Changed Items for Prostheses List

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Changed Items for Prostheses List
Billing
Product Name
Further Description
Size
Explanation of Change
Stainless Steel/PTFE
Everolimus Eluting Stent System
ACS Multilink Coronary Stent; ACS Megalink
Peripheral Stent; ACS RX Herculink Peripheral
Stent. Stainless steel
Stainless Steel
316L Stainless steel stent
Cobalt chrome stent
9 - 26 mm x 2.5 - 5 mm
2.25mm to 4.0mm widths, 8mm to 28mm lengths
1.5mm - 8.0mm
Detail and Benefit Amendment
Benefit Amendment
Benefit Amendment
Length 1.5mm - 8.0mm
Length 1.5 - 8.0mm
2.25mm to 4.0mm widths, 8mm to 38mm lengths
Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Stainless Steel/PTFE
Nitinol Self-Expanding stent on rapid exchange
delivery system
6 Fr Exchange Sheath, Dilator, Guidewire,
implantable nitinol clip pre-mounted on a Clip
Embolic Protection Device, including delivery
system, device specific procedural wire, filter for
capturing embolic matter and retrieval system
4 - 12 mm x 12 - 58m mm
Diameter 7-10mm Length 20 + 30mm Straight;
Diameter 8-6, 9-7, 10-8mm Length 20 + 30mm
6 Fr
Detail and Benefit Amendment
Detail and Benefit Amendment
Large and small. Two wire lengths: 190cm for
Monorail system and 315cm for Over the wire
Detail and Benefit Amendment
Nitinol
Cobalt Chromium
Stainless Steel Balloon Expandable Peripheral Stent
on 018/035 system
Embolic Protection Device, including delivery
system, device specific procedural wire, filter for
capturing embolic matter and retrieval system.
Xpert is a laser cut nitinol self expanding stent, used
to treat peripheral vessel disease, Xpert is a low
profile system designed for small vessels and is 4
Diameter 3-10mm
Diameter 4-10mm, Length 12-58mm
018 & 035 system: 5-10mm diameter by 12, 16, 18,
28, 38, 58mm length
4.5 - 7.5; 190cm, 300cm length catheter
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
3 - 8mm in diameter, 20 - 80mm in length
Detail and Benefit Amendment
Nickel-Titanium Intra-vascular stent
Stuture Mediated Closure Device
Stuture Mediated Closure Device - Closure of Large
holes
4-10mm diameter, 13-56mm length
5 - 8 French
Up to 24 French
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
self expandable nitinol stent with introducer system
20,30,40,50,60,70,80,90,100,110,120mm
Detail and Benefit Amendment
Abbott Australasia Pty Ltd
Cardio-thoracic
AY012
AY023
AY025
JoStent Coronary Stent Graft
Xience Everolimus Eluting Stent System
Stents
AY026
AY027
AY028
Multilink Coronary Stent System
Multilink Coronary Stent System - Frontier
Multilink Coronary Stent System - Vision
Vascular CAG
AY010
AY015
JOStent Peripheral Stent Graft
Xact/ Xact Flex Carotid Stent
AY017
Starclose
AY018
Emboshield
AY021
AY022
AY024
AY030
Nitinol Self Expanding Peripheral Stent
Cobalt Chromium Balloon Expandable Peripheral
Omnilink Stainless Steel Balloon Deployable
Peripheral Stent
Accunet
AY031
Xpert
AY032
AY033
AY034
ACCULINK Peripheral Stent System
Proglide
Prostar
Detail and Benefit Amendment
Detail and Benefit Amendment
Ackermann Australia Pty Ltd
General Miscellaneous
AK002
Stent, oesophageal, dudodenal, rectal, biliary
Changed Items for Prostheses List Report
Page 1 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Kirschner Wire
0.6mm to 3.0mm diameter / various lengths
Detail Amendment
Model 1000 - EQUINE Pericardium Bioprostheseis
(non stented)
19 - 29 mm
Detail Amendment
Model No BG3515-5-A (BioGlue Surgical Adhesive)
Model No BG3510-5-A (BioGlue Surgical Adhesive)
Model No BG 3005-5 (Bioglue Surgical Adhesive)
One size only
One size only
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Model No BG 3010-5 (Bioglue Surgical Adhesive)
One size only
Detail Amendment
Model No BGAT-SY (BioGlue Surgical Adhesive)
One size only
Detail Amendment
Model No BGAT-10-SY (BioGlue Surgical
One size only
Detail Amendment
Model No BGAT-27-SY (BioGlue Surgical
One size only
Detail Amendment
Model No BG3002-5 (Bioglue Surgical Adhesive)
One size only
Detail Amendment
Model No PSD 4506-EN
Model No PSD 6006-UN
Model No PSD 4506-UN
Model No PSD 8006-UN
Model No BGAT-RT-SY (BioGlue Surgical
One size only
One size only
One size only
One size only
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
Specialist Orthopaedic
AK004
Kirschner Wires
Advanced Biomedical Pty Ltd
Cardio-thoracic
AB070
ATS 3f Aortic Bioprosthesis (EQUINE)
General Miscellaneous
AB003
AB004
AB005
AB007
AB008
AB009
AB010
AB011
AB012
AB013
AB018
AB020
AB065
BioGlue Surgical Adhesive - 5ml Syringe System
BioGlue Surgical Adhesive - 10ml Syringe System
Bioglue Surgical Adhesive - 5ml Solutions Cartridge 5
Per pack
Bioglue Surgical Adhesive - 10ml Solutions Cartridge
5 per pack
BioGlue Surgical Adhesive - Syringe Standard
Applicator Tip
BioGlue Surgical Adhesive - Syringe Applicator Tip
Extender
BioGlue Surgical Adhesive - Syringe Applicator Tip
Extender
Bioglue Surgical Adhesive - 2ml Solutions Cartridge
5 per pack
Peri-Strips Dry
Peri-Strips Dry
Peri-Strips Dry
Peri-Strips Dry
BioGlue Surgical Adhesive - Syringe Rigid Applicator
Tip 34cm
Advanced Medical Optics Australia Pty Ltd
Ophthalmic
AO007
Surgically Implanted Intraocular Viscoelastic
0.65mL
Detail Amendment
AO008
AO012
Viscoelastic Fluid: AMO Vitrax (sodium
hyaluronate) 30mg/mL, 0.65mL
Healon, Intraocular Viscoelastic Fluid
Baerveldt Glaucoma Implant BG 101-350, Baerveldt
Glaucoma Implant BG 103-425, Baerveldt Glaucoma
Implant BG 103-250
Sodium Hyaluronate 10mg/ml
Non-valved artificial drainage device, composition
silicone - smooth, tumble-polished finish
Healon 0.4ml, 0.55ml & 0.85ml
Surface area 250, 350, 425mm2
Detail Amendment
Detail and Benefit Amendment
AO014
TECNIS™ Intraocular Lens (Z9002 & ZA9003)
5-10 dioptre in 1.0 dioptre increments; 10.5 - 30
dioptre in 0.5 increments
Detail Amendment
AO020
ReZoom Acrylic Multifocal Intraocular Lens
Foldable Intraocular Lenses - Ultraviolet light
absorbing posterior chamber intraocular lenses,
Silicone/Acrylic
Acrylic, foldable, posterior chamber, intraocular lens
6.0mm Optic Diameter x 13.0mm overall length
Detail Amendment
Changed Items for Prostheses List Report
Page 2 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
AO023
TECNIS™ Multifocal Intraocular Lens (ZM900)
Tecnis Multifocal foldable Posterior Chamber
Diffractive Intraocular Lens Model ZM900.
Posterior Chamber lens with UV light-absorbing,
foldable, silicone, 3 piece with a diffractive posterior
optic and a Modified Prolate Anterior Surface
+5.0 Diopter to 34.0 Diopter in 0.5 diopter
Detail Amendment
AO024
Tecnis™ One Piece (ZCB00)
+6 diopters to +30 diopters in 0.5d increments
Detail Amendment
AO026
TECNIS™ Multifocal Intraocular Lens (ZMA00)
One piece intraocular lens with edge modification and
360 degree square edge
Posterior chamber lens with UV light-absorbing,
foldable acrylic, 3-piece with a diffractive posterior
optic and a modified anterior surface technology with
edge modification and 360 degree square edge.
+5 diopters to +34 diopters in 0.5d increments
Detail Amendment
Titanium
Titanium
Stainless steel - sterile
Clavicle Compression PinTitanium Screw, Double
Threaded
Threaded wires & pins
Steinmann Pin
316L Stainless Steel, Low Profile Custom Thread
Flat Head, Tappered, Titanium
Standard Flat Head Screw
Round Head, Titanium
Titanium
Titanium
2.0 - 6.5mm dia, length 4-150mm
6mm - 20mm
Dia 0.7 - 2.5mm, length 100 - 230mm
3.2 & 4.0 mm x 50mm - 130mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
1.0-5.0mm diametersvarious threaded lengths
2.8-5.0mm diameter
2 - 7 mm Diameter 12 - 24mm Length
9 - 11mm Diameter 30mm Length
7 - 11mm Diameter 20mm - 50mm Length
7-11mm Diameter 25 - 35mm Length
5 - 6mm
7 - 10mm Diameter 25 -40mm Length
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Advanced Surgical Design & Manufacture Ltd
Specialist Orthopaedic
AE012
AE036
AE052
AE068
ASDM Bone Screw
Opening Wedge Tibial Ostectomy Plate
ASDM K-wire
ASDM Clavicle Compression System
AE069
AE070
AE080
AE094
AE095
AE096
AE097
AE098
Threaded wires & pins
ASDM Steinmann Pin
Carpal Fusion System Screw
ACL Fixation Screws Tapered
ASDM Standard ACL Fixation Screw
ACL Fixation Screws
Tibial Post Screw
Low Profile Tibial Screw
Advanced Surgical Technologies
Orthopaedic
AD174
AD195
Advantim Total Knee System
Advantim / Ortholoc Revision Knee
Patella All Poly UHMWPE
Femoral stems titanium
25,28,32mm, 35mm, 38mm, 41mm
5 Degree Size 4 10mm
5 Degree Size 6 10mm
7 Degree Size 4 10mm
7 Degree Size 6 10mm
Detail Amendment
Detail Amendment
AD236
Profemur Total Hip System
Titanium Femoral Necks
Detail Amendment
AD270
AD321
SLR Biploar Acetabular Shell
Quadra-Fix Acetabular Shell
Cast Cobalt Chrome Alloy
Dysplasia Cup, Porous Coated, HA
Length 27 - 38.5mm; Neutral to Ante/Retro - Varus
Valgus 2
38mm - 65mm in millimetre increments
O.D. 44mm - 66mm
Detail Amendment
Detail Amendment
Specialist Orthopaedic
Changed Items for Prostheses List Report
Page 3 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
AD242
Limb Salvage System for the Skeletally Immature Repiphysis
Repiphysis non invasive expandable custom designed
prosthesis for the upper limb (all components
delivered as one unit)
Custom Made
Detail Amendment
PROVISC contains sodium hyaluronate, VISCOAT
contains chondroitin sulfate and sodium hyaluronate
PROVISC contains sodium hyaluronate
Chondroitin sulfate and sodium hyaluronate
Posterior Chamber, UV absorbing, foldable, acrylic,
single piece lens with apodised diffractive optic and
blue light protection.
Small & large packs
Detail Amendment
0.55mL & 0.85mL packs
0.75mL
+6.0 to +30.0 D
Detail Amendment
Detail Amendment
Detail Amendment
Alcon Laboratories (Aust.) Pty Ltd
Ophthalmic
AL005
DUOVISC VISCOELASTIC SYSTEM
AL006
AL007
AL022
PROVISC VISCOELASTIC SOLUTION
VISCOAT Viscoelastic Fluid
AcrySof ReSTOR PC SN60D3
AL027
Foldable acrylic mutli-piece lens with apodised
diffractive optic and blue light protection
Posterior Chamber, UV absorbing, foldable, acrylic,
single piece lens with apodised diffractive optic and
blue light protection
+6 to +30 Diopters
Detail Amendment
AL028
ReSTOR multipiece apodised diffractive blue light
filtering PC IOL Model MN60D3
AcrySof IQ ReSTOR SN6AD3
+6 D to + 30 D
Detail Amendment
AL030
AcrySof IQ ReSTOR SN6AD1 and MN6AD1
+6 D to + 30 D
Detail Amendment
AL031
AcrySert C Model SN6CWS
Posterior Chamber, UV absorbing, foldable, acrylic,
single and multiple lenses with apodised diffractive
optic and blue light protection
Posterior chamber, UV absorbing, foldable, acrylic,
single piece lens with blue light protection and
aspheric correction, in cartridge
+6.0 to +30.0 D
Detail Amendment
AL032
AcrySof Toric Aspheric IOL
Posterior chamber, UV absorbing, foldable, acrylic,
toric, single piece lens with blue light protection and
aspheric correction
+6.0 to +30.0 D
Detail Amendment
Implantable acetal copolymer disk assembly, rotor
assembly with three stainless steel fasteners. The
fasteners, when deployed by rotating the rotor,
extend about 3mm below the undersurface of the
Outside diameter for the tack 30.5mm diameter by
5.6mm Height. The wires extend 3mm below the
bottom surface.
Detail Amendment
Dacron/silicone variable diameter ring
52mmx15mmx0.09 mm
Detail and Benefit Amendment
Allergan Australia Pty Limited
General Miscellaneous
AW003
Rapid Port Tack
AllVascular Pty Ltd
Vascular CAG
VA001
Venous Valve Ring
Applied Medical Australia Pty Ltd
General Miscellaneous
Changed Items for Prostheses List Report
Page 4 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MH008
Applied Medical Laparoscopic Clip Applier Disposable Cartridge - CA001 Box of 10
Disposable Clip Applier made from polycarbonate,
nylon, stainless steel, liquid crystal polymer, bone
wax, titanium clip. The disposable cartridge is used
in conjunction with a reuseable handle.
Medium - large - 20 clips per device
Detail Amendment
MH014
Direct Drive laparoscopic clip applier with TiGold
titanium clips
Single-use, sterile 10mm laparscopic clip applier with
20 medium-large size titanium clips
10mm shaft diameter with medium-large size clips.
Detail and Benefit Amendment
1.8mm x 14mm with a 6.1mm cortical wing span.
Detail Amendment
.
Number 2 braided polyester
One Size Only
1 - 2.8mm x 8.0mm x 5.0mm; 2 - 2.8mm x 13mm x
7.2mm
7 x 20mm, 7 x 25mm, 7 x 30mm, 8 x 20mm, 8 x
25mm, 8 x 30mm, 9 x 20mm, 9 x 30mm
ParaFix Anchors are available in: 3mm,5mm and 6.5mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
1.5-2.5 mesh plates, 14 x 14 holes; 1.5mm baby mesh
plate 14 x 14 holes
1.5-2.5 mesh plate, 7 x 7 holes; 1.5mm baby mesh
plate 7 x 7 holes
1.5mm baby plates:- 20 hole, c-plate & x-plate 7
hole, 2 hole
1.5mm plates:- 20 holes, c-plate & x-plate 7 hole, Lplate 7 hole L & R. burrhole
1.5-2.5mm plates:- 2-10 hole plates and extended, cplate & x-plate 7 hole, H-plate 8 hole, orthognathic
hole and L-plate L & R 7 hole
1.5-3.1mm screw ring 5 pcs
Plates 6 & 8 hole
Pin 1.5 & 2 mm dia x 20-50 mm long
Screws 2.8 x 40mm, 2.5 x 30mm, 4.5 x 90mm
6 x 20, 6 x 25, 6 x 30, 7 x 20, 7 x 25, 7 x 30, 8 x 20, 8
x 25, 8 x 30, 9 x 20, 9 x 25, 9 x 30, 10 x 30
Detail Amendment
Diameter 3.0mm, 3.5mm, 4.0mm, 4.5/5.0mm Short,
4.5/ 5.0mm Long
Detail Amendment
Arthrocare Australasia Pty Ltd
Specialist Orthopaedic
AF001
AF002
AF003
AF004
AF005
TwinLock Knotless Twin Anchors with Suture and
Suture passer
AutoCuff System - Suture Cartridge
AutoCuff System - Suture Cartridge
AutoCuff System
Magnum Arthroscopic Knotless Anchor Implant
AF006
Atlantech graft fixation screw - titanium
All in one Dual/Twin implant anchors for tendon to
bone healing with integrated suture and suture passer.
SmartStitch Magnum Wire - Ultra high tensile strength
SmartStitch Suture Cartridge
Magnum Knotless Implant - w/ inserter handle
Arthroscopically implanted stainless steel suture
anchor for rotator cuff or labrum repair
Titanium ACL Screw
AF008
ParaFix Anchor
Tendon to bone anchor
AF009
CPS Bioabsorbable Fixation System
AF010
CPS Bioabsorbable Fixation System
AF011
CPS Bioabsorbable Fixation System
AF012
CPS Bioabsorbable Fixation System
AF013
CPS Bioabsorbable Fixation System
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
CPS Systems and Baby System Plates. Polylactic
Acid Trimethylene Carbonate Copolymer
AF014
AF016
AF018
AF021
AF031
CPS Screws
CPS Bioabsorbable Fixation System
CPS Bioabsorbable Fixation System
CPS Bioabsorbable Fixation System
CPS Screw Hexalon Biodegradable ACL/PCL
Reconstruction
Polylactic acid trimethylene carbonate copolymer
OTPS fixation system: PLGA/TMC copolymer
OTPS fixation system: PLGA/TMC copolymer
OTPS fixation system: PLGA/TMC copolymer
Biodegradable ACL/PCL Recon Screw
PLLA/PGA/TMC
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
AstraZeneca Pty Ltd
Plastic and Reconstructive
AZ001
Astra Tech Cover Screws
Changed Items for Prostheses List Report
Cover Screw
Page 5 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
AZ002
Titanium fixture with microthreaded cervical neck
Diameter 3.0, 3.5 - 5.0mm, Length 8-19mm
Detail Amendment
AZ003
Astra Tech MicroThread Fixtures and MicroThread
Osseospeed Fixtures
Astra Tech Healing Abutments
Healing Abutments, Healing Abutments Zebra
Healing Abutments 3.0, Zebra 1.5, 3.0, 4.5, 6.0mm;
Healing Abutment 5.5mm Ultra, Short, Long; 7.0mm
Short, Long; ST Short, Long; ST 5.5mm Short, Long;
ST 7.0mm Short, Long; Temporary Abutment 3.5,
4.0 4.0/5.0mm
Detail Amendment
AZ004
Astra Tech Abutments
Temporary Abutment
Diam 3.0 - 5.0mm
Detail Amendment
The Cinatra Cobalt Chromium Coronary Stent
System consists of a balloon expandable Cobalt
Chromium stent premounted on a rapid exchange
Diameter range: 2.5mm - 3.5mm. Length range: 8mm
- 25mm
Benefit Amendment
Radially Supported (Ringed) PTFE Standard Wall
Straight PTFE Standard Wall
Tapered PTFE Standard Wall
Vascular Access Graft PTFE Standard Wall
Radially Supported (Ringed) PTFE Thin Wall
Straight PTFE Thin Wall
Tapered PTFE Thin Wall
Vascular Access Graft PTFE Thin Wall
Bifurcate Polyster Graft
Axillo-bifemoral Polyster Graft
Straight Polyster Graft
Straight Polyster Graft
Balloon Expandable PTFE Encapsulated Stainless
Steel Peripheral Vascular Stent
Bifurcated PTFE Graft
Balloon Expandable PTFE Encapsulated Stainless
Steel Vascular Stent
Balloon Expandable PTFE Encapsulated Stainless
Steel Vascular Stent
Balloon Expandable PTFE Encapsulated Stainless
Steel Vascular Stent
4mm x 10cm - 10mm x 100cm
6mm x 10cm - 10mm x 90cm
4-6mm x 30cm - 6-8mm x 90cm
4mm x 10cm - 10mm x 100cm
4mm x 10cm - 10mm x 100cm
6mm x 10cm - 10mm x 90cm
4-6mm x 30cm - 6-8mm x 90cm
4mm x 10cm - 10mm x 100cm
12mm x 24mm - 6mm x 12mm x 40cm
8mm - 10mm 100 x 60cm
6mm x 15cm - 24mm x 30cm
6mm x 40cm - 8mm x 100cm
5mm - 12mm Diameter
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
12mm - 24mm X 6mm - 12mm Length 40cm
12 - 16 mm diameter 29mm length. 80cm and 120cm
catheter lengths
12 - 16 mm diameter 41mm length. 80cm and 120cm
catheter lengths
12 - 16 mm diameter 61mm length. 80cm and 120cm
catheter lengths
Detail and Benefit Amendment
Detail and Benefit Amendment
2hole x 2hole Strip Plate Stiff
1.2mm profile, 4, 6, 8mm length between inner holes
Detail Amendment
Atrium Australia - Pacific Rim Pty Limited
Cardio-thoracic
AC030
Cinatra Cobalt Chromium Coronary Stent System
Vascular CAG
AC001
AC002
AC003
AC004
AC012
AC013
AC014
AC015
AC016
AC017
AC018
AC019
AC023
Atrium PTFE Vascular Graft
Atrium PTFE Vascular Graft
Atrium PTFE Vascular Graft
Atrium PTFE Vascular Graft
Atrium PTFE Vascular Graft
Atrium PTFE Vascular Graft
Atrium PTFE Vascular Graft
Atrium PTFE Vascular Graft
Atrium Ultramax PET Grafts
Atrium Ultramax PET Grafts
Atrium Ultramax PET Grafts
Atrium Ultramax PET Grafts
Advant PTFE V12 Stent Graft System
AC026
AC027
Advanta SST
Advanta V12 Stent Graft System
AC028
Advanta V12 Stent Graft System
AC029
Advanta V12 Stent Graft System
Detail and Benefit Amendment
Detail and Benefit Amendment
Aus Systems Pty Ltd
Specialist Orthopaedic
AU001
Aus Systems Titanium Miniplates (Bone Plates)
Changed Items for Prostheses List Report
Page 6 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Austofix Intramedullary Screws
Austofix Intramedullary Nail
Proximal Humeral Nail
S2 Nail System
S2 Nail System
Austofix Femoral & Tibial Nailing System
Austofix Femoral & Tibial Nailing System
Austofix Femoral & Tibial Nailing System
Austofix Femoral & Tibial Nailing System
Austofix Femoral & Tibial Nailing System
Austofix Femoral & Tibial Nailing System
Austofix Femoral & Tibial Nailing System
VRP Distal Radius Fixation System, Volar Distal
Radius Plate - Wide
VRP Distal Radius Fixation System Volar Distal
Radius Plate - Standard
VRP Distal Radius Fixation System, 3.5mm Cortical
Screw, Titanium
VRP Distal Radius Fixation System, Threaded, mpmthreaded, partially threaded locking, non-locking
screw, peg, Titanium
Humeral Head Screw, stainless steel
Custom Nails, stainless steel
Stainless Steel
Cannulated supracondylar nail, stainless steel
6.2mm condylar screws
Tibial Nail 4.0/4.8; s-s
4.0/4.8 Screws; Locking; dual thd; high nitrogen s-s
F2 Femoral Nail 4.8/6.2; s-s
6.2/6.5mm Hip Screw; high nitrogen s-s
F2 Hip Nail 4.8/6.5; high nitrogen s-s
Washer for screws; s-s
End Cap; I.M. Nails; s-s
Volar Distal Radius Plate - Wide
4.3mm
5-13mm
Diameter 8 mm, Length 170 mm
11/13mm x 160-380mm
6.5mm x 60-85mm
Dia 8 - 11mm, Lengths 260 - 420mm
Dia 4.0 - 4.8mm; Lengths 20-80mm
Dia 9 - 12mm; Lengths 320 - 460mm
Dia 6.2 & 6.5mm; Lengths 70 - 120mm
Dia 11mm, Length 170mm - 240mm
Dia 11mm & 13mm
8 - 13mm
Wide, 3 and 4 hole, left and right
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Volar Distal Radius Plate - Standard
Standard, 3 and 4 hole, left and right
Detail Amendment
3.5mm Cortical Screw, Titanium
3.5mm diameter, 10mm-20mm lengths
Detail Amendment
Threaded, non-threaded, partially threaded locking,
non-locking screw, peg, titanium
2.0, 2.5, 2.6mm diameter, 14mm-30mm lengths
Detail Amendment
AX051
AX052
Tectona Hip Plate - Cortical Screw
Tectona Hip Plate - Compression Screw
Cortical Screw, self tapping
Comprssion screw, sterile packed
Detail Amendment
Detail Amendment
AX053
AX054
AX055
AX056
Tectona Hip Plate - Locking Screw
Tectona Hip Plate - Standard Lag Screw
Tectona Hip Plate - Lag Screw HA coated
Tectona Hip Plate
Locking screw, self tapping
Hip Lag Screw, sterile packed
Hip Lag Screw HA coated, sterile packed
Hip plate, locking with removable targeting jig, sterile
packed
4.5mm, lengths 28-46mm
Length 36mm. For compression with Tectona Lag
Screw
5.0mm, lengths 28-46mm
12.5mm, 14.5mm
12.5mm - lengths 50-145mm
130, 135 and 140 degree, 2 to 8 hole
8mm diameter and 4mm height
8mm diameter, 5mm height
57mm to 110mm
Detail Amendment
Detail Amendment
Detail Amendment
Austofix
Specialist Orthopaedic
AX003
AX009
AX013
AX020
AX021
AX022
AX023
AX024
AX025
AX026
AX027
AX029
AX040
AX041
AX042
AX043
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Austspine Pty Ltd
Neurosurgical
AJ017
AJ024
AJ040
Denali Spinal System / ATR Set Screw
Smartloc Spinal Fixation System / Set Screw
Pyrenees Cervical Plate
Changed Items for Prostheses List Report
Set Screw
Set screw for poyaxial pedicle screw
3, 4 and 5 level cervical plate
Page 7 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
90mm (3.5mm, 4.8mm)
Detail Amendment
7-9 french; 10.5 french.
21mm, 25mm
5 sizes
5mm
12x12cm, 17x12cm
9cm round
Detail Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
12cm round
Detail and Benefit Amendment
15cm round
Detail and Benefit Amendment
20cm round
Detail and Benefit Amendment
15x10cm square
Detail and Benefit Amendment
20x15cm square
Detail and Benefit Amendment
25x20cm Oval
Detail and Benefit Amendment
30x20cm oval
Detail and Benefit Amendment
37x28cm oval
Detail and Benefit Amendment
15x10cm square
Detail and Benefit Amendment
20x15cm square
Detail and Benefit Amendment
25x20cm Square
Detail and Benefit Amendment
8x8cm, 9x8cm, 8.5x8cm
12cm round
Detail and Benefit Amendment
Detail and Benefit Amendment
15x10cm Square
Detail and Benefit Amendment
15x15cm
Detail and Benefit Amendment
20x15cm Oval
Detail and Benefit Amendment
Auto Suture Company, Australia T/A Tyco Healthcare Pty
General Miscellaneous
AS030
TA* Reloading Units
AS052
AS134
AS135
AS137
AS138
AS139
Chemosite Implantable Venous Access System
DST Series EEA Or Vil
DST™ Series EEA™ XL
Endo Clip III
Prevadh
Parietex Composite 9F
AS140
Parietex Composite 12F
AS141
Parietex Composite 15F
AS142
Parietex Composite 20F
AS143
Parietex Composite 1510F
AS144
Parietex Composite 2015F
AS145
Parietex Composite 2520F
AS146
Parietex Composite 3020F
AS147
Parietex Composite 3728F
AS148
Parietex Composite 1510OS
AS149
Parietex Composite 2015OS
AS150
Parietex Composite 2520OS
AS151
AS152
Parietex Composite Hiatal Hernia Mesh
Parietene Composite 12
AS153
Parietene Composite 1510
AS154
Parietene Composite 1515
AS155
Parietene Composite 2015
Changed Items for Prostheses List Report
Premium Multifire TA* Disposable Surgical Stapler
and Loading Unit
Port - Single Lumen (ChemoSite*)
Accessory
Circular Stapler
Laparoscopic 5mm Clip Applier
Adhesion Prevention film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophlic film
Dual sided Polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion -prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
Composite Mesh
Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
Page 8 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
AS156
Parietene Composite 2520
25x20cm Oval
Detail and Benefit Amendment
AS157
Parietene Composite 3020
30x20cm Oval
Detail and Benefit Amendment
AS158
AS159
AS160
AS161
ABSORBATACK ™
Pleuraseal Lung Sealant System
ABSORBATACK ™
Parietene ProGrip Mesh (PRE-SHAPED)
5mm, 10 tacks
1 kit/box
5mm, 20 tacks
12 x 8cm elliptic
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
AS162
AS163
Parietene ProGrip Mesh (FLAT)
Vacuseal Vascular Sealant System
Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
Larposcopic Absorbable Fixation Device
5ml Polymer Kit, Sterile Single-use
Laparoscopic Absorbable Fixation Device
Pre-Cut, slit mesh with self gripping overlapping flap
- right or left
Mesh with self gripping FLAT
5ml Polymer Kit, Sterile, Single-use
15 x 9cm RECTANGLE
1 kit/box
Detail and Benefit Amendment
Detail Amendment
IVS Tunneller System Trans Obuturator with two
stylets and polypropylene mesh
50 cm (mesh)
Benefit Amendment
Epoxy/titanium
Epoxy/titanium
MBS/PSU
Epoxy/titanium
Aesculap Ligating Clips- Ligation Clips Titanium;
Aesculap Ligating Clips Titanium
Aesculap Ligating Clips Titanium
Aesculap Ligating Clips Titanium
Aesculap Ligating Clips Titanium
Challenger Ligating Clips Titanium Multifire
Standard/small/baby
Standard/small/baby
Standard/small
32x27x13mm
PL561T- Large
PL565T - Small
PL566T - small cardiopack of 24
PL567T - medium
PL568T - medium/large
PL572 - small/medium
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Polyesterurethane
Yasargil
Yasargil Phynox Mini
Yasargil Titanium
Yasargil Titanium Mini
Yasargil Reinforcing, Titanium/Phynox
Polyurethane
Polyurethane
Polyurethane
12 x 14cm
4.5mm x 150g to 25.0mm x 200g
2.8mm x 110g to 7.0mm x 130g
4.9mm x 150g to 20.0mm x 200g
2.8mm x 110g to 7.0mm x 110g
One size only
6 x 14cm
6 x 8cm
4 x 10cm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Urogenital
AS120
IVS Tunneller-Intravaginal Tunneller System
B Braun Australia Pty Ltd
General Miscellaneous
BB082
BB083
BB084
BB086
BB294
BB297
BB298
BB299
BB300
BB301
Celsite Epoxy Single Access Port
Celsite Epoxy Dual Access Port
Celsite Single Access Port
Celsite Epoxy Peritoneal Port
Aesculap Ligating Clips
Aesculap Ligating Clips
Aesculap Ligating Clips
Aesculap Ligating Clips
Aesculap Ligating Clips
Challenger Ligating Clips
Neurosurgical
BB015
BB108
BB109
BB110
BB111
BB112
BB113
BB114
BB115
Neuro-Patch
Aneurysm Clip
Aneurysm Clip
Aneurysm Clip
Aneurysm Clip
Aneurysm Clip
Neuropatch Dura Substitute
Neuropatch Dura Substitute
Neuropatch Dura Substitute
Changed Items for Prostheses List Report
Page 9 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BB116
BB117
BB118
BB175
BB176
Neuropatch Dura Substitute
Neuropatch Dura Substitute
Neuropatch Dura Substitute
Yasargil Aneurysm Clip System
Yasargil Aneurysm Clip System
4 x 5cm
2 x 10cm
1.5 x 3cm
3mm - 20mm length, phynox temporary clips.
3mm- 25mm length, titanium temporary clips.
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
BB218
Kopitnik Microneurosurgical AVM Clips
Polyurethane
Polyurethane
Polyurethane
Phynox temporary clips are manufactured from
Titanium termporary clips are manufactured from
titanium
Composition: Phynox (Cobalt-base-alloy)
Detail Amendment
BB290
T-Bar Yasargil Aneurysm Clip
2mm, 3mm, 4mm, 5mm - straight. 2mm, 3mm, 4mm,
5mm - curved.
5mm-9mm, 45 Deg
BB291
T-Bar Yasargil Aneurysm Clip
5mm-13mm, 90 Deg
Detail Amendment
BB292
T-Bar Yasargil Aneurysm Clip
5mm-9mm, 45 Deg
Detail Amendment
BB293
T-Bar Yasargil Aneurysm Clip
5mm-13mm, 90 Deg
Detail Amendment
Bipolar shell plus liner
Modular neck adaptors made from CoCr
38 - 60mm
CCD - 130°, 135 °, 140°; Offset - 0mm, -5mm
,+5mm; Version - 7.5° left ante/right retro, 0 °, 7.5 °
left retro/right ante
Detail Amendment
Detail Amendment
Compression Nail
Compression Screw
Fixation Screws
Closure Screws
Huckstep Fine Thread Screw
Isosorb Resorbable Fixation Pin
Stainless Steel
Titanium
Steel
Nail for small bones
Stainless steel
Titanium cancellous and cortical screw, locking head
for solid plate fixation.
Titanium Osteotomy Plate, internal fixation plate
used in proximal tibial repositioning osteotomy.
Osteotomy Spacer Block, solid titanium. Consists of
block and fixation screw.
100mmx10.5mm-610mmx12.5mm
4.5mmx64mm-4.5mmx102mm
Dia 4.5mm-6mm,Length 20mm-96mm
Length 8mm-10mm
4.5mmx19mm-4.5mmx57mm
2mmx60mm-3.5mmx80mm
10mm-28mm
10mm-28mm
Dia 0.8mm-3.0mm, Length 70mm-310mm
Dia 3mm-8mm
All sizes
30mm-78mm x 4.5mm & 6.0mm diameter.
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
One size
Detail Amendment
5mm - 16mm
Detail Amendment
T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
Detail Amendment
Orthopaedic
BB249
BB296
Bipolar Head
Metha - Modular neck adaptors
Specialist Orthopaedic
BB051
BB052
BB056
BB057
BB059
BB060
BB068
BB069
BB071
BB107
BB271
BB303
BRAUN AUST Intramedullary Nails
BRAUN AUST Intramedullary Nails
BRAUN AUST Intramedullary Nails
BRAUN AUST Intramedullary Nails
BRAUN AUST Intramedullary Nails
BRAUN AUST Intramedullary Nails
Caspar Screws
Caspar Screws
Kirshner Wires all Sizes
BRAUN AUST Intramedullary Nails
Aesculap Schanz Screw
Position HTO Implant System - Locking Screws
BB311
Position HTO Implant System - HTO Plate
BB312
Position HTO Implant System - Spacer Block with
Fixation Screw
Changed Items for Prostheses List Report
Page 10 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Vascular patch
Vascular graft
Vascular graft
Vascular graft
Vascular graft
Vascular graft
Vascular graft
Vascular graft
Vascular graft
Vascular graft
Vascular graft
Phynox/ combination of various metals inc.
Nickel,Copper, Molubden,Steel
PTFE, Straight Standard Wall
Straight Standard Wall with Helix Support
Straight Standard Wall with Helix Support
Straight Standard Wall with Helix Support
PTFE - Straight Standard Wall
PTFE - Straight Standard Wall
Thin Wall Straight
Thin Wall Straight
Thin Wall Straight
Straight Standard Wall with Helix Support
Straight Standard Wall with Helix Support
Straight Standard Wall with Helix Support
Thin Wall Tapered
Thin Wall Centre Helix
Thin Wall Centre Helix
Thin Wall Centre Helix
Standard Tapered
Standard with Centred Helix
Standard with Short Taper
Standard with Short Taper
Easy Glide - Standard Wall Straight
12x9 to 3x4
100cm
60cm
50cm
40cm
30cm
20cm
15cm
10cm
12x6 to 24x12
12x7 to 12x12
One size, expands to Max length 38mm/Max
diameter 30mm
Dia 4 - 10mm, length 40 - 50cm
Dia 6 - 10mm, length 10 - 50cm
Dia 6 - 10mm, length 60 - 80cm
Dia 5 - 8mm, length 90cm
Dia 5 - 10mm, length 80cm
Dia 5 - 8mm, length 90 - 100cm
Dia 3 - 8mm, length 70 - 100cm
Dia 3 - 8mm, length10 - 40cm
Dia 3 - 8mm, length 10 - 40cm
Dia 6mm x length 100cm
Dia 5 - 8mm, length 80 - 90cm
Dia 4 - 6mm, length 50 - 70cm
Dia 4 - 8mm, length 40 - 90cm
Dia 6mm, length 45cm
Dia 5 - 6mm, length 45 - 50cm
Dia 4 - 8mm, length 70 - 80cm
Dia 4 - 8mm, length 70 - 90cm
Dia 4 - 8mm, length 70 - 90cm
Dia 4 - 8mm, length 30 - 70cm
Dia 4 - 8mm, length 80cm
Dia 6mm, length 70 - 80cm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Vascular CAG
BB017
BB018
BB019
BB020
BB021
BB022
BB023
BB024
BB025
BB026
BB027
BB106
Vascular Patch
Vascular Uni - Graft
Vascular Uni - Graft
Vascular Uni - Graft
Vascular Uni - Graft
Vascular Uni - Graft
Vascular Uni - Graft
Vascular Uni - Graft
Vascular Uni - Graft
Vascular Uni - Graft - Tapered
Vascular Uni - Graft - Bifurcated
Temporary Vena Cava System
BB119
BB120
BB121
BB122
BB123
BB124
BB125
BB126
BB127
BB128
BB129
BB130
BB131
BB132
BB133
BB134
BB136
BB137
BB138
BB139
BB141
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 11 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BB142
BB143
BB144
BB145
BB146
BB155
BB156
BB157
BB169
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vascugraft
Vena Cava Filter System
Dia 6mm, length 40 - 60cm
Dia 6 - 8mm, length 40 - 70cm
Dia 6 - 8mm, length 40 - 70cm
Dia 4 - 7mm, length 70cm
Dia 6 - 8mm, length 40 - 80cm
Dia 4 - 7mm, length 30 - 70cm
Dia 4 - 8mm, length 40 - 45cm
Dia 4 - 8mm, length 40 - 45cm
Diameter 28 mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
BB170
Celsite Access Port for pain relief
Coroflex Blue
Diameter of septum:11.7mm. Height: 11.5mm.
Dimension: 25.8 x 37.8mm
2-4mm diameter, 8-25mm length
Detail and Benefit Amendment
BB244
Easy Glide - Standard Wall Straight
Easy Glide - Standard Wall with Helix Short Taper
Easy Glide - Thin Wall Straight
Thin Wall Centred Helix Tapered
Easy Glide - Thin Wall Straight with Helix Support
Standard Tapered
Standard Wall with Tapered Centre Helix
Standard Wall Stepped Taper
PHYNOX Introducer system, 'J' Guidewire,
Seldinger needle, disposable scalpel
Composition - polysulphone. Kit includes tunnelling
rod, filter, connectors, needles, syringe, tuohy needle
Cobalt Chromium Alloy L605
Silicone Replacement Gastrostomy Device
Composix Ventral mesh
Composix Ventral mesh
Composix Ventral mesh
Composix Ventral mesh
Composix Ventral mesh
Composix Ventral mesh
Composix Ventral mesh
Small Oval w/e PTFE
Medium Oval w/e PTFE
Large Oval w/e PTFE
Small Circle w/e PTFE
Large Circle w/e PTFE
Elliptical
Elliptical
Elliptical
Elliptical
Elliptical
Rectangle
Nitinol. Includes deployment system
18 - 24 French
10"x14"
12"x12"
2" x 4"
3" x 6"
4" x 8"
6" x 8"
8" x 10"
8 x 12 cms
11 x 14 cms
14 x 18 cms
8 x 8cms
12 x 12cms
4" x 6" (10 x 15cm)
6" x 8" (15 x 20cm)
7" x 9" (18 x 23cm)
8" x 10" (20 x 25 cm)
10" x 13" (25 x 33 cm)
10" x 14" (25 x 36 cm)
Sizes - Diameter 8 - 10mm, Length 40 - 100mm
Benefit Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
Bard Australia Pty Ltd
General Miscellaneous
BA046
BA063
BA064
BA065
BA066
BA067
BA068
BA069
BA096
BA097
BA098
BA099
BA100
BA101
BA102
BA103
BA104
BA105
BA106
BA124
The Bard Button Implantable Injection, Infusion Port
Bard Mesh
Bard Mesh
Bard Mesh
Bard Mesh
Bard Mesh
Bard Mesh
Bard Mesh
Bard Composix Kugel Hernia Patch
Bard Composix Kugel Hernia Patch
Bard Composix Kugel Hernia Patch
Bard Composix Kugel Hernia Patch
Bard Composix Kugel Hernia Patch
Bard Composix E/X Mesh
Bard Composix E/X Mesh
Bard Composix E/X Mesh
Bard Composix E/X Mesh
Bard Composix E/X Mesh
Bard Composix E/X Mesh
Memotherm Biliary Stent
Changed Items for Prostheses List Report
Page 12 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BA127
BA128
BA131
Composix Kugel Hernia Patch
Composix Kugel Hernia Patch
Bard Composix Kugel Hernia Patch
Extra large oval - w/e PTFE
Extra large oval - w/ePTFE
The Bard Composix Kugel Hernia Patch is a selfexpanding, non-absorbable, sterile prosthesis. Two
layers of monofilament, polypropylene mesh are
stitched to an ePTFE sheet; an extruded
monofilament PET polymer "ring" provides memory,
adds stability to the
20cm X 25cm
25cm X 33cm
Extra Large Oval w/e PTFE 18cm x 23cm
Detail Amendment
Detail Amendment
Detail Amendment
BA135
Bard Composix Kugel Hernia Patch
The Bard Composix Kugel Hernia Patch is a selfexpanding, non-absorbable, sterile prosthesis. Two
layers of monofilament, polypropylene mesh are
stitched to an ePTFE sheet; an extruded
monofilament PET polymer "ring" provides memory,
adds stability to the
Oval w/e PTFE 16cm x 31.2cm
Detail Amendment
BA136
Bard Ventralex Hernia Patch
The Bard Ventralex Patch is a self-expanding, nonabsorbable, sterile prosthesis. Two layers of
monofilament, polypropylene mesh are stitched to an
ePTFE sheet; an extruded monofilament PET
polymer "ring" provides memory, adds stability to
the device. The
4.3 cm x 4.3 cm (1.7" x 1.7")
Detail Amendment
BA137
Bard Ventralex Hernia Patch
The Bard Ventralex Patch is a self-expanding, nonabsorbable, sterile prosthesis. Two layers of
monofilament, polypropylene mesh are stitched to an
ePTFE sheet; an extruded monofilament PET
polymer "ring" provides memory, adds stability to
the device. The
6.4 cm x 6.4 cm (2.5" x 2.5")
Detail Amendment
BA160
Bard Crurasoft Patch
7cm x 6cm Small
Detail Amendment
BA161
Bard Crurasoft Patch
11cm x 8cm Large
Detail Amendment
BA162
BA163
Bard CK Parastomal Patch
X Port isp
X Port isp
BA165
X Port duo
BA166
X Port duo
BA179
BA186
Bard Ventralex Hernia Patch
SEPRAMesh IP Bioresorbable Coating/Permanent
Mesh
12.5 x 15.5cm, 15.5 x 20.5cm
Port: Base 22.6 x 28.2mm. Height: 11.7mm. Weight:
5.2g. Catheter: 9.6Fr
Port: Base 22.6 x 28.2mm. Height: 11.7mm. Weight:
5.2g. Catheter: 6 & 8Fr
Port: Base 38.5 x 28.5mm, Height: 12.6mm, Weight:
9.6g, Catheter: 10Fr
Port: Base 38.5 x 28.5mm, Height 12.6mm, Weight:
9.6g, Catheter: 9.5Fr
8cm x 8cm
3 x 6 inch
Detail Amendment
Detail Amendment
BA164
Dual sided mesh with PTFE mesh on one side and
ePTFE mesh on the other side
Dual sided mesh with PTFE mesh on one side and
ePTFE mesh on the other side
Bard CK Parastomal Patch
Intermediate-sized MRI port with open-ended preattached or attachable Hickman single lumen catheter
Intermediate-sized MRI port with open-ended preattached or attachable Chronoflex single lumen
Intermediate-sized MRI port with open-ended
attachable Hickman dual lumen catheter
Intermediate-sized MRI port with open-ended
attachable Chronoflex dual lumen catheter
Bard Ventrlex Hernia Patch, Large
Polypropylene & polyglycolic acid polymer mesh
coated with a biopolymer: a bioresorbable coating of
modified sodium hyaluronate,
carboxymethylcellulose & polyethylene glycol based
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 13 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BA187
SEPRAMesh IP Bioresorbable Coating/Permanent
Mesh
Polypropylene & polyglycolic acid polymer mesh
coated with a biopolymer: a bioresorbable coating of
modified sodium hyaluronate,
carboxymethylcellulose & polyethylene glycol based
4 x 8 inch
Detail Amendment
BA188
SEPRAMesh IP Bioresorbable Coating/Permanent
Mesh
Polypropylene & polyglycolic acid polymer mesh
coated with a biopolymer: a bioresorbable coating of
modified sodium hyaluronate,
carboxymethylcellulose & polyethylene glycol based
6 x 8 inch
Detail Amendment
BA189
SEPRAMesh IP Bioresorbable Coating/Permanent
Mesh
Polypropylene & polyglycolic acid polymer mesh
coated with a biopolymer: a bioresorbable coating of
modified sodium hyaluronate,
carboxymethylcellulose & polyethylene glycol based
8 x 12 inch
Detail Amendment
4mm - 10mm diameter, 3cm - 8cm length
4mm - 10mm diameter, 3cm - 12cm length
28mm Filter, 7Fr delivery System
4mm - 8mm diameter
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
3mm - 10mm diameter
4 - 8mm diameter
Detail and Benefit Amendment
Detail and Benefit Amendment
4 - 19mm diameter
Detail and Benefit Amendment
4 - 10mm diameter
Detail and Benefit Amendment
3 - 10 diameter
3 - 19mm diameter
3 - 10mm diameter
6-10mm diameter, 40 - 80cm length
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
4mm - 8mm diameter, 10cm - 50cm length
Rectangle, Oval, Circle, Square 2.9mm-8mm x 6mm 9.5mm
36-45cm overall length
2.4 - 6.6 French Catheter
7 - 14.4F French Catheter
7 - 9 French Catheter
13.5 French Catheter
8 - 9.6 French Catheter
8 - 9.6 French Catheter
Detail and Benefit Amendment
Detail and Benefit Amendment
Vascular CAG
BA004
BA005
BA010
BA019
Encapsulated Carbon Lined Stent Graft
Encapsulated Carbon Lined Stent Graft
Recovery G2
Impra PTFE Vascular Grafts
BA020
BA021
Impra PTFE Vascular Grafts
Impra PTFE Vascular Grafts
BA022
Impra PTFE Vascular Grafts
BA023
Impra PTFE Vascular Grafts
BA024
BA025
BA026
BA028
Impra PTFE Vascular Grafts
Impra PTFE Vascular Grafts
Impra PTFE Vascular Grafts
Impra PTFE Vascular Grafts
BA029
BA039
Impra PTFE Vascular Grafts
Grafts Vascular
AV access PTFE covered nitinol self-expanding stent
Iliac / SFA PTFE covered nitinol self-expanding stent
Nitinol self expanding vena cava filter
ePTFE graft - radially supported, thin wall, 10 50cm long
ePTFE graft - thin wall, 10 - 50cm long
ePTFE graft - radially supported, thin wall, greater
than 50cm long
ePTFE graft - radially supported, regular wall, 1050cm long
ePTFE graft - radially supported, regular wall, greater
than 50cm long
ePTFE graft - thin wall, greater than 50cm long
ePTFE graft - regular wall, 10-50cm long
ePTFE graft - regular wall, greater than 50cm long
Distaflo ePTFE graft with preformed cuff and flex
support
Venaflo ePTFE graft with preformed cuff
Polyester pledgets
BA040
BA049
BA050
BA051
BA052
BA056
BA057
VitaCuff, Hickman Catheter
Broviac Catheters
Hickman Catheters Single
Hickman Catheters Dual
Hickman Catheters Triple
Subcutaneous Ports
Groshong Subcutaneous Ports
Dialysis/Apheresis catheter, dual lumen, silicone
Without VitaCuff, silicone
Without VitaCuff, silicone
Without VitaCuff, silicone
Without VitaCuff, silicone
Hickman open-ended catheter, single lumen
Single or dual lumen catheter
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 14 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BA059
Dual Lumen Subcutaneous Ports
7 - 10 French Catheter
Detail and Benefit Amendment
BA060
BA089
BA093
Hickman Subcutaneous Ports
Impra PTFE Vascular Grafts
Impra PTFE Vascular Grafts
6 - 6.6 French Catheter
20 x 90mm
30 x 30mm, 10 x 90mm, 30 x 60mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
BA125
Groshong Catheter
Single Lumen, sizes 3fr-8fr
Detail Amendment
BA129
Vascular Catheter
Single Lumen 3Fr - 6Fr
Detail Amendment
BA140
HemoGlide Long Term Haemodialysis Catheter
Silicone, Polyurethane or ChronoFlex Open-ended
Catheter
Low-Profile
ePTFE Cardiovascular Patch 0.4mm Oval
ePTFE Cardiovascular, Patch 0.6mm, Rectangular,
Patch 0.4 Oval, Rectangular
Single Lumen, Sizes 3fr-8fr Groshong Valved-Closed
ended catheter
PICC - may include a Groshong Valved - Closed
ended PICC, Single Lumen 3Fr-6Fr
Kit contents: 14.5fr catheter, 18g guidewire
introducer needle, 0.038" 70cm J-wire guidewire, 15fr
PTFE introducer sheath, 8" tunnelling device, 1012fr dualator vessel dilator, 2 adhesive dressings, 2
injections caps, silicone attachable suture wing, hep
15, 19, 23 & 27cm straight kit; 19 & 23cm Pre-curved
kit; 19, 24 & 28cm and 31cm Pre-curved jugular kit.
Detail Amendment
BA159
HemoSplit Long Term Haemodialysis catheter
HemoSplit is a carbothane long term dual lumen
catheter used to provide vascular access for
haemodialysis. It comprises of a double D lumen
configuration catheter each lumen having an ID of
2.3mm) with a fixed split tip (to 7.5cmm) which
enables blood flo
Standard Kit (straight15cm to42cm and pre-curved
19cm to31cm), Microintroducer Kits (straight 19cm
to 42cm & pre-curved 19cm to 31cm)
Detail Amendment
BA171
BA175
BA177
Dynaflo AK Bypass Graft
HemoGlide Long Term Haemodialysis Catheter
SlimPort Ultra Low Profile Implanted Port
Luminex Vascular Stent
PowerPort
7 & 8mm diameter. 50, 60, 70, 80cm lengths
31cm PC2 Jugular Kit
Port: 16.9 x 22.7mm (W) x 9.2mm (H); 2.9g Wt 6 Fr
Catheter
4mm - 20mm diameters, 2cm - 12cm lengths
One size, OF Catheter
Detail and Benefit Amendment
Detail Amendment
Detail and Benefit Amendment
BA178
BA181
BA182
BA183
BA184
BA185
PowerPICC
PowerPICC
PowerPICC
Lifestent
6F, 55cm length
5F, 6F, 55cm Length
5F, 55cm length
Diameter: 6-10mm, Length: 20-100mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
BA190
Lifestent - Peripheral Stent
PTFE Graft
14.5Fr Double D stepped tip cuffed catheter
Ultra SlimPort Low Profile Plastic/Titanium port
with attachable Chronoflex® single lumen catheter
Luminex nitinol self-expanding stent
Sterile Titanium or MRI, subcutaneous implanted
port with attachable radiopaque open ended
ChronoFlex polyurethane catheter, intermediate kit
Triple Lumen Power Injector Catheter
Dual Lumen Power Injector Catheters
Single Lumen Power Injector Catheter
Laser cut nitinol self expanding stent, used to treat
peripheral disease
Stent: Stainless Steel composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent Length 15mm - 18mm, 0.035 compatible
Detail and Benefit Amendment
BA191
Lifestent - Peripheral Stent
Stent Length 19mm - 27mm, 0.035 compatible
Detail and Benefit Amendment
BA192
Lifestent - Peripheral Stent
Stent: Stainless Steel composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent: Stainless Steel composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent Length 28mm - 37mm, 0.035 compatible
Detail and Benefit Amendment
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 15 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BA193
Lifestent - Peripheral Stent
Stent Length 38mm - 56mm, 0.035 compatible
Detail and Benefit Amendment
BA194
Lifestent - Peripheral Stent
Stent: Stainless Steel composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent: Stainless Steel composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent Length 15mm - 18mm, 0.018 compatible
Detail and Benefit Amendment
BA195
Lifestent - Peripheral Stent
Stent: Stainless Steel composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent Length 19mm - 27mm, 0.018 compatible
Detail and Benefit Amendment
BA196
Lifestent - Peripheral Stent
Stent: Stainless Steel Composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent Length 28mm - 37mm, 0.018 compatible
Detail and Benefit Amendment
BA197
Lifestent - Peripheral Stent
Stent Length 38mm - 56mm, 0.018 compatible
Detail and Benefit Amendment
BA198
Lifestent Peripheral Stent
Stent: Stainless Steel Composition. Items included in
delivery system: nylon balloon, stent and
deployment system
Stent: Nitinol composition with tanilum markers,
Items included in the delivery system: Stent,
deployment system
6-8mm Diameter, length 20-90mm
Detail and Benefit Amendment
BA199
Lifestent
Diameter: 6-8mm, Length: 120mm
Detail and Benefit Amendment
BA200
Lifestent
Diameter: 6-8mm, Length: 150mm
Detail and Benefit Amendment
BA201
Lifestent
Laser cut nitinol self expanding stent, used to treat
peripheral disease
Laser cut nitinol self expanding stent, used to treat
peripheral disease
Laser cut nitinol self expanding stent, used to treat
peripheral disease
Diameter: 6-8mm, Length:170mm
Detail and Benefit Amendment
Bausch & Lomb (Australia) Pty Ltd
Ophthalmic
BL015
BL022
Amvisc Plus injection
SofPort Advanced Optic (AO)
15mg/mL Sodium Hyaluronate for intraocular use
Posterior chamber, foldable silicone IOL with anterior
optic-haptic square edge, posteriof optic-haptic
square edge, 360-degree optic square edge and asperic
optic for aberration control
0.5mL and 0.8mL
0 D to 30.0 D
Detail Amendment
Detail Amendment
BL023
Akreos Advanced Optic
Posterior chamber, foldable acrylic IOL, with anterior
optic-haptic square edge, posterior optic-haptic
square edge, 360 degree optic square edge and
aspheric optic for aberration control
0 D to 30.0 D
Detail Amendment
BL025
SofPort Advanced Optic (AO) Violet Shield
Posterior chamber, aphakic, foldable silicone, anterior
& posterior edge modification intraocular lens with
aberration technology, a violet light
6mm optic 13mm overall lengthModified C 5
degree angulation 0-30D, 0.5D steps
Detail Amendment
BL026
Akreos AO Micro Incision Lens
Micro Incision, posterior chamber, foldable acrylic,
aphakic, anterior & posterior edge modification,
preloaded, with aberration contro, intraocular lens
6mm optic overall diameter 11.0mm(10D-15D),
10.7mm (15.50-22D), 10.5mm (22.50-30D)
Detail Amendment
Changed Items for Prostheses List Report
Page 16 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BL027
Crystalens HD
Accommodating lens with > 3 Dioptres of
accommodation with dual mechanism of action: (1)
forward axial movement of lens and (2)
accommodative arching of optic. Posterior chamber,
polyspheric optics, 3-piece, plate haptic, foldable
UV light filtering, biconvex
10.0 to 33.0 Dioptres in .05 Dioptre steps
Detail Amendment
2.0 ml (containing 1.0 ml of Sealer Protein Solution
and 1.0 ml of Thrombin Solution)
4.0 ml (containing 2.0 ml of Sealer Protein Solution
and 2.0 ml of Thrombin Solution)
10.0 ml (containing 5.0 ml of Sealer Protein Solution
and 5.0 ml of Thrombin Solution)
Module 0.5ml dose, Module 2 ml dose
SV Half day, 5ml/hr, 60ml vol. LV 10, 10ml/hr,
240ml vol. SV Single day, 2ml/hr, 48ml vol. LV 5,
5ml/hr, 240ml vol.
Detail Amendment
Baxter Healthcare Pty Ltd
General Miscellaneous
BX214
TISSEEL Two Component Fibrin Sealant Syringe
BX215
TISSEEL Two Component Fibrin Sealant Syringe
BX216
TISSEEL Two Component Fibrin Sealant Syringe
BX245
BX246
Patient Control Module
Infusor
Active ingedients:Sealer Protein Solution & Thrombin
Solution - deep-frozen
Active ingedients:Sealer Protein Solution & Thrombin
Solution - deep-frozen
Active ingedients:Sealer Protein Solution & Thrombin
Solution - deep-frozen
Sterile infusor devices, spring or elastomer driven
Sterile infusor devices, spring or elastomer driven
BX247
Intermate
Sterile infusor devices, spring or elastomeric driven
SV 200 - 200ml/hr, 100ml vol. SV 100 - 100ml/hr,
100ml vol. LV 250, 250ml/hr, 275ml vol. SV 50 50ml/hr, 100ml vol. LV 100 - 100ml/hr, 275ml vol.
LV 50, 50ml/hr, 275ml vol
Detail Amendment
BX248
Infusor
Sterile infusor devices, spring or elastomer driven
LV 2, 2ml/hr, 275 ml vol; LV 1.5, 1.5ml/hr, 275ml
vol; SV Multi day, 0.5ml/hr. 60ml vol; SV Seven day,
0.5ml/hr, 96ml vol
Detail Amendment
BX249
BX250
Multirate with PCM
Basal/Bolus and Multirate Infusors
Sterile infusor devices, spring or elastomer driven
Sterile infusor devices, spring or elastomer driven
Multirate 5, 7 or 12 ml/hr with PCM
Basal/Bolus 60, Basal 0.5ml/hr, Bolus 0.5ml/hr x
65ml; Basal/Bolus 15, Basal 0.5ml/hr, Bolus 2ml/hr x
65ml; Basal/Bolus infusor, Basal 2ml/hr, Bolus 2ml/hr
x 65ml; Multirate 5, 7 or 12 ml/hr x 300 ml;
Multirate 2, 4, or 6 ml/hr x 300 ml; Multirate 2, 3, or
5 ml/hr x 300 ml; Multirate 1, 2 or 3 ml/hr x 100 ml
Detail Amendment
Detail Amendment
BX252
CoSeal Surgical Sealant
Composition: two synthetic polyethelene glycols
(PEG's), COH102 and COH206, premixed and filled
into one syringe, a dilute hydrogen chloride solution
and a sodium phosphate/sodium carbonate solution
2ml
Detail Amendment
BX253
CoSeal Surgical Sealant
Composition: two synthetic polyethelene glycols
(PEG's), COH102 and COH206, premixed and filled
into a syringe, a dilute hydrogen chloride solution and
a sodium phosphate sodium carbonate solution
4ml
Detail Amendment
BX254
CoSeal Surgical Sealant
Composition: two synthetic polyethelene glycols
(PEG's), COH102 and COH206, premixed and filled
into a syringe, a dilute hydrogen chloride solution and
a sodium phosphate sodium carbonate solution
8ml
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 17 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BX260
ADEPT Adhesion Reduction Solution
ADEPT Adhesion Reduction Solution is a single use,
sterile fluid for intraperitoneal administration.
ADEPT is intended to be used as an instillate for the
reduction of adhesions following abdominal surgery.
1500ml
Detail and Benefit Amendment
BX261
Tisseel Duplospray MIS Applicator 20cm
A 20cm long dual lumen metal cannula
Detail and Benefit Amendment
BX262
TISSEEL DUPLOCATH 180cm
COSEAL Spray Accessory Kit
A 180cm long double lumen flexible application
catheter
One size available
Detail and Benefit Amendment
BX263
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
Ttwo component Fibrin Sealant containing human
derived fibrinogen and thormbin.
A hydrogel that acts as a sealant by adhering to itself
and the tissues it contacts. COSEAL is designed to
completely seal suture lines along vascular
reconstructions to prevent fluids from leaking.
BX264
TISSEEL DUPLOTIP 20g x 26.4cm
A 26.4cm long dual umen applicator
Detail and Benefit Amendment
BX265
TISSEEL DUPLOTIP 5mm x 31.8cm
A 31.8cm long dual lumen applicator
Detail and Benefit Amendment
BX266
Packs of 10 sterile packs each containing 2 tips and
an installation tool
A 40 cm long dual lumen metal cannula
Detail and Benefit Amendment
BX267
TISSEEL DUPLOSPRAY MIS APPLICATOR
REPLACEMENT TIPS
TISSEEL DUPLOSPRAY MIS APPLICATOR 40 cm
BX268
TISSEEL DUPLOCATH 35cm MIC/MIS
A 35cm long double lumen flexible application
Detail and Benefit Amendment
BX269
TISSEEL Easyspray Set
One size
Detail and Benefit Amendment
BX270
COSEAL Applicator Tips 10 cm
Ttwo component Fibrin Sealant containing derived
fibrinogen and thrombin.
Ttwo component Fibrin Sealant containing human
derived fibrinogen and thormbin.
Ttwo component Fibrin Sealant containing human
derived fibrinogen and thrombin.
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
Two component Fibrin Sealant containing human
derived fibrinogen and thormbin.
Ttwo component Fibrin Sealant containing human
derived fibrinogen and thrombin.
COSEAL, which is listed on the Prostheses List, is a
hydrogel that acts as a sealant by adhering to itself
and the tissues it contacts. COSEAL is designed to
completely seal suture lines along vascular
reconstructions to prevent fluids from leaking. Thi
A 10cm long applicator tip
Detail and Benefit Amendment
BX271
TiSSEEL DUPLOTIP 20g x 10.4cm
10.4cm long dual lumen applicator
Detail and Benefit Amendment
BX272
TISSEEL DUPLOCATH 25cm
A 25cm long double lumen flexible application
Detail and Benefit Amendment
BX273
Floseal Endoscopic Applicator
A 35cm long disposable cannulated applicator.
Detail and Benefit Amendment
BX274
TISSEEL DUPLOTIP 20G x 5.3cm
A 5.3 cm long dual lumen applicator.
Detail and Benefit Amendment
BX275
COSEAL Extended Applicator 22 cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
Ttwo component Fibrin Sealant containing human
derived fibrinogen and thormbin.
Used as an adjunct to haemostasis when control of
bleeding by ligature or conventional surgical
procedures is ineffective or impractical.
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
COSEAL, which is listed on the Prostheses List, is a
hydrogel that acts as a sealant by adhering to itself
and the tissues it contacts. COSEAL is designed to
completely seal suture lines along vascular
reconstructions to prevent fluids from leaking. Thi
A 22 cm long malleable applicator
Detail and Benefit Amendment
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 18 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BX276
Floseal Curved Applicator TIP 8 cm
FLOSEAL, which is listed on the Prostheses List, is
used as an adjunct to haemostasis when control of
bleeding by ligature or conventional surgical
procedures is ineffective or impractical. This
applicator is an 8 cm curved metal tip, which is
attached t
An 8cm long curved metal applicator tip
Detail and Benefit Amendment
BX277
TISSEEL DUPLOSPRAY MIS APPLICATOR 30 cm
A 30 cm long dual lumen metal cannula
Detail and Benefit Amendment
BX278
Floseal Curved Applicator Tip 10 cm
Two component Fibrin Sealant containing human
derived fibrinogen and thrombin.
