Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p667
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 667/696)
Character Range: 22936975–22964501

x 4.5cm, 24 Fr x 5.0cm

     WILLIAM A. COOK AUSTRALIA PTY. LTD.
WC185                                                            Percutaneous Endoscopic Gastrostomy (PEG) System                                                      PEG Enteral Feeding Kit - Push or Pull System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              18, 20, 24 FR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $185.00

  03.03.02.02 - Subsequent
     Avanos Medical Australia Pty Ltd
KI007                                                            MIC* Gastrostomy Feeding Tube; MIC* Bolus Gastrostomy Feeding Tube, ENFit                             Medical Grade Silicone Construction. Inflatable Silicone Internal Retention Balloon, SECUR-LOK* External Retention Ring, ENFit Feeding Port Connector, Tapered Distal Tip, Radiopaque Stripe along length of Tube                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          12Fr - 2-3ml balloon, 14Fr - 3-5ml balloon, 16Fr - 3-5ml balloon, 18Fr - 7-10ml balloon, 20Fr - 7-10ml balloon, 22Fr - 7-10ml balloon, 24Fr - 7-10ml balloon, 26Fr - 7-10ml balloon, 28Fr - 7-10ml balloon, 30Fr - 7-10ml balloon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $82.00
KI005                                                            MIC-KEY Low Profile Balloon Feeding Accessories                                                       MIC-KEY Extension Sets, ENFit, available in a variety of sizes and options including, bolus and y-port with straight or right-angle connectors.     MIC-KEY Medication Set is also available, ENFit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       30.5cm, 60.9cm, 5.1cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $82.00

     BOSTON SCIENTIFIC PTY LTD
BS142                                                            EndoVive Replacement Feeding Tube                                                                     Silicone enteral feeding tube                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Up to 28 Fr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $82.00

     CARDINAL HEALTH AUSTRALIA 503 PTY LTD.
DO024                                                            Kangaroo™ Percutaneous Endoscopic Gastrostomy Feeding Tube Accessories                                Feeding Adaptors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           16Fr/Ch, 20Fr/Ch - PEG Adaptors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $82.00
DO021                                                            Kangaroo Gastrostomy Feeding Tubes                                                                    100% silicone gastrostomy with internal retention balloon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  12fg, 14fg, 16fg, 18fg, 20fg, 22fg, 24fg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $82.00

     FRESENIUS KABI AUSTRALIA PTY LIMITED
FK012                                                            Freka Gastrotube, FR 15, ENFit                                                                        Gastric replacement system intended for use for long-term intragastric feeding within a fully formed and healed stoma. An Initial Placement System (PEG) would have been placed at least 4 weeks prior. Made of silicone rubber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Fits 15 Fr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $82.00

     NUTRICIA AUSTRALIA PTY LIMITED
NF001                                                            Flocare Gastrostomy tube (G-tube)                                                                     The Flocare Gastrostomy tube can be used as a replacement of an existing gastrostomy tube (PEG or G-tube) or as an initial gastrostomy tube during a surgical intervention. This balloon tube is made of medical grade silicone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Ch14, 18, 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $82.00

     WILLIAM A. COOK AUSTRALIA PTY. LTD.
WC334                                                            Entuit Thrive Balloon Retention Gastrostomy Feeding Tube                                              The gastrostomy feeding tube is a sterile device consisting of a silicone balloon, bi-lumen shaft, three-port funnel and bolster.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          12-24 Fr                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $82.00

  03.03.02.03 - Placement set
     WILLIAM A. COOK AUSTRALIA PTY. LTD.
WC335                                                            Entuit Start Initial Placement Gastrostomy Set                                                        Used to assist with the initial placement of feeding tubes while performing a gastrostomy. The set contains multiple dilators, Peel-Away sheath introducer(s) with dilator(s), a wire guide and needle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Small (dilator 12, 14 Fr), Medium (dilator 16,18 Fr) and Large (dilator 20,22,24 Fr).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $99.00

03.03.03 - Jejunostomy Tubes
     WILLIAM A. COOK AUSTRALIA PTY. LTD.
WC099                                                            Cook Jejunostomy Catheters                                                                            Composition - Catheter Radiopaque Stripe, includes Wireguide, Airplug, Fixation Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     9fr, Length 60cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $154.00
WC098                                                            Cook Jejunostomy Catheters                                                                            Composition - Catheter Radiopaque