Schedule

Part 3 - Prostheses List - Part C

3  Prostheses List - Part C

AN014

t:slim X2 Insulin Pump

Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability

One size only.

$8,077.00

DF002

DANAR Insulin Pump

The DANAR Insulin Pump is a small device about the size of a pager. It holds up to 300 units of insulin, which is delivered continuously through a small tube to the patient. The DANAR Insulin Pump also has an integrated blood glucose meter and remote control via bluetooth communication.

75 x 45 x 19mm, 60grams

$8,077.00

DF003

DANA RS Diabecare insulin pump

DANA RS insulin pump is a BLE (bluetooth low energy) insulin pump which can be connected to and controlled from a BLE Smart Phone.  Smart Phone connection is via a secure (alpha-numeric) pairing code, creating a large easy to read display for set-up and control of the DANA RS insulin pump.

75mm x 45mm x 19mm (63grams)

$8,077.00

RB001

Accu-Chek Combo System

Insulin delivery device capable of remotely receiving and acting on information about blood glucose levels, performing bolus calculation and bolus advice on additional parameters than what is normally provided.

The Accu-Chek Combo System is only available in one size.

$8,077.00

RB002

ACCU-CHEK Insight System

Insulin delivery device capable of remotely receiving and acting on information about blood glucose levels, performing bolus calculation and bolus advice on additional parameters than what is normally provided.

No variable sizes offered. Only one system provided.

$8,077.00

RB006

Accu-Chek Solo micropump - starter kit

Starter kit supply of insulin pump system to accommodate first year of use of Accu-Chek Solo micropump system. Starter kit includes insulin pump base components, blood glucose monitoring system handset control with integrated insulin bolus advisor (diabetes manager) and accessory pack.

Micropump: 68 x 40 x 15 mm  Handset control (diabetes manager): 124 x 64 x 17 mm

$2,375.00

YA001

mylife™ YpsoPump Insulin Pump System

Battery-operated, programmable ambulatory insulin infusion pump system

One size only

$6,994.00

MI150

MiniMed 640G Insulin Pump

MiniMed 640G Insulin Pump with SmartGuard Technology and continuous glucose monitoring capability, designed to automatically suspend insulin delivery before dangerous lows occur, and automatically resume after levels recover.

1.8ml and 3.0ml

$8,574.00

MI290

Medtronic MiniMed 670G Insulin Pump

MiniMed 670G Insulin Pump with SmartGuard Hybrid Closed Loop (HCL) technology and continuous glucose monitoring (CGM) capability which can be programmed to automatically adjust delivery of basal insulin based on CGM, and can suspend delivery of insulin when the sensor glucose value falls below or is predicted to fall below predefined threshold values.

One size only

$8,574.00

MI330

Medtronic MiniMed 770G Insulin Pump

MiniMed 770G Insulin Pump with SmartGuard Hybrid Closed Loop (HCL) technology, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability which can be programmed to automatically adjust delivery of basal insulin based on CGM, and can suspend delivery of insulin when the sensor glucose value falls below or is predicted to fall below predefined threshold values.

One size only

$8,574.00

RB005

Accu-Chek Solo micropump   subsequent supply

Subsequent supply of replaceable components of Accu-Chek Solo insulin pump system to accommodate a subsequent year usage after the initial year of use of Accu-Chek Solo (via Accu-Chek Solo micropump   starter kit).

Micropump: 68 x 40 x 15 mm

$1,900.00

SJ152

SJM Confirm Model DM2102

Implantable cardiac monitor with atrial fibrillation monitoring.

