Facts

[A.] , born in 1968, suffered a left thigh amputation in a motorcycle accident in 2001. Since then, he has been provided with an electronic C-Leg prosthesis and receives a disability pension from the SUVA (Swiss Accident Insurance Fund) due to a disability degree of 63%. In 2011, [A.] applied for cost coverage of a Genium knee prosthesis, which the SUVA rejected, as it did not meet the criteria of simplicity and appropriateness. The Social Insurance Court of the Canton of Zurich dismissed the appeal filed against this decision.

Considerations

The Federal Supreme Court confirms the decision of the lower instance. It states that according to Art. 11 para. 2 AIA, the aids must be simple and appropriate. When assessing the entitlement, all factual and legal circumstances of the individual case must be taken into account. The C-Leg prosthesis system meets the legal requirements, as it enables the appellant to carry out his professional activities to the same extent and to perform his other activities in his occupation, household, and leisure time without the risk of falling. Although the Genium prosthesis is technically more advanced…