FLOSEAL is used as an adjunct to haemostasis when
control of bleeding by ligature or conventional
surgical procedures is ineffective or impractical. This
applicator is an 10 cm curved metal tip, which is
attached to the FLOSEAL syringe (sold separately)
A 10cm long curved metal applicator tip
Detail and Benefit Amendment
Stainless Steel
Diam 2.25-4.0mm Length 8-28mm
Benefit Amendment
-
3 - 4 mm x 20 cm
Detail and Benefit Amendment
Femoral stem, titanium, grit blast, non HA
Grit Blast Distal Stems, non HA
Ringloc Series shell, UHMWPE liner and Chrome
Cobalt head
Femoral Stem, Titanium, plasma, no HA, long
acetabular augment, Porous Ti Alloy
12mm to 30mm x 250mm
150mm - 200mm
24-28mm
Detail Amendment
Detail Amendment
Detail Amendment
220 - 300mm long, 12mm to 26mm diameter
48 to 58mm, small medium or large version
Detail Amendment
Detail Amendment
Lactosorb Plates, 2mm System, All shapes
8 - 15 hole
Detail Amendment
distraction device, single tooth
distraction device, multi tooth
Plate & screws: Neuro pack Burr cover or multi plate
set. Thinflap 4 hole plus plate sets
Plate & screws: Neuro pack - single plate or thinflip
2 hole plate set
Lactosorb Plates, 1.5mm System
Lactosorb Plates, 1.5mm System
10-20mm
10-20mm
1.5mm or 2mm system
Detail Amendment
Detail Amendment
Detail Amendment
1.5mm or 2mm system
Detail Amendment
4 - 7 hole
8 - 15 hole
Detail Amendment
Detail Amendment
Bio Excel Australia Pty Ltd
Cardio-thoracic
BE001
Gazelle Coronary Stent
Bio Nova International Pty Ltd
Vascular CAG
BN004
Omniflow II Vascular Prosthesis - Straight
Biomet Australia Pty Ltd
Orthopaedic
BI072
BI081
BI096
Modular Calcar Mallory Head Revision Hip System
ARCOS Modular Revision Hip System
Tripolar Acetabular Cup Series
BI118
BI960
Modular Calcar Mallory Head Hip System
Regenerex revision cup
Plastic and Reconstructive
BH002
BI823
BI824
BI870
Lactosorb Resorbable Craniomaxillofacial Fixation
System
Alveolar Ridge Distraction System - titanium
Alveolar Ridge Distraction System - titanium
Neurological Packs
BI949
Neurological Packs
BI990
BI991
Lactosorb Resorbable CMF System
Lactosorb Resorbable CMF System
Changed Items for Prostheses List Report
Page 19 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Rotator Cuff Butress, Lactosorb; PGA/PLA
Screw and washer. Ti
Bi Polar Shell, Titanium/ UHMWPE/Chrome Cobalt
Bi Polar Head, Chrome Cobalt
Bi Polar shell/ Titanium, chrome Cobalt
Humeral Head, Chrome Cobalt
Humeral Stem, titanium
Glenoid Component, Cemented,
Modular Head, Chrome Cobalt
Glenoid Liner Noncemented, UHMWPE
Glenoid Screw
Glenoid Shell, Titanium
Shoulder Offset Head, Chrome Cobalt
Scan Pin, Stainless Steel
Suture Button, HMWPE
Interference Screw, Titanium
Screw, Graft Interference, PGA/PLA
Bone Mulch Screws, Titanium
Forearm Nail, Titanium
Screw, Distal Fixator, Titanium
Set Screw w/holder, Titanium
Nail End Cap, titanium
Fibula Nail, titanium
Cable Chrome Cobalt
Cable Sleeve, Chrome Cobalt, Stainless Steel
Trochanteric Grip, Chrome Cobalt
Cable, Stainless Steel
Dynamic Compression Plate, 3 hole, Stainless Steel
Dynamic Compression Plate, 5 hole, Stainless Steel
Dynamic Compression Plate, 7 hole, stainless steel
Dynamic Compression Plate, 9 hole, Stainless Steel
Bone Screw, Cortical, tapered, Cancellous, Stainless
Steel
Distal Radius Fixator, Dimension, Stainless Steel,
Aluminium
One size only
Washer 14 - 18mm, Screw 24 - 60mm,
Size 40-60mm
Std to +4mm
40-60mm
40-54mm
6-15mm
Small, Medium, Large x 4 or 7mm
Std, +2, +4mm
Low Profile
5mm x (15-40mm)
Low Profile
40-54mm
16mm x 51-152mm
15mm, 19mm
15-30mm
7mm, 8mm, 9mm, 10mm
10.5mm x (20-35mm)
3.5mm x (180-260mm)
One size only
One size only
low profile, one size only
(3.5, 4.5mm) x 150mm
1.6mm or 2.0mm
One Size only
1.6mm or 2.0mm
1.6mm or 2.0mm
One size only
One size only
One size only
One size only
2.4mm to 6.00mm diameter
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
One size only
Detail Amendment
Specialist Orthopaedic
BI005
BI206
BI208
BI209
BI214
BI215
BI216
BI217
BI218
BI219
BI220
BI221
BI222
BI232
BI233
BI239
BI241
BI246
BI248
BI249
BI250
BI251
BI252
BI253
BI254
BI255
BI256
BI258
BI259
BI260
BI261
BI262
Re-Unite Orthopaedic System
Arthrotek Ligament Fixation System
Bi-Angular Shoulder System
Bi-Angular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Bio-Modular Shoulder System
Moore Pins
Arthrotek Ligament Fixation System
Arthrotek Ligament Fixation System
Gentle Threads Ligament Fixation Screws
Arthrotek Ligament Fixation System
SST Small Bone Locking Nail
SST Small Bone Locking Nail
SST Small Bone Locking Nail
SST Small Bone Locking Nail
SST Small Bone Locking Nail
BMP Cable System
BMP Cable System
BMP Cable System
BMP Cable System
BMP Cable System
BMP Cable System
BMP Cable System
BMP Cable System
EBI XFIX Dynafix System
BI264
EBI XFIX Dynafix System
Changed Items for Prostheses List Report
Page 20 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BI265
EBI XFIX Dynafix System
Hybrid Fixation System, Stainless Steel, Aluminium
Rings - 1/3, 2/3, Rotating, 100mm-220mm. Ring Bolt
- Xsmall, adult. Ring to fixator connector. Rotation
adaptor - male, female, Xsmall, adult. Variable wire (1
size) or Variable Screw Carriage (fixed and
angulating). Wire (1.6-2mm x 350-400mm). Washer
(9
Detail Amendment
BI267
EBI XFIX Dynafix System
Fixator Complete - includes T-Clamp,
Compression/Distraction, Dynamisation, Articulating
Ankle Clamp
Standard, Small, Extra Small
Detail Amendment
BI271
BI272
EBI XFIX Dynafix System
EBI XFIX Dynafix System
160 or 200mm x (1.6 or 2.0mm)
One size only
Detail Amendment
Detail Amendment
BI277
BI287
BI304
BI306
BI320
BI342
BI343
BI344
Re-Unite Orthopaedic Bone Pin
Uniflex Tibial Nail
Rush Intramedullary Pins
Rush Intramedullary Pins
Arthrotek Harpoon System
Copeland Shoulder System
Copeland Shoulder System
Copeland Shoulder System
(1-4)mm dia x (20-70)mm
4.0, 5.0mm x (20-70mm)
3.2mm x (100-250mm)
(6 - 6.4mm) x (280 - 440mm)
1 to 5
One size only
Small, Std, Large (no specific size)
Small, Std, Extra Deep (no specific size)
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
BI345
BI768
BI775
BI776
BI777
BI819
Copeland Shoulder System
Mandibular Fracture System
EBI XFIX DynaFix System
EBI XFIX DynaFix System
EBI XFIX DynaFix System
EBI XFIX Dynafix System
Small, Std, Large (no specific size)
2.0 x(5 - 13)mm
One size only
Small and Large
Small, Medium, Long, 100mm, 150mm
4-8cm, Xsmall - Adult
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
BI820
BI827
BI828
BI829
BI830
BI831
BI832
BI834
BI835
BI843
BI849
EBI XFIX DynaFix System
EBI XFIX Vision System
EBI XFIX Vision System
EBI XFIX Vision System
EBI XFIX Vision System
EBI XFIX Vision System
EBI XFIX Vision System
EBI XFIX DynaFix System
Bio-Modular Shoulder System
EBI XFIX DynaFix System
EBI XFIX DynaFix System
Wire Straight or Olive with Washer, Chrome Cobalt
Distal Radius Fixator, Wristfix, Stainless Steel,
Aluminium
Bone Pin, PGA/PLA
Tibial Nail Transverse Screw, Titanium
Stainless Steel
Stainless Steel
Suture Anchor, Stainless Steel, Ti
Glenoid, UHMWPE
Humeral, Chrome Cobalt
Glenoid Component, HA Coated, Chrome Cobalt,
UHMWPE
Humeral Component, Chrome Cobalt
Screw, IMF 2./2.4 Mandibular Fracture, Titanium
Distal radius fixator, wristfix, sterile, complete
OptiROM Articulating Fixator Complete
Mini fixator/lengthener with comp/dist
Multi Axial Correction and Metaphyseal Arc
Module complete with T-clamp
Screw, HA coated, cortical, cancellous
Rod Clamps/Connector, stainless steel/aluminium
Clamp/Rod, stainless steel/aluminium
Screw, Transfixing, Stainless steel
Ring Connector Assembly, stainless steel/aluminium
Post, Bone Screw, Telescoping, stainless steel
Rods, Bars, stainless steel/aluminium/carbon fibre
Screw, VS Osteotomy System, Ti
Extended Articular Surface Humeral Head, CrCo
Plate, VS Osteotomy Ti
OptiROM Passive Distractor Module
Dia 2-6mm
Dia 9.5mm
4mm/6mm, 3-5 hole, 50-150mm
4 - 6mm diameter
1 or 2 bolt model
One size only
Dia 9.5mm, 150-400mm length
6mm x (30mm-110mm)
40 - 54mm
4 hole, 6 hole
One Size Only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 21 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BI850
BI851
EBI XFIX DynaFix System
EBI XFIX Dynafix System
One Size Only
Ex Small, Small, Adult, 4-6mm
Detail Amendment
Detail Amendment
BI852
EBI XFIX Dynafix System
Ex Small, Small, Adult, 4-6mm
Detail Amendment
BI853
BI854
EBI XFIX Dynafix System
EBI XFIX Dynafix System
Ex Small, Small, Adult, 5-20cm
Ex Small, Small, Adult, 4-6mm
Detail Amendment
Detail Amendment
BI855
BI856
BI857
BI880
BI881
BI882
BI884
BI915
BI920
BI921
BI922
BI923
BI929
BI930
BI931
BI968
BI969
BI979
EBI XFIX Dynafix System
EBI XFIX Dynafix System
Kirschner Wires
Mosaic Humeral Replacement System
Mosaic Humeral Replacement System
Mosaic Humeral Replacement System
Comprehensive Fracture Stem
Batcup
EZLoc Femoral fixation Device
EBI Paediatric Locking Nail System
EBI Paediatric Locking Nail System
EBI Paediatric Locking Nail System
Sternalock
Sternalock
Sternalock
ToggleLoc
MaxFire
Hitch suture anchor
Hip Distractor Aluminium, Stainless Steel, Titanium
Clamp (Straight, Transport, Rotational T-clamp,
Adaptor, Lenghtener, Shim, Single)
Clamp (Rotational Serrated T-clamp, Swivel,
Translational, Uniplaner, CD)
CD Clicker
Rail Accessory (Adaptor, CD Support,
Dynamization, Bridge)
Wrench
Rail (Carbon Fiber)
Stainless Steel wire
Mosaic System - CoCr, Ti
Mosaic System - CoCr, Ti
Mosaic System - CoCr, Ti
Fracture Stem Cobalt Chrome, Titanium
6.5mm Ti Cancellous Bone Screws
Ligament Anchor, Ti, PE
Femoral Locking Nail - titanium;
Screw Pilot Double Thread - titanium;
Nail end cap, titanium
Screws Ti
Plates - xyphoid, "L" & square
Plates - "X" & "T"
Femoral Fixation Device
Meniscal Repair Device
Suture anchor with maxbraid sutures, PEEK
Ex Small, Small, Adult, 3-6mm
100-420mm
(1-3.2mm) diameter x (100 to 310mm) length
Proximal Body - Std to +20
Segment - 80 to 140 mm
Stem - 6.5 to 14.5 mm x 50 to 200 mm
4,6,8,10,12,14mm
12mm to 45mm
7-8; 9-10mm x Short, std or long.
28 -42cm x 5.5 - 6.5mm
20 - 68mm x 4.0mm
5.5mm - 6.5mm
2.4-2.7mm x 8-12mm
4 hole
5-8 hole
15mm-60mm
one size
2.4mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Multiprogrammable, rate responsive, DDDR
Multiprogrammable, Rate Responsive, SSIR
Lead, pacemaker, implantable, endocardial
Transvenous Bipolar Passive Steroid Ventricular
Pacing Lead, fractal coated
Fractal coated steroid electrode
Coronary Sinus Lead
Dual Chamber Rate Responsive with Home
One size only
One size only
45, 53, 60cm length
53 and 60cm lengths
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
45 and 53cm lengths
77, 87cm
One size only
Benefit Amendment
Benefit Amendment
Detail and Benefit Amendment
Biotronik Australia Pty Ltd
Cardio-thoracic
BT060
BT062
BT063
BT066
Philos II DR
Philos II SR
Selox SR
Selox ST
BT067
BT070
BT071
Selox JT
Corox OTW UP Steroid
Philos II DR-T
Changed Items for Prostheses List Report
Page 22 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BT079
Cylos DR-T
one size
Detail and Benefit Amendment
BT080
BT082
BT083
Cylos VR
PRO-Kinetic
Setrox S
one size only
8-40mm length 2-5mm diameter
length 45, 53, 60cm
Benefit Amendment
Benefit Amendment
Benefit Amendment
BT084
Linox SD
65, 75cm length, 16, 18mm elec dis
Benefit Amendment
BT085
Stratos LV-T
One size only
Detail and Benefit Amendment
BT086
Lumax 340 DR-T
One Size Only
Detail and Benefit Amendment
BT087
Lumax 300 VR-T
One Size Only
Detail and Benefit Amendment
BT088
BT089
BT090
Lumax 300 HF-T
Lumax 340 HF-T
Lumax 340 VR-T
One size only
One Size Only
One size only
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
BT091
BT092
Lumax 300 DR-T
Linox TD
Linox T
Corox OTW BP
Linox S
Dextrus (marketed by Boston Scientific)
One size only
65, 74 or 100cm length and 16 or 18mm electrode
spacing
65, 75cm length
77, 87 cm length
65, 75cm length
7Fr, with 45cm, 53cm and 60cm length options
Detail and Benefit Amendment
Benefit Amendment
BT093
BT095
BT096
BT097
BT098
Lumax 340 VR-T XL
One Size Only
Detail and Benefit Amendment
BT100
LUMAX 540 VR-T
Dual chamber dual sensor rate responsive with home
monitoring system option
single chamber dual sensor rate responsive
Cobalth Chromium coronary stent system
Bipolar active fixation lead with fractal coated and
steroid eluting electrode
Fractal coated and steroid electrode, active fixation
quadrapolar
Multiprogrammable Biventricular DDDRV with
Home Monitoring
ICD-DR 34 J with bidirectional Home Monitoring.
Dual chamber
ICD-VR with bidirectional Home Monitoring. Single
chamber
CRT-D with bidirectional Home Monitoring
CRT-D 34 J with bidirectional Home Monitoring
ICD-VR 34 J with bidirectional Home Monitoring.
Single chamber
ICD-DR with bidirectional Home Monitoring
Fractal and steroid coated passive fixation
quadripolar ICD lead
Passive fix RV bipolar fractal coated steroid ICD lead
Coronary Sinus bipolar steroid
Active fix RV bipolar fractal coated steroid IC lead
Bipolar, silicone, active fixation, steroid eluting,
pacing lead
ICD-VR with 40 J output, bidirectional Home
Monitoring and High Longevity
High Energy, Single-Chamber ICD (Implantable
Cardiac Defibrillator) with Advanced Patient
Management Via unique Home Monitoring
Technology incorporatin Automatic Threshold
Monitoring and Extended Longevity.
Diamensions: 66*55*13 mm Volume/Weight :
37.2cc/92g
Detail and Benefit Amendment
BT101
Lumax 540 DR-T
High Energy, Dual-Chamber ICD (Implantable
Cardiac Defibrillator) with Advanced Patient
Management Via unique Home Monitoring
Technology incorporating Automatic Ventricular
Diamensions: 66*55*13mm, Volume/Weight:
37.2cc/92g
Detail and Benefit Amendment
BT102
Lumax 540 HF-T
High Energy, Three Chamber ICD (Implantable
Cardiac Defibrillator) with Advanced Patient
Management Via unique Home Monitoring
Technology incorporating Automatic RV/LV
Threshold Monitoring and Extended Longevity.
Diamensions: 66*59*13 mm, Volume/Weight:
39.8cc/94g
Detail and Benefit Amendment
BT104
Cylos 990 DR
Dual-chamber pacemaker with Closed Loop
Stimulation (CLS)
57* 43* 6mm/28g
Benefit Amendment
Changed Items for Prostheses List Report
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Page 23 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BT105
Cylos 990 DR-T
57*43*6mm/28g
Benefit Amendment
BT106
Cylos 990 SR
57 x 39 x 6mm / 27g
Benefit Amendment
BT107
PRO-Kinetic Energy
Dual-chamber pacemaker with Closed Loop
Stimulation (CLS) and Biotronik Home Monitoring
Technology
Single-chamber pacemaker with Closed Loop
Stimulation (CLS)
The PRO-Kinetic Energey stent is a tubular, balloonexpandable stent sculpted by laser from a single tube
of L-605 cobalt chromium (CoCr) alloy. The stent
consists of circular segments at each end followed by
a transition zone and helicoidally arranged struts in
the middle. Each loop of the helix is connected to the
next loop by 3 longitudinal struts. The stent surface
is fully coated with a layer of amorphous hydrogenrich silicon carbide (aSiC:H). This material has
semiconducting properties that efficiently prevent
the electron transfer from fibrinogen to the metal
surface in vitro. Thereby the conversion from
fibrinogen to fibrin and it's depoisition at the stent
surface is reduced. Additionally, aSiC:H - coated
stents exhibit a lower adhesion and activation of
blood platelets and leucocytes. Finally, the release of
potentially allergenic ions from a silicon carbide
coated stent is substantially reduced in comparison to
an uncoated metal stent3. This coating is used on all
Biotronik coronary stents producedso far and was
subject to extensive clinical testing.
The PRO-Kinetic Energy stent is available in 66
different diameter/length combinations. It is available
in lengths from 8mm to 40mm. It is premounted on
a delivery system which has nominal balloon
diameters between 2.0mm and 5.0mm.
Benefit Amendment
Peripheral self expanding nitinol, coated stent
PTA Balloon Expandable Stent
Rapid Exchange, Balloon expandable cobalt chromium
(L-605) peripheral stent - passive coating - 0.014" /
The Astron Pulsar is a nitinol self expanding stent,
used to treat peripheral vessel disease. Is 4Fr
compatible and a rapid exhange delivery system
Dia: 6 - 12mm, Len: 30 - 100mm
5-10mm diameter / 15, 25, 38, 56mm lengths
Diameter: 2.0mm - 5.0mm; Length: 10mm - 40mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
4-12.0mm by 20-200mm
Detail and Benefit Amendment
Vascular CAG
BT072
BT094
BT099
Astron
Dynamic
PRO-Kinetic Explorer
BT103
ASTRON PULSAR
BMDi Tuta Healthcare Pty Ltd
Vascular CAG
TT001
Paragon Ambulatory Drug Infusion System
The top of the Paragon infuser is made of acetyl with
stainless steel parts; the bottom is made of clear
polycarbonate. Diam: 10cm Height: 5.8cm.
Administration Sets - made from PVC and acrylic
components.
Infuser - 100mL Administration Sets - 0.50mL, 1mL,
2mL, 4mL, 10mL, 50mL, 100mL, or 200mL/hr
Detail and Benefit Amendment
TT003
Sidekick Ambulatory Disposable Delivery System
Spring infusor made from high impact plastics.
Administration Sets - made from PVC and acrylic
components.
Infuser - 50mL or 100mL, Administration Sets 50mL, 100mL or 200mL/hr
Detail and Benefit Amendment
Boston Scientific Australia Pty Ltd
Changed Items for Prostheses List Report
Page 24 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Consists of a balloon expandable stent, pre-mounted
on a Maverick 2 Monorail delivery catheter.
316L Stainless Steel Stent with Translute Polymer
and Paclitaxel
VDD Pacemaker
Single chamber pacemaker
Cobalt chromium alloy stent coated with a blended
polymer mixed with Everolimus.
Dual chamber pacemaker
Dual chamber, high energy implantable cardioverter
defibrillator with wireless radio frequency capability
CRT-D (IS-1 and LV-1 connectors)
CRT_D RF High Energy (IS-1 and LV-1 connectors)
High energy single chamber ICD with 4-SITE inline
RV connector (GDT-LLHH)
Transvenous Left Ventricular pacing lead
High energy dual chamber ICD with 4 SITE (GDTLLH) inline RV connector
High energy dual chamber ICD
High energy single chamber ICD with DF-1/IS-1
connector
High Energy CRT-D with 4SITE (GDT-LLHH)
inline RV connector
High Energy CRT-D (DF-1/IS-1 & DF-1/LV1connectors)
Dual chamber pacemaker with rate response
Single chamber pacemaker
Dual Chamber pacemaker
Single Chamber pacemaker
Dual chamber pacemaker
Single chamber pacemaker
VDD Pacemaker
Dual Chamber pacemaker
Single Chamber pacemaker
Stent lengths: 8,12,16,20,24,28 & 32 mm Stent
diameters: 2.25, 2.5, 2.75, 3.0, 3.5, 4.0, 4.5 & 5.0 mm
2.0mm-5.0mm & 8.0mm-38mm
Detail and Benefit Amendment
10.0cc, 23.5g
10cc, 23.4g
2.25mm to 4.0mm diameter, 8mm to 28mm length
Benefit Amendment
Benefit Amendment
Detail and Benefit Amendment
10.8cc, 25.4g
44cc, 87.5g
Benefit Amendment
Detail and Benefit Amendment
40cc, 79.5g, 14.5mm
44cc, 87.5g, 14.5mm
30.5cc, 9.9mm
Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
80, 90 & 100cm
31.55cc, 9.9mm
Benefit Amendment
Detail and Benefit Amendment
31.5cc, 9.9mm
31.5cc, 9.9mm
Detail and Benefit Amendment
Detail and Benefit Amendment
32cc, 9.9mm
Detail and Benefit Amendment
32.5cc, 9.9mm
Detail and Benefit Amendment
10cc - 15cc
10cc - 15cc
10cc - 15cc
10cc - 15cc
10cc - 15cc
10cc - 15cc
10cc - 15cc
10cc - 15cc
10cc - 15cc
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Nitinol, self expanding stent
Monofilament wire, self-expanding stent
Diameters up to 25mm & lengths up to 80mm
Diameters up to 10mm & lengths up to 100mm
Detail Amendment
Detail Amendment
Cardio-thoracic
BS069
Liberte Coronary Stent System
BS099
Taxus Liberte Paclitaxel-Eluting Coronary Stent
BS123
BS124
BS125
Insignia AVT 882
Insignia AVT 1192
Promus Everolimus Coronary Stent System
BS126
BS128
Insignia AVT 1292
Confient RF HE
BS129
BS130
BS132
LIVIAN CRT-D
LIVIAN CRT-D HE
Teligen 100 HE VR 4-SITE
BS133
BS134
Acuity Spiral
TELIGEN 100 HE DR 4-SITE
BS135
BS136
Teligen 100 DR DF-1/IS-1
TELIGEN 100 HE VR DF-1/IS-1
BS138
COGNIS 100 HE 4-SITE
BS139
COGNIS 100 HE (DF-1/IS-1 & DF-1/LV-1)
BS144
BS145
BS146
BS147
BS148
BS149
BS150
BS151
BS152
Altrua 20 DR
Altrua 20 SR
Altrua 40 DR
Altrua 40 SR
Altrua 50 DR
Altrua 50 SR
Altrua 50 VDD
Altrua 60 DR
Altrua 60 SR
Benefit Amendment
General Miscellaneous
BS047
BS051
Ultraflex Tracheobronchial Stent
Wallstent Biliary Stent
Changed Items for Prostheses List Report
Page 25 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BS052
BS053
BS070
BS082
Wallstent Biliary Stent
Wallstent Enteral Stent
Wallstent RX Biliary Stent
Resolution Clip Device
Diameters up to 10mm & lengths up to 100mm
Diameters up to 30mm & lengths up to 150mm
Diameters up to 10mm & lengths up to 100mm
7Fr, 11mm jaw opening
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
BS090
BS101
WallFlex Enteral Stent (Duodenal/Colonic)
Polyflex Airway Stent
Diameters up to 30mm & lengths up to 150mm
Diameters up to 25mm & lengths up to 80mm
Detail Amendment
Detail Amendment
BS103
Dynamic (Y) Stent
Diameters up to 25mm & lengths up to 120mm
Detail Amendment
BS117
BS141
BS142
WallFlex RX Biliary Stent
EndoVive Initial Feeding Tube
EndoVive Replacement Feeding Tube
Monofilament wire, self-expanding stent
Monofilament wire, self-expanding stent
Monofilament wire, self-expanding stent
Pre-loaded endoscopically applied clip, radiopaque
stainless steel & cobalt chrome.
Nitinol, self expanding stent
Polyester braided material encapsulated with silicone,
self expanding stent
Bifurcated Tracheobronchial stent. Bronchial Limbs
made of silicone and tracheal stem made of silicone
with embedded stainless steel c-shape rings.
Platinol, self-expanding stent
Silicone enteral feeding tube
Silicone enteral feeding tube
Diameters up to 10mm & lengths up to 100mm
Up to 24 Fr
Up to 28 Fr
Detail Amendment
Benefit Amendment
Detail Amendment
Polypropylene mesh sling
Ureteral stent with attached suture
One size only
Diameters up to 14Fr & lengths up to 40cm
Detail Amendment
Detail Amendment
Polypropylene mesh Sling
Polypropylene mesh sling
Synthetic Polypropylene mesh
Synthetic Polypropylene mesh assembly and fixation
device
Polypropylene mesh sling
One size only
One size only
Width Up to 15cm & lengths up to 20cm
One configuration
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
One size only
Detail Amendment
Fibered Platinum Coil, Pushable
Coils 2-30mm x3-60mm
Detail and Benefit Amendment
BS028
BS031
Braided Occlusion Device (BOD) Fibered Platinum
Coil
GDC and PVA Delivery Catheters
PVA/Contour SE for embolization and delivery system
Microcatheter Delivery Systems
Polyvinyl alcohol foam and Microcatheter for delivery
Detail and Benefit Amendment
Detail and Benefit Amendment
BS034
PVA Particles (contour embolisation, Contour SE
Polyvinyl alcohol foam, Hydrophilic Spherical Shape
150-175cm/3-25cm
45-150 micron, 150-250 micron, 250-355 micron,
355-500 micron, 500-710 micron, 710-1000 micron,
1000-1180 micron, 150-175cm/3-25cm
45-150 micron, 150-250 micron, 250-355 micron,
355-500 micron, 500-710 micron, 710-1000 micron,
1000-1180 micron; 1ml, 2ml
BS035
Expandable Endovascular Wallstent
Stent Diameter x Stent Length: 6-16mm x 18-70mm
Detail and Benefit Amendment
BS056
Carotid Wall Stent
Express Vascular LD Stent; Express Vascular SD
Fully open diameter 6.0 - 10.0mm, Fully open length
22 - 37mm
Diameter 4mm - 10mm, Length 14mm - 60mm
Detail and Benefit Amendment
BS059
Wallstent - Self-expanding stent, cylindrical braided
structure with core of either tantalum or platinum
Elgiloy (cobalt chromium), Flexible low profile and
self expanding stent
Stainless Steel, Balloon Expanding Stent
Urogenital
BS078
BS091
BS096
BS097
BS127
BS131
Advantage Transvaginal Mid-Urethral Sling System
Percuflex; Percuflex Plus; Percuflex Tail; Percuflex
Tail Plus Ureteral Stents; Ureteral Stent System Kit
Lynx Suprapubic Mid-Urethral Sling System
Obtryx Transoburator Mid-Urethral Sling System
Polyform Synthetic Mesh
Pinnacle PFR Kit
BS140
Advantage Fit Transvaginal Mid-Urethral Sling System
Vascular CAG
BS026
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 26 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
BS065
Vaxcel Implantable Vascular Access System
Polyurethane Catheter Material with dual lumens and
a staggered distal tip; polyester cuff which provides
catheter security and tissue growth; clear extension
tubes with clamps
16 French catheter tapering to a 14 French, lengths
19, 23, 28cm
Detail Amendment
BS077
BS085
Sentinol Nitinol Vascular Stent System
Filterwire EZ
Nitinol Stent with Uniflex Delivery System
Embolic Protection Device
Detail and Benefit Amendment
Detail and Benefit Amendment
BS087
BS088
BS137
Vaxcel PASV PICC
Vaxcel PASV PICC
EPIC Nitinol Stent
Single lumen catheters
Dual lumen catheters
Implantable endoprosthesis nitinol stent system with
delivery system
Diameter: 5 to 10mm. Length: 20 to 120mm
3.5mm - 5.5mm on 190cm delivery system. 3.5mm 5.5mm on 300cm delivery systen.
3, 4, 5 & 6 Fr
3, 4, 5 & 6Fr
5.0mm - 14.0mm by 20mm - 120mm
Ventilation tube - Silicone - T-tube, T-tube grommet
Teflon, w/o wire
Teflon w/wire, and titanium w/o wire
Titanium w wire
Teflon, w or w/o wire
Titanium, w/o wire
Titanium with wire
Armstrong Grommet, Donaldson w & w/o Tab,
Paparella 1 and Paparella 2 (1.5mm)
1.1mm; 1.27mm lumen
1.10mm, 1.25mm, 1.50mm lumen
0.76mm, 1.00mm, 1.25mm, 1.50mm lumen
1.00mm, 1.25mm, 1.50mm lumen
1.15mm lumen
1.00mm, 1.25mm lumen
1.00mm, 1.25mm lumen
1.1mm & 1.5mm lumen
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
BR & CT Enterprises Pty Ltd
Ear, Nose & Throat
BC010
BC011
BC012
BC013
BC014
BC015
BC016
BC017
Ventilation tube
Ventilation Tubes - Collar Button
Ventilation Tubes - Collar Button
Ventilation Tubes - Collar Button
Ventilation Tubes - Shepherd
Ventilation Tubes - Shepherd
Ventilation Tubes - Shepherd
Ventilation Tubes - Silicone
C. R. Kennedy
General Miscellaneous
CK001
Microline Pentax Disposable 10ml Titanium K2 Clip
Cartridge
Disposable cartridge containing 19 surgical grade
titanium clips delivered using a re-usable hand piece
applier
medium/large clip
Detail and Benefit Amendment
CK002
Microline Pentax Disposable 10ml Titanium K2 clip
Cartridge
Disposable cartridge containing 10 surgical grade
titanium clips delivered using a reusable hand piece
applier.
Medium/Large Clip
Detail and Benefit Amendment
CK003
Endox Visu-Loc Clip Applier
Single-use laparoscopic clip applier
Medium, Large
Detail and Benefit Amendment
Carl Zeiss Pty Ltd
Ophthalmic
CZ010
XL Stabi ZO, Invent ZO
Hydrophilic Acrylic, Foldable, PC, Single Piece,
Square Edge Design, UV Blocker, Tri-haptic, Quad
Haptic, Aspheric Optic
6.0mm Optic x 10.5mm Overall Diameter
Detail Amendment
CZ011
XL Stabi ZO Sky, Invent ZO Sky
Hydrophilic Acrylic, Foldable, PC, Single Piece,
Square Edge Design, UV Blocker, Trihaptic, Quad
Haptic, Aspheric Optic, Pre-Loaded
6.0mm Optic X 10.5mm Overall Diameter
Detail Amendment
Changed Items for Prostheses List Report
Page 27 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
CZ014
ZEISS - Acri.Lisa 466TD
Foldable aspheric single-piece intraocular lens with an
aspheric toric front and an aspheric bifocal back
surface, asymmetric light distribution 65 percent
distance and 35 percent near, with 3.75D addition in
the near focus.
Overall length 11.0mm Optic size 6.0mm
Detail Amendment
CZ015
ZEISS - Acri.Lisa 366D
Foldable aspheric single-piece intraocular lens with an
aspheric front and an aspheric bifocal back surface,
asymmetric light distribution 65 percent distacne and
35 percent near, with 3.75D addtiion in the near
Overall length 11.0mm Optic size 6.0mm
Detail Amendment
Advantage I-125 seeds are sealed radioactive sources
containing Iodine-125. They are intended to
interstitial brachytherapy.
Advantage I-125 Pre-load consists of Advantage I125 seeds pre-loaded as linked or 'stra
Advantage I-125 seeds are 0.8 mm in diameter and
4.5 mm in length
Detail Amendment
Model CI24R (ST) coclear implant. A Nucleus 3
system cochlear implant with straight electrode array
Model CI24R (CA) coclear implant. A Nucleus 3
system cochlear implant with the Contour Advance
electrode array
One size only
Detail Amendment
One size only
Detail Amendment
CMS Alphatech Pty Ltd
General Miscellaneous
CL001
Advantage I-125 Pre-load
Cochlear Limited
Ear, Nose & Throat
CO013
Nucleus 24k Cochlear Implant
CO014
Nucleus 24 Contour Advance Cochlear Implant
CO019
CO020
ESPrit 3G Speech Processor - Replacement
Nucleus Cochlear Implant Accessory Kit - ESPrit 3G
Speech Processor
Speech processor, Generation 3
Accessory set consists of accessory adapter cable,
lapel microphone & lapel clip, battery cover set and
accessory case
Cable lengths: 6, 8, 10, 20, 28cm
Lapel microphone comes in lengths of 40-150cm
Detail Amendment
Detail Amendment
CO021
Nucleus Freedom Implant with Contour Advance
Electrode
Model C124RE (CA), Generation 4 Cochlear implant
with perimodiolar electrode array. Titanium casing,
removable magnet, 22 half-banded platinum
electrodes, moulded in a durable silicone seal
one size only
Detail Amendment
CO022
CO023
CO024
CO025
Nucleus Freedom Speech Processor - Initial
Nucleus Freedom Speech Processor
Nucleus Freedom Implant with Straight Electrode
Baha Abutment Snap Coupling
Speech processor (modular) and accessories
Speech processor, and accessories Speech processor and accessories - Initial
Titanium abutment delivered with a gold screw and
holder, individually packaged and sterile. The 5/5mm
is for standard use and the 8.5mm for patients that
have persistent regrowth of subcutaneous tissue
One size only
one size only
One size only
5.5mm - 9035, 8.5mm - 90410
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
CO028
BAHA - Cover screw unigrip
Titanium coverscrews, individually packaged and
delivered sterile. The cover screws are used to
prevent bone overgrowth of the implant.
One size only
Detail Amendment
Changed Items for Prostheses List Report
Page 28 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
CO030
Self tapping fixture with pre-mounted fixture mount
Self Tapping 4mm and 3mm
Detail Amendment
CO032
Self Tapping 4mm and 3mm with BAHA Abutment
Detail Amendment
CO033
Flange fixture - self tapping fixture with pre-mounted
abutment
Baha Cordelle II sound processor
Self tapping titanium flange fixture premounted with
a disposable fixture mount. Available in two sizes:
3mm and 4mm. Used in two stage surgical
Self tapping titanium flange fixture with abutment in
two sizes: 3mm and 4mm
A powerful sound processor for the Baha hearing
system with a bodyworn unit and a head worn
transducer. Available in three colours. Body worn
sound processor for the Baha hearing system.
One Size
Detail Amendment
CO040
Baha Divino sound processor
One Size
Detail and Benefit Amendment
CO041
Baha Intenso sound processor
One size
Detail and Benefit Amendment
CO043
Nucleus Hybrid L 24 Implant
One size
Detail Amendment
CO044
Freedom Hybrid Sound Processor (Initial)
Head worn digital sound processor for the Baha
hearing system. Available in four colours and left and
right side orientations.
Head worn digital sound processor for the Baha
hearing system. Available in four colours.
A Nucleus Freedom cochlear implant featuring a
special 16mm, 22 contact point electrode array
The modular sound processor of the Cochlear Hybrid
system provides dual electrical and acoustic
processing within a single device. Acoustic
amplication is delivered through the acoustic
component and electrical stimuation via the Nucleus
One size
Detail Amendment
CO045
Freedom Hybrid Sound Processor (Replacement)
The modular sound processor of the Cochlear Hybrid
system provides dual electronic and acoustic
processing within a single device. Acoustic
amplication is delivered through the acoustic
component and electrical stimulation is delivered via
the Nucleus Hybrid L24 implant.
One size
Detail Amendment
Silicone intraocular lens
6.0mm
Detail Amendment
Niti-S Pyloric self-expanding metal stent D-type
made from Nitinol in D mesh construction,
uncovered, OTW or TTS
Niti-S Biliary Stent D-Type Uncovered. Deployed
via stent delivery system for use TTS or
Niti-S Biliary is a self expanding metal stent, made
from Nitinol uncovered. Stent Y-Type for TTS
approach, T-Type for percutaneous approach.
Niti-S Biliary self expanding nitinol stent fully
covered with a silicone membrane and a nylon
drawstring for removal. Stent delivery system is
designed for use TTS for endoscopic or percutaneous
Diameter: 16 - 18mm Length: 40 - 120mm
Detail Amendment
10mm Diameter x 50 - 120mm length
Detail Amendment
10mm Diameter x 5 - 10cm Length
Detail Amendment
Diameter 8mm and 10mm Stent lengths 40-120mm
Detail and Benefit Amendment
ConceptVision Australia Pty Ltd
Ophthalmic
CS008
Preloaded Aspheric Intraocular Lens
ConMed Linvatec Australia Pty Ltd
General Miscellaneous
LV094
Niti-S Pyloric Stent D-type
LV095
Niti-S Biliary Stent D-Type
LV096
Niti-S Biliary Stent Y-Type and T-Type
LV097
Niti-S Biliary Covered Stent
Changed Items for Prostheses List Report
Page 29 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LV099
Niti-S Oesophageal Fully Covered Stent
Diameter16mm x 24mm, 18mm x 26mm, 20mm x
28mm and 22mm x 30mmLength60-150mm
Detail and Benefit Amendment
LV104
Niti-S Tracheal Stent
16mm to 20mm diameter x 3cm to 10cm length
Detail and Benefit Amendment
LV105
Niti-S Bronchial Stent
10mm to 14mm diameter x 3cm to 6cm length
Detail and Benefit Amendment
LV106
Niti-S ComVi Biliary Stent (Fully Covered)
Niti-S Oesophageal fully covered self expanding
nitinol stent with a covering of PTFE or silicone and
nylon drawstring for removal or repositioning.
Tracheal Nitinol Self Expanding Metal Stent, ePTFE
covered with retrieval suture
Bronchial Nitinol Self Expanding Metal Stent,
Expanded Poly Tetra Fluoro Ethylene (ePTFE)
covered, with retrieval suture
The Niti-S ComVi Biliary Stent (Fully Covered) is
comprised of 2 Nitinol D-type stents with a layer of
polytetraethylene (PTFE) between that fully
envelopes the proximal and distal ends of the stent,
resulting in an integrated structure designed to
8mm to 10mm diameter x 4cm to 12cm length
Detail and Benefit Amendment
Contains screw, driver and sutures
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - Stainless Steel
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - PLLA
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - Titanium
Soft Tissue Re-attachment - Titanium
ACL Fixation - Titanium
ACL Fixation - Titanium
ACL Fixation - Titanium
ACL Fixation - PLLA
Meniscal Repair Device - PLLA
.
2.9mm predeployed diameter
2.3mm predeployed diameter
2.9mm predeployed diameter
3.5mm diameter
4mm diameter
2.7mm diameter
1.3 x 14mm - 2.5 x 20mm
14, 17mm
30 - 80mm
25 - 65mm
9.5 - 16.5mm
Diameter 7.0 - 9.0mm, Length 20 - 30mm
Diameter 7.0 - 9.0mm, Length 20 - 30mm
Diameter 7.0 - 9.0mm, Length 20 - 40mm
Diameter 7.0 - 9.0mm, Length 20 - 30mm
10mm - 16mm
Detail Amendment
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Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LV022
LV024
LV025
Linvatec Super Revo Soft Tissue Anchor
Ultrafix RC, Anchor
Ultrafix MiniMite StitchPak Suture Anchor
Ultrafix RC StitchPak Suture Anchor
Preloaded Bio-Anchor Absorbable Suture Anchor
Revo Cancellous Screw
Mini-Revo Screw
Soft Tissue Anchoring Implant - Spiked Washer
Soft Tissue Anchoring Implant - Flat Washer
Soft Tissue Anchoring Implant - Cortical Screw
Soft Tissue Anchoring Implant - Cancellous Screw
Staple Fixation System
Propel Interference Screws
Guardsman Femoral Interference Screws
Cannulated Interference Screws
BioScrew Bioabsorbable Interference Screw
BioStinger - V Bio - Absorbable Meniscal Repair
Device
EndoPearl Bio-Absorbable Implant - ACL Fixation
Ultrafix MicroMite Small Joint Anchor
Staplizer Bone Staple Cartridge
ACL Fixation - PLLA
Suture Anchoring Device - Titanium
5 Titanium staples per cartridge
7mm - 9mm
Detail Amendment
1.5mm predeployed diameter
Detail Amendment
7 x 7mm, 7 x 10mm, 10 x 7mm, 10 x 10mm, 10 x
Detail Amendment
15mm, 13 x 7mm, 13 x 10mm, 13 x 15mm, 13 x
20mm, 16 x 10mm, 16 x 15mm, 16 x 20mm, 16 x 25mm
LV027
Pre-Loaded Ultrafix RC Anchor
Surgical Grade Stainless Steel, preloaded with 2 #2
sutures
Dia 2.9mm, length 6.5mm
Specialist Orthopaedic
LV001
LV003
LV005
LV006
LV008
LV009
LV010
LV011
LV012
LV013
LV014
LV015
LV016
LV017
LV018
LV019
LV021
Changed Items for Prostheses List Report
Detail Amendment
Page 30 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LV028
Violet, PLLA
10, 13, 16mm
Detail Amendment
LV050
LV051
LV052
LV055
LV056
LV057
LV058
LV059
LV060
LV061
LV062
LV063
LV065
LV066
LV067
Pre-loaded BioStinger Bio-Absorbable Meniscal
Repair Implant
Bionx Implants - Rods
Bionx Implants - Rods
Bionx Implants - Rods
Bionx Implants - Screws
Bionx Implants - Screws
Bionx Implants - Screws
Bionx Implants - Screws
Bionx Implants - Screws
Bionx Implants - Screws
Bionx Implants - Screws
Bionx Implants - screws
SmartNail
Bionx Implants - screws
Bionx Implants - screws
Bionx Implants - screws
PGA, PLA or PLLA
PGA, PLA or PLLA
PGA, PLA or PLLA
PLA Full Thread
PLA Full Thread
PLA Cannulated
PLLA Lag Screw
PLLA Lag Screw
PLLA Lag Screw
PLLA Lag Screw
ACL PDLA Screws & Wedges
Self-Reinforced 96L/4D PLA Bone Fixation Nail
PLLA Screws (Contour Labral Nail)
Biofix PLA full threaded crosshead screw
Biofix PLA full threaded crosshead screw
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LV071
LV072
LV074
LV075
LV077
LV078
LV084
LV088
LV089
LV090
LV091
LV092
LV093
LV103
Contour Meniscus Arrow
Contour Meniscus Arrow
Contour Meniscus Arrow
BioCuff C Screw
BioScrew XtraLok Tibial Fixation Device
UltraFix Knotless Minimite Suture Anchor
SmartNail
SmartPin Resorbable Bone Fixation Pin, 1.1mm
Duet Suture Anchor with polyester suture
Super Revo Suture Anchor with Hi-Fi Suture
ThRevo Suture Anchor
Duet Suture Anchor System with Hi-Fi Suture
Impact Suture Anchor System with Hi-Fi Suture
Matryx Interference Screw
80L/20D, LPLA & PLLA
80L/20D, LPLA, Pre-loaded Cartridge Pack of 1
80L/20D, LPLA, Pre-loaded Cartridge Pack of 3
Self-Reinforced 96L/4D PLA Screw
PLLA
Titanium
Self-reinforced 96L / 4D PLA Bone Fixation Nail
Self-Reinforced PLLA
Self-Reinforced 96L/4D PLA Copolymer Anchor
Titanium Suture Anchor
Titanium screw-in suture anchor
Self-Reinforced 96L/4D PLA Copolymer
Self-Reinforced 96L/4D PLA Copolymer
Matryx (SR-96L/4D PLA with ß-TCP) Inteference
Screw
1.5mm x 10-70mm
2.0mm
3.2mm x 30-70mm
3.5mm
4.5mm
4.5mm
3.5mm x 10-28mm
3.5mm x 30-45mm
4.5mm x 25-70mm
6.3mm Diameter
Dia 5mm, 7mm, 8mm, 9mm
1.5mm O.D x 16, 20 & 25mm L
3.5mm
Dia 2mm, length 6 - 10mm
Dia 2mm, length 12 - 20mm; Dia 2.7mm, length 6 24mm
1.1mm x 10, 13,16mm
1.1mm x 10, 13,16mm
1.1mm x 10, 13,16mm
6.0mm O.D x 28, 32 & 36mm L
Diameter 8, 9, 10, 11mm; Length 35 & 40mm
Diameter 2.3mm
2.4mm O.D x 16, 25, 35 & 45mm L
10, 20, 30 & 40mm
6.0mm O.D. x 16.5mm L
5.0mm O.D x 14.2mm L
5.0mm OD x 14.2mm L
6.0mm O.D. x 16.5mm L
3.5mm O.D. x 10.5mm L
7.3 x 20mm; 7.3 x 25mm; 7.3 x 30mm; 8 x 20mm; 8 x
25mm; 8 x 30mm; 9 x 20mm; 9 x 25mm; 9 x 30mm; 9
x 38mm; 10 x 25mm; 10 x 33mm; 10 x 38mm; 11 x
25mm; 11 x 33mm; 11 x 38mm
LV107
Pinn-ACL CrossPin System
Bioabsorbable, transverse femoral fixation device of
soft tissue grafts in ACL and PCL repairs.
40mm/45mm/50mm Self-Reinforcved PLLA
Crosspin, 8mm/9mm PLLA Graft Harness
Detail Amendment
Changed Items for Prostheses List Report
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Page 31 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LV108
Bio Mini-Revo Suture Anchor
3.1mm O.D
Detail Amendment
LV109
XO Button with Continuous Loop
SmartScrew 2
LV111
Presto PEEK Suture Anchor
4.5mm x 13.5mm with Continuous Loop lengths 1560mm
length 10-70mm, diameter 2 to 4.5mm, shape
fully/partial threaded, cannulated/non-cannulated
2.9mm O.D x 11mm L
Detail Amendment
LV110
Bioabsorbable Suture Anchor with Two #2 Hi-Fi
Sutures
Titanium suspensor, fixation device for femoral
fixation in ACT and PCL repairs
Self Reinforced 96L/4D Copolymer
PEEK Optima Suture Anchor, pre-threaded with one
or two sutures
Detail Amendment
Detail Amendment
Corin Australia Pty Ltd
Orthopaedic
CR057
Uniglide Uni Knee System Uni Tibial Component
Uni tibial component, CoCr, uncemented, Titanium
plasma spray, with calcium phosphate (HA)
ingrowth surface with TiNi insert surface coating for
mobile insert
1-8
Detail Amendment
CR058
Uniglide Uni Knee System Uni Femoral Component
1-4
Detail Amendment
CR059
Uniglide Uni Knee System Uni Femoral Component
1-4
Detail Amendment
CR061
Uniglide Uni Knee System Uni Tibial Component
Sizes 1 - 8 inclusive
Detail Amendment
CR101
CR114
Modular Neck for Acor & Integrale Femoral Stems
Extreme Hip System Extended Neck
Uni femoral component, CoCr, uncemented,
Titanium plasma spray, with calcium phosphate
(HA) ingrowth surface with TiNi articular surface
Uni Femoral Component, CoCr, cemented, with TiNi
surface coating
Uni tibial component, CoCr, with TiNi insert surface
coating for mobile insert
Titanium neck, with varying alignments & tapers
Femoral neck with extension for locking screw for stem
4 sizes
4 sizes
Detail Amendment
Detail Amendment
5.2 - 10mm diameter, 15 - 30mm
60,80,100 & y shaped fibres
Length (mm) 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65
& 70
6mm, 8mm or 10mm x 20mm
Detail Amendment
Detail Amendment
Detail Amendment
0° and 63°, 8-10mm x 10mm
Detail Amendment
11 - 25mm
Detail Amendment
Specialist Orthopaedic
CR031
CR032
CR070
LARS Interference Screw
Lars Ligamanet Augmentation reconstruction system
Alpha Lock Titanium Counter Sunk Screw
Titanium Interference screw
Woven polyester prosthetic ligaments
Titanium Counter Sunk Screw
CR118
LARS Ligament Staple
CoCr synthetic ligament anchor
Detail Amendment
Darco Australia
Specialist Orthopaedic
DC019
Mini Staple
DC030
Hot-Staples
For fixation of osteotomies of first phalanx (e.g.
Akin), 1mm diameter, straight & angled design
Manufactured from Nitinol. Once implanted, staple
is heated using a thermo-cautery system causing the
staple shape to reduce and compress, providing
efficient and continued interfragmental compression.
Denward Dell Pty Ltd TA Surimex
Cardio-thoracic
Changed Items for Prostheses List Report
Page 32 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DW001
Nit-Occlud PDA Occlusion System
Nitinol spiral coil and delivery system for
transcatheter occlusion of PDA
Distal x Proximal Coil Diameter: 4x4mm, 5x4mm,
6x5mm, 10x6mm, 12x6mm, 14x6mm; Introducer
Sheath: 4F, 5F; Length Introducer: 85cm, 105cm; Coil
Length configurated +-0.5mm: 3.5mm, 6.0mm,
Benefit Amendment
DW002
Nit-Occlud PDA Occlusion System (Medium)
Nitinol spiral coil and delivery system for
transcatheter occlusion of PDA
Distal x Proximal Coil Diameter: 7 x 6mm, 9 x 6mm,
11 x 6mm, 12 x 6mm, 14 x 6mm; Introducer Sheath:
5F; Length Introducer: 85cm, 105cm; Coil Length
configurated +-0.5mm: 4.5; 5.0; 6.0
Benefit Amendment
Vascular CAG
DW003
Jet Port Plus Set - Vascular Access Port
Implantable injection / infusion port system: port
chamber with silicone membrane; connectable
polyurethane catheter; and introducer kit.
Port: Diameter: 28.0mm, Height: 12.3mm; Catheter:
6.6 French, Length: 750mm
Detail and Benefit Amendment
DW004
Jet Port Plus Low Profile Peripheral Set - Vascular
Access Port
Implantable injection / infusion port system: low
profile port chamber with silicone membrane;
connectable polyurethane catheter; and introducer kit
Port: Length: 24.0mm, Width: 20.5mm, Height:
10.3mm Catheter: 6.6 French, Length: 750mm
Detail and Benefit Amendment
DW005
Dual Port Set - Vascular Access Port
Implantable injection / infusion port system: dual
port chamber with silicone membranes; connectable
double lumen polyurethane catheter; and introducer
Port: Length: 53.0mm, Width: 20.0mm, Height:
13.5mm (chamber 1), 15.5mm (chamber 2); Catheter:
Length: 500mm, internal diameter double D, external
diameter 3mm
Detail and Benefit Amendment
DW006
T-Port Contrast set - Vascular access port.
Injection infusion port system: titanium port
chamber with silicone membrane: connectable
polyurethane catheter; introducer kit.
6163653077: Port Base 27mm x 13mm, Catheter
Diameter 1.3 x 2.2mm, Catheter Length 75cm.
6163652087: Port Base 27mm x 13mm, Catheter
Diameter 1.6 x 2.6mm, Catheter Length 75cm.
6163663077: Port Base 23mm x 10mm, Catheter
Diameter 1.3 x 2.2mm, Catheter Length
75cm.6163662087: Port Base 23mm x 10mm,
Catheter Diameter 1.6 x 2.6mm, Catheter Length
75cm.
Detail and Benefit Amendment
Acrylic, Foldable, Single piece multi-zoned refractive
aspheric multifocal with Amon-Apple 360 Degree
Square edge, Anti Vaulting Haptics
6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D
Addition: +14D to +25D in 1.0D increments: +8.5D
to +23.5D in 0.5D increments
Detail Amendment
Radiopaque self-expanding nitinol stent and delivery
system
Diameter 10-18mm, length 20-80mm
Detail Amendment
ICU Akkomodative IOL- Acrylic lens Range 15-35
Dioptres in 0.5 steps
Lens Dia =5.5mm Haptics Dia =9.8mm
Detail Amendment
Silicone shell filled with saline
195 - 205 cm3 x 620 - 650 cm3
Detail Amendment
Design for Vision Pty Ltd
Ophthalmic
DV237
Rayner "M-Flex" Mulitfocal Foldable IOL
Device Technologies Australia Pty Ltd
General Miscellaneous
DE259
AERO Tracheobronchial Stent System
Ophthalmic
DE260
ICU Akkomodative® IOL
Plastic and Reconstructive
DE030
Style 468 Biodimensional Saline-filled Mammary
Implant
Changed Items for Prostheses List Report
Page 33 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DE033
DE100
Style 168 Biocell Textured Mammary Implant
McGhan Style 150 Biodimensional Biocell Textured
Expand Gel/Saline Filled Mammary Implant, Low
McGhan Style 110 & 120 Biocell Textured,
Intrasheild barrier Gel-Filled Mammary Implant
Allergan Style 40, 45, SSL, SSM, SSF, SSX Intrashiel
Gel-Filled Round Mammary Implant
Allergan Type MLP, MHP, TRL, TRM, TRF, TRX
Low, Medium, High & Extra High Profile Gel-Filled
Mammary Implant
Silicone shell filled with saline
Full height, Short Height, t
Detail Amendment
Detail Amendment
Round: Moderate or high profile
120 - 150 cm3 x 510 - 540 cm3
9.6 -16cm width x 8 - 17cm height x 4.2 - 7.1cm
projection
90 - 650 grams
Round: low, medium, high & extra high profile
110 - 800 grams
Detail Amendment
Low, Medium, High & Extra High profile, textured
surface
80 - 800 grams
Detail Amendment
Allergan styles CML, CMH, TSL, TSM, TSF, TSX
Allergan Type SLD, SHD, SRL, SRM, SRF, SRX
Smooth Silicone Gel-filled Mammary Implant
McGhan Style 410 & 410 Soft Touch
Biodimensional Biocell Textured Cohesive Gel-filled
Mammary Prosthesis
Style 510 Dual Gel Breast Prosthesis
Silicone Cohesive Gel-Filled Breast Implant
Low, Medium, High or Extra High Profile
80 - 800 grams
100 - 800 grams
Detail Amendment
Detail Amendment
Full, moderate or low height, Extra Full, Full,
moderate or low projection
Smooth Surface - Saline
Anatomical textured implant with dual gel for
projection of nipple/areola complex, concave base and
tapered edges for minimisation of edge/thoracic wall
palpability.
125 - 775 grams
Detail Amendment
120 to 510cc
LX sizes from 130-575 grams, MX sizes from 145600 grams, FX sizes from 165-630 grams
Detail Amendment
Detail Amendment
Osteotomy, Tibial - Stainless Steel
PLA
Cobalt Chromium Molybdenium Alloy
ARTHREX Non-sheathed
Bio-Cortical - PLA
Titanium alloy
Titanium alloy
PLA
Low Profile
Osteotomy, Femoral - Stainless Steel
PLA
Anterior/posterior sloped. Stainless steel
Stainless steel
Polylactide Compositition
Composition Poly (L-lactide)
Self locking screws, cancellous and cortical
PLLA composition
Composition PLLA
5mm - 17.5mm
10mm - 14mm
6mm - 16mm
7 x 28mm - 12 x 28mm
8 x 17 - 11 x 17mm and 8 x 20 - 10 x 20mm
40mm & 50 mm
14 - 15mm
7mm - 9mm
4-6.5mm x 14-60mm
7.5mm - 17.5 mm
6.5mm - 10mm
5 - 15mm length
Dia 6.7 - 8.5mm (reduced), length 180 - 280mm
Length 18mm
Diameter 5mm, length 50mm
3-6.5mm x 10-110mm
Implant 35mm - 50mm, Washers 16mm
Dia 5.5-9mm
Detail Amendment
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Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DE102
DE104
DE106
DE109
DE110
DE120
DE121
DE274
Detail Amendment
Specialist Orthopaedic
DE055
DE059
DE062
DE068
DE069
DE070
DE071
DE072
DE077
DE078
DE080
DE094
DE096
DE126
DE127
DE128
DE163
DE166
Osteotomy Plates
Arthrex Meniscal Dart
Ligament Staples
Interference Screws
Interference Screws
TransFix Implant Screw System - Arthrex
Arthrex Spiked Washer
Bio-Interference Screw
Cancellous Bone Screws
Osteotomy Plates
Tissue Button
Osteotomy Plates
Fixion IM nail - Humeral
Chondral Dart
Bio-Transfix
Cortical Screw
Bio-Post & Washers
Bio-Tenodesis Screw
Changed Items for Prostheses List Report
Page 34 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DE167
DE168
DE169
DE170
DE171
DE172
DE173
DE174
DE195
DE196
DE197
DE198
DE214
DE215
DE216
DE217
DE220
DE224
DE225
DE252
Bio-Interference Screw
Univers 3D Shoulder Prostheses
Univers 3D Shoulder Prostheses
Univers 3D Shoulder Prostheses
Univers 3D Shoulder Prostheses
Univers 3D Shoulder Prostheses
Univers Fracture Prostheses
Univers Fracture Prostheses
Corkscrew FT
Corkscrew Suture Anchor
Bio - Fastak
Fastak Suture Anchor (Small Bone)
Cortical Screw
Arthrex Osteotomy Plates
Arthrex Osteotomy Plates
Arthrex Osteotomy Plates
Suturetak Suture Anchor
Retro Screw
Fastak Anchor
Tightrope Syndesmosis Repair Kit
Dia6.5 - 10.5mm to 8 - 12mm x 28 - 35mm length
6-12mm
Small, Medium, Large
Small, Medium, Large
40/14 - 54/23
Small, Medium, Large
8-13mm
43/15 - 51/22
3.5mm - 6.5mm
3.5mm - 6.5mm
3mm x 11mm
Dia. 2.4mm x Length 7.5mm
10-24mm x 2.3mm
2mm - 8mm
0-17.5mm
5mm - 17.5mm
2.4 - 3.7mm diameter x 5 - 14mm length
8-10mm x 20mm
2.8mm x 11.7mm
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DE256
DE257
DE258
DE261
DE271
Eclipse Humeral Head Prosthesis
Eclipse Humeral Head Prosthesis
Eclipse Humeral Head Prosthesis
Pushlock Suture Anchor
RetroButton
Composition - PLLA, delta tapered
Stem
Glenoid Metal Back
Glenoid PE-Inlay
Metal Head
Cemented glenoid
Shaft
Metal head
Suture Anchor with Fiberwire
Titanium alloy with Fibrewire suture
with Fibrewire suture
With Fibrewire Suture
Titanium
Metatarsal
Tibial, Composition Titanium
Femoral, Titanium
Suture Anchor with Fiberwire
Composition PLLA
Titanium with fibrewire suture
Titanium or stainless steel, with non absorbable
Fiberwire suture material
Eclipse Humeral Head Prosthesis Trunnion
Eclipse Humeral Head Prosthesis Head
Eclipse Humeral Head Prosthesis Cage Screw
Knotless Suture Anchor
Femoral Fixation Device
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
DE272
DE273
DE285
DE286
DE287
Bio-Compression Screw System
Trim-IT Spin Pin
Lapidus Plate
Low Profile Screw System
Low Profile MTP Plate
Fixation Device
Trim-IT Pin Fixation
The Lapidus Plate is a fusion plate
Low Profile Screw
Arthrodesis Plate
DE288
DE289
Swivelock
AnaToemic
Twist- in knotless suture anchor
AnaToemic Phalangial Prosthesis
41 - 53mm
41/16 - 53/20
Small - X-Large
2.5 - 5.5 x 5 - 18.5mm
12mm Button with 15-60mm loops, 15mm Button
with 15-60mm loops
16mm, 18mm, 20mm, 22mm, 24mm, 26mm
1.5 - 2.0mm x 100mm
One size only
3.0 - 6.7mm x 18 - 120mm
Contoured Left Short, Contoured Right Short,
Contoured Left Long, Contoured Right Long
4.5mm and 5.5mm diameters
17mm, 20mm, 21.5mm, 23mm
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 35 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DE290
H-Plates
Fixation plate for fusions and osteotomies
Plates, Flat - 38mm x 16mm, left,large, 38mm x
16mm, right,large, 34mm x 16mm, left, medium,
34mm x 16mm, right, medium, 28mm x 16mm left,
small, 28mm x 16mm, right,small
Plates, Wedge - 38mm x 16mm, 10mm wedge, left,
38mm x 16mm, 10mm wedge, right, 36mm x 16mm,
8mm wedge, left, 36mm x 16mm, 8mm wedge, right,
34mm x 16mm, 8mm wedge, right
Detail Amendment
DE291
QuickFix Screw
Small Bone Fixation - Metal
Detail Amendment
DE292
DE293
QuickFix Staple System
Prostop
Compression Staple for Fusion
Arthroereisis Subtalar implant
DE295
Compression Staple
Compression staple for fusion
2mm x 10mm, 2mm x 11mm,2mm x 12mm, 2mm x
13mm, 2mm x 14mm, 3mm x 13mm x 3mm x 15mm,
3mm x 17mm, 3mm x 19mm
8mm 10mm
7x12mm 8x12mm 9x14mm 10x14mm 11x16mm
12x16mm
10x10mm 10x15mm 15x10mm 15x15mm 20x20mm
Plyvinyl Alcohol hydrogel microspheres in preloaded syringe
2ml- (100 - 300, 300 - 500, 500 - 700, 700 - 900, 900
- 1200 microns
Detail and Benefit Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Vascular CAG
DE294
Bead Block
EMT Healthcare Pty Ltd
General Miscellaneous
EM008
Intramesh Reinforcement Mesh
Reinforcement mesh made from two surfaces for
intra-peritoneal visceral surgery
(Polypropylene/ePTFE or Polyester/Silicone)
20 x 20cm
Detail Amendment
EM009
Intramesh Reinforcement Mesh
Reinforcement mesh made from two surfaces for
intra-peritoneal visceral surgery
(Polypropylene/ePTFE or Polyester/Silicone)
15 x 15cm
Detail Amendment
EM010
Intramesh Reinforcement Mesh
30 x 30cm
Detail Amendment
EM018
EM019
EM020
Abdominal Wall Reinforcement Implant
BIOMESH HERNIA REINFORCING MESH KIT
BIOMESH HERNIA REINFORCING MESH KIT
Reinforcement mesh made from two surfaces for
intra-peritoneal visceral surgery
(Polypropylene/ePTFE or Polyester/Silicone)
Polyester combined with polymerised silicone
Laparoscopic Hernia Repair Kit with Shape Mesh
Laparoscopic Hernia Repair Kit with Shape Mesh
12cm x 14cm & 12cm x 16cm
EMT-KIT2BT2PMX (Bilateral)
EMT-KIT2NM (Unilateral)
Detail Amendment
Detail Amendment
Detail Amendment
Endocorp Pty Ltd
Ear, Nose & Throat
EC018
Exmoor Plastics Ear Vent Drains - Reuter Bobbin
Without hole, teflon
1.14 mm lumen dia x 2.54 mm inner flange dia x 2.54
mm outer flange dia x 0.76 inter flange. 1.52mm total
length
Detail Amendment
EC019
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
1.14 mm lumen dia x 2.24 mm inner flange dia x 2.24
mm outer flange dia x 1.27 inter flange. 1.78 mm total
length
Detail Amendment
Changed Items for Prostheses List Report
Page 36 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
EC020
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
Detail Amendment
EC021
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
1.14 mm lumen dia x 3.0 mm inner flange dia x 3.0
mm outer flange dia x 1.27 inter flange. 1.78 mm total
length
1.4 mm lumen dia x 2.55 mm inner flange dia x 2.55
mm outer flange dia x 0.85 inter flange. 1.35 mm total
length
EC022
Exmoor Plastics Ear Vent Drains - Collar Button
Teflon
1.75 mm lumen dia x 2.85 mm inner flange dia x 2.85
mm outer flange dia x 0.95 inter flange. 1.46 mm total
length
Detail Amendment
EC024
Exmoor Plastics Ear Vent Drains - Shepards Drain
Teflon Shephards Drain
1.14 mm lumen dia x 2.36 mm inner flange dia x 2.36
mm outer flange dia x 1.42 inter flange. 2.41 mm total
length
Detail Amendment
EC026
Exmoor Plastics Ear Vent Drains - Teflon Shephards
Drain with wire grasping feature
Teflon Shephards Drain with wire
Detail Amendment
EC031
Exmoor Plastics Ear Vent Drains - Donaldson
With tab, silicone rubber
0.97 mm lumen dia x 2.08 mm inner flange dia x 2.08
mm outer flange dia x 1.42 inter flange. 2.41 mm total
length
1.1 mm lumen dia x 2.25 mm inner flange dia x 2.25
mm outer flange dia x 0.76 inter flange. 2.25 mm total
length
Thick or Revision Talar - Ceramic coated titanium
Size 1-6
Detail Amendment
Primary Talar - Ceramic coated titanium
Size 1-6
Detail Amendment
Glenoid Fixation Cup - Ceramic coated titanium
44mm-52mm
Detail Amendment
Glenoid Bearing - Polyethelene
2 to 4
Detail Amendment
Humeral Resurfacing Component-Ceramic coated
Titanium
Humeral-Stem w / PC-Ceramic coated titanium
44mm-56mm
Detail Amendment
8-14mm
Detail Amendment
Humeral Head-Ceramic coated titanium
44mm-52mm
Detail Amendment
Salvage Humeral Stem-ceramic coated titanium
8-14mm
Detail Amendment
All-Poly Glenoid
2-4
Detail Amendment
Humeral Head Extension - Ceramic coated titanium
2.5 -10mm
Detail Amendment
Modular Humeral Stem Ceramic coated titanium
12mm
Detail Amendment
Modular Salvage Stem - Ceramic coated titanium
1-4
Detail Amendment
Detail Amendment
Detail Amendment
Endotec Australia Pty Ltd
Specialist Orthopaedic
EA001
EA002
EA025
EA026
EA027
EA028
EA029
EA030
EA031
EA032
EA033
EA034
Buechel-Pappas Ultracoat Total Ankle Replacement
System (Primary and Revision)
Buechel-Pappas Ultracoat Total Ankle Replacement
System (Primary and Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary and Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary and Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary and Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary & Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary & Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary & Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary & Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary & Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary & Revision)
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary & Revision)
Changed Items for Prostheses List Report
Page 37 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
EA035
Buechel-Pappas Ultracoat Total Shoulder
Replacement System (Primary and Revision)
Buechel-Pappas Ultracoat Total Ankle Replacement
System (Primary and Revision)
Buechel-Pappas Ultracoat Total Ankle Replacement
System (Primary and Revision)
Buechel-Pappas Shoulder Replacement System Bone Screw for Glenoid Fixation Cup
Stem Extension - Ceramic coated titanium
8-20mm
Detail Amendment
Tibial componenet ceramic coated titanium
1-6
Detail Amendment
Polyethylene mobile bearing
3mm - 11mm
Detail Amendment
Cancellous Bone Screw TiNi Coated
15mm, 20mm & 25mm
Detail Amendment
Vox Implants are solid, irregularly textured, medical
grade Polydimethylsiloxane Elastomer implants
suspended in a hydrogel carrier
One size only
Detail Amendment
Uncovered, self-expanding nitinol stent
Uncovered, self-expanding nitinol stent
Bio Absorbable Antiadhesion Barrier
TITANIUM PORT
Adjustable Gastric Band Implant
Dia 8-12mm, length 50-77mm
Dia 10-14mm, length 52-77mm
All sizes with and without suture holes
9.8CMS/13.3CMS
115 MM CUFF
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Uncovered, self-expanding nitinol stent
Expanding microspheres designed for chemic0embolisation with chemotherapeutic agents such as
Ethiodil, Cisplatin, Epirubicin, Mitomycin, etc.
