Name of the Procedure:

Power Wheelchair Accessory: Hand or Chin Control Interface, Compact Remote Joystick, Proportional, including Fixed Mounting Hardware (E2373)

Summary

The procedure involves installing a compact remote joystick with hand or chin control interface on a power wheelchair. This device helps users manage and navigate their wheelchairs easily, enhancing their mobility and independence.

Purpose

This accessory assists individuals with limited hand or arm strength or dexterity. The primary goals are to provide smooth and responsive control over wheelchair movements, improve user autonomy and ensure safe navigation.

Indications

• Individuals with neuromuscular conditions such as ALS, muscular dystrophy, or spinal cord injuries.
• Patients with limited fine motor skills or muscle weakness.
• Those who require alternative control methods due to severe dexterity issues.

Preparation

• No specific fasting or medication adjustments are needed.
• A thorough assessment by a healthcare professional to ensure the device is suitable for the patient's needs.

Procedure Description

1. Assessment: A healthcare provider will evaluate the patient's specific needs and customize the joystick settings.
2. Installation: The compact remote joystick and fixed mounting hardware are securely attached to the wheelchair.
3. Calibration: Adjustments are made for proportional control which ensures the joystick responds accurately to the user's inputs.
4. Training: The patient receives instruction on how to operate the joystick safely and effectively.

Tools and equipment include the compact remote joystick, mounting hardware, and calibration tools. No anesthesia or sedation is required.

Duration

The entire process, including evaluation, installation, and training, typically takes 1-2 hours.

Setting

The procedure is usually performed in a rehabilitation center, outpatient clinic, or a specialized wheelchair provider’s facility.

Personnel

• Rehabilitation specialist or occupational therapist
• Technician specializing in wheelchair modifications
• Possibly the patient’s healthcare provider

Risks and Complications

• Device malfunction or improper installation
• Initial difficulty in adapting to new control interface
• Potential skin irritation from mounting hardware

Benefits

• Enhanced mobility and independence for the user.
• Improved ability to perform daily tasks and activities.
• Increased safety while navigating in different environments. Benefits can be realized almost immediately but may take a few days to weeks for full adjustment.

Recovery

• No physical recovery is necessary.
• Regular follow-up appointments to adjust settings and fine-tune the device for optimal performance.

Alternatives

• Standard joystick interfaces.
• Sip-and-puff control systems.
• Head array controls. Pros and cons of alternatives will depend on the specific needs and abilities of the patient.

Patient Experience

• Patients will initially feel the learning curve and may require time to adjust.
• Minimal to no pain is expected; discomfort is rare and typically relates to user adjustment.
• Continuous support and training ensure comfort and efficiency in using the new control interface.