Name of the Procedure:

Common Name(s): Prosthesis Addition, External Switch
Medical Term: Addition to upper extremity prosthesis, external powered, additional switch, any type (HCPCS L6611)

Summary

An external switch is added to an upper extremity prosthesis. This switch allows for additional functionality and control, making the prosthesis more versatile and user-friendly for daily activities.

Purpose

This procedure is designed to enhance the functionality of an upper extremity prosthesis. It addresses the need for greater control and dexterity in prosthetic limbs, helping users perform more complex tasks effectively. The goal is to improve the quality of life for individuals by providing them with greater independence and ease in performing daily activities.

Indications

This procedure is recommended for individuals who:

• Have an upper extremity amputation.
• Use an external powered prosthesis.
• Require additional functionality to perform complex tasks.
• Have specific needs or goals that current prosthesis setup doesn't fully meet.

Preparation

• No fasting required.
• Review of current prosthesis use and challenges.
• Assessment by a prosthetist and possibly occupational therapists.
• Adjustments in medications are rarely needed but should be discussed with a physician if applicable.

Procedure Description

1. Evaluation: Assessment of the current prosthesis and user's needs.
2. Planning: Design and selection of the appropriate switch type.
3. Implementation: Attachment of the external switch to the existing prosthesis.
4. Integration: Ensuring the switch is properly integrated and operational.
5. Training: Educating the patient on how to use the new switch for optimal performance.

Tools and Equipment: Prosthesis, external switches, attachment tools. Anesthesia: Generally not required unless adjustments necessitate surgical interventions.

Duration

Typically, the procedure can be completed within 1-2 hours, including initial evaluation and post-installation training.

Setting

This procedure is usually performed in an outpatient clinic or a specialized prosthetics facility.

Personnel

• Prosthetist
• Occupational therapist (optional for training)
• Assistive personnel, as needed

Risks and Complications

• Common Risks: Minor skin irritation or discomfort from the new attachment.
• Rare Risks: Malfunction of the prosthesis or switch, requiring further adjustment.

Benefits

• Enhanced control and functionality of the prosthesis.
• Improved ability to perform daily tasks.
• Increased independence and quality of life. Benefits are typically realized immediately after the patient learns to use the new switch.

Recovery

• No significant downtime required.
• Patient may need a few days to fully adapt to the new switch.
• Follow-up appointments may be scheduled to ensure the switch is working correctly and to make any necessary adjustments.

Alternatives

• Manual prosthesis options.
• External powered prostheses with different control systems.
• Each alternative has its own set of advantages and limitations regarding functionality, ease of use, and cost.

Patient Experience

Patients can expect:

• Minimal discomfort during the procedure.
• A brief learning curve for using the new switch.
• Improved ease of performing tasks with their prosthesis. Pain management is typically unnecessary, but comfort measures and support will be provided as needed.