2ml per implant
1ml per implant
.5ml per implant
Dia 6-16mm, length 22-77mm
50 - 200 microns
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Myringotomy Tube with Trocar - Gold Coated
Silver; Myringotomy Tube with Trocar - Titanium;
Myringotomy Tube with Trocar, with wire - Gold
Coated Silver; Myringotomy Tube with Trocar, with
wire - Titanium
One Size Only
Detail Amendment
CoCr, UHMWPE with inner femoral head included
various diameters
Detail Amendment
EA036
EA037
EA038
Endotherapeutics Pty Ltd
Ear, Nose & Throat
ET040
Vox Implants
General Miscellaneous
ET038
ET039
ET051
ET056
ET058
SX-Ella Biliary Stent
SX-Ella Tips Stent
Surgiwrap
Soft Basket Band. INFUSION PORT.
Soft Basket Band
Vascular CAG
ET006
ET007
ET008
ET037
ET052
Embospheres
Embospheres
Embospheres
SX-Ella Endovascular Stent
Hepasphere
Enta Surgical
Ear, Nose & Throat
ES001
Trocar Myringotomy Tube
ESKA Australia
Orthopaedic
EK015
ESKA Bipolar Femoral Head
Changed Items for Prostheses List Report
Page 38 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
EK034
Adapter Femoral Neck
CoCr, varying versions & offsets
One Size
Detail Amendment
Tibial Component Ankle Joint CoCrMo/HA
CoCRMo/Ha
4mm, 6mm, 8mm
Small, Medium, X-Medium, Large, X-Large
Small, Medium, Large
Detail Amendment
Detail Amendment
Detail Amendment
For the delivery of therapeutic agents such as
embolisation coils and liquid embolics. The Rebar
Micro Catheter is the only one on the market which
also delivers liquid embolics.
Length: 135 - 170cm; Diameter: 3.0 - 1.3 Fr
Detail Amendment
Specialist Orthopaedic
EK043
EK051
EK075
PE Articular Surface Component Ankle Joint
Tibial Component Ankle Joint Cementless HA
Talar Component Ankle Joint Cementless Ha
ev3 Australia Pty Ltd
Neurosurgical
EE027
ev3 Micro Catheters
Vascular CAG
EE006
EE018
EE019
EE022
Protégé GPS Peripheral Stent
Onyx
Onyx System
Spider FX Embolic Protection Device
Protégé RX Peripheral Stent
DSMO/Liquid Embolic Material
DSMO Liquid Embolic Material
The Spider FX is a rapid exchange device
percutaneously delivered distal embolic protection
device with components designed to capture and
remove debris from vessels during interventional
procedures in the vasculature.
Diameter 6-10mm Length 20-60mm
18, 20, 34 (formulations)
500 Formulation
Filter: 3.0 - 7.0mm; Capture Wire: 190 and 320cm
Detail Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
EE024
Protégé EverFlex Peripheral Stent
Diameter 5-8, Length 20-100mm
Detail and Benefit Amendment
EE025
Protégé EverFlex Peripheral Stent
Protégé EverFlex is a self expanding Nitinol stent
premounted on an OTW delivery system.
Protégé EverFlex is a self expanding Nitinol stent
premounted on an OTW delivery system.
Diameter 5-8mm, Length 150-200mm
Detail and Benefit Amendment
Exactech Australia
Orthopaedic
EX024
EX035
Exactech M Series body
Optetrak Total Knee System CCK and NMC
(constrained Condylar and Non-Modular Constrained
Knee) Femoral component
Titanium, complex neck segment
Femoral Component, cemented, CoCr, totally
32 - 49mm, -5 - +30mm
Size 1 - 6(CCK), Size 1-5(NMC)
Detail Amendment
Detail Amendment
EX036
Optetrak Total Knee System, Tibial Baseplate
Tibial Baseplate, titanium, fixed insert (finned,
trapezoid, offset with locking screw), cemented
Size 1-6
Detail Amendment
44-66 outer diameter going up in 2mm increments
Benefit Amendment
44-66 Outer diameter going up in 4mm increments
Benefit Amendment
Finsbury Orthopaedics Australia Pty Ltd
Orthopaedic
FI002
ADEPT MoP Acetabular Component
FI003
ADEPT MoP Acetabular Component
Changed Items for Prostheses List Report
Titanium, plasma with HA cup with presembleed
with unmodified UHMPE
Titanium, plasma with HA cup with presembleed
with unmodified UHMPE with dysplasia flange
Page 39 of 144
Billing
Product Name
Further Description
Size
FI004
Delta motion acetabular cup
Titanium, plasma with HA cup with presembleed
delta ceramic liner
42 - 66 going in 2 mm Increments
168 - 102 Benefit Amendment
Acetabular Cup - 42 OD 32 bore, 168 104Acetabular Cup - 44 OD 32 bore, 168 - 106
Acetabular Cup - 46 OD 36 bore, 168 - 108
Acetabular Cup - 48 OD 36 Bore, 168 - 110
FI005
ADEPT CoC Acetabular component
44-66 Outer diameter going up in 4mm increments
Benefit Amendment
FI014
Adept MoM Acetabular Component - Extra Fixation
Cup
Modula SC Neck
Titanium, plasma with HA cup with presembleed
delta ceramic liner with dysplasia flange
Porocast beaded Shell , Co Cr, HA coated, dysplasia
flange
The complete series of MODULA SC necks, all
patented, consists of 15 sizes and makes it possible
to optimise the reciprocal position of the stem and
neck cup on the basis of the articular needs of the
patient, by restoring the physiological off-set and le
46-66mm Outer diameter going up in 4mm
Detail Amendment
OX, OY, OZ, OA, OB, OC, 9X, 9Y, 9Z, 9A, 9B,
9C, 9AA, 9BB, 9CC
Detail Amendment
Tibial Component CoChr. Cementless
Talar Component CoChr. Cementless
Meniscal Insert, UHMWPE
Proximal Interphalangeal Replacement Joint
Small, Medium and Large
Small, Medium and Large
Small 5-8mm, Medium 5-8mm and Large 5-8mm
Sizes 7 through to 11
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Sodium hyaluronate carbomethylcellulose membrane
13cm x 15cm
Detail Amendment
CoCr, Poly Liner
Titanium with lateral extension for stem connection
40mm to 58mm
25mm - 35mm to 35mm - 50mm
Detail Amendment
Detail Amendment
20 to 50mm
18m to 56mm
7mm, 8mm, 9mm, 10mm, 12mm, 14mm, 16mm &
18mm
25mm, 40mm, to 70mm30mm, 40mm, to 70mm
20mm, 20mm, to 70mm
20mm, 25mm & 30mm
Detail Amendment
Detail Amendment
Detail Amendment
FI042
Explanation of Change
Specialist Orthopaedic
FI030
FI031
FI032
FI045
Box Ankle
Box Ankle
Box Ankle
PIPR Finger Joint
Genzyme Australasia Pty Ltd
General Miscellaneous
GE006
Seprafilm Adhesion Barrier
Global Manufacturing Technology Pty Ltd
Orthopaedic
GM021
GM091
Classic Marathon Bipolar Head
Apex Global & K2 & MSA Femoral Neck
Specialist Orthopaedic
GM050
GM109
GM110
Contile Fin II
OsteoBridge
OsteoBridge
6.5mm Ti Cnacellous Bone Screws
OsteoBridge Interlocking Screw
Nail
GM111
OsteoBridge
Spacer, Straight & Angled
GM112
OsteoBridge
OsteoBridge Reducing Sleeve
Detail Amendment
Detail Amendment
Global Orthopaedic Technology
Orthopaedic
Changed Items for Prostheses List Report
Page 40 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GO014
UniSyn Hip Complex Neck
30-36mm non calcar, 45-55mm for calcar
Detail Amendment
GO139
GO165
R120 Femoral Neck
Global Cement Restrictor
Titanium, with lateral extension for stem connection,
includes calcar & non calcar replacement necks,
separate locking bolt
CoCr, varying offsets & versions
PMMA,
32-38mm length, varying degrees
Various
Detail Amendment
Detail Amendment
Titanium Leader Cable Assembly
Humeral Stem, Ti
Humeral Head, CrCo
Pegged & Keeled Glenoid, compression moulded
UHMWPE
Humeral Stem, Ti
Glenoid Baseplate, Ti, Porous, HA
Glenoid Head, CoCr
Humeral Socket Insert - UHMWPE
Humeral Socket Shell - Ti
Bone Screw
Resofix anchor is a 2-shell expansion bolt made of
amorphous poly DL-Lactide resorbablel polyester
Trochanteric Grips - Titanium
1-1.3mm
6mm to 16mm
38mm to 54mm
38mm to 54mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
6mm to 12mm
Small to Large
32mm to 40mm
32mm to 40mm
Neutral, +4mm, +8mm offset
3.5 x 15mm to 5 x 30mm
Resofix - S Anchor - 10mm; Resofix - P Anchor 10mm
Short 50mm, 2 Hole Plate 135mm, 4 Hole Plate
190mm, 6 Hole Plate Straight, Right, Left 245mm
5.0mm diameter 10mm to 50mm length
4.5mm Diameter 10mm to 50 mm length
6 Hole 185mm, 8 Hole Straight and Curved 240mm,
10 Hole Straight and Curved 290mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Anti Siphon Device
With Anti Siphon Device, Pressure range low - high
Pressure range low - high
One size only
12, 16mm
12, 16mm
Detail Amendment
Detail Amendment
Detail Amendment
Burr-hole and flat bottom designsPressure range
low - high
Standard, mini, Pressure range low - high
80 x 3.5cm 5FRT-Tube, 90cm peritoneal reflux
control catheterStep down connector, Foltz CSF
Ultra VS Cylindrical Shunt/Valve system - Neonate
style, Pressure range low - high
Standard, mini
Detail Amendment
.
One size only
Detail Amendment
Detail Amendment
.
Detail Amendment
Specialist Orthopaedic
GO092
GO141
GO142
GO143
C-Fix Cable Fixation System
Foundation Shoulder System
Foundation Shoulder System
Foundation Shoulder System
GO148
GO149
GO150
GO151
GO152
GO153
GO170
Reverse Shoulder System
Reverse Shoulder System
Reverse Shoulder System
Reverse Shoulder System
Reverse Shoulder System
Reverse Shoulder System
Resofix Anchor
GO197
SuperCable Trochanteric Grips and Cable Plate System
GO198
GO199
GO200
SuperCable Trochanteric Grips and Cable Plate System
SuperCable Trochanteric Grips and Cable Plate System
Iso-Elastic SuperCable Trochanteric Grips and CablePlates System
Locking Screw Titanium
Compression Screws Titanium
Cable Plates Titanium
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Global Scientific Pty Ltd
Neurosurgical
GS001
GS003
GS004
GS011
GS014
Heyer-Schulte In Line Valve System
Heyer-Schulte Pudenz Flushing Valve
Heyer-Schulte Pudenz Flushing Valve with Integral
Conn
Heyer-Schulte Mishler Dual Chamber Flushing Valve
System
LPV Shunt System
Edwards Barbaro Syringo Peritoneal Shunt
GS017
Heyer-Schulte In Line Valve System
GS005
Changed Items for Prostheses List Report
Page 41 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GS018
GS134
GS137
Heyer-Schulte In Line Valve System
Shunt
Shunt
small, standard
80cm
Low - High pressure range
Detail Amendment
Detail Amendment
Detail Amendment
GS140
Heyer Schulte Ultra VS Valve Kit Neonatal Style
Peritoneal catheter 90cm, ventricular catheter 18cm
Detail Amendment
GS141
Ultra VS Shunt Kit Standard - Heyer Schulte
Ultra VS Shunt Valve, Pressure low - high
Lumbar
Pressure valve (anti-siphon device or flushing valve
or flush pump)
Comprises of silicone, kit includes valve, peritoneal
cather, ventricular catheter and rickham style reservoir
Composition silicone, kits contain standard valve,
ventricular catheter, peritoneal catheter, rickham
reservoir
3.8-5.8mm diameter valve, 18cm ventricular catheter,
low, medium high pressure, 120cm peritoneal
Detail Amendment
GS142
Novus Hydrocephalic Shunt - Heyer Schulte
Novus valve made from silicone/polysulfone, each
valve is packed with a valve and a right angled
catheter guide
Standard size - low & medium pressure; Mini size low & medium pressure
Detail Amendment
GS143
LPV Shunt System Kit - Heyer Schulte
Standard - low, medium, high pressure; Mini - low,
medium, high pressure
Detail Amendment
GS144
GS209
Spetzler In Line Valve - Heyer Schulte
Neonatal Shunt System
Low, Medium, High Pressure
Medium, low or low-low pressure
Detail Amendment
Detail Amendment
GS213
Lumboperitoneal Shunt Assemblies
Straight or "T" tube
Detail Amendment
GS217
Siphon Limiting Device
Composition silicone, kit includes LPV valve,
peritoneal catheter, ventricular catheter, right angle
catheter guide
Composition silicone, valve with integral connectors
Shunt Assembly, includes separate ventricular
catheter, integral distal catheter
CSF LP Shunt includes: silicone catheter, stainless
steel trocar, suture tabs
Silicone Shunt Accessory for control of CSF
overdrainage
15mm length, 4.5mm height, 10mm width
Detail Amendment
Model 4458, Model 4459
Model 4456, Model 4457
Model 4479, Model 4480
Model 4472, Model 4473 & Model 4474
Model 4469, Model 4470 & Model 4471
Model 4033, Model 4034, Model 4035, Model 4063,
Model 4064
Model 4340, Model 4341, Model 4342 & Model 4343
Model 4312 and 4316
Model 4510, Model 4511, Model 4512 Transvenous
Coronary Sinus Lead
Titanium
Passive fixation single coil defibrilation leads
Model 0147, Model 0148 & Model 0149,
defibrillation lead, 9fr introducer (silicone coated),
steroid eluting, high impedence
52cm, 58cm
52cm, 58cm
45cm, 52cm
45cm, 52cm, 58cm
45cm, 52cm, 58cm
45cm , 52cm, 59cm
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
.
54cm and 35cm
65cm, 72cm, 80cm
Benefit Amendment
Benefit Amendment
Benefit Amendment
3.2mm/IS-1
59cm, 64cm
59cm, 64cm, 90cm
Benefit Amendment
Detail and Benefit Amendment
Benefit Amendment
Guidant Australia Pty Ltd
Cardio-thoracic
GU009
GU011
GU012
GU013
GU016
GU023
GU028
GU037
GU056
Fineline II Sterox IROX Lead
Fineline II Sterox IROX Lead
Fineline II Sterox IROX Lead
Fineline II EZ Sterox IROX Lead
Fineline II EZ Sterox IROX Lead
Guidant Aust Selute Picotip Steroid Eluting Bipolar
Lead
Guidant Aust Selute Picotip VDD Lead
Myocardial Pacing Lead
Easytrak Lead
GU079
GU112
GU115
Pulsar Model VDD 870
Endotak Reliance S Passive
Endotak Reliance Lead
Changed Items for Prostheses List Report
Page 42 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GU120
Dual Chamber Rate Responsive Permanent Pacemaker
One size only
Benefit Amendment
GU121
GU122
Insignia Plus DR Model 1297, Insignia Plus DR
Model 1298
Insignia Entra DR Models 1294,1295,1296
Flextend Lead Models 4086, 4087 & 4088
Dual Chamber Rate Responsive Permanent Pacemaker
Bipolar, steroid eluting, transvenous silicon
pace/sense leads with an extendable/retractable active
fixation for implantation into the atrium or ventricle
One size only
45,52,59cm
Benefit Amendment
Benefit Amendment
GU123
Endotak SQ Array XP Lead Model 0085
70 cm
Benefit Amendment
GU124
GU126
GU129
Insignia Entra SR Models 1195 & 1198
Insignia Plus SR Model 1194
LV-1 Lead Adaptor to IS-1
One size only
One size only
One size only
Benefit Amendment
Benefit Amendment
Benefit Amendment
GU130
Y Adaptor
Endotak SQ Array XP Lead Model 0085 is used in
addition to an Endotak endocardial leads for patients
with a high DFT (Defibrillation Threshold)
Single Chamber Rate Responsive Permanent
Single Chamber Rate Responsive Permanent
Connects Left ventricular leads to IS-1 ports in
pacemakers and defibrillators to replace abnormal
cardiac excitation
Connects multiple defibrillator electrodes to a
common port, enabling the use of shocks to revert
Ventricular Tachycardia and normal cardiac function
One size only
Benefit Amendment
GU138
Easytrak 2, Model 4514,4515, 4516, 4517, 4518,
4519, 4520
The Easytrak 2 lead is a dual electrode version of the
Easytrak lead. The Easytrak 2 lead is a coronary
sinus lead, steroid eluting, dual electrode, pace/sense
lead. The lead provides chronic pacing and sensing of
the left ventricle by placement in the
.
Benefit Amendment
GU139
GU140
GU141
GU142
Insignia Ultra SR Model 1190
Insignia Ultra DR Model 1291
Insignia Ultra DR Model 1290
Contak Renewal TR2 CRT - P Model H140, Model
H145
Contak Renewal 4 HE CRT-D Model H197, Model
H199
Contak Renewal 4 CRT-D Model H190, Model
Vitality 2 EL VR - Model T177
Vitality 2 DR - Model T165
Vitality 2 EL DR - Model T167
Vitality 2 VR - Model T 175
Easytrak IS-1 Lead, Models 4535 to 4538
Easytrak 2 Is-1 Lead - Models 4542, 4543 & 4544
Contak Renewal 4 AVT CRT -D - Model M170 and
M175
Contak Renewal 4 AVT HE CRT - D - Model
M177, M179
Easytrak 3 Lead - Models 4521, 4522, 4523, 4524,
4525, 4526 and 4527
Implantable Cardiac Pacemaker
Implantable Cardiac Pacemaker
Implantable Cardiac Pacemaker
Implantable Cardiac pacemaker
One size only
One size only
One size only
45x54x8.5mm, 14cc, 26gm
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Implantable dual-chamber defibrillator
one size only
Detail and Benefit Amendment
Implantable dual-chamber defibrillator
Implantable Cardiac Defibrillator
Implantable Cardiac Defibrillator
Implantable cardiac Defibrillator
Implantable cardiac defibrillator
Implantable left ventricular pacemaker lead
Implantable left ventricular pacemaker lead
Implantable Cardioverter Defibrillator with Cardiac
Resynchronisation Therapy
Implantable Cardioverter Defibrillator with cardiac
resynchronisation Therapy
Implantable left ventricular pacemaker lead
One size only
35cc 90g
30cc ; 82g
35cc ; 90g
30cc; 82g
80 - 90cm
80 to 100cm
37cc; 89g
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
40cc; 89g
Detail and Benefit Amendment
80 to 100cm
Benefit Amendment
GU144
GU147
GU148
GU149
GU150
GU151
GU152
GU153
GU154
GU155
GU156
Changed Items for Prostheses List Report
Page 43 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GU157
Vitality AVT - Model A155
30cc
Benefit Amendment
GU158
Endotak Reliance SG Passive
54cm - 90cm
Detail and Benefit Amendment
GU159
Endotak Reliance G Passive
54cm -90cm
Detail and Benefit Amendment
GU162
Easytrak 3 IS-1 Lead
Implantable cardiac defibrillator with both Atrial and
Ventricular tachyarrhythmia therapy
Endotak Reliance SG Passive Fixation Passive
fixation single coil defibrilation leads with ePTFE
Passive fixation dual coil defibrillation leads with
ePTFE covered coils
Models 4548, 4549 and 4550. Silicone and
polyurethane insulation and polyurethane protective
sleeve
Sizes 80 to 100cm
Benefit Amendment
GU163
ENDOTAK RELIANCE G Active
59-90cm
Detail and Benefit Amendment
GU164
ENDOTAK RELIANCE SG Active
59-90cm
Detail and Benefit Amendment
GU165
Acuity Steerable Lead
Active fixation Dual coil defibrillator leads with
ePTFE covered coils
Active fixation single coil defibrillation with ePTFE
covered coils
Steerable IS-1 bipolar CS LV LeadModels 4554,
4555, 4556
80cm, 90 cm, 100cm
Benefit Amendment
Infusion pump, general purpose
Approx. 14.0 cm H x 9.7 cm W x 5.1cm D
Detail and Benefit Amendment
Hospira Pty Limited
General Miscellaneous
HO001
GemStar Infusion Pump
Imaxeon Pty Ltd
Cardio-thoracic
IX001
Amazonia CroCo
Balloon expandable intracoronary cobalt chromium
stent premounted onto a rapid exchange delivery
catheter
Lengths: 8mm, 12mm, 16mm, 20mm, 24mm, 28mm,
32, 36, and 40mm. Diameters: 2.25mm, 2.5mm,
2.75mm, 3.0mm, 3.5mm, 4.0mm, 4.50 and 5.00 mm
in all lengths
Detail and Benefit Amendment
IX002
Nile CroCo
Intracoronary stent pre-mounted on two rapid
exchange delivery systems for bifurcation lesions
Diameter : 2.50 - 3.50mm. MB and 2.00-3.00mm SB
Detail and Benefit Amendment
Insight Surgical Pty Ltd
Ophthalmic
IS008
Quatrix Aspheric Micro-Incision 2.2mm Intraocular
Lens
Posterior chamber IOL, acrylic, single piece with 360
degree square edge includign the optic haptic junction,
8 point stability, evolutive aspheric, packaged with
disposable syringe and cartridge.
+10 to +30
Detail Amendment
IS009
Quatrix Aspheric Preloaded Intraoular Lens
Preloaded posterior chamber IOL, acrylic, single
piece with 360 degree square edge including the optic
haptic junction, 8 point stability, evolutive aspheric,
packaged in a preloaded syringe.
+10 to +30
Detail Amendment
Integra Neurosciences Pty Ltd
Neurosurgical
Changed Items for Prostheses List Report
Page 44 of 144
Billing
Product Name
Further Description
Size
IG001
Horizontal-Vertical (H-V) Lumbar valve system
The H-V Lumbar Valve adjusts to changes in posture
to maintain pressure appropriate levels in both
standing and recumbent positions. Has a unique antigravity mechanism automatically increasing flow
resistance when the patient resumes a standing or sitti
903-325A 85-125 205-285 small children, 903Detail Amendment
335A 85-125 265-365 tall children, adults, 903345A 85-125 325-445 tall adults, 903-320A 50-80
170-240 small children, 903-330A 50-80 230-320
tall children, adults, 903-340A 50-80, 290-400 tall
Explanation of Change
Chromis deep - Cobalt Chromium, pre-mounted
balloon expandable, 0.014" compatable stent
Diameter: 2.0 mm 4.0mm Length: 10mm - 76mm
Detail and Benefit Amendment
Invatec Technology Center GmbH
Vascular CAG
IV001
Chromis deep cobalt Chromium, infrapopliteal OTW
stent
IQ Medical
Ophthalmic
IQ003
Tetraflex
Acrylic single piece, foldable accommodating
intraocular lens with sqare edge design, custom
control precision and closed loop haptic design
Available in dioptric powers from +5.0 to +36.0, 1D
steps: +31.0 to +36.0; 0.5D steps: +5.0 to +18.0 and
+25.0 to +30.0; 0.2D steps; +18.0 to +25.0
Detail Amendment
IQ004
Softec
Acrylic, single piece, foldable intraocular lens with
anterior and posterior optic-haptic square edge, 360
degree optic square edge design, precision power
calculation and aberration technology
Available in dioptric powers from -5.0 to +36.0, 1D
steps: -5.0 to +10.0 and +31.0 to +36.0; 0.5D steps:
+10.5 to +18.0 and +25.0 to +29.5; 0.25D steps:
+18.0 to +25.0
Detail Amendment
Balloon expandable, stainless steel, heparin coated
Stainless steel stent
Stainless steel coronary stent mounted on a balloon
delivery system
Stainless steel coronary stent with Rapamycin (an
immunosuppressive and antiproliferative drug) bound
to the stent struts
.
Diameter: 2.25-5.0 mm; Length 8 - 33 mm
Dia 2.25 - 4.0mm, lengths 8 - 33mm
Benefit Amendment
Benefit Amendment
Benefit Amendment
Diameter 2.25 - 5.0mm, length 8-33mm
Benefit Amendment
Johnson & Johnson Medical Pty Ltd
Cardio-thoracic
JJ026
JJ200
JJ239
BX Velocity with Hepacoat System
BX Velocity Stent and Delivery System
BX Sonic
JJ302
CYPHER Sirolimus-Eluting Stent & Delivery System
Model CRS - 23300, 08225, 08250, 08275, 08300,
28225, 28250, 28275, 28300, 33225, 33250, 33275,
33300, 13225, 13250, 13275, 18225, 18250, 18275,
18300, 23225, 23250, 23275, 23350, 23400, 08350,
08400, 2835
JJ481
CYPHER SELECT Sirolimus-Eluting Stent &
Delivery System
Stainless steel coronary stent with Sirolimus (an
immunosuppressive and anti-proliferative drug)
bound to the stent by a polymer. Model CRA23300, 08225, 08250, 08275, 08300, 28225, 28250,
28275, 28300, 33225, 33250, 33275, 33300, 13225,
13250, 13275, 182
Diameter 2.25 - 5.0mm, length 8 - 33mm
Benefit Amendment
JJ587
CYPHER Select Plus Sirolimus Eluting Coronary
Diameter 2.25 - 5.00mm, Length 8 - 33mm
Benefit Amendment
JJ670
Presillion CoCr Coronary Stent on RX System
Stainless steel coronary stent with Sirolimus bound
to the stent by a polymer
Cobalt Chromium, bare metal coronary stent
Stent Length (mm) x Stent Diameter (mm) 8 x 2.50,
2.75, 3.0, 3.50, 4.0; 12 x 2.50, 2.75, 3.0, 3.50, 4.0; 17
x 2.50, 2.75, 3.0, 3.50, 4.0; 24 x 2.75, 3.0, 3.50, 4.0;
33 x 2.75, 3.0, 3.50, 4.0;
Detail and Benefit Amendment
Changed Items for Prostheses List Report
Page 45 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Oxidized Regenerated Cellulose
Vicryl/Prolene Composite Mesh
1 sheet/box
Polydioxanone clips contained in a plastic cartridge
Polyglactin 910 - synthetic absorbable mesh.
Vicryl (polyglactin 910) / Prolene (polypropylene)
composite mesh
Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly
absorbable lightweight mesh for tension free-inguinal
hernia techniques
7.6cm x 10.2cm
Medium - 15cm x 15cm
Large - 30cm x 30cm
Small to Extralarge
15cm x 15cm
30cm x 30cm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Small 6 x 11cm
Detail Amendment
General Miscellaneous
JJ010
JJ019
JJ020
JJ036
JJ173
JJ179
Interceed Absorbable Adhesion Barrier
Vypro Mesh
Vicryl Mesh
Absolok* Extra Absorbable Ligating Clips
VICRYL Mesh
VYPRO Mesh
JJ240
VYPRO II Mesh
JJ241
VYPRO II Mesh
Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly
absorbable lightweight mesh for tension free-inguinal
hernia techniques
Medium 12 x 10cm
Detail Amendment
JJ242
VYPRO II Mesh
Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly
absorbable lightweight mesh for tension free-inguinal
hernia techniques
Large 15 x 10cm
Detail Amendment
JJ243
VYPRO II Mesh
Composition - equal part Vicryl polyglactin yarn non-absorbable Prolene polypropylene yarn. Partly
absorbable lightweight mesh for tension free-inguinal
hernia techniques
Extra large 15 x 15cm
Detail Amendment
JJ433
SURGICEL Nu knit Absorbable Haemostat
15.2 x 22.9cm
Detail Amendment
JJ446
JJ447
JJ448
JJ449
JJ450
JJ451
JJ452
JJ453
JJ454
JJ455
JJ456
JJ464
JJ465
JJ466
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
PROCEED Surgical Mesh
Divide Absorbable Adhesion Barrier
ULTRAPRO Mesh
ULTRAPRO Mesh
High density , oxidised regenerated cellulose, the
material is biocompatible and also bactericidal.
PROCEED Surgical Mesh B1
PROCEED Surgical Mesh R1
PROCEED Surgical Mesh N1
PROCEED Surgical Mesh D1
PROCEED Surgical Mesh M1
PROCEED Surgical Mesh G1
PROCEED Surgical Mesh H1
PROCEED Surgical Mesh J1
PROCEED Surgical Mesh T1
PROCEED Surgical Mesh W1
PROCEED Surgical Mesh L1
Oxidised regenerated cellulose
ULTRAPRO Mesh S3
ULTRAPRO Mesh P3
2x4 (inches)
3x6 inches
4x6 inches oval
4x8 inches
6x6 inches
6x8 inches oval
8x10 inches oval
8x12 inches
10x13 inches oval
10x14 inches
12x12 inches
3.8 x 5.1cmm
6 x 11cm
10 x 12cm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 46 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ467
JJ468
JJ469
JJ470
JJ565
JJ568
ULTRAPRO Mesh
ULTRAPRO Mesh
ULTRAPRO Mesh
ULTRAPRO Mesh
ULTRAPRO Mesh
Echelon Endocutter
10 x 15cm
15 x 15cm
15x30cm
30x30cm
7.6cm x 15cm
60mm and 45mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ576
JJ585
Ethicon Omnex Surgical Sealant
Ultrapro Hernia System
0.5 ml
Small to Large Oval
Detail Amendment
Detail Amendment
JJ602
ULTRAPRO Plug
ULTRAPRO Mesh N3
ULTRAPRO Mesh M3
ULTRAPRO Mesh T1
ULTRAPRO Mesh L1
Composite Mesh
Multifire disposable surgical stapling insturment
60mm and 45mm
Omnex Surgical Sealant
Ultrapro Hernia System. Mesh Made From
Composite of Monocryl & Prolene
Partially Absorbable Synthetic Surgical Mesh Device
Small- Onlay patch plug: 12cm x 7.5cm, 5cm rim
diameter, 3cm anchor diameter; Medium- Onlay
patch plug: 12cm x 7.5cm, 5cm rim diameter, 4cm
anchor diameter; Large- Onlay patch plug: 12cm x
7.5cm, 5cm rim diameter, 5cm anchor diameter
Detail Amendment
JJ636
Spongostan Absorbable Haemostatic Gelatin Powder
1 g Porcine Absorbable Haemostatic Gelatin Powder
1 gram
Detail and Benefit Amendment
Stainless steel alloy AVM Micro Clip
Stainless steel Graft Clip (with teflon graft)
Stainless steel Reinforcing (booster) Clip
Stainless steel large clip, curved
Stainless steel large clip, right-angled
Stainless steel large clip, right-angled
Stainless steel large clip, 30 degree angle
Stainless steel large clip, bayonet
Stainless steel large clip, fenestrated
Stainless steel large clip, fenestrated tandem
Stainless steel standard clip, straight to right angled
Stainless steel standard clip, side angle
Stainless steel standard clip, slightly curved
Stainless steel standard clip, right angle
Stainless steel standard clip, straight to right angle
Stainless steel standard clip, straight to curved
Stainless steel standard clip, slightly curved
Stainless steel standard clip, bayonet
Stainless steel standard clip, bayonet
Stainless steel standard clip, curved
Blade length 2-9.5 mm
Blade 2-5mm diameter, 3-7mm length
Blade length 2-9.5 mm
Blade 6mm diameter, 7.5mm length
Blade 6mm diameter, 5mm length
Blade 6mm diameter, 7.5-15mm length
Blade length 12mm
Blade length 5-12mm
Blade 6mm diameter, 24mm length
Blade 6mm diameter, 6 mm length
4.5-10mm length
0.6mm diameter, 10mm length
0.6mm diameter, 15mm length
0.6mm diameter, 5.5 mm length
0.5-0.6mm diameter, 5-15mm length
5-25mm length
16mm length
9mm length
15mm length
10-14mm length
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Neurosurgical
JJ130
JJ131
JJ134
JJ136
JJ137
JJ138
JJ139
JJ140
JJ141
JJ142
JJ143
JJ144
JJ146
JJ147
JJ148
JJ149
JJ150
JJ151
JJ152
JJ153
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Aneurysm Clips
Changed Items for Prostheses List Report
Page 47 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ154
JJ155
JJ156
Aneurysm Clips
Aneurysm Clips
Hakim Precision Valve System
Stainless steel standard clip, slightly curved to curved
Stainless steel standard clip, bayonet to right angle
Precision valve standard. Silicone casing & catheter;
stainless steel ruby ball in cone mechanism with fixed
pressure
8-20mm length
6-25mm length
Peritoneal Catheter length 80 cm, Ventricular catheter
length 14 cm
Detail Amendment
Detail Amendment
Detail Amendment
JJ157
Hakim Precision Valve System
Peritoneal Catheter length 80 cm, Ventricular catheter
length 14 cm
Detail Amendment
JJ158
Hakim Programmable Valve System
Precision valve and pre-chamber. Silicone casing &
catheter; stainless steel ruby ball in cone mechanism
with fixed pressure
Standard system. Silicone casing without catheter;
stainless steel ruby ball in cone mechanism with
variable pressure
One size only
Detail Amendment
JJ159
Hakim Programmable Valve System
Standard system. Silicone casing with catheter;
stainless steel ruby ball in cone mechanism with
variable pressure
Peritoneal Catheter length 80 cm, Ventricular catheter
length 14 cm
Detail Amendment
JJ160
JJ161
Hakim Ventricular Catheter with Bactiseal Silicone
Codman-Medos Non-programmable Valve System
Ventricular catheter length 14 cm
Peritoneal Catheter length 25-80cm
Detail Amendment
Detail Amendment
JJ162
Codman-Medos Non-programmable Valve System
Peritoneal Catheter length 65 cm
Detail Amendment
JJ163
Peritoneal Catheter length 80 cm, Ventricular
Catheter length 15 cm
One size only
One size only
14mm diameter
One size only
One size only
One size only
One size only
Detail Amendment
JJ164
JJ165
JJ166
JJ167
JJ168
JJ169
JJ170
Hakim Ventricular and Peritoneal Catheter Set with
Bactiseal Silicone
Siphonguard CSF Control Device
Burr Hole Button
Burr Hole Button
Burr Hole Button
Burr Hole Button
Burr Hole Button
Burr Hole Button
Silicone antibiotic impregnated catheter
Silicone fixed pressure lumber/peritoneal catheter,
James design
Silicone fixed pressure lumber/peritoneal catheter,
Holter design
Silicone ventricular/peritoneal catheter
JJ171
JJ217
JJ218
Burr Hole Button
Aneurysm Clips
HOLTER Intracranial Pressure Shunt
24mm diameter
Blade 4-6mm diameter, 5-25mm length
3 - 7cm and 15cm
Detail Amendment
Detail Amendment
Detail Amendment
JJ219
Hakim Programmable Valve System
One size only
Detail Amendment
JJ220
Hakim Precision Valve System
One size only
Detail Amendment
Changed Items for Prostheses List Report
PET shell anti-siphon device for shunt
Stainless steel ventriculostomy reservoir
Silicone or stainless steel ventriculostomy reservoir
Silicone ventriculostomy reservoir, flat bottom
Silicone ventriculostomy reservoir, standard
Silicone ventriculostomy reservoir, large
Silicone or stainless steel ventriculostomy reservoir,
low profile
Silicone or stainless steel ventriculostomy reservoir
Stainless steel large clip
HOLTER Ventricular Catheter, packaged sterile,
silicone rubber
Fixed pressure hydrocephalus shunt, packaged
sterile, stainless steel and ruby valve mechanism,
silicone rubber ventricular and peritoneal catheters.
In line or right angled with reservoir. Valve can be
reprogrammed non-invasively 18 pressure settings a
Fixed pressure hydrocephalus shunt, packaged
sterile, stainless steel and ruby valve mechanism,
silicone rubber ventricular and peritoneal catheters.
In line or right angled with reservoir. Opening
pressure H20; Very high 130mm, high 100mm,
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 48 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ221
Hakim Precision Valve System
Fixed pressure hydrocephalus shunt, packaged
sterile, stainless steel and ruby valve mechanism,
silicone rubber ventricular and peritoneal catheters.
In line or right angled with reservoir. Opening
pressure H20; Very high 130mm, high 100mm,
One size only
Detail Amendment
JJ225
HOLTER Intracranial Pressure Shunt
90cm in length
Detail Amendment
JJ226
HOLTER Intracranial Pressure Shunt
90cm in length
Detail Amendment
JJ227
JJ228
JJ229
JJ261
JJ262
Codman Medos Straight Ventricular Catheter
Codman Medos Connector
Codman Medos Peritoneal Catheter
ACCU-FLO Intracranial Pressure shunt
ACCU-FLO Intracranial Pressure shunt
14cm
One size only
85cm
91cm in length
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ263
ACCU-FLO Intracranial Pressure shunt
One size only
Detail Amendment
JJ264
ACCU-FLO Intracranial Pressure shunt
One size only
Detail Amendment
JJ436
JJ437
Codman Hakim Programmable Valves
Codman Hakim Programmable Valves with
Siphonguard
Codman Hakim Precision Valves with Siphonguard,
Right Angle Reservoir
Codman Hakim Precision Valve with Siphonguard,
Inline Reservoir
Codman Hakim Precision Valve, Right Angle
Mountaineer OCT Spinal System - Inner screw
Expedium Spine System
Duraform Dural Graft Implant - 1" x 1" (2.5x2.5cm)
Duraform - 1" x 3" (2.5x7.5cm)
Duraform Dural Graft Implant - 2" x 2"(5x5cm)
Duraform Dural Graft Implant - 3" x 3" (7.5 x 7.5cm)
Duraform Dural Graft Implant - 4" x 5" (10x12.5cm)
HOLTER distal peritoneal catheter, packaged sterile,
silicone
HOLTER distal peritoneal catheter Salmon, packaged
sterile, silicone
14cm, packaged sterile, silicone rubber
Codman Medos stainless steel shunt connector
85cm, packaged sterile, silicone rubber
ACCU-FLO catheter, packaged sterile, silicone
ACCU-FLO three way connector, packaged sterile,
metal or plastic
ACCU-FLO barium ventricular catheter, packaged
sterile, silicone rubber
ACCU-FLO right angle connector, packaged sterile,
metal or plastic
18 different pressure settings, various models
18 different pressure settings and SIPHONGUARD
technology
features 5 operating pressures and SIPHONGUARD
technlogy
features 5 operating pressures and SIPHONGUARD
technology
features 5 operating pressures
Titanium inner screw
DI Favoured Angle Reduction Tab Polyaxial Screw
Collagen-based dural graft implant
Collagen-based dural graft implant
Collagen-based dural graft implant
Collagen-based dural graft implant
Collagen-based dural graft implant
One Size Only
One Size Only
Detail Amendment
Detail Amendment
Pressure settings 10, 40, 70, 100 and 130mmH2O
Detail Amendment
Pressure settings 10, 40, 70, 100 and 130mmH2O
Detail Amendment
10, 40, 70, 100, and 130mmH2O
One size only
4.35-10mm Diameter 20 - 100mm Length
1'x1' (2.5x2.5cm)
1x3"(2.5x7.5cm)
2'x2' (5x5cm)
3" x 3" (7.5 x 7.5cm)
4" x 5" (10x12.5cm)
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
PFC Sigma Knee; Tibiak Stems cemented and fluted
uncemented, titanium and cemented, fluted stem
Bipolar femoral head, CoCr with fixed UHMWPE
Bipolar femoral head, CoCr with UHMWPE insert
Hardinge cement Restrictor (ea)
Sizes 30-150mm
Detail Amendment
Size 36 - 56
28mm inner diameter, 39-65mm outer diameter
One size only
Detail Amendment
Detail Amendment
Detail Amendment
JJ438
JJ439
JJ440
JJ691
JJ738
JJ740
JJ741
JJ742
JJ743
JJ744
Orthopaedic
DP143
PFC Sigma Knee System tibial stems
DP171
DP188
DP233
Hastings Bipolar Prosthesis
Self Centering Bipolar Head
Hardinge Cement Restrictor
Changed Items for Prostheses List Report
Page 49 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DP448
DP575
BIO Stop G
C-Stem End Cap
size 8-20
Size 8- 20
Detail Amendment
Detail Amendment
DY215
DY367
Pinnacle Femoral Head
PFC Sigma TC3 Knee System Tibial Insert
28, 36, 40, 44, 48 mm
Size 1.5 to 5 thickness of 10mm to 30mm
Detail Amendment
Detail Amendment
JJ651
JJ753
JJ754
ASR PLUS Cup - ASR Hip System
Hardinge Cement Restrictor
DePuy Femoral Cement Restrictor
Biostop Restrictor (Gelatin, Glkycerol, PHBM,
End Cap Biostop Restrictor (Gelatin, Glycerol,
PHBM, water)
CoCr , metal on metal,
Tibial Insert, totally constrained, mobile bearing,
UHMWPE, with post
Acetabular Cup
UHMWPE cement restrictor
UHMWPE cement restrictor
42-70mm
One size only
Size 0 to 10
Detail Amendment
Detail Amendment
Detail Amendment
0.6mm thickness, 65 x 65mm, 90 x 92mm
1 kit
1 kit
1 kit
1 kit
1 kit
1 kit
1 kit
1 kit
Low profile 0.3mm, 1.5mm diam hole, 12 - 18mm
diam plate
1.5mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Plastic and Reconstructive
JJ258
JJ492
JJ493
JJ494
JJ497
JJ498
JJ500
JJ505
JJ506
JJ544
BIOPLATE Biomesh
BIOPLATE Sterile Packs
BIOPLATE Sterile Packs
BIOPLATE Sterile Plates
BIOPLATE Sterile Packs
BIOPLATE Sterile Packs
BIOPLATE Sterile Packs
BIOPLATE Sterile Packs
BIOPLATE Sterile Packs
BIOPLATE Low Profile
Titanium cranial biomesh, packaged non-sterile
813573, 2-Hole straight plate and screws - 1.5mm
813574, 2-Hole compression plate and screws - 1.5mm
813575, 2-Hole straight plate and screws - 1.5mm
813578, X-plate and screws - 1.5mm
813579, 4-Hole plate and screws - 1.5mm
813581, 2-Hole straight plate and screws - 1.9mm
813586, X-plate and Screws - 1.9mm
813587, Boxcar plate and screws - 1.9mm
Low Profile Flex Contoured Burr Hole Cover
JJ638
BIOPLATE Neurosurgery Fixation System BIOPLATE Low Profile Plate and Screw Sterile Packs
PDS Plates
Five Hole T-Plate with Screws - Titanium
Absorbable synthetic (poly-p-dioxanone) plate/foil
0.25mm x 30mm x 40mm
0.5mm x 30mm x 40mm
0.25mm x 40mm x 50mm
0.5mm x 40mm x 50mm
Bioplate - Two hole straight plate with 2 self drilling
screws sterile kit
Bioplate - 2 x two hole straight plate with 4 selfdrilling screws sterile kit
Sterile low profile kit -2 hole plate w/ 2 self drill scews
11-19mm plates and 3-5mm self-drilling screws
Detail Amendment
Sterilised low profile kit containing 2 x 2 hole
compression plates and 4 x self-drilling screws
11 - 19mm plates and 3-5mm self drilling screws
Detail Amendment
Eccentric Head, Cobalt chrome alloy
Revision Stem Titanium alloy
Stem Standard, Titanium alloy
Orthosorb K-Wire
Screw Cancellous Titanium
Double Wire
44- 56mm x 18, 21mm
8mm x 200mm - 14mm x 220mm
6mm - 16mm
L300 D2.0mm Thread Each
Diameter 4.5-6.5mm
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ687
JJ734
JJ735
Detail Amendment
Detail Amendment
Specialist Orthopaedic
DP020
DP029
DP030
DP039
DP040
DP045
Global Advantage Shoulder
Global Advantage Shoulder
Global Advantage Shoulder
Orthosorb Absorbable Pin
Bone Screw
Isola System (Stainless Steel)
Changed Items for Prostheses List Report
Page 50 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DP077
DP081
DP086
DP088
DP089
DP090
DP091
DP092
DP093
DP094
DP095
Global Advantage Shoulder
Global Shoulder
Global Shoulder
Orthosorb Absorbable Pin
Orthosorb Absorbable Pin
Orthosorb Absorbable Pin
Orthosorb Absorbable Pin
Orthosorb Absorbable Pin
Orthosorb Absorbable Pin
Orthosorb Absorbable Pin
Orthosorb Absorbable Pin
Size 8 to 14 or Length 6-16mm
Size 15 - 21
Size 40-56
40 x 1.3mm
40mm x 2mm
1mm x 40mm x 1.3mm
40 x 2.0mm
1 x 40mm x 1.3mm Pk 3
50 x 1.3mm
40mm x 2.0mm
40 x 1.3mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DP232
DP330
Suture Wire
Tibial Nail System
10-36G
8-13mm x 25.5-42.5cm
Detail Amendment
Detail Amendment
DP331
DP339
DP343
DP363
DP367
DP371
DP391
DP480
DP528
DP529
DP531
DP571
DP572
DP573
DP592
DP593
DP597
DP598
DP605
DP608
DP612
Tibial Nail System
Femoral Nail
Femoral Nail System
Control Cable
Humeral Nail System
Humeral Nail System
Ace External Fixator
Isola System (Stainless Steel)
Nancy Nail System
Nancy Nail System
Nancy Nail System
Art Retrograde Nail
Nancy Nail System
Neuflex Finger
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set
Small / Large Fragment Set
Global Advantage Stem STD or Long Chrome
Global Advantage HUM HD
Global FIN/ Peg Glenoid
Orthosorb - Polydiaxanone Fixation Pins 3 pins per
Orthosorb - Polydiaxanone 3 pins per pkt
Orthosorb Pkt 1 - Polydiaxanone
Orthosorb Pkt 1 - Polydiaxanone
Orthosorb K Wire - Stainless Steel Tapered Pins
Orthosorb -Polydiameterxanone
Orthosorb - Polydiaxanone 2 pins per pkt
Orthosorb Arthroscopic Fix-Set - Polydiaxanone 5
pins per pkt
Wire Suture Stainless Steel
Tibial Nail or Dynamic Tibial Nail Titanium
Unsterile or Sterile
End Cap Titanium
End Cap Titanium
Femoral Nail Titanium Sterile or Unsterile
Control Cable sleeve
Humeral Nail Titanium Sterile or Unsterile
End Cap Various Titanium Unsterile or Sterile
Pin Holder Bolt - Titanium
Wire with Button or Beaded Wire
Pediatric Flexible Nail
Pediatric Flexible Nail
Pediatric Flexible Nail
Femoral Nail Titanium Unsterile or Sterile
Pediatric Flexible Nail
Neuflex MCP implant - Anasil Silicone
Cannulated Cancellous Lag Screw Titanium
Cannulated Cancellous Screw
Solid Cortical Screw Titanium
Cannulated Bone Screw
Cancellous Lag Screw Titanium
Straight Plate Titanium
Active Compression Plate Titanium
One size only
One size only
8 -15mm x 30- 240mm
One size only
20 – 30 cm
One size only
All sizes
18 and 20 gauge wire
2.5 or 3.0 mm x 190 -290mm
3.5 mm x 270-350mm
4.0 mm x 330-450mm
9 -12mm x 30 - 50cm
2.0 mm x 130 - 190mm
Size 0-60
6.5 - 8mm or 22 mm threaded screw
4mm or 16mm or 32mm Thread, 26-120mm Length
3.5 - 6.5mm; 10 - 120mm Length
3.5 mm length 50-60 mm
4.8 - 6.5mm
3-12 Hole
3.5mm 5 to 10 Hole
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 51 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DP613
DP615
DP617
DP618
DP627
DP632
DP635
DP638
DP640
DP643
Small / Large
Small / Large
Small / Large
Small / Large
Small / Large
Small / Large
Small / Large
Small / Large
Small / Large
Small / Large
Wide - Narrow - Long - Extra Long
3.5mm with 8 to 10 holes
3.5mm with 12-14 holes
3.5mm with 3 to 7 holes
4mm or 5mm Dia 10-76 mm Length
5.0mm Length 50 - 80mm
4mm Dia 10-60mm Length
4mm Dia 50-110mm Length
4mm 10 to 70mm Length
4 x 10 -100mm Length
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DP646
DP654
DP664
DP668
DP672
DP675
DP678
DP683
DP689
DP695
DP719
DP759
Small / Large Fragment Set
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
One size only
3.5 or 4.5 x 12 - 48mm Length
20-150mm
Length 50-145mm
2-8 Hole 95 to 150 Deg
3-6 Hole for 1.5mm
2.7mm or 3.5mm with 2 - 12 Hole
0.8-1.2mm x 280-600
All sizes
2 + 2 + 4 or 4 + 4 + 4 Slots
4.5 - 6.5mm 3-8 Hole
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DP793
DP809
DP837
DP854
Small / Large Fragment Set S/S
Small / Large Fragment Set S/S
Peak Channelled Plate System
Songer Cable System - Titanium
0.8 to 3.0 mm x 6-9" or 150-500mm
0.2-3.5mm
3.5mm
35mm/30mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DP858
DP859
DP860
DP862
DP864
DP871
DP878
Songer Cable System - Stainless Steel
Songer Cable System - Stainless Steel
Songer Cable System - Stainless Steel
Songer Cable System - Titanium
Songer Cable System - Titanium
Agility Ankle System
Barouk System Staples
Humeral and Radial Plate Titanium Various
Universal Reconstruction Ribbon Titanium
Universal Reconstruction Ribbon Titanium
Universal Reconstruction Ribbon Titanium
Solid Cancellous Screw Titanium
Solid Cancellous Screw Titanium
Solid Cancellous Lag Screw Partial Thread Titanium
Solid Cancellous Bone Screw Full Thread Titanium
Cancellous Cannulated Lag Screw Partial Thread
Cannulated Cancellous Screw Full Threaded Stainless Steel
Washer Titanium - Flat/Cup/Countersink
Cortical Screw Diameter - Stainless Steel
Cannulated Cancellous Screw 16 or 32 Thread
CHS Lag Screw Stainless Steel
CHS Plate Standard & Short Barrel Sterile
Broad Bone Plate Stainless Steel
Small or Narrow DCP Plate
Cerclage Wire Loop Stainless Steel
Condylar Plate & Mini Condylar Plate
Y-Plate Stainless Steel
Reconstruction Plate
Washer Spiked, Standard, Cancellous, Cortical &
Fastening Wire
K/Wire Stainless Steel
K-wire standard
Cortical Bone Screw
Flex Bar - Large/Small or Flanged Crimp 2 Hole Bar
/Flat Bar (Pk 2)
Flanged Crimp/Flat Bar (Pk2) or 2 Hole Bar (Pk 2)
Isola Single Cable & Crimp (Pkt 6)
Double Loop Cable with 2 Crimps
Double Loop Cable with 2 Crimps
Isola Single Cable & Crimp (Pkt 6)
Agility Ankle Talar
Varisation Staple Stainless Steel
One size only
One size only
One size only
One size only
One size only
Size 1 - 6
26-90Deg x 8-10mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Fragment Set
Fragment Set
Fragment Set
Fragment Set
Fragment Set
Fragment Set
Fragment Set
Fragment Set
Fragment Set
Fragment Set
Changed Items for Prostheses List Report
Page 52 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DP879
DP880
DP883
Barouk System Staples
Barouk System Staples
Barouk SCR Sys Staples and Buttons
12-20mm Long
1.6 - 2.5 Dia 7-24mm width 13/15-36/50mm Length
8-20mm
Detail Amendment
Detail Amendment
Detail Amendment
DP888
DP893
DP898
DP899
DP900
DP901
DP904
DP905
DP906
DP907
DP911
DP915
DP916
DP929
DP931
DP952
DP954
DP956
Calcaneal Periarticular Plate
Rockwood Clavical Pin
S-Fit Metal Glenoid
S-Fit Metal Glenoid
Albizza Nail
Albizza Nail
Periarticular Plating System
Periarticular Plating System
Periarticular Plating System
Periarticular Plating System
Periarticular Plating System
Periarticular Plating System
Periarticular Plating System
Supacondylar Nail System
Small / Large Fragment Set
Delta Shoulder system
Delta Shoulder system
Delta Shoulder system
Extra small to Ex Large
2.5 to 4.5mm
Size 40-52
Size 40-52
240-320mm Length
3.5 or 4.5 0r 5.5 mm 25-75 mm length
Small - Large
5 Hole
3 Hole
Sm - Lge 3 Hole
Sm -Lge 5 Hole
5 Hole
7 Hole
10 to 12 mm x 15-30cm
6.5mm x 40 - 100mm
Size 36-40 /42
3.5mm and 4.5mm
Size 1-4
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DP957
DP958
DP962
Delta Shoulder system
Delta Shoulder system
Delta Shoulder system
Size 1-4 in 26-42mm
36 - 42mm in +0 to +9/STD/LAT/STD Retentive
36 - 42 mm in +0-+4
Detail Amendment
Detail Amendment
Detail Amendment
DP964
DP965
Delta Shoulder system
Delta Shoulder system
Dia 36/42 + 9
Size 1-4
Detail Amendment
Detail Amendment
DP966
DY082
DY083
DY129
DY136
DY137
DY138
Global FX Shoulder
Agility LP Ankle System
Agility LP Ankle System
Global Advantage CTA Head
Restore Orthobiologic Soft Tissue Implant
Acclaim Elbow
Acclaim Elbow
Memory Staple - Titanium Alloy
TIFLEX Staple / Pin - Titanium
Barouk Screw System Button Prosthesis - SS or
Ceramic
Calcaneal Periarticular Plate - Titanium
Nut Clavical Pin S/S
S-FIT Glenoid Bearing
S-FIT M/B Glenoid
Albizza Nail - Stainless Steel
Albizza Nail Cotter Screw
Plate Calcaneal - Titanium
Fibula Composite Plate - Titanium
Medial Pilon Plate - Titanium
Meta Plate - Titanium
Meta Plate - Titanium
Medial Pilon Plate - Titanium
Medial Pilon Plate - Titanium
Supracondylar Titanium Nail Sterile or Unsterile
Solid Cortical Screw Titanium
Centror Glenoid INOX / ST.Steel / Nichtrostender St.
Metaglene Screw Stainless Steel
Cementless Diaphysis INOX/ ST. Steel +
Aluminia+HAC
Cemented Epiphysis INOX/ ST. Steel +
Humeral Cup Laterilised Polyethylene
DELTA Humeral Head INOX / ST.Steel /
Nichtrostender St.
Humeral Spacer INOX / ST.Steel / Nichtrostender St.
