Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p354
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 354/706)
Character Range: 1160639–1163764

Patient Specific Orbital Floor Implant  A custom, patient specific implant intended for the reconstruction of the patient's orbital floor manufactured with titanium or porous polyethylene.  The device is custom made so the size will vary.  $4,095.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
MN355  TRUMATCH® CMF Orbital  Patient matched, orbital floor reconstruction implants, Titanium    Custom sized  $4,095.00

     KLS MARTIN AUSTRALIA PTY LIMITED
KT001  UNIQOS Biomodelled Customised Orbital Floor Mesh  UNIQOS Biomodelled Customised Orbital Floor Mesh  Customised - patient specific  $4,095.00

     STRYKER AUSTRALIA PTY LTD
QQ588  Facial iD Orbital  Custom Maxillofacial Meshes  Custom  $4,095.00

  Coated
     STRYKER AUSTRALIA PTY LTD
HW433  E-POR Biomaterial/ Orbital Wall and Floor Porous Polyethylene Titanium Mesh Composite (large)  Orbital Wall and Floor Porous Polyethylene Titanium Mesh Composite  41 x 42 x 0.6-1.0mm  $960.00

  07.02.07.03 - Rim
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE808  Su-Por Orbital Rim, Extended  An implantable device intended to support, contour, and provide structure for the face including the cheeks and eye socket. Made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in various shapes and can be cut by the surgeon to meet the patient's specific needs.  Left and Right (44mm x 38mm)  $385.00

     STRYKER AUSTRALIA PTY LTD
SK511  Orbital Rim  Orbital rims, left and right extended. Models 9539, 9540 Orbital Rim Onlay Implants 81001, 81002  Left & right extended models 47 x 40mm Oribtal Rim Onlay Implants left & right 40 x 40mm  $385.00

  Biomodelled
     ANATOMICSRX PTY LTD
QQ012  Anatomics Patient Specific Orbital Rim  Custom, 3D-printed orbital rim constructed of porous polyethylene.  The device is custom made so the size will vary.  $4,095.00

  07.02.07.04 - Wedge for Orbit
     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE816  Su-Por Enophthalmos Wedge  The Su-Por Enophthalmos Wedge is contoured in the shape of the orbital floor and provides volume to restore the orbit to its normal shape and size.   24mm x 33.5mm x 7mm (left,right)  28mm x 40mm x 7.5mm (left, right)      $325.00

     STRYKER AUSTRALIA PTY LTD
HW410  Enophthalmos Wedge  Regular left and right. Large left and right. (Models 9541 - 9544)  Regular: 22 x 31 x 7mm. Large: 28 x 40 x 7.5mm  $325.00

  07.02.07.05 - Surgical Guide
  Biomodelled
     ANATOMICSRX PTY LTD
QQ013  Anatomics Patient Specific Surgical Guide  The Surgical Guide component of the system is created from the patient's CT scan data to assist the surgeon with pre- and intraoperative planning.  The device is custom made so the size will vary.  $2,584.00  Prescribed List reimbursement is restricted to the use of the device in craniomaxillofacial surgery procedures involving insertion of an implantable medical device, where that implantable device is listed in either sub-category 07.01 - Craniomaxillofacial Reconstruction & Fixation, or 07.02 – Craniomaxillofacial Implants, or 07.04 – Distractor Systems