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Pty Limited OG OMX SOLUTIONS PTY LTD OH Orthotech Pty Ltd OI Audmet Australia Pty Ltd trading as Oticon Medical OK MY BIOLOGICS PTY LTD OL Olympus Australia OQ Opthalmico Pty Ltd OU Ortho Solutions Pty Ltd OW MERIT MEDICAL AUSTRALIA PTY LTD OX MERIL AUSTRALIA PTY LTD JAA Johnson & Johnson Medical Pty Ltd OY Osseointegration Holdings Pty Ltd PB Australian Pacific Medical Pty Ltd PC Precision Surgical Pty Ltd LEM Lions Eye Donation Service PF Perios Pty Ltd PJ PurePlay Orthopaedics LEW Lions Eye Bank of Western Australia PN Penumbra Neuro Australia Pty Ltd 1 01 - Ophthalmic 3 03 - Orthopaedic 6 01 - Cardio-thoracic 41 02 - Ophthalmic 13 06 - Specialist Orthopaedic 17 12 - Knee 18 11 - Hip 19 13 - Spinal 20 09 - Cardiothoracic 21 03 - General Miscellaneous 22 02 - Ear, Nose & Throat 23 07 - Plastic and Reconstructive 24 10 - Vascular 25 04 - Neurosurgical 26 05 - Urogenital 27 08 - Cardiac 28 04 - Dermatologic 256 05.03 - Voiding Dysfunction Prostheses 257 08.15 - Stents For Treatment Of Coarctation Of The Aorta 259 09.11 - Implant Ventricular Assist System 261 13.14 - Sacroiliac Joint Fixation 262 01.10 - Artificial Iris 263 13.15 - Annular closure/reconstruction 264 09.12 - Pectus Bar 265 09.13 - Chordal Replacement Devices, fixed and adjustable 266 08.16 - Remote Monitoring System 267 08.17 - Catheter Delivery 290 08.18 - Cardiac Ablation 291 09.14 - Surgical cardiac ablation 123 06.03 - SKELETAL RECONSTRUCTION 124 06.01 - ANKLE AND FOOT 131 06.02 - UPPER LIMB 140 01.01 - ANTERIOR CHAMBER INTRAOCULAR LENSES 141 01.02 - POSTERIOR CHAMBER INTRAOCULAR LENSES 142 01.03 - INTRAOCULAR FLUIDS 143 01.04 - CAPSULAR TENSION RINGS 144 01.05 - GLAUCOMA DRAINAGE 145 01.06 - EYELID PROSTHESES 146 01.07 - LACRIMAL DUCT DRAINAGE PROSTHESES 147 01.08 - ORBITAL PROSTHESES 148 01.09 - RETINAL DETACHMENT PROSTHESES 149 12.01 - FEMORAL COMPONENT: TOTAL KNEE ARTHROPLASTY 150 12.02 - FEMORAL COMPONENT: UNI-COMPARTMENTAL KNEE ARTHROPLASTY 151 12.03 - TIBIAL TRAY COMPONENT - TOTAL KNEE ARTHROPLASTY 152 12.04 - TIBIAL TRAY COMPONENT: UNI-COMPARTMENTAL KNEE ARTHROPLASTY 153 12.05 - TIBIAL INSERT: TOTAL KNEE ARTHROPLASTY 154 12.06 - TIBIAL INSERT: UNI-COMPARTMENTAL ARTHROPLASTY 155 12.07 - PATELLO FEMORAL REPLACEMENT - FEMORAL COMPONENT 156 12.08 - PATELLAR COMPONENT 157 12.09 - TUMOUR PRODUCTS 159 12.11 - KNEE ACCESSORIES 161 11.01 - FEMORAL COMPONENTS - PRIMARY AND REVISION 162 11.02 - FEMORAL HEADS 163 11.03 - ACETABULAR COMPONENTS 164 11.04 - ACCESSORIES 165 13.01 - Bone Screws 166 13.02 - Accessories for bone screws and connector components 167 13.03 - Connector 168 13.04 - Hook 169 13.05 - Plate 170 13.06 - Rod 171 13.07 - Plate-Rod 172 13.08 - Washer/Staple 173 13.09 - C-Ring 174 13.10 - Fusion Cage 175 13.11 - Disc Replacement 176 13.12 - Vertebral Body Replacement 177 13.13 - Interspinous Fixation 178 09.01 - Mechanical Valves 179 09.02 - Tissue Valves 180 09.03 - Valve Conduits 181 09.04 - Atrio-Ventricular Rings and Bands 182 09.05 - Patches 183 09.06 - Membranes 186 09.09 - Grafts (Proximal Aorta) 187 03.01 - BRACHYTHERAPY 188 03.02 - DRUG DELIVERY DEVICES 189 03.03 - ENTERAL TUBES 190 03.04 - GASTRIC BANDS 191 03.05 - HAEMOSTATIC DEVICES 192 03.06 - LUMINAL STENTS 193 03.07 - PULMONARY/PERITONEAL DEVICES 194 03.08 - CLOSURE DEVICES 196 02.01 - EAR 197 02.02 - NOSE 198 02.03 - THROAT 199 07.01 - CRANIOMAXILLOFACIAL RECONSTRUCTION & FIXATION 200 07.02 - CRANIOMAXILLOFACIAL IMPLANTS 201 07.03 - DENTAL IMPLANTS 202 07.04 - DISTRACTOR SYSTEMS 203 07.05 - SOFT TISSUE & TISSUE EXPANDERS 204 07.06 - MAMMARY IMPLANTS 206 10.01 - Vascular Stents 207 10.02 - Stent Grafts 208 10.03 - Grafts 209 10.04 - Vascular Patches 210 10.05 - Vessel Bands 211 10.06 - Embolic Protection Devices 212 10.07 - Arterial Closure Devices 213 10.08 - Occlusion Devices 214 10.09 - Long Term Vascular Access Devices 215 10.10 - Peritoneal Dialysis, Long Term Implantable Catheters 218 04.01 - ANEURYSM CLIPS 219 04.02 - DURA DEFECT REPAIR 220 04.03 - HYDROCEPHALUS DEVICES 221 04.04 - DEEP BRAIN STIMULATION (DBS) 222 04.05 - NEUROSTIMULATION THERAPIES FOR PAIN MANAGEMENT 223 04.06 - INTRATHECAL DRUG DELIVERY SYSTEM 224 04.07 - NEUROSTIMULATION THERAPIES FOR SEIZURE CONTROL 225 04.08 - NEURO INTERVENTION 226 05.01 - Incontinence Prostheses 227 05.02 - Ureteric Stents 229 05.04 - Reconstructive Material 230 05.05 - Penile Prostheses 231 05.06 - Testicular Prostheses 232 05.07 - Sacral Neuromodulation 233 05.08 - Tubal Obstruction Devices 234 05.09 - Nephrostomy Catheters 235 05.10 - Vesicoureteral Reflux Prostheses 236 08.01 - Single Chamber ICDs 237 08.02 - Dual Chamber ICDs 238 08.03 - ICDs with CRT 239 08.04 - Single Chamber Pacemakers 240 08.05 - Dual Chamber Pacemakers 241 08.06 - CRT Pacemakers 242 08.07 - ICD Leads 243 08.08 - Pacemaker Leads 244 08.09 - Pacemaker/ICD Adaptors 245 08.10 - Pacemaker/ICD Extenders 246 08.11 - Pacemaker/Lead Accessories 247 08.12 - Coronary Stents 248 08.13 - Special Purpose Percutaneous Cardiovascular Devices 249 08.14 - Implantable Cardiac Event Recorders 252 09.10 - Skeletal Fixation Devices 253 04.09 - Intracranial Pressure (ICP) Monitoring 255 04.10 - Cerebrospinal Fluid (CSF) Diversion 2181 08.13.03 - Left Atrial Appendage Closure 1219 06.01.02 - Sinus Tarsi Implant 1228 06.03.01 - Intramedullary Nails 1229 06.03.02 - Intramedullary Nail Accessories 1231 06.03.04 - Screws 1237 06.03.11 - External Fixateurs 1241 06.03.15 - Bone Graft Substitute 1269 06.01.01 - Ankle joint component 1273 06.02.01 - Wrist 1274 06.02.02 - Finger Joint Articulations 1275 06.02.03 - Elbow 1276 06.02.04 - Shoulder - Humeral 1277 06.02.05 - Shoulder - Glenoid 1278 06.02.06 - Shoulder - Accessories 1279 06.03.14 - Bone Cement 1324 01.01.01 - Aphakic 1325 01.01.02 - Phakic 1326 01.02.01 - Rigid 1327 01.02.02 - Foldable 1328 01.02.03 - Pseudo-phakic, piggy-back 1329 01.03.01 - Viscoelastic 1330 01.03.02 - Non Viscous 1331 01.04.01 - Simple 1332 01.04.02 - Complex 1333 01.05.01 - Ab Externo Long Tube /Reservoir 1334 01.05.02 - Ab Externo 1335 01.06.01 - Spacers 1336 01.06.02 - Weights 1337 01.07.01 - Intracanalicular 1339 01.08.01 - Intrascleral 1340 01.08.02 - Extrascleral 1341 01.08.03 - Fascial - solid and permeable 1342 01.09.01 - Buckles, bands, tyres and sponges 1344 01.09.03 - Sleeves 1345 01.09.04 - Intraocular Gases 1346 01.09.05 - Intraocular Heavy Liquids 1347 01.09.06 - Intraocular Silicone Oils 1348 12.01.01 - Cemented, Alloy 1349 12.01.02 - Cemented, Alloy, PMMA Coating 1350 12.01.03 - Cemented, Non-Alloy 1351 12.01.04 - Uncemented, Alloy 1352 12.01.05 - Uncemented, Alloy, HA Coating 1353 12.02.01 - Cemented, Alloy 1354 12.02.02 - Cemented, Non-Alloy 1355 12.02.03 - Uncemented, Alloy 1356 12.03.01 - Cemented, All polyethylene 1357 12.03.02 - Cemented, Alloy 1358 12.03.03 - Cemented, Alloy, Moulded Polyethylene 1359 12.03.04 - Cemented, Alloy, for Mobile Insert 1360 12.03.05 - Uncemented, Alloy 1361 12.03.06 - Uncemented, Alloy, Moulded Polyethylene 1362 12.03.07 - Uncemented, Alloy, for Mobile Insert 1363 12.04.01 - Cemented, Alloy Polyethylene 1364 12.04.02 - Cemented, Alloy 1365 12.04.03 - Cemented, Alloy, Moulded Polyethylene 1366 12.04.04 - Cemented, Alloy, for Mobile Insert 1367 12.04.05 - Uncemented, Alloy 1368 12.04.06 - Uncemented, Alloy, for Mobile Insert 1369 12.05.01 - Minimally Stabilised 1370 12.05.02 - Posterior Stabilised 1371 12.05.03 - Totally Constrained 1372 12.06.01 - Tibial Insert: Uni-Compartmental Arthroplasty 1374 12.07.01 - Alloy 1375 12.07.02 - Non-Alloy 1376 12.08.01 - Cemented, All Polyethylene 1377 12.08.02 - Cemented, Polyethylene, Metal Backed 1378 12.08.03 - Uncemented, Polyethylene, Metal Backed 1379 12.08.04 - Polyethylene Insert for Mobile Patella 1380 12.09.01 - Distal Femur 1381 12.09.02 - Proximal Tibia 1382 12.09.03 - Diaphyseal Extension Piece (Femoral or Tibial) 1383 12.09.04 - Bone Anchorage Piece 1384 12.09.05 - Tibial Inserts 1385 12.09.06 - Augments 1386 12.09.07 - Stems 1387 12.09.08 - Couplers or adaptors, incorporating stem extenders, sleeves and other couplings 1390 12.11.01 - Augments 1391 12.11.02 - Axles for hinged prostheses 1392 12.11.03 - Bolts 1393 12.11.04 - Connectors for hinged prostheses 1394 12.11.05 - Conversion modules 1395 12.11.06 - End caps 1396 12.11.07 - Offset couplers/adaptors 1397 12.11.08 - Pegs, lugs, etc 1398 12.11.09 - Screws 1399 12.11.10 - Stems - straight or offset 1400 12.11.11 - Stem Extenders, Sleeves and other couplings 1401 12.11.12 - Temporary Spacers 1404 11.01.01 - Cemented 1405 11.01.02 - Cemented, Long Lengths (≥200mm) 1406 11.01.03 - Uncemented 1407 11.01.04 - Uncemented, HA Coated 1408 11.01.05 - Uncemented, Long Lengths (≥200mm) 1409 11.01.06 - Uncemented, Long Lengths, HA Coated (≤200mm) 1410 11.01.07 - Uncemented, Modular 1411 11.01.08 - Uncemented, Modular, HA Coated 1412 11.01.09 - Uncemented, Modular, Long Lengths (Stem ≥200mm; Body ≥75mm; Cone ≥70mm; Spacer/Sleeve ≥50mm) 1413 11.01.10 - Uncemented, Modular, HA Coated, Long Lengths (Stem ≥200mm; Body ≥75mm; Cone ≥70mm; Spacer/Sleeve ≥50mm) 1414 11.01.11 - Calcar Replacement 1416 11.01.13 - Monoblock Hemis 1417 11.01.14 - Femoral Neck 1419 11.02.01 - Conventional Femoral Heads, ≤32mm 1420 11.02.02 - Conventional Femoral Heads, >32mm 1421 11.02.03 - Metal on Metal Heads 1422 11.02.04 - Resurfacing, Cemented 1424 11.02.06 - Bipolar/Multipolar 1425 11.03.01 - Cups, Cemented 1426 11.03.02 - Shells, Uncemented 1427 11.03.03 - Shells, Uncemented, HA 1428 11.03.04 - Insert/Liner 1429 11.03.05 - Bonded Shell/Liner 1431 11.03.07 - Resurfacing Cup 1432 11.03.08 - Acetabular Reconstruction Devices 1433 11.04.01 - Augment 1434 11.04.02 - Bolt 1435 11.04.03 - Bone Screw 1436 11.04.04 - Calcar Block 1437 11.04.05 - Cement Restrictor 1438 11.04.06 - Centraliser 1439 11.04.07 - Claw 1440 11.04.08 - Connector 1441 11.04.09 - Dome Plug 1442 11.04.10 - Head Taper Insert 1443 11.04.11 - Neck Adapter 1444 11.04.12 - Nut 1445 11.04.13 - Pin 1446 11.04.14 - Plug - Including Dome Plug 1447 11.04.15 - Plug and Hood 1449 11.04.17 - Ring 1450 11.04.18 - Screw 1451 11.04.19 - Sleeve 1452 11.04.20 - Spacer- Unique 1453 11.04.21 - Spike - Acetabular 1454 11.04.22 - Trochanter Plate 1455 11.04.23 - Trochanteric Replacement 1456 11.04.24 - Washer 1457 11.04.25 - Wire - Cobalt Chrome 1458 11.04.26 - Wire - Stainless Steel 1460 06.01.03 - Ankle joint 1461 06.01.04 - Replacement of other joints of the foot including articulations 1462 13.01.01 - Pedicle, Monoaxial 1463 13.01.02 - Pedicle, Polyaxial 1464 13.01.03 - Standard 1465 13.02.01 - Nut/Set Screw/Locking Screw 1466 13.02.02 - Collar/Sleeve 1467 13.02.03 - Cap/Cover Plate 1468 13.02.04 - Cap/Cover Plate, Complex 1469 13.02.05 - Block/Screw head 1470 13.02.06 - Cross Link Rod 1471 13.02.07 - Hook/Clamp/Plate 1472 13.03.01 - In-Line 1473 13.03.02 - Offset 1474 13.03.03 - Transverse (Rod-to-Rod) 1475 13.04.01 - Hook 1476 13.05.01 - Integral Fixation 1477 13.05.02 - No Integral Fixation 1478 13.06.01 - Standard 1479 13.06.02 - Telescoping 1480 13.06.03 - Dual Unit 1481 13.07.01 - Plate Rod 1482 13.08.01 - Washer 1483 13.08.02 - Staple 1484 13.09.01 - C-Ring 1485 13.10.01 - Interbody, Integral Fixation 1486 13.10.02 - Interbody, No Integral Fixation 1487 13.10.03 - Facet Joint 1488 13.11.01 - System 1489 13.11.02 - End Plate 1490 13.11.03 - Core 1492 13.12.01 - Telescoping Cage 1493 13.12.02 - Stackable Cage 1494 13.12.03 - Mesh 1495 13.12.04 - Mesh, End Plate 1496 13.13.01 - Interspinous Fixation Device 2521 02.01.08 - Tympanic Membrane Grafts 1497 09.01.01 - Bi-Leaflet, rotatable 1499 09.02.01 - Stented, anatomical 1500 09.02.02 - Stented, non anatomical 1501 09.02.03 - Non-Stented 1502 09.03.01 - Mechanical Valve 1503 09.03.02 - Tissue Valve, stented anatomical 1507 09.05.01 - Tissue 1508 09.05.02 - Synthetic 1509 09.06.01 - Non-cardiovascular < 100cm² 1510 09.06.02 - Non-cardiovascular ≥100cm² and <200cm² 1511 09.06.03 - Non-cardiovascular ≥200cm² 1517 09.09.01 - Modified Tube (end modified eg valsalva) 1518 09.09.02 - Tube with one side branch 1519 09.09.03 - Tube with multiple side branches (more than 1) 1520 03.01.01 - Hepatic, Yttrium 90, Standard Dose 1521 03.01.02 - Prostatic I-125 1522 03.02.01 - Infusion Ports 1524 03.02.02 - Infusion Pumps, Balloon Based 1525 03.02.03 - Infusion Pumps, Battery Powered 1526 02.01.01 - Cochlear Implants 1528 02.01.02 - Speech Processors 1540 03.02.04 - Infusion Pumps, Spring Powered 1541 03.02.05 - Infusion Pump Accessories 1542 03.02.06 - Pharmaceutical Beads 1544 03.03.01 - Feeding Tubes 1545 03.03.02 - Gastrostomy Tubes 1546 03.03.03 - Jejunostomy Tubes 1547 03.03.04 - Caecostomy Tubes 1548 03.04.01 - Adjustable Gastric Band with Port 1551 03.05.01 - Occluder Pin 1552 03.05.02 - Powder 1553 03.05.03 - Sponges 1554 03.05.04 - Pliable Patches 1555 03.05.05 - Matrix 1556 03.06.01 - Biliary Stents 1557 03.06.02 - Colonic Stents 1558 03.06.03 - Oesophageal Stents 1560 02.01.04 - Implantable Bone Conduction Hearing System 1561 03.06.04 - Pancreatic Stents 1562 03.06.05 - Enteral Stents 1563 03.06.06 - Tracheobronchial Stents 1564 03.06.07 - Nerve Repair Stents 1565 02.01.05 - Ossicle/Middle Ear Prosthesis 1566 02.01.06 - Ventilation Tube/Grommet 1567 02.01.07 - Bone Cement 1568 02.02.01 - Septal Button 1569 02.03.01 - Tracheal Speaking Valve 1570 02.03.02 - Vocal Chord Medialisation Implant 1571 02.03.03 - Tracheal Stents 1573 02.03.04 - Thyroplasty 1574 02.03.05 - Cannula 1576 02.03.06 - Injectable Material for Vocal Fold Augmentation / Laryngeal Reconstruction 1577 03.07.01 - Drainage Catheters 2601 09.09.05 - Hybrid stent graft (Branched) 1578 03.07.02 - Endobronchial Valve 1579 03.08.01 - Adhesion Barriers 1580 03.08.02 - Internal Adhesives 1581 03.08.03 - Ligating Devices 1582 03.08.04 - Staples & Tackers 1585 07.01.01 - Mesh - Metal 1586 07.01.02 - Mesh - Non-metal 1587 07.01.03 - Mesh - Composite 1588 07.01.04 - Non-mesh 1589 07.01.05 - Fracture or Reconstruction Plates 1590 07.01.06 - Screws 1591 07.01.07 - Ancillary Components 1592 07.02.01 - Chin 1593 07.02.02 - Cranium 1594 07.02.03 - Ear 1595 07.02.04 - Malar 1596 07.02.05 - Mandible, Maxilla and Temperomandibular Joint (TMJ) 1597 07.02.06 - Nose and Zygoma 1598 07.02.07 - Orbit 1599 07.02.08 - External Prostheses, Bone Attachment 1600 07.03.01 - Abutment 1601 07.03.02 - Zygomatic Bone Implant 1602 07.03.03 - Endosseous Implant 1603 07.04.01 - Complete 1604 07.04.02 - Component 1605 07.05.01 - Muscular 1606 07.05.02 - Tissue Expanders 1607 07.05.03 - Skin, Artificial 1608 07.05.04 - Coupler 1609 07.06.01 - Saline Filled 1610 07.06.02 - Gel Filled 2641 08.17.01 - Transcatheter Aortic Valve Implantation 1622 10.01.01 - Bare Metal Stents 1624 10.01.02 - Drug Eluting Stents 1625 10.02.01 - Tube (Thoracic Aorta) 1626 10.02.02 - Tube (Abdominal Aorta) 1627 10.02.03 - Tube (Aorto-uni-iliac) 1628 10.02.04 - Bifurcated 1629 10.02.05 - Branched 1630 10.02.06 - Fenestrated 1631 10.02.07 - Accessory Component (Aortic) 1632 10.02.08 - Accessory Component (Other including iliac limb and extension) 1633 10.02.09 - Iliac Graft Plug 1634 10.02.10 - Tube, Peripheral, Balloon Expandable 1635 10.02.11 - Tube, Peripheral, Self Expandable 1636 10.03.01 - Tube 1637 10.03.02 - Bifurcated 1638 10.03.03 - Branched or Fenestrated 1639 10.03.04 - Tapered or End-modified 1640 10.04.01 - Vascular Patches 1641 10.05.01 - Vessel Bands 1642 10.06.01 - Venous 1643 10.06.02 - Arterial 1644 10.07.01 - Arterial Closure Devices 1645 10.08.01 - Particle 1646 10.08.02 - Coil, Peripheral 1647 10.08.03 - Polymer 1648 10.08.04 - Complex Occlusion Devices, including detachable balloon, sphere or umbrella 1649 10.09.01 - Percutaneous Catheters, Single Lumen 1650 10.09.02 - Percutaneous Catheters, Multiple Lumen 1651 10.09.03 - Percutaneous Catheters, Multiple Lumen for Haemodialysis 1652 10.09.04 - Infuser Ports, Single Chamber 1653 10.09.05 - Infuser Ports, Multiple Chamber 1654 10.10.01 - Peritoneal Dialysis, Long Term Implantable Catheters 1655 04.01.01 - Aneurysm Clip 1656 04.01.02 - AVM Clip 1657 04.02.01 - Repair, Graft, Small (≤10cm²) 1658 04.02.02 - Repair, Graft, Medium (>10 to 50cm²) 1659 04.02.03 - Repair, Graft, Large (>50 to 100cm²) 1660 04.02.04 - Repair, Graft, Extra Large (>100cm²) 1661 04.02.05 - Repair, Liquid Sealant (0 to 3ml) 1662 04.02.06 - Repair, Liquid Sealant (>3 to 6ml) 1666 04.03.01 - Valves 1667 04.03.02 - Unitised shunt assembly, with proximal/distal catheter 1668 04.03.03 - Catheter 1669 04.03.04 - Antisyphon Device 1670 04.03.05 - Reservoir/Priming Device 1671 04.03.06 - Shunt Attachment 1672 04.04.01 - Implantable Pulse Generator 1673 04.04.02 - External Components 1674 04.04.03 - Leads 1675 04.04.04 - Microtargetting Electrodes 1676 04.04.05 - Accessories 1677 04.05.01 - Pulse Generators 1678 04.05.02 - External Components 1679 04.05.03 - Leads 1680 04.05.04 - Lead Extension 1681 04.06.01 - Implantable Infusion Pump 1682 04.06.02 - Patient Programmer 1683 04.06.03 - Intrathecal Catheter 1684 04.06.04 - Accessories 1685 04.07.01 - Vagal nerve stimulators 1687 04.08.01 - Stent 1688 04.08.02 - Coils 1689 04.08.03 - Assist Devices 1690 04.05.05 - Accessories 1691 03.08.09 - Plugs 1692 10.08.05 - Liquid 1693 10.08.06 - Delivery Device For Occlusion Media 1694 06.03.03 - Plates 1696 05.01.01 - Inflatable 1698 05.01.03 - Sling 1699 05.01.04 - Injectable, Synthetic 1701 05.02.01 - Fixed length 1702 05.02.02 - Multi-length 1703 05.02.03 - Urinary diversion 1706 05.04.01 - Synthetic 1707 05.04.02 - Biological 1709 05.05.02 - Inflatable - Two component 1710 05.05.03 - Inflatable - Three component 1711 05.06.01 - Testicular prostheses 1712 05.07.01 - Primary Cell Pulse Generator (non-rechargeable) 1713 05.07.02 - External Components 1714 05.07.03 - Lead 1715 05.07.04 - Accessories 1716 05.08.01 - Extraluminal 1718 05.09.01 - Nephrostomy Catheters 1719 05.10.01 - Vesicoureteral Reflux Prostheses 1721 05.05.01 - Malleable 1722 08.01.01 - 29-42cc, 5-7 yrs longevity, Lead perf trends, Complex arrhythmia logging + memory features, adv data collect + storage 1723 08.01.02 - Features of 8.1.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis 1724 08.02.01 - 29-42cc, 5-7 yrs longevity, Lead perf trends, Complex arrhythmia logging + memory features, adv data collect + storage 1725 08.02.02 - Features of 8.2.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis 1726 08.03.01 - Dual Chamber, Bivent pacing, Vent tachyarrhythmia treatment, programming enabling variation L vent & R vent stimulation timing & independent outputs 1727 08.03.02 - Features of 8.3.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis 1730 08.04.03 - SSIR with small/compact size, multi-programmability & longevity, & four or more advanced features 1732 08.05.02 - DDDR/VDDR including rate responsive feature 1733 08.05.03 - DDDR with four or more advanced features 1734 08.05.04 - DDDR with continuous threshold monitoring in atrium + ventricle with ability to adapt pacing outputs accordingly, & with four or more advanced features 1736 08.06.02 - Features of 8.6.1 plus continuous threshold monitoring in atrium & ventricle with ability to adapt pacing outputs accordingly 1737 08.07.01 - Coronary Sinus 1738 08.07.02 - Subcutaneous 1741 08.07.05 - Transvenous/Steroid/Passive 1743 08.07.06 - Transvenous/Steroid/Active 1745 08.07.07 - Epicardial Patches 1746 08.08.01 - Non-transvenous, Bi-Polar, Steroid 1747 08.08.02 - Non-transvenous, Uni-Polar, Steroid 1748 08.08.03 - Non-transvenous, Uni-Polar, Non-Steroid 1749 08.08.04 - Transvenous, Uni-Polar, Passive, Steroid, Right Ventricular/Atrial 1751 08.08.06 - Transvenous, Uni-Polar, Passive, Steroid, Left Ventricular 1753 08.08.08 - Transvenous, Bi-Polar, Passive, Steroid, Right Ventricular/Atrial 1756 08.08.09 - Transvenous, Bi-Polar, Active, Steroid, Right Ventricular/Atrial 1759 08.08.11 - Transvenous, Multi-Polar, Passive, Steroid, Left Ventricular 1762 08.08.13 - Transvenous, Active, Steroid, Left Ventricular 1763 08.09.01 - Pacemaker/ICD Adaptors 1764 08.10.01 - Pacemaker/ICD Adaptors 1765 08.11.01 - Pacemaker/Lead Accessories 1766 08.12.01 - Drug Eluting 1767 08.12.02 - Bare Metal 1768 08.13.01 - Cardiac Defect Occluders 1769 08.13.02 - Vascular Occlusion Devices 1770 08.14.01 - Implantable Cardiac Event Recorders 1771 03.08.10 - Anastomosis Clip 1772 06.03.05 - Surgical Accessories 1773 06.03.06 - Staples 1774 06.03.07 - Soft Tissue Fixation Devices 1776 06.03.08 - Soft Tissue Substitute 1777 06.03.16 - Meshes 1778 06.03.17 - Tumour / Limb Deficiency 1779 03.04.03 - Replacement Injection Ports 1781 03.04.02 - Gastric Band without Port 1782 03.08.05 - Polypropylene/Polyester Mesh 1783 03.08.06 - Composite Mesh 1785 03.08.08 - PTFE/ePTFE Mesh 1786 05.01.02 - Permanently Adjustable 1791 09.10.01 - Skeletal fixation, sternum 1792 03.01.03 - Tissue Expander/Separator 1793 03.07.03 - Drainage Shunts, Peritineovenous 1794 04.09.01 - Transducer 1796 04.10.01 - External Ventricular Drain 1797 03.05.06 - Foam 1798 03.08.07 - Complete Biomaterial Mesh 1799 03.08.11 - Dynamic Wound Closure Devices 1800 05.03.01 - Urethral Stents 1801 05.03.02 - Prostatic Retractor 1802 01.05.03 - Ab Interno Glaucoma Drainage Device 1803 01.07.03 - Balloon Dilatation Catheters 1804 08.15.01 - Uncovered 1805 08.15.02 - Covered 1806 11.04.27 - Insert Orientation Spacer Ring 1807 07.02.09 - Anatomical Biomodel 1810 09.05.03 - Biologically Engineered 1811 09.09.04 - Hybrid stent graft (unbranched) 1812 08.01.03 - Single Chamber, Subcutaneous 1814 13.12.05 - Non Stackable Cage, other 1815 09.02.04 - Rapid deployment aortic valve with dedicated single use tools 1816 13.02.08 - Sublaminar Cable 1817 02.02.02 - Nasal Valve Stent 1819 09.11.01 - Ventricular Assist System 1820 11.04.28 - Acetabular Stem or equivalent 1821 13.14.01 - Sacroiliac Joint Fixation Device 1822 01.10.01 - Foldable 1823 13.15.01 - Annular closure/reconstruction device 1824 09.12.01 - Pectus Bar 1825 09.12.02 - Stabilisers 1826 13.06.05 - Rod, Percutaneous Controlled Expansion 1828 09.13.01 - Chordal Replacement Devices, fixed and adjustable 1829 08.11.02 - Antibacterial Envelope 1830 09.11.02 - External Components 1831 09.11.03 - Patient Mobility Accessories 1832 08.16.01 - Remote Monitoring System 1841 09.04.04 - Atrio-Ventricular Ring or Band, Standard 1842 09.04.05 - Atrio-Ventricular Ring or Band, Modified 1901 07.01.08 - Non-mesh, non-resorbable 2945 06.03.12 - Internal Fixator 2946 08.18.01 - Radio frequency (RF) Ablation 2947 08.18.02 - Cryoablation 2948 09.14.01 - RF Ablation 2949 09.14.02 - Cryoablation 6144 06.02.02.11 - Finger, interphalangeal - proximal component 6145 06.02.02.12 - Finger, interphalangeal - distal component 6146 06.02.02.13 - Interpositional Devices 4111 06.03.15.06 - Demineralised Bone Matrix, 2 – 5cc 4112 06.03.15.07 - Demineralised Bone Matrix, >5cc - 10cc 4113 06.03.15.08 - Demineralised Bone Matrix, >10cc 4114 06.03.15.09 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), 0 - 5cc 4115 06.03.15.10 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), >5cc - 10cc 4116 06.03.15.11 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), >10cc - 20cc 4117 06.03.15.12 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), >20cc 4118 06.03.15.13 - Biologically Active Bone Inductor, 0 - 2.5mg 4119 06.03.15.14 - Biologically Active Bone Inductor, >2.5mg - 5mg 4120 06.03.15.15 - Biologically Active Bone Inductor, >5mg - 10mg 4121 06.03.15.16 - Biologically Active Bone Inductor, >10mg 4122 06.03.15.17 - Metal Scaffold 4123 13.03.03.01 - Fixed 4124 13.03.03.02 - Adjustable 4125 13.05.01.01 - Cervical 4126 13.05.01.02 - ThoracoLumbar / Lumbar / Lumbosacral 4127 13.05.02.01 - Cervical 4128 13.05.02.02 - ThoracoLumbar 4129 13.05.02.03 - Occipital 4131 13.05.02.05 - Laminoplasty Plate 4132 13.06.03.01 - Thoracolumbar 4133 13.06.03.02 - Occipital 6181 06.03.05.13 - Chest Wall Reconstruction Plate Accessories 4134 13.10.02.01 - Cervical 4135 13.10.02.02 - ThoracoLumbar / Lumbar 4136 13.12.01.01 - Integral Fixation 4137 13.12.01.02 - No Integral Fixation 4138 13.12.01.03 - End Plate 4141 09.05.02.01 - Cardiovascular < 75cm² 4142 09.05.02.02 - Cardiovascular ≥ 75cm² 4145 02.01.02.01 - Initial 4147 02.01.02.02 - Replacement 7221 06.03.08.03 - Non-biological cartilage substitute 4150 02.01.04.01 - Sound Processor 4151 02.01.04.02 - Osseointegration 4152 02.01.04.03 - Cover Screw 6201 07.01.08.01 - <6cm2 6202 07.01.08.02 - >6cm2 - <8cm2 4154 02.01.05.01 - Stapes 6203 07.01.08.03 - >8cm2 4155 02.01.05.02 - Malleus 4156 02.01.05.03 - Partial Ossicle Replacement (one or two) 4157 02.01.05.04 - Total Ossicle Replacement (three) 4162 03.01.02.01 - Standard Dose 4163 03.01.02.02 - Single Seed or Partial Dose 4164 03.02.01.01 - Single Lumen 4183 03.02.03.02 - Insulin infusion pump (as 3.2.3.1) with integral calculator to determine boluses and active insulin 4185 03.02.03.04 - Other Pharmacology 4186 03.02.03.05 - Programmable/Reprogrammable Flow Rate and Bolus 4187 03.02.03.03 - Device has capability to automatically adjust the insulin delivery based on continuous glucose monitoring data 4188 03.02.04.01 - Fixed Flow Rate 4190 03.02.05.01 - Kit 4191 03.02.05.02 - Administration Cassette 4192 03.02.05.03 - Administration Reservoir 4193 03.02.05.04 - Administration Set 4194 03.02.05.05 - Other 4195 03.02.06.01 - Single Units 4196 03.02.06.02 - Chains 4197 03.03.02.01 - Initial 4198 03.03.02.02 - Subsequent 4199 03.05.03.01 - Absorbable ≤75cm² 4200 03.05.03.02 - Absorbable >75cm² 4201 07.01.01.01 - <0.2mm thick, 1-50cm² 4202 07.01.01.02 - <0.2mm thick, 51-100cm² 4203 07.01.01.03 - 0.2-0.49mm thick, 1-10cm² 4204 07.01.01.04 - 0.2-0.49mm thick, 11-50cm² 4205 07.01.01.05 - 0.2-0.49mm thick, 51-200cm² 4206 07.01.01.06 - 0.2-0.49mm thick, >200cm² 4207 07.01.01.07 - 0.5-0.8mm thick, 1-10cm² 4208 07.01.01.08 - 0.5-0.8mm thick, 11-50cm² 4209 07.01.01.09 - 0.5-0.8mm thick, 51-200cm² 4210 07.01.01.10 - 0.5-0.8mm thick, >200cm² 4213 03.05.05.01 - Liquid ≤6ml 4214 03.05.05.02 - Liquid >6ml 4215 03.05.05.03 - Non-liquid ≤50cm² 4216 03.05.05.04 - Non-liquid >50cm² 4217 03.05.05.05 - Accessory Extender 4218 03.06.01.01 - Non-reinforced Wall 4219 07.01.02.01 - <0.2mm thick, 1-10cm² 4220 07.01.02.02 - <0.2mm thick, 11-25cm² 4221 07.01.02.03 - 0.2-0.49mm thick, 1-10cm² 4222 07.01.02.04 - 0.2-0.49mm thick, 11-25cm² 4223 07.01.02.05 - 0.2-0.49mm thick, 26-50cm² 4225 07.01.02.07 - 0.5-0.8mm thick, 1-10cm² 4226 07.01.02.08 - 0.5-0.8mm thick, 11-25cm² 4227 07.01.02.09 - 0.5-0.8mm thick, 26-50cm² 4228 07.01.02.10 - 0.5-0.8mm thick, 51-100cm² 4229 07.01.02.11 - 0.5-0.8mm thick, 101-200cm² 4230 07.01.02.12 - >0.8mm thick, 1-10cm² 4231 07.01.02.13 - >0.8mm thick, 11-25cm² 5255 06.03.03.01 - Standard (screw size ≥4.5mm)(including blade) ≤ 6 holes 4232 07.01.02.14 - >0.8mm thick, 26-50cm² 5256 06.03.03.02 - Standard (screw size ≥4.5mm)(including blade) ≥ 7 to ≤ 15 holes 4233 07.01.02.15 - >0.8mm thick, 51-100cm² 6281 03.01.03.02 - Gel 10mL or Balloon 5257 06.03.03.03 - Standard (screw size ≥4.5mm)(including blade) ≥ 16 holes 4234 03.06.01.02 - Reinforced Wall, Uncovered/Bare Metal 5258 06.03.03.04 - Small (screw size 2.71mm – 4.49mm)(including blade) ≤ 6 holes 4235 03.06.01.03 - Reinforced Wall, Covered 5259 06.03.03.05 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 7 to ≤ 15 holes 5260 06.03.03.06 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 16 holes 4237 03.06.03.02 - Reinforced Wall, Uncovered/Bare Metal 5261 06.03.03.07 - Mini (screw size ≤2.7mm)(including blade) ≤ 6 holes 4238 03.06.03.03 - Reinforced Wall, Covered 5262 06.03.03.08 - Mini (screw size ≤2.7mm)(including blade) ≥ 7 to ≤ 15 holes 4239 07.01.03.01 - 0.5-0.8mm thick, 1-25cm² 5263 06.03.03.09 - Mini (screw size ≤2.7mm)(including blade) ≥ 16 holes 4240 07.01.03.02 - 0.5-0.8mm thick, 26-50cm² 5264 06.03.03.10 - Dynamic - Hip ≤ 6 holes 4241 07.01.03.03 - >0.8mm thick 26-50cm² 5265 06.03.03.11 - Dynamic - Hip ≥ 7 to ≤ 15 holes 4242 03.07.01.01 - Pleural 5266 06.03.03.12 - Dynamic - Hip ≥ 16 holes 4243 03.07.01.02 - Intraperitoneal 5267 06.03.03.13 - Dynamic - supracondylar ≤ 6 holes 5268 06.03.03.14 - Dynamic - supracondylar ≥ 7 to ≤ 15 holes 5269 06.03.03.15 - Dynamic - supracondylar ≥ 16 holes 4246 03.08.01.03 - Spray 5270 06.03.03.16 - Periarticular anatomic - Clavicle plate ≤ 6 holes 4247 03.08.02.01 - Adhesive ≤2ml 5271 06.03.03.17 - Periarticular anatomic - Clavicle plate ≥ 7 to ≤ 15 holes 4248 03.08.02.02 - Adhesive >2-5ml 5272 06.03.03.18 - Periarticular anatomic - Clavicle plate ≥ 16 holes 4249 03.08.02.03 - Adhesive >5ml 5273 06.03.03.19 - Periarticular anatomic - Humerus ≤ 6 holes 4250 03.08.02.04 - Adhesive Accessory 5274 06.03.03.20 - Periarticular anatomic - Humerus ≥ 7 to ≤ 15 holes 4251 03.08.02.05 - Adhesive Peristrips 5275 06.03.03.21 - Periarticular anatomic - Humerus ≥ 16 holes 4252 03.08.02.06 - Pleurodesis Powder 5276 06.03.03.22 - Periarticular anatomic - Radius ≤ 6 holes 4253 07.01.04.01 - Resorbable 5277 06.03.03.23 - Periarticular anatomic - Radius ≥ 7 to ≤ 15 holes 4254 07.01.04.02 - Polymer 5278 06.03.03.24 - Periarticular anatomic - Radius ≥ 16 holes 4255 07.01.04.03 - Block 5279 06.03.03.25 - Periarticular anatomic - Ulna ≤ 6 holes 4256 03.08.03.01 - Clips 5280 06.03.03.26 - Periarticular anatomic - Ulna ≥ 7 to ≤ 15 holes 4257 03.08.03.02 - Clip Applier 5281 06.03.03.27 - Periarticular anatomic - Ulna ≥ 16 holes 4258 03.08.03.03 - Clips with Disposable Applier 4259 03.08.03.04 - Clip Reload Cartridge 5283 06.03.03.29 - Periarticular anatomic - Pelvis ≤ 6 holes 4260 03.08.03.05 - Sutures 5284 06.03.03.30 - Periarticular anatomic - Pelvis ≥ 7 to ≤ 15 holes 4261 07.01.05.01 - <0.5mm thick, <4 holes 5285 06.03.03.31 - Periarticular anatomic - Pelvis ≥ 16 holes 5286 06.03.03.32 - Periarticular anatomic - Femur ≤ 6 holes 4263 07.01.05.02 - <0.5mm thick, 4-7 holes 5287 06.03.03.33 - Periarticular anatomic - Femur ≥ 7 to ≤ 15 holes 5288 06.03.03.34 - Periarticular anatomic - Femur ≥ 16 holes 4265 07.01.05.03 - <0.5mm thick, 8-15 holes 5289 06.03.03.35 - Periarticular anatomic - Fibula ≤ 6 holes 4266 07.01.05.04 - <0.5mm thick, 16-32 holes 5290 06.03.03.36 - Periarticular anatomic - Fibula ≥ 7 to ≤ 15 holes 4267 07.01.05.05 - 0.5-0.99mm thick, <4 holes 5291 06.03.03.37 - Periarticular anatomic - Fibula ≥ 16 holes 5292 06.03.03.38 - Periarticular anatomic - Tibia ≤ 6 holes 5293 06.03.03.39 - Periarticular anatomic - Tibia ≥ 7 to ≤ 15 holes 5294 06.03.03.40 - Periarticular anatomic - Tibia ≥ 16 holes 4271 07.01.05.06 - 0.5-0.99mm thick, 4-7 holes 5295 06.03.03.41 - Periarticular anatomic - Calcaneal ≤ 6 holes 5296 06.03.03.42 - Periarticular anatomic - Calcaneal ≥ 7 to ≤ 15 holes 7345 03.05.05.06 - Powder >6ml 5297 06.03.03.43 - Periarticular anatomic - Calcaneal ≥ 16 holes 5298 06.03.03.44 - Periarticular anatomic - Foot 5299 06.03.03.45 - Periarticular anatomic - Cable plate (hook/grip) ≤ 6 holes 7348 06.03.12.01 - Elbow 5300 06.03.03.46 - Periarticular anatomic - Cable plate (hook/grip) ≥ 7 to ≤ 15 holes 4277 07.01.05.07 - 0.5-0.99mm thick, 8-32 holes 7349 08.18.01.01 - Ablation Catheter 7350 08.18.01.02 - Patch 5302 06.03.03.48 - Periarticular anatomic - Cable plate with integrated cables - 2 or less, ≤ 6 holes 7351 08.18.01.03 - Mapping Catheter 5303 06.03.03.49 - Periarticular anatomic - Cable plate with integrated cables - > 2, ≤ 6 holes 7352 08.18.02.01 - Ablation Catheter 7353 08.18.02.02 - Mapping Catheter 5306 05.01.01.01 - Pump 7354 09.14.01.01 - Monopolar 5307 05.01.01.02 - Occlusive cuff 7355 09.14.01.02 - Bipolar 4284 07.01.05.08 - 0.5-0.99mm thick, >32 holes 5308 05.01.01.03 - Regulating Balloon 7356 09.14.01.03 - System 3261 06.01.02.01 - Metal 4286 07.01.05.09 - 1.0-1.99mm thick, <4 holes 5310 05.01.01.05 - Accessory kit 7358 09.14.02.01 - Probe 5311 05.01.01.06 - System 7359 09.14.02.02 - System 4288 07.01.05.10 - 1.0-1.99mm thick, 4-7 holes 7360 03.02.03.06 - Insulin Infusion Pump - accessories subsequent annual supply 7361 03.08.03.10 - Laparoscopic Suturing Device 5314 05.01.03.01 - Male 5315 05.01.03.02 - Female 5316 05.01.04.01 - 1 ml 4293 07.01.05.11 - 1.0-1.99mm thick, 8-15 holes 5318 05.01.04.03 - 2 ml 5319 05.01.04.04 - 2.5 ml 4296 07.01.05.12 - 1.0-1.99mm thick, 16-32 holes 5320 05.01.04.05 - 3 ml 5321 05.02.01.01 - Polyurethane 5322 05.02.01.02 - Other synthetic 5323 05.02.01.03 - Metal 4300 07.01.05.13 - 1.0-1.99mm thick, >32 holes 5324 05.02.02.01 - Polyurethane 4301 07.01.05.14 - 2.0-2.99mm thick, 4-7 holes 5325 05.02.02.02 - Other synthetic 5326 05.04.01.01 - <500 sq cm 4303 07.01.05.15 - 2.0-2.99mm thick, 8-15 holes 5327 05.04.01.02 - ≥500 sq cm 5328 05.04.02.01 - <70 sq cm 5329 05.04.02.02 - ≥70 sq cm 5330 05.05.03.01 - Cylinder 4307 07.01.05.16 - 2.0-2.99mm thick, 16-32 holes 5331 05.05.03.02 - Reservoir 5332 05.05.03.03 - Pump 5333 05.05.03.04 - Deactivation set 4310 07.01.05.17 - 2.0-2.99mm thick, >32 holes 5334 05.05.03.05 - Accessory kit 4311 07.01.05.18 - ≥3mm thick, 4-7 holes 5335 05.05.03.06 - Pump and cylinder 4312 07.01.05.19 - ≥3mm thick, 8-15 holes 5337 05.07.02.01 - Programmer 4314 07.01.05.20 - ≥3mm thick, 16-32 holes 5339 05.07.03.01 - Permanent 5340 05.07.03.02 - Trial 4317 03.08.04.01 - Staples, Non-bone (Reload) 5341 05.07.03.03 - Extension 4318 03.08.04.02 - Staplers 5342 05.07.04.01 - Implant/Revision Kits 4319 03.08.04.03 - Staples, Reinforcer 5343 05.07.04.02 - Other Accessories 4320 03.08.04.04 - Staples, Non-bone with Disposable Applier 5344 05.08.01.01 - Clip 4321 07.01.06.01 - Diameter ≤1.24mm 5345 05.08.01.02 - Band 5346 08.12.01.01 - General Purpose 4323 07.01.06.02 - Diameter 1.25-3.24mm 5348 08.12.02.01 - General Purpose 5349 08.12.02.02 - Special Purpose for specific indications 5351 04.07.01.02 - Lead 4331 03.08.04.05 - Tackers 4332 07.01.07.01 - Pin 4333 07.01.07.02 - Tack 4334 07.01.07.03 - Washer 5358 03.02.02.01 - Fixed Flow Rate 4335 07.01.07.04 - Wedges and Burr Hole Covers 5359 03.02.02.02 - Variable Flow Rate 4336 07.01.07.05 - Anchor Bone 5360 06.03.01.08 - Flexible/paediatric 4337 07.01.07.06 - Clamps 5361 06.03.01.09 - Radial/Ulnar 4338 07.01.07.07 - Screws 5362 06.03.01.10 - Dynamic distraction - electronic 4339 07.01.07.08 - Locks 5363 06.03.02.04 - End caps and extension caps 4340 07.01.07.09 - Probe 5364 06.03.05.01 - Wires 5365 06.03.05.02 - Pins 5366 06.03.05.03 - Cables 4343 07.02.02.01 - Complex 5367 06.03.05.04 - Cables - with in-built locking device 5368 06.03.05.05 - Cables - with >1 locking device 5369 06.03.05.06 - Wire forms (including washers/screws) - all sizes 4346 07.02.02.02 - Polymer 5370 06.03.05.07 - Cerclage bands 5371 06.03.05.08 - Locking device for wires/cables 4348 07.02.02.03 - Composite 5372 06.03.05.09 - Hook/Grip for wires/cables 4349 07.02.03.01 - Helical Rim 5373 06.03.05.10 - Grooved Button for wires/cables 4350 07.02.03.02 - Ear Base 3326 06.03.01.01 - Femoral, Proximal short (<220mm) 4351 07.02.04.01 - Complex 3327 06.03.01.02 - Femoral, Proximal long (≥220mm) 4352 07.02.04.02 - Polymer 3328 06.03.01.03 - Femoral, Distal 4353 07.02.05.01 - Mandible, Full 6401 06.03.11.20 - Simple fixture kit - Lower body (Uniplanar) 3329 06.03.01.04 - Tibial/Fibular 4354 07.02.05.02 - Fossa Replacement 3330 06.03.01.05 - Humeral 4355 07.02.05.03 - Mandibular Angle 3331 06.03.01.06 - Arthrodesis knee 3332 06.03.01.07 - Arthrodesis ankle 4357 07.02.05.04 - Condylar Device 4358 07.02.05.05 - Plate 5382 06.03.07.01 - No suture (including arrows) 4360 07.02.06.01 - Nasal Dorsum 5384 06.03.07.02 - Suture, Small anchors (≤2.3mm) 4361 07.02.06.02 - Nasal Arch 5385 06.03.07.03 - Suture, Medium anchors (2.4 – 3.9mm) 4362 07.02.06.03 - Nasal Shell Shape 4363 07.02.06.04 - Nasal Valve Support 5387 06.03.07.04 - Suture, Large anchors (≥4mm) 4364 07.02.06.05 - Naso-orbital Ethmoid Implant 3341 06.03.02.01 - Intramedullary nail lag screw 5389 06.03.07.05 - Button/thread/tape or Button/thread/button 4366 07.02.07.01 - Complete Orbital Shape 5390 06.03.07.06 - Button 4367 07.02.07.02 - Orbital Floor 5391 06.03.07.07 - Interference Screw (± sleeve) 4370 07.02.07.03 - Rim 5394 06.03.07.08 - Screw/Pin/Post 4371 07.02.07.04 - Wedge for Orbit 4373 07.02.08.01 - Endosseous Implant 5397 06.03.08.01 - Biological (human or animal tissue derived) 4374 07.02.08.02 - Abutment, Permanent 5398 06.03.08.02 - Non-biological 5399 06.03.16.01 - Metallic 4376 07.02.08.03 - Abutment, Temporary or Healing 5400 06.03.16.02 - Non Metallic 4377 07.02.08.04 - Abutment Fixtures 5402 06.03.17.02 - Spacer 5404 06.03.17.04 - Central Screw 5405 06.03.17.05 - Healing Cylinder 5406 06.03.17.06 - Healing Screw 5407 06.03.17.07 - Fixture 5408 06.03.17.08 - Abutment 4385 07.03.01.01 - Permanent 5409 06.03.17.09 - Abutment Screw 4386 07.03.01.02 - Temporary 5410 06.03.17.10 - Oncology Humeral Stem 4387 07.03.01.03 - Cover Screw/Cap 5411 06.03.17.11 - Humeral Ancharge Piece 5412 06.03.17.12 - Humerus Extension Piece 4389 07.03.03.01 - Screws 4390 07.03.03.02 - Plates 5414 06.03.17.14 - Humerus Connection Piece 5415 06.03.17.15 - Oncology Humeral Body 4392 07.03.03.03 - Implants and Fixtures 5416 06.03.17.16 - Wedge 4393 07.03.03.04 - Graft Material <0.5ml 5417 06.03.17.17 - Humerus Connecting Screw 6441 01.05.03.01 - at Schlemm's canal 3369 06.03.04.01 - Standard ( ≥4.5mm) 4394 07.03.03.05 - Graft Material 0.5ml-<1.0ml 5418 06.03.17.18 - Humerus Hex Socket Bolt 6442 01.05.03.02 - external to Schlemm's canal 3370 06.03.04.02 - Small (2.71mm – 4.49mm) 4395 07.03.03.06 - Graft Material ≥1.0ml 5419 06.03.17.19 - Plug Screw Axis 3371 06.03.04.03 - Mini (2.01 – 2.7 mm) 4396 07.04.01.01 - External Midface System 3372 06.03.04.04 - Micro (≤ 2.0mm) 5421 06.03.17.21 - Humeral Bearing 3373 06.03.04.05 - Dynamic 4398 07.04.01.02 - External Set 5422 06.03.17.22 - Humeral Head/Cap 3374 06.03.04.06 - Screw Washers 4399 07.04.01.03 - Internal/Intraoral 5423 06.03.17.23 - Distal Humerus Flange 5424 03.08.02.07 - Sponge ≤10cm² 5425 03.08.02.08 - Sponge 10-40cm² 4402 07.04.02.01 - Distractor Body 5426 03.08.02.09 - Sponge >40cm² 4403 07.04.02.02 - Footplate 5428 06.02.06.06 - Definition screw / Locking Screw 4406 07.04.02.03 - Cross Bar/Rod 5431 03.08.01.01 - Sheet ≤100cm2 4408 07.04.02.05 - Pin 5432 03.08.01.02 - Sheet >100cm2 4409 07.04.02.06 - Screws 5433 03.08.01.04 - Gel/Liquid 4410 07.04.02.07 - External Distractor Component 5434 03.08.05.01 - ≤200cm² 4411 07.04.02.08 - Body Extension 5435 03.08.05.02 - 201-400cm² 4412 07.05.01.01 - Calf Implant 5436 03.08.05.03 - 401-600cm² 4413 07.05.01.02 - Gluteal 5437 03.08.05.04 - >600-<2500cm² 4414 07.05.02.01 - Skin or Mammary 5438 03.08.06.01 - ≤200cm² 5439 03.08.06.02 - 201-400cm² 5440 03.08.06.03 - 401-600cm² 4418 07.05.02.02 - Orbital 4419 07.05.03.01 - <50cm² 4420 07.05.03.02 - 50-149cm² 4421 07.05.03.03 - 150-400cm² 4422 07.05.03.04 - >400cm² 5446 03.08.08.01 - ≤200cm² 4423 07.06.01.01 - <500cc 5447 03.08.08.02 - 201-400cm² 5448 03.08.08.03 - 401-600cm² 5449 03.08.08.04 - >600cm² 3401 06.03.11.02 - Frame Complete - Monoplanar & Modular Frames 4426 07.06.01.02 - ≥500cc 5450 05.01.02.01 - Single 3402 06.03.11.03 - Frame Component - Monoplanar, Clamp 5451 05.01.02.02 - Double 5452 09.05.01.01 - < 25cm² 3404 06.03.11.05 - Frame Component - Monoplanar, Adaptor 5453 09.05.01.02 - 25-75cm² 4429 07.06.02.01 - <500cc 3405 06.03.11.06 - Frame Component - Full Circular Ring 5454 09.05.01.03 - >75cm² 3406 06.03.11.07 - Frame Component - Partial Circular Ring 4432 07.06.02.02 - ≥500cc 5457 06.03.05.11 - Wedges 5458 06.03.17.24 - Humeral Collar Round Smooth 5459 06.03.17.25 - Humeral Component for use with Hemi Head 5460 06.03.17.26 - Humeral Head Fixation Screw 5461 06.03.17.27 - Humeral Component with Liner and re-attachment 4437 03.02.01.02 - Multiple Lumen 5462 06.03.17.28 - Humeral Collar Round Coated 4439 10.01.01.01 - Balloon Expandable 5463 06.03.17.29 - Humeral Stem 4440 10.01.01.02 - Self Expandable, <150mm 5464 06.03.17.30 - Humeral Shaft 4441 10.01.01.03 - Self Expandable, ≥150mm 5465 06.03.17.31 - Humeral Intergral Shaft & Stem Coated 4442 10.02.01.01 - <180mm length 5466 06.03.17.32 - Humeral Intergral Shaft & Stem Coated Uncoated 4443 10.02.01.02 - ≥180mm length 5467 06.03.17.33 - Humeral Component with Liner 4444 10.02.04.01 - Body and 2 limbs 5468 06.03.17.34 - Humeral Component with Reattachment for use with Hemi Head 4445 10.02.04.02 - Body and 1 limb 5469 06.03.17.35 - Glenoid / Glensophere component 4446 10.02.04.03 - Body only 5470 06.03.17.36 - Humeral Hemi-Head 4447 10.02.07.01 - Thoracic 5471 10.01.01.04 - Self-Expanding, large diameter for treatment of aortic dissection disease 5472 10.08.02.01 - ≤200mm length 4448 10.02.07.02 - Abdominal 5473 10.08.02.02 - >200mm length 4449 10.02.10.01 - ≤12mm diameter 4450 10.02.10.02 - >12mm diameter 5474 06.03.01.11 - Arthrodesis Other 4451 10.02.11.01 - <150mm length 5475 06.03.17.37 - Femoral Stem - Uncemented 4452 10.02.11.02 - 150-249mm length 4453 10.02.11.03 - ≥250mm length 5477 06.03.17.39 - Tibial Stem - Uncemented 4454 10.03.01.01 - ≤10cm length 4455 10.03.01.02 - 11-20cm length 5479 06.03.17.41 - Valgus Sleeve 4456 10.03.01.03 - 21-49cm length 4457 10.03.01.04 - ≥50cm length 4458 10.04.01.01 - 0 - 100 sq cm 4459 10.04.01.02 - 101 - 150 sq cm 5483 04.06.04.02 - Refill/Catheter Access Kits 4460 10.04.01.03 - >150 sq cm 5484 04.05.05.05 - Connectors and Cables 5485 13.10.01.01 - Cervical 4461 10.04.01.04 - Pledgets 5486 13.10.01.02 - ThoracoLumbar / Lumbar 5487 13.11.01.01 - Cervical 5488 13.11.01.02 - Lumbar 4465 10.08.03.01 - 0.5ml 5489 03.07.01.03 - Biliary 4466 10.08.03.02 - 1ml 5490 03.08.03.06 - Ligating Bands with Disposable Applier 4467 10.08.03.03 - 2ml 5491 03.08.07.01 - ≤200cm² 4468 04.03.01.01 - Valve, Externally Adjustable 5492 03.08.07.02 - 201-400cm² 4469 04.03.01.02 - Valve, Non-externally adjustable 5493 03.08.07.03 - 401-600cm² 4470 04.03.06.01 - Connector 5494 03.08.07.04 - 601-800cm² 4471 04.03.06.02 - Right Angled Guide 5495 03.08.07.05 - >800cm² 5496 07.02.02.04 - Surgical Guide 4472 04.04.01.01 - Primary Cell Pulse Generator (non-rechargeable) 4473 04.04.01.02 - Rechargeable Pulse Generator 6521 02.01.05.05 - Active Middle Ear Implants 5498 07.02.05.07 - Surgical Guide 4474 04.04.02.01 - Patient Programmer 4475 04.04.02.02 - Recharger 5499 03.08.11.01 - Closure Set 4476 04.04.03.01 - Permanent Lead 5500 03.08.11.02 - Extension Kit 4477 04.04.03.02 - Lead Extension 5501 05.03.01.01 - Metal 4478 04.04.05.01 - Burr Hole Cover 5502 05.03.01.02 - Paediatric 4479 04.04.05.02 - Connectors and cables 5503 03.08.06.04 - 601cm²-1000cm² 4480 04.05.01.01 - Primary Cell Pulse Generator (non-rechargeable) 4481 04.05.01.02 - Rechargeable Pulse Generator 5505 03.08.06.05 - >1000cm² 5506 10.08.06.01 - Catheter 5507 10.08.06.02 - Detachment Controller 4483 04.05.02.01 - Patient Programmer 5508 06.03.11.18 - Upper body kit 4484 04.05.02.02 - Patient Programmer Antenna 5509 06.03.11.19 - Lower body kit 4485 04.05.02.03 - On/Off switching device 5510 07.05.01.03 - Pectoral 4486 04.05.03.01 - Permanent Lead 4487 04.05.03.02 - Trial Lead 5512 09.05.03.01 - < 75cm² 5513 09.05.03.02 - ≥ 75cm² 5514 06.03.06.01 - Staples 5516 10.02.05.02 - Multiple Branch 4492 04.06.03.02 - Two piece 4493 04.07.01.01 - Implantable pulse generator 5517 05.07.04.03 - Connectors and Cables 4494 04.08.03.01 - Catheters 5518 05.07.02.02 - External Neurostimulator 4495 04.08.03.02 - Coil detachment device 4496 07.01.02.16 - >0.8mm thick, 101-200cm2 4497 04.05.02.04 - Recharger 4498 04.04.05.03 - Intraoperative accessories 4499 04.05.05.01 - Revision Kits 4500 04.05.05.02 - Plug 4501 04.05.05.03 - Intraoperative Accessories 4502 04.05.05.04 - Lead Delivery System 4503 04.06.04.01 - Revision Kit 4504 07.02.05.06 - External Midface System 4505 06.03.11.09 - Frame Component - Circular Frame Strut Device 4506 06.03.11.10 - Frame Component - Foot Plate 5530 06.02.02.05 - Thumb, carpometacarpal - proximal component 4507 06.03.11.11 - Frame Component - Circular Frame, Nuts & Spacers 4508 06.03.11.12 - Frame Component - Coupling Device 4509 06.03.11.13 - Frame Component - Rods 4510 06.03.11.14 - Frame Component - Pins 4511 06.03.11.15 - Frame Component - Pin Clamp Assembly 4512 06.03.11.16 - Frame Component - Pin Clamp Assembly Post 4513 06.03.11.17 - Articulating Hinge 6561 06.03.01.13 - Arthrodesis 6562 10.01.02.01 - Self Expandable 4519 03.08.09.01 - Fistula Closure 4521 06.03.04.07 - Screw post/peg 4522 06.03.04.08 - Screw Accessories - Nuts 4523 06.03.04.09 - Screw Accessories - Locking Nuts / Insert 3645 06.01.01.01 - Liner - fixed bearing 3646 06.01.01.02 - Liner - mobile bearing 3664 06.02.01.01 - Carpal component 3665 06.02.01.02 - Radial component 3666 06.02.01.03 - Carpal spacer 3667 06.02.01.04 - Distal ulnar stem 3668 06.02.01.05 - Distal ulnar head 6741 07.02.05.09 - Hemi-mandible 6742 02.01.08.01 - Xenografts, Small (≤10cm2) 6743 02.01.08.02 - Xenografts, Medium (>10cm2 to 50cm2) 3673 06.02.03.01 - Distal humeral component/s 3674 06.02.03.02 - Proximal radial stem 3675 06.02.03.03 - Proximal radial head/neck 3676 06.02.03.04 - Proximal ulnar component 3678 06.02.03.06 - Elbow pin 3701 06.02.05.01 - Glenoid component, All poly 3702 06.02.05.02 - Glenoid component, Metal backed 3703 06.02.05.03 - Glenoid component & insert 3704 06.02.05.04 - Glenoid insert 3712 06.03.02.02 - Reconstruction screw 3713 06.03.02.03 - Set screw/Locking bolt 5768 03.08.02.12 - Pleural Sealant 5769 03.08.03.07 - Cinched suture applier 3732 06.03.04.10 - Screw Accessories - Caps 5782 07.02.05.08 - Maxilla 5783 07.02.06.07 - Zygoma Plate 3755 06.03.11.01 - Halo-thoracic device 3756 06.03.11.04 - Frame Component - Monoplanar, Body 3757 06.03.11.08 - Frame Component - Circular Coupling Device 5854 04.05.02.05 - External Neurostimulator 3887 01.01.01.01 - Rigid 3888 01.01.02.01 - Rigid 3889 01.01.02.02 - Foldable 3890 01.02.02.01 - Microincision 5938 06.03.05.12 - Chest Wall Reconstruction Plates 3892 01.02.02.03 - Edge modification 3893 01.02.02.04 - Presbyopia correcting 3895 01.02.03.01 - Monofocal 3896 01.02.03.02 - Multi-focal 3897 01.03.01.01 - Dual Fluids 3898 01.05.02.01 - Cannulated 5947 03.08.05.05 - ≥2500cm² 3899 01.05.02.02 - Non-Cannulated 3900 01.06.02.01 - Gold <1.8 grams 3901 01.06.02.02 - Gold ≥1.8 grams 3902 01.06.02.03 - Platinum 3903 01.08.02.01 - Complex and permeable 3904 01.08.02.02 - Multi-component 3905 01.09.01.01 - Sponges 3906 12.01.01.01 - Minimally Stabilised 3907 12.01.01.02 - Posterior Stabilised 3908 12.01.01.03 - Totally Constrained 3909 12.01.02.01 - Minimally Stabilised 3910 12.01.02.02 - Posterior Stabilised 3911 12.01.03.01 - Minimally Stabilised 3912 12.01.03.02 - Posterior Stabilised 3913 12.01.03.03 - Totally Constrained 3914 12.01.04.01 - Minimally Stabilised 3915 12.01.04.02 - Posterior Stabilised 3917 12.01.05.01 - Minimally Stabilised 3918 12.01.05.02 - Posterior Stabilised 3919 12.02.01.01 - PMMA Coating 3920 12.02.03.01 - HA Coating 3921 12.03.02.01 - PMMA Coating 3922 12.03.04.01 - PMMA Coating 3923 12.03.05.01 - HA Coating 3924 12.03.07.01 - HA Coating 3925 12.04.05.01 - HA Coating 3926 12.04.06.01 - HA Coating 3927 12.08.02.01 - Mobile 3928 12.08.03.01 - Mobile 3929 12.08.03.02 - Moulded 3930 12.09.01.01 - Condylar only (only when combined with a proximal tibial replacement) 5978 04.03.01.03 - Valve and gravitational unit, externally adjustable 3931 12.09.01.02 - Condylar, including metaphyseal and/or diaphyseal 3932 12.09.02.01 - Condylar only (only when combined with a proximal tibial replacement) 3933 12.09.02.02 - Condylar, including metaphyseal and/or diaphyseal 3934 12.09.03.01 - Incorporating Bone Fixation 3935 12.09.04.01 - With Compression 3936 12.09.08.01 - Collar 5984 03.05.02.01 - Integrated Delivery System 3937 12.09.08.02 - Adaptor 5985 03.05.02.02 - Delivery Catheter 3938 12.09.08.03 - Stem extender 3939 11.01.01.01 - Unpolished 5987 05.01.02.03 - Port 3940 11.01.01.02 - Unpolished - precoat 5988 03.08.04.06 - Suture Fasteners 3941 11.01.01.03 - Polished 3944 11.01.02.01 - Polished and Unpolished, Conventional 3945 11.01.03.01 - Grit Blast 3946 11.01.03.02 - Beaded 5994 06.03.03.50 - Cable plate with 1 or more cables, ≤ 6 holes 3947 11.01.03.03 - Mesh 3948 11.01.03.04 - Plasma 5996 06.03.03.51 - Cable plate with 1 or more cables, ≥ 7 holes to ≤ 15 holes 3949 11.01.04.01 - Grit Blast 3950 11.01.04.02 - Beaded 3951 11.01.04.03 - Mesh 3952 11.01.04.04 - Plasma 6000 03.07.01.04 - Para/Thoraceulesis 3953 11.01.05.01 - Grit Blast 6001 03.07.01.05 - Percutaneous 3954 11.01.05.02 - Beaded 6003 03.08.04.07 - Tacks, Reload 6004 03.08.04.08 - Adhesive Tackers 3957 11.01.06.01 - Grit Blast 3960 11.01.06.04 - Plasma 6008 03.05.04.01 - Absorbable ≤50cm² 3961 11.01.07.01 - Grit Blast 6009 03.05.04.02 - Absorbable 51 cm² – 75cm² 3962 11.01.07.02 - Beaded 6010 03.05.04.03 - Absorbable >75cm² 6011 03.06.04.01 - Self-expanding metal, Covered 3964 11.01.07.04 - Plasma 6012 No subgroup 3965 11.01.07.05 - Unpolished and Polished 6013 No subgroup 3966 11.01.08.01 - Grit Blast 3967 11.01.08.02 - Beaded 3969 11.01.08.04 - Plasma 7041 10.08.05.02 - Cyanoacrylate 3970 11.01.08.05 - Unpolished and Polished 3971 11.01.09.01 - Grit Blast 6021 06.01.03.04 - Stem extension 3974 11.01.09.04 - Plasma 6022 04.08.03.04 - Vascular embolisation balloon 3975 11.01.09.05 - Unpolished and Polished 6023 07.02.07.05 - Surgical Guide 3976 11.01.10.01 - Grit Blast 6024 07.02.06.06 - Surgical Guide 6025 03.06.03.04 - Biodegradable 3979 11.01.10.04 - Plasma 6027 08.11.02.01 - No SubGroup 6028 09.11.02.01 - System Controller 3981 11.01.11.01 - Short and Standard Length 3982 11.01.11.02 - Long Length (≥200mm) 6030 09.11.02.03 - Battery Set 6031 09.11.03.01 - Stabilisation Belt 6032 09.11.02.04 - Battery Clip Set 6033 09.11.03.02 - Modular Belt 6034 09.11.03.03 - Shower Bag 3988 11.02.01.01 - Stainless Steel 6036 05.07.03.04 - Trial kit including leads 3989 11.02.01.02 - Cobalt Chrome 6037 03.03.02.03 - Placement set 7061 06.02.01.07 - Distal Radio-Ulnar Plate 3990 11.02.01.03 - Alumina 3992 11.02.01.05 - Ceramic Mix 3993 11.02.01.06 - Ceramicised Metal 6041 06.02.02.06 - Thumb, carpometacarpal - distal component 3994 11.02.02.01 - Stainless Steel 3995 11.02.02.02 - Cobalt Chrome 3996 11.02.02.03 - Alumina 6044 06.02.02.09 - Finger, metacarpophalangeal - proximal component 3998 11.02.02.05 - Ceramic Mix 3999 11.02.02.06 - Ceramicised Metal 4000 11.02.04.01 - Metal 4004 11.02.06.01 - Bipolar 4005 11.02.06.02 - Tripolar/Multipolar 4006 11.03.01.01 - Unmodified polyethylene 4007 11.03.01.02 - Modified polyethylene 4008 11.03.01.03 - Constrained, modified and unmodified polythylene 4009 11.03.01.04 - Metal Shell 4010 11.03.02.01 - Grit Blast 4011 11.03.02.02 - Beaded 4012 11.03.02.03 - Mesh 4013 11.03.02.04 - Plasma 6061 03.01.03.01 - Gel 3ml 4014 11.03.02.05 - Porous Metal 4015 11.03.03.01 - Grit Blast 4016 11.03.03.02 - Beaded 4017 11.03.03.03 - Mesh 4018 11.03.03.04 - Plasma 4019 11.03.03.05 - Porous Metal 4020 11.03.04.01 - Unmodified polyethylene 4021 11.03.04.02 - Modified polyethylene 4022 11.03.04.03 - Ceramic 4023 11.03.04.04 - Metal 4024 11.03.04.05 - Constrained 4025 11.03.04.06 - Ceramic Mix 4026 11.03.05.01 - Unmodified polyethylene 4027 11.03.05.02 - Modified polyethylene 4030 11.03.05.05 - Ceramic Mix 4032 11.03.07.02 - Metal, HA Coated 4034 11.03.08.01 - Shell 4035 11.03.08.02 - Cage 4040 06.01.03.01 - Talar component 4041 06.01.03.02 - Tibial component 4042 06.01.03.03 - Tibial component, cemented/uncemented, fixed bearing 4044 06.01.04.01 - Great toe, MTP, total, metatarsal component 4045 06.01.04.02 - Great toe, MTP, total, phalangeal component 4046 06.01.04.03 - Great toe, MTP, total, articular insert or liner 4047 06.01.04.04 - Great toe, resurfacing hemi articulation, metatarsal 4048 06.01.04.05 - Great toe, resurfacing hemi articulation, phalangeal 4049 06.01.04.06 - Great toe, non articulating articulation (for silastic implant replacement) 4050 06.02.01.06 - Tendon Spacer 4052 06.02.03.07 - Accessories - bushing / insert / spool 6101 03.08.03.08 - Suture with cinch 4053 06.02.03.08 - Accessories - circlips 4055 06.02.03.10 - Accessories - cement restrictor 4057 06.02.04.02 - Humeral component - cemented 4058 06.02.04.03 - Humeral component - uncemented 4059 06.02.04.04 - Modular humeral component - metaphyseal, cemented 4060 06.02.04.05 - Modular humeral component - metaphyseal, uncemented 4062 06.02.04.07 - Modular humeral component - diaphyseal, uncemented, long (>220mm) 4063 06.02.04.08 - Modular Humeral component - diaphyseal, cemented, short (≤220mm) 4064 06.02.04.09 - Modular Humeral component - diaphyseal, uncemented, short (≤220mm) 4065 06.02.04.10 - Bipolar humeral head 4066 06.02.04.11 - Bipolar humeral shell 4067 06.02.04.12 - Standard humeral head 4068 06.02.04.13 - Resurfacing humeral head 4069 06.02.04.14 - Humeral cup 4073 06.02.04.18 - Special purpose/tumour prosthesis - tumour section 4076 06.02.04.21 - Necks/collar (modular) 4078 06.02.05.05 - Reverse glenoid component, Base plate, uncemented 4079 06.02.05.06 - Glenosphere 4080 06.02.06.01 - Humeral sleeve 4081 06.02.06.02 - Humeral spacer 4083 06.02.06.04 - Taper assembly 4084 06.02.06.05 - Eccentrical adaptor 4086 06.02.06.07 - Reverse humeral tray 4087 06.03.14.01 - Cement only 4088 06.03.14.02 - Cement with Antibiotic 4089 06.03.14.03 - Cement with Complex Delivery System 4090 06.03.14.04 - Cement with Antibiotic and Complex Delivery System 4091 06.03.14.05 - Accessories - Restrictors 4092 06.03.15.01 - Ceramic, 0-5cc 4093 06.03.15.02 - Ceramic, >5cc - 10cc 4094 06.03.15.03 - Ceramic, >10cc - 20cc 4095 06.03.15.04 - Ceramic, >20cc 6143 06.02.02.10 - Finger, metacarpophalangeal - distal component Human Tissue QHV01 Valve - Aortic MAB 6 0 0 8986 No Change 2005-10-31 2020-02-01 Human Tissue QHV02 Valve - Pulmonary MAB 6 0 0 8986 No Change 2005-10-31 2020-02-01 Human Tissue QHV03 Patch - Mitral MAB 6 0 0 2373 No Change 2005-10-31 2020-02-01 Human Tissue QHV04 Patch - Tricuspid MAB 6 0 0 2373 No Change 2005-10-31 2020-02-01 Human Tissue QHV05 Patch - Pericardium MAB 6 0 0 2607 No Change 2005-10-31 2020-02-01 Human Tissue QHV07 Conduit - Pulmonary large MAB 6 0 0 2607 No Change 2005-10-31 2020-02-01 Human Tissue QHV08 Conduit - Pulmonary + Valve MAB 6 0 0 8986 No Change 2005-10-31 2020-02-01 Human Tissue QHV09 Conduit - Aortic + Valve MAB 6 0 0 8577 No Change 2005-10-31 2020-02-01 Human Tissue QHV10 Valve - Mitral MAB 6 0 0 8577 No Change 2009-02-01 2020-02-01 Human Tissue QHV11 Thoracic Aorta MAB 6 0 0 2607 No Change 2009-02-01 2020-02-01 Human Tissue RPH01 Valve - Aortic RPH 6 0 0 6406 No Change 2005-10-31 2020-02-01 Human Tissue RPH02 Valve - Pulmonary RPH 6 0 0 6406 No Change 2005-10-31 2020-02-01 Human Tissue SHV01 Valve - Aortic SHV 6 246032 0 0 8953 No Change 2005-10-31 2020-02-01 Human Tissue SHV02 Valve - Pulmonary SHV 6 246032 0 0 8953 No Change 2005-10-31 2020-02-01 Human Tissue SHV03 Conduit - Arterial SHV 6 246032 0 0 3367 No Change 2007-06-01 2020-02-01 Human Tissue TBV01 Valve - Aortic Valve - Aortic TBV 6 236613 0 0 9414 No Change 2005-10-31 2020-02-01 Human Tissue TBV02 Valve - Pulmonary Valve - Pulmonary TBV 6 236613 0 0 9414 No Change 2005-10-31 2020-02-01 Human Tissue TBV03 Conduit - Pulmonary Conduit - Pulmonary TBV 6 236613 0 0 2033 No Change 2005-10-31 2020-02-01 Human Tissue TBV50 Pericardium Pericardium TBV 6 236613 0 0 2474 No Change 2005-10-31 2020-02-01 Human Tissue TBV56 Conduit - Aortic Conduit - Aortic TBV 6 236613 0 0 2033 No Change 2009-08-01 2020-02-01 Human Tissue LEM01 Cornea LEM 41 0 0 2600 No Change 2005-10-31 2020-02-01 Human Tissue LEM02 Sclera LEM 41 0 0 300 No Change 2005-10-31 2020-02-01 Human Tissue LEM04 Cornea for Endothelial Lamellar Keratoplasty LEM 41 0 0 3260 No Change 2010-02-01 2020-02-01 Human Tissue LEW01 Cornea LEW 41 239107 0 0 2950 No Change 2005-10-31 2020-02-01 Human Tissue LEW02 Sclera LEW 41 239107 0 0 295 No Change 2005-10-31 2020-02-01 Human Tissue LEW03 Cornea for Endothelial Keratoplasty LEW 41 239107 0 0 3525 No Change 2012-08-01 2020-02-01 Human Tissue NCC71 Cornea NCC 41 232298 0 0 2618 No Change 2019-07-01 2020-02-01 Human Tissue NCC72 Sclera NCC 41 232298 0 0 393 No Change 2019-07-01 2020-02-01 Human Tissue NCC73 Cornea For Lamellar NCC 41 232298 0 0 1572 No Change 2019-07-01 2020-02-01 Human Tissue NCC74 Cornea for Endothelial Keratoplasty NCC 41 232298 0 0 3085 No Change 2019-07-01 2020-02-01 Human Tissue QEB01 Cornea MAB 41 0 0 2710 No Change 2005-10-31 2020-02-01 Human Tissue QEB02 Sclera MAB 41 0 0 349 No Change 2005-10-31 2020-02-01 Human Tissue SAE01 Cornea SAE 41 0 0 2600 No Change 2005-10-31 2020-02-01 Human Tissue SAE02 Sclera SAE 41 0 0 290 No Change 2005-10-31 2020-02-01 Human Tissue SAE03 Cornea for Endothelial Keratoplasty SAE 41 0 0 3350 No Change 2014-02-01 2020-02-01 Human Tissue AAA01 Humerus – Shaft Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 4128 No Change 2017-02-01 2020-02-01 Human Tissue AAA02 Femoral Ring AAA 3 277310 0 0 2277 No Change 2017-02-01 2020-02-01 Human Tissue AAA03 Femur – Distal Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3471 No Change 2017-02-01 2020-02-01 Human Tissue AAA04 Tibia – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 7342 No Change 2017-02-01 2020-02-01 Human Tissue AAA05 Tendon Patch Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4000 No Change 2017-02-01 2020-02-01 Human Tissue AAA06 Peroneus Longus Tendon AAA 3 277310 0 0 3125 No Change 2017-02-01 2020-02-01 Human Tissue AAA07 Tibia – Distal Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3471 No Change 2017-02-01 2020-02-01 Human Tissue AAA08 Radius – Whole AAA 3 277310 0 0 3541 No Change 2017-02-01 2020-02-01 Human Tissue AAA09 Femoral Condyle Half – Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3016 No Change 2017-02-01 2020-02-01 Human Tissue AAA10 Cancellous Cube – Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1593 No Change 2017-02-01 2020-02-01 Human Tissue AAA11 Femoral Strut Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3705 No Change 2017-02-01 2020-02-01 Human Tissue AAA12 Femur – Distal Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3471 No Change 2017-02-01 2020-02-01 Human Tissue AAA13 Cortical Sheet Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1708 No Change 2017-02-01 2020-02-01 Human Tissue AAA14 Morsellised Bone (10-20 cc/g) AAA 3 277310 0 0 2707 No Change 2017-02-01 2020-02-01 Human Tissue AAA15 Cortical Cancellous Block AAA 3 277310 0 0 1674 No Change 2017-02-01 2020-02-01 Human Tissue AAA16 Peroneus Longus Tendon Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3187 No Change 2017-02-01 2020-02-01 Human Tissue AAA17 Humerus – Distal Segment Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3136 No Change 2017-02-01 2020-02-01 Human Tissue AAA18 Humerus – Proximal (Freeze Dried) AAA 3 277310 0 0 3620 No Change 2017-02-01 2020-02-01 Human Tissue AAA19 Cortical Sheet AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue AAA20 Tibial Strut Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3259 No Change 2017-02-01 2020-02-01 Human Tissue AAA21 Femoral Strut AAA 3 277310 0 0 3996 No Change 2017-02-01 2020-02-01 Human Tissue AAA22 Cancellous Cube – Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1593 No Change 2017-02-01 2020-02-01 Human Tissue AAA23 Femur – Whole AAA 3 277310 0 0 9013 No Change 2017-02-01 2020-02-01 Human Tissue AAA24 Unicortical Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue AAA25 Patella Tendon with Bone Block – Whole with Quads AAA 3 277310 0 0 3804 No Change 2017-02-01 2020-02-01 Human Tissue AAA26 Bone Dowel / Plug Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1593 No Change 2017-02-01 2020-02-01 Human Tissue AAA27 Achilles Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4001 No Change 2017-02-01 2020-02-01 Human Tissue AAA28 Morsellised Bone (Freeze Dried) (6-10cc) AAA 3 277310 0 0 2707 No Change 2017-02-01 2020-02-01 Human Tissue AAA29 Humerus – Proximal Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4061 No Change 2017-02-01 2020-02-01 Human Tissue AAA30 Femoral Strut (Freeze Dried) AAA 3 277310 0 0 3633 No Change 2017-02-01 2020-02-01 Human Tissue AAA31 Humeral Head – Whole Super Critical Fluid CO2 Treated, (Freeze Dried) AAA 3 277310 0 0 2029 No Change 2017-02-01 2020-02-01 Human Tissue AAA32 Cervical Spacers - Parrallel AAA 3 277310 0 0 1840 No Change 2017-02-01 2020-02-01 Human Tissue AAA33 Hemipelvis – Segment (Freeze Dried) AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue AAA34 Fibula – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 8138 No Change 2017-02-01 2020-02-01 Human Tissue AAA35 Cancellous Plug Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1593 No Change 2017-02-01 2020-02-01 Human Tissue AAA36 Cortical Ring AAA 3 277310 0 0 1840 No Change 2017-02-01 2020-02-01 Human Tissue AAA37 Humerus – Strut AAA 3 277310 0 0 2700 No Change 2017-02-01 2020-02-01 Human Tissue AAA38 HTO Wedge (Freeze Dried) AAA 3 277310 0 0 1540 No Change 2017-02-01 2020-02-01 Human Tissue AAA39 Morsellised Bone Super Critical Fluid CO2 Treated (10-20g) AAA 3 277310 0 0 2761 No Change 2017-02-01 2020-02-01 Human Tissue AAA40 Patella Tendon with Bone Block – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3879 No Change 2017-02-01 2020-02-01 Human Tissue AAA41 Cortical Strut (Freeze Dried) AAA 3 277310 0 0 2455 No Change 2017-02-01 2020-02-01 Human Tissue AAA42 Femoral Shaft (Freeze Dried) AAA 3 277310 0 0 3271 No Change 2017-02-01 2020-02-01 Human Tissue AAA43 Femoral Ring Super Critical CO2 Treated (Freeze Dried) AAA 3 277310 0 0 2112 No Change 2017-02-01 2020-02-01 Human Tissue AAA44 Femoral Head – Whole (Freeze Dried) AAA 3 277310 0 0 3430 No Change 2017-02-01 2020-02-01 Human Tissue AAA45 Cortical Ring (Freeze Dried) AAA 3 277310 0 0 1840 No Change 2017-02-01 2020-02-01 Human Tissue AAA46 Cortical Strut Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 2504 No Change 2017-02-01 2020-02-01 Human Tissue AAA47 Tibia – Proximal Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3396 No Change 2017-02-01 2020-02-01 Human Tissue AAA48 Cancellous Plug (Freeze Dried) AAA 3 277310 0 0 1562 No Change 2017-02-01 2020-02-01 Human Tissue AAA49 Tibia – Proximal Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3396 No Change 2017-02-01 2020-02-01 Human Tissue AAA50 Ulna – Whole AAA 3 277310 0 0 4008 No Change 2017-02-01 2020-02-01 Human Tissue AAA51 Cortical Plate Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue AAA52 Semitendonosis Tendon AAA 3 277310 0 0 3126 No Change 2017-02-01 2020-02-01 Human Tissue AAA53 Femoral Condyle Whole (Freeze Dried) AAA 3 277310 0 0 3403 No Change 2017-02-01 2020-02-01 Human Tissue AAA54 Cancellous Cube AAA 3 277310 0 0 1718 No Change 2017-02-01 2020-02-01 Human Tissue AAA55 Tibial Strut Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3259 No Change 2017-02-01 2020-02-01 Human Tissue AAA56 Cancellous Plug Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1593 No Change 2017-02-01 2020-02-01 Human Tissue AAA57 Gracilis Tendon Super Critical Fluid CO2 Treated AAA 3 277310 0 0 2445 No Change 2017-02-01 2020-02-01 Human Tissue AAA58 Cervical Spacers - Lordotic AAA 3 277310 0 0 1840 No Change 2017-02-01 2020-02-01 Human Tissue AAA59 Patella Tendon with Bone Block – Whole with Quads – Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3879 No Change 2017-02-01 2020-02-01 Human Tissue AAA60 Humerus – Shaft Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4128 No Change 2017-02-01 2020-02-01 Human Tissue AAA61 Cortical Segment Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3135 No Change 2017-02-01 2020-02-01 Human Tissue AAA62 Humeral Head – Whole AAA 3 277310 0 0 2188 No Change 2017-02-01 2020-02-01 Human Tissue AAA63 Bone Dowel / Plug Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1752 No Change 2017-02-01 2020-02-01 Human Tissue AAA64 Cancellous Block (Freeze Dried) AAA 3 277310 0 0 1562 No Change 2017-02-01 2020-02-01 Human Tissue AAA65 Tibia – Proximal (Freeze Dried) AAA 3 277310 0 0 3330 No Change 2017-02-01 2020-02-01 Human Tissue AAA66 Morsellised Bone (Freeze Dried) (1-5cc) AAA 3 277310 0 0 2432 No Change 2017-02-01 2020-02-01 Human Tissue AAA67 Cortical Strut Super Critical Fluid CO2 Treated AAA 3 277310 0 0 2504 No Change 2017-02-01 2020-02-01 Human Tissue AAA68 Malleable Bone Segments Super Critical Fluid CO2Treated AAA 3 277310 0 0 2400 No Change 2017-02-01 2020-02-01 Human Tissue AAA69 Cervical Spacers - Parallel Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1877 No Change 2017-02-01 2020-02-01 Human Tissue AAA70 Hemi Patella Tendon with Bone Block Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3879 No Change 2017-02-01 2020-02-01 Human Tissue AAA71 Semitendonosis Tendon Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3188 No Change 2017-02-01 2020-02-01 Human Tissue AAA72 Cortical Strut AAA 3 277310 0 0 2700 No Change 2017-02-01 2020-02-01 Human Tissue AAA73 Tricortical Cancellous Wedge AAA 3 277310 0 0 1674 No Change 2017-02-01 2020-02-01 Human Tissue AAA74 Bone Dowel / Plug AAA 3 277310 0 0 1562 No Change 2017-02-01 2020-02-01 Human Tissue AAA75 Anterior Tibialis Tendon AAA 3 277310 0 0 3125 No Change 2017-02-01 2020-02-01 Human Tissue AAA76 Tricortical Cancellous Wedge – Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue AAA77 Cancellous Plug AAA 3 277310 0 0 1718 No Change 2017-02-01 2020-02-01 Human Tissue AAA78 Cervical Spacers - Parallel Super Critical Fluid CO2Treated 5mm-9mm AAA 3 277310 0 0 2065 No Change 2017-02-01 2020-02-01 Human Tissue AAA79 Humeral Head – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 2029 No Change 2017-02-01 2020-02-01 Human Tissue AAA80 Femur – Proximal Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3705 No Change 2017-02-01 2020-02-01 Human Tissue AAA81 Tricortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue AAA82 HTO Wedge Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1571 No Change 2017-02-01 2020-02-01 Human Tissue AAA83 Tibial Shaft AAA 3 277310 0 0 5416 No Change 2017-02-01 2020-02-01 Human Tissue AAA84 Tibia – Distal AAA 3 277310 0 0 3743 No Change 2017-02-01 2020-02-01 Human Tissue AAA85 Cortical Segment AAA 3 277310 0 0 3449 No Change 2017-02-01 2020-02-01 Human Tissue AAA86 Morsellised Bone – Super Critical Fluid CO2 Treated (1-4g) AAA 3 277310 0 0 2314 No Change 2017-02-01 2020-02-01 Human Tissue AAA87 Femoral Condyle Whole AAA 3 277310 0 0 3743 No Change 2017-02-01 2020-02-01 Human Tissue AAA88 Tendon Patch AAA 3 277310 0 0 3923 No Change 2017-02-01 2020-02-01 Human Tissue AAA89 Humerus – Distal Segment AAA 3 277310 0 0 3075 No Change 2017-02-01 2020-02-01 Human Tissue AAA90 Morsellised Bone (1-4 cc/g) AAA 3 277310 0 0 2268 No Change 2017-02-01 2020-02-01 Human Tissue AAA91 Tibia – Distal Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3471 No Change 2017-02-01 2020-02-01 Human Tissue AAA92 Bone Dowel / Plug (Freeze Dried) AAA 3 277310 0 0 1562 No Change 2017-02-01 2020-02-01 Human Tissue AAA93 Cortical Plate Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1708 No Change 2017-02-01 2020-02-01 Human Tissue AAA94 Humerus – Proximal Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3692 No Change 2017-02-01 2020-02-01 Human Tissue AAA95 Achilles Tendon with Bone Block AAA 3 277310 0 0 3923 No Change 2017-02-01 2020-02-01 Human Tissue AAA96 Femoral Head – Hemi Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3500 No Change 2017-02-01 2020-02-01 Human Tissue AAA97 Cortical Cancellous Block Super Critical Fluid CO2Treated (Freeze Dried) AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue AAA98 Fibular Ring (Freeze Dried) AAA 3 277310 0 0 1840 No Change 2017-02-01 2020-02-01 Human Tissue AAA99 Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Freeze Dried) AAA 3 277310 0 0 1877 No Change 2017-02-01 2020-02-01 Human Tissue ABB01 Hemipelvis – Segment AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue ABB02 Malleable Bone Segments Super Critical Fluid CO2Treated (Freeze Dried) AAA 3 277310 0 0 2400 No Change 2017-02-01 2020-02-01 Human Tissue ABB03 Cancellous Block Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1593 No Change 2017-02-01 2020-02-01 Human Tissue ABB04 Tricortical Cancellous Wedge (Freeze Dried) AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue ABB05 Fibula – Whole AAA 3 277310 0 0 8780 No Change 2017-02-01 2020-02-01 Human Tissue ABB06 Femoral Condyle Half – Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3016 No Change 2017-02-01 2020-02-01 Human Tissue ABB07 Tibial Strut AAA 3 277310 0 0 3515 No Change 2017-02-01 2020-02-01 Human Tissue ABB08 Femoral Condyle Half AAA 3 277310 0 0 3253 No Change 2017-02-01 2020-02-01 Human Tissue ABB09 Cervical Spacers - Lordotic (Freeze Dried) AAA 3 277310 0 0 1840 No Change 2017-02-01 2020-02-01 Human Tissue ABB10 Fibular Ring Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1877 No Change 2017-02-01 2020-02-01 Human Tissue ABB11 Posterior Tibialis Tendon Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3187 No Change 2017-02-01 2020-02-01 Human Tissue ABB12 Patella Tendon with Bone Blocks - Whole AAA 3 277310 0 0 3804 No Change 2017-02-01 2020-02-01 Human Tissue ABB13 Cortical Segment (Freeze Dried) AAA 3 277310 0 0 3075 No Change 2017-02-01 2020-02-01 Human Tissue ABB14 HTO Wedge AAA 3 277310 0 0 1694 No Change 2017-02-01 2020-02-01 Human Tissue ABB15 Humerus – Proximal AAA 3 277310 0 0 3620 No Change 2017-02-01 2020-02-01 Human Tissue ABB16 Femur – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 8354 No Change 2017-02-01 2020-02-01 Human Tissue ABB17 Humerus – Strut (Freeze Dried) AAA 3 277310 0 0 2455 No Change 2017-02-01 2020-02-01 Human Tissue ABB18 Humerus – Strut Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 2504 No Change 2017-02-01 2020-02-01 Human Tissue ABB19 Cancellous Block AAA 3 277310 0 0 1718 No Change 2017-02-01 2020-02-01 Human Tissue ABB20 Posterior Tibialis Tendon AAA 3 277310 0 0 3125 No Change 2017-02-01 2020-02-01 Human Tissue ABB21 Femoral Head Whole Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3500 No Change 2017-02-01 2020-02-01 Human Tissue ABB22 Femoral Shaft Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3336 No Change 2017-02-01 2020-02-01 Human Tissue ABB23 Cortical Cancellous Block Super Critical Fluid CO2Treated AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue ABB24 Humerus – Strut Super Critical Fluid CO2 Treated AAA 3 277310 0 0 2504 No Change 2017-02-01 2020-02-01 Human Tissue ABB25 Humerus – Distal Segment Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3450 No Change 2017-02-01 2020-02-01 Human Tissue ABB26 Cortical Plate AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue ABB27 Achilles Tendon Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4001 No Change 2017-02-01 2020-02-01 Human Tissue ABB28 Cervical Spacers – Lordotic Super Critical Fluid CO2Treated 5mm-9mm AAA 3 277310 0 0 2065 No Change 2017-02-01 2020-02-01 Human Tissue ABB29 Morsellised Bone Super Critical Fluid CO2 Treated (Freeze Dried) (11-20cc) AAA 3 277310 0 0 2482 No Change 2017-02-01 2020-02-01 Human Tissue ABB30 Cortical Sheet (Freeze Dried) AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue ABB31 Humerus – Distal Segment (Freeze Dried) AAA 3 277310 0 0 3075 No Change 2017-02-01 2020-02-01 Human Tissue ABB32 Unicortical Cancellous Wedge (Freeze Dried) AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue ABB33 Femoral Ring (Freeze Dried) AAA 3 277310 0 0 2070 No Change 2017-02-01 2020-02-01 Human Tissue ABB34 Femoral Head – Whole AAA 3 277310 0 0 3773 No Change 2017-02-01 2020-02-01 Human Tissue ABB35 Fibular Ring AAA 3 277310 0 0 2024 No Change 2017-02-01 2020-02-01 Human Tissue ABB36 Cortical Segment Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3135 No Change 2017-02-01 2020-02-01 Human Tissue ABB37 Tibia – Proximal AAA 3 277310 0 0 3663 No Change 2017-02-01 2020-02-01 Human Tissue ABB38 Achilles Tendon with Pre-Shaped Bone Block AAA 3 277310 0 0 3923 No Change 2017-02-01 2020-02-01 Human Tissue ABB39 HTO Wedge – Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1571 No Change 2017-02-01 2020-02-01 Human Tissue ABB40 Cortical Cancellous Block (Freeze Dried) AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue ABB41 Femur – Distal (Freeze Dried) AAA 3 277310 0 0 3403 No Change 2017-02-01 2020-02-01 Human Tissue ABB42 Femoral Strut Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3705 No Change 2017-02-01 2020-02-01 Human Tissue ABB43 Malleable Bone Segments AAA 3 277310 0 0 2587 No Change 2017-02-01 2020-02-01 Human Tissue ABB44 Humerus – Shaft AAA 3 277310 0 0 4453 No Change 2017-02-01 2020-02-01 Human Tissue ABB45 Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3526 No Change 2017-02-01 2020-02-01 Human Tissue ABB46 Femoral Condyle Half (Freeze Dried) AAA 3 277310 0 0 2957 No Change 2017-02-01 2020-02-01 Human Tissue ABB47 Ulna – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3716 No Change 2017-02-01 2020-02-01 Human Tissue ABB48 Malleable Bone Segments (Freeze Dried) AAA 3 277310 0 0 2352 No Change 2017-02-01 2020-02-01 Human Tissue ABB49 Humerus – Shaft (Freeze Dried) AAA 3 277310 0 0 4048 No Change 2017-02-01 2020-02-01 Human Tissue ABB50 Unicortical Cancellous Block AAA 3 277310 0 0 1674 No Change 2017-02-01 2020-02-01 Human Tissue ABB51 Femur – Proximal (Freeze Dried) AAA 3 277310 0 0 3633 No Change 2017-02-01 2020-02-01 Human Tissue ABB52 Femur – Distal AAA 3 277310 0 0 3743 No Change 2017-02-01 2020-02-01 Human Tissue ABB53 Unicortical Cancellous Block Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue ABB54 Radius – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3283 No Change 2017-02-01 2020-02-01 Human Tissue ABB55 Femoral Condyle Whole Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3471 No Change 2017-02-01 2020-02-01 Human Tissue ABB56 Morsellised Bone (Freeze Dried) AAA 3 277310 0 0 2211 No Change 2017-02-01 2020-02-01 Human Tissue ABB57 Femoral Shaft AAA 3 277310 0 0 3598 No Change 2017-02-01 2020-02-01 Human Tissue ABB58 Tibial Shaft (Freeze Dried) AAA 3 277310 0 0 4924 No Change 2017-02-01 2020-02-01 Human Tissue ABB59 Fascia Lata AAA 3 277310 0 0 3923 No Change 2017-02-01 2020-02-01 Human Tissue ABB60 Femoral Head – Hemi AAA 3 277310 0 0 3773 No Change 2017-02-01 2020-02-01 Human Tissue ABB61 Humerus – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4199 No Change 2017-02-01 2020-02-01 Human Tissue ABB62 Femoral Head – Hemi (Freeze Dried) AAA 3 277310 0 0 3430 No Change 2017-02-01 2020-02-01 Human Tissue ABB63 Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3879 No Change 2017-02-01 2020-02-01 Human Tissue ABB64 Anterior Tibialis Tendon Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3187 No Change 2017-02-01 2020-02-01 Human Tissue ABB65 Femoral Condyle Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3471 No Change 2017-02-01 2020-02-01 Human Tissue ABB66 Tibial Strut (Freeze Dried) AAA 3 277310 0 0 3195 No Change 2017-02-01 2020-02-01 Human Tissue ABB67 Femoral Shaft Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3336 No Change 2017-02-01 2020-02-01 Human Tissue ABB68 Femur – Proximal AAA 3 277310 0 0 3996 No Change 2017-02-01 2020-02-01 Human Tissue ABB69 Cortical Sheet Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue ABB70 Cortical Ring Super Critical Fluid CO2 Treated 5mm-9mm AAA 3 277310 0 0 2065 No Change 2017-02-01 2020-02-01 Human Tissue ABB71 Cortical Plate (Freeze Dried) AAA 3 277310 0 0 1522 No Change 2017-02-01 2020-02-01 Human Tissue ABB72 Femoral Head – Hemi Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 3500 No Change 2017-02-01 2020-02-01 Human Tissue ABB73 Femur – Proximal Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3705 No Change 2017-02-01 2020-02-01 Human Tissue ABB74 Patella Tendon with Pre-Shaped Bone Blocks AAA 3 277310 0 0 3804 No Change 2017-02-01 2020-02-01 Human Tissue ABB75 Femoral Head – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 3500 No Change 2017-02-01 2020-02-01 Human Tissue ABB76 Hemipelvis – Segment Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1553 No Change 2017-02-01 2020-02-01 Human Tissue ABB77 Tibia – Distal (Freeze Dried) AAA 3 277310 0 0 3403 No Change 2017-02-01 2020-02-01 Human Tissue ABB78 Femoral Ring Super Critical Fluid CO2 Treated AAA 3 277310 0 0 2112 No Change 2017-02-01 2020-02-01 Human Tissue ABB79 Tibia – Whole AAA 3 277310 0 0 7921 No Change 2017-02-01 2020-02-01 Human Tissue ABB80 Cortical Ring Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1877 No Change 2017-02-01 2020-02-01 Human Tissue ABB81 Hemipelvis – Whole Super Critical Fluid CO2 Treated AAA 3 277310 0 0 8762 No Change 2017-02-01 2020-02-01 Human Tissue ABB82 Humeral Head – Whole (Freeze Dried) AAA 3 277310 0 0 1989 No Change 2017-02-01 2020-02-01 Human Tissue ABB83 Humerus – Whole AAA 3 277310 0 0 4530 No Change 2017-02-01 2020-02-01 Human Tissue ABB84 Tibial Shaft Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 5021 No Change 2017-02-01 2020-02-01 Human Tissue ABB85 Cancellous Cube (Freeze Dried) AAA 3 277310 0 0 1562 No Change 2017-02-01 2020-02-01 Human Tissue ABB86 Morsellised Bone (5-9 cc/g) AAA 3 277310 0 0 2432 No Change 2017-02-01 2020-02-01 Human Tissue ABB87 Hemipelvis – Segment Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1708 No Change 2017-02-01 2020-02-01 Human Tissue ABB88 Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried) AAA 3 277310 0 0 1593 No Change 2017-02-01 2020-02-01 Human Tissue ABB89 Cervical Spacers - Parrallel (Freeze Dried) AAA 3 277310 0 0 1840 No Change 2017-02-01 2020-02-01 Human Tissue ABB90 Tibial Shaft Super Critical Fluid CO2 Treated AAA 3 277310 0 0 5021 No Change 2017-02-01 2020-02-01 Human Tissue ABB91 Fascia Lata Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4001 No Change 2017-02-01 2020-02-01 Human Tissue ABB92 Achilles Tendon AAA 3 277310 0 0 3923 No Change 2017-02-01 2020-02-01 Human Tissue ABB93 Gracilis Tendon AAA 3 277310 0 0 2398 No Change 2017-02-01 2020-02-01 Human Tissue ABB94 Morsellised Bone Super Critical Fluid CO2 Treated (5-9g) AAA 3 277310 0 0 2482 No Change 2017-02-01 2020-02-01 Human Tissue ABB95 Fibular Ring Super Critical Fluid CO2 Treated AAA 3 277310 0 0 1877 No Change 2017-02-01 2020-02-01 Human Tissue ABB96 Hemipelvis – Whole AAA 3 277310 0 0 9452 No Change 2017-02-01 2020-02-01 Human Tissue ABB97 Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated AAA 3 277310 0 0 4001 No Change 2017-02-01 2020-02-01 Human Tissue ABB98 Hemi Patella Tendon with Bone Block AAA 3 277310 0 0 3804 No Change 2017-02-01 2020-02-01 Human Tissue ABB99 Demineralized Bone Fibres (FZ) 1-4g ABB 3 277310 0 0 2750 No Change 2018-08-01 2020-02-01 Human Tissue ADD01 Demineralized Bone Fibres (FZ) 5-9g ABB 3 277310 0 0 3800 No Change 2018-08-01 2020-02-01 Human Tissue ADD02 Demineralized Bone Fibres (FZ) 10-15g ABB 3 277310 0 0 4600 No Change 2018-08-01 2020-02-01 Human Tissue ADD03 Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 1-4g ABB 3 277310 0 0 2750 No Change 2018-08-01 2020-02-01 Human Tissue ADD04 Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 5-9g ABB 3 277310 0 0 3800 No Change 2018-08-01 2020-02-01 Human Tissue ADD05 Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 10-15g ABB 3 277310 0 0 4600 No Change 2018-08-01 2020-02-01 Human Tissue ADD06 Demineralized Bone Fibres (FD) 2-4cc ABB 3 277310 0 0 2750 No Change 2018-08-01 2020-02-01 Human Tissue ADD07 Demineralized Bone Fibres (FD) 5-9cc ABB 3 277310 0 0 3800 No Change 2018-08-01 2020-02-01 Human Tissue ADD08 Demineralized Bone Fibres (FD) 10-15cc ABB 3 277310 0 0 4600 No Change 2018-08-01 2020-02-01 Human Tissue ADD09 Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 2-4cc ABB 3 277310 0 0 2750 No Change 2018-08-01 2020-02-01 Human Tissue ADD10 Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 5-9cc ABB 3 277310 0 0 3800 No Change 2018-08-01 2020-02-01 Human Tissue ADD11 Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 10-15cc ABB 3 277310 0 0 4600 No Change 2018-08-01 2020-02-01 Human Tissue ADD12 Compressible Cancellous Block (FD) ABB 3 277310 0 0 3500 No Change 2018-08-01 2020-02-01 Human Tissue ADD13 Compressible Cancellous Block (FZ) ABB 3 277310 0 0 3500 No Change 2018-08-01 2020-02-01 Human Tissue ADD14 Compressible Cancellous Strip (FD) ABB 3 277310 0 0 3500 No Change 2018-08-01 2020-02-01 Human Tissue ADD15 Compressible Cancellous Strip (FZ) ABB 3 277310 0 0 3500 No Change 2018-08-01 2020-02-01 Human Tissue ADD16 Patella Quadriceps Tendon with Patellar Bone ABB 3 277310 0 0 3902 No Change 2018-08-01 2020-02-01 Human Tissue ADD17 Spinal Anterior Longitudonal Ligament Patch ABB 3 277310 0 0 4023 No Change 2018-08-01 2020-02-01 Human Tissue ADD18 Pre-Shaped Cancellous/Cortical Block (Various Sizes) ABB 3 277310 0 0 3200 No Change 2018-08-01 2020-02-01 Human Tissue ADD19 Engineered Cancellous Block with DBM Component (Various Sizes) ABB 3 277310 0 0 3200 No Change 2018-08-01 2020-02-01 Human Tissue ADD20 Bone allograft kit (Demineralized and Mineralized Bone Matrix) 5-10g / 5-10cc ABB 3 277310 0 0 6193 No Change 2018-08-01 2020-02-01 Human Tissue ADD21 Bone allograft kit (Demineralized and Mineralized Bone Matrix) 11-20g / 11-20cc ABB 3 277310 0 0 7259 No Change 2018-08-01 2020-02-01 Human Tissue ADD22 Pre-Shaped Hyaline Cartilage Segment ABB 3 277310 0 0 2750 No Change 2018-08-01 2020-02-01 Human Tissue ADD23 Cortical – Demineralized Bone Matrix 1-4g/1-4cc ABB 3 277310 0 0 2676 No Change 2018-08-01 2020-02-01 Human Tissue ADD24 Cortical – Demineralized Bone Matrix 5-10g/5-10cc ABB 3 277310 0 0 3100 No Change 2018-08-01 2020-02-01 Human Tissue ADD25 Moulded Demineralized Fibres (Small) ABB 3 277310 0 0 3000 No Change 2018-08-01 2020-02-01 Human Tissue ADD26 Moulded Demineralized Fibres (Large) ABB 3 277310 0 0 3750 No Change 2018-08-01 2020-02-01 Human Tissue ADD27 Demineralized Bone Matrix/Cortico-Cancellous Granules 5-9cc ABB 3 277310 0 0 3800 No Change 2018-08-01 2020-02-01 Human Tissue ADD28 Demineralized Bone Matrix/Cortico-Cancellous Granules 10-15cc ABB 3 277310 0 0 4600 No Change 2018-08-01 2020-02-01 Human Tissue ADD29 Freeze Dried Cortico-Cancellous Bone Granules 2-4cc ABB 3 277310 0 0 2450 No Change 2018-08-01 2020-02-01 Human Tissue ADD30 Freeze Dried Cortico-Cancellous Bone Granules 5-9cc ABB 3 277310 0 0 2800 No Change 2018-08-01 2020-02-01 Human Tissue ADD31 Freeze Dried Cortico-Cancellous Bone Granules 10-15cc ABB 3 277310 0 0 3200 No Change 2018-08-01 2020-02-01 Human Tissue ADD32 Bone allograft kit (Demineralized and Mineralized Bone Matrix) 1-4g / 1-4cc ABB 3 277310 0 0 4376 No Change 2018-08-01 2020-02-01 Human Tissue ADD33 Demineralized Bone Matrix/Cortico-Cancellous Granules 1-4cc ABB 3 277310 0 0 2700 No Change 2018-08-01 2020-02-01 Human Tissue AUB02 Bone - Milled Femoral Head AUB 3 0 0 2457 No Change 2008-07-01 2020-02-01 Human Tissue AUB03 Femoral Head AUB 3 0 0 2354 No Change 2008-07-01 2020-02-01 Human Tissue AUB04 Bone – Cortico-Cancellous Crunch <30g AUB 3 0 0 2070 No Change 2010-08-01 2020-02-01 Human Tissue AUB05 Cortical Strut AUB 3 0 0 2451 No Change 2010-08-01 2020-02-01 Human Tissue AUB06 Tibia – Proximal third AUB 3 0 0 2562 No Change 2010-08-01 2020-02-01 Human Tissue AUB07 Spinal Ring AUB 3 0 0 1854 No Change 2010-08-01 2020-02-01 Human Tissue AUB08 Bone – Cortico-Cancellous Crunch <20g Sterile AUB 3 0 0 2215 No Change 2010-08-01 2020-02-01 Human Tissue AUB09 Tendon - Achilles with bone plug AUB 3 0 0 2228 No Change 2010-08-01 2020-02-01 Human Tissue AUB10 Tendon AUB 3 0 0 2184 No Change 2010-08-01 2020-02-01 Human Tissue CAA01 Semitendinosis, Tendon, Frozen, Non-Irradiated CAA 3 0 0 2840 No Change 2018-02-01 2020-02-01 Human Tissue CAA02 Semitendinosus Tendon, Freeze Dried, Non-Irradiated CAA 3 0 0 2910 No Change 2018-02-01 2020-02-01 Human Tissue CAA03 Peroneus Longus Tendon, Frozen, Non-Irradiated CAA 3 0 0 2783 No Change 2018-02-01 2020-02-01 Human Tissue CAA04 Peroneus Longus Tendon, Freeze Dried, Non-Irradiated CAA 3 0 0 2420 No Change 2018-02-01 2020-02-01 Human Tissue CAA05 Fascia Lata, ≥ 120cm² ≤ 180cm², Frozen, Non-Irradiated CAA 3 0 0 2400 No Change 2018-02-01 2020-02-01 Human Tissue CAA06 Anterior Tibialis Tendon, Frozen, Non-Irradiated CAA 3 0 0 3102 No Change 2018-02-01 2020-02-01 Human Tissue CAA07 Anterior Tibialis Tendon, Freeze Dried, Non-Irradiated CAA 3 0 0 3029 No Change 2018-02-01 2020-02-01 Human Tissue CAA08 Gracilis Tendon, Frozen, Non-Irradiated CAA 3 0 0 2586 No Change 2018-02-01 2020-02-01 Human Tissue CAA09 Gracilis Tendon, Freeze Dried, Non-Irradiated CAA 3 0 0 2222 No Change 2018-02-01 2020-02-01 Human Tissue CAA10 Achillies Tendon, Frozen, Non-Irradiated CAA 3 0 0 2971 No Change 2018-02-01 2020-02-01 Human Tissue CAA11 Revision Core, Various Sizes, Freeze Dried, Non-Irradiated CAA 3 0 0 2136 No Change 2018-02-01 2020-02-01 Human Tissue CAA12 Evans Wedge, Freeze dried, Non-Irradiated CAA 3 0 0 2339 No Change 2018-02-01 2020-02-01 Human Tissue CAA13 High Tibial Osteotomy Wedge Cortical Bone Wedges, (2-Piece), Freeze Dried, Non-Irradiated CAA 3 0 0 2134 No Change 2018-02-01 2020-02-01 Human Tissue CAA14 Brachymetatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated CAA 3 0 0 2404 No Change 2018-02-01 2020-02-01 Human Tissue CAA15 Milled Cancellous Chips, Freeze dried, Non-Irradiated CAA 3 0 0 1455 No Change 2018-02-01 2020-02-01 Human Tissue CAA16 Demineralized Cancellous Chips, Freeze dried, Non-Irradiated CAA 3 0 0 1449 No Change 2018-02-01 2020-02-01 Human Tissue CAA17 ENHANCE® Demineralized Cortical Fiber, 2.5cc, Dehydrated, Non-Irradiated CAA 3 0 0 1544 No Change 2018-02-01 2020-02-01 Human Tissue CAA18 Achilles Tendon, with Calcaneus, Frozen, Non-Irradiated CAA 3 0 0 2787 No Change 2018-02-01 2020-02-01 Human Tissue CAA19 Achilles Tendon, with Shaped Bone Blocks, Frozen, Non-Irradiated CAA 3 0 0 3450 No Change 2018-02-01 2020-02-01 Human Tissue CAA20 Patella Bone-Tendon-Bone, Hemi with Quadriceps, Frozen, Non-Irradiated CAA 3 0 0 3540 No Change 2018-02-01 2020-02-01 Human Tissue CAA21 Patella Bone-Tendon-Bone, Whole with Quadriceps, Frozen, Non-Irradiated CAA 3 0 0 5917 No Change 2018-02-01 2020-02-01 Human Tissue CAA22 ENHANCE® Demineralized Cortical Fiber, 5cc, Dehydrated, Non-Irradiated CAA 3 0 0 1962 No Change 2018-02-01 2020-02-01 Human Tissue CAA23 ENHANCE® Demineralized Cortical Fiber, 10cc, Dehydrated, Non-Irradiated CAA 3 0 0 2287 No Change 2018-02-01 2020-02-01 Human Tissue CAA24 Cotton Wedge, Freeze dried, Non-Irradiated CAA 3 0 0 2326 No Change 2018-02-01 2020-02-01 Human Tissue CAA25 Arch Wedge, Freeze dried, Non-Irradiated CAA 3 0 0 2089 No Change 2018-02-01 2020-02-01 Human Tissue CAA26 Proximal Metatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated CAA 3 0 0 2374 No Change 2018-02-01 2020-02-01 Human Tissue CAA27 AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≥ 1.8mm, Dehydrated, Non-Irradiated CAA 3 0 0 2733 No Change 2018-02-01 2020-02-01 Human Tissue CAA28 AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤1.7mm, Dehydrated, Non-Irradiated CAA 3 0 0 2777 No Change 2018-02-01 2020-02-01 Human Tissue CAA29 AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤ 1.7mm, Hydrated, Non-Irradiated CAA 3 0 0 2591 No Change 2018-02-01 2020-02-01 Human Tissue CAA30 AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≥ 1.8mm, Hydrated, Non-Irradiated CAA 3 0 0 2762 No Change 2018-02-01 2020-02-01 Human Tissue CAA31 AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤ 1.7mm, Dehydrated, Non-Irradiated CAA 3 0 0 2391 No Change 2018-02-01 2020-02-01 Human Tissue CAA32 AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤1.7mm thick, Hydrated, Non- Irradiated CAA 3 0 0 2391 No Change 2018-02-01 2020-02-01 Human Tissue CAA33 AlloPatchHD Acellular Human Dermis - Meshed, ≤ 25cm² ≤0.7mm, Hydrated, Non-Irradiated CAA 3 0 0 2372 No Change 2018-02-01 2020-02-01 Human Tissue CAA34 AlloPatchHD Acellular Human Dermis, ≤25cm² ≥1.8mm, Hydrated, Non-Irradiated CAA 3 0 0 2731 No Change 2018-02-01 2020-02-01 Human Tissue CAA35 AlloPatchHD Acellular Human Dermis - Meshed, ≥ 26cm² ≤0.7mm, Hydrated, Non-Irradiated CAA 3 0 0 2869 No Change 2018-02-01 2020-02-01 Human Tissue CAA36 Patella Bone-Tendon-Bone, Hemi without Quadriceps, Frozen, Non-irradiated CAA 3 0 0 3629 No Change 2018-02-01 2020-02-01 Human Tissue CAA37 Patella Bone-Tendon-Bone, Hemi with 10.0mm Shaped Bone Blocks, Frozen, Non-Irradiated CAA 3 0 0 3500 No Change 2018-02-01 2020-02-01 Human Tissue CAA38 Quadriceps Tendon, with 10.0mm Shaped Bone Blocks, Frozen, Non-Irradiated CAA 3 0 0 2900 No Change 2018-02-01 2020-02-01 Human Tissue CAA39 Menisci with Tibial Plateau, Frozen, Non-irradiated CAA 3 0 0 5807 No Change 2018-02-01 2020-02-01 Human Tissue CAA40 Patella Bone-Tendon-Bone, Whole (Special) with Quadriceps, Frozen, Non-Irradiated CAA 3 0 0 6150 No Change 2018-02-01 2020-02-01 Human Tissue CAA41 Posterior Tibialis Tendon, Frozen, Non-Irradiated CAA 3 0 0 3098 No Change 2018-02-01 2020-02-01 Human Tissue CAA42 Quadriceps Tendon, with Bone Block, Frozen, Non-Irradiated CAA 3 0 0 3172 No Change 2018-02-01 2020-02-01 Human Tissue CAA43 Quadriceps Tendon, without Bone Block, Frozen, Non-Irradiated CAA 3 0 0 3172 No Change 2018-02-01 2020-02-01 Human Tissue CAA44 Fascia Lata, ≥ 60cm² - ≤100cm² ≥, Freeze Dried, Non-Irradiated CAA 3 0 0 1869 No Change 2018-02-01 2020-02-01 Human Tissue CAA45 Fascia Lata, ≤ 60cm², Frozen, Non-Irradiated CAA 3 0 0 2110 No Change 2018-02-01 2020-02-01 Human Tissue CAA46 MPJ Arthrodesis Lengthening Graft Segment, Frozen, Non-Irradiated CAA 3 0 0 2721 No Change 2018-02-01 2020-02-01 Human Tissue CAA47 Bone-Tendon-Bone, Hemi with Quadriceps, Freeze Dried, Non-Irradiated CAA 3 0 0 3832 No Change 2018-02-01 2020-02-01 Human Tissue CAA48 Bone-Tendon-Bone, Hemi with 10.0mm Shaped Bone Blocks, Freeze Dried, Non-Irradiated CAA 3 0 0 3680 No Change 2018-02-01 2020-02-01 Human Tissue CAA49 Achilles Tendon, with Calcaneus, Freeze Dried, Non-Irradiated CAA 3 0 0 3121 No Change 2018-02-01 2020-02-01 Human Tissue CAA50 Achilles Tendon, without Calcaneus, Freeze Dried, Non-Irradiated CAA 3 0 0 2992 No Change 2018-02-01 2020-02-01 Human Tissue CAA51 Posterior Tibialis Tendon, Freeze Dried, Non-Irradiated CAA 3 0 0 3106 No Change 2018-02-01 2020-02-01 Human Tissue CAA52 Demineralized 80%Cortical/20%Cancellous Granules, Freeze dried, Non-Irradiated CAA 3 0 0 1500 No Change 2018-02-01 2020-02-01 Human Tissue CAA53 Meniscus with Hemi Plateau, Medial, Frozen, Non-Irradiated CAA 3 0 0 5680 No Change 2018-02-01 2020-02-01 Human Tissue CAA54 Fascia Lata, ≤ 60cm², Freeze Dried, Non-Irradiated CAA 3 0 0 1821 No Change 2018-02-01 2020-02-01 Human Tissue CAA55 Fascia Lata, ≥ 120cm² ≤ 180cm², Freeze-Dried, Non-Irradiated CAA 3 0 0 2259 No Change 2018-02-01 2020-02-01 Human Tissue CAA56 Meniscus with Hemi Plateau, Lateral, Frozen, Non-Irradiated CAA 3 0 0 6047 No Change 2018-02-01 2020-02-01 Human Tissue CAA57 Meniscus for Interpositional Arthroplasty, Frozen, Non-Irradiated CAA 3 0 0 3067 No Change 2018-02-01 2020-02-01 Human Tissue CSA01 Femoral Head CSA 3 0 0 802 No Change 2005-10-31 2020-02-01 Human Tissue DHR01 Femoral Head DHR 3 260540 0 0 4616 No Change 2005-10-31 2020-02-01 Human Tissue MAA01 Grafton Plus Demineralized Bone Matrix: Paste, 10cc MAA 3 229635 0 0 1539 No Change 2016-02-01 2020-02-01 Human Tissue MAA02 Grafton Plus Demineralized Bone Matrix: Paste, 1-5cc MAA 3 229635 0 0 581 No Change 2016-02-01 2020-02-01 Human Tissue MAA03 Grafton Demineralized Bone Matrix: Orthoblend, 15cc MAA 3 229633 0 0 1978 No Change 2016-02-01 2020-02-01 Human Tissue MAA04 Grafton Demineralized Bone Matrix: Matrix PLF, 2.5cm x 10cm x 0.8cm (2) MAA 3 229633 0 0 1978 No Change 2016-02-01 2020-02-01 Human Tissue MAA05 Grafton Demineralized Bone Matrix: Orthoblend, 5cc MAA 3 229633 0 0 581 No Change 2016-02-01 2020-02-01 Human Tissue MAA06 Grafton Demineralized Bone Matrix: Orthoblend, 10cc MAA 3 229633 0 0 1539 No Change 2016-02-01 2020-02-01 Human Tissue MAA07 Grafton Demineralized Bone Matrix: Flex, 1.5cm x 1.5cm x 0.25cm MAA 3 229634 0 0 581 No Change 2016-02-01 2020-02-01 Human Tissue MAA08 Grafton Demineralized Bone Matrix: Flex, >5cc to 10cc MAA 3 229634 0 0 1539 No Change 2016-02-01 2020-02-01 Human Tissue MAA09 Grafton Demineralized Bone Matrix: Matrix PLF, 2.5cm x 5cm x 0.8cm (2) MAA 3 229636 0 0 1539 No Change 2016-02-01 2020-02-01 Human Tissue MAA10 Grafton Demineralized Bone Matrix: Matrix Strips, 1cm x 20cm x 0.8cm (2) MAA 3 229636 0 0 1978 No Change 2016-02-01 2020-02-01 Human Tissue MAA11 Grafton Demineralized Bone Matrix: Matrix Strips, 1cm x 10cm x 0.8cm (2) MAA 3 229636 0 0 1539 No Change 2016-02-01 2020-02-01 Human Tissue MAA13 Grafton Demineralized Bone Matrix: Flex, 2.5cm x 5cm MAA 3 229634 0 0 1099 No Change 2018-02-01 2020-02-01 Human Tissue MVS02 Femur - Distal (Shaft & Condyles) MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS03 Femur - Entire MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS04 Femur - Proximal (shaft, trochanter, neck) MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS05 Femoral Head MVS 3 0 0 2370 No Change 2005-10-31 2020-02-01 Human Tissue MVS07 Fibula - Entire MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS08 Hemipelvis - Complete MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS09 Humerus - Proximal with rotator cuff MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS11 Tibia - Proximal half MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS13 Fibula - Segment (6cm) MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS14 Fibula - Segment (12cm) MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS15 Ulna MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS16 Tibia - Whole MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS17 Tibia - Distal MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS18 Radius MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS19 Humerus - Distal MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS20 Humerus - Entire MVS 3 0 0 2290 No Change 2005-10-31 2020-02-01 Human Tissue MVS21 Rib (5cm) MVS 3 0 0 382 No Change 2005-10-31 2020-02-01 Human Tissue MVS23 Autologous Skull Flap MVS 3 0 0 1396 No Change 2006-03-24 2020-02-01 Human Tissue NAA01 Ulna – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3786 No Change 2017-02-01 2020-02-01 Human Tissue NAA02 Gracilis Tendon Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2293 No Change 2017-02-01 2020-02-01 Human Tissue NAA03 Femur – Proximal Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3969 No Change 2017-02-01 2020-02-01 Human Tissue NAA04 Cortical Ring Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NAA05 Fibula – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 8208 No Change 2017-02-01 2020-02-01 Human Tissue NAA06 Bone Dowel / Plug Super Critical Fluid CO2 Treated (Freeze Dried) various sizes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NAA07 Cancellous Dowel Plug Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NAA08 Cortical Sheet (Frozen) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA09 Peroneus Longus Tendon Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2967 No Change 2017-02-01 2020-02-01 Human Tissue NAA10 Tibia – Distal Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3541 No Change 2017-02-01 2020-02-01 Human Tissue NAA11 Cancellous Cube (Frozen) 3cm3 cubes NAA 3 277310 0 0 1632 No Change 2017-02-01 2020-02-01 Human Tissue NAA12 Cortical Strut (Freeze Dried) - various sizes NAA 3 277310 0 0 2525 No Change 2017-02-01 2020-02-01 Human Tissue NAA13 Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3027 No Change 2017-02-01 2020-02-01 Human Tissue NAA14 Hemi Patella Tendon with Bone Block (Frozen) - various sizes NAA 3 277310 0 0 3528 No Change 2017-02-01 2020-02-01 Human Tissue NAA15 Femoral Condyle Half (Freeze Dried) - various sizes NAA 3 277310 0 0 3027 No Change 2017-02-01 2020-02-01 Human Tissue NAA16 Humeral Head – Whole (Freeze Dried) - various sizes NAA 3 277310 0 0 2059 No Change 2017-02-01 2020-02-01 Human Tissue NAA17 Tibial Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 3329 No Change 2017-02-01 2020-02-01 Human Tissue NAA18 Cancellous Block (Frozen) - various sizes NAA 3 277310 0 0 1632 No Change 2017-02-01 2020-02-01 Human Tissue NAA19 Cortical Plate (Frozen) various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA20 Humerus – Strut (Freeze Dried) - various sizes NAA 3 277310 0 0 2525 No Change 2017-02-01 2020-02-01 Human Tissue NAA21 Tibia – Proximal Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3466 No Change 2017-02-01 2020-02-01 Human Tissue NAA22 Morsellised Bone Super Critical Fluid CO2 Treated (Frozen) Packs of 15mg – 30mg NAA 3 277310 0 0 2580 No Change 2017-02-01 2020-02-01 Human Tissue NAA23 Cortical Sheet Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA24 Femoral Head – Hemi (Frozen) - various sizes NAA 3 277310 0 0 3499 No Change 2017-02-01 2020-02-01 Human Tissue NAA25 Fibular Ring Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NAA26 Humerus – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 4269 No Change 2017-02-01 2020-02-01 Human Tissue NAA27 Cancellous Block Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NAA28 Fascia Lata Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 1253 No Change 2017-02-01 2020-02-01 Human Tissue NAA29 Tricortical Cancellous Wedge (Freeze Dried) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA30 Cancellous Dowel (Freeze Dried) - various sizes NAA 3 277310 0 0 1632 No Change 2017-02-01 2020-02-01 Human Tissue NAA31 Humerus – Distal Segment Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3206 No Change 2017-02-01 2020-02-01 Human Tissue NAA32 Morsellised Bone – Super Critical Fluid CO2 Treated Packs of 2.5gm – 5gm NAA 3 277310 0 0 2174 No Change 2017-02-01 2020-02-01 Human Tissue NAA33 Tibial Shaft Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 5091 No Change 2017-02-01 2020-02-01 Human Tissue NAA34 Tibia – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 5523 No Change 2017-02-01 2020-02-01 Human Tissue NAA35 Tricortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA36 Humerus – Shaft (Freeze Dried) - various sizes NAA 3 277310 0 0 4118 No Change 2017-02-01 2020-02-01 Human Tissue NAA37 Cervical Spacers - Parrallel (Freeze Dried) 5mm – 9mm NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NAA38 Cortical Cancellous Block Super Critical Fluid CO2Treated (Frozen) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA39 Bone Dowel / Plug (Freeze Dried) - various sizes NAA 3 277310 0 0 1632 No Change 2017-02-01 2020-02-01 Human Tissue NAA40 Femur – Distal Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3775 No Change 2017-02-01 2020-02-01 Human Tissue NAA41 Humerus – Proximal (Freeze Dried) - various sizes NAA 3 277310 0 0 3690 No Change 2017-02-01 2020-02-01 Human Tissue NAA42 Cancellous Cube – Super Critical Fluid CO2 Treated (Frozen) 3cm3 cubes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NAA43 Femur – Proximal Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3969 No Change 2017-02-01 2020-02-01 Human Tissue NAA44 Tibia – Distal (Freeze Dried) - various sizes NAA 3 277310 0 0 3473 No Change 2017-02-01 2020-02-01 Human Tissue NAA45 Cortical Cancellous Block (Freeze Dried) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA46 Femoral Strut (Frozen) - various sizes NAA 3 277310 0 0 3703 No Change 2017-02-01 2020-02-01 Human Tissue NAA47 Femoral Head Whole Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 3499 No Change 2017-02-01 2020-02-01 Human Tissue NAA48 Tricortical Cancellous Wedge – Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA49 Humerus – Strut Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 2574 No Change 2017-02-01 2020-02-01 Human Tissue NAA50 Humerus – Proximal Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3762 No Change 2017-02-01 2020-02-01 Human Tissue NAA51 Posterior Tibialis Tendon Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2967 No Change 2017-02-01 2020-02-01 Human Tissue NAA52 Femur – Proximal (Freeze Dried) - various sizes NAA 3 277310 0 0 3893 No Change 2017-02-01 2020-02-01 Human Tissue NAA53 Morsellised Bone Super Critical Fluid CO2 Treated (Freeze Dried) Packs of 5 – 10cc NAA 3 277310 0 0 2326 No Change 2017-02-01 2020-02-01 Human Tissue NAA54 Cortical Strut (Frozen) - various sizes NAA 3 277310 0 0 2525 No Change 2017-02-01 2020-02-01 Human Tissue NAA55 Femoral Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 2292 No Change 2017-02-01 2020-02-01 Human Tissue NAA56 Femur – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 8424 No Change 2017-02-01 2020-02-01 Human Tissue NAA57 Cortical Plate Super Critical Fluid CO2 Treated (Frozen) various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA58 Malleable Bone Segments Super Critical Fluid CO2Treated (Frozen) NAA 3 277310 0 0 3541 No Change 2017-02-01 2020-02-01 Human Tissue NAA59 Tibia – Distal (Frozen) - various sizes NAA 3 277310 0 0 3473 No Change 2017-02-01 2020-02-01 Human Tissue NAA60 Femoral Condyle Whole (Frozen) - various sizes NAA 3 277310 0 0 3473 No Change 2017-02-01 2020-02-01 Human Tissue NAA61 Cortical Sheet (Freeze Dried) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA62 Unicortical Cancellous Wedge (Freeze Dried) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA63 Gracilis Tendon (Frozen) - various sizes NAA 3 277310 0 0 2250 No Change 2017-02-01 2020-02-01 Human Tissue NAA64 Tendon Patch Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3707 No Change 2017-02-01 2020-02-01 Human Tissue NAA65 Bone Dowel / Plug Super Critical Fluid CO2 Treated (Frozen) various sizes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NAA66 Morsellised Bone 7.5mg - 15mg NAA 3 277310 0 0 2281 No Change 2017-02-01 2020-02-01 Human Tissue NAA67 Unicortical Cancellous Wedge (Frozen) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA68 Cancellous Plug Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NAA69 Femoral Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 3775 No Change 2017-02-01 2020-02-01 Human Tissue NAA70 Tibial Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 5091 No Change 2017-02-01 2020-02-01 Human Tissue NAA71 Patella Tendon with Bone Block – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2917 No Change 2017-02-01 2020-02-01 Human Tissue NAA72 Tibia – Distal Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3541 No Change 2017-02-01 2020-02-01 Human Tissue NAA73 Radius – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 4109 No Change 2017-02-01 2020-02-01 Human Tissue NAA74 Cortical Ring (Freeze Dried) 5mm – 9mm NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NAA75 Humeral Head – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2099 No Change 2017-02-01 2020-02-01 Human Tissue NAA76 Anterior Tibialis Tendon Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2967 No Change 2017-02-01 2020-02-01 Human Tissue NAA77 Femoral Condyle Whole Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3541 No Change 2017-02-01 2020-02-01 Human Tissue NAA78 Morsellised Bone Super Critical Fluid CO2 Treated (Frozen) Packs of 7.5gm – 15gm NAA 3 277310 0 0 2326 No Change 2017-02-01 2020-02-01 Human Tissue NAA79 Morsellised Bone (frozen) 15-30g NAA 3 277310 0 0 2531 No Change 2017-02-01 2020-02-01 Human Tissue NAA80 Femoral Condyle Half – Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3086 No Change 2017-02-01 2020-02-01 Human Tissue NAA81 Fibular Ring (Freeze Dried) - various sizes NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NAA82 HTO Wedge (Frozen) - various sizes NAA 3 277310 0 0 1610 No Change 2017-02-01 2020-02-01 Human Tissue NAA83 Cortical Sheet Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA84 Cortical Plate Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA85 Unicortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NAA86 Tendon Patch (Frozen) - various sizes NAA 3 277310 0 0 3636 No Change 2017-02-01 2020-02-01 Human Tissue NAA87 Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NAA88 Humerus – Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 4198 No Change 2017-02-01 2020-02-01 Human Tissue NAA89 Cortical Segment (Frozen) - various sizes NAA 3 277310 0 0 3145 No Change 2017-02-01 2020-02-01 Human Tissue NAA90 Humerus – Distal Segment Super Critical Fluid CO2 Treated (Frozen( NAA 3 277310 0 0 3206 No Change 2017-02-01 2020-02-01 Human Tissue NAA91 Hemi Patella Tendon with Bone Block Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3596 No Change 2017-02-01 2020-02-01 Human Tissue NAA92 HTO Wedge – Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1641 No Change 2017-02-01 2020-02-01 Human Tissue NAA93 Fibular Ring Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NAA94 Cortical Plate (Freeze Dried) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NAA95 Tibial Shaft (Freeze Dried) - various sizes NAA 3 277310 0 0 4994 No Change 2017-02-01 2020-02-01 Human Tissue NAA96 Femoral Head – Hemi Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 3499 No Change 2017-02-01 2020-02-01 Human Tissue NAA97 Femur – Distal (Freeze Dried) - various sizes NAA 3 277310 0 0 3703 No Change 2017-02-01 2020-02-01 Human Tissue NAA98 Femoral Head – Whole (Freeze Dried) - various sizes NAA 3 277310 0 0 3499 No Change 2017-02-01 2020-02-01 Human Tissue NAA99 Unicortical Cancellous Wedge Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NBB01 Tendon - Achilles NBB 3 277310 0 0 2562 No Change 2005-10-31 2020-02-01 Human Tissue NBB02 Tendon - Achilles with bone block NBB 3 277310 0 0 2969 No Change 2005-10-31 2020-02-01 Human Tissue NBB05 Bone Plug/Dowel - Cancellous NBB 3 277310 0 0 1632 No Change 2005-10-31 2020-02-01 Human Tissue NBB06 Radius NBB 3 277310 0 0 4030 No Change 2005-10-31 2020-02-01 Human Tissue NBB07 Ulna NBB 3 277310 0 0 3714 No Change 2005-10-31 2020-02-01 Human Tissue NBB09 Fascia Lata NBB 3 277310 0 0 1229 No Change 2005-10-31 2020-02-01 Human Tissue NBB10 Femur - Distal Half NBB 3 277310 0 0 3703 No Change 2005-10-31 2020-02-01 Human Tissue NBB11 Femur - Distal third NBB 3 0 0 3372 No Change 2005-10-31 2020-02-01 Human Tissue NBB12 Femur - Entire NBB 3 277310 0 0 8264 No Change 2005-10-31 2020-02-01 Human Tissue NBB13 Femoral Shaft - Middle Third NBB 3 0 0 3244 No Change 2005-10-31 2020-02-01 Human Tissue NBB14 Femur - Proximal third NBB 3 0 0 1690 No Change 2005-10-31 2020-02-01 Human Tissue NBB15 Femur - Proximal half NBB 3 277310 0 0 3893 No Change 2005-10-31 2020-02-01 Human Tissue NBB16 Femoral Head NBB 3 277310 0 0 3499 No Change 2005-10-31 2020-02-01 Human Tissue NBB17 Femoral Rings NBB 3 277310 0 0 2140 No Change 2005-10-31 2020-02-01 Human Tissue NBB18 Fibula - Entire NBB 3 277310 0 0 8052 No Change 2005-10-31 2020-02-01 Human Tissue NBB21 Hemipelvis - Acetabulum NBB 3 0 0 3759 No Change 2005-10-31 2020-02-01 Human Tissue NBB22 Hemipelvis - iliac crest NBB 3 0 0 3500 No Change 2005-10-31 2020-02-01 Human Tissue NBB23 Hemipelvis - Tricortical iliac wedge NBB 3 277310 0 0 1592 No Change 2005-10-31 2020-02-01 Human Tissue NBB24 Hemipelvis - Complete NBB 3 277310 0 0 8663 No Change 2005-10-31 2020-02-01 Human Tissue NBB25 Humerus - Distal NBB 3 277310 0 0 3145 No Change 2005-10-31 2020-02-01 Human Tissue NBB26 Humeral Head Addition NBB 3 277310 0 0 2059 No Change 2005-10-31 2020-02-01 Human Tissue NBB27 Humerus - Proximal NBB 3 277310 0 0 3690 No Change 2005-10-31 2020-02-01 Human Tissue NBB28 Humerus - Proximal half with rotator cuff NBB 3 0 0 3595 No Change 2005-10-31 2020-02-01 Human Tissue NBB29 Humerus - Entire NBB 3 277310 0 0 4188 No Change 2005-10-31 2020-02-01 Human Tissue NBB30 Humerus - Entire with rotator cuff NBB 3 0 0 4118 No Change 2005-10-31 2020-02-01 Human Tissue NBB31 Ligament - Medial NBB 3 0 0 2305 No Change 2005-10-31 2020-02-01 Human Tissue NBB33 Tendon - Patellar with bone plugs NBB 3 277310 0 0 2861 No Change 2005-10-31 2020-02-01 Human Tissue NBB35 Tibia - Plateau (prox 1/3) NBB 3 0 0 3258 No Change 2005-10-31 2020-02-01 Human Tissue NBB36 Tibia - Proximal NBB 3 277310 0 0 3400 No Change 2005-10-31 2020-02-01 Human Tissue NBB37 Tibia - Whole NBB 3 277310 0 0 5418 No Change 2005-10-31 2020-02-01 Human Tissue NBB38 Ulna - Shaft NBB 3 0 0 3170 No Change 2006-11-30 2020-02-01 Human Tissue NBB40 Ulna - Ring NBB 3 0 0 2399 No Change 2006-11-30 2020-02-01 Human Tissue NBB41 Tibial Shaft NBB 3 277310 0 0 4994 No Change 2006-11-30 2020-02-01 Human Tissue NBB42 Tibial Shaft - third NBB 3 0 0 3423 No Change 2006-11-30 2020-02-01 Human Tissue NBB43 Tibial Shaft - half NBB 3 0 0 3170 No Change 2006-11-30 2020-02-01 Human Tissue NBB44 Tibia - Whole with Patellar Tendon NBB 3 0 0 7059 No Change 2006-11-30 2020-02-01 Human Tissue NBB45 Tibia - Ring NBB 3 0 0 1874 No Change 2006-11-30 2020-02-01 Human Tissue NBB46 Tibia - Proximal with Patellar Tendon NBB 3 0 0 5158 No Change 2006-11-30 2020-02-01 Human Tissue NBB47 Radius - Shaft NBB 3 0 0 3850 No Change 2006-11-30 2020-02-01 Human Tissue NBB49 Radius - Ring NBB 3 0 0 2399 No Change 2006-11-30 2020-02-01 Human Tissue NBB50 Humeral Shaft NBB 3 277310 0 0 4118 No Change 2006-11-30 2020-02-01 Human Tissue NBB51 Humeral Shaft - Half NBB 3 0 0 2162 No Change 2006-11-30 2020-02-01 Human Tissue NBB53 Humerus - Ring NBB 3 0 0 1874 No Change 2006-11-30 2020-02-01 Human Tissue NBB54 Fibula - Segment NBB 3 0 0 3053 No Change 2006-11-30 2020-02-01 Human Tissue NBB55 Femoral Shaft - Third NBB 3 0 0 2183 No Change 2006-11-30 2020-02-01 Human Tissue NBB56 Femoral Shaft - Segment NBB 3 277310 0 0 2248 No Change 2006-11-30 2020-02-01 Human Tissue NBB57 Femoral Shaft - Half NBB 3 0 0 3595 No Change 2006-11-30 2020-02-01 Human Tissue NBB59 Femoral Hemi-condyle NBB 3 277310 0 0 3027 No Change 2006-11-30 2020-02-01 Human Tissue NBB60 Bone - Cancellous Crunch 60cc NBB 3 0 0 3232 No Change 2006-11-30 2020-02-01 Human Tissue NBB61 Bone - Cancellous Crunch 30cc NBB 3 0 0 2131 No Change 2006-11-30 2020-02-01 Human Tissue NBB62 Bone - Cancellous Crunch 15cc NBB 3 0 0 1169 No Change 2006-11-30 2020-02-01 Human Tissue NBB63 Bone - Cortico-Cancellous Crunch (40/60) 60cc NBB 3 0 0 3232 No Change 2006-11-30 2020-02-01 Human Tissue NBB64 Bone - Cortico-Cancellous Crunch (40/60) 30cc NBB 3 0 0 2131 No Change 2006-11-30 2020-02-01 Human Tissue NBB65 Bone - Cortico-Cancellous Crunch (40/60) 15cc NBB 3 0 0 1169 No Change 2006-11-30 2020-02-01 Human Tissue NBB66 Tri Cortical Osteotomy NBB 3 0 0 1563 No Change 2007-12-01 2020-02-01 Human Tissue NBB67 Tendon - Tibialis Anterior NBB 3 277310 0 0 2911 No Change 2007-12-01 2020-02-01 Human Tissue NBB68 Tendon - Patellar with machined conical bone plug NBB 3 277310 0 0 3528 No Change 2007-12-01 2020-02-01 Human Tissue NBB69 Tendon - Achilles with machined conical bone block NBB 3 277310 0 0 3636 No Change 2007-12-01 2020-02-01 Human Tissue NBB70 Tendon - Semi tendinosis NBB 3 277310 0 0 2912 No Change 2007-12-01 2020-02-01 Human Tissue NBB71 Tendon - Tibialis Posterior NBB 3 277310 0 0 2911 No Change 2010-08-01 2020-02-01 Human Tissue NBB72 Tendon - Patellar with Quads NBB 3 277310 0 0 2911 No Change 2010-08-01 2020-02-01 Human Tissue NBB73 Tendon - Peroneus Longus NBB 3 277310 0 0 2911 No Change 2010-08-01 2020-02-01 Human Tissue NCC01 Femoral Ring Super Critical CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 2182 No Change 2017-02-01 2020-02-01 Human Tissue NCC02 Cortical Cancellous Block Super Critical Fluid CO2Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NCC03 Femoral Ring Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 2182 No Change 2017-02-01 2020-02-01 Human Tissue NCC04 Femoral Shaft (Freeze Dried) - various sizes NAA 3 277310 0 0 2248 No Change 2017-02-01 2020-02-01 Human Tissue NCC05 Fibular Ring (Frozen) - various sizes NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NCC06 Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Freeze Dried) 5mm – 9mm NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NCC07 Cervical Spacers - Lordotic (Freeze Dried) 5mm – 9mm NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NCC08 Femoral Head – Whole Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 3499 No Change 2017-02-01 2020-02-01 Human Tissue NCC09 HTO Wedge Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 1641 No Change 2017-02-01 2020-02-01 Human Tissue NCC10 Cortical Cancellous Block (Frozen) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NCC11 Femoral Strut (Freeze Dried) - various sizes NAA 3 277310 0 0 3703 No Change 2017-02-01 2020-02-01 Human Tissue NCC12 Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3596 No Change 2017-02-01 2020-02-01 Human Tissue NCC13 Cancellous Cube (Freeze Dried) 3cm3 cubes NAA 3 277310 0 0 1632 No Change 2017-02-01 2020-02-01 Human Tissue NCC14 Tibial Strut (Freeze Dried) - various sizes NAA 3 277310 0 0 3265 No Change 2017-02-01 2020-02-01 Human Tissue NCC15 Cancellous Cube – Super Critical Fluid CO2 Treated (Freeze Dried) 3cm3 cubes NAA 3 277310 0 0 1663 No Change 2017-02-01 2020-02-01 Human Tissue NCC16 Femur – Distal Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3775 No Change 2017-02-01 2020-02-01 Human Tissue NCC17 Cortical Ring Super Critical Fluid CO2 Treated (Frozen) 5mm – 9mm NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NCC18 Cortical Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 2574 No Change 2017-02-01 2020-02-01 Human Tissue NCC19 Morsellised Bone (Freeze Dried) Packs of 5 – 10cc NAA 3 277310 0 0 2281 No Change 2017-02-01 2020-02-01 Human Tissue NCC20 Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Frozen) 5mm – 9mm NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NCC21 Tibial Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 3329 No Change 2017-02-01 2020-02-01 Human Tissue NCC22 Patella Tendon with Bone Block – Whole with Quads – Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2967 No Change 2017-02-01 2020-02-01 Human Tissue NCC23 Malleable Bone Segments (Freeze Dried) various sizes NAA 3 277310 0 0 2422 No Change 2017-02-01 2020-02-01 Human Tissue NCC24 Achilles Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3707 No Change 2017-02-01 2020-02-01 Human Tissue NCC25 Humerus – Strut Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2574 No Change 2017-02-01 2020-02-01 Human Tissue NCC26 Humeral Head – Whole Super Critical Fluid CO2 Treated, (Freeze Dried) NAA 3 277310 0 0 2099 No Change 2017-02-01 2020-02-01 Human Tissue NCC27 Cancellous Dowel - Frozen - various sizes NAA 3 277310 0 0 1632 No Change 2017-02-01 2020-02-01 Human Tissue NCC28 Cortical Segment Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 3206 No Change 2017-02-01 2020-02-01 Human Tissue NCC29 Hemipelvis – Segment Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NCC30 Femoral Shaft Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 2292 No Change 2017-02-01 2020-02-01 Human Tissue NCC31 Tibia – Proximal (Freeze Dried) - various sizes NAA 3 277310 0 0 3400 No Change 2017-02-01 2020-02-01 Human Tissue NCC32 Humerus – Shaft Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 4198 No Change 2017-02-01 2020-02-01 Human Tissue NCC33 Hemipelvis – Whole Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 8832 No Change 2017-02-01 2020-02-01 Human Tissue NCC34 Femoral Condyle Whole (Frozen) Super Critical Fluid CO2 Treated NAA 3 277310 0 0 3541 No Change 2017-02-01 2020-02-01 Human Tissue NCC35 Cortical Segment Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 3206 No Change 2017-02-01 2020-02-01 Human Tissue NCC36 Malleable Bone Segments (Frozen) - various sizes NAA 3 277310 0 0 2422 No Change 2017-02-01 2020-02-01 Human Tissue NCC37 Cervical Spacers - Parallel Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NCC38 Semitendonosis Tendon Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2968 No Change 2017-02-01 2020-02-01 Human Tissue NCC39 Femoral Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 3775 No Change 2017-02-01 2020-02-01 Human Tissue NCC40 Cervical Spacers - Parallel Super Critical Fluid CO2Treated (Frozen) 5mm – 9mm NAA 3 277310 0 0 1947 No Change 2017-02-01 2020-02-01 Human Tissue NCC41 Morsellised Bone Super Critical Fluid CO2 Treated (Freeze Dried) Packs of 15 – 30cc NAA 3 277310 0 0 2580 No Change 2017-02-01 2020-02-01 Human Tissue NCC42 Hemipelvis – Segment (Frozen) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NCC43 Morsellised Bone (Freeze Dried) Packs of 15 – 30cc NAA 3 277310 0 0 2531 No Change 2017-02-01 2020-02-01 Human Tissue NCC44 Malleable Bone Segments Super Critical Fluid CO2Treated (Freeze Dried) NAA 3 277310 0 0 3541 No Change 2017-02-01 2020-02-01 Human Tissue NCC45 Femoral Condyle Whole (Freeze Dried) - various sizes NAA 3 277310 0 0 3473 No Change 2017-02-01 2020-02-01 Human Tissue NCC46 Femoral Head – Hemi (Freeze Dried) - various sizes NAA 3 277310 0 0 3499 No Change 2017-02-01 2020-02-01 Human Tissue NCC47 Tibial Strut (Frozen) - various sizes NAA 3 277310 0 0 3265 No Change 2017-02-01 2020-02-01 Human Tissue NCC48 Hemipelvis – Segment Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 1623 No Change 2017-02-01 2020-02-01 Human Tissue NCC49 Cortical Segment (Freeze Dried) - various sizes NAA 3 277310 0 0 3145 No Change 2017-02-01 2020-02-01 Human Tissue NCC50 Humerus – Proximal Super Critical Fluid CO2 Treated (Freeze Dried) NAA 3 277310 0 0 3762 No Change 2017-02-01 2020-02-01 Human Tissue NCC51 HTO Wedge (Freeze Dried) - Various sizes NAA 3 277310 0 0 1610 No Change 2017-02-01 2020-02-01 Human Tissue NCC52 Tibia – Proximal Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3466 No Change 2017-02-01 2020-02-01 Human Tissue NCC53 Cervical Spacers - Lordotic (Frozen) 5mm – 9mm NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NCC54 Cancellous Block (Freeze Dried) - various sizes NAA 3 277310 0 0 1632 No Change 2017-02-01 2020-02-01 Human Tissue NCC55 Morsellised Bone 2.5-5mg NAA 3 277310 0 0 2132 No Change 2017-02-01 2020-02-01 Human Tissue NCC56 Cortical Ring (Frozen) 5mm – 9mm NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NCC57 Femoral Condyle Whole – Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 3086 No Change 2017-02-01 2020-02-01 Human Tissue NCC58 Humerus – Strut (Frozen) - various sizes NAA 3 277310 0 0 2525 No Change 2017-02-01 2020-02-01 Human Tissue NCC59 Cervical Spacers - Parrallell (frozen) 5mm – 9mm NAA 3 277310 0 0 1910 No Change 2017-02-01 2020-02-01 Human Tissue NCC60 Achilles Tendon Super Critical Fluid CO2 Treated (Frozen) NAA 3 277310 0 0 2611 No Change 2017-02-01 2020-02-01 Human Tissue NCC61 Hemipelvis – Segment (Freeze Dried) - various sizes NAA 3 277310 0 0 1592 No Change 2017-02-01 2020-02-01 Human Tissue NCC62 Femoral Head – Hemi Super Critical Fluid CO2 Treated (Frozen) - various sizes NAA 3 277310 0 0 3499 No Change 2017-02-01 2020-02-01 Human Tissue NCC63 Cortical Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes NAA 3 277310 0 0 2574 No Change 2017-02-01 2020-02-01 Human Tissue NCC64 Humerus – Distal Segment (Freeze Dried) - various sizes NAA 3 277310 0 0 3145 No Change 2017-02-01 2020-02-01 Human Tissue NCC65 Femoral Ring (Freeze Dried) - various sizes NAA 3 277310 0 0 2140 No Change 2017-02-01 2020-02-01 Human Tissue PBT01 Tendon - Achilles with bone block PBT 3 229915 0 0 3800 No Change 2005-10-31 2020-02-01 Human Tissue PBT02 Tendon - Patellar split with bone plugs PBT 3 229915 0 0 3250 No Change 2005-10-31 2020-02-01 Human Tissue PBT03 Bone Plug/Dowel - Cancellous PBT 3 229915 0 0 3800 No Change 2005-10-31 2020-02-01 Human Tissue PBT06 Cortical Struts 10-15cm PBT 3 229915 0 0 3300 No Change 2005-10-31 2020-02-01 Human Tissue PBT07 Cortical Strut >15 - 20cm PBT 3 229915 0 0 3500 No Change 2005-10-31 2020-02-01 Human Tissue PBT08 Bone - Milled 20-29gr (40-58cc equivalent) PBT 3 229915 0 0 4050 No Change 2005-10-31 2020-02-01 Human Tissue PBT09 Bone - Milled 30 - 50gr (60 - 100cc equivalent) PBT 3 229915 0 0 4650 No Change 2005-10-31 2020-02-01 Human Tissue PBT10 Bone - Milled >50gr (100cc equivalent) PBT 3 229915 0 0 4950 No Change 2005-10-31 2020-02-01 Human Tissue PBT11 Cartilage - costal segments PBT 3 0 0 300 No Change 2005-10-31 2020-02-01 Human Tissue PBT13 Radius PBT 3 0 0 1800 No Change 2005-10-31 2020-02-01 Human Tissue PBT14 Ulna PBT 3 0 0 1500 No Change 2005-10-31 2020-02-01 Human Tissue PBT15 Fascia Lata - Large (15cm x 10cm) PBT 3 0 0 1590 No Change 2005-10-31 2020-02-01 Human Tissue PBT16 Fascia Lata - Small (10cm x 5cm) PBT 3 0 0 854 No Change 2005-10-31 2020-02-01 Human Tissue PBT17 Femur - Distal (Shaft & Condyles) PBT 3 0 0 4220 No Change 2005-10-31 2020-02-01 Human Tissue PBT18 Femur - Entire head removed PBT 3 0 0 8000 No Change 2005-10-31 2020-02-01 Human Tissue PBT19 Femoral Shaft/Tibial Shaft - Middle third PBT 3 0 0 3200 No Change 2005-10-31 2020-02-01 Human Tissue PBT20 Femur - Proximal (shaft, trochanter, neck) PBT 3 0 0 4220 No Change 2005-10-31 2020-02-01 Human Tissue PBT21 Femoral Hemi-condyle PBT 3 0 0 2900 No Change 2005-10-31 2020-02-01 Human Tissue PBT22 Femoral Head PBT 3 229915 0 0 3800 No Change 2005-10-31 2020-02-01 Human Tissue PBT24 Femoral Rings PBT 3 0 0 1800 No Change 2005-10-31 2020-02-01 Human Tissue PBT25 Fibula - Entire PBT 3 0 0 3500 No Change 2005-10-31 2020-02-01 Human Tissue PBT28 Fibula - Segment PBT 3 229915 0 0 3250 No Change 2005-10-31 2020-02-01 Human Tissue PBT29 Hemipelvis - Acetabulum PBT 3 229915 0 0 3150 No Change 2005-10-31 2020-02-01 Human Tissue PBT30 Hemipelvis - Complete PBT 3 0 0 7000 No Change 2005-10-31 2020-02-01 Human Tissue PBT31 Hemipelvis - iliac crest PBT 3 229915 0 0 3250 No Change 2005-10-31 2020-02-01 Human Tissue PBT32 Hemipelvis - Tricortical iliac wedge PBT 3 0 0 1500 No Change 2005-10-31 2020-02-01 Human Tissue PBT33 Humerus - Entire with rotator cuff PBT 3 229915 0 0 5000 No Change 2005-10-31 2020-02-01 Human Tissue PBT34 Humerus - Proximal with rotator cuff PBT 3 0 0 4200 No Change 2005-10-31 2020-02-01 Human Tissue PBT35 Humerus - Proximal PBT 3 0 0 2800 No Change 2005-10-31 2020-02-01 Human Tissue PBT37 Bone - Milled <30g Freeze Dried PBT 3 0 0 750 No Change 2005-10-31 2020-02-01 Human Tissue PBT38 Bone - Milled 30-50g Freeze Dried PBT 3 0 0 900 No Change 2005-10-31 2020-02-01 Human Tissue PBT40 Patellar unit whole with or without tibial block PBT 3 229915 0 0 3250 No Change 2005-10-31 2020-02-01 Human Tissue PBT41 Rib (5cm) PBT 3 0 0 300 No Change 2005-10-31 2020-02-01 Human Tissue PBT44 Tibia - Proximal with Patella & Tendon PBT 3 0 0 5000 No Change 2005-10-31 2020-02-01 Human Tissue PBT45 Tibia - Proximal PBT 3 229915 0 0 3250 No Change 2005-10-31 2020-02-01 Human Tissue PBT46 Tendon - Single (ant and post tibilias, FDL, EDL, hamstring, gracilis) PBT 3 229915 0 0 3800 No Change 2005-10-31 2020-02-01 Human Tissue PBT47 Meniscal Graft PBT 3 0 0 1921 No Change 2005-10-31 2020-02-01 Human Tissue PBT48 Cortical Strut >20cm PBT 3 229915 0 0 3700 No Change 2005-10-31 2020-02-01 Human Tissue PBT60 Osteotomy Wedge PBT 3 229915 0 0 3250 No Change 2010-02-01 2020-02-01 Human Tissue PBT61 Tendon - Achilles PBT 3 229915 0 0 3200 No Change 2010-02-01 2020-02-01 Human Tissue PBT62 Bone - Milled <5 gr (<10cc equivalent) PBT 3 229915 0 0 1650 No Change 2014-02-01 2020-02-01 Human Tissue PBT63 Bone - Milled 5-9 gr (10-18cc equivalent) PBT 3 229915 0 0 2650 No Change 2014-02-01 2020-02-01 Human Tissue PBT64 Bone - Milled 10-19 gr (20-38cc equivalent) PBT 3 229915 0 0 3350 No Change 2014-02-01 2020-02-01 Human Tissue PBT65 Proximal Femur with Femoral Head PBT 3 0 0 6300 No Change 2014-08-01 2020-02-01 Human Tissue PBT66 Milled Bone Pellets (x3) PBT 3 229915 0 0 3800 No Change 2016-08-01 2020-02-01 Human Tissue QBB01 Tendon - Achilles with bone block MAB 3 231769 0 0 2517 No Change 2005-10-31 2020-02-01 Human Tissue QBB02 Tibial Shaft Freeze Dried MAB 3 231769 0 0 1143 No Change 2005-10-31 2020-02-01 Human Tissue QBB03 Bone - Milled 20g Freeze Dried MAB 3 231769 0 0 3306 No Change 2005-10-31 2020-02-01 Human Tissue QBB04 Disc - Freeze Dried MAB 3 231769 0 0 837 No Change 2005-10-31 2020-02-01 Human Tissue QBB05 Meniscus MAB 3 231769 0 0 1833 No Change 2005-10-31 2020-02-01 Human Tissue QBB08 Tibia - Proximal with Patella MAB 3 231769 0 0 3667 No Change 2005-10-31 2020-02-01 Human Tissue QBB09 Bone - Cancellous Cubes (6) Freeze Dried MAB 3 231769 0 0 2107 No Change 2005-10-31 2020-02-01 Human Tissue QBB10 Bone - Cancellous Strips (2) Freeze Dried MAB 3 231769 0 0 890 No Change 2005-10-31 2020-02-01 Human Tissue QBB11 Fascia Lata - per sq cm MAB 3 231769 0 0 7 No Change 2005-10-31 2020-02-01 Human Tissue QBB12 Cartilage - costal segments MAB 3 231769 0 0 259 No Change 2005-10-31 2020-02-01 Human Tissue QBB14 Elbow - joint MAB 3 231769 0 0 2889 No Change 2005-10-31 2020-02-01 Human Tissue QBB15 Radius MAB 3 231769 0 0 2957 No Change 2005-10-31 2020-02-01 Human Tissue QBB16 Ulna MAB 3 231769 0 0 2957 No Change 2005-10-31 2020-02-01 Human Tissue QBB20 Femur - Distal Half MAB 3 231769 0 0 3667 No Change 2005-10-31 2020-02-01 Human Tissue QBB22 Femur - Entire MAB 3 231769 0 0 5590 No Change 2005-10-31 2020-02-01 Human Tissue QBB23 Femoral Shaft MAB 3 231769 0 0 2943 No Change 2005-10-31 2020-02-01 Human Tissue QBB25 Femur - Proximal half MAB 3 231769 0 0 3955 No Change 2005-10-31 2020-02-01 Human Tissue QBB27 Femoral Head MAB 3 231769 0 0 3353 No Change 2005-10-31 2020-02-01 Human Tissue QBB28 Femoral Head - Freeze Dried MAB 3 231769 0 0 3353 No Change 2005-10-31 2020-02-01 Human Tissue QBB30 Femoral Rings MAB 3 231769 0 0 2084 No Change 2005-10-31 2020-02-01 Human Tissue QBB31 Femoral Rings - Freeze Dried MAB 3 0 0 740 No Change 2005-10-31 2020-02-01 Human Tissue QBB32 Fibula - Entire MAB 3 231769 0 0 3473 No Change 2005-10-31 2020-02-01 Human Tissue QBB33 Hemipelvis - Acetabulum MAB 3 231769 0 0 3617 No Change 2005-10-31 2020-02-01 Human Tissue QBB34 Hemipelvis - iliac crest MAB 3 231769 0 0 3245 No Change 2005-10-31 2020-02-01 Human Tissue QBB35 Hemipelvis - Tricortical iliac wedge MAB 3 231769 0 0 1855 No Change 2005-10-31 2020-02-01 Human Tissue QBB36 Hemipelvis - Tricortical iliac wedge Freeze Dried MAB 3 231769 0 0 906 No Change 2005-10-31 2020-02-01 Human Tissue QBB37 Hemipelvis - Complete MAB 3 231769 0 0 5590 No Change 2005-10-31 2020-02-01 Human Tissue QBB39 Humeral Shaft MAB 3 231769 0 0 2111 No Change 2005-10-31 2020-02-01 Human Tissue QBB43 Humerus - Entire MAB 3 231769 0 0 3975 No Change 2005-10-31 2020-02-01 Human Tissue QBB45 Bone - Milled 20g MAB 3 231769 0 0 2609 No Change 2005-10-31 2020-02-01 Human Tissue QBB47 Patella MAB 3 0 0 972 No Change 2005-10-31 2020-02-01 Human Tissue QBB48 Tendon - Patellar MAB 3 231769 0 0 2691 No Change 2005-10-31 2020-02-01 Human Tissue QBB51 Tibia - Distal MAB 3 231769 0 0 2479 No Change 2005-10-31 2020-02-01 Human Tissue QBB52 Cortical Strut MAB 3 0 0 543 No Change 2005-10-31 2020-02-01 Human Tissue QBB53 Tibia Shaft MAB 3 231769 0 0 1299 No Change 2005-10-31 2020-02-01 Human Tissue QBB54 Tibia - Proximal MAB 3 231769 0 0 3098 No Change 2005-10-31 2020-02-01 Human Tissue QBB55 Tibia - Whole MAB 3 231769 0 0 5564 No Change 2005-10-31 2020-02-01 Human Tissue QBB56 Autologous Skull Flap - processed MAB 3 0 0 2450 No Change 2009-02-01 2020-02-01 Human Tissue QBB57 Tendon - Tibialis Posterior MAB 3 231769 0 0 2517 No Change 2009-02-01 2020-02-01 Human Tissue QBB58 Tendon - Tibialis Anterior MAB 3 231769 0 0 2517 No Change 2009-02-01 2020-02-01 Human Tissue QBB59 Tendon - Gracilis MAB 3 231769 0 0 2517 No Change 2009-02-01 2020-02-01 Human Tissue QBB60 Autologous Skull Flap MAB 3 231769 0 0 733 No Change 2009-02-01 2020-02-01 Human Tissue QBB61 Femoral Head - Autologous MAB 3 0 0 2667 No Change 2009-02-01 2020-02-01 Human Tissue QBB62 Tendon - Achilles MAB 3 0 0 2370 No Change 2009-02-01 2020-02-01 Human Tissue QBB63 Tendon - Patellar Hemi MAB 3 231769 0 0 2056 No Change 2009-02-01 2020-02-01 Human Tissue QBB64 Tibia - Whole with Patella MAB 3 231769 0 0 5590 No Change 2009-02-01 2020-02-01 Human Tissue QBB65 Tendon - Achilles Hemi MAB 3 231769 0 0 1878 No Change 2009-02-01 2020-02-01 Human Tissue QBB66 Femoral Shaft - Freeze Dried MAB 3 0 0 3106 No Change 2009-02-01 2020-02-01 Human Tissue QBB67 Bone - Ronguered Chips Freeze Dried MAB 3 0 0 3113 No Change 2009-02-01 2020-02-01 Human Tissue QBB68 Bone - Ronguered Chips MAB 3 0 0 2494 No Change 2009-02-01 2020-02-01 Human Tissue QBB69 Tendon - EHL MAB 3 231769 0 0 2517 No Change 2009-02-01 2020-02-01 Human Tissue QBB70 Tendon - Semitendinosus MAB 3 231769 0 0 2517 No Change 2009-02-01 2020-02-01 Human Tissue QBB74 Demineralised bone matrix 5g MAB 3 231769 0 0 1697 No Change 2017-02-01 2020-02-01 Human Tissue QBB75 Demineralised bone matrix 2g MAB 3 231769 0 0 1075 No Change 2017-02-01 2020-02-01 Human Tissue QBB76 Engineered Bone QBB 3 0 0 4150 No Change 2018-02-01 2020-02-01 Human Tissue QBB77 Milled Bone <15g QBB 3 0 0 2088 No Change 2018-02-01 2020-02-01 Human Tissue QBB78 Demineralised Bone Matrix 1 g QBB 3 0 0 891 No Change 2018-02-01 2020-02-01 Human Tissue RNB01 Femoral Head HAA 3 229914 0 0 3000 No Change 2005-10-31 2020-02-01 Human Tissue RNB02 Autologous Skull Flap RNB 3 0 0 1470 No Change 2008-07-01 2020-02-01 Human Tissue SYN01 Bone - Demineralised Bone Matrix, DBX Putty, 5cc JAA 3 0 0 2650 No Change 2013-08-01 2020-02-01 Human Tissue SYN02 Bone - Demineralised Bone Matrix, DBX Putty, 10cc JAA 3 0 0 3400 No Change 2013-08-01 2020-02-01 Human Tissue SYN08 DBX Putty - 1.00cc JAA 3 0 0 1450 No Change 2014-08-01 2020-02-01 Human Tissue SYN09 DBX Putty - 2.5cc JAA 3 0 0 1800 No Change 2014-08-01 2020-02-01 Human Tissue SYN10 Bone, Cancellous Chips - 15cc JAA 3 0 0 1250 No Change 2015-08-01 2020-02-01 Human Tissue SYN11 Bone, Cancellous Granules - 15cc JAA 3 0 0 1250 No Change 2015-08-01 2020-02-01 Human Tissue SYN12 Bone, Cancellous Chips - 30cc JAA 3 0 0 1700 No Change 2015-08-01 2020-02-01 Human Tissue SYN13 Bone, Cancellous Granules - 30cc JAA 3 0 0 1700 No Change 2015-08-01 2020-02-01 Human Tissue TBV05 Tendon - Achilles Tendon - Achilles TBV 3 238244 0 0 2083 No Change 2005-10-31 2020-02-01 Human Tissue TBV06 Tendon - Achilles with bone block Tendon - Achilles with bone block TBV 3 238244 0 0 3556 No Change 2005-10-31 2020-02-01 Human Tissue TBV07 Bone Plug/Dowel - Cancellous Bone Plug/Dowel - Cancellous TBV 3 238244 0 0 1417 No Change 2005-10-31 2020-02-01 Human Tissue TBV08 Bone Plug/Dowel - Tricortical Bone Plug/Dowel - Tricortical TBV 3 238244 0 0 1495 No Change 2005-10-31 2020-02-01 Human Tissue TBV09 Bone - Chips/cubes 40cc TBV 3 238244 0 0 1532 No Change 2005-10-31 2020-02-01 Human Tissue TBV10 Bone - Chips/cubes 80cc TBV 3 238244 0 0 2659 No Change 2005-10-31 2020-02-01 Human Tissue TBV11 Bone - Milled 40cc Bone - Milled 40cc TBV 3 238244 0 0 2550 No Change 2005-10-31 2020-02-01 Human Tissue TBV12 Bone - Milled 80cc Bone - Milled 80cc TBV 3 238244 0 0 3978 No Change 2005-10-31 2020-02-01 Human Tissue TBV14 Cortical Strut Cortical Strut TBV 3 238244 0 0 1513 No Change 2005-10-31 2020-02-01 Human Tissue TBV17 Cartilage - costal segments Cartilage - costal segments TBV 3 238244 0 0 1019 No Change 2005-10-31 2020-02-01 Human Tissue TBV18 Elbow - joint Elbow - joint TBV 3 238244 0 0 7438 No Change 2005-10-31 2020-02-01 Human Tissue TBV19 Radius Radius TBV 3 238244 0 0 4621 No Change 2005-10-31 2020-02-01 Human Tissue TBV20 Ulna Ulna TBV 3 238244 0 0 4300 No Change 2005-10-31 2020-02-01 Human Tissue TBV21 Fascia Lata Fascia Lata TBV 3 238244 0 0 1569 No Change 2005-10-31 2020-02-01 Human Tissue TBV22 Femur - Distal (Shaft & Condyles) Femur - Distal (Shaft & Condyles) TBV 3 238244 0 0 5598 No Change 2005-10-31 2020-02-01 Human Tissue TBV23 Femur - Entire Femur - Entire TBV 3 238244 0 0 9036 No Change 2005-10-31 2020-02-01 Human Tissue TBV24 Femoral Shaft - Middle Third Femoral Shaft - Middle Third TBV 3 238244 0 0 3328 No Change 2005-10-31 2020-02-01 Human Tissue TBV25 Femur - Proximal (shaft, trochanter, neck) Femur - Proximal (shaft, trochanter, neck) TBV 3 238244 0 0 5560 No Change 2005-10-31 2020-02-01 Human Tissue TBV26 Femoral head Femoral head TBV 3 238244 0 0 3681 No Change 2005-10-31 2020-02-01 Human Tissue TBV27 Fibula - Entire Fibula - Entire TBV 3 238244 0 0 8728 No Change 2005-10-31 2020-02-01 Human Tissue TBV28 Fibula - Segment (6cm) Fibula - Segment (6cm) TBV 3 238244 0 0 1417 No Change 2005-10-31 2020-02-01 Human Tissue TBV29 Fibula - Segment (12cm) Fibula - Segment (12cm) TBV 3 238244 0 0 1899 No Change 2005-10-31 2020-02-01 Human Tissue TBV30 Fibular Shaft Fibular Shaft TBV 3 238244 0 0 3404 No Change 2005-10-31 2020-02-01 Human Tissue TBV31 Hemipelvis - Acetabulum Hemipelvis - Acetabulum TBV 3 238244 0 0 4458 No Change 2005-10-31 2020-02-01 Human Tissue TBV32 Hemipelvis - Complete Hemipelvis - Complete TBV 3 238244 0 0 9475 No Change 2005-10-31 2020-02-01 Human Tissue TBV33 Hemipelvis - iliac crest Hemipelvis - iliac crest TBV 3 238244 0 0 4080 No Change 2005-10-31 2020-02-01 Human Tissue TBV34 Hemipelvis - Tricortical iliac wedge Hemipelvis - Tricortical iliac wedge TBV 3 238244 0 0 1880 No Change 2005-10-31 2020-02-01 Human Tissue TBV35 Humerus - Proximal with rotator cuff Humerus - Proximal with rotator cuff TBV 3 238244 0 0 4002 No Change 2005-10-31 2020-02-01 Human Tissue TBV36 Humerus - Proximal Humerus - Proximal TBV 3 238244 0 0 4163 No Change 2005-10-31 2020-02-01 Human Tissue TBV37 Humeral Head Humeral Head TBV 3 238244 0 0 2689 No Change 2005-10-31 2020-02-01 Human Tissue TBV38 Ligament - Medial Ligament - Medial TBV 3 238244 0 0 2857 No Change 2005-10-31 2020-02-01 Human Tissue TBV39 Meniscus with Ligaments Meniscus with Ligaments TBV 3 238244 0 0 3342 No Change 2005-10-31 2020-02-01 Human Tissue TBV40 Meniscus Meniscus TBV 3 238244 0 0 2069 No Change 2005-10-31 2020-02-01 Human Tissue TBV41 Patella Patella TBV 3 238244 0 0 1853 No Change 2005-10-31 2020-02-01 Human Tissue TBV42 Tendon - Patellar with bone plugs TBV 3 238244 0 0 3428 No Change 2005-10-31 2020-02-01 Human Tissue TBV43 Rib (5cm) Rib (5cm) TBV 3 238244 0 0 1147 No Change 2005-10-31 2020-02-01 Human Tissue TBV44 Tibia - Proximal 7-15cm Tibia - Proximal 7-15cm TBV 3 238244 0 0 3890 No Change 2005-10-31 2020-02-01 Human Tissue TBV45 Tibia - Proximal 16-25cm Tibia - Proximal 16-25cm TBV 3 238244 0 0 3766 No Change 2005-10-31 2020-02-01 Human Tissue TBV46 Femoral Hemi-condyle Femoral Hemi-condyle TBV 3 238244 0 0 2098 No Change 2005-10-31 2020-02-01 Human Tissue TBV47 Tibia - Condyles only Tibia - Condyles only TBV 3 238244 0 0 2699 No Change 2005-10-31 2020-02-01 Human Tissue TBV48 Tibia - Distal Tibia - Distal TBV 3 238244 0 0 3381 No Change 2005-10-31 2020-02-01 Human Tissue TBV49 Humerus - Distal Humerus - Distal TBV 3 238244 0 0 3465 No Change 2005-10-31 2020-02-01 Human Tissue TBV51 Femur - Proximal with femoral head Femur - Proximal with femoral head TBV 3 238244 0 0 5411 No Change 2005-10-31 2020-02-01 Human Tissue TBV52 Bone - Cancellous Bone Matrix, Lyophilised 40cc Bone - Cancellous Bone Matrix, Lyophilised 40cc TBV 3 238244 0 0 3332 No Change 2007-07-01 2020-02-01 Human Tissue TBV53 Bone - Cancellous Bone Matrix, Lyophilised 80cc TBV 3 238244 0 0 3657 No Change 2007-07-01 2020-02-01 Human Tissue TBV54 Bone - Demineralised Bone Matrix, Lyophilised 5cc Bone - Demineralised Bone Matrix, Lyophilised 5g TBV 3 238244 0 0 1775 No Change 2007-12-01 2020-02-01 Human Tissue TBV55 Bone - Demineralised Bone Matrix, Lyophilised 10cc Bone - Demineralised Bone Matrix, Lyophilised 10g TBV 3 238244 0 0 2627 No Change 2007-12-01 2020-02-01 Human Tissue TBV57 Tendon - Tibialis Anterior Tendon - Tibialis Anterior TBV 3 238244 0 0 3556 No Change 2009-08-01 2020-02-01 Human Tissue TBV58 Tendon - Semitendinosus Tendon - Semitendinosus TBV 3 238244 0 0 3556 No Change 2017-02-01 2020-02-01 Human Tissue TBV59 Tendon - Peroneus Longus Tendon - Peroneus Longus TBV 3 238244 0 0 3556 No Change 2017-02-01 2020-02-01 Human Tissue TBV60 Tendon - EHL Extensor hallicus longus tendon TBV 3 238244 0 0 3556 No Change 2017-02-01 2020-02-01 Human Tissue TBV61 Tendon - Tibialis Posterior Tendon - Tibialis Posterior TBV 3 238244 0 0 3556 No Change 2017-02-01 2020-02-01 Human Tissue TBV62 Bone – Cancellous Bone Matrix Lyophilised 20cc As per product name 20cc TBV 3 238244 0 0 2398 No Change 2017-08-01 2020-02-01 Human Tissue TBV63 Bone - Cancellous Bone Matrix Lyophilised 10cc As per product name 10cc TBV 3 238244 0 0 2024 No Change 2017-08-01 2020-02-01 Human Tissue TBV64 Bone - Cancellous Bone Matrix Lyophilised 1 - 5cc Bone Cancellous Bone Matrix Lyophilised 5cc TBV 3 238244 0 0 1541 No Change 2017-08-01 2020-02-01 Human Tissue NCC66 Skin Frozen skin from human origin <50 cm² NCC 28 303206 0 0 206 No Change 2019-07-01 2020-02-01 Human Tissue NCC67 Skin Frozen skin from human origin 51 to 80 cm² NCC 28 303206 0 0 330 No Change 2019-07-01 2020-02-01 Human Tissue NCC68 Skin Frozen skin from human origin 81 to 110 cm² NCC 28 303206 0 0 454 No Change 2019-07-01 2020-02-01 Human Tissue NCC69 Skin Frozen skin from human origin 111 to 150 cm² NCC 28 303206 0 0 619 No Change 2019-07-01 2020-02-01 Human Tissue NCC70 Skin Frozen skin from human origin 151 to 200 cm² NCC 28 303206 0 0 826 No Change 2019-07-01 2020-02-01 Human Tissue QBB71 Skin 50cm² - frozen skin graft from human origin MAB 28 230058 0 0 291 No Change 2013-02-01 2020-02-01 Human Tissue QBB72 Skin 100cm² - frozen skin graft from human origin MAB 28 230058 0 0 560 No Change 2013-02-01 2020-02-01 Human Tissue QBB73 Skin 200cm² - frozen skin graft from human origin MAB 28 230058 0 0 827 No Change 2013-02-01 2020-02-01 Human Tissue SYN03 Skin < 25cm² - acellular dermal matrix allograft from human origin JAA 28 0 0 2200 No Change 2013-08-01 2020-02-01 Human Tissue SYN04 Skin 26 to 60cm² - acellular dermal matrix allograft from human origin JAA 28 0 0 3500 No Change 2013-08-01 2020-02-01 Human Tissue SYN05 Skin 61 to 120cm² - acellular dermal matrix allograft from human origin JAA 28 0 0 5700 No Change 2013-08-01 2020-02-01 Human Tissue SYN06 Skin 181 to 300cm² - acellular dermal matrix allograft from human origin JAA 28 211608 0 0 14000 No Change 2013-08-01 2020-02-01 Human Tissue SYN07 Skin > 300cm² - acellular dermal matrix allograft from human origin JAA 28 0 0 27000 No Change 2013-08-01 2020-02-01 Human Tissue SYN14 Skin 121 to 180cm² - acellular dermal matrix allograft from human origin JAA 28 211608 0 0 9900 No Change 2017-08-01 2020-02-01 Prosthesis AN011 Animas Vibe/One Touch Vibe Plus Insulin Pump Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability 8.26 x 5.08 x 2.18cm AN 21 188 1525 4183 DE, SS 96120 Group Benefit Change 8077 0 0 Update 2012-02-01 2020-02-01 Prosthesis AN014 t:slim X2 Insulin Pump Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability One size only. AN 21 188 1525 4183 DE, SS 304861 Group Benefit Change 8077 0 0 Update 2018-08-01 2020-02-01 Prosthesis DF002 DANAR Insulin Pump The DANAR Insulin Pump is a small device about the size of a pager. It holds up to 300 units of insulin, which is delivered continuously through a small tube to the patient. The DANAR Insulin Pump also has an integrated blood glucose meter and remote control via bluetooth communication. 