Revision Cementless Diaphysis INOX / ST. Steel +
Aluminia+HAC
Global FX Stem Chrome
Agility Ankle Tibial Shell Right and Left
Agility Ankle Tibial Insert
6-12mm and STD and revision 160-220mm length
Size 1-6
Size 1-6
44 x 18 - 56 x 23
One size only
100-200mm
60-85mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Restore Patch
Humeral Stem, Std/Lge
Ulnar Stem, Std/Lge-Left/Right
Page 53 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DY140
DY223
DY225
DY226
DY227
DY228
DY229
DY230
DY231
DY234
DY236
DY237
DY238
DY240
DY241
DY242
DY243
DY245
DY248
DY249
DY251
DY252
DY253
DY256
DY257
DY258
DY259
DY260
DY262
DY263
DY264
DY266
DY267
DY268
DY271
Acclaim Elbow
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Ace External Fixator
Linked Ulnar Metal Bearing or Polyethylene Yoke
Ring, aluminium
Ring, composite
Ring, composite
Ring, composite
Threaded Rod, titanium
Threaded Rod, titanium
Threaded Rod, titanium
Threaded Rod, titanium
Titanium half pin thread
Spacer with bolt, titanium
Ring, aluminium
Ring, composite
Ring, aluminium
Ring, composite
Stainless steel transfix pin
Titanium Transfix Pin
TIP CapS, polyethylene
Adaptor rod, titanium
Pin holder adaptor, aluminium
Anchor assembly, titanium
Articulation, titanium
Bolt clevis, titanium
Locking nut, titanium
Nut, stainless steel
Position pins I/C foot plate, titanium
Ring adapter bolt, titanium
Ring connector, titanium
Spherical nut and washer, titanium
U rings, aluminium
Universal joint, titanium
Wire bolt hinge, titanium
Wire fixation bolt, cannulated or slotted (stainless
Connecting rod, aluminium
Ring adaptor, titanium
One size only
1/3 ring small 6" diameter
1/3 ring large
1/3 ring medium
1/3 ring small
1/4" x 10cm
1/4" x 15cm
1/4" x 20cm
1/4" x 25cm
15-80mm, 155 x 5mm to 220 x 5mm
2.5-5mm
2/3 ring, Medium - Large
2/3 ring, medium - Large
2/3 ring, small 6" diameter
2/3 ring, small
250/300 x 5mm with 40-70mm thread
250/300 x 5mm with 40-70mm thread
3-5mm
8mm
90"
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
X-Short, short, medium or long
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 54 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
DY294
DY323
DY324
DY325
DY326
Bremer Halo Crown System
Ace Trochanteric Nail
Ace Trochanteric Nail
Ace Trochanteric Nail
Ace Trochanteric Nail
Aluminium Crown & Vest
Trochanteric Lag Screw Sterile
Trochanteric Anti Rotation Screw Sterile
Trochanteric End Cap Sterile
Trochanteric Nails Sterile in Standard or Left or Right
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
DY360
DY380
DY381
DY382
DY383
DY386
DY400
DY408
DY409
DY414
DY415
DY418
DY419
DY477
Global Advantage Shoulder
Versa Nail
Versa Nail
Versa Nail
Versa Nail
Hoffman Wrist Kit
Neuflex Finger
Mobility Ankle
Agility LP Ankle System
Guepar Radial Implants
Guepar Radial Implants
Mobile Ankle
Mobile Ankle
BioIntrafix Tibial Soft Tissue Fastener (Sheath)
JJ071
JJ072
JJ076
JJ077
JJ078
JJ083
JJ084
JJ085
JJ087
JJ089
JJ091
JJ093
JJ095
JJ096
JJ097
Mitek Kurosaka Advantage Fixation Screw
Mitek Kurosaka Fixation Screw
Mitek Ethibond Knotless Suture Anchor
Mitek Polypropylene Meniscus Fastner
Rigidfix ACL Cross Pin System
Mitek GII Anchor Threader Tab
Mitek Rotator Cuff Anchor Threader Tab
Mitek Super Anchor Threader Tab to bone
Mitek Tacit Quick Anchor
Mitek GII QuickAnchor Plus
Mini Quick Anchor with Suture
Mitek Rotator Cuff Quick Anchor Plus
Mitek Super Quick Anchor Plus
Mitek Fastin Anchor
Fastin RC Anchor System
Anchor Peg Glenoid
TTC Fusion Nail Sterile
TTC Fusion Nail Unsterile
TTC Nail Cap Unsterile Impinging and Non Impinging
TTC Nail Cap Sterile Impinging and Non Impinging
Hoffman Sterile Wrist Kit
Neuflex PIP
Mobile Bearing
Wide Ankle Talus
Radial Stem, Radial Head
Radial Stem, Radial Head
Tibial Tray
Talus
Absorbable composite (TCP/PLA) fixation device
(sheath) used in conjunction with a screw
Titanium Screw Cannulated - Advantage
Titanium Screw Cannulated - Profile
Titanium anchor
Polypropylene anchor
Polylactic acid pin
Titanium Suture Anchor
Titanium Suture Anchor
Titanium Suture Anchor
Titanium Suture Anchor
Titanium Anchor, with various sutures
Anchor with Suture
Titanium Anchor, with various sutures
Titanium Anchor, with various sutures
Titanium Suture Anchor
Titanium Anchor, with various sutures
Standard & 3D
60 to 120mm
60 to 100mm
5 to 25mm
125 - 130 deg, 9 - 11mm, 320 - 420mm, sterile and
non-sterile
40 to 56 mm
10mm x 15cm up to 12mm x 30cm
10mm x 15cm up to 12mm x 30cm
One Size
One Size
One size only
1 to 20
1-6 from 3-11mm
Size 1-6
+0 to+4
14/12mm to 16/16mm
Size 1-6
Size 1-6
30mm
7 & 9mm x (15 to 40mm)
7,8 & 9mm x (20 to 30mm)
2.7 x 10.8 mm
6 & 8mm x 4mm
2.7 & 3.3mm x 42mm
2.4 x 8.8mm
2.8 x 11mm
2.8 x 11.4mm
2.0 x 3.6mm
2.4 x 8.8mm
Anchor with Suture and Multiple size needles
2.8 x 11mm
2.8 x 11.4mm
3 x 8.4mm, 4 x 9.7mm, 5.2 x 11.5mm
5 & 6.5mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 55 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ098
Panalok RC Anchor System
2.9 x 11.0mm
Detail Amendment
JJ099
Panalok Anchor System
4.1 x 6.0mm
Detail Amendment
JJ100
JJ124
JJ125
JJ126
JJ127
JJ128
JJ231
JJ233
Micro Quick Anchor
Intrafix Tibial Sheath
Intrafix Tibial Tapered Screw
Contack Fastener
Absolute Absorbable Interference Screw
Cuff Link
Bioknotless Anchor System
Panalok RC QuickAnchor Plus DS Panacryl Suture
1.3 x 3.7mm
7 to 10mm x (15 to 30mm)
6 to 10mm x (15 to 30mm)
(3.5 to 7.5mm) x11.5mm
7 to11mm x (23 to 30mm)
8mm
Dia 3.9mm, length 9mm
Anchor diameter 2.9mm, length 11mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ234
Panalok RC QuickAnchor Plus DS Ethibond Suture
Anchor diameter 2.9mm, length 11mm
Detail Amendment
JJ307
2/0
Detail Amendment
JJ420
JJ421
JJ422
JJ424
JJ425
JJ426
JJ427
JJ429
JJ431
JJ457
MiniLok Quick Anchor Plus with Suture
MicroFix Anchor with Suture
MiniLok Quick Anchor with Suture
Panalok RC Loop Anchor with Ethibond Suture
Panalok RC Loop Anchor with Panacryl Suture
Bioknotless RC Anchor with Panacryl Suture
Lupine Loop Anchor System
Bioknotless RC Anchor with Ethibond Suture
Lupine Loop Anchor System
Spiralok Anchor System
Straight needle, 12 degree curved needle, 27 degree
curved needle
7x23mm; 7x30mm; 8x23mm; 8x30mm, 9x23mm;
9x30mm; 10x23mm; 10x30mm; 11x30mm
Anchor with Suture and Multiple size needles
Anchor with Suture and Multiple size needles
Anchor with Suture and Multiple size needles
One size only
One size only
One size only
Dia 3.9mm Length 9mm
One size only
Dia 3.9mm Length 9mm
5mm, 6.5mm
Detail Amendment
JJ337
Rapidloc Meniscal Repair PLA Tophat with
Ethibond Suture
Rapidloc Meniscal Repair PLA Tophat with
Panacryl Suture
Biocryl - TCP/PLA Interference Screw
Polylactic acid absorbable anchor with absorbable and
non-absorbable suture
Polylactic acid absorbable anchor with absorbable and
non-absorbable suture
Titanium Suture Anchor
High density polyethylene sheath
Plastic tapered screw
Polylactic acid tack
Polylactic acid screw
High density plastic link
PLA absorbable material with various sutures
Anchor composed of PLA, Suture composed of PLA
and PGA
Anchor composed of PLA, Suture composed of
polyester
Composition: PLA Implant and Ethibond Suture, non
absorbable suture
Composition: PLA Implant and Panacryl Suture
JJ458
Spiralok Anchor System
5mm, 6.5mm
Detail Amendment
JJ460
Spiralok Anchor System
5 & 6.5mm
Detail Amendment
JJ461
RapidLoc Meniscal Repair System with PDS
One size only
Detail Amendment
JJ471
Spiralok Anchor System
5 - 6.5mm
Detail Amendment
JJ308
Changed Items for Prostheses List Report
Composition - Tricalcium Phosphate & Polylactic
Anchor composition is PLA
Anchor with suture
Anchor with Suture
Anchor composition is PLLA
Anchor composition is PLLA
Anchor composition is PLLA
PLLA with various sutures
Anchor composition is PLLA
PLLA with various sutures
Spiralok Absorbable PLA Anchor with absorbable
suture with needles
Spiralok Absorbable PLA Anchor with nonabsorbable suture without needles
Spiralok Absorbable PLA Anchor with nonabsorbable suture with needles
PLA (absorbable) backstop and PDS (absorbable)
top hat and Panacryl absorbable suture connecting
the top hat and backstop
Spiralok Absorbable PLA Anchor with absorbable
suture without needles
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 56 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ472
JJ473
BioKnotless Anchor System
BioIntrafix Tibial Soft Tissue Fastener
Dia 3.9mm Length 9mm
6 to 10mm by length 30mm
Detail Amendment
Detail Amendment
JJ483
Spiralok Anchor System
5mm, 6.5mm
Detail Amendment
JJ484
MILAGRO (TCP/PLGA) Interference Screw
PLA absorbable material with various sutures
Absorbable composite (TCP/PLA) fixation device
(screw) used in conjunction with a sheath for the
repair of ACL Soft Tissue Graft
Spiralok Absorbable PLA Anchor with nonabsorbable suture with or without needles
MILAGRO (TCP/PLGA) Interference ACL Screw
System
7mm x 23mm, 7mm x 30mm, 8mm x 23mm, 8mm x
30mm, 9mm x 23mm, 9mm x 30mm, 9mm x 35mm,
10mm x 23mm, 10mm x 30mm, 10mm x 35mm,
11mm x 30mm, 11mm x 35mm, 12mm x 30mm,
12mm x 35mm
Detail Amendment
JJ548
JJ549
JJ550
JJ551
JJ552
JJ553
JJ554
JJ555
JJ556
JJ557
JJ558
JJ559
JJ560
JJ561
JJ588
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
DELTA Xtend
Femoral Intrafix System
1 + 2 8, 10, 12, 14mm
1 + 2 8, 10, 12, 14mm
10, 12, 14, 16mm
1+2
1 + 2 Left + Right
38 + 42; 3, 6, 9mm
48 + 52; 21, 26mm
38 + 42
38 + 42
4.5mm; 18, 24, 30, 36, 42
4.5mm; 24, 30, 36, 42, 48
38 + 42; 3, 6, 9mm
38 + 42; 6mm
9mm
7 to 10mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ611
JJ613
Global AP Shoulder
Global AP Shoulder
Monobloc Humeral Cemented Epiphysis Standard
Monobloc Humeral Cemented Epiphysis Revision
Modular Humeral Diaphysis
Modular Centered Epiphysis HA coated
Modular Eccentric Epiphysis
High Mobility Humeral PE Cup
Delta Xtend CTA Head Extended Lip
Eccentric Glenosphere
Standard Glenosphere
Non Locking Metaglene Screw Dia 4.5
Locking Metaglene Screw Dia 4.5
Standard Humeral PE Cup
Retentive Humeral PE Cup
Humeral Spacer
Screw and Sheath Fixation System for the Femur in
ACL repairs
Humeral Stem Long
Humeral Head
Humeral Stem Long - 8mm, 10mm, 12mm, 14mm
Humeral Heads - 40x15, 40x18, 44x15, 44x18, 44x21,
48x15, 48x18, 48x21, 52x15, 52x18, 52x21, 56x18,
56x21
Detail Amendment
Detail Amendment
JJ614
Global AP Shoulder
Humeral Head-Eccentric
Humeral Heads - 40x15, 40x18, 44x15, 44x18, 44x21,
48x15, 48x18, 48x21, 52x15, 52x18, 52x21, 56x18,
56x21
Detail Amendment
JJ615
JJ616
JJ618
JJ619
Global AP Shoulder
Global AP Shoulder
Distal Radius Fracture Repair System
Distal Radius Fracture Repair System
Fixed 135 Degree taper Assembly
Ball Taper Adjustable Neck Assembly
DVR-A, distal volar radius locking plate, titanium
DVR-A, distal volar radius locking plate, titanium
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ620
Distal Radius Fracture Repair System
DNP, dorsal nail plate, titanium
135 Degree Angle
N/A
Standard, left & right
Narrow, wide, short, X-large, XX-large narrow-left &
right
Standard, left & right
Changed Items for Prostheses List Report
Detail Amendment
Page 57 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ621
JJ622
Distal Radius Fracture Repair System
Distal Radius Fracture Repair System
Right, left, straight, Y
2.5mm x 14-40mm
Detail Amendment
Detail Amendment
JJ623
JJ624
JJ625
JJ626
JJ627
JJ628
JJ629
JJ630
Distal Radius Fracture Repair System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
Fragment locking plate, titanium
Locking peg, threaded, partly threaded, smooth,
titanium/cobalt chrome
Locking cortical bone screw, titanium
S3 Shoulder Plate
S3 Shoulder Plate, Titanium
S3 Shoulder Plate, Titanium
Peg, Standard Stainless Steel
Peg, Threaded Stainless Steel
Peg, Threaded Stainless Steel
Peg, Threaded Stainless Steel
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ631
JJ632
JJ633
JJ637
Screw, Multidirectional Stainless Steel
Screw, 90 Deg Locking Stainless Steel
Set Screw, 90 Deg Locking
Cross Linked Polyethylene Glenoid Implant
Intramedullary Nail
Intramedullary Nail Fixation System Kit
1.6mm and 1.1mm
1.6mm and 1.1mm
Detail Amendment
Detail Amendment
JJ672
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
HI S3 Shoulder Fixation System
Global Advantage Shoulder – Cross Linked Anchor
Peg Glenoid
Small Bone Fixation System - Small Bone Flexible
Small Bone Fixation System - Small Bone Fixation
System Kit
VersaNail IM Nailing Platform
2.5mm-3.5mm x 10-28mm
3 Hole, Left & Right & 4 Hole, Left & Right
6 - 8 Hole, Left & Right
11 - 14 Hole, Left & Right
4mm x 20mm - 65mm
4mm x 20mm - 65mm
4mm x 37.5mm
4mm x 40mm, 45, 47.5mm, 50mm, 52.5mm, 55mm,
57.5mm, 60mm, 62.5mm, 65mm,
3.8mm x 20, 22, 24, 26, 28, 30, 32, 34, 36 & 38
3.8mm x 20, 22, 24, 26, 28, 30, 32, 34, 36 & 38
One size
40 to 56 mm including XL
9-13mm x 28-48CM
Detail Amendment
JJ673
VersaNail IM Nailing Platform
7-10 mm x 150-280mm
Detail Amendment
JJ674
JJ675
JJ678
VersaNail IM Nailing Platform
VersaNail IM Nailing Platform
Versalok Bone Anchor System with Orthocord
8-13mm x 25 - 50cm
Flush, impinging & 5-15mm
One size only
Detail Amendment
Detail Amendment
Detail Amendment
JJ680
JJ681
JJ682
Polyax Plating System
Polyax Plating System
Polyax Plating System
8-60mm
6-18 holes
25-90mm
Detail Amendment
Detail Amendment
Detail Amendment
JJ683
JJ684
JJ685
JJ686
JJ696
Polyax Plating System
Polyax Plating System
Polyax Plating System
Polyax Plating System
Lupine BR Anchor System
Troch Entry and Universal Femoral Nails, Titanium,
Locking, cannulated.
Humeral Nails, Universal and Proximal, Titanium,
Locking, cannulated
Tibial Nails, Titanium, Locking, cannulated.
End caps for VersaNail IM Nail Platform
Anchor, sterile, pre-mounted on inserter shaft with 2
free strands of Orthocord suture
Cortical Locking Screw, Titanium
Distal Femoral Locking Plate, Titanium
Polyaxial Cancellous Cannulated Locking Screw,
Titanium
Polyaxial Cancellous Locking Screw, Titanium
Cancellous Non-Locking Screw, Titanium
Cancellous Locking Screw, Polyaxial, Titanium
Proximal Tibial Locking Plate, Titanium
Biocryl Rapide anchor with two strands of
Orthocord suture
25-100mm
40-100mm
50-100mm
2-14 holes
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ639
JJ641
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 58 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ698
Bioknotless BR Bone Anchor System
One size only
Detail Amendment
JJ707
JJ708
JJ709
JJ710
JJ711
JJ713
JJ714
JJ715
JJ716
JJ717
JJ719
JJ720
ATN Trochanteric Nail System
ATN Trochanteric Nail System
ALPS - Anatomic Locked Plating System
ALPS - Anatomic Locked Plating System
ALPS - Anatomic Locked Plating System
ALPS SFS
ALPS SFS
ALPS SFS
ALPS SFS
ALPS SFS
ALPS SFS
ALPS LFS
40 - 150mm
40-150mm
1-4 holes
5-10 hole plates
5-10 holes
10-150MM
10-70MM
10-70MM
2.7-3.5 x6-70MM
6-70MM
Flat and cupped
1-4 hole
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ721
ALPS LFS
5-10 hole
Detail Amendment
JJ722
ALPS LFS
11-20 hole
Detail Amendment
JJ723
JJ724
JJ725
JJ726
JJ727
ALPS LFS
ALPS LFS
ALPS LFS
ALPS LFS
ALPS LFS
26-100MM
6.5mm diameter
8-100MM
4.5mm x 14-70mm
4-25 holes
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
JJ728
JJ729
ALPS LFS
ALPS Anatomic Locked plating system
4.5-6.5mm
5-10 holes
Detail Amendment
Detail Amendment
JJ730
ALPS-Anatomic Locked Plating system
11-20 holes
Detail Amendment
JJ731
JJ737
JJ774
JJ783
JJ784
JJ785
JJ787
ALPS Distal Tibia
Compression Hip Screw System
Healix PEEK Suture Anchor
ALPS Hand Fracture System - CoCr Pegs
ALPS Hand Fracture System - Titanium Pegs
ALPS Hand Fracture System - Locking Plate
Global CAP Resurfacing Humeral Head Implant
BIOKNOTLESS BR anchors with Orthocord or
Panacryl suture
Titanium anti-rotational screw for Trochanteric nail
Titanium lag screw for Trochanteric nail
3.5MM Titanium 100° Tubular Plate
3.5MM Titanium LOCKING COMPRESSION
3.5MM Titanium 100° Tubular Plate
Cancellous Titanium Bone Screws
Cancellous Titanium Locking Bone Screws
Cannulated Cancellous Titanium Bone Screws
Cortical Titanium Bone Screws
Cortical Locking Titanium Bone Screws
Flat and cupped Titanium washers
4.5mm locked narrow and broad 1-4 hole titanium
compression plate
4.5mm locked narrow and broad 5-10 hole titanium
compression plate
4.5mm locked narrow and broad 11-20 hole titanium
compression plate
Cancellous Titanium locking screws
Cancellous Titanium non-locking screws
Cortical Titanium locking screws
Cortical Titanium non- locking screws
Offset, Reconstruction and 4.5mm Spider and Tplates, Titanium
Flat and cupped Titanium washers
Anterolateral and Medial Distal Tibial Anatomic
Locking Plate, Titanium
Anterolateral and Medial Distal Tibial Anatomic
Locking Plate, Titanium
Polyaxial Titanium locking screws
Compression hip screw plate, stainless steel
PEEK anchor with Orthocord suture
Locking pegs & screws, threaded, partly threaded,
Pegs, threaded, partly threaded, titanium
Locking plates, titanium, various shapes
Global CAP Conservative Anatomical Prosthesis
(Shoulder Humeral Head Surface Replacement)
20-60mm
25-38mm, 2-16 holes, 95-150 degrees
4.5 - 6.5mm anchor diameter
10 - 2.5mm x 4 - 40mm
1.0 - 2.5mm x 4 - 40mm
1.0mm - 2.5mm locking plates
40-56mm Diameter
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 59 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
JJ788
Global AP CTA Humeral Head
CTA Humeral Head
Sizes 44-56mm
Detail Amendment
Vascular CAG
JJ057
JJ058
JJ068
JJ224
Palmaz Balloon Expandable Stent
Palmaz Balloon Expandable Stent
SMART .018" Peripheral Stent System
TruFill Pushable coil
Stainless steel stent
Stainless steel stent
Nitinol carotid stent and delivery system
Platinum pushable coil of 1. Straight, 2. C, 3. Flat
spiral and 4. Complex shapes. Embolic coil and
delivery tube.
Diameter 4-12mm, length 20-30mm
Extra-large
6 - 10 mm
Size .014" outer diameter. Size 2 - 10mm and length
2 - 100mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
JJ235
SMART Peripheral stent system
Dia 6 - 8mm, length 120mm
Detail and Benefit Amendment
JJ304
Diameter 3-8mm, length 12-39mm
Detail and Benefit Amendment
Diameter 4-8mm, length 12-39mm
Detail and Benefit Amendment
JJ306
JJ419
Palmaz Genesis Peripheral Stent and Delivery
System on Slalom
Palmaz Genesis Peripheral Stent and Delivery
System on Opta Pro
Palmaz Genesis Peripheral Stent
SMART Control Peripheral Stent System
Diameter 4-12mm, length 11-79mm
Dia 6 – 14mm; Length 20 – 100mm
Detail and Benefit Amendment
Detail and Benefit Amendment
JJ423
OPTEASE retrievable vena cava filter
Suitable for vessels up to 30mm
Detail and Benefit Amendment
JJ445
ANGIOGUARD XP Emboli Capture Guidewire
Laser cut nitinol tube. Available in long stents to
treat large vessel lesions.
Stainless steel balloon expandable stent mounted on a
slalom balloon
Stainless steel balloon expandable stent mounted on
an Opta Pro Balloon
Stainless steel peripheral stent
SMART Control is a laser cut nitinol self expanding
stent, used to treat peripheral vessel disease.
OPTEASE is a laser cut nitinol vena cava filter, used
to treat patients at high risk of pulmonary
Distal protection device and delivery system
Detail and Benefit Amendment
JJ463
PRECISE RX Nitinol Stent System
JJ479
JJ480
PALMAZ GENESIS on CORDIS AMIIA RX .014
Delivery System
Angioguard RX Emboli Capture Guidewire System
JJ567
PALMAZ® BLUE™ .018 Peripheral Stent System
JJ592
SMART Nitinol Stent System
L605 Cobalt Chromium Alloy Balloon Expandable
Stent
Long 120mm Stent, 6F compatible
Length: 300cm, diameter: 0.014, Basket sizes 4mm,
5mm, 6mm, 7mm, and 8mm
Stent Lengths 20, 30, 40mm; Stent Diameter: 5, 6, 7,
8, 9, 10mm
Lengths: 12, 15, 18, 24mm. Diameter: 4, 4.5, 5, 5.5,
6, 6.5, 7mm
Length 180cm, Diameter 0.014"; basket sizes 4mm,
5mm, 6mm, 7mm and 8mm
12, 15, 18, 24mm length 4, 5, 6, 7mm diameter
JJ617
SMART Nitinol Stent System
Long 150mm stent, 6F compatible
JJ646
JJ688
Precise Pro Rx Nitinol Stent System
Palmaz Blue .014 Renal Stent System (on Aviator
Nitinol self expanding stent
CoCr balloon expandable stent
JJ305
Nitinol self expandable stent and repid exchange
delivery system
Peripheral balloon expandable stent and rapid
exchange delivery system
Distal protection device and delivery system
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
6-8mm diameter, 120mm stent length, 120cm
Detail and Benefit Amendment
delivery system
6-8mm diameter, 150mm length, 120cm delivery
Detail and Benefit Amendment
system
Diameter: 5, 6, 7, 8, 9, 10mm; Length: 20, 30, 40mm Detail and Benefit Amendment
12, 15, 18, 24mm Lengths
Detail and Benefit Amendment
40, 50, 60, 70mm diameters
80,
142cm shaft lengths
Kendall Australasia Pty Ltd T/A Tyco Health Care Australia
Vascular CAG
Changed Items for Prostheses List Report
Page 60 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
KA007
Mahurkar Subclavian Catheter Kit
Chronic haemodialysis, long term vascular access for
haemodialysis and apheresis. Constructed of
radiopaque silicone rubber. Kit contains: Catheter,
18ga Introducer Needle, J/Straight 0.038" Guidewire,
10cc Syringe, Tunnelling Stylet, Pull-Apart
Sheath/Dilator, (4) Gauze Sponges, (2) Wound
Dressings, (2) Injection Sealing Caps.
36, 40cm
Detail Amendment
KA008
Single Lumen Right Atrial Catheter
84cm, 1.3mm OD, 94cm 2.2mm OD, 94cm 3.2mm OD
Detail Amendment
KA009
RAAF Dual Lumen Catheter
Triple Lumen Right Arterial Catheter
4.5mm (Catheter), 95cm (Catheter Overall Length);
3.2mm (Catheter), 102cm (Catheter Overall Length)
3.9mm
Detail Amendment
KA010
KA011
Permcath Dual Lumen Catheter
Central Venous Catheters constructed of radiopaque
silicone rubber
Central Venous Catheter constructed of radiopaque
silicone rubber
Central Venous Catheter constructed of radiopaque
silicone rubber
Chronic Haemodialysis, long term vascular access for
haemodialysis and aphaeresis. Constructed of
radiopaque silicone rubber. Kit contains: Catheter,
18ga Introducer Needle, J/Straight 0.038" Guidewire,
10cc Syringe, 10Fr. Dilator (28cm only), 12Fr.
Dilator (except 28cm), #11 Scalpel, Tunnelling Stylet,
Oval Pull-Apart Sheath/Dilator, (4) Gauze Sponges,
(2) Wound Dressing, (2) Injection Sealing Caps.
36cm, 40cm
Detail Amendment
KA012
Mahurkar Subclavian Catheter Kit
Acute haemodialysus, short term vascular access.
Catheters constructed of radiopaque polyurethane.
Tips are made of polyvinyl chloride and are more
radiopaque than the rest of the catheter. Kit contains:
10 or 11.5 Fr Catheter, 18ga Introducer Needle,
J/Straight Guidewire, 10 Fr Dilator, 12 Fr Dilator, 2 x
Adhesive Wound Dressings.
11.5 Fr, 13.5cm Straight Extension, 11.5 Fr, 16cm
Straight Extension, 11.5 Fr 19.5cm Straight
Extension, 10 Fr 12cm Curved Extension, 10 Fr 15cm
Curved Extension, 11.5 Fr 16cm Curved Extension,
11.5 Fr 16cm Curved Extension, 11.5 Fr 19.5cm
Curved Extension
Detail Amendment
KA013
Permcath Dual Lumen Catheter
Chronic haemodialysis, long term vascular access for
haemodialysis and aphaeresis. Constructed of
radiopaque silicone rubber.
28, 36, 40cm
Detail Amendment
KA014
Mahurkar Maxid Catheters
Catheters constructed of radiopaque polyurethans,
high kink resistant. The arterial lumen is shorter than
the venous lumen at the catheter's distal end in order
to reduce recirculation during haemodialysis
Size, 38, 43, 48, 53cm
Detail Amendment
KA018
Palindrome
Haemodialysis catheter
14.5Fr. 19, 23, 28, 33, 55cm Insertion Lengths, with
36, 40, 45, 50, 72cm Overall length, with side slots,
symmetric tip
Detail Amendment
KA019
Mahurkar 12Fr Triple Lumen Catheter
12Fr - 13cm, 16cm, 19cm & 24cm lengths available
Detail Amendment
KA020
Mahurkar 13.5Fr Q-Plus Dual Lumen Catheter
Mahurkar 12Fr Triple Lumen Catheter Curved
Extension Kit
Mahurkar 13.5Fr Q-Plus Curved Extension Double
Lumen Catheter Kit
13.5Fr - 13.5cm, 16cm, 19cm & 24cm lengths available
Detail Amendment
Acrylic, Aspheric, Toric Pseudophakic Secondary
IOL : Sulcus-fixated with Undulating Haptics and
Posterior Haptic Angulaiton
6.5mm / 13.5mm - 5.0D+5.0D Spheres : Increments
up to + 5.00D Cylinder
Detail Amendment
Detail Amendment
Kevin Grundy (IBD) Pty Ltd
Ophthalmic
KG005
Rayner Sulcoflex Aspheric Toric Pseudophakic
Secondary I.O.L - Standard
Changed Items for Prostheses List Report
Page 61 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
KG007
KG010
Rayner M-Flex Toric (Standard)
6.5mm/13.5mm - 5.0D to +5.0D sphere: increments
up to 11.0D cylinder
Acrylic, Foldable, Single piece multi-zoned refractive
aspheric multifocal with Amon-Apple 360 Degree
Square edge, Anti Vaulting Haptics
Acrylic, Foldable, Single Piece, Multi-zoned
Refractive Aspheric Toric Mulitfocal with AmonApple enhanced 360 degree Square edge, Anti
6.5mm/13.5mm - 5.0D sphere: increments up to
11.0D cylinder
6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D
Addition: +14D to +25D in 1.0D increments: +8.5D
to +23.5D in 0.5D increments
5.75mm / 12.0mm: 6.25mm / 12.5mm +3.00D or
+4.00D Addition FAR: +14.0D to +32.00D in 0.5
STEPS: +2.00D Cylinder. NEAR: +14.0D to 27.0D
in 0.5 STEPS: +2.00D Cylinder
Detail Amendment
KG009
Rayner Sulcoflex Aspheric Toric Pseudophakic
Secondary IOL (Premium)
Rayner "M-Flex" Mulitfocal Foldable IOL
KG011
Rayner "M-Flex" Toric (Non Standard)
Acrylic, Foldable, Single Piece, Muli-Zoned
Refractive, Toric Multifocal with Amon-Apple
enhanced 360 Degree square edge, Anti-vaulting
Haptics, Patient Specific.
5.75/12.0mm: 6.25/12.5mm +3.00D to +4.00D
Addition FAR: +14.0D to +32.0D in 0.5D
Increments: NEAR: +14.0D to +27.0D in 0.50D
Increments Cylinder: 1.0D to 1.5D and 2.5D to
6.00D in 0.5 increments
Detail Amendment
Armstrong, Collar Button, Shepard, Reuter,
Donaldson, Paparella, Shah
1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm
Detail Amendment
Detail Amendment
Detail Amendment
Lifehealthcare Pty Ltd
Ear, Nose & Throat
LH404
NeoZoline Otological Ventilation Tubes
General Miscellaneous
LH377
Durasphere FL
Composition: Pyrolitically carbon coated silica bead
in an aqueous gel. Injectable bulking agent for the
treatment of Faecal Incontinence. Syringe plus needle.
Syringe 1ml
Detail Amendment
LH378
Durasphere FL
Composition: Pyrolitically carbon coated silica bead
in an aqueous gel. Injectable bulking agent for the
treatment of Faecal Incontinence. Syringe plus needle.
Syringe 3ml
Detail Amendment
Sugita Clips, Standard Slightly Curved,
Sugita Clip, Temporary Straight/S, Sugita Clip,
Temporary Straight/L
Sugita Clips: Standard Straight-Short #1/Long #2
Sugita Titanium Anneurysm Clips: Standard
Straight/s, Straight-L, Bayonet, Angled, StraightSmall, STD Temp-STD Small, STD TempStraight/Large, STD Temp-Bayonet, STD TempCVD, Mini Straight-Small, Mini Straight/Large, Mini
Curve, Mini Angled, Mini Curve
One Size Each
One Size Each
Detail Amendment
Detail Amendment
One Size Each
One Size Each
Detail Amendment
Detail Amendment
Sugita Titanium Clips: Standard Slight Angle, Side
CVD, CVD, Angled, Bayonet-Small/Large, StraightMedium, Slight CVD, Straight Large, L AngleSmall/Medium/Large, 45D CVD
Small/Medium/Large, STD Temp Slight CVD, Temp
Mini Straight/Large, Temp Mini Angle,
One Size Each
Detail Amendment
Neurosurgical
LH116
LH117
Aneurism Clip
Aneurism Clip
LH118
LH119
Aneurism Clip
Aneurism Clip
LH147
Aneurism Clip
Changed Items for Prostheses List Report
Page 62 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LH148
Aneurism Clip
Sugita Titanium Clips: Standard Side CVD Bayonet,
Small CVD, Side Angled, Slight CVD, J AngleSmall/Medium/Large, Slight CVD Small, Temp Mini
Straight Slim, Standard L Curved- Small/Large, Mini
Straight Slim, Curve Slim,
One Size Each
Detail Amendment
LH149
LH150
LH151
LH152
LH153
LH154
LH155
LH156
LH157
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
One Size Each
One Size Each
One Size Each
One Size Each
One Size Each
One Size Each
One Size Each
One Size Each
One Size Each
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LH158
Aneurism Clip
Sugita Titanium Clips: Booster
Sugita Clips: Mini Straight Slim, CVD Slim
Sugita Clips: Fenest, Lrg L Shaped W/CVD
Sugita Clips, Mini CVD Slim
Sugita Clips, Long
Sugita Clip, Large Straight/Short
Sugita Clip, Temporary Bayonet, Bent
Sugita Clip, STD Sideward CVD
Sugita Clip, Large Sideward Bent, Bent, BayonnetShort/Large, Straight-Medium/Long
Sugita Clip, Large L Shaped-Short/Medium/Large,
Large J Shaped-Short/Medium/Large, Fenest Large
Straight-S/M/L, Large Bent-S/M/L, Fenest Large L
Shaped-S/M/L
One Size Each
Detail Amendment
LH159
Aneurism Clip
5-7mm length x 1.2mm width, closing force 125gms
Detail Amendment
LH160
Aneurism Clip
Sugita Clip, Temporary Mini Straight, Bent, Mini
Straight/Short, Bent, SDEWARD CVD, CVD
Sugita Clip, Mini CVD
Detail Amendment
LH161
LH162
LH163
Aneurism Clip
Aneurism Clip
Aneurism Clip
Sugita Clip, Mini CVD
Sugita Clip, Large Slightly Crv-Short/Long
Sugita Clip, Large 45 D Angle/s, Slightlyn Crv/s,
Temporary Slighly Crv, Mini Straight Slim, Large 1/4
CVD, Mini
4mm length x 1.2mm width, closing force 120 &
124gms
5mm length x 1.2mm width, closing force 132gms
One Size Each
One Size Each
LH164
LH165
LH166
LH167
LH168
LH169
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
Aneurism Clip
One Size Each
One Size Each
One Size Each
One Size Each
One Size Each
One Size Each
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LH170
LH171
Aneurism Clip
Aneurism Clip
Sugita Clip, Large Straight, Bayonet, Mini Bayonet
Sugita Clip, Large L Shaped W/CRV-S/L, 1/4 CVD-S/L
Sugita Clip, Large 45D Angle-M/L
Sugita Clip, Fenest Large L Shaped-L, Bayonet
Sugita Clip, Fenest Large L Shaped W/CVD
Sugita Clips, Standard Bayonnet, Bent, Sideward
Bent, Sideward Curve, Slight Bent
Sugita Clips, Standard Sideward Curve, Curved
Sugita Clips, Standard Slight CVD, CVD
Detail Amendment
Detail Amendment
LH294
Mizuho - Titanium Fenestrated Aneuysm Clips
One Size Each
11mm length x 1.2 width, closing force 125-160gms;
9mm length x 1.2 width, closing force 120-155gms
Closing Force 95 to 160 gms
Changed Items for Prostheses List Report
Straight (S/M/L), Bent (S/ M/L), L-Shaped (S/M/L),
Bayonet, L Shaped curved to left (S/M/L), LShaped curved to right (S/M/L)
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 63 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LH296
Duraseal Dural Sealant
5ml of hydrogel sealant
Detail Amendment
LH369
DuraSeal Xact Spinal Dural Sealant
DuraSeal is a Synthetic, absorbable, Polyethylene
Glycon, hydrogel sealant used as an adjunct to
sutured dural repair to achieve watertight closure.
Xact Dural Sealant for spine )Packaged in sterile
single use disposable tray with MicroMyst
Applicator & precurser syringes)
2ml vial
Detail Amendment
Bipolar shell and UHMPE liner
Cobalt chrome
42 - 60mm in 1mm increments
Standard, varus, valgus, antiverted right, antiverted left
Detail Amendment
Detail Amendment
SR Hand MCP/PIP/TMC (Basal Thumb) Implants CoCr- Titanium Alloy, UHMWPE
Metallic Hemiarthroplasty resurfacing prosthesis for
the Metatarsophalangeal Joint
Left and Right, Tined
Carpal Fusion Plate
Left and Right Radial Components
Carpal Screws
Carpal Ball
Carpal Component
MCP Finger Joint Implant
Crimp Two Pack - Titanium
Double Loop Cable w/Four Crimps - Titanium
Single Loop Cable w/Two Crimps - Titanium
Articular Component - Chrome Cobalt
XS/S/M/L/XL, 1,2,3,4,5
Detail Amendment
8mm - 23 mm
Detail Amendment
Small, Large
Large, Small
Small, Medium, Large
15, 18, 22, 26, 30mm
Small, Medium, Large
Small, Medium, Large
00/10/20/30/40/50/60mm
One size only
One size only
One size only
Articular Component 25mm - 2.5mm x 2.5mm to
5.0mm x 5.0mm offset; Articular Component 30mm
- 4.5mm x 4.5mm to 7.0mm x 7.0mm offset; Articular
Component 35mm - 6.0mm x 6.0mm to 9.5mm x
9.5mm; Articular Component 40mm - 8.0mm x
8.0mm to 12.0mm x 12.0mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Orthopaedic
LH064
LH184
Groupe Lepine
Modular U Necks
Specialist Orthopaedic
LH197
SR Hand Implant System
LH232
Toe Joint
LH248
LH250
LH253
LH254
LH255
LH256
LH257
LH272
LH273
LH274
LH306
SCS Distal Radius Plate System
Diamond Plate/Carpal Button
Total Wrist Implant System
Total Wrist Implant System
Total Wrist Implant System
Total Wrist Implant System
Preflex
Blackstone - Posterior Cervical System
Blackstone - Posterior Cervical System
Blackstone - Posterior Cervical System
HemiCAP Contoured Articular Resurfacing Shoulder
System
LH307
HemiCAP Contoured Articular Resurfacing Shoulder
System
Fixation Screw - Titanium
Fixation component for 25mm, 30mm, 35mm, 40mm
Artuclar Components Screw 10.5mm Dia & 12.5mm
Dia & 13.7mm Dia
Detail Amendment
LH315
LH323
Delivery Track
I.T.S. Volar Angle Locking Plate (VAL)
Composition: Peek
Cancellous Stabilization Screw
Detail Amendment
Detail Amendment
LH324
I.T.S. Volar Angle Locking Plate (VAL)
Cortical Screw
LH326
Metaflex
Low compression screw
LH327
MiniFix
Finger Mini Fixator System
8 x 20/25/30mm
D=3.5mm, Length = 14mm-30mm (with incremental
of 2)
D=3.5mm, Length=14mm-24mm (with incremental
of 2)
Diameter: 1.2, 1.4, 1.6, 2.0 - 2.5mm, Length: 10mm 30mm
One size
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Page 64 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LH328
LH329
LH330
LH331
LH333
LH334
LH335
LH336
LH337
LH338
LH339
LH340
LH341
LH342
LH343
LH344
LH346
LH347
MCP Finger Prosthesis "Ariadna"
PIP Finger Prosthesis 'DGT"
MCP Finger Prosthesis "Ariadna"
RadioFix
Trapezio Metacarpal Prosthesis DLC
Carpal Screw
Elektra Stem
Elektra Neck
Memofix Staples
Trapezio Metacarpal Prosthesis DLC
Trapezio Metacarpal Prosthesis DLC
Poing Fix
Wrist Fixator PFII
MicroFix
Percufix
PIP Finger Prosthesis "DGT"
Elektra Cup
Hemi CAP Articular Resurfacing Great Toe System
Distal part, Stainless Steel
Proximal part Stainless Steel textured in Cobalt
Proximal part, Stainless Steel
Radio Fixator System
Stem - Cobalt Chrome
Titanium
Cobalt Chromium/Hydroxyapatite coated
Cobalt Chromium
Nitinol
Cup, Polyethylene
Neck Cobalt Chrome
Wrist Fixator System
Wrist Fixator System
Finger Mini Fixator System
Titanium
Distal part, Stainless Steel texture with Cobalt Chrome
Cobalt Chromium and Hydroxyapatite coating
Articular Component
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LH348
LH358
LH367
Hemi CAP Articular Resurfacing Great Toe System
Screws
Fassier-Duval Telescopic IM System Component:
Fixation Component
Diamond Carpal Screws
The Fassier-Dual Telescopic IM System is an
endomedular nail designed for patients suffering from
Osteogenesis Impecfecta (OI), Skeletal Displasia,
Congenital Tibial Pseudoarthosis, Limb lengthening
over nail, Segmental Tumor removal and other bone
deform
1,2 or3
1,2 or3
1,2,or 3
One size
1 or 2
2.5mm diameter in sizes 12mm - 20mm length
6-8mm
Extra Short, Short, Medium, Long
10-17mm x 12-20mm Length
One size only
Short, Medium or long
One size
One size
one size
Diameter: 2-2.5mm, Length 22-40mm
1,2 or3
One size only
12mm (1-2mm x 1.5-3mm offset), 15mm (1.5-2.5mm
x 2.5-4.5mm offset)
8mm x 16mm, 9.5mm x 18mm
12, 14, 16mm
The syste is composed fo a total of 108 rods in 9
different diameters per type. The nail is
manufactured in both Ti alloy (Ti6A14V ASTM136) and medical grade Stainless Steel (315L, ASTM
138). It is available in five diameters: 3.2, 4,4.8,5.6
LH368
Fassier-Duval Telescopic IM System Component:
Female
The Fassier-Duval Telescopic IM System is an
endomedular nail designed for patients suffering from
Osteogenesis Imperfecta (OI), Skeletal Displasia,
Congenital Tibial Pseudoarthrosis, Limb lengthening
over nail, Segmental Tumor removal and other bone
defo
The system is composed of a total of 108 rods in 9
different diameters per type. The nail is
manufactured in both Ti alloy (Ti6A14V ASTM136) and medical grade stainless steel (316L, ASTM
138). It is available in five diameters: 3.2,4.4,8,5.6
Detail Amendment
LH371
Stability Sigmoid Notch Total DRUJ system /
Stability Sigmoid Notch Radial Stem
The Stability Sigmoid Notch Radial Stem is made
from implantable Cobalt chromium (ASTM 1537-94)
with a CPTi plasma spray on the back for bone
ongrowth. It has a fixation post about 18mm in
length and has a single hole in its base to accept a
single cancellous bone screw. The front of the stem
is highly polished and has raised edges to accept a
Small & Large
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Page 65 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LH372
Stability Sigmoid Notch Total DRUJ System /
Stability Sigmoid Notch Radial Insert
The Stability Sigmoid Notch Radial Insert is made of
UHMW Polyethylene. It is formed to fit onto the
Stability Sigmoid Notch Radial Plate and slides onto
the plate and secures firmly via a peripheral lock and
a ramp lock snap fit. It has a concave surface and a
smooth back.
The Stability Sigmoid Notch radial Insert has two
sizes, small and large and each size has just one
Detail Amendment
LH373
Stability Sigmoid Notch Total DRUJ System /
Sigmoid Notch Screw
The Sigmoid Notch Radial Screw is a low profile self
tapping cortical screw made of implantable CoCr. It
is designed to be placed bi cortical in the radius and is
introduced into the Radial stem thru a hole. It is
placed into the stem and tightened down
The Sigmoid Notch screw is available in 2mm
increments from 18mm - 32mm and has a diameter of
approx 4mm.
Detail Amendment
LH374
AutoFIX
The Sbi AutoFIX Twin Pitch Cannulated
Compression Screw System implants are indicated in
the treatment of fractures, nonunions, pseudarthrosis
and degenerative changes, as well as corrective
osteotomies geared towards a functionally stable
2.0mm and 2.5mm Cannulated Compression Screw
Detail Amendment
LH375
StaFIX
The StaFIX Staples are retained implants and
removable used primarily for the following
applications: Synthesis of fractures; Synthesis of
osteotomies; Arthrodesis; Reattachment of ligaments
ot tendons. The aim of the StaFIX staple is to
provide a effective fixation of the bone fragments
6x6, 6x12,8x8, 8x16, 10x10, 10x20, 12x24
Detail Amendment
LH390
Artelon
Co-polymer biomaterial built on well known chemical
components (PUUR) - Polycaprolactone &
Urethrane Urea
Standard & Large
Detail Amendment
LH400
LH401
LH402
LH403
LH419
Ulnar Head Implants
Ulnar Head Implants
Radial Head Implants
Radial Head Implants
SBi Precise SD Distal Volar Plate
UlnarHead CoCr
Ulnar Stem CoCr
Radial Head
Radial Stem
An anatomically contoured locking titanium plate and
titanium alloy screw/peg system intended for
fixation of distal radius fractures via open reduction
1,2,3,4
1,2,3,4
2,3,4,4N
2,3,4,4N
Left Distal Volar Plate, 22 x 52mm (Narrow)
Left Distal Volar Plate, 25 x 52mm (Standard)
Left Distal Volar Plate, 22 x 75mm (Narrow-Long)
Left Distal Volar Plate, 25 x 75mm (Standard-Long)
Right Distal Volar Plate, 22 x 52mm (Narrow)
Right Distal Volar Plate, 25 x 52mm (Standard)
Right Distal Volar Plate, 22 x 75mm (Narrow-Long)
Right Distal Volar Plate, 25 x 75mm (Standard-Long)
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LH420
SBi Precise SD Screw
An anatomically contoured locking titanium plate and
titanium alloy screw/peg system intended for
fixation of distal radius fractures via open reduction
2.7mm Cortical, Locking, Self-Tapping 10-30mm
2.7mm Cortical, Non-Locking, Self-Tapping 1030mm
2.7mm Lag, Non-Locking, Self-Tapping 10-30mm
3.5mm Cortical, Locking, Self-Tapping 8-20mm
Detail Amendment
LH421
SBi Precise SD Smooth Peg (Locking)
An anatomically contoured locking titanium plate and
titanium alloy screw/peg system intended for
fixation of distal radius fractures via open reduction
1.9mm Smooth Pegs, Locking 12-28mm
Detail Amendment
LH422
LH433
SBi K-Wire
LINK STAR Ankle Prosthesis
K-Wire
Talar Component, cemented
1.6mm
xx-Small - x- large
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 66 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LH434
LH435
LH436
LH437
LH438
LINK STAR Ankle Prosthesis
LINK STAR Ankle Prosthesis
LINK STAR Ankle Prosthesis
LINK STAR Ankle Prosthesis
LINK STAR Ankle Prosthesis
Tibial Component, cemented
UHMWEPE Sliding Core
Talar Component, cmentless
Tibial Component, cementless
RevisionTibial Component, Cemented
xx-small - x-large
6- 14mm
xx- small - x-large
xx-small - x-large
Extra small - Extra large
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Injectable Bulking agent for Stress Urinary
Injectable Bulking agent for Stress Urinary
1ml
3ml
Detail Amendment
Detail Amendment
Vectra, Biocompatible Polyurethane Vascular Access
Graft
Vectra, Biocompatible Polyurethane Vascular Access
graft
Vectra, Biocompatible Polyurethane Vascular Access
Graft
Length 40cm
Detail and Benefit Amendment
Length 50cm
Detail and Benefit Amendment
Length 20cm
Detail and Benefit Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Urogenital
LH376
LH379
Durasphere SUI
Durasphere SUI
Vascular CAG
LH004
Thoratec, Vectra Vascular Graft - Synthetic
LH005
Thoratec, Vectra Vascular Graft - Synthetic
LH006
Thoratec, Vectra Vascular Graft - Synthetic
Lima Orthopaedics Australia Pty Ltd
Orthopaedic
LC004
LC014
LC019
Lima F2L modular neck
Sam-Fit modular neck
Lima bipolar Total Hip Replacement System
Titanium
Modular neck
Bipolar shell, inset and head
LC029
LC030
LC031
H-Max Femoral neck
Lima Revision Total Hip System
Lima Revision Total Hip System
Modular neck
Titanium, grit blast, non HA
Titanium, grit blast, non HA
Short & Long (Straight & Angled)
S1-S6, L1-L6
41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54,
55, 56, 57mm
1-6
14, 16, 18
20, 22, 24
Cemented Glenoid
RPS Additional Spacer
Randelli/SMR Eccentrical Adapter
Uncemented Glenoid
Uncemented Glenoid Liner
Randelli/SMR Neutral Taper
Randelli/SMR Humeral Body with Locking Screw
Randelli SMR shoulder cemented stem
Randelli/SMR Shoulder Uncemented Stem
RPS Total Shoulder Replacement Stem
Mini, Small, Standard
40, 60, 90, 120mm
0 - 6mm
Mini, Small, Standard
Mini, Small, Standard
0 - 6mm
One size only
8, 10, 12, 14, 16mm
11-24mm
200, 240, 280mm
Detail Amendment
Detail Amendment
Detail Amendment
Specialist Orthopaedic
LC008
LC036
LC037
LC038
LC039
LC040
LC041
LC042
LC043
LC044
Randelli/SMR Shoulder System
Lima RPS Tumor System
Randelli/SMR Total Shoulder
Randelli/SMR Shoulder System
Randelli/SMR Shoulder System
Randelli/SMR Total Shoulder
Randelli/SMR Total Shoulder
Randelli/SMR Total Shoulder
Randelli/SMR Total Shoulder
Lima RPS Tumor System
Changed Items for Prostheses List Report
Page 67 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LC045
LC046
LC047
LC048
Randelli/SMR Total Shoulder
Lima RPS Tumor System
Lima Humeral Nail
Randelli/SMR Total Shoulder
Randelli/SMR Humeral Head
RPS Humeral Head
Stainless steel
Randelli/SMR shoulder revision cemented stem
42, 44, 46, 48, 50, 52, 54mm
46, 52, 58mm
Dia 7 - 8mm, length 200 - 300mm
200, 240, 280mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Shell with unmodified polyethylene plus locking ring
P/E Intramedullary Plug
44-65mm
12 to 20 mm
Detail Amendment
Detail Amendment
90mm
90mm
Length 470mm, Diameter sizes of 0.4mm, 0.5mm,
0.6mm, 0.7mm, 0.8mm. Packet size of 10
6.0mm wide, 240mm
Complete, length with lock: 165mm, width 5mm
Detail Amendment
Detail Amendment
Detail Amendment
1.75 - 7.00mm
ID 0.4,0.6mm
6,7,8,9,10,11,12
4.5,6,8,10,12.5mm
Length 2.2
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Length 7.0 - 7.2mm
Length 2.8
Detail Amendment
Detail Amendment
Length 12.4
Detail Amendment
Length 2.2mm
Length 1.5mm
Detail Amendment
Detail Amendment
Length 6 - 12mm
Length 1.5
Detail Amendment
Detail Amendment
Link Orthopaedics Australia
Orthopaedic
LO036
LO106
Vario bipolar Cup
Intramedullary Plug
Specialist Orthopaedic
LO100
LO101
LO147
LINK Arthrodesis Pin
LINK Arthrodesis Pin
Bone Cerclage Wire
Cobalt Chromium
Tilastan
Cerclage Wire
LO148
LO149
Thabe Titanium Cerclage Band with Lock
Bone Cerclage Band with Lock
Thabe Titanium Cerclage Band is crimped at the lock
The Cerclage Band with a locking mechanism consists
of a band, manufactured from stainless steel, 165mm
long and 5mm wide and a lock
Detail Amendment
Detail Amendment
LMA PacMed Pty Ltd
Ear, Nose & Throat
PM028
PM032
PM033
PM057
PM065
Stapes
K-Piston
Montgomery Thyroplasty Implant System
Provox Voice Prosthesis
Tympo Vent
PM066
PM068
Tympo Vent
Tympo Vent
PM072
Tympo Vent
PM074
PM075
Tympo Vent
Tympo Vent
PM079
PM083
Tympo Vent
Tympo Vent
Changed Items for Prostheses List Report
Bell/Aerial/Angular Prosthesis/Piston - Gold/Titanium
Gold/Titanium
Silicone
Long term indwelling; Silicone
Otological ventilation tubes, short medium term,
Donaldson fluoroplastic/blue
Otological ventilation tubes, straight tube
Otological ventilation tubes, short medium term, star
tube, silicone
Otological ventilation tubes, short medium term,
shepard with tail, silicone/blue
Otological ventilation tubes, paparella with tab
Otological ventilation tubes, collar button, tubingen
type gold, gilded silver
Otological ventilation tubes, t-tube
Otological ventilation tubes, long term, collar button tubingen type, titanium
Page 68 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
PM086
Tympo Vent
Length 1.6
Detail Amendment
PM088
Tympo Vent
Length 1.5mm - 9.8mm
Detail Amendment
PM089
Tympo Vent
Length 1.8
Detail Amendment
PM090
PM091
Tympo Vent
Tympo Vent
Length 3.8 - 10.0mm
Length 2.0
Detail Amendment
Detail Amendment
PM102
PM103
PM104
Tracheal Cannula System
Tracheal Cannula System
Montgomery Safe-T-Tube
Diameter 9-13mm; Length 37m & 101mm
4-10
Paediatric/Standard - Clear/Radioplaque
Detail Amendment
Detail Amendment
Detail Amendment
PM106
Montgomery Safe-T-Tube
Otological ventilation tubes, short medium term,
reuter bobbin without holes, titanium
Otological ventilation tubes, donaldson, reuter
bobbin, shepard
Otological ventilation tubes, short medium term,
bevel bobbin, fluoroplastic/blue
Otological ventilation tubes, armstrong
Otological ventilation tubes, short medium term,
collar button, fluoroplastic/blue
Short and long term Cannula (Medical Grade Silicone)
Cannula Speaking Valves (Medical Grade Plastic)
Paediatric, Standard, Thoracic, Extra-Long, Tapered
and Hebeler in clear and radiopaque
Paediatric, Standard, Thoracic, Extra-Long, Tapered,
Hebeler and HMS, in clear and radiopaque
Detail Amendment
PM107
PM115
Laryngeal Keel
Montgomery Safe-T-Tube
ID 8/10, 10/13, 12, 15, 18mm; Length 76, 77, 79,
159, 163mm
12-16mm Keel
ID 7, 9, 11mm; Length 100, 110mm
PM117
Passy-Muir Speaking Valve
15mm I.D./ 22 & 23mm O.D.
Detail Amendment
Paediatric, Standard, Thoracic, Extra-Long, Tapered,
Hebeler and HMS
Tracheostomy and Ventilator
Detail Amendment
Detail Amendment
Specialist Orthopaedic
PM012
PM013
PM061
PM062
PM063
PM092
Anodised aluminium and stainless steel
Anodised aluminium and stainless steel
Anodised aluminium and stainless steel
Anodised aluminium and stainless steel
Anodised aluminium and stainless steel
Complete System Sterile
One size only
One size only
One size only
One size only
One size only
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
PM095
Orthofix External Fixation System Ankle Fixator
Orthofix External Fixation System Pennig Wrist
Orthofix External Fixation System Elbow Fixator
Orthofix External Fixation System Hybrid Fixator
Orthofix External Fixation System Knee Fixator
Orthopaedic External Fixation System - Radiolucent
Wrist Fixator
Orthopaedic External Fixation System
Screw
Detail Amendment
PM097
Orthopaedic External Fixation System
Osteotite Screw
PM098
Metadiaphyseal Fixator
Articulated Ankle Fixator
One size only
Detail Amendment
Hybrid Fixator
One size only
Detail Amendment
PM108
PM109
Orthopaedic External Fixation System - Xcaliber
External Fixator
Orthopaedic External Fixation System - Xcaliber
External Fixator
Orthopaedic External Fixation System - Xcaliber
External Fixator
Orthofix Limb Reconstruction System
Orthofix External Fixation Systems
Shaft Dia 3.0 - 6.0mm, Thread Dia 6.0 - 2.0mm,
Total Length 40 - 260mm, Thread Length 15 Shaft Dia 3.0 - 6.0mm, Thread Dia 6.0 - 2.0mm,
Total Length 40 - 260mm, Thread Length 15 - 90mm
One size only
Detail Amendment
Detail Amendment
PM110
Orthofix External Fixation Systems
Pennig Minifixator
Adult and paediatric - Short, Standard and Long
Short, Standard, Long and Articulated Horizontal and
Vertical Axis
Short, Standard, Long
PM099
PM100
Changed Items for Prostheses List Report
MiniRail System
Detail Amendment
Detail Amendment
Detail Amendment
Page 69 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
PM111
PM112
PM113
PM114
PM116
PM118
Gotfried PC.C.P.
Neck, Shaft & Locking Screws
Neck, Shaft & Locking Screws
Neck, Shaft & Locking Screws
ISKD Internal Limb Lengthening System
Orthofix eight-Plate
Internal Hip Compression Plate
Telescopic, Self-Tapping, Primary, Revision
Telescopic, Self-Tapping, Primary, Revision
Telescopic, Self-Tapping, Primary, Revision
Titanium Alloy
Guided Growth Plate for correction of angular
deformities, Titanium, two hole plate, figure eight
shaped
One size only
Neck L90 - 140mm; Primary Locking L20 - 75mm
Shaft L31-43mm:
Revision Locking L20-75mm
Diameter 12.5 - 14.5mm
12mm; 16mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LMT Surgical Pty Ltd
Specialist Orthopaedic
LM001
LM002
LM005
LM007
LM008
LM009
LM010
TriMed Wrist Fixation System
TriMed Fixation System
TriMed Fixation Systems
TriMed Fixation System
Spider and Mini-Spider Limited Wrist Fusion System
The Subtaler MBA Implant
Universal Total Wrist Implant System (UTW)
Washer
Plates, Stainless Steel
Multiple stainless steel wire forms
Bone Screw
Stainless Steel
Titanium
Consists of 3 parts, proximal radius component made
of cobalt/chrome, distal titanium plate, titanium
screws and polyethylene joint surface
.
Various sizes
various sizes
Various
8 hole spider plate, 6 hole mini-spider plate
6, 8, 9, 10, 12mm and guide pin 2mm
Radial Component - Small - left & right, Medium left & right, Large - left & right; Carpal Component Small, Medium, Large; Polyethylene Carpal
Component - Small - Standard, +1, +2, Medium Standard, +1, +2, Large - Standard, +1, +2; Bone
Screws - 4.
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LM011
Ascension Finger Joint Replacement
Pyrocarbon, distal or proximal
Detail Amendment
LM012
LM014
LM015
Ascension MCP Joint Replacement
Trimed Marked K-Wire
Kinetik Great Toe Implant
LM016
Kinetik Great Toe Implant
1, 2, 3 Right & Left
Detail Amendment
LM018
LM028
LM029
LM031
LM033
Ascension Silicone Finger joint replacement
Ascension pyrocarbon carpal implant
Kompressor
K2 Hemi Toe Implant System
Trimed Wrist Fixation System, Volar Peg Plate
Pyrocarbon, distal or proximal
Stainless Steel
Phalangeal Component made of titanium alloy 012010, 01-2012, 01-2014, 01-2016
Metatarsal Component made of chrome cobalt 012002, 01-2004, 01-2006, 01-2003, 01-2005, 01-2007
MCP/PIP moulded silicone finger joint
Pyrocarbon carpal prostheses
Titanium compression screw
Cobalt Chrome with Titanium plasma coating
Stainless Steel
05D/05P/10D/10P/20D/20P/30D/30P/
40D/40P/50D/50P
10D/10P, 20D/20P, 30D/30P, 40D/40P, 50D/50P,
Diameter 0.9 - 1.1mm
0,1,2,3
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LM041
Trimed Bearing Plate, Fixation Pegs
Various
Multiple sizes
10-34mm
1-4
Volar Peg Plate 3-hole, Right & Left, 4 and 5 Peg;
Volar Peg Plate 5-hole, Right & Left, 4 and 5 Peg
Pegs - 2.3 x 10-34mm Threaded or unthreaded pegs
Changed Items for Prostheses List Report
The fixation pegs are made of medical grade 316
stainless steel
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 70 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LM043
Ascension Radial Head
The Ascension Radial Head is modular with a
Pyrocarbon Head and Metal Stem which is made of
Cobalt Chromium Alloy compliant with ASTM
F1537-00, also available in all CoCr
Head Size - 20 Short and Long, 22 Short and Long, 24
Short and Long; Stem Size - 01/02/03/04
Detail Amendment
LM048
LM049
LM050
LM051
LM052
LM053
Ascension Radial Head Locking Plate and screws
BioTech Compression Screws
Biotech Easy Lock Osteosystem
Biotech Easy Lock System
Ascension Compression Screw
Osteotec Silicone PIP Joint Replacement
10mm - 40mm
1.7-10mm diameter/10-100mm length
2-10 holes straight
Various
2-5mm diameter ; 12 - 40mm length
5 - 50
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LM054
LM056
Argomedical Malleolar Plate
Ascension DRUJ Ulna Head, Implant System
6 - 10 Hole Plates
0, 1, 2, 3, 4
Detail Amendment
Detail Amendment
LM057
LM060
LM061
LM062
LM063
LM064
LM066
LM068
LM069
LM070
Ascension Radial Head Locking Plate and Screws
BioTech Xpode 4
BioTech Xpode 4
ArgoMedical Pedofix
ArgoMedical Pedofix
TriMed Ulnar Osteotomy System
TriMed Olecranon Sled
Normed fracture fixation plates
Normed Foot screws
Surgicraft Ligament Augmentation Reconstruction
System
Trimed Hook Plate
Elix (plate)
Surgicraft Bone Screws
Memometal Memory Staples
Ascension HRA - Humeral Resurfacing Arthroplasty
Titanium pre-formed anatomical radial head Screws
Titanium and Stainless compression screws
Titanium and PEEK
Easy Lock Plating System
Titanium Compression Screw
2 component hinged joint replacement for the
proximal interphalangeal joint
Titanium
Cobalt chromium stem with PyroCarbon or Cobalt
Chromium Articular Surface
Titanium pre-formed anatomical radial head plate
PEEK curved and round plate
Screws titanium
Titanium fixed angle plate for foot surgery
Titanium screws
Stainless Steel Ulnar Osteotomy Plate
Washer
Titanium plates, various sizes and shapes
Titanium plates, various sizes and shapes
Woven Polyester Prosthetic Ligament
small and large
Mini 1, 2, 3 & 4
6 - 70mm length
2.7mm
2.7mm x 8 - 28mm Length
5 - 9 holes
one size
Various
multiple
Various
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
stainless steel 4 and 6 hole plates
Anatomically shaped plate with PEEK inserts
Surgicraft Bone Screws
Memory Metal Implants
A anatomic semi constrained, monobody device
intended for resurfacing of the humeral head.
Fixation Washers
Bone Fixation Screws
A cement less Trapezo- Metacarpal prosthesis.
4 and 6 holes/right and left
4 Hole, right and left plate.
2-4mm diameter/10-40mm length
10 mm to 25 mm
40mm x 16mm to 56mm x21mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
0.5-3mm
2mm diam. X11mm lenth to 2mm x 16mm
Cup sizes 9-11 mm, Head Short medium and long,
Stem size 1,2,3,4.
12.5cm - 18.5cm; ABC Carbon Polyester & ABC
Polyester/Polyester - one size only
Detail Amendment
Detail Amendment
Detail Amendment
LM072
LM074
LM075
LM077
LM078
LM081
LM082
LM083
LM085
Surgicraft Washers
Fixos Screws
Memometal Ivory Trapezo - metacarpal cement less
prosthesis
ABC Prosthetic Ligament
Changed Items for Prostheses List Report
Cruciate prosthesis carbon fibre/polyester, ABC
Carbon/Polyester Medial/Lateral Collateral Ligament,
ABC Polyester/ Polyester Medial/Lateral Collateral
Ligament
Detail Amendment
Page 71 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
LM086
LM088
LM089
Surgicraft
NewClip Variable Angle Periarticular Fixation Plates
BioComposites Little Grafter
One size only
size 1 to 8
4mm diameter varying lengths 13mm to 27mm
Detail Amendment
Detail Amendment
Detail Amendment
LM090
LM093
Memometal Anchor Fixation System
New Clip Titanium Bone Screws
Fixation Bollard
Stainless steel and titanium plates
An absorbable cannulated compression screw
providing fixation for small bone fractures
Anchors
Titanium Screws for fixation of plates to bone
Detail Amendment
Detail Amendment
LM094
LM095
CCI Evolution
Hinged finger joint
Total ankle replacement
Hinged finger joint replacement
Various
4 mm diam x10mm length to 4mm 32mm and 4.5mm
10mm to 35mm
standard, standard plus, large, large plus
5 sizes screw component - 4 x 18mm, 5 x 18mm, 6 x
20mm, 7 x 22mm, 8 x 25mm; 1 size pivot component
Cervical Plate 57mm to 80mm
> 55
Detail Amendment
Cement Restricter
Titanium with lugs and CoCr bonded bearing surface
plus UHMWPE sandwich
Stainless steel with fixed UHMWPE insert
Titanium with lugs bonded bearing surface
Titanium bonded bearing surface UHMWPE
Titanium and CoCr bonded bearing surface plus
UHMWPE sandwich
Ceramic, zirconia alumina combination, supplied with
titanium taper sleeve
Ceramic, zirconia alumina combination, large
diameters, supplied with titanium taper sleeve
Titanium, grit blast, non HA
Titanium, grit blast, non HA
Small to Extra Large
46mm - 68mm
Detail Amendment
Detail and Benefit Amendment
28mm Inner diameter, 42-58mm outer diameter
46mm - 68mm
46-64mm
46-64mm
Detail Amendment
Benefit Amendment
Benefit Amendment
Detail and Benefit Amendment
28 L, 28 M, 28 S, 28 XL, 32 L, 32 M, 32 S, 32 XL,
28, 32
36 L, 36 M, 36 S, 36 XL, 36
Detail Amendment
14, 16, 18
20, 22, 24
Detail Amendment
Detail Amendment
L18 D4.0 - L26 D6.0
Diameter 39, 41, 43, 45, 47, 49, 51, 53mm
Cemented 6, 9, 12, and 15mm;Cementless 6, 7.5, 9,
10.5, 12, 13.5 and 15mm
Size 1 to 4 Cemented
6/125, 9/125, 12/125, 12/125, 9/200, 12/200
42, 45, 48
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
LSS Surgical Pty Limited
Neurosurgical
LS027
MATRIS Cervical Plate System
Mathys Orthopaedics Pty Ltd
Orthopaedic
MA018
MA023
Intramedullary Plug
RM Classic Acetabular Cup, Metal on Metal
MA025
MA031
MA472
MA473
Mathys Bipolar Femoral Head
RM Classic Acetabular Cup
RM Pressfit Cup
RM Pressfit Acetabular Cup, Metal on Metal
MA484
Ceramys Ceramic Revision Femoral Head
MA485
Ceramys Large Ceramic Revision Femoral Head
MA500
MA501
Lima Revision Total Hip System
Lima Revision Total Hip System
Detail Amendment
Specialist Orthopaedic
MA081
MA448
MA449
Finger
Affinis Total Shoulder Prosthesis
Affinis Total Shoulder Prosthesis
Prosthesis - distal, proximal, standard, large
Head - CoCr; Stem - Titanium; Glenoid - UHMWPE
Stem - CoCr; Stem - Titanium; Glenoid - UHMWPE
MA450
MA479
MA480
Affinis Total Shoulder Prosthesis
Affinis Fracture - Stem
Affinis Fracture - Head
Glenoid - CoCr; Stem - Titanium; Glenoid Affinis Fracture Stem
Affinis Fracture Head
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Page 72 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MA481
Affinis Fracture - Central Part
Affinis Fracture - Central Part
Part 1 - diam 15.5, Part 2 - diam 18
Detail Amendment
Mayo group
General Miscellaneous
CM007
Vascular Ports - Implantable Vascular Access System
Arrow Model No.'s VARRX AP01007, AP06010,
AP06013, AP06014, AP06015, AP06018, AP06520.