6.5cc, 12g

$2,886.00

MC763

Reveal XT

Reveal XT Insertable Cardiac Monitor

61 x 19 x 8 mm with a volume of 9cc

$2,886.00

SJ390

Confirm RX

Insertable Cardiac Monitor

5cm X 0.95cm X 0.33cm

$2,886.00

BT186

BioMonitor 2-AF  Implantable Cardiac Monitor

Implantable cardiac monitor for continuous remote monitoring of patients with Atrial Fibrillation (AF) or unexplained syncope

88.4 mm x 15.2 mm x 6.2 mm , 10.1g , 5cm3

$2,886.00

BT244

BIOMONITOR III 

Injectable cardiac monitor for continuous remote monitoring of patients

77.5 mm x 8.6 mm x 4.6 mm; 4 g; 1.9 cm3

$2,886.00

MI141

Reveal LINQ

Insertable Cardiac Monitor

45 x 7 x 3.5mm, 1.18cc

$2,886.00

SJ369

Merlin@Home wireless

Home cardiac monitor (RF) with landline, cellular and broadband connectivity

one size

$1,450.00

SJ370

Merlin@Home Inductive

Home cardiac monitor (inductive) with landline, cellular and broadband connectivity

one size

$1,450.00

BT187

CardioMessenger Smart 3G

Bedside/Remote transmitter w/ pacemaker/ICD device life network access to Biotronik standard home monitoring data management service.

Length - 130mm, Width - 65mm,  Height - 13mm        Weight - 75g

$1,450.00

BS294

Latitude Communicator

Remote patient management system for implanted cardiac devices

One size only

$1,450.00

MI180

MyCareLink Patient Monitor

Electronic cellular patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment.

One size

$1,450.00

MI196

MyCareLink Smart Patient Reader

Electronic cellular patient reader which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment.

One size only

$1,450.00

MI296

MyCareLink Relay Home Communicator

Electronic cellular (optional wifi) patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment

One size

$1,450.00

SJ409

FlexAbility Ablation Catheter

Sensor Enabled and Non-Sensor Enabled

D, F, J, D-F, F-J, D-D, F-F, J-J

$3,500.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

SJ410

TactiCath™ Contact Force Ablation Catheter

Sensor Enabled and Non-Sensor Enabled catheter

DD, DF, FF, FJ, JJ, D, F.

$3,500.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BT221

AlCath Force

Mapping and Ablation Cardiac Catheter, Advanced 3D irrigation (eXtra), Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection with Optical Contact Force Sensor

7F, 110cm , 3.5mm tip

$3,280.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BT222

AlCath G FullCircle

Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Standard or Long Tip.

7F, 110cm , 4 mm Tip Gold (G) and 8mm (LT) Long Tip Gold(G)

$3,280.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BT223

AlCath Flux G eXtra

Mapping and Ablation Cardiac Catheter, Advanced 3D irrigation (eXtra), Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection

7F , 110cm , 3.5mm irrigated gold tip

$3,280.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BT224

AlCath Flutter Flux G eXtra

Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, Advanced 3D irrigation (eXtra), FullCircle Deflection, Optimised stability,control & length for flutter

7F ,95cm , 3.5mm Gold tip

$3,280.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BT225

AlCath Flutter LT G

Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Long 8mm Tip (LT), Optimised stability,control & length for flutter

7F , 95cm , 8mm(LT) gold tip

$3,280.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BS361

IntellaNav™ MiFi™ Open-Irrigated Ablation Catheter

IntellaNav™ Open-Irrigated, MiFi™ Mini-electrode Technology, Nav-abled

110cm, shaft size 7.5F

$2,700.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

MN238

CARTO: SMARTTOUCH/ SMARTTOUCH SF

Contact Force Sensing Catheter: with/without Porous Tip

One size only

$3,700.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

MI300

PVAC Gold Phased RF catheter

The Pulmonary Vein Ablation Catheter (PVAC) Gold is a three-dimensional, anatomically designed, multi-electrode phased RF catheter used to map, pace, and ablate the pulmonary veins.

