Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p395
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 395/706)
Character Range: 1315476–1318833

$3,662.00

MI223  Azure S SR MRI SureScan  MR Conditional single chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-VVIR)  12.25cm3 22.5g  $3,662.00

MC728  Adapta Pacemaker  SR Pacemaker                   9.7 - 11.0cc  $3,662.00
                         Models ADSR01, ADSR06, ADSR03  21.5 - 22.5g

     MICROPORT CRM PTY LIMITED
RF012  KORA 100 SR  KORA 100 SR is a Single Chamber MRI conditional rate-responsive pacemaker.  Dimensions 37.4 x 41.5 x 6.1mm,  Weight 19g. Volume 7.5cm3. Connector IS-1. Sensors Minute Ventilation (MV) and Accelerometer (G).  $3,662.00

RF027  OTO SR  Single Chamber MRI Conditional Pacemaker  Weight- 19g  Volume - 7.5cc  $3,662.00

RF028  TEO SR  Single Chamber MRI Conditional Pacemaker  Weight - 19g  Volume- 7.5cc  $3,662.00

RF031  ENO SR  Single Chamber MRI Conditional Pacemaker  Weight -19g  Volume 7.5cc    $3,662.00

RF043  Alizea™ SR  Single Chamber MRI Conditional Pacemaker  Volume - 10.5cc    Weight -23.3g  $3,662.00

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     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ365  Endurity MRI PM1172  MR Conditional Single Chamber Pacing System  9.7cc, 19g  $3,662.00

SJ363  Assurity MRI PM1272  MRI Conditional RF Single Chamber Rate Responsive Pacemaker  10.4cc, 20g  $3,662.00

     BIOTRONIK AUSTRALIA PTY LIMITED
QQ139  Solvia Rise SR-T  Single Chamber Pacemaker, ventricular capture control, physiological rate adaption,  48 x 40  x 6.5 mm,  10cm3   20.8g   $3,662.00
                         automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home
                         Monitoring, MRI Guard 24/7, Closed Loop Stimulation, IS-1 connector

QQ134  Amvia Sky SR-T   Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, Quick/Early Check, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI Guard 24/7, Closed Loop Stimulation, IS-1 connector  48 x 40 x 6.5 mm, 10 cm3 , 20.8 grams  $3,662.00

BT215  Evity 8 SR-T  Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI AutoDect, MRI conditional, IS-1 connector  IS-1 (1x)   10 cm3/ 20.8g     48 mm × 40 mm × 6.5 mm  $3,662.00

BT203  Edora 8 SR-T  Single Chamber Pacemaker, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring, MRI AutoDect, MRI conditional, IS-1 connector  48 x 40 x 6.5 mm, 10 cm3 , 20.8 grams  $3,662.00

     BOSTON SCIENTIFIC PTY LTD
BS320  ACCOLADE MRI SR  Single Chamber Pacemaker, MRI Conditional  ACCOLADE MRI SR 4.45 x 4.81 x 0.75cm  $3,662.00

BS271  VITALIO MRI SR  Single Chamber Pacemaker, MRI Compatible  11.5cc  $3,662.00

  Remote Monitoring Service
     MEDTRONIC AUSTRALASIA PTY LTD
MI446  Azure XT SR MRI SureScan  with BlueSync mobile remote monitoring  MR Conditional single chamber pacemaker with SureScan™ technology and Bluetooth® wireless telemetry (OOE-VVIR) with BlueSync mobile remote monitoring  12.25cm3 22.5g  $5,112.00  The benefit includes a component for remote monitoring services provided via a remote monitoring system or a smart device application. A separate benefit cannot be claimed in respect of a remote monitoring system listed