the meaning of ISO specific terms and expressions related to conformity assessment, as well as informatio
14、n about ISOs adherence to the WTO principles in the Technical Barriers to Trade (TBT) see the following URL: Foreword - Supplementary information The committee responsible for this document is ISO/TC 168, Prosthetics and orthotics. ISO 8549 consists of the following parts, under the general title Pr
15、osthetics and orthotics Vocabulary: Part 1: General terms for external limb prostheses and external orthoses Part 2: Terms relating to external limb prostheses and wearers of these prostheses Part 3: Terms relating to external orthoses Part 4: Terms relating to limb amputationiv ISO 2014 All rights
16、reservedBS ISO 8549-4:2014ISO 8549-4:2014(E) Introduction At present, no internationally accepted terminology describes the complete range of surgical limb amputation levels, amputation procedures, and persons who have had an amputation. Members of clinic teams in different countries have developed
17、their own terminology to meet their own needs. There is a need for a standard international system of terminology which will allow practitioners to accurately describe the surgical history of persons who have had a limb amputation(s) and to facilitate comparisons with the experience of other practit
18、ioners. The terminology will also be of value to epidemiologists and governmental health officials. ISO 2014 All rights reserved vBS ISO 8549-4:2014BS ISO 8549-4:2014Prosthetics and orthotics Vocabulary Part 4: Terms relating to limb amputation 1 Scope This part of ISO 8549 specifies a vocabulary fo
19、r the description of surgical limb amputations, amputation procedures, and persons who have had an amputation. 2 Normative references The following documents, in whole or in part, are normatively referenced in this document and are indispensable for its application. For dated references, only the ed
20、ition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. ISO 8549-2, Prosthetics and orthotics Vocabulary Part 2: Terms relating to external limb prostheses and wearers of these prostheses 3 T erms a nd definiti ons For the purpos
21、es of this document, the terms and definitions given in ISO 8549-2 and the following apply. 3.1 General limb amputation 3.1.1 limb amputation surgical removal of the whole or part of a limb 3.1.2 level of amputation joint or segment at which amputation is performed Note 1 to entry: For the upper lim
22、b, see 3.1.3, and for the lower limb, see 3.1.4. 3.1.3 upper limb amputation surgical removal of the whole or part of an upper limb 3.1.3.1 partial hand amputations of the upper limb distal to the wrist joint Note 1 to entry: These include: Thumb: Amputation of the whole or part of the thumb; Phalan
23、geal: Amputation of part of one or more fingers; Metacarpo-phalangeal disarticulation: Amputation of one or more fingers; Metacarpal: Amputation of a part of the hand through one or more metacarpals; Carpo-metacarpal disarticulation: Amputation of a part of the hand at one or more of the carpo- meta
24、carpal joints; INTERNATIONAL ST ANDARD ISO 8549-4:2014(E) ISO 2014 All rights reserved 1BS ISO 8549-4:2014ISO 8549-4:2014(E) Carpal: Amputation of a part of the hand through any of the carpal bones and/or joints. Note 2 to entry: The complete description of a partial hand amputation requires the ide
25、ntification of the amputated bones and their levels of amputation. 3.1.3.2 wrist disarticulation amputation of the upper limb at the wrist joint 3.1.3.3 trans-radial amputation of the upper limb between the elbow joint and the wrist joint 3.1.3.4 elbow disarticulation amputation of the upper limb at
26、 the elbow joint 3.1.3.5 trans-humeral amputation of the upper limb between the shoulder joint and the elbow joint 3.1.3.6 shoulder disarticulation amputation of the upper limb at the shoulder joint 3.1.3.7 scapulo-thoracic disarticulation forequarter amputation of the upper limb at the scapulo-thor
27、acic and the sternoclavicular joints 3.1.4 lower limb amputation surgical removal of the whole or part of a lower limb 3.1.4.1 partial foot amputations of the lower limb distal to the ankle joint Note 1 to entry: These include: Phalangeal: Amputation of part of one or more toes; Metatarso-phalangeal
28、 disarticulation: Amputation of one or more toes; Metatarsal: Amputation of a part of the foot through one or more metatarsals; Tarso-metatarsal disarticulation: Amputation of part of the foot at one or more of the tarso-metatarsal joints; Tarsal: Amputation of a part of the foot through any of the
29、tarsal bones and/or joints. Note 2 to entry: The complete description of a partial foot amputation requires the identification of the amputated bones and their levels of amputation. 3.1.4.2 ankle disarticulation amputation of the lower limb at the ankle joint 3.1.4.3 trans-tibial amputation of the l
30、ower limb between the knee joint and the ankle joint2 ISO 2014 All rights reservedBS ISO 8549-4:2014ISO 8549-4:2014(E) 3.1.4.4 knee disarticulation amputation of the lower limb at the knee joint 3.1.4.5 trans-femoral amputation of the lower limb between the hip joint and the knee joint 3.1.4.6 hip d
31、isarticulation amputation of the lower limb at the hip joint 3.1.4.7 trans-pelvic amputation of the whole lower limb together with all or part of the hemipelvis 3.2 Amputation procedures 3.2.1 initial amputation first amputation of the whole or part of a limb 3.2.2 initial upper limb amputation firs
