Upper Extremity Addition: Additional Disconnect Insert for Locking Wrist Unit (L6616)

Name of the Procedure:

Common Name: Addition to Upper Extremity Prosthesis Technical Term: Additional Disconnect Insert for Locking Wrist Unit (HCPCS Code: L6616)

Summary

In simple terms, this procedure involves adding a disconnect insert to a prosthetic device for the upper part of the arm. This insert enables the user to easily lock or unlock the wrist unit, offering better control and functionality.

Purpose

This addition is primarily used for individuals who have a prosthetic arm. The main goals are to improve the flexibility and usability of the prosthesis, allowing for easier movement, attachment, and detachment of the wrist unit.

Indications

• Patients with upper extremity amputations using a prosthetic arm.
• Desire for improved wrist mobility and easier attachment/detachment mechanisms.
• Users who require the enhanced locking capability for various functional activities.

Preparation

• No fasting or medication adjustments are generally needed.
• A fitting session with the prosthetist to assess the current prosthesis and plan the insertion.

Procedure Description

1. The prosthetist evaluates the current prosthesis and determines the optimal placement for the disconnect insert.
2. The existing wrist unit is temporarily removed if necessary.
3. The new disconnect insert is securely attached to the prosthetic limb.
4. The wrist unit is reattached, ensuring proper alignment and functionality.
5. The patient tests the improved prosthesis under supervision to confirm the effective operation of the locking mechanism.

Duration

The entire procedure typically takes about 30 to 60 minutes.

Setting

The procedure is performed in an outpatient setting, such as a prosthetics clinic.

Personnel

• Prosthetist: A healthcare professional specialized in prosthetic devices.
• Support staff: May include an assistant or technician to aid in the procedure.

Risks and Complications

• Common: Minor discomfort during the adjustment process.
• Rare: Misalignment of the insert, which may require additional adjustments.
• Management: Any issues are usually addressed immediately by the prosthetist.

Benefits

• Improved ease of use for the prosthetic wrist unit.
• Enhanced functionality and range of motion.
• Immediate improvements can often be observed, allowing for increased daily activity and independence.

Recovery

• Minimal recovery time is needed.
• Patients can typically resume normal use of their prosthesis immediately.
• Follow-up appointments may be scheduled to ensure the insert is functioning correctly and to make any necessary adjustments.

Alternatives

• Other types of wrist unit locks, though they may not offer the same ease of use.
• Different prosthetic components or upgrades tailored to the specific needs of the patient.
• Each alternative has its own set of advantages and limitations, which should be discussed with the prosthetist.

Patient Experience

• During the procedure, the patient might feel slight pressure or discomfort as adjustments are made.
• After the procedure, there may be a short adjustment period to get used to the new insert.
• Pain management is usually not necessary, but over-the-counter pain relievers can be used if needed.
• Enhanced comfort and ease of use will likely be experienced shortly after the procedure, improving the patient's overall satisfaction with their prosthetic device.