Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p110
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 110/696)
Character Range: 2548137–2579487

implanted compatible lead or lead extension                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Length of 10cm to 60cm, in increments of 1cm                                                                                                                                                                                                                                                                                                                                      $1,362.00
WW024                                                                                           Nevro Spinal Cord Stimulation System (SCSS) - Pocket Adaptor Kit - S8                                                                     The Pocket Adaptor is intended to be used when replacing a previously implanted Pulse Generator with the Nevro Implantable Pulse Generator. The Pocket Adaptor interfaces the Nevro Implantable Pulse Generator to another manufacturer's previously implanted compatible lead or lead extension.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Length of 10cm to 60cm, in increments of 1cm.                                                                                                                                                                                                                                                                                                                                     $1,362.00

     SALUDA MEDICAL PTY LIMITED
UY004                                                                                           Evoke 12C Lead Extension Kit - 55cm                                                                                                        A 12 contact lead extension.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     55cm                                                                                                                                                                                                                                                                                                                                                                              $1,362.00

04.05.05 - Accessories
  04.05.05.01 - Revision Kits
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ356                                                                                           Axium Neurostimulator System - Lead accessories kit                                                                                       Lead accessories kit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             1 size (1 presentation)                                                                                                                                                                                                                                                                                                                                                           $492.00
SJ475                                                                                           DRG Large Needle and Sheath Kit                                                                                                           Lead Accessories Kit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1 size                                                                                                                                                                                                                                                                                                                                                                            $492.00

     MEDTRONIC AUSTRALASIA PTY LTD
MC689                                                                                           Lead Revision Kits                                                                                                                        Sterile Revision Kit for Octad leads 45cm (3550-26), Sterile Revision Kit for Octad leads 60-75cm (3550-27)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       30 & 45cm; 60 & 75cm                                                                                                                                                                                                                                                                                                                                                              $492.00
MI140                                                                                           Revision kit Surescan MRI leads                                                                                                           Sterile Revision Kit for Surescan MRI leads                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       60cm, 75cm, 90cm                                                                                                                                                                                                                                                                                                                                                                  $492.00

     SALUDA MEDICAL PTY LIMITED
UY006                                                                                           Evoke Spares Kit                                                                                                                          A sterile revision kit for the Evoke 12C Lead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    N/A                                                                                                                                                                                                                                                                                                                                                                               $492.00

  04.05.05.02 - Plug
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ461                                                                                           Port Plug                                                                                                                                 Port Plug                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         One size only                                                                                                                                                                                                                                                                                                                                                                     $152.00

     BOSTON SCIENTIFIC PTY LTD
BS121                                                                                           Precision SCS IPG Port                                                                                                                    IPG Port Plug                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     One Size Only                                                                                                                                                                                                                                                                                                                                                                     $152.00

     MEDTRONIC AUSTRALASIA PTY LTD
MC687                                                                                           Neurostimulation System - Accessory Kits                                                                                                  Lead Accessory Plug and Closed Boot Kit Model 3550-29                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             .                                                                                                                                                                                                                                                                                                                                                                                 $152.00
MC825                                                                                           Medtronic Percutaneous Quad extension                                                                                                     Percutaneous extension (in line connector for quadripolar leads only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             One size only                                                                                                                                                                                                                                                                                                                                                                     $152.00

     Nevro Medical Pty Ltd
WW012                                                                                           Nevro Spinal Cord Stimulation System (SCSS) - IPG Port Plug Kit                                                                           The Implantable Pulse Generator (IPG) Port Plug is provided to seal the port of the IPG that is not is use.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       N/A                                                                                                                                                                                                                                                                                                                                                                               $152.00

  04.05.05.03 - Intraoperative Accessories
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ307                                                                                           Straight and Curved Stylet                                                                                                                A tool used to aid in positioning and repositioning the lead intra-operatively to ensure accurate placement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      30cm - 90cm                                                                                                                                                                                                                                                                                                                                                                       $152.00
SJ360                                                                                           Axium Neurostimulator System - Tunneling Tool                                                                                             Tunneling tool.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   30cm or 51cm                                                                                                                                                                                                                                                                                                                                                                      $152.00
SJ285                                                                                           Strain Relief                                                                                                                             Strain Relief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     One size only                                                                                                                                                                                                                                                                                                                                                                     $152.00
SJ361                                                                                           Axium Neurostimulator System - Curved Needle                                                                                              A curved needle (one size 14G,4.5in), a single use accessory, providing access to the epidural space during the surgical procedure of inserting a Neurostimulation System.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        One Size - (14G, 4.5in)                                                                                                                                                                                                                                                                                                                                                           $152.00
SJ288                                                                                           Anchor (Butterfly)                                                                                                                        Lead Anchor (Butterfly)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           One size only                                                                                                                                                                                                                                                                                                                                                                     $152.00
SJ315                                                                                           Standard Trial Cable Octrode and Quattrode                                                                                                Connector which connects implanted lead to external stimulator                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    One size                                                                                                                                                                                                                                                                                                                                                                          $152.00
SJ308                                                                                           Torque Wrench                                                                                                                             A tool to set or release the IPG