75 x 45 x 19mm, 60grams DF 21 188 1525 4183 DE, SS 146421 Group Benefit Change 8077 0 0 Update 2010-08-01 2020-02-01 Prosthesis DF003 DANA RS Diabecare insulin pump DANA RS insulin pump is a BLE (bluetooth low energy) insulin pump which can be connected to and controlled from a BLE Smart Phone. Smart Phone connection is via a secure (alpha-numeric) pairing code, creating a large easy to read display for set-up and control of the DANA RS insulin pump. 75mm x 45mm x 19mm (63grams) DF 21 188 1525 4183 DE, SS 252214 Group Benefit Change 8077 0 0 Update 2018-08-01 2020-02-01 Prosthesis RB001 Accu-Chek Combo System Insulin delivery device capable of remotely receiving and acting on information about blood glucose levels, performing bolus calculation and bolus advice on additional parameters than what is normally provided. The Accu-Chek Combo System is only available in one size. RB 21 188 1525 4183 DE, SS 214240 Group Benefit Change 8077 0 0 Update 2016-08-01 2020-02-01 Prosthesis RB002 ACCU-CHEK Insight System Insulin delivery device capable of remotely receiving and acting on information about blood glucose levels, performing bolus calculation and bolus advice on additional parameters than what is normally provided. No variable sizes offered. Only one system provided. RB 21 188 1525 4183 DE, SS 234075 Group Benefit Change 8077 0 0 Update 2016-08-01 2020-02-01 Prosthesis RB006 Accu-Chek Solo micropump - starter kit Starter kit supply of insulin pump system to accommodate first year of use of Accu-Chek Solo micropump system. Starter kit includes insulin pump base components, blood glucose monitoring system handset control with integrated insulin bolus advisor (diabetes manager) and accessory pack. Micropump: 68 x 40 x 15 mm Handset control (diabetes manager): 124 x 64 x 17 mm RB 21 188 1525 4183 DE, SS, MP 311431 Group Benefit Change 2375 0 0 Update 2019-11-01 2020-02-01 Prosthesis YA001 mylife™ YpsoPump Insulin Pump System Battery-operated, programmable ambulatory insulin infusion pump system One size only YA 21 188 1525 4183 SS 298274 Group Benefit Change 6994 0 0 Update 2018-02-01 2020-02-01 Prosthesis MC839 Medtronic MiniMed Insulin Infusion Pump Paradigm Veo Model MMT-554. 'Smart' Insulin Pump with REAL-Time continuous glucose monitoring capability, incorporating a low glucose suspend and with remote control. 5.1 x 7.6 x 2.0cm MC 21 188 1525 4187 DE, SS 95763 Group Benefit Change 8574 0 0 Update 2009-08-01 2020-02-01 Prosthesis MC840 Medtronic MiniMed Insulin Infusion Pump Paradigm Veo Model MMT-754. 'Smart' Insulin Pump with REAL-Time continuous glucose monitoring capability, incorporating a low glucose suspend and with remote control. 5.1 x 9.4 x 2.0cm MC 21 188 1525 4187 DE, SS 95763 Group Benefit Change 8574 0 0 Update 2009-08-01 2020-02-01 Prosthesis MI150 MiniMed 640G Insulin Pump MiniMed 640G Insulin Pump with SmartGuard Technology and continuous glucose monitoring capability, designed to automatically suspend insulin delivery before dangerous lows occur, and automatically resume after levels recover. 1.8ml and 3.0ml MI 21 188 1525 4187 DE, SS 95763 Group Benefit Change 8574 0 0 Update 2014-08-01 2020-02-01 Prosthesis MI290 Medtronic MiniMed 670G Insulin Pump MiniMed 670G Insulin Pump with SmartGuard Hybrid Closed Loop (HCL) technology and continuous glucose monitoring (CGM) capability which can be programmed to automatically adjust delivery of basal insulin based on CGM, and can suspend delivery of insulin when the sensor glucose value falls below or is predicted to fall below predefined threshold values. One size only MI 21 188 1525 4187 DE, SS, ABD 308140 Group Benefit Change 8574 0 0 Update 2018-08-01 2020-02-01 Prosthesis RB005 Accu-Chek Solo micropump subsequent supply Subsequent supply of replaceable components of Accu-Chek Solo insulin pump system to accommodate a subsequent year usage after the initial year of use of Accu-Chek Solo (via Accu-Chek Solo micropump starter kit). Micropump: 68 x 40 x 15 mm RB 21 188 1525 7360 308702 Group Benefit Change 1900 0 0 Update 2019-11-01 2020-02-01 Prosthesis AN015 Autosoft, Varisoft, TruSteel Infusion Set For use with insulin infusion pump 6 - 17mm AN 21 188 1541 4193 304861 7 0 0 No Change 2018-08-01 2020-02-01 Prosthesis BT186 BioMonitor 2-AF Implantable Cardiac Monitor Implantable cardiac monitor for continuous remote monitoring of patients with Atrial Fibrillation (AF) or unexplained syncope 88.4 mm x 15.2 mm x 6.2 mm , 10.1g , 5cm3 BT 27 249 1770 i 278935 Group Benefit Change 2886 0 0 Update 2016-08-01 2020-02-01 Prosthesis MI141 Reveal LINQ Insertable Cardiac Monitor 45 x 7 x 3.5mm, 1.18cc MI 27 249 1770 i 218791 Group Benefit Change 2886 0 0 Update 2014-02-01 2020-02-01 Prosthesis SJ390 Confirm RX Insertable Cardiac Monitor 5cm X 0.95cm X 0.33cm SJ 27 249 1770 i 292930 Group Benefit Change 2886 0 0 Update 2017-08-01 2020-02-01 Prosthesis MC763 Reveal XT Reveal XT Insertable Cardiac Monitor 61 x 19 x 8 mm with a volume of 9cc MC 27 249 1770 149903 Group Benefit Change 2886 0 0 Update 2008-07-01 2020-02-01 Prosthesis SJ152 SJM Confirm Model DM2102 Implantable cardiac monitor with atrial fibrillation monitoring. 6.5cc, 12g SJ 27 249 1770 160466 160756 Group Benefit Change 2886 0 0 Update 2009-08-01 2020-02-01 Prosthesis BS294 Latitude Communicator Remote patient management system for implanted cardiac devices One size only BS 27 266 1832 201875 230414 Group Benefit Change 1450 0 0 Update 2015-08-01 2020-02-01 Prosthesis BT179 Cardio Messenger II-S 3G Bedside/Remote transmitter w/ ICD device life network access to Biotronik standard home monitoring data management service. Bedside Device - 203 x 136mm x 80mm, 450 grams BT 27 266 1832 201691 Group Benefit Change 1450 0 0 Update 2015-08-01 2020-02-01 Prosthesis BT187 CardioMessenger Smart 3G Bedside/Remote transmitter w/ pacemaker/ICD device life network access to Biotronik standard home monitoring data management service. Length - 130mm, Width - 65mm, Height - 13mm Weight - 75g BT 27 266 1832 273716 Group Benefit Change 1450 0 0 Update 2016-08-01 2020-02-01 Prosthesis MI180 MyCareLink Patient Monitor Electronic cellular patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment. One size MI 27 266 1832 297224 Group Benefit Change 1450 0 0 Update 2015-08-01 2020-02-01 Prosthesis MI196 MyCareLink Smart Patient Reader Electronic cellular patient reader which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment. One size only MI 27 266 1832 235570 Group Benefit Change 1450 0 0 Update 2016-08-01 2020-02-01 Prosthesis MI296 MyCareLink Relay Home Communicator Electronic cellular (optional wifi) patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment One size MI 27 266 1832 313825 Group Benefit Change 1450 0 0 Update 2019-03-01 2020-02-01 Prosthesis SJ369 Merlin@Home wireless Home cardiac monitor (RF) with landline, cellular and broadband connectivity one size SJ 27 266 1832 161670 Group Benefit Change 1450 0 0 Update 2016-02-01 2020-02-01 Prosthesis SJ370 Merlin@Home Inductive Home cardiac monitor (inductive) with landline, cellular and broadband connectivity one size SJ 27 266 1832 163472 Group Benefit Change 1450 0 0 Update 2016-02-01 2020-02-01 Prosthesis SJ409 FlexAbility Ablation Catheter Sensor Enabled and Non-Sensor Enabled D, F, J, D-F, F-J, D-D, F-F, J-J SJ 27 290 2946 7349 Abbott 231489 231490 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3500 0 0 Update 2019-03-01 2020-02-01 Prosthesis SJ410 TactiCath™ Contact Force Ablation Catheter Sensor Enabled and Non-Sensor Enabled catheter DD, DF, FF, FJ, JJ, D, F. SJ 27 290 2946 7349 Abbott 229819 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3500 0 0 Update 2019-03-01 2020-02-01 Prosthesis BT221 AlCath Force Mapping and Ablation Cardiac Catheter, Advanced 3D irrigation (eXtra), Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection with Optical Contact Force Sensor 7F, 110cm , 3.5mm tip BT 27 290 2946 7349 Biotronik 279638 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3280 0 0 Update 2019-03-01 2020-02-01 Prosthesis BT222 AlCath G FullCircle Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Standard or Long Tip. 7F, 110cm , 4 mm Tip Gold (G) and 8mm (LT) Long Tip Gold(G) BT 27 290 2946 7349 Biotronik 281003 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3280 0 0 Update 2019-03-01 2020-02-01 Prosthesis BT223 AlCath Flux G eXtra Mapping and Ablation Cardiac Catheter, Advanced 3D irrigation (eXtra), Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection 7F , 110cm , 3.5mm irrigated gold tip BT 27 290 2946 7349 Biotronik 193331 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3280 0 0 Update 2019-03-01 2020-02-01 Prosthesis BT224 AlCath Flutter Flux G eXtra Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, Advanced 3D irrigation (eXtra), FullCircle Deflection, Optimised stability,control & length for flutter 7F ,95cm , 3.5mm Gold tip BT 27 290 2946 7349 Biotronik 221411 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3280 0 0 Update 2019-03-01 2020-02-01 Prosthesis BT225 AlCath Flutter LT G Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Long 8mm Tip (LT), Optimised stability,control & length for flutter 7F , 95cm , 8mm(LT) gold tip BT 27 290 2946 7349 Biotronik 221412 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3280 0 0 Update 2019-03-01 2020-02-01 Prosthesis BS361 IntellaNav™ MiFi™ Open-Irrigated Ablation Catheter IntellaNav™ Open-Irrigated, MiFi™ Mini-electrode Technology, Nav-abled 110cm, shaft size 7.5F BS 27 290 2946 7349 Boston Scientific 300198 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 2700 0 0 Update 2019-03-01 2020-02-01 Prosthesis MN238 CARTO: SMARTTOUCH/ SMARTTOUCH SF Contact Force Sensing Catheter: with/without Porous Tip One size only MN 27 290 2946 7349 Johnson and Johnson 184035 198574 233354 233355 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3700 0 0 Update 2019-03-01 2020-02-01 Prosthesis MI300 PVAC Gold Phased RF catheter The Pulmonary Vein Ablation Catheter (PVAC) Gold is a three-dimensional, anatomically designed, multi-electrode phased RF catheter used to map, pace, and ablate the pulmonary veins. 9Fr MI 27 290 2946 7349 Medtronic, single unit 235158 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 6399 0 0 Update 2019-03-01 2020-02-01 Prosthesis SJ408 EnSite Patch Surface Electrodes Patch/Kit SJ 27 290 2946 7350 Abbott 195707 274633 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 350 0 0 Update 2019-03-01 2020-02-01 Prosthesis BS360 Rhythmia™ Location Reference Patch Kit Rhythmia™ Location Reference Patch Kit (Box of 1) 50mm diameter BS 27 290 2946 7350 Boston Scientific 282996 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 299 0 0 Update 2019-03-01 2020-02-01 Prosthesis MN239 CARTO Reference External Reference One size only MN 27 290 2946 7350 Johnson and Johnson 157549 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 499 0 0 Update 2019-03-01 2020-02-01 Prosthesis SJ404 Inquiry Optima Diagnostic Catheter mapping catheter 5F-8F SJ 27 290 2946 7351 Abbott 136233 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 2549 0 0 Update 2019-03-01 2020-02-01 Prosthesis SJ405 Reflexion Spiral Variable Radius Catheter mapping catheter 5F-8F SJ 27 290 2946 7351 Abbott 145053 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 2549 0 0 Update 2019-03-01 2020-02-01 Prosthesis SJ406 Advisor mapping catheter mapping catheter 5F-8F SJ 27 290 2946 7351 Abbott 282187 308920 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 2549 0 0 Update 2019-03-01 2020-02-01 Prosthesis SJ407 Afocus II EB Inquiry Steerable Catheter mapping catheter 5F-8F SJ 27 290 2946 7351 Abbott 136211 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 2549 0 0 Update 2019-03-01 2020-02-01 Prosthesis BS359 IntellaMap Orion High Resolution Mapping Catheter High resolution 64-electrode steerable mapping catheter 8.5F, 115cm BS 27 290 2946 7351 Boston Scientific 271032 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 3400 0 0 Update 2019-03-01 2020-02-01 Prosthesis MN240 LASSO/ PENTARAY Circular/High Density Various MN 27 290 2946 7351 Johnson and Johnson 121901 122187 145997 203362 231772 278955 278956 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 2200 0 0 Update 2019-03-01 2020-02-01 Prosthesis MI301 Arctic Front Advance Cardiac CryoAblation Catheter / Pro A flexible, over-the-wire balloon catheter used to ablate cardiac tissue 23mm, 28mm MI 27 290 2947 7352 201541 302439 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 5100 0 0 Update 2019-03-01 2020-02-01 Prosthesis MI302 Achieve / Achieve Advance Mapping Catheter Intra-cardiac electrophysiology circular mapping catheter 15mm, 20mm, 25mm MI 27 290 2947 7353 188676 231648 286735 The prosthesis is only to be used in a surgical procedure described in item 38290 or 38287 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019 AND where the procedure is for the treatment of atrial fibrillation. 1299 0 0 Update 2019-03-01 2020-02-01 Prosthesis MI309 Cardioblate® Surgical Ablation Pen XL The Cardioblate® Surgical Ablation Pen XL facilitates cardiac ablation in areas that are difficult to ablate with a bipolar device. One size only MI 20 291 2948 7354 Medtronic 140537 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 2876 0 0 Update 2019-07-01 2020-02-01 Prosthesis ZZ055 ATRICURE ISOLATOR SYNERGY RF CLAMPS Surgical Radio Frequency (RF) Clamps for Atrial Fibrillation surgery Short, Long ZZ 20 291 2948 7355 AA-Med - Isolator Synergy 163534 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 4200 0 0 Update 2019-07-01 2020-02-01 Prosthesis ZZ056 Isolator Synergy Access Articulating Surgical Radio Frequency (RF) Clamp for Atrial Fibrillation Surgery One size only ZZ 20 291 2948 7355 AA-Med - Isolator Synergy 167710 297560 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 4200 0 0 Update 2019-07-01 2020-02-01 Prosthesis 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 MI 20 291 2948 7355 Medtronic 140537 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 3523 0 0 Update 2019-07-01 2020-02-01 Prosthesis 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 MI 20 291 2948 7356 Medtronic - Cardioblate BP2 146949 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 4614 0 0 Update 2019-07-01 2020-02-01 Prosthesis 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 MI 20 291 2948 7356 Medtronic - Cardioblate Gemini 153878 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 6040 0 0 Update 2019-07-01 2020-02-01 Prosthesis ZZ057 cryoICE Cryoablation Surgical Probes Surgical Cryoablation probes for atrial fibrillation surgery One size only ZZ 20 291 2949 7358 AA-Med cryoICE 202110 311095 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 3800 0 0 Update 2019-07-01 2020-02-01 Prosthesis 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 MI 20 291 2949 7358 Medtronic - CryoFlex 158928 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 4695 0 0 Update 2019-07-01 2020-02-01 Prosthesis 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 MI 20 291 2949 7358 Medtronic - SurgiFrost 10 158928 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 4095 0 0 Update 2019-07-01 2020-02-01 Prosthesis 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 MI 20 291 2949 7359 Medtronic 158929 The prosthesis is only to be used in a surgical procedure described in item 38512 or 38515 in Group T8 of the Health Insurance (General Medical Services Table) Regulations 2019. 5095 0 0 Update 2019-07-01 2020-02-01 Prosthesis EG009 Artisan Anterior Chamber Intraocular Lens Aphakia Model Composition: PMMA 5.00mm Optic Diameter x 8.5 in overall length EG 1 140 1324 3887 ifc 92476 Group Benefit Change 203 0 0 Update 2005-10-31 2020-02-01 Prosthesis AO001 Intraocular Lens: Model AC 51L Duralens PMMA, Anterior Chamber IOL 6.00 mm Optic Diameter x 13.0mm in overall length AO 1 140 1324 3887 m 144532 Group Benefit Change 161 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL003 MTA2UO - MTA6UO PMMA +5 to +30 D AL 1 140 1324 3887 144332 Group Benefit Change 126 0 0 Update 2005-10-31 2020-02-01 Prosthesis BL005 Storz (Coburn) Intraocular Lens 121UV; L122UV PMMA Anterior Chamber Lens PMMA Anterior Chamber Intraocular lens 1 piece 13.75mm length. 6.0mm optic size, diopter range 3-30d. L122UV: 6.0mm optic, 13.75mm length, power range; 5.0 to 30.0 Diopters BL 1 140 1324 3887 97880 Group Benefit Change 126 0 0 Update 2005-10-31 2020-02-01 Prosthesis EG019 Artisan Toric (Custom) T1 AC Iris clip IOL Toric 5.00mm Optic Diameter x 7.5 Overall EG 1 140 1325 3888 t1, ifc 92476 Group Benefit Change 934 0 0 Update 2015-02-01 2020-02-01 Prosthesis EG020 Artisan Toric (Custom) T2 AC Iris clip IOL Toric 5.00mm Optic Diameter x 7.5 Overall EG 1 140 1325 3888 t2, ifc 92476 Group Benefit Change 1180 0 0 Update 2015-02-01 2020-02-01 Prosthesis EG012 Artisan Anterior Chamber IOL Phakic Intraocular Lens Myopic / Hyperopic 5.00mm Optic Diameter x 8.5 in overall length; EG 1 140 1325 3888 92476 Group Benefit Change 552 0 0 Update 2010-02-01 2020-02-01 Prosthesis EG010 Artiflex Anterior Chamber Intraocular Lens Optic: Hydrophobic Polysiloxane. Haptic: PMMA 6mm optic diameter x 8.5 in overall length EG 1 140 1325 3889 92476 Group Benefit Change 565 0 0 Update 2006-03-24 2020-02-01 Prosthesis AL002 Model CZ70BD Other:PMMA Range of Powers: +4D to +34 D AL 1 141 1326 92318 Group Benefit Change 126 0 0 Update 2005-10-31 2020-02-01 Prosthesis CZ016 CT ASPHINA 409M ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation 6mm optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range) CZ 1 141 1327 3890 at 151348 Group Benefit Change 275 0 0 Update 2009-02-01 2020-02-01 Prosthesis CZ017 CT ASPHINA 509M ZEISS Micro Incision Aspheric (aberration correcting) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation 6mm Optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range) CZ 1 141 1327 3890 at 151348 Group Benefit Change 275 0 0 Update 2009-02-01 2020-02-01 Prosthesis BL026 Akreos AO Micro Incision Lens Micro Incision, posterior chamber, foldable acrylic, aphakic, anterior & posterior edge modification, preloaded, with aberration control, intraocular lens 6mm optic overall diameter 11.0mm(10D-15D), 10.7mm (15.50-22D), 10.5mm (22.50-30D) BL 1 141 1327 3890 at, pl 98915 Group Benefit Change 282 0 0 Update 2007-06-01 2020-02-01 Prosthesis CZ028 CT ASPHINA 409MP Preloaded, micro incision, aspheric (aberration neutral), foldable square-edged single piece intraocular lens for capsular bag fixation. Diopter range: 0.0 to 32.0D; Optic size: 6.0mm; Overall length: 11.0mm CZ 1 141 1327 3890 at, pl 134490 Group Benefit Change 282 0 0 Update 2011-08-01 2020-02-01 Prosthesis CZ037 CT ASPHINA 509MP Preloaded, micro incision, aspheric (aberration correcting), foldable square-edged single-piece intraocular lens for capsular bag fixation Diopter range: 0.0 to + 32.0D; Optic Size: 6.0mm; Overall length: 11.0mm CZ 1 141 1327 3890 at, pl 134490 Group Benefit Change 282 0 0 Update 2013-02-01 2020-02-01 Prosthesis DV263 Rayner C-flex Advance Aspheric IOL Mini incision pre-loaded aspheric IOL Power range +8.0 - +34.0 dioptres in 0.5 increments DV 1 141 1327 3890 at, pl 100926 Group Benefit Change 282 0 0 Update 2015-02-01 2020-02-01 Prosthesis EG017 LUXIOL 60 Preloaded Intraocular lens +10 to +35D EG 1 141 1327 3890 at, pl 226270 Group Benefit Change 282 0 0 Update 2015-02-01 2020-02-01 Prosthesis KG015 Rayner C-flex Advance Aspheric IOL Mini incision pre-loaded aspheric IOL Power range +8.0 - +34.0 dioptres in 0.5 increments KG 1 141 1327 3890 at, pl 220612 Group Benefit Change 282 0 0 Update 2015-08-01 2020-02-01 Prosthesis TW012 EG016 ARTIS PL E Preloaded Intraocular lens 0 to 35D TW 1 141 1327 3890 at, pl 226270 Group Benefit Change 282 0 0 Update 2019-11-01 2020-02-01 Prosthesis CZ031 AT TORBI 709MP (Standard Range) Bitoric, preloaded, micro incision, aspheric (aberration neutral), foldable, square-edged, single-piece IOL for capsular bag fixation Diopter range: Sph -10.0 to 32.0, Cyl +1.0 to 6.5 Optic size: 6.0mm, Overall length: 11.0mm CZ 1 141 1327 3890 at, pl, t1 151348 Group Benefit Change 573 0 0 Update 2011-08-01 2020-02-01 Prosthesis TW011 EG015 ARTIS T PL Preloaded Toric Intraocular lens +18 to +25D / C +1.50D TW 1 141 1327 3890 at, pl, t1 226270 Group Benefit Change 573 0 0 Update 2019-11-01 2020-02-01 Prosthesis CZ020 AT TORBI 709M STANDARD RANGE BITORIC - ZEISS Micro Incision Aspheric (abberation neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation 6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps) CZ 1 141 1327 3890 at, t1 151348 Group Benefit Change 557 0 0 Update 2010-02-01 2020-02-01 Prosthesis CZ027 AT TORBI 709M HIGH CYLINDER BITORIC - ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable square edged, single piece IOL for capsular bag fixation 6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, +7.0 to 12.0D (all 0.5D steps) CZ 1 141 1327 3890 at, t2 151348 Group Benefit Change 784 0 0 Update 2010-08-01 2020-02-01 Prosthesis CZ040 CT SPHERIS 209M Micro incision, Spherical aberrated, foldable square-edged single-piece intraocular lens for capsular bag fixation. Diopter range :0.00 to + 32.0. Optic Size : 6mm Overall Length : 11mm CZ 1 141 1327 3890 151348 Group Benefit Change 242 0 0 Update 2015-02-01 2020-02-01 Prosthesis AL038 Acrysof Aspheric UV-absorbing IOL Foldable Acrylic Single-piece Lens with UV Absorbing and Aspheric Correction + 6.0 D to +30.0 D AL 1 141 1327 3892 at 92318 Group Benefit Change 275 0 0 Update 2015-08-01 2020-02-01 Prosthesis AO014 TECNIS® Intraocular Lens (Z9002 & ZA9003) Foldable Intraocular Lenses - Ultraviolet light absorbing posterior chamber intraocular lenses, Silicone/Acrylic 5-10 dioptre in 1.0 dioptre increments; 10.5 - 30 dioptre in 0.5 increments AO 1 141 1327 3892 at 99891 Group Benefit Change 275 0 0 Update 2005-10-31 2020-02-01 Prosthesis AO024 Tecnis® One Piece (ZCB00) One piece intraocular lens with edge modification and 360 degree square edge +5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm AO 1 141 1327 3892 at 170331 Group Benefit Change 275 0 0 Update 2008-07-01 2020-02-01 Prosthesis AO043 TECNIS® Eyhance IOL 1-piece enhanced monofocal IOL +5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diamter 13mm, optic size 6mm AO 1 141 1327 3892 at 170331 Group Benefit Change 275 0 0 Update 2019-07-01 2020-02-01 Prosthesis BL022 SofPort Advanced Optic (AO) Posterior chamber, foldable silicone IOL with anterior optic-haptic square edge, posterior optic-haptic square edge, 360-degree optic square edge and asperic optic for aberration control 0 D to 30.0 D BL 1 141 1327 3892 at 98915 Group Benefit Change 275 0 0 Update 2005-10-31 2020-02-01 Prosthesis BL023 Akreos Advanced Optic Posterior chamber, foldable acrylic IOL, with anterior optic-haptic square edge, posterior optic-haptic square edge, 360 degree optic square edge and aspheric optic for aberration control 0 D to 30.0 D BL 1 141 1327 3892 at 98915 Group Benefit Change 275 0 0 Update 2005-10-31 2020-02-01 Prosthesis BL030 enVista The enVista, Model MX60, is an ultra-violet-absorbing, posterior chamber, hydrophobic acrylic one-piece foldable intraocular lens (IOL) Has an aspheric lens optic, square posterior edge, modified C haptics and available in dioptric powers ranging from +0.0 to +34.0D. Overall diameter 12.5mm, optic body diameter 6.0mm in dioptric powers ranging from +0.0 to +34D 0.0D to 10.0D in 1 Diopter increments 11.0D to 30.0D in 0.5 Diopter increments 31.0D to 34.0D in 1 Diopter increments BL 1 141 1327 3892 at 98915 Group Benefit Change 275 0 0 Update 2011-02-01 2020-02-01 Prosthesis CZ030 CT ASPHINA 404 Small incision, foldable, single piece, monofocal, aspheric (aberration neutral), square-edged, hydrophilic acrylic (with hydrophobic surface properties) intraocular lens for capsular bag fixation. (Monofocal lens for powers outside standard 409MP MICS range). Diopter range: -10.0 to 42.0, Optic size: 6.0mm, Overall length: 11.0mm CZ 1 141 1327 3892 at 151348 Group Benefit Change 275 0 0 Update 2011-08-01 2020-02-01 Prosthesis DE484 Oculentis LENTIS L-402 Foldable three piece monofocal acrylic IOL Optic Size 6.0mm, Overall Length 13.00mm. +-0.0D to +35.0D (1.0D) + 15.5D to +26.5D (0.5D). Minus range on demand. DE 1 141 1327 3892 at 198807 Group Benefit Change 275 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE490 Oculentis LENTIS L-312 Foldable one-piece monofocal acrylic C Loop IOL Opric size 6.0mm. Overall Length 12.00mm. Central Thickness 1.02mm (+22.0D). Available Diopters: -10.0D to 35.0D (1.0D steps). +10.5D to 29.5D (0.5D steps). DE 1 141 1327 3892 at 198807 Group Benefit Change 275 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE492 Oculentis LENTIS L-313 Foldable one-piece monofocal acrylic plate haptic IOL Optic Size 6.0mm, Overall length 11.0mm. Available Diopters: +-10.0D to 36.0D (1.0D steps) +10.5D to 29.5D (0.5D steps) DE 1 141 1327 3892 at 198807 Group Benefit Change 275 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE648 Oculentis FEMTIS FB-313 Foldable one-piece monofocal acrylic plate haptic IOL for fixation in the capsulorhexis Optic Size 5.7mm, Overall length 10.5mm. Available Diopters: +-15.0D to 30.0D (0.5D steps) DE 1 141 1327 3892 at 198807 Group Benefit Change 275 0 0 Update 2018-08-01 2020-02-01 Prosthesis DE673 Oculentis LENTIS LU-814VR Foldable one-piece acrylic posterior chamber aspheric IOL for capsular bag, sulcus and sulcus-sclera fixation. Optic size: 6.2mm 0.0D to +23.0D, 5.5mm +23.01D to +35.0D , Overall length: 13.0mm, Available Dioptres: 0.0D to +35.0D (1.0D steps), +15.5D to +26.5D (0.5D steps). DE 1 141 1327 3892 at 198807 Group Benefit Change 275 0 0 Update 2019-03-01 2020-02-01 Prosthesis IQ013 PreciSAL 302AC Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter. Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0 IQ 1 141 1327 3892 at 183558 Group Benefit Change 275 0 0 Update 2013-08-01 2020-02-01 Prosthesis IS010 BiFlex 677AB Hydrophilic Acrylic Foldable Aspheric Monofocal Lens (without Blue light Filter) Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -10.0 - +9.0 D ±0.25 D increment: 1.0 D +10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D +31.0 - +45.0 D ±0. D increment: 1.0 D IS 1 141 1327 3892 at 221834 Group Benefit Change 275 0 0 Update 2015-02-01 2020-02-01 Prosthesis KG012 Rayner "C-Flex" and Superflex" Aspheric IOL Aspheric Intra Ocular Lenses with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics C-Flex -970C + 22.5D to +34D Superflex-920H - 10D to +22D KG 1 141 1327 3892 at 100926 Group Benefit Change 275 0 0 Update 2009-08-01 2020-02-01 Prosthesis LN003 ALSAFIT Single piece aspheric foldable intraocular lens for implantation into the capsular bag. Diopter power range: 0.0 D to 32.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm. LN 1 141 1327 3892 at 268033 Group Benefit Change 275 0 0 Update 2016-02-01 2020-02-01 Prosthesis LN008 ALSIOL Single piece aspheric foldable intraocular lens for implantation into the capsular bag. Diopter power range: 0.0 D to +32.00 D (0.50 D increments). Optic size: 6 mm. Overall length: 11.0 mm. LN 1 141 1327 3892 at 277174 Group Benefit Change 275 0 0 Update 2018-08-01 2020-02-01 Prosthesis SO074 HumanOptics Aspira Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic -6.0 to +40.0 D SO 1 141 1327 3892 at 227764 Group Benefit Change 275 0 0 Update 2015-02-01 2020-02-01 Prosthesis AO034 TECNIS® iTec 1-Piece Pre-Loaded IOL 1-piece IOL Posterior Chamber Intraocular lens, incorporates a proprietary wavefront-designed aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. Supplied pre-loaded in a screw style disposable injector. +5.0 to +34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, Optic size 6mm AO 1 141 1327 3892 at, pl 203780 Group Benefit Change 282 0 0 Update 2013-02-01 2020-02-01 Prosthesis DE485 Oculentis LENTIS L-402 Pre-loaded Pre-loaded foldable three piece monofocal acrylic IOL. Optic Size 6.0mm, Overall Length 13.00mm. +-0.0D to +35.0D (1.0D) +15.5D to +26.5D (0.5D). Minus range on demand. DE 1 141 1327 3892 at, pl 198807 Group Benefit Change 282 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE491 Oculentis LENTIS L-312 Pre-loaded Pre-loaded foldable one-piece monofocal acrylic C Loop IOL Optic size 6.0mm. Overall length 12.00mm. Central thickness 1.02mm (+22.0D). Available Diopters: -10.0D to 35.0D (1.0D steps). +10.5D to 29.5D ( 0.5D steps). DE 1 141 1327 3892 at, pl 198807 Group Benefit Change 282 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE493 Oculentis LENTIS L-313 Pre-loaded Pre-loaded foldable one-piece monofocal acrylic plate haptic IOL Optic Size 6.0mm, Overall Length 11.00mm. Available Diopters: +-10.0D to 35.0D (1.0D steps). +10.5D to 29.5 D (0.5D steps). DE 1 141 1327 3892 at, pl 198807 Group Benefit Change 282 0 0 Update 2016-09-01 2020-02-01 Prosthesis DV265 RayOne Ashperic preloaded Preloaded aspheric intraocular lens, hydrophilic acrylic, UV absorbing, 360 square edge, anti-vaulting haptics 6mm optic, range sphere -10 to +34 DV 1 141 1327 3892 at, pl 220612 Group Benefit Change 282 0 0 Update 2017-02-01 2020-02-01 Prosthesis DV268 Hoya Vivinex iSert preloaded IOL (Model XC1) Preloaded injector system, micro incision, aspheric, UV filtering, single piece, hydrophobic acrylic +6.0 to 30.0 D (in 0.5D steps) DV 1 141 1327 3892 at, pl 117417 Group Benefit Change 282 0 0 Update 2017-08-01 2020-02-01 Prosthesis DV269 HOYA iSert® 250 Preloaded injector system, Micro-Incision, Aspheric, UV filtering, Single Piece, Hydrophobic +6.0D to +30.0D (in 0.5D steps) DV 1 141 1327 3892 at, pl 112674 117417 Group Benefit Change 282 0 0 Update 2017-08-01 2020-02-01 Prosthesis EJ002 Preloaded Aspheric Intraocular Lens Silicone intraocular lens 6.0mm EJ 1 141 1327 3892 at, pl 100462 135694 Group Benefit Change 282 0 0 Update 2017-02-01 2020-02-01 Prosthesis IQ014 PreciSAL P302AC Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter. Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0 IQ 1 141 1327 3892 at, pl 183558 Group Benefit Change 282 0 0 Update 2013-08-01 2020-02-01 Prosthesis IS036 BiFlex 877PA Preloaded Hydrophobic Acrylic Foldable Aspheric Monofocal Lens without Blue Light Filter Posterior Chamber IOL, special 360° sharp edge, Aspheric Aberration Balanced Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -0.0 - +9.0 D ±0.25 D increment: 1.0 D +10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D IS 1 141 1327 3892 at, pl 221834 Group Benefit Change 282 0 0 Update 2015-08-01 2020-02-01 Prosthesis IS043 TW005 Basis Z Preloaded Hydrophylic IOL Hydrophylic preloaded IOL 6mm Optic Diameter and 13mm Length IS 1 141 1327 3892 at, pl 280510 Group Benefit Change 282 0 0 Update 2019-03-01 2020-02-01 Prosthesis KG017 RayOne Ashperic preloaded Preloaded aspheric intraocular lens, hydrophilic acrylic, UV absorbing, 360 square edge, anti-vaulting haptics 6mm optic, range sphere -10 to +34 KG 1 141 1327 3892 at, pl 220612 Group Benefit Change 282 0 0 Update 2017-08-01 2020-02-01 Prosthesis KG020 RayOne Hydrophobic IOL Hydrophobic acrylic IOL, preloaded injector system, micro incision, aspheric, UV filtering, single piece. Power range: -10.0 D to +7.0 D (1.0 D increments, including plano) +8.0 D to +30.0 D (0.5 D increments) +31.0 D to +32.0 D (1.0 D increments) Shapes: Biconvex (positive powers), Plano, Concave (negative powers) KG 1 141 1327 3892 at, pl 100926 Group Benefit Change 282 0 0 Update 2018-08-01 2020-02-01 Prosthesis LN011 I-Stream Pre-Loaded Aspheric Hydrophobic Single piece, pre-loaded aspheric hydrophobic acrylic IOL Optic diameter: 6mm Total diameter: 13mm Power range: +9.0 to +32.0D LN 1 141 1327 3892 at, pl 307407 Group Benefit Change 282 0 0 Update 2018-08-01 2020-02-01 Prosthesis SO075 HumanOptics Aspira Preloaded Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic +10.0 to +40.0 D SO 1 141 1327 3892 at, pl 227764 Group Benefit Change 282 0 0 Update 2015-02-01 2020-02-01 Prosthesis AO042 Tecnis Toric 1-Piece Pre-Loaded IOL 1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. +5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm. AO 1 141 1327 3892 at, pl, t1 181845 Group Benefit Change 573 0 0 Update 2016-08-01 2020-02-01 Prosthesis BL032 enVista Toric The enVista toric (Model MX60T) is a one-piece glistening-free hydrophobic foldable IOL. The enVista Toric, model MX60T IOL has a Toric aspheric lens optic, a square posterior edge and modified C haptics, an overall diameter of 12.5mm and an optic body of 6.0mm. It is available in multiple spherical and cylindrical powers. Overall diameter is 12.5mm for the entire lens power range, with spherical equivalent powers from +6.0 to +30.0 Diopters in 0.5 Diopter steps and cylinder powers from +1D to 6D Diopters (at the IOL plane). BL 1 141 1327 3892 at, pl, t1 98915 Group Benefit Change 573 0 0 Update 2012-08-01 2020-02-01 Prosthesis DE516 Oculentis LENTIS LU313T Pre-loaded Patient Specific: Pre-loaded foldable one-piece monofocal toric acrylic IOL Optic Size 6.0mm, overall length 11.0mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +0.25 to +6.99D cyl (in 0.01D increments) DE 1 141 1327 3892 at, pl, t1 198807 Group Benefit Change 573 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE518 Oculentis LENTIS LS-313-T1-T6 Pre-loaded Pre-loaded foldable one-piece monofocal toric acrylic IOL Optic Size 6.0mm, Overall Length 11.00mm. Available diopters: +10.0D to +30.0D (0.5D). Cyl: (T1 + 1.5D) (T2 +2.25D) (T3 +3.0D) (T4 + 3.75D) (T5 + 4.5D) (T6 +5.25D) DE 1 141 1327 3892 at, pl, t1 198807 Group Benefit Change 573 0 0 Update 2017-02-01 2020-02-01 Prosthesis DV266 RayOne Toric Aspheric preloaded Single piece preloaded aspheric toric acrylic IOL, UV absorbing, 360 square edge, anti-vaulting haptics 6mm optic, +8 to +30 sphere, +1 to +6 cylinder in 0.5 steps DV 1 141 1327 3892 at, pl, t1 220612 Group Benefit Change 573 0 0 Update 2017-02-01 2020-02-01 Prosthesis IS026 Medicontur BiFlex 677PT Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter, Preloaded Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +1.5 D - +7.0 D increment: 0.75 D IS 1 141 1327 3892 at, pl, t1 221834 Group Benefit Change 573 0 0 Update 2015-08-01 2020-02-01 Prosthesis KG016 RayOne Toric Aspheric preloaded Single piece preloaded aspheric toric acrylic IOL, UV absorbing, 360 square edge, anti-vaulting haptics 6mm optic, +8 ro +30 sphere, +1 to +6 cylinder in 0.5 steps KG 1 141 1327 3892 at, pl, t1 220612 Group Benefit Change 573 0 0 Update 2017-08-01 2020-02-01 Prosthesis AL049 Clareon AutonoMe Toric Clareon AutonoMe Toric consists of a Clareon Toric Aspheric Hydrophobic Acrylic Intraocular Lens (Clareon Toric IOL) pre-loaded on the AutonoMe Automated Delivery System. +6.0 to +30.0 diopters AL 1 141 1327 3892 at, pl, t1, vblf 92318 Group Benefit Change 603 0 0 Update 2019-11-01 2020-02-01 Prosthesis DE489 Oculentis LENTIS LU-313-TY Pre-loaded Patient Specific: Pre-loaded foldable one-piece monofocal toric acrylic IOL. Violet Light Filter Optic Size: 6.0mm, Overall Length 11.00mm. Sph -10.0D to +35.0D (in 0.01D incrments). Cyl +0.25D to +6.99D cyl (in 0.01D increments) DE 1 141 1327 3892 at, pl, t1, vblf 198807 Group Benefit Change 603 0 0 Update 2016-09-01 2020-02-01 Prosthesis DV253 HOYA AF-1 351 Toric T3/T4/T5/T6/T7/T8/T9 Preloaded injector system, correct corneal astigmatism micro-incision, ashperic, blue-blocker, single piece hydophobic. IOL Power: + 10.0 to 30.0 (0.5 steps), IOL Cylinder power: 1.50D (351T3), 2.25D (351T4), 3.00D (351T5), 3.75D (351T6), 4.50D (351T7), 5.25D (351T8), 6.00D (351T9) DV 1 141 1327 3892 at, pl, t1, vblf 112674 117417 Group Benefit Change 603 0 0 Update 2011-08-01 2020-02-01 Prosthesis DV267 Hoya Vivinex XY1AT Toric Preloaded injector system, toric / corrects corneal astigmatism, micro-incision, aspheric, blue blocker, single piece hydrophobic IOL Power: + 10.0 to 30.0 (0.5 steps), IOL Cylinder power: 1.0D (XY1AT2), 1.50D (XY1AT3), 2.25D (XY1AT4), 3.00D (XY1AT5), 3.75D (XY1AT6), 4.50D (XY1AT7), 5.25D (XY1AT8), 6.00D (XY1AT9) DV 1 141 1327 3892 at, pl, t1, vblf 117417 Group Benefit Change 603 0 0 Update 2017-02-01 2020-02-01 Prosthesis IQ020 PreciSAL Toric PT302A Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters. Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D IQ 1 141 1327 3892 at, pl, t1, vblf 183558 Group Benefit Change 603 0 0 Update 2014-02-01 2020-02-01 Prosthesis IS028 Medicontur BiFlex 677PTY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +1.5 D - +7.0 D increment: 0.75 D IS 1 141 1327 3892 at, pl, t1, vblf 221834 Group Benefit Change 603 0 0 Update 2015-08-01 2020-02-01 Prosthesis AL031 AcrySert C Model SN6CWS Posterior chamber, UV absorbing, foldable, acrylic, single piece lens with blue light protection and aspheric correction, in cartridge +6.0 to +30.0 D AL 1 141 1327 3892 at, pl, vblf 92318 Group Benefit Change 305 0 0 Update 2009-02-01 2020-02-01 Prosthesis AL039 AcrySof IQ Aspheric IOL with UltraSert pre-loaded delivery system Pre-loaded foladable Acrylic Single-piece Lens with Blue light protection and Aspheric correction (SN60WF) +6.0D to +30.0D AL 1 141 1327 3892 at, pl, vblf 92318 Group Benefit Change 305 0 0 Update 2015-08-01 2020-02-01 Prosthesis AL044 Clareon AutonoMe The Clareon Aspheric Hydrophobic Acrylic Lens is an ultraviolet and blue light filtering foldable single-piece posterior chamber intraocular lens, provided in the AutonoMe Pre-loaded Delivery System. +6.0 to +25.0 D AL 1 141 1327 3892 at, pl, vblf 92318 Group Benefit Change 305 0 0 Update 2018-02-01 2020-02-01 Prosthesis BL035 MICRO+ AY 123 Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with blue light protection. An overall diameter of 10.75mm and optic diamter of 6.15mm. From 0 to +35 diopters with 0.5 diopter increments. BL 1 141 1327 3892 at, pl, vblf 211587 Group Benefit Change 305 0 0 Update 2014-08-01 2020-02-01 Prosthesis BL037 MicroPure 123 Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece hydrophobic glistening-free Intra Ocular Lens. Overall diameter of 10D to 24.5D: 11.00mm 25D to 30D: 10.75mm Optic diameter of 10D to 24.5D: 6.00mm 25D to 30 D: 5.75mm Power from 10D to 30D with 0.5 diopter increments. BL 1 141 1327 3892 at, pl, vblf 211587 Group Benefit Change 305 0 0 Update 2015-08-01 2020-02-01 Prosthesis DE487 Oculentis LENTIS LS-312Y Pre-loaded Pre-loaded Foldable one-piece monofocal C Loop Acrylic IOL. Violet Light filter. Optic Size 6.0mm. Overall Length 12.0mm. Available Diopters +-0.0D to 35.0D (1.0D steps) +15.5D to 26.5D (0.5D steps). DE 1 141 1327 3892 at, pl, vblf 198807 Group Benefit Change 305 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE499 Oculentis LENTIS LS-313Y Pre-loaded Pre-loaded foldable one-piece monofocal acrylic plate haptic IOL. Violet Light Filter. Optic Size 6.0mm, Overall Length 11.00mm. Available Diopters: +-0.0D to 35.0D (1.0D steps). +15.5D to 26.5D (0.5 steps). DE 1 141 1327 3892 at, pl, vblf 198807 Group Benefit Change 305 0 0 Update 2016-09-01 2020-02-01 Prosthesis DV250 Hoya-PS AF-1 (UY) PY-60AD Preloaded in cartridge, Aspheric, Blue blocker, Foldable, Single-Piece, Hydrophobic Acrylic +6.0D to +30.0D (0.5D steps) DV 1 141 1327 3892 at, pl, vblf 117417 Group Benefit Change 305 0 0 Update 2010-08-01 2020-02-01 Prosthesis DV252 HOYA iSert® 251 Preloaded injector system, Micro-incision, Aspheric, Blue-Blocker, Single Piece, Hydrophobic +6.0D to 30.0D (5 steps) DV 1 141 1327 3892 at, pl, vblf 112674 117417 Group Benefit Change 305 0 0 Update 2011-02-01 2020-02-01 Prosthesis DV262 Hoya 751 Intra Ocular Lens Intra Ocular Lens Power +10 dioptres - +26 dioptres DV 1 141 1327 3892 at, pl, vblf 117417 Group Benefit Change 305 0 0 Update 2015-02-01 2020-02-01 Prosthesis DV264 Hoya Vivinex iSert Preloaded IOL (Model XY1) Intra Ocular Lens Power +6 dioptres - +30 dioptres DV 1 141 1327 3892 at, pl, vblf 117417 Group Benefit Change 305 0 0 Update 2015-08-01 2020-02-01 Prosthesis IQ016 PreciSAL P302A Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter. Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0 IQ 1 141 1327 3892 at, pl, vblf 183558 Group Benefit Change 305 0 0 Update 2013-08-01 2020-02-01 Prosthesis IS034 BiFlex Preloaded 877PAY Hydrophobic Acrylic Foldable Aspheric Monofocal Lens with Blue light Filter Posterior Chamber IOL, special 360° sharp edge, Aspheric - Aberration Balanced Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -0.0 - +9.0 D ±0.25 D increment: 1.0 D +10.0 -+25.0 D ±0.25 D increment: 0.5 D +25.5- +30.0 D ±0.5 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1 IS 1 141 1327 3892 at, pl, vblf 221834 Group Benefit Change 305 0 0 Update 2015-08-01 2020-02-01 Prosthesis IS042 TW004 Basis Z Preloaded Hydrophobic IOL Hydrophobic preloaded IOLs 6mm Optic Diameter and 13mm Length IS 1 141 1327 3892 at, pl, vblf 280510 Group Benefit Change 305 0 0 Update 2019-03-01 2020-02-01 Prosthesis IS044 TW006 Basis Z Preloaded Hydrophobic IOL Hydrophobic preloaded IOLs 6mm Optic Diameter and 13mm Length IS 1 141 1327 3892 at, pl, vblf 280510 Group Benefit Change 305 0 0 Update 2019-03-01 2020-02-01 Prosthesis SO067 HumanOptics Aspira Y Preloaded Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter +10.0 to +30.0 D SO 1 141 1327 3892 at, pl, vblf 227764 Group Benefit Change 305 0 0 Update 2015-02-01 2020-02-01 Prosthesis SO071 Mediphacos Easyflex Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, double square edge, Blue light filter +5.0 to +30.0 D SO 1 141 1327 3892 at, pl, vblf 227765 Group Benefit Change 305 0 0 Update 2015-02-01 2020-02-01 Prosthesis AL045 AcrySof Aspheric UV Absorbing Toric Intraocular Lens AcrySof UV Absorbing Toric is a biconvex, toric, aspheric, UV-absorbing, single-piece, foldable, hydrophobic monofocal intraocular lens +6.0 to +34.0 diopter AL 1 141 1327 3892 at, t1 92318 Group Benefit Change 557 0 0 Update 2019-11-01 2020-02-01 Prosthesis AO041 Tecnis Toric 1-Piece IOL 1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. +5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm. AO 1 141 1327 3892 at, t1 181845 Group Benefit Change 557 0 0 Update 2016-08-01 2020-02-01 Prosthesis DE515 Oculentis LENTIS LU313T Patient Specific: Foldable one-piece monofocal toric acrylic IOL Optic Size 6.0mm, overall length 11.0mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +0.25 to +6.99D cyl (in 0.01D increments) DE 1 141 1327 3892 at, t1 198807 Group Benefit Change 557 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE517 Oculentis LENTIS LS-313T0-T6 Foldable one-piece monofocal toric acrylic IOL. Optic Size 6.0mm, Overall Length 11.00mm. Available diopters: +10.0D to +30.0D (0.5D). Cyl: (T0 +0.75D) (T1 +1.5D) (T2 +2.25D) (T3 +3.0D) (T4 + 3.75D) (T5 + 4.5D) (T6 +5.25D) DE 1 141 1327 3892 at, t1 198807 Group Benefit Change 557 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE674 Oculentis LENTIS Tplus LU-814T Foldable one-piece acrylic posterior chamber aspheric toric IOL for capsular bag, sulcus and sulcus-sclera fixation. Optic size: 6.2mm ,-10.0D to +23.0D (SEQ), 5.5mm +23.01D to +35.0D (SEQ) Overall length: 13.0mm, Available Dioptres: sph. -10.0D to +35.0D (0.01D increments), cyl. +0.25D to +12.0D (0.01D increments), axis. 1 degree increments. DE 1 141 1327 3892 at, t1 198807 Group Benefit Change 557 0 0 Update 2019-03-01 2020-02-01 Prosthesis IS024 Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +1.5 D - +7.0 D increment: 0.75 D IS 1 141 1327 3892 at, t1 221834 Group Benefit Change 557 0 0 Update 2015-08-01 2020-02-01 Prosthesis KG018 T-Flex Aspheric - Toric <7 diopter Acrylic foldable posterior chamber IOLs, aspheric, toric <7 diopter Standard - Spheres: +6.0 to +30.0 D (spherical equivalent) Cylinders: +1.0 to +6.0 D Made to Order - Spheres: -10.0 to +35.0 D (subject to spherical equivalent) Cylinders: +1.0 to +6.0 D KG 1 141 1327 3892 at, t1 100926 Group Benefit Change 557 0 0 Update 2018-08-01 2020-02-01 Prosthesis LN010 I-stream Toric Hydrophilic One-piece posterior chamber lens with aspherical surface for capsular bag fixation. Optic diameter: 6mm Total diameter: 11mm Diopter range: +15.0 to +25.0D (standard), 1.0 to 14.5D and 25.5 to 40.0D (made to order) Cylinder range: 0.75 to 6.0D LN 1 141 1327 3892 at, t1 307407 Group Benefit Change 557 0 0 Update 2018-08-01 2020-02-01 Prosthesis SO060 HumanOptics Torica Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic Sphere +10D to +30D, Cylinder 1D to 6D SO 1 141 1327 3892 at, t1 227764 Group Benefit Change 557 0 0 Update 2015-02-01 2020-02-01 Prosthesis AL032 AcrySof IQ Toric IOL Posterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light protection and aspheric correction +6 to +30 D spherical, +31.0 to +34.0 (1.0 D increments); 1.00 to 6.00 D cylinder. AL 1 141 1327 3892 at, t1, vblf 92318 Group Benefit Change 587 0 0 Update 2009-02-01 2020-02-01 Prosthesis DE488 Oculentis LENTIS LU-313 TY Patient Specific: Foldable one-piece monofocal toric acrylic IOL. Violet Light Filter Optic size: 6.0mm, Overall Length 11.00mm. Sph +/_ 0.0D to +35.0D In 0.01D increments) Cyl +0.25D to +6.99D cyl (in 0.01D increments). DE 1 141 1327 3892 at, t1, vblf 198807 Group Benefit Change 587 0 0 Update 2016-09-01 2020-02-01 Prosthesis IQ019 PreciSAL Toric T302A Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters. Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D IQ 1 141 1327 3892 at, t1, vblf 183558 Group Benefit Change 587 0 0 Update 2014-02-01 2020-02-01 Prosthesis IS022 Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +1.5 D - +7.0 D increment: 0.75 D IS 1 141 1327 3892 at, t1, vblf 221834 Group Benefit Change 587 0 0 Update 2015-08-01 2020-02-01 Prosthesis IS048 TW010 Basis Z Hydrophilic Toric Foldable hydrophilic toric intraocular lens Available in spherical diopter powers from -10.0D to +35.0D in 0.5D steps from +10.0D to +30.0D and then 1.0D steps in the ranges of -10.0D to 9.0D and +31.0D to +35.0D. Cylinder Power range is 1.5-6.0D in 0.75D steps. IS 1 141 1327 3892 at, t1, vblf 280510 Group Benefit Change 587 0 0 Update 2019-03-01 2020-02-01 Prosthesis LN005 ALSAFIT TORIC VF Single piece toric aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter. Diopter power range: Sphere: From 0.0 D to +32.00 D (0.50 D increments). Cylinder: From +0.50 D to +6.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm. LN 1 141 1327 3892 at, t1, vblf 268033 Group Benefit Change 587 0 0 Update 2016-02-01 2020-02-01 Prosthesis SO057 HumanOptics Torica Y Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter Sphere +10D to +30D, Cylinder 1D to 6D SO 1 141 1327 3892 at, t1, vblf 227764 Group Benefit Change 587 0 0 Update 2015-02-01 2020-02-01 Prosthesis SO072 Mediphacos Miniflex Toric Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, double square edge, Blue light filter Sphere +5.0 to +30.0 D, Cylinder < 7D SO 1 141 1327 3892 at, t1, vblf 227765 Group Benefit Change 587 0 0 Update 2015-02-01 2020-02-01 Prosthesis AO040 TECNIS® Toric 1-Piece IOL 1-piece IOL Posterior chamber Intraocular lens, incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. +5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 7.00 diopter, 8.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm. AO 1 141 1327 3892 at, t2 181845 Group Benefit Change 785 0 0 Update 2015-02-01 2020-02-01 Prosthesis DE519 Oculentis LENTIS LU-313T Patient Specific: Foldable one-piece monofocal toric acrylic IOL Optic Size: 6.0mm, overall length 11.00mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +6.99D to +12.0D cyl (in 0.01D increments) DE 1 141 1327 3892 at, t2 198807 Group Benefit Change 785 0 0 Update 2017-02-01 2020-02-01 Prosthesis IS025 Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +7.0 D - +9.0 D increment: 0.75 D +9.0 D - +10.0 D increment: 1.0 D IS 1 141 1327 3892 at, t2 221834 Group Benefit Change 785 0 0 Update 2015-08-01 2020-02-01 Prosthesis KG019 T-Flex Aspheric - Toric ≥7 diopter Acrylic foldable posterior chamber IOLs, aspheric, toric ≥7 diopter Standard Spheres: +6.0 to +30.0 D (spherical equivalent) Cylinders: +1.0 to +6.0 D Made to Order Spheres: -10.0 to +35.0 D (subject to spherical equivalent) Cylinders: +7.0 to +11.0 D KG 1 141 1327 3892 at, t2 100926 Group Benefit Change 785 0 0 Update 2018-08-01 2020-02-01 Prosthesis SO059 HumanOptics Torica Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic Sphere +10D to +30D, Cylinder 7D to 12D SO 1 141 1327 3892 at, t2 227764 Group Benefit Change 785 0 0 Update 2015-02-01 2020-02-01 Prosthesis DE520 Oculentis LENTIS LU-313T Pre-loaded Patient Specific: Pre-loaded foldable one-piece monofocal toric acrylic IOL Optic Size: 6.0mm, overall length 11.00mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +6.99D to +12.0D cyl (in 0.01D increments) DE 1 141 1327 3892 at, t2, pl 198807 Group Benefit Change 793 0 0 Update 2017-02-01 2020-02-01 Prosthesis IS027 Medicontur BiFlex 677PT Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter, Preloaded Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +7.0 D - +9.0 D increment: 0.75 D +9.0 D - +10.0 D increment: 1.0 D IS 1 141 1327 3892 at, t2, pl 221834 Group Benefit Change 793 0 0 Update 2015-08-01 2020-02-01 Prosthesis DE511 Oculentis LENTIS LU-313TY Patient Specific: Foldable one-piece monofocal toric acrylic IOL. Violet Light Filter. Optic Size: 6.0mm, overall length 11.00mm. -10.0D to +35.0D (0.01D increments) Available diopters: Cyl +7.00D to +12.0D inclusive in 0.01D increments. DE 1 141 1327 3892 at, t2, vblf 198807 Group Benefit Change 817 0 0 Update 2017-02-01 2020-02-01 Prosthesis IS023 Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +7.0 D - +9.0 D increment: 0.75 D +9.0 D - +10.0 D increment: 1.0 D IS 1 141 1327 3892 at, t2, vblf 221834 Group Benefit Change 817 0 0 Update 2015-08-01 2020-02-01 Prosthesis IS030 Medicontur BiFlex 677TBY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: +5.0 - +9.0 D ±0.25 D increment: 1.0 D +10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D Cylinders available: +10.0 D - +24.0 D ±0.5 D increment: 1.0 D IS 1 141 1327 3892 at, t2, vblf 221834 Group Benefit Change 817 0 0 Update 2015-08-01 2020-02-01 Prosthesis SO058 HumanOptics Torica Y Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter Sphere +10D to +30D, Cylinder 7D to 12D SO 1 141 1327 3892 at, t2, vblf 227764 Group Benefit Change 817 0 0 Update 2015-02-01 2020-02-01 Prosthesis DE512 Oculentis LENTIS LU-313TY Pre-loaded Patient Specific: Pre-loaded foldable one-piece monofocal toric acrylic IOL. Violet Light Filter. Optic Size: 6.0mm, overall length 11.00mm. -10.0D to +35.0D (0.01D increments) Available diopters: Cyl +7.00D to +12.0D inclusive in 0.01D increments. DE 1 141 1327 3892 at, t2, vblf, pl 198807 Group Benefit Change 824 0 0 Update 2017-02-01 2020-02-01 Prosthesis IS029 Medicontur BiFlex 677PTY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +7.0 D - +9.0 D increment: 0.75 D +9.0 D - +10.0 D increment: 1.0 D IS 1 141 1327 3892 at, t2, vblf, pl 221834 Group Benefit Change 824 0 0 Update 2015-08-01 2020-02-01 Prosthesis AL021 Alcon AcrySof SN60WF Foldable Acrylic Single-piece Lens with Blue Light Protection and Aspheric Correction + 6.0 D to +30.0 D AL 1 141 1327 3892 at, vblf 92318 Group Benefit Change 290 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE486 Oculentis LENTIS LS-312Y Foldable one-piece monofocal C Loop Acrylic IOL. Violet Light Filter. Optic Size 6.0mm, Overall Length 12.0mm. Available Diopters: +-0.0D to 35.0D (1.0D steps) +15.5D to 26.5D (0.5D steps). DE 1 141 1327 3892 at, vblf 198807 Group Benefit Change 290 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE498 Oculentis LENTIS LS-313Y Foldable one-piece monofocal acrylic plate haptic IOL. Violet Light Filter. Optic Size 6.0mm, Overall Length 11.00mm. Available Diopters: +-0.0D to 35.0D (1.0D steps). +15.5D to 26.5D (0.5 steps). DE 1 141 1327 3892 at, vblf 198807 Group Benefit Change 290 0 0 Update 2016-09-01 2020-02-01 Prosthesis IQ009 Softec HDY Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter Available in dioptric powers from -5.0 to + 36.0, 1D steps: -5.0 to +10.0 and +31.0 to +36.0; 0.5D steps: +10.5 to +18.0 and +25.0 to 29.5; 0.25D steps: + 18.0 to +25.0 IQ 1 141 1327 3892 at, vblf 120330 Group Benefit Change 290 0 0 Update 2010-02-01 2020-02-01 Prosthesis IQ015 PreciSAL 302A Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter. Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0 IQ 1 141 1327 3892 at, vblf 183558 Group Benefit Change 290 0 0 Update 2013-08-01 2020-02-01 Prosthesis SO055 HumanOptics Aspira Y Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter -6.0 to +40.0 D SO 1 141 1327 3892 at, vblf 227764 Group Benefit Change 290 0 0 Update 2015-02-01 2020-02-01 Prosthesis SO073 Mediphacos Miniflex/Mediflex Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, double square edge, Blue light filter +5.0 to +30.0 D SO 1 141 1327 3892 at, vblf 227765 Group Benefit Change 290 0 0 Update 2015-02-01 2020-02-01 Prosthesis KG003 Rayner Standard Toric C-Flex Hydrophilic HEMA-MMA copolymer, foldable with injector 5.00mm dia optic, 12.00mm dia overall, cyls 2.0D to 6.0D in 2D increments KG 1 141 1327 3892 t1 100926 Group Benefit Change 526 0 0 Update 2005-10-31 2020-02-01 Prosthesis KG004 Rayner Premium Toric C-Flex HEMA-MMA copolymer, foldable with injector 5.75mm dia optic, 12.00mm dia overall, cyls 1.5D to 11.0D in 0.5D increments KG 1 141 1327 3892 t2 100926 Group Benefit Change 753 0 0 Update 2005-10-31 2020-02-01 Prosthesis KG013 Rayner Super Premium Toric I.O.L. Acrylic foldable toric single piece I.O.L -10.0D to 0.00D Sphere: 1D to 11.00D Cylinder in 0.25 steps +31.00D to +35.00 Spit: 1D to 11.00D Cylinder in 0.25steps KG 1 141 1327 3892 t2 100926 Group Benefit Change 753 0 0 Update 2010-08-01 2020-02-01 Prosthesis AL016 Alcon Acrysof Natural Model SN60AT Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge, with blue light protection +6 to +40D AL 1 141 1327 3892 vblf 92318 Group Benefit Change 275 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL025 AcrySof Multipiece Models MN60MA, MN60AC Foldable Acrylic multi-piece Lens with Blue light Protection - 5 D to + 30 D AL 1 141 1327 3892 vblf 92318 Group Benefit Change 275 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL004 Acrysof Multipiece Models MA50BM, MA60AC Foldable Acrylic Multi-piece Lens -5 D to +30 D AL 1 141 1327 3892 92318 Group Benefit Change 242 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL011 Acrysof Model SA60AT Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge Range of Powers: +6 to +40 D AL 1 141 1327 3892 92318 Group Benefit Change 242 0 0 Update 2005-10-31 2020-02-01 Prosthesis AO002 Sensar AR40 Monofocal Acrylic IOL, Sensar OptiEdge AR40e Foldable Acrylic IOL Soft Acrylic, Foldable, UV Absorbing, Posterior Range available from -10D to +30D. 6 mm Optic Diameter x 13mm in overall length. AO 1 141 1327 3892 99891 Group Benefit Change 242 0 0 Update 2005-10-31 2020-02-01 Prosthesis CZ041 CT LUCIA 202 Foldable, 3-piece, monofocal, square-edged, hydrophobic acrylic intraocular lens. Diopter size: 4.0 to 34.0 DS. Optic size: 6mm. Overall length: 13mm CZ 1 141 1327 3892 151348 Group Benefit Change 242 0 0 Update 2016-08-01 2020-02-01 Prosthesis DE398 Oculentis LENTIS L-302-1 Foldable one-piece monofocal C loop acrylic IOL. Optic Size 6.0mm, Overall Length 12.00mm. +-0.0D to +35.0D (1.0D steps) and +15.5D to +26.5D (0.5D steps). DE 1 141 1327 3892 192478 Group Benefit Change 242 0 0 Update 2012-08-01 2020-02-01 Prosthesis KG001 Rayner C-Flex Hydrophilic HEMA-MMA copolymer, foldable with injector 5.75mm dia optic, 12.00mm dia overall KG 1 141 1327 3892 100926 Group Benefit Change 242 0 0 Update 2005-10-31 2020-02-01 Prosthesis KG002 Superflex Hydrophilic HEMA-MMA copolymer, foldable with injector 6.25mm dia optic, 12.5mm dia overall KG 1 141 1327 3892 100926 Group Benefit Change 242 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL048 AcrySof IQ Vivity Extended Vision Intraocular Lens Vivity Model DAT015 is an extended vision, non-diffractive, UV-absorbing, single-piece, foldable, hydrophobic, posterior chamber intraocular lens +15.0 to +25.0 diopters AL 1 141 1327 3893 at 92318 Group Benefit Change 619 0 0 Update 2019-11-01 2020-02-01 Prosthesis AO026 TECNIS® Multifocal Intraocular Lens (ZMA00) Posterior chamber lens with UV light-absorbing, foldable acrylic, 3-piece with a diffractive posterior optic and a modified anterior surface technology with edge modification and 360 degree square edge. +5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm AO 1 141 1327 3893 at 170331 Group Benefit Change 619 0 0 Update 2008-07-01 2020-02-01 Prosthesis AO027 TECNIS® Multifocal 1-Piece Lens, Models ZMB00, ZKB00, ZLB00 A multifocal posterior chamber lens with UV-blocking, foldable acrylic, 1-piece with a diffractive posterior optic and a modified anterior surface technology with edge modification and a 360 degree square edge. 6.0mm Optic Diameter x 13.0mm in overall length. +5.0 Diopter to +34.0 Diopter in 0.5 Diopter increments. ZMB00 +4.00 Diopter add, ZKB00 +2.75 add, AO 1 141 1327 3893 at 170331 Group Benefit Change 619 0 0 Update 2010-08-01 2020-02-01 Prosthesis AO037 TECNIS® Symfony Extended Range of Vision (ZXR00) Extended Range of Vision Posterior Chamber IOL +5.0 to 34.0 diopter powers in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm AO 1 141 1327 3893 at 170331 Group Benefit Change 619 0 0 Update 2014-08-01 2020-02-01 Prosthesis AO044 TECNIS® Synergy IOL 1-piece continuous multifocal IOL +5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, optic size 6mm AO 1 141 1327 3893 at 170331 Group Benefit Change 619 0 0 Update 2019-07-01 2020-02-01 Prosthesis CZ015 AT LISA 809M ZEISS micro incision, aspheric multifocal IOL. Diffractive bifocal anterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus. 6mm optic, 11mm diameter. Diopter range 0.0D to +32.0D (0.5D steps) CZ 1 141 1327 3893 at 151348 Group Benefit Change 619 0 0 Update 2009-02-01 2020-02-01 Prosthesis DE496 Oculentis LENTIS Mplus LS-313 MF Foldable one-piece multifocal plate haptic acrylic IOL Overall Length 11.0mm and Optic Size 6.0mm. Available diopters +-10.0D to +36.0D (0.05D steps) DE 1 141 1327 3893 at 198807 Group Benefit Change 619 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE650 Oculentis FEMTIS Comfort FB-313MF15 Foldable one-piece multifocal acrylic plate haptic IOL for fixation in the capsulorhexis Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: +15.0D to 30.0D (0.5D steps) DE 1 141 1327 3893 at 198807 Group Benefit Change 619 0 0 Update 2018-08-01 2020-02-01 Prosthesis DE675 Oculentis LENTIS Mplus LU-814MF30 Foldable one-piece acrylic posterior chamber aspheric multifocal IOL for capsular bag, sulcus and sulcus-sclera fixation. Optic size: 6.2mm , 0.0D to +23.0D, 5.5mm +23.01D to +36.0D Overall length: 13.0mm, Available Dioptres: 0.0D to +36.0D (0.5D increments). DE 1 141 1327 3893 at 198807 Group Benefit Change 619 0 0 Update 2019-03-01 2020-02-01 Prosthesis ER281 IC-8, Hydrophobic Small Aperture Intraocular Lens A hydrophobic posterior chamber intraocular lens (IOL), embedded with a central circular mask, which operates under the principle of small aperture optics to reduce near vision blur and provide seamless extended range vision from distance to near. The overall diameter is 12.5 millimetres with a 6 millimetre diameter aspheric optic. ER 1 141 1327 3893 at 236210 Group Benefit Change 619 0 0 Update 2016-02-01 2020-02-01 Prosthesis IQ023 PreciSAL Multifocal M302AC Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic edge, 360 degree optic square edge design, precision power calculation, abreration technology, pupil independent diffractive anterior surface with a near sigh correction addition of up to +3.5D, and UV Filter. Available in spherical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to+10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers. IQ 1 141 1327 3893 at 183558 Group Benefit Change 619 0 0 Update 2014-08-01 2020-02-01 Prosthesis IS045 TW007 Basis Z Progressive IOL Progressive Hydrophilic IOL Optic Diameter: 6mm Length: 13mm IS 1 141 1327 3893 at 280510 Group Benefit Change 619 0 0 Update 2019-03-01 2020-02-01 Prosthesis KG009 Rayner "M-Flex" Mulitfocal Foldable IOL Acrylic, Foldable, Single piece multi-zoned refractive aspheric multifocal with Amon-Apple 360 Degree Square edge, Anti Vaulting Haptics 6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D Addition: +14D to +25D in 1.0D increments: +8.5D to +23.5D in 0.5D increments KG 1 141 1327 3893 at 100926 Group Benefit Change 619 0 0 Update 2009-08-01 2020-02-01 Prosthesis SO063 HumanOptics Diffractiva Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic Sphere: +10D to +30D, Near addition +3.5D SO 1 141 1327 3893 at 227764 Group Benefit Change 619 0 0 Update 2015-02-01 2020-02-01 Prosthesis AO036 TECNIS® Multifocal 1-Piece IOL with iTec Preloaded delivery system Preloaded 1-Piece Multifocal posterior chamger IOL +5.0 to 34.0 diopter powers in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm AO 1 141 1327 3893 at, pl 220330 Group Benefit Change 635 0 0 Update 2014-08-01 2020-02-01 Prosthesis CZ033 AT LISA 809MP Preloaded, micro incision, aspherical bifocal, square edged, single-piece IOL for capsular bag fixation. The anterior aspheric bifocal surface has an asymmetric light distribution 65/35 for distance/near vision, and 3.75D add for the near focus. Diopter range: 0.0 to 32.0 Optic size: 6.0mm. Overall length: 11.0mm CZ 1 141 1327 3893 at, pl 151348 Group Benefit Change 635 0 0 Update 2011-08-01 2020-02-01 Prosthesis CZ034 AT LISA tri 839MP Trifocal (aspheric) micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision. Diopter range: 0.0 to +32.0D (0.5D increments). Optic size: 6.0mm. Overall Length: 11.0mm CZ 1 141 1327 3893 at, pl 134490 Group Benefit Change 635 0 0 Update 2012-08-01 2020-02-01 Prosthesis CZ042 AT LARA 829MP Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system, aberration neutral aspheric optical design Diopter range: -10.0 D to +32.0 D, 0.5 increments Optic size: 6mm Overall length: 11mm CZ 1 141 1327 3893 at, pl 151348 Group Benefit Change 635 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE497 Oculents LENTIS Mplus LS-313MF Preloaded Pre-loaded Foldable one-piece multifocal plate haptic acrylic IOL. Overall Length 11.0mm and Optic Size 6.0mm. Available diopters +-10.0D to +36.0D (0.05D steps) DE 1 141 1327 3893 at, pl 198807 Group Benefit Change 635 0 0 Update 2016-09-01 2020-02-01 Prosthesis DV271 RayOne Trifocal Diffractive step trifocal with smooth transition and reduced light loss 0.0 D to +30.0D (increments 0.5D) DV 1 141 1327 3893 at, pl 220612 Group Benefit Change 635 0 0 Update 2018-02-01 2020-02-01 Prosthesis IQ024 PreciSAL Mulitfocal PM302AC Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV filter. Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers. IQ 1 141 1327 3893 at, pl 183558 Group Benefit Change 635 0 0 Update 2014-08-01 2020-02-01 Prosthesis KG021 DV271 RayOne Trifocal Diffractive step trifocal with smooth transition and reduced light loss 0.0 D to +30.0D (increments 0.5D) KG 1 141 1327 3893 at, pl 220612 Group Benefit Change 635 0 0 Update 2018-08-01 2020-02-01 Prosthesis SO065 HumanOptics Diffractiva Preloaded Preloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic Sphere: +10D to +30D, Near addition +3.5D SO 1 141 1327 3893 at, pl 227764 Group Benefit Change 635 0 0 Update 2015-02-01 2020-02-01 Prosthesis CZ035 AT LISA toric 909MP ZEISS pre-loaded, micro incision, multifocal toric IOL. Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance/ 35% near), and 3.75D addition for near focus. 6mm optic, 11mm diameter. Diopter range: Sph +6.0D to 24.0D, Cyl +1.0 to 4.0D (all 0.5D steps) CZ 1 141 1327 3893 at, pl, t1 151348 Group Benefit Change 918 0 0 Update 2012-08-01 2020-02-01 Prosthesis CZ036 AT LISA tri Toric 939MP Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and + 1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision, Diopter range -10.00 to +28.0 and +1 to +4.0 DC Optic size: 6..00mml; Overall length: 11.mm CZ 1 141 1327 3893 at, pl, t1 151348 Group Benefit Change 918 0 0 Update 2013-02-01 2020-02-01 Prosthesis CZ046 AT LARA toric 929MP Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with preloaded injector system, aberration neutral aspheric optical design Diopter range SE: - 8.0 D to + 32.0 D in 0.5 increments Cylinder: + 1.0 D to + 4.0 D in 0.5 increments Further preselected SE/cylinder combinations are available above and below the stated SE range. Optic size: 6mm, total diameter: 11mm CZ 1 141 1327 3893 at, pl, t1 151348 Group Benefit Change 918 0 0 Update 2019-03-01 2020-02-01 Prosthesis DE495 Oculentis LENTIS Mplus Toric LU-313MFT Pre-loaded Patient specific one-piece multifocal-toric plate haptic acrylic IOL Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25 to +6.99D inclusive in 0.01D increments DE 1 141 1327 3893 at, pl, t1 198807 Group Benefit Change 918 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE506 Oculentis LENTIS Comfort Toric LS313MF15T0-T6 Pre-loaded foldable one piece multifocal toric plate haptic acrylic IOL Overall Length 11.0mm and Optic Size 6.0mm, SE: +10.0D to +30.0D (0.5D steps), Cyl: +0.75D to +5.25D (0.75D steps). DE 1 141 1327 3893 at, pl, t1 198807 Group Benefit Change 918 0 0 Update 2017-02-01 2020-02-01 Prosthesis KG023 RayOne Trifocal Toric Trifocal posterior chamber, toric, aberration-neutral technology, pre-loaded single piece acrylic IOL. Spherical Equivalent: +6.0 D to +30.0 D (0.5 D increments), Cylinders: +0.75 D, +1.5 D, +2.25 D, +3.0 D, +3.75 D, +4.5 D, Trifocal, diffractive, +3.5 D near add and +1.75 D intermediate add at the IOL plane KG 1 141 1327 3893 at, pl, t1 220612 Group Benefit Change 918 0 0 Update 2019-11-01 2020-02-01 Prosthesis SO081 HumanOptics ToricaDiff Preloaded Preloaded Toric Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic Sphere +10D to +30D, Cylinder 1D to 6D, Near addition +3.5D SO 1 141 1327 3893 at, pl, t1 227764 Group Benefit Change 918 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE524 Oculentis LENTIS LU-313MFTY Pre-loaded Patient specific pre-loaded one-piece multifocal-toric plate haptic acrylic IOL. Overall Length 11.0mm and Optic Size 6.0mm, +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25D to +6.99D inclusive in 0.01D increments. DE 1 141 1327 3893 at, pl, t1, vlbf 198807 Group Benefit Change 950 0 0 Update 2017-02-01 2020-02-01 Prosthesis SO080 HumanOptics ToricaDiff Y Preloaded Preloaded Toric Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter Sphere +10D to +30D, Cylinder 1D to 6D, Near addition +3.5D SO 1 141 1327 3893 at, pl, t1, vlbf 227764 Group Benefit Change 950 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE522 Oculentis Lentis Mplus Toric LU-313MFT Pre-loaded Pre-loaded patient specific one-piece multifocal toric acrylic plate haptic IOL Overall Length 11.0mm and Optic Size 6.0mm + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +6.99D to +12.00D inclusive in 0.01D increments. DE 1 141 1327 3893 at, pl, t2 198807 Group Benefit Change 1146 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE514 Oculentis LENTIS LU313MFTY Pre-loaded Patient specific pre-loaded one-piece multifocal toric plate haptic acrylic IOL. Violet Light Filter Overall Length 11.00mm and Optic Size 6.0mm +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +7.00D to +12.0D inclusive in 0.01D increments. DE 1 141 1327 3893 at, pl, t2, vlbf 198807 Group Benefit Change 1177 0 0 Update 2017-02-01 2020-02-01 Prosthesis IQ025 PreciSAL Multifocal PM302A Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue filter powers. Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers. IQ 1 141 1327 3893 at, pl, vblf 183558 Group Benefit Change 666 0 0 Update 2014-08-01 2020-02-01 Prosthesis IS020 Medicontur BiFlex Preloaded 677PMY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -10.0 - +9.0 D ±0.25 D increment: 1.0 D +10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D +31.0- +45.0 D ±0. D increment: 1.0 D IS 1 141 1327 3893 at, pl, vblf 221834 Group Benefit Change 666 0 0 Update 2015-08-01 2020-02-01 Prosthesis SO066 HumanOptics Diffractiva Y Preloaded Preloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter Sphere: +10D to +30D, Near addition +3.5D SO 1 141 1327 3893 at, pl, vblf 227764 Group Benefit Change 666 0 0 Update 2015-02-01 2020-02-01 Prosthesis AL047 AcrySof IQ Vivity Toric Extended Vision Intraocular Lens Vivity Toric Models DAT315, DAT415 and DAT515 are an extended vision, non-diffractive, UV-absorbing, single-piece, foldable, hydrophobic, posterior chamber intraocular lens +15.0 to +25.0 diopters AL 1 141 1327 3893 at, t1 92318 Group Benefit Change 902 0 0 Update 2019-11-01 2020-02-01 Prosthesis AO033 TECNIS® Multifocal Toric Toric Multifocal Intraocular Lens Available +5.0 Diopters to +34.0 Diopters in 0.5 Diopter increments. Cylinder powers 1.50D, 2.25D, 3.00D and 4.00D (as measured on the IOL plane). AO 1 141 1327 3893 at, t1 181845 Group Benefit Change 902 0 0 Update 2012-08-01 2020-02-01 Prosthesis AO038 TECNIS Symfony Toric Extended Range of Vision (ZXT00) Extended Range of Vision Toric Multifocal Posterior Chamber IOL +6 to +30 in 0.5d steps Available Cyl powers +1.0d, 1.5d, 2.25d, 3.00d, 3.75d, 4.5d, 5.25d, 6.00d AO 1 141 1327 3893 at, t1 181845 Group Benefit Change 902 0 0 Update 2015-02-01 2020-02-01 Prosthesis CZ025 AT LISA toric 909M ZEISS micro incision, multifocal toric IOL (standard cyl range). Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus. 6mm optic, 11mm diameter. Diopter range: Sph -10.0D to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps) CZ 1 141 1327 3893 at, t1 151348 Group Benefit Change 902 0 0 Update 2010-08-01 2020-02-01 Prosthesis CZ038 AT LISA tri toric 939M low cylinder Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision. Diopter range: -10.00 to + 32.0 DS and +1 to +6.5DC Optic Size: 6.0mm. Overall Length: 11.0mm CZ 1 141 1327 3893 at, t1 151348 Group Benefit Change 902 0 0 Update 2013-08-01 2020-02-01 Prosthesis CZ045 AT LARA toric 929M low cylinder Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with injector system, aberration neutral aspheric optical design Diopter range SE: - 4.0 D to + 32.0 D in 0.5 increments Cylinder: + 4.5 D to + 6.5 D increments Further preselected SE/cylinder combinations are available above and below the stated SE range. Optic size: 6mm, total diameter: 11mm CZ 1 141 1327 3893 at, t1 151348 Group Benefit Change 902 0 0 Update 2019-03-01 2020-02-01 Prosthesis DE494 Oculentis LENTIS Mplus Toric LU-313MFT Patient specific one-piece multifocal-toric plate haptic acrylic IOL Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25 to +6.99D inclusive in 0.01D increments DE 1 141 1327 3893 at, t1 198807 Group Benefit Change 902 0 0 Update 2016-09-01 2020-02-01 Prosthesis DE526 Oculentis LENTIS Comfort Toric LS313MF15T0-T6 Foldable one piece multifocal toric plate haptic acrylic IOL Overall Length 11.0mm and Optic Size 6.0mm, SE: +10.0D to +30.0D (0.5D steps), Cyl: +0.75D to +5.25D (0.75D steps). DE 1 141 1327 3893 at, t1 198807 Group Benefit Change 902 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE676 Oculentis LENTIS Mplus toric LU-814MF30T Foldable one-piece acrylic posterior chamber aspheric multifocal toric IOL for capsular bag, sulcus and sulcus-sclera fixation. Optic size: 6.2mm 0.0D to +23.0D (SEQ), 5.5mm +23.01D to +36.0D (SEQ)Overall length: 13.0mm, Available Dioptres: sph. 0.0D to +36.0D (0.01D increments), cyl. +0.25D to +12.0D (0.01D increments), axis 1 deg. increments. DE 1 141 1327 3893 at, t1 198807 Group Benefit Change 902 0 0 Update 2019-03-01 2020-02-01 Prosthesis KG010 Rayner M-Flex Toric (Standard) Acrylic, Foldable, Single Piece, Multi-zoned Refractive Aspheric Toric Mulitfocal with Amon-Apple enhanced 360 degree Square edge, Anti Vaulting Haptics 5.75mm / 12.0mm: 6.25mm / 12.5mm +3.00D or +4.00D Addition FAR: +14.0D to +32.00D in 0.5 STEPS: +2.00D +3.00D +4.00D Cylinder. NEAR: +14.0D to 27.0D in 0.5 STEPS: +2.00D +3.00D +4.00D Cylinder KG 1 141 1327 3893 at, t1 100926 Group Benefit Change 902 0 0 Update 2009-08-01 2020-02-01 Prosthesis KG011 Rayner "M-Flex" Toric (Non Standard) Acrylic, Foldable, Single Piece, Muli-Zoned Refractive, Toric Multifocal with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics, Patient Specific. 5.75/12.0mm: 6.25/12.5mm +3.00D to +4.00D Addition FAR: +14.0D to +32.0D in 0.5D Increments: NEAR: +14.0D to +27.0D in 0.50D Increments Cylinder: 1.0D to 1.5D and 2.5D to 6.00D in 0.5 increments KG 1 141 1327 3893 at, t1 100926 Group Benefit Change 902 0 0 Update 2009-08-01 2020-02-01 Prosthesis AL033 AcrySof IQ ReSTOR multifocal toric IOL (SND1T2-T6; SV25T2-T6) Posterior chamber UV absorbing foldable, acrylic, aspheric, toric single piece lens with apodised diffractive optic and blue light protection. +6 to +34 D spherical; 1.00 to 3.75 D cylinder AL 1 141 1327 3893 at, t1, vblf 92318 Group Benefit Change 934 0 0 Update 2010-08-01 2020-02-01 Prosthesis AL043 AcrySof IQ PanOptix Toric Presbyopia Correcting IOL Trifocal posterior chamber, toric, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and blue light protection. The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate focus). +6.0 to +30.0D in 0.5 Diopter increments and +31.0 to +34.0D in 1.0 Diopter increments. Cylinder: +1.0; +1.50; +2.25; +3.00 and +3.75 D AL 1 141 1327 3893 at, t1, vblf 92318 Group Benefit Change 934 0 0 Update 2017-02-01 2020-02-01 Prosthesis AL046 AcrySof IQ Vivity Toric Extended Vision Intraocular Lens Vivity Toric Models DFT315, DFT415 and DFT515 are a toric, extended vision, non-diffractive, UV-absorbing and blue light filtering, single-piece, foldable, hydrophobic, posterior chamber intraocular lens. +15.0 to +25.0 diopters AL 1 141 1327 3893 at, t1, vblf 92318 Group Benefit Change 934 0 0 Update 2019-11-01 2020-02-01 Prosthesis BL036 FineVision Toric POD FT Posterior chamber, toric, trifocal diffractive (aspheric), UV and blue light blocker, single piece acrylic IOL. An overall diameter of 11.40mm and optic diameter of 6.00mm. From 0 to +35 Diopters with 0.5 diopter increments. BL 1 141 1327 3893 at, t1, vblf 211587 Group Benefit Change 934 0 0 Update 2014-08-01 2020-02-01 Prosthesis DE523 Oculentis LENTIS LU-313MFTY Patient specific one-piece multifocal toric plate haptic acrylic IOL. Violet light filter. Overall Length 11.0mm and Optic Size 6.0mm, +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25D to +6.99D inclusive in 0.01D increments. DE 1 141 1327 3893 at, t1, vblf 198807 Group Benefit Change 934 0 0 Update 2017-02-01 2020-02-01 Prosthesis IS037 677MTY BiFlex Single-Piece Aspheric Hydrophilic Progressive Diffractive Toric IOL with Blue filter and 360' Special Square Edge for implantation into capsular bag Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D Cylinders available: +1.0 D - +4.5 D increment: 0.5 D +5.25D - +6.0 D increment: 0.75 D IS 1 141 1327 3893 at, t1, vblf 221834 Group Benefit Change 934 0 0 Update 2017-02-01 2020-02-01 Prosthesis IS047 TW009 Basis Z Hydrophilic Toric Progressive IOL One piece foldable hydrophilic progressive toric intraoccular lens Available in spherical diopter powers from +10D to 35D in 0.5 steps Cylindrical powers range from 1.0-6.0D IS 1 141 1327 3893 at, t1, vblf 280510 Group Benefit Change 934 0 0 Update 2019-03-01 2020-02-01 Prosthesis CZ024 AT LISA toric 909M ZEISS micro incision, multifocal toric IOL (high cyl range). Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus. 6mm optic, 11mm diameter. Diopter range: Sph -10.0D to +32.0D, Cyl +7.0 to 12.0D (all 0.5D steps) CZ 1 141 1327 3893 at, t2 151348 Group Benefit Change 1130 0 0 Update 2010-08-01 2020-02-01 Prosthesis CZ039 AT LISA tri toric 939M high powered cylinder Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision. Diopter range: -10.00 to + 32.0 DS and +7 to +12 DC Optic Size: 6.0mm. Overall Length: 11.0mm CZ 1 141 1327 3893 at, t2 151348 Group Benefit Change 1130 0 0 Update 2013-08-01 2020-02-01 Prosthesis CZ044 AT LARA toric 929M high cylinder Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with injector system, aberration neutral aspheric optical design Diopter range SE: - 4.0 D to + 32.0 D in 0.5 increments Cylinder: + 7.0 D to + 12.0 D increments Further preselected SE/cylinder combinations are available above and below the stated SE range. Optic size: 6mm, total diameter: 11mm CZ 1 141 1327 3893 at, t2 151348 Group Benefit Change 1130 0 0 Update 2019-03-01 2020-02-01 Prosthesis DE521 Oculentis Lentis Mplus Toric LU-313MFT Patient specific one-piece multifocal toric acrylic plate haptic IOL Overall Length 11.0mm and Optic Size 6.0mm + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +6.99D to +12.00D inclusive in 0.01D increments DE 1 141 1327 3893 at, t2 198807 Group Benefit Change 1130 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE513 Oculentis LENTIS LU313MFTY Patient specific one-piece multifocal toric plate haptic acrylic IOL. Violet Light Filter Overall Length 11.00mm and Optic Size 6.0mm +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +7.00D to +12.0D inclusive in 0.01D increments. DE 1 141 1327 3893 at, t2, vblf 198807 Group Benefit Change 1162 0 0 Update 2017-02-01 2020-02-01 Prosthesis AL030 AcrySof IQ ReSTOR SN6AD1, SV25T0 and MN6AD1 Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light protection +6 D to + 34 D AL 1 141 1327 3893 at, vblf 92318 Group Benefit Change 651 0 0 Update 2008-07-01 2020-02-01 Prosthesis AL040 AcrySof IQ PanOptix Presbyopia Correcting IOL Trifocal posterior chamber, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and blue light protection. The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate focus). +6.0 to +30.0D in 0.5 Diopter increments and +31.0 to +34.0D in 1.0 Diopter increments AL 1 141 1327 3893 at, vblf 92318 Group Benefit Change 651 0 0 Update 2015-08-01 2020-02-01 Prosthesis AL050 AcrySof IQ Vivity Extended Vision Intraocular Lens Vivity Model DFT015 is an extended vision, non-diffractive, UV-absorbing and blue light filtering, single-piece, foldable, hydrophobic, posterior chamber intraocular lens +15.0 to +25.0 diopters AL 1 141 1327 3893 at, vblf 92318 Group Benefit Change 651 0 0 Update 2019-11-01 2020-02-01 Prosthesis BL034 FineVision Micro F Posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with apodised diffractive , trifocal optic and blue light protection An overall diameter of 10.75mm and optic diameter of 6.15mm. From 0 to +35 dopters with 0.5 diopter increments. BL 1 141 1327 3893 at, vblf 211587 Group Benefit Change 651 0 0 Update 2014-02-01 2020-02-01 Prosthesis BL038 B+L FINEVISION HP (POD F GF) POD F GF test intraocular lens (IOL) is a foldable IOL with a quadripode “POD” open-loop design intended for capsular bag implantation. The IOL is made of the proprietary hydrophobic glistening-free (GFree®) material containing a UV-blocker and additional blue blocker. The material is a hydrophobic acrylic copolymer of medical quality which includes a UV (wavelength < 400 nm) absorbing filter and a blue light-filtering chromophore which is covalently bounded to the hydrophobic material. The optical part of the test POD F GF lens is biconvex and aspherical partially compensating the positive spherical aberration of the cornea. The optic bears a diffractive TRIFOCAL element on its anterior side (toward patient pupil), allowing for presbyopia correction and spectacle independence for near and intermediate visions. The add-power at the IOL plane for the near vision is + 3.5 diopters and for the intermediate vision + 1.75 diopters. POD F GF is intended for implantation in the capsular bag after human lens extraction after cataract. The IOL material is capable of being folded prior to insertion, allowing placement through an incision (2.0-2.2 mm) smaller than the optic diameter of the lens. After surgical insertion into the eye, the lens unfolds to ReSTOR the optical performance. The supporting haptics provide for proper positioning and fixation of the IOL optic within the eye. Optic diameter: 6.00mm Total diameter: 11.40mm From Ø to +35 Diopters, with 0.5 Diopter increments BL 1 141 1327 3893 at, vblf 211587 Group Benefit Change 651 0 0 Update 2018-02-01 2020-02-01 Prosthesis DV248 HOYA PY-60MV Preloaded in cartridge, Multifocal, Aspheric, Blue-blocker, Single Piece, Hydrophobic +14.0D to 27.0D (0.5 steps) DV 1 141 1327 3893 at, vblf 112674 117417 Group Benefit Change 651 0 0 Update 2010-02-01 2020-02-01 Prosthesis IQ022 PresiSAL Multifocal M302A Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation. Aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue light fliters. Available in sperical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to +10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers. IQ 1 141 1327 3893 at, vblf 183558 Group Benefit Change 651 0 0 Update 2014-08-01 2020-02-01 Prosthesis IS019 Medicontur BiFlex 677MY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -10.0 - +9.0 D ±0.25 D increment: 1.0 D +10.0 - +25.0 D ±0.25 D increment: 0.5 D +25.5 - +30.0 D ±0.5 D increment: 0.5 D +31.0- +45.0 D ±0. D increment: 1.0 D IS 1 141 1327 3893 at, vblf 221834 Group Benefit Change 651 0 0 Update 2015-08-01 2020-02-01 Prosthesis LN004 ALSAFIT TRIFOCAL VF Single piece trifocal aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter. Diopter power range: 0.0 D to +32.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm. LN 1 141 1327 3893 at, vblf 268033 Group Benefit Change 651 0 0 Update 2016-02-01 2020-02-01 Prosthesis SO064 HumanOptics Diffractiva Y Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter Sphere: +10D to +30D, Near addition +3.5D SO 1 141 1327 3893 at, vblf 227764 Group Benefit Change 651 0 0 Update 2015-02-01 2020-02-01 Prosthesis KG008 Rayner "Sulcoflex" Pseudophakic I.O.L. Sulcoflex Aspheric Pseudophakic I.O.L -5D to +5D KG 1 141 1328 3895 at 100926 Group Benefit Change 296 0 0 Update 2009-08-01 2020-02-01 Prosthesis KG005 Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary I.O.L - Standard Acrylic, Aspheric, Toric Pseudophakic Secondary IOL : Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Standard) SE -3 to +3 in 0.5 D steps Cyl +1 to +3 in 1D steps KG 1 141 1328 3895 at, t1 100926 Group Benefit Change 567 0 0 Update 2009-08-01 2020-02-01 Prosthesis KG007 Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary IOL (Premium) Acrylic, Aspheric, Toric Pseudophakic Secondary IOL: Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Premium) SE -7.00 to +7.00 in 0.5 D steps; Cyl +1.00 to +6.00 in 0.5D steps KG 1 141 1328 3895 at, t1 100926 Group Benefit Change 567 0 0 Update 2009-08-01 2020-02-01 Prosthesis SO078 Human Optics Torica Add-On IOL Toric Add-On IOL, for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection, safety profile technology and undulated haptics. Sphere -4.0 to +1.5 in 0.5D steps, Cylinder <7D SO 1 141 1328 3895 at, t1, vblf 227764 Group Benefit Change 601 0 0 Update 2017-02-01 2020-02-01 Prosthesis SO079 Human Optics Torica Add-On IOL Toric Add-On IOL, for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection, safety profile technology and undulated haptics. Sphere -30D to +6D, Cylinder 7.0D to 30.0D SO 1 141 1328 3895 at, t2 227764 Group Benefit Change 908 0 0 Update 2017-02-01 2020-02-01 Prosthesis SO062 HumanOptics Secura Add-On IOL Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection and safety profile technology -6.0 to +6.0 in 0.5D steps SO 1 141 1328 3895 at, vblf 227764 Group Benefit Change 313 0 0 Update 2015-02-01 2020-02-01 Prosthesis IS046 TW008 AddOn SML Add-on hydrophilic lens for macular degeneration Central Optic Diameter - 1.5mm Optic Diameter - 6mm Length - 13mm IS 1 141 1328 3895 hm 280510 Group Benefit Change 634 0 0 Update 2019-03-01 2020-02-01 Prosthesis EJ004 EVO Visian ICL VTICMO Posterior chamber Intraocular lens Pseudophakic, Model V4c (VTICMO) Length(mm)12.1 to 13.7. Dioptre -0.25—18.0D, 0—6D astigmatism EJ 1 141 1328 3895 t1 224233 Group Benefit Change 551 0 0 Update 2019-07-01 2020-02-01 Prosthesis EJ006 EVO Visian ICL VTICMO Posterior chamber Intraocular lens Phakic, Model V4c (VTICMO) Length(mm)12.1 to 13.7. Dioptre -0.25—18.0D, 0—6D astigmatism EJ 1 141 1328 3895 t1 224233 Group Benefit Change 551 0 0 Update 2019-07-01 2020-02-01 Prosthesis IS041 TW003 AddOn Toric Add on hydrophilic toric lens Optic Diameter: 6mm Length:13mm IS 1 141 1328 3895 t1 280510 Group Benefit Change 551 0 0 Update 2019-03-01 2020-02-01 Prosthesis EJ005 EVO Visian ICL VICMO Posterior chamber Intraocular lens Pseudophakic, Model V4c (VICMO) Length(mm)12.1 to 13.7. Dioptre -0.25—18.0D EJ 1 141 1328 3895 224149 Group Benefit Change 262 0 0 Update 2019-07-01 2020-02-01 Prosthesis EJ007 EVO Visian ICL VICMO Posterior chamber Intraocular lens Phakic, Model V4c (VICMO) Length (mm) 12.1 to 13.7. Dioptre -0.25—18.0 EJ 1 141 1328 3895 224149 Group Benefit Change 262 0 0 Update 2019-07-01 2020-02-01 Prosthesis IS039 TW001 AddOn Spherical Add on hydrophilic spherical intraocular lens Optic Diameter: 6mm Length: 13mm IS 1 141 1328 3895 280510 Group Benefit Change 262 0 0 Update 2019-03-01 2020-02-01 Prosthesis KG024 DV246 Rayner Sulcoflex Ashperic (Premium) I.O.L. Pseudophakic Supplementary I.O.L.O.L. -10.0D to -5.50D in 0.5D increments. +5.50D to 10.00D in 0.5D increments KG 1 141 1328 3895 100926 Group Benefit Change 262 0 0 Update 2019-11-01 2020-02-01 Prosthesis KG006 Rayner "Sulcoflex" Aspheric Multi-focal Pseudophakic Secondary IOL Acrylic, Aspheric Multi-focal Pseudophakic Secondary IOL: Sulcus-Fixated with Undulating Haptics and Posterior Haptic Angulation 6.5mm / 13.5mm - 5.00D+5.00D sphere with + 3.00 Addition KG 1 141 1328 3896 at 100926 Group Benefit Change 668 0 0 Update 2009-08-01 2020-02-01 Prosthesis KG022 Sulcoflex Trifocal Acrylic, aberration-neutral, trifocal pseudophakic secondary IOL; sulcus-fixated with undulating and rounded C-loop haptics. Power range: -3.0 D to +3.0 D (increments 0.5 D). -1.0 D to +1.0 D (increments 0.25 D) Trifocal, diffractive, +3.5 D near add and +1.75 D intermediate add at the IOL plane KG 1 141 1328 3896 at 100926 Group Benefit Change 668 0 0 Update 2019-03-01 2020-02-01 Prosthesis KG025 DV254 Rayner Premium Sulcoflex Multifocal Toric Supplementary IOL 653Z-Premium Multifocal Toric Supplementary IOL -7D to +7D (Spherical Equivalent) Cylinder 1D, 4D, 5D, 6D Addition 3.5D KG 1 141 1328 3896 at, t1 100926 Group Benefit Change 973 0 0 Update 2019-11-01 2020-02-01 Prosthesis KG026 DV255 Rayner Standard Sulcoflex Multifocal Toric Supplementary IOL 653Z-Standard Multifocal Toric Supplementary IOL -3D to +3D (Spherical Equivalent) Cylinders 2D and 3D Addition 3.5D KG 1 141 1328 3896 at, t1 100926 Group Benefit Change 973 0 0 Update 2019-11-01 2020-02-01 Prosthesis SO056 HumanOptics ToricaDiffractiva Add-On IOL Toric Multifocal Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection, safety profile technology and undulated haptics. -2.0 to +0.5 in 0.5D steps, Cylinder < 7D, Near addition 3.5D SO 1 141 1328 3896 at, t1, vblf 227764 Group Benefit Change 1007 0 0 Update 2015-02-01 2020-02-01 Prosthesis SO068 HumanOptics Diffractiva Add-On IOL Multifocal Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection and safety profile technology. -6.0 to +6.0 in 0.5D steps, Near addition 3.5D SO 1 141 1328 3896 at, vblf 227764 Group Benefit Change 702 0 0 Update 2015-02-01 2020-02-01 Prosthesis EG014 REVERSO Multifocal Intraocular lens -3 to +3 EG 1 141 1328 3896 226270 Group Benefit Change 634 0 0 Update 2015-02-01 2020-02-01 Prosthesis IS038 Scharioth Macula Lens Add-on hydrophilic lens for maculopathies such as macula degeneration Central Optic Diameter - 1.5mm Optic Diameter - 6mm Length - 13mm IS 1 141 1328 3896 221834 Group Benefit Change 634 0 0 Update 2019-03-01 2020-02-01 Prosthesis IS040 TW002 AddOn Progressive Add on hydrophillic progressive lens Optic Diameter: 6mm Length 13mm IS 1 141 1328 3896 280510 Group Benefit Change 634 0 0 Update 2019-03-01 2020-02-01 Prosthesis AL005 DUOVISC VISCOELASTIC SYSTEM ProVisc contains sodium hyaluronate, Viscoat contains chondroitin sulfate and sodium hyaluronate 1 unit 0.50ml Viscoat and 1 unit 0.55ml ProVisc AL 1 142 1329 3897 141482 Group Benefit Change 89 0 0 Update 2005-10-31 2020-02-01 Prosthesis CZ019 TWINVISC Viscoelastic TWINVISC includes a cohesive and a dispersive viscoelastic in one syringe, separated by a valve. Dispersive: sodium hyaluronate (2.2%). Cohesive: sodium hyaluronate (1%) Total volume 1.4 ml CZ 1 142 1329 3897 160685 Group Benefit Change 89 0 0 Update 2009-08-01 2020-02-01 Prosthesis CZ043 COMBIVISC COMBIVISC consists of two ophthalmic viscoelastic devices. One prefilled syringe of dispersive viscoelastic 3% (0.85ml) and one prefilled syringe of cohesive viscoleastic 1.5% (1.0ml), along with one 25 gauge Viscoflow cannula and one 27 gauge Viscoflow cannula, that can be used jointly or independently in surgical interventions to remove cataracts and implant a prosthetic lens. COMBIVISC dispersive 3% 0.85ml 25G cannula COMBIVISC cohesive 1.5% 1ml 27G cannula Supplied as a single unit pack, comprising a single syringe of the COMBIVISC Dispersive and a single syringe of the COMBIVISC Cohesive Also supplied as a multipack containing five sealed pouched units CZ 1 142 1329 3897 293592 Group Benefit Change 89 0 0 Update 2018-02-01 2020-02-01 Prosthesis AO009 Healon 5, Intraocular Viscoelastic Fluid HEALON5- Sodium hyaluronate 23mg/ml . 0.6ml AO 1 142 1329 hmw 144893 Group Benefit Change 69 0 0 Update 2005-10-31 2020-02-01 Prosthesis AO010 Healon GV Intraocular Viscoelastic Fluid Sodium Hyaluronate 14mg/mL 0.55ml and 0.85ml AO 1 142 1329 hmw 144892 Group Benefit Change 69 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL006 PROVISC VISCOELASTIC SOLUTION PROVISC contains sodium hyaluronate 0.85mL pack AL 1 142 1329 141143 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL007 VISCOAT Viscoelastic Fluid Chondroitin sulfate and sodium hyaluronate 0.75mL AL 1 142 1329 141142 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL015 Cellugel Ophthalmic Viscosurgical Device 2% Hydroxypropyl Methylcellulose (HPMC) 1ml AL 1 142 1329 115487 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL029 DisCoVisc Ophthalmic Viscosurgical Device Sodium hyaluronate 17 mg/mL and chondroitin sulfate 40mg/mL 1.0 mL AL 1 142 1329 141482 Group Benefit Change 65 0 0 Update 2007-12-01 2020-02-01 Prosthesis AO008 Healon, Intraocular Viscoelastic Fluid Sodium Hyaluronate 10mg/ml Healon 0.55ml & 0.85ml AO 1 142 1329 144891 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis AO032 Healon Endocoat Viscoelastic 0.85ml AO 1 142 1329 198813 Group Benefit Change 65 0 0 Update 2012-08-01 2020-02-01 Prosthesis BL008 Ocucoat Intraocular Fluid 20mg/mL hydroxypropylmethyl cellulose for intraocular use 1ml and 2ml Sterile BL 1 142 1329 140513 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis BL015 Amvisc Plus injection 15mg/mL Sodium Hyaluronate for intraocular use 0.5mL and 0.8mL BL 1 142 1329 161187 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis CZ012 Z-HYALIN Viscoelastic Cohesive Viscoelastic Solution - sodium hyaluronate 10mg/ml. (previously called Ophthalin) Volume 1.0ml CZ 1 142 1329 150016 Group Benefit Change 65 0 0 Update 2008-07-01 2020-02-01 Prosthesis CZ013 Z-HYALIN Plus Viscoelastic Cohesive Viscoelastic Solution - sodium hyaluronate 15mg/ml. (previously called Opthalin Plus) Volume 1.0ml CZ 1 142 1329 150017 Group Benefit Change 65 0 0 Update 2008-07-01 2020-02-01 Prosthesis CZ022 VISTHESIA 1.5% VISCOANAESTHETIC syringe contains sodium hyaluronate (NaHA, 1.5%) and lidocaine hydrochloride (1%). Also contains two topical ampoules with NaHA (0.3%) and lidocaine (2%) 0.8ml syringe & 2x0.3ml ampoules CZ 1 142 1329 198088 Group Benefit Change 65 0 0 Update 2010-08-01 2020-02-01 Prosthesis IQ002 Ocuvis and Ocumax 2% Hydroxypropylmethylcellulose 20mg/mL hydroxypropylmethyl cellulose for intraocular use. Pre-loaded in a sterile syringe with one cannula for injection, in a sterile Tyvek pouch 2mL sterile IQ 1 142 1329 104427 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis LN009 Viscos HPMC Hydroxypropylmethylcellulose, viscoelastic solution for intraocular application. Pre-loaded in single-use sterile syringe with single-use injection cannula. 2 mL LN 1 142 1329 300480 Group Benefit Change 65 0 0 Update 2018-08-01 2020-02-01 Prosthesis DV231 Vision Blue Trypan blue dye for ophthalmic applications 0.5ml syringe DV 1 142 1330 147581 44 0 0 No Change 2008-07-01 2020-02-01 Prosthesis EG024 RS-Blue Trypan Blue for the reversible staining of human tissue during surgery 0.7ml Syringe EG 1 142 1330 252154 Group Benefit Change 44 0 0 Update 2018-08-01 2020-02-01 Prosthesis LN012 SIDA-BLUE A sterile solution of trypan blue, a selective tissue-staining agent used in ophthalmic surgery. 1mL vial or 1mL glass pre-filled syringe (PFS) LN 1 142 1330 317719 Group Benefit Change 44 0 0 Update 2019-11-01 2020-02-01 Prosthesis BL039 Preloaded Capsular Tension Ring Capsular tension ring preloaded (acrylic) 13/11mm BL 1 143 1331 pl 281831 Group Benefit Change 219 0 0 Update 2018-02-01 2020-02-01 Prosthesis DV029 Eyejet CTR Capsular tension ring made of PMMA per-load on disposable injector 10mm, 11mm, 12mm DV 1 143 1331 pl 132347 Group Benefit Change 219 0 0 Update 2007-06-01 2020-02-01 Prosthesis EG018 RINGJECT Preloaded Capsular tension ring 12/10, 13/11 EG 1 143 1331 pl 145740 Group Benefit Change 219 0 0 Update 2015-02-01 2020-02-01 Prosthesis IS018 Jetring Preloaded PMMA (polymethyl methacrylate) capsular tension ring. JETRING 11ACB Right Overall diameter: 13.0 mm ±0.20 mm Compressed diameter: 11,0 mm ±0.20 mm Haptic: ø0.17 mm ±0.02 mm Haptic design: straight, open modified C-loop JETRING 12ACB Right Overall diameter: 14.5 mm ±0.20 mm Compressed diameter: 12,0 mm ±0.20 mm Haptic: ø0,20 mm ±0.02 mm Haptic design: straight, open modified C-loop IS 1 143 1331 pl 229360 Group Benefit Change 219 0 0 Update 2015-08-01 2020-02-01 Prosthesis LN001 Inside CTR Preloaded PMMA capsular tension ring Type 14 (12.3mm open, 10.0mm compressed), Type 14C (13.0mm open, 11.0mm compressed), Type 14A ( 14.5mm open, 12.0mm compressed), Type 13 ( 12.3mm open, 10.0mm compressed), Type 13A ( 13.0mm open, 11.0mm compressed), Type 13B ( 14.5mm open, 12.0mm compressed), Type 19D (11.6 mm open, 10.0/9.5/9.0/8.5mm compressed), Type 10C ( 12.1mm open, 11.0mm compressed)Type 15A ( 13.0mm open, 11.0mm compressed), Type 15B ( 14.5mm open, 12.0mm compressed). LN 1 143 1331 pl 235092 Group Benefit Change 219 0 0 Update 2015-08-01 2020-02-01 Prosthesis AL001 Capsular Tension Rings - 10.0 - 12.0 compressed, 12.3 - 14.5 uncompressed AL 1 143 1331 178273 Group Benefit Change 143 0 0 Update 2005-10-31 2020-02-01 Prosthesis AO021 Stabileyes Capsular Tension Ring Polymethylmethacrylate (PMMA) Implant 12mm ring, and 13mm ring AO 1 143 1331 104818 Group Benefit Change 143 0 0 Update 2005-10-31 2020-02-01 Prosthesis DV009 Morcher Capsular Tension Ring PMMA Implant sizes 8 -12mm DV 1 143 1331 132347 Group Benefit Change 143 0 0 Update 2005-10-31 2020-02-01 Prosthesis EG001 Capsular Tension Rings Clear PMMA Implant 10/08, 12/10, 13/11mm EG 1 143 1331 145740 Group Benefit Change 143 0 0 Update 2005-10-31 2020-02-01 Prosthesis DV010 Morcher Complex Capsular Tension Ring PMMA Implant 9.5mm, 10mm, 11mm, 12.5mm, 13mm DV 1 143 1332 132347 Group Benefit Change 301 0 0 Update 2005-10-31 2020-02-01 Prosthesis DV230 Molteno 3 Drainage implant for glaucoma, made of silicon Small & Large size DV 1 144 1333 v 128911 Group Benefit Change 564 0 0 Update 2007-06-01 2020-02-01 Prosthesis LN002 Ahmed Glaucoma Valve Model FP7 A sterile device designed to regulate the flow of Fluid between the anterior chamber and the space around the conjunctiva of the eye be allowing flow when the pressure in the chamber is above a pre-set value (e.g., 8 to 10 mmHg). Made of medical grade silicone one size LN 1 144 1333 v 242076 Group Benefit Change 564 0 0 Update 2016-02-01 2020-02-01 Prosthesis AO012 Baerveldt Glaucoma Implant BG 101-350, Baerveldt Glaucoma Implant BG 103-425, Baerveldt Glaucoma Implant BG 103-250 Non-valved artificial drainage device, composition silicone - smooth, tumble-polished finish Surface area 250, 350, 425mm2 AO 1 144 1333 168768 Group Benefit Change 384 0 0 Update 2005-10-31 2020-02-01 Prosthesis DV020 Molteno Implant Double plate - dual chamber One size only DV 1 144 1333 128911 Group Benefit Change 384 0 0 Update 2005-10-31 2020-02-01 Prosthesis DV242 Molteno Implant Glaucoma Drainage Device - Single Plate/Single Plate-Dual Chamber/Double Plate N/A DV 1 144 1333 128911 Group Benefit Change 384 0 0 Update 2009-08-01 2020-02-01 Prosthesis AL037 Ex-Press Glaucoma Filtration Device Miniature glaucoma shunt 50 microns AL 1 144 1334 3898 177337 Group Benefit Change 645 0 0 Update 2011-02-01 2020-02-01 Prosthesis DE641 ESNOPER Glaucoma Implant Glaucoma Drainage Implant 3.00mm x 1.40mm x 2.85mm DE 1 144 1334 3899 290207 Group Benefit Change 384 0 0 Update 2018-08-01 2020-02-01 Prosthesis ER501 OQ002 Hydrus Microstent Intracanalicular scaffold, made from a biocompatible alloy, for the treatment of primary open angle glaucoma 8 mm in length ER 1 144 1802 6441 smp 301403 Group Benefit Change 1264 0 0 Update 2018-08-01 2020-02-01 Prosthesis OQ002 Hydrus Microstent Intracanalicular scaffold, made from a biocompatible alloy, for the treatment of primary open angle glaucoma 8 mm in length OQ 1 144 1802 6441 smp 212194 Group Benefit Change 1264 0 0 Update 2016-02-01 2020-02-01 Prosthesis RQ075 iStent Inject System The iStent Inject is a pre-loaded injection system which delivers two stents across the trabecular meshwork to provide a pathway for aqueous humor to flow from the anterior chamber. It is indicated for use in conjunction with cataract surgery for the reduction of IOP in subjects with mild to moderate open angle glaucoma currently treated with ocular hypotensive medication. One size RQ 1 144 1802 6441 tda 250914 Group Benefit Change 1444 0 0 Update 2015-08-01 2020-02-01 Prosthesis AL042 CyPass System The CyPass System consists of the CyPass Micro-Stent, which is contained in a loading device (Loader), and the CyPass Applier. 6.35mm length AL 1 144 1802 6442 300140 Group Benefit Change 1264 0 0 Update 2017-02-01 2020-02-01 Prosthesis AW027 XEN Glaucoma Treatment System The XEN Glaucoma Treatment System consists of an injector device that is preloaded with a XEN Gel Implant. The XEN Gel Implant creates a new subconjunctival outflow pathway to reduce intraocular pressure in patients with mild to advanced primary open-angle glaucoma where previous treatments have failed. XEN Gel Implant is 6mm long, 150µm outside diameter and 45µm inside diameter. AW 1 144 1802 6442 297899 Group Benefit Change 1264 0 0 Update 2018-02-01 2020-02-01 Prosthesis SO017 FCI Ptose-up Expanded PTFE 15cm long x 2 or 3mm wide x 0.35mm thick SO 1 145 1335 146261 Group Benefit Change 314 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE183 Lid Load Gold Eyelid Weights; Gold 0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams DE 1 145 1336 3900 141197 Group Benefit Change 384 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE581 ALOS Eyelid Implants - Gold Gold Eyelid implants 0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams DE 1 145 1336 3900 290117 Group Benefit Change 384 0 0 Update 2018-02-01 2020-02-01 Prosthesis DV260 Meddev Eyelid Weight, Implantable Thin Profile eyelid implants for patients with facial palsy Gold Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g DV 1 145 1336 3900 205794 Group Benefit Change 384 0 0 Update 2013-08-01 2020-02-01 Prosthesis SO047 Meddev Eyelid Weight, Implantable Thin Profile eyelid implants for patients with facial palsy Gold Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g SO 1 145 1336 3900 212173 Group Benefit Change 384 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE182 Lid Load Gold Eyelid Weights; Gold 1.8, 2.0, 2.2, 2.4, 2.6, 2.8 grams DE 1 145 1336 3901 141197 Group Benefit Change 722 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE583 ALOS Eyelid Implant - Gold 1.8 Gold Eyelid Implant 1.8 grams DE 1 145 1336 3901 290117 Group Benefit Change 722 0 0 Update 2018-02-01 2020-02-01 Prosthesis DV259 Meddev Eyelid Weight, Implantable Contour eyelid implants for patients with facial palsy. Contour Gold 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g DV 1 145 1336 3901 205794 Group Benefit Change 722 0 0 Update 2013-08-01 2020-02-01 Prosthesis SO046 Meddev Eyelid Weight, Implantable Thin Profile eyelid implants for patients with facial palsy. Contour Gold 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g SO 1 145 1336 3901 212173 Group Benefit Change 722 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE584 ALOS Eyelid Implants - Platinum Platinum Eyelid Implants 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams DE 1 145 1336 3902 290117 Group Benefit Change 1173 0 0 Update 2018-02-01 2020-02-01 Prosthesis DV261 Meddev Eyelid Weight, Implantable Platinum Platinum Contour and Thin Profile eyelid implants for patients with facial palsy Platinum Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g Contour Platinum 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g DV 1 145 1336 3902 205794 Group Benefit Change 1173 0 0 Update 2013-08-01 2020-02-01 Prosthesis RC001 LIDCHAIN Platinum Eyelid Implant Platinum Weights - 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams RC 1 145 1336 3902 182945 Group Benefit Change 1173 0 0 Update 2011-08-01 2020-02-01 Prosthesis SO048 Meddev Eyelid Weight, Implantable Platinum Thin Profile eyelid implants for patients with facial palsy Platinum Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g Contour Platinum 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g SO 1 145 1336 3902 212173 Group Benefit Change 1173 0 0 Update 2014-02-01 2020-02-01 Prosthesis SO044 FCI Mono-Canalicular Lacrimal Intubation Set Silicone tubing with plug swaged, imbedded into or around malleable or flexible stainless steel probes or guides. PEEK thread. Introducer. Probes: 40mm to 120mm x 0.7mm to 1.2mm. Tube: 0.64mm to 1.18mm x 30mm to 350mm. PEEK Thread: 0.2mm to 0.4mm x 500mm. Plug Collar: 2mm to 4mm. SO 1 146 1337 mc 143177 Group Benefit Change 162 0 0 Update 2011-02-01 2020-02-01 Prosthesis SO049 FCI Masterka Self-retaining monocanalicular nasal intubation WITHOUT nasal retrieval 30mm to 40mm SO 1 146 1337 mc/sr 143177 Group Benefit Change 217 0 0 Update 2014-02-01 2020-02-01 Prosthesis SO050 FCI Nunchaku Self-retaining bicanalicular nasal intubation WITHOUT nasal retrieval 90mm to 105mm SO 1 146 1337 sr 143177 Group Benefit Change 176 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE191 Canaliculus Intubation Sets Silicone, SS & Nylon 17.7 x .064 x 29cm, 15.5 x .051 x 33cm DE 1 146 1337 182623 Group Benefit Change 122 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE278 BD Visitec Lacrimal Intubation Sets Stainless steel probes with solid silicone rods or silicone tubing - packaged sterile 1. Probes 0.90mm x 4.5cm, rod 40cm x 0.80mm. 2. Probes 0.40mm x 11cm, tubing 35cm x 0.64mm. Probes 0.60mm x 11mm, tubing 35cm x 0.30mm. DE 1 146 1337 125073 Group Benefit Change 122 0 0 Update 2007-12-01 2020-02-01 Prosthesis DV022 Eyetec DCR Tubes Stainless steel, silicone tubing, Bodkin lacrimal intubation set 30cm DV 1 146 1337 117458 Group Benefit Change 122 0 0 Update 2005-10-31 2020-02-01 Prosthesis DV241 Eyetec DCR Tubes Crawford and Cannaliculus Intubation Sets N/A DV 1 146 1337 117458 Group Benefit Change 122 0 0 Update 2009-08-01 2020-02-01 Prosthesis DV256 LIS 052 "StenTube" Large Diameter Lachrymal Intubation Set 1.32mm Tube diameter DV 1 146 1337 117460 Group Benefit Change 122 0 0 Update 2013-02-01 2020-02-01 Prosthesis SO021 FCI Lacrimal Intubation Set PVP Coated Silicone Tubing/PVP Coated Silicone Plug/Metal Probes/Polypropylene Thread PVP Bika: 0.64mm O.D. Tube/80 x 0.8mm probes, PVP Differential Bika: 0.64 & 1.18mm O.D. Tube/40 x 1.2mm probes, PVP Bika for DCR: 0.94mm O.D. Tube/50 x 0.8mm probes, PVP Infant Bika 0.64mm O.D. Tube/55 x 0.7mm probes, PVP Infant Bika II: 0.64mm O.D. Tube/ SO 1 146 1337 143177 Group Benefit Change 122 0 0 Update 2005-10-31 2020-02-01 Prosthesis SO043 FCI Bi-Canalicular Lacrimal Intubation Set Silicone tubing swaged, imbedded into or around malleable and flexible stainless steel probes. PEEK thread. Probes: 40mm to 120mm x 0.7mm to 1.2mm. Tube: 0.64mm to 1.18mm x 25mm to 400mm. PEEK Thread: 0.2mm to 0.4mm x 500mm. SO 1 146 1337 143177 Group Benefit Change 122 0 0 Update 2011-02-01 2020-02-01 Prosthesis DV257 Lacricath Lachrymal Duct Balloon Catheter Bilateral Lachrymal Duct Balloon Catheter System including inflation device. 2mm, 3mm, 5mm and 9mm DV 1 146 1803 bilateral 117460 Group Benefit Change 793 0 0 Update 2013-02-01 2020-02-01 Prosthesis SO069 Ophtacath Lacrimal Duct Balloon Catheter – Bilateral system Bilateral balloon catheter kit containing balloon catheter & inflation device 2mm and 3mm SO 1 146 1803 bilateral 212425 Group Benefit Change 793 0 0 Update 2015-02-01 2020-02-01 Prosthesis DV258 Lacricath Unilateral Lachrymal Duct Balloon Catheter Unilateral Lachrymal Duct Balloon Catheter system including inflation device 2mm, 3mm, 5mm and 9mm DV 1 146 1803 117460 Group Benefit Change 438 0 0 Update 2013-02-01 2020-02-01 Prosthesis SO070 Ophtacath Lacrimal Duct Balloon Catheter – Unilateral system Unilateral balloon catheter kit containing balloon catheter & inflation device 2mm and 3mm SO 1 146 1803 212425 Group Benefit Change 438 0 0 Update 2015-02-01 2020-02-01 Prosthesis SO006 FCI Orbital Implants Orbital Implant, Bioceramic (Aluminium Oxide)/Hydroxyapatite (Synthetic) Bioceramic diameter, 12, 14, 16, 18, 20, 21, 22mm; Synthetic Diameter, 10, 12, 14, 16, 18, 20, 22mm SO 1 147 1339 vp 143210 Group Benefit Change 1083 0 0 Update 2005-10-31 2020-02-01 Prosthesis SO040 FCI Orbital Implants Silicone - Sterile 12mm to 22mm SO 1 147 1339 143210 Group Benefit Change 49 0 0 Update 2011-02-01 2020-02-01 Prosthesis SO007 FCI Orbital Implants Mesh wrapped orbital implant: mesh wrapped bioceramic (aluminium oxide), mesh wrapped hydroxyapatite (synthetic), mesh wrap (polyglycolic acid) Bioceramic diameter: 16, 18, 20, 22mm; Synthetic Hydroxyapatite diameter: 16, 18, 20, 22mm SO 1 147 1340 3903 ha 143210 Group Benefit Change 1444 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE585 OCULFIT Orbital Implant Porous polyethylene spherical orbital implant 14, 16, 18, 19, 20, 21, 22, 23 mm DE 1 147 1340 3903 vp 290198 Group Benefit Change 1741 0 0 Update 2018-02-01 2020-02-01 Prosthesis RJ007 BY005 Su-Por Sphere An implantable device made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in sizes to meet the patient's specific needs. Used for orbital reconstruction following enucleation and evisceration procedure. 14mm, 16mm, 18mm, 20mm, 22mm, 24mm (diameter) RJ 1 147 1340 3903 vp 267380 Group Benefit Change 1741 0 0 Update 2019-03-01 2020-02-01 Prosthesis SK521 Sphere Orbital Sphere Models 6316, 6326, 6327, 6317 and 6322 8702-8704. COI implant, models 7222, 7223 & 80026. MCOI implant, models 7207 - 7209 Quad Motility Implants 9866 - 9868 & 80022 Orbital Sphere Models 6316: 14mm, 6326: 16mm, 6327: 18mm, 6317: 20mm, 6322: 22mm, 8702: 19mm, 8703: 21mm, 8704: 23mm, COI Implants 7222: Approx 4ml, 7223: Approx 5ml, 80026: Approx 6ml, MCOI 7207: Approx 3ml, 7208: Approx 4.2ml, 7209: Approx 5.6ml, QUAD Motility Small 16ml, Medium: 18ml, Large: 20ml, Extra Large: 22ml. SK 1 147 1340 3903 178830 Group Benefit Change 709 0 0 Update 2011-08-01 2020-02-01 Prosthesis SO019 FCI Orbital Implants Peg & Sleeve Standard Large SO 1 147 1340 3904 146260 Group Benefit Change 779 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE277 Frontalis Suspension Set Stainless steel needles with solid silicone rods and silicone tubing - packaged sterile needles 0.90mm x 6.5cm, rod 40cm - 0.80mm, sleeve 10 x 2mm DE 1 147 1341 125073 Group Benefit Change 284 0 0 Update 2007-12-01 2020-02-01 Prosthesis SO045 FCI Ptosis Probes Stainless steel needle probes swaged with silicone tubing. 