Name of the Procedure:

Automatic Grasp Feature Addition to Upper Limb Electric Prosthetic Terminal Device (HCPCS Code: L6881)

Summary

The automatic grasp feature is an upgrade to an electric prosthetic hand that allows the prosthesis to automatically grip objects, enhancing the functionality and ease of use for individuals with upper limb amputations. This feature uses sensors and advanced technology to detect the object and facilitate a stronger and more controlled grasp.

Purpose

The automatic grasp feature primarily addresses the difficulty in manually controlling a prosthetic limb. It aims to enhance the prosthesis's usability, improve the patient's ability to perform daily activities, and provide a more natural and intuitive use of the prosthetic hand.

Indications

• Individuals with an upper limb amputation who use an electric prosthetic hand.
• Patients experiencing difficulty in manually controlling their prosthetic device.
• Candidates seeking improved functionality and ease of use from their prosthesis.

Preparation

• Patients should consult with their prosthetist and physician to evaluate the suitability of the automatic grasp feature.
• No special fasting or medication adjustments are generally required.
• An assessment of the current prosthetic device and an evaluation to ensure compatibility with the automatic grasp feature.

Procedure Description

1. Evaluation and consultation with a prosthetist to determine the right components and features for the patient.
2. Customization of the electric prosthetic hand to incorporate the automatic grasp feature.
3. Installation of sensors and necessary electronics to facilitate the automatic grasp functionality.
4. Calibration and testing of the automatic grasp feature to ensure proper function and control.
5. Training the patient on how to use the new feature effectively.

Key technologies used include sensors, microprocessors, and actuators within the prosthetic hand. No anesthesia or sedation is required as this is a non-invasive upgrade to the prosthetic device.

Duration

The entire process, from consultation and customization to installation and training, typically takes several hours to a few days, depending on the complexity and the patient's specific needs.

Setting

The procedure is generally performed in a prosthetic clinic or a specialized outpatient facility.

Personnel

• Prosthetists
• Certified prosthetic clinicians
• Technicians specialized in prosthetic devices
• Occupational therapists for training and rehabilitation support

Risks and Complications

• Common risks include technical malfunctions or sensor failures.
• Rare risks involve device incompatibility or improper calibration leading to inefficient functionality.
• Management includes follow-up visits for adjustments and technical support.

Benefits

• Enhanced ability to grip and hold objects automatically, which makes daily tasks easier.
• Improved user satisfaction with their prosthetic device.
• A more natural and intuitive prosthetic function, reducing cognitive load on the user.

Recovery

• Generally, no recovery time is needed as this is a non-invasive procedure.
• Patients may need to come in for follow-up appointments for adjustments.
• Continuous practice and use will help in mastering the new feature.

Alternatives

• Manual control prosthetic devices without automatic features.
• Other types of advanced prosthetic hands with different functionalities.
• Pros: Simpler alternatives might have lower costs and require less training.
• Cons: May not provide the same level of ease and control as the automatic grasp feature.

Patient Experience

• Patients might feel an initial period of adjustment as they learn to use the automatic grasp feature.
• During the adjustment period, there might be mild frustration as they acclimate to the new functionality.
• Continuous support from a prosthetist and occupational therapist is available to ensure comfort and ease of use.
• Pain management is generally not needed, but comfort measures include regular check-ins and adjustments to the prosthetic device if needed.