Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p467
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 467/696)
Character Range: 15909486–15933817

Dual Mobility Constrained Highly Cross Linked Liner                            Modified UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     FOR '22.2-28MM Head sizes and 43-72MM diameter shells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $1,540.00
SN856                                                                                                                  R3 Acetabular System                                                                 XLPE Constrained Acetabular liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   40-78mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $1,540.00

     STRYKER AUSTRALIA PTY LTD
SK501                                                                                                                  Restoration Anatomic Dual Mobility Polyethylene Insert                               The polyethylene insert for the Restoration ADM component articulates with the highly polished inner surface of the Restoration ADM cup and is articul;ated with a standard cobalt-chrome or ceramic 28mm diameter femoral head                                                                                                                                                                                                                                                                                     Outer Diameter 36mm - 64mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,540.00
ST539                                                                                                                  Constrained acetabular insert                                                        UHMPE & cobalt chrome bipolar constrained insert                                                                                                                                                                                                                                                                                                                                                                                                                                                                    22, 26, 28, 32mm dia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $1,540.00

     ZIMMER BIOMET PTY LTD
QQ327                                                                                                                  Vivacit E Dual Mobility Liners                                                       Vitamin E UHMWPE Dual Mobility Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ID: 22.2mm to 28mm, OD: 32mm to 60mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $1,540.00
BI878                                                                                                                  Freedom Constrained Liner                                                            Constrained Acetabular Liner - UHMWPE, Ti                                                                                                                                                                                                                                                                                                                                                                                                                                                                           23mm to 62mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         $1,540.00
BI092                                                                                                                  Mallory Head Hip System                                                              Acetabular Liner,  Constrained, Ringloc, UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                     28-38mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $1,540.00
ZI568                                                                                                                  Trilogy Acetabular System                                                            Longevity Constrained Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         50/52/54mmODx28mmID; 56mmODx32mmID; 58mmODx32mmID; 60mmODx36mmID; 62mmODx36mmID; 64mmODx36mmID; 66mmODx36ID; 68mmODx36mmID; 70mmODx36mmID; 72mmODx36mmID; 74mmODx36mmID; 76mmODx36mmID; 78mmODx36mmID; 80mmODx36mmID                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $1,540.00
BH041                                                                                                                  Avantage Dual Mobility Acetabular Cup Inlay                                          UHMWPE Dual Mobility Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          OD: 44 – 66mm and ID: 22.25mm and 28mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $1,540.00
ZI561                                                                                                                  Trabecular Metal Acetabular Revision System                                          Cemented Constrained Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          50x28mm; 52x28mm; 54x32mm; 56x32mm; 58x36mm; 60x36mm; 66/68/70x36mm; 72/74x36mm; 76/78/80x36mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $1,540.00

  Cup & Ring
     JOHNSON & JOHNSON MEDICAL PTY LTD
DP014                                                                                                                  Pinnacle Constrained Inserts                                                         UHMWPE, constrained liner with titanium alloy locking ring                                                                                                                                                                                                                                                                                                                                                                                                                                                          Inner diameter 28-44mm, 36-76mm outer diameter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $1,540.00

     STRYKER AUSTRALIA PTY LTD
ST932                                                                                                                  Stryker Trident Constrained Acetabular Insert                                        Two pre assembled components: Outer insert component and a captured UHR (Universal Head) component.  Composition - Cobalt chrome alloy and UHMWPE (ultra high molecular weight polyethylene) with a Titanium 6A1-4V ELI alloy retaining ring                                                                                                                                                                                                                                                                        Sizing 22 - 32mm in 0 degrees & 10 degrees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,540.00

     ZIMMER BIOMET PTY LTD
ZI737                                                                                                                  LONGEVITY CONSTRAINED LINER                                                          Longevity HXPE constrained Liner with Titanium Alloy Locking Ring                                                                                                                                                                                                                                                                                                                                                                                                                                                   Inner Diameter: 28mm, 32mm and 36mm head size.  Outer Diameter 50mm to 80mm shell size in 2mm increments.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            $1,540.00

  11.03.04.06 - Ceramic Mix
     B BRAUN AUSTRALIA PTY LTD
BB235                                                                                                                  Biolox Delta Ceramic Liner                                                           Biolox Delta Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  28, 32, 36 & 40mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $1,690.00

     Corin (Australia) Pty Limited
CR158                                                                                                                  Biolox Delta Acetabular Liner                                                        Biolox Delta ceramic acetabular liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                               28mm, 32mm, 36mm, 40mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $1,690.00

     EXACTECH AUSTRALIA PTY LTD
FA005                                                                                                                  Biolox Delta Acetabular Liner                                                        Biolox Delta ceramic acetabular liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                               28mm, 32mm, 36mm, 40mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $1,690.00

     GRUPPO BIOIMPIANTI PTY LTD
GG004                                                                                                                  Contile Fin II Acetabular Biolox Delta Ceramic Liners                                Contile Fin II Acetabular Biolox Delta Ceramic Liner inserts 28mm,32mm, 36mm & 46mm                                                                                                                                                                                                                                                                                                                                                                                                                                 Inserts 28mm 44mm to 46mm, Inserts 32mm 48mm to 66mm, Inserts 36mm 52mm to 66mm, Inserts 40mm 56mm to 66mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,690.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
DY512                                                                                                                  Pinnacle Acetabular Cup System                                                       Pinnacle ceramic liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              44