80mm x 0.8mm needle probes, 280mm 0.64mm tubing. SO 1 147 1341 146261 Group Benefit Change 284 0 0 Update 2011-02-01 2020-02-01 Prosthesis AP002 Mira: Scleral Implants Silicone Sponge- Retinal Implant Used in Scleral Buckling (Silicone Elastomer Sponge) Sponge- Mira 502 Cylinder 2mm, Mira 5025 Cylinder 2.5mm, Mira 503 Cylinder 3mm, Mira 504 Cylinder 4mm, Mira 505 Cylinder 5mm, Mira 505G Grooved cylinder 5mm, Mira 505T Packer tunnel cylinder 5mm, Mira 510 Half cylinder 5mm, Mira 515 Brucker two-thirds cylinder 5mm, Mira 501 Masciulli oval 2.5mm by 4mm, Mira 506 Vaiser oval 3mm by 5mm, Mira 506G Vaiser grooved oval 3mm by 5mm, Mira 507 oval 5.5mm by 7.5mm, Mira 507G Grooved oval 5.5mm by 7.5mm, Mira 507T Packer tunnel oval 5.5mm by 7.5mm, Mira 511 Half oval 7.5mm, Mira 517 Brucker two-thirds oval 7.5mm, Mira 509 Fuller flat oval 3.5mm by 7.5mm, Mira 509G Fuller grooved flat oval 3.5mm by 7.5mm, Mira 518 Frederick grooved flat oval 2.5mm by 12mm, Mira 508 Frederick flat oval 4mm by 12mm, Mira 508G Frederick grooved flat oval 4mm by 12mm, Mira 513 Snyder 3+ meridional 7mm by 4mm, Mira 514 Snyder 4+ meridional 8mm by 5mm, Mira 516G Tapered groove 6.4mm, Mira 519G Tapered groove 7.5mm by 3.2mm. AP 1 148 1342 3905 143682 Group Benefit Change 82 0 0 Update 2005-10-31 2020-02-01 Prosthesis SO012 FCI Scleral Buckling Devices Sponge/Cord: Silicone Cord: 1.0 to 5.0mm O.D. x 150mm length; Half Cord: 3.0mm to width x1.5mm to 2.5mm height x150mm; Circular Sponge: 3 to 5mm; Oval Sponge: 2 to 5.5mm x 4 to 12mm; Half Sponge: 2 to 3.1mm x 4 to 7.5mm; Grooved Sponge: 3 to 5mm x 5 to 12mm; Gain Sponge: 6 x SO 1 148 1342 3905 143211 Group Benefit Change 82 0 0 Update 2005-10-31 2020-02-01 Prosthesis AP003 Mira: Scleral Implants Solid Silicone-Tire/Meridional/Wedge/Pad. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer) Tires-Mira 286 Wendel Symmetrical Oval Tire 6mm, Mira Symmetrical Oval Tire 7mm, Mira 287WG Murray wide (3.5mm) grooved symmetrical tire, 10mm wide, Mira 288 ross symmetrical grooved tire, low profile 10mm wide by 2.5mm, Mira 289 Symmetrical oval tire 10mm, Mira 277Symmetrical tire 7mm, Mira 279 Symmetrical tire 9mm, Mira 78G Grooved symmetrical tire 10mm, Mira 281 Symmetrical tire 12.5mm, Mira 275 Munsen Asymmetrical tire 6mm, Mira 276 Asymmetrical tire 7mm, Mira 278 Brockhurst asymmetrical tire 8.5mm, Mira 280LG Large grooved asymmetrical tire 10mm, Mira 77G Grooved hemisphere 26mm. Meridional- Mira 106 Meridional Implant 6mm by 10.5mm, Mira 112 Curved Meridional implant 12mm by 12mm, Mira 103 Meridional implant 4mm by 15mm. Wedge- Mira 135 Pruett maxi wedge 14mm, Mira Pruett midi wedge 12mm, Mira 190 Spencer sub-implant 5mm by 10mm. Pad- Mira 80 Pad 4mm by 8mm, Mira 22 Button 5mm by 5mm AP 1 148 1342 143682 41 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AP004 Mira: Scleral Implants Solid Silicone-Sleeve. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer) Sleeves-Mira 70 Sleeve 1mm I.D., Mira 71 Sleeve 1mm I.D., Mira 72 McNutt Sleeve 1.57mm I.D., Mira 270 Sleeve 0.76mm I.D. AP 1 148 1342 143682 41 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AP006 Mira: Scleral Implants Solid Silicone-Band/Strip/Boat/Clip. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer) Bands-Mira 40 Circling Band 2mm, Mira 240 Circling Band 2.5mm. Strips-Mira 41 Strip 3.5mm, Mira 42 Strip 4mm, Mira 20 Strip 4mm, Mira 219 Strip 4.5mm, Mira 31 Strip 4.5mm, Mira 32 Strip 5mm, Mira 225 Oval Strip 5mm, Mira 220 Strip 6mm. Boats-Mira 60 Boat 2mm, Mira 260 Boat 2.5mm. Clips-Mira 50 Double Tantalum Clip 2mm, Mira 250 Double Tantalum Clip 2.5mm, Mira 51 Singla Tantalum Clip 3.5mm, Mira 52 Joondeph Single Tantalum Clip 4mm AP 1 148 1342 143682 41 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SO009 FCI Scleral Buckling Devices Band/strip: solid silicone Band - 2.0 x 0.75mm Type 40, 3.5 x 0.75mm Type 41, 4.0 x 1.25mm Type 42, 2.5 x 0.6mm Type 240, Morin 3.5 x 0.6mm Strip - 5.7mm Type 20, 7.2mm Type 31, 9.2mm Type 32, 6mm Type 219, 7.5mm Type 220, 8mm Type 225 SO 1 148 1342 143211 41 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SO011 FCI Scleral Buckling Devices Tire: Solid Silicone Symmetrical: (2.5 mm Groove, 7 to 9mm wide), Biconvex: (2.5mm Groove, 7 to 10mm wide), Asymetrical: (2.5mm Groove, 7 to 10mm wide) SO 1 148 1342 143211 41 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SO013 FCI Scleral Buckling Devices Strip: Solid Silicone Strip: 1.4 x 4.4 x 100mm, Morin Strip: 7mm wide x 100mm long, Caputo Zip Strip: 7 to 9mm wide x 120mm long, Korobelnik Oval Strip: 2 x 5mm SO 1 148 1342 143211 41 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SO010 FCI Scleral Buckling Devices Fixation Sleeve: Solid silicone O.D: 1.65 to 2.41mm, Length 30mm SO 1 148 1344 143211 23 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AL035 ISPAN Retinal Gases for Constellation® Vision System Tamponade gases for retinal surgery C3F8 and SF6 125g cylinder, dispensed in single dose syringe AL 1 148 1345 115487 Group Benefit Change 67 0 0 Update 2011-02-01 2020-02-01 Prosthesis AL036 ISPAN retinal gases Tamponade gases for retinal surgery C3F8 and SF6 125 g cylinder, dispensed in single dose syringe AL 1 148 1345 115487 Group Benefit Change 67 0 0 Update 2011-02-01 2020-02-01 Prosthesis DE284 Single Dose Ophthalmic Gases Single dose tamponading gas for retinal surgery 30ml DE 1 148 1345 99568 Group Benefit Change 67 0 0 Update 2009-02-01 2020-02-01 Prosthesis DV270 OcuGas 6 Tamponade gas for retinal surgery A sterile DV 1 148 1345 292815 Group Benefit Change 67 0 0 Update 2018-02-01 2020-02-01 Prosthesis EG021 GOT Multi Tamponade gas for retinal surgery 75ml EG 1 148 1345 297730 Group Benefit Change 67 0 0 Update 2018-08-01 2020-02-01 Prosthesis IQ012 EasyGas Endotamponade Gases for Retinal Surgery, EasyGas SF6, C2F6 or C3F8, each supplied in a 60ml syringe, sterile 60ml dispensed in a single dose, sterile syringe IQ 1 148 1345 197089 Group Benefit Change 67 0 0 Update 2013-02-01 2020-02-01 Prosthesis SO052 ala intraocluar gas Intraocluar gas for retinal tamponade use 60ml syringe volume SO 1 148 1345 225437 Group Benefit Change 67 0 0 Update 2014-08-01 2020-02-01 Prosthesis SO082 Ophthafutur Intraocular gas Intraocluar gas for retinal tamponade use 60ml syring volume SO 1 148 1345 290510 Group Benefit Change 67 0 0 Update 2018-02-01 2020-02-01 Prosthesis AL013 Perfluoron Kits Perfluoro-n-octane for use as a retinal surgery additive 5mL AL 1 148 1346 115487 Group Benefit Change 217 0 0 Update 2005-10-31 2020-02-01 Prosthesis AL014 Perfluoron Kits Perfluoro-n-octane for use as a retinal surgery additive 7mL AL 1 148 1346 115487 Group Benefit Change 217 0 0 Update 2005-10-31 2020-02-01 Prosthesis BL017 Perfluo-octane (Oktaline) Okta-Line Perfluorocarbon Liquid for use as a retinal surgery additive 5mL BL 1 148 1346 108429 Group Benefit Change 217 0 0 Update 2005-10-31 2020-02-01 Prosthesis BL018 DK Line 100% purified perfluorodecalin Perfluorodecalin 7ml BL 1 148 1346 108429 Group Benefit Change 217 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE204 Arcaline (Perfluorodecaline) Liquid perfluorocarbon aid for retinal surgery, operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear etc. 3ml, 5ml, 7ml DE 1 148 1346 140539 Group Benefit Change 217 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE205 Arcotane (Perfloro-N-Octane) Liquid perfluoro-N-Octane aid for retinal surgery, pre-operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear, RD with proliferative vitreal retinopathy (PVR) etc. 5ml, 7ml DE 1 148 1346 140539 Group Benefit Change 217 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE682 Deca-Vit & Octa-Vit Perfluorocarbon liquids for vitroretinal surgery 5ml, 7ml DE 1 148 1346 297244 Group Benefit Change 217 0 0 Update 2019-07-01 2020-02-01 Prosthesis DV244 D.O.R.C. Eftiar Eftiar Decaline and Octane 5ml 5ml, 7ml DV 1 148 1346 148699 Group Benefit Change 217 0 0 Update 2009-08-01 2020-02-01 Prosthesis EG022 Perfluorocarbons HPF8 Perfluoro-n-octane and HPF10 Perfluorodecalin 5ml and 7ml EG 1 148 1346 252153 Group Benefit Change 217 0 0 Update 2018-08-01 2020-02-01 Prosthesis IQ008 Octane & Decalin Perfluorocarbon retinal tamponade medium, intraoperative 5ml & 7ml, Sterile IQ 1 148 1346 152235 Group Benefit Change 217 0 0 Update 2009-02-01 2020-02-01 Prosthesis SO051 ala octa/deca Perfluorocarbon liquid for retinal tamponade use 5ml / 7ml SO 1 148 1346 225442 Group Benefit Change 217 0 0 Update 2014-08-01 2020-02-01 Prosthesis SO054 FCI - DECA, FCI - OCTA FCI - DECA: Purified perflurodecalin, FCI - OCTA: Purified perfluoro-N-Octane 5ml / 7ml SO 1 148 1346 143212 Group Benefit Change 217 0 0 Update 2014-08-01 2020-02-01 Prosthesis IQ005 Densiron Heavy Tamponade Liquid Medium, Postoperative 10 ml, Sterile IQ 1 148 1347 HO 152234 Group Benefit Change 217 0 0 Update 2009-02-01 2020-02-01 Prosthesis SO077 ala heavy Ultrapure fluorinated silicone oil for retinal tamponade use 10ml SO 1 148 1347 HO 225438 Group Benefit Change 217 0 0 Update 2016-02-01 2020-02-01 Prosthesis BL016 Oxane LMWC Fractioned Silicone Oil Purified fractioned silicone oil 10mL BL 1 148 1347 108429 Group Benefit Change 176 0 0 Update 2005-10-31 2020-02-01 Prosthesis BL024 Oxane HD Silicone oil - RMN3 mixture 10ml BL 1 148 1347 108429 Group Benefit Change 176 0 0 Update 2006-03-24 2020-02-01 Prosthesis DE685 Sil-Vit 1000 & Sil-Vit 5000 Silicone oils for vitreoretinal surgery 10ml DE 1 148 1347 297242 Group Benefit Change 176 0 0 Update 2019-07-01 2020-02-01 Prosthesis DE701 ARCIOLANE 5500 Silicone Oil for Vitreoretinal Surgery 10ml DE 1 148 1347 140539 171840 Group Benefit Change 176 0 0 Update 2019-11-01 2020-02-01 Prosthesis DE702 ARCIOLANE 1300 Silicone Oil for Vitreoretinal Surgery 10ml DE 1 148 1347 140539 171840 Group Benefit Change 176 0 0 Update 2019-11-01 2020-02-01 Prosthesis DV243 D.O.R.C. Silicon Oil D.O.R.C. Silicon Oil 1000/2000/5000CS 10ml DV 1 148 1347 193027 Group Benefit Change 176 0 0 Update 2009-08-01 2020-02-01 Prosthesis EG023 RS-OIL Highly purified Silicone Oil 10ml EG 1 148 1347 297730 Group Benefit Change 176 0 0 Update 2018-08-01 2020-02-01 Prosthesis IQ006 Siluron 1000 & Siluron 5000 Silicone Oils 10 ml, Sterile IQ 1 148 1347 152234 Group Benefit Change 176 0 0 Update 2009-02-01 2020-02-01 Prosthesis SO022 FCI Purified Silicone Oil (Solvent Free) Viscosity: 1000 cst/5000 cst: solvent free purified silicone oil 10ml SO 1 148 1347 143212 Group Benefit Change 176 0 0 Update 2005-10-31 2020-02-01 Prosthesis SO053 Ala sil Silicone oil for retinal tamponade use 10ml SO 1 148 1347 225438 Group Benefit Change 176 0 0 Update 2014-08-01 2020-02-01 Prosthesis SO076 HumanOptics Artificial Iris One sterile, foldable Artificial Iris made of silicone, with or without fibre and custom made specific to the patient. Custom made SO 1 262 1822 225976 Group Benefit Change 5607 0 0 Update 2015-02-01 2020-02-01 Prosthesis BD020 HiRes90K Advantage Cochlear Implant with HiFocus 1j Electrode The HiRes90K Advantage Cochlear Implant with HiFocus 1j Electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus 1j Electrode array Implant Size: 56mm (L) x 28mm (w x5.7mm (thickness). Electrode size: Active length 17mm, Tip diameter 0.4mm, Basal diameter 0.8mm. Total length of electrode array 25mm BD 22 196 1526 220306 12892 0 0 No Change 2014-08-01 2020-02-01 Prosthesis BD022 HiRes90K Advantage Cochlear Implant with the HiFocus Mid-Scala Electrode The HiRES90K Advantage Cochlear Implant with HiFocus Mid-Scala electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlea. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus Mid-Scala Electrode array Implant Size: 56mm (L) x 28mm (w) x 5.7mm (thickness. Electrode size: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm BD 22 196 1526 220306 12892 0 0 No Change 2014-08-01 2020-02-01 Prosthesis BD024 HiRes Ultra Cochlear Implant with the HiFocus Mid-Scala Electrode The HiRes Ultra Cochlear Implant with HiFocus Mid-Scala Electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus Mid-Scala Electrode array 56.2 x 28.5 x 4.5 BD 22 196 1526 295250 12892 0 0 No Change 2018-02-01 2020-02-01 Prosthesis BD026 HiRes Ultra Cochlear Implant with HiFocus Slim-J Electrode The HiRes Ultra Cochlear Implant with HiFocus Slim-J Electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus Slim-J Electrode array 56.2 x 28.5 x 4.5 BD 22 196 1526 301320 12892 0 0 No Change 2018-08-01 2020-02-01 Prosthesis CO021 Nucleus Freedom Implant with Contour Advance Electrode Model C124RE (CA), Generation 4 Cochlear implant with perimodiolar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable silicone seal one size only CO 22 196 1526 117025 12892 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CO024 Nucleus Freedom Implant with Straight Electrode Model CI24RE (ST), Generation 4 Cochlear Implant with straight array electrode One size only CO 22 196 1526 117025 12892 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CO046 Cochlear™ Nucleus® CI512 Cochlear Implants with Contour Advance Electrode Model CI512, 5th generation cochlear implant with perimodiloar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable silicone seal. One Size CO 22 196 1526 165361 12892 0 0 No Change 2010-02-01 2020-02-01 Prosthesis CO057 Cochlear™ Nucleus® CI422 cochlear implant with Straight Electrode Model CI422, 4th generation cochlear implant with straight array. Titanium casing, removable magnet. 22 half banded platinum intracochlear electrodes moulded with a silicone elastomer carrier and spaced over a 20mm active array. The electrode diameter is 0.6mm at the badal end, tapering to 0.3mm at the apical electrode band. One size CO 22 196 1526 192676 12892 0 0 No Change 2012-02-01 2020-02-01 Prosthesis CO074 Cochlear Nucleus CI522 Cochlear Implant with Slim Straight Electrode Model CI522, 5th generation cochlear implant with straight electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal. One size CO 22 196 1526 232917 12892 0 0 No Change 2015-02-01 2020-02-01 Prosthesis CO078 Cochlear™ Nucleus® CI532 Cochlear Implant with Slim Modiolar Electrode Model CI532, 5th generation cochlear implant with slim modiolar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal. One size CO 22 196 1526 286928 12892 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CO083 Cochlear™ Nucleus® Profile Plus Series (CI632) Cochlear Implant with Slim Modiolar Electrode Profile Plus Series CI632, 6th generation cochlear implant with Slim Modiolar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field. One size CO 22 196 1526 322143 12892 0 0 No Change 2019-11-01 2020-02-01 Prosthesis CO084 Cochlear™ Nucleus® Plus Series (CI612) Cochlear Implant with Contour Advance Electrode Profile Plus Series CI612, 6th generation cochlear implant with Contour Advance electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field. One size CO 22 196 1526 322141 12892 0 0 No Change 2019-11-01 2020-02-01 Prosthesis CO085 Cochlear™ Nucleus® Profile Plus Series (CI622) Cochlear Implant with Slim Straight Electrode Profile Plus Series CI622, 6th generation cochlear implant with Slim Straight electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field. One size CO 22 196 1526 322142 12892 0 0 No Change 2019-11-01 2020-02-01 Prosthesis OI035 Neuro Zti Cochlear Implant The Neuro Zti is a multi-channel cochlear implant. It is designed to be surgically implanted and consists of the receiver/stimulator implanted under the skin on the temporal aspect of the skull and a multichannel electrode designed to be inserted within the Scala Tympani of the cochlea. These electrodes will provide electrical stimulation to the auditory nerve, leading to activation of user’s auditory pathway, and perception of sound percept. Two variants exist for the Neuro Zti: EVO (atraumatic) Insertion length 25mm CLA (classic) Insertion length 26mm OI 22 196 1526 284148 284150 12892 0 0 No Change 2017-08-01 2020-02-01 Prosthesis US008 Mi1000 CONCERTO/ Mi1000 CONCERTO PIN Ultra small minimally invasive titanium cochlear implant with six atraumatic electrode options. Includes sequential and parallel stimulation, comprehensive diagnostic toolkit and safety features such as unique implant ID and output capacitors for each channel Stimulator Housing: L 17.3 mm, W 25.4 mm, Thin 4.5 mm (Weight 7.6g) Electrode: Standard (26.4 mm), FLEXsoft (26.4 mm), FLEX28 (23.1mm), FLEX26 (20.9mm), FLEX24 (20.9mm), Medium (20.9mm), FLEX20 (15.4mm), Compressed (12.1mm), FORM24 (18.7mm), FORM19 (14.3mm) US 22 196 1526 183537 193364 12892 0 0 No Change 2013-08-01 2020-02-01 Prosthesis US012 Mi1200 SYNCHRONY Cochlear Implant / Mi1200 SYNCHRONY PIN Cochlear Implant Ultra small titanium implant with flexible atraumatic electrode arrays provide complete cochlea coverage. Removable and self-aligning magnet is MRI safe at 3.0 Tesla (without magnet removal) Stimulator Housing: L 17.3mm, W 25.4mm, Thin 4.5mm, Weight 7.6g. Electrode: Standard (26.4mm), Compressed (12.1mm), Medium (20.9mm), FLEX24 (20.9mm), FLEX26 (20.9mm), FLEXsoft (26.4mm), FLEX28 (23.1mm), FORM19 (14.3mm), FORM24 (18.7mm), FLEX20 (15.4mm) US 22 196 1526 231296 231297 12892 0 0 No Change 2015-02-01 2020-02-01 Prosthesis CO069 Cochlear ™ Nucleus® CP910 Sound Processor (Initial) The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor two built-in directional microphones There is only one size of the processing unit and coil. There are two sizes for battery holder and cover. CO 22 196 1528 4145 AutoScan, 2.4GHz Wireless 216062 11392 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO071 Cochlear ™ Nucleus® CP920 Sound Processor (Initial) The Cochlear Nucleus CP920 Sound Processor is a behind-the-ear sound processor with two built-in directional micophones. There is only one size of the processing unit and coil. There are two sizes for battery holder and cover. CO 22 196 1528 4145 AutoScan, 2.4GHz Wireless 216063 11392 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO080 Kanso®, Cochlear™ Nucleus® CP950 Sound Processor (Initial) An off-the-ear sound processor with two built-in directional microphones, wireless connectivity, and equivalent functionality to the Cochlear N6 behind-the-ear sound processor in a fully integrated single unit, enclosing radiofrequency (RF) coil, supplying power, and signals to internal implant. One size (40.9 mm x 35.2 mm x 11.4 mm) CO 22 196 1528 4145 AutoScan, 2.4GHz Wireless 282194 11392 0 0 No Change 2017-08-01 2020-02-01 Prosthesis US014 SONNET EAS Audio Processor (initial) Audio processor worn behind the ear with dual omnidirectional microphone, water-resistance, datalogging, Automatic Sound Management, wireless connectivity to assistive listening devices, electric and electric acoustic stimulation modes One size US 22 196 1528 4145 Electroacoustic 232487 12303 0 0 No Change 2015-02-01 2020-02-01 Prosthesis US025 SONNET 2 EAS Audio Processor Audio processor with electric and electric acoustic stimulation modes, worn behind the ear with dual omnidirectional microphone, water-resistance, enhanced datalogging and signal processing, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices one size with 3 battery options and various magnet strengths US 22 196 1528 4145 Electroacoustic 319472 12303 0 0 No Change 2019-11-01 2020-02-01 Prosthesis CO064 Cochlear ™ Nucleus® CP910 Sound Processor Hybrid™ Mode (Initial) The Cochlear Nucleus CP910 Sound processor in "Hybrid Mode" facilitates electroacoustic stimulation of the cochlea There is only one size of the processing unit and coil. There are two sizes for the battery holder and cover. CO 22 196 1528 4145 Electroacoustic, AutoScan, 2.4GHz Wireless 216062 12796 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO066 Cochlear™ Nucleus® CP920 Sound Processor - Hybrid™ Mode (Initial) The Cochlear Nucleus CP920 Sound Processor in "Hybrid Mode" facilitates electroacoustic stimulation of the cochlea There is only one size of the processing unit and coil. There are two sizes for battery holder and cover. CO 22 196 1528 4145 Electroacoustic, AutoScan, 2.4GHz Wireless 216063 12796 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO081 Cochlear™ Nucleus® CP1000 Sound Processor - Hybrid™ Mode (initial) The CP1000 (Nucleus 7, N7) - Hybrid Mode is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the CP900 series (CP910/920) (Nucleus 6, N6) sound processor but with new architectural design, which provides improved battery life and MFi wireless connectivity directly with iOS devices via Smart App. The CP1000 in hybrid mode facilitates acoustic stimulation in the cochlea. There is one size of the sound processor unit with 3 battery options and 7 different magnet strengths. CO 22 196 1528 4145 Electroacoustic, AutoScan, 2.4GHz Wireless 292000 12796 0 0 No Change 2018-02-01 2020-02-01 Prosthesis BD023 Naida CI Q90 Sound Processor (Initial Order) Sound Processor One size BD 22 196 1528 4145 282255 10925 0 0 No Change 2017-02-01 2020-02-01 Prosthesis CO048 Cochlear™ Nucleus® CP810 Sound Processor - INITIAL The ear level sound processor of the Nucleus 5 cochlear implant system with multiple wearing options and a remote control. One size CO 22 196 1528 4145 165764 10925 0 0 No Change 2010-02-01 2020-02-01 Prosthesis OI033 Neuro One Speech Processor The behind the ear sound processor for the Neuro Zti cochlear implant. It consists of two microphones allowing for 3 automatic adaptive directionality modes, voice tracker and wind noise reduction features. The processor is placed on the auricle of either one of the patient's ears, and an external antenna transmits the acoustic signal processed by the processor, by means of electromagnetic induction, to the internal component implanted beneath the skin and secured onto the mastoid. One size OI 22 196 1528 4145 284149 10925 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OI036 Neuro 2 Sound Processor The behind the ear Neuro 2 sound processor performs with the Neuro Zti cochlear implants. It consists of two microphones allowing for 3 automatic adaptive directionality modes, voice tracker and wind noise reduction features. Its benefits include: smaller and more cosmetically appealing design and rechargeable batteries. The processor is placed on the auricle of the either one of the patient's ears and an external antenna transmits the acoustic signal processed by the processor, by means of electromagnetic induction, to the internal component implanted beneath the skin and secured onto the mastoid. One size OI 22 196 1528 4145 316140 10925 0 0 No Change 2019-07-01 2020-02-01 Prosthesis US004 OPUS 2 Speech Processor Cochlear implant speech processor, fine structure speech processing, remote control, interface for assistive listening devices according to the international hearing aid standard (initial patient kit) 54.0mm x 35.1mm x 8.7mm US 22 196 1528 4145 144753 10925 0 0 No Change 2013-08-01 2020-02-01 Prosthesis US009 RONDO Audio Processor Single Unit audio processor for the MED-EL Cochlear Implant System, integrating coil cable & electronics package worn off the ear it is held in place by magnetic attraction One size - 44.1mm (l) x 37.2mm (w) x 11.8mm (h) US 22 196 1528 4145 218934 10925 0 0 No Change 2014-02-01 2020-02-01 Prosthesis US013 SONNET Audio Processor (initial) Audio processor worn behind the ear with dual omnidirectional microphone, water-resistance, datalogging, Automatic Sound Management, wireless connectivity to assistive listening devices One size US 22 196 1528 4145 232486 10925 0 0 No Change 2015-02-01 2020-02-01 Prosthesis US022 RONDO 2 Audio Processor A Single Unit audio processor for the MED-EL Cochlear Implant System, integrating microphone, telecoil, coil cable, indicator LED, magnet & electronics package worn off the ear and held in place by magnetic attraction. It features an integrated wirelessly rechargeable battery, link-check function and water resistance (IP54). one size - L 45.5 mm, W 35.7 mm, H 11.7 mm US 22 196 1528 4145 307121 10925 0 0 No Change 2018-08-01 2020-02-01 Prosthesis CO070 Cochlear ™ Nucleus® CP910 Sound Processor (Replacement) The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor with two built-in directional microphones CO049 CO 22 196 1528 4147 AutoScan, 2.4GHz Wireless 216062 8114 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO072 Cochlear ™ Nucleus® CP920 Sound Processor (Replacement) The Cochlear Nucleus CP920 Sound Processor is a behind-the-ear sound processor with two built-in directional microphones. It has no accessory port for cables. There is only one size of the processing unit and coil. There are two sizes for battery holder and cover. CO 22 196 1528 4147 AutoScan, 2.4GHz Wireless 216063 8114 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO079 Kanso®, Cochlear ™ Nucleus® CP950 Sound Processor (Replacement) An off-the-ear sound processor with two built-in directional microphones, wireless connectivity, and equivalent functionality to the Cochlear N6 behind-the-ear sound processor in a fully integrated single unit, enclosing radiofrequency (RF) coil, supplying power, and signals to internal implant. One size (40.9 mm x 35.2 mm x 11.4 mm) CO 22 196 1528 4147 AutoScan, 2.4GHz Wireless 282194 8114 0 0 No Change 2017-08-01 2020-02-01 Prosthesis US016 SONNET EAS Audio Processor (replacement) Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices, electric and electric acoustic stimulation modes One size US 22 196 1528 4147 Electroacoustic 232487 8612 0 0 No Change 2015-02-01 2020-02-01 Prosthesis CO065 Cochlear™ Nucleus CP910 Sound Processor Hybrid™ Mode (Replacement) The Cochlear Nucleus CP910 Sound Processor in "Hybrid Mode" facilitates electroacoustic stimulation to the cochlea There is only one size of the processing unit and coil. There are two sizes for the battery holder. CO 22 196 1528 4147 Electroacoustic, AutoScan, 2.4GHz Wireless 216062 9078 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO067 Cochlear™ Nucleus® CP920 sound Processor - Hybrid™ Mode (Replacement) The Cochlear Nucleus CP920 Sound Processor in "Hybrid Mode" facilatates electroacoustic stimulation of the cochlea. There is only one size of the processing unit and coil. There are two sizes for battery holder and cover. CO 22 196 1528 4147 Electroacoustic, AutoScan, 2.4GHz Wireless 216063 9078 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO082 Cochlear™ Nucleus® CP1000 Sound Processor - Hybrid™ Mode (replacement) The CP1000 (Nucleus 7, N7) - Hybrid Model is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the CP900 series (CP910/920) (Nucleus 6, N6) sound processor but with new architectural design, which provides improved battery life and MFi wireless connectivity directly with iOS devices via Smart App. The CP1000 in hybrid mode facilitates acoustic stimulation in the cochlea. There is one size of the sound processor unit with 3 battery options and 7 different magnet strengths. CO 22 196 1528 4147 Electroacoustic, AutoScan, 2.4GHz Wireless 292000 9078 0 0 No Change 2018-02-01 2020-02-01 Prosthesis BD015 Neptune Sound Processor replacement part is the external part of the cochlear implant system. Also includes Neptune Connect The Neptune Processor is an external component of the HiRes Bionic Ear System. The processor is intended to deliver HiResolution sound to a cochlear implant. Also includes Neptune Connect. One size. Processor: H x W X D: 26 x 18 x 60mm Neptune Connect Size: H x W x D: 17 x 18 x 58mm BD 22 196 1528 4147 Generation 4 198825 7648 0 0 No Change 2012-08-01 2020-02-01 Prosthesis BD025 Naida CI Q90 Sound Processor (Replacement Order) The Naida CI Q90 sound processor is one part of a cochlear implant system that enables hearing. The other necessary parts of the system are the Implantable Cochlear Stimulator (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the sound processor and battery power source. There are five battery options, including three sizes of Lithium Ion rechargeable PowerCel™ batteries and a Zn-Air Battery Pak One size BD 22 196 1528 4147 Generation 4 282255 7648 0 0 No Change 2018-02-01 2020-02-01 Prosthesis CO049 Cochlear™ Nucleus® CP810 Sound Processor - REPLACEMENT The ear level sound processor of the Nucleus 5 cochlear implant system with multiple wearing options and a remote control. One size CO 22 196 1528 4147 Generation 4 165764 7648 0 0 No Change 2010-02-01 2020-02-01 Prosthesis OI034 Neuro One Speech Processor (Replacement) The behind the ear sound processor for the Neuro Zti cochlear implant. It consists of two microphones allowing for 3 automatic adaptive directionality modes, voice tracker and wind noise reduction features. One size OI 22 196 1528 4147 Generation 4 284149 7648 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OI037 Neuro 2 Sound Processor Replacement The behind the ear Neuro 2 sound processor performs with the Neuro Zti cochlear implants. It consists of two microphones allowing for three automatic adaptive directionality modes, voice tracker and wind noise reduction features. Its benefits include: smaller and more cosmetically appealing design and rechargeable batteries. The processor is placed on the auricle of the either one of the patient's ears and an external antenna transmits the acoustic signal processed by the processor, by means of electromagnetic induction, to the internal component implanted beneath the skin and secured onto the mastoid. One size OI 22 196 1528 4147 Generation 4 316140 7648 0 0 No Change 2019-07-01 2020-02-01 Prosthesis US005 Opus 2 Speech Processor Replacement Cochlear implant speech processor, fine structure speech processing, remote control, interface for assistive listening devices according to the international hearing aid standard (replacement kit) 54.0mm x 35.1mm x 8.7mm US 22 196 1528 4147 Generation 4 144753 7648 0 0 No Change 2013-08-01 2020-02-01 Prosthesis US010 RONDO Audio Processor Replacement Single unit audio processor for the MED-EL Cochlear Implant System, integrating coil, cable and electronics package, worn off the ear and is held in place by magnetic attraction. One size - 44.1mm (l) x 37.2mm (w) x 11.8mm (h) US 22 196 1528 4147 Generation 4 218934 7648 0 0 No Change 2014-08-01 2020-02-01 Prosthesis US015 SONNET Audio Processor (Replacement) Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices One size US 22 196 1528 4147 Generation 4 232486 7648 0 0 No Change 2015-02-01 2020-02-01 Prosthesis US023 RONDO 2 Audio Processor - Replacement A Single Unit audio processor for the MED-EL Cochlear Implant System, integrating microphone, telecoil, coil cable, indicator LED, magnet & electronics package worn off the ear and held in place by magnetic attraction. It features an integrated wirelessly rechargeable battery, link-check function and water resistance (IP54). one size - L 45.5 mm, W 35.7 mm, H 11.7 mm US 22 196 1528 4147 Generation 4 307121 7648 0 0 No Change 2018-08-01 2020-02-01 Prosthesis US024 SONNET 2 EAS Audio Processor (replacement) Audio processor with electric and electric acoustic stimulation modes, worn behind the ear with dual omnidirectional microphone, water-resistance, enhanced datalogging and signal processing, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices one size with 3 battery options and various magnet strengths US 22 196 1528 4147 Generation 4 Electroacoustic 319472 8612 0 0 No Change 2019-11-01 2020-02-01 Prosthesis MI193 Sophono Alpha Bone Conduction Hearing System, Sound Processor Alpha Sound Processor - MI 22 196 1560 4150 Programmable 234099 6175 0 0 No Change 2016-02-01 2020-02-01 Prosthesis OI023 Ponto Sound Processor Fully programmable head worn sound processor for bone conduction hearing systems Ponto: 34 x 21 x 11mm Ponto Pro: 34 x 21 x 11mm Ponto Pro Power: 34 x 21 x 14mm OI 22 196 1560 4150 Programmable 198860 6175 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CO073 Cochlear™ Baha® 4 Sound Processor The Cochlear Baha 4 Sound Processor is a wireless-enabled, fully programmable head-worn digital sound processor for the Baha Implantable Bone Conduction Hearing System. One size. CO 22 196 1560 4150 Programmable, Wireless-enabled 123987 6484 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO075 Cochlear Baha 5 Sound Processor The Cochlear Baha 5 Sound Processor (26,mm x 19mm x12mm) is a wireless-enabled smartphone compatible fully programmable head-word digital sound processor for the Baha Implantable Bone Conduction Hearing System One size (26mm x 19 mm x 12 mm) CO 22 196 1560 4150 Programmable, Wireless-enabled 123987 6484 0 0 No Change 2015-08-01 2020-02-01 Prosthesis CO076 Cochlear Baha 5 SuperPower Sound Processor The Cochlear Baha 5 SuperPower sound processor is a powerful (up to 65dB HL) wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Baha Implantable Bone Conduction Hearing System. It is intended to be fitted as a head worn split system - it comprises a behind-the-ear (BTE) Sound Processing Unit, an Actuator unit, and a Cable between the BTE and the Actuator unit. One size CO 22 196 1560 4150 Programmable, Wireless-enabled 123987 6484 0 0 No Change 2016-02-01 2020-02-01 Prosthesis CO077 Cochlear Baha 5 Power Sound Processor The Cochlear Baha 5 Power sound processor is a powerful (up to 55dB HL), wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Cochlear Baha 'Connect' and 'Attract' Implantable Bone Conduction Hearing Systems. One size CO 22 196 1560 4150 Programmable, Wireless-enabled 123987 6484 0 0 No Change 2016-08-01 2020-02-01 Prosthesis OI029 Ponto Plus Sound Processor A wireless enabled - fully programmable head worn sound processor for bone conduction hearing systems with full smart phone capabilities Ponto Plus: 34 x 21 x 11mm Ponto Plus Power: 34 x 21 x 14mm OI 22 196 1560 4150 Programmable, Wireless-enabled 198104 6484 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OI032 Ponto 3 Sound Processor A wireless enabled - fully programmable head worn sound processor for bone conduction hearing systems with full smart phone capabilities. Optional Superpower model, delivering higher output across the entire bandwidth. Ponto 3: 34x21x11mm Ponto 3 Power: 34x21x14mm Ponto 3 SuperPower: 34x21x14mm OI 22 196 1560 4150 Programmable, Wireless-enabled 198104 6484 0 0 No Change 2017-02-01 2020-02-01 Prosthesis US017 Bonebridge Samba BB Audio Processor The Samba BB is a wireless enabled audio processor and the externally worn component of the Bonebridge System. It connects to the implant through magnetic attraction. Fitting the Samba BB audio processor activates the Bonebridge. left and right versions, length = 35mm, width = 30mm, height = 10mm, weight <9g (inc battery) US 22 196 1560 4150 Programmable, Wireless-enabled 270912 6484 0 0 No Change 2016-02-01 2020-02-01 Prosthesis CO050 Baha BA210 Abutment Titanium abutments compatible with hexagonal coupling Baha implants 5.5mm and 8.5mm CO 22 196 1560 4151 Abutment 123984 850 0 0 No Change 2010-08-01 2020-02-01 Prosthesis OI025 Ponto Abutment Bone anchor abutment with connection screw Length: 6 - 14mm Straight and angled OI 22 196 1560 4151 Abutment 198759 850 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CO052 Baha BA300 abutment. Titanium abutment of the Baha BI300 implant system. 6 mm and 9 mm CO 22 196 1560 4151 Abutment & Concave 123984 889 0 0 No Change 2010-08-01 2020-02-01 Prosthesis CO032 Flange fixture - self tapping fixture with pre-mounted abutment Self tapping titanium flange fixture with abutment in two sizes: 3mm and 4mm Self Tapping 4mm and 3mm with BAHA Abutment CO 22 196 1560 4151 Abutment & Fixture 123984 1833 0 0 No Change 2006-03-24 2020-02-01 Prosthesis MI194 Sophono Alpha Bone Conduction Hearing System, Implant Alpha Implant - MI 22 196 1560 4151 Abutment & Fixture 272642 1833 0 0 No Change 2016-02-01 2020-02-01 Prosthesis OI026 Ponto Abutment and Implant Bone anchor implant and abutment with connection screw Diameter: 3.75 - 4.5mm Length: Fixture 3 - 4mm, Abutment 6 -14mm OI 22 196 1560 4151 Abutment & Fixture 198759 1833 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CO063 Cochlear ™ Baha® BIA400 Implant with Abutment Pre-mounted self-tapping titanium implant with TiOblast™ surface and coated Abutment with hydroxyapatite (HA) coating for Baha FAST surgery 4mm implant with pre-mounted 6mm, 8mm, 10mm, or 12mm , or 14mm abutment CO 22 196 1560 4151 Abutment & Fixture, HA 123984 2087 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CO053 Baha BIA300 implants with abutments Self tapping titanium implant with pre-mounted abutment of the Baha 3 system, for the Baha FAST surgery. 3mm implant with 6mm abutment, 4mm implant with 6mm abutment, 4mm implant with 9mm abutment. CO 22 196 1560 4151 Abutment, Fixture & Concave 123984 1916 0 0 No Change 2010-08-01 2020-02-01 Prosthesis OI031 Ponto BHX Implant and Abutment A laser-ablated titanium surface implant using Biohelix™ (BHX) and abutment with connection screw. Diameter: 3.75 - 4.5mm Length: Fixture 3 - 4mm Abutment: 6 -14mm OI 22 196 1560 4151 Abutment, Fixture & Concave 198759 1916 0 0 No Change 2016-08-01 2020-02-01 Prosthesis OI024 Ponto Implant Bone anchor implant Diameter: 3.75 - 4.5mm Length: 3 - 4mm OI 22 196 1560 4151 Fixture 198759 983 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CO051 Baha® BI300 Implant Titanium self-tapping implant with TiOblast surface of the Baha 3 system 3mm and 4 mm CO 22 196 1560 4151 Fixture & Concave 123984 1028 0 0 No Change 2010-08-01 2020-02-01 Prosthesis OI030 Ponto BHX Implant A laser-ablated titanium surface implant using Biohelix™ (BHX). Length: 3mm, 4mm OI 22 196 1560 4151 Fixture & Concave 198759 1028 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CO062 Cochlear™ Baha® BA400 DermaLock™ Abutment Titanium abutment with hydroxyapatite (HA) coating 6mm, 8mm, 10mm, 12mm, 14mm CO 22 196 1560 4151 HA 123984 1059 0 0 No Change 2013-02-01 2020-02-01 Prosthesis US001 Bonebridge- Bone Conduction Implant Kit Active bone conduction implant consisting of magnet, receiver coil, electronics package (demodulator), bendable transition to FMT, floating mass transducer 28.6 (w) x 69 (l) x 8.7 (h) mm US 22 196 1560 4151 Implanted Transducer, Magnetic Coupler 203243 2222 0 0 No Change 2013-08-01 2020-02-01 Prosthesis US011 Bonebridge BCI Lifts Implanted together with the Bonebridge BCI, the BCI Lifts attach to the wings of the Bonebridge BCI to elevate the transducer 1mm, 2mm, 3mm, 4mm US 22 196 1560 4151 Lifts 230206 196 0 0 No Change 2015-02-01 2020-02-01 Prosthesis CO068 Cochlear™ Baha® BIM400 Implant Magnet The Cochlear Baha BIM400 is an implantable magnet that lies completely under the skin One size CO 22 196 1560 4151 Magnetic Coupling 123984 1059 0 0 No Change 2014-02-01 2020-02-01 Prosthesis CO028 BAHA - Cover screw unigrip Titanium cover screws, individually packaged and delivered sterile. The cover screws are used to prevent bone overgrowth of the implant. One size only CO 22 196 1560 4152 123984 135 0 0 No Change 2006-03-24 2020-02-01 Prosthesis CO054 Baha Cover Screw conical Titanium cover screw of the Baha BI300 implant system used in the two-stage surgery. One size CO 22 196 1560 4152 123984 135 0 0 No Change 2010-08-01 2020-02-01 Prosthesis OI027 Ponto Healing Cap Cover screw One size only OI 22 196 1560 4152 198868 135 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OI028 Ponto Cover Screw Cover screw One size only OI 22 196 1560 4152 198759 135 0 0 No Change 2013-02-01 2020-02-01 Prosthesis US003 Bonebridge - Cortical screws (Bonebridge Surgical Tool Kit) Titanium cortex screws have a length of 6mm and are self-tapping, providing fixation of the BCI implant to the bone through osseo-integration 6mm (length) x 2 - 2.4mm (outer edge) US 22 196 1560 4152 203243 203280 135 0 0 No Change 2013-08-01 2020-02-01 Prosthesis ET072 Eclipse Piston Stapes: Nitinol, Fluroplastic Diameter 0.5mm: 3.75mm - 6.00mm Diameter 0.6mm: 3.75mm - 6.00mm ET 22 196 1565 4154 170281 Group Benefit Change 94 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC918 The Big Easy Piston Big Easy Range - MRI Safe, Triple Width Platinum Band, Double Width Platinum Shaft with Offset Versions 0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 - 4.75mm MC 22 196 1565 4154 125831 Group Benefit Change 94 0 0 Update 2009-08-01 2020-02-01 Prosthesis MI079 Middle ear prostheses Stapes 0.4-1.17mm x 0.9-4.0 x 4.0 x4.0-10.2mm; 4.0 - 4.75mm MI 22 196 1565 4154 125831 Group Benefit Change 94 0 0 Update 2013-02-01 2020-02-01 Prosthesis OL012 Canal Wall Prosthesis Grote, HA Small - Large OL 22 196 1565 4154 123372 Group Benefit Change 94 0 0 Update 2010-02-01 2020-02-01 Prosthesis OL014 Ossicular Prosthesis Attic Defect Plate, HA 7-14mm OL 22 196 1565 4154 123372 Group Benefit Change 94 0 0 Update 2010-02-01 2020-02-01 Prosthesis OL089 Stapes De La Cruz House-Type Lippy Modified Classic Richards Bucket Handle Various OL 22 196 1565 4154 123372 Group Benefit Change 94 0 0 Update 2018-08-01 2020-02-01 Prosthesis OL091 OL018 OL022 OL023 OL024 OL025 OL075 Stapes Causse Pistons, Cawthorne Pistons, Fisch-Type Pistons, Fluoroplastic Pistons, McGee Pistons, Richards Platinum Fluoroplastic Pistons, Schuknecht Pistons, Schuknecht Malleus Attached Pistons SMart Pistons, SMart 360 Pistons SMart Malleus Various sizes OL 22 196 1565 4154 123372 Group Benefit Change 94 0 0 Update 2018-08-01 2020-02-01 Prosthesis UP003 LM332 Stapes a) NiTiBOND b) Soft CliP c) K-Piston d) Angular Piston e) CliP Piston aWengen f) CliP Piston MVP g) Lenticle Cup a) Diameter - 0.4 or 0.6mm in lengths - 3.5 to 5.5mm b) Diameter - 0.4 or 0.6mm in lengths 3.5 to 5.5mm c) Diameter - 0.4 or 0.6mm in lengths 3.5 to 10mm d) Diameter 0.4 or 0.6mm in lengths 4.25, 4.5, 4.75mm e) Diameter - 0.4mm or 0.6mm in lengths 3.5 to 5.5mm f) Diameter 0.4 or 0.6mm in lengths - 5 to 6.25mm g) lengths - 3 to 4.5mm UP 22 196 1565 4154 119746 Group Benefit Change 94 0 0 Update 2019-07-01 2020-02-01 Prosthesis MC919 Middle Ear Prosthesis Malleus 0.6 - 4.0mm x 2.7 - 5.0mm x 1.5 - 10.0mm MC 22 196 1565 4155 125831 Group Benefit Change 172 0 0 Update 2009-08-01 2020-02-01 Prosthesis ET073 Eclipse Malleus Piston Malleus & Stapes: Nitinol, Fluoroplastic Diamater 0.6mm: 5.5mm-8.00mm ET 22 196 1565 4156 170281 Group Benefit Change 325 0 0 Update 2013-02-01 2020-02-01 Prosthesis MI076 Middle Ear Prostheses Partial Ossicular Reconstruction Implant - malleus + incus 0.6-2.5 x 2.2-8.8 x 3.5 -10mm MI 22 196 1565 4156 125831 Group Benefit Change 325 0 0 Update 2013-02-01 2020-02-01 Prosthesis OL088 Ossicular Prosthesis - PORP Shea Micron Monolithic Various sizes OL 22 196 1565 4156 123372 Group Benefit Change 325 0 0 Update 2018-08-01 2020-02-01 Prosthesis OL094 OL016 OL017 Ossicular Prosthesis - PORP Drum-to-Stapes Goldenberg Malleable Modified Off-Centered Sheehy Modified Various OL 22 196 1565 4156 123372 Group Benefit Change 325 0 0 Update 2018-08-01 2020-02-01 Prosthesis RC010 Stapes Prosheses For reconstruction of the sound conduction chain between middle ear and inner ear through replacement of the stapes. The body of the implant consists of a columella (which in some product versions can be shortened) and a flat band. The columella is inserted in the opened Vestibulum auris through the trepanated stapes foot-plate. The flat band is placed around the long process of the incus. The implants are available in various versions and materials: • Titanium: Columella and flat band made of titanium; • Platinum/PTFE: Columella made of polytetrafluoroethylene (PTFE), flat band made of platinum (Pt); • Nitinol/PTFE: Columella made of polytetrafluoroethylene (PTFE), flat band made of nitinol. Stapes Prostheses Nitinol/PTFE, 1 piece, sterile, Wire diam: 0.2 mm, PTFE shaft diam: 0.4 & 0.6 mm, Incus diam. small standard, large; length 5.25, 5.50, 5.75, 7.00 (shortenable) Stapes Prostheses Platinum/PTFE, 1 piece, sterile; piston diam. 0.4 & 0.6 mm; length 5.25, 5.50, 5.75, 7.00 (shortenable), 10.00 (shortenable) Stapes Prostheses Titanium, 1 piece, sterile; piston diam. 0.4 & 0.6 mm; length 5.25, 5.50, 5.75, 8.00 (shortenable) RC 22 196 1565 4156 290802 Group Benefit Change 325 0 0 Update 2018-08-01 2020-02-01 Prosthesis RC012 PORP - Partial Ossicular Replacement Prosthesis Partial implant made of titanium, for reconstructing a (partially) destroyed middle ear ossicular chain (chain of sound transmission) between the stapes and the tympanic membrane level in fixed and variable lengths. Fixed - The implant body is a single piece and was made from a single part only, i.e. it has no susceptible material bonding points such as weld seams. The implant can be subdivided into three areas: 1.) the implant bell that is offered in 2 embodiments: Unslitted and slitted; 2.) the implant shaft; 3.) the perforated implant plate. The implant plate can be arranged centrically (round) towards the implant shaft or eccentrically (oval). In the eccentric version (oval), an additional groove has been worked into the plate to improve receiving the malleus handle. Variable - The implant body consists of two parts, a shortenable shaft that is firmly bound to the prosthesis bell, and a prosthesis plate that has been provided with a borehole in its underside. The borehole has been dimensionally designed in such a way that it can receive the shaft after the latter has been adapted lengthwise to the respective situation in the middle ear. The surface of the predefined contact point (upper side of implant plate and inner side of the bell) is roughened in order to facilitate better bonding to the eardrum resp. the stapes head. Central Head with slitted Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm Offset Head with slitted Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm Central Head with Complete Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm Partial Titanium Implant with Separate Head, shaft 0 0.3 mm, Length 5.5-2.5mm (variable) Partial Titanium Implant with Separate Head, shaft 0 0.3 mm, Length 5.5-2.0mm (variable) RC 22 196 1565 4156 290802 Group Benefit Change 325 0 0 Update 2019-03-01 2020-02-01 Prosthesis UP002 LM329 Partial Ossicle Replacement a) TTP Tuebingen Type bell b) CliP Dresden Type c) Malleus d) Angular Plester e) Angular CliP f) TTP - Vario Bell TTP - Variac System, Partial g) CliP Partial FlexBAL h) Duesseldorf Type Partial a) length 1.75 to 3.5mm b) length 1.75 to 3.5mm c) length 1.75 to 3.5mm d) length 2.25 or 3.25mm e) length 2.25 or 3.25mm f) one size g) length 1.75 to 3.5mm h) length 1.75 to 4.5mm UP 22 196 1565 4156 119746 Group Benefit Change 325 0 0 Update 2019-07-01 2020-02-01 Prosthesis UP004 LM338 Stapes Stapes Prosthesis Ø 0.4mm, Ø 0.5mm & Ø 0.6mm Lengths 3.50mm - 5.50mm UP 22 196 1565 4156 119746 Group Benefit Change 325 0 0 Update 2019-07-01 2020-02-01 Prosthesis KG014 ALTO Prosthesis Adjustable Length Titanium Ossicular Chain Reconstruction Prosthesis Head Size 2.5mm x 3.5mm; Length 2.0mm - 8.0mm; Distal Diameter 0.8mm - 1.2mm KG 22 196 1565 4157 170281 Group Benefit Change 365 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI075 Middle Ear Prostheses Total Ossicular Reconstruction Implants 0.6-0.8mm x 3.0-4.0mm x 7.0-8.0mm MI 22 196 1565 4157 125831 Group Benefit Change 365 0 0 Update 2013-02-01 2020-02-01 Prosthesis OL073 Dornhoffer Prostheses Hydroxyapetite head/HAPEX shaft PORP and TORP 0.8mm Shaft Dia TORP, 1.3mm Shaft Diameter PORP OL 22 196 1565 4157 123372 Group Benefit Change 365 0 0 Update 2010-02-01 2020-02-01 Prosthesis OL092 OL019 OL020 OL021 OL074 Ossicular Prosthesis - TORP Black Spanner Strut Black Oval-Top PORP/Universal/TORP Micron Adjustable Titanium PORP/TORP Causse Modified TORP Fisch-Type TORP Shea TORP Sheehy Modified TORP Various sizes OL 22 196 1565 4157 123372 Group Benefit Change 365 0 0 Update 2018-08-01 2020-02-01 Prosthesis OL093 OL013 OL015 Ossicular Prosthesis - Incus/Stapes a) Applebaum Incudostapedial Joint b) Goldenberg Incus c) Wehrs Incus (Single & Double Notch) d) Wehrs II Incus-Stapes (Single Notch) e) Kartush Incus-Stapes Strut f) Goldenberg Incus-Stapes a) small - large b) one size only c) short, average, medium d) short, average, medium, long e) short, medium, long f) one size only OL 22 196 1565 4157 123372 Group Benefit Change 365 0 0 Update 2018-08-01 2020-02-01 Prosthesis RC011 TORP - Total Ossicular Replacement Prosthesis Total implant made of titanium, for reconstructing a destroyed middle-air ossicular chain (chain of sound transmission) between the footplate of the stirrup bone and the plane of the eardrum. The implants are available in fixed length and adjustable versions for shortening. The implant can be subdivided into three areas: 1.) the implant shoe; 2.) the implant shaft; 3.) the perforated implant plate. The implant plate can be arranged centrically (round) towards the implant shaft or eccentrically (oval). In the eccentric version (oval, fixed length only), an additional groove has been worked into the plate to improve receiving the malleus handle. The surface of the predefined contact points (upper side of implant plate and implant shoe) is roughened in order to facilitate better bonding to the eardrum resp. the stapes footplate. To improve the adaptation of the implant plate to the plane of the eardrum, the angle between the implant plate and shaft can be optimally adapted because the shaft below the implant plate tapers off (onwards from a total length of 3.5 mm). The product is available in different lengths. The length information is stated both on the outer package as well as on the product’s sterile packaging. Fixed Length Central Head shaft diam. 0.3 mm Length 3.00 mm Central Head shaft diam. 0.3 mm Length 3.50 mm Central Head shaft diam. 0.3 mm Length 4.00 mm Central Head shaft diam. 0.3 mm Length 4.25 mm Central Head shaft diam. 0.3 mm Length 4.50 mm Central Head shaft diam. 0.3 mm Length 4.75 mm Central Head shaft diam. 0.3 mm Length 5.00 mm Central Head shaft diam. 0.3 mm Length 5.50 mm Central Head shaft diam. 0.3 mm Length 6.00 mm Central Head shaft diam. 0.3 mm Length 6.50 mm Central Head shaft diam. 0.3 mm Length 7.00 mm Offset Head shaft diam. 0.3 mm Length 3.00 mm Offset Head shaft diam. 0.3 mm Length 3.50 mm Offset Head shaft diam. 0.3 mm Length 4.00 mm Offset Head shaft diam. 0.3 mm Length 4.25 mm Offset Head shaft diam. 0.3 mm Length 4.50 mm Offset Head shaft diam. 0.3 mm Length 4.75 mm Offset Head shaft diam. 0.3 mm Length 5.00 mm Offset Head shaft diam. 0.3 mm Length 5.50 mm Offset Head shaft diam. 0.3 mm Length 6.00 mm Offset Head shaft diam. 0.3 mm Length 6.50 mm Offset Head shaft diam. 0.3 mm Length 7.00 mm Shortenable Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-2.8 mm Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-2.3 mm Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-3.5 mm Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-3.0 mm Adjustable Titanium Implant with Separate Shoe, shaft diam. 0.4 mm Length 7.8-2.8 mm Adjustable Titanium Implant with Separate Shoe, shaft diam. 0.4 mm Length 7.8-2.3 mm RC 22 196 1565 4157 290802 Group Benefit Change 365 0 0 Update 2019-03-01 2020-02-01 Prosthesis UP001 LM328 Total Ossicle Replacement a) TTP Tuebingen Type Aerial Type b) TTB-Vario Aerial c) TTP Variac System Total d) Malleus Notch Prosthesis e) Regensburg Type Total Prosthesis f) Malleus Replacement g) Duesseldorf Type Total h) Omega Connector a) Length - 3 to to 7mm b) one size only c) one size only d) Length - 3 to 7mm e) Length - 4 to 5mm f) one size only g) lengths - 3 to 7mm h) length - 0.5mm UP 22 196 1565 4157 119747 Group Benefit Change 365 0 0 Update 2019-07-01 2020-02-01 Prosthesis US019 Vibrant Soundbridge System - Vibroplasty Couplers Middle ear prostheses used with the Vibrant Soundbridge System VORP implant. Facilitate coupling between the FMT and a vibratory structure of the middle ear. Functional length: Vibroplasty-OW-Coupler - 2.50, 3.00, 3.50, 4.00mm Vibroplasty-CliP-Coupler - 0.20, 0.50, 1.00, 1.50mm Vibroplasty-Bell-Coupler - 0.20, 0.50, 1.00, 1.50mm Vibroplasty-RW-Coupler - 0.85mm Incus-Symphonix-Coupler - Left and Right (2.5 x 3.3mm) Incus-LP-Coupler - Left and Right (2.8 x 3.8mm) Incus-SP-Coupler (2.9 x 4.4mm) RW-Soft-Coupler (1 x 1.5mm US 22 196 1565 6521 Coupler 185533 279821 Group Benefit Change 350 0 0 Update 2017-02-01 2020-02-01 Prosthesis US020 Vibrant Soundbridge System - Samba Audio Processor Middle ear implant audio processor. The Samba audio processor is the externally worn component of the Vibrant Soundbridge System and connects to the implant through magnetic attraction. Fitting the Samba audio processor activates the Soundbridge. Samba Lo, Samba Hi left and right versions, length = 35mm, width = 30mm, height = 10mm, weight <9g (inc battery US 22 196 1565 6521 Programmable, wireless - enabled 271112 Group Benefit Change 6825 0 0 Update 2017-02-01 2020-02-01 Prosthesis US018 Vibrant Soundbridge System - Vibrating Ossicular Prosthesis VORP502x An active direct-drive implantable middle ear hearing prosthesis, the VORP 502x consists of the Floating Mass Transducer (FMT), a conductor link, an electronic package and a magnet surrounded by an internal coil. VORP502A (Right), VORP502B (Left) Length: 129mm, Width: 29mm, Thickness: 4.5mm, Weight: 9.3g US 22 196 1565 6521 161702 Group Benefit Change 7470 0 0 Update 2017-02-01 2020-02-01 Prosthesis US021 Vibrant Soundbridge System - Vibrating Ossicular Prosthesis VORP503 Part of the Vibrant Soundbridge System, VORP503 is an active implant, which is implanted into the temporal bone under the skin. The VORP 503 consists of the Floating Mass Transducer (FMT), a conductor link, the electronics (demodulator), fixation wings and a magnet surrounded by a receiver coil. One size (left and right) Length: 118mm, Width: 28mm, Thickness: 4.4mm, Weight: 10.1g US 22 196 1565 6521 287904 Group Benefit Change 7470 0 0 Update 2017-02-01 2020-02-01 Prosthesis OL086 Ventilation Tube Ultrasil Silicon Ventilation tube Various sizes OL 22 196 1566 Antibiotic 146612 Group Benefit Change 20 0 0 Update 2018-02-01 2020-02-01 Prosthesis OL087 Ventilation tube PacifiC Ventilation tube Various sizes OL 22 196 1566 Antibiotic 146612 Group Benefit Change 20 0 0 Update 2018-08-01 2020-02-01 Prosthesis OL090 Ventilation tube HydroxylVent tube Various sizes OL 22 196 1566 Antibiotic 146612 Group Benefit Change 20 0 0 Update 2018-08-01 2020-02-01 Prosthesis BQ004 Ventilation Tubes / Grommet a) Tubingen Gold Type b) Tubingen Titanium Type c) T Tube d) Reuter Bobbin Type e) Paparella Type f) Collar Button Type g) Star Tube h) Bevel Buttton Tube i) Straight Tube j) Armstrong Type k) Shepard Type l) Donaldson Type m) Angular Type n) Myringotomy Tube with Trocar o) Ventilation Tubes with Eyelets p) Minimal Type a) I.D. 1.25mm w/w, I.D.1.25mm wo/w, I.D. 1.5mm wo/w b) one size only c) L- 6, 7.5, 12 d) I.F.O.D 2.5mm, 2.7mm e) one size only f) one side only g) one size only h) one size only i) i.d.-0.9mm,1.1mm,1.15mm j) L-3.8mm, 3.7mm, 10mm k) L- 2.2mm w/t, 2.2mm wo/t,2.4mm w/t l) S- one size only, F one size only m) one size only n) Silver or Titanium o) one or two p) one size only BQ 22 196 1566 120972 18 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CK005 Exmoor Plastics Ear Vent Drains - Reuter Bobbin Without hole, teflon 1.14 mm lumen dia x 2.54 mm inner flange dia x 2.54 mm outer flange dia x 0.76 inter flange. 1.52mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CK006 Exmoor Plastics Ear Vent Drains - Collar Button Teflon 1.14 mm lumen dia x 2.24 mm inner flange dia x 2.24 mm outer flange dia x 1.27 inter flange. 1.78 mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CK007 Exmoor Plastics Ear Vent Drains - Collar Button Teflon 1.14 mm lumen dia x 3.0 mm inner flange dia x 3.0 mm outer flange dia x 1.27 inter flange. 1.78 mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CK008 Exmoor Plastics Ear Vent Drains - Collar Button Teflon 1.4 mm lumen dia x 2.55 mm inner flange dia x 2.55 mm outer flange dia x 0.85 inter flange. 1.35 mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CK009 Exmoor Plastics Ear Vent Drains - Collar Button Teflon 1.75 mm lumen dia x 2.85 mm inner flange dia x 2.85 mm outer flange dia x 0.95 inter flange. 1.46 mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CK010 Exmoor Plastics Ear Vent Drains - Shepards Drain Teflon Shephards Drain 1.14 mm lumen dia x 2.36 mm inner flange dia x 2.36 mm outer flange dia x 1.42 inter flange. 2.41 mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CK011 Exmoor Plastics Ear Vent Drains - Teflon Shephards Drain with wire grasping feature Teflon Shephards Drain with wire 0.97 mm lumen dia x 2.08 mm inner flange dia x 2.08 mm outer flange dia x 1.42 inter flange. 2.41 mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CK012 Exmoor Plastics Ear Vent Drains - Donaldson Grommet With tab, silicone rubber 1.1 mm lumen dia x 2.25 mm inner flange dia x 2.25 mm outer flange dia x 0.76 inter flange. 2.25 mm total length CK 22 196 1566 133977 18 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ET076 Triune Vent Tube A tympanostomy (myringotomy) tube Lumen size 0.76mm - 1.35mm ET 22 196 1566 170820 18 0 0 No Change 2015-02-01 2020-02-01 Prosthesis IR002 NeoZoline Otological Ventilation Tubes Armstrong, Collar Button, Shepard, Reuter, Donaldson, Paparella, Shah 1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm IR 22 196 1566 33794 18 0 0 No Change 2013-08-01 2020-02-01 Prosthesis MC268 Medtronic Vent Tubes Fluoroplastic 0.76 - 1.52mm x 2.1 - 9.5mm x 1.0 - 12.0mm MC 22 196 1566 126695 18 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MC269 Medtronic Vent Tubes Activent Antimicrobial Ventilation Tube 1.02 - 1.27mm x 0.9 - 2.4mm MC 22 196 1566 126695 20 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC927 Medtronic Vent Tube . 1.02 - 1.52mm x 1.3 - 12.0mm MC 22 196 1566 126695 18 0 0 No Change 2009-08-01 2020-02-01 Prosthesis MG037 Micromedics Ventilation Tubes Silicone and fluroplastic ventilation tubes Lumen size: 0.76mm, 1.0mm, 1.14mm, 1.27mm, 1.42mm MG 22 196 1566 199400 18 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MI077 Medtronic Ventilation Tube Medium to long term, antimicrobial vent tube 1.02 - 1.52mm x 1.3-12.0mm MI 22 196 1566 126695 20 0 0 Update 2013-02-01 2020-02-01 Prosthesis MI078 Medtronic Ventilation Tubes Medium to Long term vent tube 0.76-1.52mm x0.9-12.0mm MI 22 196 1566 126695 18 0 0 No Change 2013-02-01 2020-02-01 Prosthesis MS057 NeoZoline Otological Ventilation Tubes Armstrong, Collar Button, Shepard, Reuter, Donaldson, Paparella, Shah 1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm MS 22 196 1566 173906 18 0 0 No Change 2010-08-01 2020-02-01 Prosthesis OL082 Ventilation tubes Fluoroplastics Ventilation tubes Various sizes OL 22 196 1566 146612 Group Benefit Change 18 0 0 Update 2018-02-01 2020-02-01 Prosthesis OL083 Ventilation tubes Titanium ventilation tubes Various sizes OL 22 196 1566 146612 Group Benefit Change 18 0 0 Update 2018-02-01 2020-02-01 Prosthesis OL084 Ventilation Tube Stainless Steel Ventilation tube Various sizes OL 22 196 1566 146612 Group Benefit Change 18 0 0 Update 2018-02-01 2020-02-01 Prosthesis OL085 Ventilation tubes Silicon Ventilation tubes Various sizes OL 22 196 1566 146612 Group Benefit Change 18 0 0 Update 2018-02-01 2020-02-01 Prosthesis RC002 Ventilation tube Ventilation tube - Silicone - T-tube, T-tube grommet 1.1mm; 1.27mm lumen RC 22 196 1566 182921 18 0 0 No Change 2011-08-01 2020-02-01 Prosthesis RC003 Ventilation Tubes - Collar Button Teflon, w/o wire 1.10mm, 1.25mm, 1.50mm lumen RC 22 196 1566 182921 18 0 0 No Change 2011-08-01 2020-02-01 Prosthesis RC004 Ventilation Tubes - Collar Button Teflon w/wire, and titanium w/o wire 0.76mm, 1.00mm, 1.25mm, 1.50mm lumen RC 22 196 1566 182921 18 0 0 No Change 2011-08-01 2020-02-01 Prosthesis RC006 Ventilation Tubes - Shepherd Teflon, w or w/o wire 1.15mm lumen RC 22 196 1566 182921 18 0 0 No Change 2011-08-01 2020-02-01 Prosthesis RC007 Ventilation Tubes - Shepherd Titanium, w/o wire 1.00mm, 1.25mm lumen RC 22 196 1566 182921 18 0 0 No Change 2011-08-01 2020-02-01 Prosthesis RC009 Ventilation Tubes - Silicone Armstrong Grommet, Donaldson w & w/o Tab, Paparella 1 and Paparella 2 (1.5mm) 1.1mm & 1.5mm lumen RC 22 196 1566 182921 18 0 0 No Change 2011-08-01 2020-02-01 Prosthesis ET031 Serenocem Cement Reaction bonded polymer composite formed by the neutralisation gelletation of a basic inorganic ionomer One size only - box of 2 ET 22 196 1567 80933 Group Benefit Change 1408 0 0 Update 2005-10-31 2020-02-01 Prosthesis WA007 Biodesign Otologic Repair Graft (small) Implantable biologic graft intended for use in otologic procedures. 2 discs with diameters of 0.4 and 0.6cm or 0.6 and 0.9 cm. 2.5X2.5cm WC 22 196 2521 6742 Porcine 300314 Group Benefit Change 325 0 0 Update 2018-08-01 2020-02-01 Prosthesis WA006 Biodesign Otologic Repair Graft Implantable biologic graft intended for use in otologic procedures. 5.0x5.0cm WC 22 196 2521 6743 Porcine 300314 Group Benefit Change 492 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC264 Septal Button Silicone 3cm MC 22 197 1568 169825 Group Benefit Change 135 0 0 Update 2005-10-31 2020-02-01 Prosthesis OL026 Septal Button Plastipore One size only OL 22 197 1568 143266 Group Benefit Change 135 0 0 Update 2010-02-01 2020-02-01 Prosthesis MI151 ALAR Nasal Valve Stent Nasal valve stent for repair of nasal vestibular stenosis and nasal valve collapse. 20mm long x 16mm wide MI 22 197 1817 218121 Group Benefit Change 172 0 0 Update 2014-08-01 2020-02-01 Prosthesis BQ007 ProTrach DualCare Set ProTrach DualCare is attached to a tracheostomy tube and is designed to eliminate the necessity of finger occlusion, enabling the tracheostomised patient to speak easily and more clearly. It combines a speaking valve with an HME, and this way both enabling hands-free speech and helping to keep the lungs healthy by providing the important humidification of the inhaled air. The Set includes: 180pc HME Regular, 1pc Speaking Valve, 1pc ProTrach HME DigiTop, 1 Removal Aid and 1 connection strap. 15mm 22mm BQ 22 198 1569 275618 Changed Product Sizes, Benefit 628 0 0 Update 2017-02-01 2020-02-01 Prosthesis BQ008 ProTrach DualCare Speaking Valve ProTrach DualCare System is attached to a tracheostomy tube and is designed to eliminate the necessity of finger occlusion, enabling the tracheostomised patient to speak easily and more clearly. It combines a speaking valve with a HME and in this way enabling speaking and supporing your lungs with important heating and moisturising. The Set includes: 1pc Speaking Valve, 1pc ProTrach HME DigiTop, 1 Removal Aid and 1 connection strap.ProTrach DualCare Speaking Valve, 1 HME DigiTop, 1 removal aid and 1pc Connection Strap 15mm 22mm BQ 22 198 1569 275618 Group Benefit Change 92 0 0 Update 2017-02-01 2020-02-01 Prosthesis BQ010 Tracheal Speaking Valve Provox a) Two b) Vega c) Vega Puncture Set a) 4.5, 6, 8, 10, 12.5, 15mm b) 17, 20, 22.5fr in 4, 6, 8, 10, 12.5, 15mm c) 17, 20, 22.5fr in 4, 6, 8, 10, 12.5, 15mm BQ 22 198 1569 120197 236026 Group Benefit Change 92 0 0 Update 2018-02-01 2020-02-01 Prosthesis PT001 Blom-Singer® Dual Valve and Advantage Voice Prosthesis A range of valved silicone voice prostheses with specific anti-fungal and anti-leakage attributes, that are placed into a tracheoesophageal puncture at the time of surgery. The Prosthesis resides between the back wall of the trachea into the esophageal wall to enable tracheosophageal speech. Dual Valve: 16 French and 20 French diameters 4-14mm length Advantage: 20 French diameter 6-14mm length (2mm increments) PT 22 198 1569 278705 Group Benefit Change 92 0 0 Update 2018-08-01 2020-02-01 Prosthesis PT002 Blom-Singer® Classic, Rapid Response Indwelling Voice Prostheses A range of valved silicone voice prostheses that are placed into a tracheoesophageal puncture at the time of surgery. The Prosthesis resides between the back wall of the trachea into the esophageal wall to enable tracheosophageal speech. Benefit: Voice is produced by temporarily blocking the stoma so that exhaled pulmonary air can be directed from the trachea, through the prosthesis into the oesophagus, producing voice in the TEP segment. Fluent, conversational speech may be acquired within just a few days. Blom-Singer Rapid Response VP’s are available with extended tracheal and oesophageal flanges to overcome peripheral valve leakage. In addition, valve weighting can be adjusted to manage reflux and central valve leakage. This range of valves is also available in special lengths. 16 French and 20 French diameters, 4-20mm length (2mm increments) PT 22 198 1569 278705 Group Benefit Change 92 0 0 Update 2018-08-01 2020-02-01 Prosthesis PT003 BQ009 Tracheal Speaking Valve Passy Muir Tracheal Speaking Valve one size PT 22 198 1569 279056 Group Benefit Change 92 0 0 Update 2018-08-01 2020-02-01 Prosthesis BQ001 Vocal Chord Medialisation Implant Montgomery Laryngeal Keel 12, 14, 16 - Clear and Radiopaque BQ 22 198 1570 119029 Group Benefit Change 248 0 0 Update 2016-08-01 2020-02-01 Prosthesis IG143 Silicone Blocks Netterville Phonoform Block - Right, Left, Wedge & Strip Right - One size only, Left - One size only, Wedge - One size only & Strip - One size only IG 22 198 1570 235425 Group Benefit Change 248 0 0 Update 2015-08-01 2020-02-01 Prosthesis OL071 Vocal Cord Medialisation Implant Vocom Larynx Medial Implant - Hydroxylapatite 3 - 7mm Head OL 22 198 1570 143279 Group Benefit Change 248 0 0 Update 2010-02-01 2020-02-01 Prosthesis OL072 Vocal Cord Medialisation Implant Vocom Shim for Medial Implant - Hydroxylapatite 1mm - 3mm Offset OL 22 198 1570 143279 Group Benefit Change 248 0 0 Update 2010-02-01 2020-02-01 Prosthesis LH576 Tracheobronxane Silmet Nitinol wire - tracheal and bronchial stents - Dumon 12 - 20mm diameter, 20 - 90mm length LH 22 198 1571 Nitinol 143612 Group Benefit Change 2256 0 0 Update 2017-02-01 2020-02-01 Prosthesis LH595 Aerstent Self Expandable Tracheal and Bronchial Stent Straight or Y, (10-24) mm diameter LH 22 198 1571 Nitinol 297568 Group Benefit Change 2256 0 0 Update 2018-08-01 2020-02-01 Prosthesis LH574 GSS & Dumon Silicone tracheal and bronchial stents 10 - 20mm diameter, 20 - 110mm length LH 22 198 1571 Silicone 143612 Group Benefit Change 903 0 0 Update 2017-02-01 2020-02-01 Prosthesis BQ005 Thyroplasty Montgomery Thyroplasty Implant System male - 8,9,10,11,12,13 female - 6,7,8,9,10 BQ 22 198 1573 117683 Group Benefit Change 1057 0 0 Update 2016-08-01 2020-02-01 Prosthesis BQ006 Extra-tracheal Cannula a) Montgomery Short-Term Cannula b) Montgomery Long-Term Cannula a) 4, 6, 8, 10 b) 4, 6, 8, 10 for Stoma Sizes 17-25, 25-33, 33-41, 41-49, 49-57, 57-65mm BQ 22 198 1574 Extra-tracheal 119737 Group Benefit Change 269 0 0 Update 2016-08-01 2020-02-01 Prosthesis BQ003 Intra-tracheal Cannula Montgomery Safe-T-Tubes Clear and Radiopaque except c) a) Paediatric b) Standard c) Hebeler d) Thoracic e) Extra-Long f) Tapered g) Montgomery Salivary Bypass Tube h) Har-el Pharyngeal Tube i) Montgomery Esophageal Tube j) Trachael Fenestrator k) Moore Trache a) 6, 7, 8, 9 b) 10, 11, 12, 13, 14. 15, 16 c) 12, 15, 18 d) 10, 11, 12, 13, 14, 15, 16 e) 10, 11, 12, 13, 14, 15, 16 f) 8/10, 10/13 g) 8, 10, 12, 14, 16, 18, 20 h) one size only i) one size only j) size 6, 8 and 10 k) size 6 and 8 BQ 22 198 1574 Intra-tracheal 119736 119737 Group Benefit Change 425 0 0 Update 2016-08-01 2020-02-01 Prosthesis ET040 Vox Implants Vox Implants are solid, irregularly textured, medical grade Polydimethylsiloxane Elastomer implants suspended in a hydrogel carrier One size only ET 22 198 1576 146733 Group Benefit Change 7401 0 0 Update 2005-10-31 2020-02-01 Prosthesis SE001 SIR-Spheres including Delivery Apparatus Biocompatible microspheres 20-60mm (microns) in diameter containing yttrium-90. Delivery apparatus is PVC tubing, ABS stopcocks, acrylic holders and stainless steel needles with PE hubs One size only SE 21 187 1520 8230 0 0 No Change 2006-03-24 2020-02-01 Prosthesis BA252 BrachySource® I-125 Implant BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source. Up to 120 seeds per patient. Seeds are a 4.5mm x 0.8mm welded titanium capsule. BA 21 187 1521 4162 225229 225230 225231 225237 225238 Group Benefit Change 5866 0 0 Update 2014-08-01 2020-02-01 Prosthesis BA253 ReadyLink® Implant BrachySource® Seed Implants in the ReadyLink® Delivery System. Up to 120 seeds per patient. Seeds are 4.5mm x 0.8mm welded titanium capsule preconnected in user defined trains. BA 21 187 1521 4162 225229 225230 225231 225237 225238 Group Benefit Change 5866 0 0 Update 2014-08-01 2020-02-01 Prosthesis CL001 Advantage I-125 Pre-load Advantage I-125 Pre-load consists of stranded Advantage I-125 seeds pre-loaded on prescription into brachytherapy needles specifically for treatment of an individual patient. They arrive sterile and pre-packaged ready for use in theatre Stranded seeds are pre-loaded in brachytherapy needles in a prescribed configuration; up to 120 seeds CL 21 187 1521 4162 175081 Group Benefit Change 5866 0 0 Update 2009-08-01 2020-02-01 Prosthesis CL002 Advantage I-125 Seed Advantage I-125 seeds are sealed radioactive sources containing Iodine-125 for interstitial brachytherapy 3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule, up to 120 seeds CL 21 187 1521 4162 154457 Group Benefit Change 5866 0 0 Update 2010-02-01 2020-02-01 Prosthesis RQ078 TheraStrand Rx with AgX100 Brachytherapy Kit The TheraStrand RX brachytherapy kit is prescription-loaded and supplied sterile. The prescription generally comprises 25 needles containing the brachytherapy I-125 sources (80-100 seeds) sequenced per the physician's treatment plan. All sources are of the same activity/strength. The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter. RQ 21 187 1521 4162 205063 Group Benefit Change 5866 0 0 Update 2017-02-01 2020-02-01 Prosthesis RQ079 I-Seed AgX100 Cartridge Brachytherapy Kit The I-Seed AgX100 Cartridge brachytherapy kit comprises 8 or fewer cartridges (max. 20 seed) in a vertical seed magazine, VSM20. The kit is supplied sterile and is compatible with the Mick applicator. The I-Seed AgX100 Cartridge Brachytherapy Kit generally contains 8 or fewer cartridges, each a max. 20 seeds, a total of 80-100 seeds. Each seed comprises a silver rod with the source within 4.5 x 0.8mm sealed titanium capsule. RQ 21 187 1521 4162 205023 Group Benefit Change 5866 0 0 Update 2017-02-01 2020-02-01 Prosthesis BA251 BrachySource® I-125 seeds Single BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source. To be used only if more than 120 seeds are used per patient. Seeds are a 4.5mm x 0.8mm welded titanium capsule. BA 21 187 1521 4163 225229 225230 225231 225237 225238 Group Benefit Change 74 0 0 Update 2014-08-01 2020-02-01 Prosthesis CL003 Advantage I-125 Seed The Advantage I-125 seed is a sealed radioactive source containing Iodine-125 for interstitial brachytherapy 3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule CL 21 187 1521 4163 154457 Group Benefit Change 74 0 0 Update 2010-02-01 2020-02-01 Prosthesis NU001 selectSeed Nucletron selectSeed Model # 130002 consists of cylindrical silver rod, coated with radioactive Iodine-125 layer. Active silver rod is encapsulated in hollow titanium tube. Laser welding, using spherical shaped end welds, seals the tube. One size only NU 21 187 1521 4163 155306 Group Benefit Change 74 0 0 Update 2005-10-31 2020-02-01 Prosthesis RQ076 Theragenics C20 IsoLoader Magazines in TPSII Individual - 20 seeds per magazine - sterile The C20 IsoLoader cartridge is a shielded cartridge holding up to 20 I125 seeds, supplied in accordance with the surgeon's requirements. Benefit is per seed. 1 representation in a delivery magazine with a loading of up to 20 seeds RQ 21 187 1521 4163 271520 Group Benefit Change 74 0 0 Update 2016-02-01 2020-02-01 Prosthesis RQ077 TheraStrand RX with I-Seed AgX100 I125 implants AgX100 I-125 Seeds pre-loaded. The billing code is to be applied only if more than 100 seeds are used per patient. Benefit is per seed. One representation with a loading of more than 100 seeds. The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter RQ 21 187 1521 4163 205063 Group Benefit Change 74 0 0 Update 2017-02-01 2020-02-01 Prosthesis MB025 TraceIT Gel System TraceIT System is intended to create a temporary space within soft tissue during radiation therapy. 3mL MB 21 187 1792 6061 268092 Group Benefit Change 858 0 0 Update 2016-08-01 2020-02-01 Prosthesis MB017 SpaceOAR System The SpaceOAR System consists of components for preparation of a synthetic, absorbable hydrogel spacer and a delivery mechanism packaged in a single kit. The hydrogel spacer creates a temporary space between the prostate and rectum during radiation therapy. 10CC MB 21 187 1792 6281 179172 Group Benefit Change 1760 0 0 Update 2013-08-01 2020-02-01 Prosthesis MB024 TraceIT Gel System TraceIT System is intended to create a temporary space within soft tissue during radiation therapy. 10mL MB 21 187 1792 6281 268092 Group Benefit Change 1760 0 0 Update 2016-08-01 2020-02-01 Prosthesis BB086 Celsite Epoxy Peritoneal Port Epoxy/titanium 32x27x13mm BB 21 188 1522 4164 133738 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB385 BB082 BB084 Celsite Access Port Single Access Port Standard, Small, Baby BB 21 188 1522 4164 133738 137735 Group Benefit Change 438 0 0 Update 2018-08-01 2020-02-01 Prosthesis SI001 Injection/Infusion Ports, Sterile - PORT-A-CATH II Trans Arterial Percuataneous System Port - single lumen One size only SI 21 188 1522 4164 154985 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI003 Injection/Infusion Ports, Sterile - PORT-A-CATH P.A.S Port T2 System Port - single lumen 1.9 mm O.D. PolyFlow Polyurethane Catheter SI 21 188 1522 4164 161541 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI005 Injection/Infusion Ports, Sterile - PORT-A-CATH Peritoneal System Port - single lumen One size only SI 21 188 1522 4164 154984 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI007 Injection/Infusion Ports, Sterile - PORT-A-CATH Arterial Titanium System Port - single lumen 2.3 mm silicone catheter SI 21 188 1522 4164 154985 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI008 Porth-A-Cath Power P.A.C Titanium Implantable Venous Access Device Single Lumen Portal, Standard and Low Profile Titanium 6 - 8.5 Fr SI 21 188 1522 4164 161540 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI010 PORT-A-CATH Titanium Implantable Access System Port - single lumen 6 - 9 Fr SI 21 188 1522 4164 154982 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI012 Injection/Infusion Ports, Sterile - PORT-A-CATH Low Profile Implantable Venous System, with introducer set Port - single lumen 1.9 mm polyurethane catheter SI 21 188 1522 4164 154982 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI014 Injection/Infusion Ports, Sterile - PORT-A-CATH II Titanium Venous System, with introducer set Port - single lumen 2.8 mm silicone catheter SI 21 188 1522 4164 154982 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI016 Injection/Infusion Ports, Sterile - PORT-A-CATH II Titanium Venous System with introducer set Port - single lumen 1.9 mm polyurethane catheter SI 21 188 1522 4164 154988 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI017 Power Port-A-Cath II Implantable Vascular Access Device Injection/Infusion Ports, Sterile, Single Lumen, Power-injectable Port 6 - 9 Fr SI 21 188 1522 4164 161541 175619 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI019 Injection/Infusion Ports, Sterile - PORT-A-CATH II Low Profile Titanium Venous System with introducer set Port - single lumen 1.9 mm polyurethane catheter SI 21 188 1522 4164 151451 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI020 Injection/Infusion Ports, Sterile - PORT-A-CATH II Epidural Low Profile System Port - single lumen 1.2 mm O.D. polyurethane catheter SI 21 188 1522 4164 169403 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI021 Injection/Infusion Ports, Sterile - PORT-A-CATH II Intraspinal Low Profile System Port - single lumen 0.9 mm O.D. polyurethane catheter SI 21 188 1522 4164 154989 Group Benefit Change 438 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB083 Celsite Epoxy Dual Access Port Epoxy/titanium Standard/small/baby BB 21 188 1522 4437 133738 Group Benefit Change 555 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI023 PORT-A-CATH II Power Dual Lumen Titanium Implantable Vascular Access Device Power Port - dual lumen 7 - 10 Fr SI 21 188 1522 4437 161541 Group Benefit Change 555 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI050 Neofuser Plus Neofuser® Plus is a single-use, portable elastomeric infusion pump that provides medication at accurate continuous pre-fixed flow with additional bolus doses via patient controlled analgesia (PCA) module. Neofuser® Plus has been mainly designed for systemic or regional preoperative and postoperative pain management therapy. 60 ml 60 ml 100ml 100ml 275ml 275ml 450 ml 450 ml SI 21 188 1524 5358 Bolus 306862 Group Benefit Change 73 0 0 Update 2018-08-01 2020-02-01 Prosthesis TX057 Autofuser Fixed Rate w/Bolus Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion. The Arrow AutoFuser Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients. The Arrow AutoFuser Disposable Pain Pump offers multiple reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the basal rate. 275ml, 550ml TX 21 188 1524 5358 Bolus 288197 Group Benefit Change 73 0 0 Update 2019-11-01 2020-02-01 Prosthesis TY001 mobiFUSER Disposable sterile non electronic elastomeric infusion device. Variable flow rates available. For continuous fluid/medication delivery Maximum Capacity 275ml TY 21 188 1524 5358 Bolus 188661 Group Benefit Change 73 0 0 Update 2017-08-01 2020-02-01 Prosthesis BX247 Intermate Sterile infusor devices, elastomeric driven SV 200 - 200ml/hr, nominal 100ml vol. max 105 mL. SV 100 - 100ml/hr, nominal 100ml vol. max 105 mL. LV 250, 250ml/hr, 275ml vol. SV 50 - 50ml/hr, nominal 100ml vol. max 105mL. LV 100 - 100ml/hr, 275ml vol. LV 50, 50ml/hr, 275ml vol BX 21 188 1524 5358 Set 168893 Group Benefit Change 224 0 0 Update 2005-10-31 2020-02-01 Prosthesis BX281 Baxter Folfusor Sterile infusor devices, elastomeric driven. Folfusor SV 0.5mL/hr 120mL (Baxter Code 2C4700K), Folfusor SV 2.5mL/hr 120mL (Baxter Code 2C4711K), Folfusor SV 5mL/hr 120mL (Baxter Code 2C4705K). The Baxter Folfusor is a disposable infusion pump used in an ambulatory setting for the continuous infusion of intravenous medications. The codes listed above represent three separate flow rates specific to Chemotherapy protocols. 120mL Maximum Volume BX 21 188 1524 5358 Set 168893 Group Benefit Change 224 0 0 Update 2010-08-01 2020-02-01 Prosthesis BX287 Intermate XLV 250 Sterile infusor devices, elastomeric driven. The Intermate XLV 250 is an ambulatory device utilising elastomeric technology to deliver continuous infusion of parenteral therapy to patients in an ambulatory setting. The device is specifically suitable for patients requiring intravenous immunoglobulin therapy. The nominal flow rate of the Intermate XLV 250 is 250mL/hr, however when used for the administration of IVIG the flow rate is reduced to approximately 120mL/hr. Volume 500mL. Approximate infusion time for IVIG solutions is 4.2 hrs. BX 21 188 1524 5358 Set 168893 Group Benefit Change 224 0 0 Update 2013-02-01 2020-02-01 Prosthesis BX327 Infusor Sterile Infusor Devices, Elastomeric Driven LV 10, 10ml/hr, 240ml vol LV 5, 5ml/hr, 240ml vol BX 21 188 1524 5358 Set 168893 Group Benefit Change 224 0 0 Update 2014-08-01 2020-02-01 Prosthesis BX328 Infusor Sterile Infusor Devices, Elastomeric Driven LV 2, 2ml/hr, 275 ml vol; LV 1.5, 1.5ml/hr, 275 ml vol. BX 21 188 1524 5358 Set 168893 Group Benefit Change 224 0 0 Update 2014-08-01 2020-02-01 Prosthesis CU003 Neofuser Pump Continuous flow rate ambulatory and disposable silicone balloon infusion pump Volume 100ml, 275ml, 450ml CU 21 188 1524 5358 Set Group Benefit Change 224 0 0 Update 2017-02-01 2020-02-01 Prosthesis SQ146 ON-Q Pain Relief System Elastomeric Infusion Pump System 100-400ml SQ 21 188 1524 5358 Set 142526 Group Benefit Change 224 0 0 Update 2018-02-01 2020-02-01 Prosthesis UX001 AH006 DOSI-FUSER Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications. Its primary purpose is for continuous delivery of fluids/medications. 65ml - 140mm x 45mm x 40mm; 100ml - 140mm x 52mm x 50mm; 150 - 140mm x 55mm x 55mm; 250ml - 140mm x 60mm x 60mm; 400ml, 500ml, 600ml UX 21 188 1524 5358 Set 324361 Group Benefit Change 224 0 0 Update 2019-11-01 2020-02-01 Prosthesis UX002 AH014 DOSI-PAIN Kit The DOSI-PAIN® Kit is a complete pain kit for the administraton of analgesics required for post operative pain relief. The The DOSI-PAIN® Kit contains the DosiFuser elastomeric pump (already registered on the prosthesis listing), a wound catheter and a BD Plastipack syringe. The The DOSI-PAIN® Kit is designed to provide drug infusion at a constant flow without impeding patient mobility. It is indicated for Chemotherapy, antiviral treatments, administration of antibiotics, pain treatments, Aids treatments and immunosuppressants; continuous ambulatory infusion of anaesthetics, anti-emetic drugs, heparin, etc.; continuous ambulatory arterial or intravenous infusion of antibiotics, cytostatic drugs, etc.The DOSI-PAIN® Kit offers a wide range of flow rates. 65ml - 140mm x 45mm x 40mm; 100ml - 140mm x 52mm x 50mm; 150ml - 140mm x 55mm x 55mm; 250ml - 140mm x 60mm x 60mm UX 21 188 1524 5358 Set 324361 Group Benefit Change 224 0 0 Update 2019-11-01 2020-02-01 Prosthesis BB349 Easypump Disposable Elastomeric infusion pump system LT: Filling Volume: 60ml - 400ml, Flow Rate: 0.5ml/h - 10ml/h ST: Filling Volume: 50ml - 500ml, Flow Rate: 50ml/h - 500ml/h BB 21 188 1524 5358 221448 Group Benefit Change 73 0 0 Update 2015-08-01 2020-02-01 Prosthesis RN006 Surefuser+ Fixed Flow Elastomeric balloon driven, ambulatory infusion pump with a variety fixed infusion rates. 50ml, 100ml, 250ml RN 21 188 1524 5358 92233 Group Benefit Change 73 0 0 Update 2013-08-01 2020-02-01 Prosthesis SI049 Neofuser Pump Neofuser® is a single-use, portable elastomeric infusion pump that provides medication at accurate continuous pre-fixed flow. 60mL, 100mL, 275mL, 450mL SI 21 188 1524 5358 306862 Group Benefit Change 73 0 0 Update 2018-08-01 2020-02-01 Prosthesis TX058 Autofuser Fixed Rate Fixed rate elastomeric infusion pump. Several basal rate options. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion. The Arrow AutoFuser Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients. The Arrow AutoFuser Disposable Pain Pump offers multiple reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the continuous basal infusion. 100ml, 150ml, 275ml TX 21 188 1524 5358 288197 Group Benefit Change 73 0 0 Update 2019-11-01 2020-02-01 Prosthesis BX249 Multirate with PCM Sterile infusor devices, elastomeric driven Multirate 5, 7 or 12 ml/hr with PCM BX 21 188 1524 5359 Bolus 168893 Group Benefit Change 387 0 0 Update 2005-10-31 2020-02-01 Prosthesis BX330 Basal Bolus Infusor Sterile Infusor Devices, Balloon based Basal/Bolus 60, Basal 0.5ml/hr, Bolus 0.5 x 65ml Basal/Bolus 15, Basal 0.5ml/hr, Bolus 2ml/hr x 65ml Basal/Bolus infusor, Basal 2ml/hr, Bolus 2ml/hr x 65ml BX 21 188 1524 5359 Bolus 168893 Group Benefit Change 387 0 0 Update 2014-08-01 2020-02-01 Prosthesis CU005 Neofuser Bolus Pump Ambulatory and disposable silicone balloon infusion pump with bolus function Volume 100ml, 275ml, 450ml CU 21 188 1524 5359 Bolus Group Benefit Change 387 0 0 Update 2017-02-01 2020-02-01 Prosthesis RN007 Surefuser+ PCA Elastomeric balloon pump with variable infusion rate and a patient-controlled analgesia (PCA) infuser. 50ml, 100ml, 150ml, 250ml, 300ml RN 21 188 1524 5359 Bolus 92233 Group Benefit Change 387 0 0 Update 2019-07-01 2020-02-01 Prosthesis SQ037 ON-Q Pain Relief System Elastomeric Infusion Pump System with Bolus 270-400ml SQ 21 188 1524 5359 Bolus 142526 Group Benefit Change 387 0 0 Update 2009-02-01 2020-02-01 Prosthesis TX059 Autofuser Autoselector Variable Rate w/Bolus Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion. The Arrow AutoFuser Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients. The Arrow AutoFuser Disposable Pain Pump offers multiple reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the basal rate. 275ml, 550ml TX 21 188 1524 5359 Bolus 288197 Group Benefit Change 387 0 0 Update 2019-11-01 2020-02-01 Prosthesis CU004 Neofuser Vario Pump Variable flow rate ambulatory and disposable silicone balloon infusion pump Volume 60ml, 100ml, 180ml, 275ml, 450ml CU 21 188 1524 5359 Set Group Benefit Change 323 0 0 Update 2017-02-01 2020-02-01 Prosthesis SQ035 ON-Q Pain Relief System Elastomeric Infusion Pump System, Select-A-Flow, Dual 270ml - 600ml SQ 21 188 1524 5359 Set 142526 Group Benefit Change 323 0 0 Update 2009-02-01 2020-02-01 Prosthesis UX003 AH009 DOSI-FUSER PCA Infusion System Designed to provide drug infusion at a constant rate. Facilitates the ability for a clinician to allow the patient to initiate a controlled bolus with a set lock out period. Bolus reservoir sizes of 0.5ml and 2ml are available with lock-out times of 15, 30, 60 and 80 minutes. 65ml, 100ml, and 250ml UX 21 188 1524 5359 Set 324361 Changed Benefit 260 0 0 Update 2019-11-01 2020-02-01 Prosthesis UX004 AH012 DOSI-FUSER Multiflow System Elastomeric pump providing drug infusion at a constant flow. Facilitates the ability for a clinician to adjust the infusion rate of the contents of the infuser. Offers a wide range of flow rates from 1ml/h to 7ml/h in steps of 1ml/h, and from 2ml/h to 14ml/h in steps of 2ml/h. 65ml, 100ml, 150ml, and 250ml. UX 21 188 1524 5359 Set 324361 Group Benefit Change 323 0 0 Update 2019-11-01 2020-02-01 Prosthesis RN004 Surefuser+ Elastomeric balloon driven, ambulatory infusion pump with variable infusion rate 100ml, 250ml RN 21 188 1524 5359 92233 Group Benefit Change 142 0 0 Update 2013-08-01 2020-02-01 Prosthesis SI051 Neofuser Vario Single-use, portable elastomeric multirate infusion pump 1 - 7 ml/h 2 - 14 ml/h 1 - 7 ml/h 2 - 14 ml/h 1 - 7 ml/h 2 - 14 ml/h 1 - 7 ml/h 2 - 14 ml/h SI 21 188 1524 5359 306862 Group Benefit Change 142 0 0 Update 2018-08-01 2020-02-01 Prosthesis TX060 Autofuser Autoselector Variable Rate Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion. The Arrow AutoFuser Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients. The Arrow AutoFuser Disposable Pain Pump offers multiple reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the continuous basal rate 100ml, 275ml, 400ml. TX 21 188 1524 5359 288197 Group Benefit Change 142 0 0 Update 2019-11-01 2020-02-01 Prosthesis MS066 Cellnovo Insulin Infusion System Continuous Subcutaneous Insulin Infusion Pump The Cellnovo Insulin Infusion System is only available in one size. MS 21 188 1525 4183 DE, SS 277804 310142 Group Benefit Change 8077 0 0 Update 2017-02-01 2020-02-01 Prosthesis AN017 t:slim X2 Insulin Pump with Basal-IQ Technology Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability and incorporating Basal-IQ Predictive Low Glucose Suspend (PLGS) Technology. One size only. AN 21 188 1525 4187 DE, SS 304681 Group Benefit Change 8574 0 0 Update 2019-03-01 2020-02-01 Prosthesis FX002 AH004 ambIT Infusion Pump The ambIT Reusable Infusion Pump is an external programmable electronic ambulatory infusion pump used for the delivery of fluid and medications via intravenous, epidural, subcutaneous or regional routes. It can be programmed with different delivery profiles which include basal rate/continuous only, basal rate with PCA (Patient Controlled Analgesia), PCA Bolus Only or Intermittent Bolus Dose (PIB). It is operated in conjunction with a ambIT disposable administration cassette AmbIT Single use Pump - 55mm x 36mm x 175mm AmbIT Single use administration cassette - 20mm x 10mm x 15mm FX 21 188 1525 4185 228804 Group Benefit Change 4468 0 0 Update 2019-07-01 2020-02-01 Prosthesis RE001 Bodyguard Pump Ambulatory Infusion Pump, Battery Powered One size only RE 21 188 1525 4185 119623 Group Benefit Change 4468 0 0 Update 2014-08-01 2020-02-01 Prosthesis RE002 REM Systems Ambulatory Infusion Pump Ambulatory infusion pump, syringe. Models: NIKI T34 Standard; T34L PCA; T34L One size only RE 21 188 1525 4185 131232 Group Benefit Change 4468 0 0 Update 2015-02-01 2020-02-01 Prosthesis SI034 CADD-Solis VIP Ambulatory Infusion Pump Ambulatory Infusion Pump One size only SI 21 188 1525 4185 109467 Group Benefit Change 4468 0 0 Update 2005-10-31 2020-02-01 Prosthesis SI045 CADD®- Solis Pain Management System Ambulatory Infusion Pump, Battery Powered 680g excluding accessories SI 21 188 1525 4185 109467 Group Benefit Change 4468 0 0 Update 2014-08-01 2020-02-01 Prosthesis SI052 SI037 SI038 SI039 CADD Legacy CADD Legacy One, CADD Legacy Plus, CADD Legacy PCA Variants - Continuous, Continuous + Intermittent, PCA SI 21 188 1525 4185 109467 Group Benefit Change 4468 0 0 Update 2018-08-01 2020-02-01 Prosthesis TT005 HO006 Sapphire Infusion System The Sapphire Infusion System is a new device for ambulatory infusion and acute pain management. It is an infusion pump designed for the volumetric delivery of medications to patients at a programmable rate. Sapphire is the first pump to offer an intuitive, full colour touch screen interface in an ambulatory package, along with best-in-class +/-2.5% product delivery accuracy Size (in), Weight (oz) 5.6 x 3.8 x 1.9 in. 14.7 oz (including battery) TT 21 188 1525 4185 201499 Group Benefit Change 4468 0 0 Update 2019-11-01 2020-02-01 Prosthesis DQ002 Weight Dose Dispensor Programmable Infusion Pump 50ml DQ 21 188 1525 4186 321942 Group Benefit Change 407 0 0 Update 2019-11-01 2020-02-01 Prosthesis FX003 AH008 ambIT Single Use Regional Kit The ambIT Single Use Regional Kit contains: a single use ambIT pump, single use administration cassette with male luer lock fitting, 420ml Medibag, the choice of 75mm, 127mm or 154mm fenestrated nerve/wound catheter, a peel away introducer sheath, button guard and patient carry bag. ambIT Single Use Pump - 55mm x 36mm x 175mm Ambit Single use administration cassette - 20mm x 10mm x 15mm FX 21 188 1525 4186 228805 228804 190934 243381 190922 190933 Group Benefit Change 407 0 0 Update 2019-07-01 2020-02-01 Prosthesis FX004 AH013 ambIT Single Use Kit contains: a single use ambIT infusion pump, single use administration cassette with spike fitting, Button Guard, 2 x AA batteries, and patient carry bag AmbIT Single use Pump - 55mm X 36mm X 175mm AmbIT Single use administration cassette - 20mm X 10mm X 15mm FX 21 188 1525 4186 228804 228805 Group Benefit Change 407 0 0 Update 2019-07-01 2020-02-01 Prosthesis CU001 BeeLINE MotIV Infusion Pump (275ml) External infusion pump, spring powered, fixed flow rate, 275ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes. 30min - 7 day infusion 275ml infuser reservoir = 19cm (7.5") x 7cm (2.8") CU 21 188 1540 4188 Set 167182 Group Benefit Change 235 0 0 Update 2011-08-01 2020-02-01 Prosthesis CU002 BeeLINE MotIV Infusion Pump (100ml) External infusion pump, spring powered, fixed flow rate, 100ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes. 30min - 7 day infusion 100ml infusor reservoir = 13cm (5.1") x 7cm (2.8") CU 21 188 1540 4188 Set 167182 Group Benefit Change 235 0 0 Update 2011-08-01 2020-02-01 Prosthesis DQ001 BioQ Pharma ReadyfusOR Non-electric pre-filled infusion pain kit 250 ml DQ 21 188 1540 4188 Set 292140 Group Benefit Change 235 0 0 Update 2017-08-01 2020-02-01 Prosthesis BX326 Infusor Sterile Infusor Devices, Spring Powered SV Half, 5ml/hr, nominal 60ml vol, max 65ml. SV Single day, 2ml/hr, nominal 48ml vol, max 65ml BX 21 188 1540 4188 168893 Group Benefit Change 77 0 0 Update 2014-08-01 2020-02-01 Prosthesis BX329 Infusor Sterile Infusor Devices, Spring Powered SV Multi day, 0.5ml/hr, nominal 60ml vol, max vol 65ml SV Seven day, 0.5ml/hr, nominal 84ml vol max 95ml Vol BX 21 188 1540 4188 168893 Group Benefit Change 77 0 0 Update 2014-08-01 2020-02-01 Prosthesis BX286 Painfusor Catheter The Painfusor Catheter is an extended fenestration catheter for the administration of analgesic drugs into surgical wounds to manage acute post-operative pain. Pack contains fenestrated catheter, peel away introducer needle accommodating 19Ga (100 mm length), 3M Tegaderm IV Transparent Film Dressing with border 1633, and GripLok catheter securement device Catheters are 35cm + Fenestrated section: (35cm + 2.5cm) - total length 37.5cm, (35cm + 7.5cm) - total length 42.5cm, (35cm + 15cm) - total length 50cm, (35cm + 22.5cm) - total length 57.5cm, (35cm + 30 cm) - total length 65cm BX 21 188 1541 4190 177499 Group Benefit Change 72 0 0 Update 2012-02-01 2020-02-01 Prosthesis SQ070 ON-Q Pain Relief System Expansion kit with Soaker catheter, or SilverSoaker antimicrobial catheter 2.5-25cm SQ 21 188 1541 4190 162583 Group Benefit Change 72 0 0 Update 2012-02-01 2020-02-01 Prosthesis SQ142 ON-Q Pain Relief System QuikBloc Over-The-Needle Catheter Set Needles: 20GA 100mm-150mm Catheters: 16GA 76mm-127mm Stimulating, Non-stimulating SQ 21 188 1541 4190 162583 Group Benefit Change 72 0 0 Update 2018-02-01 2020-02-01 Prosthesis BX245 Patient Control Module Sterile infusor devices, spring or elastomeric driven Module 0.5ml dose, Module 2 ml dose BX 21 188 1541 4191 168892 26 0 0 No Change 2005-10-31 2020-02-01 Prosthesis FX001 AH005 ambIT Infusion Pump Cassette Single use sterile disposable administration set for use with the ambIT Infusion Pump. The cassette contains a rotary mechanism that pumps the infusion solution at an accurate and controlled rate. The cassette includes an administration line with either a spike fitting or a luer lock fitting depending on the solution bag used. The line has an inline air filter. 20mm x 10mm x 15mm FX 21 188 1541 4191 228805 Group Benefit Change 26 0 0 Update 2019-07-01 2020-02-01 Prosthesis LE001 AH005 ambIT Infusion Pump Cassette Single use sterile disposable administration set for use with the ambIT Infusion Pump. The cassette contains a rotary mechanism that pumps the infusion solution at an accurate and controlled rate. The cassette includes an administration line with either a spike fitting or a luer lock fitting depending on the solution bag used. The line has an inline air filter. 20mm x 10mm x 15mm LE 21 188 1541 4191 315704 Group Benefit Change 26 0 0 Update 2019-07-01 2020-02-01 Prosthesis RE003 Bodyguard Pump infusion sets Single use sterile disposble infusion set for use with Bodyguard Infusion Pump 230 cm length RE 21 188 1541 4191 119624 26 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SI024 CADD Medication Cassettes Medication Cassettes for use with CADD pumps 50 mL, 100mL, 250mL SI 21 188 1541 4191 145297 316997 Group Benefit Change 26 0 0 Update 2005-10-31 2020-02-01 Prosthesis TT006 HO007 Sapphire Infusion Cassette and Set The Sapphire Infusion Cassette and set is a one piece microfibre infusion set with non vented spike, pinch clamp, administration cassette, female luer lock, entrance with a back check valve, pinch clamp and spin male leur lock for use with the sapphire infusion system. The materail components are made from PVC-Non DEHP (tubing, connectors), silicon (Y site and tubing and polypropylene (valves) 210cm TT 21 188 1541 4191 200689 Group Benefit Change 26 0 0 Update 2019-11-01 2020-02-01 Prosthesis AN006 Animas IR 1200/2020 Insulin Infusion Cartridge (Insulin Infusion Pump IR1200/2020 Series) Sterile, indicated as reservoir for insulin by the Animas Infusion Pump, not intended for use with any other infusion device. Cartridge Capacity - 2.0mL or 200 units. Packs of 10 AN 21 188 1541 4192 96120 8 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AN016 t:slim Cartridge Cartridge for use with the t:slim X2 System Pack of 10 AN 21 188 1541 4192 304681 8 0 0 No Change 2019-03-01 2020-02-01 Prosthesis RX002 Medical Specialties "Walkmed Drug Administration Reservoir" (McKinley, USA) Ambulatory Infusion Pump System, Administration Sets and Accessories Walkmed Drug Administration Reservoirs RX 21 188 1541 4192 212508 8 0 0 No Change 2014-02-01 2020-02-01 Prosthesis AN003 Animas Insulin Infusion Sets (INFUSION SET, COMFORT, 23", HOSP 10, INFUSION SET, COMFORT 43", HOSP 10. Inset II, 6mm and 9mm. Inset 30, 13mm) Needle guard, soft cannula, adhesive tape, introducer needle, cannula housing, tubing, connector needle, circular protective cap and disconnect cover. Packs of 10 AN 21 188 1541 4193 96785 7 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AN004 Animas Insulin Infusion Set (INFUSION SET, COMFORT, 23", STD 5/5 AND INFUSION SET, COMFORT, 43" STD 5/5) Needle guard, soft cannula, adhesive tape, introducer needle, cannula housing, tubing, connector needle, circular protective cap and disconnect cover. Packs of 10 AN 21 188 1541 4193 96785 7 0 0 No Change 2005-10-31 2020-02-01 Prosthesis RX003 Medical Specialties "Walkmed Drug Administration Sets" (McKinley, USA) Ambulatory Infusion Pump System, Administration Sets and Accessories Walkmed Drug Administration Sets RX 21 188 1541 4193 212508 7 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SI026 CADD Administration Set 175cm TOTM tubing For use with SI036 250 mL SI 21 188 1541 4193 145297 7 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SI028 CADD Extention Set CADD Extension set for use with CADD Pumps Various SI 21 188 1541 4193 145297 7 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SI040 Administration Set Administration Set for use with CADD pump Various configurations SI 21 188 1541 4193 316996 145297 7 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SI046 Pump Pouch, single use Pump pouch, single use 50/100mL 50/100mL SI 21 188 1541 4194 109467 Group Benefit Change 45 0 0 Update 2017-02-01 2020-02-01 Prosthesis SQ069 ON-Q Pain Relief System Tunneller, Sheath, Needle 15.2-30.5cm 11-17GA SQ 21 188 1541 4194 142527 201353 201495 Group Benefit Change 45 0 0 Update 2012-02-01 2020-02-01 Prosthesis BS315 Embozene Tandem Microspheres Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non-resorbable, hydrogel microspheres with an inorganic polyzene-F coating, colour coded to indicate microsphere size. Each 20mL syringe is filled with 2 ml of product suspended in a non-pyrogenic physiological slaine transport solution. Embozene TANDEM Microspheres may be loaded with Doxirubican-HCl and Irinotecan-HCl up to 50mg/ml which can elute local, controlled, sustained doses of drugs to targeted tumour sites after embolisation. Tandem 2ml 40 ± 10 µm Tandem 2ml 75 ± 15 µm Tandem 2ml 100 ± 25 µm BS 21 188 1542 4195 315383 Group Benefit Change 1760 0 0 Update 2016-08-01 2020-02-01 Prosthesis BS316 Embozene Tandem Microspheres Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non-resorbable, hydrogel microspheres with an inorganic polyzene-F coating, colour coded to indicate microsphere size. Each 20 mL syringe is prefilled with 3 mL of product suspended in a non-pyrogenic physiological saline transport solution. Embozene TANDEM microspheres may be loaded with Doxorubican-HCI and Irinotecan-HCI up to 50 mg/ml which can elute local, controlled, sustained doses of the drugs to targeted tumour sites after embolisation. Tandem 3ml 40 ± 10 μm Tandem 3ml 75 ± 15 μm Tandem 3ml 100 ± 25 μm BS 21 188 1542 4195 315383 Changed Benefit 2234 0 0 Update 2016-08-01 2020-02-01 Prosthesis DE275 DC Bead Drug delivery embolisation system 70-150, 100-300, 300-500, 500-700, 700-900 (microns) DE 21 188 1542 4195 131473 Group Benefit Change 1760 0 0 Update 2007-12-01 2020-02-01 Prosthesis DE580 DC Bead M1 Drug delivery embolization system 70-150um DE 21 188 1542 4195 187101 Group Benefit Change 1760 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE647 DC Bead LUMI Drug delivery embolisation system 70-150 microns (black) 100-300 microns (yellow) DE 21 188 1542 4195 307152 Group Benefit Change 1760 0 0 Update 2018-08-01 2020-02-01 Prosthesis OW001 Hepasphere Expanding microspheres designed for chemic0-embolisation with chemotherapeutic agents such as Ethiodil, Cisplatin, Epirubicin, Mitomycin, etc. 30 – 200 micron, 25mg or 50mg of microspheres OW 21 188 1542 4195 276029 Group Benefit Change 1760 0 0 Update 2017-08-01 2020-02-01 Prosthesis BI280 Septopal Chain Septopal Beads PMMA, Stainless Steel 30 bead chain BI 21 188 1542 4196 159233 Group Benefit Change 677 0 0 Update 2005-10-31 2020-02-01 Prosthesis KI010 Corflo Max 20fg PEG Kit "Pull Type" Sterile enteral feeding tube with accessories 20fg KI 21 189 1544 196774 Group Benefit Change 161 0 0 Update 2017-08-01 2020-02-01 Prosthesis BA047 Gastrostomy Tube Silicone Tubes and Replacement Tubes 12Fr - 28Fr BA 21 189 1545 4197 141582 141583 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS141 EndoVive Initial Feeding Tube Silicone enteral feeding tube Up to 24 Fr BS 21 189 1545 4197 159455 Group Benefit Change 185 0 0 Update 2009-08-01 2020-02-01 Prosthesis DE296 Pull PEG System Initial placement percutaneous endoscopic gastrostomy kit 20Fr; 60cm DE 21 189 1545 4197 97184 Group Benefit Change 185 0 0 Update 2009-08-01 2020-02-01 Prosthesis DE536 Capsule Monarch G Tube Conventional Length Non Balloon Gastronomy Tube. 12F, 14F, 18F, 20F, 10cm length, available with or without guidewire. DE 21 189 1545 4197 181742 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE540 Mini One Non Balloon Button Low Profile Non Balloon Gastrostomy Tube 14F, 18F, 20F & 24F; Length: 1.0 - 4.4cms DE 21 189 1545 4197 181741 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE541 Balloon G-Tube Conventional Length Balloon Gastrostomy tube 12F-24F; Length: 10cm; Balloon fill volumes from 2 -15ml depending on French size. DE 21 189 1545 4197 181742 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE544 Mini One Capsule Non Balloon Button Low profile non balloon gastrostomy tube with capsule for insertion. 14F, 18F, 20F & 24F; Length: 1.0 - 4.4cm DE 21 189 1545 4197 181741 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE546 Capsule Dome G-Tube Conventional Length Dome Gastrostomy Tube 20Fr, 10cm length, available with or without guidewire. DE 21 189 1545 4197 181742 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE564 Mini ONE Balloon Button Low Profile Balloon Gastrostomy Tube 12F to 24F and length 0.8 - 6.5cms; Balloon Fill Volumes: 2-15ml DE 21 189 1545 4197 181741 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis DO020 AS205 Kangaroo Skin Level Cage Gastrostomy Kit Skin level non-balloon internal retention bolster gastrostomy kit, including gastrostomy tube, accessory bolus and continuous feeding tubes syringes for inflation and flushing. Patient handbook 12fg x 1.2cm, 12fg x 1.5cm, 12fg x 2.0cm, 12fg x 2.5cm, 12fg x 3.0cm, 12fg x 3.5cm, 12fg x 4.0cm, 12fg x 4.5cm, 12fg x 5.0cm, 16fg x 1.5cm, 16fg x 1.7cm, 16fg x 2.0cm, 16fg x 2.4cm, 16fg x 2.7cm, 16fg x 3.0cm, 16fg x 3.5cm, 20fg x 1.5cm, 20fg x 2.0cm, 20fg x 2.5cm, 20fg x 3.0cm, 20fg x 3.5cm, 20fg x 4.0cm, 20fg x 4.5cm DO 21 189 1545 4197 185673 Group Benefit Change 185 0 0 Update 2019-07-01 2020-02-01 Prosthesis DO022 AS207 Kangaroo Skin Level Balloon Gastrostomy Kit Skin level silicone balloon gastrostomy kit, including gastronomy tube accessory bolus and continuous feeding tubes, syringes for inflation and flushing, Patient Handbook 12-24 Fr., 0.8-5 cm, 3-8ml. DO 21 189 1545 4197 185673 Group Benefit Change 185 0 0 Update 2019-07-01 2020-02-01 Prosthesis DO023 AS210 Kangaroo Single Pass PEG Single Pass PEG 16fg, 20fg DO 21 189 1545 4197 141188 Group Benefit Change 185 0 0 Update 2019-07-01 2020-02-01 Prosthesis FK008 Freka PEG, ENFit PEG polyurethane tube with a proximal cone and integrated fixation loop, radio-opaque strip, measuring marks over a length of l-16 cm at 2 cm intervals, radio-opaque silicone retention plate, and a rounded distal opening 9 Fr x 30 cm 15 Fr x 35 cm 20 Fr x 35 cm FK 21 189 1545 4197 126460 Group Benefit Change 185 0 0 Update 2019-03-01 2020-02-01 Prosthesis FK011 Freka Pexact, FR 15 set II, ENFit Kit consisting of a gastropexy device (Loop Fixture II), trocar with peel-away sheath, and silicone balloon tube for direct puncture gastrostomy Trocar with peel-away sheath:16 Fr, length 17.5 cm Silicone balloon tube:15 Fr, shaft length 23 ± 1 cm FK 21 189 1545 4197 285517 Group Benefit Change 185 0 0 Update 2019-03-01 2020-02-01 Prosthesis FK013 Freka Belly Button Comfort Kit, ENFit Gastric replacement system consisting of Freka Belly Button, insertion introducer, 2 compresses, syringe for filling balloon, lubricant gel, Seldinger wire, Freka Button Extension Sets 1 and 2, and Freka Connect. An Initial Placement System (PEG) would have been placed at least 4 weeks prior. 12 Fr x 1.0cm ,12 Fr x 1.5cm, 12 Fr x 2.0cm, 12 Fr x 2.5cm, 12 Fr x 3.0cm, 12 Fr x 3.5cm, 12 Fr x 4.0cm, 12 Fr x 4.5cm,12 Fr x 5.0cm 14 Fr x 1.0cm, 14 Fr x 1.5cm, 14 Fr x 2.0cm, 14 Fr x 2.5cm, 14 Fr x 3.0cm, 14 Fr x 3.5cm,14 Fr x 4.0cm,14 Fr x 4.5cm, 14 Fr x 5.0cm 16 Fr x 1.0cm, 16 Fr x 1.5cm, 16 Fr x 2.0cm, 16 Fr x 2.5cm, 16 Fr x 3.0cm, 16 Fr x 3.5cm,16 Fr x 4.0cm,16 Fr x 4.5cm, 16 Fr x 5.0cm 18 Fr x 1.0cm, 18 Fr x 1.5cm, 18 Fr x 2.0cm, 18 Fr x 2.5cm, 18 Fr x 3.0cm, 18 Fr x 3.5cm,18 Fr x 4.0cm,18 Fr x 4.5cm, 18 Fr x 5.0cm 20 Fr x 1.0cm, 20 Fr x 1.5cm, 20 Fr x 2.0cm, 20 Fr x 2.5cm, 20 Fr x 3.0cm, 20 Fr x 3.5cm,20 Fr x 4.0cm, 20 Fr x 4.5cm, 20 Fr x 5.0cm 24 Fr x 1.0cm, 24 Fr x 1.5cm, 24 Fr x 2.0cm, 24 Fr x 2.5cm, 24 Fr x 3.0cm, 24 Fr x 3.5cm, 24 Fr x 4.0cm, 24 Fr x 4.5cm, 24 Fr x 5.0cm FK 21 189 1545 4197 126462 Group Benefit Change 185 0 0 Update 2019-03-01 2020-02-01 Prosthesis KI001 HALYARD* MIC*Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding Tubes / Kits, Enfit and Non-Enfit Sterile enteral feeding tube with accessories 14Fr, 20Fr, 24Fr KI 21 189 1545 4197 248293 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis KI002 Halyard* MIC* Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding BASIC Tubes/Kits Enfit and Non-Enf Sterile enteral feeding tube with accessories 14 Fr, 20 Fr, 24 Fr KI 21 189 1545 4197 248293 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis KI004 HALYARD* MIC-KEY Low Profile Balloon Gastrostomy Feeding Tubes/Kits, ENFit and Non-ENFit Sterile Low Profile Enteral Feeding Tube with accessories 14FR to 24 Fr ; 0.8cm to 5.0cm KI 21 189 1545 4197 260222 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC072 Passport Low Profile Device Enteral/Gastrostomy FEEDING TUBE French Sizes: 20.0, 24.0 Length: 1.2,1.7,2.4,3.4,4.4 cm WC 21 189 1545 4197 139318 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC185 Percutaneous Endoscopic Gastrostomy (PEG) System PEG Enteral Feeding Kit - Push or Pull System 18, 20, 24 FR WC 21 189 1545 4197 135063 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC199 Cook Gastronomy Tubes Russell Gastronomy Set 14fr, 17cm WC 21 189 1545 4197 138376 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC298 Wills-Oglesby Percutaneous Gastronomy Set Used for the percutaneous placement of a catheter for gastroenteric feeding 12-14Fr, Length 30-35cm WC 21 189 1545 4197 138376 Group Benefit Change 185 0 0 Update 2012-08-01 2020-02-01 Prosthesis BS142 EndoVive Replacement Feeding Tube Silicone enteral feeding tube Up to 28 Fr BS 21 189 1545 4198 159455 160876 Group Benefit Change 82 0 0 Update 2009-08-01 2020-02-01 Prosthesis DO021 AS206 Kangaroo Gastrostomy Feeding Tubes 100% silicone gastrostomy with internal retention balloon 12fg, 14fg, 16fg, 18fg, 20fg, 22fg, 24fg DO 21 189 1545 4198 185454 Group Benefit Change 82 0 0 Update 2019-07-01 2020-02-01 Prosthesis DO024 MI288 Kangaroo™ Percutaneous Endoscopic Gastrostomy Feeding Tube Accessories Feeding Adaptors 16Fr/Ch, 20Fr/Ch - PEG Adaptors DO 21 189 1545 4198 184804 Group Benefit Change 82 0 0 Update 2019-07-01 2020-02-01 Prosthesis FK012 Freka Gastrotube, FR 15, ENFit Gastric replacement system intended for use for long-term intragastric feeding within a fully formed and healed stoma. An Initial Placement System (PEG) would have been placed at least 4 weeks prior. Made of silicone rubber. Fits 15 Fr FK 21 189 1545 4198 126462 Group Benefit Change 82 0 0 Update 2019-03-01 2020-02-01 Prosthesis KI005 HALYARD MIC-KEY Low Profile Balloon Feeding Accessories Accessories 30.5cm, 60.9cm, 5.1cm KI 21 189 1545 4198 261430 Group Benefit Change 82 0 0 Update 2005-10-31 2020-02-01 Prosthesis KI007 HALYARD MIC* Gastrostomy Feeding Tube; HALYARD MIC* Bolus Gastrostomy Tube Medical Grade Silicone Construction. Silicone Internal Inflatable Retention Balloon, SECU-LOK* External Retention Ring, Universal Feeding Port Connector, Medication Port, Dual Exit Ports, Tapered Distal Tip, Radiopaque Strip, Sterile. 12fr - 3-5ml balloon, 14fr - 3-5ml balloon, 16fr - 3-5ml balloon, 18fr - 7-10ml balloon, 20fr - 7-10ml balloon, 22fr - 7-10ml balloon, 24fr - 7-10ml balloon, 26fr - 7-10ml balloon, 28fr - 7-10ml balloon, 30fr - 7-10ml balloon, KI 21 189 1545 4198 248293 Group Benefit Change 82 0 0 Update 2005-10-31 2020-02-01 Prosthesis NF001 Flocare Gastrostomy tube (G-tube) The Flocare Gastrostomy tube can be used as a replacement of an existing gastrostomy tube (PEG or G-tube) or as an initial gastrostomy tube during a surgical intervention. This balloon tube is made of medical grade silicone. Ch14, 18, 20 NF 21 189 1545 4198 120000 Group Benefit Change 82 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC070 Gastrostomy Tube PEG Balloon Replacement Tube - Single 14, 18, 24fr WC 21 189 1545 4198 139318 Group Benefit Change 82 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC334 Entuit Thrive Balloon Retention Gastrostomy Feeding Tube The gastrostomy feeding tube is a sterile device consisting of a silicone balloon, bi-lumen shaft, three-port funnel and bolster. 12-24 Fr WC 21 189 1545 4198 226890 Group Benefit Change 82 0 0 Update 2016-02-01 2020-02-01 Prosthesis WC335 Entuit Start Initial Placement Gastrostomy Set Used to assist with the initial placement of feeding tubes while performing a gastrostomy. The set contains multiple dilators, Peel-Away sheath introducer(s) with dilator(s), a wire guide and needle. Small (dilator 12, 14 Fr), Medium (dilator 16,18 Fr) and Large (dilator 20,22,24 Fr). WC 21 189 1545 6037 219806 Group Benefit Change 104 0 0 Update 2016-02-01 2020-02-01 Prosthesis DE545 G-Jet Button Low profile gastric-jejunal enteral feeding tube 14-18 French; Jejunal Length: 15-45cm; Stoma Length: 1.0-6.0cm; Balloon Volume: 3-8ml DE 21 189 1546 Port 208516 Group Benefit Change 451 0 0 Update 2017-08-01 2020-02-01 Prosthesis FK009 Freka Intestinal Tube, ENFit Intestinal extension tube for the gastric Freka PEG FR 15 or FR 20. Made with integrated Teflon-coated wire with fitted Y-Connector and blue fixation screw, radio-opaque strip, interval markings every 10 cm, distal pigtail bend tip, 4 lateral outlet ports, straight open flexible tube with small antenna end 9 Fr x 120 cm 12 Fr x 120 cm FK 21 189 1546 Port 126461 Group Benefit Change 451 0 0 Update 2019-03-01 2020-02-01 Prosthesis FK010 Freka FCJ Set FR 9, ENFit System consisting of Freka polyurethrane tube, Freka ENfit Connector, Freka fixation plate, Freka tube clamp, long cannula with blunt steel mandrin for catheterisation of the jejenum, and short cannula for puncturing the abdominal wall 9 Fr, length 75 cm FK 21 189 1546 Port 126461 Group Benefit Change 451 0 0 Update 2019-03-01 2020-02-01 Prosthesis FK014 Freka Endolumina, ENFit Single lumen feeding tube for the early jejunal feeding for ICU patients 8 Fr, length 270 cm FK 21 189 1546 Port 125846 Group Benefit Change 451 0 0 Update 2019-03-01 2020-02-01 Prosthesis FK015 Freka EasyIn, ENFit Double lumen feeding and decompression tube for the early jejunal feeding and gastric decompression for ICU patients Intestinal tube: 8 Fr, 270 cm Gastric tube: 16 Fr, 100 cm FK 21 189 1546 Port 125846 Group Benefit Change 451 0 0 Update 2019-03-01 2020-02-01 Prosthesis FK016 Freka Trelumina, ENFit Transanasal, 3-lumen polyurethane tube for early jejunal feeding and gastric decompression in ICU patients Intestinal feeding lumen: 9 Fr, length 150 cm Gastric decompression lumen: 16 Fr, length 95 cm Gastric ventilation valve: internal diameter 1.2 mm, length 95 cm FK 21 189 1546 Port 125846 Group Benefit Change 451 0 0 Update 2019-03-01 2020-02-01 Prosthesis KI006 HALYARD* MIC* Gastric-Jejunal Feeding Tubes Medical Grade Silicone Construction, Silicone Internal Retention Balloon, SECUR-LOK* External Retention ring, Universal Jejunal Feeding Port Connector, Gastric Decompression Port, Multiple Gastric & Jejunal Exit Ports, Tungsten Weighted Jejunal Portion, Tapered Distal Tip, Radiopaque Stripe, Sterile 16-22 French - 45cm jejunal length - 7-10ml balloon KI 21 189 1546 Port 248294 Group Benefit Change 451 0 0 Update 2005-10-31 2020-02-01 Prosthesis KI008 HALYARD MIC-KEY Low Profile Baloon Jejunal Feeding Tube 100% medical grade silicone tube. 40/60 tungsten weighted jejunal post pyloric feeding tube. Gastric drainage ports, jejunal feeding ports 14 and 18Fr, 0.8 to 4.5cm stomal length KI 21 189 1546 Port 248294 Group Benefit Change 451 0 0 Update 2005-10-31 2020-02-01 Prosthesis KI009 HALYARD* MIC* Jejunal Feeding Tube Sterile jejunal enteral feeding tube 12, 14, 16, 18, 20, 22, 24 Fr, 7-10ml balloon volume KI 21 189 1546 Port 248294 Group Benefit Change 451 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC292 Shetty Single Lumen Gastrojejunostomy Set The Shetty Gastrojejunostomy set consists of an Ultrathane Gastrojunostomy Catheter, Peel- Away introducer, and Cope Gastrointestinal Suture Anchor Set. 14 Fr, Length: 63cm WC 21 189 1546 Port 138374 Group Benefit Change 451 0 0 Update 2012-02-01 2020-02-01 Prosthesis KI014 MIC* Jejunostomy Feeding Tube Sterile Jejunal Enteral Feeding Tube with Suture Wings (2 eaches per case) 14fg / 9fg KI 21 189 1546 248294 Group Benefit Change 154 0 0 Update 2019-03-01 2020-02-01 Prosthesis KI015 MIC-KEY* Low-Profile Balloon Gastric-Jejunal Feeding Tube 100% medical grade silicon tube. Tungsten weighted jejunal portion. Tapered distal tip. Radiopaque stripe. Clearly marked separate gastric & jejunal ports. Multiple feeding exit ports. 16fg, 18fg, 20fg, 22fg. 1cm - 3.5cm stomal length. 15cm - 45cm Jejunal length. KI 21 189 1546 248294 Group Benefit Change 154 0 0 Update 2019-03-01 2020-02-01 Prosthesis WC098 Cook Jejunostomy Catheters Composition - Catheter Radiopaque Stripe, includes Wireguide, Airplug, Fixation Device 12fr, length 66cm WC 21 189 1546 139342 Group Benefit Change 154 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC099 Cook Jejunostomy Catheters Composition - Catheter Radiopaque Stripe, includes Wireguide, Airplug, Fixation Device 9fr, Length 60cm WC 21 189 1546 139342 Group Benefit Change 154 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC197 Cook Irrigation Catheter Chait Percutaneous Cecostomy Catheter 10fr, Standard or Extra Long WC 21 189 1547 138361 Group Benefit Change 320 0 0 Update 2005-10-31 2020-02-01 Prosthesis AA009 Bioring Gastric Band Adjustable gastric banding kit Small, Large and Extra Large AA 21 190 1548 160524 Group Benefit Change 2978 0 0 Update 2010-02-01 2020-02-01 Prosthesis AA010 Adhesix Bioring Gastric Band Adjustable gastric band system with mesh fixation of port Small, Large and Extra Large AA 21 190 1548 181215 Group Benefit Change 2978 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER216 Lap-Band Adjustable Gastric Banding (LAGB) System - AP-small and AP-large ER 21 190 1548 226688 Group Benefit Change 2978 0 0 Update 2015-02-01 2020-02-01 Prosthesis ER219 Lap-Band AP with RapidPort EZ LAP-BAND AP RapidPort EZ System 11.6mm x 30.5mm x 14mm 11.6mm x 30.5mm x 16.5mm ER 21 190 1548 226688 Group Benefit Change 2978 0 0 Update 2015-02-01 2020-02-01 Prosthesis ET042 Soft Gastric Banding System Sterile long term implant for the treatment of obesity. Supplied in kit format with catheter, port and huber needles One size only ET 21 190 1548 96737 Group Benefit Change 2978 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ831 Ethicon Endo-Surgery curved adjustable gastric band with sutureless port and applier Silicone One size only JJ 21 190 1548 94766 Group Benefit Change 2978 0 0 Update 2011-08-01 2020-02-01 Prosthesis JJ832 Swedish Adjustable Gastric Band Silicone One size only JJ 21 190 1548 94766 Group Benefit Change 2978 0 0 Update 2011-08-01 2020-02-01 Prosthesis LH003 Adjustable Peri Gastric Belt-Midband Silicon moulded peri gastric band and implantable chamber Peri gastric band - 2.2 x 17.5 x 0.8cm, Implantable chamber - one size only LH 21 190 1548 145372 Group Benefit Change 2978 0 0 Update 2008-07-01 2020-02-01 Prosthesis RS002 MiniMizer gastric band. Adjustable Silicone band which is placed around the upper part of the stomach to reduce the volume and speed of intake of food. The gastric band comes in two sizes: Regular and Large RS 21 190 1548 203396 Group Benefit Change 2978 0 0 Update 2013-02-01 2020-02-01 Prosthesis ET081 A.M.I. B-Band Adjustable gastric banding implant for stabilising the gastroenterostomy stoma. The A.M.I B-Band is a soft gastric bypass band which serves as a restrictive component in gastric bypass surgery. Restriction is achieved by placing the device around the remaining stomach pouch in order to prevent long term dilation of the gastrojejunostomy and to ensure a controlled emptying of the stomach pouch. Adjustable band length: 4.0cm - 7.5cm. Band height: 10mm ET 21 190 1781 96737 Group Benefit Change 2212 0 0 Update 2016-02-01 2020-02-01 Prosthesis LH527 MIDCAL Ring Adjustable Gastric Ring 65-80 mm circumference LH 21 190 1781 229709 Group Benefit Change 2212 0 0 Update 2015-02-01 2020-02-01 Prosthesis RS001 Minimizer Ring Adjustable Gastric Ring One size ranging from 6.5cm to a 8.0cm diameter RS 21 190 1781 203396 Group Benefit Change 2212 0 0 Update 2013-02-01 2020-02-01 Prosthesis SH011 GaBP Ring Adjustable Gastric Ring Differing sizes SH 21 190 1781 208242 Changed Benefit 1900 0 0 Update 2013-08-01 2020-02-01 Prosthesis AA008 Bioring Gastric Band Replacement Port Bioring gastric band access port with catheter and connector Diameter 34mm; height 10.4mm AA 21 190 1779 163167 Group Benefit Change 560 0 0 Update 2010-02-01 2020-02-01 Prosthesis ER217 Lap-Band Access Port For use with the Lap-Band Adjustable Gastric Banding System Standard, low profile ER 21 190 1779 226686 Group Benefit Change 560 0 0 Update 2015-02-01 2020-02-01 Prosthesis ER220 RapidPort EZ Access Port Kit (replacement port) Access Port Kit for LAP-BAND RapidPort EZ system 11.6mm x 30.5mm x 14mm 11.6mm x 30.5mm x 16.5mm ER 21 190 1779 226686 Group Benefit Change 560 0 0 Update 2015-02-01 2020-02-01 Prosthesis ET056 Soft Basket Band. INFUSION PORT. TITANIUM PORT 9.8CMS/13.3CMS ET 21 190 1779 148776 Group Benefit Change 560 0 0 Update 2009-02-01 2020-02-01 Prosthesis JJ444 Ethicon Endo-Surgery Gastric band sutureless port and applier Implantable infusion port & locking connector for adjustable gastric band. Replacement port & locking connector for use with adjustable gastric band. One size only JJ 21 190 1779 94734 Group Benefit Change 560 0 0 Update 2005-10-31 2020-02-01 Prosthesis LH413 Miband Access Port (replacement) A device, metallic or non- metallic, implanted in a patient for a short or long-term delivery of fluid or medications to the vascular system or other anatomical region. The device consists of a housing, self-sealing septum and a catheter connection mechanism. The device may be implanted in a variety of anatomical locations. Port Size - 10.6mm High, 24.7mm Base width- One Size only LH 21 190 1779 153863 Group Benefit Change 560 0 0 Update 2009-02-01 2020-02-01 Prosthesis MG018 HAGA Access Port Access Port contains Titanium and Silicone Standard MG 21 190 1779 122934 Group Benefit Change 560 0 0 Update 2006-03-24 2020-02-01 Prosthesis RS003 MiniMizer gastric band (injection port) Adjustable Silicone band which is placed around the upper part of the stomach to reduce the volume and speed of intake of food. The injection port is used to inflate or deflate the gastric band therefore adjusting the diameter of the band. Small or medium sized port. RS 21 190 1779 205914 Group Benefit Change 560 0 0 Update 2013-08-01 2020-02-01 Prosthesis PV001 DV024 Haemorrhage Occluder Pin with applicator Designed to control severe presacral bleeding during pelvic surgery. Two sizes: 10mm and 14mm PV 21 191 1551 133897 Group Benefit Change 388 0 0 Update 2018-08-01 2020-02-01 Prosthesis WA004 Hemospray Endoscopic Hemostat Inorganic haemostatic agent 20 grams of powder Catheter: 7-10Fr, length 220cm. WA 21 191 1552 5984 > 10 grams 276342 Group Benefit Change 497 0 0 Update 2017-02-01 2020-02-01 Prosthesis VM001 EndoClot Kit Polysaccharide haemostatic system 2g particles, 2300mm catheter length VM 21 191 1552 5984 204921 Group Benefit Change 154 0 0 Update 2014-08-01 2020-02-01 Prosthesis BA284 BA263 Arista AH FlexiTip XL-R Applicator Rigid Dual lumen applicator for Arista AH, 38cm long specifically designe for Robotic surgery 38 cm BA 21 191 1552 5985 258012 Group Benefit Change 46 0 0 Update 2019-11-01 2020-02-01 Prosthesis BA285 BA263 Arista AH Flextip and Flextip XL Extender tip for delivery of Arista AH powder 14cm 38cm BA 21 191 1552 5985 258012 Group Benefit Change 46 0 0 Update 2019-11-01 2020-02-01 Prosthesis AB079 PerClot Laparascopic PerClot Polysaccharide Hemostatic System 3 grams AB 21 191 1552 164507 Changed Benefit 136 0 0 Update 2014-08-01 2020-02-01 Prosthesis AB080 PerClot Standard & XL - 1 gram PerClot Polysaccharide Hemostatic System 1 gram AB 21 191 1552 162991 275318 Group Benefit Change 45 0 0 Update 2014-08-01 2020-02-01 Prosthesis AB081 PerClot Standard & XL - 3 grams PerClot Polysaccharide Hemostatic System 3 grams AB 21 191 1552 162991 275318 Changed Benefit 136 0 0 Update 2014-08-01 2020-02-01 Prosthesis AB082 PerClot Standard PerClot Polysaccharide Hemostatic System 5 gram AB 21 191 1552 162991 Changed Benefit 225 0 0 Update 2015-08-01 2020-02-01 Prosthesis BA260 Arista AH Arista Absorbable Haemostatic Particles 1g BA 21 191 1552 233611 Group Benefit Change 45 0 0 Update 2015-08-01 2020-02-01 Prosthesis BA261 Arista AH Arista Absorbable Haemostatic Particles 3g BA 21 191 1552 233611 Changed Benefit 136 0 0 Update 2015-08-01 2020-02-01 Prosthesis BA262 Arista AH Arista Absorbable Haemostatic Particles 5g BA 21 191 1552 233611 Changed Benefit 225 0 0 Update 2015-08-01 2020-02-01 Prosthesis BF024 NexStat The Topical Hemostatic powder consists of purified potato starch polysaccharide. These products are sterile packed and intended for single use. 3grams BF 21 191 1552 280607 Changed Benefit 136 0 0 Update 2017-02-01 2020-02-01 Prosthesis BX336 OSTENE Bone Haemostasis material 2.5g OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures 2.5g per stick BX 21 191 1552 229426 Changed Benefit 113 0 0 Update 2015-02-01 2020-02-01 Prosthesis BX337 Ostene 3.5g Bone Haemostasis material OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures 3.5g BX 21 191 1552 229426 Changed Benefit 158 0 0 Update 2015-08-01 2020-02-01 Prosthesis DE604 HaemoCer Haemostatic Powder Absorbable Polysaccharide Haemostat 5gms DE 21 191 1552 205062 Changed Benefit 225 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE605 HaemoCer Haemostatic Powder Absorbable Polysaccharide Haemostat 2gms DE 21 191 1552 205062 Changed Benefit 90 0 0 Update 2018-02-01 2020-02-01 Prosthesis JJ636 Spongostan Absorbable Haemostatic Gelatin Powder 1 g Porcine Absorbable Haemostatic Gelatin Powder 1 gram JJ 21 191 1552 144853 Group Benefit Change 45 0 0 Update 2008-07-01 2020-02-01 Prosthesis LH408 Geli Putty(Powder, 1g) Geli Putty is a single- use, water insoluble, fully bioabsorbable gelatin powder comprising milled sponges (Gelita-Spon) made from 100% pharmaceutical grade porcine gelatin mixed with sterile liquid (e.g. saline or antibiotic solution) prior to use. 1 gram LH 21 191 1552 155091 Group Benefit Change 45 0 0 Update 2009-02-01 2020-02-01 Prosthesis MN234 Surgicel Powder Absorbable Haemostatic Powder 3.0grams JJ 21 191 1552 296463 Changed Benefit 136 0 0 Update 2018-08-01 2020-02-01 Prosthesis SV053 Starsil Haemostat Plant based haemostatic powder 1g SV 21 191 1552 230577 Group Benefit Change 45 0 0 Update 2015-08-01 2020-02-01 Prosthesis SV054 Starsil Haemostat Plant based haemostatic powder 2g SV 21 191 1552 230577 Changed Benefit 90 0 0 Update 2015-08-01 2020-02-01 Prosthesis SV055 Starsil Haemostat Plant based haemostatic powder 5g SV 21 191 1552 230577 Changed Benefit 225 0 0 Update 2015-08-01 2020-02-01 Prosthesis JJ006 Spongostan Absorbable Haemostat Anal 20s (Box of 20) 80 x 30mm JJ 21 191 1553 4199 Anatomically Conforming 144852 Group Benefit Change 15 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ007 Spongostan Absorbable Haemostat Anal 5s (Box of 5) 80 x 30mm JJ 21 191 1553 4199 Anatomically Conforming 144852 Group Benefit Change 15 0 0 Update 2005-10-31 2020-02-01 Prosthesis PU059 Gelfoam Sterile Sponge Sterile, pliable, nonantigenic surgical sponge prepared from specially treated purified gelatine solution 12 - 20mm x 60mm x 7mm, individually packaged for use PU 21 191 1553 4199 Low Antigenicity 17051 Group Benefit Change 15 0 0 Update 2010-08-01 2020-02-01 Prosthesis JJ003 Spongostan Absorbable Haemostat Standard (Box of 20) 70 x 50 x 10mm JJ 21 191 1553 4199 144852 8 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JJ005 Spongostan Absorbable Haemostat Special (Box of 20) 70 x 50 x 1mm JJ 21 191 1553 4199 144852 8 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JJ015 Spongostan Absorbable Haemostat Dental (Box of 24) 10 x 10 x 10mm JJ 21 191 1553 4199 144852 8 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LH405 Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon IR Sponge Gelita- Spon IR is a sterile, single-use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced) by tamponade, and arterial embolisation. also indicated for use as a vehicle for a wide range of therapeutic agents including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect. GS-322-Gelita-Spon IR Sponge; 200s-3x2x2mm GS- 344- Gelita- Spon IR Sponge; 100s-4x4x4mm LH 21 191 1553 4199 155094 8 0 0 No Change 2009-02-01 2020-02-01 Prosthesis LH410 Gelita-Spon Absorbable Gelatin Sponge Anal-Vaginal Tampon 'Gelita-Spon Anal-Vaginal Tampon is a sterile, single use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis by tamponade, also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect. 3x8cm LH 21 191 1553 4199 155095 8 0 0 No Change 2009-02-01 2020-02-01 Prosthesis LH411 Gelita-Spon Absorbable Gelatin Sponge - Gelita-Spon ENT Sponge GelitaSpon ENT Sponge is a sterile, single use, water insoluble, fully bioabsorbable, firm, high-density gelatin sponge indicated to achieve rapid haemostasis during ENT surgery . 