32、t amputation of the whole or part of an upper limb 3.2.3 initial lower limb amputation first amputation of the whole or part of a lower limb Note 1 to entry: The complete description of an amputation has to specify upper or lower limb, left or right side. 3.2.4 revision amputation surgical procedure
33、 on a previously amputated limb without changing the level of amputation Note 1 to entry: This can involve removal of soft tissue, bony tissue, or both. 3.2.5 two-stage amputation amputation planned to be carried out in two stages Note 1 to entry: The first stage involves amputating the devitalized
34、and/or infected parts of the limb. The wound may be left fully or partially open. The second stage involves revision amputation, or even amputation to a higher level, and wound closure. 3.2.6 reamputation amputation of an amputated limb to a higher level 3.3 Person who has had an amputation 3.3.1 am
35、putee person who has had an amputation Note 1 to entry: The complete description of the person requires the identification of the amputated limbs. 3.3.2 upper limb amputee person who has had an upper limb amputation ISO 2014 All rights reserved 3BS ISO 8549-4:2014ISO 8549-4:2014(E) 3.3.3 lower limb
36、amputee person who has had a lower limb amputation 3.3.4 bilateral upper limb amputee person who has had amputations of both upper limbs 3.3.5 bilateral lower limb amputee person who has had amputations of both lower limbs 3.3.6 unilateral upper and lower limb amputee person who has had amputations
37、of both limbs on the same side 3.3.7 contralateral upper and lower limb amputee person who has had an amputation of an upper limb and the lower limb on the opposite side 3.3.8 triple amputee person who has had amputations of three limbs 3.3.9 quadruple amputee person who has had amputations of all f
38、our limbs4 ISO 2014 All rights reservedBS ISO 8549-4:2014BS ISO 8549-4:2014ISO 8549-4:2014(E) ISO 2014 All rights reserved IC S 11.040.40; 01.040.11 Price based on 4 pagesThis page deliberately left blankBSI is the national body responsible for preparing British Standards and other standards-related
39、 publications, information and services. BSI is incorporated by Royal Charter. British Standards and other standardization products are published by BSI Standards Limited. British Standards Institution (BSI) BSI Group Headquarters 389 Chiswick High Road London W4 4AL UK About us We bring together bu
40、siness, industry, government, consumers, innovators and others to shape their combined experience and expertise into standards -based solutions. The knowledge embodied in our standards has been carefully assembled in a dependable format and refined through our open consultation process. Organization
41、s of all sizes and across all sectors choose standards to help them achieve their goals. Information on standards We can provide you with the knowledge that your organization needs to succeed. Find out more about British Standards by visiting our website at or contacting our Customer Services team
42、or Knowledge Centre. Buying standards You can buy and download PDF versions of BSI publications, including British and adopted European and international standards, through our website at where hard copies can also be purchased. If you need international and foreign standards from other Standards D
43、evelopment Organizations, hard copies can be ordered from our Customer Services team. Subscriptions Our range of subscription services are designed to make using standards easier for you. For further information on our subscription products go to With British Standards Online (BSOL) youll have inst
44、ant access to over 55,000 British and adopted European and international standards from your desktop. Its available 24/7 and is refreshed daily so youll always be up to date. You can keep in touch with standards developments and receive substantial discounts on the purchase price of standards, both
45、in single copy and subscription format, by becoming a BSI Subscribing Member. PLUS is an updating service exclusive to BSI Subscribing Members. You will automatically receive the latest hard copy of your standards when theyre revised or replaced. To find out more about becoming a BSI Subscribing Mem
46、ber and the benefits of membership, please visit With a Multi-User Network Licence (MUNL) you are able to host standards publications on your intranet. Licences can cover as few or as many users as you wish. With updates supplied as soon as theyre available, you can be sure your documentation is cu
47、rrent. For further information, email . Revisions Our British Standards and other publications are updated by amendment or revision. We continually improve the quality of our products and services to benefit your business. If you find an inaccuracy or ambiguity within a British Standard or other BSI
48、 publication please inform the Knowledge Centre. Copyright All the data, software and documentation set out in all British Standards and other BSI publications are the property of and copyrighted by BSI, or some person or entity that owns copyright in the information used (such as the international
49、standardization bodies) and has formally licensed such information to BSI for commercial publication and use. Except as permitted under the Copyright, Designs and Patents Act 1988 no extract may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, photocopying, recording or otherwise without prior written permission from BSI. Details and
