Name of the Procedure:

Upper extremity addition, quick disconnect lamination collar with coupling piece (HCPCS Code: L6629)

Summary

This procedure involves adding a device known as a quick disconnect lamination collar with a coupling piece to a prosthesis for the upper extremity. The device, often produced by Otto Bock or an equivalent manufacturer, allows for quick and easy attachment and detachment of the prosthetic limb.

Purpose

The quick disconnect lamination collar with coupling piece is designed to improve the ease of use and functionality for individuals with upper extremity prosthetics. Its primary goal is to enable users to quickly attach or detach their prosthetic limb, enhancing their ability to perform daily activities efficiently and independently.

Indications

• Amputees who use upper extremity prostheses.
• Individuals with limited dexterity who struggle with traditional attachment mechanisms.
• Patients seeking greater functionality and versatility in their prosthetic management.

Preparation

• Patients should consult with their prosthetist to determine the suitability of this addition.
• No specific fasting or medication adjustments are usually required.
• An evaluation of the current prosthetic limb to ensure compatibility with the quick disconnect system.

Procedure Description

1. Assessment: The prosthetist assesses the current prosthetic limb and discusses options with the patient.
2. Custom Fabrication: The lamination collar and coupling piece are custom-fabricated to fit the patient’s prosthetic limb.
3. Attachment: The quick disconnect mechanism is integrated into the existing prosthesis.
4. Adjustment and Testing: The prosthetic limb is adjusted for optimal performance, and patients are trained on how to use the new system.

Tools and Equipment:

• Quick disconnect lamination collar and coupling piece.
• Custom fabrication tools for prosthesis adjustment.

Anesthesia/Sedation: Not applicable, as this is a non-invasive procedure.

Duration

The procedure typically takes 1-2 appointments over a span of 1-2 weeks for fitting, customization, and training.

Setting

The procedure is performed in a prosthetics clinic or an outpatient medical facility specializing in prosthetics and orthotics.

Personnel

• Certified Prosthetist
• Prosthetic Technician

Risks and Complications

• Minor discomfort during adjustment period.
• Risk of mechanical failure or wear and tear with prolonged use.
• Rare risk of skin irritation at the site of attachment.

Benefits

• Ease of attaching and detaching the prosthetic limb.
• Enhanced independence and functionality for daily activities.
• User-friendly, especially for those with limited dexterity.

Recovery

• Minimal to no recovery time needed.
• Patients may experience a short adaptation period to become comfortable and proficient with the new mechanism.
• Follow-up appointments to ensure proper functionality and make any necessary adjustments.

Alternatives

• Traditional attachment mechanisms for upper extremity prostheses.

• Other advanced prosthetic systems like magnetic or pin-lock systems.

  Pros and Cons:

• Traditional mechanisms: less user-friendly but generally reliable.
• Other advanced systems: may offer varying degrees of ease and reliability, but might also come with increased costs.

Patient Experience

Patients generally experience improved ease of use with their prosthetic limb. Initial adaptation might involve some learning curve, but overall comfort and usability are significantly enhanced. Pain management is typically not required, but any minor discomfort can be addressed during follow-up visits.