8x5x1 cm & 1x1x1cm LH 21 191 1553 4199 155092 8 0 0 No Change 2009-02-01 2020-02-01 Prosthesis LH412 Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon Dental Cube Gelita-Spon Dental Cube is a sterile, single-use, indicated to achieve rapid haemostasis dental surgery (oral bone and soft tissue), a void filler to mitigate against the risk of sclerosis created by tooth extraction, root amputations, and the removal of cysts, tumours and impacted teeth. its absorptive capacity being a function of the amount of gelatin incorporated and, hence, the physical size of the sponge. also indicated for use as a vehicle for a wide range of therapeutic agents. GS-310 - Gelita-Spon Dental Cubes; 50s - 10 x 10 x 10mm LH 21 191 1553 4199 155093 8 0 0 No Change 2009-02-01 2020-02-01 Prosthesis LH414 Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon Standard Gelita-Spon Standard is a sterile, single- use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced)by tamponade, and arterial embolisation . also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect. GS-010-Gelita-Spon Standard; 10s-80x50x10m GS-060-Gelita-Spon Standard Size 12-7; 10s-60x20x7mm GS-060-Gelita-Spon Standard Size 12-7; 10s-60x20x7mm GS-650- Gelita Spon Standard Size 200; 10s-125x80x10mm GS-110-Gelita-Spon Standard Size Special 20; 20s-80x50x1mm GS-950-Gelita-Spon Standard Film; 20s-200x70x0.5mm LH 21 191 1553 4199 155096 8 0 0 No Change 2009-02-01 2020-02-01 Prosthesis PU060 Gelfoam Sterile Sponge Sterile, pliable, nonantigenic surgical sponge prepared from specially treated purified gelatine solution 100 - 80mm x 125mm x 10mm in individual packet PU 21 191 1553 4200 Low Antigenicity 17051 Group Benefit Change 64 0 0 Update 2010-08-01 2020-02-01 Prosthesis JJ004 Spongostan Absorbable Haemostat Film (Box of 20) 200 x 70 x 0.5mm JJ 21 191 1553 4200 144852 27 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BG002 BloodStop iX BloodStop iX is a new generation haemostat made from water soluble, oxidised-etherified regenerated cellulose 1.3x5cm, 5x5cm, 5x10cm BG 21 191 1554 6008 Antimicrobial, Low Antigenicity 240712 Group Benefit Change 19 0 0 Update 2016-02-01 2020-02-01 Prosthesis IE003 Curacel Standard <50cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose. 12.5 x 50 mm 25 x 25 mm 25 x 50 mm 50 x 75 mm IE 21 191 1554 6008 Antimicrobial, Low Antigenicity 285463 Group Benefit Change 19 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ013 Surgicel ORIGINAL Absorbable Haemostat Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal 5 x 7.5cm JJ 21 191 1554 6008 Antimicrobial, Low Antigenicity 171589 177702 Group Benefit Change 19 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ014 Surgicel ORIGINAL Absorbable Haemostat Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal 1.25 x 5cm JJ 21 191 1554 6008 Antimicrobial, Low Antigenicity 171589 177702 Group Benefit Change 19 0 0 Update 2005-10-31 2020-02-01 Prosthesis IE006 Curacel Fibrillar <50cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose. 25 x 51mm IE 21 191 1554 6008 Antimicrobial, Low Antigenicity, Micro-fibrous 285465 Group Benefit Change 34 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ009 Surgicel Fibrillar Absorbable Haemostat Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal 2.5 x 5.1cm JJ 21 191 1554 6008 Antimicrobial, Low Antigenicity, Micro-fibrous 166221 Group Benefit Change 34 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN112 Surgicel Non-Woven (SNoW) Absorbable Haemostat Absorbable haemostat, Structured Non-Woven 2.5 x 5cm MN 21 191 1554 6008 Antimicrobial, Low Antigenicity, Micro-fibrous 191054 Group Benefit Change 34 0 0 Update 2012-02-01 2020-02-01 Prosthesis IE001 Curacel High Density <50cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose. 26 x 26 mm 50 x 75 mm IE 21 191 1554 6008 Antimicrobial, Low Antigenicity, Woven 285464 Group Benefit Change 33 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ023 Surgicel Nu-Knit Absorbable Haemostat High density, oxidised regenerated cellulose, the material is biocompatible and also bactericidal 2.5 x 2.5cm JJ 21 191 1554 6008 Antimicrobial, Low Antigenicity, Woven 177701 Group Benefit Change 33 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ432 SURGICEL Nu knit Absorbable Haemostat High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal. 2.5 x 8.75cm JJ 21 191 1554 6008 Antimicrobial, Low Antigenicity, Woven 177701 Group Benefit Change 33 0 0 Update 2005-10-31 2020-02-01 Prosthesis LH424 Gelitacel Oxidised Resorbable Cellulose Gauze (15) Gelitacel is a white, single-use, non-toxic, sterile, bioarbsorbable, weakly acidic, viscose-free, knitted haemostatic fabric (USP) 5 x 7 cm LH 21 191 1554 6008 157255 8 0 0 No Change 2009-08-01 2020-02-01 Prosthesis IE004 Curacel Standard 51-75cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose 75 x 100 mm IE 21 191 1554 6009 Antimicrobial, Low Antigenicity 285463 Group Benefit Change 19 0 0 Update 2017-08-01 2020-02-01 Prosthesis IE007 Curacel Fibrillar 51-75cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose. 51 x 102 mm IE 21 191 1554 6009 Antimicrobial, Low Antigenicity, Micro-fibrous 285465 Group Benefit Change 69 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ030 Surgicel Fibrillar Absorbable Haemostat Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal 5.1 x 10.2cm JJ 21 191 1554 6009 Antimicrobial, Low Antigenicity, Micro-fibrous 166221 Group Benefit Change 69 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN116 Surgicel Non-Woven (SNoW) Absorbable Haemostat Absorbable haemostat, Structured Non-Woven 5 x 10.2cm MN 21 191 1554 6009 Antimicrobial, Low Antigenicity, Micro-fibrous 191054 Group Benefit Change 69 0 0 Update 2012-02-01 2020-02-01 Prosthesis JJ008 Surgicel Nu-Knit Absorbable Haemostat High density, oxidised regenerated cellulose, the material is biocompatible and also bactericidal 7.5 x 10cm JJ 21 191 1554 6009 Antimicrobial, Low Antigenicity, Woven 177701 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis BG001 BloodStop iX BloodStop iX is a new generation haemostat made from water soluble, oxidised-etherified regenerated cellulose 10x20cm, 5x35cm BG 21 191 1554 6010 Antimicrobial, Low Antigenicity 240712 Changed Benefit 33 0 0 Update 2016-02-01 2020-02-01 Prosthesis IE005 Curacel Standard >75cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose. 50 x 350 mm 100 x 200 mm IE 21 191 1554 6010 Antimicrobial, Low Antigenicity 285463 Group Benefit Change 34 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ012 Surgicel ORIGINAL Absorbable Haemostat Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal 5-10.2 x 20-35cm JJ 21 191 1554 6010 Antimicrobial, Low Antigenicity 171589 177702 Group Benefit Change 34 0 0 Update 2005-10-31 2020-02-01 Prosthesis IE008 Curacel Fibrillar >75cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose. 102 x 102 mm IE 21 191 1554 6010 Antimicrobial, Low Antigenicity, Micro-fibrous 285465 Group Benefit Change 98 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ029 Surgicel Fibrillar Absorbable Haemostat Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal 10.2 x 10.2cm JJ 21 191 1554 6010 Antimicrobial, Low Antigenicity, Micro-fibrous 166221 Group Benefit Change 98 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN117 Surgicel Non-Woven (SNoW) Absorbable Haemostat Absorbable haemostat, Structured Non-Woven 10.2 x 10.2cm MN 21 191 1554 6010 Antimicrobial, Low Antigenicity, Micro-fibrous 191054 Group Benefit Change 98 0 0 Update 2012-02-01 2020-02-01 Prosthesis IE002 Curacel High Density >75cm2 Sterile absorbable haemostat gauze, type Oxidised Regenerated Cellulose. 76 x 102 mm 152 x 229 mm IE 21 191 1554 6010 Antimicrobial, Low Antigenicity, Woven 285464 Group Benefit Change 91 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ433 SURGICEL Nu knit Absorbable Haemostat High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal. 15.2 x 22.9cm JJ 21 191 1554 6010 Antimicrobial, Low Antigenicity, Woven 177701 Group Benefit Change 91 0 0 Update 2005-10-31 2020-02-01 Prosthesis LH423 Gelitacel Oxidised Resorbable Cellulose Gauze (10) Gelitacel is a white, single use, non-toxic, sterile, hydrophilic bioabsorbable, weakly acidic, viscose-free, knitted haemostatic fabric (USP) 5 x 35 cm, 10 x 20 cm LH 21 191 1554 6010 157255 26 0 0 No Change 2009-08-01 2020-02-01 Prosthesis BX258 FloSeal Hemostatic Matrix FloSeal is a proprietary combination of collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free vial adapter. It is not sponge, but is a high viscosity gel for haemostasis. Clinical proven to control bleeding from capillary oozing to arterial spurting. 5ml BX 21 191 1555 4213 Complete Biomaterial 192294 Group Benefit Change 632 0 0 Update 2007-12-01 2020-02-01 Prosthesis FY001 MQ038 Purastat Haemostatic material in the form of a pre-filled syringe 1ml, 2ml, 5ml FY 21 191 1555 4213 Complete Biomaterial 267486 283717 Group Benefit Change 632 0 0 Update 2019-11-01 2020-02-01 Prosthesis JJ640 Surgiflo Haemostatic Matrix Absorbable Porcine Gelatin Matrix Pre-packaged in a Syringe 6ml JJ 21 191 1555 4213 204900 Group Benefit Change 407 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX259 FloSeal Hemostatic Matrix FloSeal is a proprietary combination of collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free vial adapter. It is not sponge, but is a high viscosity gel for haemostasis. Clinical proven to control bleeding from capillary oozing to arterial spurting, FloSeal functions on w 10ml BX 21 191 1555 4214 Complete Biomaterial 192294 Group Benefit Change 903 0 0 Update 2007-12-01 2020-02-01 Prosthesis MN172 Surgiflo Haemostatic Matrix with Thrombin Absorbable Porcine Gelatin Matrix pre-packaged in a syringe and with plasma derived Human Thrombin 8mls MN 21 191 1555 4214 Complete Biomaterial 226071 280654 Group Benefit Change 903 0 0 Update 2014-08-01 2020-02-01 Prosthesis AN009 Collatamp G Biodegradeable collagen implant with gentamicin 5cm x 5cm x 0.5cm AN 21 191 1555 4215 Antibiotic 156287 Group Benefit Change 122 0 0 Update 2010-08-01 2020-02-01 Prosthesis AN008 Collatamp G Biodegradable collagen implant with gentamicin 10cm x 10cm x 0.5cm, 20cm x 5cm x 0.5cm AN 21 191 1555 4216 Antibiotic 156287 Group Benefit Change 277 0 0 Update 2010-08-01 2020-02-01 Prosthesis FY003 MQ040 PuraStat Applicator Type E PuraStat is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical. 1600mm, 2200mm FY 21 191 1555 4217 283717 Group Benefit Change 28 0 0 Update 2019-11-01 2020-02-01 Prosthesis MN154 Evicel® 45cm Flexible Tip Triple lumen, clog resistant flexible tip for drip or spray applications 45cm MN 21 191 1555 4217 197994 Group Benefit Change 28 0 0 Update 2013-02-01 2020-02-01 Prosthesis VB001 HEMOBLAST 35cm Laparoscopic Applicator Single-use laparoscopic applicator device, designed to deliver HEMOBLAST Bellows hemostatic powder. 35cm in length VB 21 191 1555 4217 304086 Group Benefit Change 28 0 0 Update 2019-03-01 2020-02-01 Prosthesis VB002 HEMOBLAST Bellows Haemostatic powder comprised of collagen, chondroitin sulfate, and thrombin. 1.65 gm powder/1500 IU thrombin VB 21 191 1555 7345 Complete Biomaterial 324288 Group Benefit Change 903 0 0 Update 2019-11-01 2020-02-01 Prosthesis BF021 SealFoam, High Density SealFoam is an absorbable Polysaccharide Haemostat 60mm x 40mm x 2mm 60mm x 40mm x 4mm 120mm x 25mm x 4mm (2/pack) BF 21 191 1797 194564 Group Benefit Change 136 0 0 Update 2015-02-01 2020-02-01 Prosthesis HW582 NasoPore / OtoPore NasoPore / OtoPore is a bioresorbable foam packing for the nasal or ear cavity. 4cm and 8cm HW 21 191 1797 273654 Group Benefit Change 136 0 0 Update 2017-02-01 2020-02-01 Prosthesis SL081 STAMMBERGER SINU-FOAM Viscous CMC-based dissolvable foam for the nasal cavity One size SL 21 191 1797 212973 Group Benefit Change 136 0 0 Update 2017-08-01 2020-02-01 Prosthesis SL083 Nasastent Dissolvable intranasal splint made from CMC that absorbs nasal fluids, it turns into a hydrocolloidal gel that naturally drains from the nasal cavity 5cm SL 21 191 1797 212973 Group Benefit Change 136 0 0 Update 2017-08-01 2020-02-01 Prosthesis WC216 Fanelli Laparoscopic Endobiliary Stent Set Fanelli stent (double flange white polyehtylene), tracer Hybrid .035"X150cm Guide (slippery wire), 8.5 Fr Introducer and Pusher Catheter (TFE) System with four radiopaque accuracy markers, two way terminal adapter 7.0 French diameter x 6cm length double flange stent loaded in an 8.5 fr delivery system. WC 21 192 1556 4218 Complex delivery system 191162 Group Benefit Change 550 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS054 Flexima Biliary Stent Polyurethane Biliary Stent Diameters up to 12Fr & lengths up to 15cm BS 21 192 1556 4218 Delivery System 127387 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS055 RX Biliary Stent Polyurethane Biliary Stent Diameters up to 12Fr & lengths up to 15cm BS 21 192 1556 4218 Delivery System 127387 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS173 Advanix Plastic Stent with Naviflex Delivery System Plastic stent manufactured pre loaded on a delivery catheter 5-18cm length, 7-10 FR diameter BS 21 192 1556 4218 Delivery System 127387 Group Benefit Change 181 0 0 Update 2010-08-01 2020-02-01 Prosthesis WC013 Zimmon Biliary Stent Set Double pigtail plastic biliary stent with delivery system 5 - 11.5Fr, Length 2 - 18cm WC 21 192 1556 4218 Delivery System 139771 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC017 Cotton-Leung Biliary Stent Set Set includes stent, positioning sleeve to collapse the duodenal flap, 170cm pushing catheter and 320cm guiding catheter. 7Fr stents do not include guiding catheter. 7 - 11.5Fr, Length 5 - 18cm WC 21 192 1556 4218 Delivery System 139771 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC078 Cook Biliary Stents Composition Plastic, includes Stent, Wireguide & Positioner French 7.0, length 4cm WC 21 192 1556 4218 Delivery System 139197 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC106 Cotton-Leung Biliary Stent Set Polyethylene Stent preloaded on an Oasis Introduction System Diameter 7 - 11.5 FR, length 5 - 15cm WC 21 192 1556 4218 Delivery System 139771 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC108 Geenan Pancreatic Stent Set Radiopaque Polyethylene Stent with or without ductal flaps - includes pushing catheter Diameter 3 - 11.5 FR, Length 2 - 15cm WC 21 192 1556 4218 Delivery System 142999 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC166 Solus Biliary Stent Set Double Pigtail with OASIS introducer. Sof-flex material - with radiopaque bands. Diameter 10 FR, Length:1 - 15 cm Between pigtails WC 21 192 1556 4218 Delivery System 139771 Group Benefit Change 181 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC228 Tannenbaum Biliary Stent Set preloaded on the OASIS Introduction System Plastic Biliary Stent 8.5 - 11.5 Fr, 5 - 15 cm WC 21 192 1556 4218 Delivery System 139771 Group Benefit Change 181 0 0 Update 2006-11-30 2020-02-01 Prosthesis AK003 Biliary Stents Biliary stent, straight, curved, bended, pigtails and double pigtail 5.0 to 11.5 french AK 21 192 1556 4218 173855 40 0 0 No Change 2009-02-01 2020-02-01 Prosthesis BS066 Biliary Drainage Stent, Amsterdam Biliary Stent C-Flex or Polyurethane Biliary Stent Diameters up to 12Fr & lengths up to 15cm BS 21 192 1556 4218 127387 Group Benefit Change 74 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS184 Advanix Plastic Stent Plastic stent manufactured individually 5-18cm length, 7-10 FR diameter BS 21 192 1556 4218 127387 Group Benefit Change 74 0 0 Update 2010-08-01 2020-02-01 Prosthesis OL003 Bile Duct Stent Polyethylene Stents 7FR - 12FR 3cm - 15cm OL 21 192 1556 4218 145851 Group Benefit Change 74 0 0 Update 2005-10-31 2020-02-01 Prosthesis OL008 Olympus Biliary Stent Set Radio-opaque Polyethglare Stent Set 7Fr 3cm - 15cm, 8Fr 3cm - 15cm, 10Fr 3cm - 15cm OL 21 192 1556 4218 145856 Group Benefit Change 74 0 0 Update 2006-03-24 2020-02-01 Prosthesis WA003 Compass BDS Biliary Stent Plastic biliary stent 7 Fr, Length: 5-15cm WA 21 192 1556 4218 133255 Group Benefit Change 74 0 0 Update 2017-02-01 2020-02-01 Prosthesis WC006 Cotton-Leung Biliary Stent Only . 6 - 11.5Fr, Length 3 - 20cm WC 21 192 1556 4218 139770 Group Benefit Change 74 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC008 Cotton-Huibregste Biliary Stent Only . 7 - 11.5Fr, Length 5 - 21cm WC 21 192 1556 4218 139770 Group Benefit Change 74 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC012 Zimmon Biliary Stent Only . 5 - 11.5Fr, Length 3 - 18cm WC 21 192 1556 4218 139770 Group Benefit Change 74 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC064 Tannenbaum Biliary Stent only Plastic biliary stent with proximal and distal flaps Diameter: 8.5,10,11.5 FR. Length Between Flaps: 5 -->15 cm WC 21 192 1556 4218 139770 Group Benefit Change 74 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC267 Cotton-Leung Sof-Flex Biliary Stent Cotton-Leung Sof-Flex Biliary Stent 6 - 11.5 Fr; Length 3 - 20cm WC 21 192 1556 4218 139770 Group Benefit Change 74 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS199 Protege™GPS™ Self-expanding Billary Stent System Nitinol self expanding stent pre-mounted on 6F OTW delivery system Diameter (mm) 6 -14, Length (mm) 20 - 150 AS 21 192 1556 4234 189741 Group Benefit Change 2008 0 0 Update 2013-08-01 2020-02-01 Prosthesis AS200 VisiPro™ Balloon-Expandable Biliary Stent System Stainless Steel balloon expandable stent mounted onto a non-compliant balloon catheter Diameter (mm) 5 - 10, Length (mm) 12 -57 AS 21 192 1556 4234 189741 Group Benefit Change 2008 0 0 Update 2013-08-01 2020-02-01 Prosthesis BS051 Wallstent Biliary Stent Monofilament wire, self-expanding stent Diameters up to 10mm & lengths up to 100mm BS 21 192 1556 4234 136261 Group Benefit Change 2008 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS215 WallFlex Biliary Stent Bare Metal Stent 6 - 10 x 40 - 120mm BS 21 192 1556 4234 136261 177661 Group Benefit Change 2008 0 0 Update 2012-02-01 2020-02-01 Prosthesis BS354 Epic Biliary Endoscopic Stent System Uncovered self-expanding nitinol biliary stent Diameter 6-10mm, Length 40-100mm BS 21 192 1556 4234 299016 Group Benefit Change 2008 0 0 Update 2018-08-01 2020-02-01 Prosthesis ET039 SX-Ella Tips Stent Uncovered, self-expanding nitinol stent Dia 10-14mm, length 52-77mm ET 21 192 1556 4234 144490 Group Benefit Change 2008 0 0 Update 2005-10-31 2020-02-01 Prosthesis OL011 X-Suit NIR Biliary Metal Stent The Medinol X-Suit® Biliary Metallic Stent consists of a self-expanding noncovered Nitinol stent integrated into a delivery system. 8 or 10mm diameter - 40, 60, 80 or 100 mm length, 7.5F OL 21 192 1556 4234 162023 Group Benefit Change 2008 0 0 Update 2010-02-01 2020-02-01 Prosthesis OW006 ALIMAXX-B® Biliary Stent 8-10mm, 40-80mm, 6.5F OW 21 192 1556 4234 177686 Group Benefit Change 2008 0 0 Update 2018-02-01 2020-02-01 Prosthesis PY038 Niti-S Biliary Uncovered Stents Niti-S Biliary Uncovered Stents. Diameter: 6mm to 10mm Length: 40mm to 120mm PY 21 192 1556 4234 130531 Group Benefit Change 2008 0 0 Update 2013-02-01 2020-02-01 Prosthesis UK013 BS307 HANAROSTENT HANAROSTENT Biliary(NNN), HANAROSTENT Biliary Hilar. Un-covered self-expanding nitinol biliary stent Diameter 6-10mm, Length 40-120mm UK 21 192 1556 4234 272684 272683 Group Benefit Change 2008 0 0 Update 2019-11-01 2020-02-01 Prosthesis UK015 BS309 Benefit Stent Benefit Biliary Stent. Un-covered self-expanding nitinol biliary stent Diameter 6-8mm, Length 40-120mm UK 21 192 1556 4234 272684 272683 Group Benefit Change 2008 0 0 Update 2019-11-01 2020-02-01 Prosthesis WC270 Zilver Biliary Stent System Self expanding metal biliary stent system Diameters 6, 8, 10mm; Lengths 4, 6, 8, 10, 12cm WC 21 192 1556 4234 177491 Group Benefit Change 2008 0 0 Update 2009-08-01 2020-02-01 Prosthesis WC308 Evolution Biliary Stent System (uncovered) Self expanding bare metal biliary stent system. Diameters :8 -10mm Lengths: 40 -100mm WC 21 192 1556 4234 177491 Group Benefit Change 2008 0 0 Update 2013-08-01 2020-02-01 Prosthesis WC331 Zilver 635 Biliary Stent The Zilver 635 Biliary Stent is a self-expandable stent made of nitinol. Length: 4-8cm, Diameter: 6-14mm, Delivery system: 40cm WC 21 192 1556 4234 236948 Group Benefit Change 2008 0 0 Update 2015-08-01 2020-02-01 Prosthesis BS052 Wallstent Biliary Stent Monofilament wire, self-expanding stent Diameters up to 10mm & lengths up to 100mm BS 21 192 1556 4235 136261 Group Benefit Change 2730 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS070 Wallstent RX Biliary Stent Monofilament wire, self-expanding stent Diameters up to 10mm & lengths up to 100mm BS 21 192 1556 4235 136261 Group Benefit Change 2730 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS214 WallFlex Biliary Stent Stent with permalume covering 6 - 10 x 40 - 120mm BS 21 192 1556 4235 136261 177661 Group Benefit Change 2730 0 0 Update 2012-02-01 2020-02-01 Prosthesis ET038 SX-Ella Biliary Stent Uncovered, self-expanding nitinol stent Dia 8-12mm, length 50-77mm ET 21 192 1556 4235 144490 Group Benefit Change 2730 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT116 Gore Biliary Endoprostheses ePTFE Short or Long Catheter 8-10mmx4-8cm GT 21 192 1556 4235 130493 Group Benefit Change 2730 0 0 Update 2005-10-31 2020-02-01 Prosthesis MB023 Allium Biliary Stent Endoscopic or Transhepatic biliary stent made of nitinol with copolymer covering and unraveling technology for atraumatic removal Stent length - 60, 80, 100, 120mm. Diameter - 8, 10mm. Anchor optional MB 21 192 1556 4235 205006 Group Benefit Change 2730 0 0 Update 2014-02-01 2020-02-01 Prosthesis PY049 Niti-S Biliary Covered and Partially Covered Stents Niti-S Biliary Covered and Partially Covered Stents Diameter: 4mm to 16mm Length: 10mm to 120mm PY 21 192 1556 4235 130531 Group Benefit Change 2730 0 0 Update 2017-08-01 2020-02-01 Prosthesis UK012 BS306 HANAROSTENT HANAROSTENT Biliary, HANAROSTENT Biliary Flap, HANAROSTENT Biliary Flap Lasso, HANAROSTENT Biliary Lasso (SHCL Models). Self-expanding nitinol biliary stent Diameter 6-10mm, Length 20-150mm UK 21 192 1556 4235 272683 272684 Group Benefit Change 2730 0 0 Update 2019-11-01 2020-02-01 Prosthesis UK014 BS308 TwynLay TwynLay Biliary. Self-expanding nitinol biliary stent Diameter 8-10mm, Length 40-120mm UK 21 192 1556 4235 272684 272683 Group Benefit Change 2730 0 0 Update 2019-11-01 2020-02-01 Prosthesis WC309 Evolution Biliary Stent System (covered) Self expanding partially or fully covered biliary stent system. Diameters: 8 - 10mm Lengths: 40 - 80mm WC 21 192 1556 4235 177491 Group Benefit Change 2730 0 0 Update 2013-08-01 2020-02-01 Prosthesis BS071 Ultraflex Precision Colonic Stent Nitinol, self expanding stent Diameters up to 30mm & lengths up to 150mm BS 21 192 1557 Self Expanding 119517 Group Benefit Change 2762 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE692 PY023 Niti-S Colorectal D-Type Stent Niti-S Colorectal D-Type self-expanding Stent Diameters: 18 to 30mm Lengths: 60 to 150mm DE 21 192 1557 Self Expanding 130747 Group Benefit Change 2762 0 0 Update 2019-07-01 2020-02-01 Prosthesis DE693 PY024 Niti-S Colorectal Stent Niti-S Colorectal self-expanding metal stent made from Nitinol. Stent PTFE covered and uncovered OTW or TTS with string for ease of removal. Diameter: 18mm to 30mm Length: 30mm to 160mm DE 21 192 1557 Self Expanding 130747 Group Benefit Change 2762 0 0 Update 2019-07-01 2020-02-01 Prosthesis UK008 BS300 HANAROSTENT HANAROSTENT Intestine Asymmetric, HANAROSTENT Colon/Rectum TTS, HANAROSTENT Colon/Rectum, HANAROSTENT Colon/Rectum Asymmetric, HANAROSTENT Colon/Rectum Lasso. Self-expanding nitinol colon/rectum stent, Diameter 20-24mm, Length 60-180mm UK 21 192 1557 Self Expanding 272681 Group Benefit Change 2762 0 0 Update 2019-11-01 2020-02-01 Prosthesis UK009 BS301 TwynLay TwynLay Colon/Rectum. Self-expanding nitinol colon/rectum stent Diameter 22-24mm, Length 60-170mm UK 21 192 1557 Self Expanding 272681 Group Benefit Change 2762 0 0 Update 2019-11-01 2020-02-01 Prosthesis BS046 Ultraflex Oesophageal Stent; Ultraflex Oesophageal NG Stent Nitinol, self expanding stent Diameters up to 30mm & lengths up to 150mm BS 21 192 1558 4237 120176 Group Benefit Change 2256 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS089 WallFlex Oesophageal Stent, WallFlex RMV Oesophageal Stent Nitinol, self expanding stent Diameters up to 30mm & lengths up to 155mm BS 21 192 1558 4238 120176 Group Benefit Change 3159 0 0 Update 2006-03-24 2020-02-01 Prosthesis BS102 Polyflex Oesophageal Stent Polyester braided material encapsulated with silicone, self expanding stent Diameters up to 30mm & lengths up to 150mm BS 21 192 1558 4238 126757 126797 Group Benefit Change 3159 0 0 Update 2006-11-30 2020-02-01 Prosthesis BS298 Ultraflex Oesophageal NG Covered Stent Translucent polyurethane covered nitinol, self expanding stent Diameters up to 30mm & lengths up to 150mm BS 21 192 1558 4238 120176 Group Benefit Change 3159 0 0 Update 2016-02-01 2020-02-01 Prosthesis DE690 PY021 Niti-S Oesophageal Fully Covered Stent Niti-S Oesophageal fully covered self expanding nitinol stent with covering of PTFE, silicone, a polyurethane layer. Nylon drawstring for removal or repositiong Diameter: 10mm to 36mm Length: 60mm to 230mm DE 21 192 1558 4238 130535 Group Benefit Change 3159 0 0 Update 2019-07-01 2020-02-01 Prosthesis DE691 PY022 Niti-S Oesophageal Double Stent & Beta Double & D-Double Stent Niti-S Oesophageal covered Double Stent & Beta Double and D-Double self-expanding metal stent made from Nitinol, with an anti-migration outer uncovered wire construction to allow the mesh to embed in the oesophageal wall. Also with anti reflux valve inner polyurethane layer, PTFE & silicone covering to prevent tumor ingrowth. String for retrieval or re-positioning. Diameter: 10mm to 28mm Length: 40mm to 200mm DE 21 192 1558 4238 130535 Group Benefit Change 3159 0 0 Update 2019-07-01 2020-02-01 Prosthesis ET001 Ferx Ella Esophageal Stent Kit includes esophageal stent, introducer, balloon catheter Diam 20mm, Length 80 - 160mm ET 21 192 1558 4238 95573 Group Benefit Change 3159 0 0 Update 2005-10-31 2020-02-01 Prosthesis ET045 Boubella Esophageal Stent Self expandable stainless steel wire stent with anti-reflux valve Length 90 - 195mm ET 21 192 1558 4238 95573 Group Benefit Change 3159 0 0 Update 2005-10-31 2020-02-01 Prosthesis ET069 SX - ELLA Stent Esophageal HV (HV Stent Plus) The SX-ELLA Atent Esophageal HV (HV Stent Plus) is a self-expandable, fully covered nitinol stent, pre-loaded on a delivery system. The stent is designed to provide relief from malignant or benign strictures in the oesophagus, or treating anastomic leaks. HV Stent Plus includes an anti-migration collar & is also available with an anti-reflux valve Stent body diameter = 20mm; Stent flares = 25mm diameter; Stent nominal length = 85/110/135/150mm ET 21 192 1558 4238 95573 Group Benefit Change 3159 0 0 Update 2012-08-01 2020-02-01 Prosthesis ET070 SX- ELLA Stent Danis The Danis Procedure Pack Basic contains the SX-ELLA Stent Danis, a nitinol wire that is compressed & preloaded within a delivery system, along with various instruments necessary for the stent implantation. The Stent Denis is a removable stent system for the treatment of bleeding esophageal varices. It is intended to be implanted and then removed within seven days of the date of implantation in order to avoid the risk of in-growth into the stent mesh One size: Stent flares diameter 30mm; Stent body diameter 25mm; Nominal length 135mm ET 21 192 1558 4238 95573 Group Benefit Change 3159 0 0 Update 2012-08-01 2020-02-01 Prosthesis OW005 EndoMAXX™ and EndoMAXX EVT™ Reinforced Wall Covered Oesophageal Stent 19-23mm, 70-150mm OW 21 192 1558 4238 177690 Group Benefit Change 3159 0 0 Update 2018-02-01 2020-02-01 Prosthesis OW007 ALIMAXX-ES™ Fully Covered Oesophageal Stent 12x70mm - 22x120mm, 62-67cm OW 21 192 1558 4238 177690 Group Benefit Change 3159 0 0 Update 2018-02-01 2020-02-01 Prosthesis UK017 BS302 CHOOSTENT CHOOSTENT Esophagus, Esophagus Valve, Esophagus Asymmetric, Esophagus Upper. Covered esophageal stent, self-expanding nitinol Diameter 18-24mm, Length 50-220mm UK 21 192 1558 4238 272685 Group Benefit Change 3159 0 0 Update 2019-11-01 2020-02-01 Prosthesis UK018 BS303 HANAROSTENT HANAROSTENT Esophagus, Esophagus Valve, Esophagus Benign BS, Bariatric Surgery, Esophagus TTS, Esophagus Skidproof, Esophagus Asymmetric, Esophagus Bone Shape Partial Covered, Esophagus Valve Partial covered. Covered esophagus stent, self-expanding nitinol Diameter 18-30mm, Length 50-240mm UK 21 192 1558 4238 272685 Group Benefit Change 3159 0 0 Update 2019-11-01 2020-02-01 Prosthesis WC246 Evolution Oesophageal Metal Stent Oesophogeal Self Expanding Metal Stent with controlled release delivery system 8, 10, 12.5 and 15cm Lengths, 25mm flared ends with 20mm body or 23mm flared ends with 18mm body WC 21 192 1558 4238 153840 Group Benefit Change 3159 0 0 Update 2009-02-01 2020-02-01 Prosthesis WC310 Evolution Oesophageal Stent System (Fully covered) Oesophageal self expanding metal stent with controlled release delivery system Diameters:18 - 20mm Lengths: 80 - 120mm WC 21 192 1558 4238 200836 Group Benefit Change 3159 0 0 Update 2013-08-01 2020-02-01 Prosthesis ET077 ELLA BD Stent The ELLA BD Stent is a self-expanding biodegradable stent made of polydiaxanone designed to slowly degrade when in contact with living tissue. Full degradation of stent occurs within 11-12 weeks of implantation. It is designed for dilation and treatment of benign oesophageal lesions. Stent body diameters=20mm-25mm; Stent flares diameters=25mm-31mm; Stent nominal length=60/80/100/135mm ET 21 192 1558 6025 232514 Group Benefit Change 4513 0 0 Update 2015-08-01 2020-02-01 Prosthesis BS317 HOT AXIOS Stent with Electrocautery Enhanced Delivery System for use in pseudocyst drainage. Self-expanding nitinol stent Length 8-10mm, Lumen Diameter 6-15mm BS 21 192 1561 6011 Electrocautery Group Benefit Change 4345 0 0 Update 2016-08-01 2020-02-01 Prosthesis BS313 AXIOS Stent and Delivery System for use in pseudocyst drainage. Self-expanding nitinol stent Length 10mm, Lumen Diameter 10-15mm BS 21 192 1561 6011 271558 Group Benefit Change 3610 0 0 Update 2016-08-01 2020-02-01 Prosthesis DE694 PY040 Niti-S Nagi and Spaxus Pancreatic, Pseudocyst and Gall Bladder Drainage Stent Fully Covered, self-expanding metal pancreatic pseudocyst intra-luminal drainage stent Diameter: 8, 10,12,14,16mm Length: 1,2,3cm DE 21 192 1561 6011 226438 Group Benefit Change 3610 0 0 Update 2019-07-01 2020-02-01 Prosthesis UK016 BS310 HANAROSTENT Pseudocyst HANAROSTENT Biliary (Flange) Lasso (BCF Models). Self-expanding, nitinol Diameter 8-16mm, Length 20-150mm UK 21 192 1561 6011 272683 272684 Group Benefit Change 3610 0 0 Update 2019-11-01 2020-02-01 Prosthesis BS290 Advanix Plastic Stent and Pusher Kit Plastic stent manufactured, indicated for the treatment of pancreatic strictures. Delivery System in form of a pusher (short wire or long wire system specific). 2 - 18cm length / 3 - 10 FR diameter BS 21 192 1561 Pusher 226891 Group Benefit Change 131 0 0 Update 2015-02-01 2020-02-01 Prosthesis BS289 Advanix Plastic Stent Plastic stent manufactured individually, indicated for the treatment of pancreatic strictures. 2 - 18cm length / 3 - 10 FR diameter BS 21 192 1561 226891 Group Benefit Change 77 0 0 Update 2015-02-01 2020-02-01 Prosthesis WC079 Zimmon Pancreatic Stent Single pigtail with radio-opaque band Diameter 4 - 10FR, Length 2 - 18cm WC 21 192 1561 142998 Group Benefit Change 77 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC123 Geenen Pancreatic Stent Straight plastic pancreatic stent with or without ductal flaps Diameter 3 - 11.5 FR, length 2 - 20cm WC 21 192 1561 142998 Group Benefit Change 77 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC212 Zimmom Pancreatic Stent Single pigtail radio-opaque Polyethylene Stent with or without ductal flaps Diameter 3 - 7 FR, Length 3 - 18cm WC 21 192 1561 142998 Group Benefit Change 77 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC271 Geenen Sof-Flex Pancreatic Stent Straight plastic pancreatic stent with or without ductal flaps Diameter 3 - 10 Fr; length 2 - 15cm WC 21 192 1561 142998 Group Benefit Change 77 0 0 Update 2009-08-01 2020-02-01 Prosthesis BS053 Wallstent Enteral Stent Monofilament wire, self-expanding stent Diameters up to 30mm & lengths up to 150mm BS 21 192 1562 119517 Group Benefit Change 3159 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS090 WallFlex Enteral Stent (Duodenal/Colonic) Nitinol, self expanding stent Diameters up to 30mm & lengths up to 150mm BS 21 192 1562 119517 Group Benefit Change 3159 0 0 Update 2006-03-24 2020-02-01 Prosthesis BS337 WallFlex Soft Enteral Stent (Duodenal/Colonic) Nitinol, self expanding stent with Anchor Lock Delivery System Diameters up to 27mm & lengths up to 120mm BS 21 192 1562 119517 Group Benefit Change 3159 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE689 PY017 Niti-S Pyloric/Duodenal Stent Niti-S Pyloric self-expanding stent, covered and uncovered, OTW or TTS Diameter: 16 to 28mm Length: 40 to 160mm DE 21 192 1562 130746 Group Benefit Change 3159 0 0 Update 2019-07-01 2020-02-01 Prosthesis UK010 BS304 HANAROSTENT HANAROSTENT Duodenum/Pylorus Kim’s Flare, HANAROSTENT Duodenum/Pylorus Lasso, HANAROSTENT Duodenum/Pylorus Lasso. Self-expanding nitinol duodenum/pylorus stent Diameter 18-24mm, Length 60-180mm UK 21 192 1562 272682 Group Benefit Change 3159 0 0 Update 2019-11-01 2020-02-01 Prosthesis UK011 BS305 TwynLay TwynLay Duodenum/Pylorus. Self-expanding nitinol duodenum/pylorus stent Diameter 20mm, Length 60-150mm UK 21 192 1562 272682 Group Benefit Change 3159 0 0 Update 2019-11-01 2020-02-01 Prosthesis WC268 Evolution Enteral Metal Stent Enteral Metal Stent Diameter 22 to 25mm body; 27 to 30mm flanges. Length: 6 to 12cm WC 21 192 1562 157191 157192 Group Benefit Change 3159 0 0 Update 2009-08-01 2020-02-01 Prosthesis AK009 Oesophageal Tracheal Stents Nitinol wire expandable stents, covered and non covered, Y shaped multiple sizes AK 21 192 1563 173875 Changed Benefit 1805 0 0 Update 2017-02-01 2020-02-01 Prosthesis AK010 Oesophageal Tracheal Stents self expanding nitinol stent, covered and uncovered, straight and J shape multiple sizes AK 21 192 1563 173875 Changed Benefit 1805 0 0 Update 2017-02-01 2020-02-01 Prosthesis BS047 Ultraflex Tracheobronchial Stent Nitinol, self expanding stent Diameters up to 25mm & lengths up to 80mm BS 21 192 1563 149594 Group Benefit Change 2708 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS101 Polyflex Airway Stent Polyester braided material encapsulated with silicone, self expanding stent Diameters up to 25mm & lengths up to 80mm BS 21 192 1563 126797 Group Benefit Change 2708 0 0 Update 2006-11-30 2020-02-01 Prosthesis BS103 Dynamic (Y) Stent Bifurcated Tracheobronchial stent. Bronchial Limbs made of silicone and tracheal stem made of silicone with embedded stainless steel c-shape rings. Diameters up to 25mm & lengths up to 120mm BS 21 192 1563 126797 Group Benefit Change 2708 0 0 Update 2007-06-01 2020-02-01 Prosthesis DE695 PY048 Niti-S Tracheal and Bronchial Stents Niti-S Tracheal and Bronchial Stents Diameter: 10mm to 24mm Length: 30mm to 100mm DE 21 192 1563 130533 130534 Group Benefit Change 2708 0 0 Update 2019-07-01 2020-02-01 Prosthesis OW004 AERO®, AERO DV® and AEROmini® Trachobronchial Stent 8-20mm diameter, 12.5F-22F, 56-70cm OW 21 192 1563 177690 Group Benefit Change 2708 0 0 Update 2018-02-01 2020-02-01 Prosthesis UK019 BS311 HANAROSTENT HANAROSTENT Trachea/Bronchial. Covered trachea/bronchium stent, self-expanding nitinol Length 30-80mm, Diameter 12-20mm UK 21 192 1563 272686 Group Benefit Change 2708 0 0 Update 2019-11-01 2020-02-01 Prosthesis IG002 NeuraGen NeuraGen is a semi-permeable Type 1 collagen tube for peripheral nerve repair. It provides a protective environment and conduit for axonal regrowth across a nerve gap. It is biocompatible and completely resorbed. The open collagen structure facilitates suture placement. It has a resilient structure that maintains an open lumen throughout the process of axonal growth. 2mm x 2cm, 3mm x 2cm, 4mm x 2cm, 5mm x 2cm, 6mm x 2cm, 7mm x 2cm, 1.5mm x 3cm, 2mm x 3cm, 3mm x 3cm, 4mm x 3cm, 5mm x 3cm, 6mm x 3cm, 7mm x 3cm IG 21 192 1564 158870 Group Benefit Change 1354 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG003 NeuraWrap NeuraWrap nerve protector is designed to provide an interface between the nerve and the surrounding tissues. NeuraWrap remains in place during the active phase of tissue healing and is completely resorbed after tissue response has resolved. The porous outer layer of NeuraWrap comprises a tubular matrix that mechanically resists compression from surrounding tissue and excludes scar tissue ingrowth. The semi-permeable inner membrane allows passage of small molecules (ie water, ions, metabolites, nutrients) but prevents the escape of endogenous growth factors (Nerve Growth Factor). NeuraWrap provides a new alternative for the treatment of peripheral nerve injuries. 3mm x 2cm, 3mm x 4cm, 5mm x 2cm, 5mm x 4cm, 7mm x 2cm, 7mm x 4cm, 10mm x 2cm, 10mm x 4cm IG 21 192 1564 158924 Group Benefit Change 1354 0 0 Update 2010-02-01 2020-02-01 Prosthesis LM080 Neurolac A bioresorbable tension-less Nerve repair guide 1.5mm x 3cm to 10.0mm x 3cm LM 21 192 1564 139653 Group Benefit Change 1354 0 0 Update 2008-07-01 2020-02-01 Prosthesis LM335 Nerve Capping Device A peripheral bioresorbable nerve capping device 30mm LM 21 192 1564 285368 Group Benefit Change 1354 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE603 PleuraFlow® Active Clearance Technology® (ACT) Pleural drainage catheter 20; 24; 28;32FR DE 21 193 1577 4242 218317 Group Benefit Change 384 0 0 Update 2018-02-01 2020-02-01 Prosthesis FN002 ZQ005 Pleurx Pleurx Pleural Catheter Mini Kit Catheter 24cm x 15.5Fr FN 21 193 1577 4242 150008 Group Benefit Change 384 0 0 Update 2019-03-01 2020-02-01 Prosthesis ME207 TRU-CLOSE THORACIC VENT Device for the treatment of spontanious, traumatic or iatrogenic simple pneumothorax.Allowing for amubulation during resolution and the aspiration of small amount of fluids Catheter outer diameter = 11 French, catheter length = 10cm Catheter outer diameter = 11 French, catheter length = 13cm Catheter outer diameter = 13 French, catheter length = 10cm Catheter outer diameter = 13 French, catheter length = 13cm ME 21 193 1577 4242 181784 Group Benefit Change 384 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME208 Redax Unico Percutaneous Drainage Kit Percutaneous Drainage Kit 9-12 CH ME 21 193 1577 4242 204898 Changed Benefit 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis MS065 ASEPT Pleural Drainage System Indwelling tunnelled pleural catheter insertion kit 15F x 66cm silicone catheter with fenestrations and cuff MS 21 193 1577 4242 285155 Group Benefit Change 384 0 0 Update 2014-08-01 2020-02-01 Prosthesis RK001 Rocket IPC Pleural/Peritoneal Tunnelled Catheter Insertion kit Rocket IPC Pleural/Peritoneal Tunnelled Catheter Insertion kit with catheter 16fg x 69cm silicone catheter with cuff RK 21 193 1577 4242 166369 Group Benefit Change 384 0 0 Update 2012-02-01 2020-02-01 Prosthesis WA001 Thal-Quick Chest Tube Set The set consists of introducer needle, wire guide, dilators, coaxial chest tube inserter and clear catheter with radiopaque strip. 8-36 Fr, Length: 18-41cm WA 21 193 1577 4242 142280 Changed Benefit 143 0 0 Update 2016-08-01 2020-02-01 Prosthesis WA002 Fuhrman Pleural/Pneumopericardial Drainage Set Percutaneous drainage kit. Components: Introducer needle, wire guide, dilator, radiopaque pigtail catheter, three-way stopcock, and multipurpose tubing adapter. Catheter length 15cm, 6-10.2 Fr WA 21 193 1577 4242 155952 Changed Benefit 143 0 0 Update 2016-08-01 2020-02-01 Prosthesis WA005 Wayne Pneumothorax Set Wayne Pneumothorax Set for Seldinger Placement. Set includes: introducer needle, wire guide, dilator, pigtail catheter, and Cook Chest Drain Valve Length: 29cm, 14Fr WA 21 193 1577 4242 142280 Changed Benefit 114 0 0 Update 2017-02-01 2020-02-01 Prosthesis BS227 Flexima All-Purpose Drainage Catheter All-purpose drainage catheters for abscesses and fluid collections. Length up to 25cm BS 21 193 1577 4243 132027 Changed Benefit 114 0 0 Update 2013-02-01 2020-02-01 Prosthesis BS229 Flexima vanSonnenburg Sump Catheter Dual lumen catheters that drain cavity contents by application of suction Length up to 35cm BS 21 193 1577 4243 132027 Group Benefit Change 384 0 0 Update 2013-02-01 2020-02-01 Prosthesis CB016 Skater All-Purpose Drainage Catheter All-purpose drainage catheters for abscesses and fluid collections Single Step Drainage Catheter w/Locking Pigtail 6Fx20cm, 6Fx25cm, 7Fx20cm, 7Fx25cm, 8Fx20cm, 8Fx25cm, 8Fx30cm, 10Fx20cm, 10Fx25cm, 10Fx30cm, 12Fx20cm, 12Fx25cm, 14Fx20cm, 14Fx25cm, 16Fx25cm Single Step Drainage Catheter w/Non-Locking Pigtail 6Fx20cm, 6Fx25cm, 7Fx20cm, 7Fx25cm, 8Fx20cm, 8Fx25cm, 8Fx30cm, 10Fx20cm, 10Fx25cm, 10Fx30cm, 12Fx20cm, 12Fx25cm, 14Fx20cm, 14Fx25cm, 16Fx25cm Drainage Catheter w/Locking Pigtail 6Fx25cm, 6Fx35cm, 7Fx25cm, 7Fx35cm, 8Fx25cm, 8Fx35cm, 10Fx25cm, 10Fx35cm, 12Fx25cm, 12Fx35cm, 14Fx25cm, 14Fx35cm, 16Fx25cm Drainage Catheter w/Non-Locking Pigtail 6Fx25cm, 6Fx35cm, 7Fx25cm, 7Fx35cm, 8Fx25cm, 8Fx35cm, 10Fx25cm, 10Fx35cm, 12Fx25cm, 12Fx35cm, 14Fx25cm, 16Fx25cm CB 21 193 1577 4243 223261 Group Benefit Change 384 0 0 Update 2015-08-01 2020-02-01 Prosthesis FN001 ZQ004 Pleurx Pleurx Peritoneal Catheter Mini Kit Catheter 71.0cm x 15.5 Fr FN 21 193 1577 4243 150008 Group Benefit Change 384 0 0 Update 2019-03-01 2020-02-01 Prosthesis ME223 NG075 General Purpose Drainage Catheter Abscess Drainage Catheters 6FR x 12CM through to 28FR x 50CM ME 21 193 1577 4243 98030 Group Benefit Change 384 0 0 Update 2018-02-01 2020-02-01 Prosthesis MS068 ASEPT Peritoneal Drainage System Indwelling tunnelled peritoneal catheter insertion kit Catheter: 71 cm x 15.5F MS 21 193 1577 4243 285155 Group Benefit Change 384 0 0 Update 2018-02-01 2020-02-01 Prosthesis WC315 Multipurpose Drainage Catheter Catheter used in a variety of drainage applications 8.5-14 Fr, Length: 15-60cm WC 21 193 1577 4243 139357 Changed Benefit 114 0 0 Update 2013-08-01 2020-02-01 Prosthesis BS250 Flexima Biliary Drainage Catheter Biliary drainage catheters for drainage of the biliary tree Length up to 35cm BS 21 193 1577 5489 132027 Group Benefit Change 108 0 0 Update 2013-08-01 2020-02-01 Prosthesis CB017 Skater Biliary Drainage Catheter Used for biliary drainage applications Biliary Drainage Catheter w/Locking Pigtail 8Fx40cm, 10Fx40cm, 12Fx40cm Biliary Drainage Catheter w/Non-Locking Pigtail 8Fx40cm, 10Fx40cm, 12Fx40cm CB 21 193 1577 5489 223261 Group Benefit Change 108 0 0 Update 2015-08-01 2020-02-01 Prosthesis OW009 ReSolve Biliary Catheter Radiopaque catheter for percutaneous biliary drainage 8.5-14 French OW 21 193 1577 5489 108467 Group Benefit Change 108 0 0 Update 2018-02-01 2020-02-01 Prosthesis WC317 Ultrathane Biliary Drainage Catheter Used for biliary drainage applications. 8.5-14 Fr, 40-60cm length WC 21 193 1577 5489 138381 Group Benefit Change 108 0 0 Update 2014-02-01 2020-02-01 Prosthesis FN005 ZQ010 Safe-T-Centesis Drainage system Safe-T-Centesis drainage for para/thoracentesis 6FR and 8FR pigtail catheter with Veress technology FN 21 193 1577 6000 120894 Group Benefit Change 136 0 0 Update 2019-03-01 2020-02-01 Prosthesis FN006 ZQ011 Paracentesis/Thoracentesis Catheter Drainage Thora/Paracentesis kit 8FR, 12cm polyurethane catheter FN 21 193 1577 6000 120894 Changed Benefit 114 0 0 Update 2019-03-01 2020-02-01 Prosthesis OW008 One-Step Centesis Catheter Drainage catheter available in straight, pigtail, valved and non-valved with introducer needle 4 French to 8 French 7-17cm OW 21 193 1577 6000 108467 Group Benefit Change 136 0 0 Update 2018-02-01 2020-02-01 Prosthesis OW010 ReSolve Locking and Non-Locking Drainage Catheters Hydrophilic locking and non-locking drainage catheters 6.5 - 14 French OW 21 193 1577 6001 108467 Group Benefit Change 108 0 0 Update 2018-02-01 2020-02-01 Prosthesis OL081 IBV Valve in Cartridge A one-way valve placed in the lung airway intended to treat diseased lung in emphysematous patients or damaged lung resulting in air leaks by limiting airflow to selected areas. 5mm, 6mm, 7mm and 9mm OL 21 193 1578 188455 Group Benefit Change 5686 0 0 Update 2013-02-01 2020-02-01 Prosthesis PX001 Pulmonx Valve intended to improve lung function in patients with heterogeneous emphysema by controlling air flow with a one-way valve and to treat patients with pulmonary air leak. 4.0 (4 to 7 mm) and 5.5 (5.5 to 8.5mm) PX 21 193 1578 165980 Group Benefit Change 5686 0 0 Update 2013-02-01 2020-02-01 Prosthesis FN003 ZQ008 Denver Ascites Shunt, (PAK), Double-valved Ascite Shunt - Double Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a venous catheter, and a flexible pump chamber containing two miter valves, provided with a Percutaneous Access Kit. Double-valved, 42-2050 FN 21 193 1793 163267 Group Benefit Change 1986 0 0 Update 2019-03-01 2020-02-01 Prosthesis FN004 ZQ009 Denver Ascites Shunt, (PAK), Single-valved Ascites Shunt - Single Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a veneous catheter, and a flexible pump chamber containing one miter valve, provided with a Percutaneous Access Kit (PAK). Single valved, 42-2055 FN 21 193 1793 163266 Group Benefit Change 1986 0 0 Update 2019-03-01 2020-02-01 Prosthesis JJ010 Interceed Absorbable Adhesion Barrier Oxidized Regenerated Cellulose 7.6cm x 10.2cm JJ 21 194 1579 5431 137081 Group Benefit Change 158 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ464 Divide Absorbable Adhesion Barrier Oxidised regenerated cellulose 3.8 x 5.1cmm JJ 21 194 1579 5431 137984 Group Benefit Change 158 0 0 Update 2005-10-31 2020-02-01 Prosthesis ET051 Surgiwrap Bio Absorbable Antiadhesion Barrier All sizes with and without suture holes ET 21 194 1579 5432 Complex, Bioresorbable 91233 Group Benefit Change 1173 0 0 Update 2006-03-24 2020-02-01 Prosthesis LM084 Polyganics Vivosorb A bioresorbable co polyester sheet 2cm x 3cm to 13cm x 20cm LM 21 194 1579 5432 Complex, Bioresorbable 148712 Group Benefit Change 1173 0 0 Update 2008-07-01 2020-02-01 Prosthesis GE006 Seprafilm Adhesion Barrier Sodium hyaluronate carbomethylcellulose membrane 13cm x 15cm GE 21 194 1579 5432 133341 Group Benefit Change 312 0 0 Update 2006-03-24 2020-02-01 Prosthesis BX260 ADEPT Adhesion Reduction Solution ADEPT Adhesion Reduction Solution is a single use, sterile fluid for intraperitoneal administration. ADEPT is intended to be used as an instillate for the reduction of adhesions following gynaecologicalpelvic laparoscopic surgery of the abdominalpelvic cavity in adults 1500ml BX 21 194 1579 4246 299826 Group Benefit Change 226 0 0 Update 2008-07-01 2020-02-01 Prosthesis FJ001 LH534 Oxiplex/AP Absorbable Adhesion Barrier Gel Combination of Polyethylene Oxide (PEO) and Sodium Carboxylmethylcellulose stabilised with Calcium and made isotonic with Sodium Chloride. Kit contains 2 x 20ml Sterile syringes , 1 x Applicator 2 x 20ml Sterile Syringes, 1 x Applicator FJ 21 194 1579 5433 Complex 152224 Group Benefit Change 1173 0 0 Update 2018-08-01 2020-02-01 Prosthesis FJ002 LH001 Oxiplex Absorbable Adhesion Barrier Gel Oxiplex Absorbable Adhesion Barrier gel (Oxiplex is a co-polymer gel composed of carboxymethylcellulose and polyethylene.) 3ml in sterile 3ml syringe FJ 21 194 1579 5433 Complex 149294 Group Benefit Change 1173 0 0 Update 2018-08-01 2020-02-01 Prosthesis FJ003 LM196 Dynavisc Absorbable adhesion barrier gel 1 ml FJ 21 194 1579 5433 Complex 208839 Changed Benefit 411 0 0 Update 2018-08-01 2020-02-01 Prosthesis FJ004 Oxiplex/IU Oxiplex/IU® is a clear, single use flowable gel. The gel is a sterile, absorbable combination of sodium carboxymethylcellulose (CMC) and polyethylene oxide (PEO) with calcium chloride and sodium chloride in water. Oxiplex/IU is intended for use as a mechanical barrier to adhesion formation. Oxiplex/IU is intended to be used as an adjunct to intrauterine procedures for reducing the incidence, extent, and severity of adhesions. 1 x 10ml pre-filled syringe and vaginal applicator. FJ 21 194 1579 5433 Complex 313985 Group Benefit Change 1173 0 0 Update 2019-11-01 2020-02-01 Prosthesis LH001 Oxiplex Absorbable Adhesion Barrier Gel Oxiplex Absorbable Adhesion Barrier gel (Oxiplex is a co-polymer gel composed of carboxymethylcellulose and polyethylene.) 3ml in sterile 3ml syringe LH 21 194 1579 5433 Complex 149294 Group Benefit Change 1173 0 0 Update 2008-07-01 2020-02-01 Prosthesis LH534 Oxiplex/AP Absorbable Adhesion Barrier Gel Combination of Polyethylene Oxide (PEO) and Sodium Carboxylmethylcellulose stabilised with Calcium and made isotonic with Sodium Chloride. Kit contains 2 x 20ml Sterile syringes , 1 x Applicator 2 x 20ml Sterile Syringes, 1 x Applicator LH 21 194 1579 5433 Complex 152224 1235 0 0 No Change 2015-08-01 2020-02-01 Prosthesis MC618 Medishield Anti-Adhesion Gel MediShield Anti-Adhesion Gel is an adhesion barrier gel for prevention of complications after spinal surgery. MediShield is a co-polymer gel composed of carboxymethylcellulose and polyethylene oxide. 3cc Syringe MC 21 194 1579 5433 Complex 137951 Group Benefit Change 1173 0 0 Update 2006-03-24 2020-02-01 Prosthesis ET082 PureRegen Gel Sinus PureRegen Gel Sinus is a gel adhesion barrier comprised of a hyaluronic acid based hydrogel. The product does not contain any medicinal, human or animal components. It is removed from the application site by natural elimination. 2ml, 5ml, 6ml, 8ml, 10ml, 20ml. ET 21 194 1579 5433 Sinus 264407 119 0 0 No Change 2016-08-01 2020-02-01 Prosthesis AB075 BioGlue Surgical Adhesive - 2ml Syringe System Model No BG3502-5-A (BioGlue Surgical Adhesive) 2ml AB 21 194 1580 4247 Biological 137751 Group Benefit Change 327 0 0 Update 2013-02-01 2020-02-01 Prosthesis BX214 TISSEEL Two Component Fibrin Sealant Syringe Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen 2.0 ml (containing 1.0 ml of Sealer Protein Solution and 1.0 ml of Thrombin Solution) BX 21 194 1580 4247 Biological 147141 Group Benefit Change 327 0 0 Update 2005-10-31 2020-02-01 Prosthesis BX283 ARTISS Fibrin Sealant 2ml ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin. It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent. The two components are formulated as two sterile frozen solutions. Each solution is presented in a separate pre-loaded chamber (1ml) of a double chamber syringe. One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 2ml total volume of product for use. BX 21 194 1580 4247 Biological 163515 Group Benefit Change 327 0 0 Update 2011-08-01 2020-02-01 Prosthesis BB382 Histoacryl Flexible Topical Skin Adhesive 0.5ml per ampoule BB 21 194 1580 4247 Synthetic 221444 Changed Benefit 42 0 0 Update 2018-08-01 2020-02-01 Prosthesis BB383 Histoacryl Topical and Surgical Adhesive 0.5ml per ampoule BB 21 194 1580 4247 Synthetic 206441 Changed Benefit 42 0 0 Update 2018-08-01 2020-02-01 Prosthesis BB394 MQ002 Histoacryl Pro-set OFX Histoacryl with applicator 0.5ml x 2 ampoules with applicator BB 21 194 1580 4247 Synthetic 206441 Group Benefit Change 258 0 0 Update 2019-11-01 2020-02-01 Prosthesis BB395 MQ003 Histoacryl Surgical adhesive 0.5ml per ampoule BB 21 194 1580 4247 Synthetic 206441 Group Benefit Change 258 0 0 Update 2019-11-01 2020-02-01 Prosthesis BX252 CoSeal Surgical Sealant Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into one syringe, a dilute hydrogen chloride solution and a sodium phosphate/sodium carbonate solution 2ml BX 21 194 1580 4247 Synthetic 114966 Group Benefit Change 258 0 0 Update 2005-10-31 2020-02-01 Prosthesis LH596 Liquiband Surgical Surgical Adhesive 0.8gm ampoule LH 21 194 1580 4247 Synthetic 151324 Changed Benefit 42 0 0 Update 2018-08-01 2020-02-01 Prosthesis LH597 LiquiBand Topical Topical Skin Adhesive 0.25g – 0.8g ampoule LH 21 194 1580 4247 Synthetic 151324 Group Benefit Change 258 0 0 Update 2018-08-01 2020-02-01 Prosthesis MG038 Glubran 2 Synthetic cyanoacrylic surgical glue: N-Butyl (2) cyanoacrylate and methacryloxysulfolane co-monomer 0.25 ml to 1 ml MG 21 194 1580 4247 Synthetic 158438 Group Benefit Change 258 0 0 Update 2012-02-01 2020-02-01 Prosthesis MG047 Glubran Tiss2 Tissue adhesive 0.25 ml, 0.35 ml, 0.50 ml MG 21 194 1580 4247 Synthetic 158442 Changed Benefit 42 0 0 Update 2019-07-01 2020-02-01 Prosthesis MI286 LiquiBand® Exceed™ Topical Tissue Adhesive with Applicator 0.8 mL, 0.36mL MI 21 194 1580 4247 Synthetic 266148 Changed Benefit 42 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI317 SQ124 INDERMIL Flexifuze Topical Tissue Adhesive with Applicator 0.75g per ampoule MI 21 194 1580 4247 Synthetic 322769 Changed Benefit 42 0 0 Update 2019-11-01 2020-02-01 Prosthesis MN229 Dermabond Topical Skin Adhesive Per 0.36 - 0.75ml vial JJ 21 194 1580 4247 Synthetic 171563 Changed Benefit 42 0 0 Update 2018-02-01 2020-02-01 Prosthesis MN230 Dermabond Prineo Topical skin adhesive with self-adhering mesh 22 - 60cm MN 21 194 1580 4247 Synthetic 185773 Group Benefit Change 258 0 0 Update 2018-02-01 2020-02-01 Prosthesis SQ124 INDERMIL Flexifuze Topical Tissue Adhesive with Applicator 0.75g per ampoule SQ 21 194 1580 4247 Synthetic 283083 Changed Benefit 42 0 0 Update 2017-02-01 2020-02-01 Prosthesis AB003 BioGlue Surgical Adhesive - 5ml Syringe System Model No BG3515-5-A (BioGlue Surgical Adhesive) One size only AB 21 194 1580 4248 Biological 137751 Group Benefit Change 602 0 0 Update 2005-10-31 2020-02-01 Prosthesis BX215 TISSEEL Two Component Fibrin Sealant Syringe Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen 4.0 ml (containing 2.0 ml of Sealer Protein Solution and 2.0 ml of Thrombin Solution) BX 21 194 1580 4248 Biological 147141 Group Benefit Change 602 0 0 Update 2005-10-31 2020-02-01 Prosthesis BX284 ARTISS Fibrin Sealant 4ml ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin. It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent. The two components are formulated as two sterile frozen solutions. Each solution is presented in a separate pre-loaded chamber (2ml) of a double chamber syringe. One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 4ml total volume of product for use. BX 21 194 1580 4248 Biological 163515 Group Benefit Change 602 0 0 Update 2011-08-01 2020-02-01 Prosthesis BX253 CoSeal Surgical Sealant Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution 4ml BX 21 194 1580 4248 Synthetic 114966 Group Benefit Change 516 0 0 Update 2005-10-31 2020-02-01 Prosthesis AB004 BioGlue Surgical Adhesive - 10ml Syringe System Model No BG3510-5-A (BioGlue Surgical Adhesive) One size only AB 21 194 1580 4249 Biological 137751 Group Benefit Change 1204 0 0 Update 2005-10-31 2020-02-01 Prosthesis BX216 TISSEEL Two Component Fibrin Sealant Syringe Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen 10.0 ml (containing 5.0 ml of Sealer Protein Solution and 5.0 ml of Thrombin Solution) BX 21 194 1580 4249 Biological 147141 Group Benefit Change 1204 0 0 Update 2005-10-31 2020-02-01 Prosthesis BX285 ARTISS Fibrin Sealant 10ml ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin. It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent. The two components are formulated as two sterile frozen solutions. Each solution is presented in a separate pre-loaded chamber (5ml) of a double chamber syringe. One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 10ml total volume of product for use. BX 21 194 1580 4249 Biological 163515 Group Benefit Change 1204 0 0 Update 2012-02-01 2020-02-01 Prosthesis MN204 Evicel Solutions for Fibrin Sealant Human fibrinogen and Human thrombin 10mL kit MN 21 194 1580 4249 Biological 181319 Group Benefit Change 1204 0 0 Update 2017-02-01 2020-02-01 Prosthesis BX254 CoSeal Surgical Sealant Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution 8ml BX 21 194 1580 4249 Synthetic 114966 Group Benefit Change 963 0 0 Update 2005-10-31 2020-02-01 Prosthesis AB008 BioGlue Surgical Adhesive - Syringe Standard Applicator Tip Model No BGAT-SY (BioGlue Surgical Adhesive) Standard Applicator Tip AB 21 194 1580 4250 Applicator Tip 137420 Group Benefit Change 22 0 0 Update 2005-10-31 2020-02-01 Prosthesis BA267 Progel Platinum Surgical Sealant Spray Tip Spray tip to be used in conjunction with Progel Platinum Surgical Sealant 5cm (packs of 2) BA 21 194 1580 4250 Applicator Tip 260665 Group Benefit Change 22 0 0 Update 2016-02-01 2020-02-01 Prosthesis BX266 TISSEEL DUPLOSPRAY MIS APPLICATOR REPLACEMENT TIPS Two component Fibrin Sealant containing human derived fibrinogen and thrombin. Packs of 10 sterile packs each containing 2 tips and an installation tool BX 21 194 1580 4250 Applicator Tip 115590 Group Benefit Change 22 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX270 COSEAL Applicator Tips 7 cm COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. A 7cm long applicator tip BX 21 194 1580 4250 Applicator Tip 114966 Group Benefit Change 22 0 0 Update 2008-07-01 2020-02-01 Prosthesis MG034 Glubran 2 Applicators Dispensing tip/Drop control device for applying Glubran 2. 5-6 and 7-8 French MG 21 194 1580 4250 Applicator Tip 162589 Group Benefit Change 22 0 0 Update 2010-08-01 2020-02-01 Prosthesis AB009 BioGlue Surgical Adhesive - Syringe 10cm Extender Model No BGAT-10-SY (BioGlue Surgical Adhesive) 10cm Extender AB 21 194 1580 4250 Extender 137420 Group Benefit Change 27 0 0 Update 2005-10-31 2020-02-01 Prosthesis AB010 BioGlue Surgical Adhesive - Syringe 27CM Extender Model No BGAT-27-SY (BioGlue Surgical Adhesive) 27cm Extender AB 21 194 1580 4250 Extender 137420 Group Benefit Change 27 0 0 Update 2005-10-31 2020-02-01 Prosthesis AB076 BioGlue Surgical Adhesive - Spreader Tips Spreader (extender) Tips (various sizes), (Pack of 3) 12mm, 16mm AB 21 194 1580 4250 Extender 137420 Group Benefit Change 27 0 0 Update 2014-02-01 2020-02-01 Prosthesis BA266 Progel Platinum Surgical Sealant Extender Spray Tip Extender Spray tip to be used in conjunction with Progel Platinum Surgical Sealant 16cm, 29cm BA 21 194 1580 4250 Extender 260665 Group Benefit Change 27 0 0 Update 2016-02-01 2020-02-01 Prosthesis BX261 Tisseel Duplospray MIS WITH SNAPLOCK Applicator 20cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. A 20cm long dual lumen metal cannula BX 21 194 1580 4250 Extender 115590 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX262 TISSEEL DUPLOCATH 180cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. A 180cm long double lumen flexible application catheter BX 21 194 1580 4250 Extender 131001 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX263 COSEAL Spray Accessory Kit A hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. One size available BX 21 194 1580 4250 Extender 115590 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX264 TISSEEL DUPLOTIP WITH SNAPLOCK 20g x 26.4cm Two component Fibrin Sealant containing derived fibrinogen and thrombin. A 26.4cm long dual umen applicator BX 21 194 1580 4250 Extender 115590 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX269 TISSEEL Easyspray Set Two component Fibrin Sealant containing human derived fibrinogen and thrombin. One size BX 21 194 1580 4250 Extender 131001 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX271 TISSEEL DUPLOTIP with SNAPLOCK 20g x 10.4cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. 10.4cm long dual lumen applicator BX 21 194 1580 4250 Extender 115590 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX272 TISSEEL DUPLOCATH 25cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. A 25cm long double lumen flexible application catheter BX 21 194 1580 4250 Extender 131001 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX274 TISSEEL DUPLOTIP 20G x 5.3cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. A 5.3 cm long dual lumen applicator. BX 21 194 1580 4250 Extender 115590 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX275 COSEAL Extended Applicator 22 cm COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. A 22 cm long malleable applicator BX 21 194 1580 4250 Extender 114966 Group Benefit Change 27 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX282 Floseal Special Applicator Tips Floseal Malleable and Trimmable Applicator with Tips specifically designed for use with Floseal Haemostatic Matrix 14cm BX 21 194 1580 4250 Extender 167776 Group Benefit Change 27 0 0 Update 2010-08-01 2020-02-01 Prosthesis MG035 Glubran 2 Catheter for Laparoscopy Catheter for laparoscopic application of Glubran 2. One size only MG 21 194 1580 4250 Extender 162589 Group Benefit Change 27 0 0 Update 2010-08-01 2020-02-01 Prosthesis AB065 BioGlue Delivery Tip Extension (various sizes) Rigid Extender Tip (BGDTE range) 10cm, 27cm, 35cm AB 21 194 1580 4250 Laparoscopic Extender 137420 Group Benefit Change 53 0 0 Update 2007-12-01 2020-02-01 Prosthesis BX268 TISSEEL DUPLOCATH 35cm MIC/MIS Two component Fibrin Sealant containing human derived fibrinogen and thrombin. A 35cm long double lumen flexible application catheter BX 21 194 1580 4250 Laparoscopic Extender 131001 Group Benefit Change 53 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX277 TISSEEL DUPLOSPRAY MIS SNAPLOCK APPLICATOR 30 cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin. A 30 cm long dual lumen metal cannula BX 21 194 1580 4250 Laparoscopic Extender 115590 Group Benefit Change 53 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX279 Coseal Duplospray Applicator 30cm COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. 30cm BX 21 194 1580 4250 Laparoscopic Extender 115590 Group Benefit Change 53 0 0 Update 2010-02-01 2020-02-01 Prosthesis BX280 Coseal Duplospray Applicator 20cm COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. This a 20 cm BX 21 194 1580 4250 Laparoscopic Extender 115590 Group Benefit Change 53 0 0 Update 2010-02-01 2020-02-01 Prosthesis BX265 TISSEEL DUPLOTIP WITH SNAPLOCK 31.8 cm and 40cm Duplotip for Two component Fibrin Sealant containing human derived fibrinogen and thrombin "Black Beauty" and bariatric surgery A 31.8cm long dual lumen applicator or 40 cm long dual lumen applicator BX 21 194 1580 4250 Rigid Delivery System 115590 Group Benefit Change 138 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX267 TISSEEL DUPLOSPRAY MIS WITH SNAPLOCK APPLICATOR 40 cm Two component Fibrin Sealant containing human derived fibrinogen and thrombin, with or without a malleable tip. A 40 cm long dual lumen metal cannula BX 21 194 1580 4250 Rigid Delivery System 115590 Group Benefit Change 138 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX273 Floseal Endoscopic Applicator Used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical. A 41cm - 47cm long disposable cannulated applicator, with or without malleable tip. BX 21 194 1580 4250 Rigid Delivery System 115590 Group Benefit Change 138 0 0 Update 2008-07-01 2020-02-01 Prosthesis BX340 FIBRIJET® Gasless Stray Tip Gasless spray tip use during open surgery. The spray tip is compatible with both Prima and legacy TISSEEL frozen syringes. One size only BX 21 194 1580 4250 Rigid Delivery System 299913 Group Benefit Change 138 0 0 Update 2019-11-01 2020-02-01 Prosthesis BX341 EASYGRIP FLO-41 sterile, single-use endoscopic applicator device designed for single handed application, particularly during laparoscopic and robotic procedures through an easy, precise, and controlled delivery of Floseal. 41cm BX 21 194 1580 4250 Rigid Delivery System 115590 Group Benefit Change 138 0 0 Update 2019-11-01 2020-02-01 Prosthesis FY002 MQ039 PuraStat Applicator PuraStat is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical. 250mm FY 21 194 1580 4250 Rigid Delivery System 283717 Group Benefit Change 138 0 0 Update 2019-11-01 2020-02-01 Prosthesis MG044 Glubran 2 Spray Device Spray device for nebulized application of Glubran 2 Cannula length: 5cm, 40cm, 30cm, 33cm MG 21 194 1580 4250 Rigid Delivery System 279302 Group Benefit Change 138 0 0 Update 2014-08-01 2020-02-01 Prosthesis MN041 Endoscopic Applicator Rigid applicator 34cm MN 21 194 1580 4250 Rigid Delivery System 174430 Group Benefit Change 138 0 0 Update 2011-02-01 2020-02-01 Prosthesis MN153 Evicel Rigid tip applicators 35cm, control and spray tip MN 21 194 1580 4250 Rigid Delivery System 197994 Group Benefit Change 138 0 0 Update 2013-02-01 2020-02-01 Prosthesis BX334 Peri-strips dry with Veritas Collagen Matrix Circular Staple Line Reinforcement Peri-Strips Dry with Veritas is a remodelable material designed to increase staple line strength for surgical repair of soft tissue deficiencies One circular stapler firing: 20-400mm diameter BX 21 194 1580 4251 219234 219235 Group Benefit Change 301 0 0 Update 2014-08-01 2020-02-01 Prosthesis BX335 Peri-Strips dry with Veritas Collagen Matrix Linear Single Firing Peri-Strips Dry with Veritas is a remodeable material designed to increase staple line strength for surgical repair of soft tissue deficiencies 30-130mm BX 21 194 1580 4251 219227 Group Benefit Change 301 0 0 Update 2014-08-01 2020-02-01 Prosthesis LH572 Steritalc Sterile granules of talc implanted in pleural space to act as permanent adhesive 3 grams & 4 grams LH 21 194 1580 4252 143613 Group Benefit Change 129 0 0 Update 2017-02-01 2020-02-01 Prosthesis AS212 Veriset Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostatsis when conventional methods are ineffective or impractical. Veriset does not consist of any human or animal components 2cm x 4cm (8cm2) AS 21 194 1580 5424 202060 Group Benefit Change 68 0 0 Update 2016-02-01 2020-02-01 Prosthesis YN003 TachoSil TachoSil is a broad use haemostat for intra-operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature). One small patch: 3.0cm x 2.5cm YN 21 194 1580 5424 176631 Group Benefit Change 68 0 0 Update 2012-08-01 2020-02-01 Prosthesis YN002 TachoSil TachoSil is a broad use haemostat for intra-operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature). One medium patch: 4.8cm x 4.8cm YN 21 194 1580 5425 176631 Group Benefit Change 208 0 0 Update 2012-08-01 2020-02-01 Prosthesis AS213 Veriset Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostasis when conventional methods are ineffective or impractical. Veriset does not consist of any human or animal components. 5cm x 10cm (50cm2) 8 cm x 16 cm (128cm2) AS 21 194 1580 5426 202060 Group Benefit Change 412 0 0 Update 2016-02-01 2020-02-01 Prosthesis YN001 TachoSil TachoSil is a broad use haemostat for intra-operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature). One large patch: 9.5cm x 4.8cm YN 21 194 1580 5426 176631 Group Benefit Change 412 0 0 Update 2012-08-01 2020-02-01 Prosthesis BA265 Progel Platinum Surgical Sealant Progel Pleural Air Leak Sealant is a single use device intended for application to visceral pleura. 4ml BA 21 194 1580 5768 262979 Group Benefit Change 718 0 0 Update 2016-02-01 2020-02-01 Prosthesis DE530 Vesolock Polymer Ligation Clips Polymer ligation clips Medium large (3-10mm) Large (5-13mm) Extra Large (7-16mm) DE 21 194 1581 4256 Polymeric Non-resorbable 202037 Group Benefit Change 40 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE698 LocaClip Polymer ligating clip Large, Extra Large and Medium/Large DE 21 194 1581 4256 Polymeric Non-resorbable 316566 Group Benefit Change 40 0 0 Update 2019-11-01 2020-02-01 Prosthesis EB136 Click’aV® polymer non-absorbable ligating clips, cartridge of 6 Click’aV® ligating clips are intended for ligating of any linear tissue structures or vessels during an operation for haemostasis where use of non-absorbable clips is required. Click’aV® ligating clips are sterile and disposable. They are made of non-absorbable polymer suitable for implantation. Clip is equipped with latch for reliable closure and lateral clip legs stability. The clips are placed around the tissue and closed with the grip of a clip applier. Medium Medium Large Large Extra Large EB 21 194 1581 4256 Polymeric Non-resorbable 280976 Group Benefit Change 40 0 0 Update 2017-02-01 2020-02-01 Prosthesis EB137 Click’aV® polymer non-absorbable ligating clips, cartridge of 4 Click’aV® ligating clips are intended for ligating of any linear tissue structures or vessels during an operation for haemostasis where use of non-absorbable clips is required. Click’aV® ligating clips are sterile and disposable. They are made of non-absorbable polymer suitable for implantation. Clip is equipped with latch for reliable closure and lateral clip legs stability. The clips are placed around the tissue and closed with the grip of a clip applier. Medium Medium large Large Extra large EB 21 194 1581 4256 Polymeric Non-resorbable 280976 Changed Product Description, Product Sizes, Benefit 29 0 0 Update 2017-02-01 2020-02-01 Prosthesis EB138 Click’aV® polymer non-absorbable ligating clips, cartridge of 2 Click’aV® ligating clips are intended for ligating of any linear tissue structures or vessels during an operation for haemostasis where use of non-absorbable clips is required. Click’aV® ligating clips are sterile and disposable. They are made of non-absorbable polymer suitable for implantation. Clip is equipped with latch for reliable closure and lateral clip legs stability. The clips are placed around the tissue and closed with the grip of a clip applier. Medium Large Large Extra Large EB 21 194 1581 4256 Polymeric Non-resorbable 280976 Changed Product Description, Product Sizes, Benefit 15 0 0 Update 2017-02-01 2020-02-01 Prosthesis TX023 Hem-o-Lok Polymer Non-Absorbable Ligating Clip Hem-o-lok Medium (M), Medium-Large (ML) and Large (L) Polymer Clips Small, Medium, Medium-Large, Large (6 clips/cartridge) TX 21 194 1581 4256 Polymeric Non-resorbable 121043 93446 Group Benefit Change 40 0 0 Update 2015-08-01 2020-02-01 Prosthesis TX025 Hem-o-lok Polymer Non-Absorbable Ligating Clip Hem-o-lok Extra-large (XL) Polymer Clips Extra-large (XL) (6 clips/cartridge) TX 21 194 1581 4256 Polymeric Non-resorbable 121043 93446 Group Benefit Change 40 0 0 Update 2015-08-01 2020-02-01 Prosthesis JJ036 Absolok* Extra Absorbable Ligating Clips Polydioxanone clips contained in a plastic cartridge Small to Extralarge JJ 21 194 1581 4256 Resorbable 121372 Group Benefit Change 81 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB294 Aesculap Ligating Clips Aesculap Ligating Clips- Ligation Clips Titanium; PL561T- Large; 6 clips/cartridge BB 21 194 1581 4256 136103 11 0 0 No Change 2007-12-01 2020-02-01 Prosthesis BB297 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL565T - Small; 6 clips/cartridge BB 21 194 1581 4256 136103 11 0 0 No Change 2007-12-01 2020-02-01 Prosthesis BB298 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL566T - small cardiopack of 24 BB 21 194 1581 4256 136103 Changed Benefit 41 0 0 Update 2007-12-01 2020-02-01 Prosthesis BB299 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL567T - medium; 6 clips/cartridge BB 21 194 1581 4256 136103 11 0 0 No Change 2007-12-01 2020-02-01 Prosthesis BB300 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL568T - medium/large; 6 clips/cartridge BB 21 194 1581 4256 136103 11 0 0 No Change 2007-12-01 2020-02-01 Prosthesis DE445 Vesocclude Ligating Clips Titanium Ligating Clips Small, Narrow (6 per cartridge), Small, wide (6 per cartridge) DE 21 194 1581 4256 202037 Changed Benefit 10 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE446 Vesocclude Ligating Clips Titanium ligating Clips Small, Narrow (24 per cartridge), Small, Wide (24 per Cartridge) DE 21 194 1581 4256 202037 Changed Benefit 41 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE447 Vesocclude Ligating Clips Titanium ligating Clips Medium (6 per cartridge) DE 21 194 1581 4256 202037 Changed Benefit 10 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE448 Vesocclude Ligating Clips Titanium Ligating Clips Medium (24 clips per cartridge) DE 21 194 1581 4256 202037 Changed Benefit 41 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE449 Vesocclude Ligating Clips Titanium Ligating Clips Medium Large (6 per cartridge) DE 21 194 1581 4256 202037 Changed Benefit 10 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE450 Vesocclude Ligating Clips Titanium Ligating Clips Medium large (24 per cartridge) DE 21 194 1581 4256 202037 Changed Benefit 41 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE451 Vesocclude Ligating Clips Titanium Ligating Clips Large (6 per cartridge) DE 21 194 1581 4256 202037 Changed Benefit 10 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE452 Vesocclude Ligating Clips Titanium Ligating Clips Large (24 per cartridge) DE 21 194 1581 4256 202037 Changed Benefit 41 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE616 RH006 Vitalitec Titanium Hemostatic Clips The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically. Micro, Small, Small/Medium, Medium, Medium/Large and Large. 6 clips per cartridge DE 21 194 1581 4256 194411 11 0 0 No Change 2018-02-01 2020-02-01 Prosthesis DE617 Vitalitec Titanium Hemostatic Clips The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically. Small & Medium Clips (24 clips per pouch - 6 clips per cartridge, 4 cartridges per pouch) DE 21 194 1581 4256 194411 Changed Benefit 41 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE618 Vitalitec Titanium Hemostatic Clips The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically. Micro, Small, Small/Medium, Medium (9 clips per cartridge) DE 21 194 1581 4256 194411 Changed Benefit 16 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE619 Vitalitec Titanium Hemostatic Clips The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically. Small and Medium (27 clips per pouch - 9 clips per cartridge, 3 cartridges per pouch) DE 21 194 1581 4256 194411 Changed Benefit 47 0 0 Update 2018-02-01 2020-02-01 Prosthesis JJ033 Ligaclip* Ligating Clips - titanium Titanium clips contained in a plastic cartridge 3-5mm; 6 clips per cartridge JJ 21 194 1581 4256 122810 11 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JJ034 Ligaclip* Ligating Clips - titanium Titanium clips contained in a plastic cartridge 9-12 mm; 6 clips per cartage JJ 21 194 1581 4256 122810 11 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JJ035 Ligaclip* Ligating Clips - titanium Titanium clips contained in a plastic cartridge 3-5 mm; 20 clips per cartridge JJ 21 194 1581 4256 122810 Changed Benefit 34 0 0 Update 2005-10-31 2020-02-01 Prosthesis LM042 Microclip Malleable titanium clip 1.5-2.5mm x 2-3.5mm LM 21 194 1581 4256 279904 Changed Benefit 10 0 0 Update 2005-10-31 2020-02-01 Prosthesis MG030 Haemostatic Ligating Clips Titanium Ligating Clips Small - Large (6 Clips per cartridge) MG 21 194 1581 4256 143311 11 0 0 No Change 2009-02-01 2020-02-01 Prosthesis MG031 Haemostatic Ligating Clips Titanium Ligating Clips Small, medium (24 clips per pouch) MG 21 194 1581 4256 143311 Changed Benefit 41 0 0 Update 2009-08-01 2020-02-01 Prosthesis MG045 Everest Ligating Clip Titanium clip Small, Medium, Medium-Large, Large (6 per cartridge) MG 21 194 1581 4256 235137 Changed Benefit 10 0 0 Update 2015-08-01 2020-02-01 Prosthesis MG046 Everest Ligating Clip Titanium clip Small, Medium (24 per cartridge) MG 21 194 1581 4256 235137 Changed Benefit 41 0 0 Update 2015-08-01 2020-02-01 Prosthesis OL001 Individual Ligating Clip Rotatable Clip Fixing Device. Pack of 50 clips MD-59 - 90 degree, standard; MD-850 - 135 degree, standard; HX-600-090 - standard, sterile; HX-600-135 - standard, sterile OL 21 194 1581 4256 64148 71657 Changed Benefit 86 0 0 Update 2005-10-31 2020-02-01 Prosthesis TX006 Horizon Ligating Clips Ligation Clips Titanium Small (6 per cartridge) TX 21 194 1581 4256 121043 11 0 0 No Change 2015-08-01 2020-02-01 Prosthesis TX007 Horizon Ligating Clips Ligation Clips Titanium Small (24 per cartridge) TX 21 194 1581 4256 121043 93346 Changed Benefit 41 0 0 Update 2015-08-01 2020-02-01 Prosthesis TX008 Horizon Ligating Clips Ligation Clips Titanium Medium (6 per cartridge), Micro (6 per cartridge) TX 21 194 1581 4256 121043 93446 11 0 0 No Change 2015-08-01 2020-02-01 Prosthesis TX009 Horizon Ligating Clips Ligation Clips Titanium Medium (24 per cartridge) TX 21 194 1581 4256 121043 93446 Changed Benefit 41 0 0 Update 2015-08-01 2020-02-01 Prosthesis TX010 Horizon Ligating Clips Ligation Clips Titanium Medium/Large (6 per cartridge) TX 21 194 1581 4256 121043 93446 11 0 0 No Change 2015-08-01 2020-02-01 Prosthesis TX011 Horizon Ligating Clips Ligation Clips Titanium Medium/Large (24 per cartridge) TX 21 194 1581 4256 121043 93446 Changed Benefit 41 0 0 Update 2015-08-01 2020-02-01 Prosthesis TX012 Horizon Ligating Clips Ligation Clips Titanium Large (6 per cartridge) TX 21 194 1581 4256 121043 93446 11 0 0 No Change 2015-08-01 2020-02-01 Prosthesis TX013 Horizon Ligating Clips Ligation Clips Titanium Large (24 per cartridge) TX 21 194 1581 4256 121043 93446 Changed Benefit 41 0 0 Update 2015-08-01 2020-02-01 Prosthesis DE606 Cor-Knot® Device Kit The Cor-Knot Device kit contains two Cor Knot devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails Each kit contains two Cor- Knot sterile devices DE 21 194 1581 4257 219812 Changed Benefit 249 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE609 Cor-Knot Mini Device Kit The Cor-Knot Mini Device Kit contains two Cor-Knot Mini Devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails. 2 x Cor-Knot Mini Sterile Devices (14cm length shaft) in each kit DE 21 194 1581 4257 219812 Changed Benefit 249 0 0 Update 2018-02-01 2020-02-01 Prosthesis LV081 Open Clip Applier Titanium 25 medium size titanium clips LV 21 194 1581 4257 131194 Group Benefit Change 125 0 0 Update 2005-10-31 2020-02-01 Prosthesis ET064 AMI HAL-RAR Flexi Procedure Kit Doppler guided Haemorrhoidal Arterial Ligation and Recto-Anal Repair System. HAL Haemorrhoidal Ligating sutures, doppler/ultrasound proctoscope, flexiprobe, knot pusher One size, several components ET 21 194 1581 4258 Doppler Guided, Endoscopic 144489 Group Benefit Change 844 0 0 Update 2011-08-01 2020-02-01 Prosthesis MS056 THD Slide Transanal Haemorrhoidal Dearterilisation and Pexis System one size only MS 21 194 1581 4258 Doppler Guided, Endoscopic 159456 Group Benefit Change 844 0 0 Update 2010-02-01 2020-02-01 Prosthesis OB008 MO441 Angiodin Procto Single-use Ultrasound Proctoscope Kit (kit includes 1 x proctoscope, 6 x braided absorbable suture thread 75 cm with 26 mm needle, and 1 x knot pusher ) Single item OB 21 194 1581 4258 Doppler Guided, Endoscopic 279583 Group Benefit Change 844 0 0 Update 2018-08-01 2020-02-01 Prosthesis AK007 Hemoclip Clip Applicator A device consisting of, a plastic handle with thumb ring and slider, a 230cm hollow plastic tube with metal clip in at the distal end. Applicator length 230cm, clip length sizes 4mm, 5mm and 6mm with clip opening sizes of 90 degree to 135 degree AK 21 194 1581 4258 Endoscopic 205634 80 0 0 No Change 2013-08-01 2020-02-01 Prosthesis AK008 Ligation Loop A device used in combination with a dedicated endoscope. It is intended to ligate a polyp using loop wire for haemostasis or necrosis during endoscopy. It consist of an insertion sheath, a loop wire attached at the distal end of the sheath, and a control handle and operation wire connected to both the loop wire and control handle. Introducer up to 240cm long Loop sizes 15mm-40mm AK 21 194 1581 4258 Endoscopic 279077 Group Benefit Change 125 0 0 Update 2017-02-01 2020-02-01 Prosthesis BS082 Resolution Clip Device Pre-loaded endoscopically applied clip, radiopaque stainless steel & cobalt chrome. 7Fr, 11mm jaw opening BS 21 194 1581 4258 Endoscopic 116734 Group Benefit Change 125 0 0 Update 2005-10-31 2020-02-01 Prosthesis BS299 Resolution 360 Clip Device Radiopaque, single-use clip pre-loaded on a flexible, rotatable delivery system 7Fr, 11mm jaw opening BS 21 194 1581 4258 Endoscopic 116734 Group Benefit Change 125 0 0 Update 2016-02-01 2020-02-01 Prosthesis DE567 Hemoclip Pre-loaded Endoscopically applied clip for the GI tract. Jaw openings: 9 - 16mm; Applicator length: 165 - 230cm. DE 21 194 1581 4258 Endoscopic 284272 Group Benefit Change 125 0 0 Update 2017-08-01 2020-02-01 Prosthesis LV144 DuraClip™ Repositionable Hemostasis Clip A single use repositionable hemostasis clip which is intended to be used for placement within the gastrointestinal tract. 165cm Length and 235cm Length LV 21 194 1581 4258 Endoscopic 274973 Group Benefit Change 125 0 0 Update 2016-08-01 2020-02-01 Prosthesis OL009 Rotatable Clip fixing device Disposable pre-loaded clip applier Standard or long clip length, 9 or 11mm jaw opening OL 21 194 1581 4258 Endoscopic 146730 Group Benefit Change 125 0 0 Update 2006-03-24 2020-02-01 Prosthesis OL010 Ligation device Disposable pre-assembled applier and ligating loop Sheath Length 1650-2300mm OL 21 194 1581 4258 Endoscopic 145846 Group Benefit Change 125 0 0 Update 2006-03-24 2020-02-01 Prosthesis VM002 Precision Clip Endoscopic Hemoclip Jaw Opening 13mm - 16mm VM 21 194 1581 4258 Endoscopic 289170 Group Benefit Change 125 0 0 Update 2019-11-01 2020-02-01 Prosthesis WC311 Instinct Endoscopic Hemoclip Endoscopic hemoclip used within the GI tract Opening span up to 16mm. WC 21 194 1581 4258 Endoscopic 96698 Group Benefit Change 125 0 0 Update 2013-08-01 2020-02-01 Prosthesis DE645 Padlock clip Defect closure system Diameter - 9.5 - 14mm Length - 162cm DE 21 194 1581 4258 Endoscopic, OTS 295460 Changed Product Sizes, Benefit 884 0 0 Update 2018-08-01 2020-02-01 Prosthesis ET067 OTSC Clip The OTSC Clip is a superelastic Nitinol clip which compresses the tissue between its teeth. Therefore it enables hemostasis as well as closing of perforations OTSC Clip is available in three sizes: 9mm, 10mm and 11mm ET 21 194 1581 4258 Endoscopic, OTS 185054 185057 950 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ET068 OTSC System Has two components: 1. The OTSC Clip is a superelastic Nitinol clip which compresses the tissue between its teeth; enables hemostasis as well as closing performations. 2. Grasping and Anchoring Tool. Ovesco Twin Graspers – to approximate wound edges.. Ovesco Anchor- to grasp fibrous tissue or fistulas OTSC Clip is available in three sizes: 9mm, 10mm and 11 mm. Ovesco Twin Graspers : 165mm or 220mm Ovesco Anchor: 165mm ET 21 194 1581 4258 Endoscopic, OTS 18057 185054 185056 185058 Group Benefit Change 2581 0 0 Update 2012-08-01 2020-02-01 Prosthesis ET083 Full-Thickness Resection Device (FTRD) The FTRD System Set is used for diagnostic and therapeutic full-thickness resection via flexible endoscopy in the colon and rectum. The FTRD System Set is designed to ensure that the transection of tissue happens only after the defect has been completely closed. The FTRD clip is and 11mm nitinol clip. Also supplied with the FTRD marking probe (220cm) and FTRD Grasper (220cm). ET 21 194 1581 4258 Endoscopic, OTS 235539 Group Benefit Change 2581 0 0 Update 2017-02-01 2020-02-01 Prosthesis AS074 ENDOCLIP* Titanium Surgical Stapler 10mm (ML, M, L)-(20 clips) AS 21 194 1581 4258 Laparoscopic 149289 Group Benefit Change 354 0 0 Update 2005-10-31 2020-02-01 Prosthesis CK003 Endox Visu-Loc Clip Applier Single-use laparoscopic clip applier Medium, Large CK 21 194 1581 4258 Laparoscopic 137044 Group Benefit Change 354 0 0 Update 2007-12-01 2020-02-01 Prosthesis JJ186 Ligaclip Endoscopic Multiclip Applier Metal/plastic stapler with titanium clips 10-12 mm shaft diameter, medium to large clip JJ 21 194 1581 4258 Laparoscopic 122810 Group Benefit Change 354 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ482 LIGAMAX 5mm Endoscopic Clip Applier LIGAMAX 5mm Endoscopic Clip Applier Medium / Large JJ 21 194 1581 4258 Laparoscopic 122810 Group Benefit Change 354 0 0 Update 2006-03-24 2020-02-01 Prosthesis LV076 Reflex ELC 530 Automatic Clip Applier Titanium Endoscopic Clip Applier Medium/Large, 10mm, 20 Clips LV 21 194 1581 4258 Laparoscopic 131194 Group Benefit Change 354 0 0 Update 2005-10-31 2020-02-01 Prosthesis LV086 Reflex 5mm Automatic Clip Applier Autofeeding disposable clip applier. Contains 15 non absorbable polymer locking clips medium/large LV 21 194 1581 4258 Laparoscopic 212478 Changed Benefit 135 0 0 Update 2005-10-31 2020-02-01 Prosthesis MH014 Direct Drive laparoscopic clip applier with TiGold titanium clips Single-use, sterile 10mm laparscopic clip applier with 20 medium-large size titanium clips 10mm shaft diameter with medium-large size clips. MH 21 194 1581 4258 Laparoscopic 116980 Group Benefit Change 354 0 0 Update 2008-07-01 2020-02-01 Prosthesis MH015 Epix™ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips Epix™ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips 5mm 5mm MH 21 194 1581 4258 Laparoscopic 116980 Group Benefit Change 354 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI213 Endo Clip Laparoscopic Clip Applier 5mm device with various clip sizes MI 21 194 1581 4258 Laparoscopic 182307 Group Benefit Change 354 0 0 Update 2017-02-01 2020-02-01 Prosthesis TX024 Weck Hem-o-lok Hem-o-lok Automatic Endo Applier 15 Clips per applier 12 Clips per applier for Large Clips TX 21 194 1581 4258 Laparoscopic 121043 93446 Group Benefit Change 354 0 0 Update 2015-08-01 2020-02-01 Prosthesis JJ037 Ligaclip* Multiple Clip Applier Metal/plastic applier preloaded with titanium clips 3-12 mm; 20 clips per applier JJ 21 194 1581 4258 Open 122810 Group Benefit Change 215 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ038 Ligaclip* Multiple Clip Applier Metal/plastic applier preloaded with titanium clips 3-12 mm; 30 clips per applier JJ 21 194 1581 4258 Open 122810 Group Benefit Change 215 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ039 Ligaclip* Multiple Clip Applier Metal/plastic applier preloaded with titanium clips; reloadable 5-6mm; 20 clips per applier JJ 21 194 1581 4258 Open 122810 Group Benefit Change 215 0 0 Update 2005-10-31 2020-02-01 Prosthesis MI217 Surgiclip Ligation Clips - Disposable clip applier and ligating clips Small, Medium, Large device with various clip sizes MI 21 194 1581 4258 Open 183878 235587 Group Benefit Change 215 0 0 Update 2017-02-01 2020-02-01 Prosthesis AS001 Endoclip Disposable Loading Unit; MultApplier Disposable loading unit. Single use loading unit with 8 titanium clips; Disposable clip cartridge with 8 titanium clips One size only AS 21 194 1581 4259 65335 Group Benefit Change 56 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB016 Challenger Ligating Clips Challenger Ligating Clips Titanium Multifire Medium-large BB 21 194 1581 4259 136103 Group Benefit Change 56 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB301 Challenger Ligating Clips Challenger Ligating Clips Titanium Multifire PL572T - small/medium BB 21 194 1581 4259 136103 Group Benefit Change 56 0 0 Update 2007-12-01 2020-02-01 Prosthesis BB321 Pneumatic Challenger Multifire Clips Challenger TI-P SM-Ligat. Clips 12 Cartridge (PL574T) Challenger TI-P ML-Ligat. Clips 12 Cartridge (PL579T) small-medium, medium-large BB 21 194 1581 4259 136103 Group Benefit Change 56 0 0 Update 2010-02-01 2020-02-01 Prosthesis CK001 Microline Pentax Disposable 10ml Titanium K2 Clip Cartridge Disposable cartridge containing 19 surgical grade titanium clips delivered using a re-usable hand piece applier medium/large clip CK 21 194 1581 4259 129715 Group Benefit Change 56 0 0 Update 2007-12-01 2020-02-01 Prosthesis CK002 Microline Pentax Disposable 10ml Titanium K2 clip Cartridge Disposable cartridge containing 10 surgical grade titanium clips delivered using a reusable hand piece applier. Medium/Large Clip CK 21 194 1581 4259 129715 Group Benefit Change 56 0 0 Update 2007-12-01 2020-02-01 Prosthesis JJ040 Ligaclip* 20/20 Reload Unit Metal reload cartridge containing titanium clips 5 mm; 20 clips JJ 21 194 1581 4259 122810 Group Benefit Change 56 0 0 Update 2005-10-31 2020-02-01 Prosthesis ET065 HAL-RAR HAL-Ligating Suture, AMI HAL-Ligating suture, prosthetic component of AMI HAL-RAR Doppler System One size ET 21 194 1581 4260 180973 Group Benefit Change 86 0 0 Update 2011-08-01 2020-02-01 Prosthesis AK011 Band Ligator A surgical instrument used to apply a ligature to haemorrhoids. A ligator typically consists of a long shaft or cannula with a clamp or grip at the distal end for holding the ligature. The proximal end consists of a handle with moving parts that mechanically operate the distal clamp or grip. Barrel with 5 bands AK 21 194 1581 5490 308836 Group Benefit Change 236 0 0 Update 2019-03-01 2020-02-01 Prosthesis BS225 Speedband Superview Super 7 Multiple Band Ligator 7 bands per unit, compatible with scopes with outer diameter of 8.6mm - 11.5mm BS 21 194 1581 5490 133438 Group Benefit Change 236 0 0 Update 2013-02-01 2020-02-01 Prosthesis HB001 Haemoband A preloaded, single use, 4 band ligator for haemorrhoids. 1 size, 4 bands HB 21 194 1581 5490 136643 Changed Benefit 49 0 0 Update 2016-08-01 2020-02-01 Prosthesis WC314 Saeed Multi-band Ligator Multiple Band Ligator 4, 6 or 10 bands per unit, compatible with scopes with outer diameter of 8.6mm - 14mm WC 21 194 1581 5490 136845 Group Benefit Change 236 0 0 Update 2013-08-01 2020-02-01 Prosthesis WC318 ShortShot Saeed Hemorrhoidal Multi-Band Ligator The ShortShot Saeed Haemorrhoidal Multi-Band Ligator is used to ligate internal haemorrhoids and is available with or without the TriView Anoscope. 4 bands per ligator, 15mm in diameter WC 21 194 1581 5490 136845 139361 Changed Benefit 60 0 0 Update 2014-02-01 2020-02-01 Prosthesis ER279 OverStitchTM Endoscopic Suturing System Needle Driver, Anchor Exchange and Tissue Helix Device 1 size only ER 21 194 1581 5769 Endoscopic System 237773 237774 Group Benefit Change 1853 0 0 Update 2016-02-01 2020-02-01 Prosthesis ER280 OverStitchTM Endoscopic Suturing System - 2.0 Suture Endoscopic Polyproprylene Suture with Cinch 2-0 suture ER 21 194 1581 6101 Endoscopic System 236906 245894 Group Benefit Change 265 0 0 Update 2016-02-01 2020-02-01 Prosthesis FQ002 FlexDex Gastric Bypass and Gastrectomy Kit Kit includes a single-use articulating laparoscopic needle driver with seven degrees of motion and sutures One size only FQ 21 194 1581 7361 315333 Group Benefit Change 680 0 0 Update 2019-11-01 2020-02-01 Prosthesis JJ475 Proximate Contour Curved Cutter/Stapler Contour Curved Cutter/Stapler 30 & 40mm reload cartridges Blue (3.85mm) & Green (4.5mm) JJ 21 194 1582 4317 Curved 118291 Group Benefit Change 226 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS186 Endo GIA™ Reload with TriStaple™ Technology Covidien's Endo GIA™ Reload with TriStaple™ Technology provides outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge selection process. With its stepped cartridge face, TriStaple™ Technology delivers graduated compression, optimising interaction between the tissue and the stapler 30mm, 45mm, 60mm AS 21 194 1582 4317 Endoscopic, Articulating/Roticulating 181429 186247 Group Benefit Change 323 0 0 Update 2013-02-01 2020-02-01 Prosthesis DE472 Endowrist Stapler 45 Endowrist Stapler 45 White Reload, 45 Blue Reload, 45 Green Reload Length of reload: 45mm Staple height: 2.5mm, 3.5mm, 4.3mm DE 21 194 1582 4317 Endoscopic, Articulating/Roticulating 239813 Group Benefit Change 323 0 0 Update 2016-02-01 2020-02-01 Prosthesis DE560 EndoWrist Stapler Reloads (used with IS Endowrist Stapler) Endowrist Stapler Reload. Length of Reload : 30 - 60mm, Staple Height: 0.75 - 2.3mm DE 21 194 1582 4317 Endoscopic, Articulating/Roticulating 239813 Group Benefit Change 323 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME225 Frankenman Endoscopic Linear Cutter Reload The Endoscopic Linear Cutter Reload has applications in resection, transection and/or anastomosis of tissue in open or laparoscopic procedures. Cartridge Reload - 30mm, 45mm, 60mm staple lengths. Open leg length: 2.0mm - 4.5mm, closed staple height: 0.75mm - 2.0mm. ME 21 194 1582 4317 Endoscopic, Articulating/Roticulating 207254 Group Benefit Change 323 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI282 Tri-Staple™ 2.0 reloads Tri-Staple™ 2.0 reloads with intelligent chip that communicates with Signia™ stapler 30mm, 45mm, 60mm MI 21 194 1582 4317 Endoscopic, Articulating/Roticulating 292807 Group Benefit Change 323 0 0 Update 2018-02-01 2020-02-01 Prosthesis MN219 Echelon Staple Reload 35 - 60mm MN 21 194 1582 4317 Endoscopic, Articulating/Roticulating 125609 234042 276233 Group Benefit Change 323 0 0 Update 2017-08-01 2020-02-01 Prosthesis OX037 Mirus Endocutter Staple Reloads Titanium staples Open Length - 2.5mm-4.8mm Close Length - 1.0mm-2.0mm OX 21 194 1582 4317 Endoscopic, Articulating/Roticulating 289171 Group Benefit Change 323 0 0 Update 2018-02-01 2020-02-01 Prosthesis AS076 ENDO TA* reloading unit Titanium Surgical Stapler DLU 30mm -2.5, 30mm-3.5 AS 21 194 1582 4317 147670 Group Benefit Change 210 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS081 ENDO GIA* reloading unit Titanium Surgical Stapler DLU 30 - 35mm; 45mm; 60mm. AS 21 194 1582 4317 147526 Group Benefit Change 210 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS092 ENDO - Herna reloading unit; VERSA TACK* reloading unit. Titanium Surgical Stapler DLU 4mm, 4.8mm (10 staples). AS 21 194 1582 4317 138338 Group Benefit Change 210 0 0 Update 2005-10-31 2020-02-01 Prosthesis EM029 Reach Endo III Linear Cutter Stapler Reloads Endoscopic Linear Cutter Reload Unit, Single Use 2mm, 2.5mm, 3.5mm, 3.8mm, 4.1mm, 4.4mm (45mm, 60mm) EM 21 194 1582 4317 298263 Group Benefit Change 210 0 0 Update 2019-07-01 2020-02-01 Prosthesis EM031 Reach Linear Cutter Stapler Reloads Linear Cutter Stapler Reloads, Single Use 60-2.5mm, 60-3.8mm, 60-4.8mm, 80-3.8mm, 80-4.8mm EM 21 194 1582 4317 298262 Group Benefit Change 210 0 0 Update 2019-07-01 2020-02-01 Prosthesis ME220 Frankenman Linear Stapler Reloads Linear stapler single use reload with titanium staples 32mm; 46mm; 60mm; 90mm ME 21 194 1582 4317 207254 Group Benefit Change 210 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME222 Frankenman Linear Cutter Reloads Single use, linear cutter reload cartridge containing titanium staples 61mm; 81mm; 100mm ME 21 194 1582 4317 207254 Group Benefit Change 210 0 0 Update 2017-08-01 2020-02-01 Prosthesis MI215 PI/TA Reloading Units PI/TA Disposable Surgical Loading Unit 30mm, 45mm, 60mm, 90mm MI 21 194 1582 4317 181429 185017 Group Benefit Change 210 0 0 Update 2017-02-01 2020-02-01 Prosthesis MI216 GIA/ILA Reloading Units Single Use Loading Units 50mm, 60mm, 80mm, 90mm, 100mm MI 21 194 1582 4317 181429 Group Benefit Change 210 0 0 Update 2017-02-01 2020-02-01 Prosthesis MN213 Proximate Linear Stapler Staple reload 30 to 100mm MN 21 194 1582 4317 132170 133407 Group Benefit Change 210 0 0 Update 2017-08-01 2020-02-01 Prosthesis MN218 Endopath Linear Cutter Staple reload 35-45mm MN 21 194 1582 4317 132171 Group Benefit Change 210 0 0 Update 2017-08-01 2020-02-01 Prosthesis MN220 EES Linear Cutter Staple reload 55-75mm MN 21 194 1582 4317 155639 Group Benefit Change 210 0 0 Update 2017-08-01 2020-02-01 Prosthesis OB003 Touchstone Linear Cutter Stapler Cartridge (Reloads) 80mm A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures. 80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples OB 21 194 1582 4317 262505 Group Benefit Change 210 0 0 Update 2016-02-01 2020-02-01 Prosthesis OB006 Touchstone Linear Cutter Stapler Cartridge (Reloads) 100mm A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures. 100mm length in staple line with choice of 3.8mm and 4.5mm titanium staples OB 21 194 1582 4317 262505 Group Benefit Change 210 0 0 Update 2016-02-01 2020-02-01 Prosthesis OB010 JustRight 5mm Reload Endoscopic manual linear cutting Stapler, Single-use 5mm shaft diameter 25mm jaw length 20cm length OB 21 194 1582 4317 306951 Group Benefit Change 210 0 0 Update 2019-07-01 2020-02-01 Prosthesis OX038 Mirus Disposable Linear Cutter Staple Reloads Titanium staple reloads Open Length - 3.8mm-4.8mm Close Length - 1.5mm-2.0mm Number of staples - 64-104 OX 21 194 1582 4317 289171 Group Benefit Change 210 0 0 Update 2018-02-01 2020-02-01 Prosthesis OX039 Mirus Auto Linear Stapler Staple Reloads Titanium staple reloads Open Length - 3.5mm-4.8mm Close Length - 1.5mm-2.0mm Number of Staples - 11-33 OX 21 194 1582 4317 289171 Group Benefit Change 210 0 0 Update 2018-02-01 2020-02-01 Prosthesis OX040 Mirus Dial Linear Stapler Staple Reloads Titanium staple reloads Open Length - 4.2mm Number of Staples - 11-33 OX 21 194 1582 4317 289171 Group Benefit Change 210 0 0 Update 2018-02-01 2020-02-01 Prosthesis AS134 DST Series EEA Or Vil Accessory 21mm, 25mm AS 21 194 1582 4318 Endoscopic 140293 Group Benefit Change 357 0 0 Update 2007-12-01 2020-02-01 Prosthesis JJ896 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples 45mm; long shaft JJ 21 194 1582 4318 Endoscopic 132168 132169 Group Benefit Change 357 0 0 Update 2012-08-01 2020-02-01 Prosthesis JJ903 Echelon Disposable stapling device 45-60mm JJ 21 194 1582 4318 Endoscopic 155639 Group Benefit Change 357 0 0 Update 2012-08-01 2020-02-01 Prosthesis AS046 Endo GIA Stapling System Endoscopic/thoroscopic 12mm; One size only. AS 21 194 1582 4318 Endoscopic, Articulating/Roticulating 178675 Group Benefit Change 357 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ904 Echelon Stapler 45 - 60mm JJ 21 194 1582 4318 Endoscopic, Articulating/Roticulating 155639 Group Benefit Change 357 0 0 Update 2012-08-01 2020-02-01 Prosthesis ME206 Endoscopic Universal Handle The Endoscopic Universal Handle is a single patient delivery system, supplied sterile and used with the Linear Cutter Stapler reloading unit ranges which can be applied in abdominal, gynaecological, paediatric and thoracic surgical procedures for resection, transection and creation of anastomosis. 30mm, 45mm, and 60mm staple lengths. 2.5mm, 3.5mm, and 4.8mm staple sizes. ME 21 194 1582 4318 Endoscopic, Articulating/Roticulating 283316 Group Benefit Change 357 0 0 Update 2017-02-01 2020-02-01 Prosthesis ME224 Frankenman Endoscopic Linear Cutter The Endoscopic Linear Cutter and Reloads have applications in resection, transection and/or anastomosis of tissue in open or laparoscopic procedures. Stapler Unit - 280mm, 330mm, 380mm, 430mm, 480mm in 12.5mm shaft OD. Reloadable Cartridges - 30mm, 45mm, 60mm staple lengths. ME 21 194 1582 4318 Endoscopic, Articulating/Roticulating 205331 Group Benefit Change 357 0 0 Update 2018-08-01 2020-02-01 Prosthesis MN206 Endopath Cutter Cutter and Stapler 45mm MN 21 194 1582 4318 Endoscopic, Articulating/Roticulating 132168 132169 155639 Group Benefit Change 357 0 0 Update 2017-02-01 2020-02-01 Prosthesis OX031 Mirus Endocutter A stapler with triple staggered rows of titanium staples used to cut and close soft tissue. Small - shaft length 60mm Medium - shaft length 160mm Long - shaft length 260mm OX 21 194 1582 4318 Endoscopic, Articulating/Roticulating 289071 Group Benefit Change 357 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE683 SureForm Disposable stapling device 60mm (staple line length) DE 21 194 1582 4318 Endoscopic, Articulating/Roticulating, Powered 309263 Group Benefit Change 447 0 0 Update 2019-07-01 2020-02-01 Prosthesis MI227 Signia™ Powered Intelligent Stapling System Powered, articulating, endoscopic intelligent stapler with Adaptive Firing and real time technology 30mm, 45mm, 60mm lengths MI 21 194 1582 4318 Endoscopic, Articulating/Roticulating, Powered 287262 287417 287923 Group Benefit Change 447 0 0 Update 2017-08-01 2020-02-01 Prosthesis MN215 Echelon Disposable powered stapling device 35 to 60mm MN 21 194 1582 4318 Endoscopic, Articulating/Roticulating, Powered 195695 Group Benefit Change 447 0 0 Update 2017-08-01 2020-02-01 Prosthesis EM030 Reach Endo III Linear Cutter Stapler Endoscopic Linear Cutter Stapler, Articulating or Roticulating, Reloadable, Single Use 45m, 60mm EM 21 194 1582 4318 298273 Group Benefit Change 69 0 0 Update 2019-07-01 2020-02-01 Prosthesis MN214 EES Linear Cutter Single use, reloadable stapler 55 to 75mm MN 21 194 1582 4318 155639 Group Benefit Change 69 0 0 Update 2017-08-01 2020-02-01 Prosthesis AS209 Endo GIA Reinforced Reload with Tri-Staple Technology The Endo GIA Reinforced Reload with Tri-Staple Technology is an endoscopic stapler reload pre-attached with a non-woven absorbable polyglycolic acid staple line reinforcement mesh. This reinforced reload places a triple-staggered row of titanium staples and two layers of absorbable reinforcement material on either side of the cut line. 45mm and 60mm AS 21 194 1582 4319 Integrated 231041 Group Benefit Change 521 0 0 Update 2015-08-01 2020-02-01 Prosthesis MI287 Tri-Staple™ 2.0 Reinforced reloads Tri-Staple™ 2.0 Reinforced reload preloaded with polyglycolic acid staple line reinforcement mesh and with intelligent chip that communicates with Signia™ stapler. 45mm, 60mm MI 21 194 1582 4319 Integrated 292807 Group Benefit Change 521 0 0 Update 2018-08-01 2020-02-01 Prosthesis GT224 GORE® SEAMGUARD® Bioabsorbable Staple Line Reinforcement GORE® SEAMGUARD® Reinforcement is a synthetic 100% bioabsorbable material, constructed from Polyglycolic Acid:Trimethylene Carbonate. Buttressing material is engineered to reduce perioperative leaks and bleeding in a variety of minimally invasive surgeries. 1BSGEC60- for 60mm Ethicon Stapler Straight, 1BSGEC60A- for 60mm Ethicon Stapler, 1BSGEC45- for 45mm Ethicon Stapler, 1BSGTRI45P- for 45mm Endo GIA Tristapler Purple, 1BSGTRI45B- for 45mm Endo GIA Tristapler Black, 1BSGTRI60P- for 60mm Endo GIA Tristapler Purple, 1BSGTRI60B- for 60mm Endo GIA Tristapler Black GT 21 194 1582 4319 153351 Group Benefit Change 198 0 0 Update 2009-08-01 2020-02-01 Prosthesis GT228 GORE® SEAMGUARD® Bioabsorbable Staple Line Reinforcement (Circular) GORE® SEAMGUARD® Reinforcement is a synthetic 100% bioabsorbable material, constructed from Polyglycolic Acid:Trimethylene Carbonate. Buttressing material is engineered to reduce perioperative leaks and bleeding in a variety of minimally invasive surgeries. Configured for a range of circular/EEA staplers- 25mm, 28mm, 29mm, 31mm, 33mm & 34mm Circular Seamguard is configured for a range of circular/EEA staplers- 25mm, 28mm, 29mm, 31mm, 33mm & 34mm for both Johnson & Johnson & Medtronic Circular Staplers GT 21 194 1582 4319 153352 Group Benefit Change 198 0 0 Update 2009-08-01 2020-02-01 Prosthesis WC304 Biodesign Staple Line Reinforcement Used for reinforcement of the gastric staple line during bariatric surgical procedures and also for buttressing staple lines during lung resection Complex 3D shape, lengths 51 - 160mm and widths 11 - 12mm WC 21 194 1582 4319 203394 Group Benefit Change 198 0 0 Update 2013-02-01 2020-02-01 Prosthesis JJ056 Proximate Articulating Linear Stapler Articulating linear stapler preloaded with titanium staples 55mm JJ 21 194 1582 4320 Articulating/Roticulating 132167 Group Benefit Change 662 0 0 Update 2005-10-31 2020-02-01 Prosthesis MI218 Roticulator Stapler Roticulator Stapler 30mm, 55mm MI 21 194 1582 4320 Articulating/Roticulating 181414 181434 182207 Group Benefit Change 662 0 0 Update 2017-02-01 2020-02-01 Prosthesis MN197 Endopath Linear Cutter Metal/plastic cutter-stapler 35 to 45mm, including long and short shaft MN 21 194 1582 4320 Articulating/Roticulating 132168 132169 Group Benefit Change 662 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS179 EEA Haemorrhoid and Prolapse Stapler Stapling instrument for control of rectal prolapse and haemorrhoid disease. 33mm Circular Stapling line, 3.5 mm and 4.8mm Staple leg length. AS 21 194 1582 4320 Circular 164442 Group Benefit Change 648 0 0 Update 2010-08-01 2020-02-01 Prosthesis EM026 Reach Prolapse & Haemorrhoid Stapler Prolapse & Haemorrhoid Stapler Anvil 33mm, Shaft 63mm EM 21 194 1582 4320 Circular 296461 Group Benefit Change 648 0 0 Update 2019-07-01 2020-02-01 Prosthesis JJ443 Proximate Intraluminal Stapler PPH Proximate Hemorrhoidal Circular Stapler PPH One Size Only JJ 21 194 1582 4320 Circular 99218 Group Benefit Change 648 0 0 Update 2005-10-31 2020-02-01 Prosthesis ME217 Frankenman Circular Stapler Curved intraluminal stapler preloaded with titanium staples. 21mm; 25mm; 28mm; 32mm ME 21 194 1582 4320 Circular 292060 Group Benefit Change 648 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME218 Frankenman Haemorrhoidal (CPH) Stapler Circular stapler for rectal prolapse and haemorrhoids preloaded with titanium staples Outside diameter: 32.5mm; 34.5mm ME 21 194 1582 4320 Circular 205330 Group Benefit Change 648 0 0 Update 2017-08-01 2020-02-01 Prosthesis OB004 Touchstone Circular Stapler A surgical implanting device for placing s specific size of double staggered row of titanium staples in a circular fashion in the large bowel, small bowel or oesophagus to maintain function of the digestive tract. A suitable size is used to match the lumen size of the patient's digestive tract External dimension - 21mm, 25mm, 29mm or 33mm OB 21 194 1582 4320 Circular 263001 Group Benefit Change 648 0 0 Update 2016-02-01 2020-02-01 Prosthesis OB007 Touchstone Prolapse Haemorrhoid Stapler A surgical implanting device for placing a specific size of double staggered row of titanium staples in a circular fashion in the Anal and/or Rectal region for the circumferential excision of the prolapsed distal rectal muscosa, as described by Dr. Longo, Italy. 33mm and 36mm OB 21 194 1582 4320 Circular 262507 Group Benefit Change 648 0 0 Update 2016-02-01 2020-02-01 Prosthesis OX035 Mirus Circular Intraluminal Stapler Disposable circular stapler with mechanism to measure tissue thickness Available in 2 rows and 3 rows of staples OX 21 194 1582 4320 Circular 289056 Group Benefit Change 648 0 0 Update 2018-02-01 2020-02-01 Prosthesis OX036 Mirus Hemorrhoids Stapler Disposable stapler with 2 or 3 staggered rows of titanium staples Available in models with 2 rows and 3 rows of staples OX 21 194 1582 4320 Circular 289057 Group Benefit Change 648 0 0 Update 2018-02-01 2020-02-01 Prosthesis JJ812 CONTOUR Curved Cutter Stapler Curved cutter and stapler for gastrointestinal transaction and resection. 40mm JJ 21 194 1582 4320 Curved 118291 Group Benefit Change 559 0 0 Update 2010-02-01 2020-02-01 Prosthesis AS075 ENDO TA* Titanium Surgical Stapler 30mm AS 21 194 1582 4320 Endoscopic 147624 Group Benefit Change 473 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS077 ENDO GIA* Titanium Surgical Stapler 30 - 35mm AS 21 194 1582 4320 Endoscopic 147527 Group Benefit Change 473 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ184 Endopath Multi Stapler Endoscopic titanium stapler with staples 11mm shaft diameter JJ 21 194 1582 4320 Endoscopic 124512 Group Benefit Change 473 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ895 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples 45mm; long shaft JJ 21 194 1582 4320 Endoscopic 132168 132169 Group Benefit Change 473 0 0 Update 2012-08-01 2020-02-01 Prosthesis JJ898 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples 35mm JJ 21 194 1582 4320 Endoscopic 132169 Group Benefit Change 473 0 0 Update 2012-08-01 2020-02-01 Prosthesis MI219 EEA Circular Stapler Circular staplers 21mm to 34mm MI 21 194 1582 4320 Endoscopic, Circular 178517 Group Benefit Change 671 0 0 Update 2017-02-01 2020-02-01 Prosthesis MI281 EEA Circular Stapler with Tri‐Staple Technology Circular staplers with 3 row staples, slope‐faced cartridge with a different staple size in each staple row. 21mm to 33mm MI 21 194 1582 4320 Endoscopic, Circular 293808 Group Benefit Change 671 0 0 Update 2018-02-01 2020-02-01 Prosthesis MN216 Ethicon Intraluminal Stapler Proximate and Endopath staplers 21 - 33mm MN 21 194 1582 4320 Endoscopic, Circular 124512 99218 Group Benefit Change 671 0 0 Update 2017-08-01 2020-02-01 Prosthesis AS033 Power Stapler and Staples (Powered LDS*) LDS Instrument & Cartridges (Disposable Loading Unit) One size only AS 21 194 1582 4320 149334 Group Benefit Change 318 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS110 DFS Disposable Fascia Stapler Stainless Steel One Size Only AS 21 194 1582 4320 129787 Group Benefit Change 318 0 0 Update 2005-10-31 2020-02-01 Prosthesis EM027 Reach Circular Stapler Intraluminal Circular Stapler 25mm, 28mm, 31mm, 34mm EM 21 194 1582 4320 298260 Group Benefit Change 318 0 0 Update 2019-07-01 2020-02-01 Prosthesis EM028 Reach Linear Cutter Stapler Linear Cutter Stapler, Single Use, Reloadable 60-2.5mm, 60-3.8mm, 60-4.8mm, 80-3.8mm, 80-4.8mm EM 21 194 1582 4320 298261 Group Benefit Change 318 0 0 Update 2019-07-01 2020-02-01 Prosthesis ET066 Insorb Subcuticular Stapler A subcuticular (dermal) surgical delivery system loaded with resorbable staples/prostheses Each staple is 5mm x 3mm ET 21 194 1582 4320 178665 Group Benefit Change 318 0 0 Update 2012-02-01 2020-02-01 Prosthesis JJ050 Proximate* Linear Stapler Metal/Plastic linear stapler preloaded with titanium staples, manual closure 55 - 60mm JJ 21 194 1582 4320 132167 Group Benefit Change 318 0 0 Update 2005-10-31 2020-02-01 Prosthesis ME219 Frankenman Linear Cutter Stapler Single use, reloadable, linear cutter stapler containing titanium staples 61mm; 81mm; 100mm ME 21 194 1582 4320 205319 205331 Group Benefit Change 318 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME221 Frankenman Linear Stapler Linear stapler preloaded with titanium staples 32mm; 46mm; 60mm; 90mm ME 21 194 1582 4320 205319 205331 Group Benefit Change 318 0 0 Update 2017-08-01 2020-02-01 Prosthesis MI212 PI/TA Stapler Disposable Surgical Stapler and Loading Unit 30mm, 45mm, 60mm, 90mm MI 21 194 1582 4320 181434 185015 185733 Group Benefit Change 318 0 0 Update 2017-02-01 2020-02-01 Prosthesis MI214 GIA Linear Cutter Stapler and single use loading units single use, reloadable stapler 2.5mm, 3.8mm, 4.8mm, 60mm, 75mm, 80mm, 100mm MI 21 194 1582 4320 181272 182206 185453 Group Benefit Change 318 0 0 Update 2017-02-01 2020-02-01 Prosthesis MN217 Proximate Preloaded stapler 30-100mm MN 21 194 1582 4320 132166 132167 133406 Group Benefit Change 318 0 0 Update 2017-08-01 2020-02-01 Prosthesis OB002 Touchstone Linear Cutter Stapler 80mm A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures. 80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples OB 21 194 1582 4320 262505 Group Benefit Change 318 0 0 Update 2016-02-01 2020-02-01 Prosthesis OB005 Touchstone Linear Cutter Stapler 100mm A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures. 100mm length in staple line with choice of 3.8mm and 4.5mm titanium OB 21 194 1582 4320 262505 Group Benefit Change 318 0 0 Update 2016-02-01 2020-02-01 Prosthesis OB009 JustRight 5mm Stapler Endoscopic manual linear cutting stapler, single use 5mm shaft diameter 25mm jaw length 20cm length OB 21 194 1582 4320 306951 Group Benefit Change 318 0 0 Update 2019-07-01 2020-02-01 Prosthesis OX032 Mirus Disposable Linear Cutter Disposable, reloadable linear cutter stapler Stapling line lengths of 60mm, 80mm and 100mm OX 21 194 1582 4320 289076 Group Benefit Change 318 0 0 Update 2018-02-01 2020-02-01 Prosthesis OX033 Mirus Dial Linear Stapler A disposable, reloadable linear stapler with dial Accommodates staple line lengths of 30mm, 45mm, 60mm and 90mm. OX 21 194 1582 4320 289086 Group Benefit Change 318 0 0 Update 2018-02-01 2020-02-01 Prosthesis OX034 Mirus Auto Linear Stapler A disposable, reloadable linear stapler Accommodates staple line lengths of 30mm, 45mm, 60mm and 90mm. OX 21 194 1582 4320 289086 Group Benefit Change 318 0 0 Update 2018-02-01 2020-02-01 Prosthesis AS246 ABSORBATACK Absorbable Fixation Device 5mm AS 21 194 1582 4331 Absorbable 181415 Group Benefit Change 473 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA204 SorbaFix Open of Laparoscopic Absorbable Fixation System. 15 Fasteners; 30 Fasteners BA 21 194 1582 4331 Absorbable 170112 Group Benefit Change 473 0 0 Update 2010-08-01 2020-02-01 Prosthesis BA269 Bard Absorbable Fixation System Open or Laparoscopic Absorbable Fixation System 30 Absorbable Fastners, 15 Absorbale Fastners BA 21 194 1582 4331 Absorbable 278914 Group Benefit Change 473 0 0 Update 2016-08-01 2020-02-01 Prosthesis MN115 SECURESTRAP™ 5mm Absorbable Strap Fixation Device 5mm MN 21 194 1582 4331 Absorbable 193268 Group Benefit Change 473 0 0 Update 2012-02-01 2020-02-01 Prosthesis MN175 SECURESTRAP Open Open Absorbable Strap Fixation Device Strap length 6.7mm MN 21 194 1582 4331 Absorbable 230205 Group Benefit Change 473 0 0 Update 2015-02-01 2020-02-01 Prosthesis AS227 ReliaTack Articulating Reloadable Fixation Device Articulating, reloadable, sterile, single use fixation device prepackaged with 30 standard single use, absorbable reloads 5.1mm, 30 tacks AS 21 194 1582 4331 Absorbable, Articulating/Roticulating 275114 Group Benefit Change 662 0 0 Update 2016-08-01 2020-02-01 Prosthesis MI303 ReliaTack™ Articulating Reloadable Fixation Device with Deep Purchase Tacks Articulating, reloadable, sterile, single use fixation device pre-packaged with 29 tacks (three eight-tack deep purchase reloads, and one five tack deep purchase reload) 7.0 mm, 29 Tacks MI 21 194 1582 4331 Absorbable, Articulating/Roticulating 315822 Group Benefit Change 662 0 0 Update 2019-07-01 2020-02-01 Prosthesis AS045 PROTACK*; Endoscopic Tacker Device; ENDO UNIVERSAL* Endoscopic; Titanium Surgical Tacker 20 tacks; 30 tacks; 5mm; 4mm, 4.8mm (10 staples). AS 21 194 1582 4331 Endoscopic 139264 Group Benefit Change 374 0 0 Update 2005-10-31 2020-02-01 Prosthesis BA203 Fixation Anchor Set Open or Laparoscopic Permanent Fixation System. 15 Fasteners; 30 Fasteners BA 21 194 1582 4331 Endoscopic 137898 Group Benefit Change 374 0 0 Update 2010-08-01 2020-02-01 Prosthesis AS091 VERSA TACK* stapler Titanium Surgical Stapler 4, 4.8mm (10 staples) AS 21 194 1582 4331 138338 Group Benefit Change 234 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS095 STATTACK™ STATTACK™ Titanium Helical Tacker One size only AS 21 194 1582 4331 139264 Group Benefit Change 234 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE610 Cor-Knot®Quick Load single The Cor-Knot®Quick Load houses one sterile Cor-Knot®Titanium Fastener for use with the Cor-Knot®device kit One size DE 21 194 1582 5988 219813 Group Benefit Change 51 0 0 Update 2018-02-01 2020-02-01 Prosthesis DE611 Cor-Knot®Quick Load 6 Pouch The Cor-Knot®Quick load 6 contains six single sterile Cor-Knot® Titanium Fasteners for use with the Cor-Knot® device kit One size DE 21 194 1582 5988 219813 Changed Benefit 308 0 0 Update 2018-02-01 2020-02-01 Prosthesis AS229 ReliaTack Articulating Reloadable Fixation Device (Reloads x 10) 10 x absorbable reloads to be used with ReliaTack atriculating tacking device 5.1mm, 10 tacks AS 21 194 1582 6003 10 Tacks, Absorbable 275114 Group Benefit Change 323 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS228 ReliaTack Articulating Reloadable Fixation Device (Reloads x 5) 5 x absorbable reloads to be used with ReliaTack articulating tacking device 5.1mm, 5 tacks AS 21 194 1582 6003 5 Tacks, Absorbable 275114 Group Benefit Change 162 0 0 Update 2016-08-01 2020-02-01 Prosthesis MI304 ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 5) 5 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device 7.0 mm 5 Tacks MI 21 194 1582 6003 5 Tacks, Absorbable 315822 Group Benefit Change 162 0 0 Update 2019-07-01 2020-02-01 Prosthesis MI305 ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 8) 8 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device 7.0 mm 8 tacks MI 21 194 1582 6003 8 Deep Purchase Tack, absorbable 315822 Group Benefit Change 258 0 0 Update 2019-07-01 2020-02-01 Prosthesis LH528 LiquiBand Fix8 Hernia Mesh Fixation System, preloaded into applicator 33 tacks LH 21 194 1582 6004 Synthetic, Endoscopic 233374 Group Benefit Change 473 0 0 Update 2015-02-01 2020-02-01 Prosthesis MG048 Glutack Catheter for controlled application of surgical adhesive. 25, 40, 50 drops MG 21 194 1582 6004 Synthetic, Endoscopic 313580 Changed Benefit 215 0 0 Update 2019-07-01 2020-02-01 Prosthesis MQ022 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating) 0 - 200cm2 MQ 21 194 1782 5434 Anti-inflammatory 163310 Group Benefit Change 681 0 0 Update 2015-02-01 2020-02-01 Prosthesis AA017 4D - SEMI ABSORBABLE HERNIA MESH 4DMESH semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias 6 x 13.5 cm 10.5 x 14 cm 12 x 15 cm AA 21 194 1782 5434 Coated 283655 Group Benefit Change 316 0 0 Update 2017-02-01 2020-02-01 Prosthesis BA224 Bard Mesh Kugel Patch 8x12cm oval; 9.5x13cm oval; 11x14oval; 8cm circle; 10.2cm circle; 12cm circle; BA 21 194 1782 5434 Coated 122873 Group Benefit Change 316 0 0 Update 2013-08-01 2020-02-01 Prosthesis AA016 4D - DOME SEMI ABSORBABLE HERNIA MESH 4D DOME semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias 2.4, 9 x 5 cm 3.0, 9 x 5 cm 3.8, 9 x 5 cm AA 21 194 1782 5434 Coated, Contoured 222740 Group Benefit Change 316 0 0 Update 2014-08-01 2020-02-01 Prosthesis AS243 Parietex Multifilament Polyester Mesh Parietex Multifilament Polyester Mesh 12 x 8 cm; 13 x 9 cm; 14 x 9 cm; 14 x 10 cm; 15 x 10 cm; 16 x 12 cm AS 21 194 1782 5434 Contoured 125428 Group Benefit Change 185 0 0 Update 2016-08-01 2020-02-01 Prosthesis JJ180 Prolene Hernia System BI-LAYER POLYPROPYLENE NON ABSORBABLE MEDIUM TO EXTENDED JJ 21 194 1782 5434 Contoured 126920 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ413 Prolene *3D Patch Polypropylene Mesh Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component. 5.49cm x 12.50cm 3DPatch large with preshaped overlay JJ 21 194 1782 5434 Contoured 126920 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ414 Prolene *3D Patch Polypropylene Mesh Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component. 5.49cm x 12.50cm 3D Patch with medium preshaped overlay JJ 21 194 1782 5434 Contoured 126920 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ415 Prolene *3D Patch Polypropylene Mesh Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component. 5.49cm x 12.50cm 3D Patch medium with extended overlay JJ 21 194 1782 5434 Contoured 126920 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ416 Prolene *3D Patch Polypropylene Mesh Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component. 5.49cm x 12.50cm 3D Patch large with extended overlay JJ 21 194 1782 5434 Contoured 126920 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis BA222 Bard 3D Max Mesh 3D Mesh Medium left, Medium Right, large Left, Large Right BA 21 194 1782 5434 Contoured, Without Fixation 122873 Group Benefit Change 238 0 0 Update 2013-08-01 2020-02-01 Prosthesis AS055 Mesh Polyproplene; Monofilament Polyproplylene. Multifilament Polypropylene; Monofilament Polypropylene. 7.6cm x 12.7cm Surgipro* mesh (3 x 5 inch) AS 21 194 1782 5434 129777 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS057 Mesh Polyproplene; Monofilament Polyproplylene. Multifilament Polypropylene; Monofilament Polypropylene. 