Name of the Procedure:

Replacement of Foam-Filled Caster Tire for Power Wheelchair
Common name: Power Wheelchair Caster Tire Replacement
Technical/Medical term: Foam-filled Caster Tire, Replacement Only (HCPCS Code: E2387)

Summary

Replacing the foam-filled caster tire on a power wheelchair involves removing the old or damaged tire and installing a new one to ensure smooth and safe mobility for the wheelchair user.

Purpose

Medical conditions or problems it addresses: Worn or damaged caster tires that can impair wheelchair function.
Goals or expected outcomes: Restore optimal mobility and safety for the power wheelchair user by ensuring the caster tires are in good working condition.

Indications

Symptoms or conditions that warrant the procedure:

• Difficulty maneuvering the wheelchair.
• Noticeable wear or damage to the caster tires.
• Uneven or unstable wheelchair movement.

Patient criteria or factors making the procedure appropriate:

• Users of power wheelchairs with foam-filled caster tires that need replacement.

Preparation

Pre-procedure instructions:

• Ensure the wheelchair is turned off and secured.
• Verify the size and compatibility of the replacement caster tire.

Diagnostic tests or assessments required:

• Visual inspection of the current caster tires.
• Possibly, a brief functional check of the wheelchair's mobility.

Procedure Description

Step-by-step explanation:

1. Position the wheelchair on a stable surface.
2. Using appropriate tools, remove the damaged or worn caster tire.
3. Align the new foam-filled caster tire with the wheel assembly.
4. Securely attach the new tire, ensuring all bolts and fittings are tightened.
5. Conduct a safety check to ensure proper installation.

Tools, equipment, or technology used:

• Wrenches or screwdrivers (depending on tire attachment method).
• Replacement foam-filled caster tire.

Anesthesia or sedation details: Not applicable.

Duration

The procedure typically takes approximately 30 minutes to 1 hour, depending on the complexity and any wheelchair-specific considerations.

Setting

The procedure can be performed in various settings, including:

• Home (by a caregiver or technician)
• Outpatient clinic
• Medical equipment service center

Personnel

Healthcare professionals involved:

• Medical equipment technicians
• Occupational therapists (in consultative roles)

Risks and Complications

Common risks:

• Improper installation leading to unsafe wheelchair operation.
• Minor injury from handling tools or equipment.

Rare risks:

• Damaging the wheelchair frame or wheel assembly.

Possible complications and their management:

• Reinstallation or readjustment of the caster tire if not properly secured.

Benefits

Expected benefits:

• Improved maneuverability and safety of the power wheelchair.
• Enhanced comfort for the user.

How soon benefits might be realized: Immediately upon correct installation of the new caster tire.

Recovery

Post-procedure care and instructions:

• Regularly check the caster tires and other wheelchair components for wear.
• Maintain routine servicing schedules for the wheelchair.

Expected recovery time: No recovery time is necessary; the user can resume wheelchair use immediately.

Alternatives

Other treatment options available:

• Flat-free or air-filled caster tires
• Upgrading to more durable caster tires

Pros and cons of alternatives:

• Flat-free tires: Less maintenance but may provide a different ride quality.
• Air-filled tires: Better shock absorption but require regular maintenance.

Patient Experience

What the patient might feel or experience during and after the procedure:

• Minimal physical discomfort, as the procedure involves mechanical replacement.

• Noticeable improvement in wheelchair maneuverability and stability.

  Pain management and comfort measures:

• No specific pain management necessary. The procedure itself is non-invasive and mostly mechanical.