Name of the Procedure:

Lightweight Wheelchair with Detachable Arms and Swing-Away Detachable Footrest (HCPCS Code: E1260)
Common names: Lightweight wheelchair, Detachable arm wheelchair

Summary

A lightweight wheelchair with detachable arms and swing-away detachable footrests is a manually operated mobility device designed to assist individuals who have difficulty walking or are unable to walk due to medical conditions. The detachable arms and footrests allow for easier transfers to and from the wheelchair.

Purpose

This wheelchair is designed to provide mobility and independence for individuals with limited mobility. It helps improve the user's ability to perform daily activities, enhances quality of life, and promotes social participation.

Indications

• Mobility impairments due to injury, illness, or disability
• Conditions such as paraplegia, quadriplegia, muscular dystrophy, multiple sclerosis, or similar conditions
• Patients who require a lightweight and easily transportable wheelchair
• Individuals who need assistance with transfers to and from the wheelchair

Preparation

• Patients should consult with a healthcare provider to ensure the wheelchair meets their specific needs.
• Measurements for seat width, depth, and height adjustments should be taken for a proper fit.
• No specific pre-procedure fasting or medication adjustments are required.

Procedure Description

1. Assess the patient’s needs and take accurate measurements.
2. Choose a suitable wheelchair model (E1260) with detachable arms and swing-away footrests.
3. Adjust the wheelchair settings, including seat height, armrest position, and footrest alignment.
4. Educate the patient and caregiver on how to operate and maintain the wheelchair.
5. Test the fit and comfort of the wheelchair with the patient seated in it.
6. Provide instructions on safe transfer techniques to and from the wheelchair.

Duration

The fitting and education process typically takes about 1 to 2 hours, depending on the patient's needs and learning curve.

Setting

The procedure is usually performed in a medical supply store, outpatient clinic, or rehabilitation center.

Personnel

• Rehabilitation specialists
• Physical therapists
• Occupational therapists
• Medical supply technicians

Risks and Complications

• Risk of discomfort or pressure sores if the wheelchair is not fitted properly
• Possible mechanical malfunctions or wear and tear over time
• Complications related to improper use or lack of maintenance

Benefits

• Enhanced mobility and independence
• Improved quality of life and ability to participate in daily activities
• Easier transfers to and from the wheelchair due to detachable arms and footrests

Recovery

• No recovery time is necessary as this is a non-invasive procedure.
• Patients should follow routines for regular wheelchair maintenance.
• Follow-up appointments with healthcare providers may be needed to reassess the fit and functionality of the wheelchair.

Alternatives

• Standard heavy-duty wheelchairs
• Power wheelchairs
• Mobility scooters
• Walkers or rollators for individuals with partial mobility

Pros and Cons of Alternatives:

• Power Wheelchairs: Offer enhanced mobility but are heavier and more expensive.
• Mobility Scooters: Easier for long-distance travel, but not suitable for indoor use.
• Walkers/Rollators: More affordable and easier to handle but do not provide seating.

Patient Experience

• Patients will often experience increased comfort and ease of mobility with a properly fitted wheelchair.
• Pain management is generally not required for this procedure.
• Initial adjustments may be slightly uncomfortable, but this will improve with time and proper use.