2.5cm x 10.2cm Surgipro* mesh (1 x 4 inch) AS 21 194 1782 5434 129777 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS164 Parietex Multifilament Polyester Mesh Parietex-Multifilament Polyester Standard Mesh/Bidimensional rigid, Three dimensional 13 x 09 cms, 15 x 10 cms AS 21 194 1782 5434 125428 Group Benefit Change 72 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS172 Mesh Polyproplene; Monofilament Polyproplylene; SURGIPRO* Non Absorbable Monofilament Polypropylene Mesh Multifilament Polypropylene; Monofilament Polypropylene; SURGIPRO, Non-Asborbable Polypropylene Monofilament Mesh. 15.3cm x 15.3cm Surgipro* mesh (6 x 6 inch); SPMM46: 10.2cm x 15.3cm (4 x 6 inch). AS 21 194 1782 5434 129777 Group Benefit Change 72 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS174 Parietene-Monofiliment Polypropylene Mesh Parietene-Monofiliment Polypropylene standard mesh/light mesh 6 x 11cm, 15 x 10cm AS 21 194 1782 5434 125428 Group Benefit Change 72 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS232 Versatex™ monofilament macroporous polyester mesh Versatex™ Monofilament Mesh is a non-absorbable synthetic surgical mesh made out of a macroporous three-dimensional (3D) monofilament polyester knitted textile offered in rectangular and square flat sheet. The mesh is intended for the repair of abdominal wall hernias or other fascial deficiencies that require the addition of a reinforcing material. Rectangular 11 x 6 cm, Rectangular 15 x 10 cm AS 21 194 1782 5434 237409 Group Benefit Change 72 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA070 Bard Mesh Flat mesh 2.5x10cm, 4.5x10cm, 5x10cm, 6x13.7cm, 7.5x15cm, 10x15cm, 5x30.5cm BA 21 194 1782 5434 122873 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB088 Premilene Mesh Polypropylene 3x10cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB089 Premilene Mesh Polypropylene 4.5x9.5cm BB 21 194 1782 5434 191743 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB090 Premilene Mesh Polypropylene 4.5x10cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB091 Premilene Mesh Polypropylene 5x10cm BB 21 194 1782 5434 191743 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB092 Premilene Mesh Polypropylene 5x30cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB093 Premilene Mesh Polypropylene 6x14cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB094 Premilene Mesh Polypropylene 6x13.5cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB095 Premilene Mesh Polypropylene 7.5x7.5cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB096 Premilene Mesh Polypropylene 4.5x105cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB097 Premilene Mesh Polypropylene 7.5x15cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB098 Premilene Mesh Polypropylene 10x10cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB099 Premilene Mesh Polypropylene 6x14cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB100 Premilene Mesh Polypropylene 10x15cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB181 OPTILENE MESH Polypropylene Mesh 5x30cm, 5 pieces BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB183 OPTILENE MESH Polypropylene Mesh 7.5x7.5cm, 5 pieces BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB186 OPTILENE MESH Polypropylene Mesh 5 x 10cm, 5 pieces BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB187 OPTILENE MESH Polypropylene Mesh 10 x 15cm, 5 pieces BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB188 OPTILENE MESH Polypropylene Mesh 4.5x10cm, 5 pieces BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB189 OPTILENE MESH Polypropylene Mesh. 7.5 x 15cm, 5 pieces BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB190 OPTILENE MESH Polypropylene Mesh 4.5x10cm BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB191 OPTILENE MESH Polypropylene Mesh 6x14cm, 5 pieces BB 21 194 1782 5434 138532 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis EM021 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for laproscopic and open surgical approaches 8 x 13cm EM 21 194 1782 5434 131113 Group Benefit Change 72 0 0 Update 2009-08-01 2020-02-01 Prosthesis EM023 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for laproscopic and open surgical approaches 2.3 x 10cm EM 21 194 1782 5434 131113 Group Benefit Change 72 0 0 Update 2009-08-01 2020-02-01 Prosthesis EM024 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for laproscopic and open surgical approaches 5 x 10cm EM 21 194 1782 5434 131113 Group Benefit Change 72 0 0 Update 2009-08-01 2020-02-01 Prosthesis EM025 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for laproscopic and open surgical approaches 7 x 15cm, 10 x 15cm EM 21 194 1782 5434 131113 Group Benefit Change 72 0 0 Update 2009-08-01 2020-02-01 Prosthesis JJ174 Prolene Mesh Small polypropylene monofilament non absorbable mesh 2.5cm x 10cm JJ 21 194 1782 5434 126920 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ175 Prolene Mesh Medium polypropylene monofilament non absorbable mesh 7.6cm x 15cm JJ 21 194 1782 5434 126920 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ177 Prolene Mesh Small keyhole polypropylene monofilament non absorbable mesh 4.6cm x 10.2cm JJ 21 194 1782 5434 120154 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ178 Prolene Mesh Large keyhole polypropylene monofilament non absorbable mesh 6cm x 13.7cm JJ 21 194 1782 5434 120154 Group Benefit Change 72 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ566 PROLENE Mesh Polypropylene Mesh 10 x 15cm JJ 21 194 1782 5434 120154 Group Benefit Change 72 0 0 Update 2006-11-30 2020-02-01 Prosthesis MN181 PROLENE™ Soft Polypropylene Mesh Nonabsorbable Synthetic Surigcal Mesh >200cm2 MN 21 194 1782 5434 165074 Group Benefit Change 72 0 0 Update 2015-08-01 2020-02-01 Prosthesis MQ025 Atrium polypropylene mesh Polypropylene mesh 0-200cm² MQ 21 194 1782 5434 98833 Group Benefit Change 72 0 0 Update 2015-02-01 2020-02-01 Prosthesis MQ024 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating) 201 - 400cm2 MQ 21 194 1782 5435 Anti-inflammatory 163310 Group Benefit Change 862 0 0 Update 2015-02-01 2020-02-01 Prosthesis AA018 4D - Semi Absorbable Hernia Mesh 4DMESH semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias. 12 x 17 cm 17 x 17 cm AA 21 194 1782 5435 Coated 283655 Group Benefit Change 501 0 0 Update 2017-02-01 2020-02-01 Prosthesis BA084 Bard Mesh Kugel Patch Large Oval 14 x 18cm BA 21 194 1782 5435 Coated 24168 Group Benefit Change 501 0 0 Update 2005-10-31 2020-02-01 Prosthesis BA223 Bard 3D Max Mesh 3D Mesh Extra Large Left, Extra Large Right BA 21 194 1782 5435 Contoured, Without Fixation 122873 Group Benefit Change 271 0 0 Update 2013-08-01 2020-02-01 Prosthesis AS122 Parietene-Monofilament Polypropylene mesh Parietene-Monofilament Polypropylene standard mesh / light mesh 20 x 20 cm AS 21 194 1782 5435 125428 Group Benefit Change 77 0 0 Update 2006-11-30 2020-02-01 Prosthesis AS165 Parietex Multifilament Polyester Mesh Anatomical Parietex-Multifilament Polyester Standard Mesh/Bidimensional Rigid, Three dimensional 15 x 15 cms AS 21 194 1782 5435 125428 Group Benefit Change 77 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS170 Parietex-Multifilament Polyester Mesh Parietex-Multifilament Polyester Standard Mesh/Bi-dimensional, Bi-dimensional Rigid, Three dimensional 20 x 20cm AS 21 194 1782 5435 125428 Group Benefit Change 77 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS173 Mesh Polyproplene; Monofilament Polyproplylene; SURGIPRO* Non Absorbable Monofilament Polypropylene Mesh Multifilament Polypropylene; Monofilament Polypropylene; SURGIPRO, Non-Asborbable Polypropylene Monofilament Mesh. 15.3cm x 15.3cm Surgipro* mesh (6 x 6 inch) AS 21 194 1782 5435 129777 Group Benefit Change 77 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS176 Parietene-Monofilament Polypropylene Mesh Parietene-Monofilament Polypropylene standard mesh/light mesh 15 x 15cm AS 21 194 1782 5435 125428 Group Benefit Change 77 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS234 Versatex™ monofilament macroporous polyester mesh Versatex™ Monofilament Mesh is a non-absorbable synthetic surgical mesh made out of a macroporous three-dimensional (3D) monofilament polyester knitted textile offered in rectangular and square flat sheet. The mesh is intended for the repair of abdominal wall hernias or other fascial deficiencies that require the addition of a reinforcing material. Largest sizes from 15 cm x 15 cm include a green dyed monofilament polyester (D&C Green No. 6) marking that is positioned in the center of the textile to help center and orient the mesh. Square 15x15 cm, Square 20x20 cm AS 21 194 1782 5435 237409 Group Benefit Change 77 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA157 Bard Mesh Flat Mesh 15X15cm BA 21 194 1782 5435 122873 Group Benefit Change 77 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB101 Premilene Mesh Polypropylene 15x15cm BB 21 194 1782 5435 138532 Group Benefit Change 77 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB184 OPTILENE MESH Polypropylene Mesh 15x15cm, 5 pieces BB 21 194 1782 5435 138532 Group Benefit Change 77 0 0 Update 2005-10-31 2020-02-01 Prosthesis EM022 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for laproscopic and open surgical approaches 15 x 15cm EM 21 194 1782 5435 131113 Group Benefit Change 77 0 0 Update 2009-08-01 2020-02-01 Prosthesis JJ222 Prolene Mesh - medium Constructed of knitted filaments of extruded polypropylene identical to that used in Prolene suture. Material is approx. 0.027mm thick. Non-absorbable mesh for tension free-inguinal hernia techniques. Medium - 6" x 6" JJ 21 194 1782 5435 126920 Group Benefit Change 77 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN162 PROLENE Soft Polypropylene Mesh Nonabsorbable Synthetic Surgical Mesh 201 - 400cm2 MN 21 194 1782 5435 165074 Group Benefit Change 77 0 0 Update 2013-02-01 2020-02-01 Prosthesis MQ004 Atrium polypropolene mesh - surgical mesh Polypropolene 15cm x 15cm MQ 21 194 1782 5435 98833 Group Benefit Change 77 0 0 Update 2015-02-01 2020-02-01 Prosthesis MQ023 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating) 401 - 600cm2 MQ 21 194 1782 5436 Anti-inflammatory 163310 Group Benefit Change 1467 0 0 Update 2015-02-01 2020-02-01 Prosthesis BB182 OPTILENE MESH Polypropylene Mesh 20x30cm, 5 pieces BB 21 194 1782 5436 138532 Group Benefit Change 207 0 0 Update 2005-10-31 2020-02-01 Prosthesis MQ015 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating) >600cm² MQ 21 194 1782 5437 Anti-inflammatory 163310 Group Benefit Change 3042 0 0 Update 2015-02-01 2020-02-01 Prosthesis AS056 Mesh Polyproplene; Monofilament Polyproplylene. Multifilament Polypropylene; Monofilament Polypropylene. 35.6cm x 22.9cm Surgipro* mesh (14 x 9 inch). AS 21 194 1782 5437 129777 Group Benefit Change 248 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS123 Parietene-Monofilament Polypropylene mesh Parietene-Monofilament Polypropylene standard mesh / light mesh/ X-shaped mesh 30 X 30 cm, 30 x 32 cm AS 21 194 1782 5437 125428 Group Benefit Change 248 0 0 Update 2006-11-30 2020-02-01 Prosthesis AS171 Parietex-Multifilament Polyester Mesh Parietex-Multifilament Polyester Standard Mesh/Bi-dimensional, Bi-dimensional Rigid, Three dimensional 30 x 30cm AS 21 194 1782 5437 125428 Group Benefit Change 248 0 0 Update 2009-08-01 2020-02-01 Prosthesis AS221 Versatex™ monofilament macroporous polyester mesh Versatex™ Monofilament Mesh is a non-absorbable synthetic surgical mesh made out of a macroporous three-dimensional (3D) monofilament polyester knitted textile and designed to ensure a long term reinforcement of soft tissues. Versatex™ Monofilament Mesh is offered in rectangular and square flat sheet. The mesh is intended for the repair of abdominal wall hernias or other fascial deficiencies that require the addition of a reinforcing material. Largest sizes from 15 cm x 15 cm include a green dyed monofilament polyester (D&C Green No. 6) marking that is positioned in the center of the textile to help center and orient the mesh. Square 30x30 cm, Rectangular 45x30 cm AS 21 194 1782 5437 237409 Group Benefit Change 248 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA158 Bard Mesh Flat Mesh 25x35.5cm BA 21 194 1782 5437 122873 Group Benefit Change 248 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB102 Premilene Mesh Polypropylene 26x36cm BB 21 194 1782 5437 138532 Group Benefit Change 248 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB103 Premilene Mesh Polypropylene 30x30cm BB 21 194 1782 5437 138532 Group Benefit Change 248 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB185 OPTILENE MESH Polypropylene Mesh 30x30cm, 5 pieces BB 21 194 1782 5437 138532 Group Benefit Change 248 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ172 Mersilene Mesh Non-absorbable polyester mesh 30cm x 30cm JJ 21 194 1782 5437 120154 Group Benefit Change 248 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ176 Prolene Mesh Large polypropylene monofilament non absorbable mesh 30cm x 30cm JJ 21 194 1782 5437 126920 Group Benefit Change 248 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN180 PROLENE™ Soft Polypropylene Mesh Non-absorbable Synthetic Surgical Mesh >600cm2 MN 21 194 1782 5437 165074 Group Benefit Change 248 0 0 Update 2015-08-01 2020-02-01 Prosthesis MQ026 Atrium polypropylene mesh Polypropylene mesh >600cm² MQ 21 194 1782 5437 98833 Group Benefit Change 248 0 0 Update 2015-02-01 2020-02-01 Prosthesis AS240 Versatex™ monofilament macroporous polyester mesh Versatex™ Monofilament Mesh is a non-absorbable synthetic surgical mesh made out of a macroporous three-dimensional (3D) monofilament polyester knitted textile offered in rectangular and square flat sheet. The mesh is intended for the repair of abdominal wall hernias or other fascial deficiencies that require the addition of a reinforcing material. Largest sizes from 15 cm x 15 cm include a green dyed monofilament polyester (D&C Green No. 6) marking that is positioned in the center of the textile to help center and orient the mesh. Square 50x50 cm AS 21 194 1782 5947 237409 Group Benefit Change 582 0 0 Update 2016-08-01 2020-02-01 Prosthesis MN186 PROLENE Soft Polypropylene Mesh Nonabsorbable Synthetic Surgical Mesh ≥2500cm² MN 21 194 1782 5947 165074 Group Benefit Change 582 0 0 Update 2016-02-01 2020-02-01 Prosthesis AS143 Parietex Composite 1510FX Dual sided polyester meshes with a resorbable adhesion -prevention hydrophilic film 15x10cm square AS 21 194 1783 5438 Coated 214997 Group Benefit Change 352 0 0 Update 2008-07-01 2020-02-01 Prosthesis AS162 Parietene ProGrip Mesh (FLAT) Mesh with self gripping FLAT 15 x 9cm RECTANGLE AS 21 194 1783 5438 Coated 149430 Group Benefit Change 352 0 0 Update 2009-02-01 2020-02-01 Prosthesis AS214 PROGRIP™ Laparoscopic Self-Fixating Composite Mesh Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side) 10x15, 16x12 rectangular AS 21 194 1783 5438 Coated 252653 Group Benefit Change 352 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS236 Parietex Progrip Composite Mesh Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides 15x9 rectangular AS 21 194 1783 5438 Coated 157201 Group Benefit Change 352 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA186 Bard Sepramesh IP Bioresorbable Coating/Permanent Mesh 7.6cm x 15.2cm BA 21 194 1783 5438 Coated 184209 Group Benefit Change 352 0 0 Update 2009-08-01 2020-02-01 Prosthesis BA187 SEPRAMesh IP Bioresorbable Coating/Permanent Mesh Polypropylene & polyglycolic acid polymer mesh coated with a biopolymer: a bioresorbable coating of modified sodium hyaluronate, carboxymethylcellulose & polyethylene glycol based hydrogel. 4 x 8 inch BA 21 194 1783 5438 Coated 184209 Group Benefit Change 352 0 0 Update 2009-08-01 2020-02-01 Prosthesis BA226 Bard Mesh Ventralex Patch 4.3cm circle, 6.4cm circle, 8cm circle BA 21 194 1783 5438 Coated 122873 Group Benefit Change 352 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA227 Bard Mesh Ventrio patch 7.6cm circle, 11.4cm circle, 8x12cm oval, 11x14cm oval BA 21 194 1783 5438 Coated 122873 Group Benefit Change 352 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA228 Bard Mesh Composite Mesh 7.6x15.2cm, 8x12cm, 11x14cm, 11.4x11.4cm, 10x15cm, 10.8x15.9cm BA 21 194 1783 5438 Coated 122873 Group Benefit Change 352 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA234 Bard CK Parastomal Patch Bard CK Parastomal Patch 12.5 x 15.5cm BA 21 194 1783 5438 Coated 122873 Group Benefit Change 352 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA236 Ventralex ST Bioresorbable Barrier/Permanent Mesh 4.3cm circle, 6.4cm circle, 8.0cm circle BA 21 194 1783 5438 Coated 219323 Group Benefit Change 352 0 0 Update 2014-02-01 2020-02-01 Prosthesis BA237 Ventralight ST Bioresorbable Barrier/Permanent Mesh 11.4cm circle, 10.2 x 15.2cm oval BA 21 194 1783 5438 Coated 219332 Group Benefit Change 352 0 0 Update 2014-02-01 2020-02-01 Prosthesis BA246 Ventrio ST Bioresorbable Barrier/Permanent Mesh 7.6cm circle, 11.4cm circle, 8 x 12cm oval, 11 x 14cm oval BA 21 194 1783 5438 Coated 219324 Group Benefit Change 352 0 0 Update 2014-02-01 2020-02-01 Prosthesis JJ446 PROCEED Surgical Mesh PROCEED Surgical Mesh B1 2x4 (inches) JJ 21 194 1783 5438 Coated 117402 Group Benefit Change 352 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ447 PROCEED Surgical Mesh PROCEED Surgical Mesh R1 3x6 inches JJ 21 194 1783 5438 Coated 117402 Group Benefit Change 352 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ448 PROCEED Surgical Mesh PROCEED Surgical Mesh N1 4x6 inches oval JJ 21 194 1783 5438 Coated 117402 Group Benefit Change 352 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ449 PROCEED Surgical Mesh PROCEED Surgical Mesh D1 4x8 inches JJ 21 194 1783 5438 Coated 117402 Group Benefit Change 352 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ816 Proceed™ Ventral Patch 3D, sterile, self expanding, partially absorbable, flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result. medium (6.4cm x 6.4cm) JJ 21 194 1783 5438 Coated 161186 Group Benefit Change 352 0 0 Update 2010-02-01 2020-02-01 Prosthesis JJ817 Proceed™ Ventral Patch 3D, sterile, self expanding, partially absorbable, flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result. small (4.3cm x 4.3cm) JJ 21 194 1783 5438 Coated 161186 Group Benefit Change 352 0 0 Update 2010-02-01 2020-02-01 Prosthesis LH552 Dipromed ClearMesh Composite Transparent composite mesh Oval: (9 - 11) cm x (13-15)cm Circular: 4.5 - 15cm diameter LH 21 194 1783 5438 Coated 267206 Group Benefit Change 352 0 0 Update 2016-08-01 2020-02-01 Prosthesis MN192 PHYSIOMESH Open Flexible Composite Mesh ≤200cm² MN 21 194 1783 5438 Coated 274361 Group Benefit Change 352 0 0 Update 2016-08-01 2020-02-01 Prosthesis MS030 Titanized Mesh Implants Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating Weight: 16 g/m² - 65 g/m² Surface Area: ≤ 200cm² MS 21 194 1783 5438 Coated 97288 Group Benefit Change 352 0 0 Update 2005-10-31 2020-02-01 Prosthesis AA015 CABS Air Composit Umbilical hernia, Parietal Prosthesis with inflatable expansion Balloon 5cm, 7cm, 9cm (all sizes in diameter) AA 21 194 1783 5438 Coated, Contoured 203355 Group Benefit Change 407 0 0 Update 2014-08-01 2020-02-01 Prosthesis AS161 Parietene ProGrip Mesh (PRE-SHAPED) Pre-Cut, slit mesh with self gripping overlapping flap - right or left 12 x 8cm elliptic AS 21 194 1783 5438 Coated, Contoured 149430 Group Benefit Change 407 0 0 Update 2009-02-01 2020-02-01 Prosthesis AS211 Parietex Composite Ventral Patch Parietex Composite ventral patch is used for the reinforcement of soft tissues during surgical repair. It is indicated for the treatment of ventral defects (primary and incisional hernias). 4.6cm, 6.6cm, 8.6cm AS 21 194 1783 5438 Coated, Contoured 44756 Group Benefit Change 407 0 0 Update 2016-02-01 2020-02-01 Prosthesis AS217 Symbotex Composite Mesh with pre placed suture Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.) Rectangular 15x10 cm Round 15 cm, 12 cm Elliptical 17x10 Round 9cm AS 21 194 1783 5438 Coated, Contoured 270737 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS219 PROGRIP™ Laparoscopic Self-Fixating Composite Mesh Laparoscopic self-fixating composite right or left or bilateral anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side) 10x15 cm Rectangular Bilateral Anatomical, 10x15 cm Rectangular Right Anatomical, 10x15 cm Left Anatomical, 13x09 cm Right Anatomical, 13x09 cm Left Anatomical AS 21 194 1783 5438 Coated, Contoured 252653 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS220 Parietex Progrip Composite Mesh Pre-Cut, slit mesh with self gripping overlapping flap - right or left knitted (monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides) Elliptic slit 12x8cm left side, elliptic slit 12x8cm right side, elliptic slit 14x9 left side, elliptic slit right side 14x9cm AS 21 194 1783 5438 Coated, Contoured 157201 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS224 PROGRIP™ Laparoscopic Self-Fixating Composite Mesh Laparoscopic self-fixating composite right or left anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side) 16 x 12 cm right anatomical, 16 x 12 cm left anatomical AS 21 194 1783 5438 Coated, Contoured 252653 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS235 Symbotex Composite Mesh Non-absorbable three-dimensional polyester composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. Round 15 cm, 12 cm, 9 cm Elliptical 17x10 cm Rectangular 15x10 cm AS 21 194 1783 5438 Coated, Contoured 270735 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS241 Symbotex Skirted Composite Mesh Non-absorbable three-dimensional polyester skirted composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh. 8 cm Round, 15x10 cm Rectangle AS 21 194 1783 5438 Coated, Contoured 270736 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS242 Parietex Composite Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film 8 cm, 9 cm, 12 cm, 15 cm AS 21 194 1783 5438 Coated, Contoured 214997 214998 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA272 Bard Onflex and Modified Onflex Multi-layer, contoured polypropylene hernia repair system incorporating positioning pockets and an absorbable ring. ≤200cm² BA 21 194 1783 5438 Contoured 122873 Group Benefit Change 271 0 0 Update 2017-08-01 2020-02-01 Prosthesis JJ585 Ultrapro Hernia System Ultrapro Hernia System. Mesh Made From Composite of Monocryl & Prolene Small to Large Oval JJ 21 194 1783 5438 Contoured 132509 Group Benefit Change 271 0 0 Update 2007-06-01 2020-02-01 Prosthesis SH006 Swing-Contact Mesh Flat Three-Dimensional polyester prosthesis with grips, coated with polyurethane for Open and laparoscopic surgery, 142g/m2 8cm x 13cm, 9cm x 13cm, 10cm x 15cm, 15 x 15cm, 15cm x 20cm SH 21 194 1783 5438 Contoured 178590 Group Benefit Change 271 0 0 Update 2011-08-01 2020-02-01 Prosthesis SH007 Swing-Contact Mesh Pre Shaped Anatomical Reversible Three-Dimensional polyester prosthesis with grips, coated with polyurethane for Open and laparoscopic surgery, 142/m2 10cm x 13cm, 11cm x 14cm, 12 x 15cm, 12cm x 16cm, 10cm x 13cm, 11cm x 15cm SH 21 194 1783 5438 Contoured 178590 Group Benefit Change 271 0 0 Update 2011-08-01 2020-02-01 Prosthesis SH008 Swing-Contact Mesh Pre Shaped Anatomical with/without slit Three-Dimensional anatomical polyester prosthesis coated with polyurethane for pre-peritoneal placement with grips, 142g/m2 11cm x 15cm, 12cm x 16cm SH 21 194 1783 5438 Contoured 178590 Group Benefit Change 271 0 0 Update 2011-08-01 2020-02-01 Prosthesis JJ240 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques Small 6 x 11cm JJ 21 194 1783 5438 128896 Group Benefit Change 86 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ241 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques Medium 12 x 10cm JJ 21 194 1783 5438 128896 Group Benefit Change 86 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ242 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques Large 15 x 10cm JJ 21 194 1783 5438 128896 Group Benefit Change 86 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ465 ULTRAPRO Mesh ULTRAPRO Mesh S3 6 x 11cm JJ 21 194 1783 5438 120154 Group Benefit Change 86 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ466 ULTRAPRO Mesh ULTRAPRO Mesh P3 10 x 12cm JJ 21 194 1783 5438 120154 Group Benefit Change 86 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ467 ULTRAPRO Mesh ULTRAPRO Mesh N3 10 x 15cm JJ 21 194 1783 5438 120154 Group Benefit Change 86 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ565 ULTRAPRO Mesh Composite Mesh 7.6cm x 15cm JJ 21 194 1783 5438 120154 Group Benefit Change 86 0 0 Update 2006-11-30 2020-02-01 Prosthesis MN182 Ultrapro Advanced Macroporous, Partially Absorbable Mesh ≤200cm² MN 21 194 1783 5438 120154 Group Benefit Change 86 0 0 Update 2016-02-01 2020-02-01 Prosthesis AS218 PROGRIP™ Laparoscopic Self-Fixating Composite Mesh Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side) 16 x 14 cm rectangular AS 21 194 1783 5439 Coated 252653 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS225 Parietex Progrip Composite Mesh Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides Rectangular 15x15cm, 20x15cm AS 21 194 1783 5439 Coated 157201 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS245 Parietex Composite Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film 20 cm AS 21 194 1783 5439 Coated 214997 214998 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA188 Bard Sepramesh IP Bioresorbable Coating/Permanent Mesh 10.2cm x 20.3cm; 15.2cm x 20.3cm BA 21 194 1783 5439 Coated 184209 Group Benefit Change 721 0 0 Update 2009-08-01 2020-02-01 Prosthesis BA207 Ventrio Hernia Patch Three layer, mesh/ePTFE with absorbable polydioxanone monofilament. 14x18cm BA 21 194 1783 5439 Coated 169933 Group Benefit Change 721 0 0 Update 2010-08-01 2020-02-01 Prosthesis BA229 Bard Mesh Composite Mesh 13.8cmx17.8cm, 15x20cm, 15.9x21cm BA 21 194 1783 5439 Coated 122873 Group Benefit Change 721 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA235 Bard CK Parastomal Patch Bard CK Parastomal Patch 15.5 x 20.5cm BA 21 194 1783 5439 Coated 122873 Group Benefit Change 721 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA238 Ventralight ST Bioresorbable Barrier/Permanent Mesh 15.2 x 20.3cm oval, 15.2 x 25.4cm oval BA 21 194 1783 5439 Coated 219332 Group Benefit Change 721 0 0 Update 2014-02-01 2020-02-01 Prosthesis BA247 Ventrio ST Bioresorbable Barrier/Permanent Mesh 13.8 x 17.8cm oval, 15.5 x 25.7cm oval BA 21 194 1783 5439 Coated 219324 Group Benefit Change 721 0 0 Update 2014-02-01 2020-02-01 Prosthesis JJ450 PROCEED Surgical Mesh PROCEED Surgical Mesh M1 6x6 inches JJ 21 194 1783 5439 Coated 117402 Group Benefit Change 721 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ451 PROCEED Surgical Mesh PROCEED Surgical Mesh G1 6x8 inches oval JJ 21 194 1783 5439 Coated 117402 Group Benefit Change 721 0 0 Update 2005-10-31 2020-02-01 Prosthesis LH553 Dipromed ClearMesh Composite Transparent composite mesh Oval: (14 - 18)cm x (19 - 24)cm, Circular: 20cm diameter LH 21 194 1783 5439 Coated 267206 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis MN193 PHYSIOMESH Open Flexible Composite Mesh 201-400cm² MN 21 194 1783 5439 Coated 274361 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis MS033 Titanized Mesh Implants Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating Weight: 16 g/m² - 65 g/m² Surface Area: 201cm² - 400cm² MS 21 194 1783 5439 Coated 97288 Group Benefit Change 721 0 0 Update 2005-10-31 2020-02-01 Prosthesis BA242 Ventralight ST with ECHO PS Positioning System Bioresorbable Barrier/Permanent Mesh 201-400cm2 BA 21 194 1783 5439 Coated, Complex delivery System 219333 Group Benefit Change 911 0 0 Update 2014-02-01 2020-02-01 Prosthesis AS215 Symbotex Composite Mesh Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera) Elliptical 25x15 cm, Elliptical 20x12 cm Rectangular 20x15cm AS 21 194 1783 5439 Coated, Contoured 270735 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS238 Symbotex Skirted Composite Mesh Non-absorbable three-dimensional polyester skirted, coated, contoured composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh. 20 x15 cm Rectangle AS 21 194 1783 5439 Coated, Contoured 270736 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS239 Symbotex Composite Mesh with pre placed suture Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.) Rectangular 20x15 cm Elliptical 25x15 cm, Elliptical 20x12 cm AS 21 194 1783 5439 Coated, Contoured 270737 Group Benefit Change 721 0 0 Update 2016-08-01 2020-02-01 Prosthesis JJ173 VICRYL Mesh Polyglactin 910 - synthetic absorbable mesh. 15cm x 15cm JJ 21 194 1783 5439 143774 Group Benefit Change 137 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ243 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques Extra large 15 x 15cm JJ 21 194 1783 5439 128896 Group Benefit Change 137 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ468 ULTRAPRO Mesh ULTRAPRO Mesh M3 15 x 15cm JJ 21 194 1783 5439 120154 Group Benefit Change 137 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN183 Ultrapro Advanced Macroporous, Partially Absorbable Mesh 201-400cm² MN 21 194 1783 5439 120154 Group Benefit Change 137 0 0 Update 2016-02-01 2020-02-01 Prosthesis AS222 Parietex Progrip Composite Mesh Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides Rectangular 30x15cm AS 21 194 1783 5440 Coated 157201 Group Benefit Change 966 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS244 Parietex Composite Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film 25 cm, 30 cm AS 21 194 1783 5440 Coated 214997 214998 Group Benefit Change 966 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA206 Ventrio Hernia Patch. Three layer, mesh/ePTFE with absorbable polydioxanone monofilament. 16x31cm, 20x25cm. BA 21 194 1783 5440 Coated 169933 Group Benefit Change 966 0 0 Update 2010-08-01 2020-02-01 Prosthesis BA230 Bard Mesh Composite Mesh 15.9x26.1cm, 16x31.2cm, 18x23cm, 18.4x23.5cm, 19.6x24.6cm 20x25cm, 21x26.1cm, 22.1x27.1cm BA 21 194 1783 5440 Coated 122873 Group Benefit Change 966 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA239 Ventralight ST Bioresorbable Barrier/Permanent Mesh 17.8 x 22.9cm oval, 20.3 x 25.4cm oval BA 21 194 1783 5440 Coated 219332 Group Benefit Change 966 0 0 Update 2014-02-01 2020-02-01 Prosthesis BA248 Ventrio ST Bioresorbable Barrier/Permanent Mesh 19.6 x 24.6cm oval, 22.1 x 27.1cm oval BA 21 194 1783 5440 Coated 219324 Group Benefit Change 966 0 0 Update 2014-02-01 2020-02-01 Prosthesis JJ452 PROCEED Surgical Mesh PROCEED Surgical Mesh H1 8x10 inches oval JJ 21 194 1783 5440 Coated 117402 Group Benefit Change 966 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ453 PROCEED Surgical Mesh PROCEED Surgical Mesh J1 8x12 inches JJ 21 194 1783 5440 Coated 117402 Group Benefit Change 966 0 0 Update 2005-10-31 2020-02-01 Prosthesis LH554 Dipromed ClearMesh Composite Transparent composite mesh Oval: 20x30cm LH 21 194 1783 5440 Coated 267206 Group Benefit Change 966 0 0 Update 2016-08-01 2020-02-01 Prosthesis MN194 PHYSIOMESH Open Flexible Composite Mesh 401-600cm² MN 21 194 1783 5440 Coated 274361 Group Benefit Change 966 0 0 Update 2016-08-01 2020-02-01 Prosthesis MS035 Titanized Mesh Implants Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating Weight: 16 g/m² - 65 g/m² 401cm² - 600cm² MS 21 194 1783 5440 Coated 97288 Group Benefit Change 966 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS216 Symbotex Composite Mesh Non-absorbable three-dimensional polyester mesh provides long term reinforcement of soft tissues. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.) Rectangular 30x20 cm, Rectangular 25x20 cm AS 21 194 1783 5440 Coated, Contoured 270735 Group Benefit Change 966 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS223 Symbotex Skirted Composite Mesh Non-absorbable three-dimensional polyester skirted composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh. 30x20 cm Rectangle 25x20 cm Rectangle AS 21 194 1783 5440 Coated, Contoured 270736 Group Benefit Change 966 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS233 Symbotex Composite Mesh with pre placed suture Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.) Rectangular 30x20 cm, Rectangular 25x20 cm AS 21 194 1783 5440 Coated, Contoured 270737 Group Benefit Change 966 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA243 Ventralight ST with ECHO PS Positioning System Bioresorbable Barrier/Permanent Mesh 401-600cm2 BA 21 194 1783 5440 Coated, Integrated Delivery System 219333 Group Benefit Change 1074 0 0 Update 2014-02-01 2020-02-01 Prosthesis JJ469 ULTRAPRO Mesh ULTRAPRO Mesh T1 15x30cm JJ 21 194 1783 5440 120154 Group Benefit Change 199 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN184 Ultrapro Advanced Macroporous, Partially Absorbable Mesh 401-600cm² MN 21 194 1783 5440 120154 Group Benefit Change 199 0 0 Update 2016-02-01 2020-02-01 Prosthesis AS230 Symbotex Composite Mesh Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.) Elliptical 40x24cm, 34x20cm AS 21 194 1783 5503 Coated 270735 Group Benefit Change 1013 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS237 Symbotex Composite Mesh with pre placed suture Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.) Elliptical 40x24cm, Elliptical 34x20 cm AS 21 194 1783 5503 Coated 270737 Group Benefit Change 1013 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA205 Ventrio Hernia Patch Three layer, mesh/ePTFE with absorbable polydioxanone monofilament. 22x27cm, 27x35cm. BA 21 194 1783 5503 Coated 169933 Group Benefit Change 1013 0 0 Update 2010-08-01 2020-02-01 Prosthesis BA231 Bard Mesh Composite Mesh 25x33cm, 25x36cm, 26.1x33.7cm, 26.1x36.2cm, 27.4x34.9cm BA 21 194 1783 5503 Coated 122873 Group Benefit Change 1013 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA232 Bard Sepramesh IP Bioresorbable Coating/Permanent Mesh 20.3cm x 30.5cm BA 21 194 1783 5503 Coated 184209 Group Benefit Change 1013 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA240 Ventralight ST Bioresorbable Barrier/Permanent Mesh 22.4 x 33.0cm oval BA 21 194 1783 5503 Coated 219332 Group Benefit Change 1013 0 0 Update 2014-02-01 2020-02-01 Prosthesis BA249 Ventrio ST Bioresorbable Barrier/Permanent Mesh 27.4 x 34.9cm oval BA 21 194 1783 5503 Coated 219324 Group Benefit Change 1013 0 0 Update 2014-02-01 2020-02-01 Prosthesis JJ454 PROCEED Surgical Mesh PROCEED Surgical Mesh T1 10x13 inches oval JJ 21 194 1783 5503 Coated 117402 Group Benefit Change 1013 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ455 PROCEED Surgical Mesh PROCEED Surgical Mesh W1 10x14 inches JJ 21 194 1783 5503 Coated 117402 Group Benefit Change 1013 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ456 PROCEED Surgical Mesh PROCEED Surgical Mesh L1 12x12 inches JJ 21 194 1783 5503 Coated 117402 Group Benefit Change 1013 0 0 Update 2005-10-31 2020-02-01 Prosthesis LH555 Dipromed ClearMesh Composite Transparent composite mesh Oval: (26 - 30)cm x 34cm LH 21 194 1783 5503 Coated 267206 Group Benefit Change 1013 0 0 Update 2016-08-01 2020-02-01 Prosthesis MN195 PHYSIOMESH Open Flexible Composite Mesh 601cm²-1000cm² MN 21 194 1783 5503 Coated 274361 Group Benefit Change 1013 0 0 Update 2016-08-01 2020-02-01 Prosthesis MS038 Titanized Mesh Implants Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating Weight: 16 g/m² - 65 g/m² Surface Area: 601cm² - 1000cm² MS 21 194 1783 5503 Coated 97288 Group Benefit Change 1013 0 0 Update 2007-06-01 2020-02-01 Prosthesis BA244 Ventralight ST with ECHO PS Positioning System Bioresorbable Barrier/Permanent Mesh 25.4 x 33.0cm oval BA 21 194 1783 5503 Coated, Integrated Delivery System 219333 Group Benefit Change 1121 0 0 Update 2014-02-01 2020-02-01 Prosthesis JJ020 Vicryl Mesh 1 sheet/box Large - 30cm x 30cm JJ 21 194 1783 5503 143774 Group Benefit Change 271 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ470 ULTRAPRO Mesh ULTRAPRO Mesh L1 30x30cm JJ 21 194 1783 5503 120154 Group Benefit Change 271 0 0 Update 2005-10-31 2020-02-01 Prosthesis MN185 Ultrapro Advanced Macroporous, Partially Absorbable Mesh 601cm-1000cm² MN 21 194 1783 5503 120154 Group Benefit Change 271 0 0 Update 2016-02-01 2020-02-01 Prosthesis AS147 Parietex Composite 3728FX Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film 37x28cm oval AS 21 194 1783 5505 Coated 214997 Group Benefit Change 2888 0 0 Update 2008-07-01 2020-02-01 Prosthesis AS226 Symbotex Composite Mesh with pre placed suture Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.) Rectangular 42x32 cm, Rectangular 37x28 cm AS 21 194 1783 5505 Coated 270737 Group Benefit Change 2888 0 0 Update 2016-08-01 2020-02-01 Prosthesis AS231 Symbotex Composite Mesh Non-absorbable three-dimensional polyester composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. Rectangular 42x32cm, Rectangular 37x28cm AS 21 194 1783 5505 Coated 270735 Group Benefit Change 2888 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA233 Bard Sepramesh IP Bioresorbable Coating/Permanent Mesh 30.5cm x 35.6cm BA 21 194 1783 5505 Coated 184209 Group Benefit Change 2888 0 0 Update 2013-08-01 2020-02-01 Prosthesis BA241 Ventralight ST Bioresorbable Barrier/Permanent Mesh 30.5 x 35.6cm oval BA 21 194 1783 5505 Coated 219332 Group Benefit Change 2888 0 0 Update 2014-02-01 2020-02-01 Prosthesis LH556 Dipromed ClearMesh Composite Transparent composite mesh 30x40cm LH 21 194 1783 5505 Coated 267206 Group Benefit Change 2888 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA245 Ventralight ST with ECHO PS positioning System Bioresorbable Barrier/Permanent Mesh 30.5 x 35.6cm oval BA 21 194 1783 5505 Coated, Integrated Delivery System 219333 Group Benefit Change 2996 0 0 Update 2014-02-01 2020-02-01 Prosthesis AS182 Permacol™ Biological Implant Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen. 3 x 3cm, 5 x 5cm, 2 x 20cm, 5 x 10cm, 4 x 18cm, 10 x 10cm, 10 x 15cm, 6 x 3cm, 10 x 15cm AS 21 194 1798 5491 Coated 172202 Group Benefit Change 710 0 0 Update 2012-08-01 2020-02-01 Prosthesis BA281 Phasix ST Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier) PHASIX ST 7.6CM ROUND PHASIX ST 7CMX10CM PHASIX ST 11CM ROUND PHASIX ST 10CMX10CM PHASIX ST 10X15CM PHASIX ST 15CM ROUND PHASIX ST 10CMX20CM BA 21 194 1798 5491 Coated 318512 Group Benefit Change 710 0 0 Update 2019-07-01 2020-02-01 Prosthesis BX332 Veritas Collagen Matrix - Small Bovine pericardium biologic mesh for the repair of soft tissue for size < 200cm² RM-0208 2cm x 8cm; RM-0304 3cm x 4cm; RM-0407 4cm x 7cm; RM-0416 4cm X 16cm; RM-0608 6cm x 8cm; RM-0618 6cm x 18cm; RM-0816 8cm x 16cm; RM-0818 8cm x 18cm; RM1016 10cm x 16cm; RM-1212 12cm x 12cm BX 21 194 1798 5491 Coated 219240 Group Benefit Change 710 0 0 Update 2014-08-01 2020-02-01 Prosthesis WA010 Biodesign Rectopexy Graft The Biodesign Rectopexy Graft is a dried multi-layered small intestinal submucosa (SIS) sheet. The graft is used to reinforce soft tissue for the repair of rectal prolapse and rectal intussusception. 7cm x 20cm WA 21 194 1798 5491 Coated 317940 Group Benefit Change 710 0 0 Update 2019-07-01 2020-02-01 Prosthesis WC177 Biodesign Tissue Graft Surgical Mesh composed of Sub-Intestinal Submucosa (SIS) Length - 10cm, Width - 7cm; Length - 7cm, Width - 4cm; Length - 3cm, Width - 2cm. WC 21 194 1798 5491 Coated 153047 Group Benefit Change 710 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC242 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 13cm x 15cm, 10cm x 10cm WC 21 194 1798 5491 Coated 153052 Group Benefit Change 710 0 0 Update 2009-02-01 2020-02-01 Prosthesis WC255 Surgisis Biodesign 4-layer Tissue Graft Surgisis Soft Tissue Graft Length 20cm, Width 7cm WC 21 194 1798 5491 Coated 153047 Group Benefit Change 710 0 0 Update 2009-02-01 2020-02-01 Prosthesis WC284 Surgisis Biodesign Hiatal Hernia Graft Surgisis Biodesign Hiatal Hernia Graft is an extracellular collagen matrix, non cross-linked sterile graft material, that provides support for damaged tissues and assists in host tissue regeneration and remodelling of the diaphragmatic wall following surgical repair for paraoesophageal and hiatal hernia. 7 x 10cm rectangular and U-shaped WC 21 194 1798 5491 Coated 153051 Group Benefit Change 710 0 0 Update 2011-08-01 2020-02-01 Prosthesis WC336 Biodesign ENT Surgical Reinforcement Graft Surgical reinforcement graft that is intended for implantation to reinforce soft tissue in the head and neck. 2 x 3cm 4 x 7cm 7 x 10cm 7 x 20cm WC 21 194 1798 5491 Coated 272709 Group Benefit Change 710 0 0 Update 2016-08-01 2020-02-01 Prosthesis BA275 Phasix Fully resorbable synthetic mesh Phasix™ Mesh – 3 in. Diameter Circle (7.6 cm.) Phasix™ Mesh – 4.5 in. Diameter Circle (11 cm.) Phasix™ Mesh – 2.4 x 6.3 in. Rectangle (6 x 16 cm) Phasix™ Mesh – 3 x 3 in. Square (8 x 8 cm.) Phasix™ Mesh – 3 x 6.3 in. Rectangle (8 x 16 cm.) Phasix™ Mesh – 4 x 4 in. Square (10 x 10 cm.) Phasix™ Mesh – 4 x 6 in. Rectangle (10.2 x 15.2 cm.) Phasix™ Mesh – 3 x 8 in. Rectangle (8 x 20 cm.) Phasix™ Mesh – 4 x 8 in. Rectangle (10 x 20 cm.) BA 21 194 1798 5491 Contoured 318473 Group Benefit Change 722 0 0 Update 2019-07-01 2020-02-01 Prosthesis ER410 TIGR Matrix Surgical Mesh-Small TIGR Matrix Surgical Mesh-Small, biosynthetic 10x15 cm ER 21 194 1798 5491 Contoured 202446 Group Benefit Change 722 0 0 Update 2017-08-01 2020-02-01 Prosthesis GT256 BIO-A Tissue Reinforcement BIO-A Tissue Reinforcement 8cm x 8cm GT 21 194 1798 5491 Contoured 175834 Group Benefit Change 722 0 0 Update 2011-02-01 2020-02-01 Prosthesis GT257 BIO-A Tissue Reinforcement BIO-A Tissue Reinforcement 9cm x 15cm GT 21 194 1798 5491 Contoured 175834 Group Benefit Change 722 0 0 Update 2011-02-01 2020-02-01 Prosthesis GT258 BIO-A Tissue Reinforcement BIO-A Tissue Reinforcement - Configured for Hiatal Hernia 7cm x 10cm GT 21 194 1798 5491 Contoured 175834 Group Benefit Change 722 0 0 Update 2011-02-01 2020-02-01 Prosthesis AS183 Permacol™ Biological Implant Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen. 15 x 20cm AS 21 194 1798 5492 Coated 172202 Group Benefit Change 1341 0 0 Update 2012-08-01 2020-02-01 Prosthesis BX333 Veritas Collagen Matrix- Large Bovine pericardium biologic mesh repair of soft tissue > 200cm² 12cm x 25cm BX 21 194 1798 5492 Coated 219240 Group Benefit Change 1341 0 0 Update 2014-08-01 2020-02-01 Prosthesis WC247 Biodesign Surgisis 8-Layer Tissue Graft Biodesign Surgisis 8-layer Tissue Graft is 8 layers of compressed and perforated porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 13cm x 22cm WC 21 194 1798 5492 Coated 153048 Group Benefit Change 1341 0 0 Update 2009-02-01 2020-02-01 Prosthesis WC249 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 13cm x 22cm WC 21 194 1798 5492 Coated 153052 Group Benefit Change 1341 0 0 Update 2009-02-01 2020-02-01 Prosthesis WC250 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 20cm x 20cm WC 21 194 1798 5492 Coated 153052 Group Benefit Change 1341 0 0 Update 2009-02-01 2020-02-01 Prosthesis ER411 TIGR Matrix Surgical Mesh-Medium TIGR Matrix Surgical Mesh-Medium, biosynthetic 15x20 cm ER 21 194 1798 5492 Contoured 202446 Group Benefit Change 1399 0 0 Update 2017-08-01 2020-02-01 Prosthesis GT267 Bio A Tissue Reinforcement Bio A Tissue Reinforcement 10cm x 30cm GT 21 194 1798 5492 Contoured 175834 Group Benefit Change 1399 0 0 Update 2012-08-01 2020-02-01 Prosthesis AS184 Permacol™ Biological Implant Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen. 18 x 28cm and 20 x 30cm AS 21 194 1798 5493 Coated 172202 Group Benefit Change 3114 0 0 Update 2012-08-01 2020-02-01 Prosthesis BA278 Phasix ST Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier) PHASIX ST 20X25CM BA 21 194 1798 5493 Coated 318512 Group Benefit Change 3114 0 0 Update 2019-07-01 2020-02-01 Prosthesis WC251 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft 20cm x 30cm WC 21 194 1798 5493 Coated 153052 Group Benefit Change 3114 0 0 Update 2009-02-01 2020-02-01 Prosthesis BA276 Phasix Fully resorbable synthetic mesh Phasix™ Mesh – 6 x 12 in. Rectangle (15 x 30 cm.) Phasix™ Mesh – 8 x 10 in. Rectangle (20.3 x 25.4 cm.) Phasix™ Mesh – 8 x 12 in. Rectangle (20 x 30 cm.) BA 21 194 1798 5493 Contoured 318473 Group Benefit Change 3204 0 0 Update 2019-07-01 2020-02-01 Prosthesis ER412 TIGR Matrix Surgical Mesh-Large TIGR Matrix Surgical Mesh-Large, biosynthetic 20x30 cm ER 21 194 1798 5493 Contoured 202446 Group Benefit Change 3204 0 0 Update 2017-08-01 2020-02-01 Prosthesis GT268 Bio A Tissue Reinforcement Bio A Tissue Reinforcement 20cm x 30cm GT 21 194 1798 5493 Contoured 175834 Group Benefit Change 3204 0 0 Update 2012-08-01 2020-02-01 Prosthesis AS187 Permacol™ Biological Implant Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen. 20 x 40cm AS 21 194 1798 5494 Coated 172202 Group Benefit Change 4061 0 0 Update 2013-02-01 2020-02-01 Prosthesis BA279 Phasix ST Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier) PHASIX ST 25X30CM BA 21 194 1798 5494 Coated 318512 Group Benefit Change 4061 0 0 Update 2019-07-01 2020-02-01 Prosthesis AS188 Permacol™ Biological Implant Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen. 20 x 50cm AS 21 194 1798 5495 Coated 172202 Group Benefit Change 4964 0 0 Update 2013-02-01 2020-02-01 Prosthesis BA277 Phasix Fully resorbable synthetic mesh Phasix™ Mesh – 12 x 12 in. Square (30 x 30 cm.) Phasix™ Mesh – 10 x 16 in. Rectangle (10 x 16 cm.) Phasix™ Mesh – 14 x 14 in. Square (35 x 35 cm.) Phasix™ Mesh – 12 x 18 in. Rectangle (30 x 45 cm.) Phasix™ Mesh – 16 x 16 in. Square (40 x 40 cm.) Phasix™ Mesh – 18 x 18 in. Square (45 x 45 cm.) Phasix™ Mesh – 19.5 x 19.5 in. Square (50 x 50 cm.) BA 21 194 1798 5495 Coated 318473 Group Benefit Change 4964 0 0 Update 2019-07-01 2020-02-01 Prosthesis BA280 Phasix ST Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier) PHASIX ST 30X35CM BA 21 194 1798 5495 Coated 318512 Group Benefit Change 4964 0 0 Update 2019-07-01 2020-02-01 Prosthesis GT099 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 10 x 15cm GT 21 194 1785 5446 2mm thickness 233234 Group Benefit Change 833 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT201 Dualmesh Plus Biomaterial ePTFE 8cm x 12cm x 1mm GT 21 194 1785 5446 Coated 11169 Group Benefit Change 352 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT202 Dualmesh Plus Biomaterial ePTFE, oval 10cm x 15cm x 1mm GT 21 194 1785 5446 Coated 11169 Group Benefit Change 352 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT206 Dualmesh Plus Biomaterial ePTFE, oval 10cm x 15cm x 2mm GT 21 194 1785 5446 Coated, 2mm thickness 11169 Group Benefit Change 921 0 0 Update 2005-10-31 2020-02-01 Prosthesis BA225 Bard Mesh Crurasoft Patch 7x6cm, 11x8cm BA 21 194 1785 5446 122873 Group Benefit Change 316 0 0 Update 2013-08-01 2020-02-01 Prosthesis GT092 Gore-Tex Dual Mesh ePTFE 1mm Thickness 7.5 x 10cm GT 21 194 1785 5446 233234 Group Benefit Change 316 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT093 Gore-Tex Dual Mesh ePTFE 1mm Thickness 8 x 12cm GT 21 194 1785 5446 233234 Group Benefit Change 316 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT094 Gore-Tex Dual Mesh ePTFE 1mm Thickness Oval 10 x 15cm GT 21 194 1785 5446 233234 Group Benefit Change 316 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT104 Gore-Tex DualMesh PLUS ePTFE 1mm Thickness 7.5 x 10cm GT 21 194 1785 5446 11169 Group Benefit Change 316 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT100 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 15 x 19cm GT 21 194 1785 5447 2mm thickness 233234 Group Benefit Change 1666 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT207 Dualmesh Plus Biomaterial ePTFE, oval 15cm x 19cm x 2mm GT 21 194 1785 5447 Coated, 2mm thickness 11169 Group Benefit Change 1832 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT095 Gore-Tex Dual Mesh ePTFE 1mm Thickness Oval 15.0 x 19.0cm GT 21 194 1785 5447 233234 Group Benefit Change 939 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT107 Gore-Tex DualMesh PLUS ePTFE 15.0 x 19.0cm x 1mm Oval GT 21 194 1785 5447 11169 Group Benefit Change 939 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT101 Gore-Tex Dual Mesh ePTFE 2mm Thickness 18 x 24cm GT 21 194 1785 5448 2mm thickness 233234 Group Benefit Change 2193 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT203 Dualmesh Plus Biomaterial ePTFE 18cm x 24cm x 1mm GT 21 194 1785 5448 Coated 11169 Group Benefit Change 1645 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT208 Dualmesh Plus Biomaterial ePTFE, 18cm x 24cm x 2mm GT 21 194 1785 5448 Coated, 2mm thickness 11169 Group Benefit Change 2664 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT096 Gore-Tex Dual Mesh ePTFE 1mm Thickness 18 x 24cm GT 21 194 1785 5448 233234 Group Benefit Change 1464 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT103 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 26 x 34cm GT 21 194 1785 5449 2mm thickness 233234 Group Benefit Change 4007 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT205 Dualmesh Plus Biomaterial ePTFE, oval 26cm x 34cm x 1mm GT 21 194 1785 5449 Coated 11169 Group Benefit Change 3044 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT210 Dualmesh Plus Biomaterial ePTFE, oval 26cm x 34cm x 2mm GT 21 194 1785 5449 Coated, 2mm thickness 11169 Group Benefit Change 4685 0 0 Update 2005-10-31 2020-02-01 Prosthesis GT098 Gore-Tex Dual Mesh ePTFE 1mm Thickness Oval 26 x 34cm GT 21 194 1785 5449 233234 Group Benefit Change 2671 0 0 Update 2005-10-31 2020-02-01 Prosthesis WC243 Surgisis Biodesign Anal Fistula Plug Surgisis Biodesign Anal Fistula Plug is a small intestine submucosal porcine derived, rolled and shaped collagen matrix, non cross-linked, that signals the body and provides support for native tissue remodeling, healing and closure of anal fistulas 0.6cm Width Tapering to 0.2cm Width x 9.5cm Length. Conical Shape WC 21 194 1691 4519 153045 Group Benefit Change 903 0 0 Update 2009-02-01 2020-02-01 Prosthesis WC245 Surgisis Biodesign Recto-Vaginal Fistula Plug Small intestine submucous porcine collagen matrix, non-crosslinked, supports native tissue remodelling, healing and closure of recto-vaginal fistulas. Conical shape with attached button. 2mm width x 5.5cm length; 4mm wide tapering to 2mm wide x 5.5cm length; 7mm wide tapering to 2mm wide x 5.5 length. WC 21 194 1691 4519 153046 230911 Group Benefit Change 903 0 0 Update 2009-02-01 2020-02-01 Prosthesis MQ014 C-QUR Mesh Plug Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO – Bioabsorbable Oil Coating) Small, Med, Large, Extra Large MQ 21 194 1691 Anti-inflammatory 163310 Group Benefit Change 1101 0 0 Update 2015-02-01 2020-02-01 Prosthesis AS068 Surgipro Non Absorbable Polypropylene Hernia Mate Plug System Polypropylene Medium and Large AS 21 194 1691 129777 Group Benefit Change 238 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS124 Parietene-Monofilament Polypropylene mesh Parietene-Monofilament Polypropylene mesh Plug and Patch 06 x 12 cm AS 21 194 1691 125428 Group Benefit Change 238 0 0 Update 2006-11-30 2020-02-01 Prosthesis AS130 Parietex-Multifilament Polyester Mesh Parietex-Multifilament Polyester Mesh Plug 6 cm, 8 cm AS 21 194 1691 125428 Group Benefit Change 238 0 0 Update 2006-11-30 2020-02-01 Prosthesis BA061 Bard Mesh PerFix Plug Small, Medium, Large BA 21 194 1691 24168 Group Benefit Change 238 0 0 Update 2005-10-31 2020-02-01 Prosthesis JJ602 ULTRAPRO Plug Partially Absorbable Synthetic Surgical Mesh Device Small- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 3cm anchor diameter; Medium- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 4cm anchor diameter; Large- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 5cm anchor diameter JJ 21 194 1691 142608 Group Benefit Change 238 0 0 Update 2007-12-01 2020-02-01 Prosthesis MQ005 Atrium polypropolene mesh - surgical mesh Polypropolene mesh plug Small, Medium, Large and Extra Large MQ 21 194 1691 98833 Group Benefit Change 238 0 0 Update 2015-02-01 2020-02-01 Prosthesis MS043 TiPLUG/TiPATCH System Titanized polypropylene composite. Prosthetic warp-knitted fabric made of monofilament polypropylene threads with an encapsulating titanic coating. TiPLUG MS 21 194 1691 97288 Group Benefit Change 238 0 0 Update 2007-06-01 2020-02-01 Prosthesis ER197 Anastoclips Vessel Closure System (VCS) (8 and 15 cm shaft) Small, Medium, Large, Extra Large ER 21 194 1771 120976 Group Benefit Change 407 0 0 Update 2014-08-01 2020-02-01 Prosthesis ER283 AnastoClip GC AnastoClip GC Medium Large Extra Large Medium, with long applier Large, with long applier Extra Large, with long applier ER 21 194 1771 278601 Group Benefit Change 407 0 0 Update 2016-08-01 2020-02-01 Prosthesis MZ010 ABRA Abdominal Wall Closure Set Abdominal Wall Closure System, for primary closure of large full thickness retrated adbominal wounds. For wounds up to 30cm long up 30cm across. MZ 21 194 1799 5499 181416 Group Benefit Change 6318 0 0 Update 2013-02-01 2020-02-01 Prosthesis MZ011 ABRA Abdominal Wall Closure Set (Extension Kit Only) Extention Kit for use with ABRA Abdominal Wall Closure Set CWK08. Used when width or length of open abdomen exceeds 30cm. ABRA is for the primary closure of large full thickness retracted abdominal wounds Extention Kit, used when wounds to be closed are larger than 30cm long and/or 30cm across. MZ 21 194 1799 5500 181416 Group Benefit Change 1805 0 0 Update 2013-02-01 2020-02-01 Prosthesis BB290 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Titanium, Permanent Standard Fenestrated 5mm-9mm, 45 Deg BB 25 218 1655 Complex 123979 Group Benefit Change 341 0 0 Update 2007-06-01 2020-02-01 Prosthesis BB291 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Titanium, Permanent Standard Fenestrated 5mm-13mm, 90 Deg BB 25 218 1655 Complex 123979 Group Benefit Change 341 0 0 Update 2007-06-01 2020-02-01 Prosthesis BB292 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt Alloy, Permanent Standard Fenestrated 5mm-9mm, 45 Deg BB 25 218 1655 Complex 123979 Group Benefit Change 341 0 0 Update 2007-06-01 2020-02-01 Prosthesis BB293 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt Alloy, Permanent Standard Fenestrated 5mm-13mm, 90 Deg BB 25 218 1655 Complex 123979 Group Benefit Change 341 0 0 Update 2007-06-01 2020-02-01 Prosthesis IG147 JJ131 Aneurysm Clips Stainless steel Graft Clip (with teflon graft) Blade 2-5mm diameter, 3-7mm length IG 25 218 1655 Complex 150172 Group Benefit Change 341 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG149 JJ141 Aneurysm Clips Fenestrated Clips Length 21-25mm IG 25 218 1655 Complex 150097 Group Benefit Change 341 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG150 JJ142 Aneurysm Clips Fenestrated Clips Length 6-21mm IG 25 218 1655 Complex 150097 Group Benefit Change 341 0 0 Update 2018-08-01 2020-02-01 Prosthesis LH294 Aneurism Clip - T2 Sugita Clips, Titanium 2, Fenestrated and Crankshaft. One size each LH 25 218 1655 Complex 100120 Group Benefit Change 341 0 0 Update 2009-02-01 2020-02-01 Prosthesis BB108 Aneurysm Clip Aneurysm clip All sizes BB 25 218 1655 138333 Group Benefit Change 233 0 0 Update 2005-10-31 2020-02-01 Prosthesis IG148 JJ134 Aneurysm Clips Stainless Steel clip, various shapes including mini 2-20mm IG 25 218 1655 150097 Group Benefit Change 233 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG151 JJ155 Aneurysm Clips Stainless Steel, various shapes 21-25mm length IG 25 218 1655 150097 Group Benefit Change 233 0 0 Update 2018-08-01 2020-02-01 Prosthesis LH119 Aneurism Clip - T2 Sugita Clips, Titanium2. Slim, mini, curved and L-shape. One Size Each LH 25 218 1655 100108 Group Benefit Change 233 0 0 Update 2009-02-01 2020-02-01 Prosthesis LH147 Aneurism Clip - T2 Sugita Clips, Titanium 2. L-shape, bayoneted, slightly curved, curved. One Size Each LH 25 218 1655 100108 Group Benefit Change 233 0 0 Update 2009-02-01 2020-02-01 Prosthesis LH148 Aneurism Clip - T2 Sugita Clips, Titanium 2. Mini, temp, straight. One Size Each LH 25 218 1655 100108 Group Benefit Change 233 0 0 Update 2009-02-01 2020-02-01 Prosthesis LH170 Aneurism Clip - T1 Sugita Clips, Titanium 1. Titanium alloy (Ti-6AI-4V) One Size Each LH 25 218 1655 100108 Group Benefit Change 233 0 0 Update 2009-02-01 2020-02-01 Prosthesis LH494 Aneurism Clip - Elgiloy Sugita Clips, Elgiloy. Cobalt Chrome alloy. One size each LH 25 218 1655 100108 Group Benefit Change 233 0 0 Update 2013-02-01 2020-02-01 Prosthesis BB218 Kopitnik Microneurosurgical AVM Clips Composition: Phynox (Cobalt-base-alloy) 2mm, 3mm, 4mm, 5mm - straight. 2mm, 3mm, 4mm, 5mm - curved. BB 25 218 1656 101731 Group Benefit Change 244 0 0 Update 2005-10-31 2020-02-01 Prosthesis IG146 JJ130 Aneurysm Clips Stainless steel alloy AVM Micro Clip Blade length 1-5mm IG 25 218 1656 150175 Group Benefit Change 244 0 0 Update 2018-08-01 2020-02-01 Prosthesis LH155 Sugita Microneurosurgical AVM Clips Composition: Cobalt-Chromium-molybdenum based alloy One Size Each LH 25 218 1656 100108 Group Benefit Change 244 0 0 Update 2009-02-01 2020-02-01 Prosthesis BB356 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 2.5 x 2.5cm BB 25 219 1657 Biological 264832 Group Benefit Change 325 0 0 Update 2016-08-01 2020-02-01 Prosthesis IG038 DuraGen Collagen dural graft matrix 2.5cm x 2.5cm IG 25 219 1657 Biological 158829 Group Benefit Change 325 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG039 DuraGen Plus Collagen dural graft matrix 2.5cm x 2.5cm IG 25 219 1657 Biological 158825 Group Benefit Change 325 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG169 JJ740 Duraform Dural Graft Implant - 1" x 1" (2.5x2.5cm) Collagen-based dural graft implant 1'x1' (2.5x2.5cm) IG 25 219 1657 Biological 151908 Group Benefit Change 325 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC750 Durepair Dura Substitute, Collagen 1" x 1" MC 25 219 1657 Biological 134482 Group Benefit Change 325 0 0 Update 2007-12-01 2020-02-01 Prosthesis SK492 DuraMatrix Resorbable Collagen Dura Substitute Membrane 1" x 1" (2.5cm x 2.5cm) SK 25 219 1657 Biological 154606 Group Benefit Change 325 0 0 Update 2009-02-01 2020-02-01 Prosthesis BB118 Neuropatch Dura Substitute Polyurethane 1.5 x 3cm BB 25 219 1657 138310 Group Benefit Change 65 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB357 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 5 x 5cm and 2.5 x 7.5cm BB 25 219 1658 Biological 264832 Group Benefit Change 492 0 0 Update 2016-08-01 2020-02-01 Prosthesis IG040 DuraGen Collagen dural graft matrix 2.5cm x 7.5cm IG 25 219 1658 Biological 158829 Group Benefit Change 492 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG041 DuraGen Plus Collagen dural graft matrix 2.5cm x 7.5cm IG 25 219 1658 Biological 158825 Group Benefit Change 492 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG042 DuraGen Suturable Collagen dural graft matrix 2.5cm x 7.5cm IG 25 219 1658 Biological 158826 Group Benefit Change 492 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG043 DuraGen Collagen dural graft matrix 5cm x 5cm IG 25 219 1658 Biological 158829 Group Benefit Change 492 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG044 DuraGen Plus Collagen dural graft matrix 5cm x 5cm IG 25 219 1658 Biological 158825 Group Benefit Change 492 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG045 DuraGen Suturable Collagen dural graft matrix 5cm x 5cm IG 25 219 1658 Biological 158826 Group Benefit Change 492 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG176 JJ860 Duraform Collagen-based dural graft implant 2.5 x 7.5cm (1" x 3") to 5 x 5cm (2" x 2") IG 25 219 1658 Biological 151908 Group Benefit Change 492 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI081 Durepair Dura Substitute, Collagen 1"-2" x 2"-3" MI 25 219 1658 Biological 134482 Group Benefit Change 492 0 0 Update 2013-02-01 2020-02-01 Prosthesis SK493 DuraMatrix Resorbable Collagen Dura Substitute Membrane 1" x 3" (2.5cm x 7.5cm) SK 25 219 1658 Biological 154606 Group Benefit Change 492 0 0 Update 2009-02-01 2020-02-01 Prosthesis SK496 DuraMatrix Resorbable Collagen Dura Substitute Membrane 2" x 2" (5cm x 5cm) SK 25 219 1658 Biological 154606 Group Benefit Change 492 0 0 Update 2009-02-01 2020-02-01 Prosthesis BB363 Neuropatch Dura Substitute Polyurethane Medium BB 25 219 1658 138310 Group Benefit Change 426 0 0 Update 2017-02-01 2020-02-01 Prosthesis BB358 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 7.5 x 7.5cm BB 25 219 1659 Biological 264832 Group Benefit Change 1011 0 0 Update 2016-08-01 2020-02-01 Prosthesis IG046 DuraGen Collagen dural graft matrix 7.5cm x 7.5cm IG 25 219 1659 Biological 158829 Group Benefit Change 1011 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG047 DuraGen Plus Collagen dural graft matrix 7.5cm x 7.5cm IG 25 219 1659 Biological 158825 Group Benefit Change 1011 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG048 DuraGen Suturable Collagen dural graft matrix 7.5cm x 7.5cm IG 25 219 1659 Biological 158826 Group Benefit Change 1011 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG170 JJ743 Duraform Dural Graft Implant - 3" x 3" (7.5 x 7.5cm) Collagen-based dural graft implant 3" x 3" (7.5 x 7.5cm) IG 25 219 1659 Biological 151908 Group Benefit Change 1011 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC753 Durepair Dura Substitute, Collagen 3" x 3" MC 25 219 1659 Biological 134482 Group Benefit Change 1011 0 0 Update 2007-12-01 2020-02-01 Prosthesis SK495 Dura Matrix Resorbable Collagen Dura Substitute Membrane 3" x 3" (7.5cm x 7.5cm) SK 25 219 1659 Biological 154606 Group Benefit Change 1011 0 0 Update 2009-02-01 2020-02-01 Prosthesis BB113 Neuropatch Dura Substitute Polyurethane Large BB 25 219 1659 138310 Group Benefit Change 709 0 0 Update 2005-10-31 2020-02-01 Prosthesis BB359 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 10 x 12.5cm BB 25 219 1660 Biological 264832 Group Benefit Change 1706 0 0 Update 2016-08-01 2020-02-01 Prosthesis IG049 DuraGen Collagen Dural graft matrix 10cm x 12.5cm IG 25 219 1660 Biological 158829 Group Benefit Change 1706 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG051 DuraGen Suturable Collagen dural graft matrix 10cm x 12.5cm IG 25 219 1660 Biological 158826 Group Benefit Change 1706 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG059 DURAGEN PLUS Collagen Dural Graft Matrix 10cm x 12.5cm IG 25 219 1660 Biological 158825 Group Benefit Change 1706 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG060 DURAGEN PLUS Collagen Dural Graft Matrix 12.5cm x 17.5cm IG 25 219 1660 Biological 158825 Group Benefit Change 1706 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG171 JJ744 Duraform Dural Graft Implant - 4" x 5" (10x12.5cm) Collagen-based dural graft implant 4" x 5" (10x12.5cm) IG 25 219 1660 Biological 151908 Group Benefit Change 1706 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC754 Durepair Dura Substitute, Collagen 4" x 5" MC 25 219 1660 Biological 134482 Group Benefit Change 1706 0 0 Update 2007-12-01 2020-02-01 Prosthesis SK494 DuraMatrix Resorbable Collagen Dura Substitute Membrane 4" x 5" (10cm x 12.5cm) SK 25 219 1660 Biological 154606 Group Benefit Change 1706 0 0 Update 2009-02-01 2020-02-01 Prosthesis BB015 Neuro-Patch Polyesterurethane 12 x 14cm BB 25 219 1660 138310 Group Benefit Change 591 0 0 Update 2005-10-31 2020-02-01 Prosthesis IG142 DuraSeal Xact Spinal Dural Sealant Xact Dural Sealant for spine. Packaged in sterile single use disposable tray. 3ml IG 25 219 1661 233759 Group Benefit Change 722 0 0 Update 2014-08-01 2020-02-01 Prosthesis MN202 Evicel Dural sealant 0 to 3ml MN 25 219 1661 266221 Group Benefit Change 722 0 0 Update 2017-02-01 2020-02-01 Prosthesis HW659 LH523 ADHERUS Dural Sealant Dural sealant 6ml HW 25 219 1662 167094 Group Benefit Change 753 0 0 Update 2019-03-01 2020-02-01 Prosthesis HW660 LH525 Adherus AutoSpray Hydrogel sealant with automatic applicator. 6mL HW 25 219 1662 202972 Group Benefit Change 753 0 0 Update 2019-03-01 2020-02-01 Prosthesis IG141 Duraseal Dural Sealant DuraSeal is a Synthetic, absorbable, Polyethylene Glycon, hydrogel sealant used as an adjunct to sutured dural repair to achieve watertight closure. 5ml of hydrogel sealant IG 25 219 1662 233618 Group Benefit Change 753 0 0 Update 2014-08-01 2020-02-01 Prosthesis MN203 Evicel Dural sealant >3 to 6ml MN 25 219 1662 181318 Group Benefit Change 753 0 0 Update 2017-02-01 2020-02-01 Prosthesis MC641 Strata Valve Unitised with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal plastic base. Silicone elastomer dome. One size only MC 25 220 1666 4468 Antisyphon function, Coating, Distal catheter, Proximal catheter, Reservoir/Priming function 145337 Group Benefit Change 2987 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC642 Strata Valve Assembly with Bioglide PSM range CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. One size MC 25 220 1666 4468 Antisyphon function, Coating, Distal catheter, Reservoir/Priming function 169061 Group Benefit Change 2857 0 0 Update 2006-03-24 2020-02-01 Prosthesis MI019 Strata Valve with Bioglide Adjustable CSF Valve with five symmetric performance level steps, surface of valve bonded with hydrogel 13-16mm x 35-47mm MI 25 220 1666 4468 Antisyphon function, Coating, Reservoir/Priming function 129681 Group Benefit Change 2689 0 0 Update 2011-02-01 2020-02-01 Prosthesis BB337 Miethke proGAV Shunt System Shunt system containing an adjustable valve with a gravitational unit, a distal catheter, a ventricular catheter and a reservoir. Adjustable valve: diameter 18mm, opening pressure 0-20 cmH2O, height 4.5mm. Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cmH2O. Distal catheter: length 1200mm, inside diameter 1200mm, inside diameter 1.2mm, outside diameter 2.5mm. Reservoir: diameter 14/20mm. Ventricular catheter: 180/250mm. BB 25 220 1666 4468 Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function 181718 Group Benefit Change 2888 0 0 Update 2014-02-01 2020-02-01 Prosthesis IG158 JJ219 Hakim Programmable Valve System Fixed pressure hydrocephalus shunt, packaged sterile, stainless steel and ruby valve mechanism, silicone rubber ventricular and peritoneal catheters. In line or right angled with reservoir. Valve can be reprogrammed non-invasively 18 pressure settings a One size only IG 25 220 1666 4468 Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function 140904 149291 Group Benefit Change 2888 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC640 Strata Shunt, Unitised Adjustable CSF valve with five symmetric performance level steps. Includes strata valve, pre-attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular Catheter Introducer. Disposable Sub 8-13.5cm x 9-120cm MC 25 220 1666 4468 Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function 129681 145335 Group Benefit Change 2888 0 0 Update 2006-03-24 2020-02-01 Prosthesis BB335 Miethke proGAV with distal catheter Adjustable valve with a gravitational unit and a distal catheter Adjustable valve: diameter 18mm, opening pressure 0-20 cmH2O, height 4.5mm Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cm H2O Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm BB 25 220 1666 4468 Antisyphon function, Distal catheter, Reservoir/Priming function 181718 Group Benefit Change 2757 0 0 Update 2013-02-01 2020-02-01 Prosthesis BB338 Miethke proGAV with pre-attached reservoir Shunt system containing an adjustable valve with a gravitational unit and a reservoir. Adjustable valve: diameter 18mm, opening pressure 0-20 cmH20, height 4.5mm. Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cmH2O Reservoir: diameter 14/20mm. BB 25 220 1666 4468 Antisyphon function, Distal catheter, Reservoir/Priming function 181718 Group Benefit Change 2757 0 0 Update 2014-02-01 2020-02-01 Prosthesis BB339 Miethke proSA with differential pressure unit (miniNAV) and distal catheter proSA is an adjustable gravitational unit for the treatment of hydracephalus. The proSA valve can be combined with any differential pressure valve. miniNAV is a very small differential pressure unit, which is often used with proSA. The valves are made from titanium and are MR safe up to 3 tesla. The distal catheter is made of silicone. Adjustable gravitational unit: height 4.5mm, diameter 18mm, opening pressure 0-40 cmH2O. Differential pressure unit (miniNAV): length 14.7mm, diameter 2.8mm. Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm. BB 25 220 1666 4468 Antisyphon function, Distal catheter, Reservoir/Priming function 181718 Group Benefit Change 2757 0 0 Update 2014-02-01 2020-02-01 Prosthesis IG187 MN110 Codman Certas Programmable Valve - with Reservoir, Siphonguard and catheter Programmable valve with reservoir, siphonguard and catheters 30-210mmH2O IG 25 220 1666 4468 Antisyphon function, Distal catheter, Reservoir/Priming function 186233 186235 Group Benefit Change 2757 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI086 Strata Shunt Assembly Assembly: Strata Shunt, Strata Burr Hole Shunt, Strata Snap Shunt. Adjustable CSF Valve with five symmetric performance level steps, includes integral (distal) peritoneal catheter. 90-120cm, 35-50mm MI 25 220 1666 4468 Antisyphon function, Distal catheter, Reservoir/Priming function 129681 134740 169061 Group Benefit Change 2757 0 0 Update 2013-02-01 2020-02-01 Prosthesis BB332 Miethke proGAV Adjustable valve with intergrated gravitational unit. Titanium, MR safe up to 3 tesla. Adjustable valve: Diameter 18mm, Opening pressure 0-20 cmH2O, Height 4.5mm. Gravitational unit: Length 14.9mm, Height 4.6mm. BB 25 220 1666 4468 Antisyphon function, Reservoir/Priming function 181718 Group Benefit Change 2591 0 0 Update 2013-02-01 2020-02-01 Prosthesis BB340 Miethke proSA with differential pressure unit (miniNAV) proSA is an adjustable gravitational unit for the treatment of hydrocephalus. The proSA valve can be combined with any differential pressure valve. miniNAV is a very small differential pressure unit, which is often used with proSA. The valves are made from titanium and are MR safe up to 3 tesla. Adjustable gravitational unit: height 4.5mm, diameter 18mm, opening pressure 0-40 cmH2O. Differential pressure unit (miniNAV): length 14.7mm, diameter 2.8mm. BB 25 220 1666 4468 Antisyphon function, Reservoir/Priming function 181718 Group Benefit Change 2591 0 0 Update 2014-02-01 2020-02-01 Prosthesis IG167 JJ437 Codman Hakim Programmable Valves with Siphonguard 18 different pressure settings and SIPHONGUARD technology One Size Only IG 25 220 1666 4468 Antisyphon function, Reservoir/Priming function 140904 Group Benefit Change 2591 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG186 MN109 Codman Certas Programmable Valve - with Reservoir and Siphonguard Programmable valve with Reservoir and Siphonguard 30-210mmH2O IG 25 220 1666 4468 Antisyphon function, Reservoir/Priming function 190248 Group Benefit Change 2591 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI087 Strata Valve Strata Valve, Strata Burr Hole Valve,. Adjustable CSF Valve with five symmetric performance level steps. 13-20mm x 35-50mm MI 25 220 1666 4468 Antisyphon function, Reservoir/Priming function 129681 169054 Group Benefit Change 2591 0 0 Update 2013-02-01 2020-02-01 Prosthesis MI190 StrataMR Valve Adjustable CSF Valve with five symmetric performance level steps Small, Regular MI 25 220 1666 4468 Antisyphon function, Reservoir/Priming function 129681 Group Benefit Change 2591 0 0 Update 2016-02-01 2020-02-01 Prosthesis MI080 Strata NSC LP Shunt Kit Strata NSC LP Shunt Kit with Lumbar Catheter and Peritoneal Catheter, Small Lumen One size only MI 25 220 1666 4468 Distal catheter, Lumboperitoneal, Proximal catheter, Reservoir/Priming function 165018 Group Benefit Change 2734 0 0 Update 2013-02-01 2020-02-01 Prosthesis IG154 JJ159 Hakim Programmable Valve System Standard system. Silicone casing with catheter; stainless steel ruby ball in cone mechanism with variable pressure Peritoneal Catheter length 80 cm, Ventricular catheter length 14 cm IG 25 220 1666 4468 Distal catheter, Proximal catheter, Reservoir/Priming function 149291 Group Benefit Change 2437 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC645 Strata Valve Unitised NSC (non siphon control) PSM range Adjustable CSF valve with five symmetric performance level steps. Includes a strata valve, pre-attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular Catheter Introducer. 8-120cm MC 25 220 1666 4468 Distal catheter, Proximal catheter, Reservoir/Priming function 145337 Group Benefit Change 2437 0 0 Update 2006-03-24 2020-02-01 Prosthesis NK029 Sterile Hydrocephalic Shunts Plastic/magnetic. Programmable valve. Programmer kit and shunts kit. 3, 8 settings NK 25 220 1666 4468 Distal catheter, Proximal catheter, Reservoir/Priming function 143218 Group Benefit Change 2437 0 0 Update 2013-08-01 2020-02-01 Prosthesis IG185 MN108 Codman Certas Programmable Valve - with reservoir and catheter Programmable valve with reservoir and catheters 30-210mmH2O IG 25 220 1666 4468 Distal catheter, Reservoir/Priming function 186232 186234 Group Benefit Change 2306 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC646 Strata Valve Assembly NSC (non siphon control) PSM range Adjustable CSF valve with five symmetrical performance level steps. Includes a strata valve, an integral distal peritoneal catheter and catheter passer, and a female leur adaptor and prefill tubing. One size MC 25 220 1666 4468 Distal catheter, Reservoir/Priming function 134740 Group Benefit Change 2306 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC963 Strata NSC Burr Hole Shunt Assembly Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome. With integral catheter. One size only MC 25 220 1666 4468 Distal catheter, Reservoir/Priming function 169061 Group Benefit Change 2306 0 0 Update 2010-08-01 2020-02-01 Prosthesis MC928 Strata NSC L-P Shunt Lumboperitoneal Shunt 44mm x 23mm x 12mm MC 25 220 1666 4468 Lumboperitoneal, Reservoir/Priming function 129681 Group Benefit Change 2437 0 0 Update 2009-08-01 2020-02-01 Prosthesis IG166 JJ436 Codman Hakim Programmable Valves Programmable valve with reservoir One Size Only IG 25 220 1666 4468 Reservoir/Priming function 140904 149291 Group Benefit Change 2139 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG188 MN111 Codman Certas Programmable Valve - with reservoir Programmable valve with reservoir 30-210mmH2O IG 25 220 1666 4468 Reservoir/Priming function 190248 Group Benefit Change 2139 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI082 Strata Valve NSC PSM Range Strata NSC, Strata NSC Burr Hole Valve. Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome. 13-20mm x 23-35mm MI 25 220 1666 4468 Reservoir/Priming function 129681 169054 Group Benefit Change 2139 0 0 Update 2013-02-01 2020-02-01 Prosthesis IG153 JJ158 Hakim Programmable Valve System Valve only One size only IG 25 220 1666 4468 149291 Group Benefit Change 1823 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG177 JJ861 Codman Hakim Precision Fixed Pressure Valve Fixed Pressure Valve with Bactiseal ventricular and peritoneal catheters, reservoir and siphonguard: Opening pressures: 10-130mmH2O Standard and Micro IG 25 220 1666 4469 Antibiotics, Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function 164772 Group Benefit Change 1967 0 0 Update 2018-08-01 2020-02-01 Prosthesis JJ863 Codman Hakim Precision Fixed Pressure Valve Fixed Pressure Valve with Bactiseal ventricular and peritoneal catheters and reservoir: Opening pressures: 10-130mmH2O Standard and Micro SY 25 220 1666 4469 Antibiotics, Distal catheter, Proximal catheter 164772 Group Benefit Change 1570 0 0 Update 2012-02-01 2020-02-01 Prosthesis IG178 JJ862 Codman Hakim Precision Fixed Pressure Valve Fixed Pressure Valve with Bactiseal ventricular and peritoneal catheters and reservoir: Opening pressures: 10-130mmH2O Standard and Micro IG 25 220 1666 4469 Antibiotics, Distal catheter, Proximal catheter, Reservoir/Priming function 164772 Group Benefit Change 1887 0 0 Update 2018-08-01 2020-02-01 Prosthesis BB324 Aesculap-Miethke GAV/paediGAV gravitational shunt Single valve, anti-siphon gravitational shunt, titanium construction (MRI safe to 3 tesla) 24mm and 27mm long, 4.0mm and 4.6mm diameter, 4cmH2O and 5cmH2O-40cmH2O BB 25 220 1666 4469 Antisyphon function 181718 Group Benefit Change 1083 0 0 Update 2012-02-01 2020-02-01 Prosthesis MC648 Delta Valve Unitised with Bioglide PSM range CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. Unitised system includes the valve, integral ventricular and peritoneal catheter (all components connected). Surface of valve bonded with hydrogel (Bioglide surface modificat 8-13.5cm x 90-120cm (0.5-2.0) MC 25 220 1666 4469 Antisyphon function, Coating, Distal catheter, Proximal catheter, Reservoir/Priming function 129681 Group Benefit Change 1796 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC651 Delta Valve Assembly with Bioglide PSM range CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. Assembly system includes the valve, integral peritoneal catheter, female luer adapter and prefill tubing. Surface of the valve bonded with hydrogel (Bioglide surface modifica 90-120cm (0.5, 1.0, 1.5, 2.0) MC 25 220 1666 4469 Antisyphon function, Coating, Distal catheter, Reservoir/Priming function 134740 Group Benefit Change 1665 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC647 Delta Valve with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal plastic base. Silicone elastomer dome. Surface of valve bonded with hydrogel (Bioglide surface modification). 36-40mm x 9-20mm (0.5-2.0) MC 25 220 1666 4469 Antisyphon function, Coating, Reservoir/Priming function 129681 Group Benefit Change 1498 0 0 Update 2006-03-24 2020-02-01 Prosthesis IG159 JJ220 Hakim Precision Valve System Fixed pressure valve with reservoir, siphonguard, ventricular and peritoneal catheters Very low to very high including micro IG 25 220 1666 4469 Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function 149290 Group Benefit Change 1697 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC649 Delta Shunt Unitised Delta valve is a fixed pressure CSF valve, available in four performance levels. Delta Unitised shunt includes a delta valve, pre-attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular Delta Unitised Shunt small (Distal 65cm-90cm, ventricular 11cm) - 0.5, 1.0, 1.5 and 2.0. Delta Unitised Shunt regular (Distal 90cm, ventricular catheter 13cm) - 0.5, 1.0, 1.5 and 2.0 MC 25 220 1666 4469 Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function 139696 Group Benefit Change 1697 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC650 Delta Shunt Assembly Delta valve is a fixed CSF pressure valve, available in four performance levels. Includes an Integral (distal) Peritoneal Catheter, Disposable Peritoneal Catheter Passer, Female Luer Adapter and Prefill Tubing. 90-120cm (0.5 - 2.0) MC 25 220 1666 4469 Antisyphon function, Distal catheter, Reservoir/Priming function 134740 Group Benefit Change 1566 0 0 Update 2006-03-24 2020-02-01 Prosthesis IG001 Horizontal-Vertical (H-V) Lumbar valve system The H-V Lumbar Valve adjusts to changes in posture to maintain pressure appropriate levels in both standing and recumbent positions. Has a unique anti-gravity mechanism automatically increasing flow resistance when the patient resumes a standing or sitting position. 903-325A 85-125 205-285 small children, 903-335A 85-125 265-365 tall children, adults, 903-345A 85-125 325-445 tall adults, 903-320A 50-80 170-240 small children, 903-330A 50-80 230-320 tall children, adults, 903-340A 50-80, 290-400 tall adults IG 25 220 1666 4469 Antisyphon function, Lumboperitoneal 151648 Group Benefit Change 1380 0 0 Update 2009-02-01 2020-02-01 Prosthesis IG175 JJ858 Codman Hakim Precision Valves Valves with Siphonguard and Reservoir 10-130mm H2O including micro IG 25 220 1666 4469 Antisyphon function, Reservoir/Priming function 140904 Group Benefit Change 1399 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC532 Hydrocephalus Shunt With Hydrostatic Valve, Delta Valves/Shunts/BioGlide, Vent Catheters 12mm-90cm MC 25 220 1666 4469 Antisyphon function, Reservoir/Priming function 129681 Group Benefit Change 1399 0 0 Update 2006-03-24 2020-02-01 Prosthesis IG017 Precision Flow-OSV II Valve System Lumbar peritoneal OSV11-Lumboperitoneal System Hydrocephalus Shunt Lumber Catheter 80cm, F5 Peritoneal Catheter 110cm, F7 IG 25 220 1666 4469 Distal catheter, Lumboperitoneal 151647 Group Benefit Change 1467 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG015 Cordis Omnishunt System, Hakim Valve Series Hakim Valve System Drainage Cath 110 cm, F7. Vent. Cath 15cm, F8. IG 25 220 1666 4469 Distal catheter, Proximal catheter 151643 Group Benefit Change 1300 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG018 Precision Flow-OSV II Valve System Ventricular/Atrial OSV11-Ventricular /Atrial Hydrocephalus Shunt Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 & 15 cm IG 25 220 1666 4469 Distal catheter, Proximal catheter 151647 Group Benefit Change 1300 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG152 JJ157 Hakim Precision Valve System Precision valve standard with reservoir, peritoneal and ventricular catheters Very low to very high including micro IG 25 220 1666 4469 Distal catheter, Proximal catheter, Reservoir/Priming function 149290 Group Benefit Change 1616 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG160 JJ221 Hakim Precision Valve System Fixed pressure hydrocephalus shunt, packaged sterile, stainless steel and ruby valve mechanism, silicone rubber ventricular and peritoneal catheters. In line or right angled with reservoir. Opening pressure H20; Very high 130mm, high 100mm, medium 70mm One size only IG 25 220 1666 4469 Distal catheter, Proximal catheter, Reservoir/Priming function 149290 Group Benefit Change 1616 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC531 Hydrocephalus Shunt Ventricular/Peritoneal. CSF Flow Control Valves, BioGlide Contoured, Ventriculostomy Kit-E, Neonatal Delta Snap Shunt 12mm-90cm MC 25 220 1666 4469 Distal catheter, Reservoir/Priming function 129681 Group Benefit Change 1485 0 0 Update 2006-03-24 2020-02-01 Prosthesis IG004 Spetzler Lumbar-Peritoneal Shunt System Shunt, CSF Reservoir, In-line valve Catheter length 80 - 105cm, Reservoir small & large, Valve pressure range low - high IG 25 220 1666 4469 Lumboperitoneal 163274 Group Benefit Change 1300 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG168 JJ440 Codman Hakim Precision Valve, Right Angle Reservoir features 5 operating pressures 10, 40, 70, 100, and 130mmH2O IG 25 220 1666 4469 Reservoir/Priming function 140904 Group Benefit Change 1318 0 0 Update 2018-08-01 2020-02-01 Prosthesis JJ156 Hakim Precision Valve System Precision valve standard with reservoir Very low to very high including micro SY 25 220 1666 4469 Reservoir/Priming function 140904 149290 Group Benefit Change 1318 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC530 Hydrocephalus Shunt Ventricular/Atrial, CSF Flow Control Shunts, Cont Small Valve 38cm-90cm MC 25 220 1666 4469 Reservoir/Priming function 129681 Group Benefit Change 1318 0 0 Update 2006-03-24 2020-02-01 Prosthesis BB325 Aesculap-Miethke DualSwitch shunt Non-adjustable valve with preset values for treatment of patients susceptible to complication due to tumour cells or high protein levels. Treats patients in both supine and upright position. Titanium construction MRI compatible to 3 tesla 28mm diameter, 5.7mm profile, 510-50cmH2O pressure setting BB 25 220 1666 4469 181718 Group Benefit Change 1001 0 0 Update 2012-02-01 2020-02-01 Prosthesis IG019 Precision Flow-OSV II Valve System Ventricular/Peritoneal OSV11- Ventricular/Peritoneal Hydrocephalus Shunt Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 & 15 cm IG 25 220 1666 4469 151647 Group Benefit Change 1001 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG026 Contour-Flex Valves Silicone encased CSF Valve Small (24mm Length) or Regular (28mm Length), low medium or high pressure IG 25 220 1666 4469 151645 Group Benefit Change 1001 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG027 Contour Flex Valve Shunt Assemblies Shunt Assembly: silicone encased valve, silicone ventricular and peritoneal catheters Small (24mm Length) or regular (28mm Length); low, low/medium and medium pressure; various catheter and valve configurations IG 25 220 1666 4469 151645 Group Benefit Change 1001 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG032 Burr Hole Valve Shunt Assemblies Shunt Assembly: silicone encased valve, silicone ventricular and peritoneal catheters 16mm or 12mm base; low, medium or high pressure, various kit configurations IG 25 220 1666 4469 152728 Group Benefit Change 1001 0 0 Update 2010-02-01 2020-02-01 Prosthesis BB341 Miethke proSA with proGAV and distal catheter proSA is an adjustable gravitational unit. proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. The distal catheters are made of silicone. Adjustable gravitational unit (proSA): diameter 18mm Adjustable differential pressure unit (proGAV): diameter 18mm Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm Distal catheter (connection between both valves): inside diameter 1.2mm, outside diameter 2.5mm FV783T: proSA adjustable between 0-40 cmH2O, proGAV adjustablebetween 0-20 cmH2O BB 25 220 1666 5978 Distal Catheter 181718 Group Benefit Change 3813 0 0 Update 2014-08-01 2020-02-01 Prosthesis BB343 Miethke proSA with proGAV with reservoir and distal catheter Shunt system containing an adjustable gravitational unit and an adjustable differential pressure unit (proGAV) with distal catheters and a ventircular catheter, combined with a deflector, a pediatric prechamber or a reservoir. There are two types of reservoirs: Control reservoir and pediatric Burrhole reservoir. The shunt system is used for the treatment of pediatric and adult hydrocephalus. The valves, the prechamber, the deflector and the reservoirs are made from titanium. The catheters are made from silicone. The shunt system is MR safe up to 3 tesla. Adjustable gravitational unit (proSA): height 4.5mm, diameter 18mm Adjustable differential pressure unit (proGAV): diameter 18mm Distal catherter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm Distal catheter for connections: inside diameter 1.2mm, outside diameter 2.5mm 1) FV784T proSA with proGAV and pediatric burrhole reservoir and distal catheter: proSA adjustable between 0-40 cmH2O, proGAV adjustable between 0-20 cmH2O, Pediatric burrhole reservoir: Diameter 14mm 2) FV785T proSA with proGAV and pediatric prechamber and distal catheter: proSA adjustable between 0-40 cmH2O, proGAV adjustable between 0-20 cmH2O, Pediatric prechamber: diameter 14mm BB 25 220 1666 5978 Distal Catheter, Reservoir/Priming Function 181718 Group Benefit Change 4129 0 0 Update 2014-08-01 2020-02-01 Prosthesis BB342 Miethke proSA with proGAV proSA is an adjustable gravitational unit. proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. They are connected by a distal catheter, which is made of silicone. Adjustable gravatational unit (proSA): diameter 18mm Adjustable differential pressure unit (proGAV): diameter 18mm Distal catheter: inside diameter 1.2mm, outside diameter 2.5mm FV782T: proSA adjustable between 0-40 cmH2O proGAV adjustable between 0-20 cmH2O BB 25 220 1666 5978 181718 Group Benefit Change 3646 0 0 Update 2014-08-01 2020-02-01 Prosthesis BB322 Aesculap-Miethke PaediGAV/GAV gravitational shunt (with catheter) Single valve, (anti-siphon) gravitational shunt, titanium construction (MRI safe to 3 tesla), with incorporated distal catheter, supplied sterile 23mm long , 4.6mm diameter, 5cmH2O - 40cmH2O, Catheter - di=1.2mm, do=2.5cm, 1200mm long BB 25 220 1667 Antisyphon function 181718 Group Benefit Change 1490 0 0 Update 2012-02-01 2020-02-01 Prosthesis IG023 Cordis Omnishunt System Silicone and Synthetic ruby Very low to very high pressures IG 25 220 1667 151644 Group Benefit Change 407 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG172 JJ855 Codman-Medos Non-programmable Valve System Lumbar/peritoneal catheter, James and Holter designs 25-80cm IG 25 220 1667 149300 150123 Group Benefit Change 407 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC529 Hydrocephalus Shunt Lumbar peritoneal 84cm MC 25 220 1667 130410 140357 140358 140359 140360 Group Benefit Change 407 0 0 Update 2006-03-24 2020-02-01 Prosthesis IG179 JJ883 Hakim Ventricular Catheter Set with Bactiseal Silicone ventricular catheter, antibiotic impregnated 15cm IG 25 220 1668 Antibiotics 156961 Group Benefit Change 424 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG180 JJ884 Hakim Peritoneal Catheter Set with Bactiseal Silicone peritoneal catheter, antibiotic impregnated 80cm IG 25 220 1668 Antibiotics 156961 Group Benefit Change 424 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI165 ARES Antibiotic-Impregnated Catheter ARES antibiotic-impregnated ventricular catheter 23cm MI 25 220 1668 Antibiotics 245273 Group Benefit Change 424 0 0 Update 2015-08-01 2020-02-01 Prosthesis MI166 ARES antibiotic -impregnated catheter ARES antibiotic-impregnated peritoneal catheter 120cm MI 25 220 1668 Antibiotics 245274 Group Benefit Change 424 0 0 Update 2015-08-01 2020-02-01 Prosthesis IG155 JJ160 Hakim Catheter Kit with Bactiseal Silicone Silicone antibiotic impregnated catheter kit Kit IG 25 220 1668 Antibiotics, Distal, Proximal 156961 Group Benefit Change 609 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI167 ARES antibiotic-impregnated catheter kit ARES antibiotic catheter kit includes ventricular and peritoneal catheter 23 - 120cm MI 25 220 1668 Antibiotics, Distal, Proximal 245275 Group Benefit Change 609 0 0 Update 2015-08-01 2020-02-01 Prosthesis BB329 Miethke Peritoneal Catheter Peritoneal catheter, barium impregnated, radio-opaque silicon 2) Peritoneal catheter with integrated barium strip d 1.2mm od =2.5mm; 600,900 1200mm long BB 25 220 1668 Distal 181747 Group Benefit Change 167 0 0 Update 2012-02-01 2020-02-01 Prosthesis IG010 Shunt Components - catheter: Atrial 55cm - 60cm, Low - High pressure range IG 25 220 1668 Distal 151659 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG011 Shunt Peritoneal 90 - 120cm IG 25 220 1668 Distal 151659 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG020 Atrial Catheter Components - catheter: Atrial Atrial Catheters Hydrocephalux Valve Accessories Length: 46cm, F7. OD: 2.1mm; ID:1.1mm IG 25 220 1668 Distal 151659 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG021 Peritoneal Catheter Peritoneal Catheters Length: 91cm, F7. OD: 2.1mm; ID:1.1mm IG 25 220 1668 Distal 151659 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG030 Cardiac/Peritoneal Catheters SiliconDistal Catheter, ID 1.3mm, OD 2.5mm 90cm, barium impregnated silicone catheter, closed or open ended, with or without slits IG 25 220 1668 Distal 150579 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG162 JJ229 Codman Medos Peritoneal Catheter 85cm, packaged sterile, silicone rubber 85cm IG 25 220 1668 Distal 149295 Group Benefit Change 167 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG163 JJ261 ACCU-FLO Intracranial Pressure shunt ACCU-FLO catheter, packaged sterile, silicone rubber 91cm in length IG 25 220 1668 Distal 150089 Group Benefit Change 167 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG174 JJ857 HOLTER Intracranial Pressure Shunt HOLTER distal peritoneal catheter/Salmon, packaged sterile, silicone 90cm IG 25 220 1668 Distal 149299 Group Benefit Change 167 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC584 CSF - Distal Catheters Non metallic and latex free, Models 43418,43103,43111,43209,43522,43551,27211 Distal cardiac/peritoneal catheters ID 1.3mm OD 2.5mm Length 90cm, 96cm, 110cm, 120cm, ID 1.2mm, OD 2.1mm, Length 90cm, 75cm, 58cm MC 25 220 1668 Distal 140357 Group Benefit Change 167 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC857 Small Lumen Peritoneal Catheter CSF Distal Catheter ID - 0.7mm OD - 2.5mm Length - 120cm MC 25 220 1668 Distal 130410 Group Benefit Change 167 0 0 Update 2009-08-01 2020-02-01 Prosthesis MC638 Peritoneal Catheter PSM range with Bioglide Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel. 60-90cm MC 25 220 1668 Distal, Coating 130410 Group Benefit Change 230 0 0 Update 2006-03-24 2020-02-01 Prosthesis BB331 Miethke Ventricular catheter with deflector Ventricular catheters (with deflector) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone. The deflectors allow 90 degree deflection of the ventricular catheter in the burrhole without kinking the catheter. All deflectors are made of titanium. The deflectors are adjustable on the catheter, have suture fixation holes and are radiopaque. Ventricular catheter with deflector: Inside diameter 1.2mm, Outside diameter 2.5mm. FV075P: Ventricular catheter 180mm, graduated. Deflector: Large. FV078P: Ventricular catheter 250mm, graduated. Deflector: Large. Ventricular catheter with deflector (for pediatric application): Inside diameter 1.2mm, Outside diameter 2.5mm. FV076P: Ventricular catheter 180mm, graduated. Deflector: Small. BB 25 220 1668 Proximal 196110 Group Benefit Change 167 0 0 Update 2013-02-01 2020-02-01 Prosthesis BB336 Miethke Ventricular Catheter with stylet Ventricluar catheters (with stylet) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone. Inside diameter 1.2mm, Outside diameter 2.5mm. FV074P: 180mm, graduated. FV077P: 250mm, graduated. BB 25 220 1668 Proximal 196110 Group Benefit Change 167 0 0 Update 2013-02-01 2020-02-01 Prosthesis IG009 Heyer-Schulte Pudenz Ventricular Catheter - small, standard, right-angled IG 25 220 1668 Proximal 163268 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG012 Shunt Ventricular 14.5cm - 23cm IG 25 220 1668 Proximal 163262 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG014 Heyer Schulte Portnoy Flanged Ventricular Catheter Composition - silicone with tantalum markings Length 18cm, outer diameter 8mm IG 25 220 1668 Proximal 163262 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG025 Right Angle Ventricular Catheter Silicone, integral right angle 3-11cm IG 25 220 1668 Proximal 151660 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG031 Ventricular Catheters Silicon Ventricular Catheter 15cm - 25cm, optional flanges or right angle or endoscopic tip. ID 1.3mm, OD 2.5mm IG 25 220 1668 Proximal 150579 Group Benefit Change 167 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG157 JJ218 HOLTER Intracranial Pressure Shunt HOLTER Ventricular Catheter, packaged sterile, silicone rubber 3 - 7cm and 15cm IG 25 220 1668 Proximal 150090 Group Benefit Change 167 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG161 JJ227 Codman Medos Straight Ventricular Catheter 14cm, packaged sterile, silicone rubber 14cm IG 25 220 1668 Proximal 150085 Group Benefit Change 167 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG164 JJ263 ACCU-FLO Intracranial Pressure shunt ACCU-FLO barium ventricular catheter, packaged sterile, silicone rubber One size only IG 25 220 1668 Proximal 150088 Group Benefit Change 167 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC735 Rivulet Ventricular Catheter 4cm - 23cm MC 25 220 1668 Proximal 164728 Group Benefit Change 167 0 0 Update 2007-06-01 2020-02-01 Prosthesis MI122 CSF Ventricular Catheter PSM range Ventricular catheter, non metallic latex free. Barium impregnated, include stainless steel stylet. 1.3 - 35cm MI 25 220 1668 Proximal 141099 141100 141101 Group Benefit Change 167 0 0 Update 2013-08-01 2020-02-01 Prosthesis MC639 Ventricular Catheter PSM range with Bioglide Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel. 15-23cm MC 25 220 1668 Proximal, Coating 141102 Group Benefit Change 225 0 0 Update 2006-03-24 2020-02-01 Prosthesis BB323 Aesculap-Miethke SHUNTASSISTANT/PAEDI - SHUNTASSISTANTgravitational unit Single valve, anti-siphon gravitational unit to treat standing pressure over drainage in conjunction with existing shunts in children and adults, titanium construction (MRI safe to 3 tesla). 19.5mm long and 23.7mm long , 4.0mm diameter and 4.6mm diameter , 10cmH2O and 15-35cmH2O BB 25 220 1669 181718 Group Benefit Change 794 0 0 Update 2012-02-01 2020-02-01 Prosthesis IG156 JJ164 Siphonguard CSF Control Device PET shell anti-siphon device for shunt One size only IG 25 220 1669 165962 Group Benefit Change 794 0 0 Update 2018-08-01 2020-02-01 Prosthesis BB330 Miethke Reservoir with integrated catheter The reservoirs are all made of titanium and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle. The reservoirs come with integrated catheters. There are 4 different types of reservoirs with integrated catheters: Burrhole reservoir, sprung reservoir, flushing reservoir and control reservoir. Burrhole reservoir: FV027T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm. FV054T - Diameter 14mm, Height 4.8mm, with integrated catheter 200mm (pediatric). Sprung reservoir: FV044T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm. Flushing reservoir: FV034T - Diameter 20mm, Height 5.65mm, with integrated 600mm. FV081T - Diameter 14mm, Height 4.8mm, with integrated catheter 600mm (pediatric). Control reservoir: FV048T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm. BB 25 220 1670 Integrated Catheter 181719 Group Benefit Change 451 0 0 Update 2013-02-01 2020-02-01 Prosthesis BB326 Aesculap-Miethke Shunt inline Flushing reservoir Titanium, (MRI safe 3 tesla), radio- opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate. Radio-opaque titanium. 14mm diameter,4.8mmheight; 20mm diameter, 5.65mm height. For catheters - id = 1.2mm,od = 2.5mm BB 25 220 1670 181719 Group Benefit Change 338 0 0 Update 2012-02-01 2020-02-01 Prosthesis BB327 Aesculap-Miethke Shunt Burr hole port Titanium, (MRI safe 3 tesla), radio-opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate, supplied sterile. Radio- opaque titanium. 14mm diameter, 4.8mm height; 20/9.5mm diameter, 5.65mm height. For catheters - id =1.2mm, od =2.5mm BB 25 220 1670 181719 Group Benefit Change 338 0 0 Update 2012-02-01 2020-02-01 Prosthesis BB333 Miethke Port / Reservoir The ports / reservoirs are all made of titanium and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle. There are 6 different types: Burrhole port, CSF port, Burrhole reservoir, Sprung reservoir, Flushing reservoir, Control reservoir. Burrhole port: FV030T: Diameter 20mm, Height 5.65mm. FV040T: Diameter 14mm, Height 4.8mm (for pediatric application). CSF port: FV060T: Diameter 20mm, Height 5.65mm. Burrhole reservoir: FV028T: Diameter 20mm, Height 5.65mm. FV029T: Diameter 20mm, Height 5.65mm with adjustable connector. FV039T: Diameter 14mm, Height 4.8mm (for pediatric application). Sprung reservoir: FV043T: Diameter 20mm, Height 5.65mm. Flushing reservoir: FV033T: Diameter 20mm, Height 5.65mm. FV035T: Diameter 14mm, Height 4.8mm (for pediatric application). Control reservoir: FV047T: Diameter 20mm, Height 5.65mm. BB 25 220 1670 181719 Group Benefit Change 338 0 0 Update 2013-02-01 2020-02-01 Prosthesis IG006 Heyer-Schulte Spetzler Lumbar-Peritoneal Low Pressure Flushing Reservoir - Small, large IG 25 220 1670 151646 Group Benefit Change 338 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG008 Heyer-Schulte Ommaya CSF Reservoir Standard, side-inlet, convertible, mini 1.5 - 2.5cm and mini IG 25 220 1670 161176 Group Benefit Change 338 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG013 Shunt Reservoir Standard, Large IG 25 220 1670 151646 Group Benefit Change 338 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG033 Reservoirs Shunt component 9mm to 25mm, with or without convertible outlet port, burr hole or flat bottom style IG 25 220 1670 163539 Group Benefit Change 338 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG173 JJ856 Burr Hole Button Reservoirs Various ventriculostomy reservoirs Standard, dome, flat profile and large IG 25 220 1670 140900 149297 149298 Group Benefit Change 338 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC534 Pressure valve (anti-siphon device or flushing valve or flush pump) Neonatal Reservior, CSF Lumbo Peritoneal 2 - 90cm MC 25 220 1670 129650 Group Benefit Change 338 0 0 Update 2006-03-24 2020-02-01 Prosthesis MI018 Reservoir CSF Reservoir, Port, Neonatal, Snap assembly Various MI 25 220 1670 129650 145332 145336 Group Benefit Change 338 0 0 Update 2011-02-01 2020-02-01 Prosthesis BB328 Miethke Titanium connectors & deflectors Titanium, (MRI safe 3 tesla), deflector allows 90 degree deflection of the ventricular catheter in the burr hole without kinking, adjustable on length of catheter, suture fixture hole Radio-opaque titanium, connector diameter: 1,9mm for use with catheters of id = 1.2mm; of id 1.2mm; od = 2.5mm BB 25 220 1671 4470 181719 34 0 0 No Change 2012-02-01 2020-02-01 Prosthesis IG007 Heyer-Schulte Connectors for Neurosurgical Use Pudenz straight, Pudenz right angled, Pudenz three-way (Y) Threaded straight, Threaded right angled, Double threaded straight Each in one size IG 25 220 1671 4470 151592 34 0 0 No Change 2010-02-01 2020-02-01 Prosthesis IG022 Connectors Silicone and Stainless Steel Straight, right angle, Y, T IG 25 220 1671 4470 151592 34 0 0 No Change 2010-02-01 2020-02-01 Prosthesis IG184 JJ934 Codman Hydrocephalus Connectors Metal and plastic connectors 8mm to 20mm length IG 25 220 1671 4470 140901 150104 Group Benefit Change 34 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI022 Shunt Component Connector Connectors, fixation tabs Various MI 25 220 1671 4470 128403 128523 134760 95539 34 0 0 No Change 2011-02-01 2020-02-01 Prosthesis BB334 Miethke Titanium connectors - right angled / shaped In general, titanium connectors are preferably used with catheters of internal diameter 1.2m and external diameter 2.5mm. Step-down connectors are designed for connecting standard catheters to lumbar catheters. L-P connectors are designed for connecting two lumbar catheters to each other. Titanium connector: Connector diameter, 1.9mm. L-shape: FV051T: 1pc Y-shape: FV015T: 1 pc, FV016T: 5 pcs, FV017T: 10 pcs. T-shape: FV018T: 1 pc, FV019T: 5 pcs, FV020T: 10 pcs. X-shape: FV021T: 1 pc, FV022T: 5 pcs, FV023T: 10 pcs. Y-shape: FV056T: 1 pc. U-shape: FV057T: 1 pc. F-shape: FV058T: 1 pc. L-shape: FV059T: 1 pc. Titanium connector, step-down: Connector diameters: 1.9mm to 1.4mm: L-shape: FV052T: 1 pc. Titanium connector, L-P drainage: Connector diameters 1.4mm to 1.4mm: L-shape: FV053T: 1 pc. BB 25 220 1671 4471 194850 Group Benefit Change 181 0 0 Update 2013-02-01 2020-02-01 Prosthesis IG052 Electa right angle guide Silicone One Size Only IG 25 220 1671 4471 151661 Group Benefit Change 181 0 0 Update 2010-02-01 2020-02-01 Prosthesis BS318 Vercise PC Dual channel primary cell deep brain stimulation system One size only BS 25 221 1672 4472 Dual Channel 279185 Group Benefit Change 13592 0 0 Update 2017-02-01 2020-02-01 Prosthesis MC838 Medtronic ACTIVA PC Neurostimulator for Deep Brain Stimulation ACTIVA PC Dual channel primary cell neuro stimulator for Deep Brain Stimulation (37601) One size only MC 25 221 1672 4472 Dual Channel 160118 Group Benefit Change 13592 0 0 Update 2009-08-01 2020-02-01 Prosthesis NK111 Dual Channel Implantable Pulse generator Dual Channel Implantable Pulse generator Sizes as suitable for patient anatomy NK 25 221 1672 4472 Dual Channel 307525 Group Benefit Change 13592 0 0 Update 2019-07-01 2020-02-01 Prosthesis SJ206 Libra XP DBS IPG 6644 Implantable pulse generation for deep brain stimulation - Dual 4 Channel 76mm x 58mm x 14mm SJ 25 221 1672 4472 Dual Channel 161009 Group Benefit Change 13592 0 0 Update 2010-02-01 2020-02-01 Prosthesis SJ376 Infinity IPG Implantable Pulse Generator 55mm, 68mm SJ 25 221 1672 4472 Dual Channel 278846 278847 278849 278850 Group Benefit Change 13592 0 0 Update 2016-08-01 2020-02-01 Prosthesis MI031 Medtronic Activa SC Neurostimulator for Deep Brain Stimulation Single channel neurostimulator for Deep Brain stimulation New or Old Header choice MI 25 221 1672 4472 188034 188274 Group Benefit Change 8168 0 0 Update 2012-02-01 2020-02-01 Prosthesis NK107 Single Channel Implantable Pulse Generator Single Channel Implantable Pulse Generator Suitable for patient anatomy NK 25 221 1672 4472 307524 Group Benefit Change 8168 0 0 Update 2019-07-01 2020-02-01 Prosthesis SJ197 Libra Deep Brain Stimulation System - Libra IPG - 6608 Implantable pulse generator for deep brain stimulation - 8 channel 50mm x 54mm x 14mm SJ 25 221 1672 4472 161008 Group Benefit Change 8168 0 0 Update 2010-02-01 2020-02-01 Prosthesis MC946 Medtronic ACTIVA RC Neurostimulator for Deep Brain Stimulation ACTIVA RC Dual channel rechargeable neurostimulator for Deep Brain Stimulation (37612) One size only MC 25 221 1672 4473 Dual Channel 121279 Group Benefit Change 17283 0 0 Update 2010-02-01 2020-02-01 Prosthesis NK112 Dual Channel Rechargeable Implantable Pulse Generator Dual Channel Rechargeable Implantable Pulse Generator Sized as suitable for patient anatomy NK 25 221 1672 4473 Dual Channel 307526 Group Benefit Change 17283 0 0 Update 2019-07-01 2020-02-01 Prosthesis SJ202 Brio DBS Implantable Pulse Generator 6788 Dual Channel 16 Contact rechargeable IPG 29g, 17cc SJ 25 221 1672 4473 Dual Channel 164510 Group Benefit Change 17283 0 0 Update 2010-02-01 2020-02-01 Prosthesis BS237 Vercise IPG Kit Dual Channel, 16 Contact, Zero Volt Rechargeable Deep Brain Stimulation IPG One size only BS 25 221 1672 4473 Unlimited Deep Discharge Battery 201944 Group Benefit Change 19855 0 0 Update 2013-02-01 2020-02-01 Prosthesis BS358 Vercise Gevia IPG Kit Dual Channel, 16 Contact, Zero Volt Rechargeable Deep Brain Stimulation IPG 51.3 mm x 46 mm x 10.8 mm BS 25 221 1672 4473 Unlimited Deep Discharge Battery 308573 Group Benefit Change 19855 0 0 Update 2019-03-01 2020-02-01 Prosthesis BS243 Vercise Remote Control, Vercise Remote Control 2 Remote patient control for DBS One size only BS 25 221 1673 4474 202019 279188 Group Benefit Change 1264 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC837 Medtronic Activa Patient Programmer Medtronic Activa Patient Programmer (Model 37642) One size only MC 25 221 1673 4474 160115 Group Benefit Change 1264 0 0 Update 2009-08-01 2020-02-01 Prosthesis NK109 Patient or Clinician Programmer Patient or Clinician Programmer N/A NK 25 221 1673 4474 308945 Group Benefit Change 1264 0 0 Update 2019-07-01 2020-02-01 Prosthesis SJ204 Brio DBS Patient Controller 6856 Patient Controller for DBS One size only SJ 25 221 1673 4474 164509 Group Benefit Change 1264 0 0 Update 2010-02-01 2020-02-01 Prosthesis BS245 Vercise Charging System Recharging system for DBS N/A BS 25 221 1673 4475 202018 203085 Group Benefit Change 1782 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC945 Medtronic ACTIVA Recharging System for Deep Brain Stimulation Recharging System for Deep Brain Stimulation One size only MC 25 221 1673 4475 121279 Group Benefit Change 1782 0 0 Update 2010-02-01 2020-02-01 Prosthesis NK110 Patient programmer Recharger Patient programmer Recharger N/A NK 25 221 1673 4475 309804 Group Benefit Change 1782 0 0 Update 2019-07-01 2020-02-01 Prosthesis SJ351 Brio LE Charging System 6722 Charging system for Brio Deep Brain Stimualtion Device One size only SJ 25 221 1673 4475 231655 Group Benefit Change 1782 0 0 Update 2015-08-01 2020-02-01 Prosthesis BS319 Cartesia Directional Lead Deep brain stimulation lead with 8 in-line contact electrodes. Independent 19-filar platinum-core. Contacts are separated circumferentially allowing for both axial and rotational stimulation selectivity. 30cm - 45cm BS 25 221 1674 4476 Current steering 279186 Group Benefit Change 4120 0 0 Update 2017-02-01 2020-02-01 Prosthesis SJ378 Infinity directional lead Lead with 8 electrode segmented contacts. Steerable and directional current. 30-90cm SJ 25 221 1674 4476 Current steering 279015 279016 Group Benefit Change 4120 0 0 Update 2016-08-01 2020-02-01 Prosthesis BS238 Boston Scientific DBS Lead Kit Deep brain stimulation lead with 8 in-line contact electrodes. Independent 19-filar platinum-core. 30cm - 45cm BS 25 221 1674 4476 202017 Group Benefit Change 3746 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC244 Medtronic Australasia DBS Lead Model 3389, Medtronic quadripolar Itrel II- 7424DBS, Active Implantable Stimulator & Ancillary Equipment Deep brain stimulation lead with four platinum iridium electrodes Models 3387 and 3389. Electrode spacing is 1.5mm apart for Model 3387 and 0.5mm apart for Model 3389. PTFE, polyurethane, platinum/iridium, nickel alloy, tungsten 28 - 40cm MC 25 221 1674 4476 137138 Group Benefit Change 3746 0 0 Update 2005-10-31 2020-02-01 Prosthesis NK108 Implantable Lead Kits Implantable Lead Kits Multiple sizes suitable for patient anatomy NK 25 221 1674 4476 313134 Group Benefit Change 3746 0 0 Update 2019-07-01 2020-02-01 Prosthesis SJ148 Libra Deep Brain Stimulation System - Leads 6142 - 6149 DBS Leads 6142-6145 1.5mm electrode and space 1.5mm; 6146-6149 1.5mm electrode and 0.5mm space 25-40cm SJ 25 221 1674 4476 160826 Group Benefit Change 3746 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ377 Infinity Lead Lead with 4 electrodes 30-90cm SJ 25 221 1674 4476 278555 Group Benefit Change 3746 0 0 Update 2016-08-01 2020-02-01 Prosthesis BS239 Boston Scientific DBS Extension Kit Deep brain stimulation extension kit 55cm BS 25 221 1674 4477 202034 Group Benefit Change 1895 0 0 Update 2013-02-01 2020-02-01 Prosthesis BS293 B26 Pocket Adaptor Pocket Adaptor for Deep Brain Stimulation IPG 15cm BS 25 221 1674 4477 231754 Group Benefit Change 1895 0 0 Update 2015-08-01 2020-02-01 Prosthesis BS324 Vercise M8 Adapter 1 x 8 in-line connector designed to connect another manufacturer's previously implanted lead extensions to the Vercise Stimulator 15 - 55cm BS 25 221 1674 4477 281579 Group Benefit Change 1895 0 0 Update 2017-02-01 2020-02-01 Prosthesis MC305 Low Profile Impedance Extension Kit for DBS Model 7482 Silicone Rubber 25, 40, 51, 66, 95cm MC 25 221 1674 4477 156265 96927 Group Benefit Change 1895 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC852 Medtronic Extension for Deep Brain Stimulation Medtronic ACTIVA Stretch Coil Extension for use with ACTIVA RC and PC 40cm, 60cm, 95cm MC 25 221 1674 4477 160116 Group Benefit Change 1895 0 0 Update 2009-08-01 2020-02-01 Prosthesis MC940 Pocket Adaptors for Deep Brain Stimulation Pocket Adaptors for Deep Brain Stimulation (Single and Dual Channel) 25.5cm and 27.4cm MC 25 221 1674 4477 165114 Group Benefit Change 1895 0 0 Update 2010-02-01 2020-02-01 Prosthesis MI032 Medtronic Extension for Deep Brain Stimulation Extension for Deep Brain Stimulation 40cm, 60cm, 95cm MI 25 221 1674 4477 160116 Group Benefit Change 1895 0 0 Update 2012-02-01 2020-02-01 Prosthesis NK113 Implantable Extension Kit Implantable Extension Kit Suitable for patient anatomy NK 25 221 1674 4477 313133 Group Benefit Change 1895 0 0 Update 2019-07-01 2020-02-01 Prosthesis SJ234 Pocket Adaptor IS-1 Pocket Adaptor 25cm and 50cm SJ 25 221 1674 4477 170021 Group Benefit Change 1895 0 0 Update 2010-08-01 2020-02-01 Prosthesis SJ350 8-Channel Adapter 8-Channel Adapter 10cm and 60cm SJ 25 221 1674 4477 233169 Group Benefit Change 1895 0 0 Update 2015-02-01 2020-02-01 Prosthesis SJ373 St Jude Deep Brain Stimulation System Extension Lead for DBS 50-90cm SJ 25 221 1674 4477 160827 183454 Group Benefit Change 1895 0 0 Update 2016-02-01 2020-02-01 Prosthesis MI073 Medtronic MicroTargeting Electrodes Microelectrodes used for intra-operative recording of neuronal activity for DBS Various MI 25 221 1675 133616 Group Benefit Change 1354 0 0 Update 2013-02-01 2020-02-01 Prosthesis SJ198 MicroTargeting Electrodes Microtargeting mono- and bipolar- electrodes 100-300mm SJ 25 221 1675 161735 Group Benefit Change 1354 0 0 Update 2010-02-01 2020-02-01 Prosthesis BS244 SureTek Burr Hole Cover Burr hole cover 14mm compatability BS 25 221 1676 4478 203999 Group Benefit Change 497 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC767 Stimloc Burr Hole Cover 14mm MC 25 221 1676 4478 151095 Group Benefit Change 497 0 0 Update 2008-07-01 2020-02-01 Prosthesis SJ199 Guardian Burr Hole Cover System Cranial Burr Hole Cover 14 - 17mm outer diameter SJ 25 221 1676 4478 163234 Group Benefit Change 497 0 0 Update 2010-02-01 2020-02-01 Prosthesis BS242 Boston Scientific DBS OR Cable & Extension OR cable and extension for DBS One size only BS 25 221 1676 4479 157994 Group Benefit Change 181 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC764 Microelectrode Cable Cable used for intracranial recording of neural activity prior to DBS One size MC 25 221 1676 4479 138186 Group Benefit Change 181 0 0 Update 2008-07-01 2020-02-01 Prosthesis MC770 Snap Lid Connector Connector for implanted lead to external Implantable Pulse Generator 2.5" x 5.0" MC 25 221 1676 4479 119991 Group Benefit Change 181 0 0 Update 2008-07-01 2020-02-01 Prosthesis MC842 Medtronic Screening Cable (Twist Lock) Screening Cable with Twist Lock for Intraoperative testing One size only MC 25 221 1676 4479 119991 Group Benefit Change 181 0 0 Update 2009-08-01 2020-02-01 Prosthesis MC843 Medtronic Screening Cable (Alligator Clip) Screening Cable with Alligator Clip for Intraoperative testing One size only MC 25 221 1676 4479 119991 Group Benefit Change 181 0 0 Update 2009-08-01 2020-02-01 Prosthesis BS240 Vercise Physician's Spare Kit Boots accessory kit for DBS N/A BS 25 221 1676 4498 203998 Group Benefit Change 158 0 0 Update 2013-02-01 2020-02-01 Prosthesis BS241 Boston Scientific DBS Tunneling Tool Tunneling tool for DBS - straw, long N/A BS 25 221 1676 4498 156757 Group Benefit Change 158 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC826 Medtronic Accessory Kit for Deep Brain Stimulation Boots accessory kit for DBS (3550-25) N/A MC 25 221 1676 4498 240576 Group Benefit Change 158 0 0 Update 2009-02-01 2020-02-01 Prosthesis MI003 Medtronic DBS Tunneling Tool Accessory Kit DBS Tunneling Tool Accessory Kit One size only MI 25 221 1676 4498 121281 Group Benefit Change 158 0 0 Update 2011-02-01 2020-02-01 Prosthesis MI119 Electrode Insertion Tube set Electrode Insertion Tube Set for DBS One size only MI 25 221 1676 4498 212222 Group Benefit Change 158 0 0 Update 2013-08-01 2020-02-01 Prosthesis BS322 Precision Novi IPG 16-output, multi-channel, neurostimulation system IPG with 3D algorythmic programming One Size Only BS 25 222 1677 4480 Multi waveforms 283692 283693 Group Benefit Change 21660 0 0 Update 2017-02-01 2020-02-01 Prosthesis SJ379 Proclaim IPG Implantable pulse generator 55mm, 68mm SJ 25 222 1677 4480 Multi waveforms 279017 Group Benefit Change 21660 0 0 Update 2016-08-01 2020-02-01 Prosthesis SJ389 Proclaim DRG Implantable Pulse Generator one size only SJ 25 222 1677 4480 Multi waveforms 289235 Group Benefit Change 21660 0 0 Update 2017-08-01 2020-02-01 Prosthesis MC137 Medtronic A/Asia, Synergy Dual Channel Implantable Pulse Generator Model 7427, Active Implantable Stimulators. DCI - Pulse Generator: Synergy Dual Channel Implantable Pulse Generator Model 7427. Materials - Titanium One size only MC 25 222 1677 4480 134477 Group Benefit Change 17283 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC742 Prime Advanced Implantable Neurostimulator Dimensions: 65 x 49 x 15mm MC 25 222 1677 4480 141860 Group Benefit Change 17283 0 0 Update 2007-12-01 2020-02-01 Prosthesis MI135 PrimeAdvanced Surescan MRI Neurostimulator 16 electrode non-rechargeable implantable neurostimulator for pain management with Surescan MRI technology Model 97702 One size only MI 25 222 1677 4480 215751 Group Benefit Change 17283 0 0 Update 2014-02-01 2020-02-01 Prosthesis SJ362 Axium Neurostimulator System - Implantable Neurostimulator Spinal modulation implantable neurostimulator. 1 size; 31cc (1 presentation) SJ 25 222 1677 4480 202323 Group Benefit Change 17283 0 0 Update 2015-08-01 2020-02-01 Prosthesis MI004 Medtronic RestoreSensor Implantable Neurostimulator 16 Electrode Rechargeable implantable neurostimulator for pain management with AdaptiveStim 22cm3 MI 25 222 1677 4481 Adaptive Stimulation 177594 Group Benefit Change 21660 0 0 Update 2011-02-01 2020-02-01 Prosthesis MI132 RestoreSensor Surescan MRI Neurostimulator 16 electrode rechargeable implantable neurostimulator for pain management with AdaptiveStim and Surescan MRI technology One size only MI 25 222 1677 4481 Adaptive Stimulation 215750 Group Benefit Change 21660 0 0 Update 2014-02-01 2020-02-01 Prosthesis MI274 Intellis AdaptiveStim Neurostimulator 16 Electrode Rechargeable, multi-channel, implantable Neurostimulator for pain management with AdaptiveStim, SureScan MRI, and Overdrive technology One size only MI 25 222 1677 4481 Adaptive Stimulation, Multi waveform, Recharge protection, Unlimited Deep Discharge Battery, 298746 Group Benefit Change 23465 0 0 Update 2018-02-01 2020-02-01 Prosthesis BS254 Precision Spectra IPG 32-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with 3D alogrythmic programming One Size Only BS 25 222 1677 4481 Adaptive Stimulation, Unlimited Deep Discharge Battery, 32 Electrode IPG 205793 Group Benefit Change 23465 0 0 Update 2013-08-01 2020-02-01 Prosthesis BS362 Precision Spectra WaveWriter IPG 32-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with Combination Therapy, Sub-Perception Algorithms and Waveform Automation One Size Only BS 25 222 1677 4481 Adaptive Stimulation, Unlimited Deep Discharge Battery, 32 Electrode IPG 318260 Group Benefit Change 23465 0 0 Update 2019-07-01 2020-02-01 Prosthesis ER429 Freedom-8A Receiver Stimulator Kit Freedom Rechargeable Pulse Generator system with integral 8 electrode lead array one size only ER 25 222 1677 4481 Integrated Leads 287158 Group Benefit Change 18032 0 0 Update 2017-08-01 2020-02-01 Prosthesis FP001 StimRouter Neuromodulation System Kit Implantable multi-electrode lead with integrated receiver, delivery tools, external pulse transmitter, patient programmer, and charger set. One size only FP 25 222 1677 4481 Integrated Leads 313344 Group Benefit Change 18032 0 0 Update 2019-07-01 2020-02-01 Prosthesis BS330 Precision Montage MRI IPG MRI Conditional, 16-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with 3D algorythmic programming One Size Only BS 25 222 1677 4481 Multi waveform, Recharge protection 286709 Group Benefit Change 23465 0 0 Update 2017-08-01 2020-02-01 Prosthesis SJ374 Prodigy IPG Implantable Pulse Generator 26g SJ 25 222 1677 4481 Multi waveform, Recharge protection 230721 Group Benefit Change 23465 0 0 Update 2016-08-01 2020-02-01 Prosthesis MI275 Intellis Neurostimulator 16 Electrode Rechargeable, multi-channel, implantable Neurostimulator for pain management with SureScan MRI and Overdrive technology One size only MI 25 222 1677 4481 Multi waveform, Recharge protection, Unlimited deep discharge battery 298747 Group Benefit Change 23465 0 0 Update 2018-02-01 2020-02-01 Prosthesis BS104 Precision Plus IPG; Precision Plus IPG with Multiwave Technology Rechargeable Neurostimulation System Implantable Pulse Generator. One Size Only BS 25 222 1677 4481 Unlimited Deep Discharge Battery 129091 231187 Group Benefit Change 19855 0 0 Update 2007-06-01 2020-02-01 Prosthesis ER496 Senza II IPG Kit Implantable Pulse Generator Kit One size only ER 25 222 1677 4481 Unlimited Deep Discharge Battery, 10kHz Stimulation 186043 Group Benefit Change 23465 0 0 Update 2018-08-01 2020-02-01 Prosthesis ER428 Freedom-4A Receiver Stimulator Kit Freedom Rechargeable Pulse Generator System with integral 4 electrode lead array one size only ER 25 222 1677 4481 287159 Group Benefit Change 17283 0 0 Update 2017-08-01 2020-02-01 Prosthesis MC746 Restore Advanced INS Implantable Neurostimulator Dimensions: 65 x 49 x 15mm MC 25 222 1677 4481 141861 Group Benefit Change 17283 0 0 Update 2007-12-01 2020-02-01 Prosthesis MC929 Medtronic RestoreULTRA Neurostimulator 16 Electrode Rechargeable implantable Neurostimulator for pain management (37712) 22cc MC 25 222 1677 4481 154866 Group Benefit Change 17283 0 0 Update 2009-08-01 2020-02-01 Prosthesis MI133 RestoreUltra Surescan MRI Neurostimulator 16 Electrode rechargeable implantable neurostimulator for pain management with Surescan MRI technology Model 97712 One size only MI 25 222 1677 4481 215748 Group Benefit Change 17283 0 0 Update 2014-02-01 2020-02-01 Prosthesis MI134 RestoreAdvanced Surescan MRI Neurostimulator 16 electrode rechargeable implantable neurostimulator for pain management with Surescan MRI technology Model 97713 One size only MI 25 222 1677 4481 215749 Group Benefit Change 17283 0 0 Update 2014-02-01 2020-02-01 Prosthesis SJ388 Patient Programmer Patient Programmer - bluetooth iPod Touch SJ 25 222 1678 4483 Bluetooth 277756 Group Benefit Change 632 0 0 Update 2017-02-01 2020-02-01 Prosthesis BS106 Precision Plus Remote Patient Programmer; Precision Plus with MultiwaveTechnology Remote Patient Programmer Hand held remote control External Patient Programmer One Size Only BS 25 222 1678 4483 128681 166929 231196 Group Benefit Change 1354 0 0 Update 2007-06-01 2020-02-01 Prosthesis BS253 Precision Spectra Patient Remote Programmer Hand held remote control External Patient Programmer One size only BS 25 222 1678 4483 206305 206306 Group Benefit Change 1354 0 0 Update 2013-08-01 2020-02-01 Prosthesis BS325 FreeLink Remote Control Kit Hand held remote control/external patient programmer One size only BS 25 222 1678 4483 283693 283694 287237 287738 Group Benefit Change 1354 0 0 Update 2017-02-01 2020-02-01 Prosthesis ER432 Wearable Antenna Assembly Kit Freedom wearable antenna and patient programmer assembly kit (WAA programmer) one size only ER 25 222 1678 4483 287235 Group Benefit Change 1354 0 0 Update 2017-08-01 2020-02-01 Prosthesis MC247 Patient Activators Hand held device Models 7434 & 7435 to be used with Itrel III and Synergy Implantable Pulse Generators One size only MC 25 222 1678 4483 137439 Group Benefit Change 1354 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC943 Medtronic myStim Patient Programmer Patient programmer for Restore and Prime Neurostimulation systems (Model 37743) One size only MC 25 222 1678 4483 154867 Group Benefit Change 1354 0 0 Update 2010-02-01 2020-02-01 Prosthesis MI005 Medtronic myStim Patient Programmer (Model 37744) Patient programmer for implantable neurostimulator One size only MI 25 222 1678 4483 177036 Group Benefit Change 1354 0 0 Update 2011-02-01 2020-02-01 Prosthesis MI138 Surescan MRI Patient programmer Patient controller for Surescan MRI Neurostimulators One size only MI 25 222 1678 4483 214421 Group Benefit Change 1354 0 0 Update 2014-02-01 2020-02-01 Prosthesis MI276 Intellis Rechargeable Neurostimulation System - PTM Patient Programmer External Patient Programmer Model 97745 One Size Only MI 25 222 1678 4483 298760 Group Benefit Change 1354 0 0 Update 2018-02-01 2020-02-01 Prosthesis SJ177 ANS Spinal Cord Stimulation System (SCS) GENESIS QuikLink Patient Programmer Model 3860 One Size Only SJ 25 222 1678 4483 106669 Group Benefit Change 1354 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ183 Eon Neurostimulation System Eon Programmer #3851 . SJ 25 222 1678 4483 127127 Group Benefit Change 1354 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ348 Prodigy Patient Programmer Prodigy Patient Programmer for use with Prodigy Neurostimulator. One size. SJ 25 222 1678 4483 230778 Group Benefit Change 1354 0 0 Update 2015-02-01 2020-02-01 Prosthesis SJ355 Axium Neurostimulator System - Programmer - Patient Programmer - patient 1 size (1 presentation) SJ 25 222 1678 4483 202322 Group Benefit Change 1354 0 0 Update 2015-08-01 2020-02-01 Prosthesis MC694 Restore Rechargeable Neurostimulation System External Patient Programmer Antenna Model 37092 One size only MC 25 222 1678 4484 121279 Group Benefit Change 161 0 0 Update 2006-03-24 2020-02-01 Prosthesis ER009 Nevro Spinal Cord Stimulation System (SCSS) - Patient Remote Kit The patient remote control is a handheld, battery operated unit able to communicate via radiofrequency (RF) with the Implantable Pulse Generator and trial stimulator N/A ER 25 222 1678 4485 185994 Group Benefit Change 1264 0 0 Update 2011-08-01 2020-02-01 Prosthesis SJ173 ANS Spinal Cord Stimulation System (SCS) GENESIS Communication Magnet Model 1210 One type only SJ 25 222 1678 4485 131543 Group Benefit Change 1264 0 0 Update 2009-08-01 2020-02-01 Prosthesis BS143 Precision SCS External Patient Recharger System External Patient Recharging System: Base Station, Charger, Cradle power supply, charger base station. One size only BS 25 222 1678 4497 149462 155857 155859 155924 Group Benefit Change 1215 0 0 Update 2009-08-01 2020-02-01 Prosthesis ER008 Nevro Spinal Cord Stimulation System (SCSS) - Charger Kit The Charger is a battery powered rechargeable device intended to recharge the Implantable Pulse Generator (IPG) battery transcutaneously N/A ER 25 222 1678 4497 181182 Group Benefit Change 1215 0 0 Update 2011-08-01 2020-02-01 Prosthesis MC692 Restore Rechargeable Neurostimulation System External Patient Recharger System Model 37752 one size only MC 25 222 1678 4497 121279 Group Benefit Change 1215 0 0 Update 2006-03-24 2020-02-01 Prosthesis MI006 Medtronic External Patient Recharger System Model 37754 Patient recharger system for implantable neurostimulator One size only MI 25 222 1678 4497 121279 Group Benefit Change 1215 0 0 Update 2011-02-01 2020-02-01 Prosthesis MI139 Medtronic Patient Recharger System Recharging system for Surescan MRI Neurostimulators Model 97754 One size only MI 25 222 1678 4497 121279 Group Benefit Change 1215 0 0 Update 2014-02-01 2020-02-01 Prosthesis MI277 Intellis Rechargeable Neurostimulation System - RTM Recharger External Patient Recharger Model 97755 One size only MI 25 222 1678 4497 121279 Group Benefit Change 1215 0 0 Update 2018-02-01 2020-02-01 Prosthesis SJ342 Eon Mini Charger Charger to recharge Implantable Pulse Generator One size SJ 25 222 1678 4497 221544 Group Benefit Change 1215 0 0 Update 2014-08-01 2020-02-01 Prosthesis SJ349 Prodigy Charging System Prodigy Charging System for use with Prodigy Neurostimulator. One size SJ 25 222 1678 4497 230779 Group Benefit Change 1215 0 0 Update 2015-02-01 2020-02-01 Prosthesis SJ352 Eon Charging System 3726 Eon Charging System One size SJ 25 222 1678 4497 233616 Group Benefit Change 1215 0 0 Update 2015-08-01 2020-02-01 Prosthesis MI280 Intellis Wireless External Neurostimulator Wireless External Neurostimulator One size only MI 25 222 1678 5854 293256 Group Benefit Change 1083 0 0 Update 2018-02-01 2020-02-01 Prosthesis ER430 Freedom-4A Spare Lead Kit Freedom quadripolar spare lead with accessories (stylets, anchor, needle, guide wire) 1.35 mm dia, length 45 cm ER 25 222 1679 4486 4 electrodes 290986 Group Benefit Change 3069 0 0 Update 2017-08-01 2020-02-01 Prosthesis MC827 Medtronic Pisces Quad Leads Pisces Quad Lead (3487A), Pisces Quad Compact Lead (3887), Pisces Quad Plus Lead (3888) Various MC 25 222 1679 4486 4 electrodes 137348 143034 143035 Group Benefit Change 3069 0 0 Update 2009-02-01 2020-02-01 Prosthesis MC828 Medtronic Resume Surgical Leads Surgical Leads - Resume II (3587A), Resume TL (3986A) 25cm MC 25 222 1679 4486 4 electrodes 141857 141858 Group Benefit Change 3069 0 0 Update 2009-02-01 2020-02-01 Prosthesis MC829 Medtronic On Point Lead On point peripheral nerve lead kit (3987A) 25cm MC 25 222 1679 4486 4 electrodes 141859 Group Benefit Change 3069 0 0 Update 2009-02-01 2020-02-01 Prosthesis SJ162 ANS Spinal Cord Stimulation System (SCS) Quattrode Lead. 4 Electrode. 