Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
HCPCS code
Terminal Device: Hook or Hand, Heavy Duty, Mechanical, Voluntary Closing, Any Material, Any Size, Lined or Unlined (HCPCS L6722)
Name of the Procedure:
Common name(s): Terminal Device Installation, Mechanical Prosthetic Hand Technical/Medical term: Installation of Heavy-Duty Mechanical Voluntary Closing Terminal Device
Summary
This procedure involves fitting and installing a prosthetic hand or hook, which operates by a mechanical system controlled by the user. The device closes voluntarily when force is applied, helping individuals with limb loss regain functional abilities.
Purpose
The procedure aims to assist patients who have lost a hand or arm by providing a functional prosthetic device. The goals are to restore partial hand function, improve daily activities, and enhance the quality of life for the patient.
Indications
- Patient missing a hand or forearm due to trauma, congenital conditions, or surgical amputation.
- Patient seeking to improve functional capabilities such as grasping and manipulating objects.
- Suitable for those who require a durable and robust prosthetic for heavy-duty tasks.
Preparation
- Patients may need to undergo a physical examination and possibly imaging tests to determine the suitability for the prosthetic device.
- No fasting or medication adjustments are typically required.
- Measurements of the residual limb will be taken for a custom fit.
Procedure Description
- Assessment and Fitting: A prosthetist evaluates the residual limb and takes precise measurements.
- Selection of Device: The appropriate mechanical voluntary closing terminal device is chosen based on patient needs.
- Customization and Alignment: The device is customized and aligned to ensure proper fitting and function.
Training: The patient receives training on how to use and control the device.
Tools and Equipment: Measuring tools, alignment jigs, the prosthetic terminal device. Anesthesia: Not typically required as the procedure itself is non-invasive.
Duration
The fitting and training may take several hours over multiple appointments to ensure a perfect fit and optimal functionality.
Setting
The procedure is usually performed in a specialized prosthetic clinic or rehabilitation center.
Personnel
- Prosthetist
- Occupational Therapist (for training and adaptation)
- Physician (for overall medical supervision)
Risks and Complications
- Skin irritation or pressure sores at the attachment site.
- Device malfunction or failure.
- Discomfort or pain due to improper fitting.
- Psychological adjustment challenges.
Benefits
- Restoration of hand function, allowing for grasping and manipulating objects.
- Improved independence and ability to perform daily activities.
- Enhanced quality of life and psychological well-being.
Recovery
- Initial adaptation period to get accustomed to the device.
- Regular follow-up appointments for adjustments.
- Daily cleaning and maintenance of the device.
Alternatives
- Passive prosthetic devices: Less functional but lighter and simpler to use.
- Myoelectric prosthetic hands: Operated by muscle signals, offering better grip variety but are more expensive and delicate.
- No prosthetic device: Relying on adaptive strategies and assistive tools.
Patient Experience
Patients might feel a mix of anticipation and anxiety during fitting and training. Initial usage of the device may cause mild discomfort, but this typically resolves as the patient becomes adept at controlling the prosthetic. Continuous support and therapy help in adjusting to the new prosthetic limb. Pain management is generally minimal, focusing on comfort and proper device fitting.