Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p118
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 118/706)
Character Range: 447430–452719

Catheter Revision Kit (Distal)  Revision kit to repair distal end of intrathecal catheter (8598A)  38.1cm  $542.00

MI030  Medtronic Ascenda Pump Segment Revision Kit  Intrathecal Catheter Pump Segment Revision Kit  One Size  $542.00

  04.06.04.02 - Refill/Catheter Access Kits
     MEDTRONIC AUSTRALASIA PTY LTD
MI040  Medtronic Infusion Pump Accessories  Accessories for refill/catheter access of infusion pumps  Various  $36.00

04.07 - NEUROSTIMULATION THERAPIES FOR SEIZURE CONTROL
04.07.01 - Vagal nerve stimulators
  04.07.01.01 - Implantable pulse generator
     Livanova Australia Pty Limited
SA190  LivaNova Demipulse Duo Model 104 Generator for Vagus Nerve Stimulation  The LivaNova Demipulse Duo Model 104 is an implantable, dual pin lead compatible and multiprogrammable pulse generator that delivers electrical signals to the vagus nerve.  one size only  $11,435.00

SA186  Aspire SR Pulse Generator Model 106  The 106 VNS therapy system is indicated for use as a adjunctive therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications. Model 106 has the added feature of Autostim. In patients who experience Ictal Tachycardia which is defined as an increase in heart rate during a seizure specifically from baseline to a rate greater than 100 BPM and is at least 55% increase or 35 BPM increase from baseline delivering a therapeutic stimulation automatically delivered on detection of a physiological signal indicative of the onset of a seizure.  Lead receptacle -  0.126 in (3.2 mm) nominal                    $11,435.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Dimensions -2.0 in x 2.0 in x 0.27 in (52 mm x 52 mm x 6.9 mm)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Weight- 0.88 oz (25 g)

SA174  VNS Therapy Pulse/Pulse Duo  Model 102/102R Generator  One size only  $11,435.00

SA185  VNS Therapy Demipulse Generator 103  The generator is an implantable multiprogrammable pulse generator that delivers electrical signals to the vagus nerve. The pulse generator is housed in a hermetically sealed titanium case and is powered by a single battery. Electrical signals are transmitted from the pulse generator to the vagus nerve  Lead Receptacle 0.126 in (3.2 mm)                                                                                  $11,435.00
                                            by the lead. The VNS Therapy System is indicated for use as an adjunctive                                                                                                                                                                                                                                       Dimension 1.8 in x 1.3 in x 0.27 in (45 mm x 32 mm x 6.9mm)
                                            therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications.                                                                              Weight 0.56 oz (16 g)

                                                                                                                                                                                                                                                                                                                                                            The 103 is smaller than previous devices, and fits in the palm of your hand and may be used in pediatric patients

  04.07.01.02 - Lead
     Livanova Australia Pty Limited
SA187  VNS Therapy PerenniaFLEX Model 304.2 & 304.3  Model 304 lead is a silicone insulated implantable patient lead, delivering the