Name of the Procedure:

Power Wheelchair Component, Drive Wheel Motor, Replacement Only (HCPCS Code: E2368)

Summary

This procedure entails the replacement of the drive wheel motor in a power wheelchair. The drive motor is responsible for propelling the wheelchair, and its failure can significantly impact the user's mobility. The replacement is a technical task performed by a qualified professional to restore the wheelchair's functionality.

Purpose

Medical Conditions/Problems Addressed:

• Malfunctioning or broken drive wheel motor.
• Reduced mobility due to motor failure.

Goals/Expected Outcomes:

• Restore the user's mobility.
• Ensure the safety and reliability of the power wheelchair.

Indications

Symptoms/Conditions:

• Inability of the wheelchair to move.
• Unusual noises or jerking movements from the drive wheel.
• Reduced battery life indicating a motor issue.

Patient Criteria/Factors:

• Individuals who rely on a power wheelchair for daily mobility.
• Those experiencing issues directly related to the drive motor.

Preparation

Pre-Procedure Instructions:

• Ensure availability of the correct replacement motor.
• Inform the technician of any specific wheelchair model details.
• Charge the wheelchair fully to test the new motor post-replacement.

Diagnostic Tests/Assessments:

• Assessment of the wheelchair to confirm motor failure.
• Visual inspection and possible electrical testing.

Procedure Description

Step-by-Step Explanation:

1. Preparation of the wheelchair and surrounding area.
2. Disconnecting the wheelchair power supply.
3. Removal of the existing, malfunctioning drive wheel motor.
4. Installation of the new drive wheel motor.
5. Reconnection of power supply and thorough testing of the new motor.
6. Adjustments or calibrations as required.

Tools, Equipment, or Technology Used:

• Screwdrivers, wrenches, and other hand tools.
• The replacement drive wheel motor (specific to wheelchair model).
• Diagnostic equipment for testing electrical connections.

Anesthesia/Sedation Details:

• Not applicable; procedure performed on the wheelchair, not the patient.

Duration

The procedure typically takes 1-2 hours, depending on the wheelchair model and technician's expertise.

Setting

This procedure can be performed in various settings, including:

• Home environment by a mobile technician.
• Medical equipment service center.
• Outpatient clinic.

Personnel

Healthcare Professionals Involved:

• Certified wheelchair technician or a specialist in mobility equipment.

Risks and Complications

Common Risks:

• Incorrect installation leading to malfunction.
• Electrical issues post-installation.

Rare Complications:

• Damage to other components during the procedure.
• Unsuccessful motor replacement requiring further interventions.

Management:

• Immediate re-assessment and correction by a qualified technician.

Benefits

Expected Benefits:

• Restored mobility and independence for the user.
• Improved performance and reliability of the power wheelchair.

How Soon Benefits Might Be Realized:

• Immediately upon successful installation and testing of the motor.

Recovery

Post-Procedure Care and Instructions:

• Regularly check the wheelchair for any unusual sounds or performance issues.
• Follow routine maintenance schedules.

Expected Recovery Time:

• No recovery time needed as this is an equipment-based procedure.

Restrictions/Follow-Up Appointments:

• No specific patient restrictions.
• Follow-up may be needed if initial issues persist or new ones arise.

Alternatives

Other Treatment Options:

• Repairing the existing motor.
• Replacing the entire wheelchair.

Pros and Cons of Alternatives:

• Repairing Existing Motor: Less expensive but may not be reliable long-term.
• Replacing Entire Wheelchair: More comprehensive but significantly higher cost.

Patient Experience

During the Procedure:

• No direct impact as the procedure is done on the wheelchair.

After the Procedure:

• Immediate testing to ensure functionality.
• Monitoring for any signs of issues.

Pain Management/Comfort Measures:

• Not applicable; the procedure does not involve the patient physically.