30cm, 60cm, 90cm 110cm SJ 25 222 1679 4486 4 electrodes 131944 Group Benefit Change 3069 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ186 Lamitrode S Series Leads Lamitrode S Series, 4 Channel, Model # 3243 Length = 30cm SJ 25 222 1679 4486 4 electrodes 126076 Group Benefit Change 3069 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ187 Lamitrode S Series Leads Lamitrode S Series, 4 Channel, Model # 3246 Length = 60cm, 90cm, 110cm SJ 25 222 1679 4486 4 electrodes 126076 Group Benefit Change 3069 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ359 Axium Neurostimulator System - Implant Lead Kit Implant lead kit and Implant lead kit, slim tip Package containing either 50cm or 90cm lead SJ 25 222 1679 4486 4 electrodes 202325 Group Benefit Change 3069 0 0 Update 2015-08-01 2020-02-01 Prosthesis BS109 Precision SCS Eight Contact Leads Eight contact percutaneous leads. 30cm to 70cm BS 25 222 1679 4486 8 electrodes 128775 Group Benefit Change 3817 0 0 Update 2007-06-01 2020-02-01 Prosthesis BS331 Avista MRI 8 Contact Lead Eight contact percutaneous leads, MRI Conditional 56cm - 74cm BS 25 222 1679 4486 8 electrodes 287236 Group Benefit Change 3817 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER006 Nevro Spinal Cord Stimulation System (SCSS) - Lead Kit The percutaneous lead is intended to be single use and interfaces with the Implantable Pulse Generator, lead extender OR cable, and lead accessories. Spacing: 1-9mm spacing, 1-9mm in 1mm increments; Length: 30-90cm in 5cm increments ER 25 222 1679 4486 8 electrodes 185992 Group Benefit Change 3817 0 0 Update 2011-08-01 2020-02-01 Prosthesis ER431 Freedom-8A Spare Lead Kit Freedom octapolar spare lead with accessories (stylets, anchor, needle, guide wire) 1.35 mm dia, length 45 cm ER 25 222 1679 4486 8 electrodes 290987 Group Benefit Change 3817 0 0 Update 2017-08-01 2020-02-01 Prosthesis MC135 Medtronic Specify Lead 8 electrode surgical lead kit One size only MC 25 222 1679 4486 8 electrodes 114947 Group Benefit Change 3817 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC361 2X4 Hinged Surgical Lead model 3999 Materials: silicone rubber, platinum-iridium, polyurethane 30, 45 & 60cm MC 25 222 1679 4486 8 electrodes 119320 Group Benefit Change 3817 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC690 Neurostimulation System - Octad Leads Octad Standard Lead Kit without Percutaneous Extension Model 3777, 45, 60 & 75cm MC 25 222 1679 4486 8 electrodes 123243 Group Benefit Change 3817 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC710 Neurostimulation System - Octad Leads Octad Standard Lead Kit with Percutaneous extension model 3877 45, 60 & 75cm MC 25 222 1679 4486 8 electrodes 123243 Group Benefit Change 3817 0 0 Update 2006-11-30 2020-02-01 Prosthesis MC711 Neurostimulation System - Octad Leads Octad Compact Lead Kit without Percutaneous Extension Model 3778 45, 60 & 75cm MC 25 222 1679 4486 8 electrodes 123243 Group Benefit Change 3817 0 0 Update 2006-11-30 2020-02-01 Prosthesis MC712 Neurostimulation System - Octad Leads Octad Compact Lead Kit with Percutaneous Extension Model 3878 45, 60 & 75cm MC 25 222 1679 4486 8 electrodes 123243 Group Benefit Change 3817 0 0 Update 2006-11-30 2020-02-01 Prosthesis MC740 SCS Sub Compact Lead Octad Sub Compact Lead Kit without Percutaneous Extension Model 3776 45, 60 and 75cm MC 25 222 1679 4486 8 electrodes 137079 Group Benefit Change 3817 0 0 Update 2007-12-01 2020-02-01 Prosthesis MC759 SCS Sub Compact Lead Ocatd Sub Compact Lead Kit with Percutaneous Extension Model 3876 45, 60 and 75cm MC 25 222 1679 4486 8 electrodes 137080 Group Benefit Change 3817 0 0 Update 2007-12-01 2020-02-01 Prosthesis MI136 Vectris Surescan MRI Neurostimulation Leads Octad Compact Lead Kit Model 977A2, Subcompact lead Kit Model 977A1 60cm, 75cm, 90cm MI 25 222 1679 4486 8 electrodes 214838 214839 Group Benefit Change 3817 0 0 Update 2014-02-01 2020-02-01 Prosthesis SJ161 ANS Spinal Cord Stimulation System (SCS) Octrode Lead. 8 Electrode (thoracic or cervical placement). 30cm, 60cm, 90cm 110cm SJ 25 222 1679 4486 8 electrodes 132097 Group Benefit Change 3817 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ168 ANS Spinal Cord Stimulation System (SCS) Lamitrode Plate Electrode 60cm, 90cm, 110cm SJ 25 222 1679 4486 8 electrodes 125910 126005 126079 Group Benefit Change 3817 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ185 Lamitrode S Series Lamitrode S Series, 8 Channel Length = 30-110cm SJ 25 222 1679 4486 8 electrodes 126002 Group Benefit Change 3817 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ188 Lamitrode C Series Leads Lamitrode C Series, 8 Channel, Model # 3245 Length = 60cm, 90cm, 110cmm SJ 25 222 1679 4486 8 electrodes 126142 Group Benefit Change 3817 0 0 Update 2009-08-01 2020-02-01 Prosthesis BS255 CoverEdge 32 Contact Surgical Leads CoverEdge 32 has 4x8 tightly-spaced electrodes and CoverEdge 32 X has 4x8 widely-spaced electrodes. Up to 70cm in length BS 25 222 1679 4486 ≥32 electrodes 218230 Group Benefit Change 11011 0 0 Update 2014-02-01 2020-02-01 Prosthesis BS356 BS110 INFINION Lead 16 contact point leads with multiple independent current control 50cm - 70cm BS 25 222 1679 4486 greater than 8 and less than 32 electrodes 197909 Group Benefit Change 6895 0 0 Update 2018-08-01 2020-02-01 Prosthesis BS357 ARTISAN, ARTISAN MRI Lead 16 contact point leads with multiple independent current control 50cm - 70cm BS 25 222 1679 4486 greater than 8 and less than 32 electrodes 163471 308180 Group Benefit Change 6895 0 0 Update 2018-08-01 2020-02-01 Prosthesis MC776 Specify 5-6-5 Surgical Lead Triple Array 16 Electrode Surgical Lead with Duraloc Technology 30, 65cm MC 25 222 1679 4486 greater than 8 and less than 32 electrodes 148397 Group Benefit Change 6895 0 0 Update 2008-07-01 2020-02-01 Prosthesis MC942 Specify 2x8 Surgical Lead Surgical Lead 30cm and 65cm MC 25 222 1679 4486 greater than 8 and less than 32 electrodes 163895 Group Benefit Change 6895 0 0 Update 2010-02-01 2020-02-01 Prosthesis MI199 Specify SureScan MRI 5-6-5 Lead Kit Triple Array 16 Electrode Surgical Lead MRICS 65 - 90 cms MI 25 222 1679 4486 greater than 8 and less than 32 electrodes 280179 Group Benefit Change 6895 0 0 Update 2017-02-01 2020-02-01 Prosthesis MI209 Specify SureScan MRI 2x8 Surgical Lead Kit MRI conditional surgical lead 65-90cms MI 25 222 1679 4486 greater than 8 and less than 32 electrodes 280180 Group Benefit Change 6895 0 0 Update 2017-02-01 2020-02-01 Prosthesis SJ138 Lamitrode Lead - Tripole 16C Tripole 16C - 3214, 3128, 3219, 3220, 3221 30-110cm SJ 25 222 1679 4486 greater than 8 and less than 32 electrodes 155013 Group Benefit Change 6895 0 0 Update 2009-02-01 2020-02-01 Prosthesis SJ169 ANS Spinal Cord Stimulation System (SCS) Lamitrode Dual 8 Plate Electrode Lead One size only SJ 25 222 1679 4486 greater than 8 and less than 32 electrodes 126004 Group Benefit Change 6895 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ191 Lamitrode C Series Leads Lamitrode C Series, 16 Channel, Model # 3289 Length = 60cm SJ 25 222 1679 4486 greater than 8 and less than 32 electrodes 126003 Group Benefit Change 6895 0 0 Update 2009-08-01 2020-02-01 Prosthesis BS312 Infinion CX Lead 1 x 16 lead with two 8 contact tails 50 - 70cm BS 25 222 1679 4486 greater than 8 and less than 32 electrodes, Bifurcated proximal tail 275241 Group Benefit Change 8123 0 0 Update 2016-08-01 2020-02-01 Prosthesis ER388 Surpass Surgical Lead 16 Contact Lead with two bifurcating 8 contact tails with embedded differentiating colour pigment in tail Length: 30 - 90 cm ER 25 222 1679 4486 greater than 8 and less than 32 electrodes, Bifurcated proximal tail 284256 Group Benefit Change 8123 0 0 Update 2017-08-01 2020-02-01 Prosthesis SJ231 Penta Leads Paddle leads (Penta Leads have a curved paddle instead of a conventional flat paddle) 2-3mm, 30cm-110cm SJ 25 222 1679 4486 greater than 8 and less than 32 electrodes, Bifurcated proximal tail 170450 Group Benefit Change 8123 0 0 Update 2010-08-01 2020-02-01 Prosthesis BS118 Precision SCS Lead Blanks Lead Blank One Size Only BS 25 222 1679 4487 156757 Group Benefit Change 438 0 0 Update 2007-06-01 2020-02-01 Prosthesis BS119 Precision SCS Trial Leads Trial Leads 30cm - 70cm BS 25 222 1679 4487 128775 197912 Group Benefit Change 438 0 0 Update 2007-06-01 2020-02-01 Prosthesis ER434 Freedom-4A Trial Lead Kit; Freedom-8A Trial Lead Kit Freedom Trial Lead Kit 1.35 mm dia, length 45 cm ER 25 222 1679 4487 287157 287160 Group Benefit Change 438 0 0 Update 2017-08-01 2020-02-01 Prosthesis MI137 Medtronic Vectris Neurostimulation Trial Lead Octad Compact Trial lead Kit Model 977D2 and Subcompact Model 977D1 60cm MI 25 222 1679 4487 219258 219259 Group Benefit Change 438 0 0 Update 2014-02-01 2020-02-01 Prosthesis BS111 Precision SCS Lead Extensions Lead Extensions 25cm to 55cm BS 25 222 1680 128679 Group Benefit Change 1362 0 0 Update 2007-06-01 2020-02-01 Prosthesis BS158 Precision Connector M1 Lead extension for Precision SCS System 35. 55. 70 cm length BS 25 222 1680 162422 Group Benefit Change 1362 0 0 Update 2010-02-01 2020-02-01 Prosthesis BS169 Precision SCS Splitter Lead extension for connection of multiple leads Multiple Configurations BS 25 222 1680 167101 167102 197908 Group Benefit Change 1362 0 0 Update 2010-08-01 2020-02-01 Prosthesis BS323 Precision M8 Adaptor Designed to connect a Precision IPG or Precision Spectra IPG to another manufacturer's previously implanted compatible lead or lead extension 15cm - 55cm BS 25 222 1680 281250 Group Benefit Change 1362 0 0 Update 2017-02-01 2020-02-01 Prosthesis ER007 Nevro Spinal Cord Stimulation System (SCSS) - Lead Extension Kit The lead extender is intended to be used when the implant site for the Implantable Pulse Generator is too far from the stimulation site to directly connect the stimulation lead. Length: 15cm-60cm, in increments of 5cm ER 25 222 1680 185993 Group Benefit Change 1362 0 0 Update 2011-08-01 2020-02-01 Prosthesis ER102 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. ER 25 222 1680 199081 Group Benefit Change 1362 0 0 Update 2012-08-01 2020-02-01 Prosthesis ER130 Nevro Spinal Cord Stimulation System (SCSS) - Pocket Adaptor Kit - M8 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 ER 25 222 1680 204062 Group Benefit Change 1362 0 0 Update 2013-02-01 2020-02-01 Prosthesis MC315 Low Profile Impedance Extension Kit for SCS Model 7489 Silicone rubber 10, 25, 40, 51, 66cm MC 25 222 1680 96926 Group Benefit Change 1362 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC688 Neurostimulation System - Extensions 1 x 8 Synergy Extension Kit Model 7472; 1 x 8 Extension Kit Model 37081 20, 40 & 60cm MC 25 222 1680 123244 Group Benefit Change 1362 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC733 Quadripolar Stretch-Coil Extensions Model 37083 Single, Silver and Silicone Rubber 20cm - 60cm MC 25 222 1680 132587 Group Benefit Change 1362 0 0 Update 2007-06-01 2020-02-01 Prosthesis MC734 Quadripolar Stretch-Coil Extensions Model 37082 Bifurcated, Silver and Silicone Rubber 20cm - 60cm MC 25 222 1680 132588 Group Benefit Change 1362 0 0 Update 2007-06-01 2020-02-01 Prosthesis MC941 Pocket Adaptors for Spinal Cord Stimulation Pocket Adaptors for Spinal Cord Stimulation (Single and Dual Channel) 12.9cm, 25.5cm and 27.4cm MC 25 222 1680 165114 Group Benefit Change 1362 0 0 Update 2010-02-01 2020-02-01 Prosthesis SJ160 ANS Spinal Cord Stimulation System (SCS) Lead Extensions - in addition to 3341, 3342, 3343, 3382 and 3383, additional model 3346 - Dual Quad Extension and 3386 - single octrode extension 60cm length SJ 25 222 1680 126001 126078 Group Benefit Change 1362 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ178 A127 Lead Extension A127 Lead Extension 15cm, 40cm, 60cm, 90cm SJ 25 222 1680 119863 Group Benefit Change 1362 0 0 Update 2009-08-01 2020-02-01 Prosthesis SJ358 Axium Neurostimulator System - Lead Extension Kit Lead extension kit. 1 size (1 presentation) SJ 25 222 1680 203096 Group Benefit Change 1362 0 0 Update 2015-08-01 2020-02-01 Prosthesis ER433 Sterile Revision Kit Freedom sterile revision kit (stylets, needles, anchor) one size only ER 25 222 1690 4499 288088 Group Benefit Change 492 0 0 Update 2017-08-01 2020-02-01 Prosthesis MC094 Stimulator Accessory Kit - Pisces Quad; Pisces Z Lead Revision Kit; Pisces Quad Revision Kit; Octad Revision Kit Model 3550-10 revision kit. 1 x boot, 1 x twistlock anchor, 2 x silicone anchors, 1 x hex wrench, 1 x epidural needle 15 gauge, 1 x percutaneous extension (inline) with set screws, 1 x ball-tipped (bent) 28cm stylet for Pisces-Quad lead, 1 x ball-tipped ( One size only MC 25 222 1690 4499 239412 Group Benefit Change 492 0 0 Update 2005-10-31 2020-02-01 Prosthesis 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 MC 25 222 1690 4499 240576 Group Benefit Change 492 0 0 Update 2006-03-24 2020-02-01 Prosthesis MI140 Revision kit Surescan MRI leads Sterile Revision Kit for Surescan MRI leads 60cm, 75cm, 90cm MI 25 222 1690 4499 240576 Group Benefit Change 492 0 0 Update 2014-02-01 2020-02-01 Prosthesis SJ356 Axium Neurostimulator System - Lead accessories kit Lead accessories kit. 1 size (1 presentation) SJ 25 222 1690 4499 197024 Group Benefit Change 492 0 0 Update 2015-08-01 2020-02-01 Prosthesis BS121 Precision SCS IPG Port IPG Port Plug One Size Only BS 25 222 1690 4500 156761 Group Benefit Change 152 0 0 Update 2007-06-01 2020-02-01 Prosthesis ER042 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 ER 25 222 1690 4500 190837 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis MC687 Neurostimulation System - Accessory Kits Lead Accessory Plug and Closed Boot Kit Model 3550-29 . MC 25 222 1690 4500 121280 Group Benefit Change 152 0 0 Update 2006-03-24 2020-02-01 Prosthesis MC825 Medtronic Percutaneous Quad extension Percutaneous extension (in line connector for quadripolar leads only) One size only MC 25 222 1690 4500 138711 Group Benefit Change 152 0 0 Update 2009-02-01 2020-02-01 Prosthesis MI050 Synergy IPG Connector Plug Synergy IPG Connector Plug Various MI 25 222 1690 4500 240576 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ290 Port Plug Port Plug One size only SJ 25 222 1690 4500 134306 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis BS120 Clik Anchor Kit Clik, Clik X, Clik X MRI Anchors Two anchors BS 25 222 1690 4501 156760 Changed Benefit 303 0 0 Update 2007-06-01 2020-02-01 Prosthesis BS246 Introducer Kit Introducer intended for the percutaneous introduction and placement of leads. Length: 13cm; 23cm. BS 25 222 1690 4501 166195 Group Benefit Change 152 0 0 Update 2013-02-01 2020-02-01 Prosthesis BS247 Stylet Kit Stylet Kit with steering cap and stiffer stylet Stiffer stylet length: Up to 74cm BS 25 222 1690 4501 156759 Group Benefit Change 152 0 0 Update 2013-02-01 2020-02-01 Prosthesis BS249 Medical Adhesive Medical adhesive is used to assist in fixing the lead to the suture sleeve. One size BS 25 222 1690 4501 156755 Group Benefit Change 152 0 0 Update 2013-02-01 2020-02-01 Prosthesis BS256 Tunnelling Tools Aid in placement of leads. Various BS 25 222 1690 4501 156757 Group Benefit Change 152 0 0 Update 2014-02-01 2020-02-01 Prosthesis BS257 Wrenches Used to secure leads and anchors. One size only BS 25 222 1690 4501 157487 Group Benefit Change 152 0 0 Update 2014-02-01 2020-02-01 Prosthesis BS258 Insertion Needles Aid in placement of leads. Various BS 25 222 1690 4501 156758 254954 Group Benefit Change 152 0 0 Update 2014-02-01 2020-02-01 Prosthesis BS259 Passing Elevators and Paddle Blanks Aid in placement of leads, helps verify that the epidural space is cleared. Various BS 25 222 1690 4501 156762 218730 Group Benefit Change 152 0 0 Update 2014-02-01 2020-02-01 Prosthesis ER036 Nevro Spinal Cord Stimulation System (SCSS) - Coiled Lead Blank Kit The Coiled Lead Blank made out of stainless steel is optionally used during surgery to clear a path for the introduction of the SCS Lead into the epidural space. The coiled lead blank is a tool used to help clear obstructions within the cannula of the insertion needle and may be used by the physician to verify access to the epidural space. N/A ER 25 222 1690 4501 181179 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER037 Nevro Spinal Cord Stimulation System (SCSS) - Insertion Needle Kit The Insertion Needle is used during implant surgery to introduce the Lead between the vetebra into the epidural space. The insertion needle is a two part needle that contains a cannula and stylet to facilitate access to the spinal canal for lead placement Length: 5-15cm, in increments of 1cm ER 25 222 1690 4501 180426 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER038 Nevro Spinal Cord Stimulation System (SCSS) - Tunneling Tool Kit The Tunneling Tool creates a subcutaneous tunnel from the Implantable Pulse Generator (IPG) site to the midline incision. The tunneling tool is passed subcutanously to deliver the leads from needle insertion site to the IPG site Length: 20-50cm, in increments of 1cm ER 25 222 1690 4501 180556 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER039 Nevro Spinal Cord Stimulation System (SCSS) - Cable Kit The cables are used during the Lead implant procedure and patient trial to make electrical and mechanical connections between the Trial Stimulator and the Lead or Lead extension. There is a separate adaptor cable that allows the use of the Medtronic lead with the Nevro Senza System N/A ER 25 222 1690 4501 181180 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER040 Nevro Spinal Cord Stimulation System (SCSS) - Lead Anchor Kit The Lead Anchors are used to anchor the lead to the fascia or supraspinous ligament. Lead Anchors are designed to slide freely over the lead length to the required fixation position and sutures are then tied around the anchor clamping the sleeve in place on the lead. N/A ER 25 222 1690 4501 180541 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER041 Nevro Spinal Cord Stimulation System (SCSS) - Torque Wrench Kit The Torque Wrench is used to tighten the set screws that lock the lead into the Implantable Pulse Generator or to lock the lead into a lead extension N/A ER 25 222 1690 4501 181181 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER043 Nevro Spinal Cord Stimulation System (SCSS) - IPG Template Kit The Implantable Pulse Generator (IPG) Template is an aid for the physician to assist in the proper sizing of the IPG pocket. N/A ER 25 222 1690 4501 185414 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER044 Nevro Spinal Cord Stimulation System (SCSS) - Stylet Kit The Stylets are used to push and "steer" the stimulation Lead into place. These are standard configurations offered across industry offering the implanter the flexibility to maneuver the leads through the epidural space to the desired implant location. Offered in Straight, Curved or Tapered versions. Diameter: 0.3mm or 0.35, Length:30-90cm in 5cm increments, Angle: 15-30 degrees in 5 degree increments ER 25 222 1690 4501 180653 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER511 Senza II IPG Template Aid for physicians in proper sizing of the IPG implant pocket One size only ER 25 222 1690 4501 186043 Group Benefit Change 152 0 0 Update 2019-03-01 2020-02-01 Prosthesis MC731 Titan Anchor Silicone with titanium insert One size only MC 25 222 1690 4501 133358 Group Benefit Change 152 0 0 Update 2007-06-01 2020-02-01 Prosthesis MC930 3550-P4 Passing Elevator Accessory Kit Kit Contents: 4 Passing Elevators compatible with various leads One size MC 25 222 1690 4501 121280 Group Benefit Change 152 0 0 Update 2010-02-01 2020-02-01 Prosthesis MC931 3550-63 Percutaneous Lead Introducer Accessory Kit Percutaneous Lead Introducer Accessory Kit One size only MC 25 222 1690 4501 121280 Group Benefit Change 152 0 0 Update 2010-02-01 2020-02-01 Prosthesis MC951 Multi-Lead Trialing Cable Connector for implanted lead to External Neurostimulator One size only MC 25 222 1690 4501 119991 Group Benefit Change 152 0 0 Update 2010-08-01 2020-02-01 Prosthesis MI038 Medtronic Neurostimulation Accessories (Wrenches and screws) Accessories for implant of neurostimulation lead One size only MI 25 222 1690 4501 121280 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI039 Medtronic Neurostimulation Accessories (Needles) Accessories for implant of neurostimulation lead Various MI 25 222 1690 4501 121280 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI051 Medtronic Neurostimulation Tunnelling Tools Tunnelling Tools Various MI 25 222 1690 4501 121281 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI052 Medtronic Neurostimulation Accessory Kits EZ Anchor, Boot and Anchor Kit Various MI 25 222 1690 4501 240576 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI055 Medtronic Pocket Sizer Implant accessory designed to aid in the creation of a pocket for Medtronic implantable neurostimulators. One size only MI 25 222 1690 4501 194276 Group Benefit Change 152 0 0 Update 2012-08-01 2020-02-01 Prosthesis MI067 Injex Anchor Kit Neurostimulation Anchor Kit One Size MI 25 222 1690 4501 133358 Group Benefit Change 152 0 0 Update 2013-02-01 2020-02-01 Prosthesis SJ285 Strain Relief Strain Relief One size only SJ 25 222 1690 4501 134307 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ286 Anchor (Swift Lock) Swift Lock Anchor One size only SJ 25 222 1690 4501 129858 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ287 Anchor (Cinch) Cinch Anchor One size only SJ 25 222 1690 4501 129858 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ288 Anchor (Butterfly) Lead Anchor (Butterfly) One size only SJ 25 222 1690 4501 129858 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ289 Anchor (long) Lead Anchor (Long) One size only SJ 25 222 1690 4501 129858 Group Benefit Change 152 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ302 Epidural Needle A tool used to introduce a lead percutaneously. 14-15 Gauge, 4-6 inch SJ 25 222 1690 4501 13309 Group Benefit Change 152 0 0 Update 2012-08-01 2020-02-01 Prosthesis SJ304 Introde-AK Lead Introducer A flexible tool passed over a partially-implanted lead or guide wire in order to establish the appropriate pathway for a lead to follow in the epidural space despite obstructions. 4" and 9" SJ 25 222 1690 4501 133910 Group Benefit Change 152 0 0 Update 2012-08-01 2020-02-01 Prosthesis SJ305 Tunneling Tool A tool used to creat a subcutaneous passage to pass the lead from the lead implant site to the IPG pocket site. 12", 20" SJ 25 222 1690 4501 134305 Group Benefit Change 152 0 0 Update 2012-08-01 2020-02-01 Prosthesis SJ306 Guide Wire for Percutaneous Leads A tool used to establish and/or access the appropriate pathway in the epidural space before implanting the lead. One size SJ 25 222 1690 4501 134303 Group Benefit Change 152 0 0 Update 2012-08-01 2020-02-01 Prosthesis SJ307 Straight and Curved Stylet A tool used to aid in positioning and repositioning the lead intra-operatively to ensure accurate placement. 30cm - 90cm SJ 25 222 1690 4501 124057 Group Benefit Change 152 0 0 Update 2012-08-01 2020-02-01 Prosthesis SJ308 Torque Wrench A tool to set or release the IPG setscrew that connects an implanted lead to the IPG header. One size SJ 25 222 1690 4501 133911 Group Benefit Change 152 0 0 Update 2012-08-01 2020-02-01 Prosthesis SJ315 Standard Trial Cable Octrode and Quattrode Connector which connects implanted lead to external stimulator One size SJ 25 222 1690 4501 133958 Group Benefit Change 152 0 0 Update 2013-02-01 2020-02-01 Prosthesis SJ357 Axium Neurostimulator System - Connector Cable Kit Connector cable kit. 1 size (1 presentation) SJ 25 222 1690 4501 197025 Group Benefit Change 152 0 0 Update 2015-08-01 2020-02-01 Prosthesis SJ360 Axium Neurostimulator System - Tunneling Tool Tunneling tool. 30cm or 51cm SJ 25 222 1690 4501 197024 Group Benefit Change 152 0 0 Update 2015-08-01 2020-02-01 Prosthesis 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) SJ 25 222 1690 4501 218671 Group Benefit Change 152 0 0 Update 2015-08-01 2020-02-01 Prosthesis SJ411 Abbott IPG Pocket Sizer Implant accessory designed to aid in the creation of a pocket for Abbott implantable neurostimulators 55-58mm SJ 25 222 1690 4501 278847 279015 Group Benefit Change 152 0 0 Update 2019-11-01 2020-02-01 Prosthesis SJ283 Epiducer - Lead Delivery System Lead Delivery System 13cm, 19cm SJ 25 222 1690 4502 133910 Group Benefit Change 658 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ354 Axium Neurostimulator System - 22cm Delivery Sheath Kit - small curve and big curve 22cm delivery sheath kit - small curve and big curve. 2 sizes (2 presentations) 1 x Big Curve -MN23950AU 1 x Small Curve - MN23850AU SJ 25 222 1690 4502 197024 Group Benefit Change 658 0 0 Update 2015-08-01 2020-02-01 Prosthesis BS248 OR Cable OR Cable Lengths up to 65cm BS 25 222 1690 5484 157994 Group Benefit Change 181 0 0 Update 2013-02-01 2020-02-01 Prosthesis MI049 Medtronic Neurostimulation Screening Cable Screening Cable One size only MI 25 222 1690 5484 119991 Group Benefit Change 181 0 0 Update 2012-02-01 2020-02-01 Prosthesis SJ371 St Jude neurostimulation screening cable MultiLead screening cable one size only SJ 25 222 1690 5484 133958 Group Benefit Change 181 0 0 Update 2016-02-01 2020-02-01 Prosthesis SJ372 St Jude neurostimulation trial header connector Trial System Header Connector one size only SJ 25 222 1690 5484 238692 Group Benefit Change 181 0 0 Update 2016-02-01 2020-02-01 Prosthesis MC313 Synchro Med II Pump Model No's 8637-20 & 8637-40, Composition - Titanium 20 ml & 40 ml MC 25 223 1681 Variable Flow Rate 97770 Group Benefit Change 14666 0 0 Update 2005-10-31 2020-02-01 Prosthesis MC944 8835 Personal Therapy Manager for Synchromed Pumps Personal Therapy Manager for SynchroMed II implantable infusion pumps One size only MC 25 223 1682 151719 Group Benefit Change 1354 0 0 Update 2010-02-01 2020-02-01 Prosthesis MI027 Medtronic Ascenda Intrathecal Catheter Intrathecal Catheter 114cm, 140cm MI 25 223 1683 4492 Reinforced 192057 192058 Group Benefit Change 993 0 0 Update 2012-02-01 2020-02-01 Prosthesis MC741 Indura Intrathecal Catheter Sutureless pump connector, Silicone, Titanium and Nylon One size only MC 25 223 1683 4492 137796 Group Benefit Change 993 0 0 Update 2007-12-01 2020-02-01 Prosthesis MC774 8578 Sutureless Pump Connector Sutureless Pump Connector: Material radiopaque silicon titanium, nylon One size only MC 25 223 1684 4503 113523 Group Benefit Change 542 0 0 Update 2008-07-01 2020-02-01 Prosthesis MC817 Medtronic Intrathecal Catheter Revision Kit (Proximal) Revision kit to repair proximal end of intrathecal catheter (8596SC) 66cm MC 25 223 1684 4503 153487 Group Benefit Change 542 0 0 Update 2009-02-01 2020-02-01 Prosthesis MC818 Medtronic Intrathecal Catheter Revision Kit (Distal) Revision kit to repair distal end of intrathecal catheter (8598A) 38.1cm MC 25 223 1684 4503 153486 Group Benefit Change 542 0 0 Update 2009-02-01 2020-02-01 Prosthesis MI029 Medtronic Ascenda Spinal Segment Revision Kit Intrathecal Catheter Spinal Segment Revision Kit One Size MI 25 223 1684 4503 192043 Group Benefit Change 542 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI030 Medtronic Ascenda Pump Segment Revision Kit Intrathecal Catheter Pump Segment Revision Kit One Size MI 25 223 1684 4503 192044 Group Benefit Change 542 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI040 Medtronic Infusion Pump Accessories Accessories for refill/catheter access of infusion pumps Various MI 25 223 1684 5483 133764 36 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MI164 Medtronic Infusion Pump Refill Kit Bulk Refill Kit containing 8 refill packs One size only MI 25 223 1684 5483 133764 Changed Benefit 146 0 0 Update 2015-02-01 2020-02-01 Prosthesis MI028 Medtronic Ascenda Component Accessory Kits Accessories for implantable drug pumps The Ascenda Kit consists of single-use aids integral for implanting the Intrathecal Catheter (App 028), which are only suitable for use with the patient in whom the intrathecal catheter is implanted. Kit includes: - Anchor with anchor dispenser - Anchor removal tool - Catheter connector with 2 attached coils. The Ascenda provides better stabilization and reduced catheter dislodgement due to a newly designed anchor and dispensing tool. One size MI 25 223 1684 133523 133763 Group Benefit Change 147 0 0 Update 2012-02-01 2020-02-01 Prosthesis MI048 Intrathecal catheter accessory Tunnelling rods - Stainless steel 38-60cm MI 25 223 1684 121281 Group Benefit Change 147 0 0 Update 2012-02-01 2020-02-01 Prosthesis SA174 VNS Therapy Pulse/Pulse Duo Model 102/102R Generator One size only SA 25 224 1685 4493 130202 130203 131044 131045 131046 131047 168817 169837 192080 192081 Group Benefit Change 11435 0 0 Update 2016-08-01 2020-02-01 Prosthesis SA185 VNS Therapy Demipulse Generator 103 The generator is an implantable multiprogrammable pulse generator that delivers electrical signals to the vagus nerve. The pulse generator is housed in a hermetically sealed titanium case and is powered by a single battery. Electrical signals are transmitted from the pulse generator to the vagus nerve by the lead. The VNS Therapy System is indicated for use as an adjunctive therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications. Lead Receptacle 0.126 in (3.2 mm) Dimension 1.8 in x 1.3 in x 0.27 in (45 mm x 32 mm x 6.9mm) Weight 0.56 oz (16 g) The 103 is smaller than previous devices, and fits in the palm of your hand and may be used in pediatric patients SA 25 224 1685 4493 168817 Group Benefit Change 11435 0 0 Update 2018-02-01 2020-02-01 Prosthesis SA186 Aspire SR Pulse Generator Model 106 The 106 VNS therapy system is indicated for use as a adjunctive therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications. Model 106 has the added feature of Autostim. In patients who experience Ictal Tachycardia which is defined as an increase in heart rate during a seizure specifically from baseline to a rate greater than 100 BPM and is at least 55% increase or 35 BPM increase from baseline delivering a therapeutic stimulation automatically delivered on detection of a physiological signal indicative of the onset of a seizure. Lead receptacle - 0.126 in (3.2 mm) nominal Dimensions -2.0 in x 2.0 in x 0.27 in (52 mm x 52 mm x 6.9 mm) Weight- 0.88 oz (25 g) SA 25 224 1685 4493 275135 Group Benefit Change 11435 0 0 Update 2018-02-01 2020-02-01 Prosthesis SA175 VNS Therapy Lead Model 302 One size only SA 25 224 1685 5351 131047 Group Benefit Change 3069 0 0 Update 2016-08-01 2020-02-01 Prosthesis SA187 VNS Therapy PerenniaFLEX Model 304.2 & 304.3 Model 304 lead is a silicone insulated implantable patient lead, delivering the electrical signal from the Pulse Generator to the Vagus Nerve. Lead Body Diameter : 2mm (.08 in) Insulation: Silicone Overall Length: 43cm Inner Diameter of Helix Model 304.20 ; 2mm (.08 in) inner diameter Model 304.30 ; 3mm (.12 in) inner diameter SA 25 224 1685 5351 192081 Group Benefit Change 3069 0 0 Update 2018-08-01 2020-02-01 Prosthesis AS196 Solitaire Solitaire Neurovascular Remodelling Device is a self-expanding, fully retrievable device which can be delivered and deployed by a single operator. Diameter: 3-6mm Length: 15-40mm AS 25 225 1687 155038 Group Benefit Change 6769 0 0 Update 2013-08-01 2020-02-01 Prosthesis CB012 LVIS Intraluminal Support Device Self-expanding intracranial vascular stent Diameters: 2.5, 3.5, 4.5, 5.5mm Lengths: 9-30mm CB 25 225 1687 194409 Group Benefit Change 6769 0 0 Update 2013-02-01 2020-02-01 Prosthesis HW470 Wingspan Stent System Wingspan Self Expanding Nitonol Stent and delivery catheter Stent diameters: 2.5mm to 4.5mm; Stent lengths: 9.0mm to 20.0mm HW 25 225 1687 128926 130061 Group Benefit Change 6769 0 0 Update 2012-08-01 2020-02-01 Prosthesis HW567 Neuroform ATLAS Stent System The Neuroform Atlas (Atlas) Stent System is intended to be used for stent assisted embolization for intracranial aneurysm therapy. The purpose of the stent is to retain the occlusive devices within the aneurysm. Occlusive devices can be delivered prior to stent placement or after stent placement. The Atlas Stent System consists of a self-expanding, sterile, nitinol stent preloaded over a delivery wire inside an introducer sheath. The sheath and delivery wire are used to transfer the stent into a 0.0165 to 0.017 inch internal diameter microcatheter. After transferring the stent, the sheath is removed from the proximal end of the delivery wire. The delivery wire is then used to advance the stent to the distal end of the microcatheter. The microcatheter and stent system are repositioned as a unit to ensure the stent is located across the aneurysm. The stent is deployed by stabilizing the delivery wire and withdrawing the microcatheter. The Neuroform Atlas stent cannot be repositioned or captured once deployed. Stent Diameter (mm): 3.0, 4.0, 4.5 Stent Length (mm): 15, 21, 24, 30 HW 25 225 1687 278675 Group Benefit Change 6769 0 0 Update 2016-08-01 2020-02-01 Prosthesis JJ650 Cordis Enterprise Vascular Reconstruction Device and Delivery System Closed Cell Design Nitinol Neurovascular 4.5 mm in diameter and 4 different lengths: 14mm, 22mm, 28mm and 37mm SY 25 225 1687 140555 Group Benefit Change 6769 0 0 Update 2008-07-01 2020-02-01 Prosthesis ME209 Leo+ Leo+ Stent D 2.0mm L 12mm, 18mm, 25mm. D 2.5mm L 12mm, 18mm, 25mm, 30mm, 35mm. D 3.0mm L 12mm, 18mm, 25mm, 35mm D 3.5mm L 12mm, 18mm, 25mm, 30mm, 35mm, 50mm. D 4.5mm L 15mm, 20mm, 25mm, 30mm, 40mm, 50mm, 75mm. D 5.5mm L 25mm, 30mm, 35mm, 50mm, 60mm, 75mm. ME 25 225 1687 197947 Group Benefit Change 6769 0 0 Update 2017-08-01 2020-02-01 Prosthesis AS193 Axium Detachable Coil System Platinum alloy coils (including coils enlaced with PGLA filaments and Nylon Fibers) attached to a composite implant delivery pusher with a radiopaque positioning marker. The proximal end of the pusher is loaded into the Actuator which detaches the coil. Diameter: 1.5 - 25mm; Length: 1 - 50cm AS 25 225 1688 149398 162494 162495 194132 194407 194408 Group Benefit Change 1359 0 0 Update 2013-08-01 2020-02-01 Prosthesis CB010 Hydrocoils Framing and filling coils with Hydrogel. Diam: 1-24mm Length: 1-50cm CB 25 225 1688 137933 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis CB011 Microplex Coils Framing and filling coils Diam: 1-24mm Length: 1-68cm CB 25 225 1688 137934 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis EE034 Concerto Detachable Coil System Platinum alloy coils (including coils enlaced with PGLA filaments and Nylon Fibers) attached to a composite implant delivery pusher with a radiopaque positioning marker. The proximal end of the pusher is loaded into the Actuator which detaches the coil. Diameter: 1.5 - 25mm; Length: 1 - 50cm EE 25 225 1688 202623 205313 Group Benefit Change 1359 0 0 Update 2014-02-01 2020-02-01 Prosthesis HW467 Target Detachable Coils Detachable Platinum coils Coil Diameter: 1mm to 24mm Coil Length: 1cm to 50cm HW 25 225 1688 170214 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis JJ960 Galaxy G3 Stretch Resistant Coil Length 1.5 to 30cm MN 25 225 1688 219194 219195 Group Benefit Change 1359 0 0 Update 2014-08-01 2020-02-01 Prosthesis ME226 Optima Coil System Implantable embolization Coil comprised of platinum-tungsten alloy attached to a proximal stainless steel hypo-tube and distal body coil delivery pusher with a radiopaque distal positioning marker and a proximal fluorosafe marker. Various sizes as attached. ME 25 225 1688 302253 Group Benefit Change 1359 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI240 Axium Prime Detachable Coil - Extra Soft Platinum alloy embolization coil attached to a composite implant delivery pusher with a radiopaque positioning marker and hand-held Instant Detacher, which when activated, mechanically detaches the coil from the delivery pusher tip. 3D Shape: diameter 1 to 3.5 mm; length 2 to 10 cm; Volume 1.34 to 6.70 mm3 Helical Shape: diameter 1 to 3 mm; length 1 to 10 cm; Volume 0.67 to 6.70 mm3 MI 25 225 1688 287418 Group Benefit Change 1359 0 0 Update 2017-08-01 2020-02-01 Prosthesis MN137 Ultipaq Microcoil System Platinum Coil 2 to 4mm loop diameter SY 25 225 1688 201672 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN139 Helipaq Microcoil System Platinum Coil 2 to 20mm coil diameter SY 25 225 1688 201605 201607 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN140 Micrusframe Stretch Resistant Coil 2 to 18mm loop diameter MN 25 225 1688 201612 201635 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN142 Helipaq Microcoil System Cerecyte coils 2 to 20mm loop diameter SY 25 225 1688 202314 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN143 Ultipaq Microcoil System Cerecyte coils 2 to 4mm loop diameter SY 25 225 1688 201674 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN144 Micrusphere Microcoil System Cerecyte coils 2 to 18mm loop diameter SY 25 225 1688 201606 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN145 Presidio Microcoil System Cerecyte coils 4 to 20mm loop diameter SY 25 225 1688 201922 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN146 Cashmere Microcoil System Platinum and Cerecyte coils 2 to 12mm loop diameter SY 25 225 1688 201636 Group Benefit Change 1359 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN165 Delta Coiling Systems Stretch Resistant Coiling 1.5 to 24mm diameter MN 25 225 1688 201609 201610 203283 Group Benefit Change 1359 0 0 Update 2013-02-01 2020-02-01 Prosthesis PN003 Penumbra Coil System / Penumbra Complex Standard Coil 400 Frame configuration coil, three-dimensional complex shape, stiffest coil within the system, first coil to be placed, frames area of embolisation and holds subsequent coils within this zone. Diameters: 3-24mm Lengths: 6-57cm PN 25 225 1688 182354 Group Benefit Change 1359 0 0 Update 2011-08-01 2020-02-01 Prosthesis PN004 Penumbra Coil System / Penumbra Complex Soft Coil 400 Fill configuration coil is used to fill empty space within the frame coil. The stiffness allows for a traumatic interaction with the aneurysm wall and primary packing of the occlusion site (aneurysm). Diameters: 3-24mm Lengths: 6-57cm PN 25 225 1688 182354 Group Benefit Change 1359 0 0 Update 2011-08-01 2020-02-01 Prosthesis PN005 Penumbra Coil System / Penumbra J Soft Coil 400 Finish Coil Implant (J Soft) fills small empty pockets remaining within the occlusion site. The J shaped tip and stiffness allows the coils to manoeuvre and fill the remaining pockets after use of the primary Fill Coils. Lengths: 1-15cm PN 25 225 1688 182354 Group Benefit Change 1359 0 0 Update 2011-08-01 2020-02-01 Prosthesis PN006 Penumbra Coil System / Penumbra Curve Extra Soft 400 The Soft Finish Coil Implant (Curve Extra Soft) is used for final packing of the aneurysm. The serpentine shape and the lowest stiffness allow the coils to manoeuvre and fill any remaining pockets after use of the other coil types. Diameters: 2-4mm Lengths: 1-20cm PN 25 225 1688 182354 Group Benefit Change 1359 0 0 Update 2011-08-01 2020-02-01 Prosthesis PN009 Penumbra Complex Extra Soft Coil 400 The Soft Finish Coil Implants (Complex Extra Soft) are used for final packing of the aneurysm. The coil combines the shape of the complex standard coil, with the lowest stiffness of the Curve Extra Soft coil. The Soft Finish Coil Implants are available in varying diameters and lengths to accommodate physician need. Secondary diameters: 2-4mm; Lengths: 2-10mm PN 25 225 1688 182354 Group Benefit Change 1359 0 0 Update 2013-08-01 2020-02-01 Prosthesis PN014 Penumbra Smart Coil The Penumbra Smart Coil System is comprised of the The Penumbra Smart Coil, a platinum embolization coil attached to a composite delivery pusher with a radiopaque positioning marker and the Penumbra Smart Coil Detachment Handle. Standard: Diameter 3-18mm, Length 3-60cm; Soft: Diameter 1-14mm, Length 2-45cm; Extra Soft: Diameter 1-6mm, Length 1-20cm; Helical Extra Soft: Diameter 1-6mm, Length 1-20cm. PN 25 225 1688 242752 Group Benefit Change 1359 0 0 Update 2016-02-01 2020-02-01 Prosthesis WC061 Detachable Coil System Microembolisation Coils - Platinum 011/018 2-20mm diameter, 2 - 50cm length WC 25 225 1688 154899 Group Benefit Change 1359 0 0 Update 2005-10-31 2020-02-01 Prosthesis AS198 ev3 Occlusion Balloon Catheters Single lumen balloon catheter to temporarily occlude the central lumen allowing inflation of the balloon during neurosurgical and vascular procedures. 3-7mm diameter; 7-30mm length AS 25 225 1689 4494 152746 Group Benefit Change 632 0 0 Update 2013-08-01 2020-02-01 Prosthesis AS201 Marksman Microcatheters The MARKSMAN Microcatheter is a variable stiffness, single lumen catheter designed to access small, tortuous vascular areas. The outer surface of the catheter's distal segment is coated with a hydrophilic material to provide lubricity during use. The catheter also incorporates a PTFE liner to facilitate movement of delivery devices passed through its lumen and has a radiopaque marker at the distal tip to facilitate fluoroscopic visualization. The distal tip of the catheter is shapeable. Outer Diameter: 2.8F Inner Diameter: 0.027" Length: 105-160 cm AS 25 225 1689 4494 193795 Group Benefit Change 632 0 0 Update 2013-08-01 2020-02-01 Prosthesis AS202 Apollo Micro Catheters For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics); and diagnostic agents such as contrast media. Proximal outer diameter 2.7F; distal outer diameter 1.5F; inner diameter 0.013 inch; total length 165 cm; tip length 1.5, 3 or 5 cm. AS 25 225 1689 4494 215658 Group Benefit Change 632 0 0 Update 2014-02-01 2020-02-01 Prosthesis AS208 Navien Intracranial Catheter The Navien Intracranial Support Catheter is a single lumen, flexible, variable stiffness composite catheter. The catheter shaft has a hydrophilic coating to reduce friction during use. The Navien Intracranial Support Catheter is visible under fluoroscopy. 105 - 130cm length; 5.0 - 6.3 Fr gauge AS 25 225 1689 4494 218532 Group Benefit Change 632 0 0 Update 2015-02-01 2020-02-01 Prosthesis CB014 Headway Microcatheter Single lumen microcatheter Internal diameter: 0.42mm - 0.69mm Outside diameter - distal: 1.6 - 2.6 Fr Outside diameter - proximal 2.1 -3.1 Fr Length: 150cm to 167cm CB 25 225 1689 4494 162633 Group Benefit Change 632 0 0 Update 2013-02-01 2020-02-01 Prosthesis CB021 Headway Duo Single Lumen Microcatheter Proximal ID = .0165in min. (0.42 mm) OD = .027in (0.70 mm) Distal ID = .0165in min. (0.42 mm) OD = .023in (0.58 mm) Length: 156cm and 167cm CB 25 225 1689 4494 296334 Group Benefit Change 632 0 0 Update 2018-08-01 2020-02-01 Prosthesis CB022 Chaperon Guiding Catheter System Guiding Catheter Guiding Catheter: 5Fr - 0.059”/1.5mm ID & 6Fr - 0.071"/1.8mm ID Inner Catheter: 4Fr - 0.041”/1.05mm ID & 5Fr - 0.048"/1.22mm ID CB 25 225 1689 4494 162770 Group Benefit Change 632 0 0 Update 2018-08-01 2020-02-01 Prosthesis HW468 Neuro Renegade Hi-Flo Microcatheter Microcatheter for deployment of neuroform stent system 2.5-4.5mm HW 25 225 1689 4494 171934 Group Benefit Change 632 0 0 Update 2012-08-01 2020-02-01 Prosthesis HW488 Excelsior SL-10 & Excelsior 1018 Excelsior SL-10 & the Excelsior 1018 Microcatheter is indicated to assist in the delivery of diagnostic agents, such as contrast media, and therapeutic agents, such as occlusion coils, into the peripheral, coronary and neurovasculature. Length: 150cm Outer Diameter: 2.4F - 2.6F Inner Diameter: 0.165" - 0.019" HW 25 225 1689 4494 149440 174576 177031 Group Benefit Change 632 0 0 Update 2013-02-01 2020-02-01 Prosthesis HW530 Excelsior XT27 Stryker Neurovascular Excelsior XT-27 Microcatheter is intended to assist in the delivery of diagnostic agents, such as contrast media, therapeutic agents and interventional devices, into the neurovasculature Length: 150cm / 135cm Distal Lengths: 6cm / 18cm Outer Diameter: 2.7F - 2.9F Inner Diameter: 0.027" HW 25 225 1689 4494 202911 Group Benefit Change 632 0 0 Update 2014-02-01 2020-02-01 Prosthesis HW558 TransForm Occlusion Balloon Catheters The TransForm Occlusion Balloon Catheter consists of a single lumen catheter shaft with a balloon attached at the distal end. The balloon is available in a compliant version and a super compliant version. Radiopaque markers are located at the proximal and distal ends of the balloon to facilitate fluoroscopic visualization. The balloon catheter is recommended for use with a Stryker Neurovascular 0.014 in (0.36 mm) guidewire to seal the distal segment of the catheter lumen allowing inflation of the balloon. The guidewire can be moved distally or proximally once beyond the distal tip (seal portion) of the catheter and still maintain a positive seal for inflating the balloon. The distal outer segment of the catheter shaft is coated with a hydrophilic material that reduces friction during manipulation in the vessel. A luer fitting hub at the proximal end of the catheter is used for the attachment of accessories. Effective Length: 150 cm Balloon Outer Diameter: 3 mm - 7 mm Balloon Nominal Length: 5 mm - 30 mm Maximum Catheter Shaft Outer Diameter: 2.8 F HW 25 225 1689 4494 223661 Group Benefit Change 632 0 0 Update 2015-08-01 2020-02-01 Prosthesis HW585 Excelsior XT-17 Microcatheter Excelsior XT-17 Microcatheter - single lumen devices Outer Diameter: 2.4F (Proximal) & 1.7F (Distal) Inner Diameter: 0.017 inches Length: 150cm Shapes: Straight 45, 90 & J HW 25 225 1689 4494 285509 Group Benefit Change 632 0 0 Update 2017-08-01 2020-02-01 Prosthesis HW635 AXS Infinity LS Long Sheath AXS Infinity LS Long Sheath Outer Diameter: 8F (max 0.109 inches) Inner Diameter: 0.088 inches Length: 70cm, 80cm, 90cm HW 25 225 1689 4494 291432 Group Benefit Change 632 0 0 Update 2018-02-01 2020-02-01 Prosthesis JJ488 Prowler Infusion Catheters Braid/coil catheter Size: 50cm - 170cm. SY 25 225 1689 4494 138704 138705 138706 138708 Group Benefit Change 632 0 0 Update 2006-03-24 2020-02-01 Prosthesis LH499 Sequent VIA Microcatheter A sterile single lumen device with one distal tip marker Lengths: 133-161cm Diameters: 0.53-0.84mm; 0.91-1.27mm; 0.84-1.14mm LH 25 225 1689 4494 207388 Group Benefit Change 632 0 0 Update 2013-08-01 2020-02-01 Prosthesis ME210 SONIC Microcatheter Micro catheter DMSO compatible Dia: 1.2fr or 1.5fr Length: 165cm or 190cm ME 25 225 1689 4494 155392 Group Benefit Change 632 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME211 Balt Remodelling Balloon Remodelling Balloon Kit, includes a 200cm tapered Hybrid Guidewire. SCOPERNIC10: 10mm balloon length, max fill volume 0.30ml; SCOPERNIC15: 15mm balloon length, max fill volume 0.35ml; SCOPERNIC20: 20mm balloon length, max fill volume 0.40ml; SCOPERNIC30: 30mm balloon length, max fill volume 0.50ml; SECLIPSE7: Balloon length 7mm, balloon dia 4 to 6mm, max fill vol 0.20ml; SECLIPSE9: Balloon length 9mm, balloon dia 4 to 6mm, max fill vol 0.25ml; SECLIPSE12: Balloon length 12mm, balloon dia 4 to 6mm, max fill vol 0.30ml; SECLIPSE15: Balloon length 15mm, balloon dia 4 to 6mm, max fill vol 0.40ml; SECLIPSE20 Balloon length 20mm, balloon dia 4 to 6mm, max fill vol 0.50ml. Packaging includes one HYBRID1214D guidewire, 200cm long, with Proximal Stainless Steel and distal nitinol. ME 25 225 1689 4494 170159 170160 Group Benefit Change 632 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME212 VASCO+ A progressive step braided micro-catheter with radio-opaque markers on the distal tip used to assist in the treatment of aneurysms and other neurological disorders. Distal outer Diameter: 1.5 - 5F Proximal Outer Diameter: 2.4F - 5F Length: 135 - 155mm ME 25 225 1689 4494 155391 Group Benefit Change 632 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME213 Fargo Guiding Catheters Outer Ø Proximal . 4.2F - 6.0F Outer Ø Distal : 3.9F - 6.0F Inner Ø: 1.02mm (.040") - 1.78mm (.070") Total Length: 95cm - 135cm Distall tip Length: 2.5cm -15cm ME 25 225 1689 4494 161937 Group Benefit Change 632 0 0 Update 2017-08-01 2020-02-01 Prosthesis ME214 Double Lumen Occlusion Balloon Double lumen occlusion balloon DIAMETER: 6mm; LENGTHS: 7mm - 30mm ME 25 225 1689 4494 263592 263593 Group Benefit Change 632 0 0 Update 2017-08-01 2020-02-01 Prosthesis MI198 Rebar microcatheter (Rebar-10; Rebar-14; Rebar-18; Rebar-27) For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics) and diagnostic agents such as contrast media. Proximal OD/Distal OD (F): 2.3, 2.4, 2.8/1.7, 1.9, 2.7, 2.8; distal ID (in) 0.015, 0.017, 0.021, 0.027; total length (cm): 158, 135, 115. MI 25 225 1689 4494 274593 Group Benefit Change 632 0 0 Update 2017-02-01 2020-02-01 Prosthesis MI207 Marathon Flow Directed Micro Catheter (with or without stylet) For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics) and diagnostic agents such as contrast media. OD 2.7-1.5 Fr; Distal ID 0.013 in; total length 170 cm; usable Length 165 cm; distal length 25 cm; max. guidewire 0.010 in. MI 25 225 1689 4494 274595 274596 Group Benefit Change 632 0 0 Update 2017-02-01 2020-02-01 Prosthesis MI211 Echelon Microcatheter (Echelon-10; Echelon-14) For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics) and diagnostic agents such as contrast media Tip configuration: straight; 450, 900; tip length: 3 mm, 5 mm; total length/usable length: 155 cm/150 cm; proximal OD/distal OD: 2.1F/1.7F; proximal ID/distal ID: 0.017”/0.017” MI 25 225 1689 4494 274594 Group Benefit Change 632 0 0 Update 2017-02-01 2020-02-01 Prosthesis MN136 Envoy Guiding Catheters Guiding Catheters 90 to 105cm length SY 25 225 1689 4494 141866 204770 Group Benefit Change 632 0 0 Update 2012-08-01 2020-02-01 Prosthesis MN166 Transit Microcatheter System Transit and Rapidtransit Microcatheters 75 to 175cm SY 25 225 1689 4494 162995 162996 Group Benefit Change 632 0 0 Update 2013-02-01 2020-02-01 Prosthesis MN167 Ascent Balloon Catheter System Coaxial dual lumen balloon catheter 4-6mm diameter SY 25 225 1689 4494 173989 Group Benefit Change 632 0 0 Update 2013-02-01 2020-02-01 Prosthesis PN013 Penumbra Neuron Max Intracranial Access System The Neuron MAX System is a three-component system comprised of the Neuron MAX Delivery Catheter, Neuron 6F Select Catheter, and a Dilator. The Neuron MAX Delivery Catheter can be used individually with a 0.038in guidewire or together with the Neuron 6F Select Catheter to access the desired anatomy. Neuron MAX Delivery Catheter: The Neuron MAX Delivery Catheter is a single lumen, braid-reinforced, variable stiffness catheter with a radiopaque zone on the distal end and a Luerhub on the proximal end. The Neuron MAX Delivery Catheter dimensions are included on the individual device label. The Neuron MAX Delivery Catheter is compatible with introducer sheaths appropriately sized for the outer diameter of Neuron MAX. Delivery Catheter: Length 80 & 90cm, Outer Diameter Proximal 8F, Distal 8F. Select Catheter: Length 105 & 125cm, Outer Diameter 5.6F, Proximal 6F, Distal 5F. Long Sheath: Length 80 & 90cm, Outer Diameter Proximal 8F, Distal 8F. PN 25 225 1689 4494 202250 202251 216374 Group Benefit Change 632 0 0 Update 2016-02-01 2020-02-01 Prosthesis PN018 Penumbra Lantern Delivery Microcatheter Delivery Microcatheter 115cm, 135cm, 150cm length Tip - Straight, 45 degree and 90 degree PN 25 225 1689 4494 290962 Group Benefit Change 632 0 0 Update 2018-02-01 2020-02-01 Prosthesis PN019 Benchmark The Benchmark Delivery Catheter is a guide catheter used to support other diagnostic or therapeutic devices. 95cm & 105cm Straight & Multi Purpose PN 25 225 1689 4494 292315 Group Benefit Change 632 0 0 Update 2018-02-01 2020-02-01 Prosthesis AS197 LRS Actuator LRS Actuator is a sterile, hand held mechanical unit with a thumb slide that detaches the coil. When the slider is retracted while the pusher is loaded, it releases the coil into the targeted vaculature. Coils cannot be deployed without the use of the actuator. Length 5.75", Diameter 1", Weight 28 grams AS 25 225 1689 4495 150013 Group Benefit Change 316 0 0 Update 2013-08-01 2020-02-01 Prosthesis CB015 V-Grip Detachment Controller A battery powered device used to control detachment of an implantable embolisation coil from a delivery pusher. One size only CB 25 225 1689 4495 148674 Group Benefit Change 316 0 0 Update 2013-08-01 2020-02-01 Prosthesis HW466 InZone Detachment System InZone Detachment System is specifically designed for use with the Target Detachable Coils One size HW 25 225 1689 4495 208838 Group Benefit Change 316 0 0 Update 2012-08-01 2020-02-01 Prosthesis ME227 Optima XCEL Detachment Controller The EXCEL Detachment Controller is used to detach the Pusher from the Coil after the coil is deployed, it is compatible with all Optima Coil configurations and is used to detach all coils needed for a single patient. one size ME 25 225 1689 4495 301584 Group Benefit Change 316 0 0 Update 2018-08-01 2020-02-01 Prosthesis MN168 EnPOWER Detachment Control System Sterile Field Coil Detachment Control Single unit SY 25 225 1689 4495 132921 Group Benefit Change 316 0 0 Update 2013-02-01 2020-02-01 Prosthesis PN008 Penumbra Coil System / Penumbra Coil Detachment Handle A single detachment handle which is compatible with all Penumbra Coil configurations and can be used to detach all coils needed for a single patient. One size only PN 25 225 1689 4495 193558 Group Benefit Change 316 0 0 Update 2011-08-01 2020-02-01 Prosthesis PN015 Penumbra Smart Coil Detachment Handle The Penumbra Smart Coil System is comprised of the Penumbra Smart Coil and the Penumbra Smart Coil Detachment Handle. The SMART Coil Detachment Handle is a plastic handle used to mechanically detach the Penumbra SMART Coil Implant. The Detachment Handle is a sterile, single patient device One size only PN 25 225 1689 4495 233479 Changed Benefit 238 0 0 Update 2016-02-01 2020-02-01 Prosthesis CB013 Scepter Occlusion Balloon Catheter Intravascular occlusion balloon catheter Balloon diameter: 4mm Balloon lengths: 10 - 20mm CB 25 225 1689 6022 194400 Group Benefit Change 1559 0 0 Update 2013-02-01 2020-02-01 Prosthesis ME215 Copernic RC Venous remodelling balloon Diameter: 8.0 - 10mm Balloon Length: 80mm Catheter Length: 160mm ME 25 225 1689 6022 170159 Group Benefit Change 1559 0 0 Update 2017-08-01 2020-02-01 Prosthesis AT086 NEUROVENT-P catheter RAUMEDIC NEUROVENT-P catheter for the continuous measurement of ICP (intracranial pressure) within the parenchyma. 5F AT 25 253 1794 Catheter 282695 Group Benefit Change 1173 0 0 Update 2017-08-01 2020-02-01 Prosthesis IG181 JJ906 MicroSensor Monitoring System Ventricular catheter with transducer Catheter length 38cm IG 25 253 1794 Catheter 150087 Group Benefit Change 1173 0 0 Update 2018-08-01 2020-02-01 Prosthesis NK101 Intracranial Pressure and Temperature Catheter Intracranial Pressure and Temperature Catheter Suitable for all patient anatomy NK 25 253 1794 Catheter 308491 308492 Group Benefit Change 1173 0 0 Update 2019-03-01 2020-02-01 Prosthesis IG189 MN158 MicroSensor Monitoring System Skull bolt with ICP transducer 0.7mm sensor lead diameter IG 25 253 1794 Skull Bolt 149558 Group Benefit Change 948 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG183 JJ908 Codman Bactiseal External Ventricular Drain (EVD) Catheter Antibiotic impregated External Ventricular Drain 1.5mm & 1.9mm lumen diameter IG 25 255 1796 Antibiotics 132024 Group Benefit Change 424 0 0 Update 2018-08-01 2020-02-01 Prosthesis IG182 JJ907 Codman External Ventricular Drain (EVD) Catheter External Ventricular Drain 1.5mm & 1.9mm diameter IG 25 255 1796 123031 Group Benefit Change 167 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI123 EDM Ventricular Catheter External drainage ventricular catheter, non metallic latex free. Barium impregnated, includes stainless steel stylet. 35cm MI 25 255 1796 141103 Group Benefit Change 167 0 0 Update 2013-08-01 2020-02-01 Prosthesis AM050 Urinary Control System Pump Pump with InhiboZone Antibiotic Surface Treatment One size only. AM 26 226 1696 5306 A 165326 5076 0 0 No Change 2010-02-01 2020-02-01 Prosthesis AM029 AMS 800 Artificial Urinary Sphincter Pump Control Pump One size AM 26 226 1696 5306 131706 4700 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ET085 VICTO Adjustable Artificial Sphincter Pump Replacement Kit A replacement control pump for the VICTO Adjustable Artificial Sphincter, artificial urinary sphincter. 1 size. ET 26 226 1696 5306 203685 4700 0 0 No Change 2019-11-01 2020-02-01 Prosthesis AM051 AMS 800 Urinary Control System with InhibiZone - cuff Occlusive Cuff with InhibiZone Antibiotic Surface Treatment 13 Cuff sizes from 3.5 to 11.0 cm AM 26 226 1696 5307 A 165326 2708 0 0 No Change 2010-02-01 2020-02-01 Prosthesis AM001 AMS 800 Artificial Urinary Sphincter Cuff Occlusive Cuff 13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm AM 26 226 1696 5307 131706 2483 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AM021 AMS 800 Artificial Urinary Sphincter Cuff Silicone cuff for artificial urinary sphincter. For the implantation of the second cuff for the AMS 800 13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm AM 26 226 1696 5307 131706 2483 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ET087 VICTO Adjustable Artificial Sphincter Cuff Replacement Kit A replacement cuff for a VICTO Adjustable Artificial Sphincter, artificial urinary sphincter. 3.7cm, 4.0cm, 4.5cm, and 5.0cm. ET 26 226 1696 5307 203685 2483 0 0 No Change 2019-11-01 2020-02-01 Prosthesis AM028 AMS 800 Artificial urinary sphincter Pressure Regulating Balloon Pressure Regulating Balloon 51 - 60cm, 61 -70cm, 71 - 80cm AM 26 226 1696 5308 131706 1954 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ET086 VICTO Adjustable Artificial Sphincter Balloon Replacement Kit A replacement pressure regulating balloon for the VICTO Adjustable Artificial Sphincter, artificial urinary sphincter. 1 size. ET 26 226 1696 5308 203685 1954 0 0 No Change 2019-11-01 2020-02-01 Prosthesis AM030 AMS 800 Artificial Urinary Sphincter Accessory Kit Accessory Kit One Size AM 26 226 1696 5310 131706 655 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ET057 VICTO Artificial Urinary Sphincter VICTO Artificial Urinary Sphincter with conditional occlusion, inflatable hydraulic device. Four cuff sizes: 3.7cm, 4.0cm, 4.5cm, and 5.0cm. ET 26 226 1696 5311 203685 9500 0 0 No Change 2009-02-01 2020-02-01 Prosthesis ET084 ATOMS with Integrated Scrotal Port The ATOMS with Integrated Scrotal Port is a long-term hydraulically adjustable substitute urinary sphincter. The implant is supplied as a single piece system which includes a hydraulically adjusted urethral cuff and a silicone coated adjustment port which rests in the patient's scrotum. The pressure applied by the cuff is evenly distributed over the bulbar urethra, providing ventral closure in order to achieve continence. The adjustment port is designed to allow for non-surgical postoperative adjustment of cuff pressure. 1 size only Width of tape: 12mm Dimensions of cushion: 40 x 45mm Port Diameter: 11mm ET 26 226 1696 5311 154803 9500 0 0 No Change 2019-07-01 2020-02-01 Prosthesis MB003 Adjustable Continence Therapy for Women ACT Device: Prosthesis designed for the treatment of female SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment. 6 - 14cm MB 26 226 1786 5450 163939 3938 0 0 No Change 2010-08-01 2020-02-01 Prosthesis MB006 Adjustable Continence Therapy for Men ProACT Device: Prosthesis designed for the treatment of male SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment. 6 - 14cm MB 26 226 1786 5450 163939 3938 0 0 No Change 2010-08-01 2020-02-01 Prosthesis ET074 ATOMS System The ATOMS System is a long term, adjustable prostheses that substitutes urinary sphincter function in incontinent males. It is a hydraulic system comprising of a suburethral sphincter cushion/cuff which can be adjusted hydraulically intra-operatively or post-operatively through an implanted titanium port. Fixation arms and attachment sutures hold the implant in situ. 1 size only - ATS 5011 (Length of Implant 560mm, width of tape 12mm, dimensions of cushion 40x45mm, max. filling volume of cushion 25mL). Titanium port-reservoir with hydraulic tubing, one size. ET 26 226 1786 5451 154803 7876 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MB004 Adjustable Continence Therapy device for women ACT Device: prosthesis designed for the treatment of female SUI comprising of silicone balloons x 2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment. 6 - 14cm MB 26 226 1786 5451 163939 7876 0 0 No Change 2010-08-01 2020-02-01 Prosthesis MB005 Adjustable Continence Therapy for Men ProACT Device: prosthesis designed for the treatment of male SUI comprising of silicone balloons x2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment. 6 - 14cm MB 26 226 1786 5451 163939 7876 0 0 No Change 2010-08-01 2020-02-01 Prosthesis ET075 AMI ATOMS Infusion Port Hydraulic Infusion port for use with AMI ATOMS System - seperate 22mm Diameter, 9.8mm High ET 26 226 1786 5987 148776 950 0 0 No Change 2014-02-01 2020-02-01 Prosthesis AM048 AdVance XP Male Sling System Sub-urethral sling implant for treatment of male stress urinary incontinence. Made from polypropylene monofilament mesh Arm width: 1.2cm, Centre width: 3.55cm, Total Length: 35.5cm, 43.5cm AM 26 226 1698 5314 297821 5432 0 0 No Change 2007-12-01 2020-02-01 Prosthesis CT015 Virtue Male Sling System Male sling system with quadratic fixation One Size CT 26 226 1698 5314 187095 5432 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ET050 ARGUS Adjustable Male Sling made of silicone adjustable self fixating columns and urethral cushion One size only ET 26 226 1698 5314 118082 5432 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BS078 Advantage, Advantage Blue Transvaginal Mid-Urethral Sling System One size only AM 26 226 1698 5315 104326 822 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BS096 Lynx, Lynx Blue Suprapubic Mid-Urethral Sling System One size only AM 26 226 1698 5315 104326 822 0 0 No Change 2006-11-30 2020-02-01 Prosthesis BS097 Obtryx Transoburator Mid-Urethral Sling System Polypropylene mesh sling One size only BS 26 226 1698 5315 104326 822 0 0 No Change 2006-11-30 2020-02-01 Prosthesis BS140 Advantage Fit, Advantage Fit Blue Transvaginal Mid-Urethral Sling System One size only AM 26 226 1698 5315 104326 822 0 0 No Change 2009-08-01 2020-02-01 Prosthesis BS226 Obtryx II Transobturator Mid-Urethral Sling System Polypropylene mesh sling One size only BS 26 226 1698 5315 104326 822 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CT013 Aris Transobturator Sling System Sling System for female stress urinary incontinence One Size CT 26 226 1698 5315 157074 160738 822 0 0 No Change 2009-08-01 2020-02-01 Prosthesis CT021 Supris Retropubic Sling Supris Retropubic Sling System for female urinary incontinence One size CT 26 226 1698 5315 160738 822 0 0 No Change 2016-08-01 2020-02-01 Prosthesis JJ070 TVT (Tension-Free Vaginal Tape) Single use device Undyed Prolene (polypropylene) nonabsorbable tape 11 x 450mm JJ 26 226 1698 5315 99193 822 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JJ442 Gynecare TVT-O Items included are: Gynecare TVT Obturator device, Two Gynecare TVT Helical Passers and a Gynecare TVT Atraumatic Winged Guide. The device component of the system consists of undyed or blue Prolene Polypropylene Mesh 1.1x45 cm JJ 26 226 1698 5315 99193 822 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MN039 Gynecare TVT ABBREVO™ Continence System Implant assembly consisting of mesh sling and sterile, single-patient use helical passer sheaths. 1.1cm x 12cm MN 26 226 1698 5315 99193 822 0 0 No Change 2011-02-01 2020-02-01 Prosthesis GN001 Opsys Injectable SUI Opsys is a manually injectable, non-absorbable, permanent, synthetic tissue bulking agent used in the endoscopic treatment of female Stress Urinary Incontinence. Opsys Kit contains 5 x 1ml syringes. GN 26 226 1699 5316 169958 504 0 0 No Change 2012-02-01 2020-02-01 Prosthesis GN002 Opsys Injectable SUI Opsys is a manually injectable, non-absorbable, permanent, synthetic tissue bulking agent used in the endoscopic treatment of female Stress Urinary Incontinence. 1 x 1ml syringe. GN 26 226 1699 5316 169958 504 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LH376 Durasphere SUI Injectable Bulking agent for Stress Urinary Incontinence 1ml LH 26 226 1699 5316 151023 151323 504 0 0 No Change 2009-02-01 2020-02-01 Prosthesis SC001 BULKAMID Urethral Bulking System Transparent polyacrylamide gel for female urinary incontinence. Kit comprises 2 syringe, 2 needles, 1 applicator 2 x 1ml syringes, 2 x BULKAMID 23G needles, 1 x disposable sheath SC 26 226 1699 5318 152085 1009 0 0 No Change 2014-08-01 2020-02-01 Prosthesis ET053 Macroplastique Sterile, textured, highly cross linked polydimethylsiloxane elastomer implants suspended in a bio-excretable carrier gel. 2.5ml Implants ET 26 226 1699 5319 146732 1262 0 0 No Change 2007-12-01 2020-02-01 Prosthesis LH379 Durasphere SUI Injectable Bulking agent for Stress Urinary Incontinence 3ml LH 26 226 1699 5320 151023 151323 1513 0 0 No Change 2009-02-01 2020-02-01 Prosthesis WC022 C-Flex Double Pigtail Ureteric Stent Set Set includes: Stent, Wire, Positioner Multiple French Sizes, Multi-length WC 26 227 1701 5321 P 216072 171 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC236 Paterson-Forrester Subcutaneous Urinary Diversion Stent Subcutaneous Urinary Diversion Stent Stent 8.5 French, 65cm long WC 26 227 1701 5321 SP 218155 229 0 0 No Change 2008-07-01 2020-02-01 Prosthesis PY012 Ex-Stent Tumour Ureteral Stent Set Open end stent with guide wire and pusher Diameter: 6Fr-8Fr Length: 26cm-36cm PY 26 227 1701 5321 T 171564 187 0 0 No Change 2011-02-01 2020-02-01 Prosthesis TX004 Ureteric Stent Set Open end with introducer and guidewire, Polyurethane 12 - 28cm TX 26 227 1701 5321 T 277254 187 0 0 No Change 2015-08-01 2020-02-01 Prosthesis TX005 Paediatric Ureteric Valve Stent Set Fixed length wirthan stent 12 - 22cm TX 26 227 1701 5321 T 136657 187 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WC214 Cook Ureteral Stents Amplatz Ureteral Stent Set, Ultrathane RB Design Radioplaque Band and AQ Hydrophilic Coating Set includes one stent positioner with flexible stent introducer catheter 8.5Fr - 12,20,22,24,26,28cm and 10.2Fr - 22,24,26,28cm WC 26 227 1701 5321 T 137913 187 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT024 PU-R Double Loop Ureteral Stents Double Loop Ureteral Stents in Rigid Polyurethane, with pusher. With or without guidewire depending on the model. Various in 4.8, 6, 7, 8Fr. Various in 24, 26, 28, 30cm lengths. Various in O/O or O/C. Various with or without guidewire. With either streerable or simple pusher CT 26 227 1701 5321 142907 133 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT034 PU-S Double Loop Ureteral Stents Double Loop Ureteral Stents in Soft Polyurethane, with pusher and guidewire. Various in 6 and 7Fr. Various in 24, 26, 28 cm lengths. Various in O/O or O/C. With either Steerable or simple pusher. CT 26 227 1701 5321 142907 133 0 0 No Change 2016-08-01 2020-02-01 Prosthesis MH010 Silhouette Ureteral Stent The Silhouette Ureteric Stent is manufactured with a soft material that provides superior comfort. It has superior column strength through a coil-reinforced body providing effortless placement. The tight coils prevent migration. The smaller outside dia Multiple French Sizes & Lengths MH 26 227 1701 5321 116728 133 0 0 No Change 2006-03-24 2020-02-01 Prosthesis PY011 Optimed Opti-J Stents Dual Use directional Double J stent and delivery system. Can also be used as urinary diversion stent. 4.5Fr to 8Fr Length: 22cm to 36cm PY 26 227 1701 5321 171564 133 0 0 No Change 2011-02-01 2020-02-01 Prosthesis WC281 Universa Soft Ureteral Stent Set Universa Soft Ureteral Stent Set, with or without the TFE WireGuide, fixed length 5, 6, 7 and 8FR in fixed lengths (18 - 30CM) WC 26 227 1701 5321 174924 216072 133 0 0 No Change 2010-08-01 2020-02-01 Prosthesis MH013 Paediatric Silhouette System Set Coil reinforced body. SL-6 hydrophilic coating. UroWire 0.035" 3-in-1 guidewire with kink resistant nitinol core. Design divided into 3 sections: silver section (front end) floppy SL - 6 hydrophilic coating; Blue section (mid) super stiff PTFE (not hydrophilicaly coated); and Green section (back) flexible 4F, 8 - 12cm MH 26 227 1701 5322 P 116727 116728 233 0 0 No Change 2007-06-01 2020-02-01 Prosthesis CT025 Stenostent Double Loop Ureteral Stents STENOSTENT® Double loop ureteral stent in silicone open/open, total reinforcement with connectable pusher and fixed core guidewire 16 - 30cm CT 26 227 1701 5322 SP 142923 222 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT028 Pyelostent Double Loop Ureteral Stent Pyelostent, Silicone stent for long-term implantation (up to 12 months) 26 - 30cm CT 26 227 1701 5322 SP 142923 222 0 0 No Change 2016-08-01 2020-02-01 Prosthesis PY001 Optimed Ureteral Stents Soft-Polyurethane. Ureteral. Paediatric Ureteral. Renal Transplantation. Urinary Diversion. Ureteral - Diameter: 4.5Fr-8Fr Length: 22cm-36cm Paediatric Ureteral - Diameter: 3Fr-4Fr Length: 10cm-16cm Renal Transplantation - Diameter: 6Fr-8Fr Length:8cm-18cm Urinary Diversion - Diameter: 4.5Fr-9Fr Length: 70cm PY 26 227 1701 5322 SP 171564 222 0 0 No Change 2007-06-01 2020-02-01 Prosthesis WC024 Ultrathane Endoureteratomy Stent Set Ultrathane Endoureteratomy Stent Set 6/9.5 Fr & 7/14.0Fr , Multiple Length WC 26 227 1701 5322 SP 216072 222 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BS086 Polaris Ultra Ureteral Stent Dual durometer ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm BS 26 227 1701 5322 Therm 104324 129379 203 0 0 No Change 2006-03-24 2020-02-01 Prosthesis BS091 Percuflex; Percuflex Plus; Percuflex Plus SureDrive Ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm BS 26 227 1701 5322 Therm 104324 132306 203 0 0 No Change 2006-11-30 2020-02-01 Prosthesis BS092 Contour Ureteral Stent, Contour SureDrive Ureteral Stent Ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm BS 26 227 1701 5322 Therm 104324 203 0 0 No Change 2006-11-30 2020-02-01 Prosthesis BS093 Retromax Plus Ureteral Stent Ureteral stent Diameters up to 14Fr & lengths up to 40cm BS 26 227 1701 5322 Therm 104324 129379 203 0 0 No Change 2006-11-30 2020-02-01 Prosthesis BS116 Polaris Loop Ureteral Stent Dual durometer ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm BS 26 227 1701 5322 Therm 104324 129376 203 0 0 No Change 2007-06-01 2020-02-01 Prosthesis BS192 Percuflex® Helical Ureteral Stent with Hydro Plus™ Coating 6fr to 8fr and 10cm to 30cm BS 26 227 1701 5322 Therm 129376 203 0 0 No Change 2011-08-01 2020-02-01 Prosthesis BS363 Tria Ureteral Stent Tria Firm ureteral stent with attached suture Diameters up to 8Fr & lengths up to 30cm BS 26 227 1701 5322 Therm 129376 203 0 0 No Change 2019-11-01 2020-02-01 Prosthesis WC130 Ureteric Stent Set Set includes Aqueous Coated (AQ) firm fixed length ureteric stent, positioner, with or without wire guide Multiple French Sizes, and Lengths WC 26 227 1701 5322 Therm 216072 203 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC170 Universa Firm Universa Firm Double Pigtail Stent and Positioner only Multiple French Sizes and Lengths WC 26 227 1701 5322 Therm 174924 203 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT026 Biosoft Duo Double Loop Ureteral Stents Biosoft Duo double loop ureteral stents supplied with simple or steerable pusher, with or without guidewire and with or without flush catheter depending on the model. Duration of Implantation: 12 months 6 - 9 Fr 20 - 30 cm Either O/O or O/C CT 26 227 1701 5322 142925 224254 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT027 Vortek Single Loop Ureteral Stents Vortek Single Loop Ureteral Stents for drainage and urine collection 6, 7, 8 Fr 90cm length CT 26 227 1701 5322 142924 224254 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT029 Vortek Double Loop Ureteral Stents Vortek Double Loop Ureteral Stents have a double layered structure which make them easy to insert over guidewire, the stiffness of each size has been adapted in order to keep the mechanical properties. 4.8, 6, 7 & 8 Fr with steerable or simple pusher with or without guidewire O/O or O/C CT 26 227 1701 5322 142924 224254 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT030 Biosoft Minute Stent Biosoft minute double loop ureteral stent. Ready to use; the stent is in place over the guidewire and connected to the steerable pusher. Duration of implantation: 6 months. 6 - 8 Fr 24 - 30 cm length CT 26 227 1701 5322 142925 224219 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT031 Vortek TUMOR STENT Double loop ureteral stent Vortek Tumor Stent is reinforced with stiffness of material offering excellent resistance to compression. 7-8Fr 26-30cm in length CT 26 227 1701 5322 224254 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT032 Silicone Double Loop Ureteral Stent Silicone Double Loop Ureteral Stent with guidewire and pusher 6 - 8Fr 16cm - 30cm CT 26 227 1701 5322 142923 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis CT035 Vortek Hydro-Coated Double Loop Ureteral Stents Vortek Hydro-Coated Double Loop Ureteral Stents with simple or steerable pusher and with or without guidewire 4.8 - 7Fr 22 - 30cm lengths CT 26 227 1701 5322 224254 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis MH012 Silhouette System Ureteral Stent Set Coil reinforced body. SL-6 hydrophilic coating. UroWire 0.035" 3-in-1 guidewire with kink resistant nitinol core. Design divided into 3 sections: silver section (front end) floppy SL - 6 hydrophilic coating; Blue section (mid) super stiff PTFE (not hydrophicaly coated); and Green section (back) flexible Mulitple French Sizes & Lengths MH 26 227 1701 5322 116727 116728 188 0 0 No Change 2007-06-01 2020-02-01 Prosthesis OL078 Ureteral Stents Diversion Stent, silicone 7 - 8.5 F x 90cm OL 26 227 1701 5322 130442 136671 188 0 0 No Change 2011-02-01 2020-02-01 Prosthesis TX003 DD Ureteric Tumor Stent Set Open/Closed end with introducer and guide wire, Polyurethane 20 - 28cm TX 26 227 1701 5322 136657 188 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WC273 Ureteric Stent Set Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide Multiple French Sizes and Lengths WC 26 227 1701 5322 216072 188 0 0 No Change 2009-08-01 2020-02-01 Prosthesis WC226 RESONANCE Metallic Ureteral Stent Set Metallic Double Pigtail Stent 6 Fr, lengths 12-30cm WC 26 227 1701 5323 T 118616 1634 0 0 No Change 2006-03-24 2020-02-01 Prosthesis ET055 Memokath Ureteric Stent Memokath Model 051CW. 30mm - 200mm ET 26 227 1701 5323 Therm 141654 3589 0 0 No Change 2008-07-01 2020-02-01 Prosthesis MB016 Allium Ureteral Stent Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. Intended to be inserted into the lower ureter to allow free flow of urine from the kidney to the bladder. 8mm x 100mm, 8mm x 120mm, 10mm x 100mm, 10mm x 120mm MB 26 227 1701 5323 Therm 205005 3589 0 0 No Change 2013-08-01 2020-02-01 Prosthesis MB028 Allium URS Long Ureteral stent Fully covered, flexible, extra long ureteral stent 9 mm diameter 200 mm length MB 26 227 1701 5323 Therm 205005 3589 0 0 No Change 2018-08-01 2020-02-01 Prosthesis PY030 Taewoong ePTFE covered dual nitinol ureteral/urethral stent Taewoong ePTFE covered dual nitinol ureteral/urethral stent Diameter: 6mm to 16mm Length: 4cm to 20cm PY 26 227 1701 5323 Therm 130532 220258 3589 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WC218 C-Flex Multilength Ureteric Stent Set Set includes: Paediatric Stent, Wire, Positioner 3.7 Fr, Multiple Lengths WC 26 227 1702 5324 P 216072 241 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC219 C-Flex Double Pigtail Ureteric Stent Set Set includes: Paediatric Stent, Wire and Positioner 3.7 Fr, Multilple Lengths WC 26 227 1702 5324 P 216072 241 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC237 Radiance Ureteric Stent Set Synthetic Thermosensitive Ureteral Stent Set with Heparin Coating Multiple French Sizes and Lengths WC 26 227 1702 5324 SP 143001 248 0 0 No Change 2008-07-01 2020-02-01 Prosthesis BA044 Ureteral Stent Hydrophilic coated ureteral stent Fr 4.7 – 8.0, Length 22-32cm BA 26 227 1702 5324 235658 189 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC282 Universa Soft Ureteral Stent Set Universa Soft Ureteral Stent Set, with or without the TFE WireGuide, multi-length 5, 6, 7 and 8FR in multi-length (21-31CM) WC 26 227 1702 5324 174924 216072 189 0 0 No Change 2010-08-01 2020-02-01 Prosthesis WC217 Sof-Flex Multilength Ureteric Stent Set Set includes: Paediatric Stent, Wire, Positioner 3 Fr, Multiple Lengths WC 26 227 1702 5325 P 216072 246 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC220 Sof-Flex Double Pigtail Ureteric Stent Set Set includes: Paediatric Stent, Wire, Positioner 3 Fr, Multiple Lengths WC 26 227 1702 5325 P 216072 246 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC023 Greene Renal Transplant Stent Set Transplant stent set Multiple French Sizes, Multi-length WC 26 227 1702 5325 SP 216072 231 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC138 Filiform Double Pugtail Silicone Stent Set Stent, Wire, Positioner Multiple French Sizes and Lengths WC 26 227 1702 5325 T 216072 252 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BS094 Contour VL; Stretch VL Flexima; Ureteral Stents Ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm BS 26 227 1702 5325 Therm 129376 201 0 0 No Change 2006-11-30 2020-02-01 Prosthesis WC035 Ureteric Stent Set Set includes Aqueous Coated (AQ) firm multilength ureteric stent, positioner, with or without wire guide Multiple French Sizes, Multi-Length WC 26 227 1702 5325 Therm 216072 201 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC169 Universa Firm Universa Firm Multi-length stent set Multiple French Sizes and Lengths WC 26 227 1702 5325 Therm 174924 201 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC171 Universa Firm Universa Firm Multi-length Stent and Positioner only Multiple French Sizes and Lengths WC 26 227 1702 5325 Therm 174924 201 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT023 Biosoft Duo Multi Length Hydro-Coated Ureteral Stents Biosoft Duo Multi Length Hydro-Coated Stents for drainage of upper urinary tract. 4.8, 6. 7 Fr CT 26 227 1702 5325 142925 188 0 0 No Change 2016-08-01 2020-02-01 Prosthesis OL076 Ureteral Stents Single J Ureteric Stent, silicone 7 - 8.5 F x 90cm OL 26 227 1702 5325 130442 136671 188 0 0 No Change 2011-02-01 2020-02-01 Prosthesis OL077 Ureteral Stents Double J Ureteric stent, silicone 6-8.5 F, 12 - 30 cm OL 26 227 1702 5325 130442 188 0 0 No Change 2011-02-01 2020-02-01 Prosthesis OL080 Ureteral Stents Tecoflex polymer, hydrophilic coating/PTFE coating 4.5F-8.5F x length 8 - 32cm OL 26 227 1702 5325 130442 188 0 0 No Change 2011-02-01 2020-02-01 Prosthesis WC002 Sof-Flex Multi-length Ureteric Stent Set Set includes Stent, Wire, Positioner Multiple French Sizes, Multi-length WC 26 227 1702 5325 216072 188 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC003 Sof-Flex Multi-length Ureteric Stent Set Stent and Positioner only Multiple French Sizes, Multi-length WC 26 227 1702 5325 216072 188 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC104 Cook Ureteral Stent - Sof-Flex Double Pigtail Stent Set - Special Radiopaque Sof-Flex Stent, Stainless Steel Wire Guide, Radiopaque Polyurethane Catheter and Radiolucent Vinyl Positioner Multiple French Sizes and Lengths WC 26 227 1702 5325 216072 188 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC147 Kwart Retro-Inject Stent Set Stent, Wire, Inserter, Release Sleeve Multiple French Sizes and Lengths WC 26 227 1702 5325 216049 188 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC150 Sof-Flex Double Pigtail Ureteric Stent Set Set includes: Stent, Wire, Positioner Multiple French Sizes and Lengths WC 26 227 1702 5325 216072 188 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC272 Ureteric Stent Set Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide Multiple French Sizes, multi-length WC 26 227 1702 5325 216072 188 0 0 No Change 2009-08-01 2020-02-01 Prosthesis WC128 Bander Ureteral Diversion Stent Set Left and Right Stents Multiple French Sizes and Lengths WC 26 227 1703 D 216072 201 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BS095 Urinary Diversion Stents Percuflex urinary diversion stent Diameters up to 14Fr & lengths up to 95cm BS 26 227 1703 104324 129379 125 0 0 No Change 2006-11-30 2020-02-01 Prosthesis WC031 Bander Ureteral Diversion Stent Set Left or right stent Multiple French Sizes and Lengths WC 26 227 1703 216072 125 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ET054 Memokath Prostatic - Urethral Stents Memokath Models: 028S, 028SW, 028T, 028TW, 044T, 044TW, 045T, 045TW, 045TTW 5mm - 90mm ET 26 256 1800 5501 141653 2351 0 0 No Change 2008-07-01 2020-02-01 Prosthesis MB013 Allium Bulbar Urethral Stent Round Nitinol stent with co-polymer covering and supplied premounted on a delivery tool. 50, 55, 60, 80 mm MB 26 256 1800 5501 205004 2351 0 0 No Change 2013-08-01 2020-02-01 Prosthesis MB014 Allium Round Posterior Urethral Stent Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by male stenotic posterior urethra or stenotic bladder-neck. The RPS has a body length of 40mm and a main body calibre of 45Fr MB 26 256 1800 5501 205004 2351 0 0 No Change 2013-08-01 2020-02-01 Prosthesis MB015 Allium Triangle Prostatic Urethral Stent Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by enlarged prostate. Body lengths 30, 40, 50, 60, 65mm main body calibre 45Fr MB 26 256 1800 5501 205004 2351 0 0 No Change 2013-08-01 2020-02-01 Prosthesis WC126 Firlit-Kluge Uretheral Stent Firlit-Kluge uretheral stent Multiple French Sizes, Length 30cm WC 26 256 1800 5502 214821 55 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WC136 Zaontz Urethral Stent Zaontz Urethral Stent Multiple French Sizes, Length 12cm WC 26 256 1800 5502 214821 55 0 0 No Change 2005-10-31 2020-02-01 Prosthesis TX055 UroLift® System Prostatic urethral tissue-retaining retractor with adjustable retraction. One system TX 26 256 1801 200361 712 0 0 No Change 2018-02-01 2020-02-01 Prosthesis BS252 Upsylon Y-Mesh Kit Y-Mesh with single use instrument for mesh placement Graft Dimensions: 24 x 4 cm BS 26 229 1706 5326 ap 150342 643 0 0 No Change 2013-08-01 2020-02-01 Prosthesis CT017 Restorelle Y Smartmesh Smartmesh for vaginal vault prolapse repair for abdominal, laproscopic or robotic sacrocolpopexy. 24cm x 4cm and 27cm x 4cm. CT 26 229 1706 5326 ap 190172 643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis CT016 Restorelle M Smartmesh Smartmesh, Type 1, macroporous, soft, knitted, monofilament polypropylene mesh. 15cm x 10cm CT 26 229 1706 5326 190172 The provision of the prosthesis is only to be funded when used in conjunction with MBS Item No. 35597. See rule 5B for effect of Condition. 294 0 0 No Change 2012-02-01 2020-02-01 Prosthesis CT019 Restorelle L Smartmesh Smartmesh, Type 1, macroprous, soft, knitted, monofilament polypropylene mesh 24cm x 8cm CT 26 229 1706 5326 190172 294 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CT020 Restorelle XL Smartmesh Smartmesh, Type 1, macroporous, soft, knitted, monofilament polypropylene mesh 30cm x 30cm CT 26 229 1706 5327 190172 643 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BS185 Xenform Soft Tissue Repair Matrix 2x7cm Graft derived from fetal dermal bovine tissues 2x7cm BS 26 229 1707 5328 174878 747 0 0 No Change 2011-02-01 2020-02-01 Prosthesis BS186 Xenform Soft Tissue Repair Matrix 4x7cm Graft derived from fetal dermal bovine tissues 4x7cm BS 26 229 1707 5328 174878 747 0 0 No Change 2011-02-01 2020-02-01 Prosthesis BS187 Xenform Soft Tissue Repair Matrix 6x10cm Graft derived from fetal dermal bovine tissues 6x10cm BS 26 229 1707 5328 174878 747 0 0 No Change 2011-02-01 2020-02-01 Prosthesis BS188 Xenform Soft Tissue Repair Matrix 8x12cm Graft derived from fetal dermal bovine tissues 8x12cm BS 26 229 1707 5329 174878 1140 0 0 No Change 2011-02-01 2020-02-01 Prosthesis CT007 Genesis Penile Prosthesis (Resist Coated) Malleable Penile Prosthesis (Resist Coated) Dia: 9.5 mm (14 - 23cm lengths), Dia: 11mm (16 - 25cm lengths), Dia: 13mm (18 - 27cm lengths) CT 26 230 1721 A 140302 855 0 0 No Change 2007-12-01 2020-02-01 Prosthesis AM054 AMS Spectra Concealable Penile Prosthesis AMS Spectra Concealable Penile Prosthesis 9.5 mm x 12cm AMS Spectra 9.5 mm x 16cm AMS Spectra 9.5 mm x 20cm AMS Spectra 12 mm x 12cm AMS Spectra 12 mm x 16cm AMS Spectra 12 mm x 20cm AMS Spectra 14 mm x 12cm AMS Spectra 14 mm x 16cm AMS Spectra 14 mm x 20cm AMS Spectra 9.5mm Spectra Rear AM 26 230 1721 165751 776 0 0 No Change 2010-08-01 2020-02-01 Prosthesis AM041 AMS Ambicor AMS Ambicor Inflatable Penile Prostheses AMS Ambicor Inflatable Penile Prostheses 12.5mm in 14, 16 & 18cm length, 14mm in 16, 18 & 20cm length, 15.5mm in 18, 20 & 22cm length AM 26 230 1709 A 131717 9893 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT001 Excel Inflatable Penile Prosthesis (Resist Coated) Two-piece inflatable penile prosthesis (Resist Coated) Cylinder lengths 10,12,14,16,18,20,22cm & six rear-tip extenders (two each 1, 2 & 3cm) CT 26 230 1709 A 140110 9893 0 0 No Change 2007-12-01 2020-02-01 Prosthesis MB022 Zephyr Hydraulic Penile Implant This hydraulic penile implant is made from silicone elastomer and comprises of two inflatable cylinders. a reservoir and a pump. All sizes contained in one system pack. (13, 16, 19 cm) MB 26 230 1709 A 216415 9893 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MB027 Zephyr Hydraulic Phalloplasty Penile Implant Hydraulic phalloplasty penile implant 120-210 mm MB 26 230 1709 A 216415 9893 0 0 No Change 2017-08-01 2020-02-01 Prosthesis AM004 AMS 700 Series Inflatable Penile Prostheses with Inhibizone Cylinders 700 Series with InhibiZone 12, 14, 15, 16, 18, 21cm AM 26 230 1710 5330 A 125444 3638 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT008 Titan Inflatable Penile Prosthesis (Resist Coated) - Cylinders Cylinders for three component penile prosthesis (Resist Coated) 10, 12, 14, 16, 18, 20, 22cm CT 26 230 1710 5330 A 140111 3638 0 0 No Change 2007-12-01 2020-02-01 Prosthesis AM022 AMS 700 Series Inflatable Penile Prostheses Cylinders 700 Series (Non InhibiZone) 12, 14, 15, 16, 18, 21cm AM 26 230 1710 5330 106606 3344 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AM038 AMS 700 Series Inflatable Penile Prostheses InhibiZone Reservoir 700 Series InhibiZone 50, 65, 100ml AM 26 230 1710 5331 A 125444 1881 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT010 Titan Inflatable Penile Prosthesis (Resist Coated) - Lock-out Valve Reservoir Reservoir for three component penile prosthesis (Resist Coated) 60, 75, 100ml CT 26 230 1710 5331 A 140111 1881 0 0 No Change 2007-12-01 2020-02-01 Prosthesis AM044 AMS 700 Series Inflatable Penile Prostheses Reservoir non Inhibizone 700 Series (Non InhibiZone) 50, 65, 100ml AM 26 230 1710 5331 106606 1705 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AM036 AMS 700 Series Inflatable Penile Prostheses with InhibiZone Pump 700 Series with InhibiZone One Size AM 26 230 1710 5332 A 125444 4432 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT011 Titan Inflatable Penile Prosthesis (Resist Coated) - Pump Pump for three component penile prosthesis (Resist Coated) One Size CT 26 230 1710 5332 A 140111 4432 0 0 No Change 2007-12-01 2020-02-01 Prosthesis AM042 AMS 700 Series Inflatable Penile Prostheses Pump 700 Series (Non InhibiZone) One Size AM 26 230 1710 5332 106606 4076 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AM040 AMS 700 Series Inflatable Penile Prostheses with InhibiZone Deactivation Package 700 Series with InhibiZone One Size AM 26 230 1710 5333 125444 128 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AM046 AMS 700 Series Inflatable Penile Prostheses Deactivation Package 700 Series (Non InhibiZone) One Size AM 26 230 1710 5333 106606 128 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT012 Titan Inflatable Penile Prosthesis (Resist Coated) - True-lock Plug True Lock Plug for deactivation of three component penile prosthesis (Resist Coated) One Size CT 26 230 1710 5333 140111 128 0 0 No Change 2007-12-01 2020-02-01 Prosthesis CT005 Titan Inflatable Penile Prosthesis (Resist Coated) - Assembly Kit Assembly kit for three component penile prosthesis (Resist Coated) Standard & Narrow -base CT 26 230 1710 5334 A 140111 655 0 0 No Change 2007-12-01 2020-02-01 Prosthesis AM045 AMS 700 Series Inflatable Penile Prostheses Accessory Kit 700 Series (Non InhibiZone) One Size AM 26 230 1710 5334 106606 655 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AM037 AMS 700 Series Inflatable Penile Prostheses with InhibiZone Pump & Cylinders Preconnected 700 Series with InhibiZone 12, 14, 15, 16, 18, 21cm AM 26 230 1710 5335 A 125444 8070 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT009 Titan Inflatable Penile Prosthesis (Resist Coated) - Cylinders & Pump Preconnected Preconnected Cylinders & pump for three component penile prosthesis (Resist Coated) 10, 12, 14, 16, 18, 20, 22cm (in both infrapubic & scrotal models) CT 26 230 1710 5335 A 140111 8070 0 0 No Change 2007-12-01 2020-02-01 Prosthesis AM043 AMS 700 Series Inflatable Penile Prostheses Pump & Cylinders Preconnected 700 Series (Non InhibiZone) 12, 14, 15, 16, 18, 21cm AM 26 230 1710 5335 106606 7419 0 0 No Change 2005-10-31 2020-02-01 Prosthesis CT003 Saline Filled Testicular Prosthesis Testicular Prosthesis Extra Small, Small, Medium, Large CT 26 231 1711 140205 620 0 0 No Change 2007-12-01 2020-02-01 Prosthesis CT004 Soft Solid Testicular Prosthesis Gel filled Testicular Prosthesis Small, Medium, Large & Extra Large CT 26 231 1711 179463 620 0 0 No Change 2007-12-01 2020-02-01 Prosthesis ET028 Promedon Testicular Prosthesis Silicone Elastomer Small - 31 x 23 mm, Medium - 37 x 28 mm, Large - 42 x 32 mm, Xlarge ET 26 231 1711 136709 620 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JT008 Testicular Implants Testicular Implants with needle guide or reinforced cap for fixation The Testicular Implants with needle guide or reinforced cap are available in 5 different sizes ranging from 5, 12, 21, 27 and 36 grams. JT 26 231 1711 168141 620 0 0 No Change 2015-02-01 2020-02-01 Prosthesis UQ001 SP002 Testicular Implant Silicone Elastomer Small / Medium / Large UQ 26 231 1711 137352 620 0 0 No Change 2019-11-01 2020-02-01 Prosthesis MC719 InterStim Neurostimulator Model 3023 Titanium 42g MC 26 232 1712 125909 9073 0 0 No Change 2006-11-30 2020-02-01 Prosthesis MC755 InterStim II Neurostimulator Titanium Weight 22g MC 26 232 1712 136721 9073 0 0 No Change 2007-12-01 2020-02-01 Prosthesis MC756 InterStim iCON Patient Programmer Hand held device Model 3037 to be used with implantable neurostimulation devices One size only MC 26 232 1713 5337 137808 1330 0 0 No Change 2007-12-01 2020-02-01 Prosthesis MI128 Medtronic Controller Patient programmer One size only MI 26 232 1713 5337 207835 1330 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MI126 Verify External Neurostimulator External Neurostimulator One size only MI 26 232 1713 5518 215635 1140 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MI074 Sacral Nerve Stimulation Lead 4 Electrode tined lead 28 - 41cm MI 26 232 1714 5339 tined 98338 4199 0 0 No Change 2013-02-01 2020-02-01 Prosthesis MC185 Sacral Nerve Stimulation Unilateral Interstim Temporary test stimulation lead Various MC 26 232 1714 5340 137441 373 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MC777 Interstim Extension Lead Quadripolar Extension Kit 10, 25, 51cm MC 26 232 1714 5341 150165 1434 0 0 No Change 2008-07-01 2020-02-01 Prosthesis MI169 Interstim Trial Lead and Screener Kit Trial lead and screener cables kit One size only MI 26 232 1714 6036 137441 753 0 0 No Change 2015-08-01 2020-02-01 Prosthesis MC775 Interstim Lead Introducer Kit Lead Introducer Kit for Sacral Nerve Stimulation One size only MC 26 232 1715 5342 133763 514 0 0 No Change 2008-07-01 2020-02-01 Prosthesis MC186 Sacral Nerve Stimulation Accessories Foramen Needle. (box of 6) Sterile individual units. Stainless steel. One size only; 9-12.5cm MC 26 232 1715 5343 121280 123 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MI127 Medtronic Cables Stimulation Cables for Intraoperative testing Various MI 26 232 1715 5517 119991 190 0 0 No Change 2014-02-01 2020-02-01 Prosthesis FE003 Filshie Clips - Sterishot With Disposable Applicator One Size FE 26 233 1716 5344 With applicator 157661 389 0 0 No Change 2005-10-31 2020-02-01 Prosthesis FE001 Filshie Clip Titanium One size only FE 26 233 1716 5344 153023 147 0 0 No Change 2005-10-31 2020-02-01 Prosthesis OL079 Falope-Ring Bands Fallopian Tube Clip (each) 5mm - 12mm OL 26 233 1716 5345 130442 136671 37 0 0 No Change 2011-02-01 2020-02-01 Prosthesis BA250 Navarre Drainage Catheter A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique. 6-12 French, Length: 15-40cm BA 26 234 1718 180316 180317 114 0 0 No Change 2014-02-01 2020-02-01 Prosthesis BS228 Flexima Nephrostomy Catheter Urinary drainage catheters for internal and external drainage of the urinary tract. Length up to 25cm BS 26 234 1718 132027 114 0 0 No Change 2013-02-01 2020-02-01 Prosthesis CB018 Skater Nephrostomy Drainage Catheter A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique. 6 - 14 Fr CB 26 234 1718 223260 114 0 0 No Change 2015-08-01 2020-02-01 Prosthesis ME216 NEPHRO-CATH Nephrostomy Drainage Catheter Nephrostomy Drainage Catheter Diameters: 8fr to 14fr sizes; Lengths 27cm through to 29cm ME 26 234 1718 98030 114 0 0 No Change 2017-08-01 2020-02-01 Prosthesis WC291 Dawson-Mueller Drainage Catheter A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique. 5-14 Fr, Length: 15-25cm WC 26 234 1718 139357 114 0 0 No Change 2012-02-01 2020-02-01 Prosthesis GN003 Vantris Bulking agent for the treatment of Vesicoureteric Reflux 1ml Syringe GN 26 235 1719 169958 950 0 0 No Change 2012-02-01 2020-02-01 Prosthesis RW001 LD002 Deflux Deflux is a sterile, highly viscous gel of dextranomer microspheres and non-animal stabilised hyaluronic acid constituting a biocompatible and biodegradable implant for the treatment of vesicoureteral reflux. The stabilised hyaluronic acid acts mainly as 1ml in syringe RW 26 235 1719 267148 950 0 0 No Change 2019-11-01 2020-02-01 Prosthesis RW002 LD001 Deflux and Metal needle kit Deflux is a sterile, highly viscous gel of dextranomer microspheres and non-animal stabilised hyaluronic acid constituting a biocompatible and biodegradable implant for the treatment of vesicoureteral reflux. The stabilised hyaluronic acid acts mainly as 1 ml syringe and needle size 3.7FR x 23G x 350mm RW 26 235 1719 267148 950 0 0 No Change 2019-11-01 2020-02-01 Prosthesis WR272 INBONE® Total Ankle System: Poly Insert Poly Insert, Standard or Plus Sizes 1-6, 6-20mm thick WR 13 124 1269 3645 168052 627 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR322 INFINITY Total Ankle System: Poly Insert UHMWPE poly insert, Standard or Plus Sizes 1-5; 6-13mm thick WR 13 124 1269 3645 168052 627 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR367 TO094 Salto Talaris Ankle Prosthesis - Tibial insert Tibial insert, fixed, UHMWPE Sizes 0,1,2,3, Left and Right, each size available in the following thicknesses, 8mm, 9mm,10mm,11mm, 13mm,15mm, 17mm, 19mm, 21mm. Sizes 00, Left and Right, available in the following thicknesses, 8mm,9mm,10mm,11mm. WR 13 124 1269 3645 134055 627 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA022 TM Ankle Tibial Polyethylene Insert 6 sizes of the polyethylene insert with standard, +2 mm and +4 mm offsets ZA 13 124 1269 3645 202429 627 0 0 No Change 2019-03-01 2020-02-01 Prosthesis CR219 Zenith Total Ankle Replacement System – Meniscal Component The Meniscal component the mobile bearing component of the Zenith total ankle replacement system. size x thickness: Sizes 1-4, Thickness 5mm,6mm,7mm,8mm,10mm,12mm CR 13 124 1269 3646 115739 591 0 0 No Change 2015-02-01 2020-02-01 Prosthesis DY408 Mobility Ankle Mobile Bearing 1-6 from 3-11mm SY 13 124 1269 3646 98045 591 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ER385 Hintermann Series H3™ Total Ankle Prosthesis-Inlay Hintermann Series H3™ Total Ankle Prosthesis-Inlay, UHMW Polyethylene 0-6, thickness 5-9 mm ER 13 124 1269 3646 289319 591 0 0 No Change 2017-08-01 2020-02-01 Prosthesis MJ016 Box Ankle Meniscal Insert, UHMWPE Small 5-8mm, Medium 5-8mm and Large 5-8mm MJ 13 124 1269 3646 122926 192629 591 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SK626 STAR Ankle Prosthesis UHMWPE Sliding Core 6- 14mm SK 13 124 1269 3646 237795 591 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR260 CCI Evolution CCI Evolution Bearing Component Std/Std+/Large, 4-10mm WR 13 124 1269 3646 133918 591 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR356 TO073 Cheville Salto Ankle Prostheses Mobile insert UHMWPE Sizes 0,1,2,3. Each size has thickness 4,5,6 & 7mm WR 13 124 1269 3646 134055 591 0 0 No Change 2019-03-01 2020-02-01 Prosthesis DE293 Prostop Arthroereisis Subtalar implant 7x12mm 8x12mm 9x14mm 10x14mm 11x16mm 12x16mm DE 13 124 1219 3261 98527 1321 0 0 No Change 2009-08-01 2020-02-01 Prosthesis IG053 MBA Titanium Subtalar Implant Implant for subtalar joint arthroereisis 6, 8, 9, 10, 12mm and guide pin 2mm IG 13 124 1219 3261 161000 1321 0 0 No Change 2010-02-01 2020-02-01 Prosthesis IT017 Arch It Subtalar Arthroereisis Implant 8mm, 9mm, 10mm, 11mm & 12mm IT 13 124 1219 3261 266192 1321 0 0 No Change 2016-02-01 2020-02-01 Prosthesis IT035 Fuse It Healing Screw Fenestrated conical fusion cage - intended to be used in situations where an aid is required to help facilitate bone fusion and alignment generally following an osteotomy but also in the instance of large bone deformities and complex fusion procedures. Diameters from 6mm-16mm, lengths from 10mm-30mm IT 13 124 1219 3261 308601 1321 0 0 No Change 2019-11-01 2020-02-01 Prosthesis LM100 Hyprocure Sinus Tarsi Implant 5-9mm LM 13 124 1219 3261 291288 1321 0 0 No Change 2010-08-01 2020-02-01 Prosthesis LM373 Subtalar Implants Subtalar Implants All sizes LM 13 124 1219 3261 308018 1321 0 0 No Change 2019-07-01 2020-02-01 Prosthesis PB045 Subtalar Implant Conical tapered titanium implant to treat flat foot and stabilise subtalar joint 7 – 12mm PB 13 124 1219 3261 223188 1321 0 0 No Change 2016-08-01 2020-02-01 Prosthesis SF090 R2 Subtalar Implant R2 Subtalar Implant Size 7/13mm to 12/18mm SF 13 124 1219 3261 184460 1321 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR001 BioArch Subtalar Arthroereisis Implant Conical, tapered, titanium implant with blunt thread design. 8, 9, 10, 11, 12mm WR 13 124 1219 3261 164928 1321 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR389 TO116 Futura Conical Subtalar Implant The Conical Subtalar Implant (CSI) is designed to treat hyperpronated foot and to stabilize the subtalar joint. It is intended to block forward, downward and medial displacement of the talus, allowing for normal subtalar joint motion while simultaneously 7 - 12 WR 13 124 1219 3261 13055 1321 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI975 Vario Subtalar Screw System Titanium screw system for the subtalar arthroereisis 10-16mm diameter ZI 13 124 1219 3261 274567 1321 0 0 No Change 2017-08-01 2020-02-01 Prosthesis CR217 Zenith Total Ankle Replacement System - Talar Component Talar Component is a components of the Zenith total ankle replacement system. Sizes 1 - 4 CR 13 124 1460 4040 CS 115739 2185 0 0 No Change 2015-02-01 2020-02-01 Prosthesis DY419 Mobile Ankle Uncemented Porocoat Talar component Size 1-6 SY 13 124 1460 4040 98045 2185 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ER383 Hintermann Series H3™ Total Ankle Prosthesis-Talar Component Hintermann Series H3™ Total Ankle Prosthesis-Talar component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating 0-6 ER 13 124 1460 4040 289321 2185 0 0 No Change 2017-08-01 2020-02-01 Prosthesis MJ017 Box Ankle Talar Component CoChr. Cementless Small, Medium and Large MJ 13 124 1460 4040 122926 192629 2185 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SK624 STAR Ankle Prosthesis Talar Component, cemented xx-Small - x- large SK 13 124 1460 4040 237795 2185 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK627 STAR Ankle Prosthesis Talar Component, cementless xx- small - x-large SK 13 124 1460 4040 237795 2185 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR259 CCI Evolution CCI Evolution Talar Component Std/Std+/Large WR 13 124 1460 4040 133918 2185 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR273 INBONE® II Total Ankle System: Talar Component Modular Talar Dome and Talar Stem Sizes 1-6 WR 13 124 1460 4040 168052 2185 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR321 INFINITY Total Ankle System: Talar Component Talar dome Sizes 1-5 WR 13 124 1460 4040 168052 2185 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR328 INVISION Talar Component Talar Dome Size 1, 2, 3, 4, 5 WR 13 124 1460 4040 168052 2185 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR355 TO072 Salto Ankle Prostheses Talar component mobile bearing CoCr, Ti, HA Sizes 0,1,2,3 left and right WR 13 124 1460 4040 134055 2185 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR365 TO092 Salto Talaris Ankle Prosthesis - Talar component Talar compoment, CrCo + Ti Sizes 0, 1, 2, 3, Left and Right WR 13 124 1460 4040 134055 2185 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA027 TM Ankle Talar Component 6 sizes of left and right ZA 13 124 1460 4040 202429 2185 0 0 No Change 2019-03-01 2020-02-01 Prosthesis CR218 Zenith Total Ankle Replacement System - Tibial Component The Tibial Component a component of the Zenith total ankle replacement system. Sizes 1 - 4 CR 13 124 1460 4041 115739 1900 0 0 No Change 2015-02-01 2020-02-01 Prosthesis DY418 Mobile Ankle Uncemented Porocoat Tibial component Size 1-6 SY 13 124 1460 4041 98045 1900 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ER384 Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating 0-6, 8 or 12mm thickness (revision) ER 13 124 1460 4041 289424 1900 0 0 No Change 2017-08-01 2020-02-01 Prosthesis MJ018 Box Ankle Tibial Component CoChr. Cementless Small, Medium and Large MJ 13 124 1460 4041 122926 192629 1900 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SK625 STAR Ankle Prosthesis Tibial Component, cemented xx-small - x-large SK 13 124 1460 4041 237795 1900 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK628 STAR Ankle Prosthesis Tibial Component, cementless xx-small - x-large SK 13 124 1460 4041 237795 1900 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK629 STAR Ankle Prosthesis Revision Tibial Component, Cemented Extra small - Extra large SK 13 124 1460 4041 167057 1900 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR261 CCI Evolution CCI Evolution Tibial Component Std/Std+/Lge/Lge+ WR 13 124 1460 4041 133918 1900 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR354 TO071 Cheville Salto Ankle Prostheses Tibial component mobile bearing CoCr, Ti, HA Sizes 0,1,2,3 left and right WR 13 124 1460 4041 134055 1900 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR274 INBONE® II Total Ankle System: Tibial Component Modular Tibial Tray, Tibial Base Stem, Tibial Top Stem Sizes 2-5 WR 13 124 1460 4042 168052 1638 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR320 INFINITY Total Ankle System: Tibial Component Tibial tray Sizes 1-5 and 3 Long, 4 Long, 5 Long WR 13 124 1460 4042 168052 1638 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR327 INVISION Tibial Component Tibial Tray, Standard or Long Sizes 2, 3, 4, 5; Standard or Long; +4mm; +8mm WR 13 124 1460 4042 168052 1638 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR366 TO093 Salto Talaris Ankle Prosthesis - Tibial component Tibial component, fixed bearing, CrCo + Ti Sizes 0, 1,2,3 WR 13 124 1460 4042 134055 1638 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA024 TM Ankle tibial base component 6 sizes ZA 13 124 1460 4042 202429 1638 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR275 INBONE II Total Ankle System: Tibial Stem Extender Modular Tibial Segment – Mid Stem 12mm, 14mm, 16mm, 18mm WR 13 124 1460 6021 168052 719 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR329 INVISION Talar Augment Talar Augment 15, 20, 25, 30, 35mm Diameter; 6mm and 10mm Depth WR 13 124 1460 6021 168052 719 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR330 INVISION Talar Plate Talar Plate Sizes 1 – 5, Left or right, standard or long, 3mm, 6mm WR 13 124 1460 6021 168052 719 0 0 No Change 2019-03-01 2020-02-01 Prosthesis LM265 Reflexion 1st MPJ Implant System Reflexion metatarsal stems, 3 part 1st MPJ reconstruction system, 2 part composition - titanium/cobalt chrome, 1 part composition - titanium/UHMWPE, Small, medium, large LM 13 124 1461 4044 202432 760 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SM008 Toefit - Plus Titanium alloy Metatarsal Component XS-L SM 13 124 1461 4044 122863 760 0 0 No Change 2008-07-01 2020-02-01 Prosthesis SM047 Toefit - Plus Modular cobalt chrome meta-tarsal head insert for proximal component of total Metatarsophalangeal arthroplasty Proximal Insert 6, 7, 8 SM 13 124 1461 4044 122863 760 0 0 No Change 2008-07-01 2020-02-01 Prosthesis LM267 Reflexion 1st MPJ Implant System ReflexionPhalangeal Bases, 3 part 1st MPJ reconstruction system, 2 part composition - titanium/cobalt chrome, 1 part composition - titanium/UHMWPE, Small, medium, large LM 13 124 1461 4045 202432 751 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SM009 Toefit - Plus Titanium Alloy Phalangeal Component XS-L SM 13 124 1461 4045 122863 751 0 0 No Change 2008-07-01 2020-02-01 Prosthesis LM266 Reflexion 1st MPJ Implant System Reflexion metatarsal heads, 3 part 1st MPJ reconstruction system, 2 part composition - titanium/cobalt chrome, 1 part composition - titanium/UHMWPE, Standard, long, extra-long LM 13 124 1461 4046 202432 503 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SM046 Toefit - Plus Polyethylene Polyethylene Distal Insert 11 - 15mm SM 13 124 1461 4046 122863 503 0 0 No Change 2008-07-01 2020-02-01 Prosthesis AE138 Hemi CAP Articular Resurfacing Great Toe System Articular Component 12mm (1-2mm x 1.5-3mm offset), 15mm (1.5-2.5mm x 2.5-4.5mm offset) AE 13 124 1461 4047 123538 703 0 0 No Change 2011-08-01 2020-02-01 Prosthesis AE139 Hemi CAP Articular Resurfacing Great Toe System Fixation Component 8mm x 16mm, 9.5mm x 18mm AE 13 124 1461 4047 123538 703 0 0 No Change 2011-08-01 2020-02-01 Prosthesis SM045 Toefit - Plus Chromium Cobalt Distal Insert 13 - 17mm SM 13 124 1461 4047 122863 703 0 0 No Change 2008-07-01 2020-02-01 Prosthesis DE289 AnaToemic AnaToemic Phalangial Prosthesis 17mm, 20mm, 21.5mm, 23mm DE 13 124 1461 4048 141580 1145 0 0 No Change 2009-02-01 2020-02-01 Prosthesis LM264 Hemi-Great Toe Implant Great Toe implant, Cobalt Chromium XS, S, M, L LM 13 124 1461 4048 202433 1145 0 0 No Change 2015-08-01 2020-02-01 Prosthesis LM363 LH232 Toe Joint Metallic Hemiarthroplasty resurfacing prosthesis for the Metatarsophalangeal Joint 8mm - 23 mm LM 13 124 1461 4048 141544 1145 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR045 Wright Titanium Great Toe Great toe titanium 0,1, 2, 3, 4 WR 13 124 1461 4048 131003 1145 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR047 LPT Great Toe Implant Titanium LPT Metatarsal Component available in Regular and Angled Toe Sizes 1, 2 & 3 Regular Great Toe Implants. Sizes 1 & 2 Angled Great Toe Implants WR 13 124 1461 4048 131003 1145 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR044 WMT Orthopaedics Implants Hinge Toe and Hammertoe Implant Silastic flexible hinge toe with/without grommets 0, 1, 2, 3, 4, 5, 6, 7 WR 13 124 1461 4049 131003 548 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR390 TO117 Stayfuse Titanium inter-digital fusion device Prox 2.8mm Blue; Mid 3.8mm x 6mm Blue; Mid 4.3mm x 6mm Blue; Prox 3.3mm Grey; Prox 3.8mm Grey; Mid 3.8 x 6mm Grey; Mid 4.3 x 6mm Grey; Mid 5.0 x 5mm Grey; Mid 5.0 x 6mm Grey; Prox 6.5mm Gold; Distal 5.5 x 10mm Gold; Distal 6.5 x 10mm Gold WR 13 124 1461 4049 130856 548 0 0 No Change 2019-03-01 2020-02-01 Prosthesis IG110 Universal2 Carpal Component Carpal plate (titanium) with fixed central peg and porous coating xs, small, med, large IG 13 131 1273 3664 160521 1710 0 0 No Change 2011-08-01 2020-02-01 Prosthesis MO416 Motec Wrist Joint Prosthesis Metacarpal Threaded Implant 45-70mm lengths in 5mm increments, both in Small and Large sizes MO 13 131 1273 3664 35727 1710 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SK596 Total Wrist Implant System Carpal Component Small, Medium, Large SK 13 131 1273 3664 237799 1710 0 0 No Change 2015-08-01 2020-02-01 Prosthesis IG112 Universal2 Radial Component Radial Implant (cobalt chrome) with integral stem and porous coating x-small - left & right, small - left & right, medium - left & right, large - left & right IG 13 131 1273 3665 160521 3111 0 0 No Change 2011-08-01 2020-02-01 Prosthesis LM347 KinematX Wrist Arthroplasty System Modular Wrist Arthroplasty 1, 2, 3 LM 13 131 1273 3665 242002 3111 0 0 No Change 2018-02-01 2020-02-01 Prosthesis MO417 Motec Wrist Joint Prosthesis Radius Threaded Implant Radius threaded Implant, lengths 32mm; 38mm & 44mm MO 13 131 1273 3665 35727 3111 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SK592 Total Wrist Implant System Left and Right Radial Components Small, Medium, Large SK 13 131 1273 3665 237794 3111 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK623 Stability Sigmoid Notch Total DRUJ system / Stability Sigmoid Notch Radial Stem and Insert. Total Wrist Implant System Radial stem is made of Cobalt chromium with a CPTi plasma spray on the back for bone ongrowth. Radial Insert is made of UHMWP Polyethyelene Small & Large SK 13 131 1273 3665 239452 240015 252452 3111 0 0 No Change 2015-08-01 2020-02-01 Prosthesis IG111 Universal2 Carpal Poly Component Polyethylene carpal component to restore proper carpal height in Universal2 total wrist implant xs-standard, xs +1, xs+2, small - standard, small +1, small +2, Med-standard, med+1, med+2; large-standard, large+1, large+2 IG 13 131 1273 3666 160521 2043 0 0 No Change 2011-08-01 2020-02-01 Prosthesis LM297 Pyrocarbon Lunate Pyrocarbon Lunate replacement Mulitple LM 13 131 1273 3666 2043 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MO418 Motec Wrist Joint Prosthesis Modular Radius Cups available with 15mm PEEK insert bearing and Cobalt Chromium Molybdenum coated with Ceramic Chromium Nitride 15mm & 18mm. Modular Metacarpal Heads available with 4 neck lengths Modular Radius Cup PEEK 15mm Ceramitised 15mm & 17mm. Modular Metacarpal Head 15mm short, med, long & Extra long Neck - 18mm short medium & long Neck MO 13 131 1273 3666 35727 2043 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SK594 Total Wrist Implant System Carpal Ball Small, Medium, Large SK 13 131 1273 3666 237794 2043 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR041 Orthosphere The Orthosphere is a spherical interpositional implant that may be used in both the carpometacarpal joint and tarsometatarsal joint as a spherical interpositional device. It is used to replace the sympotmatic joint - either between the trapezium and firs 9mm - 14mm WR 13 131 1273 3666 130998 2043 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR403 TO134 BioProfile Pyrocarbon Total Wrist Replacement (Capitate Resurfacing) Low Temperature Isotropic Pyrolytic Carbon Implants for capitate resurfacing (reverse total wrist arthroplasty) Medium, Large WR 13 131 1273 3666 94262 2043 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR404 TO135 BioProfile Pyrocarbon Carpal Implants Low temperature Isotropic Pyrolytic Carbon Implants for carpal replacement/interposition, includes Proximal Scaphoid, Scapho/Trapezio/Trapezoid & Trapezium Small, Medium, Large & Extra Large WR 13 131 1273 3666 94262 2043 0 0 No Change 2019-03-01 2020-02-01 Prosthesis LM148 Ascension DRUJ Ulna Head, Implant System Cobalt chromium stem with PyroCarbon or Cobalt Chromium Articular Surface 0, 1, 2, 3, 4 LM 13 131 1273 3667 118638 1064 0 0 No Change 2012-08-01 2020-02-01 Prosthesis LM356 Radio-Ulnar Joint Stem Radio-Ulnar Joint Stem Multiple Sizes LM 13 131 1273 3667 178232 1064 0 0 No Change 2018-08-01 2020-02-01 Prosthesis OH502 Martin Ulna Head prosthesis Ulnar Stem Titanium Small, medium and large,2mm,4mm and 17mm collar OH 13 131 1273 3667 225176 1064 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SK605 Ulnar Head Implants UlnarHead CoCr 1,2,3,4 SK 13 131 1273 3667 237798 1064 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR027 E-Centrix Ulnar Head Replacement Ulnar Stem 5.5 STD, 6.5 STD, 7.5 STD, 8.5 STD WR 13 131 1273 3667 116252 1064 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR028 E-Centrix Ulnar Head Replacement Ulnar Stem Extender 20mm WR 13 131 1273 3667 198485 1064 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR406 TO137 Eclypse Modular Pyrocarbon Ulnar Head A modular titanium stem for ulnar head prostheses 6, 7.5, 9mm WR 13 131 1273 3667 121874 1064 0 0 No Change 2019-03-01 2020-02-01 Prosthesis LM149 Ascension DRUJ Ulna Head, Implant System Cobalt chromium stem with PyroCarbon or Cobalt Chromium Articular Surface 0, 1, 2, 3, 4 LM 13 131 1273 3668 118638 1064 0 0 No Change 2012-08-01 2020-02-01 Prosthesis LM357 UHMWP Ball UHMWP Ball Multiple LM 13 131 1273 3668 178232 1064 0 0 No Change 2018-08-01 2020-02-01 Prosthesis OH500 Martin Ulna Head prosthesis UHP Ceramic Head Small, medium and large OH 13 131 1273 3668 225176 1064 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OH501 Martin Ulna Head prosthesis UHP Cobalt Chrome Head Small, medium and large OH 13 131 1273 3668 225176 1064 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SK606 Ulnar Head Implants Ulnar Stem CoCr 1,2,3,4 SK 13 131 1273 3668 237798 1064 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR026 E-Centrix Ulnar Head Replacement Ulnar Head 16 x 1.5mm Offset, 16 x 3.0mm Offset, 18 x 1.5mm Offset, 20 x 1.5Offset, 20 x 3.0mm Offset WR 13 131 1273 3668 116252 1064 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR405 TO136 Eclypse Modular Pyrocarbon Ulnar Head A modular pyrocarbon ulnar head prosthesis 14, 16, 18mm WR 13 131 1273 3668 121874 1064 0 0 No Change 2019-03-01 2020-02-01 Prosthesis LM245 Universal Tendon Spacer Tendon Spacer 1 size only LM 13 131 1273 4050 235820 294 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR053 WMT Orthopaedic Implants Hand Silastic tendon spacer 24in long, 3, 4, 5, 6mm wide WR 13 131 1273 4050 141772 294 0 0 No Change 2010-02-01 2020-02-01 Prosthesis LM366 Distal Radio-Ulnar Joint Prosthesis Distal Radio-Ulnar Joint Prosthesis Multiple sizes LM 13 131 1273 7061 178232 2333 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SK601 Elektra Neck Cobalt Chromium Extra Short, Short, Medium, Long SK 13 131 1274 5530 167056 420 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK602 Trapezio Metacarpal Prosthesis DLC Cup, Polyethylene One size only SK 13 131 1274 5530 252453 420 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK604 Elektra Cup Cobalt Chromium and Hydroxyapatite coating One size only SK 13 131 1274 5530 167056 420 0 0 No Change 2015-08-01 2020-02-01 Prosthesis ZI978 ARPE Cup HA coated titanium cup with polyethylene insert 9 and 10 mm diametre ZI 13 131 1274 5530 284215 420 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ZI979 ARPE Head Straight and offset heads medium, long or extra long ZI 13 131 1274 5530 284215 420 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SK600 Elektra Stem Cobalt Chromium/Hydroxyapatite coated 6-8mm SK 13 131 1274 6041 167056 420 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR043 Wright Swanson Titanium Carpal Scaphoid, Carpal Lunate, Basal Thumb Implant The Swanson Basal Thumb implant is a one-piece intramedullary-stemmed implant designed to be used as an adjunct to resection arthroplasty of the trapeziometacarpal joint. It acts as a spacer to preserve joint relationship and allow appropriate capsulolig 1 to 5 - length 19.3 to 26.3mm, width 9.5 to 13.6mm WR 13 131 1274 6041 130998 420 0 0 No Change 2010-02-01 2020-02-01 Prosthesis ZI977 ARPE Stem Metacarpal stem HA 4 sizes (7-10) ZI 13 131 1274 6041 284215 420 0 0 No Change 2017-08-01 2020-02-01 Prosthesis HW565 SR Hand Implant System SR Hand MCP Proximal, CoCr - Titanium Alloy, UHMWPE XS/S/M/L/XL HW 13 131 1274 6044 167056 665 0 0 No Change 2016-02-01 2020-02-01 Prosthesis LM294 Ascension MCP Finger Joint Replacement PyroCarbon MCP Proximal Component 05P, 10P, 20P, 30P, 40P, 50P LM 13 131 1274 6044 94980 665 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MJ024 TMPR Metacarpal CoCr Proximal Component 9.5mm to 17mm (4 sizes) MJ 13 131 1274 6044 192787 665 0 0 No Change 2017-02-01 2020-02-01 Prosthesis SK598 MCP Finger Prosthesis "Ariadna" Proximal part, Stainless Steel 1,2,or 3 SK 13 131 1274 6044 167056 665 0 0 No Change 2015-08-01 2020-02-01 Prosthesis HW566 SR Hand Implant System SR Hand MCP Distal CoCr - Titanium Alloy, UHMWPE XS/S/M/L/XL HW 13 131 1274 6143 167056 665 0 0 No Change 2016-02-01 2020-02-01 Prosthesis LM293 Ascension MCP Finger Joint Replacement PyroCarbon MCP Distal Component 05D, 10D, 20D, 30D, 40D, 50D LM 13 131 1274 6143 94980 665 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MJ025 TMPR Phalanx and MC Plug UHMWPE Distal Component 9.5mm to 17mm - Small and Standard MJ 13 131 1274 6143 192787 665 0 0 No Change 2017-02-01 2020-02-01 Prosthesis LM296 Ascension PIP Finger Joint Replacement PyroCarbon PIP Proximal Component. 10P, 20P, 30P, 40P LM 13 131 1274 6144 94980 760 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MJ022 PIPR Finger Joint Proximal Interphalangeal Replacement Joint: Proximal Component CoCr, HA Sizes 7 through to 11 MJ 13 131 1274 6144 138339 192787 760 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SK597 PIP Finger Prosthesis Proximal part PIP joint 0-5 SK 13 131 1274 6144 167056 760 0 0 No Change 2015-08-01 2020-02-01 Prosthesis LM295 Ascension PIP Finger Joint Replacement PyroCarbon PIP Distal Component 10D, 20D, 30D, 40D LM 13 131 1274 6145 94980 760 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MJ023 PIPR Finger Joint Proximal Interphalangeal Replacement Joint: Middle Component and Insert CoCr, HA, UHMWPE Sizes 7 through to 11 MJ 13 131 1274 6145 138339 192787 760 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SK595 MCP Finger Prosthesis "Ariadna" Distal part, Stainless Steel 1,2 or3 SK 13 131 1274 6145 167056 760 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK603 PIP Finger Prosthesis Distal part PIP joint 0-5 SK 13 131 1274 6145 167056 760 0 0 No Change 2015-08-01 2020-02-01 Prosthesis LM053 Osteotec Silicone PIP Joint Replacement 2 component hinged joint replacement for the proximal interphalangeal joint 5 - 50 LM 13 131 1274 6146 Total 118424 1330 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LM102 Ascension Silicone Finger joint replacement MCP moulded silicone finger joint Various LM 13 131 1274 6146 Total 92524 1330 0 0 No Change 2011-08-01 2020-02-01 Prosthesis LM103 Ascension Silicone Finger joint replacement PIP moulded silicone finger joint 00-05 LM 13 131 1274 6146 Total 92524 1330 0 0 No Change 2011-08-01 2020-02-01 Prosthesis MN187 Neuflex Finger Silicon Interpositional device 0-60 SY 13 131 1274 6146 Total 97976 1330 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SK588 Sbi PIP Silicone Implant System Silicone finger joint Various SK 13 131 1274 6146 Total 167056 1330 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK589 Sbi Silicone MCP Implant System Silicon finger joint Various SK 13 131 1274 6146 Total 167056 1330 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR046 WMT Orthopaedic Implants Finger/Thumb Silastic finger joint with/without Ti grommets 470 series 00, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 WR 13 131 1274 6146 Total 131003 1330 0 0 No Change 2010-02-01 2020-02-01 Prosthesis LM298 Pyrocarbon carpal implants Pyrocarbon carpal replacement implants Multiple sizes LM 13 131 1274 6146 665 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR042 WMT Orthopaedic Implants Hand The Swanson Trapezium Implant is a flexible, one-piece intramedullary-stemmed implant developed to restore function to thumbs disabled by degenerative arthritis or post-traumatic arthritis. 