9Fr

$6,399.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

RF024

FireMagic 3D Irrigated Ablation Catheter

Irrigated ablation catheter with a deflectable tip containing an array of platinum electrodes

8 French  105cm

$3,500.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

SJ408

EnSite Patch

Surface Electrodes

Patch/Kit

$350.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BS360

Rhythmia™ Location Reference Patch Kit

Rhythmia™ Location Reference Patch Kit (Box of 1)

50mm diameter

$299.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

MN239

CARTO Reference

External Reference

One size only

$499.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

RF023

Columbus Reference Patch

Adhesive patch with embedded magnetic location sensors

One size only

$399.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

SJ404

Inquiry Optima Diagnostic Catheter

mapping catheter

5F-8F

$2,549.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

SJ405

Reflexion Spiral Variable Radius Catheter

mapping catheter

5F-8F

$2,549.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

SJ406

Advisor mapping catheter

mapping catheter

5F-8F

$2,549.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

SJ407

Afocus II EB Inquiry Steerable Catheter

mapping catheter

5F-8F

$2,549.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

BS359

IntellaMap  Orion High Resolution Mapping Catheter

High resolution 64-electrode steerable mapping catheter

8.5F, 115cm

$3,400.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

MN240

LASSO/ PENTARAY

Circular/High Density

Various

$2,200.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

RF025

EasyLoop Circular Mapping Catheter

Diagnostic pulmonary vein catheter for cardiac electrophysiological mapping

7 French  115cm

$2,500.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

MI301

Arctic Front Advance Cardiac CryoAblation Catheter / Pro

A flexible, over-the-wire balloon catheter used to ablate cardiac tissue

23mm, 28mm

$5,100.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

MI302

Achieve / Achieve Advance Mapping Catheter

Intra-cardiac electrophysiology circular mapping catheter

15mm, 20mm, 25mm

$1,299.00

The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020 AND where the procedure is for the treatment of atrial fibrillation.

MI309

Cardioblate® Surgical Ablation Pen XL

The Cardioblate® Surgical Ablation Pen XL facilitates cardiac ablation in areas that are difficult to ablate with a bipolar device.

One size only

$2,876.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

ZZ064

ATRICURE COOLRAIL LINEAR PEN

Surgical Radio Frequency (RF) Irrigated Linear Pen for Atrial Fibrillation surgery

One size only

$2,600.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

ZZ065

Atricure Isolator Linear Pen

Surgical Radio Frequency (RF) Isolator Linear Pen for Atrial Fibrillation surgery

One size only

$2,000.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

ZZ055

ATRICURE ISOLATOR SYNERGY RF CLAMPS

Surgical Radio Frequency (RF) Clamps for Atrial Fibrillation surgery

Short, Long

$4,200.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020

ZZ056

Isolator Synergy Access

Articulating Surgical Radio Frequency (RF) Clamp for Atrial Fibrillation Surgery

One size only

$4,200.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

MI308

Cardioblate BP2 RF Surgical Ablation Device

The Cardioblate BP2 RF Surgical Ablation devices feature dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment

Standard, Low Profile

$3,523.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

MI312

Cardioblate® BP2 RF Surgical Ablation System

The Cardioblate® BP2 RF Surgical Ablation system features dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment

One size only

$4,614.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

MI310

Cardioblate® Gemini® Surgical Ablation System

The Cardioblate® Gemini® Surgical Ablation System is designed for minimally invasive ablation procedures. Gemini-s combines the efficacy of irrigated RF energy through a bipolar jaw, to facilitate deeper energy penetration, with real time measured customised energy delivery for greater confidence in achieving transmural cardiac lesions.

One size only

$6,040.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

ZZ057

cryoICE Cryoablation Surgical Probes

Surgical Cryoablation probes for atrial fibrillation surgery

One size only

$3,800.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

MI311

CryoFlex™ Surgical Ablation Probe

The CryoFlex™ Surgical Ablation Probe utilises a gas for freezing cells in the surgical treatment of cardiac arrhythmias.

One size only

$4,695.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

MI307

SurgiFrost 10

SurgiFrost 10 is a malleable, single-use cryosurgical device developed to treat cardiac arrhythmias during heart surgery.  Freezing preserves tissue integrity. SurgiFrost10 features a malleable shaft and flexible tip with adjustable insulation sleeve.

One size ony

$4,095.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.

MI306

CryoFlex™ Surgical Clamp and Probe

The CryoFlex™ Surgical Clamp and Probe combines the utility of the CryoFlex™ Probe with the delivery of a clamp.

One size only

$5,095.00

The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2020.