Name of the Procedure:

Shock Absorber for Power Wheelchair, Each (HCPCS Code: E1016)

Summary

A shock absorber for a power wheelchair is an adaptive enhancement that helps improve the ride comfort for the user. It reduces the impact of bumps and uneven surfaces, making it easier to navigate different terrains.

Purpose

This device is intended to:

• Enhance the comfort and ride quality for power wheelchair users.
• Reduce stress and strain on the body caused by vibrations and jolts while navigating various terrains.

Indications

Shock absorbers for power wheelchairs may be indicated for patients who:

• Use power wheelchairs regularly.
• Experience discomfort or pain from vibrations and impacts.
• Have conditions that make them more susceptible to bumps and jolts (e.g., spinal cord injuries, severe arthritis).

Preparation

No special preparation is required from the patient. Depending on the wheelchair model, a technician may need to ensure that the chair can accommodate the shock absorber. It might also be helpful to review the patient’s medical history for any conditions that could affect the installation or efficacy of the device.

Procedure Description

1. The power wheelchair is inspected to determine the correct placement of the shock absorber.
2. Existing connections or cushioning elements, if present, are removed or adjusted.
3. The shock absorber is installed in alignment with the manufacturer’s specifications.
4. Adjustments are made to ensure the absorber fits securely and performs optimally.
5. A test drive is conducted to evaluate the effectiveness and comfort.

Tools: Screwdrivers, wrenches, and other basic installation tools. Technology: Manufacturer-specific installation kits and guidelines. Anesthesia or Sedation: Not applicable.

Duration

The installation typically takes between 1 to 2 hours, depending on the wheelchair model and technician experience.

Setting

This procedure is generally performed in an outpatient clinic, rehabilitation center, or a specialized medical equipment facility.

Personnel

Certified healthcare or medical equipment technicians are primarily involved. Rehabilitation professionals may also take part to ensure proper fit and function.

Risks and Complications

• Improper installation can lead to reduced effectiveness or damage to the wheelchair.
• Minimal risk of injury during installation.
• Possible need for adjustments post-installation to fine-tune performance.

Benefits

• Improved comfort and reduced physical strain.
• Enhanced ability to navigate rough terrains.
• Immediate improvements in ride quality typically noticed right after installation.

Recovery

No specific recovery required as this is a non-invasive procedure. Patients may need to adapt to the new feel of their wheelchair and might need a session or two to fine-tune settings for optimum comfort.

Alternatives

• Cushioned seat pads.
• Suspension systems integrated within the wheelchair design.
• Pros: Sometimes simpler to install or less costly.
• Cons: May not provide as much impact reduction as a dedicated shock absorber.

Patient Experience

Patients generally experience an immediate reduction in discomfort from bumps and vibrations. Any minor discomfort post-installation is usually managed by fine-tuning the absorber or making small adjustments to the wheelchair settings. Maintenance and routine check-ups may be required to ensure ongoing effectiveness.