Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p393
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 393/696)
Character Range: 13836287–13885490

Home Monitoring, MRI AutoDetect, MRI conditional,  IS-1 connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            14 cm3/ 26.9g                    53 mm × 52 mm × 6.5 mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $9,004.00
BT199                                                                                                                                                               Edora 8 HF-T QP                                                                                                                                        Triple Chamber CRT-Pacemaker, capture management all chambers, physiological rate adaption, quadripolar LV pacing, atrial overdrive pacing, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional,  IS-4  IS-1 connectors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              53 x 53 x 6.5 mm, 15cm3,  31.2 grams                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $9,004.00
BT191                                                                                                                                                               Edora 8 HF-T                                                                                                                                           Triple Chamber CRT Pacemaker, capture management all chambers, physiological rate adaption, atrial overdrive pacing, event triggered IEMG transmission, Wandless telemetry, Home Monitoring, MRI AutoDetect, MRI conditional,  IS-1 connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            53 x 52 x 6.5 mm, 14 cm3,  26.9 grams                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $9,004.00

     BOSTON SCIENTIFIC PTY LTD
BS326                                                                                                                                                               VISIONIST X4 CRT-P, VISIONIST CRT-P                                                                                                                    Cardiac Resynchronization Therapy Pacemaker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              U228: 4.45 x 6.17 x 0.75cm. U225 and U226: 4.45 x 6.13 x 0.75cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $9,004.00

08.07 - ICD Leads
08.07.01 - Coronary Sinus
     MEDTRONIC AUSTRALASIA PTY LTD
MC026                                                                                                                                                               Medtronic Transvene SVC Lead Model 6937;                                                                                                               Model 6937-35, Model 6937-52, Model 6937-58, Model 6937-110; Silicone;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   35 - 110cm x  660mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            $1,348.00

08.07.02 - Subcutaneous
     MEDTRONIC AUSTRALASIA PTY LTD
MC251                                                                                                                                                               Implantable Subcutaneous Defibrillator Lead Model 6996SQ 41cm, 58cm, 85cm                                                                              Silicone and Platinum Alloy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lengths 41-85cm inclusive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $1,922.00

08.07.05 - Transvenous/Steroid/Passive
  e
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ346                                                                                                                                                               Optisure ICD Lead LDP210Q/220Q/230Q                                                                                                                    Passive fixation ICD lead with DF-4 connector.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           52cm-65cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $3,000.00
SJ245                                                                                                                                                               Durata 7170Q, 7171Q and 7172Q                                                                                                                          7170Q/7171Q - passive fixation, bipolar, dual coil, 7172Q - passive fixation, bipolar - single coil steroid eluting endocardial defibrillation leads with Optim insulation overlay and SJ4 quadripolar lead connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    52, 58 and 65cm, 7F introducer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $3,000.00

     BOSTON SCIENTIFIC PTY LTD
BS181                                                                                                                                                               Endotak Reliance SG 4-SITE                                                                                                                             Passive fixation single coil defibrillation leads with ePTFE covered coil & 4-SITE connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             50-70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $3,000.00
BS261                                                                                                                                                               RELIANCE 4-FRONT                                                                                                                                       Passive, single/dual coil, defibrillation lead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Length: 59cm - 70cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            $3,000.00
BS183                                                                                                                                                               Endotak Reliance 4-SITE                                                                                                                                Passive fixation dual coil defibrillation leads with 4-SITE connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    50-70cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $3,000.00
BS180                                                                                                                                                               Endotak Reliance 4-SITE                                                                                                                                Passive fixation dual coil defibrillation leads with 4-SITE connector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    50-70cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $3,000.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI369                                                                                                                                                               Medtronic Sprint Quattro 6946M Lead                                                                                                                    Passive fixation, tined, steroid eluting, quadripolar, dual coil defibrillation leads with silicone backfill and DF-4 connector, including MRI compatible models                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         55-62 cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $3,000.00

08.07.06 - Transvenous/Steroid/Active
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ157                                                                                                                                                               Durata 7120, 7121, 7122                                                                                                                                Active fixation bipolar, dual-coil/single coil Steroid-eluting Endocardial Defibrillation Leads                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          60, 65, 75cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $3,276.00

     BIOTRONIK AUSTRALIA PTY LIMITED
BT211                                                                                                                                                               Plexa ProMRI DF-1 S DX                                                                                                                                 Pentapolar MR conditional ICD lead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Diameter 7.8F; Length/Dist Dipole to Tip  65/15 cm , 65/17 cm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $3,276.00
                                                                                                                                                                                                                                                                                                                           with active fixation
BT245                                                                                                                                                               Plexa ProMRI DF4 S DX                                                                                                                                  Pentapolar MR conditional ICD lead  with active fixation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Diameter 7.8F; Length/Dist Dipole to Tip  65/15 cm , 65/17 cm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $3,276.00
BT209                                                                                                                                                               Plexa ProMRI DF-1 S                                                                                                                                    Tripolar