Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p666
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 666/696)
Character Range: 22916139–22939547

x 3.0cm, 20 Fr x 3.5cm,20 Fr x 4.0cm, 20 Fr x 4.5cm, 20 Fr x 5.0cm              24 Fr x 1.0cm, 24 Fr x 1.5cm, 24 Fr x 2.0cm, 24 Fr x 2.5cm, 24 Fr x 3.0cm, 24 Fr x 3.5cm, 24 Fr x 4.0cm, 24 Fr x 4.5cm, 24 Fr x 5.0cm    $185.00
FK011                                                            Freka Pexact, FR 15 set II, ENFit                                                                     Kit consisting of a gastropexy device (Loop Fixture II), trocar with peel-away sheath, and silicone balloon tube for direct puncture gastrostomy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Trocar with peel-away sheath:16 Fr, length 17.5 cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $185.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Silicone balloon tube:15 Fr, shaft length 23 ± 1 cm
FK008                                                            Freka PEG, ENFit                                                                                      PEG polyurethane tube with a proximal cone and integrated fixation loop, radio-opaque strip, measuring marks over a length of l-16 cm at 2 cm intervals, radio-opaque silicone retention plate, and a rounded distal opening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               9 Fr x 30 cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $185.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  15 Fr x 35 cm
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  20 Fr x 35 cm
FK013                                                            Freka Belly Button Comfort Kit, ENFit                                                                 Gastric replacement system consisting of Freka Belly Button, insertion introducer, 2 compresses, syringe for filling balloon, lubricant gel, Seldinger wire, Freka Button Extension Sets 1 and 2, and Freka Connect. An Initial Placement System (PEG) would have been placed at least 4 weeks prior.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      12 Fr x 1.0cm ,12 Fr x 1.5cm, 12 Fr x 2.0cm, 12 Fr x 2.5cm, 12 Fr x 3.0cm, 12 Fr x 3.5cm, 12 Fr x 4.0cm, 12 Fr x 4.5cm,12 Fr x 5.0cm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            $185.00

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  14 Fr x 1.0cm, 14 Fr x 1.5cm, 14 Fr x 2.0cm, 14 Fr x 2.5cm, 14 Fr x 3.0cm, 14 Fr x 3.5cm,14 Fr x 4.0cm,14 Fr x 4.5cm, 14 Fr x 5.0cm

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  16 Fr x 1.0cm, 16 Fr x 1.5cm, 16 Fr x 2.0cm, 16 Fr x 2.5cm, 16 Fr x 3.0cm, 16 Fr x 3.5cm,16 Fr x 4.0cm,16 Fr x 4.5cm, 16 Fr x 5.0cm

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  18 Fr x 1.0cm, 18 Fr x 1.5cm, 18 Fr x 2.0cm, 18 Fr x 2.5cm, 18 Fr x 3.0cm, 18 Fr x 3.5cm,18 Fr x 4.0cm,18 Fr x 4.5cm, 18 Fr x 5.0cm

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  20 Fr x 1.0cm, 20 Fr x 1.5cm, 20 Fr x 2.0cm, 20 Fr x 2.5cm, 20 Fr x 3.0cm, 20 Fr x 3.5cm,20 Fr x 4.0cm, 20 Fr x 4.5cm, 20 Fr x 5.0cm

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  24 Fr x 1.0cm, 24 Fr x 1.5cm, 24 Fr x 2.0cm, 24 Fr x 2.5cm, 24 Fr x 3.0cm, 24 Fr x 3.5cm, 24 Fr x 4.0cm, 24 Fr x 4.5cm, 24 Fr x 5.0cm

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

  03.03.02.02 - Subsequent
     Avanos Medical Australia Pty Ltd