Name of the Procedure:

Power Wheelchair Accessory, Breath Tube Kit for Sip and Puff Interface (E2326)

• Common Name: Sip and Puff Breath Tube Kit
• Technical/Medical Term: Sip and Puff Interface for Power Wheelchair Control

Summary

The breath tube kit for the sip and puff interface is an accessory designed for power wheelchairs, allowing users to control the wheelchair through sips and puffs of air. This device provides an alternative method of control for individuals with limited or no hand function.

Purpose

This accessory addresses mobility issues in patients who cannot use traditional joystick controllers due to severe disabilities such as spinal cord injuries, multiple sclerosis, or muscular dystrophy. The goal is to provide independent mobility, improving the user's quality of life and autonomy.

Indications

• Patients with quadriplegia or high levels of spinal cord injury.
• Individuals with motor neuron diseases resulting in severe upper limb paralysis.
• Conditions like muscular dystrophy and multiple sclerosis that impair hand function.

Preparation

• The patient may need an initial assessment by a physical or occupational therapist to determine suitability.
• No specific fasting or medication adjustments are generally required.
• Ensure the power wheelchair is fully functional and compatible with the sip and puff interface.

Procedure Description

1. Installation: The breath tube kit is installed on the power wheelchair and connected to the sip and puff interface.
2. Calibration: The sensitivity of the sip and puff signals is calibrated to ensure accurate control.
3. Training: The patient is trained on how to generate the appropriate sips (inhalations) and puffs (exhalations) to move the wheelchair in desired directions.
4. Usage: The patient uses the sip and puff mechanism to navigate the power wheelchair.

Duration

• Installation and calibration typically take 1-2 hours.
• Training sessions may vary, generally requiring a few hours spread over several days.

Setting

• Outpatient clinic or at the patient's home.
• Initial setup and training may occur in a rehabilitation center.

Personnel

• Occupational therapist or rehabilitation specialist for assessment and training.
• Technician or supplier for installation and calibration of the system.

Risks and Complications

• Minimal risks associated with the procedure itself.
• Potential for device malfunction or improper calibration leading to control issues.
• Risk of respiratory fatigue for patients not accustomed to the breath control mechanism.

Benefits

• Enhanced independence and mobility.
• Improved quality of life through increased ability to perform daily activities.
• Benefits can be realized immediately after a short training period.

Recovery

• No physical recovery required from the procedure itself.
• Time required for the patient to fully adapt varies; ongoing practice may be required.

Alternatives

• Traditional joystick controls (if feasible).
• Head control systems or other assistive technology devices.
• Pros of alternatives include varying degrees of ease of use; cons depend on the specific limitations of the patient.

Patient Experience

• Patients may feel empowered with improved mobility and control.
• Initial frustration or difficulty may be experienced during learning and adaptation phases.
• Pain management is generally not required; focus is on respiratory comfort and avoiding fatigue.