Name of the Procedure:

Harness for Upgrade to Expandable Controller (for Power Wheelchair)

• Common Name: Power Wheelchair Harness Upgrade
• Technical Term: HCPCS Code E2313

Summary

A power wheelchair harness upgrade to an expandable controller includes all necessary fasteners, connectors, and mounting hardware. This upgrade enhances the functionality and customization of the wheelchair's control system, allowing for better adaptability to the user's needs.

Purpose

This procedure aims to improve the usability and comfort of power wheelchair users who require more sophisticated control options. It is designed to support individuals with progressive conditions or complex mobility needs by offering greater flexibility and adaptability in their wheelchair controls.

Indications

• Individuals with limited mobility who use a power wheelchair.
• Patients with conditions such as muscular dystrophy, multiple sclerosis, spinal cord injuries, or severe arthritis.
• Users needing custom controls due to complex or progressive conditions that render standard controls inadequate.

Preparation

• No specific fasting or medication adjustments are required.
• The healthcare provider may conduct an assessment of the user's current wheelchair setup and discuss the required enhancements with the user.
• The user may need to undergo a fitting session to ensure the new harness and control setup provides optimal comfort and usability.

Procedure Description

1. The user's current power wheelchair is evaluated to ensure compatibility with the new harness and expandable controller.
2. The harness, along with fasteners, connectors, and mounting hardware, is attached to the wheelchair.
3. The expandable controller is installed and calibrated to match the user's specific needs.
4. Any necessary adjustments are made to ensure the new setup works seamlessly and comfortably for the user.
5. A final check ensures that all components are securely fastened and functioning correctly.

Duration

The procedure typically takes 1-2 hours, depending on the complexity of the wheelchair and the user's specific needs.

Setting

The procedure is usually performed in an outpatient clinic or a specialized mobility device center.

Personnel

• Occupational therapist specializing in wheelchair customization
• Mobility equipment specialist or technician
• Support from a nurse or a physical therapist, if necessary

Risks and Complications

• Minor risks such as discomfort during the initial fitting phase.
• Rare risks include potential for hardware malfunction or incompatibility with the existing wheelchair setup.
• Management of complications involves adjusting or recalibrating the harness and controller as needed.

Benefits

• Enhanced control and customization of wheelchair functionality.
• Increased comfort and usability for the user.
• Quick adaptation to changing mobility needs.

Recovery

• No significant recovery period is required.
• User may need a brief period of adjustment to get accustomed to the new controls.
• Follow-up appointments may be necessary to fine-tune the system or address any issues.

Alternatives

• Using standard, non-expandable wheelchair controls.
• Utilizing external adaptive devices or alternative control systems.
• Pros: Simpler setup, potentially lower cost. Cons: Less customization and adaptability compared to the expandable controller harness.

Patient Experience

• During the procedure: The user might feel slight discomfort or unfamiliarity while the new harness and controls are fitted.
• After the procedure: Users may feel an initial period of adjustment as they get accustomed to the new hardware; any discomfort is usually temporary.
• Pain management: Generally, pain management is not necessary, but support for any discomfort is provided.

This comprehensive setup aims to empower users with increased control and comfort, enhancing their overall quality of life.