Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p131
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 131/696)
Character Range: 2964035–2984431

$620.00

     Coloplast Pty Ltd
CT003                                                       Saline Filled Testicular Prosthesis                                                          Testicular Prosthesis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Extra Small, Small, Medium, Large                                                                                                                                                                                                                           $620.00

     Emagin Pty Ltd
EG026                                                       Testicular Implant                                                                          Gel Filled Testicular Implant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Height : 25 , 34, 40, 50, 53mm                                                                                                                                                                                                                              $620.00

     ENDOTHERAPEUTICS PTY. LIMITED
ET028                                                       Promedon Testicular Prosthesis                                                              Silicone Elastomer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Small - 31 x 23 mm,  Medium - 37 x 28 mm,  Large - 42 x 32 mm,  Xlarge                                                                                                                                                                                      $620.00

     J T Medical Pty Ltd
JT008                                                       Testicular Implants                                                                         Testicular Implants with needle guide or reinforced cap for fixation                                                                                                                                                                                                                                                                                                                                                                                                                                                                            The Testicular Implants with needle guide or reinforced cap are available in 5 different sizes ranging from 5, 12, 21, 27 and 36 grams.                                                                                                                     $620.00

     RIGICON PTY LTD
VO002                                                       Testi10 Saline Filled Testicular Prosthesis                                                 Saline filled testicular prosthesis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             XS, S, M, L, XL                                                                                                                                                                                                                                             $620.00
VO001                                                       Testi10 Firm Testicular Prosthesis                                                          Firm Silicon Testicular Prosthesis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             XS, S, M, L, XL                                                                                                                                                                                                                                             $620.00

05.07 - Sacral Neuromodulation
05.07.01 - Primary Cell Pulse Generator (non-rechargeable)
     MEDTRONIC AUSTRALASIA PTY LTD
MC755                                                       InterStim II Neurostimulator                                                                Model 3058 neurostimulator                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Weight 22g                                                                                                                                                                                                                                                  $9,073.00

  05.07.01.01 - Extended Battery Life
     MEDTRONIC AUSTRALASIA PTY LTD
MI519                                                       InterStim X System – Neurostimulator                                                        Recharge-free implantable neurostimulator                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       One size only                                                                                                                                                                                                                                               $9,606.00

05.07.02 - External Components
  05.07.02.01 - Programmer
     MEDTRONIC AUSTRALASIA PTY LTD
MC756                                                       InterStim iCON Patient Programmer                                                           Hand held device Model 3037 to be used with implantable neurostimulation devices                                                                                                                                                                                                                                                                                                                                                                                                                                                                One size only                                                                                                                                                                                                                                               $1,330.00
MI443                                                       InterStim neurostimulator- Programmer                                                       Programmer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      One size                                                                                                                                                                                                                                                    $1,330.00
MI520                                                       InterStim™ X System – Smart Programmer Kit                                                  Smart programmer kit houses the patient communicator and handset. The therapy apps are loaded onto the patient handset.                                                                                                                                                                                                                                                                                                                                                                                                                         One size                                                                                                                                                                                                                                                    $1,330.00

     PLEXUS RA PTY LTD
UW004                                                       Axonics Patient Remote Control                                                              Remote patient controller for Axonics Sacral Neurmodulation System                                                                                                                                                                                                                                                                                                                                                                                                                                                                              One size only                                                                                                                                                                                                                                               $1,330.00

  05.07.02.02 - External Neurostimulator
     MEDTRONIC AUSTRALASIA PTY LTD
MI126                                                       Verify External Neurostimulator                                                             External Neurostimulator                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        One size only                                                                                                                                                                                                                                               $1,140.00

     PLEXUS RA PTY LTD
UW006                                                       Axonics Trial Stimulator                                                                    External neurostimulator with belt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              One size only                                                                                                                                                                                                                                               $1,140.00

  05.07.02.03 - Recharger
     MEDTRONIC AUSTRALASIA PTY LTD
MI451                                                       InterStim MRI rechargeable neurostimulator- Recharger                                       Recharger kit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   One size                                                                                                                                                                                                                                                    $1,215.00

     PLEXUS RA PTY LTD
UW005                                                       Axonics Charging System                                                                     Charger and dock with belt and adhesive carriers for Axonics Sacral Neuromodulation System                                                                                                                                                                                                                                                                                                                                                                                                                                                      One size only                                                                                                                                                                                                                                               $1,215.00

05.07.03 - Lead
  05.07.03.01 - Permanent
  tined
     MEDTRONIC AUSTRALASIA PTY LTD
MI074                                                       Sacral Nerve Stimulation Lead                                                               4 Electrode tined lead (Non-MRI and MRI Leads)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  28 - 41cm                                                                                                                                                                                                                                                   $4,199.00

     PLEXUS RA PTY LTD
UW007                                                       Axonics Tined Lead                                                                          Tined lead for sacral neuromodulation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           One size only                                                                                                                                                                                                                                               $4,199.00

  05.07.03.02 - Trial
     MEDTRONIC AUSTRALASIA PTY LTD
MC185                                                       Sacral Nerve Stimulation Unilateral                                                         Interstim Temporary test stimulation lead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Various                                                                                                                                                                                                                                                     $373.00

     PLEXUS RA PTY LTD
UW011                                                       Axonics PNE Lead                                                                            Trial Lead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      One size only                                                                                                                                                                                                                                               $373.00

  05.07.03.03 - Extension
     PLEXUS RA PTY LTD
UW001                                                       Axonics Tined Lead Extension                                                                Percutaneous extension                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          One size