Titanium Port with self sealing silicone septum and
either attached or detached silicone catheters. Include
relevant size Introducer Kit.
Ports - H15.5mm x L28.6mm, Weight 9.2grams,
Internal Vol. 0.8ml. Catheter 75cm
Detail Amendment
CM008
Vascular Ports - Implantable Vascular Access System
Arrow Model No.'s AP6528, AP06530, AP06535, .
Double Titanium ports with self sealing silicone
septums and either attached or detached dual lumen
silicone catheters. Include relevant sized Introducer
Ports - H15.5/17.1mm x L28.6mm, Weight
19.9grams, Internal Vol. 0.8 - 1.0ml each side.
Detail Amendment
CM009
Low Profile Ports - Implantable Vascular Access
System
Arrow Model No.'s VARRX AP01040, AP06046,
AP06016, AP06020, AP06012, AP06022, AP06025.
Plastic low profile ports with self sealing silicone
septum and either attached or detached silicone
catheters. Include relevant sized Introducer Kit.
Ports - H10mm, L25mm, Weight 9grams, Internal
Vol. 0.3ml. Catheter75cm
Detail Amendment
CM010
Low Profile Ports - Implantable Vascular Access
System
Arrow Model No.'s VARRX AP06036, AP06040,
AP06042, AP06045. Titanium Low Profile Ports
with self sealing silicone septum and either attached
or detached silicone catheters. Include relevant sized
Introducer Kit.
Ports - H10mm, L25mm, Weight 9grams, Internal
Vol. 0.3ml. Catheter75cm
Detail and Benefit Amendment
Vascular CAG
CM015
ARROWg+ard Blue Haemodialysis Catheters
Haemodialysis Catheters (of various lengths, sizes
and lumen confiurations) with antimicrobial
impregnation (chlorhexidine and silver sulphadiazine)
on the external surface of the polyurethane catheter
CS-22122 - 12Fr 16cm, Dual Lumen
CS-22123 – 12Fr 16cm, Triple Lumen
CS-25122 – 12Fr x 20cm, Dual Lumen
CS-22142CF – 14Fr x 15cm, Dual Lumen, Curved,
Firm
CS-22142F – 14Fr x 15cm, Dual Lumen Firm
CS-25122 – 12Fr x 20cm, Double Lumen
CS-25123 – 12Fr x 20cm, Triple Lumen
CS- 25142CF – 14Fr x 20cm, Double Lumen, Curve,
Firm
CS-25142F – 14Fr x 20cm, Double Lumen, Firm
CS-26142F – 14Fr x 25cm, Double Lumen, Firm
CU-22122 – 12Fr x 16cm, Double Lumen, Curved
CU-23122 – 12Fr x 13cm, Double Lumen, Curved
CU-25122 – 12Fr x 20cm, Double Lumen, Curved
Detail Amendment
CM016
ARROWg+ard Blue Single Lumen Central Venous
Catheters
A polyurethane central venous catheter with Blue
FlexTip (of various lengths, sizes and lumen
configurations) with antimicrobial impregnation
(chlorhexidine and silver sulphadiazine) on the
external surface of the polyurethane catheter body.
CS-24301 - 16g x 20cm, Single Lumen, Adult
CS-24306E-16g x 16cm, Single Lumen Adult
CS-24701 - 14g 20 cm, Single Lumen Adult
CS-24706E -14g x 16cm, Single Lumen, Adult
Detail Amendment
Changed Items for Prostheses List Report
Page 73 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
CM017
ARROWg+ard Four & Five Lumen Central Venous
Catheters
A polyurethane central catheter with Blue FlexTip
(of various lengths, sizes and lumen configurations)
with antimicrobial impregnation (chlorhexidine and
silver sulphadiazine) on the external surface of the
polyurethane catheter material
CS-22854E - 8.5 Fr x 16cm, Quad Lumen
CS-25854E - 8.5Fr x 20cm, Quad Lumen
CS-22855 - 8.5 x 16cm, Five Lumen
CS-25855 - 8.5Fr x 20cm, Five Lumen
Detail Amendment
CM018
ARROWg+ard Blue Double & Triple Lumen Central
Venous Catheters
A polyurethane central venous catheter with Blue
FlexTip (of various lengths, sizes and lumen
configurations) with antimicrobial impregnation
(chlorhexidine and silver sulphadiazine) on the
external surface of the polyurethane catheter material
CS-24402 - 4Fr x13cm, Dual Lumen
CS-22502 - 5FR x 5cm, Dual Lumen
CS-25402 - 4Fr x 8cm, Dual Lumen
CS-25502 - 5Fr x 12cm, Dual Lumen
CS-22702E - 7Fr x 16cm, Double Lumen
CS-26702 - 7Fr x 20cm, Double Lumen
CS-27702E - 7Fr x 20cm, Double Lumen
CS-25553 - 5.5Fr x 8cm, Triple Lumen
CS-22703E - 7Fr x 16cm, Triple Lumen CS-26553 5.5Fr x 13cm, Triple Lumen
CS-24703E - 7Fr x 30cm, Triple Lumen
CS-25703E - 7Fr x 20cm, Triple Lumen
Detail Amendment
CM019
ARROWg+ard Blue Plus QUAD Lumen Central
Venous Catheters
Central Venous Catheters (of Various lengths, sizes
and lumen configurations with antimicrobial
impregnation on:
1. The external indwelling surface of catheter material
(chorhexidine and silver sulphadiazine)
2. The entire internal fluid pathway including
catheter, extension-lines and hubs (chlorhexidine
CS-42854E - 8.5Fr x 16cm, Quad Lumen
CS-45854E - 8.5Fr x 20cm, Quad Lumen
Detail Amendment
CM020
ARROWg+ard Blue Plus Double & Triple Lumen
Central Venous Catheters
Double & Triple Lumen Central Venous Catheters
(of various lengths sizes and lumen configurations)
with antimicrobial impregnation on:
1. The external indwelling surface of catheter material
(chlorhexidine and silver sulphadiazine)
2. The entire internal fluid pathway including
catheter, extension-lines and hubs (chlorhexidine
CS-45802E - 8 Fr x 20cm, Dual Lumen
CS-46702E - 7Fr x 20cm, Dual Lumen
CS-47702E - 7Fr x 20cm, Dual Lumen
CS-42703E - 7Fr x 16cm, Triple Lumen
CS-45703E - 7Fr x 20cm, Triple Lumen
Detail Amendment
CM021
Arrow double lumen pressure injectable peripherally
inserted central catheter (PICC) set
Arrow single lumen pressure injectable peripherally
inserted central catheter (PICC) set
Arrow double lumen pressure injectable PICC
(peripherally inserted central catheter) set
Single lumen pressure injectable peripherally inserted
central catheter (PICC) set
5Fr x 50cm, Double Lumen
Detail Amendment
4 Fr x 50cm, Single lumen
Detail Amendment
Stainless Steel, with UHMWPE insert
For ballhead diameter 28mm42,44,46,48,50,52,54,56 mm. For ballhead diameter
22.2mm - 39,40,41,42,43,44,45,46,48,50,52mm
Detail Amendment
ESOP Femoral Stem Diaphyseal Ti polished
Size 9-15
Detail Amendment
CM022
Medacta Australia Pty Ltd
Orthopaedic
MU021
Medacta Bipolar Head
Medartis
Orthopaedic
EO027
ESOP HA
Changed Items for Prostheses List Report
Page 74 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
EO044
MRP-TITAN Neck Segment
Body without fin with locking screw Cone 12/14,
body with fin with locking screw Cone 12/14, body
with trocanter with locking screw Cone 12/14, special
implant for trocanter
K, M, L
Detail Amendment
Specialist Orthopaedic
EO008
Aptus Hand &Foot Plates
Aptus Hand &Foot Plates
1.2/1.5/2.0/2.3/2.5/2.8; straight plate 4-16 hole;
curved 16 hole; offset 16 hole; T plate, Y plate, L
plate 4-10 hole; T plate offset 11-12 hole; gridrectangular, trapezoid, angled, square 4 hole-12 hole,
1 hole plate and Wing Plate
Detail Amendment
EO009
Aptus Radius Locking plates
Aptus Radius Locking plates (fracture plate,
correction plate volar, correction plate long volar,
correction plate with flap volar, correction plate long
with flap volar, frame plate volar, frame plate long
volar, H plate dorsal, Adaptive Plate; Radial Head
Plate; 4 Corner Plate
2.5mm locking plates, 1.6-2.00mm thickness
Detail Amendment
EO032
Forefoot Snap off Screws
Auto Compressive long L10 - L34
Detail Amendment
EO033
EO034
EO035
Forefoot Snap off Screws
Forefoot Snap off Screws
Forefoot Snap off Screws
Titanium Alloy Screws with Snap-off Grip /
Cannulated
Titanium Alloy Screws with Snap-off Grip
Titanium Alloy Screws with Snap-off Grip
Titanium Alloy Screws with Snap-off Grip /
FSA 2 part 9-21/14-26
Weil self tapping L9 - L15
Arthrodesis large diameter L28 - L40
Detail Amendment
Detail Amendment
Detail Amendment
2.7mm Threadlock System, angled and straight
plates, titanium
Screw Fami Anchor Titanium
Titanium Distractor
RED II Aluminium Cranium Frame and Carbon Fibre
Rods
Titanium Distraction Device. Complex Midface and
Reconstructive
Mesh PDLLA (resorbable)
Mesh PDLLA (resorbable)
=>3mm thick, 2.7mm threadlock system
Detail Amendment
1.5 - 2.0mm Diameter 8 - 15mm
10 to 20mm
One Size Only
Detail and Benefit Amendment
Detail Amendment
Detail Amendment
15 - 60mm distraction length
Detail Amendment
0.5 to 0.8mm thick, 1 to 10cm2 area
0.5 to 0.8 thick, 26 to 50cm2 area
Detail Amendment
Detail Amendment
Small, medium and large,2mm,4mm and 17mm collar
Small, medium and large
130 to 280mm stem,13 to 15mm body, 16 to 23mm
head.
4 to 9 Hole
2.1, 2.7, 3.5, 4.0mm diameter, 6mm to 28mm length
Detail Amendment
Detail Amendment
Detail Amendment
Medical & Optical Instruments Australia Pty Ltd
Plastic and Reconstructive
MO002
Martin Mandibular Fracture System
MO134
MO135
MO236
Martin Osteosynthesis System
Martin Internal Distraction System
Martin Rigid External Distraction System II (RED II)
MO239
Intra-Oral Distraction System
MO300
MO305
Martin Level One Fixation SonicWeld and Resorb x
Martin Level One Fixation SonicWeld and Resorb x
Specialist Orthopaedic
MO145
MO146
MO147
Martin Ulna Head prosthesis
Martin Ulna Head prosthesis
Acumed Shoulder Joint Prostheses
Stem Titanium
Ceramic Head, Chromium Cobalt
Titanium
MO150
MO153
Acumed Congruent Plate System
Acumed Congruent Plate System
Foot & Ankle Plate, Titanium
Screw Titanium
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Page 75 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MO154
MO156
MO158
MO159
MO161
MO162
MO165
MO166
MO177
Polarus Proximal Humeral Fixation System
Polarus Proximal Humeral Fixation System
Polarus Humeral Rod System
Polarus Humeral Rod System
Polarus Humeral Rod System
Tension Band Pin
Osteo Clage Cable System
Osteo Clage Cable System
Acutrak Fixation Screw
Polarus Proximal Humeral Rod Standard/Plus Titanium
Polarus Screws Cancellous/Cortical Titanium
Polarus Washer
Polarus Ulna Rod Titanium
Polarus Radius Rod Titanium
Stainless Steel
CoCr, Stainless Steel Cable Sleeve
CoCr, Stainless Steel Cable
Wire Kirschner Stainless Steel
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
MO178
MO179
MO180
Acutrak Fusion Screw
Acutrak Fixation Screw
Acutrak Headless Compression Screw
MO194
Acumed Congruent Plate System
Titanium
Acutrak Compression Screw Titanium
Acutrak 4/5, 5/5, 6/7 Plus, cannulated, headless,
variabled thread
Elbow plate titanium, locking radial head
150 - 300mm length
12.5 to 60mm length
3.5mm
210 to 270mm length
190 to 230mm length
50 to 90mm
2mm
850mm
0.70mm to 1.6mm diameter, 4 to 9in (10.16 to
22.86mm) length
12 - 37mm
8mm to 50mm
25 - 80mm
Detail Amendment
MO200
MO202
MO208
MO209
Polarus Proximal Humeral Fixation System
Acumed Bone Plate
Acumed Bone Plate
Acumed Congruent Plate System
End cap, titanium
MCP Fusion Plate - Titanium
Wrist Fusion Plate - Titanium
Threaded K-Wire - Titanium
Locking radial head, 3 hole std curve 31mm, 5 hole
std curve 46mm, 3 hole curve 31mm, 5 hole curve
Only size only
4 Hole left and right
Standard, Mini
WT-1606STT: Length 15cm x Diameter 0.62"; WT0906STT: Length 15cm x Diameter 0.35"; WS2408STT length 20.32cm x Diameter 0.24cm
MO211
Acumed Locking Clavical Plating System
Locking Clavical Plates
Detail Amendment
MO243
MO249
Polarus Proximal Humeral Plate
ACU- LOC Distal Radius Plate System
MO257
Acu-Loc Distal Radius Plate System
Titanium Humeral Plate
Threaded, non-threaded, locking, non-locking screw,
peg, Titanium
Distal radius plate, titanium
Locking mid shaft superior, locking distal superior,
locking anterior
Left, Right, Large, Small, Two Part
2.3mm / 3.5mm diameter, 14-32mm length
Detail Amendment
MO270
MO271
MO272
Acumed Total Radial Head
Acumed Total Radial Head
Acumed Tap Loc Elbow plates
Head
Stem
Variable angle locking plate system
MO274
MO278
Acutrak 2
Acumed Locking Calcaneal Plates
Headless Compression screw
Locking Plate, Calcaneal, Titanium
Volar, Dorsal, Distal Ulna, Standard, Long, Extra
long, wide, narrow, left, right, extra-articular
20-28mm
6-10mm diameter, 0-8mm neck height
Medial / Lateral, lft and right, Olecranon / Proximal
Ulna left and right, coronoid 6-20hole
8mm-50mm lengthmicro, mini, standard
Small, Medium & Large, Left & Right
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 76 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MO279
Anatomic Midshaft Forearm Plates
Internal Fixation Plate Anatomic Forearm, Ulna &
Radius
Midshaft Ulna Plates: 6 hole 80mm, 8 hole plate
100mm, 10 hole 130mm, 12 hole, 160mm, Midshaft
ulna shortening plates: 6 hole 80mm, Midshaft
Dorsolateral Radius Plates: 6 hole (80mm), 8 hole
(100mm), 10 hole 9130mm) 12 hole (160mm);
Midshaft Volar Radius Plates: 6 hole (80mm), 8 hole
(100mm), 10 hole (130mm), 12 hole (160mm)
Detail Amendment
MO280
Acumed Fibula Rod System
Intramedullary Nail, fibula lower limb specific
3.00mm & 3.6mm diameter left and right specific
rods with lengths of 110mm, 145mm, 180mm
Detail Amendment
Double chamber, textured, magnetic, with suture tabs.
Catalogue number: 20799
470mm-780mm
Detail Amendment
Flexible monoblock implant to restore finger
articulation, 2001
00-7
Detail Amendment
Ambulatory Infusion Pump System, Administration
Sets and Accessories
Walkmed Infusion Pump System
Detail and Benefit Amendment
MS030
Medical Specialties "Walkmed Infusion Pump
System" Powered Drug Infusion System and
Ancillary Equipment (McKinley, USA)
TiMESH light
Prosthetic warp-knitted fabric made of monofil
polypropylene threads with an encapsulating titanic
coating
10 x15 cm TiMESH light
Detail Amendment
MS032
TiMESH extralight
Prosthetic warp-knitted fabric made of monfil
polypropylene threads with an encapsulating titanic
coating
10 x 15cm TiMESH extralight
Detail Amendment
MS033
TiMESH light
Prosthetic warp-knitted fabric made of monofil
polypropylene threads with an encapsulating titanic
coating
15 x 15cm TiMESH light
Detail Amendment
MS034
TiMESH extralight
15 x15cm TiMESH extralight
Detail Amendment
MS035
TiMESH light
Prosthetic warp-knitted fabric made of monofil
polypropylene threads with an encapsulating titanic
coating
Prosthetic warp-knitted fabric made of monofil
polypropylene threads with an encapsulating titanic
coating
20 x 15cm TiMESH light
Detail Amendment
MS036
TiMESH extralight
Prosthetic warp-knitted fabric made of monofil
polypropylene threads with an encapsulating titanic
coating
20 x 15cm TiMESH extralight
Detail Amendment
MS038
TiMESH Extra Large
Prosthetic warp-knitted fabric made of monofil
polypropylene threads with an encapsulating titanic
coating
Extra Large TiMESH
Detail Amendment
Medical Device Alliance Pty Ltd
Plastic and Reconstructive
MP044
Silimed Tissue Expander
Specialist Orthopaedic
MP011
Phalangeal Joint Implant
Medical Specialties Australia Pty Ltd
General Miscellaneous
MS021
Changed Items for Prostheses List Report
Page 77 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MS043
TiPLUG/TiPATCH System
TiPLUG
Detail Amendment
MS044
TiPLUG/TiPATCH System
Titanized polypropylene composite. Prosthetic
warp-knitted fabric made of monofilament
polypropylene threads with an encapsulating titanic
Titanized polypropylene composite. Prosthetic
warp-knitted fabric made of monofilament
polypropylene threads with an encapsulating titanic
TiPATCH
Detail Amendment
Plastic/magnetic. Programmable valve. Programmer
kit and shunts kit.
3, 8 settings
Detail Amendment
Neurosurgical
MS003
Sterile Hydrocephalic Shunts
Vascular CAG
MS009
MS010
MS014
MS015
MS016
MS052
Catheterisation kits(Horizon Medical)
Catheterisation kits(HDC corp)
Injection/Infusion Ports Sterile
Injection/Infusion Ports Sterile
Injection/Infusion Ports Sterile
Relay Thoracic Stent Graft
Central Venous Catheter - right atrial catheter, silicone
Central Venous Catheter - right atrial catheter, silicone
Plastic/titanium, single lumen
Plastic/titanium, dual lumen
Plastic/titanium, paediatric
Duralloy Nitinol Surgical Graft Material Braided
Polyester PFTE impregnated Suture Dual Sheath
Delivery System
2.7 -14F
2 - 12F
5-15F
10, 10.5, 12F
5, 6, 7,8, 9.6F
Diameter 22 - 46mm, Length 103 - 179mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
MS053
Relay Thoracic Stent Graft
Duralloy Nitinol Surgical Graft Material Braided
Polyester PFTE impregnated Suture Dual Sheath
Delivery System
Diamter 22 - 46mm, Length 180 - 271mm
Detail and Benefit Amendment
Silicone tracheal and bronchial stents - Dumon
Nitinol wire - tracheal and bronchial stenets - Dumon
10 - 20mm diameter, 20 - 60mm length
12 - 20mm diameter, 20 - 90mm length
Detail Amendment
Detail Amendment
Sterile granules of talc implanted in pleural space to
act as permanent adhesive
3 grams & 4 grams
Detail Amendment
Orbital Sphere Models 6316, 6326, 6327, 6317 and
6322 8702-8704. COI implant, models 7222, 7223 &
80026. MCOI implant, models 7207 - 7209 Quad
Motility Implants 9866 - 9868 & 80022
Orbital Sphere Models 6316: 14mm, 6326: 16mm,
6327: 18mm, 6317: 20mm, 6322: 22mm, 8702:
19mm, 8703: 21mm, 8704: 23mm, COI Implants
7222: Approx 4ml, 7223: Approx 5ml, 80026:
Approx 6ml, MCOI 7207: Approx 3ml, 7208:
Approx 4.2ml, 7209: Approx 5.6ml, QUAD
Detail and Benefit Amendment
Reconstruction Anatomical Textured
Asymmetric Textured Right
Asymmetric textured Left
180cc to 600cc
200cc to 450cc
200cc to 450cc
Detail Amendment
Detail Amendment
Detail Amendment
Medical Vision Australia Pty Ltd
Ear, Nose & Throat
MF001
MF002
Endoxane
Tracheobronxane Silmet
General Miscellaneous
MF003
Steritalc
Ophthalmic
MF034
Sphere
Plastic and Reconstructive
MF006
MF007
MF008
Pip Breast Implant Gel Filled
Pip Breast Implant Gel Filled
Pip Breast Implant Gel Filled
Changed Items for Prostheses List Report
Page 78 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MF011
MF012
MF013
MF014
Pip Breast Implant Gel Filled
Pip Breast Implant Gel Filled
Pip Breast Implant Gel Filled
Pip Breast Implant Gel Filled
Round textured Standard profile
Round Textured High profile
Round Smooth Extra High profile
Round Textured Extra High profile
85cc to 705cc
90cc to 680cc
245cc to 495cc
245cc to 495cc
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
CP Stent Uncovered
CP Stent Covered
CP Stent Uncovered, mounted on BIB balloon
CP Stent Covered, mounted on BIB balloon
16, 22, 28, 24, 39 & 45mm length
16, 22, 28, 24, 39 & 45mm length
16, 22, 28, 24, 39 & 45mm length
16, 22, 28, 24, 39 & 45mm length
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Nitinol Wire Mesh
Nitinol Wire Mesh
Nitinol Wire Mesh
Nitinol Wire Mesh
Nitinol wire mesh, double disc occluder and delivery
system
Self expandable multiple Nitinol wire mesh PDA
occlusion device
5 - 24mm
4mm - 40mm
4 - 24mm
25mm & 35mm
4-24mm, Length 7-10mm
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Waist diameter 3-6mm, Nominal length 4-6mm
Detail and Benefit Amendment
One way valve
Small, Medium, Large
Detail Amendment
Suture Mediated Closure Device
Self expandable nitinol wire mesh
The AMPLATZER Vascular Plug II is a selfexpandable, multi-lobed cylindraical device made
from a nitinol wire mesh. The device is secured on
both ends with platinum marker bands, A stainless
steel micro screw is welded to one of the platinum
marker bands, which allows attachment to a delivery
wire. The plug is preloaded into a loader attached to a
nitinol pusher wire and is coiled in a hoop dispenser
Sheath sizes: 6F and 8F
Diameter 4mm - 16mm, Length 7 & 8mm
9-AVP2-003, 3mm Diameter, 6mm Plug Length.9AVP2-004, 4mm Diameter, 6mm Plug Length.9AVP2-006, 6mm Diameter, 6mm Plug Length.9AVP2-008, 8mm Diameter, 7mm Plug Length.9AVP2-010, 10mm Diameter, 7mm Plug Length.9AVP2-012, 12mm Diameter, 9mm Plug Length.9AVP2-014, 14mm Diameter, 10mm Plug Length.9AVP2-016, 16mm Diameter, 12mm Plug Length.9AVP2-018, 18mm Diameter, 14mm Plug Length.9AVP2-020, 20mm Diameter, 16mm Plug Length.9AVP2-022, 22mm Diameter, 18mm Plug Length
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Vascular CAG
MF015
MF016
MF017
MF018
CP Stent
CP Stent
CP Stent
CP Stent
Medtel Australia Pty Ltd
Cardio-thoracic
ME065
ME066
ME067
ME068
ME074
Amplatzer Duct Occluder
Amplatzer Septal Occluder
Amplatzer Muscular VSD Occluder
Amplatzer PFO Occluder
Amplatzer Membranous VSD Occluder
ME187
AMPLATZER Duct Occluder II
General Miscellaneous
ME124
Emphasys Endobronchial Valve
Vascular CAG
ME107
ME182
ME186
Superstitch
Amplatzer Vascular Plug
AMPLATZER Vascular Plug - II
Medtronic Australasia Pty Ltd
Cardio-thoracic
Changed Items for Prostheses List Report
Page 79 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC002
Medtronic Sprint Quattro Lead Model 6944RV/SVC
65cm; Model 6944RV/SVC 75cm; or Model
6944RV/SVC 100cm; Medtronic Sprint Quattro Lead
Model 6944RV/SVC 58cm
Silicone and polyurethane
65-100cm
Benefit Amendment
MC008
MC009
MC010
Medtronic Capsurefix Model 5568 Pacing Leads
Medtronic Epicardial Pacing Leads IS-1 Model 5071
Medtronic Capsure SP Novus Model 5092; Capsure
SP Novus Lead Model 5592; Medtronic Capsure
Model 4023 Lead; Medtronic Capsure Model 4024
Lead (med.dexamethasone) Medtronic Capsure
Model 4523(MED) Medtronic Capsure Model 4524
Lead; Medtronic Capsure Model
Silicone Polyurethane
Silicone
Silicone Polyurethane
30 - 85cm
35 - 53cm
45 -110cm
Benefit Amendment
Benefit Amendment
Benefit Amendment
MC011
Silicone
25 - 60cm
Benefit Amendment
MC026
Capsure EPI steroid eluting bipolar epicardial lead
Model 4968 - ventricle
Medtronic Transvene SVC Lead Model 6937;
35 - 110cm x 660mm
Benefit Amendment
MC027
Model 6721 Unipolar Epicardial Patch Leads S/M/L
370, 660, 840mm
Benefit Amendment
MC036
Medtronic Lead End Cap Kit Model: 5867-3M;
Medtronic DF-1 Port Pin Plug Kit: Model 6719,
Medtronic IS-1 Port Pin Plug Kit: Model 6725;
Medtronic Upsizing Sleeve: Model 5866-45, Model
5866-46
Model 6937-35, Model 6937-52, Model 6937-58,
Model 6937-110; Silicone;
Model 6721S-50, Model 6721M-50, Model 6721L50; Silicone
Pin Plug Kits to Seal Unused Pacemaker or
Defibrillator Port; Sizing Sleeve - Silicone or
Polyurethane
One Size Per Model
Benefit Amendment
MC052
Medtronic Capsure VDD2 Model 5038 AV Pacing
Silicone; Contents: 1 x lead with anchoring sleeve,
stylet & guide, 1 x vein lifter, 2 x fixation tools, extra
stylets
11.5cm, 13.5cm, 15.5cm
Benefit Amendment
MC053
Capsure EPI steroid eluting unipolar epicardial lead
Model 4965 ventricle
Medtronic AVE S660 Coronary Stents, S670
Coronary Stents, S7 Coronary Stents, BeStent2,
Silicone
25 - 50cm
Benefit Amendment
Stainless Steel
S660 Coronary Stent - Diameter (2.5mm-2.75mm),
Length (9mm-24mm); S670 & S7 Coronary Stent Diameter (3mm-4mm), Length (9mm-30mm);
BeStent2 - Diameter (2.5mm-4mm), Length (9mm30mm);
Benefit Amendment
MC208
Medtronic Sprint Quattro Secure Lead Model 6947
58cm; Model 6947 65cm; Model 6947 75cm; Model
6947 100cm
Leads, Defibrillator, Implantable, Silicone,
polyurethane, platinized tantalum coils, steroid
eluting tip
58-100cm
Benefit Amendment
MC225
MC226
Attain Over the Wire Model 4193
Medtronic Insync III Triple Chamber Pacemaker
Model 8042
Medtronic Capsure SP Novus Model 5594 Lead
DF-I Y-Adaptor/Extender Model 6726 25cm & 37cm
Implantable Subcutaneous Defibrillator Lead Model
6996SQ 41cm, 58cm, 85cm
CapSure Sense pacemaker lead Models 4073
Titanium, polyurethane
Titanium
78-88cm
One size only
Benefit Amendment
Benefit Amendment
Silicone, platinum
Silicone
Silicone and Platinum Alloy
30-100cm
Lengths 25cm, 37cm
Lengths 41-85cm inclusive
Benefit Amendment
Benefit Amendment
Benefit Amendment
Titanium Nitride
30 - 85cm
Benefit Amendment
MC197
MC229
MC246
MC251
MC254
Changed Items for Prostheses List Report
Page 80 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC301
Model 3830 PACING LEADS
59 - 75 cm
Benefit Amendment
MC329
Medtronic Driver, Micro Driver Coronary Stent
Active fixation pacemaker leadComposition:
Insulation is polyurethane, Electrodes are Titanium
Nitride coated Platinum, the screw is steriod-coated
Cobalt Alloy
Driver Stent: diameter (2.25 - 4.5mm), length (830mm); Micro-Driver Stent: diameter (2.25 2.75mm), length (8 - 24mm)
Benefit Amendment
MC336
Medtronic Capsure Z Novus Model 5054 Pacing Lead
Silicone; Contents: 1 x lead with anchoring sleeve,
stylet & guide, 1 x vein lifter, 2 x fixation tools, extra
stylets
45-58cm
Benefit Amendment
MC337
Medtronic Capsure Z Novus Model 5554 Pacing Lead
Silicone; Contents: 1 x lead with anchoring sleeve,
stylet & guide, 1 x vein lifter, 2 x fixation tools, extra
stylets
45-58cm
Benefit Amendment
MC338
Medtronic Capsurefix Novus Model 5076 Pacing Lead
45-85cm
Benefit Amendment
MC360
EnRhythm
21g, 13cc
Benefit Amendment
MC371
Medtronic Capsurefix Model 6940 Pacing Lead;
Medtronic Tined IS-1 Model 4557M; Medtronic
Capsurefix Model 4067/8/4568 Pacing Leads;
Medtronic Capsurefix Model 5067 Pacing Leads;
Medtronic Capsurefix Model 5068 Pacing Leads;
Capsure SP Novus Pacing Lead
Silicone; Contents: 1 x lead with anchoring sleeve,
stylet & guide, 1 x vein lifter, 2 x fixation tools, extra
stylets
Model P150 1DR, Rate Responsive dual chamber
pacemaker with Anti-Tachycardia functions:
Silicone Polyurethane
30 - 85cm
Benefit Amendment
MC372
CapSure Sense pacemaker lead Models 4074 & 4574
Titanium Nitride
Benefit Amendment
MC699
MC713
MC720
Attain OTW Model 4194 Lead
Adapta Pacemaker
Concerto CRT-D
MC721
Virtuoso
37cc, 68g
Detail and Benefit Amendment
MC722
Virtuoso
37cc, 68g
Detail and Benefit Amendment
MC726
Adapta Pacemaker
11.1-14.2cc23.6g-31.3g
Benefit Amendment
MC728
MC730
MC732
MC763
MC768
MC769
MC778
MC811
Adapta Pacemaker
Attain StarFix LV Lead
Endeavour Drug Eluting Coronary Stent System
Reveal XT
Reveal DX
Endeavor Sprint Drug Eluting Stent System
Oscor Adaptor
Attain Ability 4196 LV Lead
Model 4194
VDDR PacemakerModels ADVDD01
Implantable Cardioverter Defibrillator with Cardiac
Resynchronisation Therapy
DR ModelImplantable Cardioverter Defibrillator,
Dual Chamber
VR ModelImplantable Cardioverter Defibrillator,
Single Chamber
DR PacemakerModels ADDR01, ADDRS1,
ADDRL1, ADDR06, ADDR03
SR PacemakerModels ADSR01, ADSR06,
Over the wire left Ventricular Lead
Cobalt Alloy, ABT - 578
Reveal XT Insertable Cardiac Monitor
Insertable Cardiac Monitor
Cobals Alloym ABT - 578
Adaptor for LV-1 lead to unipolar and bipolar IS-1
Over the wire dual electrode left ventricular lead
CapSure Sense Lead Model 4074 - 30cm to 85cm;
CapSure Sense Lead Model 4574 - 30cm to 53cm
78cm, 88cm
11.1cc23.6g
38cc
9.7 - 11.0cc21.5 - 22.5g
78, 88, 103cm
Diameter: 2.25mm-4.5mm; Length: 8.00mm-38.0mm
61 x 19 x 8 mm with a volume of 9cc
61 x 19 x 8 mm with a volume of 9cc
Diameter: 2.25mm-4.0mm; Length: 8.0mm-30.0mm
10cm, 17cm and 40cm
78, 88, and 103 cm
Benefit Amendment
Detail and Benefit Amendment
Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Changed Items for Prostheses List Report
Benefit Amendment
Benefit Amendment
Detail and Benefit Amendment
Page 81 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC812
Consulta CRT-D
Fully Automatic, Wireless Implantable cardioverter
defibrillator with cardiac resynchronization therapy
(CRT), and therapies for ventricular and atrial
tachyarrhythmia
38cc
Detail and Benefit Amendment
MC813
Secura VR
Fully Automatic, Wireless Implantable cardioverter
defibrillator with high energy capability and therapies
for ventricular tachyarrhythmia
37cc
Detail and Benefit Amendment
MC814
Secura DR
37cc
Detail and Benefit Amendment
MC816
MC831
Endeavor Resolute Drug Eluting Coronary Stent
Medtronic Lead Extender Kit Model: 6984M,
6981M, 6985M,6986m
Adaptor Kit Model 5866-24M, 5866-40M, 586637M, Bipolar Lead Adaptor Kit Model 2872
CapSureFix Novus Model 4076 Pacing Lead
Sprint Quattro Secure S
Fully Automatic, Wireless Implantable cardioverter
defibrillator with high energy capability and therapies
for ventricular and atrial tachyarrhythmia
Cobalt Alloy, ABT - 578, BioLinx Polymer
Silicone
Diameter:2.25mm-4.0mm; Length: 8.00mm-30.0mm
37 - 50cm
Benefit Amendment
Benefit Amendment
Silicone
14cm
Benefit Amendment
Active fixation pacemaker lead
Model 6935, Active Fixation Single Coil
Defibrillation Lead
45 - 85cm
52 - 100cm
Benefit Amendment
Benefit Amendment
ePTFE - expanded polytetrafluroethyelene
0.75cm x 40cm x 0.6mm; 0.4cm x 20cm x 0.6mm;
0.6cm x 20cm x 0.6mm
0.6 - 0.8mm x 3.0 - 4.0mm x 7.0 - 8.0mm
0.6 - 1.17mm x 0.3 - 4.0mm x 4.75 - 8.0mm
0.4 - 1.17mm x 2.2 - 8.8mm x 3.5 - 10.0mm
0.5 - 0.6mm x 3.5 - 6.0mm and One Size Only
3cm
Right - One size only, Left - One size only, Wedge One size only & Strip - One size only
0.76 - 1.52mm x 2.1 - 9.5mm x 1.0 - 12.0mm
1.02 - 1.27mm x 0.9 - 2.4mm
1.27 x 2.9 x 1.3mm
1.02 - 1.27mm, 1.58 - 2.7mm
1.02 - 1.52mm x 0.9 - 4.45mm
1.02 - 1.27mm x 1.3 - 3.0mm
0.76 - 1.27mm x 1.0 - 7.5mm
0.89 - 1.52mm x 2.3 - 12.0mm
0.76 - 1.27mm x 1.5 - 12.0mm
1.02 - 1.27mm x 2.7 - 9.1mm
1.02 - 1.52mm x 1.3 - 12.0mm
Detail Amendment
MC832
MC833
MC834
Ear, Nose & Throat
MC255
MC260
MC261
MC262
MC263
MC264
MC265
Medtronic Xomed Australia Material Implantable
Sterile - Gore Thyroplasty
Middle Ear Prosthesis
Universal Ossicular Reconstruction Implants Partial Ossicular Reconstruction Implant
Total Ossicular Reconstruction Implant
Septal Button
Silicone Blocks
MC268
MC269
MC270
MC271
MC272
MC273
MC276
MC277
MC278
MC279
MC280
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tubes
Medtronic Vent Tube
Changed Items for Prostheses List Report
Total Ossicular Reconstruction Implants
Malleus + Incus + Stapes
Malleus + Incus
Malleus + Incus + Stapes
Silicone
Netterville Phonoform Block - Right, Left, Wedge &
Strip
Fluoroplastic
Activent Antimicrobial Ventilation Tube
Antibacterial/Antimicrobial
Stainless Steel
Titanium
Fluoroplastic
Silicone
Fluoroplastic, C-Flex
Silicone
Antimicrobial Ventilation Tube
Antibacterial/Antimicrobial
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 82 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC918
The Big Easy Piston
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm
Detail Amendment
MC919
MC920
MC921
MC922
Prostheses Malleus
Flex H/A Incus Necrosis Prostheses
Middle Ear Prostheses
Middle Ear Prostheses
Big Easy Range - MRI Safe, Triple Width Platinum
Band, Double Width Platinum Shaft with Offset
Versions
Hydroxyapatite
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
MC923
Middle Ear Prostheses
Stapes
MC924
Middle Ear Prostheses
Malleus
MC925
MC926
MC927
Vent Tube
Medtronic Vent Tube
Medtronic Vent Tube
Fluoroplastic
Activent Antimicrobial Ventilation Tube
0.6 - 4.0mm x 2.7 - 5.0mm x 1.5 - 10.0mm
2.5 - 4.0mm x 10.0mm
Small, Medium, Large, 0.6 x 2.2 x 8.0mm
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 4.75mm
1.02 - 1.27mm x 1.0 - 3.5mm
1.14 - 1.27mm x 0.9 - 3.0mm
1.02 - 1.52mm x 1.3 - 12.0mm
Medishield is a co-polmer gel composed of
carboxymethylcellulose and polyethylene.
3cc Syringe
Detail and Benefit Amendment
Malleus+ Incus
Stapes
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
General Miscellaneous
MC618
Medishield
Neurosurgical
MC061
Medtronic IsoMed Drug Infusion Pump.
Models 8472-20-03, 8472-20-05, 8472-20-10, 847220-15. Models 8472-35-05, 8472-35-10, 8472-03515. Titanium
20ml, 35ml
Detail Amendment
MC064
Implantable Drug Pump Accessories
8590-8, 8590-9 - Synchromed catheter accessory kit Radiopaque silicone, 8590RAC - Right angled
connector - Titanium, polyurethane, 8591-38, 859160, 8590-41 Tunnelling rods - Stainless Steel, 8575
Synchromed connector (40 degree) with catheter
20cm; one size only; 38-60cm
Detail Amendment
MC313
Synchro Med II Pump
20 ml & 40 ml
Detail Amendment
MC384
MC402
MC413
MC437
MC450
MC451
MC459
MC497
MC529
MC530
Colorado 2
CD Horizon
Cornerstone Cage
CD-Horizon
Pyramesh
Pyramesh
TSRH 3D
Tenor
Hydrocephalus Shunt
Hydrocephalus Shunt
Model No's 8637-20 & 8637-40, Composition Titanium
Pedicle Screw
Pedicle Screws
Sterile and Non-sterile
Staples
Curved / Round
Ovoid
Extended Post Screw
Rod (5.5mm) - Titanium
Lumbar peritoneal
Ventricular/Atrial, CSF Flow Control Shunts, Cont
Small Valve
Diameter 4.5 - 8.5mm Length 30 - 80mm
Diameter 4.5 - 7.5mm Length 25 - 80mm
4 - 14mm
10 - 30mm
20 - 150mm
8 - 130mm
30 - 60mm
40 - 240mm
84cm
38cm-90cm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 83 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC531
Hydrocephalus Shunt
12mm-90cm
Detail Amendment
MC532
Hydrocephalus Shunt
12mm-90cm
Detail Amendment
MC533
MC534
1.3 - 35cm
2 - 90cm
Detail Amendment
Detail Amendment
Reservoir, CSF Vent Reservoir, Snap Assembly
Reservoir
Strata Adjustable Delta Valve
Screws
Spinal Implant (Peek)
6 - 90mm
Detail Amendment
MC536
MC545
MC577
Shunt: Components catheter
Pressure valve (anti-siphon device or flushing valve
or flush pump)
Pressure valve (anti-siphon device or flushing valve
or flush pump)
Valves, Hydrocephalic
Vertex Spinal System
R90 Spacer
Ventricular/Peritoneal. CSF Flow Control Valves,
BioGlide Contoured, Ventriculostomy Kit-E,
Neonatal Delta Snap Shunt
With Hydrostatic Valve, Delta
Valves/Shunts/BioGlide, Vent Catheters
Ventricular Catheter, CSF Catheter
Neonatal Reservior, CSF Lumbo Peritoneal
Detail Amendment
Detail Amendment
Detail Amendment
MC583
CSF - Ventricular Catheters PSM Range
Non metallic latex free. Barium impregnated, include
stainless steel stylet. Model Nos 41101, 41115,
41207, 41103, 41308, Proximal ventricular catheter.
12 -16mm
Diameter 3.5 - 4.5mm Length 6 - 52mm
Height 7 - 16mm
Lordosis 6 - 18 degrees
ID 1.3mm OD 2.5mm Length 15cm, 23cm; ID 1.2mm
OD 2.1mm Length 15cm, 23cm
MC584
CSF - Distal Catheters
Non metallic and latex free, Models
43418,43103,43111,43209,43522,43551,27211
Distal cardiac/peritoneal catheters ID 1.3mm OD
2.5mm Length 90cm, 96cm, 110cm, 120cm, ID
1.2mm, OD 2.1mm, Length 90cm, 75cm, 58cm
Detail Amendment
MC590
Vertex Reconstruction System Crosslink Bar
Composition - titanium alloy. The system allows for
the adaptation of components from other Sofamor
Danek systems to provide for constructs tailor made
for individual cases.
One size only
Detail Amendment
MC591
MC602
MC603
MC634
MC638
Vertex Reconstructive System Laminar Hook
Union
Union
CD Horizon
Peritoneal Catheter PSM range with Bioglide
Composition - titanium alloy
Verte-Stack
Verte-Stack
X10 Crosslink
Translucent silicone elastomer with Barium
impregnated stripe. Catheter surface bonded with
Hydrogel.
4.5 - 6.0mm
8 - 20mm
8 - 20mm
Multi-Span Plate: 25-81mm
60-90cm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
MC639
Ventricular Catheter PSM range with Bioglide
15-23cm
Detail Amendment
MC640
Strata Shunt, Unitised
Translucent silicone elastomer with Barium
impregnated stripe. Catheter surface bonded with
Hydrogel.
Adjustable CSF valve with five symmetric
performance level steps. Includes strata valve, preattached ventricular catheter, and a pre-attached
peritoneal catheter. Right Angle Clip. Disposable
Quick Release Ventricular Catheter Introducer.
8-13.5cm x 9-120cm
Detail Amendment
MC641
Strata Valve Unitised with Bioglide PSM range
One size only
Detail Amendment
MC642
Strata Valve Assembly with Bioglide PSM range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
CSF Flow Valves. Polypropylene and acetal plastic
base. Silicone elastomer dome.
One size
Detail Amendment
MC535
Changed Items for Prostheses List Report
Detail Amendment
Page 84 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC643
Strata Valve with Bioglide PSM range
13-16mm x 35-47mm
Detail Amendment
MC644
Strata Valve NSC (non siphon control) PSM range
13-16mm x 23-32mm (0.5-2.0)
Detail Amendment
MC645
Strata Valve Unitised NSC (non siphon control) PSM
range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome.
Adjustable CSF valve with five symmetric
performance level steps. Includes a strata valve, preattached ventricular catheter, and a pre-attached
peritoneal catheter. Right Angle Clip. Disposable
Quick Release Ventricular Catheter Introducer.
8-120cm
Detail Amendment
MC646
Strata Valve Assembly NSC (non siphon control)
PSM range
Adjustable CSF valve with five symmetrical
performance level steps. Includes a strata valve, an
integral distal peritoneal catheter and catheter passer,
and a female leur adaptor and prefill tubing.
Polypropylene and acetal plastic base. Silicone
One size
Detail Amendment
MC647
Delta Valve with Bioglide PSM range
36-40mm x 9-20mm (0.5-2.0)
Detail Amendment
MC648
Delta Valve Unitised with Bioglide PSM range
CSF Flow Valve. Polypropylene and acetal plastic
base. Silicone elastomer dome. Surface of valve
bonded with hydrogel (Bioglide surface modification).
CSF Flow Valves. Polypropylene and acetal plastic
base. Silicone elastomer dome. Unitised system
includes the valve, integral ventricular and peritoneal
catheter (all components connected). Surface of valve
bonded with hydrogel (Bioglide surface modificat
8-13.5cm x 90-120cm (0.5-2.0)
Detail Amendment
MC649
Delta Shunt Unitised
Delta valve is a fixed pressure CSF valve, available in
four performance levels. Delta Unitised shunt
includes a delta valve, pre-attached ventricular
catheter, and a pre-attached peritoneal catheter. Right
Angle Clip. Disposable Quick Release Ventricular
Delta Unitised Shunt small (Distal 65cm-90cm,
ventricular 11cm) - 0.5, 1.0, 1.5 and 2.0. Delta
Unitised Shunt regular (Distal 90cm, ventricular
catheter 13cm) - 0.5, 1.0, 1.5 and 2.0
Detail Amendment
MC650
Delta Shunt Assembly
Delta valve is a fixed CSF pressure valve, available in
four performance levels. Includes an Integral (distal)
Peritoneal Catheter, Disposable Peritoneal Catheter
Passer, Female Luer Adapter and Prefill Tubing.
90-120cm (0.5 - 2.0)
Detail Amendment
MC651
Delta Valve Assembly with Bioglide PSM range
CSF Flow Valves. Polypropylene and acetal plastic
base. Silicone elastomer dome. Assembly system
includes the valve, integral peritoneal catheter, female
luer adapter and prefill tubing. Surface of the valve
bonded with hydrogel (Bioglide surface modifica
90-120cm (0.5, 1.0, 1.5, 2.0)
Detail Amendment
MC652
Strata Shunt Assembly
Adjustable CSF valve with five symmetric
performance level steps. The assembly includes an
Integrated (distal) Peritoneal Catheter. Disposable
Peritoneal Catheter Passer. Female Luer Adapter and
90-120cm
Detail Amendment
MC668
MC675
MC689
MC735
MC736
CD Horizon
CD Horizon
Neurostimulation System - Lead Revision Kits
Rivulet
Vertex Max Cannulated Screw
Legacy lliac Lateral Connector
Legacy Screw
Octad Lead Revision Kits Model 3550-26 & 3550-27
Ventricular Catheter
Posterior cannulated cervical screw
20 - 60mm
Diameter 4.0 - 10.5mm
30 & 45cm; 60 & 75cm
4cm - 23cm
Diameter 3.5 - 4.5mm
Length 20 - 60mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 85 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC741
Indura Intrathecal Catheter
One size only
Detail Amendment
MC750
MC751
MC752
MC753
MC754
MC770
Durepair
Durepair
Durepair
Durepair
Durepair
Snap Lid Connector
1" x 1"
2" x 2"
1" x 3"
3" x 3"
4" x 5"
2.5" x 5.0"
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
MC774
8578 Sutureless Pump Connector
One size only
Detail Amendment
MC776
Specify 5-6-5 Surgical Lead
30, 65cm
Detail Amendment
MC817
Medtronic Intrathecal Catheter Revision Kit
66cm
Detail Amendment
MC818
Medtronic Intrathecal Catheter Revision Kit (Distal)
38.1cm
Detail Amendment
MC822
MC823
MC859
MC929
CD Horizon
CD Horizon
Venture Anterior Cervical Plate
Medtronic RestoreULTRA Neurostimulator
Sutureless pump connector, Silicone, Titanium and
Nylon
Dura Substitute, Collagen
Dura Substitute, Collagen
Dura Substitute, Collagen
Dura Substitute, Collagen
Dura Substitute, Collagen
Connector for implanted lead to external Implantable
Pulse Generator
Sutureless Pump Connector: Material radiopaque
silicon titanium, nylon
Triple Array 16 Electrode Surgical Lead with Duraloc
Technology
Revision kit to repair proximal end of intrathecal
catheter (8596SC)
Revision kit to repair distal end of intrathecal catheter
(8598A)
Legacy Multiaxial Iliac Screw
Legacy Fixed Iliac Screw
Single or multi level plate, titanium alloy and Nitinol
16 Electrode Rechargeable implantable
Neurostimulator for pain management (37712)
5.5mm to 8.5mm Diameter
5.5mm to 8.5mm Diameter
57.5mm - 150mm
22cc
Detail Amendment
Detail Amendment
Detail Amendment
Benefit Amendment
Orfil
Atlas Cable System (SS)
Atlas Cable System (SS)
Atlas Cable System (SS)
Atlas Cable System (Ti)
Atlas Cable System (Ti)
Atlas Cable System (Ti)
Orfil
Stainless Steel - Wire Spool
Single w/crimp and bar
Double w/2 crimps
Crimp
Single (loop end) w/crimp
Double w/2 crimps
Crimp
Double Pearl-Tipped Wires
1-350mm
One size only
One size only
One size only
One size only
One size only
One size only
1 - 350mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
MC153
Talent AAA Aorto Uni lliac Stent Graft
22 - 36mm x 75 - 310mm
Detail and Benefit Amendment
MC847
Endurant Aorto-Uni-Iliac (AUI)
Talent Endoluminal Stent Graft System - AUI
Tapered System.
Endurant Endoluminal Stent Graft System - AUI
23 - 36mm X 120mm
Detail and Benefit Amendment
Nitinol
Diameter: 6 - 10mm, Length: 20 - 40mm
Detail and Benefit Amendment
Specialist Orthopaedic
MC417
MC441
MC442
MC443
MC444
MC445
MC446
MC506
Vascular
Vascular CAG
MC146
Exponent RX Self Expanding Carotid Stent Delivery
System
Changed Items for Prostheses List Report
Page 86 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
MC148
Talent AAA Bifurcated Stent Graft
24-36 x 8-24 x 140-170mm
Detail and Benefit Amendment
MC158
MC160
MC203
Talent Aortic Extension Stent Graft
Talent lliac Extension Graft
Talent Occluder System
22 - 36mm x 26 - 30mm
8 - 26mm x 60 - 200mm
Standard Sizes, 8 - 24mm x 31 - 35mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
MC206
Talent Thoracic Stent Graft
22 - 46mm x 130mm
Detail and Benefit Amendment
MC328
MC370
Racer Renal Stent System
GuardWire Plus Temporary Occlusion and
Aspiration System
Endoluminal Stent Graft System -Bifurcated Graft &
Contralateral Limb
Talent Endoluminal Stent Graft - Aortic Extension
Talent Endoluminal Stent Graft - lliac Extension
Nitinol stents attached to polyester graft sealed both
ends
Talent Endoluminal Stent Graft - Thoracic Stent
Graft System
Cobalt Alloy
GuardWire temporary occlusion balloon, MicroSeal
adaptor, EZ Flator, Export Aspiration Catheter and
filter. Materials: nitinol hypotube, a soft elastic
polymer, polycarbonate, polyurethane, stainless steel
Diameter: 4-7mm; Lengths: 12 &18mm
Length 200 and 300cm; Balloon Occlusion Diameter:
3.0-6.0mm; Distal Tip Length: 2.5cm; Guard Wire
Shaft O.D: 3.5mm
Detail and Benefit Amendment
Detail and Benefit Amendment
MC679
MC702
MC715
AngioLink Vascular Closure Device
Aurora Stents: Self Expanding Stent Delivery System
Interceptor Plus Filter System
Titanium staple
Stainless Steel, Nitinol
Braided Nitol
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
MC729
Stainless Steel, Nitinol
MC743
MC744
MC747
MC748
MC760
MC773
MC809
MC810
MC845
Bridge Assurant Stents: Balloon Expandable Stent
Delivery System
Complete SE Stent
Complete SE Stent
Valiant Endovascular Stent Graft
Valiant Endovasculat Stent Graft
Complete SE Stent
Assurant Cobalt Stent
Valliant Endovascular Stent Graft
Valliant Endovascular Stent Graft
Endurant AAA Stent Graft Bifurcation
6F - 8F
Diameter: 6 - 10mm, Length: 20 - 80mm
Filter: 3.5 - 6.5mm; Length: 180cm; Profile: 0.032 0.036"
Diameter: 6 - 10mm, Length: 20 - 80mm
20mm - 80mm
100mm - 120mm
22-46mm diameter, 110mm length
22-46mm diameter, 150mm length
150mm
Diameter: 6 - 10mm , Length: 20 - 80mm
24 - 46 diameter, up to 179mm
24 - 46 diameter, 180 - 227mm length
23 - 36mm x 13 - 20mm x 135 -185mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
MC846
Endurant AAA Contralateral Iliac Limb
10 - 28mm X 80 - 120mm
Detail and Benefit Amendment
MC848
Endurant AAA Iliac Extension
10 - 28mm x 80mm
Detail and Benefit Amendment
MC849
Endurant AAA Aortic Extension
23 - 36mm x 60mm
Detail and Benefit Amendment
MC850
Endurant AAA Abdominal Tube
23 - 36mm X 85mm
Detail and Benefit Amendment
MC851
Defender Coronary and Carotid Filter System
Filter 2.5 - 6.5mm; Length 180cm; Profile 0.014 0.070"(0.356 - 1.78mm)
Detail and Benefit Amendment
Nitinol
Nitinol
Nitinol and polyester system
Nitinol and polyester system
Nitinol
Iliac balloon expandable stent system
Nitinol and polyester system
Nitinol and polyester system
Endurant Endoluminal Stent Graft System Bifurcated Graft
Endurant Endoluminal Stent Graft System Contralateral Iliac Limb
Endurant Endoluminal Stent Graft System - Iliac
Extension
Endurant Endoluminal Stent Graft System - Aortic
Extension
Endurant Endoluminal Stent Graft System Abdominal Tube
Distal embolic protection device and delivery system
Detail and Benefit Amendment
Mentor Medical Systems
Changed Items for Prostheses List Report
Page 87 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Saline Mammary Prostheses
.
.
Volume 275cc - 650cc
150, 200, 250, 300, 350, 400, 500, 600, 700. 800cc
75, 200, 225, 250, 275, 300, 325, 350, 400, 450, 500,
550cc
120,135,155,180,215,245,280,315,355,395,440,480,5
30,640,775cc
125cc-Model 350-1254BC; 150cc-Model 3501504BC; 175cc-Model 350-1754BC; 200cc-Model
350-2004BC; 225cc-Model 350-2254BC; 250ccModel 350-2504BC; 275cc-Model 350-2754BC;
300cc-Model 350-3004BC; 325cc-Model 3503254BC; 350cc-Model 350-3504BC; 375cc-Model
Detail Amendment
Detail Amendment
Detail Amendment
MN018
Mentor Siltex Spectrum Saline Tissue Expander
Mentor Siltex Becker Expander/Mammary
Mentor Siltex Low Bleed Gel-Filled (High Profile)
Mammary Prostheses Breast, Permanently
Mentor Medical Systems Contour Profile Gel-filled
Mammary Prostheses, Breast, Permanently
Smooth High Profile Gel-filled Mammary Prostheses
MN019
Siltex High Profile Gel-filled Mammary Prostheses
Mammary Prostheses
125cc-Model 354-4125; 150cc-Model 354-4150;
175cc-Model 354-4175; 200cc-Model 354-4200;
225cc-Model 354-4225; 250cc-Model 354-4250;
275cc-Model 354-4275; 300cc-Model 354-4300;
325cc-Model 354-4325; 350cc-Model 354-4350;
375cc-Model 354-4375; 400cc-Model 3
Detail Amendment
MN023
Smooth Round High Profile Saline-Filled Mammary
Prosthesis
Model 350-3170; Model 350-3190; Model 350-3210;
Model 350-3230; Model 350-3250; Model 3503270; Model 350-3290; Model 350-3310; Model
350-3330; Model 350-3380; Model 350-3420; Model
350-3460; Model 350-3500; Model 350-3560;
170cc, 190cc, 210cc, 230cc, 250cc, 270cc, 290cc,
310cc, 330cc, 380cc, 420cc, 460cc, 500cc, 560cc,
630cc
Detail Amendment
MN024
Round Cohesive Gel-Filled Mammary Prosthesis
Model 354-1009; Model 354-1259; Model 354-1509;
Model 354-1759; Model 354-2009; Model 3542259; Model 354-2509; Model 354-2759; Model
354-3009; Model 354-3259; Model 354-3509; Model
354-3759; Model 354-4509; Model 354-5009;
Model 354-5509; Model 354-6009;
100cc, 125cc, 150cc, 175cc, 200cc, 225cc, 250cc,
275cc, 300cc, 325cc, 350cc, 375cc, 400cc, 450cc,
500cc, 550cc, 600cc, 700cc, 800cc
Detail Amendment
Plastic and Reconstructive
MN004
MN013
MN016
MN017
.
Mammary prostheses
Detail Amendment
Detail Amendment
Morton Surgical Pty Ltd t/a Matrix Surgical Company
Ear, Nose & Throat
MG003
Micromedics Ventilation Tubes
Micromedics;Shepard;1.0mm / 1.14mm
lumen;Fluroplastic / Silicone;w.tab / w.wire;box of 6 /
box of 50
Detail Amendment
MG011
Micromedics Ventilation Tubes
Detail Amendment
MG012
Micromedics Ventilation Tubes
MG013
Micromedics Ventilation Tubes
Micromedics; Donaldson; 1.14mm lumen; Silicone /
Fluroplastic; w.tab; box of 6 / box 50
Micromedics; Paparella-I / Paparella-II; 1.14mm /
1.42mm lumen; Silicone; box of 6 / box of 50
Micromedics; T-tubes; (12x10)/(5x8)/(5x4)/(8x5.5);
1.14mm / 1.27mm / 1.4mm lumen ; silicone; box of 6 /
box of 50;
MG014
Micromedics Ventilation Tubes
Micromedics; Armstrong; bevelled straight / grommit
/ w.wire; 7mm / 7.5mm / 1.14mm; silicone /
fluroplastic; box of 6 / box of 50
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Page 88 of 144
Billing
Product Name
MG015
Micromedics Ventilation Tubes
MG016
Micromedics Ventilation Tubes
MG017
Micromedics Ventilation Tubes
Size
Explanation of Change
Micromedics; Collar Button; 1.27mm lumen;
fluroplastic; box of 6 / box of 50
Micromedics;Reuter Bobbin;1.0mm / 1.14mm lumen;
fluroplastic; box of 6 / box of 50
Micromedics; Shah with wire; mini 0.76mm lumen;
fluroplastic; box of 6 / box of 50
Detail Amendment
Intra-abdominal implant biface
Intra-abdominal implant biface
Intra-abdominal implant biface
Intra-abdominal implant biface
Synthetic cyanoacrylic surgical glue. N-Butyl (2)
cyanoacrylate and methacryloxysulfolane co-
Tintra S 14x15cm
Tintra R 12.5cm, 15cm
Tintra M 22x15x10cm
Tintra L 30x30x20cm
1ml
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Biliary Stent Silicone Covered Nitinol Wire 99% Pure
Gold complete with delivery device
Tracheal Airway Stent Silicone Nitinol Wire 99%
Pure Gold Complete with delivery device
Diameter: 8mm - 10mm Length: 50mm - 100mm
Detail Amendment
Diameter: 12mm - 22mm Usable Length: 30mm 80mm Total Length: 40mm - 80mm
Detail Amendment
Nucletron selectSeed Model # 130002 consists of
cylindrical silver rod, coated with radioactive Iodine125 layer. Active silver rod is encapsulated in hollow
titanium tube. Laser welding, using sperical shaped
end welds, seals the tube.
One size only
Detail Amendment
Adjustable Length Titanium Ossicular Chain
Reconstruction Prosthesis
Head Size 2.5mm x 3.5mm; Length 2.0mm - 8.0mm;
Distal Diameter 0.8mm - 1.2mm
Detail Amendment
Rapid Strand consists of 10 welded titanium capsules
containing iodine-125 absorbed onto a silver rod.
OncoSeeds consists of the loose seeds only. Per
Patient up to 120 seeds.
One size each
Detail Amendment
Further Description
Detail Amendment
Detail Amendment
General Miscellaneous
MG019
MG020
MG021
MG022
MG032
Surgimesh XB non-adherent
Surgimesh XB non-adherent
Surgimesh XB non-adherent
Surgimesh XB non-adherent
Glubran 2
N Stenning & Co Pty Ltd
General Miscellaneous
NG047
Hanarostent Biliary Stent
NG049
Hanarostent - Covered Tracheal airway Stent
Nucletron Pty Limited
General Miscellaneous
NU001
selectSeed
O R Paradigm Pty Ltd
Ear, Nose & Throat
OS001
ALTO Prosthesis
Oncura Pty Limited
General Miscellaneous
ON001
Iodine 125 - 'Rapid Strand' Brachytherapy Implant,
Iodine 125 - 'OncoSeeds' Brachytherapy Implant
Changed Items for Prostheses List Report
Page 89 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
ON002
Iodine 125 - Rapid Strand Brachytherapy Implant;
OncoSeeds Brachytherapy Implant
I-125 Rapid Strand, code IMC 7000, consists of 10
welded titanium capsules containing iodine 125. This
assembly is sterile, the acitivity of the capsules
"seeds" is available from 0.18mCi to 0.70mCi.
Individual I-125 capsules (seeds) are also available a
One size only
Detail Amendment
ON003
RAPID Strand Rx Kit
Custom size up to 100 seeds
Detail and Benefit Amendment
ON004
RAPID Strand Rx Seeds
Pre-loaded, variable per patient prescription version
of RAPID Strand
I-125 RAPID Strand Rx, pre-loaded titanium
capsules containing iodine 125. To be used only if
more than 100 seeds are used per patient. Benefit is
Custom
Detail Amendment
316LVM Stainless Steel Balloon Expandable Stent
(Tubular)
L605 Cobalt Chromium alloy balloon expandable
vascular prosthesis
Lengths - 9-33mm; Diameters - 2.5-4.0mm
Benefit Amendment
Expanded Stent Diameter 2.5 to 4.0mm, Stent Length
9 to 33mm
Benefit Amendment
OrbusNeich Medical Pty Ltd
Cardio-thoracic
NM003
R Stent Evolution 2 Coronary Delivery System
NM004
Blazer Coronary Stent Delivery System
Orthocare Pty Limited
Specialist Orthopaedic
OC009
Orthomed Osteotomy & Ligament Staples
Osteotomy Staple. Cast Chromium-cobalt nonabsorbable. Stainless Steel non-absorbable. Nonsterile 57-73
5mm
Detail Amendment
OC010
Orthomed Osteotomy & Ligament Staples
Osteotomy Staple. Cast Chromium-cobalt nonabsorbable. Stainless Steel non-absorbable. Nonsterile 57-74
10mm
Detail Amendment
OC011
Orthomed Osteotomy & Ligament Staples
15mm
Detail Amendment
OC012
Orthomed Osteotomy & Ligament Staples
6mm
Detail Amendment
OC013
Orthomed Osteotomy & Ligament Staples
8mm
Detail Amendment
OC014
Orthomed Osteotomy & Ligament Staples
11mm
Detail Amendment
OC015
Orthomed Osteotomy & Ligament Staples
Osteotomy Staple. Cast Chromium-cobalt nonabsorbable. Stainless Steel non-absorbable. Nonsterile 57-75
Ligament Staple. Cast Chromium-cobalt staples,
non-absorbable. Non-sterile
Ligament Staple. Cast Chromium-cobalt staples,
non-absorbable. Non-sterile
Ligament Staple. Cast Chromium-cobalt staples,
non-absorbable. Non-sterile
Ligament Staple. Cast Chromium-cobalt staples,
non-absorbable. Non-sterile
16mm
Detail Amendment
Titanium
7 - 12
Detail Amendment
Orthopaedic Solutions Pty Ltd
Specialist Orthopaedic
OE005
Futura Conical Subtalar Implant
Changed Items for Prostheses List Report
Page 90 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
OE006
Stayfuse
Titanium inter-digital fusion device
Prox 2.8mm Blue; Mid 3.8mm x 6mm Blue; Mid
4.3mm x 6mm Blue; Prox 3.3mm Grey; Prox 3.8mm
Grey; Mid 3.8 x 6mm Grey; Mid 4.3 x 6mm Grey;
Mid 5.0 x 5mm Grey; Mid 5.0 x 6mm Grey; Prox
6.5mm Gold; Distal 5.5 x 10mm Gold; Distal 6.5 x
Detail Amendment
OE007
Nexfix MTP Fusion System
3.2mm x 12mm, 14mm, 16mm, 18mm, 20mm
Detail Amendment
OE008
NexFix MTP Fusion System
Unique low profile stainless steel locking screw for
use with NexFix MTP Fusion plates, indicated for
use in osteoporotic bone
A bendable stainless steel bone plate and screw
system with unique low profile locking screw option.
