Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p405
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 405/706)
Character Range: 1345714–1348466

Only  $54.00

BS212  Pacemaker/Defibrillator port safety plug  Pacemaker/Defibrillator Plug that seals unused IS-1/DF-1 or IS-4/DF-4 port  3.2mm x 38mm  $54.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI044  Medtronic Upsizing Sleeve: Model 5866-45, Model 5866-46  5866-45: IS1 UNI Lead to 5/6mm UNI IPG; 5866-46: IS1 UNI Lead to 5mm UNI IPG or 5mm Bifurcated BI IPG  18-25mm  $54.00

MI042  Medtronic Lead End Cap Kit Model: 5867-3M  Lead End Cap Kit  One size only  $54.00

MI043  Medtronic DF-1 Port Pin Plug Kit: Model 6719; Medtronic IS-1 Port Pin Plug Kit: Model 6725  DF-1 unipolar connector port pin plug, one per kit  One size per model  $54.00

08.11.02 - Antibacterial Envelope
     MEDTRONIC AUSTRALASIA PTY LTD
MI195  TYRX Absorbable Antibacterial Envelope  Antibacterial surgically implanted mesh envelope which stablises EID placement and prevents infection  6.3 x 6.9cm, 7.4 x 8.5cm  $867.00

08.12 - Coronary Stents
08.12.01 - Drug Eluting
  08.12.01.01 - General Purpose
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ436  XIENCE Alpine Everolimus Eluting Coronary Stent System  Drug eluting coronary artery stent  2.00 mm x (08, 12, 15, 18, 23, 28) mm  2.25 mm x (08, 12, 15, 18, 23, 28) mm  2.50 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  2.75 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  3.00 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  3.25 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  3.50 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  4.00 mm x (08, 12, 15, 18, 23, 28, 33, 38) mm  $1,095.00

SJ437  XIENCE Sierra Everolimus Eluting Coronary Stent System  Drug eluting coronary artery stent  Diameter: 2.00mm to 4.0mm. Length: 8mm to 38mm  $1,095.00

SJ435  XIENCE Xpedition Everolimus Eluting Coronary Stent System  Coronary Artery Stent, Drug Eluting  Xience Xpedition DES - 2.25 x (8,12,15,18,23,28) RX CE, 2.50 x (8,12,15,18,23,28,33,38,48) RX CE; 2.75 x (8,12,15,18,23,28,33,38,48) RX CE; 3.00 x (8,12,15,18,23,28,33,38,48) RX CE; 3.25 x (8,12,15,18,23,28,33,38) RX CE; 3.50 x (8,12,15,18,23,28,33,38,48) RX CE; 4.00 x (8,12,15,18,23,28,33,38) RX CE;  $1,095.00

SJ478  XIENCE Skypoint Everolimus Eluting Coronary Stent System  Drug eluting coronary artery stent  Stent diameters 2.0 - 4.0 mm in lengths 8 mm - 38 mm;  Stent diameters 2.5 - 4.0 mm in 48 mm length; Stent diameters 4.5 - 5.0 mm in lengths 12 mm - 33 mm  $1,095.00

SJ434  Xience PRIME LL Everolimus Eluting Coronary Stent; Xience PRIME Everolimus Eluting Coronary Stent;  Xience PRIME SV Everolimus Eluting Coronary Stent  Coronary Artery Stent, Drug Eluting  XIENCE PRIME LL 2.50; 2.75; 3.00; 3.50; 4.0 x 33MM;  XIENCE PRIME LL 2.50; 2.75; 3.00; 3.50; 4.0 x 38MM;  XIENCE PRIME SV 2.25 x 08; 12; 15; 18; 23; 28MM; XIENCE PRIME 2.50 x 08; 12; 15; 18; 23; 28MM;  XIENCE