1, 2, 3, 4, 5 WR 13 131 1274 6146 131003 665 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR418 TO149 BIOProfile Pyrocarbon Carpometacarpal Implants Low Temperature Isotropic Pyrolytic Carbon Implants for carpometacarpal resurfacing (arthroplasty) Small, Medium, Large & Extra Large WR 13 131 1274 6146 94262 665 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH060 Discovery Elbow System Humeral Component, Hydroxy Apatite + porous coated or cemented (3-6)mm diam x (75-150)mm length BH 13 131 1275 3673 126999 4387 0 0 No Change 2010-02-01 2020-02-01 Prosthesis BH338 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Distal Humeral Body 50mm to 70mm BH 13 131 1275 3673 104347 4387 0 0 No Change 2013-08-01 2020-02-01 Prosthesis HW377 Souter Strathclyde Elbow Humeral - Long stem, left and right Medium, Large HW 13 131 1275 3673 16236 166620 4387 0 0 No Change 2005-10-31 2020-02-01 Prosthesis HW379 Souter Strathclyde Elbow Revision Humeral - Custom, Long Stem A, B, C, D HW 13 131 1275 3673 16236 166620 4387 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LH663 OO123 MUTARS Distal Humerus MUTARS Distal Humerus 50mm, 30mm LH 13 131 1275 3673 221739 284227 4387 0 0 No Change 2018-08-01 2020-02-01 Prosthesis ST818 Osteonics Solar Elbow System - humeral assembly Titanium alloy with polyethylene bushing Standard, large ST 13 131 1275 3673 12875 166619 4387 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST819 Osteonics Solar Elbow System - long humeral assembly Titanium alloy with polyethylene bushing Standard, large ST 13 131 1275 3673 12875 166620 4387 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WR351 TO068 Latitude Elbow Prosthesis Latitude Humeral Stem component, CoCr Small, Medium, Large for both left and right WR 13 131 1275 3673 200974 4387 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR353 TO070 Latitude Elbow Prosthesis Latitude Ulnar Stem CoCr + UMHWPE Small , Medium, Large Left and Right specific for both long and short stem option WR 13 131 1275 3673 201352 4387 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR432 TO174 Latitude EV Humeral Stem Cobalt-chromium humeral stem with Ti Plasma spray Stem length: Standard, 150mm, 200mm WR 13 131 1275 3673 200974 4387 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA026 Nexel Elbow Humeral Component Sizes 4-6 with multiple stem lengths ZA 13 131 1275 3673 213309 4387 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI004 Coonrad-Morrey Elbow Humerus - Titanium 4, 6, 8 inch, Left & Right ZI 13 131 1275 3673 95733 4387 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BH059 Explor Radial Head Stem (5-10)mm x (22-32)mm BH 13 131 1275 3674 127000 1259 0 0 No Change 2010-02-01 2020-02-01 Prosthesis IG145 Katalyst Bipolar Radial Head System - Stem Katalyst Bipolar Radial Head System (head and stem) to restore the support and bearing surface of the radial head in fracture, arthritis or failed prior radial head implantation. 6.5mm and 7.5mm IG 13 131 1275 3674 177627 1259 0 0 No Change 2016-02-01 2020-02-01 Prosthesis LM104 Ascension Radial Head Proximal Radial Stem 01/02/03/04, standard & long LM 13 131 1275 3674 112685 1259 0 0 No Change 2011-08-01 2020-02-01 Prosthesis MO271 Acumed Total Radial Head Stem Standard Stems 6-10mm diameter 0-8mm neck height, Long Stems 6-12mm diameter MO 13 131 1275 3674 126428 1259 0 0 No Change 2006-11-30 2020-02-01 Prosthesis WR022 Evolve Modular Radial Head Cobalt chromium alloy, standard and plus stems Stem 4.5 - 9.5mm Standard, +2 & +4mm WR 13 131 1275 3674 118455 1259 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR357 TO074 RHS Radial Head System, Radial Stem RHS Elbow prosthesis, Proximal Radial Stem, Press-fit Short Stems or Long Cemented Stems, Ti Co Press-Fit Short Stems: 6 to 10mm , neck 13mm or 16mm. Cementeed Long Stems: 6.5 or 8mm, neck 19 or 22mm WR 13 131 1275 3674 130498 1259 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR360 TO077 Latitude Elbow Prosthesis Latitude Radial Stem component Diam 6.5mm or 5mm WR 13 131 1275 3674 132508 200973 1259 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR408 TO139 MoPyC-Modular Pyrocarbon Radial head Prosthesis A modular titanium stem for radial head prosthesis 7mm, 8mm, 9mm, 10mm WR 13 131 1275 3674 94231 1259 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH058 Explor Radial Head Head (10-20)mm x (20-24)mm BH 13 131 1275 3675 127000 1267 0 0 No Change 2010-02-01 2020-02-01 Prosthesis HW381 Radial Head Prostheses Radial Head - Small, Medium, Large 8 - 15mm HW 13 131 1275 3675 166613 1267 0 0 No Change 2005-10-31 2020-02-01 Prosthesis IG144 Katalyst Bipolar Radial Head System - Head Katalyst Bipolar Radial Head System (head and stem) to restore the support and bearing surface of the radial head in fracture, arthritis or failed prior radial head implantation 18mm, 21mm and 24mm IG 13 131 1275 3675 177627 1267 0 0 No Change 2016-02-01 2020-02-01 Prosthesis LM105 Ascension Radial head Proximal Radial Head 20/22/24mm LM 13 131 1275 3675 112685 1267 0 0 No Change 2011-08-01 2020-02-01 Prosthesis MO270 Acumed Total Radial Head Head 20-28mm MO 13 131 1275 3675 126428 1267 0 0 No Change 2006-11-30 2020-02-01 Prosthesis WR023 WMT Orthopaedic Implants Radial/Ulna Head Radial head implant HP silastic 1, 1.5, 2, 2.5, 3 WR 13 131 1275 3675 118455 1267 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR024 WMT Orthopaedic Implants Radial/Ulna Head Radial head titanium 1, 1.5, 2, 2.5, 3 WR 13 131 1275 3675 118455 1267 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR025 Evolve Modular Radial Head Cobalt chromium alloy head Head 18-28mm Std, +2 and +4mm WR 13 131 1275 3675 118455 1267 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR358 TO075 RHS Radial Head System, Radial Head RHS Elbow prosthesis, Radial Head, Ti Co 18mm to 24mm WR 13 131 1275 3675 130498 1267 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR359 TO076 Latitude Elbow Prosthesis Latitude Radial Head component Small, Medium, Large, Large + WR 13 131 1275 3675 132508 200973 1267 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR407 TO138 MoPyC-Modular Pyrocarbon Radial head Prosthesis A modular pyrocarbon radial head / neck prosthesis 18mm, 20mm, 22mm WR 13 131 1275 3675 94231 1267 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH061 Discovery Elbow System Ulnar Component; Hydroxy apatite + porous coated or cemented (3-5)mm dia x (75-115)mm length BH 13 131 1275 3676 126999 3398 0 0 No Change 2010-02-01 2020-02-01 Prosthesis HW378 Souter Strathclyde Elbow Ulnar - Retentive, non retentive 50 - 90mm (Non), 70 - 90mm (Retentive) HW 13 131 1275 3676 16236 166619 3398 0 0 No Change 2005-10-31 2020-02-01 Prosthesis HW380 Souter Strathclyde Elbow Revision Ulnar - Custom, Long stem Small, Medium HW 13 131 1275 3676 16236 166619 3398 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LH671 OO132 MUTARS Proximal ulna MUTARS Proximal ulna 60mm LH 13 131 1275 3676 221739 284268 3398 0 0 No Change 2018-08-01 2020-02-01 Prosthesis LH673 OO134 MUTARS ulna anchorage MUTARS ulna anchorage left/right 70mm LH 13 131 1275 3676 221739 3398 0 0 No Change 2018-08-01 2020-02-01 Prosthesis LH685 OO177 MUTARS Ulna Anchorage MUTARS Ulna Anchorage Component Left/Right 70-100mm LH 13 131 1275 3676 221739 3398 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR335 TO013 Tornier Latitude Total Elbow Prosthesis Ulnar component, CoCr + UHMWPE Small, Medium, Large WR 13 131 1275 3676 201352 3398 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR433 TO175 Latitude EV Ulnar Stem Chromium cobalt ulnar stem with Ti Plasma spray Stem length: Short, Standard, 70mm, 125mm, 150mm WR 13 131 1275 3676 201352 3398 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA028 Nexel Elbow Ulnar Component 75mm-115mm ZA 13 131 1275 3676 213309 3398 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI003 Coonrad-Morrey Elbow Ulna - Titanium Petite, Left, Right ZI 13 131 1275 3676 95731 3398 0 0 No Change 2005-10-31 2020-02-01 Prosthesis HW224 Howmedica Modular Resection System Humeral Axis - Vitallium One size only HW 13 131 1275 3678 128026 788 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WR425 TO161 Latitude Elbow Prosthesis – Humeral Screw Humeral Screw for revision surgery Small, Medium and Large WR 13 131 1275 3678 200974 788 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH062 Discovery Elbow System 2 x Condyle Bearings, 2 x screws, Poly articulation bearings Std, Revision BH 13 131 1275 4052 126999 1368 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR352 TO069 Latitude Elbow Prosthesis Latitude Humeral Spool component, standard or anatomic, CoCr + PEEK Standard spool: Small, Medium, Large, Large +, anterior, posterior or centered, Anatomic Spool: Small, Medium, Large, Large +, Left and Right, Anterior Centred and Posterior Offset WR 13 131 1275 4052 200974 1368 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR424 TO160 Latitude Total Elbow Prosthesis – Ulnar Bushing Ultra-high molecular weight polyethylene ulnar bushing Small, Medium, Large – Right and Left WR 13 131 1275 4052 201352 1368 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA029 Nexel Elbow Accessories (1 Humeral Bearing, 2 Ulnar Bearings and 1 Axle Pin) Various ZA 13 131 1275 4052 213309 1368 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI005 Coonrad-Morrey Elbow Bushing - Polyethylene, Titanium 1 & 2 ZI 13 131 1275 4052 95733 1368 0 0 No Change 2005-10-31 2020-02-01 Prosthesis HW199 Howmedica Modular Resection System Circlip - Vitallium One size only HW 13 131 1275 4053 128026 70 0 0 No Change 2005-10-31 2020-02-01 Prosthesis HW223 Howmedica Modular Resection System Ulna Joint - Vitallium One size only HW 13 131 1275 4055 128026 3594 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DD059 RSP Monoblock Humeral Stem Cemented RSP Monoblock Humeral Stem cemented 6 x 101mm, 7 x 101mm, 8 x 101mm, 10 x 101mm, 12 x 101mm 6 x 175mm, 8 x 175mm,10 x 175mm, 12 x 175mm DD 13 131 1276 4057 Reverse 283578 283579 6460 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DD065 Altivate Reverse Humeral Stem Altivate Reverse Humeral Stem 108, 175, and 220mm Length DD 13 131 1276 4057 Reverse 297842 297843 6460 0 0 No Change 2019-03-01 2020-02-01 Prosthesis JJ971 DELTA Xtend Monoblock Humeral Stem 8-14mm SY 13 131 1276 4057 Reverse 126913 6460 0 0 No Change 2015-02-01 2020-02-01 Prosthesis MA526 Affinis Inverse Stem, cemented Humeral component - cemented. Monoblock primary stem for reverse inlay 6,9,12,15mm MA 13 131 1276 4057 Reverse 215275 6460 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MA528 Affinis Inverse revision stem, cemented Monoblock Revision Humeral Stem 6x180 to 12x230mm MA 13 131 1276 4057 Reverse 224955 6460 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR344 TO048 Aequalis Reversed fracture-standard Monobloc Humeral Stem CoCr cemented Length 130mm Dia 7 9 11 13 15 WR 13 131 1276 4057 Reverse 211015 6460 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR345 TO049 Aequalis Reversed Fracture Shoulder - Revision Monobloc Humeral Stem CoCr and HA coated proximally Length 170, 180 or 210mm Dia 7 9 11 13mm WR 13 131 1276 4057 Reverse 211015 6460 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BI884 Comprehensive Fracture Stem Fracture Stem Cobalt Chrome, Titanium 4,6,8,10,12,14mm BI 13 131 1276 4057 104347 3771 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DD005 Turon Shoulder System - Humeral Stems Turon Humeral Stem, Primary and Revision 6-16mm x 115mm and 6-16mm x 200mm DD 13 131 1276 4057 210938 215958 3771 0 0 No Change 2010-02-01 2020-02-01 Prosthesis EX055 Equinoxe Humeral Stem, Fracture The fracture stem is intended for cemented fixation only and is advised for 3 & 4 part fractures of the proximal humerus Fracture: left: 6.5mm - 12.5mm, right 6.5mm- 12.5mm Long stem fracture: left 6.5mmx200mm right 6.5mmx200mm FA 13 131 1276 4057 293561 293562 3771 0 0 No Change 2010-02-01 2020-02-01 Prosthesis JJ969 Global Shoulder System Humeral Stem 6-16mm SY 13 131 1276 4057 137608 138093 138288 3771 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC044 SMR Large Resection Stem Resection Stem Large Ti6AI4V 7-10mm Dia x 50-80 Height LC 13 131 1276 4057 211984 3771 0 0 No Change 2009-08-01 2020-02-01 Prosthesis MA523 Affinis Shoulder System Stem Cemented - adjustable cone 6, 9, 12 and 15mm MA 13 131 1276 4057 215496 219396 3771 0 0 No Change 2011-08-01 2020-02-01 Prosthesis ZI579 Anatomical shoulder Anatomical cemented Humeral Stem 7 x 100mm; 9 x 110mm; 12 x 110mm; 7 x 200mm; 9 x 210mm; 14 x 210mm ZI 13 131 1276 4057 100226 3771 0 0 No Change 2008-07-01 2020-02-01 Prosthesis DD060 RSP Monoblock Humeral Stem Uncemented RSP Monoblock Humeral Stem Uncemented 6 x 101mm, 7 x 101mm, 8 x 101mm, 10 x 101mm,12 x 101mm 6 x 175mm, 8 x 175mm, 10 x 175mm, 12 x 175mm DD 13 131 1276 4058 Reverse 283578 283579 6013 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DD066 Altivate Reverse Humeral Stem Altivate Reverse Humeral Stem 108, 175 & 220mm Length DD 13 131 1276 4058 Reverse 297842 297843 6013 0 0 No Change 2019-03-01 2020-02-01 Prosthesis MA527 Affinis Inverse Stem, uncemented Monoblock Humeral Stem 6 to 15 mm MA 13 131 1276 4058 Reverse 215274 6013 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MA529 Affinis Inverse Revision stem, uncemented Monoblock Revision Humeral Stem 6 to 12 x180 to 230mm MA 13 131 1276 4058 Reverse 238292 6013 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SQ119 Verso Shoulder System - Humeral Shell Verso Shoulder Humeral Shell Standard & Stemmed SQ 13 131 1276 4058 Reverse 284179 284180 6013 0 0 No Change 2017-02-01 2020-02-01 Prosthesis ZI528 Zimmer Trabecular Metal Reverse Shoulder System Trabecular Metal Humeral Stem Titanium Alloy and Tantalum 8mm-18mm x 130mm-170mm ZI 13 131 1276 4058 Reverse 228451 230880 6013 0 0 No Change 2006-11-30 2020-02-01 Prosthesis BH047 Comprehensive Shoulder System Humeral Stems, standard, mini, micro and revision, porous coated, Ti 4mm to 20mm Diameter BH 13 131 1276 4058 104347 3325 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD029 Foundation Shoulder System Humeral Stem, Ti 6mm to 16mm DD 13 131 1276 4058 161910 3325 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD032 Reverse Shoulder System Humeral Stem, Ti 6mm to 12mm DD 13 131 1276 4058 210915 210917 3325 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DE168 Univers 3D Shoulder Prostheses Stem 6-12mm DE 13 131 1276 4058 121575 3325 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE173 Univers Fracture Prostheses Shaft 8-13mm DE 13 131 1276 4058 308823 3325 0 0 No Change 2005-10-31 2020-02-01 Prosthesis FA007 Equinoxe Humeral Stem, Primary, Press-Fit Press-Fit Humeral Stem 7 – 19mm FA 13 131 1276 4058 244995 3325 0 0 No Change 2018-08-01 2020-02-01 Prosthesis JJ966 Global Shoulder System Humeral Stem 6-16mm SY 13 131 1276 4058 138288 3325 0 0 No Change 2015-02-01 2020-02-01 Prosthesis MA522 Affinis Shoulder System Stem Cementless - Titanium, adjustable cone 6, 7.5, 9, 10.5, 12, 13.5 and 15mm MA 13 131 1276 4058 219395 3325 0 0 No Change 2011-08-01 2020-02-01 Prosthesis MA543 Affinis Shoulder System – Humeral Stem Humeral stem and trunion, uncemented, Ti with Ti Plasma Spray and CaP coating 1-6 MA 13 131 1276 4058 215479 3325 0 0 No Change 2015-02-01 2020-02-01 Prosthesis ST674 Osteonics Solar Shoulder Prostheses Humeral stem polyethylene 3,5,7,9,11 ST 13 131 1276 4058 128449 12875 3325 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY431 Epoca Custom Offset Shoulder Prosthesis Epoca ZF Cementless Stem 6 - 14mm, Length: 115 - 135mm SY 13 131 1276 4058 161141 3325 0 0 No Change 2008-07-01 2020-02-01 Prosthesis WR331 TO002 Aequalis Primary Shoulder Prostheses Aequalis Primary stem, Ti Ta 6.5-15mm - 1mm increm wide, 66-167mm long WR 13 131 1276 4058 206496 3325 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR337 TO029 Aequalis Fracture Shoulder HA Coated Fracture shoulder humeral stem Cobalt Chrome, HA coated Diam 6.5mm - 130mm and 170mm lengths, Diam 9mm - 130mm, 180mm and 210mm lengths. Diam 12mm - 130mm, 180mm and 210mm lengths WR 13 131 1276 4058 208886 3325 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR435 TO177 Simpliciti - Nucleus Uncemented humeral component, titanium, coated with a sintered titanium CP Ti bead coating 1,2,3 WR 13 131 1276 4058 222657 3325 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR437 TO179 Aequalis Ascend Flex PTC Humeral Stem Convertible humeral stem with proximal PTC titanium plasma spray coating Length: 66mm, 70mm, 74mm, 78mm, 82mm, 86mm, 88mm, 90mm, 93mm, 94mm, 98mm, 104mm, 109mm, 115mm, 120mm, 125mm, 130mm Sizes: 1 to 9 Angulation: 127.5º, 132.5º, 137.5º WR 13 131 1276 4058 218732 3325 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA017 Comprehensive Nano Humeral Component stemless humeral component 30-40mm ZA 13 131 1276 4058 220712 3325 0 0 No Change 2018-08-01 2020-02-01 Prosthesis ZI289 Bigliani Shoulder System Cobalt Chrome Lengths 130 - 200mm, Thickness 6 - 16mm ZI 13 131 1276 4058 207473 3325 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI326 Bigliani/Flatow Trabecular Metal Humeral Shoulder Porous Tantulum Humeral Stem 6mm-19mm diameter ZI 13 131 1276 4058 227172 3325 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI582 Anatomical Shoulder Anatomical Press-fit Humeral Stem 7 x 100mm, 9 x 110mm, 10.5 x 110mm, 12 x 110mm, 14 x 110mm ZI 13 131 1276 4058 100226 3325 0 0 No Change 2008-07-01 2020-02-01 Prosthesis ZI992 Sidus Stem-Free Shoulder Humeral Anchor S,M,L ZI 13 131 1276 4058 210098 3325 0 0 No Change 2018-02-01 2020-02-01 Prosthesis BH339 Comprehensive Segmental Revision System (SRS) Comprepehnsive SRS Proximal Body 42mm to 62mm BH 13 131 1276 4059 104347 2314 0 0 No Change 2013-08-01 2020-02-01 Prosthesis BH340 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Tumour Body 51mm to 71mm BH 13 131 1276 4059 104347 2314 0 0 No Change 2013-08-01 2020-02-01 Prosthesis DD036 Reverse Shoulder System Humeral Socket Shell - Ti Neutral, +4mm, +8mm offset DD 13 131 1276 4059 210937 2314 0 0 No Change 2010-02-01 2020-02-01 Prosthesis LC189 SMR Reverse Humeral Body with Locking Screw SMR Humeral Body -Reverse Reverse Humeral body - short; Reverse humeral body - finned; Reverse humeral body - Standard HA Coated LC 13 131 1276 4060 Reverse 168582 225315 234748 234749 2451 0 0 No Change 2015-02-01 2020-02-01 Prosthesis DE256 Eclipse Humeral Head Prosthesis Eclipse Humeral Head Prosthesis Trunnion 41 - 53mm DE 13 131 1276 4060 308802 2451 0 0 No Change 2006-03-24 2020-02-01 Prosthesis JJ973 Delta Shoulder System Ephiphysis 1 – 4 in 26-42mm SY 13 131 1276 4060 126913 143529 2451 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC188 SMR Humeral Body with Locking Screw Humeral Body Ti6aI4V - Finned - Trauma Short/Medium/Long LC 13 131 1276 4060 234232 235005 2451 0 0 No Change 2015-02-01 2020-02-01 Prosthesis MA481 Affinis Shoulder System Affinis Fracture Stem - metaphyseal, uncemented 15.5, Part 2- 18 MA 13 131 1276 4060 219732 2451 0 0 No Change 2007-12-01 2020-02-01 Prosthesis MA536 Affinis Fracture Inverse Metaphyseal body with Ti plama spray plus CaPcoating- includes humeralcup with CoCr bearing surface 39 to 42 MA 13 131 1276 4060 224971 2451 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MN221 Global Unite Shoulder System Anatomic Proximal Body 6 to 16 MN 13 131 1276 4060 231183 2451 0 0 No Change 2018-02-01 2020-02-01 Prosthesis WR340 TO043 Aequalis Reversed Shoulder -Metaphysis (Cemented or Cementless) Cemented: CoCr and UMWHPE, Cementless: CoCr, HA Coated and UMWHPE D.36mm & 42mm WR 13 131 1276 4060 208524 208525 2451 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI580 Anatomical shoulder Anatomical Inverse/Reverse Humeral Cup Zero degree Retro; Zero degree Retro +6; +10 degree Retro; –10 degree Retro; +20 degree Retro; -20 degree Retro;9mm 0 degree Retro; 9mm 0 degree Retro +6. ZI 13 131 1276 4060 100226 2451 0 0 No Change 2008-07-01 2020-02-01 Prosthesis SK427 Solar Reunion Humeral Fracture System Solar Reunion Humeral Fracture System Short & Long SK 13 131 1276 4062 128450 3627 0 0 No Change 2007-06-01 2020-02-01 Prosthesis BH337 Comprehensive Segmental Revision System Comprehensive SRS Modular Stem (6 to 20) mm dia x (50 to 200)mm length BH 13 131 1276 4063 104347 3800 0 0 No Change 2013-08-01 2020-02-01 Prosthesis EX051 Equinoxe Humeral Long Stem The long/revision stem is intended for cemented fixation only. The long/revision stem is advised when the distal bone quality is insufficient to adequately anchor the primary stems (typically as a result of mid-humeral fractures) 8x175mm, 8x215mm, 10x200mm, 12x200mm FA 13 131 1276 4063 264382 3800 0 0 No Change 2010-02-01 2020-02-01 Prosthesis JJ972 Delta/Global Shoulder System Distal humeral stem 6-16mm SY 13 131 1276 4063 126913 190146 3800 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC042 SMR Shoulder System Short and Revision Cemented Stem Dia 12-20mm x length 80-210mm LC 13 131 1276 4063 218715 218783 3800 0 0 No Change 2009-08-01 2020-02-01 Prosthesis MA479 Affinis Shoulder System Affinis Fracture Stem - diaphyseal, cemented, short 6/125, 9/125, 12/125, 12/125, 9/200, 12/200 MA 13 131 1276 4063 219731 3800 0 0 No Change 2007-12-01 2020-02-01 Prosthesis SY571 Epoca Custom Offset Shoulder Prosthesis Epoca Stem - Cemented 6-14mm, Length: 115-215mm SY 13 131 1276 4063 161141 3800 0 0 No Change 2011-08-01 2020-02-01 Prosthesis WR361 TO078 Aequalis Reversed Shoulder, Cemented Stem Aequalis Reversed Shoulder prosthesis, Cemented Stem, CoCr Diam 6.5mm to 15mm, Length 100 to 210mm WR 13 131 1276 4063 208476 3800 0 0 No Change 2019-03-01 2020-02-01 Prosthesis DE258 Eclipse Humeral Head Prosthesis Eclipse Humeral Head Prosthesis Cage Screw Small - X-Large DE 13 131 1276 4064 308799 2660 0 0 No Change 2006-03-24 2020-02-01 Prosthesis LC178 SMR Mini - Finned & Revision Humeral Stem Mini - Finned Humeral Stem Ti6AI4V Dia 11-24mm x Length 60 - 80mm Dia 13-16mm x H 150 - 180mm LC 13 131 1276 4064 218726 274360 2660 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LC179 SMR Resurfacing Humeral Stem Resurfacing Humeral Stem Ti6AI4V - Uncemented Dia 11-13mm x length 32-36mm LC 13 131 1276 4064 211983 2660 0 0 No Change 2014-02-01 2020-02-01 Prosthesis SY572 Epoca Custom Offset Shoulder Prosthesis Epoca Stem - Uncemented 6-14mm, Length: 115-215mm SY 13 131 1276 4064 161141 2660 0 0 No Change 2011-08-01 2020-02-01 Prosthesis WR362 TO079 Aequalis Reversed Shoulder, Cementless Stem Aequalis Reversed Shoulder prosthetis, Cementless stem Ti, HA Coated Diam 6.5mm to 154mm, Length 100mm to 210mm WR 13 131 1276 4064 208459 2660 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI575 Anatomical Shoulder Anatomical Fracture Stem 7-14mm x 130mm; 7mm x 170mm; 9, 11, 13mm x 200mm. ZI 13 131 1276 4064 100226 2660 0 0 No Change 2008-07-01 2020-02-01 Prosthesis ST676 Osteonics Solar Shoulder Prostheses Solar bipolar humeral inner head, cobalt chromium 22mm with 0, +2 and +4mm neck lengths ST 13 131 1276 4065 128450 12875 1330 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST877 Osteonics Solar Shoulder Prostheses Solar bipolar humeral outer head, cobalt chromium 22mm with 0, +2 and +4mm neck lengths ST 13 131 1276 4066 128450 12875 1577 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MA480 Affinis Humeral Head Affinis Humeral Head - Ceramic 39 to 53 MA 13 131 1276 4067 Cer 215480 215501 1449 0 0 No Change 2007-12-01 2020-02-01 Prosthesis JJ554 DELTA Xtend Delta Xtend CTA Head Extended Lip 48 + 52; 21, 26mm SY 13 131 1276 4067 EL 126913 5220 0 0 No Change 2006-11-30 2020-02-01 Prosthesis JJ970 Global Shoulder System CTA humeral head Sizes 44-56mm SY 13 131 1276 4067 EL 138288 5220 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC181 SMR CTA Humeral Head CTA Humeral Head CoCRMo 42 - 54mm LC 13 131 1276 4067 EL 211950 5220 0 0 No Change 2014-02-01 2020-02-01 Prosthesis BH126 Versadial Humeral Head Humeral Head (38 -58)mm x (19 -37)mm x (39-61)mm BH 13 131 1276 4067 104347 1261 0 0 No Change 2011-08-01 2020-02-01 Prosthesis BH349 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Super EAS Head Short, Long BH 13 131 1276 4067 104347 1261 0 0 No Change 2013-08-01 2020-02-01 Prosthesis DD003 Turon Shoulder System - Humeral Head Turon Standard Humeral Head, Standard and Offset 38-54mm x 14-26mm DD 13 131 1276 4067 215957 1261 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD030 Foundation Shoulder System Humeral Head, CrCo 38mm to 54mm DD 13 131 1276 4067 161910 1261 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DE171 Univers 3D Shoulder Prostheses Metal Head 40/14 - 54/23 DE 13 131 1276 4067 121575 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE174 Univers Fracture Prostheses Metal head 43/15 - 51/22 DE 13 131 1276 4067 308824 308825 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE257 Eclipse Humeral Head Prosthesis Eclipse Humeral Head Prosthesis Head 39/16 - 55/23 DE 13 131 1276 4067 308800 1261 0 0 No Change 2006-03-24 2020-02-01 Prosthesis DP962 Delta Shoulder system DELTA Humeral Head INOX / ST.Steel / Nichtrostender St. 36 - 42 mm in +0-+4 SY 13 131 1276 4067 126913 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis EX058 Equinoxe Humeral Head The humeral head is used in hemi-shoulder and total-shoulder joint replacement procedures and for use in fractures of the proximal humerus and for use in total-shoulder joint replacement procedures in conjunction with an irreparable or nonfunctional rotator cuff. Multiple head heights for each diameter provides surgeon flexibility in patients with soft tissue challenges 38mm - 53mm FA 13 131 1276 4067 265513 1261 0 0 No Change 2010-02-01 2020-02-01 Prosthesis HW214 Howmedica Modular Resection System Humeral Head Fixed - Vitallium One size only HW 13 131 1276 4067 142278 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JJ965 Global Shoulder System Humeral heads 40–56mm SY 13 131 1276 4067 132151 138288 1261 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC180 SMR Humeral Head Humeral Head CoCrMo Diameter (mm) 38 to 54 Offset 2 - 7 mm Eccentric Shape Standard or Flattened LC 13 131 1276 4067 221715 1261 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MA448 Affinis Total Shoulder Humeral Head - CoCr Diameter 39, 41, 43, 45, 47, 49, 51, 53mm MA 13 131 1276 4067 220762 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST027 Solar Total Shoulder System Dual Offset Humeral Heads 40-50mm diameter, 15-21mm thickness ST 13 131 1276 4067 128450 12875 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST672 Osteonics Solar Shoulder Prostheses Humeral head polyethylene 40-55mm by 12-34mm ST 13 131 1276 4067 128450 12875 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST673 Osteonics Solar Shoulder Prostheses Dual offset humeral head polyethylene 40,45,50mm Diameter by 15, 18, 21mm Thickness ST 13 131 1276 4067 128450 12875 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY432 Epoca Custom Offset Shoulder Prosthesis Epoca Head 40 - 54mm, Height: 15 - 20.25mm SY 13 131 1276 4067 161141 1261 0 0 No Change 2008-07-01 2020-02-01 Prosthesis WR332 TO003 Aequalis Primary Shoulder Prostheses Aequalis Primary Eccentric Humeral Head, CoCr Diameter: 37, 39, 41, 43, 46, 48, 50, 52, 54mm WR 13 131 1276 4067 130499 206492 1261 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR363 TO080 Ascend Shoulder, Humeral Component Anatomic humeral heads, low and high offset, CoCr Low offset: 9 diameters from 38mm to 54mm, 8 thicknesses from 15mm to 21mm, offset 1.5mm High offset: 9 diameters from 38mm to 54mm, 8 thicknesses from 15mm to 21mm, offset 3.5mm to 4mm WR 13 131 1276 4067 210348 1261 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR434 TO176 Simpliciti - Humeral Head Anatomic humeral head, centred, CoCr 39 x 14, 41 x 15, 43 x 16, 46 x 17, 48 x 18, 50 x 16, 50 x 19, 52 x 19, 52 x 23 WR 13 131 1276 4067 211853 1261 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR438 TO180 Aequalis Ascend Flex Humeral Head Cobalt chrome humeral head Diameter: 37mm, 39mm, 41mm, 43mm, 46mm, 48mm, 50mm, 52mm, 54mm Height: 13.5mm, 14mm, 15mm, 16mm, 17mm, 18mm, 19mm, 23mm, 27mm Offset: 1.5mm, 3.5mm, 4mm WR 13 131 1276 4067 218733 1261 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI300 Bigliani Shoulder System Bigliani-Flatow Shoulder - Heads (Cobalt chrome) 40, 46, 52, 52mm diameters ZI 13 131 1276 4067 207472 1261 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI562 Anatomical Shoulder Anatomical removable head D40 H14; D42 H15; D44 H16; D46 H16; D48 H17; D50 H18; D52 H19; D48 H20; D50 H21; D52 H23. ZI 13 131 1276 4067 100226 1261 0 0 No Change 2008-07-01 2020-02-01 Prosthesis ZI565 Anatomical Shoulder Anatomical Fracture Humeral Head 40mm Left & Right; 44mm Left & Right; 48mm Left and Right. ZI 13 131 1276 4067 100226 1261 0 0 No Change 2008-07-01 2020-02-01 Prosthesis ZI991 Sidus Stem-Free Shoulder Humeral Head 38-52mm ZI 13 131 1276 4067 205725 1261 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LC183 SMR Resurfacing CTA Humeral Head CTA Resurfacing Humeral Head CoCrMo +Poro+Ti+Ha Coated 42 - 54mm LC 13 131 1276 4068 EL 211951 5220 0 0 No Change 2014-02-01 2020-02-01 Prosthesis BI345 Copeland Shoulder System Humeral Component, Chrome Cobalt Small, Std, Large (no specific size) BI 13 131 1276 4068 137045 3040 0 0 No Change 2005-10-31 2020-02-01 Prosthesis JJ787 Global CAP Resurfacing Humeral Head Implant Global CAP Conservative Anatomical Prosthesis (Shoulder Humeral Head Surface Replacement) 40-56mm Diameter SY 13 131 1276 4068 138288 3040 0 0 No Change 2009-08-01 2020-02-01 Prosthesis LC182 SMR Resurfacing Humeral Head Resurfacing Humeral Head CoCrMo + Poro+Ti+HA coated 42 - 54mm LC 13 131 1276 4068 211982 3040 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LM078 Ascension HRA - Humeral Resurfacing Arthroplasty A anatomic semi constrained, monobody device intended for resurfacing of the humeral head. 40mm x 16mm to 56mm x21mm LM 13 131 1276 4068 149178 3040 0 0 No Change 2008-07-01 2020-02-01 Prosthesis SY438 Epoca Resurfacing Head Humeral head surface replacement, HA coating Diameter 40 - 54mm SY 13 131 1276 4068 161141 3040 0 0 No Change 2008-07-01 2020-02-01 Prosthesis WR338 TO031 Aequalis Resurfacing Shoulder Resurfacing humeral head 12 head sizes from 37mm x 13.5mm to 54mm x 27mm, 3 stem lengths: 30, 35 and 40mm WR 13 131 1276 4068 207910 3040 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH055 Comprehensive shoulder - reverse humeral cup Reverse shoulder humeral bearing, highly cross linked UHMWPE (Standard or Retentive) x (std, +3) x (31 to 41)mm BH 13 131 1276 4069 104347 774 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD035 Reverse Shoulder System Humeral Socket Insert - UHMWPE 32mm to 44mm DD 13 131 1276 4069 210914 210933 774 0 0 No Change 2010-02-01 2020-02-01 Prosthesis EX048 Equinoxe Humeral Liner The Equinoxe Reverse Shoulder System includes a reverse semi-constrained prosthesis for use in total-shoulder joint replacement procedures in cases with an irreparable or nonfunctional rotator cuff. Liner: 36mm+0, 36mm+2.5, 38mm+0, 38mm+2.5, 42mm+0, 42mm+2.5, 46mm+0, 46mm+2.5 Constrained Humeral Liner: 36mm+0, 36mm+2.5, 38mm+0, 38mm+2.5, 42mm+0, 42mm+2.5, 46mm+0, 46mm+2.5 FA 13 131 1276 4069 264172 279721 774 0 0 No Change 2010-02-01 2020-02-01 Prosthesis LC176 SMR Reverse Liner (Cup) UHMWPE X-Lima Reverse Liner UHMWPE X-Lima 36mm x +3/+6mm Standard & Retentive LC 13 131 1276 4069 212774 774 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LC177 SMR Reverse Liner (Cup) CoCrMo Reverse Liner Standard & Excentric CoCrMo Dia 40 - 44mm x Short to Long LC 13 131 1276 4069 212775 774 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MA532 Affinis Inverse inlay Humeral Cup 36+0 to 42+6mm MA 13 131 1276 4069 215500 774 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MN170 Delta Shoulder System Humeral cup 36 to 42 SY 13 131 1276 4069 126913 774 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SN888 PROMOS Reverse Modular Shoulder System Polyethylene insert for reverse total shoulder joint arthroplasty 36/6mm, 36/9mm, 36/12mm, 42/6mm, 42/9mm, 42/12mm SN 13 131 1276 4069 230897 774 0 0 No Change 2009-02-01 2020-02-01 Prosthesis WR339 TO040 Aequalis Reversed Shoulder Eccentric humeral Insert (High Mobility Cup) Eccentric Humeral Insert (High Mobility Cup) for Aequalis Reversed Shoulder 36mm and 42mm, 2mm eccentric +6mm and +9mm, 4mm eccentric +9mm and +12mm WR 13 131 1276 4069 209514 774 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR439 TO181 Aequalis Ascend Flex Reversed Insert Reversed insert/ retentive reversed insert - UHMWPE and Ti Alloy Diameter: 33mm, 36mm, 39mm, 42mm Thickness: 6mm, 9mm Angulation: 7.5º, 12.5º, 17.5º WR 13 131 1276 4069 218735 774 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH341 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Intercalary Segment 30-120mm BH 13 131 1276 4073 104347 11856 0 0 No Change 2013-08-01 2020-02-01 Prosthesis BH342 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Humeral Coupler 100mm BH 13 131 1276 4073 104347 11856 0 0 No Change 2013-08-01 2020-02-01 Prosthesis BH343 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Anti Rotation Intercalary Segment 30mm BH 13 131 1276 4073 104347 11856 0 0 No Change 2013-08-01 2020-02-01 Prosthesis DD002 Turon Shoulder System - Humeral Neck Turon - Humeral Neck Neutral and 7.5 Degree DD 13 131 1276 4076 216043 998 0 0 No Change 2010-02-01 2020-02-01 Prosthesis JJ616 Global AP Shoulder Ball Taper Adjustable Neck Assembly N/A SY 13 131 1276 4076 138288 998 0 0 No Change 2007-12-01 2020-02-01 Prosthesis BH050 Comprehensive Shoulder - Glenoid Stem Glenoid Post, Ti Regenerx or Polyethylene 1 size BH 13 131 1277 3701 144584 1895 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD004 Turon Shoulder System - All-Poly Glenoid Turon - All-Poly Glenoid, Keeled and Pegged 38mm, 42mm, 46mm, 50mm, 54mm DD 13 131 1277 3701 210954 210955 1895 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD031 Foundation Shoulder System Pegged & Keeled Glenoid, compression moulded UHMWPE 38mm to 54mm DD 13 131 1277 3701 161910 1895 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DE172 Univers Glenoid Shoulder Prostheses Cemented glenoid Small, Medium, Large, Extra-Large DE 13 131 1277 3701 308803 308804 1895 0 0 No Change 2005-10-31 2020-02-01 Prosthesis EX060 Equinoxe Glenoid, keeled UHMWPE component used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement small, medium, large FA 13 131 1277 3701 159609 1895 0 0 No Change 2010-02-01 2020-02-01 Prosthesis FA028 EX061 Equinoxe Glenoid, pegged UHMWPE component used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement small, medium, large, X-Large FA 13 131 1277 3701 278648 264381 1895 0 0 No Change 2019-11-01 2020-02-01 Prosthesis JJ964 Global Shoulder System Glenoid component 40 to 56mm including XL SY 13 131 1277 3701 129404 138288 1895 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC172 SMR Cemented Glenoid All Poly Glenoid Cemented UHMWPE Small - Large LC 13 131 1277 3701 211974 1895 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LC173 SMR - Glenoid 3 Peg UHMWPE Glenoid 3 Peg UHMWPE X-Lima Extra small, Standard, Small, and Large LC 13 131 1277 3701 210963 1895 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LH698 OO155 PE Glenoid PE glenoid Small and Standard LH 13 131 1277 3701 244654 1895 0 0 No Change 2018-08-01 2020-02-01 Prosthesis MA450 Affinis Total Shoulder Glenoid - UHMWPE Size 1 to 4 MA 13 131 1277 3701 219394 1895 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MA547 Affinis Glenoid cemented vitamys Cemented glenoid - vitamys UHMWPE Sizes 1 - 4 MA 13 131 1277 3701 238288 1895 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SM114 Promos Shoulder Replacement Glenoid 1-23: - 4-29 SM 13 131 1277 3701 231475 1895 0 0 No Change 2008-07-01 2020-02-01 Prosthesis ST675 Osteonics Solar Shoulder Prostheses Glenoid component polyethylene 5,7,9,11 ST 13 131 1277 3701 128449 12875 1895 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY434 Epoca Custom Offset Shoulder Prosthesis Epoca Glenoid 40mm - 54mm SY 13 131 1277 3701 161142 1895 0 0 No Change 2008-07-01 2020-02-01 Prosthesis WR336 TO015 Aequalis Pegged Glenoid USA Pegged Glenoid Polyethylene (UHMWPE) Small, Medium, Large, Extra Large WR 13 131 1277 3701 130500 206720 1895 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR428 TO170 Aequalis Primary Shoulder Prostheses - Keeled Glenoid UHMWPE Keeled Glenoid Component Small (31.5mm), meduim (34mm), large (36mm) , extra large (38.5mm) WR 13 131 1277 3701 206919 1895 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR436 TO178 Aequalis PerFORM Glenoid - CortiLoc UHMWPE pegged glenoid with CortiLoc central peg Small - backside radius of 30mm, 35mm and 40mm Medium - backside radius of 30mm, 35mm and 40mm Large - backside radius of 40mm, 50mm and 60mm Extra large - backside radius of 40mm, 50mm and 60mm WR 13 131 1277 3701 206664 1895 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR441 TO183 Aequalis PerFORM Pegged Glenoid UHMWPE pegged glenoid Small - backside radius: 30mm, 35mm, 40mm Medium - backside radius: 30mm, 35mm, 40mm Large - backside radius: 40mm, 50mm, 60mm Extra large - backside radius: 40mm, 50mm, 60mm WR 13 131 1277 3701 206662 1895 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR442 TO184 Aequalis PerFORM Keeled Glenoid UHMWPE keeled glenoid Small - backside radius: 30mm, 35mm, 40mm Medium - backside radius: 30mm, 35mm, 40mm Large - backside radius: 40mm, 50mm, 60mm Extra large - backside radius: 40mm, 50mm, 60mm WR 13 131 1277 3701 206663 1895 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI304 Bigliani Shoulder System Bigliani-Flatow shoulder - Glenoid (UHMWPE) 40, 46 and 52mm diameters ZI 13 131 1277 3701 208339 208639 1895 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI440 Anatomical Glenoid - PE S, M, L ZI 13 131 1277 3701 100236 1895 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI581 Anatomical Shoulder Anatomical Pegged Glenoid Small, Medium and Large ZI 13 131 1277 3701 100236 1895 0 0 No Change 2008-07-01 2020-02-01 Prosthesis BH049 Comprehensive shoulder - glenoid Modular hybrid glenoid base UHMWPE; Titanium small, medium, large BH 13 131 1277 3702 144584 2109 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DE169 Univers 3D Shoulder Prostheses Glenoid Metal Back Small, Medium, Large DE 13 131 1277 3702 140706 2109 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LC038 SMR Shoulder System Metal Back Glenoid Small, Small R, Standard, Large LC 13 131 1277 3702 218703 2109 0 0 No Change 2009-08-01 2020-02-01 Prosthesis SY436 Epoca Custom Offset Shoulder Prosthesis Epoca Reco Glenoid 42 - 52mm SY 13 131 1277 3702 161142 2109 0 0 No Change 2008-07-01 2020-02-01 Prosthesis FA029 EX061 Equinoxe Glenoid, Cage Pegged UHMWPE component with Ti Alloy peripheral pegs and a Ti Alloy & Ti plasma-coated central peg. It is used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement. small, medium, large, X-Large FA 13 131 1277 3703 270232 293762 3884 0 0 No Change 2019-11-01 2020-02-01 Prosthesis ZI319 Bigliani Flatow Total Shoulder System - Glenoids Trabecular Metal Backed Glenoid (uncemented) Diameter 40 - 52mm ZI 13 131 1277 3703 223567 3884 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE170 Univers 3D Shoulder Prostheses Glenoid PE-Inlay Small, Medium, Large DE 13 131 1277 3704 140706 1862 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LC174 SMR - Glenoid Component UHMWPE Glenoid - MB Liner - UHMWPE 3 to 6mm thick x small-R to Large LC 13 131 1277 3704 221714 1862 0 0 No Change 2014-02-01 2020-02-01 Prosthesis SQ120 Verso Shoulder System - Liner Verso Shoulder Liner 3-12mm Offsets SQ 13 131 1277 3704 284175 284176 1862 0 0 No Change 2017-02-01 2020-02-01 Prosthesis SY437 Epoca Custom Offset Shoulder Prosthesis Epoca Glenoid Insert 42 - 54mm SY 13 131 1277 3704 161142 1862 0 0 No Change 2008-07-01 2020-02-01 Prosthesis ZI529 Zimmer Trabecular Metal Reverse Shoulder System Polyethylene Liner Standard 7 Deg. & Retentive 65 Deg; 36mm - Neutral, Plus 3mm, Plus 6mm; 40mm - Neutral, Plus 3mm, Plus 6mm ZI 13 131 1277 3704 231818 1862 0 0 No Change 2006-11-30 2020-02-01 Prosthesis ZI577 Anatomical Shoulder Anatomical Inverse/Reverse Humeral Poly inlay 36mm x 0, 3 & 6mm; 40mm x 0, 3 & 6mm. ZI 13 131 1277 3704 100226 1862 0 0 No Change 2008-07-01 2020-02-01 Prosthesis BH052 Comprehensive Shoulder - Reverse Glenoid Baseplate Reverse glenoid baseplate, Ti, Porous coating 28mm, 25mm BH 13 131 1277 4078 144584 1991 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD057 Reverse Shoulder - Glenoid Baseplate Reverse Glenoid Component, Baseplate 6.5mm x 30mm DD 13 131 1277 4078 210932 1991 0 0 No Change 2015-08-01 2020-02-01 Prosthesis EX049 Equinoxe Glenoid Plate The glenoid plate provides multiple options for screw insertion 0 degree, 8 degree, 10 degree FA 13 131 1277 4078 262854 284693 284694 284695 1991 0 0 No Change 2010-02-01 2020-02-01 Prosthesis JJ974 Delta Shoulder System Metaglene Standard, Revision, +10 to +15mm SY 13 131 1277 4078 126913 126914 1991 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC186 SMR Reverse Glenoid Base Plate Reverse Glenoid Base Plate Small-R or Small/Standard LC 13 131 1277 4078 210956 1991 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MA534 Affinis Inverse Metaglene Metaglene, uncemented. Ti plasma plus CaP coating one size only MA 13 131 1277 4078 215497 1991 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MA535 Affinis Inverse revision metaglene Revision Metaglene, Ti plasma plus CaP Coating one size only MA 13 131 1277 4078 224964 1991 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SQ117 Verso Shoulder System - Glenoid Baseplate Verso Shoulder Glenoid Base Plate Standard, Long (Revision) SQ 13 131 1277 4078 284178 1991 0 0 No Change 2017-02-01 2020-02-01 Prosthesis WR349 TO066 Aequalis Reversed Shoulder, Glenoid Base Plate Glenoid Base Plate (Metaglene) with Long Post option for revision Standard or Revision (Long Post) dia 25mm and dia 29mm WR 13 131 1277 4078 209243 1991 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR427 TO163 Aequalis Reversed Shoulder - Hemi Prosthesis Adaptor Hemi Prosthesis Adaptor including union screw 36mm and 42mm diameter WR 13 131 1277 4078 209724 209725 1991 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI533 Zimmer Trabecular Metal Reverse Shoulder System Trabecular Metal Reverse Base Plate - Ti Alloy & Tantalum 15mm, 25mm, 30mm ZA 13 131 1277 4078 228451 1991 0 0 No Change 2006-11-30 2020-02-01 Prosthesis ZI578 Anatomical Shoulder Anatomical Inverse/Reverse Glenoid Fixation One size only. ZI 13 131 1277 4078 100236 1991 0 0 No Change 2008-07-01 2020-02-01 Prosthesis BH051 Comprehensive Shoulder - Reverse Glenosphere Reverse glenosphere (31mm to 41)mm x (standard, +3, +6) BH 13 131 1277 4079 144584 2176 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD058 Reverse Shoulder – Glenosphere Head Glenosphere 32mm to 44mm, neutral or -4mm offset DD 13 131 1277 4079 210932 2176 0 0 No Change 2015-08-01 2020-02-01 Prosthesis EX050 Equinoxe Glenosphere The glenosphere aids in glenosphere insertion and protects any remaining intact soft tissues. 36mm, 38mm, 42mm & 46mm FA 13 131 1277 4079 279903 266161 2176 0 0 No Change 2010-02-01 2020-02-01 Prosthesis JJ967 Delta Shoulder System Glenosphere 36 to 42 SY 13 131 1277 4079 126914 137537 2176 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC184 SMR Reverse Poly Gleonsphere Reverse Glenophere UHMWPE X-Lima Ti6AI4V 40 - 44 Standard & Exxentric LC 13 131 1277 4079 211987 2176 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LC185 SMR Reverse Glenosphere Reverse Glenosphere CoCrMo 36mm Standard and Eccentric LC 13 131 1277 4079 211985 2176 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MA533 Affinis Inverse glenosphere Glenosphere 36 to 42mm MA 13 131 1277 4079 215499 2176 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SQ118 Verso Shoulder System - Glenoid Head Verso Shoulder Glenoid Head 36mm, 41mm SQ 13 131 1277 4079 284177 2176 0 0 No Change 2017-02-01 2020-02-01 Prosthesis WR350 TO067 Aequalis Reversed Shoulder, Glenoid Sphere Glenoid Sphere, standard, eccentric, wear compensation or lateralised Diameter 33, 36, 39 and 42mm Centre, or Eccentricity +2mm, or Wear Compensations 10deg, or Lateralised +6mm / +8mm WR 13 131 1277 4079 209244 2176 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI532 Zimmer Trabecular Metal Reverse Shoulder System Glenosphere - CoCr - Mo Alloy 36mm, 40mm ZI 13 131 1277 4079 230876 2176 0 0 No Change 2006-11-30 2020-02-01 Prosthesis ZI564 Anatomical Shoulder Anatomical Inverse/Reverse Glenoid Head 36mm; 40mm ZI 13 131 1277 4079 100236 2176 0 0 No Change 2008-07-01 2020-02-01 Prosthesis BH344 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Modular Regenerex Augment Small, Large BH 13 131 1278 4080 104347 903 0 0 No Change 2013-08-01 2020-02-01 Prosthesis JJ968 Delta Shoulder System Humeral Spacer 36 to 42 +9mm SY 13 131 1278 4081 126913 137537 144505 950 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LC036 SMR Shoulder - Modular Augment Modular Augment Ti6AI4V 20 - 50mm LC 13 131 1278 4081 225458 950 0 0 No Change 2009-08-01 2020-02-01 Prosthesis WR334 TO011 Aequalis Shoulder Prostheses Reverse CoCr Reverse Humeral Neck diameter 36 & 42mm wide x 9mm high WR 13 131 1278 4081 130499 242575 950 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR430 TO172 Aequalis Reversed Fracture - Humeral Spacer Lateralized Spacer 9mm WR 13 131 1278 4081 242575 950 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI530 Zimmer Trabecular Metal Reverse Shoulder System Spacer 9mm, 12mm Taper Insert ZI 13 131 1278 4081 94829 950 0 0 No Change 2006-11-30 2020-02-01 Prosthesis ZI531 Zimmer Trabecular Metal Reverse Shoulder System Dual Taper Insert One Size Only ZI 13 131 1278 4081 232002 950 0 0 No Change 2006-11-30 2020-02-01 Prosthesis JJ615 Global AP Shoulder Fixed 135 Degree Taper Assembly 135 Degree Angle SY 13 131 1278 4083 138288 1062 0 0 No Change 2007-12-01 2020-02-01 Prosthesis LC117 SMR Shoulder Accessories SMR Connector and Screw Small R / Small STD LC 13 131 1278 4083 210861 1062 0 0 No Change 2012-08-01 2020-02-01 Prosthesis BH127 Versadial Humeral Head Eccentric adaptor, taper insert Std, reverse BH 13 131 1278 4084 104347 1159 0 0 No Change 2011-08-01 2020-02-01 Prosthesis DD061 RSP Hemi Adaptor Adaptor for conversion of Reverse Shoulder Prostheses (RSP) to a hemi arthroplasty prosthesis One size only DD 13 131 1278 4084 302695 1159 0 0 No Change 2018-08-01 2020-02-01 Prosthesis DD062 RSP Humeral Stem Adapter RSP Humeral Stem Adapter for conversion to hemiarthroplasty prostheses 6 & 12mm DD 13 131 1278 4084 302694 1159 0 0 No Change 2018-08-01 2020-02-01 Prosthesis DD063 RSP Spacer Spacer 8mm DD 13 131 1278 4084 284539 1159 0 0 No Change 2018-08-01 2020-02-01 Prosthesis FA001 Equinoxe Replicator Plate The Equinoxe Replicator Plate is intended to connect the humeral head to the stem and to position the replacement humeral head in a variety of positions to match patient’s anatomy. 0mm – 4.5mm Offset FA 13 131 1278 4084 266159 278519 1159 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LC037 SMR Adaptor Adaptor Eccentric / Neutral / CTA Standard & long 0 to +8mm LC 13 131 1278 4084 221473 221712 1159 0 0 No Change 2009-08-01 2020-02-01 Prosthesis LC175 SMR Reverse Modular Humeral Body Extension Reverse Modular Mumeral Body Extension Ti6AI4V +9mm LC 13 131 1278 4084 168581 1159 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MA537 Affinis Inverse head adaptor Adaptor for conversion tohemi prostheses, includes fixation screw One size only MA 13 131 1278 4084 224965 1159 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MA538 Affinis Inverse inlay spacer Humeral offset spacer. Supplied with screw +9mm MA 13 131 1278 4084 224412 1159 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SY433 Epoca Custom Offset Shoulder Prosthesis Modular press-fit component for independent adjustments of the head or shaft; both medial and posterior offset One size only SY 13 131 1278 4084 161142 1159 0 0 No Change 2008-07-01 2020-02-01 Prosthesis WR431 TO173 Aequalis Reversed Fracture - Hemi-prosthesis Adaptor Hemi-prosthesis Adaptor including union screw One size only WR 13 131 1278 4084 211056 1159 0 0 No Change 2019-03-01 2020-02-01 Prosthesis EX062 Equinoxe Reverse Torque Definition Screw Kit Reverse Torque Definition Screw with Drive One size only FA 13 131 1278 5428 252473 1159 0 0 No Change 2010-08-01 2020-02-01 Prosthesis EX065 Equinoxe Torque Definition Screw Kit. Torque Definition Screw with Drive. One size only. FA 13 131 1278 5428 252473 1159 0 0 No Change 2010-08-01 2020-02-01 Prosthesis MA531 Affinis Fixation Screw Fixation Screw Long one size only MA 13 131 1278 5428 257052 1159 0 0 No Change 2012-08-01 2020-02-01 Prosthesis BH054 Comprehensive Shoulder - reverse humeral tray Modular Reverse Humeral tray, to mount onto Comprehensive stem Std, +5, +10 BH 13 131 1278 4086 104347 829 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DD064 Turon to RSP Conversion Module Conversion Module Neutral and Offset DD 13 131 1278 4086 302688 829 0 0 No Change 2018-08-01 2020-02-01 Prosthesis EX064 Equinoxe Reverse Shoulder, Fracture Humeral Adapter Tray. Reverse, fracture humeral adapter tray. +0mm, +5mm, +10mm, +15mm FA 13 131 1278 4086 244994 829 0 0 No Change 2010-08-01 2020-02-01 Prosthesis WR341 TO045 Aequalis Reversed Shoulder - Lateralized Insert The humeral cup is made of UHMWPE. It comes in two diameters (36 + 42mm) to correspond with the humeral metaphyseal components with the following heights 6, 9, 12 and 15mm. D. 36mm +6mm, D.36mm +9mm, D.36mm +12mm, D.36mm +15mm, D.42mm +6mm, D. 42mm +9mm, D.42mm +12mm D.42mm +15mm WR 13 131 1278 4086 209514 829 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR429 TO171 Aequalis Reversed Fracture - Humeral Insert Polyethylene Insert Height 6.25 -13.5mm, Width 6mm-12mm, Articular Diameter- 36mm & 42mm WR 13 131 1278 4086 211016 829 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR440 TO182 Aequalis Ascend Flex Reversed Tray Reverse humeral tray - Titanium Thickness: 0mm, 6mm, 12mm Offset: 0mm, 1.5mm, 3.5mm WR 13 131 1278 4086 218734 829 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH313 Affixus Hip Fracture Nail System Short Hip fracture nails 9-13mm diameter, 180mm length BH 13 123 1228 3326 177870 1010 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DZ019 Austofix Femoral and Tibial Nailing System H2 Hip Nail 4.8/6.5, stainless steel or titanium Dia 11mm, Lengths 170mm – 240mm DZ 13 123 1228 3326 111818 1010 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DZ058 F1 Proximal Femoral Nail F1 Femoral Nail, Titanium 170mm, 200mm 120deg, 125deg, 130deg DZ 13 123 1228 3326 111818 1010 0 0 No Change 2017-08-01 2020-02-01 Prosthesis JD015 Proximal Femur Nails Nails Diameter 11mm Proximal Diameter 17mm <220mm length JD 13 123 1228 3326 222647 1010 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH620 Chimaera HFS - Short Nail Short Nail 125° - 130° 180mm OH 13 123 1228 3326 292830 292836 1010 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK246 Gamma LN Standard - Titanium 120, 125, 130 Deg; Diameter 10-12mm; Length 170-200mm SK 13 123 1228 3326 95185 1010 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN763 IMHS CP Intramedullary Hip Nail, stainless steel 10 - 16mm x 19.5cm left and right SN 13 123 1228 3326 104370 1010 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN838 Trigen InterTAN Nail Nail, Titanium diameter 10-13mm length 18-46cm Angle 125°-135° SN 13 123 1228 3326 104370 1010 0 0 No Change 2006-11-30 2020-02-01 Prosthesis SQ158 PediNail Platform Pediatric Nailing Platform Femur 7mm x 200mm Child Left, Right SQ 13 123 1228 3326 191587 1010 0 0 No Change 2019-07-01 2020-02-01 Prosthesis SY790 AO/ASIF Intramedullary Nails Femoral Nail 9-15mm D <220mm length SY 13 123 1228 3326 161140 1010 0 0 No Change 2013-08-01 2020-02-01 Prosthesis ZI723 Zimmer Natural Nail System Cephalomedullary, Short Nails, Titanium 10mm to 14.5mm (in 1.5mm increments) x 21.5cm 125 to 135 CCD (in 5 CCD increments) Left and Right. ZI 13 123 1228 3326 112735 1010 0 0 No Change 2010-02-01 2020-02-01 Prosthesis BH266 VersaNail IM Nailing Platform Troch Entry and Universal Femoral Nails, Titanium, Locking, cannulated. 9-13mm x 28-48CM BH 13 123 1228 3327 97378 1370 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH314 Affixus Hip Fracture Nail System Long Hip fracture nails 9-15mm diameter, 260-460mm length BH 13 123 1228 3327 177870 1370 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BI921 EBI Paediatric Locking Nail System Femoral Locking Nail - titanium; 28 -42cm x 5.5 - 6.5mm BI 13 123 1228 3327 114472 1370 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DZ007 F3 Femoral Nail F3 Femoral Nail Titanium Length 320mm to 440mm, left and right DZ 13 123 1228 3327 111818 1370 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DZ018 Austofix Femoral & Tibial Nailing System F2 Femoral Nail 4.8/6.2; s-s Dia 9 - 12mm; Lengths 320 - 460mm DZ 13 123 1228 3327 111818 1370 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DZ067 F1 Proximal Femoral Nail F1 Femoral Nail - Long 340mm - 460mm 120deg, 125deg, 130deg DZ 13 123 1228 3327 111818 1370 0 0 No Change 2019-03-01 2020-02-01 Prosthesis JD016 Proximal Femur Nail Femoral Nail Diameter 11mm Proximal Diameter 17mm Length ≥220mm JD 13 123 1228 3327 222647 1370 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH594 Orthofix - Centronail Femoral Nail Centronail Femoral Nail D: Ø9-12mm L: 275-475mm OH 13 123 1228 3327 292830 292831 292836 1370 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH621 Chimaera HFS - Long Nail Long Nail L: 280 - 460mm 125° - 130° OH 13 123 1228 3327 292830 292836 1370 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK214 Stryker Trauma Locking Nail System Reconstruction Nail Recon Nail Left/RightDiameter 9-15mm, Length 240-480mm SK 13 123 1228 3327 95185 1370 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK244 Stryker Intramedullary Nailing System Gamma Long 120, 125, 130 Deg; Diameter 10-15mm; Length 280-480mm SK 13 123 1228 3327 95185 1370 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SL065 Trigen Femoral Nail, Titanium 9, 10, 11.5 & 13mm diameter SL 13 123 1228 3327 104730 1370 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SN521 TriGen Femoral Nail 8-18mm D ≥ 220mm length SN 13 123 1228 3327 104370 1370 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN764 IMHS CP Intramedullary Hip Nail, stainless steel 10 - 14mm x 32 - 44cm left and right SN 13 123 1228 3327 104370 1370 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SQ086 PediNail System Intramedullary Femoral Nail 7-10mm x 12-42cm Left, Right SQ 13 123 1228 3327 191587 1370 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SQ157 PediNail Platform Pediatric Nailing Platform Femur 7-12mm x 220-420mm Left, Right Child, Adolescent SQ 13 123 1228 3327 191587 1370 0 0 No Change 2019-07-01 2020-02-01 Prosthesis SY791 AO/ASIF Intramedullary Nails Femoral Nail 9-15mm D ≥ 220mm length SY 13 123 1228 3327 161140 1370 0 0 No Change 2013-08-01 2020-02-01 Prosthesis ZI715 Zimmer Natural Nail System Cephalomedullary, Femoral Long Nails, Titanium 10mm to 14.5mm (in 1.5mm increments) x 30 to 48cm (in 2cm increments) x 125 & 130 CCD Left and Right. ZI 13 123 1228 3327 112735 1370 0 0 No Change 2010-02-01 2020-02-01 Prosthesis ZI722 Zimmer Natural Nail System Antegrade Femoral Nails, Greater Trochanter, Titanium 8 to 14mm x 24 to 48cm (in 2cm increments) Left and Right ZI 13 123 1228 3327 112735 1370 0 0 No Change 2010-02-01 2020-02-01 Prosthesis AX020 S2 Nail System Cannulated supracondylar nail, stainless steel 11/13mm x 160-380mm AX 13 123 1228 3328 119002 1065 0 0 No Change 2006-03-24 2020-02-01 Prosthesis DZ064 S2 Nail System Cannulated supracondylar nail, stainless steel 11/13mm x 160-380mm DZ 13 123 1228 3328 111818 1065 0 0 No Change 2017-08-01 2020-02-01 Prosthesis JD019 Femoral Nail Femoral Nail Diameter 10 - 12mm JD 13 123 1228 3328 222647 1065 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH595 Orthofix - Centronail Supracondylar Nail Centronail - Supracondylar Nail (Femoral Distal) D: Ø 9-12mm L: 130-375mm OH 13 123 1228 3328 292830 292831 292836 1065 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK202 Stryker Trauma Locking Nail System SCN Diameter 8mm - 15mm, Length 170mm - 480mm SK 13 123 1228 3328 95185 1065 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN522 TriGen Femoral nail 8.5-13mm x 15-50cm SN 13 123 1228 3328 104370 1065 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY264 AO/ASIF Intramedullary Nails Distal Femoral Nail - DFN 9-15mm / 160-420mm Length SY 13 123 1228 3328 161140 1065 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI721 Zimmer Natural Nail System Retrograde Femoral Nail - Titanium 10mm to 13mm (in 1.5mm increments) x 20, 24, 28, 30, 32, 34, 36, 38, 40, 42, 44cm Universal. ZI 13 123 1228 3328 112735 1065 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DE684 Fibulock, Fibular Nail System Fibular Nail for Fibular Fracture Fixation 4 Sizes (Left & Right Side Specific) DE 13 123 1228 3329 310531 1268 0 0 No Change 2019-07-01 2020-02-01 Prosthesis DZ012 Austofix Femoral and Tibial Nailing System Universal Tibial Nail (UTN) 4.0/4.8, stainless steel or titanium Diameter 8 – 11mm, Lengths 260mm – 420mm DZ 13 123 1228 3329 111818 1268 0 0 No Change 2017-02-01 2020-02-01 Prosthesis HW536 Stryker Intermedullary Nailing System Femoral Nails 7-15mm Diameter , 140 to 480 lengths HW 13 123 1228 3329 95185 1268 0 0 No Change 2014-08-01 2020-02-01 Prosthesis HW537 Stryker Intramedullary Nailing System Tibial nails 8-15mm Diameter, 240- 420mm lengths HW 13 123 1228 3329 139722 1268 0 0 No Change 2014-08-01 2020-02-01 Prosthesis JD020 Tibial Nail Tibial Nail 10 - 11mm diameter JD 13 123 1228 3329 222647 1268 0 0 No Change 2018-02-01 2020-02-01 Prosthesis MO280 Acumed Fibula Rod System Intramedullary Nail, fibula lower limb specific 3.00mm & 3.6mm diameter left and right specific rods with lengths of 110mm, 145mm, 180mm MO 13 123 1228 3329 99822 1268 0 0 No Change 2009-08-01 2020-02-01 Prosthesis OH596 Orthofix - Centronail Tibial Nail Centronail Tibial Nail D: Ø8-11mm L: 275-410mm OH 13 123 1228 3329 292830 292831 292836 1268 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN841 Trigen META Metaphyseal Nail, Titanium 8.5-13mm 15x50cm SN 13 123 1228 3329 117591 1268 0 0 No Change 2006-11-30 2020-02-01 Prosthesis SY788 AO/ASIF Intermedullary Nails Tibial Nail 7-19; 200-600mm SY 13 123 1228 3329 161138 1268 0 0 No Change 2013-08-01 2020-02-01 Prosthesis ZI719 Zimmer Natural Nail System Tibial Nails - Titanium 8.3mm; 9.3mm; 10mm; 11mm; 12mm; 14mm x 24 to 44cm in 2cm increments ZI 13 123 1228 3329 112735 1268 0 0 No Change 2010-02-01 2020-02-01 Prosthesis LH367 Fassier-Duval Telescopic IM System Component: Male The Fassier-Dual Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Impecfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthrosis, Limb lengthening over nail, Segmental Tumour removal and other bone deformities The system is composed of a total of 108 rods in 9 different diameters per type. The nail is manufactured in both Ti alloy (Ti6A14V ASTM-136) and medical grade Stainless Steel (315L, ASTM 138). It is available in five diameters: 3.2, 4,4.8,5.6 and 6.4 mm LH 13 123 1228 3330 Gth 141020 3348 0 0 No Change 2009-02-01 2020-02-01 Prosthesis LH368 Fassier-Duval Telescopic IM System Component: Female The Fassier-Duval Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Imperfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthrosis, Limb lengthening over nail, Segmental Tumor removal and other bone defo The system is composed of a total of 108 rods in 9 different diameters per type. The nail is manufactured in both Ti alloy (Ti6A14V ASTM-136) and medical grade stainless steel (316L, ASTM 138). It is available in five diameters: 3.2,4.4,8,5.6 and 6.4mm; LH 13 123 1228 3330 Gth 141020 3348 0 0 No Change 2009-02-01 2020-02-01 Prosthesis BH357 VersaNail IM Nailing Platform Humeral Nails, Universal and Proximal, Titanium, Locking, cannulated 7-10 mm x 150-280mm BH 13 123 1228 3330 97380 878 0 0 No Change 2013-08-01 2020-02-01 Prosthesis DZ016 Proximal Humeral Nail Stainless Steel Diameter 8 mm, Length 170 mm DZ 13 123 1228 3330 111818 878 0 0 No Change 2017-02-01 2020-02-01 Prosthesis MO424 ACUMED POLARUS® 3 Solution Nails ACUMED POLARUS 3 SOLUTION HUMERAL NAILS A range of proximal and distal nails, 150mm, 200mm, 220mm, 240mm, 260mm, 280mm MO 13 123 1228 3330 99822 878 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OH597 Orthofix - Centronail Humeral Nail Centronail Humeral Nail D: Ø7-9mm L: 150-320mm OH 13 123 1228 3330 292830 292831 292836 878 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK006 Stryker Trauma Locking Nail System Titanium - Humeral Nail Dia 7,8,9mm length 140 - 320mm SK 13 123 1228 3330 139723 878 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK199 Stryker Trauma Locking Nail System Proximal Humeral Nail Nail Left/Right SK 13 123 1228 3330 139723 76714 878 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN740 Trigen Humeral Nail 7-11cm x 16-30cm SN 13 123 1228 3330 117600 878 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY129 AO/ASIF Intramedullary Nails Humeral Nail 6.0 - 12.0 mm length 100 - 400mm SY 13 123 1228 3330 161139 878 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY416 AO/ASIF Intramedullary Nails ASLS Intramedullary Angular Stable Locking System 4-6mm SY 13 123 1228 3330 168395 878 0 0 No Change 2007-12-01 2020-02-01 Prosthesis SY689 MultiLoc Humeral Nail Humeral Nail 7.0mm-9.5mm D, 160mm-315mm L SY 13 123 1228 3330 161139 878 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR346 TO050 Aequalis Humeral Nail Humeral Nail, straight, cannulated, Ti Right/Left, dia 7mm and 8mm, Lg 130mm, 210mm, 230mm, 250mm and 270mm WR 13 123 1228 3330 164794 878 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA071 Affixus Humeral Nail System Humeral Nails, Universal and Proximal, Titanium, Locking, cannulated 7-11mm x 160-280mm ZA 13 123 1228 3330 124766 878 0 0 No Change 2019-11-01 2020-02-01 Prosthesis BH350 OSS Modular Arthrodesis Nail OSS Modular Arthrodesis Nail Collar Assembly 0-7 Degree BH 13 123 1228 3331 204613 4464 0 0 No Change 2013-08-01 2020-02-01 Prosthesis GO306 Osteobridge Modular diaphyseal endoprosthesis Arthrodese Nail 10/30mm x 110mm to 16/30mm x 150mm. Osteobridge nail 7mm to 16mm to 60mm to 200mm. Osteobridge spacer 40mm x 20mm to 30mm to 70mm Osteobridge diaphsis reducing bushing 8mm to 20mm Osteobridge spacer connector 25 to 30mm Osteobridge reducing sleeve 8mm to 30mm GO 13 123 1228 3331 131659 279141 4464 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LO100 LINK Knee Fusion Nail Cobalt Chromium 180mm, 220mm, 260mm LO 13 123 1228 3331 140661 140663 4464 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK337 Stryker Trauma Locking Nail System Arthrodesis Nail - Knee Arthrodesis Nail Left/Right; 11.5mm and 13mm SK 13 123 1228 3331 139633 4464 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN497 Intramedullary Nailing System Knee Fusion Nail Diameter 11- 13 mm SN 13 123 1228 3331 104370 4464 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BH044 Biomet Phoenix Nail Arthrodesis Nailing System - Nail Ankle Arthrodesis Locking Nail, Titanium Alloy 9 - 12mm diameter x 150 - 420mm length BH 13 123 1228 3332 114474 4493 0 0 No Change 2010-02-01 2020-02-01 Prosthesis IG100 Panta Arthrodesis Nail Ankle Nail, Titanium Diameter 10 -13 mm Length - 150-240 mm IG 13 123 1228 3332 173962 4493 0 0 No Change 2011-02-01 2020-02-01 Prosthesis JD010 Ankle Arthrodesis Nail Arthrodesis Nail 10 & 12mm diameter JD 13 123 1228 3332 222647 4493 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LM369 Ankle Arthrodesis Nail Ankle Arthrodesis Nail Multiple sizes to suit patient anatomy LM 13 123 1228 3332 308941 4493 0 0 No Change 2019-03-01 2020-02-01 Prosthesis OH590 Ankle Compression Nailing System - Nail Ankle Compression Nailing System - Nail L: 150-300mm OH 13 123 1228 3332 292830 292831 4493 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OU008 OXFORD ANKLE FUSION NAIL OXFORD ANKLE FUSION NAIL (Ti6AI4V) AFN NAIL 11MM X 150MM (Ti6AI4V) AFN NAIL 11MM X 180MM (Ti6AI4V) AFN NAIL 10MM X 150MM (Ti6AI4V) AFN NAIL 10MM X 180MM (Ti6AI4V) AFN NAIL 12MM X 150MM (Ti6AI4V) AFN NAIL 12MM X 180MM (Ti6AI4V) OU 13 123 1228 3332 198770 4493 0 0 No Change 2013-02-01 2020-02-01 Prosthesis PF019 Tylos Ankle arthrodesis nail for Tibial Talo Calcaneal fusion 10 - 12mm diameter PF 13 123 1228 3332 274577 4493 0 0 No Change 2016-08-01 2020-02-01 Prosthesis PF022 Calcanail Subtalar fusion and fracture nail 10-12mm Diameter, 45-85mm length PF 13 123 1228 3332 274577 4493 0 0 No Change 2016-08-01 2020-02-01 Prosthesis SK450 T2 Ankle Arthrodesis Nail T2 Ankle Arthrodesis Type II Anodized Titanium Alloy (Ti6A14V) 10, 11, 12mm Diameters & 150,200 & 300mm Lengths SK 13 123 1228 3332 139633 16221 4493 0 0 No Change 2007-06-01 2020-02-01 Prosthesis SN772 Trigen Hindfoot Fusion Nail, Titanium 10 - 11.5mm Diameter SN 13 123 1228 3332 116509 4493 0 0 No Change 2006-03-24 2020-02-01 Prosthesis SY130 AO/ASIF Arthrodesis system Arthrodesis 26 - 240mm SY 13 123 1228 3332 157069 4493 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WR208 Valor Hindfoot Fusion System Valor Hindfoot Fusion Nail, Titanium Alloy 10 & 11.5mm diameter, 150, 200 & 250mm length, left and right WR 13 123 1228 3332 118457 4493 0 0 No Change 2011-02-01 2020-02-01 Prosthesis WR411 TO142 611 Ankle Fusion Nail The 611 ankle arthrodesis nail is made out of titanium alloy (Ti6AI4V) and is associated with self locking screws, a plug and an internal screw. The nail is delivered sterile. The self locking screws, plug and internal locking screw are delivered non-sterile with the instrumentation 10mm x 180mm, 6 deg left, 10mm x 180mm, 6 deg right 12mm x 180mm, 6 deg left, 12mm x 180mm, 6 deg right 10mm x 180mm, 11 deg left, 10mm x 180mm, 11 deg right 12mm x 180mm, 11 deg left, 12mmx180mm, 11 right WR 13 123 1228 3332 198776 4493 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH265 Small Bone Fixation System - Small Bone Fixation System Kit Intramedullary Nail Fixation System Kit 1.6mm and 1.1mm BH 13 123 1228 5360 137673 223 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DZ072 Elastic Nails Flexible/Paediatric Nails 1.5mm to 5.5mm diameter, 300mm to 440mm length DZ 13 123 1228 5360 111818 223 0 0 No Change 2019-07-01 2020-02-01 Prosthesis SK506 T2 Kids Paediatric Nail Paediatric Flexible Nail 1.5-4mm, 300-450mm SK 13 123 1228 5360 169585 223 0 0 No Change 2010-08-01 2020-02-01 Prosthesis SQ094 PediFlex System Intramedullary Flexible Nail, Titanium, Stainless Steel, Standard, Tapered Tip, Round Tip 1.5-4.5mm x 300-450mm SQ 13 123 1228 5360 191587 223 0 0 No Change 2014-02-01 2020-02-01 Prosthesis SY064 Titanium Elastic Nail 1.5mm - 4.0mm SY 13 123 1228 5360 141931 223 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZA065 BH179 BH180 BH181 BH183 Nancy Nail System Pediatric Flexible Nail 2-4mm x 130-450mm ZA 13 123 1228 5360 212593 223 0 0 No Change 2019-07-01 2020-02-01 Prosthesis MO159 Polarus Humeral Rod System Polarus Ulna Rod Titanium 210 to 270mm length MO 13 123 1228 5361 99822 1481 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MO161 Polarus Humeral Rod System Polarus Radius Rod Titanium 190 to 230mm length MO 13 123 1228 5361 99822 1481 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY781 AO/ASIF Intramedullary Nails Olecranon Osteotomy Nail 63mm SY 13 123 1228 5361 161139 1481 0 0 No Change 2013-08-01 2020-02-01 Prosthesis WR029 Micronail intramedullary radial fixation Titanium, Distal radial nail 1, 2, 3, 4 and XL WR 13 123 1228 5361 198485 1481 0 0 No Change 2010-02-01 2020-02-01 Prosthesis LH542 Precice Intramedullary Limb Lengthening System , Nail Precice Intramedullary Nail (8.5 -13)mm diameter x (130- 365)mm length LH 13 123 1228 5362 244568 244569 290819 16741 0 0 No Change 2016-02-01 2020-02-01 Prosthesis VK015 ISKD Internal Limb Lengthening System Titanium Alloy Diameter 12.5 - 14.5mm VK 13 123 1228 5362 118320 189940 189941 16741 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BU013 Lync Intramedullary Implant Lync is a titanium intramedullary implant 12mm to 20mm Length, Angled 0 degrees and 10 degrees BU 13 123 1228 5474 235763 548 0 0 No Change 2016-08-01 2020-02-01 Prosthesis DE550 RetroFusion Implant for PIP Arthrodesis for Hammertoe and Clawtoe Deformity 20mm Length 24mm Length DE 13 123 1228 5474 227070 548 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ER380 Paragon 28 Phantom Lapidus Nail System-Intramedullary nail, foot Phantom Lapidus intramedullary nail, foot, left or right dia 5.5 mmx length (38-60 mm) ER 13 123 1228 5474 290443 548 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ER387 Paragon 28 Hammer Tube System Paragon 28 Hammer tube, proximal interphalangeal joint arthrodesis; solid or cannulated, Peek, sterile dia (2.50-3.75 mm); angle 0-10°; length (14-16mm) ER 13 123 1228 5474 290441 548 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM246 Duafit Interphalangeal implant 11 - 20 mm implant length, zero, 10.0 or 17.0 degrees of plantarflexion LM 13 123 1228 5474 236773 548 0 0 No Change 2015-08-01 2020-02-01 Prosthesis LM300 Intramedullary Arthrodesis Implant Implant for small joint Arthrodesis Small, Medium, Large LM 13 123 1228 5474 164980 548 0 0 No Change 2016-08-01 2020-02-01 Prosthesis SL052 HAT-TRICK PIP Fusion System Straight & Angled SL 13 123 1228 5474 248155 548 0 0 No Change 2015-08-01 2020-02-01 Prosthesis TN045 Newclip Hammertoe Proximal Interphalangeal Implant XS, S, M, L TN 13 123 1228 5474 299344 548 0 0 No Change 2018-02-01 2020-02-01 Prosthesis TN061 Interphalangeal implants Interphalangeal implants XS, S, M, L TN 13 123 1228 5474 299344 548 0 0 No Change 2019-07-01 2020-02-01 Prosthesis WR252 Pro-toe VO Hammertoe Fixation System Small, Large, Straight & Angled WR 13 123 1228 5474 131003 548 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR298 Phalinx / Pro-toe VO* Hammertoe Fixation System Implants Extra Small - Large, Straight & Angled WR 13 123 1228 5474 131003 548 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI980 Nextra hammertoe Correction Prosthesis Interdigital Fusion Implant 3.5mm MPI / 3.2mm PI 4.5mm MPI / 3.2mm PI 5.5mm MPI / 3.2mm PI 4.5mm MPI / 4.5mm PI 5.5mm MPI / 4.5mm PI ZI 13 123 1228 5474 202866 259860 548 0 0 No Change 2017-08-01 2020-02-01 Prosthesis MN205 Hammerlock Intramedulary Nitinol Implant Small to large MN 13 123 1228 6561 Interphalangeal 95685 548 0 0 No Change 2017-02-01 2020-02-01 Prosthesis PF025 TicTac Interphalangeal implant Straight and angled PF 13 123 1228 6561 Interphalangeal 290541 548 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK490 Gamma U-Blade Lag Screw Set Dia. 10.5mm, 70-130mm SK 13 123 1229 3341 Com 139625 472 0 0 No Change 2009-02-01 2020-02-01 Prosthesis SY285 AO/ASIF Intramedullary nails Helical blade 50-150mm length SY 13 123 1229 3341 Com 157068 472 0 0 No Change 2005-10-31 2020-02-01 Prosthesis OH623 Chimaera - Compression Lag Screws Compression Lag Screws D: 6/10.5mm L: 60 - 130mm OH 13 123 1229 3341 Comp 292830 292836 243 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SL066 TriGen Integrated Lag / Compression Screw Kit 65 mm - 120 mm SL 13 123 1229 3341 Comp 104369 243 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL067 TriGen Compression Screw 35 mm SL 13 123 1229 3341 Comp 104369 243 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SN774 IMHS CP Captured Compression Screw, Stainless Steel 19mm SN 13 123 1229 3341 Comp 104369 243 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST035 Stryker Intramedullary Nailing System Compression Screw -Titanium 0 – 35mm ST 13 123 1229 3341 Comp 139625 243 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BH315 Affixus Hip Fracture Nail System Lag Screw 70-130mm BH 13 123 1229 3341 177876 199 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BI922 EBI Paediatric Locking Nail System Screw Pilot Double Thread - titanium; 20 - 68mm x 4.0mm BI 13 123 1229 3341 114472 199 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DZ011 Austofix Femoral and Tibial Nailing System 6.2/6.5 Hip Screw, stainless steel or titanium Diameter 6.2-6.5mm, Lengths 70-120mm DZ 13 123 1229 3341 111818 199 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DZ059 F1 Proximal Femoral Nail F1 10.4mm Helical Blade 10.4mm width, 60-120mm length DZ 13 123 1229 3341 111818 199 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ060 F1 Proximal Femoral Nail 10.4mm Hip Screw 10.4mm width, 60-120mm length DZ 13 123 1229 3341 111818 199 0 0 No Change 2017-08-01 2020-02-01 Prosthesis IG137 Panta Arthrodesis Nail Partially threaded lag Screw, Titanium Diameter 5 mm Length - 20 - 110 mm IG 13 123 1229 3341 173962 199 0 0 No Change 2013-08-01 2020-02-01 Prosthesis JD017 Proximal Femur Lag Screws Lag Screws 80-110mm Length JD 13 123 1229 3341 222647 199 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LM370 Intramedullary Nail Screw Intramedullary Nail Screw Multiple sizes to suit patient anatomy LM 13 123 1229 3341 266217 199 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SK243 Gamma LN Lag Screw - Titanium 10.5mmx70mm - 10.5mmx130mm SK 13 123 1229 3341 95185 199 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SL026 Compresion Hip Screw Lag Screws 55-140mm SL 13 123 1229 3341 104369 104370 199 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SN761 IMHS CP Subtrochanteric lag screw 12.7mm x 70mm to 12.7mm x 140mm SN 13 123 1229 3341 104369 199 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY126 AO/ASIF Intramedullary Nails Spiral blade Length 20 - 150mm SY 13 123 1229 3341 133923 199 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY803 AO/ASIF Intramedullary Nails Femoral Neck Screw Perforated 70mm - 130mm SY 13 123 1229 3341 157068 199 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI713 Zimmer Natural Nail System Lag Screws, Titanium 10.5mm x 70 to 130mm in 5mm increments ZI 13 123 1229 3341 112735 199 0 0 No Change 2010-02-01 2020-02-01 Prosthesis OH600 Orthofix - Centronail Screws, Cannulated Centronail Screws, Cannulated D: 4.8 L: 60-120 OH 13 123 1229 3712 CN 292830 292831 292836 264 0 0 No Change 2018-02-01 2020-02-01 Prosthesis PF023 Calcanail Screw Cannulated Screw 5mm diameter, 28 - 40mm length PF 13 123 1229 3712 CN 274577 264 0 0 No Change 2016-08-01 2020-02-01 Prosthesis SK203 Stryker Trauma Locking Nail System SCN Condyle Screws 5mm x (40mm-120mm) SK 13 123 1229 3712 CN 139625 76714 264 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK215 Stryker Trauma Locking Nail System Reconstruction Nail Recon Lag Screw SK 13 123 1229 3712 CN 139625 76714 264 0 0 No Change 2005-10-31 2020-02-01 Prosthesis AX021 S2 Nail System 6.2mm condylar screws 6.5mm x 60-85mm AX 13 123 1229 3712 119002 222 0 0 No Change 2006-03-24 2020-02-01 Prosthesis DZ065 S2 Nail System 6.2mm condylar screws 6.5mm x 60-85mm DZ 13 123 1229 3712 111818 222 0 0 No Change 2017-08-01 2020-02-01 Prosthesis IG138 Panta Arthrodesis Nail Fully threaded lag Screw, Titanium Diameter 5 mm Length - 20 - 110 mm IG 13 123 1229 3712 173962 222 0 0 No Change 2013-08-01 2020-02-01 Prosthesis PF021 Tylos Tylos trans-calcaneal reconstruction pin 0-35, 0-45, 0-55, 10-35, 10-45, 10-55, 20-35, 20-45, 20-55, 30-35, 30-45, 30-55, 40-35, 40-45, 40-55 PF 13 123 1229 3712 274577 222 0 0 No Change 2016-08-01 2020-02-01 Prosthesis SN519 TriGen Capture Reconstruction Screws Titanium 6.4mm diameter 65-125mm length SN 13 123 1229 3712 104369 222 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY263 AO/ASIF Intramedullary Nails Reconstruction Screw 26-200mm Length SY 13 123 1229 3712 133927 222 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZA069 Affixus Humeral Nail System Cancellous Screws Titanium - Partially Threaded & Fixed Angle 4x20mm - 4x60mm (in 2mm increments) ZA 13 123 1229 3712 274566 222 0 0 No Change 2019-11-01 2020-02-01 Prosthesis ZI717 Zimmer Natural Nail System Cancellous Screws Titanium - Partially Threaded & Fixed Angle 6.0mm x 50 to 145mm at 5mm increments ZI 13 123 1229 3712 112735 222 0 0 No Change 2010-02-01 2020-02-01 Prosthesis BH046 Biomet Phoenix Ankle Nailing System - 5mm Double-lead thread screw Double lead screw - Ti-6Al-4V Standard or osseotite finish 5mm Dia x (20 to 110)mm length BH 13 123 1229 3713 114474 143 0 0 No Change 2010-02-01 2020-02-01 Prosthesis DZ024 Austofix Femoral and Tibial Nailing System 4.0/4.8 Screws, Locking, stainless steel or titanium Diameter 4.0-4.8mm, Lengths 20-90mm DZ 13 123 1229 3713 111818 143 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DZ063 F1 Proximal Femoral Nail Set Screw Single Size DZ 13 123 1229 3713 111818 143 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ER382 Paragon 28 Phantom Lapidus Nail-Screw, small (2.71mm – 4.49mm) Paragon 28 Phantom Lapidus Nail-Screw, small dia 3.5 mm x length (10-46 mm) ER 13 123 1229 3713 290443 143 0 0 No Change 2017-08-01 2020-02-01 Prosthesis JD011 Screws - Reconstruction Screws 3.5 - 5 mm diameter JD 13 123 1229 3713 222647 143 0 0 No Change 2018-02-01 2020-02-01 Prosthesis JD018 Nail Set Screw Nail Set Screw Static & Dynamic JD 13 123 1229 3713 222647 143 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LC187 SMR Revision Modular Locking Ring Modular Locking Collar (Ring) Ti6AI4V One Size LC 13 123 1229 3713 168582 143 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LH541 Precice Intramedullary Limb Lengthening System Precice Locking Screw Diameter (3.5 -5.0)mm diameter x (20- 80)mm length LH 13 123 1229 3713 244568 244569 290819 143 0 0 No Change 2016-02-01 2020-02-01 Prosthesis OH591 Ankle Compression Nailing System - End Cap Locking End Cap 0-5mm OH 13 123 1229 3713 292830 292831 143 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH599 Orthofix - Centronail Screws Centronail Screws D: 4-6.5mm L: 20-120mm OH 13 123 1229 3713 292830 292831 292836 143 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH622 Chimaera HFS - Threaded Locking Screw Threaded Locking Screw D: 5mm L: 25 - 90mm OH 13 123 1229 3713 292830 292836 143 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OY006 Dual Cone Locking Extension (as a component of the Orthodynamics The Integral Leg Prosthesis Orthodynamics The Integral Leg Prosthesis-Dual Cone Locking Extension 6 sizes OY 13 123 1229 3713 109214 195008 195009 143 0 0 No Change 2015-08-01 2020-02-01 Prosthesis PF020 Tylos Screw Cortical Screw for Tibio Talo Calcaneal fusion 5mm x 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm PF 13 123 1229 3713 274577 143 0 0 No Change 2016-08-01 2020-02-01 Prosthesis SK216 Stryker Trauma Locking Nail System Reconstruction Nail Blocking Screw SK 13 123 1229 3713 139625 76714 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK245 Stryker Intramedullary Nailing System Locking Screw - Titanium 25mm - 120mm SK 13 123 1229 3713 95185 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK247 Gamma LN Set Screw - Titanium 8x17.5mm SK 13 123 1229 3713 95185 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN467 Compressing Screw For Intramedullary and compression Hip Screw Systems 19mm & 28.5mm SN 13 123 1229 3713 104369 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN739 Trigen Self Tapping Cortical Screw 20mm - 110mm SN 13 123 1229 3713 104369 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN762 IMHS CP Captured locking screw 4.5mm x 22mm to 4.5mm x 64mm SN 13 123 1229 3713 104369 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN775 IMHS CP Set Screw, Stainless Steel Standard SN 13 123 1229 3713 104369 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST043 Stryker Intramedullary Nailing System Locking Screw - Titanium 20-120mm ST 13 123 1229 3713 139625 143 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY789 AO/ASIF intramedullary Nails Locking Screws/Bolts 3.0mm-6.0mm D 10mm- 150mm L SY 13 123 1229 3713 157068 143 0 0 No Change 2013-08-01 2020-02-01 Prosthesis ZI718 Zimmer Natural Nail System Cortical Screws - Fixed Angle (Fully Threaded) Titanium 4.0mm & 5.0mm x 20 to 60mm (2.5mm increments); 4.0mm & 5.0mm x 65 to 100mm (5mm increments) ZI 13 123 1229 3713 112735 143 0 0 No Change 2010-02-01 2020-02-01 Prosthesis BH045 Biomet Phoenix Arthrodesis Nailing System - End Cap Offset end cap, Titanium 0mm - 20mm BH 13 123 1229 5363 114474 96 0 0 No Change 2010-02-01 2020-02-01 Prosthesis BH316 Affixus Hip Fracture Nail System End Caps 5mm, flush or impinging BH 13 123 1229 5363 177871 96 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH330 VersaNail IM Nailing Platform End caps for VersaNail IM Nail Platform Flush, impinging & 5-15mm BH 13 123 1229 5363 137669 140992 96 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BI923 EBI Paediatric Locking Nail System Nail end cap, titanium 5.5mm - 6.5mm BI 13 123 1229 5363 114472 96 0 0 No Change 2005-10-31 2020-02-01 Prosthesis BR007 OPRA System - Graft Screw Graft Screw One size only BR 13 123 1229 5363 145488 96 0 0 No Change 2013-08-01 2020-02-01 Prosthesis DZ021 Austofix Femoral and Tibial Nailing System M8 End Cap, Intramedullary Nails, stainless steel or titanium 1mm-20mm DZ 13 123 1229 5363 111818 96 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DZ061 F1 Proximal Femoral Nail F1 Helical End Cap 5mm, 10mm, 15mm DZ 13 123 1229 5363 111818 96 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ062 F1 Proximal Femoral Nail Screw End Cap 5mm, 10mm, 15mm DZ 13 123 1229 5363 111818 96 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ071 Elastic Nails End Caps 1.5mm to 5.5mm DZ 13 123 1229 5363 111818 96 0 0 No Change 2019-07-01 2020-02-01 Prosthesis IG102 Panta Arthrodesis Nail End Cap, Titanium One Size IG 13 123 1229 5363 173962 96 0 0 No Change 2011-02-01 2020-02-01 Prosthesis JD012 Nail Caps Nail Cap 0, 5, 10 & 11mm diameter JD 13 123 1229 5363 222647 96 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LH540 Precice Intramedullary Limb Lengthening System Precice End Cap 0-20mm length LH 13 123 1229 5363 244568 244569 290819 96 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MO200 Polarus Humeral Fixation System End cap screw, titanium 0-6mm MO 13 123 1229 5363 99822 96 0 0 No Change 2005-10-31 2020-02-01 Prosthesis OH598 Orthofix - Centronail End Caps Centronail End Caps L: 0-20mm OH 13 123 1229 5363 292830 292831 292836 96 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH619 Chimaera HFS - End Caps End Caps 0 - 15mm OH 13 123 1229 5363 292830 292836 96 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OU007 FIXATION NAIL END CAP OXFORD AFN ENDCAP LOCKING ANKLE ARTHRODESIS NAIL END CAP OXFORD AFN END CAP AFN END CAP DIA 10MM X 5MM LONG AFN END CAP DIA 10MM X 10MM LONG AFN END CAP DIA 11MM X 5MM LONG AFN END CAP DIA 11MM X 10MM LONG AFN END CAP DIA 12MM X 5MM LONG AFN END CAP DIA 12MM X 10MM LONG OXFORD AFN END CAP LOCKING OU 13 123 1229 5363 198771 96 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OY007 Orthodynamics The Integral Leg Prostheses-Central Screw (as a component of the Orthodynamics The Integral Leg Prosthesis Orthodynamics The Integral Leg Prosthesis-Central Screw 1 size OY 13 123 1229 5363 109214 195008 195009 96 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK248 Gamma LN Proximal/Extension Plug - Titanium 0mm, +5mm, +10mm SK 13 123 1229 5363 95185 96 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK491 U-Blade End Cap U-Blade Lag Screw End Cap One size 9mm x 10.5mm (diameter) SK 13 123 1229 5363 139625 96 0 0 No Change 2009-02-01 2020-02-01 Prosthesis SN498 Intramedullary Nailing System Nail Cap 0 - 30 mm SN 13 123 1229 5363 104369 104370 137602 96 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN713 Trigen Stable-Lok Nut One Size Only SN 13 123 1229 5363 141019 96 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SQ087 Intramedullary Nail End Caps PediNail End Caps PediFlex End Caps 0-20mm SQ 13 123 1229 5363 191587 96 0 0 No Change 2013-08-01 2020-02-01 Prosthesis ST045 Stryker Intramedullary Nailing System End Caps - Titanium Standard to +35mm ST 13 123 1229 5363 144000 96 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY125 AO/ASIF Intramedullary Nails End cap 0 - 40mm SY 13 123 1229 5363 133919 96 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WR207 Valor Hindfoot Fusion System - Endcap Valor Endcap n/a WR 13 123 1229 5363 198485 96 0 0 No Change 2011-02-01 2020-02-01 Prosthesis WR413 TO144 611 Ankle Fusion Nail - Component: PLUGS The 611 ankle arthrodesis nail, 2mm & 7mm plugs are made out of titanium alloy (Ti6AI4V). They are delivered non-sterile 0mm - 7.5mm WR 13 123 1229 5363 198776 96 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZA064 ZI710 ZI711 ZI720 Zimmer Natural Nail System Nail caps - titanium 0-15mm ZA 13 123 1229 5363 112735 96 0 0 No Change 2019-07-01 2020-02-01 Prosthesis ZA070 Affixus Humeral Nail System End caps for Affixus Humeral Nail System 0mm, 8.5x0mm - 8.5x20mm, 9.5x5mm - 9.5x20mm, 10.5x2.5mm - 10.5x7.5mm, 11x2.5mm - 11x7.5mm ZA 13 123 1229 5363 170659 96 0 0 No Change 2019-11-01 2020-02-01 Prosthesis DE055 Stainless Steel Square Wedge Tibial Osteotomy Plate Steel Square Wedge Tibial Osteotomy Plate with 4 non locking holes 3mm - 17.5mm DE 13 123 1694 5255 Com 140686 140710 922 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE094 Anterior Posterior Sloped Stainless Steel Tibial Osteotomy Plate Anterior Posterior Sloped Stainless Steel Tibial Osteotomy Plate with 4 non locking holes 5 - 15mm length DE 13 123 1694 5255 Com 140710 922 0 0 No Change 2005-10-31 2020-02-01 Prosthesis IG087 Newdeal Femoral Osteosynthesis Plates Composition - 316L Stainless Steel. To be used only with Newdeal screws/lock screws 8/9/10 hole, left and right IG 13 123 1694 5255 Com 173932 922 0 0 No Change 2011-02-01 2020-02-01 Prosthesis IG088 Newdeal Distal Femoral Varus Osteotomy Plate Stainless steel periarticular anatomically shaped plate fixed with 3 locking screws into femoral condyle 1 Size IG 13 123 1694 5255 Com 173932 922 0 0 No Change 2011-02-01 2020-02-01 Prosthesis IG089 Newdeal Femoral Varus and De-rotation Osteotomy Plates Stainless steel periarticular anatomic plate fixed with locking screws into proximal femur Newdeal Femoral Varus and De-rotation Osteotomy Plates - 3 holes, Newdeal Femoral Varus and De-rotation Osteotomy Plates - 4 holes, Newdeal Reinforced Femoral Newdeal and De-rotation Osteotomy Plates - left and right IG 13 123 1694 5255 Com 173932 922 0 0 No Change 2011-02-01 2020-02-01 Prosthesis IT001 Hawk Anterior Ankle Fusion Set Anatomically contoured 6 hole plate and screw set for anterior fixation of the ankle joint. 77mm in length 22mm in width 23mm depth IT 13 123 1694 5255 Com 177278 922 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SK075 Stryker Plating System Basic Fragment Set 4.5mm Reconstruction Plate 3-9 Holes SK 13 123 1694 5255 Com 119848 25735 922 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN143 TC 100 4.5mm Reconstruction Plate < 6 holes SN 13 123 1694 5255 Com 108428 922 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SQ075 PediPlates Plating System I-Plate Center Hole 16-32mm SQ 13 123 1694 5255 Com 191530 922 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SY622 AO/ASIF Plates Non Locking Specialty Plates ≤ 6 Holes SY 13 123 1694 5255 Com 157069 922 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI217 ZPS Plate System 4.5mm T Buttress Plates 4 - 6 Hole ZI 13 123 1694 5255 Com 112735 922 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI752 ZPS-Zimmer Plate & Screw System 3.5mm and 4.5mm pelvic plates 6 holes or less ZI 13 123 1694 5255 Com 112735 922 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BB311 Position HTO Implant System - HTO Plate Titanium Osteotomy Plate, internal fixation plate used in proximal tibial repositioning osteotomy. One size BB 13 123 1694 5255 Com, LK 150084 1178 0 0 No Change 2008-07-01 2020-02-01 Prosthesis DE348 Calcaneal Step Plate Calcaneal Step Plate 5mm, 7.5mm, 10mm DE 13 123 1694 5255 Com, LK 140710 1178 0 0 No Change 2012-02-01 2020-02-01 Prosthesis IG090 Newdeal Proximal Humeral Plate Composition - 316L Stainless Steel. To be used only with Newdeal screws/lock screws 6 holes IG 13 123 1694 5255 Com, LK 173932 1178 0 0 No Change 2011-02-01 2020-02-01 Prosthesis IG091 Newdeal HTO Plates Stainless steel anatomically shaped plates for high tibial osteotomy;4 or 5 holes Opening wedge HTO plates, left and right. Closing wedge HTO plates, left and right. Reinforced closing wedge HTO plates, left and right IG 13 123 1694 5255 Com, LK 173932 1178 0 0 No Change 2011-02-01 2020-02-01 Prosthesis IT014 Superior Fusion Plate System - Plate Anatomically contoured 6 hole plate and screw set with locking screw hole option, for anterior fixation of ankle joint. Used for Primary, Revision and Pantalar fusions. The fixation plate is 77mm in length, 22mm in width and 23mm in depth. 6 hole plate IT 13 123 1694 5255 Com, LK 177278 1178 0 0 No Change 2016-02-01 2020-02-01 Prosthesis LM367 Calcaneal Osteotomy Device Calcaneal Osteotomy Device All sizes LM 13 123 1694 5255 Com, LK 306780 1178 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SQ077 PediLoc Plating System 4.5mm Locking Plate 2-6 Holes SQ 13 123 1694 5255 Com, LK 191530 1178 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SQ111 Iso-Elastic SuperCable Trochanteric Grips and Cable-Plates System Cable Plates Titanium 6 Hole 185mm SQ 13 123 1694 5255 Com, LK 133719 1178 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR067 Displacement Plate - DPS Unique steep plate design allows for controlled fixation of displacement calcaneal osteotomies. 3 step variations allows for accurate corrections. 3.5mm Titanium locking plate 6, 8 & 10mm step, 4 hole WR 13 123 1694 5255 Com, LK 122967 1178 0 0 No Change 2010-02-01 2020-02-01 Prosthesis BH285 ALPS LFS 4.5mm Titanium Spider plates Single hole plate with hooks BH 13 123 1694 5255 Com,VAL 153056 1473 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE216 Titanium Anterior Posterior Sloped Tibial Osteotomy Plate Titanium Anterior Posterior Sloped Tibial Osteotomy Plate with 4 variable angle locking holes and 6 variable angle locking holes 0-17.5mm DE 13 123 1694 5255 Com,VAL 140710 1473 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE217 Titanium Femoral Osteotomy Plate Titanium Femoral Osteotomy Plate with 7 Variable Angle Locking Holes 5mm - 17.5mm DE 13 123 1694 5255 Com,VAL 140710 1473 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WR276 Elix (plate) PEEK HTO plate 4 Hole, right and left plate. WR 13 123 1694 5255 Com,VAL 142603 1473 0 0 No Change 2015-08-01 2020-02-01 Prosthesis BB312 Position HTO Implant System - Spacer Block with Fixation Screw Osteotomy Spacer Block, solid titanium. Consists of block and fixation screw. 5mm - 16mm BB 13 123 1694 5255 LK 150084 798 0 0 No Change 2008-07-01 2020-02-01 Prosthesis IG083 Newdeal Reinforced Bendable Osteosynthesis Plates Stainless Steel 2 - 4 Holes 2 holes, 4 holes/77mm, 4 holes/112mm IG 13 123 1694 5255 LK 173932 798 0 0 No Change 2011-02-01 2020-02-01 Prosthesis IG084 Newdeal Bendable Osteosynthesis Plates Composition - 316L Stainless Steel. To be used only with Newdeal screws/lock screws. 3-6 holes IG 13 123 1694 5255 LK 173932 798 0 0 No Change 2011-02-01 2020-02-01 Prosthesis OX014 ARMAR 4.5mm Meril Locking Plate System ≤ 6 holes TiCP locking plates 2-6 Holes 44-120mm Length OX 13 123 1694 5255 LK 286842 798 0 0 No Change 2018-02-01 2020-02-01 Prosthesis PJ001 Flexit System, Flexit HTO Opening Wedge Tibial Plate Anatomic Locking Tibial Plates 51mm,63mm,2.8mm thick 4-6 holes PJ 13 123 1694 5255 LK 206422 798 0 0 No Change 2014-02-01 2020-02-01 Prosthesis SK532 Stryker Plating System Locking Compression Anatomical Shape 2-6 hole SK 13 123 1694 5255 LK 119848 798 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK535 Stryker Plating System Locking Reconstruction Plates 5.0mm, 4-6 hole SK 13 123 1694 5255 LK 119848 798 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ149 PediLoc Plating System PediFrag Clavicle Plates 2.7-3.5mm 6 Holes Left, Right SQ 13 123 1694 5255 LK 191530 798 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SQ150 PediLoc Plating System PediFrag Clavicle Plates 2.7-3.5mm 7-8 Holes Left, Right SQ 13 123 1694 5255 LK 191530 798 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SY116 AO/ASIF Plates LCP Large Fragement Plates ≤ 6 holes SY 13 123 1694 5255 LK 157069 798 0 0 No Change 2005-10-31 2020-02-01 Prosthesis TN058 Plating system Com, LK Plating system Com, LK ≤ 6 holes TN 13 123 1694 5255 LK 260229 260232 798 0 0 No Change 2019-07-01 2020-02-01 Prosthesis BH281 ALPS LFS 4.5mm titanium plates 1-6 holes BH 13 123 1694 5255 VAL 153056 1112 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN008 Newclip Activmotion HTO Plate Fixation plates for high tibial osteotomy (HTO) ≤ 6 holes TN 13 123 1694 5255 VAL 260229 260232 1112 0 0 No Change 2016-02-01 2020-02-01 Prosthesis BH138 Peanut Growth Control Plating System - Plates Guided growth control plate, titanium alloy, stepped and arched 12 and 16mm, 2 holes BH 13 123 1694 5255 188744 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH188 Small / Large Fragment Set 3.5mm Titanium plates 2 to 6 holes BH 13 123 1694 5255 153056 542 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH195 Periarticular Plating System Fibula Composite Plate - Titanium 5 Hole BH 13 123 1694 5255 153056 542 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE651 Mesh Plate Plate for Fracture fixation and Arthrodesis Short Long DE 13 123 1694 5255 284416 542 0 0 No Change 2018-08-01 2020-02-01 Prosthesis IG086 Newdeal Distal Humeral Plates Composition - 316L Stainless Steel. To be used only with Newdeal screws/lock screws 4 holes IG 13 123 1694 5255 173932 542 0 0 No Change 2011-02-01 2020-02-01 Prosthesis LM066 TriMed Olecranon Sled Washer one size LM 13 123 1694 5255 182677 542 0 0 No Change 2006-11-30 2020-02-01 Prosthesis SN071 TC 100 4.5mm Straight Plates ≤ 6 holes SN 13 123 1694 5255 108428 542 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN942 Peri-Loc 4.5 Straight Non Locking Plates ≤6 holes SN 13 123 1694 5255 108428 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ074 PediPlates Plating System O-Plate, Delta Plate, Center Hole 12-24mm SQ 13 123 1694 5255 191530 542 0 0 No Change 2013-08-01 2020-02-01 Prosthesis ST039 Stryker Plating System L-Plates 4-6hole ST 13 123 1694 5255 119848 25735 542 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY603 AO/ASIF Plates Non Locking Fragment plates ≤ 6 holes SY 13 123 1694 5255 157069 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis VK027 eight-Plate Plus The guided growth plate system plus consists of different sizes of eight-Plate plus. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both upper and lower extremities. 12mm 16mm 20mm VK 13 123 1694 5255 289399 542 0 0 No Change 2019-07-01 2020-02-01 Prosthesis ZI776 ZPS-Zimmer Plate and Screw System 4.5mm ZPS Semi-tubular Narrow Plate 2-6 holes ZI 13 123 1694 5255 112735 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI777 ZPS-Zimmer Plate and Screw System 4.5mm ZPS Semi-tubular Narrow Plate 7 holes - 15 holes ZI 13 123 1694 5255 112735 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI792 ZPS-Zimmer Plate and Screw System 4.5mm Straight Recon Plate 4-6 holes ZI 13 123 1694 5255 112735 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI794 ZPS-Zimmer Plate and Screw System 4.5mm Broad Compression Plate 2-6 holes ZI 13 123 1694 5255 112735 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI804 ZPS-Zimmer plate and Screw System 4.5mm Dual Compression Plate 2-6 holes ZI 13 123 1694 5255 112735 542 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH199 Periarticular Plating System Tibial Plate - Titanium 7 - 15 Holes BH 13 123 1694 5256 Com 153056 1054 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SQ078 PediLoc System ≥7 to ≤15 holes, screw size ≥4.5mm 4.5mm Bowed locking compression femur 10, 12, 14 hole plates 4.5mm contour locking compression femur 8, 10, 12, 14 hole plates left and right 4.5mm bowed 10, 12, 14 hole 4.5mm contour 8,10,12,14 hole right 4.5mm contour 8, 10, 12, 14 hole left SQ 13 123 1694 5256 Com 191586 1054 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SY814 AO/ASIF Plates Non Locking Fragment Plate 7 - 15 holes SY 13 123 1694 5256 Com 157069 1054 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI788 ZPS-Zimmer Plate and Screw System 4.5mm T-Plates 7-15 holes ZI 13 123 1694 5256 Com 112735 1054 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE528 Ankle Fusion Plating System Fusion Plate Anterior Plate (Left and Right side Specific) DE 13 123 1694 5256 Com, LK 140686 1311 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OU017 Foot Plating System Ti Calaneal Step Plates, Osteotomy, Locking, sterile and nonsterile STEP = 5 mm 21.5 mm 7.5 mm 21.5 mm 10 mm 21.5 mm OU 13 123 1694 5256 Com, LK 260232 260229 1311 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SQ112 Iso-Elastic SuperCable Trochanteric Grips and Cable-Plates System Cable Plates Titanium 8 Hole 240mm 10 Hole 290mm SQ 13 123 1694 5256 Com, LK 133719 1311 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI948 Ankle Fix - Plate ≥ 7 to ≤ 15 holes Ankle Fusion plate Standard and Large ZI 13 123 1694 5256 Com, LK 140687 1311 0 0 No Change 2016-08-01 2020-02-01 Prosthesis SK633 VariAx Wrist plates Wrist plates 7-15 holes HW 13 123 1694 5256 Com,VAL 1244 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR446 ORTHOLOC Universal Ankle Fusion Plating System The ORTHOLOC Universal Ankle Fusion Plating System is intended to facilitate arthrodesis of the ankle including tibiotalocalcaneal and tibiotalar joints and tibiocalcaneal arthrodeses, in conjunction with osteotomies and fractures of the distal tibia, talus, and calcaneus. 82mm WR 13 123 1694 5256 Com,VAL 198485 1244 0 0 No Change 2019-07-01 2020-02-01 Prosthesis BH065 Sternalock Plate, locking, >6 hole, Various shapes 8-12 hole BH 13 123 1694 5256 LK 119508 931 0 0 No Change 2010-08-01 2020-02-01 Prosthesis DE469 Ankle Fusion Plating System Fusion Plate for Ankle Joint Arthritis Anterior, Posterior, Lateral DE 13 123 1694 5256 LK 140686 931 0 0 No Change 2015-08-01 2020-02-01 Prosthesis IG085 Newdeal Bendable Osteosynthesis Plates Stainless steel bendable plates 7 - 9 holes 7-9 holes IG 13 123 1694 5256 LK 173932 931 0 0 No Change 2011-02-01 2020-02-01 Prosthesis OX015 ARMAR 4.5mm Meril Locking Plate System ≥ 7 to ≤ 15 holes TiCP humeral locking plates 7-15 Holes 118-283mm Length OX 13 123 1694 5256 LK 286842 931 0 0 No Change 2018-02-01 2020-02-01 Prosthesis PJ002 FlexiSystem, Flexit HTO Opening wedge Tibial Plate Anatomic Locking Tibial Plates 80mm, 7-15 holes PJ 13 123 1694 5256 LK 206422 931 0 0 No Change 2014-02-01 2020-02-01 Prosthesis SK533 Stryker Plating System Locking Compression Anatomical Shape 7-15 hole SK 13 123 1694 5256 LK 119848 931 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK536 Stryker Plating System Locking Reconstruction Plates 5.0mm, 8-14 hole SK 13 123 1694 5256 LK 119848 931 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY636 AO/ASIF Plates LC-LCP Fragment Plates 7-15 Holes SY 13 123 1694 5256 LK 157069 931 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN038 Newclip Activmotion HTO Plate Fixation plates for high tibial osteotomy (HTO) 7 to 15 holes TN 13 123 1694 5256 LK 260229 260232 931 0 0 No Change 2017-08-01 2020-02-01 Prosthesis TN060 Plating System Com, LK Plating System Com, LK ≥ 7 to ≤ 15 holes TN 13 123 1694 5256 LK 260229 260232 931 0 0 No Change 2019-07-01 2020-02-01 Prosthesis BH282 ALPS LFS 4.5mm titanium plates, 7-15 holes BH 13 123 1694 5256 VAL 153056 1244 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN043 Newclip Plating System VAL Locking plates 7 to 15 holes TN 13 123 1694 5256 VAL 260229 260232 1244 0 0 No Change 2017-08-01 2020-02-01 Prosthesis BH198 Periarticular Plating System Fibula Composite Plate - Titanium 9 Hole BH 13 123 1694 5256 153056 97981 674 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE342 PEEKPower HTO Plate Medial High Tibial Osteotomy Implant Device System One Universal Size DE 13 123 1694 5256 140710 674 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE502 Arthrex Clavicle Plating System Locking clavicle plate and screw system for fixation of clavicle fractures. 7-10 holes DE 13 123 1694 5256 140686 674 0 0 No Change 2017-02-01 2020-02-01 Prosthesis SK544 Stryker Plating System Basic Fragment Set 4.5mm Reconstruction Plate 7-15 hole SK 13 123 1694 5256 119848 674 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN098 TC-100 4.5mm Reconstruction Plate ≥ 7 to ≤ 15 holes SN 13 123 1694 5256 108428 674 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN133 TC-100 4.5mm Straight Plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5256 108428 674 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN943 Peri-Loc 4.5 Straight Non Locking Plates ≥7 to ≤15 holes SN 13 123 1694 5256 108428 674 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY813 AO/ASIF Plates Non Locking Fragment Plate 7 - 15 holes SY 13 123 1694 5256 157069 674 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI168 Zimmer Internal Fixation Systems: Cable System Cable-Ready 8 Hole Plate - Stainless Steel 246mm long ZI 13 123 1694 5256 108377 674 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI793 ZPS-Zimmer Plate and Screw System 4.5mm Straight Reconstruction Plate 7-15 holes ZI 13 123 1694 5256 112735 674 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI795 ZPS-Zimmer Plate and Screw System 4.5mm Broad Compression Plate 7-15 holes ZI 13 123 1694 5256 112735 674 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI805 ZPS-Zimmer Plate and Screw System 4.5mm Dual Compression Plate 7-15 holes ZI 13 123 1694 5256 112735 674 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN075 TC 100 4.5mm Reconstruction Plates ≥ 16 Holes SN 13 123 1694 5257 Com 108428 1121 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SQ079 PediLoc - Periarticular Locking Plating System Femur- > 16 holes, screw size ≥4.5mm 4.5mm Bowed locking compression femur 16 hole plate 4.5mm Bowed locking compression femur 18 hole plate 4.5mm contour locking compression femur 16 hole plate right 4.5mm contour locking compression femur 18 hole plate right 4.5mm contour locking compression femur 20 hole plate right 4.5mm contour locking compression femur 16 hole plate left 4.5mm contour locking compression femur 18 hole plate left 4.5mm contour locking compression femur 20 hole plate left 4.5mm Bowed, 16 hole 4.5mm Bowed, 18 hole 4.5mm contour,16 hole, right 4.5mm contour,18 hole, right 4.5mm contour,20 hole, right 4.5mm contour,16 hole, left 4.5mm contour,18 hole, left 4.5mm contour,20 hole, left SQ 13 123 1694 5257 Com 191586 1121 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SY716 AO/ASIF Plates Non Locking specialty Plates ≥16 Holes SY 13 123 1694 5257 Com 157069 1121 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI754 ZPS - Zimmer Plate & Screw System 3.5mm and 4.5mm Pelvic plates 16 holes and above ZI 13 123 1694 5257 Com 112735 1121 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE572 Plantar Lapidus Plates Arthrodesis Plate Short and Standard Left & Right side specific DE 13 123 1694 5257 Com, LK 284416 1378 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ZI943 Ankle Fix -Plate ≥ 16 holes Ankle fusion plate One size only ZI 13 123 1694 5257 Com, LK 140687 1378 0 0 No Change 2016-08-01 2020-02-01 Prosthesis OX016 ARMAR 4.5mm Meril Locking Plate System ≥ 16 holes TiCP locking plates 16-26 Holes 262-481mm Length OX 13 123 1694 5257 LK 286842 998 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK534 Stryker Plating System Locking Compression Anatomical Shape 16-22 hole SK 13 123 1694 5257 LK 119848 998 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK537 Stryker Plating System Locking Reconstruction Plates 5.0mm, 16-22 hole SK 13 123 1694 5257 LK 119848 998 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY637 AO/ASIF Plates LC-LCP Plates ≥ 16 Holes SY 13 123 1694 5257 LK 157069 998 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN034 Newclip Femoral Plate Variable angle plates for femur ≥ 16 holes TN 13 123 1694 5257 VAL 260232 260229 1311 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SK545 Stryker Plating System Basic Fragment Set 4.5mm Reconstruction Plate 16-22 hole SK 13 123 1694 5257 119848 741 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN078 TC-100 4.5mm Straight Plates ≥ 16 holes SN 13 123 1694 5257 108428 741 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN784 Peri-Loc Plates, Stainless Steel, Non-Locking, Broad, Left & Rights ≥ 16 holes SN 13 123 1694 5257 108428 741 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY661 AO/ASIF Plates Non Locking Large Fragment Plates ≥ 16 Holes SY 13 123 1694 5257 157069 741 0 0 No Change 2012-02-01 2020-02-01 Prosthesis IG106 B-BOP Plantar Basal Osteotomy Plate (Sterile) Titanium, 4 hole plate for fixation of osteotomy of the base of the first metatarsal Moderate Correction(5°) Left, Right. Severe Correction (10°) Left, Right IG 13 123 1694 5258 Com 173932 594 0 0 No Change 2011-02-01 2020-02-01 Prosthesis IG128 Spider Limited Wrist Fusion System Recessed, circular stainless steel plate 6 hole IG 13 123 1694 5258 Com 177622 594 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK546 Stryker Plating System T-Plates, pre-shaped 2-6 holes SK 13 123 1694 5258 Com 119848 594 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL125 Smith & Nephew Plate and Screw System- EVOS Small Fragment Plate ≤ 6 holes SL 13 123 1694 5258 Com 108428 594 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SN800 Peri-Loc 3.5mm Recon Plate ≤ 6 holes SN 13 123 1694 5258 Com 108428 594 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN801 Peri-Loc 3.5mm Recon Plates > 7 to < 15 holes SN 13 123 1694 5258 Com 108428 594 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST738 Leibinger Titanium Implant System Leibinger profyle hand & small fragment system, fixation, 3D plate, titanium 1.7mm system, 2x2 holes ST 13 123 1694 5258 Com 124318 64730 594 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY704 AO/ASIF Plates Specialty Plate ≤ 6 holes SY 13 123 1694 5258 Com 157069 594 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR050 Charlotte MTP Fusion System MTP plate, stainless steel Left & Right extended,9 holes WR 13 123 1694 5258 Com 198485 594 0 0 No Change 2010-02-01 2020-02-01 Prosthesis ZI220 ZPS Plate System 3.5mm Cloverleaf Plates 88 - 104mm ZI 13 123 1694 5258 Com 112735 594 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI786 ZPS-Zimmer Plate and Screw System 3.5mm T-Plates 2 holes - 6 holes ZI 13 123 1694 5258 Com 112735 594 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI787 ZPS-Zimmer Plate and Screw System 4.5mm T-Plates 2-6 holes ZI 13 123 1694 5258 Com 112735 594 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI797 ZPS-Zimmer Plate and Screw System 3.5mm Calcaneal Plates 2-6 holes ZI 13 123 1694 5258 Com 112735 594 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BI930 Sternalock ≤ 6 holes, various shapes ≤ 6 holes BI 13 123 1694 5258 Com, LK 128458 850 0 0 No Change 2006-03-24 2020-02-01 Prosthesis DE290 Titanium Plate with or without Wedge Titanium Plate with or without wedge with 4 and non locking holes. Left and right side specific. Flat Plates - left large, right large, left medium, right medium, left small, right small Wedge Plates - 10mm wedge left, 10mm wedge right, 8mm wedge left, 8mm wedge right, 6mm wedge left, 6mm wedge right DE 13 123 1694 5258 Com, LK 140686 850 0 0 No Change 2009-02-01 2020-02-01 Prosthesis DE417 Locking Medial Hook Plate Locking Medial Hook Plate for Fixation of medial malleolus fractures 3-5 holes DE 13 123 1694 5258 Com, LK 140686 850 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE419 Locking Lateral Hook Plate Locking Lateral Hook Plate for Fracture Fixation of the Lateral Malleolus 3-5 Holes DE 13 123 1694 5258 Com, LK 140686 850 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE555 Locking POW Plate Wedged Fusion Plate 0-7mm DE 13 123 1694 5258 Com, LK 140686 850 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE565 Lisfranc Plates Arthrodesis Plate Small, Medium, Large Plates come in Left & Right DE 13 123 1694 5258 Com, LK 140686 850 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE644 Proximal 1st Metatarsal Osteotomy Plate 1st Metatarsal Osteotomy Plate Petite - Left and Right Side Specific Standard - Left and Right Side Specific DE 13 123 1694 5258 Com, LK 284416 850 0 0 No Change 2018-08-01 2020-02-01 Prosthesis EF001 Merete TTF Anterior Ankle Plate Anterior Ankle Plates ≤ 6 holes Left and right EF 13 123 1694 5258 Com, LK 203737 850 0 0 No Change 2015-02-01 2020-02-01 Prosthesis IG117 UNI-CP Compression plating system 2 or 4 hole stainless steel compression plate, with 3 plate configurations (2 or 4 hole 'straight' design, 4 hole T-design) 2 or 4 hole, 4 interaxis sizes: 17, 20, 25 and 30mm IG 13 123 1694 5258 Com, LK 173932 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis IG136 Uni-CP Compression plating system 4 hole U design 4 hole, 3 interaxis sizes: 17,19,21mm IG 13 123 1694 5258 Com, LK 173932 850 0 0 No Change 2012-08-01 2020-02-01 Prosthesis LM125 TriMed Sidewinder Ankle Fixation Plate ≤ 6 holes LM 13 123 1694 5258 Com, LK 182677 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM291 Forearm Locking Plate Forearm plates ≤ 6 holes LM 13 123 1694 5258 Com, LK 182677 850 0 0 No Change 2016-02-01 2020-02-01 Prosthesis OU041 Calcaneal Step Plate Calcaneal Step Plate 6-10mm (CSP) Calcaneal Step Plate 6-10mm (CSP) OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OU042 Calcaneal Step Plate ULTOS Calcaneal Step Plate 8-12mm Calcaneal Step Plate 8-12mm OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OU043 Lapidus plate Lapidus Plate Lapidus plate flat(LP) lapidus plate 1mm step (LP) upto Lapidus plate flat (LP), Lapidus plate 6mm step (LP) OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OU044 Lapidus Plate ULTOS Lapidus Plate Lapidus plate flat left/right, Lapidus plate 2mm step left/right, Lapidus plate 4mm step left/right, Lapidus plate 6mm step left/right OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OU045 Tarsal Fusion Plate Tarsal Fusion Plate Tarsal Fusion Plate 12mm (TFP) Tarsal Fusion Plate 14mm (TFP) Tarsal Fusion Plate 16mm (TFP) OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OU046 Tarsal Fusion Plate ULTOS Tarsal Fusion Plate ULTOS Tarsal Fusion Plate 12mm ULTOS Tarsal Fusion Plate 14mm ULTOS Tarsal Fusion Plate 16mm OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OU049 Rearfoot Recon Plate Rearfoot Recon Plate Rearfoot Recon Plate, 6 Hole (RRP) Rearfoot Recon Plate, 8 Hole (RRP) Rearfoot Recon Plate, 14 Hole (RRP) OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OU051 Rearfoot Recon Plate Rearfoot Recon Plate ULTOS Rearfoot Recon Plate 6 Hole ULTOS Rearfoot Recon Plate 8 Hole ULTOS Rearfoot Recon Plate 14 Hole OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OU053 Arthrodesis Wedge Plate Arthrodesis Wedge Plate Arthrodesis Wedge Plate 0mm-8mm(AWP), - 30mm (3.5mm universal locking plate 12mm - 30mm (3.5ULP)) OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OU054 Arthrodesis Wedge Plate Arthrodesis Wedge Plate Arthrodesis Wedge Plate 0mm-8mm, Universal locking plate 12-30mm (3.5 ULP) OU 13 123 1694 5258 Com, LK 198773 850 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SF083 Islay Universial Locking Plate Titanium Plate with or without wedge with 4 and non locking holes. Left and right side specific. Various length plates from 18-24mm with and without wedges (2-7mm), plates with valugus angle built in range. SF 13 123 1694 5258 Com, LK 208160 850 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SF119 Islay Arthrodesis Wedge Plate Islay Arthrodesis Wedge Plate Arthrodesis Wedge Plate 0mm-8mm(AWP), - 30mm (3.5mm universal locking plate 12mm - 30mm (3.5ULP)) SF 13 123 1694 5258 Com, LK 208160 850 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SF126 Islay Recon Plate Islay Recon Plate Recon Plate, 6 Hole (RRP) Recon Plate, 8 Hole (RRP) Recon Plate, 14 Hole (RRP) SF 13 123 1694 5258 Com, LK 208160 850 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL130 Smith & Nephew Plate and Screw System- EVOS Small Fragment Plate ≤ 6 holes SL 13 123 1694 5258 Com, LK 108428 850 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SQ154 PediLoc Plating System Locking Cannulated Blade Plate Infant, Child, Adolescent, 90-130 degrees, 0-14 mm offset, 25-80 mm blade, 2-4 holes SQ 13 123 1694 5258 Com, LK 191530 850 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SY703 AO/ASIF Plates Specialty Locking Plate ≤ 6 holes SY 13 123 1694 5258 Com, LK 157069 850 0 0 No Change 2012-08-01 2020-02-01 Prosthesis TN028 Newclip Plating System Complex Locking Bone Plates ≤ 6 holes TN 13 123 1694 5258 Com, LK 260229 260232 850 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR049 Charlotte MTP Fusion System MTP plate, stainless steel Left & Right small & standard, 6 holes WR 13 123 1694 5258 Com, LK 198485 850 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR057 Lapidus Plate Titanium locking plate with unique stepped displacement in 1mm increments permits accurate plantarisation and lateralisation in midfoot fusions. 3.5mm: neutral, 1-6mm step WR 13 123 1694 5258 Com, LK 122967 850 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR066 Arthrodesis Flat Plate - AFP Flat plate intended for use in isolated tarsal fusions, titanium locking plate, 2mm thickness 12, 14 & 16mm length - 4 hole WR 13 123 1694 5258 Com, LK 122967 850 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR069 TOM Plate Designed for base osteotomies and fusions of MT1 with correction achieved through one cut. It is a titanium locking plate, anatomically designed with a smaller radius to fit the contour of the first metatarsal and 5 step variation in 1mm increments for ac - L & R: neutral, 1-5mm step, 4 hole WR 13 123 1694 5258 Com, LK 122967 850 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR378 TO105 MaxLock Extreme System - Small Plates ≤ 6 holes Small variable angle locking plates, titanium, ≤ 6 holes ≤ 6 holes WR 13 123 1694 5258 Com, LK 214671 850 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR409 TO140 'Nexfix MTP Fusion System A bendable stainless steel bone plate and screw system with unique low profile locking screw option. Indicated for use in primary and revision MTP fusion 6 hole WR 13 123 1694 5258 Com, LK 147747 850 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR423 TO159 MaxLock Extreme System – Edgelock II STP Plate Calcaneal displacement osteotomies locking plate, Titanium. ≤ 6 holes WR 13 123 1694 5258 Com, LK 214671 850 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI543 Zimmer Universal Locking System 3.5mm Locking T plate 3 hole head 5 hole shaft 73mm length; 4 hole head 6 hole shaft 85mm length; 3 hole head 3 hole shaft left 51mm length; 3 hole head 4 hole shaft left 63mm length; 3 hole head 3 hole shaft right 51mm length; 3 hole head 4 hole shaft right 63mm length. ZI 13 123 1694 5258 Com, LK 112735 850 0 0 No Change 2007-12-01 2020-02-01 Prosthesis ZI945 Normed fracture fixation plates Titanium locking foot plates 4/6 hole and 3.5mm screws ZI 13 123 1694 5258 Com, LK 140687 850 0 0 No Change 2016-08-01 2020-02-01 Prosthesis BH242 ALPS Foot System Complex periarticular foot plates small to large BH 13 123 1694 5258 Com, VAL 153056 1164 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH279 ALPS - Anatomic Locked Plating System 3.5mm titanium locking spider plates Small - large and offset BH 13 123 1694 5258 Com, VAL 137673 1164 0 0 No Change 2013-02-01 2020-02-01 Prosthesis EO080 APTUS Foot TriLock Plates 2.8 EO 13 123 1694 5258 Com, VAL 141170 1164 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ER480 Paragon 28 Gorilla Plating System-Plate, small (≤ 6 holes);variable angle locking, complex Paragon28 Gorilla, small titanium compression plates; universal; variable angle locking; compression; various complex shapes thickness 1.3 - 2.0 mm; multi screw diameter purchase ER 13 123 1694 5258 Com, VAL 289248 1164 0 0 No Change 2018-02-01 2020-02-01 Prosthesis HW596 Stryker Locked Plating System Periarticular variable angle locking plate - clavicle 7-15 holes HW 13 123 1694 5258 Com, VAL 237797 1164 0 0 No Change 2017-08-01 2020-02-01 Prosthesis IG132 TIBIAXYS Distal Tibia System - Ankle Arthrodesis - Medial anterior plate Titanium medial anterior plate with 6 holes; left or right 3mm thick, 77mm long IG 13 123 1694 5258 Com, VAL 173932 1164 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM304 OsteoMed FPS Titanium locking footplates 3.5mm and 4mm LM 13 123 1694 5258 Com, VAL 202319 1164 0 0 No Change 2016-08-01 2020-02-01 Prosthesis OH555 Foot and Ankle 0-6 Hole Plate COM, VAL Small Plate COM, VAL 0 - 6 Hole OH 13 123 1694 5258 Com, VAL 286861 287085 1164 0 0 No Change 2018-02-01 2020-02-01 Prosthesis WR064 MPJ Fusion Plate Titanium locking plate with built-in 1- degree valgus angle for anatomic fixation of 1st MTP joint Small, Medium & Revision, Left & Right, 0, 5 & 10 degree WR 13 123 1694 5258 Com, VAL 122967 1164 0 0 No Change 2010-02-01 2020-02-01 Prosthesis BU023 Airlock Plating System Airlock Plating System None Plates 2 - 6 Holes BU 13 123 1694 5258 LK 235766 470 0 0 No Change 2018-08-01 2020-02-01 Prosthesis DE285 Titanium Lapidus Arthrodesis Plate Titanium Lapidus Arthrodesis Plate with locking holes and compresion slot Small, Large DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2009-02-01 2020-02-01 Prosthesis DE372 Low Profile MTP Plate Athrodesis Plate - 6 hole plates Contoured small left,contoured small right, contoured standard right,contoured standard left DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE413 Locking Reconstruction Plate Reconstruction Plate for communited Fibula Shaft Fractures 4-6 Holes DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE416 Locking Third Tubular Plate Plate for fracture fixation of the Fibula 4-6 holes DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE453 X Plate Plate for fusion Medium, Large DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DE455 Low Profile T-Plate Plate for fusion 2-4 Holes DE 13 123 1694 5258 LK 284416 470 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DE457 Low Profile Straight Plate Plate for fusion 2-5 Holes DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DE504 Double Compression Plate System Fixation plates for surgical compression across fusion sites. Double Compression Plate, 2 Hole, 20 mm Double Compression Plate, 2 Hole, 25 mm Double Compression Plate, 2 Hole, 30 mm Double Compression Plate, 3 Hole, 20 mm Double Compression Plate, 3 Hole, 25 mm Double Compression Plate, 3 Hole, 30 mm Double Compression Plate, 4 Hole, Straight, 20 mm Double Compression Plate, 4 Hole, Straight, 25 mm Double Compression Plate, 4 Hole, Straight, 30 mm Double Compression Plate, 4 Hole, Square, 20 mm Double Compression Plate, 4 Hole, Square, 25 mm Double Compression Plate, 4 Hole, Square, 30 mm DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DE508 MTP Plate 1st MTP Arthrodesis Plate ≤ 6 holes DE 13 123 1694 5258 LK 140686 470 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DE533 Posterolateral Distal Fibula Plate Plate for fracture fixation 4-6 Holes DE 13 123 1694 5258 LK 284416 470 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE568 Posterolateral Distal Fibula Plate Plate for fracture fixation 8 Holes DE 13 123 1694 5258 LK 284416 470 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ031 Valetis Ankle - Plates 1/3 Tubular Plate 4 to 6 hole DZ 13 123 1694 5258 LK 284755 470 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ033 Valens Shoulder and Elbow - Plates Locking Compression Plates 3.5mm DZ 13 123 1694 5258 LK 276915 470 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ035 Valens Shoulder and Elbow - Plates LCP, Right/Oblique Angled, T-Plate 1-6 Holes DZ 13 123 1694 5258 LK 276915 470 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM122 TriMed Periarticular Plate Periarticular Plates ≤ 6 holes LM 13 123 1694 5258 LK 182677 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX006 ARMAR LPS Reconstruction Plates 3.5 mm Reconstruction plates 2-6 holes OX 13 123 1694 5258 LK 286842 470 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OX009 ARMAR LPS Cloverleaf Plate 3.5 mm cloverleaf reconstruction plate MT-PT1303088 MT-PT1304104 MT-PT1305120 MT-PT1306136 OX 13 123 1694 5258 LK 286842 470 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK538 Stryker Plating System Locking Compression Anatomical Shape 2-6 hole SK 13 123 1694 5258 LK 119848 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK540 Stryker Plating System Locking Reconstruction Plates 4.0mm, 4-6 hole SK 13 123 1694 5258 LK 119848 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK542 Stryker Plating System Locking One Third Tubular Plates 3.0mm, 2-6 hole SK 13 123 1694 5258 LK 119848 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL086 PERI-LOC Clavicle plates ≤ 6 holes SL 13 123 1694 5258 LK 108428 470 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SN796 Peri-Loc Locking 1/3 Tubular & 3.5mm Straight Plates ≤ 6 holes SN 13 123 1694 5258 LK 108428 470 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN914 Peri-Loc Clavicle plates ≤6 holes SN 13 123 1694 5258 LK 108428 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ138 PediLoc Plating System 3.5mm Locking Plate, PediLoc, PediFrag, PLEO 2-6 Hole SQ 13 123 1694 5258 LK 191530 470 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SY723 AO/ASIF Plates LCP Plates ≤6 Holes SY 13 123 1694 5258 LK 157069 470 0 0 No Change 2012-08-01 2020-02-01 Prosthesis TN026 Newclip Plating System Locking Bone Plates ≤ 6 holes TN 13 123 1694 5258 LK 260229 260232 470 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI774 Zimmer Universal Locking System 3.5mm One-Third Tubular Locking Plate 5-6 holes ZI 13 123 1694 5258 LK 112735 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI783 Zimmer Universal Locking System 3.5mm Universal Locking System Reconstruction Plates 3-6 holes ZI 13 123 1694 5258 LK 112735 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI800 Zimmer Universal Locking System 3.5mm One Third Tubular Locking Plate 5-6 holes ZI 13 123 1694 5258 LK 112735 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI808 Zimmer Universal Locking System 3.5mm One Third Tubular Locking Plate 3-4 holes ZI 13 123 1694 5258 LK 112735 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI810 Zimmer Universal Locking System 3.5mm Dual Compression Locking Plates 4 - 6 holes ZI 13 123 1694 5258 LK 112735 470 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH273 ALPS - Anatomic Locked Plating System 3.5mm titanium plate 2-6 holes BH 13 123 1694 5258 VAL 153056 784 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE501 MTP Plate, Straight Metatarso-Phalangeal Fusion plate for 1st MTP Small and Standard, ≤ 6 holes DE 13 123 1694 5258 VAL 140686 784 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DE525 Dorsal Distal Radius Plate Plate for Fracture Fixation 4 Holes Standard (Left & Right) 4 Holes Narrow (Left & Right) DE 13 123 1694 5258 VAL 284416 784 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE535 Dorsal L Plate Plate for Fracture Fixation 5 Holes (Left & Right) DE 13 123 1694 5258 VAL 284416 784 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ER479 Paragon 28 Gorilla Plating System-Plate, small (≤ 6 holes), variable angle locking Paragon28 Gorilla, small titanium compression plates; universal; variable angle locking; compression; various shapes Length 15-35 mm; thickness 1.15 - 2.0 mm; multi screw diameter purchage 2.7/3.5/4.2mm ER 13 123 1694 5258 VAL 289248 784 0 0 No Change 2018-02-01 2020-02-01 Prosthesis HW535 VariAx Compression Plating System VAL 1/3 Tubular Plate >/=6 holes HW 13 123 1694 5258 VAL 139635 784 0 0 No Change 2014-08-01 2020-02-01 Prosthesis IG116 TIBIAXYS Distal Tibial Osteotomy System - Fibula plate Titanium 4 or 6 hole fibula plate 4 hole plate - 48.7mm length; 6 hole plate - 68.5mm length IG 13 123 1694 5258 VAL 173932 784 0 0 No Change 2012-02-01 2020-02-01 Prosthesis JD021 1/3 Tubular Plate 1/3 Tubular Plates ≤ 6 holes JD 13 123 1694 5258 VAL 222648 784 0 0 No Change 2018-02-01 2020-02-01 Prosthesis JD022 MTP Plate Fusion Plates Left and Right JD 13 123 1694 5258 VAL 222648 784 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OH554 Foot and Ankle 0-6 Hole Plate Small Plate 0 to 6 Hole OH 13 123 1694 5258 VAL 286861 287085 784 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SL096 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≤ 6 holes SL 13 123 1694 5258 VAL 108428 784 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SN938 Peri-Loc VLP VAL/LK 3.5 1/3 Tubular ≤6 holes SN 13 123 1694 5258 VAL 108428 784 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN979 Peri-Loc Fibula Plates ≤ 6 holes SN 13 123 1694 5258 VAL 108428 784 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN050 VAL plates screw size 2.71-4.49 VAL complex plates screw size 2.71-4.49 ≤ 6 holes TN 13 123 1694 5258 VAL 260229 260232 784 0 0 No Change 2018-08-01 2020-02-01 Prosthesis TN067 Newclip Plating System VAL Locking plates ≤ 6 holes TN 13 123 1694 5258 VAL 260229 260232 784 0 0 No Change 2019-11-01 2020-02-01 Prosthesis WR237 Ortholoc Fracture System - Plates Universal 6 Hole WR 13 123 1694 5258 VAL 198485 784 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE643 Dual Syndesmosis Tightrope Plate Buttress plate for syndesmosis repair 1 size (2 Hole Plate) DE 13 123 1694 5258 284416 292241 214 0 0 No Change 2018-08-01 2020-02-01 Prosthesis IG096 Basal Osteotomy Plate Titanium 5 Deg, Left and Right, 10Deg, Left and Right IG 13 123 1694 5258 173932 214 0 0 No Change 2011-02-01 2020-02-01 Prosthesis LM121 'TriMed Wire Plates Wire Fixation plate 3 & 5 hole LM 13 123 1694 5258 182677 214 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO446 Acumed Small Fragment Plates One Third Tubular Plates 3 to 6 Holes MO 13 123 1694 5258 99824 214 0 0 No Change 2019-07-01 2020-02-01 Prosthesis OH587 Orthofix - eight-Plate Guided Growth Plate for correction of angular deformities 12 - 22mm 2-4 Hole OH 13 123 1694 5258 292837 292838 214 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OU018 T-Plate 3.5mm T-plate T-Plate 3.5mm right angled 3,4,5,6 hole T-Plate 3.5mm oblique angled 3,4,5 hole OU 13 123 1694 5258 198773 214 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OU021 1/3 Tubular Plate with Collar 1/3 Tubular Plate with Collar 1/3 Tubular Plate with Collar 2,3,4,5,6 hole OU 13 123 1694 5258 198773 214 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SK548 Stryker Plating System Small Fragment Set 3.5mm Reconstruction Plate 4-6 hole SK 13 123 1694 5258 119848 214 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL094 Smith & Nephew Plate and Screw System- EVOS Small Fragment Plate ≤ 6 holes SL 13 123 1694 5258 108428 214 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SN012 TC-100 & Peri-Loc 1/3 Tubular Plates ≤ 6 holes. SN 13 123 1694 5258 108428 214 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN044 TC-100 & Peri-Loc 3.5mm Straight Plates ≤ 6 holes SN 13 123 1694 5258 108428 214 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN109 TC100 3.5mm Reconstruction Plates ≤ 6 holes SN 13 123 1694 5258 108428 214 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN136 TC-100 Small right angle & T plates ≤ 6 holes SN 13 123 1694 5258 108428 214 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST037 Stryker Plating System Small Fragment Set One Third Tubular Plate with Collar 2-6 Holes ST 13 123 1694 5258 119848 25735 214 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST730 Leibinger Titanium Implant System Hand system, fixation plate, L-shape, right/left 1.7mm, 6 holes ST 13 123 1694 5258 124318 64730 214 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY702 AO/ASIF Plates DCS DHS Plate, Angled blade, Osteotomy ≤6 holes SY 13 123 1694 5258 157069 214 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SY726 AO/ASIF Plates Non-Locking Fragment Plates ≤6 Holes SY 13 123 1694 5258 157069 214 0 0 No Change 2012-08-01 2020-02-01 Prosthesis VK016 Orthofix eight-Plate Guided growth plate for correction of angular deformities over an open growth plate. Titanium, two screw holes, wire guided. 