Indicated for use in primary MTP fusion
Left 2 + 3; Right 2 + 3
Detail Amendment
OE009
Nexfix MTP Fusion System
A bendable stainless steel bone plate and screw
system with unique low profile locking screw option.
Indicated for use in primary and revision MTP fusion
Left: 2+3; Right: 2+3
Detail Amendment
OE010
Nexfix MTP Fusion System
2.7mm x 12mm, 14mm, 16mm, 18mm, 20mm, 24mm,
28mm
Detail Amendment
OE013
CoverLoc Screws
2.7mm & 3.3mm x 10mm-26mm in 2mm increments
Detail Amendment
OE014
CoverLoc Volar Plate
Unique low profile stainless steel locking screw for
use with NexFix MTP Fusion plates, indicated for
use in normal bone
CoverLoc Screws, stainless steel, (lag & cortical) &
Pegs (threaded & unthreaded)
A stainless steel volar plate system intended for
fixation of fractures and osteotomies involving the
distal radius. The CoverLoc feature is unique and
allows both compression and lagging with fixed angle
'22mm x 3, 4 & 8 hole left & right 25mm x 3 & 4 hole
left & right
Detail Amendment
Variable Locking Screw Nut
13.8mm
Detail Amendment
Titanium, complex neck segment
32 - 49mm, -5 - +30mm
Detail Amendment
Metacarpophalangeal Joint Prosthesis
Double loop titanium spinal cable plus crimps
Titanium
Wire (packet 10) stainless steel
Foot staple
Footscrew
Footscrew
Footscrew
Foot plate
Foot plate screw
Foot screw 7.2
3, 4, 5, 6
One size only
One size only
1.2mm diam & 0.9mm diam
8-10mm
11-14mm
11-28mm
12-34mm
40-55mm
9-55mm
7.2 x 50-120mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Orthotech Pty Ltd
Neurosurgical
OH049
Synergy/Polaris Spinal System
Orthopaedic
OH061
Exactech M Series body
Specialist Orthopaedic
OH202
OH258
OH259
OH260
OH334
OH335
OH336
OH337
OH339
OH340
OH343
Daphne
Songer cable system
Songer Cable System - 2 Crimps
Hartshill
EOS Footset - Varisation staple
EOS Footset - Entos
EOS Footset-Pyxis
EOS Footset-Antares
Fyxis plate
Fyxis plate screw
Unima Screw
Changed Items for Prostheses List Report
Page 91 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
OH344
OH345
OH346
Unima Screw
Pareous staple
Eleos staple
Foot screw 4.5
Foot staple
Foot staple
4.5 x 30-50mm
1.5mm 6-14 and 2.5mm 14-30
4-34/38mm
Detail Amendment
Detail Amendment
Detail Amendment
Polyester Fibre optic catheter
Polyester Fibre optic fibre catheter
2.5 and 2.2mm
0.457mm, 0.9mm, 1.4mm, 1.7mm and 2.0mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Cochlear Implant
Tempo+ Auditory Implant Speech Processor
Cochlear implant speech processor and accoustic
hearing aid combined in one device
Cochlear implant speech processor, fine structure
speech processing, remote control, interface for
assistive listening devices according to the
international hearing aid standard (initial patient kit)
One Size Only
One Size Only
Length 53.5mm, width 8.5mm, Height 58.4mm (one
size only)
54.0mm x 35.1mm x 8.7mm
Detail Amendment
Detail Amendment
Detail Amendment
Pacing Importers Pty Ltd - Life Systems
Cardio-thoracic
PI001
PI002
Excimer Laser Stent
Excimer Laser Stent
Ear, Nose & Throat
PI005
PI006
PI007
Combi C40+ Implantable Auditory Stimulator
Tempo+ Auditory Implant Speech Processor
Duet EAS Hearing System
PI009
OPUS 2 Speech Processor
PI010
Opus 2 Speech Processor Replacement
Cochlear implant speech processor, fine structure
speech processing, remote control, interface for
assistive listening devices according to the
international hearing aid standard (replacement kit)
54.0mm x 35.1mm x 8.7mm
Detail Amendment
PI011
Sonata Ti 100 Cochlear Implant
Cochlear implant, titanium casing, 24 independent
current sources, sequential and parallel stimulation
modes up to 50,074 pulses per sec, 19 or 24 ovalshaped platinium electrodes, different sizes
45.7mm length, width at coil 29.0mm, width at
stimulator 24.8mm, thickness at coil 3.7mm,
thickness at stiulator 5.9mm. Standard Electrode length 31.5mm, spacing 2.4mm; Medium - length:
20.9mm, Spacing 1.9mm; Compressed (short) length 12.1mm, Electro
Detail Amendment
PI012
PULSAR CI 100
Cochlear implant, ceramic casing, 24 independent
current sources, sequential and parallel stimulation
modes up to 50,074 pulses per sec, 24 oval-shaped
platinium electrodes. Stimulator with standard length
electrode array (contact extent 26.4mm)
Length: 31.5mm, Electrode Spacing: 2.4mm
Detail Amendment
PI013
PULSAR CI 100
Cochlear implant, ceramic casing, 24 independent
current sources, sequential and parallel stimulation
modes up to 50,074 pulses per sec, 24 oval-shaped
platinium electrodes. Stimulator with medium length
electrode array (contact extent 20.9mm)
Length: 20.9mm, Electrode Spacing: 1.9mm
Detail Amendment
PI014
PULSAR CI 100
Cochlear implant, ceramic casing, 24 independent
current sources, sequential and parallel stimulation
modes up to 50,074 pulses per sec, 24 oval-shaped
platinium electrodes. Stimulator with short length
electrode array (contact extent 12.1mm)
Length: 12.1mm, Electrode Spacing: 1.1mm
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Page 92 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
PI015
PULSAR CI 100
Cochlear implant, ceramic casing, 24 independent
current sources, sequential and parallel stimulation
modes up to 50,074 pulses per sec, 24 oval-shaped
platinium electrodes. Stimulator with double
electrode array (contact extent 4.4mm and 6.6mm)
Length: 4.4mm & 6.6mm, Electrode Spacing 1.1mm
Detail Amendment
PI016
PULSAR CI 100
Cochlear implant, ceramic casing, 24 independent
current sources, sequential and parallel stimulation
modes up to 50,074 pulses per sec, 19 oval-shaped
platinium electrodes. Stimulator with standard length
electrode array (contact extent 26.4mm) with incr
Length: 26.4mm, Electrode Spacing: 2.4mm
Detail Amendment
PI017
PULSAR CI 100
Cochlear implant, ceramic casing, 24 independent
current sources, sequential and parallel stimulation
modes up to 50,074 pulses per sec,19 oval-shaped
platinium electrodes. Stimulator with medium length
electrode array (contact extent 20.9mm) with increas
Length: 20.9mm, Electrode Spacing: 1.9mm
Detail Amendment
Phynox construction, adapted sizes & diameters
Dia 5 - 9mm Length: 20 - 100mm
Detail and Benefit Amendment
Vascular CAG
PI004
Stentself Stent
Portland Orthopaedics (Aust) Pty Ltd
Orthopaedic
PD005
Margron DTC Hip Replacement
Femoral Modular Neck
Y, Z, AZ, A, B, C, BA, CA, CB, B+4, C+6, CB+6;
31mm to 52mm lateral offset; 23mm to 35mm
vertical height
Detail Amendment
PD022
M-COR Femoral Neck
31mm to 47mm lateral offset, 23mm to 33mm
vertical height, 3 lengths
Detail Amendment
PD029
M-COR-R Revision Hip Stem System /M-COR-R
Distal Stem Bowed P
M-COR-R Revision Hip Stem System/ M-COR-R
Distal Stem Bowed
M-COR-R Revision Hip System / M-COR-R Distal
Stem Straight P
M-COR-R Revision Hip Stem System/ M-COR-R
Distal Stem Straight
Titanium Neck for M-COR System with lateral
extension for stem connection. Contains threaded
sealing plug.
Plasma sprayed, titanium distal stem, long lengths
10-23mm diameter, 200-275mm length
Detail Amendment
Grit blasted, titanium distal stem, long lengths
10-23mm diameter, 200-275mm length
Detail Amendment
Plasma sprayed, titanium distal stem, standard lengths
10 - 23mm diameter, 155-175mm length
Detail Amendment
Grit blasted, titanium distal stem, standard lengths
10 - 23mm diameter, 155 - 175mm length
Detail Amendment
Nickel Titanium Alloy
Nickel Titanium Alloy
4 - 12 x 30 - 100mm
40 x 7, 8, 9, 10mm; 60 x 7, 8, 9, 10mm; 80 x 7, 8, 9,
10mm
Detail Amendment
Detail Amendment
Sinus-wave nitinol stent
Sinus-wave nitinol Stent
4 - 12mm x 30 - 100mm
4 - 12mm x 30-100mm
Detail and Benefit Amendment
Detail and Benefit Amendment
PD030
PD032
PD034
Pyramed (Australia) Limited
General Miscellaneous
PY002
PY004
Optimed Biliary Sinus Stent
Sinus-Endoflex-Biliary Sinus Stent
Vascular CAG
PY005
PY006
Optimed Iiiac Sinus Stent
Optimed Femoral Sinus Stent
Changed Items for Prostheses List Report
Page 93 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
27-29mm, 19mm, 21mm, 23mm, 25mm, 25-33mm,
27-29mm, 31-33mm, 23mm, 25mm
Benefit Amendment
17mm cannula / 30cm tubing
17mm cannula / 80cm tubing
17mm cannula only
13mm cannula / 30 cm tubing
13mm cannula / 60 cm tubing
13mm cannula / 80 cm tubing
13mm cannula only
8mm cannula / 30cm tubing
8mm cannula / 60cm tubing
8 mm cannula / 80 cm tubing
8 mm cannula only
10 mm cannula / 30 cm tubing
10mm cannula / 60cm tubing
10mm cannula / 80cm tubing
10 mm cannula only
6 mm cannula (with 10cm tail)
8 mm cannula (with 10 cm tail)
10 mm cannula (with 10 cm tail)
Transfer sets 20 cms
Transfer sets 50 cms
Transfer sets 70 cms
Cap
3.15mL
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Reid Healthcare
Cardio-thoracic
RH001
Aortic On-X Prosthetic Heart Valve Models ONXA19; ONXA-21; ONXA-23; ONXA-25; ONXA27/29; ONXM-23; ONXM-25; ONXM-27/29;
ONXM31/33; ONXMC25/33
Roche Diagnostics Australia Pty Ltd
General Miscellaneous
RO021
RO022
RO023
RO024
RO025
RO026
RO027
RO028
RO029
RO030
RO031
RO032
RO033
RO034
RO035
RO036
RO037
RO038
RO039
RO040
RO041
RO042
RO043
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Accu-Chek Infusion Set
Tenderlink 1.
Tenderlink 1.
Tenderlink 1.
Tenderlink 1.
Tenderlink 1.
Tenderlink 1.
Tenderlink 1.
FlexLink
FlexLink
FlexLink
FlexLink
FlexLink
FlexLink
FlexLink
FlexLink
Rapid-Dlink
Rapid-Dlink
Rapid-Dlink
Rapid-Dlink
Rapid-Dlink
Rapid-Dlink
Protective Blue Cap
Plastic Cartridge (H-Tron & Spirit)
Sherwood Davis & Geck
General Miscellaneous
SG002
Dexon Mesh Danbury 7979-00
Changed Items for Prostheses List Report
Beige polyglycolic acid absorbable surgical mesh fabric 18 x 23cm
Detail Amendment
Page 94 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Bipolar Head, CoCr UHMWPE insert with insertable
locking ring
UHMWPE with titanium surround
Stainless steel with titanium plasma spray coating
and HA and pegs & flanges, that has polished inner
surface for dual mobility with constrained
39mm-60mm
Detail Amendment
48 -70mm
43-67MM
Detail Amendment
Detail Amendment
Uni Femur - Oxinium - It is UniCondylar Femur
A tibial baseplate used for the Legion Hinge system.
Biolox Option Sleeve
Biolox Option Head
Biolox Option Sleeve
Cement Restrictor
Shell/Liner
Lug
Metaphyseal Stem
Tibial screws
Uni Femoral component, CoCr, cemented
Femoral Component, Oxinium, Cemented, totally
constrained
CR HA Porous
Modular Neck - CoCr highly polished trapezoidal for
MDF stem/MIS stem multiple options of version
height and neck length
Size 1 to Size 7 Please refer to the pocket guide
Size 2 to 7 Left, Right
≤32mm
>32mm
>32mm
18.5 - 35mm
22 - 64mm
One size only
1-8
15-50mm
X-Small - Magnum Plus
Size 1 - 9
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1-8
24mm - 36.5mm
Detail Amendment
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Titanium alloy
Titanium Alloy
CCG Band - Pure Titanium
CCG-GF Band with fixation spikes - Pure Titanium
CCG Stabilizer with Band
Chromium Cobalt
Polyethylene
Chromium Cobalt
Humeral Stem
Body
Inclination Set
Metatarsal Component XS-L
Phalangeal Component XS-L
Length 27cm
Length 27cm
XS - L
Distal Insert 13 - 17mm
Polyethylene Distal Insert 11 - 15mm
Proximal Insert 6, 7, 8
01 to 6
30 - 35 - 40mm
20 - 22 - 24 - 26mm
Detail Amendment
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Smith & Nephew Surgical Pty Ltd
Orthopaedic
SM038
PLUS Bipolar Head
SM043
SM131
Bofor Acetabular Insert
POLAR CUP ACETABULAR Cementless Shell
SM156
SM160
SM166
SM167
SM168
SN263
SN267
SN318
SN319
SN329
SN338
SN736
Journey Uni Femur-Oxinium
Legion Hinge Tibial Baseplate
Revision Delta Ceramic Femoral Head Sleeve
Revision Delta Ceramic Femoral Head
Revision Delta Ceramic Femoral Head Sleeve
Buck
Tandem/Convene
Genesis II
Genesis II
Genesis II
Genesis II Uni Femoral Component
Legion Knee System Femoral Component
SN877
SN898
Genesis II
MDF Revision System
Specialist Orthopaedic
SM008
SM009
SM010
SM011
SM033
SM045
SM046
SM047
SM110
SM111
SM112
Toefit - Plus
Toefit - Plus
PLUS Endoprothetik Cerclage Systems
PLUS Endoprothetik Cerclage Systems
PLUS Endoprothetik Cerclage System
Toefit - Plus
Toefit - Plus
Toefit - Plus
Promos Shoulder Replacement
Promos Shoulder Replacement
Promos Shoulder Replacement
Changed Items for Prostheses List Report
Page 95 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SM113
SM114
SM146
SM147
SM148
SM149
Promos Shoulder Replacement
Promos Shoulder Replacement
Bioraptor 2.3 PK
TWINFIX FT PK
FOOTPRINT
Peri-Loc PFP
Ball head anatomic
Glenoid
PEEK optima suture anchor
PEEK optima fully threaded suture anchor
Non-knot tying PEEK suture anchor
Proximal Femur Locking Plate - 360L stainless steel
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SM150
Peri-Loc PFP
Proximal Femur Locking Screw - 360L stainless steel
SM155
InterTAN CHS-Integrated Interlocking Screws
Integrated Interlocking Screws
R19/H14-R26/H21
1-23: - 4-29
2.3mm
5.5mm and 6.5mm
5.5mm and 6.5mm
2H R & L 104MM, 4H R & L 144MM, 6H R & L
180MM, 9H R & L 234MM
60MM X 22MM THRD - 130mm X 22MM THRD
60mm X Full Thread - 130mm Full Thread
11mm x 7.0mm diameter, 65mm Lag Screw/60mm
Compression Screw (65/60), 70/65, 75/70, 80/75,
85/80, 90/85, 100/95, 105/100, 110/105, 115/110,
120/115, 125/120, 130/125, 135/130, 140/135.
SM162
SPYROMITE
A non-absorbable polymer (PEEK) anchor for use in
ligament/tendon reconstruction in small joint
applications
2mm in diameter
Detail Amendment
SM163
DYNOMITE
2mm in diameter
Detail Amendment
SM164
BIOSURE
6-12mm in diameter
Detail Amendment
SN001
SN002
SN004
TC 100 Quarter Tubular plates (2.7mm cortex screws)
TC 100 3.5mm Cortical Screws
Bioabsorbable screw
23 - 63mm
45 - 85mm
7 x 20mm - 12 x 35mm
Detail Amendment
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SN006
SN007
SN008
SN011
SN012
SN013
SN014
SN018
SN022
SN031
TC 100 1.5mm Mini Plates
TC 100 3.5mm Cortical Screws
Rotorloc Absorbable PLA Suture Anchor System
TC 100 3.5mm Small Fragment (Compression) plates
TC 100 3.5mm One Third Tubular plates
TC 100 3.5mm Curved Reconstruction plates
TC 100 4.5mm Cortical Screws
TC 100 4.5mm Cortical Screws
Osteotomy Plates
Original Ilazarov System
Straight 3-6 holes, T-Plates 3-4 holes
10 - 40mm
One size only
169 - 265mm
25 - 97mm
70 - 94mm
14 - 60mm
100 - 145mm
40 - 80mm
Adult and Paediatric
Detail Amendment
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SN032
SN044
SN061
SN062
Compass Universal Hinge
TC 100 3.5mm Small Fragment (Compression) Plates
TC 100 4.5mm Cortical Screws
TC 100
A non-absorbable polymer (PEEK) anchor for use in
ligament/tendon reconstruction in small joint
applications
A non-absorbable polymer (PEEK) interference
screw for use in ligament/tendon reconstruction
Sterile
Hex, Cruciate or Self Tapping
BioRCI-HA Screw, Medial, Portal, Reverse thread,
Tibial specific, Trans-tibial
Stainless steel, Sterile
Sterile, Hex or Cruciate
Sterile, 14 - 26 hole
Sterile, 2 - 8 holes
Sterile, 6 - 8 holes
Hex, Cruciate or Self-tapping
Hex, Cruciate or Self-tapping
Blade, Adult osteotomy 4 hole
External circular fixation system, stainless steel and
composite carbon fibre
Circular external hinged fixator, graphite composite
Sterile, 2 - 7 holes
Hex, Cruciate or Self-tapping
Narrow Compression Plate
One size only
25mm - 85mm
62 - 95mm
4.5mm, 5 - 7 holes
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Changed Items for Prostheses List Report
Detail Amendment
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Page 96 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SN063
SN065
SN068
SN069
SN071
SN073
SN075
SN076
SN078
SN080
SN081
SN082
SN083
SN087
SN088
SN098
SN104
SN107
SN108
SN109
SN112
SN116
SN118
SN119
SN126
SN129
SN130
SN131
SN132
SN133
SN134
SN135
SN136
SN137
SN138
TC 100 2.7mm Small Fragment (Compression) plates
TC 100 4.5mm T-Buttress plates
TC 100
TC 100 3.5mm Reconstruction plates
TC 100 4.5mm Narrow Compression plates
TC 100
TC 100
TC 100
TC 100 4.5mm Broad Compression plates
TC 100 4.5mm T-plate
TC 100 2.0mm H-plates
TC 100 2.7mm Cortical Screws
TC 100 2.0mm T-plates
TC 100 Semi Tubular plates
TC 100
TC 100 4.5mm Reconstruction plates
TC 100
TC 100 4.5mm Condylar Buttress plates
TC 100
TC 100 3.5mm Reconstruction plates
TC 100 2.0mm Cortical Screws
TC 100 2.7mm T-plates
TC 100 3.5mm Small Fragment (Compression) plates
TC 100 4.5mm T-plate
TC 100 4.5mm Condylar Buttress plates
TC 100 1.5mm Mini Plates
TC 100 3.5mm One Third Tubular plates
TC 100 4.5mm Narrow Compression plates
TC 100 4.5mm Narrow Compression plates
TC 100 4.5mm Narrow Compression plates
TC 100 3.5mm Reconstruction plates
TC 100 95 Degree Condylar Plates
TC 100 Small T-Plates
TC 100
Neer 3 Total Shoulder System
2 - 12 holes
Sterile, 4 - 6 holes
Plate: Condylar
Sterile, Straight 9 - 11 holes
Sterile, 2 - 4 holes
L - Plates & T - Plates
Plate: Reconstruction
Plate: Curved Reconstruction
Sterile, 20 - 26 holes
Sterile, 5 - 8 holes
Sterile
Hex, Cruciate or Self-tapping
Sterile, 9 hole shaft
8 - 12 holes
Semi Tubular plates
Sterile, 14 - 16 holes
1/3 Tubular Plate with Collar
Sterile, right, 11 - 15 hole
Plate: Broad Compression
Sterile, Straight 4 - 8 holes
Self Tapping, Hex or cruciate
Sterile
Sterile, 8 - 12 hole
Sterile, 3 - 4 holes
Sterile, Left and right, 7 - 9 hole
Stainless steel, Sterile
Sterile, 9 - 12 holes
Sterile, 14 - 24 holes
Sterile, 11 - 13 holes
Sterile, 8 - 10 holes
Sterile, Straight 16 - 22 holes
Small stature
Sterile, right angled and oblique
Plate: Broad Compression
Humeral stems
20 - 100mm
80 - 112mm
1.5mm, 2.0mm &2.7mm
106 - 130mm
39 - 71mm
2.0mm & 2.7mm
3.5mm & 4.5mm, 10 - 15 holes
3.5mm, 10 -18 holes
326 - 423mm
100 - 148mm
One size only
6 - 55mm
3 - 4 holes
135 - 199mm
2 - 7 holes
221 - 253mm
3 - 10 Hole
221 - 285mm
4.5mm, 3 - 10 holes
46 - 94mm
6 - 38mm
One size only
97 - 145mm
68 - 84mm
158 - 190mm
H-Plates 4 holes
109 - 145mm
231 - 390mm
183 - 215mm
135 - 167mm
190 - 263mm
Shaft length 92 - 299 mm, blade length 50 - 80mm
3 - 4 holes in head, 3 - 6 holes in shaft
4.5mm, 6 - 8 holes
Head size 15 - 16, stem diam 8 - 12mm
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Page 97 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SN141
SN143
SN146
T-Bar Suture Retention System
TC 100 4.5mm Reconstruction plates
Taylor Spatial Frame
One size only
45 - 141mm
One size only
Detail Amendment
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SN284
SN395
SN397
SN398
Screws
Cofield
Cofield
Cofield
Fastfix
3 - 9 holes
Pre-assembled circular external fixator, carbon-fibre
rings, telescopic rods
Cancellous
Humeral stem component
Glenoid All Polyethylene component
Glenoid Component Metal backed
Detail Amendment
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SN400
SN403
SN404
SN409
SN413
SN414
SN415
SN416
SN417
SN418
SN420
SN421
SN422
SN423
SN424
SN425
SN426
SN427
SN428
SN429
SN430
SN432
SN434
SN435
SN436
SN437
SN438
Modular Cofield
Modular Cofield
Modular Cofield
Modular Cofield
Shoulder Reconstruction
Shoulder Reconstruction
Shoulder Reconstruction
Shoulder Reconstruction
T-Bar Suture Retention System
T-Bar Suture Retention System
ACL/PCL Reconstruction
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
ACL/PCL Reconstructions
Half Pin
Half Pins
Half Pins
Hex Fix Pins
Hip Pin
+ 2 insert
Humeral Head
Humeral Stem
Standard Articular Insert
3.7mm TAG & Wedge Suture Wedge
Suretac Absorbable Staple
TAG Bioabsorbable Anchor Wedge
Fastentor Suture Anchor
T-Fix RCG
T-Fix Single & Double
RCI Screws Titanium
Absorbable PLLA Screw
Acufex Fixation Post
Acufex Tibial Fixation Anchor
Acufex Spiked Washer
Cannuflex Silk & Soft Silk Interference Screw
EndoButton
Fixation Button
EndoButton CL
EndoButton Tape
EndoFix Bioabsorbable Screw
Tibial Post Screw
Arrow
Hex Fix Titanium
Ilizarov Stainless Steel
Cancellous Crane Pin Threaded
Cannulated
15mm - 50mm
Standard & Long, small- large
Small, Standard
Standard Base. Base Insert. Glenoid Comp Sm, Stan,
St W/off
Small, Standard, Standard with offset
14x36mm - 36x58mm
6mmx115mm - 16mmx245mm
Small, Standard
3.7mm
6-8 x 16mm
3.7mm
One size only
1.8mm
T-Fix Suture Bar, Straight Needle, Double Suture
7-11mm diameter, 25-40mm length
7-12mm diameter, 25-35mm length
25 -55mm
One size only
One size only
5.5 x 20mm - 9x30mm
4 x 12mm, 4mm x 18mm
12-17mm
20-50mm
One size only
7 x 20mm - 9mm x30mm
Small, Standard
4-6mm x 20-80mm
4-6mm x 20-80mm
4 x 120 -180mm 30mm 35mm - thread 50mm conic
5/8" - 1 1/4"
30-135mm
Changed Items for Prostheses List Report
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Page 98 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SN439
SN440
SN441
SN442
SN443
SN445
SN446
SN447
SN449
SN450
SN451
SN459
SN460
SN463
Ilizarov
Ilizarov
Ilizarov
Mini TAG
Reis
Steinmann Pins
Steinmann Pins
Steinmann Pins
Washer
Washer
Wire
Wire
Wire
Bone Staple
Jurgan Pin Balls
Wires
Wires with stopper
Suture Anchor 2.0mm
Cable and Swage
Skeletal Traction Pin-Cove Point
Skeletal Traction Pin-Cove Point
Non Threaded, Various Tips
Screw washers
For Cannulated screw systems, Titanium
Kirschner
Suture
Cerclage
Fixation - Osteotomy
Detail Amendment
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SN464
SN465
SN466
SN467
SN468
SN469
SN470
SN471
SN473
SN475
SN476
SN478
SN479
SN480
Bone Staple
Bone Staple
Bone Staple
Compressing Screw
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
Compression Hip Screw System
SN481
SN488
SN489
SN490
SN492
SN493
Compression Hip Screw System
Intermediate Osteotomy System
Intermediate Osteotomy System
Intermediate Osteotomy System
Paediatric Osteotomy System
Paediatric Osteotomy System
Fixation - Short Leg
Fixation - Table
Krackow HTO
For Intramedullary and compression Hip Screw
Ambi Standard Barrel Plates
Ambi Standard Barrel Plates
Ambi Standard Barrel Plates
Ambi Short Barrel Plates
Classic Standard Barrel Plates
Classic Standard Barrel Plates
Classic Short Barrel Plates
Classic Supracondylar Plate
Hip Screw Clip (ambi only)
Intramedullary Hip Screw (IMHS), Centering Sleeve,
Stainless Steel
Lag Screw
Compressing
Lag
Plate (hip screw)
Lag Screw
Plate (hip screw)
0.7-5.0mm
300-370 length x 1-1.8mm diameter
300-370 length x 1-1.8mm diameter
2.0mm
1.6 & 2.0mm
150-200mm
250mm+
9"x5/64 - 9"x3/16
2, 7/3, 7/4, 0/4.5
One size only
Various 1.3 - 304.8mm
18Ga - 28Ga
0.6mmx175mm - 0.8mmx200mm
Fixation Staple 5mm- 14mm. McConnel HTO PF
15mm 0-S
Xsmall - large
Small -Medium 13mm - 16mm.
12,14,16mm
19mm & 28.5mm
60mm -80mm, 2-3 slot
100mm -220mm, 4-10 slot
260mm+, 12-14 slot
100mm, 4-5 slot
60-140mm, 2-3 slot
260mm+, 12-14 slot
100 - 120mm
90-95 6-12SL
One size only
One size only
55 - 140mm
One size only
35 mm - 85mm, 1 1/2" - 3-3/4"
90-150Deg
22mm- 40mm
With Prox slot 90D - 140D
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Page 99 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SN496
SN497
SN498
SN509
Intramedullary Nailing System
Intramedullary Nailing System
Intramedullary Nailing System
Russel Taylor
Foresight Nail
Knee Fussion Nail, Stainless Steel
Nail Cap
Intramedullary Hip Screw Nail (IMHS) Stainless Steel
Detail Amendment
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SN519
SN520
SN521
SN522
SN532
SN540
SN542
SN543
SN557
SN569
SN570
SN571
SN572
SN573
SN574
SN577
SN578
SN581
SN582
SN593
SN595
SN602
SN606
SN607
SN609
SN612
SN621
SN625
SN626
SN627
TriGen
TriGen
TriGen
TriGen
TC 100 Plate
TC 100 1.5mm Screw
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100 Plate
TC 100
TC 100 Plate
TC 100 Plate
TC 100 Screw
TC 100 Screw
TC 100 Screw
TC 100 4mm Cancellous Screw
TC 100
TC 100 4mm Cancellous Screw
TC 100 3.5mm Cortex Screw
TC 100 3.5mm Cortex Screw
TC 100 Screw
TC 100 Washers
TC 100 Washers
Capture Reconstruction Screws Titanium
Captured Screws Titanium
Nail: TAN & FAN, titanium
Knee Nail
2.0mm Straight Plate
Hex, Cruciate or Self-tapping
Multifragment Plates
Pelvic Fragment Plates
4.5mm Broad Compression Plate
Calcaneal Plate Sterile
Cloverleaf Plate
Cloverleaf Plate
Cloverleaf Plate
Cloverleaf Plate
Cobra Head Plate
Hook Plate
Plate: Spoon & L-Buttress
Lateral Tib Head Buttress Plate
Lateral Tib Head Buttress Plate
6.5mm Cancellous Screw
6.5mm Cancellous Screw Fully Threaded
6.5mm Cancellous Screw Partially Threaded
Fully or Partially Threaded
4mm Cancellous Screw
Fully or Partially Threaded
Hex, Cruciate or Self-tapping
Hex, Cruciate or Self-tapping
Malleolar Bone Screw, Sterile
Stainless Steel
Titanium Non Sterile
4-5mm Diameter 20-26cm Length
11x 65-75 & 12 x 65-85cm
One size only
Standard 10-16mm 21 cm length, Long 10-12mm
Diameter Right& Left 34-42cm Length
6.4mm diameter 65-125mm length
4.5 & 5.0mm diameters, 20-110mm lengths
10, 11.5 &13mm diameter
8.8, 10, 11.5 & 13mm diameters, 26-50cm lengths
3-20 hole
6-24mm
One size only
3-18 hole, 45-190mm
14-18 hole
60mm,70mm & 9 hole
3-4 hole
5-6 hole
7-8 hole
9 hole
8-11 hole
123mm 4 hole
3 - 18 holes
3-7 hole Left & Right
9-13 hole Left & Right
25 - 150mm length
6.5mm Diameter, 115mm-150mm
6.5mm Diameter, 32mm thread, 130mm+ Length
10 - 20mm
22 - 50mm
55mm +
85mm +
10 - 40mm
25x12mm - 70x32mm
7-13mm
4.5mm -13mm
Changed Items for Prostheses List Report
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Billing
Product Name
Further Description
Size
Explanation of Change
SN628
SN631
SN635
SN636
SN637
SN638
SN639
SN641
SN642
SN643
SN644
SN651
TC 100 Washers
Cannulated Hip Pins
Cannulated Screw
Cannulated Screw
Cannulated Screw
Cannulated Screw
Cannulated Screw
Cannulated Screw
Cannulated Screw
Cannulated Screw
Cannulated Screw
OBL Anchor System
Titanium Sterile
Rush Nails, Round Bevil Point Hook Pins
Partial Thread, Stainless Steel
Partial Thread, Stainless Steel
Partial and Fully Threaded, Stainless Steel
Partial and Fully Threaded, Stainless Steel
6.5mm & 7.0mm screw Titanium
5.5mm screw Titanium
2.5mm - 4.0mm Screw
8mm Cannulated screws
6.4mm Cannulated screws
Preloaded Soft Tissue Anchor System Material:
Titanium Alloy or Polyacetal Polymer. Comes with
Insertion device and 2 Braided Polyester Sutures
4.5mm -13mm
20.3mm - 254mm
6.5mm Diameter, 16&20mm Thread, 20-135mm
6.5mm Diameter, 32mm thread, 45-130mm
5.5mm Diameter, 20-120mm
7.0mm Diameter, 30-150mm
30 - 150mm Length
5.5mm Diameter 8x20mm- 32x120mm
2.5mm - 4.0mm Diameter 8 -70mm length
8mm Diameter 65-125mm
6.4mm diameter 65-125mm length
Anchor sizes - Titanium: 2.8, 3.5, 4.0 5.0, 6.5mm
Anchor size - Polymer: 5.0mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SN652
OBL Anchor System
4.0 and 6.5mm
Detail Amendment
SN669
Standard Humeral Components
11.25 - 25mm Height, 40 - 49.5mm Diameter
Detail Amendment
SN675
SN676
SN703
SN708
SN709
SN713
SN714
SN730
SN731
SN732
SN733
SN735
SN739
SN740
SN745
SN761
SN762
SN763
SN764
HTO Screws
Genoid Components
Absorbable Suture Anchor
Jet X Bar
Jet X Central
Trigen
TwinFix
Accord
Accord
Accord
Accord
Accord
Trigen
Trigen
Peri-Loc
IMHS CP
IMHS CP
IMHS CP
IMHS CP
Soft Tissue Anchor System Non-preloaded Material:
Titanium Alloy
Modular Shoulder System Humeral Head, Chromium
Cobalt
Titanium
Anatomic Glenoid Component, Ti-6A1-4V,
Preloaded PLLA Suture Anchor
External Fixation Bar with Cap
Modular Versitile Ankle Fixation Frame
Stable-Lok Nut
Quick-T
Orthopaedic Cable System, Titanium Plate
Orthopaedic Cable System, Sm Cable Grip
Orthopaedic Cable System, SS Cable w/clamp
Orthopaedic Cable System, SS Button Plate Adapter
Orthopaedic Cable System, Std Cable Grip
Self Tapping Cortical Screw
Humeral Nail
2.7mm, 3.5mm & 4.5mm Locking Plate,
Subtrochanteric lag screw
Captured locking screw
Intramedullary Hip Nail, stainless steel
Intramedullary Hip Nail, stainless steel
4.5mm Diameter, 20 - 80mm Length
Extra Small & Standard
2.9mm, 5.0mm & 6.5mm
100mm to 600mm
99mm to 158mm
One Size Only
2.8 - 6.5mm
150-250mm
75-255mm
2.0mm
One Size Only
85-265mm
20mm - 60mm
7-11cm x 16-30cm
3 - 19 Holes
12.7mm x 70mm to 12.7mm x 140mm
4.5mm x 22mm to 4.5mm x 64mm
10 - 16mm x 19.5cm left and right
10 - 14mm x 32 - 44cm left and right
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 101 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SN765
SN766
Peri-Loc
Peri-Loc
10 - 80mm
3.5mm
Detail Amendment
Detail Amendment
SN768
Peri-Loc
4.0mm -5.0mm
Detail Amendment
SN769
Peri-Loc
5.7mm
Detail Amendment
SN770
Peri-Loc
5 & 6.5mm
Detail Amendment
SN772
SN774
SN775
SN777
SN782
Trigen
IMHS CP
IMHS CP
GTS Sleeve
Peri-Loc
10 - 11.5mm Diameter
19mm
Standard
one size only
4.5mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SN783
Peri-Loc
4.5mm. 6-16 hole
Detail Amendment
SN784
Peri-Loc
4.5mm. 18-22 hole
Detail Amendment
SN790
Peri-Loc
3.5mm, 10mm - 85mm length
Detail Amendment
SN792
Peri-Loc
4.0mm, 80mm - 100mm length
Detail Amendment
SN793
Peri-Loc
4.5mm, 10mm -110mm length
Detail Amendment
SN794
Peri-Loc
4.5mm, 115mm -130mm length
Detail Amendment
SN795
Peri-Loc
3.5mm
Detail Amendment
SN796
Peri-Loc
SN797
Peri-Loc
SN798
Peri-Loc
SN800
Peri-Loc
SN801
Peri-Loc
SN829
SN831
Peri-Loc UE
Peri-Loc UE
SN832
Peri-Loc UE
2.7mm & 4.0mm Non Locking Screw
Fixation Device, Internal, Non-Locking, Stainless
Steel, Cortical & Cancellous Screw Size: 3.5mm
Fixation Device, Internal, Locking, Stainless Steel,
Cortical & Cancellous Screw
Fixation device, internal, locking and non-locking,
stainless steel, cortical and cancellous screw
Fixation device, internal, locking and non-locking,
stainless steel, cortical and cancellous screw
Hindfoot Fusion Nail, Titanium
Captured Compression Screw, Stainless Steel
Set Screw, Stainless Steel
Polypropylene non-absorbable woven mesh
Plates, Stainless Steel, Non-Locking, Narrow, Lefts &
Rights
Plates, Stainless Steel, Non-Locking, Broad, Left &
Rights
Plates, Stainless Steel, Non-Locking, Broad, Left &
Rights
Fixation Device, Internal, Locking, Stainless Steel,
Cortical & Cancellous Screw
Fixation Device, Internal, Locking and Non-Locking,
Stainless Steel, Cortical & Cancellous Screw
Fixation Device, Internal, Non-Locking, Stainless
Steel, Cortical & Cancellous Screw
Fixation Device, Internal, Non-Locking, Stainless
Steel, Cortical & Cancellous Screw
Plates, Stainless Steel, Locking, Compression &
Tubular, Lefts and Rights
Plates, Stainless Steel, Locking, Compression, Lefts
and Rights
Plates, Stainless Steel, Locking, Compression, Lefts
and Rights
Plates, Stainless Steel, Locking, Compression, Lefts
and Rights
Plates, Stainless Steel, Non-Locking, Reconstruction,
Lefts and Rights
Plates, Stainless Steel, Non-Locking, Reconstruction,
Lefts and Rights
2.7mm Locking Recon Plate 6-14 Holes
Locking plates SS: Distal Radius, Olecrannon,
Humerus, Clavicle
Self Tapping Cortex Locking Screw
Changed Items for Prostheses List Report
3.5mm, 4 - 12 holes
Detail Amendment
3.5mm, 14 - 18 holes
Detail Amendment
3.5mm, 20 - 22 holes
Detail Amendment
3.5mm, 4-10 holes
Detail Amendment
3.5mm, 12-14 holes
Detail Amendment
48mm - 113mm
2.5-4.5mm, 3-14 holes
Detail Amendment
Detail Amendment
2.5-2.7mm, 10-60mm length
Detail Amendment
Page 102 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SN833
SN838
SN839
SN841
SN846
SN853
SN854
SN888
Peri-Loc UE
Trigen InterTAN Nail
Trigen InterTAN Nail
Trigen META
KINSA
Endobutton
Fast-Fix Ultra
PROMOS Reverse Modular Shoulder System
Self Tapping Cortex Non Locking Screw
Nail, Titanium
Lag/Compression Screw, Titanium
Metaphyseal Nail, Titanium
Suture Anchor, Polmer With Polyester Suture
Fixation for ACL/PCL reconstruction
Meniscal suture anchor
PE Insert - UHMWPE
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SN889
SN890
SN891
Promos Modular Shoulder system
PROMOS Reverse Modular Shoulder System
Promos Reverse Modular Shoulder System
Glenoid Base Plate with Ti/HA-Ti 6A i4V
Glenoid Bone Screw
Glenosphere
SN892
SN893
Promos Reverse Modular Shoulder System
Promos Reverse Modular Shoulder System
Glenoid Base Plate
Body
2.5mm, 10-30mm length
diameter 10-13mmlength 18-46cmAngle 125°-135°
30-120
8.5-13mm15x50cm
2.9mm
5-9mm, 15-60mm
One Size
36/6mm, 36/9mm, 36/12mm, 42/6mm, 42/9mm,
42/12mm
5-20mm, 1-5, Small, Medium, Large
6/20mm 6/25mm, 6/30mm, 6/35mm, 6/40mm
centric 36mm, centric 42mm, eccentric 36/+5mm,
eccentric 42/+5mm
5-20mm 1-5 Small Medium Large
36/mm, 36/10mm, 36/15mm, 42/5, 42/10mm, 42/15mm
Injection/Infusion Ports, Sterile - PORT-A-CATH II
Trans Arterial Percuataneous System
Injection/Infusion Ports, Sterile - PORT-A-CATH
P.A.S Port T2 System
Injection/Infusion Ports, Sterile - PORT-A-CATH
Peritoneal System
Injection/Infusion Ports, Sterile - PORT-A-CATH
Arterial Titanium System
Injection/Infusion Ports, Sterile - PORT-A-CATH
Titanium Venous Portal
Injection/Infusion Ports, Sterile - PORT-A-CATH
Implantable Access System - Venous Portal, with
introducer set
Port - single lumen
One size only
Detail Amendment
Port - single lumen
1.9 mm O.D. PolyFlow Polyurethane Catheter
Detail Amendment
Port - single lumen
One size only
Detail Amendment
Port - single lumen
2.3 mm silicone catheter
Detail Amendment
Port - single lumen
2.8 mm silicone catheter & 9 French introducer set
Detail Amendment
Port - single lumen
1.9mm polyurethane catheter
Detail Amendment
Injection/Infusion Ports, Sterile - PORT-A-CATH
Low Profile Implantable Venous System, with
Injection/Infusion Ports, Sterile - PORT-A-CATH II
Titanium Venous System, with introducer set
Injection/Infusion Ports, Sterile - PORT-A-CATH II
Titanium Venous System with introducer set
Injection/Infusion Ports, Sterile - PORT-A-CATH
Titanium Venous System with introducer set
Port - single lumen
1.9 mm polyurethane catheter
Detail Amendment
Port - single lumen
2.8 mm silicone catheter
Detail Amendment
Port - single lumen
1.9 mm polyurethane catheter
Detail Amendment
Port - single lumen
2.6 mm polyurethane catheter
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Smiths Medical Australasia Pty Ltd
General Miscellaneous
SI001
SI003
SI005
SI007
SI008
SI010
SI012
SI014
SI016
SI017
Changed Items for Prostheses List Report
Page 103 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SI019
Injection/Infusion Ports, Sterile - PORT-A-CATH II
Low Profile Titanium Venous System with
introducer set
Injection/Infusion Ports, Sterile - PORT-A-CATH II
Epidural Low Profile System
Injection/Infusion Ports, Sterile - PORT-A-CATH II
Intraspinal Low Profile System
Injection/Infusion Ports, Sterile - PORT-A-CATH II
Dual Lumen Titanium Venous system and introducer
set
Port - single lumen
1.9 mm polyurethane catheter
Detail Amendment
Port - single lumen
1.2 mm O.D. polyurethane catheter
Detail Amendment
Port - single lumen
0.9 mm O.D. polyurethane catheter
Detail Amendment
Port - dual lumen
3.4 mm silicone catheter
Detail Amendment
Active Implantable pacemaker
Titanium
Titanium, dual chamber ICD with CRT
Titanium, single chamber, sterile, VR 6250, 34J
Titanium dual chamber ICD, 29 cc
Dual Chamber permanent Pacemaker with Rate
Response Modulation
Single chamber permenent pacemaker with rate
response modulation
1 size only
one size only
30cc
29cc
29cc
8cc, Weight: 20grams, Dimensions:41.2 x 41.5 x 6.1mm
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
Benefit Amendment
37 x 41.5 x 6.1mm
19 Grams
7.5 cm3
Benefit Amendment
Single Chamber Rate Responsive Pacemaker
Volume 5.9cc, Weight 12.8gm
Benefit Amendment
Left Ventricular Pacing Lead
Dual Chamber multi-programmable rate-adaptive
pacing devices with extended longevity
Dual - Chamber, multi-programmable, rateresponsive pacemaker withAF suppression
Single Chamber multi-programmable rate-adaptive
pacing device with extended longevity
Single Chamber multi-programmable rate-adaptive
pacing device with extended longevity
Single Chamber multi-programmable rate-adaptive
pacing device with extended longevity
Dual-Chamber, multi-programmable, rate-adaptive
pacing devices with AF suppression
Single Chamber multi-programmable rate-adaptive
pacing device
75cm
11cc, 23.5g
Benefit Amendment
Benefit Amendment
45x52x6mm,11cc, 23g, 5mm or 6mm M/S
Benefit Amendment
10.5cc, 23g
Benefit Amendment
8cc, 18g
Benefit Amendment
11cc, 23.5g
Benefit Amendment
ADx DR 5380: 43x44x6mm, 18g and 8ccADx XL
DR 5386: 44x52x6mm, 23.5g and 11cc
8cc, 18g
Benefit Amendment
SI020
SI021
SI023
Sorin Group
Cardio-thoracic
SA136
SA137
SA138
SA139
SA140
SA141
Symphony DR 2550
Symphony SR
OVATIO CRT-D 6750
OVATIO VR 6250
OVATIO DR 6550
Reply™ DR
SA142
Reply™ SR
St. Jude Medical Australia Pty Ltd
Cardio-thoracic
SJ027
SJ053
St Jude Medical Microny II SR+ Model 2525T
Pacemaker
Aescula LV Model 1055K
Verity ADx Model XL DC 5256 Dual - Chamber
pacemaker
Verity Adx Implantable Pacemaker, Models XL DR
5356 and XL DR 5357M/S
Verity Adx Model XL SC 5056 implantable
SJ054
Identity ADx Model VDR 5480 implantable
SJ057
SJ059
Verity ADx Model XL VDR 5456 implantable
pacemaker
Identity ADx Models DR 5380 and XL DR 5386
SJ060
Identity ADx Model SR 5180 implantable pacemaker
SJ033
SJ050
SJ051
Changed Items for Prostheses List Report
Benefit Amendment
Page 104 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SJ061
Identity Adx Model XL DC 5286 Dual Chamber
Pacemaker
11cc, 23.5g
Benefit Amendment
SJ066
SJ069
Atlas + VR - C Model V-193C ICD
St Jude Medical Biocor Porcine Prosthetic Heart Valve
Identity ADx Model XL DC Model 5286 is an
implantable, multi-programmable rate-adaptive
pacing device with AF suppression
Single chamber implantable cardio-verter defibrillator
St Jude Medical Biocor Porcine Prosthetic Heart
Valve is manufactured from selected procine aortic
valve cusps that have been cross-linked with a
glutaraldehyde solution
38cc, 77g
Aortic Valves - Tissue Annulus Diameter - 21-29mm,
Implant Height - 11-15c; Mitral Valves - Tissue
Annulus Diameter - 25-35mm, Implant Height - 810mm
Detail and Benefit Amendment
Detail Amendment
SJ072
Frontier II - Model 5596
49mm(h) x 52(1) x 6(t), 25g
Benefit Amendment
SJ073
Tendril SDX Models 1688T and 1688TC
Riata Transvenous tachyarrhythmia Leads Model
100cm, 25cm, 34cm, 40cm, 46cm, 52cm, 58cm,
85cm, 7F
60cm, 65cm, 8F introducer
Benefit Amendment
SJ074
SJ075
One size only
Benefit Amendment
11cc, 23g
Benefit Amendment
SJ077
Riata Transvenous Tachyarrhythmia Lead Model
1580, Model 1581
Verity Adx Model XL SR 5157 M/S implantable
pacemaker
Verity Adx Models XL SR 5156 implantable
11cc, 23g
Benefit Amendment
SJ078
IsoFlex S, Models 1645K, 1643K, 1635K
34cm, 40cm, 46cm, 52cm, 58cm, 85cm, 7F
Benefit Amendment
SJ079
QuickSite Model 1056K
Biventricular Cardiac Resynchronisation Device with
AF suppression algorithm - Titanum
Endocardial Steroid-Eluting Active Fixation Pacing
Lead
Tri-polar Active - Fixation, Steroid-Eluting, Single
shock Coil Tachyarrhythmia; Lead
Quadripolar, dual-coil, steroid eluting, active fixation
tachyarrhythmia leads
Single Chamber multi-programmable rate-adaptive
pacing devices with extended longevity
Single Chamber multi-programmable rate-adaptive
pacing devices with extended longevity
Endocardial, Steroid Eluting, Silicone, Passive
Fixation Leads with Fast-Pass Coating
Unipolar, Steroid Eluting, Titanium Nitride Electrode,
Guidewire/Stylet-placed Left Heart Lead with FastPass Coating
75cm, 6F and 86cm, 6F
Benefit Amendment
SJ081
Benefit Amendment
34cm, 40cm, 46cm, 52cm, 58cm, 85cm, 7F, 120cm
Benefit Amendment
SJ084
Riata i Transvenous Tachyarrhythmia Lead Model
60cm, 65cm, 75cm, 8F introducer
Benefit Amendment
SJ089
SJ090
SJ091
Victory XL DR 5816 and DR 5810
Victory SR 5610
Premere PFO Closure System
44x52x6mm; 23.5g; 11cc
41x44x46mm 17g 8cc
Left Atrial Anchor diameter 20mm, 25mm and 30mm
Benefit Amendment
Benefit Amendment
Detail and Benefit Amendment
SJ096
Riata ST 7000/7001/7002
60, 65cm 7F introducer
Benefit Amendment
SJ097
Isoflex P 1644T and 1648T
1648T - 34-85cm 1644T - 34-42cm
Benefit Amendment
SJ099
QuickSite 1056T
Active fixation leads, Steroid Eluting, Dual Shock
Coil Defibrillation Lead
endocardial, Steroid Eluting, Silicone, Passive Fixation
Pacing Leads with Fast-Pass Coating
Active Fixation, Steroid Eluting, Single Shock Coil
Defibrillation Lead
Dual Chamber Rate Responsive Pacemakers
single chamber rate responsive pacemaker
Percutaneous, transcatheter, self-expanding, dual
anchor, occlusion and apposition device
Active-Fixation True-Bipolar, Dual-Coil, (7002 Single-Coil) Steroid-Eluting Steroid Eluting,
Endocardial Defibrillation Leads
Endocardial, Steroid Eluting, Polyurethane, PassiveFixation Bipolar Pacing Leads with Fast-Pass Coating
Bipolar Steroid-Eluting, Titanium Nitride Coated
Electrodes Guidewire/Stylet-Placed Keft Heart Lead
with Fast-Pass Coating
60cm, 65cm, 75cm, 8F introducer
SJ082
Riata i Transvenous Tachyarrhythmia Leads Model
1590/1591
Isoflex S, Models 1646T, 1642T and 1636T
75cm, 6F and 86cm, 6F
Benefit Amendment
SJ103
Zephyr XL DR 5826 and DR 5820
Dual Chamber Rate-Responsive Pacemaker
5826 - 23.5g, 11cc and 5820 - 18g, 8.5cc
Benefit Amendment
SJ076
Changed Items for Prostheses List Report
Benefit Amendment
Page 105 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SJ105
SJ109
Zephyr SR 5620
Atlas II+ HF V-367
8cc, 17g
41cc, 79g
Benefit Amendment
Detail and Benefit Amendment
SJ110
Riata ST Transvenous Tachyarrhythmia Leads
7040/41/42 and 7050/51/52
Single Chamber Rate-Responsive Pacemaker
Cardiac Resynchronisation Therapy Defibrillator
with V-V Timing Programmability
Riata ST 7040/41 Passive-Fixation True-Bipolar,
Dual-Coil, Steroid-eluting, Endocardial Defibrillation
Leads, 7042 - Single Coil, 7050/51 - Integrated
Bipolar, Dual Coil, 7052 - Integrated Bipolar, Single
60 - 75cm, 6.3 Fr, 7 Fr Introducer
Benefit Amendment
SJ114
SJ115
SJ117
SJ118
Atlas II VR-168
Atlas II+ DR V-268
Promote CRT-D 3107
OptiSense 1699T/1699TC
38cc, 77g
39cc, 78g
41cc, 80g
40-58cm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Benefit Amendment
SJ120
Current DR RF 2207
80g, 42cc
Detail and Benefit Amendment
SJ121
SJ122
Current VR 1107-36
Riata ST Optim 7020/1/2 and 7030/1
Single chamber cardioverter defibrillator
Dual Chamber Cardioverter Defibrillator
Cardiac Resynchronisation Therapy Defibrillator
Endocardial, Bi-polar Active-fixation Pacing Leads
with Optim Insulation
Dual Chamber Cardioverter Defibrillator with RF
Telemetry
Single Chamber Cardioverter Defibrillator
7020/1 - Active fixation, true bipolar, 7022 - Active
fixation, true bipolar - single coil, 7030/1 - Active
fixation, integrated bipolar, dual coil steroid eluting
endocardial defibrillation leads with Optim insulation
overlay
38cc 76g
60, 65 and 75cm length and 7Fr introducer
Detail and Benefit Amendment
Benefit Amendment
SJ123
SJ124
Current DR 2107
Current RF VR 1207-36
Dual Chamber Cardio-verter Defibrillator
Single Chamber Cardioverter Defibrillator with RF
Telemetry
Endocardial Bipolar Steroid-Eluting Active Fixation
Pacing Leads
Bipolar, Steroid-Eluting, Titanium Nitride Coated
Electrodes, Guidewire/Stylet-Placed Left Heart Lead
with Fast-Pass Coating
Proximal embolic protection device and delivery
Cardiac Resynchronisation Therapy Defibrillator
with RF Telemetry
Endocardial Bi-polar Steroid-Eluting Active Fixation
Pacing Leads
Passive Fixation, True bipolar, Dual Coil, Steroid
Eluting, Endocardial Defibrillation Leads with Optim
insulation overlay
Single-Chamber Rate-Responsive Pacemaker
Steroid-Eluting Bipolar Sutureless Myocardial Pacing
Lead with Titanium Nitride Electrodes
Stented Porcine tissue valve
39cc 78g
79g, 41cc
Detail and Benefit Amendment
Detail and Benefit Amendment
40cm, 46cm, 52cm, 58cm, 65cm
Benefit Amendment
75-86cm
Detail and Benefit Amendment
6F and 7F
43cc, 82g
Detail and Benefit Amendment
Detail and Benefit Amendment
46-65cm
Benefit Amendment
60, 65 and 70cm length, 7Fr introducer
Benefit Amendment
23.5g and 10.4cc
35cm and 54cm
Benefit Amendment
Benefit Amendment
Aortic Valves - Tissue Annulus Diameter - 21 29mm
Mitral Valves - Tissue Annulus Diameter - 25-35mm
Detail Amendment
SJ125
Tendril ST 1788T/TC and 1782TC
SJ126
QuickSite XL 1058T
SJ127
SJ128
Proxis Embolic Protection System - Long Sheath
Promote RF CRT-D 3213
SJ129
Tendril ST 1888TC and 1882TC
SJ130
Riata ST Optim 7070/1
SJ131
SJ132
Zephyr XL SR 5626
Myodex 1084T
SJ136
SJM Biocor Heart Valve
Changed Items for Prostheses List Report
Page 106 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SJ139
Quickflex 1156T and XL 1158T
Length 75 and 86cm
Benefit Amendment
SJ140
Myodex 1084T and FasTac Flex Lead Implant Tool
Bipolar, Steroid-Eluting, Titanium Nitride Coated
Elextrodes, Guidewire/Stylet-Placed Left Heart Lead
with Fast-PassTM Coating
Steroid -Eluting Bipolar Sutureless Myocardial
Pacing Lead with Titanium Nitride Electrodes and
Lead implant tool with articulating distal end.
35cm and 54cm, Lead implant tool - 44cm
Benefit Amendment
SJ142
Analyst VR CD1217-36
79g, 41cc
Detail and Benefit Amendment
SJ143
AnalyST Accel DR CD2219-36
80g, 42cc
Detail and Benefit Amendment
SJ144
AnalyST DR Model CD2217-36
80g, 42cm
Detail and Benefit Amendment
SJ145
Promote Accel CD3215-30
76g, 39cc
Detail and Benefit Amendment
SJ146
Isoflex 1944T & 1948T
46cm, 52cm, 58cm
Benefit Amendment
SJ147
Current Accel VR RF CD1215-36
79g, 38cc
Detail and Benefit Amendment
SJ150
Promote Accel RF CD3215-36
82g, 43cc
Detail and Benefit Amendment
SJ151
OptiSense Model 1999
40, 46 & 52cm
Benefit Amendment
SJ152
SJM Confirm Model DM2102
6.5cc, 12g
Detail and Benefit Amendment
SJ153
Current Accel DR RF CD2215-36
80g, 42cc
Detail and Benefit Amendment
SJ154
AnalyST Accel VR CD1219-36
79g, 41cc
Detail and Benefit Amendment
SJ157
Durata 7120, 7121, 7122, 7130, 7131
60, 65, 75cm
Benefit Amendment
SJ158
Durata 7170, 7171
Single Chamber Cardioverter Defibrillator with RF
Telemetry and ST Segment Monitoring
Dual Chamber cardioverter defibrillator with RF
telemetry and ST Segment Monitoring
Dual Chamber cardioverter defibrillator with RF
telemetry and ST Segment Monitoring
Cardiac Resyncronisation Therapy Defibrillator with
RF Telemetry
Passive-Fixation, Bipolar, Steriod Eluting,
Endocardial Pacing Lead with Optim insulation
Single Chamber Cardioverter Defibrillator with RF
Telemetry
Cardiac Resynchronisation Therapy Defibrillator
with RF Telemetry
Active-Fixation Bipolar, Steroid Eluting, endocardial,
atrial pacing lead with Optim insulation
Implantable cardiac monitor with atrial fibrillation
monitoring.
Dual Chamber Cardioverter Defibrillator with RF
Telemetry
Single Chamber Cardioverter Defibrillator with RF
Telemetry and ST Segment Monitoring
Active fixation bipolar, dual-coil/single coil Steroideluting Endocardial Defibrillation Leads
Passive fixation, true bipolar, dual coil, steroid
eluting, endocardial defibrillation leads with Optium
insulation overlay
60, 65 and 70cm
Benefit Amendment
SJ159
SJM Confirm Model DM2100
Implantable cardiac monitor
6.5cc, 12g
Detail and Benefit Amendment
Tripole 8 (3208), Tripole 8C (3210) and Exclaim
Tripole 16C - 3214, 3128, 3219, 3220, 3221
Length - 60cm
30-110cm
Detail Amendment
Detail Amendment
Angio-Seal Haemostatic Puncture Closure Device,
Models 6F-STS Platform and 6F STS Plus
Angio-Seal Haemostatic Puncture Closure Device,
Models 8F-STS Platform and 8F STS Plus
Woven Bifurcated
6F
Detail and Benefit Amendment
8F
Detail and Benefit Amendment
18mm x 9mm - 24mm x 12mm
Detail and Benefit Amendment
Neurosurgical
SJ137
SJ138
Lamitrode Leads - Tripole 8, Tripole 8C and Exclaim
Lamitrode Lead - Tripole 16C
Vascular CAG
SJ014
SJ015
SJ042
Angio-Seal Vascular Closure Device - STS Platform
and STS Plus
Angio-Seal Vascular Closure Device - STS Platform
and STS Plus
Intergard W
Changed Items for Prostheses List Report
Page 107 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SJ043
Intergard W
Woven Aortic Arch
Detail and Benefit Amendment
SJ045
SJ046
SJ047
Intergard K
Intergard K
Intergard K
Knitted Bifurcated
Knitted Radially Supported
Knitted Axillobifemoral
SJ080
SJ094
Proxis Embolic Protection System
Angio-Seal VIP
SJ095
Angio-Seal VIP
8F
Detail and Benefit Amendment
SJ107
SJ112
SJ155
InterGard HemaBridge
InterGuard UltraThin Knitted
Angio-Seal Evolution
Proximal embolic protection device and delivery
Angio-Seal Haemostatic Puncture Closure Device
Models 6F STS Platform, 6F STS Plus and 7F VIP
Angio-Seal Haemostatic Puncture Closure Device
Models 8F STS Platform, 8F STS Plus and 8F VIP
Aortic Graft
Radially Supported Straight
Haemostatic Puncture Closure Device 6F-8F
24mm x 10mm x 8mm x 8mm x 50cm - 30mm x
10mm x 8mm x 8mm
12mm x 6mm - 24mm x 12mm
6mm x 70cm - 8mm x 60cm
Diameter (mm) Length (cm) 8 x 8 100/60; 10 x 10
100/60; 8 x 6 x 6 85/55; 8 x 8 85/55; 8 x 8 100/55
7F and 8F
6F
20 x 10mm - 36 x 10mm diameter, 35 x 40cm length
6mm - 70cm to 8mm - 70cm
6F and 8F
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Fisch Incus Prostheses: short, medium, large, Titanium
Fisch Neomalleus Prostheses, Titanium
Fisch Total Prostheses: with foot, Titanium
All Sizes
1.1x5mm
0.6x10mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Stryker Australia Pty Ltd
Ear, Nose & Throat
ST795
ST796
ST798
Titanium Middle Ear Prostheses
Titanium Middle Ear Prostheses
Titanium Middle Ear Prostheses
General Miscellaneous
SK461
PainPump 2
Programmable or Preset pump with bolus option and
digital display providing controlled infusion of a
Local Anaesthetic directly into a surgical site for
post-operative pain management
250ml & 400ml kits
Detail and Benefit Amendment
SR068
PainPump 2 Continuous Peripheral Nerve Block Kit
& PainPump 2 BlockAid Kit
Re-programmable & refillable pumps with bolus
option nd digital display providing controlled
infusion of a local anaesthetic directly innervating the
surgical site for post-operative pain management.
400ml kits
Detail and Benefit Amendment
SR069
Painpump 2
Programmable pump with bolus option and digital
display providing controlled infusion of a local
anaesthetic directly into dual surgical sites for postoperative pain management
250ml & 400ml Dual Site kits
Detail and Benefit Amendment
3.5mm x 10mm - 40mm
4.0mm x 10mm - 50mm
10cc
Detail Amendment
1" x 1" (2.5cm x 2.5cm)
1" x 3" (2.5cm x 7.5cm)
4" x 5" (10cm x 12.5cm)
Detail Amendment
Detail Amendment
Detail Amendment
Neurosurgical
SK225
Oasys-Occipito Cervico Thoracic System
Multiaxial Screw
SK426
Cortoss Vertebral Augmentation Kit
SK492
SK493
SK494
DuraMatrix
DuraMatrix
DuraMatrix
Cortoss Cement 10cc, Delivery Gun, Mix Tips,
Percutaneous Administration Kit
Resorbable Collagen Dura Substitute Membrane
Resorbable Collagen Dura Substitute Membrane
Resorbable Collagen Dura Substitute Membrane
Changed Items for Prostheses List Report
Detail Amendment
Page 108 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SK495
SK496
SR042
ST712
Dura Matrix
DuraMatrix
MANTIS
Solis Cervical Cage
Resorbable Collagen Dura Substitute Membrane
Resorbable Collagen Dura Substitute Membrane
Screw, Cannulated, Multiaxial, Ti
PEEK Cervical Interbody Cage
3" x 3" (7.5cm x 7.5cm)
2" x 2" (5cm x 5cm)
4.5mm - 7.5mm x 25mm - 60mm
12/4-12/9 and 14/4-14/9
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
PMMA
Oncology Femoral Stem - Vitallium
GMRS Adaptors Male/Female Taper,
Titanium/Forged Cobalt Chrome
Neck for the ABGII stem
Neck for Rejuvinate SPT Stem
Chobalt-Chome; HA Coated; Anatomic Dual
Mobility Cup
Cancellous bone screw, Titanium
Bipolar shell and polyethylene insert (factory
Assembled)
Cement restrictor Polyethylene
6,9 and 12 Leaf
127mm and 203mm length 11, 13, 15, 17mm diameter
Male Taper; Female Taper
Detail Amendment
Detail Amendment
Detail Amendment
Long & Short
30-38mm
Left and Right; 48-46mm
Detail Amendment
Detail Amendment
Detail Amendment
6.5mm & 5.5mm dia
ID 22, 26, 28, 32mm dia
Detail Amendment
Detail Amendment
Universal and sizes 1-8
Detail Amendment
Orthopaedic
HW001
HW247
SK172
Hardinge Cement Restrictor
Howmedica Modular Resection System
Howmedica Modular Resection System
SK444
SK446
SK500
ABG II Modular Hip System
Rejuvinate SPT Femoral Hip System
Restoration ADM Cup (Anatomic Dual Mobility)
ST545
ST566
Osteonics hip prostheses
Osteonics hip prostheses
ST582
Osteonics hip prostheses
Plastic and Reconstructive
SR040
Universal Quick Flap System
Sterile pack containing 3 x Titanium 2 hole plates
(SK356), 6 x Viper self drilling 1.5 x 4mm screws
(SK301)
.
