Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p416
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 416/696)
Character Range: 14578590–14623399

in 20, 30, 40, 60, 80, 100, 120, 140mm lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $2,042.00

  10.01.02.01 - Self Expandable
  <150mm
     BOSTON SCIENTIFIC PTY LTD
BS327                                                                                      Eluvia                                                                                                                     Drug Eluting Vascular Stent System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Diameter 6-7mm, Length 40-120mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $2,033.00

  ≥150mm
     BOSTON SCIENTIFIC PTY LTD
BS328                                                                                      Eluvia                                                                                                                     Drug Eluting Vascular Stent System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Diameter 6-7mm, Length 150-200mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $2,643.00

10.02 - Stent Grafts
10.02.01 - Tube (Thoracic Aorta)
  10.02.01.01 - <180mm length
     MEDTRONIC AUSTRALASIA PTY LTD
MC952                                                                                      Valiant Captivia                                                                                                           Valient Stent Graft with Captivia Delivery System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          22-46mm diameter, 150mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $9,952.00
MI149                                                                                      Valiant Thoracic FreeFlo Tapered stent graft                                                                               Valiant Thoracic FreeFlo Tapered Stent Graft with Captivia Delivery System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Proximal diameter: 26 to 46 mm; distal diameter: 22 to 42 mm; stent graft covered length: 152 to 162 mm. Catheter outer diameter: 22 to 25F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $9,952.00
MC960                                                                                      Valiant Captivia                                                                                                           Valiant Stent Graft with captivia delivery system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          22 - 46 mm diameter: 100mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $9,952.00

     W L GORE & ASSOCIATES (AUSTRALIA) PTY LTD
GT260                                                                                      Conformable GORE TAG Thoracic Endoprosthesis                                                                               Conformable GORE TAG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Diameters (mm): 21, 26, 28, 31, 34, 37, 40, 45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $9,952.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Length (cm) 15
GT259                                                                                      Conformable GORE TAG Thoracic Endoprosthesis                                                                               Conformable GORE TAG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Straight Stent Grafts:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $9,952.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Diameters (mm): 21, 26, 28, 31, 34, 37, 40, 45
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Length (cm): 10
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Tapered Stent Grafts:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Diameters (mm): 26x21; 31x26
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Lengths (cm): 10

     WILLIAM A. COOK AUSTRALIA PTY. LTD.
WC240                                                                                      Zenith Thoracic Endovascular Graft                                                                                         Thoracic Distal Graft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      26mm to 42mm diameter, 127mm to 179mm Length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $9,952.00
WC324                                                                                      Zenith Alpha Thoracic Endovascular Graft Proximal Component                                                                Straight Thoracic Proximal Graft (short)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Diameter: 24-46mm. Length: 105-179mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $9,952.00
WC326                                                                                      Zenith Alpha Thoracic Endovascular Graft Proximal Tapered Component                                                        Tapered Thoracic Proximal Graft (short)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Proximal diameter: 32-46mm.  Length: 161-179mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $9,952.00
WC307                                                                                      Zenith TX2 Dissection Endovascular Graft with Pro-Form and the Z-Trak Plus Introduction System (Short proximal component)  Short Thoracic Proximal Graft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Diameter 22mm - 42mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $9,952.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Length 117mm - 165
WC322                                                                                      Zenith Alpha Thoracic Endovascular Graft Distal Component                                                                  Thoracic Distal Graft (short)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Diameter: 28-46mm.  Length: 142-160mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $9,952.00
WC275                                                                                      Zenith TX2 TAA Endovascular Graft with Pro_Form and the Z-Trak Plus Introduction System Short Proximal Component           Short Thoracic Proximal Graft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Diameter 22mm - 42mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $9,952.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Length 115mm - 167mm

  10.02.01.02 - ≥180mm length
     MEDTRONIC AUSTRALASIA PTY LTD
MC958                                                                                      Valiant Captivia                                                                                                           Valiant Stent Graft with Captivia Delivery System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          24-46mm diameter, 200mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $13,086.00

     W L GORE & ASSOCIATES (AUSTRALIA) PTY LTD
GT261                                                                                      Conformable GORE TAG Thoracic Endoprosthesis                                                                               Conformable GORE TAG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Diameters (mm): 21, 26, 28, 31, 34, 37, 40, 45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $13,086.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Length (cm): 20

     WILLIAM A. COOK AUSTRALIA PTY. LTD.
WC305                                                                                      Zenith TX2 Dissection Endovascular Graft with Pro-Form and the Z-Trak Plus Introduction System (Long proximal component)   Long thoracic proximal graft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Diameter 28mm-42mm; Length 194mm-218                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $13,086.00
WC323                                                                                      Zenith Alpha Thoracic Endovascular Graft Distal Component                                                                  Thoracic Distal Graft (long)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Diameter: 28-46mm.  Length: 190-229mm.