Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p651
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 651/696)
Character Range: 22621210–22629756

Valleylab FT10 FT series energy platform compatible bipolar RF ablation catheter with saline irrigation and choice of standard or low-profile jaw designs                                                                                                                                                                                           Standard, Low Profile                 $3,523.00
MI308                               Cardioblate BP2 RF Surgical Ablation Device                         The Cardioblate BP2 RF Surgical Ablation devices feature dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment                                                                                                                                                                           Standard, Low Profile                 $3,523.00

  09.14.01.03 - System
  AA-Med Episense
     AA-Med Pty Ltd
ZZ080                               EPi-Sense Guided Coagulation System with VisiTrax Device CDK-1413   Surgical Radio Frequency (RF) catheter for Atrial Fibrillation surgery                                                                                                                                                                                                                                                                              EPi-Sense Probe: 3cm (end effector)   $6,040.00

  Medtronic - Cardioblate BP2
     MEDTRONIC AUSTRALASIA PTY LTD
MI312                               Cardioblate® BP2 RF Surgical Ablation System                        The Cardioblate® BP2 RF Surgical Ablation system features dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment                                                                                                                                                                          One size only                         $4,614.00
QQ244                               Cardioblate BP2/PEN FT System                                       The Cardioblate BP2/PEN FT System includes both the FT-10 energy platform compatible Cardioblate BP2 surgical ablation device and Cardioblate PEN FT. This system features dual electrodes for the delivery of saline irrigated RF energy                                                                                                           One size only                         $4,614.00

  Medtronic - Cardioblate Gemini
     MEDTRONIC AUSTRALASIA PTY LTD
MI310                               Cardioblate® Gemini® Surgical Ablation System                       The Cardioblate® Gemini® Surgical Ablation System is designed for minimally invasive ablation procedures. Gemini-s combines the efficacy of irrigated RF energy through a bipolar jaw, to facilitate deeper energy penetration, with real time measured customised energy delivery for greater confidence in achieving transmural cardiac lesions.  One size only                         $6,040.00
QQ245                               Cardioblate Gemini-S FT Clamp                                       Valleylab FT10 FT series energy platform compatible bipolar RF ablation catheter with saline irrigation designed for minimally invasive ablation procedures                                                                                                                                                                                         One size only                         $6,040.00

09.14.02 - Cryoablation
  09.14.02.01 - Probe
  AA-Med cryoICE
     AA-Med Pty Ltd
ZZ057                               cryoICE Cryoablation Surgical Probes                                Surgical Cryoablation probes for atrial fibrillation surgery                                                                                                                                                                                                                                                                                        One size only                         $3,800.00

  Medtronic - CryoFlex
     MEDTRONIC AUSTRALASIA PTY LTD
MI311                               CryoFlex™ Surgical Ablation Probe                                   The CryoFlex™ Surgical Ablation Probe utilises a gas for freezing cells in the surgical treatment of cardiac arrhythmias.                                                                                                                                                                                                                           One size only                         $4,695.00

  Medtronic - SurgiFrost 10
     MEDTRONIC AUSTRALASIA PTY LTD
MI307                               SurgiFrost 10                                                       SurgiFrost 10 is a malleable, single-use cryosurgical device developed to treat cardiac arrhythmias during heart surgery.  Freezing preserves tissue integrity. SurgiFrost10 features a malleable shaft and flexible tip with adjustable insulation sleeve.                                                                                         One size ony                          $4,095.00

  09.14.02.02 - System
  Medtronic
     MEDTRONIC AUSTRALASIA PTY LTD
MI306                               CryoFlex™ Surgical Clamp and Probe                                  The CryoFlex™ Surgical Clamp and Probe combines the utility of the CryoFlex™ Probe with the delivery of a clamp.                                                                                                                                                                                                                                    One size only                         $5,095.00

10 - Vascular
Billing Code                                                     Product Name                                                                                          Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Minimum Benefit  Condition
10.11 - Vascular Reconstruction
10.11.01 - Drug-coated Balloon Catheter
     BARD AUSTRALIA PTY. LIMITED
QQ268                                                            Lutonix Drug Coated Balloon PTA Catheter                                                              The Lutonix