Name of the Procedure:

Power wheelchair accessory installation, electronic connection between wheelchair controller and one power seating system motor (HCPCS Code E2310)

Summary

This procedure involves equipping a power wheelchair with an electronic system that connects the wheelchair’s controller to a power seating system motor. This integration includes all necessary electronics, indicators, a mechanical function selection switch, and fixed mounting hardware.

Purpose

The goal of this procedure is to enhance the functionality of a power wheelchair, allowing the controller to communicate with the power seating system motor efficiently. This setup is essential for users who need to adjust their seating positions (e.g., reclining, tilting) for comfort and medical reasons.

Indications

• Individuals with severe mobility impairments who require power wheelchairs.
• Patients who need frequent position adjustments to prevent pressure sores or improve circulation.
• Conditions like spinal cord injuries, muscular dystrophy, multiple sclerosis, or severe arthritis.

Preparation

• No specific fasting or medication adjustments are required.
• The wheelchair and seating system should be evaluated by a healthcare professional to ensure compatibility.

Procedure Description

1. Assessment: Verify the wheelchair and seating system compatibility.
2. Installation: Securely mount the electronic connection components between the wheelchair controller and the power seating system motor.
3. Integration: Connect all related electronics, including necessary indicator features and the mechanical function selection switch.
4. Testing: Ensure all components function correctly, allowing the controller to effectively operate the seating system motor.

Duration

The installation typically takes about 1-2 hours.

Setting

This procedure is usually performed in an outpatient clinic, rehabilitation center, or by a certified technician during a home visit.

Personnel

• Certified wheelchair or mobility device technician.
• Rehabilitation therapist (optional for assessing and recommending seating adjustments).

Risks and Complications

• Electrical Issues: Potential for malfunction or short-circuit if not installed correctly.
• Mechanical Failures: Risk of improper seating adjustments if the components are not securely mounted.
• User Error: Incorrect operation of the new functions might result in discomfort or even injury.

Benefits

• Enhanced Mobility: Improved comfort and prevention of secondary conditions such as pressure ulcers.
• User Independence: Increased ease of adjusting seating positions autonomously.
• Benefits are generally realized immediately after installation, with full functionality checked during the procedure.

Recovery

• Minimal recovery; patients can use the wheelchair immediately.
• Follow-up appointment may be scheduled to ensure all functions are working as intended.

Alternatives

• Manual adjustments to seating positions (less autonomy for the user).
• Retrofitting existing wheelchairs with non-electronic seating adjustment mechanisms.
• Each alternative has limitations in terms of ease of use, efficiency, and user independence.

Patient Experience

• During Procedure: Minimal discomfort as the procedure mainly involves the wheelchair and its components.
• After Procedure: Users may initially need guidance to fully understand and operate new functions. Pain management is generally unnecessary as this is a non-invasive procedure focused on equipment installation and setup.