Detail and Benefit Amendment
SR041
Universal Quik Flap System
Sterile pack containing, 3 x Titanium 2 hole Plates
(SK356), 6 x self-tapping screws 1.5 x 4mm
.
Detail and Benefit Amendment
Wire mesh - Stainless Steel
Distal Component - Vitallium
Circlip - Vitallium
Plug Screw Axis - Vitallium
Wedge - Vitallium
Bearing - Vitallium
Humeral Bearing - Vitallium
Humeral Head Fixed - Vitallium
Distal Humerus Cone - Vitallium
Distal Humerus Flange - Vitallium
Humerus Connection Piece - Vitallium
Humerus Connecting Screw - Vitallium
Humerus Hex Socket Bolt - Vitallium
50 x 50mm
30 to 55mm in 5mm increments
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Specialist Orthopaedic
HW049
HW186
HW199
HW200
HW202
HW203
HW213
HW214
HW216
HW217
HW218
HW219
HW220
Trochanteric Mesh
First Step High Tibial Osteotomy System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Changed Items for Prostheses List Report
Page 109 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
HW221
HW222
HW223
HW224
HW254
HW255
HW256
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
Howmedica Modular Resection System
HMRS Oncology Humeral Head/Cap
Howmedica Modular Resection System
HMRS Oncology Humeral Stem
Humerus Extension Piece - Vitallium
Humeral Anchorage Piece - Vitallium
Ulna Joint - Vitallium
Humeral Axis - Vitallium
Cobalt Chromium
Oncology Humeral Body - Titanium
Cobalt Chromium
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
HW257
HW258
HW259
HW260
HW274
HW297
HW298
HW299
HW302
HW303
HW305
HW306
HW307
HW308
HW309
HW310
HW311
HW313
HW315
HW317
HW318
HW319
HW328
HW330
HW331
HW332
HW333
Wichita Fusion Nail System
Wichita Fusion Nail System
Wichita Fusion Nail System
Wichita Fusion Nail System
Alta Modular Trauma System - Components
Asnis Guided Screw System
Asnis Guided Screw System
Asnis Guided Screw System
Dall Miles Cable Grip System - Stainless Steel
Dall Miles Cable Grip System - Stainless Steel
Dall Miles Cable Grip System - Stainless Steel
Dall Miles Cable Grip System - Stainless Steel
Dall Miles Cable Grip System - Stainless Steel
Dall Miles Cable Grip System - Stainless Steel
Dall Miles Cable Grip System - Vitallium
Dall Miles Cable Grip System - Vitallium
Dall Miles Cable Grip System - Vitallium
Dall Miles Cable Grip System - Vitallium
Dall Miles Cable Grip System - Vitallium
Rutherford Staple
Rutherford Staple
Rutherford Staple
Howmedica Dynamic Joint Distractor
Omega Plus Compression Hip Screw System
Omega Plus Compression Hip Screw System
Omega Plus Compression Hip Screw System
Omega Plus Compression Hip Screw System
Femoral Component - Vitallium
Tibial Component - Vitallium
Compression Screw - Vitallium
Transverse Screw - Vitallium
Cortical Screw/Screw Nut Assembly - Titanium
Guide Pin, Stainless Steel
Washer, Stainless Steel
Washer - Titanium
Stainless Steel: Trochanter Grip - Stainless Steel
Stainless Steel: Cable & Sleeve - Stainless Steel
Stainless Steel Plate:5 hole - Stainless Steel
Stainless Steel Plate:7 hole - Stainless Steel
Stainless Steel Plate:9 hole - Stainless Steel
Stainless Steel Plate:11 hole - Stainless Steel
Vitallium: Cable - Vitallium
Vitallium: Sleeve - Vitallium
Vitallium: Trochanter Grip - Vitallium
Vitallium: Grooved Button - Vitallium
Vitallium: Cable and Sleeve - Vitallium
Ellison Arched Staple, Vitallium
Ellison Flat Staple, Vitallium
Ellison Soft Tissue Retainer, Vitallium
Complete Straight Body Frame - Stainless Steel
Hip Sideplate - Standard Barrel - Stainless Steel
Hip Sideplate - Short Barrel - Stainless Steel
Supracondylar Sideplate - Stainless Steel
Lag Screw - Standard - Stainless Steel
5, 15, 30, 45, 60, 75, 90, 105, 120, 135, 150, 165mm
9, 10, 11, 12mm
One size only
One size only
40, 44mm, Cap
40 - 140mm in 20mm increments
7x75mm, 7x115mm, 9x75mm, 9x115mm, 11x115mm,
25mmx75mm, 25mmx100mm, 50mmx75mm,
50mmx100mm,75mmx100mm, 100mmx50mm
18mm
12mm
One size only
30-60mm in 5mm increments
5mm
1.4,2.0,3.2mm
One size only
4, 5, 6.5,8mm
Small, Medium, Large
1.6 and 2mm
6 inches
8 inches
10 inches
12 inches
1.6 and 2mm
1.6 and 2mm
Small, Medium and Large
One size only
1.6 and 2mm
9,12,15mm x 23mm
8,11,14 x 23mm
8,11,14mm
One size only
2,3,4,5 hole 130-150 degrees
6,8,10,12 hole 130-150 degrees
6,8,10,12,14 holes
50-130mm length
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 110 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
HW334
HW335
HW337
HW354
HW368
HW373
Omega Plus Compression Hip Screw System
Omega Plus Compression Hip Screw System
Omega Plus Compression Hip Screw System
Metaizeau Nail
Osteo Kirschner Wire
Howmedica Mainstay Soft Tissue Anchor
Lag Screw - Super - Stainless Steel
Compression Screw - Stainless Steel
Cancellous - Stainless Steel
Stainless Steel
K wire - Stainless Steel
With suture - Titanium
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
HW374
HW375
Howmedica Mainstay Soft Tissue Anchor
Howmedica Mainstay Soft Tissue Anchor
Without suture - Titanium
Zip anchor - Titanium
HW377
HW378
HW379
HW380
HW381
HW404
Souter Strathclyde Elbow
Souter Strathclyde Elbow
Souter Strathclyde Elbow
Souter Strathclyde Elbow
Radial Head Prostheses
First Step High Tibial Osteotomy System
Humeral - Long stem, left and right
Ulnar - Retentive, non retentive
Revision Humeral - Custom, Long Stem
Revision Ulnar - Custom, Long stem
Radial Head - Small, Medium, Large
Proximal Component
SK006
SK007
SK008
SK009
SK014
SK015
Stryker Trauma Locking Nail System
Hoffmann II External Fixation System
Hoffmann II External Fixation System
Hoffmann II External Fixation System
Hoffmann II
Hoffmann II
SK016
Hoffmann II
2mm
Detail Amendment
SK017
SK018
SK019
SK020
SK021
SK023
SK024
SK038
SK045
Hoffmann II
Hoffmann II
Hoffmann II
Hoffmann II
Hoffmann II
ACL Wedge Interference Screw
Stryker Cross-screw
Leibinger Titanium Implant system
Hoffmann II
Titanium - Humeral Nail
Hoffmann II Compact -Compression/Distraction Rod
Hoffmann II Compression/Distraction Tube
Hoffman II Miami Post
Hoffmann II Mini- Linking Pivot for 2mm & 3mm
Hoffmann II Mini- Shank Straight Pin Holder - for
1.5mm & 2.0mm pins
Hoffmann II Mini- Shank 'T' Offset Pin Holder - for
1.5mm & 2.0mm pins
Hoffmann II Mini- 3 Hole Vise
Hoffmann II Mini- Simple Swivel Clamp
Hoffmann II Mini- Insulated Smooth Vise
Hoffmann II Mini- Articulating Coupling
Hoffmann II Mini- Adjustable Swivel Clamp
Threaded titanium screw for ligament/tendon fixation
Threaded titanium screw for ligament/tendon fixation
Profyle hand and small fragment plate system
Hoffmann II Mini- Shank Offset Pin Holder - for
1.5mm & 2.0mm pins
50-130mm length
25mm length
6.5mm dia
2-4mm x 400-500mm
Diameter 1.0 - 2.0mm
4.5 anchor with #2 and #5 suture, 2.7 anchor with #0
suture
4.5, 3.5 and 2.7 anchor
Sip 4.5 anchor with #5 suture and #2 suture 2
strands, zip 3.5 anchor with #2 suture and #0 suture
2 strands, zip 2.7 anchor with #0 suture
Medium, Large
50 - 90mm (Non), 70 - 90mm (Retentive)
A, B, C, D
Small, Medium
8 - 15mm
5mm, 10mm and 15mm steps, 60-90mm in 5mm
increments
Dia 7,8,9mm length 140 - 320mm
One size only
One size only
One size only
One size only
2, 3 mm
One size only
One size only
One size only
3x3, 2x3
One size only
Dia 7 - 12mm, length 20 - 40mm
8mm x 40-60mm
2.3mm system L, compr 10 hole T bar
2, 3mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 111 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SK046
Stryker Wedge Interference Screw
Dia 7 - 12mm, length 20 - 40mm
Detail Amendment
SK047
SK048
SK049
SK053
SK054
SK055
SK057
SK064
SK067
SK069
SK070
SK071
SK073
SK074
SK075
SK077
SK081
SK082
SK083
SK084
SK086
SK088
SK094
SK095
SK096
SK097
SK098
SK099
SK100
SK102
SK103
SK105
SK106
Stryker Wedge Interference Screw
Stryker Cuff Anchor
Stryker Plating System
Stryker Plating System Screws - Cancellous
Stryker Plating System Screws - Cancellous
Matta Pelvic System
Matta Pelvic System
Skryker Plating System
Matta Pelvic System
Matta Pelvic System
Matta Pelvic System
Matta Pelvic System
Matta Pelvic System
Matta Pelvic System
Stryker Plating System Basic Fragment Set
Stryker Plating System Basic Fragment Set
Stryker Plating System Small Fragment Set
Stryker Plating System Small Fragment Set
Stryker Plating System Small Fragment Set
Stryker Plating System Small Fragment Set
Stryker Plating System Screws
Stryker Plating System Basic Fragment Set
Stryker Plating System Small Fragment Set
Stryker Plating System Screws
Stryker Plating System Screws
Stryker Plating System Screws
Stryker Plating System Small Fragment Set
Stryker Plating System Small Fragment Set
Stryker Plating System
Stryker Plating System Small Fragment Set
Stryker Plating System
Stryker Plating System Screws
Stryker Plating System Screws
Threaded bioabsorbable screw for ligment/tendon
fixation
Threaded biosteon screw for ligment/tendon fixation
Titanium anchor kit for soft tissue reattachment
Cancellous bone screws
6.5mm Diameter, full and partial thread
6.5mm Diameter, full and partial thread
Straight acetabular plate
Straight acetabular plate
Matta Pelvic Plates
Curved Pelvic Plate Radius 108
Curved Pelvic Plate Radius 108
Curved Pelvic Plate Radius 108
Curved Pelvic Plate Radius 88
Curved Pelvic Plate Radius 88
Curved Pelvic Plate Radius 88
4.5mm Reconstruction Plate
4.5mm Reconstruction Plate
Waisted compression plate
Waisted compression plate
Standard compression plate
Standard compression plate
Cortical bone screws 4.5mm diameter
Waisted Compression Plate Broad
Calcaneal Plate
Cortical bone screws 4.5mm diameter
Cortical bone screws 4.5mm diameter
Cortical bone screws 4.5mm diameter
Stainless steel, reconstruction plate
One Third Tubular Plate with Collar
Small Fragment Plates
Cloverleaf Plate
Cortical bone screws
Cortical bone screws
Cortical bone screws
Dia 7 - 12mm, length 20 - 40mm
Length 5-8mm
4.0mm diameter, 8 - 150mm lengths
Length 55-95mm
Length 100-150mm
10-14 Holes
15-20 Holes
Curved, Straight and Symphysis Pubis 2 - 30 hole
4-9 Holes
10-14 Holes
15-20 Holes
4-9 Holes
10-14 Holes
15-20 Holes
3-9 Holes
10-16 Holes
2-10 Holes
11-20 Holes
2-9 Holes
10-20 Holes
22-38mm
15-26 Holes
70-80mm
40-64mm
65-95mm
100-150mm
10-22 Holes
9-14 Holes
T-Plates 2 - 10 hole
6-10 Holes
2.7mm diameter, 22 - 80mm lengths
Dia 3.5mm, screw length 10-20mm
Dia 3.5mm, screw length 22-38mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 112 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SK107
SK110
SK117
SK154
SK155
Stryker Plating System
Stryker Plating System
Leibinger Screws
Stryker Cross-Screw
Wedge Interference screw
3.5mm diameter, 40 - 150mm lengths
2 - 22 Holes
1.5 - 2.0mm Diameter
Dia 6mm: Length 40-60mm
Dia 7-12mm, Length 20-40mm; pin length standard
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SK176
Stryker Cuff Anchor
Dia 3 - 8mm
Detail Amendment
SK177
SK199
SK201
SK202
SK203
SK204
SK206
SK211
SK212
SK213
SK214
SK215
SK216
SK219
SK228
SK229
SK230
SK243
SK244
Stryker Cuff Anchor
Stryker Trauma Locking Nail System
Stryker Trauma Locking Nail System
Stryker Trauma Locking Nail System
Stryker Trauma Locking Nail System
Stryker Trauma Locking Nail System
Stryker External Fixation System
Hoffmann II External Fixation System
Hoffmann II External Fixation System
Hoffmann II External Fixation System
Stryker Trauma Locking Nail System
Stryker Trauma Locking Nail System
Stryker Trauma Locking Nail System
Stryker Plating System
Omega Plus Compression Hip Screw System
Omega Plus Compression Hip Screw System
Hansson Pin
Gamma LN
Stryker Intramedullary Hip Screw
Cortical bone screws
Compression Plates
Tenxor Kirschner Wires
HA/PLLA screw for ligament/tendon fixation
Threaded PLLA screw with cross pin for
ligament/tendon fixation
Bio Zip PLLA anchor for soft tissue ligament/tendon
fixation
Glenoid Titanium anchor kit for soft tissue
Proximal Humeral Nail
Proximal Humeral Nail
SCN
SCN
SCN
Hoffmann II Micro
Hoffmann II Micro
Hoffmann II Micro
Hoffmann II Micro
Reconstruction Nail
Reconstruction Nail
Reconstruction Nail
Periarticular Plates
Cephalic Implants
Cephalic Implants
Cephalic Implants
Lag Screw - Titanium
Gamma3 Long
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SK245
SK246
Gamma LN
Gamma LN
Locking Screw - Titanium
Standard - Titanium
SK247
SK248
SK256
SK337
SK364
SK365
Gamma LN
Gamma LN
TwinFix Cannulated Compression Screw System
Stryker Trauma Locking Nail System
Hoffman II External Fixation System
Hoffman II External Fixation System
Set Screw - Titanium
Proximal/Extension Plug - Titanium
Dia 2 - 3mm
Nail Left/Right
Proximal Humerous Washer round/square
Diameter 11m - 14mm, Length 170mm - 240mm
Condyle Screws 5mm x (40mm-120mm)
Nut for Condyle Screws 5mm
Couplings, Rod to rod, Pin to Rod and Multipin
Carbon rods 3mm (30-120mm)
Stainless steel rods 3mm x (30-120mm)
K-wire
Recon Nail Left/Right
Recon Lag Screw
Blocking Screw
2 - 18 holes, 3.5 - 6.5mm Diameter
Hansson Twin Hook 50-140mm
Hansson Twin Hook Compression Screw 25mm
Hansson Pin 70-140mm
10.5mmx70mm - 10.5mmx130mm
120, 125, 130 Deg; Diameter 10-13mm; Length 280420mm
5x25mm - 5x95mm
120, 125, 130 Deg; Diameter 10-12mm; Length 170200mm
8x17.5mm
0mm, +5mm, +10mm
Diameter 3.2mm, lengths 14-34mm
Arthrodesis Nail Left/Right; 11.5mm and 13mm
Sterile Tibia Kit
Sterile Ankle Kit
Changed Items for Prostheses List Report
Arthrodesis Nail - Knee
Hoffman II Sterile Pre-Packs
Hoffman II Sterile Pre-packs
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 113 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SK366
SK368
Universal Distal Radius System
Stryker Plating System
Universal SMARTLook Locking Plates
SPS Locking Plate System
Detail Amendment
Detail Amendment
SK369
SK373
SK374
SK375
Stryker Locking Plate System
Hoffman II External Fixation system
Hoffman II External Fixation System
Hoffman II External Fixation System
Variax Screws and Pegs
Hoffman II MRI
Hoffman II MRI
Hoffman II MRI Coupling
SK377
SK378
SK379
SK381
SK383
Stryker Plating System
Hoffman II External Fixation System
Stryker Plating System
Stryker Plating System
Stryker Plating System
SPS Locking Plate System
Hoffman II Sterile Pre-Packs
SPS Locking Plate System
Stryker locked plating system
SPS Locking Plate System
SK390
SK391
Hoffman II External Fixation System
Leibinger Universal Distal radius System
SK392
SK393
Stryker Locking Plate System
Hoffman II External Fixation System
Hoffman II MRI
Universal Distal Radius SMARTLock Column
Locking Plates
Svariax Screws & Pegs
Hoffman II MRI
Standard, Narrow and Wide in Long and short
Distal Medial and Lateral tibia 3 Holes to 10 Holes
left and right
1.7 - 3.5mm diameter 10 - 70mm long
Pelvic Clamp
Posts 8mm and 5mm
Pin to Rod, Rod to Rod, Tube to Rod, Pin Clamp
Assembly
Distal Femur - 4 holes to 16 holes, Left and Right
Sterile Pelvic Kit
Proximal Humerus 3 Holes to 10 Holes Left and
Distal Humerus, Lateral and Medial, 1-8 holes
Proximal Tibia, Lateral and Medial, 4 hole to 12
holes, left and right
Compression/Dystraction Tube, Dynamisation Tube
Radial Column - Long and Short; Ulna Column - Long
and Short, Left and Right
1.7mm - 3.5mm diameter 10mm - 50mm long
8mm Connecting rod (100mm - 500mm), 5mm
Connecting rod (100mm - 500mm), Semi Circular
Curve Rod
SK395
SK398
SK399
SK400
Stryker Plating System
Trochanteric Grip
Trochanteric Grip
Trochanteric Grip
Locking Screws: 3.0mm - 6.5mm diameter
100mm - 200mm
110mm - 210mm
Small, Medium and Large
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SK401
Trochanteric Grip
Small, Medium and Large
Detail Amendment
SK402
SK403
SK427
SK449
SK450
Trochanteric Grip
Trochanteric Grip
Solar Reunion Humeral Fracture System
Stryker Plating System
T2 Ankle Arthrodesis Nail
100mm - 200mm
110mm - 210mm
Short & Long
2 Hole to 22 Hole
10, 11, 12mm Diameters & 150,200 & 300mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SK451
SK452
XCEL Anchor
Stryker Plating System
2mm-10mm
2.7mm - 4.5mm Diameter8mm - 150mm Length
Detail Amendment
Detail Amendment
SK454
SK462
VariAx Plate
Stryker Compression Hip Screw System
Narrow & Standard; Short & Long; Right & Left
130-150 degree, 2-12 gike, 47-207 mm
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
SPS Locking Plate System
Dall-Miles Trochanteric Grip Plate
Dall-Miles Trochanteric Grip Plate
Dall-Miles Trochanteric Grip with 2 Stainless Steel
Cables
Dall-Miles Trochanteric Grip with 2 Chrome Cobalt
Cables
Dall-Miles Trochanteric Grip Plate, with 2 Cables
Dall-Miles Trochanteric Grip Plate, with 2 Cables
Solar Reunion Humeral Fracture System
Locking Compression Anatomical Shape
T2 Ankle Arthrodesis Type II Anodized Titanium
Alloy (Ti6A14V)
Bio-absorbable Suture Anchor
Self-Tapping/Cortical Sterile ScrewsStainless Steel
or Titanium Alloy
Volar Plate, Polyaxial Locking
Omega3 compression Hip screw
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 114 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SK463
SK464
SK465
SK483
SK484
SK485
Stryker Compression Hip Screw System
Stryker Locking Plate System
Stryker Intermedullay Nailing System
HA Apex Pins
Stryker Cannulated Screw System
Hoffmann Xpress - Universal Pin Clamp
Omega3 Supracondylar Plate
Screw; Locking, Cancellous & Cortical
T2 Retrograde/Antegrade/Compression Nails
HA coated bone screw
Asnis III Cannulated screws
Hoffmann Xpress External Fixation Device Adapted to fit the needs of medically trained staff of
such occupations as the Armed Forces
95 hole, 6-14 hole, 111-239mm
Diameter 1.2 to 2.7mm, Length 2mm to 48mm
7-15mmDiameter, 140 to 480mm lengths
4-6mm diameters, various lengths.
4.0 - 8.0 mm diameter
One size to fit the Rod to Rod
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SK486
Hoffmann Xpress - connecting tube
Hoffman Xpress External Fixation Device - Adapted
to fit the needs of medically trained staff of such
occupations as the Armed Forces
15 mm diameter / 150 to 440 mm in length
Detail Amendment
SK487
Hoffmann Xpress - 5 Pin Clamp Posts
Hoffmann Xpress External Fixation Device - adapted
to fit needs of medically trained staff of such
occupations as the Armed Forces
2 categories, a 1 post clamp and a 2 post clamp
Detail Amendment
SK490
U-Blade
U-Blade Lag Screw Set
Detail Amendment
SK491
SK499
SR055
SR058
SR071
SR072
U-Blade End Cap
Stryker Locking Plate system
Stryker Locking Plate System
Stryker Cannulated Screw System
Stryker Locking Plate System
Dall miles Trochanteric grip with divergent hooks
SR073
SR075
ST003
ST004
ST005
ST006
ST007
ST008
Stryker Locking Plate System
Stryker Locking Plate System
Stryker Plating System Screws - Cortical 2.7 & 3.5
Stryker Plating System Screws - Cortical 4.5mm
Stryker Plating System Screws - Cancellous
Stryker Plating System Screws - Cancellous 4.0mm
Stryker Plating System - K Wires
Stryker Plating System Small & Basic Fragment Compression Plate
Stryker Plating System Small & Basic Fragment Calcaneal Plate
Stryker Plating System Small Fragment Set
Solar - Dual Offset Humeral Head
Stryker Trauma Locking Nail System: Compression
Screw
Stryker Plating System Small & Basic Fragment - T
Plate
U-Blade Lag Screw End Cap
Variable angle locking plate for olecranon fractures
Plates including Locking, Standard & Compression
Asnis Micro Cannulated screw
Calcaneus Locking Plates
stainless steel dall miles trochanteric grip with
diverging proximal hooks
Screw; Locking, Cancellous & Cortical
Locking Plates
Stainless Steel/Titanium
Titanium or Stainless Steel
6.5mm Stainless Steel or Titanium
Stainless Steel or Titanium, Full or Partial Thread
Stainless Steel or Titanium
Narrow or Broad
All Gamma 3 U-Blade's are 10.5mm in diameter,
ranging from 70-130mm in 5mm increments
One size 9mm x 10.5mm (diameter)
All lengths
Straight, Curved, L, T, Y & 3-D
2.0mm-3.0mm, Diameters, 8mm-40mm lengths
Small, Medium & Large
small, medium, large 43-53mm
Diameter 2.7 to 3.5mm, Length 10mm to 70mm
Straight, Curved, H, T, L & 3-D
Diameter 2.7mm, screw length 8-20mm
10-20mm
20-50mm
10-60mm Screw Length
150mm length in 1.25, 1.6, 2.0mm diameter
2-20 holes, 26-260mm plate length
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Stainless Steel or Titanium
50-60mm
Detail Amendment
Stainless Steel
Cobalt Chrome
Titanium
4-9 Holes
40-50mm diameter, 15-21mm thickness
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Oblique T Plate or T Plate, Stainless Steel or
Titanium, Oblique
42-86mm Length
Detail Amendment
ST017
ST025
ST027
ST035
ST036
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 115 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
ST037
ST038
ST039
Stryker Plating System SmallFragment Set
Stryker Plating System - Reduction Pin
Stryker Plating System Small & Basic Fragment - L
Plate
Stryker Plating System - Washers & Nuts
One Third Tubular Plate with Collar
4.5mm Diameter, Stainless Steel
Stainless Steel or Titanium, Left or Right
2-8 Holes
One size only
3-20 Holes, 67-339mm Plate Length
Detail Amendment
Detail Amendment
Detail Amendment
Stainless Steel or Titanium
Detail Amendment
Waisted Compression Plate Broad
Titanium
ST045
ST051
ST672
ST673
ST674
ST675
ST676
ST722
Stryker Plating System Basic Fragment Set
Stryker Trauma Locking Nail System: Locking Screw
with & without shaft
Stryker Trauma Locking Nail System: End Cap
Stryker Plating System Small Fragment Set
Osteonics Solar Shoulder Prostheses
Osteonics Solar Shoulder Prostheses
Osteonics Solar Shoulder Prostheses
Osteonics Solar Shoulder Prostheses
Osteonics Solar Shoulder Prostheses
Leibinger Titanium Implant System
Nuts 5.0 or 4.5mm thickness; Washers 7 - 13mm
diameter
6-14 holes
20-120mm
Standard, +5, +10, +15
3-5 Holes
40-55mm by 12-34mm
40,45,50mm Diameter by 15, 18, 21mm Thickness
3,5,7,9,11
5,7,9,11
22mm with 0, +2 and +4mm neck lengths
1.2mm system, 4x2 holes
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
ST730
ST738
Leibinger Titanium Implant System
Leibinger Titanium Implant System
1.7mm, 6 holes
1.7mm system, 2x2 holes
Detail Amendment
Detail Amendment
ST741
Leibinger Titanium Implant System
1.7mm system, 4x2 holes
Detail Amendment
ST764
Leibinger Titanium Implant System
2.3mm system, 4x2 holes
Detail Amendment
ST783
Leibinger Titanium Implant System
Diameter 2.3mm, Length 8mm - 22mm
Detail Amendment
ST786
Leibinger Titanium Implant System
4 holes
Detail Amendment
ST787
Leibinger Titanium Implant System
6 holes
Detail Amendment
ST788
ST818
ST819
ST820
ST830
Leibinger Titanium Implant System
Osteonics Solar Elbow System - humeral assembly
Osteonics Solar Elbow System - long humeral
Osteonics Solar Elbow System - ulna component
Stryker Wedge Interference Screw
1 - 4 holes
Standard, large
Standard, large
Small, standard, large
Diameter 7 - 9mm, Length 20 - 25mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
ST877
ST884
ST885
Osteonics Solar Shoulder Prostheses
Apex Pins
Howmedica Dynamic Joint Distractor
22mm with 0, +2 and +4mm neck lengths
2 - 6mm
One size only
Detail Amendment
Detail Amendment
Detail Amendment
ST040
ST041
ST043
Changed Items for Prostheses List Report
Titanium
Cloverleaf Plate
Humeral head polyethylene
Dual offset humeral head polyethylene
Humeral stem polyethylene
Glenoid component polyethylene
Solar bipolar humeral inner head, cobalt chromium
Leibinger profyle hand & small fragment system,
fixation plate, 3D plate, titanium
Hand system, fixation plate, L-shape, right/left
Leibinger profyle hand & small fragment system,
fixation, 3D plate, titanium
Leibinger profyle hand & small fragment system, 3D
plate, titanium
Leibinger Profyle Hand & Small Fragment System,
fixation plate, 3D plate, Titanium
Leibinger Forefoot Reconstruction System, screw,
Titanium
Leibinger Forefoot Reconstruction System, straight
plate, Titanium
Leibinger Forefoot Reconstruction System, straight
plate, Titanium
Leibinger System, anatomical shap, Titanium
Titanium alloy with polyethylene bushing
Titanium alloy with polyethylene bushing
Titanium alloy
Small threaded titanium screw for ligament/tendon
fixation
Solar bipolar humeral outer head, cobalt chromium
Stainless Steel Orthopaedic Pins
Y Body Assembly - Stainless Steel
Detail Amendment
Detail Amendment
Page 116 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
ST886
ST888
ST889
ST890
ST892
ST935
ST936
ST937
ST938
ST939
ST940
ST942
Howmedica Dynamic Joint Distractor
Howmedica Dynamic Joint Distractor
Howmedica Dynamic Joint Distractor
Steinmann Pins
Hoffmann II Compact External Fixation System
Hoffman II External Fixation System
Hoffman II External Fixation System
Hoffman II External Fixation System
Hoffman II External Fixation System
Hoffman II External Fixation System
Hoffman II External Fixation System
Hoffman II External Fixation System
One size only
One size only
One size only
7,9"
One Size Only
8/8mm
8/4, 5mm
One size only
One size only
8mm x 65-500mm
8mm x 65-500mm
Small, Medium, Large
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
ST943
ST945
ST946
ST947
ST948
ST949
ST950
ST951
ST952
ST953
ST954
Hoffman II External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
Long, short
15mm
20mm
25mm
15mm
20mm
25mm
15, 20, 25mm
15, 20, 25mm
15, 20, 25mm
15, 20, 25mm, 15/20mm, 20/25mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
ST955
Monotube External Fixation System
One size only
Detail Amendment
ST962
ST963
ST964
ST965
ST966
ST967
ST968
Monotube External Fixation System
Monotube External Fixation System
Monotube External Fixation System
TenXor External Fixation System
TenXor External Fixation System
TenXor External Fixation System
TenXor External Fixation System
150, 200, 250, 300mm
150, 200, 250, 300mm
150, 200, 250, 300mm
150, 180, 210, 250mm
One size only
One size only
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
ST970
TenXor External Fixation System
Pin Stop Collar - Stainless Steel
Complete Y Body Frame - Stainless Steel
Straight Body Assembly - Stainless Steel
Stainless Steel
Pin clamp assembly with no post
Anodised metal alloy, rod to rod coupling
Anodised metal alloy, pin to rod coupling
Anodised metal alloy, 30 deg angled post, stainless
Anodised metal alloy, straight post, stainless steel
Anodised metal alloy, aluminium connecting rod
Anodised metal alloy, carbon connecting rod
Anodised metal alloy, curved aluminium rod semicircular
Anodised metal alloy, adjustable connecting rod
Anodized metal alloy, dynamic tube assembly yellow
Anodized metal alloy, dynamic tube assembly blue
Anodized metal alloy, dynamic tube assembly red
Anodized metal alloy, dynamic tube assembly yellow
Anodized metal alloy, dynamic tube assembly blue
Anodized metal alloy, dynamic tube assembly red
Anodized metal alloy, pin clamp yellow, blue, red
Anodized metal alloy, single pin clamp yellow, blue,
Anodized metal alloy, T-Adapter yellow, blue, red
Anodized metal alloy, tube to tube clamp yellow,
blue, red, yellow/blue, blue/red
Anodized metal alloy, hybrid clamp blue, hybrid
clamp red
Carbon tube yellow 015
Carbon tube blue 015
Carbon tube red 015
Anodized metal alloy, open ring
Anodized metal alloy, ring clamp
Anodized metal alloy, wire post, pin post
Anodized metal alloy, ring to monotube triax tube
clamp
Anodized metal alloy, Monticelli Spinelli kirschner
wire holder
One size only
Detail Amendment
Changed Items for Prostheses List Report
Page 117 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
ST971
ST972
TenXor External Fixation System
TenXor External Fixation System
Anodized metal alloy, with sliding clamp
Anodized metal alloy,with sliding clamp and spacer
One size only
One size only
Detail Amendment
Detail Amendment
Titanium, mono-axial pedicle screws for attachment
to PLUS 6mm diameter rods to form a multi-level
spinal fixation construct
Diameter 4.5mm, Length 20mm-45mm
Diameter 5.5mm, Length 20mm-50mm
Diameter 6.5mm, Length 25mm-60mm
Diameter 7.5mm, Length 25mm-90mm
Diameter 8.5mm, Length 30mm-90mm
3mm diam 10-34mm length
4.0mm diam 26-60mm length, 6.5mm diam 40150mm length
Diameter 2mm, Length 11-14mm; Diameter 2.7mm,
Various Lengths; Diameter 3.0mm, Various Lengths
9 - 17mm diameter
70mm, 100mm, 200mm length
1.7mm diam 15-25mm length
8 & 10mm length
Width 11mm - 30mm, Length 13mm - 32mm;
Notched - Width 11mm - 30mm, Length 13mm 32mm;
Detail Amendment
Detail Amendment
Surgical House
Orthopaedic
SU209
Plus Spinal Fixation System - Pedicle Screws
Detail Amendment
Specialist Orthopaedic
SU006
SU007
Bold Compression Screw
ICOS Screw: Ideal Compression Screw
Cannulated titanium
Cannulated titanium
SU008
Spin Screw: Snap Off Screw
Titanium
SU009
SU010
SU011
SU012
SU013
Kalix
K-Wire (Kirschner)
Tac-Pin (Threaded)
Solustaple Standard Staple
Uni-Clip Compression Staple
Flat foot implant titanium/UHMWP
Stainless steel
Compression pin-titanium
Stainless steel 90 deg & 26 degree
Stainless steel
SU113
SU114
SU115
SU116
SU169
Hintegra Total Ankle Prosthesis
Hintegra Total Ankle Prosthesis
Hintegra Total Ankle Prosthesis
Hintegra Total Ankle Prosthesis
Hallu-Fix Plates
SU177
SEM Rotator Cuff Tendon and Prosthesis for
Tenoplasty
Newdeal Reinforced Bendable Osteosynthesis Plates
Right and left, sizes 1 - 6
Right and left, sizes 1 - 5
Sizes 1 - 5, thickness 5 - 9mm
Length 12 - 42mm
Hallu-C Plate left and right 40,45,50mm; Hallu-S
Plate right 50,55mm, left 60mm
1, 2, 3, 4
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SU174
Tibial implant
Talar implant
Sliding insert
Cortical fixation screw, Composition - Stainless Steel
Composition - titanium, Hallu-C Plate: left and right,
Hallu-S Plate: left and right
Polyester
To be used only
2 holes, 4 holes/77mm, 4 holes/112mm
Detail Amendment
SU178
Newdeal Bendable Osteosynthesis Plates
To be used only
2-4 hole plates
Detail Amendment
SU179
Newdeal Bendable Osteosynthesis Plates
To be used only
5 - 9 hole plates
Detail Amendment
SU180
Newdeal Distal Humeral Plates
To be used only
Left and right
Detail Amendment
SU181
Newdeal Femoral Osteosynthesis Plates
Composition - 316L Stainless Steel.
with Newdeal Screws/lock screws
Composition - 316L Stainless Steel.
with Newdeal screws/lock screws.
Composition - 316L Stainless Steel.
with Newdeal screws/lock screws
Composition - 316L Stainless Steel.
with Newdeal screws/lock screws
Composition - 316L Stainless Steel.
with Newdeal screws/lock screws
To be used only
8/9/10 hole, left and right
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 118 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SU182
Newdeal Distal Femoral Varus Osteotomy Plate
One size only
Detail Amendment
SU183
Newdeal Femoral Varus and De-rotation Osteotomy
Plates
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Newdeal Femoral Varus and De-rotation Osteotomy
Plates - 3 holes, Newdeal Femoral Varus and Derotation Osteotomy Plates - 4 holes, Newdeal
Reinforced Femoral Newdeal and De-rotation
Osteotomy Plates - left and right
Detail Amendment
SU184
Newdeal Proximal Humeral Plate
'6 - 8 holes'
Detail Amendment
SU185
Newdeal HTO Plates
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws
Composition - 316L Stainless Steel. To be used only
with Newdeal screws/lock screws.
Detail Amendment
SU186
SU187
Newdeal Lock Screws
Newdeal Screws/Lock Screws
For use with Newdeal bone screws and plates
Screws - Cancellous, Cancellous cannulated, cortical,
cortical cannulated plus Lock screws
Opening wedge HTO plates, left and right. Closing
wedge HTO plates, left and right. Reinforced closing
wedge HTO plates, left and right
Diameter 2.7mm - 6.5mm
Cancellous/Cancellous cannulated - Diameter 6.5mm,
Length 20mm - 100mm + Lock Screw, Cortical Diameter 5.0mm, Length 25mm - 45mm + Lock
Screw, Cortical - Diameter 4.5mm, Length 14mm 65mm + Lock Screw, Cortical - Diameter 3.5mm,
Length 14mm - 32mm + Lo
SU188
SU191
SU193
SU194
SU195
SU196
SU201
SU202
SU203
SU204
SU205
SU206
SU207
Hintegra Total Ankle Prosthesis
Hintegra Total Ankle Prosthesis
Basal Osteotomy Plate
Calcanea, Calcaneal Fracture Plate
Calcanea Locking Screw
Calcanea Variable Angle Screw
Panta Arthrodesis Nail
Panta Arthrodesis Nail
Panta Arthrodesis Nail
Uni-Clip Compression Staple (Sterile)
Solustaple Standard Staple (Sterile)
Spin Screw: Snap Off Screw (Sterile)
B-BOP Plantar Basal Osteotomy Plate (Sterile)
Talar Implant - Flat talar resection
Tibial Implant
Titanium
Titanium
Cortical Screw, Titanium
Cortical Screw, Titanium
Ankle Nail, Titanium
Locking Screw, Titanium
End Cap, Titanium
Stainless Steel, Notched and Non-Notched
Stainless Steel
Titanium
Titanium
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SU208
SU221
Bold Compression Screw (Sterile)
Newdeal Surfix Style Screws
SU222
Qwix Screw
Cannulated Titanium
Titanium bone screw +locking screw for the fixation
of specific Newdeal bone plates
Self drilling, self tapping, cannulated, titanium screws.
Left - Size 1-5, Right - Size 1-5
Right & Left, Sizes 1 - 6, Thickness 8mm or 12mm
5 Deg, Left and Right, 10Deg, Left and Right
Small, Medium, Large
Diameter 3.5mm, Length 20mm to 45mm
Diameter 3.5mm, Length 20mm to 45mm
Diameter 10 -13 mm Length - 150-240 mm
Diameter 5 mmLength - 20 - 110 mm
One Size
Width 11-30mm, Length 13-32mm
26°, 90°, 8-10mm
Diameter 2-3mm, Length 10-34mm
Moderate Correction(5°) Left, Right. Severe
Correction (10°) Left, Right
10-34mm
Diameter 3.5mm, Length 10-50mm; Diameter 4.5mm,
length 14-65mm; Diameter 6.5, length 20-100mm
Diameter 3.0mm-7.5mm, length 10mm-120mm
Titanium Compression Screw, Cannulated
1-1.5mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Surgical Specialties
Specialist Orthopaedic
SQ017
CBS Screw
Changed Items for Prostheses List Report
Page 119 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
Surgiplas Medical
Plastic and Reconstructive
SP010
SP011
Nagor Tissue Expander
Nagosil SFS-LP-Saline Filled Low Profile Smooth
Surface Breast Prostheses, Nagosil SFS-HP-Saline
Filled High Profile Smooth Surface Breast Prostheses
Remote port - silicone shell
Smooth surface
10 to 2000cc
100 to 600cc
Detail Amendment
Detail Amendment
SP012
Nagotex SFX-LP-Saline Filled Low Profile Textured
Surface, Nagotex SFX-HP-Saline Filled High Profile
Textured Surface Breast Prostheseses
Logic Distraction System
Gel Filled Mammary Prosthesis Models GFX-LP,
GFX and GFX-EHP
Gel Filled Mammary Prosthesis Models CoGel-XR,
CoGel-XRH, CoGel-XL, CoGel- XM and CoGel XA
OsteoMed Plating & Fixation System
Textured surface
100 to 600cc
Detail Amendment
Distractor, spacers & activation set
Textured Round
Straight, Curved 18-52mm
80 to 800ml
Detail Amendment
Detail Amendment
CoGel High Cohesive
100 to 790gm
Detail Amendment
Plates
50 x 50mm Bioresorbable Mesh; Mesh 11 to 25 cm2
area
Detail Amendment
SP045
SP047
SP049
SP105
Specialist Orthopaedic
SP029
OsteoMed Plating & Fixation System
Plates - Fracture; Screws - Cannulated Lag
6 Hole Fracture Plate 47 - 52mm; 2 x 2 Hole Angled
Fracture Plate; 3 x 3 Hole Angled Fracture Plate;
6.5mm x (30 -150)mm; 7.3mm x (30 - 150)mm
Detail Amendment
SP035
SP036
SP037
SP038
SP050
OsteoMed Plating & Fixation System
OsteoMed Plating & Fixation System
OsteoMed Plating & Fixation System
OsteoMed Plating & Fixation System
The Radius Plating System - Screws
2.0mm x (6 - 16)mm; 2.4mm x (6 - 20)mm
2.0mm x (18 - 42)mm; 2.4mm x (22 - 50)mm
3.0mm x (10 x 28)mm; 4.0mm x (12 - 30)mm
3.0mm x (30 x 40)mm; 4.0mm x (32 - 52)mm
2.7-3.0mm diameter screws, 8-38mm length.
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SP051
CONTOUR Hand Screws
Screws - Cannulated Lag
Screws - Cannulated Lag
Screws - Cannulated Lag
Screws - Cannulated Lag
The Radius System - 2.7-3.0mm diameter Locking
anchor, cancellous, bone screws.
Screws
Detail Amendment
SP052
CONTOUR Hand
Contour Hand - Plates
1.2, 1.7 and 2.3mm in diameter screws ranging
between 4 and 24 mm in length.
XS / S / M / L; straight plate 4-16 hole; Z plate, Y
plate, T plate, L plate 5-9 hole; Straight plate, T plate
with stabilizers 5-6 hole; Square, Grid-rectangular
plate 4-8 hole; Straight, T, Y Compression Plate 4-7
hole; Condylar plate w/out stabilizer 5-6 hole.
SP053
The Radius Plating System - Locking Plates
Distal radius plate system
Detail Amendment
SP054
ExtremiFix Screws
Headless Cannulated Compression Screw
SP055
SP056
Hemi-Great Toe Implant
Bio-Action Great Toe Implant
SP057
Bio-Action Great Toe System
Great Toe implant, Cobalt Chromium
Bio-Action Phalangeal Implant, Titanium Alloy and
UHMWPE.
Bio-Action Metatarsal Implant Cobalt Chrome
Fracture plates volar and dorsal 2.0mm thickness, left
and right of short and long.
Diameter 2.0mm, 2.4mm, 3.0mm, 4.0mm. Length
10mm to 52mm.
XS, S, M, L
Small neutral/ small modified/ large modified.
Small neutral / small left/ small right/ large neutral
Detail Amendment
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 120 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SP061
Reflexion 1st MPJ Implant System
Reflexion metatarsal stems, 3 part 1st MPJ
reconstruction system, 2 part composition titanium/cobalt chrome, 1 part composition titanium/UHMWPE,
Small, medium, large
Detail Amendment
SP062
Reflexion 1st MPJ Implant System
Reflexion metatarsal heads, 3 part 1st MPJ
reconstruction system, 2 part composition titanium/cobalt chrome, 1 part composition titanium/UHMWPE,
Standard, long, extra-long
Detail Amendment
SP063
Reflexion 1st MPJ Implant System
ReflexionPhalangeal Bases, 3 part 1st MPJ
reconstruction system, 2 part composition titanium/cobalt chrome, 1 part composition titanium/UHMWPE,
Small, medium, large
Detail Amendment
Locking Cap
Plate - Special Manuf.
Cervical Plate
One Size
>55
>55
Detail Amendment
Detail Amendment
Detail Amendment
Injectable Bone Cement
Injectable Bone Cement
Fast Set Putty
Fast Set Putty
5cc
10cc
5cc
10cc
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Titanium Emergency Release Pin
Locking Plate - straight
1.5/2.0 Orbital Floor Plate
Vertical mandibular, maxilla alveolar ridge distractor
Three Quarter Mandible
Full Mandible
Full Mandible Ramus
Hemi Mandible
Sterile Rapid resorbable reconstruction plate
One Size only
20 or 30 holes
S, M, L
8-16mm
One size
One size only
One size
One size
1.0 to 1.99mm thick,15 to 32 holes
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Cloverleaf
Calcaneal
Reconstruction Plate
Steel, left & right, T & L plates
3-6 hole, length 104mm
Length 60 - 70mm
2 - 24hole
3-12 hole
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Synthes Australia Pty Ltd
Neurosurgical
SY448
SY454
SY519
Spinal Fixation System
Cervical Spine Locking Plate (CSLP) System
Vectra Anterior Spinal System
Orthopaedic
SY281
SY282
SY331
SY332
Norian®
Norian®
Norian®
Norian®
Plastic and Reconstructive
SY345
SY347
SY391
SY399
SY408
SY409
SY410
SY411
SY510
Titanium Sternal Fixation System
Titanium Sternal Fixation System
PolyMax Resorbable Fixation System
Alveolar Distractor
Mandible External Fixator
Mandible External Fixator
Mandible External Fixator
Mandible External Fixator
CMF Rapid Resorbable fracture or reconstruction
Specialist Orthopaedic
SY016
SY017
SY018
SY019
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
Changed Items for Prostheses List Report
Page 121 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SY020
SY023
AO/ASIF Plates
AO/ASIF Plates
5-12 hole
3-13 hole
Detail Amendment
Detail Amendment
SY024
SY029
SY030
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
Spoon plate
Steel, left & right, lateral, proximal, tibial, buttress,
4.5mm lateral tibial
Cobra head
straight & shaped plate
DHS plates
Detail Amendment
Detail Amendment
Detail Amendment
SY033
SY034
SY035
SY036
SY037
SY038
SY040
SY041
SY046
SY049
SY050
SY051
SY052
SY053
SY054
SY056
SY057
SY059
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Intramedullary Nails
AO/ASIF Plates
AO/ASIF Screws
AO/ASIF Screws
AO/ASIF K-Wires, Pins, Washers
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
Cortex Screws
AO/ASIF K-Wires, Pins, Washers etc
AO/ASIF Plates
8-11 hole
2.0mm - 2.7mm, 2 - 50 hole
130-150 deg/ 2-16 hole / 43-27mm length / barrel 25 38mm
2 - 28 hole
2-28 hole
2-28 hole
2-28 hole
2-28 hole
3-16 hole
4 Hole /blade 40 - 110mm / 90-130 deg
7.0mm-19mm dia 200-600mm length
2.0mm - 2.7mm
3.0mm dia / 8 - 40mm length
1.8mm buttress pin 12 - 30mm
4.0/3.0mm & 4.0 - 6mm / 80 - 250mm L
2.4mm
125-160deg 2-28 hole
50-145mm L
2.7mm - 5.0mm diameter, 5mm - 150mm length
2mm - 6mm
2mm - 50mm
SY060
SY064
SY065
SY068
AO/ASIF Intermedullary Nails
Titanium Elastic Nail
Cortex Screw
AO/ASIF Screws
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SY069
SY071
SY072
AO/ASIF Screws
AO/ASIF Screws Steel
AO/ASIF Screws Steel
Cortex Screw
Cancellous,- ligament, bunionectomy, full & short
thread
Malleolar Screws
Cannulated screws
Cannulated screws
7.0mm-19mm dia 200-600mm length
1.5mm - 4.0mm
≤2.7mm
4.0mm dia / 10 - 105mm
Detail Amendment
Detail Amendment
Detail Amendment
SY073
AO/ASIF Screws Steel
4.5mm cannulated screws
SY074
AO/ASIF Screws Steel
Cannulated screws
25mm - 110mm
2.7mm-4.49mm
1/3 thread & long thread / 10 - 50mm /4.0mm
cannulated
Short thread, 1/3 thread, full thread / 20 - 72mm,
4.5mm cannulated
≥4.50mm
Changed Items for Prostheses List Report
Semi tubular
Broad DCP
4.5mm broad, DCP/LCDCP
1/3 Tubular plate
Wrist fusion plate
DHS Trochanteric stabilising plate
Osteotomy plate - adult
Femoral Nail
condylar plate
Mini cannulated screw
Plate pin
Seldrill
Distal radius plate - volar plates - left & right
DHS/DCS plate
DHS/DCS lag screw
Wire mount & spacer
Unilock, angled, straight, T, Y, condylar, DCP,
LCDCP, left & right, mandible and locking plates
Cannulated and Solid Tibial Nail
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 122 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SY076
SY082
SY085
SY087
SY089
SY091
SY092
SY093
SY097
SY100
SY101
AO/ASIF Screws Steel
AO/ASIF Screws
AO/ASIF Screws
AO/ASIF K-Wires, Pins, Washers etc - Steel
AO/ASIF K-Wires, Pins, Washers etc - Steel
AO/ASIF k-Wires, Pins, Washers etc
AO/ASIF K-Wires, Pins, Washers etc.
AO/ASIF Plates
AO/ASIF Plates - Steel
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
SY104
SY105
SY106
SY107
SY109
SY110
SY111
SY112
SY113
SY114
SY115
SY116
SY117
SY118
SY121
SY122
SY124
SY125
SY126
SY127
AO/ASIF Plates
AO/ASIF Plates - Steel
AO/ASIF Plates - Steel
AO/ASIF Plates - Steel
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Plates
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
Osteotomy plate - high tibial
Condylar & small condylar, angled plate
Angled blade plate
DCS DHS plate
DHS/DCS compression screw
DHS/DCS locking device screw
Specially manufactured plate
Plate
2.0mm condylar
3.5mm - 5.0mm Straight DCP/LCDCP
3.5mm, T- PLATE - right & oblique angle
4.5mm recon plate
T & L plate - left & right
4.5mm, head buttress plate lateral tibial left & right
Condylar, angled plate
Angled plate
Proximal sleeve
End cap
Spiral blade
Shaft screw
Custom made
10-150mm L
Diameter 5.0 - 7.3mm, 20-150mm L
0.06 - 3.0mm / length 70 - 400mm
0.25 & 15mm / dia .08 - 3.0mm & length 70-300mm
Asymetric small and large
1.0mm - 16mm dia
Custom made
4.5mm, 2 - 28 hole
3-12 hole
4 hole, 5-6 hole/30-40mm blade length/ 90 - 100 deg,
10- 20 mm displacement
90 deg, blade 40 - 60mm, displ 10 - 15mm
Child, toddler & infant, 115 deg bifurcated, blade 25 45mm, 80 - 100 deg, 4 - 8mm offset, displ 7 - 12mm,
height 49- 54mm
95 deg condylarprox tibia , 50-60 mm, displ 155 - 24 hole, blade length 50 - 90mm, 95 degree
3 - 26 hole, length 25 - 110mm, 90 - 130 degree
95 - 150 degree, 2 - 22 hole, length 25 - 38mm barrel
36mm length
One size only
1.0mm - 6.5mm
1.0mm - 2.7mm
Left & right
2-28 hole
2-8 hole
2-28 hole
≥4.5mm diameter
5 - 15 hole
4-22 hole
4-22 hole
Standard 130 deg antigrade, spiral blade
0 - 40mm
Length 20 - 150mm
5.0mm , length 70 - 125mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SY102
SY103
Cannulated implant
Cancellous screws
Cannulated screws
K-wire single ended
K-wires threaded
Pinless pins/clips
Washers/nuts
Specially manufactured plate all sizes
broad straight plate DCP/LCDCP
4.5mm Hook Plate
Osteotomy Plate - Adult / LC angle blade /
cannulated angle blade
Osteotomy plate - adolescent
Osteotomy plate - infant
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 123 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SY128
SY129
SY130
SY131
SY132
SY153
SY161
SY162
SY163
SY164
SY165
SY166
SY172
SY173
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
AO/ASIF Arthrodesis system
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
AO/ASIF Plates - Steel
LCP Plate
LCP Plate
LCP Plate
LCP Plate
LCP Plate
LCP Plate
LCP Plate
AO/ASIF Screws
8 - 9 mm , length 255 - 420mm
6.0 - 12.0 mm length 100 - 400mm
26 - 240mm
3.9 - 4.9mm , length 18 - 100mm
3.0mm-6.0mm Dia 10-150mm Length
Dislocation 80-90 deg. blade length 35 - 40mm
Dia 3.5mm, length 2-16 hole
Dia 3.5 - 5.0mm, length 4-24 hole
1 - 24 hole
Dia 5.0mm, length 4-22 hole
Dia 5.0mm, length 2-8 hole
Dia 3.5mm, length 3-12 hole
Dia 3.5 - 5.0mm, length 2-20 hole
Diameter 3.5 - 5.0mm, Length 8 - 100mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SY188
SY193
SY194
SY195
SY196
SY197
SY198
AO/ASIF Plates
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Tibial unreamed - steel
Humeral Nail
Arthrodesis
Locking bolts - steel
Locking bolts
Osteotomy plate - shoulder
1/3 Tubular Plate
Distal Tibial Plate, sterile/non-sterile
Tibial Plate, Sterile/Non Sterile
Distal Femoral Buttress Plate, Sterile/Non Sterile
Tomofix Plate, Sterile/Non Sterile
Locking Proximal Humeral Plate, sterile/non sterile
Straight Plate, Sterile/Non Sterile
Self drilling, Self Tapping, Conical Locking,
Sterile/Non-Sterile
Calcaneal, Locking
Rod / Bar
Curved and straight rod - carbon fibre
Protective caps for rods, protection caps
Rod/Bar
Hybrid Rings
Distractors and lengthening apparatus
3.5mm, 30 - 100mm
2.0mm-15.0mm dia 20.0mm-445mm L
4mm - 11mm
One size only
450mm length - 650mm Length
11mm diameter 1/4 ring - 205mm diameter full ring
Mini - lengthening apparatus, mini distractor/lengthening apparatus, medium and large
distractor
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SY199
SY200
SY201
SY202
SY203
SY204
SY205
SY206
SY207
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
4-6mm Diameter
4-6mm Diameter
1.25-8.0mm Diameter
1.8-11mm Diameter
11mm Diameter
4-6mm Diameter
3-4mm Diameter
4.0mm
8 - 14mm diameter
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SY224
SY228
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
External fixator clamps, double clamp
External fixator clamps, transverse clamp
External fixator clamps, clamp or open clamp
External fixator clamps, clamp for hybrid
External fixator clamps, tube to tube/universal clamp
External fixator clamps, open/clip on clamp
External fixator clamps, connecting clamp
External fixator clamps, adjustable clamp
External fixator clamp components, threaded rod,
MRI Safe
External fixator clamp components, angled piece
External fixator clamp components, vice/connecting
plate
1.25-11.0mm
1.25-8.0mm
Detail Amendment
Detail Amendment
Changed Items for Prostheses List Report
Page 124 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SY230
SY233
SY234
SY236
SY237
SY238
SY239
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
1.25-6.0mm
3mm
3mm
1.25-6.0mm
1.25-6.0mm
1.25-6.0mm
1.25-8.0mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SY240
Orthopaedic External Fixator Systems
1.25-6.0mm
Detail Amendment
SY242
SY246
SY247
SY249
1.25-6.0mm
1.25-6.0mm
1.25-6.0mm
1.5, 2.0mm Diameter
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Foot & hand plates - steel - titanium multiple hole
Cerclage Wire - coils with and without eye
1 - 4mm
0.4-2.5mm
Detail Amendment
Detail Amendment
SY259
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
Orthopaedic External Fixator Systems
AO/ASIF K Wires, Pins Washers - Steel/Ti Sterile &
Non Sterile
AO/ASIF Plates
A/O/ASIF K-wires, Pins, Washers etc - Steel - Sterile
& Non Sterile
Locking Distal Radius Plate System
External fixator clamp components, intermediate
External fixator clamp components, angle
External fixator clamp components, angulator
External fixator clamp components, halo with visor
3 degree, 6 degree, 11 degree. Medium, Large
External fixator clamp components, connecting tube
External fixator clamp components, angled piece with
nut
External fixator clamp components, bar for lower jaw
for children
External fixator clamp components, bar for upper jaw
External fixator clamp components, sliding carriage
External fixator clamp components, double joint
Hybrid Pins - Spade point wires/reduction wires
Small & Mini Fragment Plates - Volar Plate
Detail Amendment
SY262
SY263
SY264
SY265
SY266
SY270
SY276
SY277
SY279
SY280
SY283
SY284
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
AO/ASIF Intramedullary Nails
AO/ASIF Screws
AO/ASIFIntramedullary Nails
Spine Cable System
Spine Cable System
Small & Mini Fragment Plates
Small & Mini Fragment Plates
LCP Plate
LCP Plate
Femoral Nail
Hip Pin
Distal Femoral Nail - DFN
Locking Screws
Malleolar Screws
Antegrade/Retrograde Femoral Nail
Single Lead
Double Lead
Locking Distal Radius Plate System
Locking Distal Radius Ulna Column Plate System
LCP Olecranon Plate, left and right, non sterile/sterile
LCP Distal humerus plate, dorso-lateral, left and
right, non sterile/sterile; LCP Distal humerus plate,
dorso-lateral with support, left and right, non
sterile/sterile; LCP Distal humerus plate, medial, left
and right, non sterile/sterile
LCP - Volar Plate 2.4mm Left & Right, 2.4 Volar
Plates Straight
9-15mm dia / 120-150 deg / 170 - 500mm Length
30-200mm Length
9-15mm / 160-420mm Length
15 -150mm
20.0 - 45.0mm
Diameter 6.5-18mm, Length 30-500mm
One size only
One size only
LCP Dorsal T, L, Straight Plates 2.4mm Long/Short
2.0mm - 2.4mm
2-20 hole plates
2-20 hole plates
SY285
SY292
SY320
AO/ASIF Blade
Facet Interference Screw
AO/ASIF Screw
Helical blade
Cannulated Screw
Locking Head Screw 2.0mm
50-150mm length
7.5mm
Length: 6-40mm
Detail Amendment
Detail Amendment
Detail Amendment
SY253
SY257
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 125 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
SY321
SY350
SY351
SY352
SY353
SY354
SY376
SY377
SY378
SY416
SY417
AO/ASIF Screw
AO/ASIF Plate
AO/ASIF Plates
Cortex Screws
Cortex Screws
Small & Mini Fragment Plates
LCP Plate
Orthopaedic Cable System
Trochanteric Reattachment Device
AO/ASIF Intramedullary Nails ASLS
Titanium Wire, Barb and Needle
Short thread 15-40mm; Long Thread 5-35mm
2-24 holes
3.5mm, 30-100mm length
1.00mm 2.6mm diameter, 5mm - 100mm length
2.7mm - 5.0mm diameter, 5.0mm - 100mm Length
2.4mm
2-26 Hole
1.0mm - 1.7mm, 750mm
Standard and Long
4-6mm, 26-125mm
One size only
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
SY418
Distraction Osteogenesis Ring System
One size
Detail Amendment
SY419
Distraction Osteogenesis Ring System
1mm-50mm
Detail Amendment
SY420
SY421
SY422
SY423
SY424
SY425
SY426
SY427
SY428
SY430
SY431
SY432
SY433
SY434
SY435
SY436
SY437
SY438
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Distraction Osteogenesis Ring System
Epoca Custom Offset Shoulder Prosthesis
Epoca Custom Offset Shoulder Prosthesis
Epoca Custom Offset Shoulder Prosthesis
Epoca Custom Offset Shoulder Prosthesis
Epoca Custom Offset Shoulder Prosthesis
Epoca Custom Offset Shoulder Prosthesis
Epoca Custom Offset Shoulder Prosthesis
Epoca Custom Offset Shoulder Prosthesis
Epoca Resurfacing Head
2.4mm Cannulated Screw
Reconstruction Plate
Calcaneal Plating System
Cortex Screws pack of four
Cortex Screws pack of four
LCP Radial Head Plates
Proximal Femur Plate
Cable with Crimp
Titanium alloy reattachment device with cables
Intramedullary Angular Stable Locking System
Titanium wire surture and needle with titanium alloy
barb fixation
Bolt-connecting, clamp, eye, wire offset, wire slotted,
MRI safe.
Spherical/Spacing Washer; Nut-Speed, Square,
Hexagonal, Standoff; MRI Safe
Wire Post MRI Safe
Threaded Rod, MRI Safe
Femoral Arch Plate, Titanium
Femoral Arch Plate, Carbon Fibre
Half,5/8 Ring, MRI Safe, Titanium
Full Ring, MRI safe, Titanium
Half, 5/8 ring, carbon fibre
Foot Plates, Carbon Fibre
Locking Hinge, MRI safe
Epoca Stem
Epoca ZF Cementless Stem
Epoca Head
Epoca Eccenter
Epoca Glenoid
Epoca Glenoid Screw
Epoca Reco Glenoid
Epoca Glenoid Insert
The humeral head surface replacement is designed to
replace the humeral articulating surface and is chrome
cobalt with hydroxyapatite coating underneath
Short, Long
250mm-350mm
90mm-120mm, 180mm-240mm
90mm-120mm, 180mm-240mm
80mm-240mm Diameter
140mm-200mm Diameter
100mm-200mm Diameter
100mm-180mm
One Size
6 - 14mm, Length: 115 - 215mm
6 - 14mm, Length: 115 - 135mm
40 - 54mm, Height: 15 - 20.25mm
One size only
40mm - 54mm
8-30mm
42 - 52mm
42 - 54mm
Diameter 40 - 54mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Tekmed Pty Ltd
Changed Items for Prostheses List Report
Page 126 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
ASH, TESIO-BioFlex with cuff
HemoFlow HFS-Carbothane with cuff
Mecomp Pro-PICC CT power injection and PICC
therapy catheter sets, incl. micro-puncture set,
tearaway introducer sheath, nitinol marked guidewire
with platinum tip, positive pressure valved cap(s),
syringe, statlock, mini scalpel, 21g echo tip needle
10, 14 French 24,28,32 & 36cm lengths
14.5 French 24,28,32 & 36cm lengths
Single and double lumen, 4, 5, and 6 french, 65cm or
130cm nitinol guidewire
Detail Amendment
Detail Amendment
Detail Amendment
Stainless Steel mounted on balloon catheter
Diameter 2.0mm - 4.0mm, Length 8mm - 30mm
Benefit Amendment
Bifurcated Aortic System, Ultrathin woven
polyester, nitinol ring stents, tantalum markers
Aortic Extension Cuff. Ultrathin woven polyester,
nitinol ring stents, tantalum markers
Iliac Extension Cuff. Ultrathin woven polyester,
nitinol ring stents, tantalum markers
Iliac Leg, Ultrathin woven polyester, nitinol ring
stents, tantalum markers
Straight, Polyester, Woven, Unsealed
Bifurcate, Polyester, Woven, Unsealed
Straight Graft - Thin Wall, Crimped.
Fluoropolymer/polyester, Knitted
Straight Graft - Thin Wall, Crimped.
Fluoropolymer/polyester, Knitted
Straight Graft, Thin Wall, Externally Reinforced.
Fluoropolymer/polyester, Knitted
Straight Graft, Thin Wall, Externally Reinforced.
