Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p406
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 406/696)
Character Range: 14324386–14348291

33, 35, 37, 39                                                                                                                                                                                                                                                                                            $2,090.00
MC005                                                                     Medtronic Duran Annuloplasty Ring; Duran Ancore Ring 620R; Duran Ancore Chordal Model 620RG                                                                                                              Annuloplasty Devices - Models 610R & 620R Silicone / Barium Sulphate, Dacron.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Model 610R 25-35mm & Model 620R 23-35mm                                                                                                                                                                                                                                                                                                       $2,090.00
MI510                                                                     SimuPlus™ Annuloplasty Band                                                                                                                                                                              Flexible mitral/tricuspid annuloplasty band including accessories (tray, sizers and annuloplasty handles)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Ring size (mm): 26, 28, 30, 32, 34, 36, 38, 40, 42                                                                                                                                                                                                                                                                                            $2,090.00

09.04.05 - Atrio-Ventricular Ring or Band, Modified
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ087                                                                     St Jude Medical Rigid Saddle Ring                                                                                                                                                                        Rigid Annuloplasty Ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            24 - 34mm                                                                                                                                                                                                                                                                                                                                     $2,280.00

     CORCYM AUSTRALIA PTY LTD
JS003                                                                     Memo 3D Mitral Semirigid Annuloplasty Ring                                                                                                                                                               Memo 3D Semirigid Mitral Annuloplasty Ring with 3D flexibility and coated with Carbofilm with or without Rechord system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm, 38mm                                                                                                                                                                                                                                                                                                $2,280.00
JS002                                                                     Memo 4D Mitral/tricuspid annuloplasty ring                                                                                                                                                               Memo 4D Mitral/tricuspid annuloplasty ring device is intended for correction of mitral insufficiencies or steno-insufficiencies. The use of the Memo 4D device is indicated for correction of congenital or acquired mitral insufficiencies with dilatation and deformation of the mitral annulus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Sizes 24,26,28,30, 32,34, 36, 38, 40, 42 mm                                                                                                                                                                                                                                                                                                   $2,280.00

     EDWARDS LIFESCIENCES PTY LIMITED
EL050                                                                     Edwards MC3 Tricuspid Ring Annuloplalsty System (Model: 4900)                                                                                                                                            3D rigid annuloplasty ring with a tricuspid specific design                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        26mm, 28mm, 30mm, 32mm, 34mm, 36mm                                                                                                                                                                                                                                                                                                            $2,280.00
EL061                                                                     Carpentier-Edwards Physio Tricuspid Annuloplasty Ring                                                                                                                                                    The Carpentier-Edwards Physio Tricuspid annuloplasty ring, model 6200 is intended for use in patients with tricuspid valvular insufficiency. Designed with selective flexibility and 3D waveform shape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            24,  26, 28, 30, 32, 34, 36mm                                                                                                                                                                                                                                                                                                                 $2,280.00
EL059                                                                     Carpentier-Edwards PHYSIO ll Mitral Annuloplasty Ring                                                                                                                                                    PHYSIO II is a semi rigid mitral annuloplasty ring, with an improved saddle shape and global disease based design                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24, 26, 28, 30, 32, 34, 36, 38, 40mm                                                                                                                                                                                                                                                                                                          $2,280.00
EL049                                                                     McCarthy-Edwards IMR Etlogix Annuloplasty Ring (Model: 4100)                                                                                                                                             Rigid mitral annuloplasty ring with an assymetric design                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm                                                                                                                                                                                                                                                                                                      $2,280.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI511                                                                     SimuForm™ Annuloplasty Ring                                                                                                                                                                              Semi-rigid mitral annuloplasty ring including accessories (tray, sizers and annuloplasty handles)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Ring size (mm): 24, 26, 28, 30, 32, 34, 36, 38, 40                                                                                                                                                                                                                                                                                            $2,280.00
MC745                                                                     CG Future Composite Ring                                                                                                                                                                                 Semi-rigid mitral annuloplasty ring, with anterior flexibility                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     24, 26, 28, 30, 32, 34, 36 & 38mm                                                                                                                                                                                                                                                                                                             $2,280.00
MI183                                                                     SIMULUS Semi-Rigid Annuloplasty Ring                                                                                                                                                                     Semi-rigid mitral annuloplasty ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Ring size (mm): 24, 26, 28, 30, 32, 34, 36, 38, 40                                                                                                                                                                                                                                                                                            $2,280.00
MI121                                                                     Contour 3D Tricuspid Annuloplasty Ring                                                                                                                                                                   Annuloplasty Ring: Titanium core encapsulated with silicone, covered with polyester fabric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         26, 28, 30 32, 34, 36mm                                                                                                                                                                                                                                                                                                                       $2,280.00
MI191                                                                     Colvin - Galloway Future Band Model 638B                                                                                                                                                                 Semi-rigid metal alloy core, silicone coating, polyester knit fabric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               26-38mm                                                                                                                                                                                                                                                                                                                                       $2,280.00
MC844                                                                     Profile 3D Annuloplasty Ring                                                                                                                                                                             3D, rigid annuloplasty ring with physiologic mitral valve shape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Diameter (mm)