Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p407
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 407/696)
Character Range: 14345122–14380998

30 32, 34, 36mm                                                                                                                                                                                                                                                                                                                       $2,280.00
MI191                                                                     Colvin - Galloway Future Band Model 638B                                                                                                                                                                 Semi-rigid metal alloy core, silicone coating, polyester knit fabric                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               26-38mm                                                                                                                                                                                                                                                                                                                                       $2,280.00
MC844                                                                     Profile 3D Annuloplasty Ring                                                                                                                                                                             3D, rigid annuloplasty ring with physiologic mitral valve shape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Diameter (mm) 24 - 40mm                                                                                                                                                                                                                                                                                                                       $2,280.00
MI184                                                                     SIMULUS Semi-Rigid Annuloplasty Band                                                                                                                                                                     Semi-rigid mitral annuloplasty band                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Band size (mm): 24, 26, 28, 30, 32, 34, 36, 38, 40                                                                                                                                                                                                                                                                                            $2,280.00

09.05 - Patches
09.05.01 - Tissue
  09.05.01.01 - < 25cm²
     BAXTER HEALTHCARE PTY LTD
BX292                                                                     Supple Peri-Guard (4 x 4cm)                                                                                                                                                                              Model No SPC0404CE  - 4 x 4cm Bovine pericardium patch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             4 x 4cm                                                                                                                                                                                                                                                                                                                                       $333.00

     EMERGO ASIA-PACIFIC PTY. LIMITED
ER507                                                                     LeMaitre Xenosure Biologic Patch-Small, < 25cm²                                                                                                                                                          The XenoSure Biologic Patch is a high-quality bovine pericardium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   0.8 x 8 cm Tapered Patch                                                                                                                                                                                                                                                                                                                      $333.00
                                                                                                                                                                                                                                                                                   patch used for vascular and cardiovascular reconstructions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1 x 6 cm   Rounded Patch
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1 x 10 cm Tapered Patch
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1.5 x 10 cm Tapered Patch
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1 x 14 cm Tapered Patch
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        2 x 9 cm Rounded Patch
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        4 x 4 cm Square Patch
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        4 x 6 cm Rectangular Patch

  09.05.01.02 - 25-75cm²
     BAXTER HEALTHCARE PTY LTD
BX293                                                                     Supple Peri-Guard (6 x 8cm)                                                                                                                                                                              Model No SPG0608CE  -6 x 8cm Bovine pericardium patch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              6 x 8cm                                                                                                                                                                                                                                                                                                                                       $523.00

     EMERGO ASIA-PACIFIC PTY. LIMITED
ER508                                                                     LeMaitre Xenosure Biologic Patch-Medium, 25-75cm²                                                                                                                                                        The XenoSure Biologic Patch is a high-quality bovine pericardium patch used for vascular and cardiovascular reconstructions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       6 x 8 cm Rectangular Patch                                                                                                                                                                                                                                                                                                                    $523.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        5 x 10 cm Rectangular Patch

  09.05.01.03 - >75cm²
     BAXTER HEALTHCARE PTY LTD
BX294                                                                     Supple Peri-Guard (10 x 16cm)                                                                                                                                                                            Model No SPC1016CE - 10 x 16 Bovine pericardium patch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              10 x 16cm                                                                                                                                                                                                                                                                                                                                     $722.00
BX295                                                                     Supple Peri-Guard (8 x 14cm)                                                                                                                                                                             SPG0814CE - 8 x 14 Bovine pericardium patch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        8 x 14cm                                                                                                                                                                                                                                                                                                                                      $722.00

     EDWARDS LIFESCIENCES PTY LIMITED
EL033                                                                     Baxter Augmentation / Substitution Material, Human or Animal Origin, Sterile Pericardial Patch.                                                                                                          Edwards Pericardial Patch. Bovine Pericardium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     10cm x 15cm                                                                                                                                                                                                                                                                                                                                   $722.00

     EMERGO ASIA-PACIFIC PTY. LIMITED
ER509                                                                     LeMaitre Xenosure Biologic Patch-Large, >75cm²                                                                                                                                                           The XenoSure Biologic Patch is a high-quality bovine pericardium patch used for vascular and cardiovascular reconstructions.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       8 x 14 cm Rectangular Patch                                                                                                                                                                                                                                                                                                                   $722.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      10 x 16 cm Rectangular Patch
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      12 x 25 cm Rectangular Patch

09.05.02 - Synthetic
  09.05.02.01 - Cardiovascular < 75cm²
     W L GORE & ASSOCIATES (AUSTRALIA) PTY LTD
GT292                                                                     GORE-TEX ® Cardiovascular Patch                                                                                                                                                                          E-PTFE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Cardiovascular Patch < 75cm²                                                                                                                                                                                                                                                                                                                  $228.00

  09.05.02.02 - Cardiovascular ≥ 75cm²
     W L GORE & ASSOCIATES (AUSTRALIA) PTY LTD
GT293                                                                     GORE-TEX ® Cardiovascular Patch                                                                                                                                                                          E-PTFE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Cardiovascular Patch ≥ 75cm²                                                                                                                                                                                                                                                                                                                  $495.00

09.06 - Membranes
09.06.01 - Non-cardiovascular < 100cm²
     W L GORE & ASSOCIATES (AUSTRALIA) PTY LTD
GT122                                                                     Preclude Pericardial Membrane                                                                                                                                                                            ePTFE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0.1mm Thickness 6 x 12cm                                                                                                                                                                                                                                                                                                                      $342.00

09.06.02 - Non-cardiovascular ≥100cm² and <200cm²
     W L GORE & ASSOCIATES (AUSTRALIA) PTY LTD
GT274