Fluoropolymer/polyester, Knitted
Bifurcated, Polyester, Woven
Bifurcated, Polyester, Knitted
Polyester, Externally Reinforced, Knitted
Polyester, Externally Reinforced, Knitted
Axillo-bifemoral, Polyester, Knitted, Externally
reinforced
Femoro-femoral, Polyester, Knitted, Externally
reinforced
Straight, Polyester, Knitted
Straight, Polyester, Knitted
18 - 34mm
Detail and Benefit Amendment
18 - 34mm
Detail and Benefit Amendment
8 - 18mm
Detail and Benefit Amendment
8 - 18mm
Detail and Benefit Amendment
6-24mm x 50-60cm
12mm x 6mm x 45cm to 24mm x 12mm x 45cm
5 to10mm x 30 to 40cm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
5 to10mm x 50 to 70cm
Detail and Benefit Amendment
5 to10mm x 30 to 40cm
Detail and Benefit Amendment
5 to10mm x 50 to 70cm
Detail and Benefit Amendment
Vascular CAG
TK005
TK006
TK007
Medcomp Long Term Catheter sets for Haemodialysis
Medcomp Long Term Catheter sets for Haemodialysis
Pro-PICC CT power injection and PICC therapy
catheter sets
Terumo Corporation Australia
Cardio-thoracic
TU001
Tsunami Gold
Vascular CAG
TU002
Anaconda Endovascular Graft System
TU003
Anaconda Endovascular Graft System
TU004
Anaconda Endovascular Graft System
TU005
Anaconda Endovascular Graft System
TU006
TU007
TU008
Twillweave Graft
Twillweave Graft
Fluoropassiv Graft
TU009
Fluoropassiv Graft
TU010
Fluoropassiv Graft
TU011
Fluoropassiv Graft
TU013
TU014
TU016
TU017
TU018
Gelweave Graft
Gelsoft Plus Graft
Gelsoft Plus Graft
Gelsoft Plus Graft
Gelsoft Plus Graft
TU019
Gelsoft Plus Graft
TU020
TU021
Gelsoft Plus Graft
Gelsoft Plus Graft
Changed Items for Prostheses List Report
12mmx 6mmx 45 cm to 24mmx12mm x 45cm
Detail and Benefit Amendment
12mmx6mmx45cm to 24mmx12mmx45cm
Detail and Benefit Amendment
6 to 10mm x 75m
Detail and Benefit Amendment
6 to 10mm x 100cm
Detail and Benefit Amendment
8x8mm/100x60cm; 8x7mm/90x40cm; 10x8mm/90x40cm Detail and Benefit Amendment
6mmx30cm to 8mmx40cm
Detail and Benefit Amendment
6 - 24mm x 12.5 - 30cm
6-24mm x 50-60cm
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 127 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
TU022
TU023
TU025
TU026
TU027
TU028
TU029
Gelweave Graft
Gelweave Graft
SEALPTFE Graft
SEALPTFE Graft
SEALPTFE Graft
SEALPTFE Graft
SEALPTFE Graft
6-38mm x 10-40cm
6-38mm x 50-60cm
5 to 10mm x 10 to 40cm
5 to 10mm x 50 to 80cm
5 to 10mm x 10 to 40cm
5 to 10mm x 50 to 80cm
5 to 10mm x 10 to 40cm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
TU030
SEALPTFE Graft
5 to 10mm x 50 to 80cm
Detail and Benefit Amendment
TU032
SEALPTFE Graft
5 to 10mm x 60 to 80cm
Detail and Benefit Amendment
TU033
TU035
SEALPTFE Graft
SEALPTFE Graft
Straight, Polyester, Woven
Straight, Polyester, Woven
Thin Wall, Straight, Sealed, PTFE
Thin Wall, Straight, Sealed, PTFE
Standard Wall, Straight, Sealed, PTFE
Standard Wall, Straight, Sealed, PTFE
Standard Wall, Straight, Sealed, Externally
Reinforcement, PTFE
Standard Wall, Straight, Sealed, Externally
Reinforcement, PTFE
Thin Wall, Straight, Sealed, Externally Reinforced,
PTFE
Standard Wall, Tapered, Sealed, PTFE
Thin Wall, Straight, Sealed externally Reinforced,
Vascular Artificial Arteries/Prostheses of PTFE,
Sealed with Gelatin
4 to 7mm Taper x 45 to 50cm
5 to 10mm x 50cm
Detail and Benefit Amendment
Detail and Benefit Amendment
TU039
Rapidax™ Rapid Access Haemodialysis Graft
Triple layered self sealing haemodialysis Access
Graft. ePTFE internal and external layer with
proprietary elastomer inner layer - Straight and Pre-
6mm x 20-40cm
Detail and Benefit Amendment
TU040
Rapidax™ Rapid Access Haemodialysis Graft
6mm x 45-50cm
Detail and Benefit Amendment
TU041
Anaconda Endovascular Graft System
Triple layered self sealing haemodialysis Access
Graft. ePTFE internal and external layer with
proprietary elastomer inner layer - Straight and PerFlared iliac limb. Ultrathin woven polyester, nitinol
ring stents, tantalum markers
Diameter: proximal end 12-17mm, distal end 1523mm; Length: 80-130mm
Detail and Benefit Amendment
6.5-15mm - 1mm increm wide, 66-167mm long
Diameter: 37,39,41,43,46,48,50,52mm
31mm,35mm,39mm dia (small, medium & large)
24mm
diameter 36 & 42mm wide x 9mm high
Small, Medium, Large
Radial Head - (Small, Medium, Large); Radial Stem (Diameter - 5mm, 6.5mm)
Small, Medium, Large, Extra Large
Diam 6.5mm - 130mm and 170mm lengths, Diam
9mm - 130mm, 180mm and 210mm lengths. Diam
12mm - 130mm, 180mm and 210mm lengths
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
90mm length with 3-holes shaft and 120mm length
with 5-hole shaft
Detail Amendment
Tornier Pty Ltd
Specialist Orthopaedic
TO002
TO003
TO004
TO006
TO011
TO013
TO014
Aequalis Primary Shoulder Prostheses
Aequalis Primary Shoulder Prostheses
Aequalis Primary Shoulder Prostheses
Bone Plug
Aequalis Shoulder Prostheses Reverse
Tornier Latitude Total Elbow Prosthesis
Tornier Latitude Total Elbow Prosthesis
Aequalis Primary stem, Ti Ta
Aequalis Primary Eccentric Humeral Head, CoCr
UHMWPE Keeled Glenoid Component
UHMWPE - Cement Plug
CoCr Reverse Humeral Neck
Ulnar Cap
Radial Head, Radial Stem
TO015
TO029
Aequalis Pegged Glenoid USA
Aequalis Fracture Shoulder HA Coated
Pegged Glenoid Polyethylene (UHMWPE)
Fracture shoulder humeral stem Cobalt Chrome, HA
coated
TO030
Aequalis Humeral Plate
Proximal Humeral Plate
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Page 128 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
TO031
Aequalis Resurfacing Shoulder
Resurfacing humeral head
Detail Amendment
TO032
Aequalis Humeral Plate Screws
Proximal humeral plate screws (Cancellous selftapping locking screws, Cortical self-tapping locking
screws or Cortical Self-tapping compression screws)
12 head sizes from 37mm x 13.5mm to 54mm x
27mm, 3 stem lengths: 30, 35 and 40mm
Proximal locking screws: 4mm, cortical self tapping
locking screws: 20 to 60mm length; proxmial inferior
locking screws: 3.5mm, cortical self tapping locking
screws: 10 to 40mm length; distal compression
screws: 3.5mm, cortical self-tapping compression and
locking screws: 10 to 50mm length
TO037
Aequalis Reversed Shoulder - Revision Base Plate
(Metaglene)
Aequalis Reversed Shoulder Eccentric Glenosphere
Long pegged base plate/ metaglene for revision
reversed shoulder.
Eccentric Glenoid Sphere for Aequalis Reversed
Shoulder
Wear Compensation Glenoid Sphere for Aequalis
Reversed shoulder.
One Size: Long Peg
Detail Amendment
36mm and 42mm, eccentricity +2mm, 4mm or 6mm.
Detail Amendment
36mm and 42mm, wear compensation 5 degrees or 10
degrees, combination wear compensation 5 degrees
or 10 degrees and eccentricity +2mm, 4mm or 6mm.
36mm and 42mm, 2mm eccentric +6mm and +9mm,
4mm eccentric +9mm and +12mm
One Size
D.36mm & 42mm
D.36mm & 42mm
Detail Amendment
D. 6.5, 9 , 12, 15mm L 100, 150, 180, 210mm
Detail Amendment
D. 36mm +6mm, D.36mm +9mm, D.36mm +12mm,
D.42mm +6mm, D. 42mm +9mm, D.42mm +12mm
D45mm, L20 to 50mm
Detail Amendment
Titanium
Monobloc Humeral Stem CoCr and HA Coated
proxinally
Monobloc Humeral Stem CoCr and HA coated
proximally
D. 4.5mm, L 18 to 45mm
Length 130mm Dia 7 9 11 13 15
Detail Amendment
Detail Amendment
Length 170, 180 or 210mm Dia 7 9 11 13mm
Detail Amendment
Composition: Stainless Steel, Model No: 200-000-A
to 200-930-K
Composition: Stainless Steel, Model Nos: 200 - 950L to 200-970-Q
Dia 0.7-2.8mm, Length 100-230mm
Detail Amendment
Dia 3.0 - 5.0mm
Detail Amendment
Balloon based local anaesthetic infusion system
One size only
Detail Amendment
TO038
TO039
Aequalis Reversed Shoulder Wear Compensation
Glenosphere
TO040
Aequalis Reversed Shoulder Eccentric humeral Insert
(High Mobility Cup)
Aequalis Reversed Shoulder -Glenoid Base Plate
Aequalis Reversed Shoulder -Glenoid Sphere
Aequalis Reversed Shoulder -Metaphysis (Cemented
or Cementless)
Aequalis Reversed Shoulder - Stem (Cemented or
Cementless)
Aequalis Reversed Shoulder - Lateralized Insert
Eccentric Humeral Insert (High Mobility Cup) for
Aequalis Reversed Shoulder
Ti HA Coated
CoCr, Ti Alloy
Cemented: CoCr and UMWHPE, Cementless: CoCr,
HA Coated and UMWHPE
Cemented: CoCr Cementless: Ti, HA coated
Titanium
TO047
TO048
Aequalis Reversed Shoulder - Fixation Screw for
Articular Implant
Fixation Screw for Articular Implant
Aequalis Reversed fracture-standard
TO049
Aequalis Reversed Fracture Shoulder - Revision
TO041
TO042
TO043
TO044
TO045
TO046
UMWHPE
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Trewavis Surgical Instruments Pty Ltd
Specialist Orthopaedic
TS001
Trewavis Surgical Kirschner Wires
TS002
Trewavis Surgical Steinmann Pins
Ultimate Medical Pty Ltd
General Miscellaneous
UM001
LA Bubble
Changed Items for Prostheses List Report
Page 129 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
The GORE HELEX Septal Occluder consists of an
implantable endoprosthesis and a catheter delivery
system. The Occluder is comprised of a nickeltitanium (Nitinol) wire frame covered with expanded
polytetrafluoroethylene (ePTFE). The ePTFE is
treated with
Diameters: 15, 20, 25, 30 and 35mm
Detail and Benefit Amendment
1mm Thickness 2.5 x 10cm
1mm Thickness 5 x 10cm (Rectangle), 5 x 10cm (Key
Hole)
1mm Thickness 5 x 13cm (Configured for Vaginal
Prolapse), 5 x 15cm
1mm Thickness 18 x 24cm
1mm Thickness 20 x 30cm
1mm Thickness Oval 26 x 34cm
1mm Thickness Oval 10 x 15cm
1mm Thickness Oval 15 x 19cm
1mm Thickness 6cm x 12cm
1mm Thickness 20cm x 30
1mm thickness Oval 26 x 34cm
1mm Thickness 7.5 x 10cm
1mm Thickness 8 x 12cm
1mm Thickness Oval 10 x 15cm
1mm Thickness Oval 15.0 x 19.0cm
1mm Thickness 18 x 24cm
1mm Thickness 20 x 30cm
1mm Thickness Oval 26 x 34cm
2mm Thickness Oval 10 x 15cm
2mm Thickness Oval 15 x 19cm
2mm Thickness 18 x 24cm
2mm Thickness 20 x 30cm
2mm Thickness Oval 26 x 34cm
1mm Thickness 7.5 x 10cm
15.0 x 19.0cm x 1mm Oval
Short or Long Catheter 8-10mmx4-8cm
Detail Amendment
Detail Amendment
W L Gore & Associates
Cardio-thoracic
GT223
Helex 1.5 Septal Occluder
General Miscellaneous
GT065
GT066
Gore-Tex ePTFE Mycro-Mesh Biomaterial
Gore-Tex Mycro-Mesh Biomaterial
ePTFE
ePTFE
GT067
Gore-Tex Mycro-Mesh
ePTFE
GT068
GT069
GT070
GT071
GT072
GT074
GT084
GT087
GT092
GT093
GT094
GT095
GT096
GT097
GT098
GT099
GT100
GT101
GT102
GT103
GT104
GT107
GT116
Gore-Tex Mycro-Mesh Biomaterial
Gore-Tex Mycro-Mesh Biomaterial
Gore-Tex Mycro-Mesh Biomaterial
Gore-Tex Mycro-Mesh Biomaterial
Gore-Tex Mycro-Mesh Biomaterial
Gore-Tex Mycro-Mesh Biomaterial
Gore-Tex MycroMesh Plus
Gore-Tex MycroMesh Plus
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex Dual Mesh
Gore-Tex DualMesh PLUS
Gore-Tex DualMesh PLUS
Gore Biliary Endoprostheses
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
Configured for Inguinal Hernia repair ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 130 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GT201
GT202
GT203
GT204
GT205
GT206
GT207
GT208
GT209
GT210
GT224
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
Dualmesh Plus Biomaterial
GORE SEAMGUARD® Bioabsorbable Staple Line
Reinforcement
ePTFE
ePTFE, oval
ePTFE
ePTFE
ePTFE, oval
ePTFE, oval
ePTFE, oval
ePTFE,
ePTFE,
ePTFE, oval
As packaged, GORE SEAMGUARD Bioabsorbable
Staple Line Reinforcement constitutes preformed
porous bioabsorbable sheets held into the form of
sleeves (one cartridge device, one anvil device)
through the use of a non-absorbable polyester braided
suture. A TY
8cm x 12cm x 1mm
10cm x 15cm x 1mm
18cm x 24cm x 1mm
20cm x 30cm x 1mm
26cm x 34cm x 1mm
10cm x 15cm x 2mm
15cm x 19cm x 2mm
18cm x 24cm x 2mm
20cm x 30cm x 2mm
26cm x 34cm x 2mm
Ethicon Endo-Surgery Endopath ETS45; Ethicon
Endo-Surgery Endopath ETS45; Ethicon EndoSurgery Endopath EZ45; Ethicon Endo-Surgery
Endopath Echelon 45, Ethicon Endo-Surgery
Endopath Echelon 60; Ethicon Endo-Surgery
Endopath ETS Flex 60; USS Endo GIA Unive
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
GT228
GORE SEAMGUARD® Bioabsorbable Staple Line
Reinforcement, Endoscopic Staplers
As packaged, GORE SEAMGUARD Bioabsorbable
Staple Line Reinforcement constitutes preformed
Ethicon Endo-Surgery ENDOPATH 25 and
PROXIMATE 25; Ethicon Endo-Surgery
ENDOPATH 29 and PROXIMATE 29; Ethicon
Endo-Surgery ENDOPATH 33 and PROXIMATE
33; Autosuture CEEA 25; Autosuture CEEA 28;
Autosuture CEEA 31; Autosuture CEEA 34;
Detail Amendment
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
ePTFE
0.7mm Thickness 6 x 6cm
0.7mm Thickness 6cm x 12cm
0.3mm Thickness 2 x 10cm
0.3mm Thickness 5 x 6 cm
0.3mm thickness 6 x 10cm
0.3mm thickness 10 x 12cm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Stretch Bifurcated Graft with Thin Walled Limbs
(ePTFE)
Ringed Grafts REMOVABLE THIN WALL
STRETCH (ePTFE)
Vascular Grafts - Aorto -Pulmonary & SystemicPulmonary Shunts (ePTFE)
ePTFE & Nitinol Self Expanding Endoluminal Graft
System
ePTFE & Nitinol Self Expanding Endoluminal Graft
System
12x6mm to 24x12mm 40-50cm long
Detail and Benefit Amendment
6-8mm Diameter x 80cm Length - Ringed Section
70cm Length
3.5-5mm Diameter x 15-20cm Length
Detail and Benefit Amendment
Viabahn 2.5mm - 13mm Diameter, 5cm Length;
Hemobahn 6 - 13mm Diameter, 5cm Length
Viabahn 2.5mm - 13mm, 10cm Length; Hemobahn 6 13mm Diameter 10cm Length
Detail and Benefit Amendment
Neurosurgical
GT054
GT055
GT056
GT057
GT058
GT059
Preclude Spinal Membrane
Preclude Spinal Membrane
Preclude Dura Substitute
Preclude Dura Substitute
Preclude Dura Substitute
Preclude Dura Substitute
Vascular CAG
GT006
Gore-Tex Stretch Bifurcated Graft
GT008
Gore-Tex Vascular Ring Graft
GT009
Gore-Tex Vascular Grafts
GT020
Viabahn Endoprosthesis
GT021
Viabahn/Hemobahn Endoprosthesis
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 131 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GT022
Viabahn/Hemobahn Endoprosthesis
Excluder Endovascular Prostheses
Excluder AAA Endovascular Prostheses
Viabahn 2.5mm - 13mm Diameter, 15cm Length;
Hemobahn 6 - 11mm Diameter, 15cm Length
34, 37 & 40mm Diameter x 20cm Lengths
23-28.5mm Diameter, 14-18cm Length
Detail and Benefit Amendment
GT023
GT024
GT029
Gore Tips Endoprosthesis
ePTFE & Nitinol Self Expanding Endoluminal Graft
System
Thoracic Stent Graft Nitinol & ePTFE
AAA Abdominal Stent Graft Nitinol & ePTFE - two
piece system (1/2) Trunk - Ipsilateral Limb
ePTFE
Detail and Benefit Amendment
GT132
GT136
GT138
GT139
GT143
GT145
GT146
GT147
GT148
GT149
GT150
GT151
GT152
GT157
GT158
GT159
GT160
GT161
GT164
GT167
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-Tex Stretch Thin Walled Vascular Graft
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-Tex Vascular Grafts
Gore-tex Vascular Grafts
GT168
Gore-tex Vascular Grafts
Diameter 3.5 - 5mm, Length 10cm
Detail and Benefit Amendment
GT171
GT172
GT175
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Gore-tex Vascular Grafts
Diameter 4-6mm & 4-7 mm, Length 45 - 48cm
Diameter 4-7 mm, Length 70cm
4-7 mm x 70cm - Rings 30cm Length
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
GT179
Gore-tex Vascular Ring Graft
Standard Wall Grafts (ePTFE)
Standard Wall Grafts (ePTFE)
Standard Wall Grafts Stretch (ePTFE)
Standard Wall Grafts Stretch (ePTFE)
Standard Wall Grafts Stretch (ePTFE)
Standard Wall Grafts Stretch (ePTFE)
Standard Wall Grafts Stretch (ePTFE)
Standard Wall Grafts Stretch (ePTFE)
Standard Wall Grafts Stretch (ePTFE)
Thin Wall Grafts (ePTFE)
Thin Wall Grafts (ePTFE)
Thin Wall Grafts (ePTFE)
Thin Wall Grafts Stretch (ePTFE)
Thin Wall Grafts Stretch (ePTFE)
Thin Wall Grafts Stretch (ePTFE)
Thin Wall Grafts Stretch (ePTFE)
Thin Wall Grafts Stretch (ePTFE)
Thin Wall Grafts (ePTFE)
Thin wall grafts (ePTFE)
Vascular Grafts - Aorto-Pulmonary & SystemicPulmonary Shunts (ePTFE) Stretch & Non Stretch
Vascular Grafts - Aorto-Pulmonary & SystemicPulmonary Shunts (ePTFE) Stretch & Non Stretch
Standard Wall Grafts Stretch Tapered (ePTFE)
Standard Wall Grafts Stretch Tapered (ePTFE)
Ringed Grafts Removable Standard Wall Tapered
(ePTFE)
Ringed Grafts Removable Thin Wall (ePTFE)
8-12mm Diameter 4-8cm Graft-Lined Length 2cm
Unlined Length
Diameter 4 - 8mm, Length 10cm
Diameter 4 - 10mm, Length 80cm
Diameter 4 - 8mm, Length 10cm
Diameter 6 - 10mm, Length 20 - 30cm
Diameter 6 - 10mm, Length 70cm
Diameter 4 - 10mm, Length 90 - 100cm
Diameter 12 - 24mm, Length 20cm
Diameter 12 - 24mm, Length 30cm
Diameter 12 - 24mm, Length 40cm
Diameter 4 - 10mm, Length 10cm
Diameter 6 - 10mm, Length 20cm
Diameter 6 - 10mm, Length 30cm
Diameter 6 - 10mm, Length 40cm
Diameter 4 - 10mm, Length 90 - 100cm
Diameter 4 - 10mm, Length 10cm
Diameter 6 - 10mm, Length 20cm
Diameter 6 - 10mm, Length 30cm
Diameter 6 - 10mm, Length 40cm
Dia 3 - 10mm, length 70cm
Diameter 3.5 - 5mm, Length 5cm
Detail and Benefit Amendment
GT180
Gore-tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall (ePTFE)
Diameter 5 - 6mm x 70cm Length, Ringed Section
60cm Length
Diameter 5 - 6mm x 80cm Length, Ringed Section
60cm Length
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 132 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GT182
Gore-tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall (ePTFE)
Detail and Benefit Amendment
GT183
Gore-tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall (ePTFE)
GT185
Gore-tex Vascular Ring Graft
Ringed Grafts Removable Thin Wall Stretch (ePTFE)
GT186
GT187
Gore-tex Stretch Removable Ringed Vascular Graft
Gore-tex Stretch Removable Ringed Vascular Graft
Stretch Thin Walled Removable Ringed (ePTFE) Graft
Stretch Thin Walled Removable Ringed (ePTFE) Graft
GT188
Excluder AAA Endovascular Prostheses
GT189
Excluder Endovascular Prostheses
Diameter 23 - 28.5mm, Length 3.3cm
Detail and Benefit Amendment
GT190
GT191
GT193
GT195
GT200
GT211
Excluder Endovascular Prostheses
Excluder Endovascular Prostheses
Gore-tex Vascular Grafts
Gore-tex Vascular Graft
Gore-tex Vascular Graft
Gore-Tex Intering Stretch Thin Walled Vascular Graft
Gore-Tex Stretch Intering Vascular Graft
GT213
Gore-Tex Intering Vascular Graft
GT216
GT221
GT222
GT225
Gore-tex Axillobifemoral Vascular Graft
Gor-Tex Propaten Stretch Thin Walled Vascular
Gortex Stretch Thin Walled Propaten Graft
Gore Viabahn ® endoprosthesis with heparin
bioactive surface
Diameter 10 - 14.5mm, Length 7cm
Diameter 26-40mm x 10cm Length
6-10mm Diameter x 40cm Length
Diameter 6mm x 20cm length
Diameter 6-12mm x 20cm length
Diameter 6-8mm, 40cm radial supported length x
40cm length
Dia 6-8mm, 60cm radial supported length x 60cm
length
Dia 6-8mm, 80cm radial supported length x 80cm
length
Diameter 8mm x 90cm 40cm
6-8mm diameter, non-Ringed 40cm length
6-8mm diameter Non-Ringed 80cm length
5mmx2.5cm VIABAHN 120cm CATH
5mmx5cm VIABAHN 120cm CATH
6mmx2.5cm VIABAHN 120cm CATH
6mmx5cm VIABAHN 75cm CATH
6mmx5cm VIABAHN 120cm CATH
7mmx2.5cm VIABAHN 120cm CATH
7mmx5cm VIABAHN 75cm CATH
7mmx5cm VIABAHN 120cm CATH
8mmx2.5cm VIABAHN 120cm CATH
8mmx5cm VIABAHN 75cm CATH
8mmx5cm VIABAHN 120cm CATH
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
GT212
AAA Stent Graft Nitinol & ePTFE Two piece
system (2/2) Contralateral Limb
Abdominal Stent Graft Nitinol & ePTFE - Aortic
Extender
Abdominal Stent Graft Nitinol & ePTFE - Iliac
Thoracic Stent Graft Nitinol & ePTFE
Standard Wall Grafts (ePTFE)
Standard wall grafts (ePTFE)
Standard wall grafts stretch (ePTFE)
ePTFE integrated rings in the wall of a stretch thin
walled graft
Stretch Thin Walled ePTFE graft with Integrated
Diameter 6mm, Lengths 80 - 90 cm, Ringed Section
60cm Length
Diameter 8mm, Lengths 80 - 90 cm, Ringed Section
70cm Length
Diameter 6mm x 80cm Length, Ringed Section 30cm
Length
Diameter 6mm x 70cm Length, Ringed Section 60cm
Diameter 6 - 8mm x 70cm Length, Ringed Section 60
- 70cm Length
Diameter 12 - 14.5mm x 10 x 14cm Length
Changed Items for Prostheses List Report
ePTFE integrated rings in the wall of a stretch thin
walled graft
Stretch vascular graft with removable rings (ePTFE)
Stretch Thin Walled Graft (ePTFE) - Heparin
Stretch Thin Wall Graft (ePTFE)- Heparin Bonded
Gore Viabahn ® endoprosthesis with heparin
bioactive surface is a flexible, self expanding
endoluminal device consisting of an ePTFE lining
with external nitinol support
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 133 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
GT226
Gore Viabahn ® endoprosthesis with heparin
bioactive surface
Gore Viabahn ® endoprosthesis with heparin
bioactive surface is a flexible, self expanding
endoluminal device consisting of an ePTFE lining
with external nitinol support
5mmx 15cm VIABAHN 120cm CATH
6mmx 15cm VIABAHN 75cm CATH
6mmx 15cm VIABAHN 120cm CATH
7mmx 15cm VIABAHN 75cm CATH
7mmx 15cm VIABAHN 120cm CATH
8mmx 15cm VIABAHN 75cm CATH
8mmx 15cm VIABAHN 120cm CATH
Detail and Benefit Amendment
GT227
Gore Viabahn ® endoprosthesis with heparin
bioactive surface
Gore Viabahn ® endoprosthesis with heparin
bioactive surface is a flexible, self expandinbg
endoluminal device consisting of an ePTFE lining
with external nitinol support
5mm x 10cm VIABAHN 120cm CATH
6mm x 10cm VIABAHN 75cm CATH
6mm x 10cm VIABAHN 120cm CATH
7mm x 10cm VIABAHN 75cm CATH
7mm x 10cm VIABAHN 120cm CATH
8mm x 10cm VIABAHN 75cm CATH
8mm x 10cm VIABAHN 120cm CATH
Detail and Benefit Amendment
Self expanding Metal Biliary Stent System
Self expanding Metal Biliary Stent with Fusion
Introducer System
TriClip Endoscopic Clipping Device
Biodesign Hernia Graft is 8-layer perforated and
quilted porcine sis collagen matrix, non cross-linked,
remodelable and resorbable tissue graft
Diameters: 6, 8, 10mm; Lengths: 4, 6,8cm
Diameters: 6, 8 & 10mm; length: 4, 6 & 8cm
Detail Amendment
Detail Amendment
7Fr - 3 Prong 12mm, 8Fr - 3 prong 12mm
13cm x 15cm
Detail Amendment
Detail and Benefit Amendment
William A Cook Australia Pty Ltd
General Miscellaneous
WC174
WC200
Zilver Biliary Stent System
Fusion Zilver Biliary Stent System
WC213
WC242
Endoscopic Clipping Device
Biodesign Surgisis Hernia Graft
WC243
Surgisis Biodesign Anal Fistula Plug
Surgisis Biodesign Anal Fistula Plug is a small
intestine submucosal porcine derived, rolled and
shaped collagen matrix, non cross-linked, that signals
the body and provides support for native tissue
remodeling, healing and closure of anal fistulas
0.6cm Width Tapering to 0.2cm Width x 9.5cm
Length. Conical Shape
Detail Amendment
WC244
Biodesign Surgisis 8-layer Tissue Graft
Biodesign Surgisis 8-layer Tissue Graft is 8 layers of
compressed and perforated porcine sis collagen
matrix, non cross-linked, remodelable and resorbable
tissue graft
13cm x 15cm
Detail and Benefit Amendment
WC247
Biodesign Surgisis 8-Layer Tissue Graft
Biodesign Surgisis 8-layer Tissue Graft is 8 layers of
compressed and perforated porcine sis collagen
matrix, non cross-linked, remodelable and resorbable
tissue graft
13cm x 22cm
Detail and Benefit Amendment
WC248
Biodesign Surgisis 8-Layer Tissue Graft
Biodesign Surgisis 8-layer Tissue Graft is 8 layers of
compressed and perforated porcine sis collagen
matrix, non cross-linked, remodelable and resorbable
tissue graft
20cm x 20cm
Detail and Benefit Amendment
WC249
Biodesign Surgisis Hernia Graft
Biodesign Hernia Graft is 8-layer perforated and
quilted porcine sis collagen matrix, non cross-linked,
remodelable and resorbable tissue graft
13cm x 22cm
Detail and Benefit Amendment
WC250
Biodesign Surgisis Hernia Graft
Biodesign Hernia Graft is 8-layer perforated and
quilted porcine sis collagen matrix, non cross-linked,
remodelable and resorbable tissue graft
20cm x 20cm
Detail and Benefit Amendment
Changed Items for Prostheses List Report
Page 134 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
WC251
Biodesign Surgisis Hernia Graft
20cm x 30cm
Detail and Benefit Amendment
WC265
Biodesign Surgisis Inguinal Hernia Graft
Biodesign Hernia Graft is 8-layer perforated and
quilted porcine sis collagen matrix, non cross-linked,
remodelable and resorbable tissue graft
Biodesign Surgisis Inguinal Hernia Graft is a
biologically derived [porcine] sis collagen, non crosslinked graft, that remodels into strong host tissue
reinforcement for the inguinal floor
10cm x 15cm
Detail and Benefit Amendment
WC266
Biodesign Surgisis Inguinal Hernia Graft
Biodesign Surgisis Inguinal Hernia Graft is a
biologically derived [porcine] sis collagen, non crosslinked graft, that remodels into strong host tissue
reinforcement for the inguinal floor
8cm x 15cm
Detail and Benefit Amendment
WC270
Zilver Biliary Stent System
Self expanding metal biliary stent system
Diameters 6, 8, 10mm; Lengths 4, 6, 8 cm
Detail Amendment
6.0/10.0 Fr, & 7.0/14.0 Fr, Multiple Length
Multiple French Sizes, Multi-length
6/9.5 Fr & 7/14.0Fr , Multiple Length
Stent 8.5 French, 65cm long
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Synthetic Thermosensitive Ureteral Stent Set with
Heparin Coating
Multiple French Sizes and Lengths
Detail Amendment
Thoracic Body Extension
Stent graft indicated for the repair of in situ AAA
stent grafts
22mm to 42mm diameter; 77mm to 81mm length
Proximal diameter 22-36mm, distal diameter 12mm,
lengths 108-125mm
Benefit Amendment
Detail and Benefit Amendment
Diameters: .025, .035, .038 and .052, Extended
Lengths: 1cm to 20cm, Coil Taper Diameters: 2mm
to 10mm
Diameters: .018, .035 and .038, Coil Taper
Diameters: 2mm to 10mm
Diameters: .018, Extended Lengths: .5cm to 6cm, Coil
Diameters: Straight to 10mm
Filter Catheter French Size 11.0 Length 40, 75 cm
Introducer Sheath Assembly French Size 12.0
Femoral/Jugular Approach
Particle Size Ranges (microns) 50-100, 100-200, 200300,300-500, 500-700, 700-1000, 1000-1500, 15002000, 2000-2800
Detail and Benefit Amendment
Diameter 20 thru 36 Length 80-85
Diameter 18 thru 24 Length 55
Diameter 22 thru 36
Diameter 22-32 mm Length 122-239mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Urogenital
WC018
WC023
WC024
WC236
WC237
C-Flex Endoureteratomy Stent Set
Greene Renal Transplant Stent Set
Ultrathane Endoureteratomy Stent Set
Paterson-Forrester Subcutaneous Urinary Diversion
Stent
Radiance Ureteric Stent Set
Transplant stent set
Subcutaneous Urinary Diversion Stent
Vascular
WC188
WC235
Zenith Thoracic Endovascular Graft
Zenith Renu AAA Ancillary Graft - Converter
Vascular CAG
WC037
Coil - Embolisation MWCE
Standard Stainless Steel
WC038
Coil - Embolisation Coils MWCE-TORNADO
Tornado Platinum
WC039
Cook Embolization Coil
Hilal Platinum
WC043
Inferior Vena Cava Filter
Birds Nest Vena Cava Filter
WC044
PVA Embolisation particles
Embolization & Occlusion
WC045
WC047
WC048
WC049
Zenith Endovascular Graft
Zenith Endovascular Graft
Zenith Endovascular Graft
Zenith AAA Endovascular Graft
Converter
Leg Extensions
Body Extensions
Bifurcated Extension
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 135 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
WC093
Cook Implantable Injection/Infusion Ports
3 - 12 Fr pre-attached or detached catheter or valve
system
Detail and Benefit Amendment
WC094
Cook Implantable Injection/Infusion Ports
Petite or Standard, single or multiple chamber
Polysulfone Port which may include micropuncture
or standard introducer set
Mini or Petite or Standard, single or multiple chamber
titanium Port which may include micropuncture or
standard introducer set
3 - 12 Fr pre-attached or detached catheter or valve
system
Detail and Benefit Amendment
WC096
WC103
WC111
Cook Vena Cava Filter
Zenith Iliac Plug
Cook Central Venous Catheterisation Kit
Universal Filter
Zenith AAA Endovascular Graft
Single lumen peripherally inserted catheter set, which
may include catheter, standard or micropuncture
introducer set
Diameter up to 40mm, Length up to 60mm
Diameter 14, 16, 18, 20, 22, 24mm
3 - 6 Fr, 40 - 80cm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail Amendment
WC112
Cook Central Venous Catheterisation Kit
Double or triple lumen peripherally inserted catheter
set, which may include catheter, standard or
micropuncture introducer set
3 - 8 Fr 40 - 80cm
Detail Amendment
WC113
Cook Central Venous Catheterisation Kit
Fr 3, 4, 5 and Length 50 and 60cm
Detail Amendment
WC114
Cook Central Venous Catheterisation Kit
Single lumen peripherally inserted catheter set,
includes catheter, needle, J-wire, MPIS wire and
Double lumen peripherally inserted catheter set,
includes catheter, needle, J-wire, MPIS wire and
introducer
Fr 6, 7 and Length 58 and 60cm
Detail Amendment
WC115
Cook Implantable Injection/Infusion Port
Cook Central Venous Long Term Catheter
WC117
Cook Central Venous Long Term Catheter
Cook TPN single lumen catheter set
WC118
Cook Central Venous Long Term Catheter
Cook TPN double lumen catheter
WC119
WC133
WC159
Cook Central Venous Long Term Catheter Set
Zenith Flex AAA Endovascular Graft - body only
Zenith TAA Endovascular Graft
WC160
Zenith TAA Endovascular Graft
Cook TPN double lumen catheter set
Stainless steel
TX1, one piece thoracic stent-graft, woven polyester
and stainless steel
Thoracic Proximal Extension
3 - 12 Fr pre-attached or detached catheter or valve
system
Fr 3, length 55, 65cm; Fr 4, length 65cm, Fr 6.5, 9.5,
length 90cm
Fr 3, length 55; Fr 4, length 65cm, Fr 6.5 length 65,
90cm, Fr 9.5, length 90cm
Fr 5, length special; Fr 7, length 65cm, Fr 9 length 80,
90cm, Fr 12, length special
Fr 7, length 65cm, Fr 9 length 90cm, Fr 12, 90, special
Dia 22 - 32mm, length 82 - 140mm
22 - 42mm diameter and 115 - 216mm long
Detail and Benefit Amendment
WC116
Mini, single or multiple chamber titanium Port which
may include micropuncture introducer set
Cook TPN single lumen catheter
Dia 22 Length 77; Dia 24 Length 77;Dia 26 Length
77; Dia 28 Length 80; Dia 30 Length 80; Dia 32
Length 80; Dia 34 Length 77; Dia 36 Length 77; Dia
38 Length 77; Dia 40 Length 81
Diameter 42 Length 81
Detail and Benefit Amendment
WC164
Cook Implantable Injection/Infusion Ports
Cook Vascular/Biliary Stent
WC173
Cook Embolisation Coils
Nester Platinum
WC190
Detachable Mreye Embolization Coils
Standard Mreye
3 - 12 Fr pre-attached or detached catheter or valve
system
5/6 Fr delivery system, 4 - 14mm diameter, 2 - 8cm
length
Diameters: .018 and .035, Extended Lengths: 14cm,
Coil Diameters: 3mm to 10mm
Diameters: .035 and .038, Extended Lengths: 1cm to
20cm, Coil Diameters: 3mm to 20mm
Detail and Benefit Amendment
WC168
Dual or Multiple Chamber Titanium Port which may
include micropuncture or standard introducer set
Vascular/Biliary stent
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail Amendment
Detail Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 136 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
WC201
Cook Central Venous Catherisation Kits
Turbo-Flo Peripherally Inserted Central Venous
Catheter Set, Single Lumen Polyurethane with
Micropuncture Peel-Away Sheath Introducer and
Wire Guide
4Fr - 60cm and 5Fr - 60cm
Detail Amendment
WC202
Cook Central Venous Catheterisation Kits
Turbo-Flo Peripherally Inserted Central Venous
Catheter Set, Single Lumen Polyurethane with Peel
Away Sheath Introducer and Wire Guide
5Fr - 60cm
Detail Amendment
WC203
Cook Central Venous Catherisation Kits
5Fr - 60cm
Detail Amendment
WC204
Cook Central Venous Catheterisation Kits
Turbo-Flo Peripherally Inserted Central Venous
Catheter Set, Dual Lumen Polyurethane with PeelAway Sheath Introducer and Wire Guide
Turbo-Flo Over-The-Wire Peripherally Inserted
Central Venous Catheter Set, Single Lumen
Polyurethane with Micropuncture Peel-Away Sheath
Introducer and Wire Guide
4Fr - 60cm and 5Fr -60cm
Detail Amendment
WC205
Cook Central Venous Catheterisation Kits
Turbo-Flo Over-The Wire Peripherally Inserted
Central Venous Catheter Set, Dual Lumen
Polyurethane with Micropuncture Peel-Away Sheath
Introducer and Wire Guide
5Fr - 60cm
Detail Amendment
WC206
Cook Central Venous Catheterisation Kits
PICC Peripherally Inserted Central Venous Catheter
Set, Single Lumen Silicone with Micropuncture PeelAway Sheath Introducer and Nitinol Wire Guide
3Fr - 50cm and 4Fr and 5Fr - 60cm
Detail Amendment
WC207
Cook Central Venous Catheterisation Kits
PICC Peripherally Inserted Central Venous Catheter
Set, Catheter without Clamp, Single Lumen Silicone
with Micropuncture Peel-Away Sheath Introducer
and Wire Guide
3Fr - 50cm and 4Fr and 5Fr - 60cm
Detail Amendment
WC208
Cook Central Venous Catheterisation Kits
PICC Peripherally Inserted Central Venous Catheter
Set, Catheter without Clamp, Single Lumen Silicone
with Micropuncture Peel-Away Sheath Introducer
and Nitinol Wire Guide
4Fr - 60cm and 5Fr - 60cm
Detail Amendment
WC222
Cook Spectrum Silicone Long Term Catheter Set
7Fr
Detail Amendment
WC223
Cook Spectrum Silicone Long Term Catheter Set
8Fr
Detail Amendment
WC230
5Fr, 7Fr, 9Fr
Detail Amendment
5 lumen CVC with antibiotic impregnation
10Fr
Detail Amendment
Stent graft indicated for the repair of in situ AAA
stent grafts
Bifurcated branch vessel stent graft with openings to
connect the common iliac, sidebranch, and external
iliac segments. Made of stainless steel and nitinol zstents and woven polyester, mounted on H&LB one
shot delivery system
Proximal diameter 22 - 36mm, Length (covered
section) 43 - 62mm
Common iliac lengths 45 or 61mm, external iliac
lengths 41 or 58mm and distal cuff diameters 10 or
12mm
Detail and Benefit Amendment
WC233
Cook Spectrum CVC Catheter 3 Lumen with
antibiotic impregnation
Cook Spectrum 5 Lumen CVC Catheter with
antibiotic impregnation
Zenith Renu AAA Ancillary Graft - Main Body
Extension
Zenith Branch Endovascular Graft - Iliac Bifurcation
Dual lumen catheter CVC impregnated with antibiotic
with or without clamp
Triple lumen catheter CVC impregnated with
antibiotic with or without clamp
Triple lumen CVC line with antibiotic impregnation
WC234
Formula 414 Rx Renal Stent System
Balloon Expandable Vasc/Biliary Stent
Detail and Benefit Amendment
WC238
Zenith Thoracic Endovascular Graft
Thoracic Proximal Grft
Rapid exchange 014/018, 80-135cm delivery system.
Diameters 4-10mm, lengths 0.8 - 4cm
22mm to 42mm diameter, 115mm to 179mm Length
WC231
WC232
Changed Items for Prostheses List Report
Detail and Benefit Amendment
Detail and Benefit Amendment
Page 137 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
WC239
WC240
WC241
WC258
Thoracic Proximal Grft
Thoracic Distal Graft
Thoracic Distal Graft
Leg Extension
22mm to 42mm diameter, 180mm to 216mm Length
26mm to 42mm diameter, 127mm to 179mm Length
26mm to 42mm diameter, 180mm to 207mm Length
Diameters from 8 to 24mm, Lengths from 37 to 122mm
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Leg extension with Captor valve
Diameters from 8 to 24mm, lengths from 37 to 122mm
Detail and Benefit Amendment
WC260
Zenith Thoracic Endovascular Graft
Zenith Thoracic Endovascular Graft
Zenith Thoracic Endovascular Graft
Zenith AAA Endovascular Graft
Contralateral/Ipsilateral Lliac Legs
Zenith AAA Endovascular Graft
Contralateral/Ipsilateral Lliac Legs
Zenith Fenestrated AAA Endovascular Graft
Distal Bifurcated Body
Detail and Benefit Amendment
WC261
Zenith Fenestrated AAA Endovascular Graft with
Distal Bifurcated Body with Flexor sheath
WC262
Zenith Fenestrated AAA Endovascular Graft
Proximal Fenestrated Body
WC263
Zenith Fenestrated AAA Endovascular Graft with
Proximal Fenestrated body with Flexor sheath
Diameter 12 - 24mm, 1st length 28 - 62mm, 2nd
length 76 - 121mm
Diameter 12 - 24mm, 1st length 28 - 62mm, 2nd
length 76 - 121mm
1 or 2 internal stents, 24 - 36mm Diameter, 73 129mm Length
1 or 2 internal stents, 24 - 36mm Diameter, 73 129mm Length
Detail Amendment
WC259
Detail and Benefit Amendment
Detail and Benefit Amendment
Detail and Benefit Amendment
Zimmer Pty Ltd
Neurosurgical
ZI660
Nex-Link
Spinal Fixation System, Polyaxial Screws
ZI661
Nex-Link
Spinal Fixation System, Transverse Connectors
3.5mmx10mm - 4.00mmx22mm; 4.5 x 20-40mm(5mm
increments); 5.5mm x 20-45mm (5mm increments)
4.00mm Rod x 25mm - 45 length; 4.00mm Rod x
4.00mm & 5.5mm (band), 4.00mm Rod x 4.00
&5.5mm (inline)
ZI706
Nex-Link
Spinal Fixation System, Open Screw Closure
4.00mm
Detail Amendment
20 - 60mm
20 - 80mm
8 - 23mm
Outer Diameter 38 - 72mm, Inner Diameter 22,28, or
32mm
Extra Small, Small, Regular
1 to 7
28/14 (S,M,L)
140 to 260 x 14 to 24
One size only
size K, S, A, E, P, X, B, G, R, C, J, D, K1, S1, AA,
E1, P1, X1, K2, E2, BB, G1, R1 ,S2, P2, G2, CC, J1,
X2, R2, J2, DD
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Petite, Left, Right
Detail Amendment
Detail Amendment
Orthopaedic
ZI079
ZI089
ZI226
ZI286
Miller Galante I
Miller Galante II
Zimmer Bone Plug
Zimmer Acetabular Cup
Bone Screw - Ti
Bone Screw - Ti
Allen Medullary Plug
Multipolar (Bipolar) Cup-Co Chr W/WHMWPE
ZI328
ZI356
ZI362
ZI379
ZI451
ZI553
Coonrad/Morrey Elbow Cement Restrictor
Medullary Plug, MS 30
Natural Hip System
PFM Hip series
Allofit screw hole plugs
M/L Taper Kinectiv Neck
PMMA/Plastic
Centring Plug, cement restrictor, hip - PE
Eccentric Ball Heads - CoCr alloy
Uncemented Stems, titaniuam, grit blast and non HA
Sterile, 7 per set
Neck component for M/L taper stem
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Specialist Orthopaedic
ZI003
Coonrad-Morrey Elbow
Changed Items for Prostheses List Report
Ulna - Titanium
Page 138 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
ZI004
ZI005
ZI132
ZI133
ZI149
Coonrad-Morrey Elbow
Coonrad-Morrey Elbow
NexGen Knee High Tibial Osteotomy System
NexGen Knee High Tibial Osteotomy System
Periarticular Plates
Humerus - Titanium
Bushing - Polyethylene, Titanium
Plate - Ti
Screw - Ti
Periarticular 6.5mm Cancellous Screws - Stainless
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
ZI150
ZI151
Periarticular Plates
Periarticular Plates
ZI152
Periarticular Plates
10 - 80mm
Detail Amendment
ZI153
ZI154
ZI157
Periarticular Plates
Periarticular Plates
Zimmer Internal Fixation Systems: Compression Hip
Screw
Zimmer Internal Fixation Systems: Compression Hip
Screw
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cable System
Zimmer Internal Fixation Systems: Cannulated Screw
Periarticular 4.0mm Cancellous Screws - Stainless
Periarticular 4.5mm Self Tapping Screws - Stainless
Steel
Periarticular 3.5mm Self Tapping Screws - Stainless
Steel
Periarticular Tibial Plateau Plates - Stainless Steel
Periarticular Femoral Condylar Plates - Stainless Steel
Freelock/Versa-fx tube plate - Stainless Steel
4, 6, 8 inch, Left & Right
1&2
1 - 10
4.5 - 10 - 80 mm, 6.5 - 10 - 80 mm
16mm Thread - 35-90mm Long, 32mm Thread - 4590mm Long, Fully Threaded - 25-90mm Long
Part thread - 30-60 mm, Full thread 30-110 mm
26 - 90mm
2 holes - 14 holes Left & Right
4 holes - 18 holes Left & Right
2 holes - 20 holes
Detail Amendment
Detail Amendment
Detail Amendment
Freelock/Versa-fx lag screw - Stainless Steel
50 mm - 150 mm long
Detail Amendment
Cable-Ready Stainless Steel
Cable-Ready Plate Cable Stainless Steel
Cable-Ready GTR Distal end Cable - Cobalt Chrome
Cable-Ready 6 Hole Plate - Stainless Steel
Cable-Ready 8 Hole Plate - Stainless Steel
Cable-Ready 10 Hole Plate - Stainless Steel
Cable-Ready Pin - Stainless Steel
Cable-Ready GTR Cable - Proximal
Cable-Ready Stainless Steel Cable
Magna-FX - Stainless Steel
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Mini Magna-FX - Stainless Steel
Scaphiod - Titanium
Herbert/Whipple - Titanium
Cannulated 4.5mm - Titanium
Cannulated 6.5mm - Titanium
Statak/Mini-Statak - Suture, Stainless Steel
1.3 mm
610 mm long
635 mm long
187mm long
246mm long
305mm long
35, 40, 45, 65mm long
635mm long
1.8mm
16 mm Thread - 30-30 mm; 32 mm Thread - 40-120
mm; Fully Threaded - 30-130 mm Long
4 & 5mm diameters
Scaphoid - 12 - 30mm length
12 mm - 30 mm
30 - 70mm
25 mm - 100mm
2, 5 mm - 5, 0mm
1.5mm Cortical Screws
2.0mm Cortical Screws
2.7mm Cortical Screws
6 - 18mm
6 - 24mm
6 - 50mm
Detail Amendment
Detail Amendment
Detail Amendment
ZI158
ZI161
ZI163
ZI164
ZI167
ZI168
ZI169
ZI170
ZI173
ZI174
ZI176
ZI177
ZI178
ZI179
ZI180
ZI181
ZI182
ZI199
ZI200
ZI201
Zimmer Internal Fixation Systems: Cannulated Screw
Zimmer Internal Fixation Systems: Herbert Bone Screw
Zimmer Internal Fixation Systems: Herbert Bone Screw
Zimmer Internal Fixation Systems: Herbert Bone Screw
Zimmer Internal Fixation Systems: Herbert Bone Screw
Zimmer Internal Fixation Systems: Soft Tissue Reattachment Device
Zimmer ECT Screws
Zimmer ECT Screws
Zimmer ECT Screws
Changed Items for Prostheses List Report
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Page 139 of 144
Billing
Product Name
Further Description
Size
Explanation of Change
ZI202
ZI203
ZI204
ZI205
ZI206
ZI207
ZI209
ZI210
ZI211
ZI212
ZI214
ZI215
ZI216
ZI217
ZI218
ZI219
ZI220
ZI222
ZI223
ZI224
ZI225
ZI227
ZI228
ZI230
ZI231
ZI234
ZI243
ZI289
ZI290
Zimmer ECT Screws
Zimmer ECT Screws
Zimmer ECT Screws
Zimmer ECT Screws
Zimmer ECT Screws
Zimmer ECT Screws
Zimmer Large-Frag System
Zimmer Large-Frag System
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
Zimmer Plates
ZPS
ZPS
ZPS
ZPS
Cable System
Periarticular Plates
Bigliani Shoulder System
Cable Ready Cable Grip System
10 - 130 mm
10 - 60 mm
14 - 120mm
14 - 70mm
25 - 70mm
25 - 110mm
Small & Large
Small & Large
3 - 8 Hole
3 - 8 Hole
3 - 8 Hole
3 - 12 Hole
4 - 12 Hole
4 - 6 Hole
5 - 6 Hole
68 - 147mm
88 - 104mm
2 - 6 Hole
3 - 8 Hole
2 - 12 Hole
5 - 14 Hole
6 Hole
6 Hole
6 Hole
4 Hole
2,5mm - 5,0mm
2 - 20 Hole
Lengths 130 - 200mm, Thickness 6 - 16mm
23 x 53mm, 1.8 x 635mm
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
Detail Amendment
ZI293
ZI294
Zimmer Wires
Zimmer Wires
3.5mm Cortical Screws
4.0mm Cancellous Screws
4.5mm Cortical Screws
4.5mm Self tapping Cortical Screws
4.5 Malleo Screw
6.5mm Cancellous Screws
Cortical Nut for 4.5mm screw
Washer/Spiked washer
ZPS SC 1/3 Tubular Plate - Forearm
ZPS Semi Tubular Small Narrow Plate
Mini Straight & Epiphysis Plates
Mini SCP Plate
SCP Forearm plate
T Buttress Plates
Spoon Plates
T-Plates
Cloverleaf plates
Epiphysis plates
1/4 Tubular Plate
Standard DC Plate
Broad Plates
3.5mm Straight Recon Plates
3.5mm Curved Recon Plates
4.5mm Straight Recon Plate
Recon Bridge Plate
Cable Ready, Cable Button
Stainless Steel
Cobalt Chrome
Titanium - comes with two cables (Co Cr), Integral
Crimps
Stainless Steel
Stainless Steel
Detail Amendment
Detail Amendment
ZI297
ZI298
ZI299
Cable Ready Cable Grip System
Cable Ready Cable Grip System
Cable Ready Cable Grip System
Titanium
Titanium
Titanium
Length 23cm, Thickness 2mm, 0-4mm, 8mm
Length 7, 6cm - 23cm, Thickness 0mm, 7mm - 2mm,
0mm
5 hole GTR with 4 cables
2 hole GTR with 4 cables
4 hole GTR with 4 cables
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Product Name
Further Description
Size
Explanation of Change
ZI300
ZI304
ZI319
ZI320
ZI321
ZI322
ZI323
ZI326
ZI331
ZI336
ZI342
ZI343
ZI344
ZI345
ZI370
ZI398
ZI399
ZI400
ZI440
ZI441
ZI442
ZI443
ZI444
Bigliani Shoulder System
Bigliani Shoulder System
Bigliani Flatow Total Shoulder System - Glenoids
ITST Intramedullary Nails
Intramedullary Nail Caps
ITST Intramedullary Nailing System - Lag screw
Zimmer Wires
Bigliani/Flatow Trabecular Metal Humeral Shoulder
Zimmer Periarticular Locking Plates
Polypin Resorbable Bone Pin
GSB Cemented Elbow
GSB Cemented Elbow
GSB Cemented Elbow
GSB Cemented Elbow
Cancellous Screws
High Tibia Osteotomy
Cancellous Screws
Cortical Screws
Anatomical
Select Shoulder
Select Shoulder
Select Shoulder
BiPolar Head
40, 46, 52, 52mm diameters
40, 46 and 52mm diameters
Diameter 40 - 52mm
Diameter 10 - 14mm; Length 18 - 50cm
Diameter 0 - 20mm
Diameter 11mm: Length 70mm - 120mm
Diameter 2.4 - 6.4mm; Length 2.5 - 52.7cm
6mm-19mm diameter
Various lengths and numbers of holes
1.5, 2.0, 2.7mm
76,86,86L
One size only
12/71,12/61,16/71,16/61
2/12,4/12,6/12,2/16,4/16,6/16
20 to 60
L shaped steel alloy plate; Standard & Long
6.5/15 to 6.5/70mm
4.5/30 to 60mm
S, M, L
44/19 to 56/32
S, M, L, XL
7mm Short to 14.5mm
26/42 to 26/60
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ZI445
ZI446
ZI447
ZI448
ZI459
ZI464
ZI465
ZI471
ZI484
Intermedics Select Shoulder
Intermedics Select Shoulder
Bioresorbable Screw
Cannulated Screw
Collagen Meniscus Implant
GSB Elbow
GSB Elbow
NCB Plates
Wristore
40 x 16mm to 56 x 32mm
7 to 14.5mm
One size only
One size only
7.5mm, 9mm
One size only
Length 76 - 86mm
Plate size 60 to 324mm long
Wristore Pack
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ZI522
SIRUS Nail
Bigliani-Flatow Shoulder - Heads (Cobalt chrome)
Bigliani-Flatow shoulder - Glenoid (UHMWPE)
Trabecular Metal Backed Glenoid (uncemented)
Stainless Steel Intertrochanteric Nailing System
Stainless Steel Intertrochanteric Nailing System
Stainless Steel Intertrochanteric Nailing System
Stainless Steel Rushpins
Porous Tantulum Humeral Stem
Periarticular Locking Plating System
Polylactide
GSB Humerus - CoCr alloy/PE
GSB Humeral Medullary Plug - PE
GSB Ulna Component - CoCr alloy
GSB Washer - PE
Orthopaedic Screws - Ti alloy
High Tibia Osteotomy - Ti alloy
Screws- Cancell - Ti alloy
Screws- Cortical - Ti alloy
Glenoid - PE
Humeral Head Eccentric - CoCr alloy
Glenoid - PE
Stem - Ti alloy
Humeral Head used with Select Shoulder Humeral
Stem - CoCr alloy/ PE
UniPolar Head -metal alloy
Long Stem - Ti alloy
Polylactide
Ti alloy
Porous collagen-glycosaminoglcan matrix
Ulna Extension
Special Bushing for Humerous
Polyaxial locking plates, special titanium alloy
Disposable External Fixation device for the treatment
of distal radial fractures.
Sirus Tibial Nail
8, 9, 10mm diam x 240 to 420mm in 14mm increments
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Billing
Product Name
Further Description
Size
Explanation of Change
ZI523
SIRUS Nail
Sirus Femoral Nail
Detail Amendment
ZI524
ZI525
ZI526
ZI528
SIRUS Nail
SIRUS Nail
SIRUS Nail
Zimmer Trabecular Metal Reverse Shoulder System
ZI529
Zimmer Trabecular Metal Reverse Shoulder System
Sirus Locking Screws
Sirus Cervical Screws
Sirus End Cap
Trabecular Metal Humeral Stem Titanium Alloy and
Tantalum
Polyethylene Liner
9, 10, 11, 12, 13mm diam x 300 to 480mm in 20mm
increments
3.9, 4.9mm x 24 to 100mm
6.5mm diam x 60 to 140mm in 5mm increments
5-25mm length in 5mm increments
12mm x 130mm; 12mm x 170mm; 14mm x 130mm
Standard 7 Deg. & Retentive 65 Deg; 36mm Neutral, Plus 3mm, Plus 6mm; 40mm - Neutral, Plus
3mm, Plus 6mm
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ZI530
ZI531
ZI532
ZI533
Zimmer Trabecular Metal Reverse Shoulder System
Zimmer Trabecular Metal Reverse Shoulder System
Zimmer Trabecular Metal Reverse Shoulder System
Zimmer Trabecular Metal Reverse Shoulder System
9mm, 12mm Taper Insert
One Size Only
36mm, 40mm
One Size Only
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ZI534
Zimmer Trabecular Metal Reverse Shoulder System
Detail Amendment
ZI541
Zimmer Universal Locking System
3.5mm Universal Locking System Reconstruction
Plates, Straight-Sterile-Sterile & Non Sterile
18mm, 24mm, 27mm, 30mm, 33mm, 36mm, 42mm,
48mm
3 hole 40mm; 4 hole 53mm; 5 hole 79mm; 7 hole
92mm; 8 hole 105mm; 9 hole 118mm; 10 hole
131mm; 11 hole 144mm; 12 hole 157mm
ZI542
Zimmer Universal Locking System
3.5mm Locking Dual Compression Plate Sterile and
Non Sterile
Detail Amendment
ZI543
Zimmer Universal Locking System
3.5mm Locking T Plate Sterile and Non-Sterile
4 hole 53mm; 5 hole 66; 6 hole 79mm; 7 hole 92mm;
8 hole 105mm; 9 hole 118mm; 10 hole 131mm; 11
hole 144mm; 12 hole 157mm; 14 hole 183mm
3 hole head 5 hole shaft 73mm length; 4 hole head 6
hole shaft 85mm length; 3 hole head 3 hole shaft left
51mm length; 3 hole head 4 hole shaft left 63mm
length; 3 hole head 3 hole shaft right 51mm length; 3
hole head 4 hole shaft right 63mm length.
ZI544
Zimmer Universal Locking System
Zimmer Universal Locking system
ZI546
Zimmer Universal Locking System
5 hole 68mm; 6 hole 81mm; 7 hole 94mm; 8 hole
107mm; 10 hole 133mm
13 hole; 14 hole; 15 hole; 16 hole; 18 hole; 20 hole; 22
hole
16 hole; 20 hole
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ZI545
ZI547
Zimmer Universal Locking System
3 hole; 4 hole; 12 hole; 14 hole
Detail Amendment
ZI548
Zimmer Universal Locking System
3.5mm Locking One-Third Tubular Plate - Sterile and
non-sterile
3.5 mm Optional Locking Reconstructive PlateSterile and Non-Sterile
3.5mm Optional Locking dual Compression Plate Sterile and Non-Sterile
3.5mm Optical Locking-Third Tubular Plate-Sterile
& Non Sterile
2.7mm Universal Locking Screw
Length:8mm; 10mm; 12mm; 14mm; 16mm; 18mm;
20mm; 22mm; 24mm; 26mm; 28mm; 30mm; 32mm;
34mm; 36mm; 38mm; 40mm; 42mm; 44mm; 46mm;
48mm; 50mm; 55mm; 60mm
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ZI549
Zimmer Universal Locking System
2.7mm Universal Locking System Reconstruction
Plates, Straight - Sterile & Non Sterile
6 hole 49mm; 8 hole 65mm
Detail Amendment
Changed Items for Prostheses List Report
Spacer
Dual Taper Insert
Glenosphere - CoCr - Mo Alloy
Trabecular Metal Reverse Base Plate - Ti Alloy &
Tantalum
Inverse/Reverse Screw 4.5mm
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Billing
Product Name
Further Description
Size
Explanation of Change
ZI550
Zimmer Universal Locking System
2.7mm Locking Dual Compression Plate Sterile and
Non Sterile
Detail Amendment
ZI551
Zimmer Universal Locking System
2.7 mm Locking T & L Plate Sterile and Non-Sterile
2 hole 26mm; 4 hole 49mm; 6 hole 72mm; 7 hole
84mm; 8 hole 95mm; 9 hole 107mm; 10 hole 118mm;
12 hole 141mm; 16 hole 187mm
2 hole head 3 hole shaft 39mm length; 2 hole head 5
hole shaft 62mm length; 3 hole shaft left 39mm; 3
hole shaft right 39mm; 3 hole shaft oblique left
42mm; 3 hole shaft oblique right 42mm; 5 hole shaft
left 62mm; 5 hole shaft right 62mm; 5 hole shaft obl
ZI552
Zimmer Universal Locking System
ANATOMICAL SHOULDER
ZI564
ANATOMICAL SHOULDER
ZI565
ANATOMICAL SHOULDER
ANATOMICAL INVERSE/REVERSE GLENOID
HEAD
ANATOMICAL FRACTURE HUMERAL HEAD
3 hole 36mm; 4 hole 47mm; 5 hole 59mm; 6 hole
70mm;l 7 hole 82mm; 8 hole 93mm
D40 H14; D42 H15; D44 H16; D46 H16; D48 H17;
D50 H18; D52 H19; D48 H20; D50 H21; D52 H23.
36mm; 40mm
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ZI562
2.7mm Locking One-Quarter Tubular Plate-Sterile
and Non-Sterile
ANATOMICAL REMOVABLE HEAD
Detail Amendment
ZI575
ANATOMICAL SHOULDER
ANATOMICAL FRACTURE STEM
ZI577
ANATOMICAL SHOULDER
ZI578
ANATOMICAL SHOULDER
One size only.
Detail Amendment
ZI579
ANATOMICAL SHOULDER
ANATOMICAL INVERSE/REVERSE HUMERAL
POLY INLAY
ANATOMICAL INVERSE/REVERSE GLENOID
FIXATION
ANATOMICAL CEMENTED HUMERAL STEM
40mm Left & Right; 44mm Left & Right; 48mm Left
and Right.
7-14mm x 130mm; 7mm x 170mm; 9, 11, 13mm x
200mm.
36mm x 0, 3 & 6mm; 40mm x 0, 3 & 6mm.
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ZI580
ANATOMICAL SHOULDER
ANATOMICAL INVERSE/REVERSE HUMERAL
CUP
7 x 100mm; 9 x 110mm; 12 x 110mm; 7 x 200mm; 9 x
210mm; 14 x 210mm
Zero degree Retro; Zero degree Retro +6; +10 degree
Retro; –10 degree Retro; +20 degree Retro; -20 degree
Retro;9mm 0 degree Retro; 9mm 0 degree Retro +6.
ZI581
ZI582
ANATOMICAL SHOULDER
ANATOMICAL SHOULDER
ANATOMICAL PEGGED GLENOID
ANATOMICAL PRESS-FIT HUMERAL STEM
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ZI596
ZI597
ZI598
ZI599
ZI600
ZI601
ZI602
ZI603
ZI604
ZI605
ZI606
ZI708
NCB System
NCB Plating System
NCB System
NCB System
NCB System
NCBSystem
Trans Fx LITE Ankle Implant Kit
Trans Fx LITE - Pelvic Resuscitation Kit
Trans Fx LITE
Trans Fx LITE - Wrist Kit
Trans Fx LITE
Universal Clamp
NCB Screw Self Tapping
NCB Spacers & Screw Caps
NCB Cancellous Screws
NCB Cortical Screws
NCB Cannulated Screws
NCB Cannulated Cancellous Screws
MRI Ankle Bridging Implant Kit
MRI Pelvic Resuscitation Kit
MRI Knee Spanning Implant Kit
Wrist Spanning Frame
MRI Universal Clamp
Universal Clamp
Small, Medium and Large
7 x 100mm, 9 x 110mm, 10.5 x 110mm, 12 x 110mm,
14 x 110mm
5.00mm x 14-85; 4.00mm x 14-48,
1, 2 and 3
4.5mm x 30-65, 5.0mm x 32-90, 4.5mm x 30-65 C/FT
5.00mm x 14-85; 4.00mm x 14-90; 3.5mm x 14-75.
14mm to 65mm
4.5mm x 30-90mm
Large
Large
Large
Small
One size only
5.5mm
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Further Description
Size
Explanation of Change
Grand Total: 3321 Records
Changed Items for Prostheses List Report
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