Name of the Procedure:

Wheelchair Accessory, Ventilator Tray, Gimbaled (HCPCS E1030)

Summary

This accessory is a specialized tray designed to securely hold a ventilator on a wheelchair. The gimbaled feature allows the ventilator to remain in a stable position regardless of the wheelchair's movement.

Purpose

The ventilator tray is essential for individuals who rely on ventilators for breathing support, allowing them to move freely in a wheelchair without the risk of damaging or dislodging the ventilator.

Indications

• Patients with chronic respiratory failure requiring continuous ventilator support.
• Individuals with severe neuromuscular diseases or spinal cord injuries affecting respiratory function.
• Criteria include a personalized recommendation from a healthcare provider.

Preparation

• No specific preparation is required for the installation of the ventilator tray.
• Ensure the wheelchair is suitable for attaching the gimbaled tray and that the ventilator is compatible with the tray design.

Procedure Description

1. Verify the patient's prescription for the ventilator tray.
2. Ensure all necessary parts are included with the tray.
3. Attach the gimbaled tray to the wheelchair per manufacturer's instructions.
4. Secure the ventilator onto the tray, ensuring stability and easy access for the patient.
5. Adjust the gimbal mechanism to ensure the ventilator remains level during wheelchair movement.

Duration

The installation typically takes about 30 minutes to 1 hour.

Setting

Installation is usually performed in a healthcare setting, such as a hospital, outpatient clinic, or at home by a qualified technician.

Personnel

• Rehabilitation technicians for the installation.
• Respiratory therapists or nursing staff to ensure proper setup and function.

Risks and Complications

• Minimal risks are associated with the installation of the ventilator tray.
• Potential issues include improper installation leading to instability or difficulty accessing the ventilator controls.
• Regular checks are necessary to ensure ongoing safety and functionality.

Benefits

• Enhanced mobility and independence for patients requiring ventilator support.
• Immediate improvement in patient autonomy, allowing for safer and more convenient movement within various environments.

Recovery

• No recovery period is necessary as this is a non-invasive procedure.
• Follow-up with a healthcare provider to ensure the tray remains secure and functional.

Alternatives

• Stationary ventilator setups restricting mobility.
• Portable ventilator carry systems without gimbaled support.

Pros of using the gimbaled ventilator tray:

• Enhanced mobility and stability.

Cons of alternatives:

• Reduced patient independence and potential safety risks without gimbaled support.

Patient Experience

• The patient will experience greater freedom of movement with consistent ventilator support.
• Initial adjustment may be required to become accustomed to the setup, but pain and discomfort should not be factors.