Schedule 5 Appendix c other Medical Devices




НазваниеSchedule 5 Appendix c other Medical Devices
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Дата24.10.2012
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Billing Code Product Name

Further Description

Size

Notations

EC041 Exmoor Plastics Ear Vent Drains

Teflon

1.14 mm lumen dia x 2.45 mm




-Cylindrical Ventilation Tube




inner flange dia. Outer flange










- none. 7.11 mm total length




EC042 Exmoor Plastics Ear Vent Drains

With wire, teflon

1.14 mm lumen dia x 3.61 mm




Shah Ventilation Tube




inner flange dia x 2.59 mm










outer flange dia x 1.42 inter










flange. 2.41 mm total length




EC043 Exmoor Plastics Ear Vent Drains

Teflon

1.14 mm lumen dia x 3.61 mm




Shah Ventilation Tube




inner flange dia x 2.59 mm










outer flange dia x 1.42 inter










flange. 2.41 mm total length




EC044 Exmoor Plastics Ear Vent Drains

Bevelled flange, silicone rubber

1.14 mm lumen dia x 5.2 mm




Shah Permavent




inner flange dia. Outer flange










- none. 6.0 mm total length




Femcare Australia Pty Ltd










Clips, Tube










FE001 Filshie Clip

Titanium

One size only

-

Rings, Fallopian Tube In The










FE002 Fallopian Tube Rings (Pair)

Silicone

One size only

-

Getz Bros. & Co. (Aust) Pty Ltd










Adhesives, Liquid










GB079 Glubran Synthetic Surgical Glue

Tissue Adhesive

One size only

Temporary Approval

GB101 GRF Biological Glue

Biological glue - Formaldehyde,

One size only

Temporary approval




gelatin and Resoricol non-toxic










mixture











Page 26 of 68 Billing Code Product Name

Further Description

Size

Notations

Cables/Leads, Other










GB057

ANS Spinal Cord Stimulation System

Connect Lead. Extension.

30cm

When used in pain therapy - to be




(SCS) 4 Channel Receiver Kit Model







funded when the patient has




904. ANS Spinal Cord Stimulation







undergone a multi-disciplinary




System (SCS) Dual Quattrode 8







assessment and trial of stimulation.




Channel Receiver










GB058

ANS Spinal Cord Stimulation System

Octrode Lead. 8 Electrode (thoracic

30cm, 60cm

When used in pain therapy - to be




(SCS) 8 Channel Receiver Kit Model

or cervical placement).




funded when the patient has













undergone a multi-disciplinary













assessment and trial of stimulation.

GB059

ANS Spinal Cord Stimulation System

Quattrode Lead. 4 Electrode.

60cm

When used in pain therapy - to be




(SCS) 4 Channel Receiver Kit







funded when the patient has













undergone a multi-disciplinary













assessment and trial of stimulation.

GB063

ANS Spinal Cord Stimulation System

Trial Lead. Temporary Screening

30cm, 60cm

When used in pain therapy - to be




(SCS) Dual Quattrode 8 Channel

Lead - quadripolar




funded when the patient has




Receiver Kit Model MNR-944.







undergone a multi-disciplinary




ANS Spinal Cor







assessment and trial of stimulation.

GB067

ANS Spinal Cord Stimulation System

Lamitrode Dual Quattrode. Dual 4

One size only

When used in pain therapy - to be




(SCS) Dual Quattrode 8 Channel

Plate Electrode Lead




funded when the patient has




Receiver Kit Model MNR-944. ANS







undergone a multi-disciplinary




Spinal Cord Stimulation System (SCS)







assessment and trial of stimulation.




4 Channel Recei










GB068

ANS Spinal Cord Stimulation System

Lamitrode Dual Octrode. Dual 8

One size only

When used in pain therapy - to be




(SCS) Dual Quattrode 8 Channel

Plate Electrode Lead




funded when the patient has




Receiver Kit Model MNR-944. ANS







undergone a multi-disciplinary




Spinal Cord Stimulation System (SCS)







assessment and trial of stimulation.




8 Channel Rece
















Page 27 of 68








Billing Code Product Name



Clip Appliers

GB005 Surgical Dynamics Duraclose Clip Applier



Fittings/Adapters

GB070 ANS Spinal Cord Stimulation System (SCS) 4 Channel Receiver Kit Model-904. ANS Spinal Cord Stimulation System (SCS) Dual Quattrode 8 Channel Receiver



Hearing Aids

GB110 BAHA - Bone Anchored Hearing Aid

- Various Models



Infusion Pumps, Implantable

GB111 AccuRx Constant Flow Implantable Pump Model 5304,5305,5306,5307,5308,5309,531 0,5312,5315,5320,5326,5332



Stimulators

GB064 ANS Spinal Cord Stimulation System (SCS) 16 Channel Receiver Kit Model 916.

Further Description

Size

Notations

Clip Applier

Med / Large / X-Large

Temporary Approval

Boots. Connectors.

One size only

When used in pain therapy - to be







funded when the patient has







undergone a multi-disciplinary







assessment and trial of stimulation.

The BAHA Hearing Aids




To be claimed only for patients

(Compact, Classic 300 & Cordelle




with deafness who have problems

II in various colours) are the




using air conduction or

external hearing processors which




conventional hearing aids which is

are attached to the implanted




made worse when a hearing aid

titanium fixture by a snap coupling.







This allows the sound







transmission using bone







conduction for patients where







Drug Infusion Systems, powered

One Size Only




and ancillary equipment







Transmitter 16 Channel - digital

One size only

When used in pain therapy - to be

control




funded when the patient has







undergone a multi-disciplinary







assessment and trial of stimulation.

Page 28 of 68






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