12mm, 16mm VK 13 123 1694 5258 118320 189806 214 0 0 No Change 2012-02-01 2020-02-01 Prosthesis VK028 Quad Plate Plus The Guided Growth Plate System Plus consists of different sizes of quad- Plate plus, different cannulated and solid screw options. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both the upper and lower extremities, provided that the physics are not fused. The plates feature a contoured waist and low profile for paediatric usage. There is a centre hole in the plates for a temporary guide pin to be implanted to aid application and removal of the plate. The plates are attached to the external surface of the bone over the growth plate by screws. These screws are not locked to the plate, but rather are allowed to swivel and diverge in their position as bone growth occurs. The implant acts like a flexible hinge, permitting growth at the growth plate to gradually straighten the limb. 16mm plate 22mm plate VK 13 123 1694 5258 289399 214 0 0 No Change 2019-07-01 2020-02-01 Prosthesis WR269 Locking Plate Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies. 2.7mm & 3.5mm, neutral, step, left, right, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 4-6Holes WR 13 123 1694 5258 122967 214 0 0 No Change 2014-08-01 2020-02-01 Prosthesis ZI778 ZPS-Zimmer Plate and Screw System 3.5mm Straight Compression Plate 2-6 holes ZI 13 123 1694 5258 112735 214 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI781 ZPS-Zimmer Plate and Screw System 3.5mm ZPS One Third Tubular Plates 2-6 holes left and right ZI 13 123 1694 5258 112735 214 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI785 ZPS-Zimmer Plate and Screw System 3.5mm T-Plates 4-6 holes, left and right ZI 13 123 1694 5258 112735 214 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI789 ZPS-Zimmer Plate and Screw System 3.5mm Straight Reconstruction Plates 3-6 holes ZI 13 123 1694 5258 112735 214 0 0 No Change 2012-02-01 2020-02-01 Prosthesis IG127 Spider Limited Wrist Fusion System - Spider Plate Recessed, circular stainless steel plate 8 holes IG 13 123 1694 5259 Com 177622 659 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO208 Acumed Bone Plate Wrist Fusion Plate - Titanium Standard/Mini 7-9 holes. MO 13 123 1694 5259 Com 99824 659 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK547 Stryker Plating System T-Plates, pre-shaped 7-13 hole SK 13 123 1694 5259 Com 119848 659 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL126 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5259 Com 108428 659 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SN069 TC-100 3.5mm Reconstruction Plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5259 Com 108428 659 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN936 TC-100 3.5mm Curved Reconstruction Plate ≥7 to ≤15 holes SN 13 123 1694 5259 Com 108428 659 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ST051 Stryker Plating System Small Fragment Set Cloverleaf Plate 8-15 Holes ST 13 123 1694 5259 Com 119848 25735 659 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY037 AO/ASIF Plates Specialty Plate 7-15 hole SY 13 123 1694 5259 Com 157069 659 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE418 Locking Medial Hook Plate Locking Medial Hook Plate for fixation of Medial malleolus fractures 7 Holes DE 13 123 1694 5259 Com, LK 140686 916 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE420 Locking Lateral Hook Plate Locking Lateral Hook Plate for Fixation of Lateral Malleolus 7 Holes DE 13 123 1694 5259 Com, LK 140686 916 0 0 No Change 2013-02-01 2020-02-01 Prosthesis IG064 Integra Total Wrist Fusion System - Plates Straight (bendable), Standard bend, Short Bend 1 size only of each type of plate: Straight: 105.5mm length Standard and short bend: 110mm length IG 13 123 1694 5259 Com, LK 177662 916 0 0 No Change 2011-02-01 2020-02-01 Prosthesis LM126 TriMed Sidewinder Ankle Fixation Plate 7 hole sidewinder plate LM 13 123 1694 5259 Com, LK 182677 916 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM337 Trimed Plates Elbow, Forearm, clavicle and Wrist Plates ≥ 7 to ≤ 15 holes LM 13 123 1694 5259 Com, LK 182677 916 0 0 No Change 2017-08-01 2020-02-01 Prosthesis MN209 AO/ASIF Plates Locking Specialty Plate 7-15 Holes MN 13 123 1694 5259 Com, LK 157069 916 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OU050 Rearfoot Recon Plate Rearfoot Recon Plate Rearfoot Recon Plate, 6 Hole (RRP) Rearfoot Recon Plate, 8 Hole (RRP) Rearfoot Recon Plate, 14 Hole (RRP) OU 13 123 1694 5259 Com, LK 198773 916 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OU052 Rearfoot Recon Plate Rearfoot Recon Plate ULTOS Rearfoot Recon Plate 6 Hole ULTOS Rearfoot Recon Plate 8 Hole ULTOS Rearfoot Recon Plate 14 Hole OU 13 123 1694 5259 Com, LK 198773 916 0 0 No Change 2015-02-01 2020-02-01 Prosthesis PB017 Ankle Fusion Locking Plate Ankle Fusion Locking Plate 7 holes PB 13 123 1694 5259 Com, LK 261562 916 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL138 Smith & Nephew Plate and Screw System- EVOS Small Fragment plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5259 Com, LK 108428 916 0 0 No Change 2019-11-01 2020-02-01 Prosthesis TN029 Newclip Plating System Locking bone plates 7 to 15 holes TN 13 123 1694 5259 Com, LK 260229 260232 916 0 0 No Change 2016-02-01 2020-02-01 Prosthesis TN032 Newclip Calcaneal Plates Plates for calcaneus 7 to 15 holes TN 13 123 1694 5259 Com, LK 260229 260232 916 0 0 No Change 2017-08-01 2020-02-01 Prosthesis WR410 TO141 'Nexfix MTP Fusion System A bendable stainless steel bone plate and screw system with unique low profile locking screw option. Indicated for use in primary and revision MTP fusion 9 hole WR 13 123 1694 5259 Com, LK 147747 916 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI944 Normed fracture fixation plates Titanium locking foot plates 8/10/12 holes and 3.5mm screw ZI 13 123 1694 5259 Com, LK 140687 916 0 0 No Change 2016-08-01 2020-02-01 Prosthesis BH244 ALPS foot system periarticular foot, metatarsal and tarsal plates small to large BH 13 123 1694 5259 Com, VAL 153056 1229 0 0 No Change 2013-02-01 2020-02-01 Prosthesis EO081 APTUS Foot TriLock Plates 2.8 EO 13 123 1694 5259 Com, VAL 141170 1229 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ER482 Paragon 28 Gorilla Plating System-Plate, small ( ≥ 7 to ≤ 15 holes); variable angle locking, complex Paragon 28 Gorilla Plating System-Plate, small, titanium, malleus/column rescue/stradle/arch (proximal or distal), variable angle locking, complex Thickness 1.5mm; multi screw diameter purchase ER 13 123 1694 5259 Com, VAL 289248 1229 0 0 No Change 2018-02-01 2020-02-01 Prosthesis HW598 Stryker Locked Plate System Periarticular variable angle locking plate - clavicle 7-15 holes HW 13 123 1694 5259 Com, VAL 196764 1229 0 0 No Change 2017-08-01 2020-02-01 Prosthesis IG114 TIBIAXYS Distal Tibial Osteotomy System: Medial right/lateral left osteotomy plate: lateral right/medial left osteotomy plate Titanium contoured right and left design plates for wedge osteotomy of distal tibia 8 hole; Lateral plates 75.2mm length IG 13 123 1694 5259 Com, VAL 173932 1229 0 0 No Change 2012-02-01 2020-02-01 Prosthesis IG119 HALLU-Lock MTP Arthrodesis System - HALLU-Lock S Plate Titanium contoured Hallu-Lock S plate for revision of Keller osteotomy, failed arthroplasty, failed fusion 7 holes, sizes 0 to 3, length 40 to 55mm IG 13 123 1694 5259 Com, VAL 173932 1229 0 0 No Change 2012-02-01 2020-02-01 Prosthesis IG131 TIBIAXYS Distal Tibia System - Ankle Arthrodesis - Lateral anterior plate Titanium lateral anterior plate with 8 holes; left or right 3mm thick, 92mm long IG 13 123 1694 5259 Com, VAL 173932 1229 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM213 Fusion Cup PEEK curved and round plate 7, 9, 10, 11 & 12 hole LM 13 123 1694 5259 Com, VAL 229707 1229 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OH556 Foot and Ankle Plates 7 - 15 Hole COM, VAL Small Plate COM, VAL 7 - 15 Hole OH 13 123 1694 5259 Com, VAL 286861 287085 1229 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SY798 AO/ASIF Plates Variable Angle Locking Specialty Plate 7-15 Holes SY 13 123 1694 5259 Com, VAL 157069 1229 0 0 No Change 2015-02-01 2020-02-01 Prosthesis TN066 Newclip Plating System VAL Locking plates 7 to 15 holes TN 13 123 1694 5259 Com, VAL 260229 260232 1229 0 0 No Change 2019-11-01 2020-02-01 Prosthesis WR289 BioTech Xpode 4 PEEK curved and round plate 14mm-22mm WR 13 123 1694 5259 Com, VAL 153196 1229 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR420 TO151 MaxLock Extreme System - Small Complex VAL Plates >6 holes Small complex variable angle lockig plates, Titanium, >6 holes > 6 holes WR 13 123 1694 5259 Com, VAL 214671 1229 0 0 No Change 2019-03-01 2020-02-01 Prosthesis DE414 Locking Reconstruction Plates Reconstruction Plate for communited Fibula Shaft Fractures 7-12 holes DE 13 123 1694 5259 LK 140686 536 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE415 Locking Third Tubular Plates Plate for fracture of the Fibula 7-12 Holes DE 13 123 1694 5259 LK 140686 536 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE441 Medial Column Plate Plate for fusion Small, Medium, Large (Left and Right) DE 13 123 1694 5259 LK 140686 536 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DZ032 Valetis Ankle - Plates 1/3 Tubular Plate 7 to 12 hole DZ 13 123 1694 5259 LK 284755 536 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ034 Valens Shoulder and Elbow - Plates Locking Compression Plates 3.5mm DZ 13 123 1694 5259 LK 276915 536 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM123 TriMed Periarticular Plate Periarticular Plates ≥ 7 to ≤ 15 holes LM 13 123 1694 5259 LK 182677 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX007 ARMAR LPS Reconstruction Plates 3.5 mm reconstruction plates 7-15 holes OX 13 123 1694 5259 LK 286842 536 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK539 Stryker Plating System Locking Compression Anatomical Shape 7-14 hole SK 13 123 1694 5259 LK 119848 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK541 Stryker Plating System Locking Reconstruction Plates 4.0mm, 7-14 hole SK 13 123 1694 5259 LK 119848 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK543 Stryker Plating System Locking One Third Tubular Plates 3.0mm, 7-14 hole SK 13 123 1694 5259 LK 119848 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL087 PERI-LOC Clavicle plates ≥ 7 to ≤ 15 holes SL 13 123 1694 5259 LK 108428 536 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SN797 Peri-Loc Locking 1/3 Tubular & 3.5mm Straight Plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5259 LK 108428 536 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SQ081 PediLoc-Periarticular Locking Plating System Femur - >7 to >15 holes, screw size 2.71 - 4.49mm 3.5mm Contour or Bowed Locking Compression, 8-14 Hole Plate, Left-Right 3.5mm Bowed, 14 hole 3.5mm contour, 8 - 14 Hole Left-Right SQ 13 123 1694 5259 LK 191586 536 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SY722 AO/ASIF Plates LCP Plates 7-15 holes SY 13 123 1694 5259 LK 157069 536 0 0 No Change 2012-08-01 2020-02-01 Prosthesis TN027 Newclip Plating System Locking Bone Plates 7 to 15 holes TN 13 123 1694 5259 LK 260229 260232 536 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR379 TO106 MaxLock Extreme System - Small Plates > 6 holes Small variable angle locking plates, Titanium, > 6 holes > 6 holes WR 13 123 1694 5259 LK 214671 536 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI775 Zimmer Universal Locking System 3.5mm One-Third Tubular Locking Plate 7-10 holes ZI 13 123 1694 5259 LK 112735 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI784 Zimmer Universal Locking System 3.5mm Universal Locking System Reconstruction Plates 7 holes - 15 holes ZI 13 123 1694 5259 LK 112735 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI801 Zimmer Universal Locking System 3.5mm One Third Tubular Locking Plate 7-15 holes ZI 13 123 1694 5259 LK 112735 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI809 Zimmer Universal Locking System 3.5mm One Third Tubular Locking Plate 12-14 holes ZI 13 123 1694 5259 LK 112735 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI811 Zimmer Universal Locking System 3.5mm Dual Compression Locking Plates 7 - 14 holes ZI 13 123 1694 5259 LK 112735 536 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH274 ALPS - Anatomic Locked Plating System 3.5mm Titanium plates 7 to 15 holes BH 13 123 1694 5259 VAL 153056 849 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE505 MTP Plate, Straight , Long 1st MTP Arthrodesis Plate , Straight, Long - 8 Holes 8 Holes DE 13 123 1694 5259 VAL 140686 849 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DE531 Wrist Spanning Plate Plate for Fracture Fixation 9 Holes DE 13 123 1694 5259 VAL 284416 849 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ER481 Paragon 28 Gorilla Plating System-Plate, small ( ≥ 7 to ≤ 15 holes); variable angle locking Paragon 28 Gorilla Plating System-Plate, small, titanium, malleus/column rescue/stradle/arch (proximal or distal) Thickness 1.5/2.0 mm ; multi screw diameter purchase 2.7/3.5/4.2mm ER 13 123 1694 5259 VAL 289248 849 0 0 No Change 2018-02-01 2020-02-01 Prosthesis HW533 VariAx Compression Plating System Periarticular variable angle locking plate ≥ 7 to ≤ 15 HW 13 123 1694 5259 VAL 269713 237797 849 0 0 No Change 2014-08-01 2020-02-01 Prosthesis IG115 TIBIAXYS Distal Tibial Osteotomy System - Medial osteotomy plate Inverted T-shape medial osteotomy plate to fit medial malleolus 8 hole; 70mm IG 13 123 1694 5259 VAL 173932 849 0 0 No Change 2012-02-01 2020-02-01 Prosthesis JD023 1/3 Tubular Plate 1/3 Tubular Plate ≥ 7 to ≤ 15 holes JD 13 123 1694 5259 VAL 222648 849 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LM309 Osteomed FPS Tubular Plates 7 to 15 holes LM 13 123 1694 5259 VAL 202319 849 0 0 No Change 2016-08-01 2020-02-01 Prosthesis LM360 MTP Plate MTP Plate 7 to 15 holes LM 13 123 1694 5259 VAL 266216 849 0 0 No Change 2018-08-01 2020-02-01 Prosthesis MN210 AO/ASIF Plates Variable Angle Locking Plate 7-15 Holes MN 13 123 1694 5259 VAL 157069 849 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OH513 RECOS Ulna Shortening and Radius Reconstruction System Ulna Shortening / Radius Reconstruction plates 80/90mm x 10mm short / long, 70mm x 21-24mm OH 13 123 1694 5259 VAL 236206 849 0 0 No Change 2015-08-01 2020-02-01 Prosthesis OH557 Foot and Ankle Plates 7 - 15 Hole VAL Small Plate VAL 7 - 15 Hole OH 13 123 1694 5259 VAL 286861 287085 849 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SL095 Smith & Nephew Plate and Screw System - EVOS Small Fragment plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5259 VAL 108428 849 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SN939 Peri-Loc VLP VAL/LK 3.5mm 1/3 Tubular Plates ≥7 to ≤15 holes SN 13 123 1694 5259 VAL 108428 849 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN980 Peri-Loc Fibula Plates ≥ 7 to ≤15 Holes SN 13 123 1694 5259 VAL 108428 849 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN044 Newclip Clavicle Plate Plate for fixation of fractures of the clavicle or Locking Clavicle Plate 7 to 15 holes TN 13 123 1694 5259 VAL 260229 260232 849 0 0 No Change 2018-02-01 2020-02-01 Prosthesis TN051 VAL plates screw size 2.71-4.49 VAL complex plates screw size 2.71-4.49 7≥ to ≤ 15 holes TN 13 123 1694 5259 VAL 260229 260232 849 0 0 No Change 2018-08-01 2020-02-01 Prosthesis TN063 Newclip Locking plates Variable Angle Locking Plate 7 to 15 holes TN 13 123 1694 5259 VAL 260229 260232 849 0 0 No Change 2019-11-01 2020-02-01 Prosthesis WR238 Ortholoc Fracture System - Plates Universal 8 Hole WR 13 123 1694 5259 VAL 198485 849 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH187 Small / Large Fragment Set 3.5mm Titanium plate 7-14 holes BH 13 123 1694 5259 97981 279 0 0 No Change 2013-02-01 2020-02-01 Prosthesis LM372 Tibial Osteotomy Plates Tibial Osteotomy Plates Multiple sizes to suit patient anatomy LM 13 123 1694 5259 266216 279 0 0 No Change 2019-07-01 2020-02-01 Prosthesis LM376 Fibular Osteotomy Plates Fibular Osteotomy Plates Multiple sizes to suit patient anatomy LM 13 123 1694 5259 266216 279 0 0 No Change 2019-07-01 2020-02-01 Prosthesis LM377 Fibular Osteotomy Plates Fibular Osteotomy Plates Sizes to suit patient anatomy LM 13 123 1694 5259 266216 279 0 0 No Change 2019-07-01 2020-02-01 Prosthesis LM379 Ankle Fusion Plate Ankle Fusion Plate Suitable for patient anatomy LM 13 123 1694 5259 266216 279 0 0 No Change 2019-07-01 2020-02-01 Prosthesis MO445 Acumed Small Fragment Plates One Third Tubular Plates 7 to 15 Holes MO 13 123 1694 5259 99824 279 0 0 No Change 2019-07-01 2020-02-01 Prosthesis OU009 3.5mm A.C.P Plate A.C.P Plate 3.5mm, 7 hole plate to 3.5mm 12 hole plate 3.5mm straight 7 hole reconstruction plate to 3.5mm straight 14 hole reconstruction plate OU 13 123 1694 5259 198773 279 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OU013 1/3 Tubular Plate with Collar 1/3 Tubular Plate with Collar 1/3 Tubular Plate with Collar, 8-12hole OU 13 123 1694 5259 198773 279 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OU020 Reconstructive Plate 3.5mm Reconstructive Plate 3.5mm A.C.P Plate 3.5mm Reconstructive Plate 5-6 hole 3.5mm A.C.P Plate 2,3,4,5,6 hole OU 13 123 1694 5259 198773 279 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SK099 Stryker Plating System Small Fragment Set One Third Tubular Plate with Collar 7-14 Holes SK 13 123 1694 5259 119848 25735 279 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK549 Stryker Plating System Small Fragment Set 3.5mm Reconstruction Plate 7-14 hole SK 13 123 1694 5259 119848 279 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL097 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5259 108428 279 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SN118 TC-100 & Peri-Loc 3.5mm Straight Plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5259 108428 279 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN130 TC-100 & Peri-Loc 3.5mm Straight Plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5259 108428 279 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY721 AO/ASIF Plates Non-Locking Fragment Plates 7-15 Holes SY 13 123 1694 5259 157069 279 0 0 No Change 2012-08-01 2020-02-01 Prosthesis TN059 Periarticular Clavicle plate Periarticular plate for clavicle ≥ 7 to ≤ 15 holes TN 13 123 1694 5259 260229 260232 279 0 0 No Change 2019-07-01 2020-02-01 Prosthesis ZI772 Zimmer Universal Locking System 3.5mm Reconstruction Locking Plate 13-15 holes ZI 13 123 1694 5259 112735 279 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI779 ZPS-Zimmer Plate and Screw System 3.5mm Straight Compression Plate 7-15 holes ZI 13 123 1694 5259 112735 279 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI782 ZPS-Zimmer Plate and Screw System 3.5mm ZPS One Third Tubular Plates 7 holes - 15 holes left and right ZI 13 123 1694 5259 112735 279 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI790 ZPS-Zimmer Plate and Screw System 3.5mm Straight Reconstruction Plates 7-15 holes ZI 13 123 1694 5259 112735 279 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE642 Dorsal Midfoot Fusion Plate Plate for fusion Small, Medium, Large DE 13 123 1694 5260 Com 284416 1141 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SL127 Smith & Nephew Plate and Screw System - EVOS Small Fragment plate ≥ 16 holes SL 13 123 1694 5260 Com 108428 1141 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SN134 TC-100 3.5mm Reconstruction Plates ≥ 16 holes SN 13 123 1694 5260 Com 108428 1141 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN937 TC-100 3.5mm Curved Reconstruction Plate ≥16 holes SN 13 123 1694 5260 Com 108428 1141 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY717 AO/ASIF Plates Non Locking Specialty Plates ≥16 Holes SY 13 123 1694 5260 Com 157069 1141 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MO427 ACUMED ACU-LOC Wrist Spanning Plate Wrist Spanning Plate Plates available in 13 hole configerations. MO 13 123 1694 5260 Com, LK 99824 1397 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SL139 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 16 holes SL 13 123 1694 5260 Com, LK 108428 1397 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY809 AO/ASIF Plates Locking Specialty Plate ≥16 holes SY 13 123 1694 5260 Com, LK 157069 1397 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI942 Normed fracture fixation plates Titanium locking foot plates 16 hole ZI 13 123 1694 5260 Com, LK 140687 1397 0 0 No Change 2016-08-01 2020-02-01 Prosthesis LM124 TriMed Periarticular Plate Periarticular Plates ≥ 16 holes LM 13 123 1694 5260 LK 182677 1017 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX008 ARMAR LPS Reconstruction Plates 3.5 mm reconstruction locking plates 16-22 holes OX 13 123 1694 5260 LK 286842 1017 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN798 Peri-Loc Plates, Stainless Steel, Locking, Compression, Lefts and Rights 3.5mm, 20 - 22 holes SN 13 123 1694 5260 LK 108428 1017 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SQ083 PediLoc - Anterolateral and Medial Distal Tibial Paediatric Locking Plate 3.5 mm distal tibial locking compression plate (narrow/wide; 2-5 holes) 3.5mm anterolateral left (2,3,4,5, holes) 3.5mm anterolateral right (2,3,4,5 holes) 3.5mm Narrow Left (2,3,4,5, holes) 3.5mm narrow right (2,3,4,5 holes) 3.5mm wide left (2,3,4,5 holes) 3.5mm wide right (2,3,4,5 holes) SQ 13 123 1694 5260 LK 191586 1017 0 0 No Change 2013-08-01 2020-02-01 Prosthesis SY810 AO/ASIF Plates Locking Specialty Plate ≥16 holes SY 13 123 1694 5260 LK 157069 1017 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI773 Zimmer Universal Locking System 3.5mm Reconstruction Locking Plate 16-20 holes ZI 13 123 1694 5260 LK 112735 1017 0 0 No Change 2012-02-01 2020-02-01 Prosthesis HW534 Stryker Locking Plate System Variable Angle Locking Plates ≥ 16 holes HW 13 123 1694 5260 VAL 119848 269713 1331 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SK550 Stryker Plating System Small Fragment Set 3.5mm Reconstruction Plate 16-22 hole SK 13 123 1694 5260 119848 761 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN011 TC-100 &Peri-Loc Sterile, 14 - 26 hole ≥ 16 holes SN 13 123 1694 5260 108428 761 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY724 AO/ASIF Plates Non-Locking Fragment Plates ≥16 Holes SY 13 123 1694 5260 157069 761 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI780 ZPS-Zimmer Plate and Screw System 3.5mm Straight Compression Plate 16-18 holes ZI 13 123 1694 5260 112735 761 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI791 ZPS-Zimmer Plate and Screw System 3.5mm Straight Recon Plates 16-22 holes ZI 13 123 1694 5260 112735 761 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE215 Titanium Metatarsal Opening Wedge Osteotomy Plate Titanium Metatarsal Opening Wedge Osteotomy Plate with 4 non locking holes and square wedge 2mm - 8mm DE 13 123 1694 5261 Com 140710 1007 0 0 No Change 2005-10-31 2020-02-01 Prosthesis DE554 LPS Cotton Osteotomy Plates Wedged Fusion Plate Flat, 2mm - 8mm DE 13 123 1694 5261 Com 140686 1007 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM209 Jones Fracture Plate Fracture Fixation Systems ≤ 6 holes LM 13 123 1694 5261 Com 182677 1007 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SK591 Diamond Plate/Carpal Button Carpal Fusion Plate Large, Small SK 13 123 1694 5261 Com 239452 1007 0 0 No Change 2015-08-01 2020-02-01 Prosthesis SL136 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≤ 6 holes SL 13 123 1694 5261 Com 108428 1007 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SN068 TC 100 Plate: Condylar 1.5mm, 2.0mm &2.7mm SN 13 123 1694 5261 Com 108428 1007 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN081 TC 100 2.0mm H-plates Sterile One size only SN 13 123 1694 5261 Com 108428 1007 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN129 TC 100 1.5mm Mini Plates Stainless steel, Sterile H-Plates 4 holes SN 13 123 1694 5261 Com 108428 1007 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SR086 Stryker Locking Plate System Plates including Locking, Standard and Compression ≤ 6 holes ST 13 123 1694 5261 Com 200615 295882 237797 239452 269713 295226 1007 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ST786 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction System, straight plate, Titanium 4 holes ST 13 123 1694 5261 Com 124318 64730 1007 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ST787 Leibinger Titanium Implant System Leibinger Forefoot Reconstruction System, straight plate, Titanium 6 holes ST 13 123 1694 5261 Com 124318 64730 1007 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY747 AO/ASIF Plates Condylar plates ≤ 6 holes SY 13 123 1694 5261 Com 157069 1007 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR277 Fyxis plate Foot plate 40-55mm WR 13 123 1694 5261 Com 118781 1007 0 0 No Change 2015-08-01 2020-02-01 Prosthesis ZI983 Re-Line Fixation System - Compression Plate Re-Line Fixation System - Compression Plate 15mm x 6mm, 20mm x 6mm, 25mm x 8mm ZI 13 123 1694 5261 Com 259860 1007 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE442 X Plate Plate for fusion Small DE 13 123 1694 5261 Com, LK 140686 1263 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MO395 RibLoc Rib fracture plating System RibLoc Plate 46mmL X 8-14mm W MO 13 123 1694 5261 Com, LK 158695 1263 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MZ016 Tritium SCP (Sternal Cable Plate) V Shaped Titanium Sternal Plate, 4 Holes, Locking Screw/Plate, Complex Shape one size MZ 13 123 1694 5261 Com, LK 193369 1263 0 0 No Change 2014-02-01 2020-02-01 Prosthesis OU012 MTP Plate MTP Plate 2.7mm Univeral locking plate 18mm (2.7ULP), up to 24mm Open wedge locking plate 4mm (OW) up to 7mm Open wedge locking plate 0mm Open wedge osteotomy plate 4mm to 7.00mm OU 13 123 1694 5261 Com, LK 198773 1263 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OU019 Opening Wedge Locking plate Opening Wedge Locking plate universal locking plate 12 MM - 30mm/ Opening Wedge Locking plate 0MM-7MM Opening Wedge osteotomy plate OMM-7MM OU 13 123 1694 5261 Com, LK 198773 1263 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SF118 Islay MTP Plate Islay MTP / TMT Plate 2.7mm Univeral locking plate 18mm (2.7ULP), up to 24mm Open wedge locking plate 4mm (OW) up to 7mm Open wedge locking plate 0mm Open wedge osteotomy plate 4mm to 7.00mm SF 13 123 1694 5261 Com, LK 208160 1263 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SF123 Islay Opening Wedge Locking plate Islay Opening Wedge Locking plate universal locking plate 12 MM - 30mm/ Opening Wedge Locking plate 0MM-7MM Opening Wedge osteotomy plate OMM-7MM SF 13 123 1694 5261 Com, LK 208160 1263 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL133 Smith & Nephew Plate and Screw System- EVOS Small Fragment Plate ≤ 6 holes SL 13 123 1694 5261 Com, LK 108428 1263 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SN930 Peri-Loc 2.7mm LK Reconstruction Plates ≤6 holes SN 13 123 1694 5261 Com, LK 108428 1263 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ139 PediLoc - Plating System ≤ 6 holes, screw size ≤ 2.7mm 2.7mm Locking Plate 3-6 Hole SQ 13 123 1694 5261 Com, LK 191586 1263 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SY808 AO/ASIF Plates Pre-contoured locking plates ≤6 Holes SY 13 123 1694 5261 Com, LK 157069 1263 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SY817 AO/ASIF Plates Locking plates Less than 6 holes SY 13 123 1694 5261 Com, LK 157069 1263 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR375 TO102 Mini MaxLock Extreme System - Mini Plates ≤ 6 holes Mini variable angle locking plates, Titanium, ≤ 6 holes ≤ 6 holes WR 13 123 1694 5261 Com, LK 214671 1263 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI946 Normed fracture fixation plates Titanium locking foot plates 4/6 hole and 2.7mm screws ZI 13 123 1694 5261 Com, LK 140687 1263 0 0 No Change 2016-08-01 2020-02-01 Prosthesis ZI982 MSP Fixation System – Compression Plate MSP Fixation System – Compression Plate Right – 36.5mm Left – 36.5mm ZI 13 123 1694 5261 Com, LK 259860 1263 0 0 No Change 2017-08-01 2020-02-01 Prosthesis EF020 Arix Hand Plating System Mini Locking Plates ≤ 6 holes EF 13 123 1694 5261 Com, VAL 239812 1577 0 0 No Change 2016-02-01 2020-02-01 Prosthesis EO060 Aptus Wrist Arthrodesis STT Fusion Plate 2.0 system EO 13 123 1694 5261 Com, VAL 141170 1577 0 0 No Change 2012-02-01 2020-02-01 Prosthesis EO082 APTUS Hand and Foot TriLock Plates 1.2 - 2.3 EO 13 123 1694 5261 Com, VAL 141170 1577 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ER484 Paragon 28 Gorilla Plating System-Plate, mini (≤ 6 holes);variable angle locking, complex Paragon 28 Gorilla Plating System-Plate, titanium mini plate, compression, variable angle locking, complex thickness 1.1mm; multi screw diameter purchase ER 13 123 1694 5261 Com, VAL 289248 1577 0 0 No Change 2018-02-01 2020-02-01 Prosthesis MO433 ACUMED Hand Fracture System 0.8mm Avulsion Hook Plate 0.8mm MO 13 123 1694 5261 Com, VAL 99824 1577 0 0 No Change 2016-02-01 2020-02-01 Prosthesis OH534 KLS Martin Hand Fracture System - Plates Various Size and Shapes plates 1 to 6 hole OH 13 123 1694 5261 Com, VAL 236206 1577 0 0 No Change 2017-02-01 2020-02-01 Prosthesis PB023 Mallet Finger Plate Finger Plates 1 & 2 Holes PB 13 123 1694 5261 Com, VAL 229660 1577 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL035 VLP VAL mini plates Mini Plates ≤2.7mm SL 13 123 1694 5261 Com, VAL 108428 1577 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SY713 AO/ASIF Plates LCP, Condylar, Mini Fragment Plates - Various ≤6 holes SY 13 123 1694 5261 Com, VAL 157069 1577 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR235 Ortholoc Fracture System - Plates Straight, T, L Plates 3, 4, and 6 hole WR 13 123 1694 5261 Com, VAL 198485 1577 0 0 No Change 2012-02-01 2020-02-01 Prosthesis WR266 Locking Plate Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies. 2.7mm & 3.5mm, neutral, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 4-6Holes WR 13 123 1694 5261 Com, VAL 153384 1577 0 0 No Change 2014-08-01 2020-02-01 Prosthesis WR278 Biotech Easy Lock Osteosystem Titanium and PEEK 2-10 holes straight WR 13 123 1694 5261 Com, VAL 118781 1577 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR279 Biotech Easy Lock System Easy Lock Plating System Various WR 13 123 1694 5261 Com, VAL 118786 1577 0 0 No Change 2015-08-01 2020-02-01 Prosthesis DE443 Low Profile T-Plate Plate for fusion 3-6 Holes DE 13 123 1694 5261 LK 140686 883 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DE444 Low Profile Straight Plate Plate for Fusion 4-6 Holes DE 13 123 1694 5261 LK 140686 883 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DZ039 Mini-Fragment Plates Locking Compression Plates 1.5mm, 2.0mm, 2.5mm, 2.7mm DZ 13 123 1694 5261 LK 276915 883 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM342 Orthopaedic Fixation Plate Orthopaedic Fixation Plates Screw size 2.7mm or less 6 holes or less LM 13 123 1694 5261 LK 266216 883 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LM361 Jones Fracture Plate Jones Fracture Plate 6 holes or less LM 13 123 1694 5261 LK 266216 883 0 0 No Change 2018-08-01 2020-02-01 Prosthesis OU040 UltOS X Plates general fusion X Plates XS, S, M, L OU 13 123 1694 5261 LK 198773 883 0 0 No Change 2014-08-01 2020-02-01 Prosthesis PB026 Plates ≤ 6 holes Plates ≤ 6 holes ≤ 6 holes PB 13 123 1694 5261 LK 261562 883 0 0 No Change 2016-02-01 2020-02-01 Prosthesis PB028 Mini Locking System - Condylar Locking Plates ≤ 6 holes Condylar Locking Plates ≤ 6 holes PB 13 123 1694 5261 LK 261562 883 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SY737 AO/ASIF Plates Locking Plates ≤6 Holes SY 13 123 1694 5261 LK 157069 883 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SY806 AO/ASIF Plates Pre-contoured locking plates ≤6 Holes SY 13 123 1694 5261 LK 157069 883 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR077 Charlotte LisfrancReconstruction System - Bridge Plate. Stainless steel plate for stabilisation of the tarsometatarsal joint. 4, 6, 5 & 9 hole. WR 13 123 1694 5261 LK 198485 883 0 0 No Change 2010-08-01 2020-02-01 Prosthesis ZI802 Zimmer Universal Locking System 2.7mm One Quarter Tubular Locking Plate 2-6 holes ZI 13 123 1694 5261 LK 112735 883 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH355 ALPS Fibula Plating System Composite Locking Plate 6 holes BH 13 123 1694 5261 VAL 153056 1197 0 0 No Change 2013-08-01 2020-02-01 Prosthesis EF019 Arix Hand Plating System Mini Plates ≤ 6 holes EF 13 123 1694 5261 VAL 239812 1197 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ER483 Paragon 28 Gorilla Plating System-Plate, mini (≤ 6 holes); variable angle locking Paragon 28 Gorilla Plating System-Plate, titanium mini plate, compression, variable angle locking, variable sizes and shapes thickness 1.1/1.3 mm; multi screw diameter purchase 2.0/2.5mm or 2.7/3.5/4.2 mm ER 13 123 1694 5261 VAL 289248 1197 0 0 No Change 2018-02-01 2020-02-01 Prosthesis ER492 Paragon 28 Proximal Rotational Metatarsal Osteotomy (“PROMO”) Plating System PROMO left or right contoured plates designed specifically around the angle of the osteotomy, allowing space for optimal cross screw trajectory. Plates are used with Paragon 28 Baby Gorilla or Mini Monster screws. Size 1-4, osteotomy angles 13-55° ER 13 123 1694 5261 VAL 289248 1197 0 0 No Change 2018-08-01 2020-02-01 Prosthesis HW563 Leibinger Titanium Implant System Profyle hand and small fragment plate system 2.3mm system HW 13 123 1694 5261 VAL 124318 1197 0 0 No Change 2016-02-01 2020-02-01 Prosthesis IG118 HALLU-Lock MTP Arthrodesis System - HALLU-Lock C Plate Titanium contoured plate for 1st MTP arthrodesis, fixation of fractures and osteotomies 4, 5 or 6 holes; sizes 0 to 3, length 35 to 50mm IG 13 123 1694 5261 VAL 173932 1197 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM254 OsteoMed FPS Titanium locking footplates 2mm and 2.7mm LM 13 123 1694 5261 VAL 202319 1197 0 0 No Change 2015-08-01 2020-02-01 Prosthesis MO436 Acumed Hand Fracture System Straight Plates Variable Angle Locking 6 hole MO 13 123 1694 5261 VAL 99824 1197 0 0 No Change 2017-02-01 2020-02-01 Prosthesis MO447 Acumed Small Fragment Plates 2.7mm Fragment Plates 6 Hole MO 13 123 1694 5261 VAL 99824 1197 0 0 No Change 2019-07-01 2020-02-01 Prosthesis OH533 KLS Martin Hand Fracture System - Plates Various Size and Shaped Plates 1 to 6 Hole OH 13 123 1694 5261 VAL 236206 1197 0 0 No Change 2017-02-01 2020-02-01 Prosthesis PB056 Marathon VA System Variable Angle Bone Plates <6 Holes PB 13 123 1694 5261 VAL 261562 1197 0 0 No Change 2019-07-01 2020-02-01 Prosthesis SL039 VLP EVOS Mini Plates Straight ≤ 6 holes SL 13 123 1694 5261 VAL 108428 1197 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SL068 VLP VAL mini plates - Hand Mini Plates ≤2.7mm SL 13 123 1694 5261 VAL 108428 1197 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SN940 Peri-Loc VLP VAL/LK, 2.7mm Quarter Tubular Plates ≤6 holes SN 13 123 1694 5261 VAL 108428 1197 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY804 AO/ASIF Plates Locking Plates ≤6 Holes SY 13 123 1694 5261 VAL 157069 1197 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SY821 AO/ASIF Plates Anatomic Locking Hand Plates 2-6 holes SY 13 123 1694 5261 VAL 1197 0 0 No Change 2016-02-01 2020-02-01 Prosthesis TN046 VAL plates screw size ≤2.7mm Variable angle locking complex plates Mini : screw size ≤2.7mm <= 6 holes TN 13 123 1694 5261 VAL 260229 260232 1197 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR268 Locking Plate Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies. 2.7mm & 3.5mm, neutral, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 7-9 holes WR 13 123 1694 5261 VAL 153384 1197 0 0 No Change 2014-08-01 2020-02-01 Prosthesis DE575 Straight Plate Plate for Fracture Fixation 2-5 Holes DE 13 123 1694 5261 284416 627 0 0 No Change 2017-08-01 2020-02-01 Prosthesis EO084 APTUS Hand Fixation Plates 1.2 - 2.3 EO 13 123 1694 5261 141170 627 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MO202 Acumed Bone Plate MCP Fusion Plate - Titanium 4 Hole MO 13 123 1694 5261 99824 627 0 0 No Change 2005-10-31 2020-02-01 Prosthesis PB029 Mini Locking System - Condylar Plates ≤ 6 holes Condylar Plates ≤ 6 holes PB 13 123 1694 5261 261562 627 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL038 VLP EVOS VAL mini plates - Hand Mini Plates ≤2.7mm SL 13 123 1694 5261 108428 627 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SN073 TC-100 Mini L Plates & T Plates ≤ 6 holes SN 13 123 1694 5261 108428 627 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN083 TC-100 2.0mm T Plates ≤ 6 holes SN 13 123 1694 5261 108428 627 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN088 TC-100 Semitubular Plates ≤ 6 holes SN 13 123 1694 5261 108428 627 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN116 TC-100 2.7mm T Plates ≤ 6 holes SN 13 123 1694 5261 108428 627 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN928 TC-100 Quarter Tubular Plates, L/E 6 holes ≤6 holes SN 13 123 1694 5261 108428 627 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN932 TC-100 2.0mm Straight Plates ≤6 holes SN 13 123 1694 5261 108428 627 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ST788 Leibinger Titanium Implant System Leibinger System, anatomical shap, Titanium 1 - 4 holes ST 13 123 1694 5261 124318 64730 627 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY736 AO/ASIF Plates Non-Locking Plates ≤ 6 holes SY 13 123 1694 5261 157069 627 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI222 ZPS Mini Plate System 1.5 & 2.7mm Epiphysys Plates 2 - 6 Hole ZI 13 123 1694 5261 112735 627 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI863 ZPS - Zimmer Plate & Screw System 2.0mm Straight & Epiphysis Plates 2- 6 holes LEFT AND RIGHT ZI 13 123 1694 5261 112735 627 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI870 Zimmer Plates Mini SCP Plate 1 - Holes ZI 13 123 1694 5261 112735 627 0 0 No Change 2013-02-01 2020-02-01 Prosthesis LM210 Jones Fracture Plate Fracture Fixation Systems ≥ 7 to ≤ 15 holes LM 13 123 1694 5262 Com 182677 762 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SL137 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5262 Com 108428 762 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SR087 Stryker Locking Plate System Plates including Locking, Standard and Compression 7-13 hole SR 13 123 1694 5262 Com 124319 762 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY748 AO/ASIF Plates Condylar plates ≥ 7 to ≤ 15 holes SY 13 123 1694 5262 Com 157069 762 0 0 No Change 2012-08-01 2020-02-01 Prosthesis BH064 Sternalock plates, various shapes 7-15 holes BH 13 123 1694 5262 Com, LK 128458 1018 0 0 No Change 2010-08-01 2020-02-01 Prosthesis MO393 RibLoc rib fracture plating system RibLoc Plate 61mm-76mm L X8-14mm W MO 13 123 1694 5262 Com, LK 158695 1018 0 0 No Change 2012-08-01 2020-02-01 Prosthesis MO428 ACUMED Total Wrist Fusion Plating System Total Wrist Fusion System Plates available in 9 and 10 hole configurations MO 13 123 1694 5262 Com, LK 99824 1018 0 0 No Change 2015-02-01 2020-02-01 Prosthesis PB027 Mini Locking System - Locking Plates ≥ 7 to ≤ 15 holes Foot & hand plates - steel - titanium multiple hole 2-2.7 mm, ≥ 7 to ≤ 15 holes PB 13 123 1694 5262 Com, LK 261562 1018 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL140 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5262 Com, LK 108428 1018 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SN931 Peri-Loc 2.7mm LK Reconstruction Plates ≥7 to ≤15 holes SN 13 123 1694 5262 Com, LK 108428 1018 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ140 PediLoc - Plating System ≥ 7 to ≤ 15 holes, screw size ≤ 2.7mm 2.7mm Locking Plate 7-15 Hole SQ 13 123 1694 5262 Com, LK 191586 1018 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SY807 AO/ASIF Plates Pre-contoured locking plates 7-15 holes SY 13 123 1694 5262 Com, LK 157069 1018 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SY818 AO/ASIF Plates Locking plates 7 to 15 holes SY 13 123 1694 5262 Com, LK 157069 1018 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR376 TO103 Mini MaxLock Extreme System - Mini Plates > 6 holes Mini Variable angle locking plates, Titanium, > 6 holes > 6 holes WR 13 123 1694 5262 Com, LK 214671 1018 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH367 ALPS Hand Fracture System - Locking Plate 1.5mm and 2.5mm titanium hand plates 7 to 15 holes BH 13 123 1694 5262 Com, VAL 209306 1332 0 0 No Change 2016-02-01 2020-02-01 Prosthesis DE587 5th Metatarsal Fracture Plate Hook Plate for Fracture fixation 2 Sizes Side Specific Long Left - 7 Holes Long Right - 7 Holes DE 13 123 1694 5262 Com, VAL 284416 1332 0 0 No Change 2018-02-01 2020-02-01 Prosthesis EF022 Arix Hand Plating System Mini Locking Plate ≥ 7 to ≤ 15 holes EF 13 123 1694 5262 Com, VAL 239812 1332 0 0 No Change 2016-02-01 2020-02-01 Prosthesis EO061 Aptus Wrist Arthrodesis RSL Fusion Plate 7 to 15 holes EO 13 123 1694 5262 Com, VAL 141170 1332 0 0 No Change 2012-02-01 2020-02-01 Prosthesis EO094 APTUS Hand and Foot TriLock Plates 1.2 - 2.3 EO 13 123 1694 5262 Com, VAL 206157 1332 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ER486 Paragon 28 Gorilla Plating System-Plate, mini (≥ 7 to ≤ 15 holes); variable angle locking, complex Paragon 28 Gorilla Plating System-Plate, mini, Titanium, compression, variable angle locking, complex shapes thickness 1.1mm; multi screw diameter purchase ER 13 123 1694 5262 Com, VAL 289248 1332 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LM263 OsteoMed HPS Low Profile hand plates 1.2/1.6/2.0/2.4mm 4-12 hole; Complex LM 13 123 1694 5262 Com, VAL 202319 1332 0 0 No Change 2015-08-01 2020-02-01 Prosthesis MO432 ACUMED Hand Fracture System 0.8mm Offset Plate 0.8mm MO 13 123 1694 5262 Com, VAL 99824 1332 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MO434 ACUMED Hand Fracture System 1.3mm Rolando Fracture Hook Plate 1.3mm MO 13 123 1694 5262 Com, VAL 99824 1332 0 0 No Change 2016-02-01 2020-02-01 Prosthesis OH532 KLS Martin Hand Fracture System - Plates Various size and shaped plates 7 to 15 hole OH 13 123 1694 5262 Com, VAL 236206 1332 0 0 No Change 2017-02-01 2020-02-01 Prosthesis SY799 AO/ASIF Plates LCP, Condylar, Mini Fragment Plates - Various 7-15 holes SY 13 123 1694 5262 Com, VAL 157069 1332 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SY802 AO/ASIF Plates Locking Plates 7-15 Holes SY 13 123 1694 5262 Com, VAL 157069 1332 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR236 Ortholoc Fracture System - Plates Straight, T, L Plates Straight - 7 hole WR 13 123 1694 5262 Com, VAL 198485 1332 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE373 Low Profile MTP Plate Arthodesis Plate - 8 Hole plate 8 Hole plate DE 13 123 1694 5262 LK 140686 638 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE454 Low Profile T-Plate Plate for fusion 7-9 Holes DE 13 123 1694 5262 LK 140686 638 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DE456 Low Profile Straight Plate Plate for fusion 7-8 Holes DE 13 123 1694 5262 LK 140686 638 0 0 No Change 2014-02-01 2020-02-01 Prosthesis DZ040 Mini Fragment Plates Locking Compression Plates 1.5mm, 2.0mm, 2.5mm, 2.7mm DZ 13 123 1694 5262 LK 276915 638 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM343 Orthopaedic Fixation Plate Orthopaedic Fixation Plate Screw size 2.7mm or less 7 to 15 holes LM 13 123 1694 5262 LK 266216 638 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SQ151 PediLoc Plating System PediFrag Wrist Fusion Plates 2.7/3.5mm 99-112mm SQ 13 123 1694 5262 LK 191530 638 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SY624 AO/ASIF Plates Reconstruction, J, Low Profile 7-14 Holes SY 13 123 1694 5262 LK 157069 638 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY628 AO/ASIF Plates LCP, Condylar , mini Fragment Plates - Various 7 - 15 holes SY 13 123 1694 5262 LK 157069 638 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI803 Zimmer Universal Locking System 2.7mm Quarter Tubular Locking Plate 7-15 holes ZI 13 123 1694 5262 LK 112735 638 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH297 ALPS Hand Fracture System - Locking Plate 1.0 - 2.5mm titanium hand plates 7 to 25 holes BH 13 123 1694 5262 VAL 153056 952 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH356 ALPS Fibula Plating System Composite Locking Plate 7 to 14 holes BH 13 123 1694 5262 VAL 153056 952 0 0 No Change 2013-08-01 2020-02-01 Prosthesis BH366 ALPS Hand Fracture System - Locking Plate 1.5mm and 2.5mm titanium hand plates 7 to 15 holes BH 13 123 1694 5262 VAL 209306 952 0 0 No Change 2016-02-01 2020-02-01 Prosthesis EF021 Locking Plate System Variable Locking Plate ≥ 7 to ≤ 15 holes EF 13 123 1694 5262 VAL 239812 952 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ER485 Paragon 28 Gorilla Plating System-Plate, mini (≥ 7 to ≤ 15 holes); variable angle locking Paragon 28 Gorilla Plating System-Plate, mini, Titanium, compression, variable angle locking, various shapes (e.g. straight/oblique, right/left) thickness 1.1 mm, multi screw diameter purchase 2.0/2.5mm ER 13 123 1694 5262 VAL 289248 952 0 0 No Change 2018-02-01 2020-02-01 Prosthesis HW564 Leibinger Titanium Implant System Profyle hand and small fragment plate system 2.3mm system HW 13 123 1694 5262 VAL 124318 952 0 0 No Change 2016-02-01 2020-02-01 Prosthesis LM253 OsteoMed FPS Titanium locking footplates 2mm and 2.7mm LM 13 123 1694 5262 VAL 202319 952 0 0 No Change 2015-08-01 2020-02-01 Prosthesis LM262 Osteomed Plates Low Profile plates 1.2/1.6/2.0/2.4mm 4-12 hole; straight, L, T LM 13 123 1694 5262 VAL 202319 952 0 0 No Change 2015-08-01 2020-02-01 Prosthesis MO430 ACUMED Hand Fracture System, plates Hand plating System, including plates and screws Plates available in 7 to 12 hole configurations MO 13 123 1694 5262 VAL 99824 952 0 0 No Change 2015-02-01 2020-02-01 Prosthesis MO448 Acumed Small Fragment Plates 2.7mm Fragment Plates 7 to 15 Holes MO 13 123 1694 5262 VAL 99824 952 0 0 No Change 2019-07-01 2020-02-01 Prosthesis OH531 KLS Martin Hand Fracture System - Plates Various size and shaped plates 7 to 15 hole OH 13 123 1694 5262 VAL 236206 952 0 0 No Change 2017-02-01 2020-02-01 Prosthesis PB058 Marathon VA System Variable Angle Bone plates >7 - <15 holes PB 13 123 1694 5262 VAL 261562 952 0 0 No Change 2019-07-01 2020-02-01 Prosthesis SL032 VLP VAL mini plates Mini Plates ≤2.7mm SL 13 123 1694 5262 VAL 108428 952 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SL040 VLP EVOS Mini Plates Straight ≥7 to ≤15 holes SL 13 123 1694 5262 VAL 108428 952 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SL069 VLP VAL mini plates - Hand Mini Plates ≤2.7mm SL 13 123 1694 5262 VAL 108428 952 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL098 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5262 VAL 108428 952 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SN941 Peri-Loc VLP VAL/LK, 2.7mm Quarter Tubular Plates ≥7 to ≤15 holes SN 13 123 1694 5262 VAL 108428 952 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SR089 Stryker Locking Plate System Periarticular Plates, Locking 4-6 SR 13 123 1694 5262 VAL 35241 952 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SR090 Stryker Locking Plates System Locking Plates 7-13 SR 13 123 1694 5262 VAL 35241 952 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY822 AO/ASIF Plates VA Locking Plates 7-12 holes SY 13 123 1694 5262 VAL 157069 952 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR267 Locking Plate Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies. 2.7mm & 3.5mm, neutral, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 7-9 holes WR 13 123 1694 5262 VAL 153384 952 0 0 No Change 2014-08-01 2020-02-01 Prosthesis EO085 APTUS Hand Fixation Plates 1.2 - 2.3 EO 13 123 1694 5262 141170 382 0 0 No Change 2012-08-01 2020-02-01 Prosthesis PB030 Mini Locking System - Condylar Plates ≥ 7 to ≤ 15 holes Condylar Plates ≥ 7 to ≤ 15 holes PB 13 123 1694 5262 261562 382 0 0 No Change 2016-02-01 2020-02-01 Prosthesis PB031 Mini Locking System - Non Locking Plates Non Locking Plate screw size ≤ 2.7mm, ≥ 7 to ≤ 15 holes PB 13 123 1694 5262 261562 382 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SN087 TC-100 Semi-tubular plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5262 108428 382 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN929 TC-100 Quarter Tubular Plates, G/E 7 to L/E 15 holes ≥7 to ≤15 holes SN 13 123 1694 5262 108428 382 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN934 TC-100 1.5mm Mini Plates ≥7 to ≤15 holes SN 13 123 1694 5262 108428 382 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY735 AO/ASIF Plates Non-Locking Plates 7-15 Holes SY 13 123 1694 5262 157069 382 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR270 Locking Plate Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies. 2.7mm & 3.5mm, neutral, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 7-9 holes WR 13 123 1694 5262 153384 382 0 0 No Change 2014-08-01 2020-02-01 Prosthesis ZI864 ZPS - Zimmer Plate & Screw System 2.0mm Straight & Epiphysis Plates 7 -15 holes ZI 13 123 1694 5262 112735 382 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI871 Zimmer Plates Mini SCP Plate 7 - 15 Holes ZI 13 123 1694 5262 112735 382 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SL141 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 16 holes SL 13 123 1694 5263 Com, LK 108428 1273 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY819 AO/ASIF Plates Pre-contoured Locking plate ≥16 holes SY 13 123 1694 5263 Com, LK 157069 1273 0 0 No Change 2016-02-01 2020-02-01 Prosthesis EO062 Aptus Wrist Arthrodesis Total Wrist Fusion Plate, Straight, long bend and short bend >16 holes EO 13 123 1694 5263 Com, VAL 141170 1587 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ER500 ER420 Paragon 28 Gorilla Plating System-Plate, mini (≥ 16 holes);variable angle locking, complex Paragon 28 Gorilla Plating System-Plate, mini, titanium, compression, variable angle locking, various complex shapes and sizes, left or right thickness 2.0mm; multi screw diameter purchase ER 13 123 1694 5263 Com, VAL 289248 1587 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SR088 Stryker Locking Plate System Plates including Locking, Standard, and Compression 16 hole SR 13 123 1694 5263 Com, VAL 124319 1587 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY800 AO/ASIF Plates LCP, Condylar, Mini Fragment Plates - Various ≥16 holes SY 13 123 1694 5263 Com, VAL 157069 1587 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SY820 AO/ASIF Plates Pre-contoured Locking plate ≥16 holes SY 13 123 1694 5263 Com, VAL 157069 1587 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL131 Smith & Nephew Plate and Screw System - EVOS Small Fragment plate ≥ 16 holes SL 13 123 1694 5263 LK 108428 893 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ER499 ER420 Paragon 28 Gorilla Plating System-Plate, mini (≥ 16 holes);variable angle locking Paragon 28 Gorilla Plating System-Plate, mini, titanium, compression, variable angle locking, various shapes and sizes (small-extra large) thickness 1.1-2.0 mm; multi screw diameter purchase ER 13 123 1694 5263 VAL 289248 1207 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SL033 VLP VAL mini plates Mini Plates ≤2.7mm SL 13 123 1694 5263 VAL 108428 1207 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SL041 VLP EVOS Mini Plates Straight ≥ 16 holes SL 13 123 1694 5263 VAL 108428 1207 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SL099 Smith & Nephew Plate and Screw System - EVOS Small Fragment Plate ≥ 16 holes SL 13 123 1694 5263 VAL 108428 1207 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SR091 Stryker Locking Plate System Locking Plates 16 hole SR 13 123 1694 5263 VAL 124319 1207 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY111 AO/ASIF Plates Specially manufactured plate 1.0mm - 6.5mm SY 13 123 1694 5263 VAL 157069 1207 0 0 No Change 2005-10-31 2020-02-01 Prosthesis EO086 APTUS Hand Fixation Plates 1.2 - 2.3 EO 13 123 1694 5263 141170 637 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SN933 TC-100 2.0mm Straight Plates ≥16 holes SN 13 123 1694 5263 108428 637 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN935 TC-100 1.5mm Mini Plates ≥16 holes SN 13 123 1694 5263 108428 637 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY629 'AO/ASIF Plates Non-locking Plates ≥ 16 holes SY 13 123 1694 5263 157069 637 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI865 ZPS - Zimmer Plate & Screw System 2.0mm Straight & Epiphysis Plates Over 16 holes ZI 13 123 1694 5263 112735 637 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SY606 AO/ASIF Plates DHS Plates 2-6 holes SY 13 123 1694 5264 Com 157069 502 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OH636 GOTFRIED PC.C.P - Plate Percutaneous Compression Plate One size only OH 13 123 1694 5264 Com, LK 292838 292837 502 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SK551 Omega3 Compression Hip Screw System Omega3 Locking Plate 2-6 hole SK 13 123 1694 5264 Com, LK 139622 502 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY609 AO/ASIF Plates DHS Plates 2-6 holes SY 13 123 1694 5264 Com, LK 157069 502 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OU022 CHS Plate CHS Plate 130/135/140/145/150 Degree CHS plate 2-6 hole OU 13 123 1694 5264 198773 312 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SN471 Compression Hip Screw System Ambi Short Barrel Plates 100mm, 4-5 slot SN 13 123 1694 5264 108428 312 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN473 Compression Hip Screw System Classic Standard Barrel Plates ≤ 6 holes SN 13 123 1694 5264 108428 312 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN476 Compression Hip Screw System Classic Short Barrel Plates ≤ 6 holes SN 13 123 1694 5264 108428 312 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN488 Intermediate Osteotomy System Compressing One size only SN 13 123 1694 5264 108429 312 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN493 Paediatric Osteotomy System Paediatric Osteotomy System ≤ 6 holes SN 13 123 1694 5264 108428 312 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN912 Intermediate Osteotomy System Plate (hip screw) ≤6 holes SN 13 123 1694 5264 108428 312 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN926 Compression Hip Screw System Ambi Standard Barrel Plates ≤6 holes SN 13 123 1694 5264 108428 312 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI768 Zimmer Internal Fixation System: Compression Hip Screw Versa Fx II CHS Tube Plates 2-6 holes left and right ZI 13 123 1694 5264 112735 312 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY607 AO/ASIF Plates DHS Plates 7-15 holes SY 13 123 1694 5265 Com 157069 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY610 AO/ASIF Plates DHS Plates 8-14 holes SY 13 123 1694 5265 Com, LK 157069 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OU023 CHS Plate CHS Plate 135 Degree CHS Plate 8 - 14 hole 150 Degree CHS Plate 8, 10, 12 hole OU 13 123 1694 5265 198773 660 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SK552 Omega3 Compression Hip Screw System Omega3 Locking Plate 7-14 hole SK 13 123 1694 5265 139622 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN470 Compression Hip Screw System Ambi Standard Barrel Plates 260mm+, 12-14 slot SN 13 123 1694 5265 108428 660 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN475 Compression Hip Screw System Classic Standard Barrel Plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5265 108428 660 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN913 Intermediate Osteotomy System Plate (hip screw) ≥7 to ≤15 holes SN 13 123 1694 5265 108428 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN927 Compression Hip Screw System Ambi Standard Barrel Plates ≥7 to ≤15 holes SN 13 123 1694 5265 108428 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI769 Versa Fx II Compression Hip Screw Versa Fx II CHS Tube Plates 7-15 holes left and right ZI 13 123 1694 5265 112735 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY608 AO/ASIF Plates DHS Plates ≥ 16 holes SY 13 123 1694 5266 Com 157069 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY611 AO/ASIF Plates DHS Plates ≥ 16-20 holes SY 13 123 1694 5266 Com, LK 157069 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY738 AO/ASIF Plates Osteotomy, Dynamic Supracondylar Plates ≤6 holes SY 13 123 1694 5267 Com 157069 850 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SK553 Stryker Compression Hip Screw System Omega3 Supracondylar Plate 6 hole SK 13 123 1694 5267 Com, LK 139622 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN922 Compression Hip Screw System Classic Supracondylar Plate ≤6 holes SN 13 123 1694 5267 108428 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY641 AO/ASIF Plates DCS DHS plate ≤ 6 holes SY 13 123 1694 5267 157069 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI770 Versa Fx II Compression Hip Screw Versa Fx II CHS Tube Plates 2-6 holes left and right ZI 13 123 1694 5267 112735 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY739 AO/ASIF Plates Osteotomy, Dynamic Supracondylar Plates ≥ 7 to ≤ 15 holes SY 13 123 1694 5268 Com 157069 850 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SK554 Stryker Compression Hip Screw System Omega3 Supracondylar Plate 8-14 hole SK 13 123 1694 5268 Com, LK 139622 850 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN923 Compression Hip Screw System Classic Supracondylar Plate ≥7 to ≤15 holes SN 13 123 1694 5268 108428 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY642 AO/ASIF Plates DCS DHS plate 7- 15 holes SY 13 123 1694 5268 157069 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI771 Versa Fx II Compression Hip Screw Versa Fx II CHS Tube Plates 7-15 holes left and right ZI 13 123 1694 5268 112735 660 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY740 Ao/ASIF Plates Osteotomy, Dynamic Supracondylar Plates ≥16 holes SY 13 123 1694 5269 COM 157069 1153 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SY643 AO/ASIF Plates DCS DHS plate ≥ 16 Holes SY 13 123 1694 5269 157069 1153 0 0 No Change 2012-02-01 2020-02-01 Prosthesis AE148 ASDM Clavicle Plating System - Plates Clavicle fracture plating system consisting of anatomic pre-contoured stainless steel locking compression plates and screws (cortical, cancellous & locking) 6 holes(L&R), AE 13 123 1694 5270 LK 258572 1349 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DZ005 Valens Shoulder and Elbow - Clavicle Clavicle - Superior, Anterior, Hook, Locking Plates ≤ 6 holes DZ 13 123 1694 5270 LK 276915 1349 0 0 No Change 2017-02-01 2020-02-01 Prosthesis MO371 Acumed Locking Scapula Plate System Locking Bone Plate, Scapula ≤6 hole MO 13 123 1694 5270 LK 99824 1349 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO384 Acumed Locking Clavical Plating System Locking Clavicle Plates Mid Shaft Anterior and Distal ≥ 6 holes MO 13 123 1694 5270 LK 99824 1349 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX022 ARMAR LPS Clavicle Hook Plates 3.5 mm anatomical clavicle hook locking plate 4-6 holes OX 13 123 1694 5270 LK 286842 1349 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OX023 ARMAR Superior Anterior Clavicle Plates Superior Anterior Clavicle anatomical plates 3-6 holes OX 13 123 1694 5270 LK 286842 1349 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SY616 AO/ASIF Plates LCP Clavicle - superior, anterior, hook 1-6 holes SY 13 123 1694 5270 LK 157069 1349 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY617 AO/ASIF Plates Pre-contoured, anatomic rib 1-6 Holes SY 13 123 1694 5270 LK 157069 1349 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DZ006 Valens Shoulder and Elbow - Clavicle Clavicle – Superior, Anterior, Hook, Locking Plates 7-15 Holes DZ 13 123 1694 5270 VAL 276915 1663 0 0 No Change 2017-02-01 2020-02-01 Prosthesis HW595 Stryker Locked Plating System Periarticular variable angle locking plate - clavicle 1-6 holes HW 13 123 1694 5270 VAL 196764 1663 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SL142 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Clavicle ≤ 6 holes SL 13 123 1694 5270 VAL 108428 1663 0 0 No Change 2019-11-01 2020-02-01 Prosthesis AE153 ADSM Clavicle Plating System - Plates Clavicle fracture plating system consisting of anatomic pre-contoured stainless steel locking compression plates and screws (cortical, cancellous & locking) 8-13 holes (L & R), AE 13 123 1694 5271 LK 258572 1682 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM184 Trimed Clavicle Fixation Plates Plates for fixation of fractures of the clavicle 7-15 holes LM 13 123 1694 5271 LK 182677 1682 0 0 No Change 2013-08-01 2020-02-01 Prosthesis MO372 Acumed Locking Scapula plate System Locking Bone Plate, Scapula ≥7 to ≤15 holes MO 13 123 1694 5271 LK 99824 1682 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO385 Acumed Locking Clavical Plating System Locking Clavicle Plates Mid Shaft, Anterior and Distal ≥7 to ≤15 holes MO 13 123 1694 5271 LK 99824 1682 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX024 ARMAR LPS Clavicle Hook Plates 3.5mm anatomical clavicle hook plates 7 holes OX 13 123 1694 5271 LK 286842 1682 0 0 No Change 2018-02-01 2020-02-01 Prosthesis OX025 ARMAR Superior Anterior Clavicle Plate 3.5mm anatomical clavicle plate 7-8 holes OX 13 123 1694 5271 LK 286842 1682 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SL088 PERI-LOC Clavicle plates ≥ 7 to ≤ 15 holes SL 13 123 1694 5271 LK 108428 1682 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SY618 AO/ASIF Plates LCP Clavicle - superior, anterior, hook 7-15 holes SY 13 123 1694 5271 LK 157069 1682 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN019 NewClip Clavicle Plate Locking Clavicle plates 7 to 15 holes TN 13 123 1694 5271 LK 260233 260234 260232 260229 1682 0 0 No Change 2016-02-01 2020-02-01 Prosthesis HW597 Stryker Locked Plate System Periarticular variable angle locking plate - clavicle 7-15 holes HW 13 123 1694 5271 VAL 196764 1995 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SL153 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Clavicle ≥ 7 to ≤ 15 holes SL 13 123 1694 5271 VAL 108428 1995 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY619 AO/ASIF Plates LCP Clavicle - Anterior 7-15 holes SY 13 123 1694 5271 VAL 157069 1995 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN062 Newclip Clavicle plates Locking Clavicle plates 7 to 15 holes TN 13 123 1694 5271 VAL 260229 260232 1995 0 0 No Change 2019-11-01 2020-02-01 Prosthesis WR384 TO111 MaxLock Extreme System - Clavicle Plates Clavicle Variable angle locking plates, Titanium 9 to 13 holes WR 13 123 1694 5271 VAL 214671 1995 0 0 No Change 2019-03-01 2020-02-01 Prosthesis MO386 Acumed Locking Clavical Plating System Lockinh Clavicle Plates Mid Shaft, Anterior and Distal. ≥ 16 holes MO 13 123 1694 5272 LK 99824 1349 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DZ001 Valens Shoulder and Elbow - Elbow Distal Humerus, Lateral, Medial, Olecranon, Locking Plates 1-6 Holes DZ 13 123 1694 5273 LK 276915 1330 0 0 No Change 2017-02-01 2020-02-01 Prosthesis OX001 ARMAR LPS Humerus Plates TiCP humeral locking plates 3-6 holes OX 13 123 1694 5273 LK 286842 1330 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN916 Peri-Loc Humerus Plates ≤6 holes SN 13 123 1694 5273 LK 108428 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY680 AO/ASIF Plate Locking Periarticular Anatomic Humerus plate ≤ 6 holes SY 13 123 1694 5273 LK 157069 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI837 Zimmer Pty Ltd 3.5mm Periarticular Locking Plates - Humerus 2-6 holes left & right ZI 13 123 1694 5273 LK 112735 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis HW551 VariAx Elbow Plating System Periarticular anatomic humerus ≤ 6 holes HW 13 123 1694 5273 VAL 237797 1643 0 0 No Change 2015-08-01 2020-02-01 Prosthesis MO352 Acumed Tap Loc Elbow plates Variable angle locking plate system ≤6 holes lateral MO 13 123 1694 5273 VAL 99824 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL143 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Humerus ≤ 6 holes SL 13 123 1694 5273 VAL 108428 1643 0 0 No Change 2019-11-01 2020-02-01 Prosthesis ZI743 NCB Polyaxial Locking Plate System NCB Variable Angle Locking Plate - Humerus - Ti Alloy 80 - 93mm ZI 13 123 1694 5273 VAL 100337 100349 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI929 Proximal Humerus Plating System Proximal Humerus Plates ≤ 6 holes ZI 13 123 1694 5273 VAL 209306 1643 0 0 No Change 2016-08-01 2020-02-01 Prosthesis OX003 ARMAR Distal Humerus Plates TiCP anatomic humeral locking plates 3-6 holes and left and right OX 13 123 1694 5273 286842 1073 0 0 No Change 2018-02-01 2020-02-01 Prosthesis ZI755 Zimmer Periarticular Plates 3.5 & 4.5mm Periarticular Plates - Humerus 2 - 6 holes Left & Right ZI 13 123 1694 5273 112735 1073 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO425 ACUMED POLARUS® 3 Solution Plates ACUMED POLARUS 3 SOLUTION, includes plates, intramedullary nails, screws and accessories designed to address fractures, fusions and osteotomies of the humerus 12 and 14 hole plates MO 13 123 1694 5274 LK 99824 1330 0 0 No Change 2015-02-01 2020-02-01 Prosthesis OX002 ARMAR LPS Humerus Plates TiCP anatomical humeral locking plates 7-15 holes OX 13 123 1694 5274 LK 286842 1330 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK555 Stryker Plating System Proximal Humerus Anatomical Locking Plates 11-14 hole SK 13 123 1694 5274 LK 119848 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN917 Peri-Loc Humerus Plates ≥7 to ≤15 holes SN 13 123 1694 5274 LK 108428 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY762 AO/ASIF Plate Locking Perarticular Anatomic Humerus plate ≥ 7 - ≤ 15 holes SY 13 123 1694 5274 LK 157069 1330 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN033 Newclip Humerus Plates Plates for fixation of fractures of the distal humerus and proximal ulnar 7 - 15 holes TN 13 123 1694 5274 LK 260229 260232 1330 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ZI838 Zimmer Periarticular Locking Plates 3.5mm Periarticular locking plates - humerus 7 - 15 holes Left & Right ZI 13 123 1694 5274 LK 112735 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH290 ALPS Elbow System Humeral Titanium Plates Small - Large, 7 to 15 holes BH 13 123 1694 5274 VAL 153056 1643 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DZ002 Valens Shoulder and Elbow - Elbow Distal Humerus, Lateral, Medial, Olecranon, Locking Plates 7-15 Holes DZ 13 123 1694 5274 VAL 276915 1643 0 0 No Change 2017-02-01 2020-02-01 Prosthesis DZ025 Austofix Proximal Humeral Plating System - Austofix Proximal Humeral Plate Anatomic Periarticular Humeral Variable Angle Locking Plate, Titanium 3-15 Hole DZ 13 123 1694 5274 VAL 111818 1643 0 0 No Change 2017-02-01 2020-02-01 Prosthesis EO078 Aptus Elbow Distal Humerus Plpates, Lateral,Middle and Posterolateral 2.8mm EO 13 123 1694 5274 VAL 141170 1643 0 0 No Change 2012-08-01 2020-02-01 Prosthesis JD006 CarboFix Piccolo Proximal Humerus Plate Systems – Plate component CFR-PEEK proximal humerus plate 100mm, 120mm, 154mm, 190mm, 262mm JD 13 123 1694 5274 VAL 222648 1643 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM275 PANTERA Proximal Humerus Fracture Fixation Plate System - Plates Proximal Humerus Plate ≥ 7 to ≤ 15 holes LM 13 123 1694 5274 VAL 182168 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MO353 Acumed Tap Loc Elbow plates Variable angle locking plate system ≥7 to ≤15 holes medial lateral MO 13 123 1694 5274 VAL 199824 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OH601 Orthofix Contours Plating System - PHP Plates Proximal Humeral Plate Left/Right OH 13 123 1694 5274 VAL 292837 292838 1643 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK569 Stryker Plating System Stryker locked plating system 7-15 Holes SK 13 123 1694 5274 VAL 119848 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL135 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Humerus ≥ 7 to ≤ 15 holes SL 13 123 1694 5274 VAL 108428 1643 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SY763 AO/ASIF Plate Locking Perarticular Anatomic Humerus plate ≥ 7 - ≤ 15 holes SY 13 123 1694 5274 VAL 157069 1643 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN013 Newclip Distal Humerus Plates - Periarticular 7-15 holes Plates for the fixation of fractures of the elbow 7 - 15 holes TN 13 123 1694 5274 VAL 260232 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis TN020 Newclip Proximal Humerus Plate Proximal Humerus Plate 1/2/3 TN 13 123 1694 5274 VAL 260232 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR225 Evolve Ortholco EPS System - Distal Humerus Stainless Steel, Polyaxial Locking Plate, Straight, Coronal, Medial, Lateral, Posterolateral Right & left, 2.7 & 3.5mm WR 13 123 1694 5274 VAL 198485 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis WR443 ORTHOLOC SPS Humeral Plates - Standard & Posterior Stainless steel variable angle locking periarticular anatomic humeral plate, standard and posterior. ≥ 7 to ≤ 15 holes, right & left WR 13 123 1694 5274 VAL 147747 1643 0 0 No Change 2019-07-01 2020-02-01 Prosthesis WR447 ORTHOLOC SPS Greater Tuberosity Plate Stainless steel peri-articular anatomic variable angle locking plate for greater tuberosity fixation One size only WR 13 123 1694 5274 VAL 147747 1643 0 0 No Change 2019-07-01 2020-02-01 Prosthesis ZI744 NCB Polyaxial Locking Plate System NCB Variable Angle Locking Plate - Humerus - Ti Alloy 7 - 12 Holes ZI 13 123 1694 5274 VAL 100337 100349 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI930 Proximal Humerus Plating System Proximal Humerus Plates 7-15 holes ZI 13 123 1694 5274 VAL 209306 1643 0 0 No Change 2016-08-01 2020-02-01 Prosthesis BH251 Small/Large Fragment Set Humeral Titanium Plate 7 to 15 holes BH 13 123 1694 5274 97981 1073 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OX004 ARMAR Distal Humerus Plates TiCP distal humeral anatomical locking plates 7-15 holes OX 13 123 1694 5274 286842 1073 0 0 No Change 2018-02-01 2020-02-01 Prosthesis ZI756 Zimmer Periarticular Plates 3.5 & 4.5mm Periarticular Plates - Humerus 7 - 15 holes Left & Right ZI 13 123 1694 5274 112735 1073 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO429 ACUMED POLARUS* 3 Solution, Humeral Plates, Sterile and Non-Sterile ACUMED POLARUS 3 SOLUTION, includes plates, intramedullary nails, screws and accessories designed to address fractures, fusions and osteotomies of the humerus 16 , 18 , 22 , 26 and 30 hole plates MO 13 123 1694 5275 LK 99824 1330 0 0 No Change 2015-02-01 2020-02-01 Prosthesis SK556 Stryker Plating System Proximal Humerus Anatomical Locking Plates 16-27 hole SK 13 123 1694 5275 LK 119848 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY754 AO/ASIF Plates Anatomical Locking Humerus Plate ≥ 16 holes SY 13 123 1694 5275 LK 157069 1330 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN042 Newclip Humerus Plates Plates for fixation of fractures of the distal humerus and proximal ulna ≥ 16 holes TN 13 123 1694 5275 LK 260229 260232 1330 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ZI839 Zimmer Periarticular Locking Plates 3.5mm Pericaticular Locking Plates - Humerus 16 - 19 Holes Left & right ZI 13 123 1694 5275 LK 112735 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH259 HI S3 Shoulder Fixation System S3 Shoulder Plate 16-20 Hole, Left & Right BH 13 123 1694 5275 VAL 97981 1643 0 0 No Change 2013-02-01 2020-02-01 Prosthesis EO079 Aptus Elbow Distal Humerus Plates Posterolateral 2.8mm System EO 13 123 1694 5275 VAL 141170 1643 0 0 No Change 2012-08-01 2020-02-01 Prosthesis EO087 Aptus Shoulder (Proximal Humerus Plates) Proximal Humerus Fixation plates 3.5mm System EO 13 123 1694 5275 VAL 141170 1643 0 0 No Change 2013-08-01 2020-02-01 Prosthesis LM276 PANTERA Proximal Humerus Fracture Fixation Plate System - Plate ≥ 16 holes Proximal Humerus Plate ≥ 16 holes LM 13 123 1694 5275 VAL 182168 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MO354 Acumed Tap Loc Elbow plates Variable angle locking plate system ≥16 holes MO 13 123 1694 5275 VAL 99824 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK570 Stryker Plating System Stryker locked plating system 16-17 Hole SK 13 123 1694 5275 VAL 119848 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL128 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Humerus ≥ 16 holes SL 13 123 1694 5275 VAL 108428 1643 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SY755 AO/ASIF Plates Anatomical Locking Humerus Plate ≥ 16 holes SY 13 123 1694 5275 VAL 157069 1643 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN012 Newclip Disal Humerus Plates - Perarticular 16+ holes Plates for the fixation of fractures of the elbow ≥ 16 holes TN 13 123 1694 5275 VAL 260232 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR226 Evolve Ortholco EPS System - Distal Humerus Stainless Steel, Polyaxial Locking Plate, Straight, Coronal, Medial, Lateral, Posterolateral Right & left, 2.7 & 3.5mm WR 13 123 1694 5275 VAL 198485 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis WR448 ORTHOLOC SPS Humeral Plates - Standard (Long) Stainless steel variable angle locking periarticular anatomic humeral plate ≥ 16 holes WR 13 123 1694 5275 VAL 147747 1643 0 0 No Change 2019-07-01 2020-02-01 Prosthesis ZI745 NCB Polyaxial Locking Plate System NCB Variable Angle Locking Plate - Humerus - Ti Alloy 17 Holes ZI 13 123 1694 5275 VAL 100337 100349 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX005 ARMAR Distal Humerus Plates TiCP distal humeral locking plates 16-18 holes OX 13 123 1694 5275 286842 1074 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LM211 Trimed Volar & Dorsal Hook Plate Wrist Fixation System - Volar & Dorsal Hook Plates ≤ 6 holes LM 13 123 1694 5276 LK 182677 1126 0 0 No Change 2015-02-01 2020-02-01 Prosthesis MO194 Acumed Congruent Plate System Elbow plate titanium, locking radial head Locking radial head, 3 hole std curve 31mm, 5 hole std curve 46mm, 3 hole curve 31mm, 5 hole curve 46mm MO 13 123 1694 5276 LK 126428 1126 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MO362 Anatomic Midshaft Forearm Plates Internal Fixation Plate Anatomic Forearm, Radius ≤6 holes MO 13 123 1694 5276 LK 99824 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO366 Acu-Loc Distal Radius Plating System Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates Radius ≤6 holes` MO 13 123 1694 5276 LK 99824 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX026 ARMAR 2.4 Locking Distal Radial Plate System - ≤ 6 holes TiCP Distal Radial Locking Plates 3-6 Holes 40-57 Length Left, Straight and Right OX 13 123 1694 5276 LK 286842 1126 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN920 Peri-Loc Radius Plates ≤6 holes SN 13 123 1694 5276 LK 108428 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY675 AO/ASIF Plates Locking Distal Radius; Ulna Column Plate System ≤ 6 holes SY 13 123 1694 5276 LK 157069 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH291 Distal Radius Plating System Radial and Ulna Plates ≤6 holes BH 13 123 1694 5276 VAL 209306 1439 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE470 Titanium Volar Distal Radius Plating System Fixation Plate for Distal Radius Fractures 6 holes or less DE 13 123 1694 5276 VAL 140686 1439 0 0 No Change 2016-02-01 2020-02-01 Prosthesis DE563 Volar Hook PLate Plate for Fracture Fixation 4 Holes 6 Holes DE 13 123 1694 5276 VAL 284416 1439 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE579 Radial Styloid Plate Plate for Fracture Fixation 5 Holes DE 13 123 1694 5276 VAL 284416 1439 0 0 No Change 2018-02-01 2020-02-01 Prosthesis DZ003 Valens Shoulder and Elbow - Elbow Locking Compression Plate Proximal Radius 1-6 Holes DZ 13 123 1694 5276 VAL 276915 1439 0 0 No Change 2017-02-01 2020-02-01 Prosthesis EO067 Aptus Wrist 2.5 TriLock Distal Radius Small Fragment Plates 2.5mm diameter system EO 13 123 1694 5276 VAL 141170 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM140 TriMed Wrist Fixation System TriMed Volar Bearing Plate 3 and 5 hole LM 13 123 1694 5276 VAL 182677 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM321 GEMINUS Volar Distal Radius Plates Fixation Plate for Distal Radius Fractures 3 and 4 hole LM 13 123 1694 5276 VAL 278692 1439 0 0 No Change 2017-02-01 2020-02-01 Prosthesis MI292 VariLoc Locking Compression Plate System Wrist Plates ≤ 6 holes MI 13 123 1694 5276 VAL 307502 307501 1439 0 0 No Change 2019-03-01 2020-02-01 Prosthesis OH472 IXOS Radius Plating System Straight/L plate R&L 7.5-15mm x 43-52mm OH 13 123 1694 5276 VAL 217001 1439 0 0 No Change 2014-02-01 2020-02-01 Prosthesis SK571 Universal Distal Radius System SMARTLock Column Locking Plates 4-6 Hole SK 13 123 1694 5276 VAL 124319 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL075 VLP Distal Radius Plates ≤ 6 holes SL 13 123 1694 5276 VAL 108428 1439 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SL148 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular anatomic Radius Plate ≤ 6 holes SL 13 123 1694 5276 VAL 108428 1439 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY676 AO/ASIF Plates Locking Distal Radius Ulna Column Plate System ≤ 6 holes SY 13 123 1694 5276 VAL 157069 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN021 Xpert 2.4 Distal Radius Platform Fragment specific radius plates ≤ 6 holes TN 13 123 1694 5276 VAL 260229 260232 1439 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI898 Zimmer® Distal Radius Plating System Distal Radius Plates ≤6 holes ZI 13 123 1694 5276 VAL 112735 1439 0 0 No Change 2015-02-01 2020-02-01 Prosthesis DE437 PEEK Distal Radius Plate Peek Plate for Fracture Fixation 3-5 Hole Plate (Left & right side specific) DE 13 123 1694 5276 140710 869 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LM033 Trimed Wrist Fixation System, Volar Peg Plate Stainless Steel Volar Peg Plate 3-hole, Right & Left, 4 and 5 Peg; Volar Peg Plate 5-hole, Right & Left, 4 and 5 Peg LM 13 123 1694 5276 182677 869 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LM117 TriMed Radial Column Plates Radial Column Plate 3 & 5 hole LM 13 123 1694 5276 182677 869 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM119 TriMed Ulna Column Plates Ulna Column Plate 3 & 5 hole LM 13 123 1694 5276 182677 869 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK590 SCS Distal Radius Plate System Left and Right, Tined Small and Large 3 hole SK 13 123 1694 5276 141005 869 0 0 No Change 2015-08-01 2020-02-01 Prosthesis WR392 TO119 NexFix MTP Fusion System A bendable stainless steel bone plate and screw system with unique low profile locking screw option. Indicated for use in primary MTP fusion Left 2 + 3; Right 2 + 3 WR 13 123 1694 5276 147747 869 0 0 No Change 2019-03-01 2020-02-01 Prosthesis DZ009 VRP Distal Radius Fixation System Volar Distal Radius Plate - Standard Volar Distal Radius Plate - Standard Standard, 3 and 4 hole, left and right DZ 13 123 1694 5277 LK 149433 1126 0 0 No Change 2017-02-01 2020-02-01 Prosthesis LM212 Trimed Volar & Dorsal Hook Plate Wrist Fixation System - Volar & Dorsal Hook Plate ≥ 7 to ≤ 15 holes LM 13 123 1694 5277 LK 182677 1126 0 0 No Change 2015-02-01 2020-02-01 Prosthesis LM318 PROTEAN Plate Plate One size LM 13 123 1694 5277 LK 278692 1126 0 0 No Change 2017-02-01 2020-02-01 Prosthesis MO363 Anatomic Midshaft Forearm Plates Internal Fixation Plate Anatomic Forearm, Radius ≥7 to ≤15 holes MO 13 123 1694 5277 LK 99824 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO406 Acu-Loc Distal Radius Plating System Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates >7 - >15 MO 13 123 1694 5277 LK 99824 1126 0 0 No Change 2013-08-01 2020-02-01 Prosthesis OX027 ARMAR 2.4 Locking Distal Radial Plate System - ≥ 7 to ≤ 15 holes TiCP Distal Radial Locking Plates 7-15 Holes 43-120mm Length Left, Straight and Right OX 13 123 1694 5277 LK 286842 1126 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN921 Peri-Loc Radius Plates ≥7 to ≤15 holes SN 13 123 1694 5277 LK 108428 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY677 AO/ASIF Plates Anatomical Locking Radial Plates 7-15 holes SY 13 123 1694 5277 LK 157069 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis WR048 Evolve Radial Head Plate Evolve Radial Plate System Stainless Steel 32mm x 20-26mm in 2mm increments, 7 & 8 hole WR 13 123 1694 5277 LK 198485 1126 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR370 TO097 MaxLock Extreme System - DRLock Extreme Distal Radius Plate Distal radius variable angle locking plate, Titanium Short, Short Narrow, Standard, Standard Narrow, Right and Left WR 13 123 1694 5277 LK 214671 1126 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH253 Distal Radius Plating System DVR titanium radius plates 7 to 15 holes BH 13 123 1694 5277 VAL 209306 1439 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH256 Distal Radius Fracture Repair System Fragment locking plate, titanium Right, left, straight, Y BH 13 123 1694 5277 VAL 97981 1439 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH352 DVR EPAK Sterile Distal Radius Fracture Procedure Pack Wide, Long, Extra Long, Extra Extra Long BH 13 123 1694 5277 VAL 210295 1439 0 0 No Change 2013-08-01 2020-02-01 Prosthesis DE471 Titanium Volar Radius Plating System Fixation Plate for Distal Radius Fractures 7- 15 holes DE 13 123 1694 5277 VAL 292241 284416 1439 0 0 No Change 2016-02-01 2020-02-01 Prosthesis DZ022 VRP Distal Radius Fixation System Volar Distal Radius Plate Standard, wide, narrow, long, short - left, right and universal DZ 13 123 1694 5277 VAL 149433 1439 0 0 No Change 2017-02-01 2020-02-01 Prosthesis EO068 APTUS Wrist 2.5 TriLock Distal Radius Plates, Adaptive, Volar, Dorsal, Correction, Extra-articular 2.5mm diameter system EO 13 123 1694 5277 VAL 141170 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis JD005 CarboFix Piccolo Distal Radius Plate System – Plate component CFR-PEEK distal volar radius plate Right 52mm, 60mm, 90mm Left 52mm, 60mm, 90mm Narrow Right 50mm, 58mm Narrow Left 50mm, 58mm JD 13 123 1694 5277 VAL 222648 1439 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM057 Ascension Radial Head Locking Plate and Screws Titanium pre-formed anatomical radial head plate small and large LM 13 123 1694 5277 VAL 118638 1439 0 0 No Change 2005-10-31 2020-02-01 Prosthesis LM141 TriMed Wrist Fixation System TriMed Volar Bearing Plate 7,9 and 11 Hole LM 13 123 1694 5277 VAL 182677 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM322 GEMINUS Volar Plating System Plates 7 hole, Long (207mm) and Short (160mm) LM 13 123 1694 5277 VAL 278692 1439 0 0 No Change 2017-02-01 2020-02-01 Prosthesis LM365 Distal Radius Plates Distal Radius Plates Multiple Sizes LM 13 123 1694 5277 VAL 266216 1439 0 0 No Change 2019-03-01 2020-02-01 Prosthesis MI293 VariLoc Locking Compression Plate System VariLoc Wrist plates ≥ 7 to ≤ 15 holes MI 13 123 1694 5277 VAL 307502 307501 1439 0 0 No Change 2019-03-01 2020-02-01 Prosthesis MO407 Acu-Loc Distal Radius Plating System Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra articular plates ≥ 7 to ≤ 15 MO 13 123 1694 5277 VAL 99824 1439 0 0 No Change 2013-08-01 2020-02-01 Prosthesis OH470 IXOS Radius Plating System Titanium Radial Plates 23-27mm x 43-71mm - >7 to <15 Holes OH 13 123 1694 5277 VAL 217001 1439 0 0 No Change 2014-02-01 2020-02-01 Prosthesis OH605 Orthofix Contours Plating System - VPS Plates Volar Plates Narrow / Medium / Wide Short / Long Right/Left OH 13 123 1694 5277 VAL 292837 292838 1439 0 0 No Change 2018-02-01 2020-02-01 Prosthesis PB057 Distal Radius Plate Distal Radius Plating System 7 - 15 holes PB 13 123 1694 5277 VAL 261562 1439 0 0 No Change 2019-07-01 2020-02-01 Prosthesis SK572 Universal Distal Radius System SMARTLock Column Locking Plates 7 hole SK 13 123 1694 5277 VAL 124319 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK573 Universal Distal Radius System Universal SMARTLock Locking plates 9-15 Hole SK 13 123 1694 5277 VAL 124319 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK632 VariAx Volar plates Volar Plate Polyaxial Locking Radius 7-15 holes HW 13 123 1694 5277 VAL 119848 1439 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SL027 D-RAD SMART PACK D-RAD SMART PACK Plate Kit Standard, Wide SL 13 123 1694 5277 VAL 104369 214894 1439 0 0 No Change 2014-02-01 2020-02-01 Prosthesis SL076 VLP Distal Radius Plates ≥ 7 to ≤ 15 holes SL 13 123 1694 5277 VAL 108428 1439 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SL149 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular anatomic Radius Plate ≥ 7 to ≤ 15 holes SL 13 123 1694 5277 VAL 108428 1439 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY678 AO/ASIF Plates Anatomical Variable Angle Locking Radial Plates 7-15 holes SY 13 123 1694 5277 VAL 157069 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN035 Newclip Radius Plates Variable Angle plates for the radius 7-15 holes TN 13 123 1694 5277 VAL 260229 260232 1439 0 0 No Change 2017-08-01 2020-02-01 Prosthesis TN057 Periarticular radius plate Periarticular VAL radius plate ≥7 to ≤15 holes TN 13 123 1694 5277 VAL 260229 260232 1439 0 0 No Change 2019-07-01 2020-02-01 Prosthesis BH252 Small/Large Fragment Set Radial Titanium Plate 7 to 15 holes BH 13 123 1694 5277 97981 869 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE438 PEEK Distal Radius Plate Peek Plate for Fracture Fixation 7 Hole Plate (left & right side specific) DE 13 123 1694 5277 140710 869 0 0 No Change 2014-02-01 2020-02-01 Prosthesis LM118 TriMed Radial Column Plates Radial Column Plate 7 hole LM 13 123 1694 5277 182677 869 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM120 TriMed Ulna Column Plates Ulna Column Plate 7 hole LM 13 123 1694 5277 182677 869 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO364 Acumed Acu-Loc Radius Plating system Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates ≥16 holes MO 13 123 1694 5278 LK 99824 1378 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX030 ARMAR 2.4 Locking Distal Radial Plate System - ≥ 16 holes TiCP Distal Radial Locking Plate 16 Holes 140mm Length OX 13 123 1694 5278 LK 286842 1378 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SY679 AO/ASIF Plates Anatomical Locking Radial Plates ≥ 16 Holes SY 13 123 1694 5278 LK 157069 1378 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH254 Distal Radius Fracture Repair System DVR-A, distal volar radius locking plate, titanium 16 to 20 holes BH 13 123 1694 5278 VAL 153056 1691 0 0 No Change 2013-02-01 2020-02-01 Prosthesis EO069 APTUS Wrist 2.5 TriLock Distal Radius Plates, Volar, Dorsal, Correction 2.5mm diameter system EO 13 123 1694 5278 VAL 141170 1691 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM382 Volar Distal Radius Plates Fixation Plate for Distal Radius Fractures 16 holes or more LM 13 123 1694 5278 VAL 278692 1691 0 0 No Change 2019-11-01 2020-02-01 Prosthesis MN201 AO/ASIF Plates Anatomical Radial Plates ≥ 16 Holes MN 13 123 1694 5278 VAL 157069 1691 0 0 No Change 2017-02-01 2020-02-01 Prosthesis OH471 IXOS Radius Plating System Titanium Radial Plates 23mm - 32mm x 60mm - 95mm OH 13 123 1694 5278 VAL 217001 1691 0 0 No Change 2014-02-01 2020-02-01 Prosthesis OH606 Orthofix Contours Plating System - VPS Plates XL Volar Plates XL X-Long 16+ Hole Right/Left OH 13 123 1694 5278 VAL 292837 292838 1691 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK574 Universal Distal Radius System Universal SMARTLock Locking Plates 17 Hole SK 13 123 1694 5278 VAL 124319 1691 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK576 VariAx Plate Volar Plate, Polyaxial Locking 16-22 Hole SK 13 123 1694 5278 VAL 124319 1691 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN047 Periarticular anatomic plates VAL Radius >=16 holes Periarticular anatomic plates VAL Radius ≥16 holes TN 13 123 1694 5278 VAL 260229 260232 1691 0 0 No Change 2018-08-01 2020-02-01 Prosthesis MO361 Anatomic Midshaft Forearm Plates Internal Fixation Plate Anatomic Forearm, Ulna ≤6 holes MO 13 123 1694 5279 LK 99824 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX020 ARMAR 3.5 LPS Olecranon Plates 3.5 mm anatomical olecranon locking plates 2- 6 holes OX 13 123 1694 5279 LK 286842 1126 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN918 Peri-Loc Olecranon Plates ≤6 holes SN 13 123 1694 5279 LK 108428 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY743 AO/ASIF Plates Anatomic Locking Ulna Plates ≤6 Holes SY 13 123 1694 5279 LK 157069 1126 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI842 Zimmer Periarticular Locking Plates 2.7mm Periarticular Locking Plates - Ulna 2 - 6 Holes Left and Right ZI 13 123 1694 5279 LK 112735 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH292 ALPS Elbow System Ulna Titanium Plates Small – Large, 3 to 6 holes BH 13 123 1694 5279 VAL 153056 1439 0 0 No Change 2013-02-01 2020-02-01 Prosthesis EO059 APTUS Ulna Plates < or = 6 holes EO 13 123 1694 5279 VAL 206157 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL144 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Ulna ≤ 6 holes SL 13 123 1694 5279 VAL 108428 1439 0 0 No Change 2019-11-01 2020-02-01 Prosthesis MO349 Acumed Tap Loc Elbow plates Variable angle locking plates ≤6 holes Coronoid MO 13 123 1694 5279 99824 869 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI760 Zimmer Periarticular Plates 3.5mm Periarticular Plates - Ulna 2 - 6 holes Left & Right ZI 13 123 1694 5279 112735 869 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO360 Anatomic Midshaft Forearm Plates Internal Fixation Plate Anatomic Forearm, Ulna ≥7 to ≤15 holes MO 13 123 1694 5280 LK 99824 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX021 ARMAR 3.5 LPS Olecranon Plates 3.5mm anatomical olecranon locking plates 7-15 holes OX 13 123 1694 5280 LK 286842 1126 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN919 Peri-Loc Olecranon Plates ≥7 to ≤15 holes SN 13 123 1694 5280 LK 108428 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY767 AO/ASIF Plates Locking Periarticular Ulna Plates ≥7 to ≤15 holes SY 13 123 1694 5280 LK 157069 1126 0 0 No Change 2013-02-01 2020-02-01 Prosthesis WR221 Evolve Ortholoc EPS System - Olecranon Plate Stainless Steel, Polyaxial Locking Plate, Olecranon, Right & Left Right & Left, 2.7 & 3.5mm, 9-16 holes WR 13 123 1694 5280 LK 198485 1126 0 0 No Change 2011-08-01 2020-02-01 Prosthesis ZI843 Zimmer Periarticular Locking Plates 2.7mm Periarticular Locking Plates - Ulna 7 - 15 holes Left & Right ZI 13 123 1694 5280 LK 112735 1126 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH293 ALPS Elbow System Ulna Titanium Plates Small – Large, 7 to 15 holes BH 13 123 1694 5280 VAL 153056 1439 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DZ004 Valens Shoulder and Elbow - Elbow Ulna Hook Locking Compression Plate 7 Holes DZ 13 123 1694 5280 VAL 276915 1439 0 0 No Change 2017-02-01 2020-02-01 Prosthesis EO063 Aptus Elbow Olecranon Plates Right, Left, Straight and Tension > 7 to < 15 holes EO 13 123 1694 5280 VAL 141170 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis EO070 APTUS Wrist 2.5 TriLock Y Plate 2.5mm diameter system EO 13 123 1694 5280 VAL 141170 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO350 Acumed Tap Loc Elbow plates Variable angle locking plate system ≥7 to ≤15 holes Olecranon MO 13 123 1694 5280 VAL 99824 1439 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK499 Stryker Locking Plate system Variable angle locking plate for olecranon fractures 7-15 Hole SK 13 123 1694 5280 VAL 119848 1439 0 0 No Change 2009-08-01 2020-02-01 Prosthesis SL145 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Ulna ≥ 7 to ≤ 15 holes SL 13 123 1694 5280 VAL 108428 1439 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY766 AO/ASIF Plates Variable Angle Locking Perarticular Ulna Plates ≥7 to ≤15 holes SY 13 123 1694 5280 VAL 157069 1439 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN010 Newclip Plating System Plates for fixation of fractures of the elbow and/or ulna 7 -15 holes TN 13 123 1694 5280 VAL 260229 260232 1439 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ZI761 Zimmer Periarticular Plates 3.5mm Periarticular Plates - Ulna 7 - 15 holes Left & Right ZI 13 123 1694 5280 112735 869 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY764 AO/ASIF Plates Anatomic Locking Ulna Plates ≥16 holes SY 13 123 1694 5281 LK 157069 1159 0 0 No Change 2013-02-01 2020-02-01 Prosthesis ZI849 Zimmer Periarticular Locking Plates 2.7 mm Periarticular Locking Plates - Fibula 16 holes left & Right ZI 13 123 1694 5281 LK 112735 1159 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO351 Acumed Tap Loc Elbow plates Variable angle locking plate system ≥16 holes Olecranon MO 13 123 1694 5281 VAL 99824 1473 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY765 AO/ASIF Plates Anatomic Locking Ulna Plates ≥16 holes SY 13 123 1694 5281 VAL 157069 1473 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SY623 AO/ASIF Plates Anatomical Pelvic Locking Plates ≤ 6 Holes SY 13 123 1694 5283 LK 157069 1411 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK577 Stryker Plating System Matta Pelvic Plates 2-6 Holes SK 13 123 1694 5283 139635 760 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY725 AO/ASIF Plates Non-Locking Anatomical Pelvic Plates ≤6 Holes SY 13 123 1694 5283 157069 760 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SK578 Stryker Plating System Matta Pelvic Plates 7-15 Holes SK 13 123 1694 5284 139635 760 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI753 ZPS-Zimmer Plate & Screw System 3.5mm Curved Reconstruction Plates 7 Holes - 15 holes ZI 13 123 1694 5284 112735 760 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY720 AO/ASIF Plates Anatomical Locking Pelvic Plates ≥16 holes SY 13 123 1694 5285 LK 157069 1156 0 0 No Change 2012-08-01 2020-02-01 Prosthesis HW532 Pelvis II Plating System Quadrilateral Surface Plates Small/Large HW 13 123 1694 5285 119660 760 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SK579 Stryker Plating System ocking Compression Anatomical Shape 16-22 Hole SK 13 123 1694 5285 139635 760 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY719 AO/ASIF Plates Anatomical Non Locking Pelvic Plates ≥16 Holes SY 13 123 1694 5285 157069 760 0 0 No Change 2012-08-01 2020-02-01 Prosthesis OX045 ARMAR 4.5mm Meril Locking Plate System - Distal Femur Plate 5 Holes TAN Distal Femur Locking Plates 5 Holes 156mm Length Left and Right Variants OX 13 123 1694 5286 LK 286842 1397 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SL079 Conquest FN Anatomic Locking Femur Plate ≤ 6 holes SL 13 123 1694 5286 LK 108428 1397 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SM180 Peri-Loc Proximal Femur Plates < 6 holes SM 13 123 1694 5286 LK 108428 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN972 Peri-Loc Distal Femur Plates ≤6 holes SN 13 123 1694 5286 LK 108428 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ133 PediLoc - Plating System, ≤ 6 Holes, Periarticular Femoral Plates Periarticular Femoral Plates 3.5mm-4.5mm, 4-6 Holes SQ 13 123 1694 5286 LK 191586 1397 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SY711 AO/ASIF Plates Anatomic Locking Femur Plates ≤6 holes SY 13 123 1694 5286 LK 157069 1397 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI844 Zimmer Periarticular Locking Plates 5.5mm Periarticular Locking Plates - Femur 2 - 6 holes Left & Right ZI 13 123 1694 5286 LK 112735 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY712 AO/ASIF Plates Antomic Locking Femur Plates ≤6 holes SY 13 123 1694 5286 VAL 157069 1710 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI746 NCB Polyaxial Locking Plate System NCB Variable Angle Locking Plate - Femur - Ti Alloy 5 holes Left & Right ZI 13 123 1694 5286 VAL 100337 100349 1710 0 0 No Change 2012-02-01 2020-02-01 Prosthesis HW305 Dall Miles Cable Grip System - Stainless Steel Stainless Steel Plate:5 hole - Stainless Steel 6 inches HW 13 123 1694 5286 144003 16231 1140 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY682 AO/ASIF Plates Anatomic Non-Locking Femur Plates ≤ 6 holes SY 13 123 1694 5286 157069 1140 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OX046 ARMAR 4.5mm Meril Locking Plate System - Distal Femur Plate ≥ 7 to ≤ 15 holes LK TAN Distal Femur Locking Plates 7-13 Holes 196-316 mm Length Left and Right variants OX 13 123 1694 5287 LK 286842 1397 0 0 No Change 2018-08-01 2020-02-01 Prosthesis PJ023 Femoral Closing Wedge Osteotomy Symmetric plate, with locking screw technology for femoral distal closing wedge Osteotomy. 87.5mm x 27.5mm PJ 13 123 1694 5287 LK 276245 1397 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SK557 Stryker Plating System Femur Anatomical Locking Plates 12-14 hole SK 13 123 1694 5287 LK 119848 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SM181 Peri-Loc Proximal Femur Plates ≥ 7 to ≤ 15 holes SM 13 123 1694 5287 LK 108428 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN973 Peri-Loc Distal Femur Plates ≥7 to ≤15 holes SN 13 123 1694 5287 LK 108428 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ134 PediLoc - Plating System, ≥ 7 to ≤ 15 holes, Periarticular Femoral Plates Periarticular Femoral Plates 3.5mm-4.5mm, 8-14 Holes SQ 13 123 1694 5287 LK 191586 1397 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SY709 AO/ASIF Plates Anatomic Locking Femur Plates 7-15 holes SY 13 123 1694 5287 LK 157069 1397 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI749 NCB Polyaxial Locking Plate System NCB Variable Angle Locking Plate - Femur - Ti Alloy 9 holes - 13 holes Left & Right ZI 13 123 1694 5287 LK 100337 100349 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI845 Zimmer Periarticular Locking Plates 5.5mm Periarticular Plates - Femur 7 - 15 Holes Left & Right ZI 13 123 1694 5287 LK 112735 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI846 Zimmer Periarticular Locking Plates 5.5mm Periarticular Locking Plates - Femur 18 - 20 holes Left & Right ZI 13 123 1694 5287 LK 112735 1397 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH311 Polyax Plating System Distal Femoral Locking Plate, Titanium 7-15 holes BH 13 123 1694 5287 VAL 97981 1710 0 0 No Change 2013-02-01 2020-02-01 Prosthesis JD008 Distal Femur Plate Distal Femoral Locking Plates ≥7 to ≤15 holes JD 13 123 1694 5287 VAL 222648 1710 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SY710 AO/ASIF Plates Anatomic Locking Femur Plates 7-15 Holes SY 13 123 1694 5287 VAL 157069 1710 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI747 NCB Polyaxial Locking Plate System NCB Periprosthetic Variable Angle Locking Plate - Femur - Ti Alloy 7 holes - 15 holes Left & Right ZI 13 123 1694 5287 VAL 100337 100349 1710 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE078 Osteotomy Plates Osteotomy, Femoral - Stainless Steel 7.5mm - 17.5 mm DE 13 123 1694 5287 140710 1140 0 0 No Change 2005-10-31 2020-02-01 Prosthesis HW307 Dall Miles Cable Grip System - Stainless Steel Stainless Steel Plate:9 hole - Stainless Steel 10 inches HW 13 123 1694 5287 144003 16231 1140 0 0 No Change 2005-10-31 2020-02-01 Prosthesis HW308 Dall Miles Cable Grip System - Stainless Steel Stainless Steel Plate:11 hole - Stainless Steel 12 inches HW 13 123 1694 5287 144003 16231 1140 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY671 AO/ASIF Plates Distal Femoral 7-15 holes SY 13 123 1694 5287 157069 1140 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK558 Stryker Plating System Femur Anatomical Locking Plates 16-24 hole SK 13 123 1694 5288 LK 119848 2018 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SM182 Peri-Loc Proximal Femur Plates >16 holes SM 13 123 1694 5288 LK 108428 2018 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN974 Peri-Loc Distal Femur Plates ≥ 16 holes SN 13 123 1694 5288 LK 108428 2018 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SQ135 PediLoc - Plating System ≥ 16 holes, Periarticular Femoral Plates Periarticular Femoral Plates 3.5mm-4.5mm, 16-20 Holes SQ 13 123 1694 5288 LK 191586 2018 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SY768 AO/ASIF Plates Anatomic Locking Femur Plates ≥16 Holes SY 13 123 1694 5288 LK 157069 2018 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH312 Polyax Plating System Distal Femoral Locking Plate, Titanium 16-25 holes BH 13 123 1694 5288 VAL 97981 2331 0 0 No Change 2013-02-01 2020-02-01 Prosthesis JD009 Distal Femur Plate Distal Femoral Locking Plates ≥16 Holes JD 13 123 1694 5288 VAL 222648 2331 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SY769 AO/ASIF Plates Anatomic Locking Femur Plates ≥16 Holes SY 13 123 1694 5288 VAL 157069 2331 0 0 No Change 2013-02-01 2020-02-01 Prosthesis ZI748 NCB Polyaxial Locking Plate System NCB Periprosthetic Variable Angle Locking Plate - Femur - Ti Alloy Over 16 holes Left & Right ZI 13 123 1694 5288 VAL 100337 100349 2331 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY672 AO/ASIF Plates Anatomic Non Locking Femur Plates ≥ 16 Holes SY 13 123 1694 5288 157069 1761 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE556 Posterolateral Anatomic Distal Fibula Plate Plate for fracture fixation 4-6 Holes Left and Right Side Specific DE 13 123 1694 5289 LK 284416 1330 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ029 Valetis Ankle - Fibular Distal Fibula Anatomical Locking Plates 3 to 6 hole, left and right DZ 13 123 1694 5289 LK 284755 1330 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM135 TriMed Hook Plate Hook Plate ≤ 6 holes LM 13 123 1694 5289 LK 182677 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY686 AO/ASIF Plates Anatomic Locking Fibula ≤ 6 holes SY 13 123 1694 5289 LK 157069 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI847 Zimmer Periarticular Locking Plates 2.7mm Periarticular Locking Plates - Fibula 2 - 6 Holes Left & Right ZI 13 123 1694 5289 LK 112735 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH307 ALPS Fibula Plating System Anatomic Fibular Plating System ≤ 6 holes BH 13 123 1694 5289 VAL 275084 1643 0 0 No Change 2013-02-01 2020-02-01 Prosthesis ER421 Paragon 28 Gorilla Plating System-Plate, fibular (≤ 6 holes) Paragon 28 Gorilla Plating System-Plate, fibular, tubular,anatomic, titanium thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm ER 13 123 1694 5289 VAL 289248 1643 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SK580 Stryker Locked Plate system Periarticular variable angle locking plate - fibula 1-6 Holes SK 13 123 1694 5289 VAL 269713 295226 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL129 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Fibula ≤ 6 holes SL 13 123 1694 5289 VAL 108428 1643 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR240 Ortholoc Fracture System - Plates Syndesmosis 4 Holes, Right and Left WR 13 123 1694 5289 VAL 198485 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI762 Zimmer Periarticular Plates 3.5mm Periarticular Plates - Fibula 2 - 6 holes Left & Right ZI 13 123 1694 5289 112735 1073 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE421 Locking distal Fibula plate Locking Distal Fibula Plate For Fracture Fixation 4-6 Holes ( Left and Right Specific) DE 13 123 1694 5290 LK 140686 1330 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE422 Locking Distal Fibula Plate Locking Distal Fibula Plate for Fracture Fixation 8 Hole ( Left and Right Specific) DE 13 123 1694 5290 LK 140686 1330 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE578 Posterolateral Anatomic Distal Fibula Plate Plate for fracture fixation 8-10 holes Left and Right Side Specific DE 13 123 1694 5290 LK 284416 1330 0 0 No Change 2018-02-01 2020-02-01 Prosthesis LM136 TriMed Periarticular Ankle Plates TriMed Periarticular Ankle Plates ≥ 7 to ≤ 15 holes LM 13 123 1694 5290 LK 182677 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY811 AO/ASIF Plates Distal fibula; lateral, posterolateral locking plates 7 to 15 Holes SY 13 123 1694 5290 LK 157069 1330 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR374 TO101 MaxLock Extreme System - Distal Fibula Plate Distal Fibula variable angle locking plate, Titanium Long, Medium, Short, Right and Left WR 13 123 1694 5290 LK 214671 1330 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI848 Zimmer Periarticular Locking Plates 2.7 mm Periarticular Locking Plates - Fibula 8 - 14 Holes Left & Right ZI 13 123 1694 5290 LK 112735 1330 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH308 ALPS Fibula Plating System Anatomic Fibular Locking Plate 7-15 holes BH 13 123 1694 5290 VAL 275084 1643 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DZ030 Valetis Ankle - Fibular Distal Fibular Anatomical Locking Plates 7 to 9 hole, left and right DZ 13 123 1694 5290 VAL 284755 1643 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ER422 Paragon 28 Gorilla Plating System-Plate, fibular (≥ 7 to ≤ 15 holes) Paragon 28 Gorilla Plating System-Plate, fibular, tubular, anatomic, titanium thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm ER 13 123 1694 5290 VAL 289248 1643 0 0 No Change 2017-08-01 2020-02-01 Prosthesis JD004 CarboFix Piccolo Distal Fibula Plate System – Plate component CFR-PEEK distal fibula plate Left 72mm, 83mm, 96mm, 112mm, 153mm, 182mm Right 72mm, 83mm, 96mm, 112mm, 153mm, 182mm JD 13 123 1694 5290 VAL 222648 1643 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM308 Osteomed FPS Fibular Fracture Plates 7 to 15 holes LM 13 123 1694 5290 VAL 202319 1643 0 0 No Change 2016-08-01 2020-02-01 Prosthesis MO443 Acumed Ankle 3 Plating System Periarticular variable angle locking plate fibula 7-15 holes, left and right MO 13 123 1694 5290 VAL 99824 1643 0 0 No Change 2019-03-01 2020-02-01 Prosthesis OH558 Foot and Ankle Plates Fibula 7-15 Hole Fibula Plate 7 - 15 Hole 7 - 15 Hole OH 13 123 1694 5290 VAL 286861 287085 1643 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK581 Stryker Locked Plate System Periartiicular variable angle locking plate - fibula 7-15 holes SK 13 123 1694 5290 VAL 124319 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL146 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Fibula ≥ 7 to ≤ 15 holes SL 13 123 1694 5290 VAL 108428 1643 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY815 AO/ASIF Plates LCP Lateral Distal Fibula 7 to 15 Holes SY 13 123 1694 5290 VAL 157069 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis TN006 Newclip Activ Ankle Plate Variable Angle Locking Fibular Plate 7 to 15 holes TN 13 123 1694 5290 VAL 260229 260232 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis WR239 Ortholoc Fracture System - Plates Lateral Fibula, Posterior Fibula 8-15 Holes, Right and Left WR 13 123 1694 5290 VAL 198485 1643 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI763 Zimmer Periarticular Plates 3.5mm Periarticular Plates - Fibula 7 - 15 holes Left & Right ZI 13 123 1694 5290 112735 1073 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM375 Cluster Plates Cluster Plates 18 holes LM 13 123 1694 5291 LK 182677 1330 0 0 No Change 2019-07-01 2020-02-01 Prosthesis SY812 AO/ASIF Plates Distal fibula; lateral, posterolateral locking plates >16 Holes SY 13 123 1694 5291 LK 157069 1330 0 0 No Change 2016-02-01 2020-02-01 Prosthesis ER423 Paragon 28 Gorilla Plating System-Plate, fibular (≥ 16 holes) Paragon 28 Gorilla Plating System-Plate, fibular, tubular, anatomic, titanium thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm ER 13 123 1694 5291 VAL 289248 1643 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SL134 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Fibula ≥ 16 holes SL 13 123 1694 5291 VAL 108428 1643 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SY816 AO/ASIF Plates LCP Lateral Distal Fibula >16 Holes SY 13 123 1694 5291 VAL 157069 1643 0 0 No Change 2016-02-01 2020-02-01 Prosthesis TN037 Newclip Activ Ankle Plate Periarticular distal fibular VAL Plate L75-187mm TN 13 123 1694 5291 VAL 260232 260229 1643 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ZI764 Zimmer Periarticular Plates 3.5mm Periarticular Plates - Fibula 16 - 18 holes ZI 13 123 1694 5291 112735 1073 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE529 Anterior Distal Tibia Plate Plate for Fracture Fixation 3-5 Holes DE 13 123 1694 5292 LK 284416 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE549 Posterior Distal Tibia Plate Plate for Fracture Fixation 3-5 Holes DE 13 123 1694 5292 LK 284416 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE552 Anterolateral Distal Tibia Plate Plate for Fracture Fixation 4-6 Holes Left and Right Side Specific DE 13 123 1694 5292 LK 284416 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE557 Medial Distal Tibia Plate Plate for Fracture Fixation 4-6 Holes Left and Right Side Specific DE 13 123 1694 5292 LK 284416 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DZ027 Valetis Ankle - Tibial Distal Tibial Anatomical Locking Plates 3 to 6 hole, left and right DZ 13 123 1694 5292 LK 284755 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OX042 ARMAR 3.5 LPS Tibial Plates 3.5 mm anatomical tibial plates 4 - 6 holes OX 13 123 1694 5292 LK 286842 1415 0 0 No Change 2018-08-01 2020-02-01 Prosthesis OX047 ARMAR 4.5mm Meril Locking Plate System - Proximal Tibial Plates ≤ 6 holes TAN Proximal Tibial Locking Plates 5 Holes 140mm Length Left and Right OX 13 123 1694 5292 LK 286842 1415 0 0 No Change 2018-08-01 2020-02-01 Prosthesis PB024 Low Profile Distal Medial Tibial Locking Plate - ≤ 6 Holes Low Profile Distal Medial Tibial Locking Plate ≤ 6 Holes PB 13 123 1694 5292 LK 261562 1415 0 0 No Change 2016-02-01 2020-02-01 Prosthesis PJ022 Lateral closing wedge Tibial Shifting the mechanical axis from the lateral to the medial compartment in patients with lateral Osteoarthritis in combination with Valgus deformity 61mm-24mm PJ 13 123 1694 5292 LK 276245 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis SL101 SN985 Peri-Loc Tibia Plates ≤6 holes SL 13 123 1694 5292 LK 108428 1415 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SY732 AO/ASIF Plates Anatomic Locking Tibial Plates ≤ 6 Holes SY 13 123 1694 5292 LK 157069 1415 0 0 No Change 2012-08-01 2020-02-01 Prosthesis TN031 Newclip Activ Ankle Plate Locking Tibial Plate ≤ 6 holes TN 13 123 1694 5292 LK 260229 260232 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ZI850 Zimmer Periarticular Locking Plates 3.5mm Periarticular Locking Plates - Tibia 2 - 6 holes Left & Right ZI 13 123 1694 5292 LK 112735 1415 0 0 No Change 2012-02-01 2020-02-01 Prosthesis LM305 Extremilock FPS Ankle Plating System 3.5mm and 4mm LM 13 123 1694 5292 VAL 202319 1728 0 0 No Change 2016-08-01 2020-02-01 Prosthesis MO442 Acumed Ankle 3 Plating System Periarticular Anatomic variable angle locking tibial plates 2 to 6 Holes MO 13 123 1694 5292 VAL 99824 1728 0 0 No Change 2019-03-01 2020-02-01 Prosthesis OH559 Foot and Ankle Plates TIBIA 0 - 6 Hole Tibia Plate 0 - 6 Hole 0 - 6 Hole OH 13 123 1694 5292 VAL 286861 287085 1728 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SL132 Smith & Nephew Plate and Screw System - EVOS VAL Periarticular Anatomical Small Fragment plate - Tibia ≤ 6 holes SL 13 123 1694 5292 VAL 108428 1728 0 0 No Change 2019-03-01 2020-02-01 Prosthesis SN975 Peri-Loc Tibia Plates ≤6 holes SN 13 123 1694 5292 VAL 108428 1728 0 0 No Change 2012-02-01 2020-02-01 Prosthesis TN052 Periarticular anatomic tibia VAL ≤ 6 holes Periarticular anatomic tibia VAL ≤ 6 holes ≤ 6 holes TN 13 123 1694 5292 VAL 260229 260232 1728 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR233 Ortholoc Ankle Plating Anterior, Posterior, Lateral or Medial 4-6 holes, Right ad Left, 93-155mm Length WR 13 123 1694 5292 VAL 198485 1728 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI750 NCB Polyaxial Locking Plate System NCB Variable Angle Locking Plate - Tibia - Ti Alloy 5 holes Left & Right ZI 13 123 1694 5292 VAL 100337 100349 1728 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH197 Periarticular Plating System Meta Plate - Titanium Sm - Lge 3 to 6 Holes BH 13 123 1694 5292 153056 1158 0 0 No Change 2013-02-01 2020-02-01 Prosthesis LH445 Hinge Pediatric Plating System - Hinge Plate Articulated growth-correction fixation plate 12mm, 16mm, 20mm (distance between anchoring points) LH 13 123 1694 5292 161505 1158 0 0 No Change 2010-02-01 2020-02-01 Prosthesis SK530 Stryker Plating System. T-Plate, pre-shaped 5-6 hole SK 13 123 1694 5292 119848 1158 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN581 TC-100 Tibia Plates, L:/E 6 Holes ≤ 6 holes SN 13 123 1694 5292 108428 1158 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY729 AO/ASIF Plates Anatomic Tibial Plates ≤ 6 holes SY 13 123 1694 5292 157069 1158 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI398 High Tibia Osteotomy High Tibia Osteotomy - Ti alloy L shaped steel alloy plate; Standard & Long ZI 13 123 1694 5292 112735 1158 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI765 Zimmer Periarticular Plates 3.5 & 4.5mm Periarticular Plates - Tibia 2 - 6 holes Left & Right ZI 13 123 1694 5292 112735 1158 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI823 Periarticular Plates Periarticular Tibial Plateau Plates - Stainless Steel 2 holes - 6 holes Left and Right ZI 13 123 1694 5292 112735 1158 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE547 Medial Distal Tibia Plate Plate for Fracture Fixation 8-14 Holes Left and Right Side Specific DE 13 123 1694 5293 LK 284416 1182 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE562 Anterolateral Distal Tibia Plate Plate for Fracture Fixation 8-14 Holes Left and Right Side Specific DE 13 123 1694 5293 LK 284416 1182 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE569 Posterior Distal Tibia Plate Plate for Fracture Fixation 7-9 Holes DE 13 123 1694 5293 LK 284416 1182 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE571 Anterior Distal Tibia Plate Plate for Fracture Fixation 7-9 Holes DE 13 123 1694 5293 LK 284416 1182 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OX043 ARMAR 3.5 LPS Tibial Plates 3.5mm anatomical tibial plates 7-15 holes OX 13 123 1694 5293 LK 286842 1182 0 0 No Change 2018-08-01 2020-02-01 Prosthesis OX048 ARMAR 4.5mm Meril Locking Plate System - Proximal Tibial Plates ≥ 7 to ≤ 15 holes TAN Proximal Tibial Locking Plates 7-13 Holes 180-300 Length Left and Right OX 13 123 1694 5293 LK 286842 1182 0 0 No Change 2018-08-01 2020-02-01 Prosthesis PB025 Low Profile Distal Medial Tibial Locking Plate - 7 to 15 Holes Low Profile Distal Medial Tibial Locking Plate 7 to 15 Holes PB 13 123 1694 5293 LK 261562 1182 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SK559 Stryker Plating System Distal Tibia Anatomical Locking Plates 10-15 hole SK 13 123 1694 5293 LK 119848 1182 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK561 Stryker Plating System Tibial Anatomical Locking Plates 7-15 hole SK 13 123 1694 5293 LK 119848 1182 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL102 SN985 Peri-Loc Tibia Plates ≥ 7 to ≤ 15 holes SL 13 123 1694 5293 LK 108428 1182 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SY758 AO/ASIF Plates Anatomic Locking Tibial Plates 7 to 15 Holes SY 13 123 1694 5293 LK 157069 1182 0 0 No Change 2013-02-01 2020-02-01 Prosthesis WR373 TO100 MaxLock Extreme System - Medial Distal Tibia Plate Medial distal tibia variable angle locking plate, Titanium Short, Medium, Long, Left and Right WR 13 123 1694 5293 LK 214671 1182 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI851 Zimmer Periarticular Locking Plates 3.5mm Periarticular Locking Plates - Tibia 8 - 14 holes Left & Right ZI 13 123 1694 5293 LK 112735 1182 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH287 ALPS Anatomic Locked plating system Distal and Proximal Tibial Plates, Titanium 7 to 15 holes BH 13 123 1694 5293 VAL 153056 97981 1495 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH309 Polyax Plating System Proximal Tibial Locking Plate, Titanium 7 to 15 holes BH 13 123 1694 5293 VAL 97981 1495 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DZ028 Valetis Ankle - Tibial Distal Tibial Anatomical Locking Plates 7 to 14 hole, left and right DZ 13 123 1694 5293 VAL 284755 1495 0 0 No Change 2017-08-01 2020-02-01 Prosthesis ER502 Paragon 28 Gorilla Plating System-Plate, tibial ( ≥ 7 to ≤ 15 holes) Paragon 28 Gorilla Silverback tibiotalar (TT) anterior or lateral ankle fusion plate, left or right ( ≥ 7 to ≤ 15 holes); 65-109 mm ER 13 123 1694 5293 VAL 289248 1495 0 0 No Change 2019-03-01 2020-02-01 Prosthesis LM307 Osteomed FPS Anterior Lateral Plates 7 to 15 holes LM 13 123 1694 5293 VAL 202319 1495 0 0 No Change 2016-08-01 2020-02-01 Prosthesis MO444 Acumed Ankle 3 Plating System Periarticular Anatomic variable angle locking tibial plates 7 to 15 holes MO 13 123 1694 5293 VAL 99824 1495 0 0 No Change 2019-03-01 2020-02-01 Prosthesis OH560 Foot and Ankle Plates TIBIA 7 - 15 Hole Tibia Plate 7 - 15 Hole 7 - 15 Hole OH 13 123 1694 5293 VAL 286861 287085 1495 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SF166 PS HTO Plate Medial Opening Wedge Anatomical Plate Left and Right SF 13 123 1694 5293 VAL 310582 1495 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SL154 Smith & Nephew Plate and Screw System- EVOS VAL Periarticular Anatomical Small Fragment plate - Tibia ≥ 7 to ≤ 15 holes SL 13 123 1694 5293 VAL 108428 1495 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SN986 Peri-Loc Tibia Plates >7 to <15 holes SN 13 123 1694 5293 VAL 108428 1495 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SY759 AO/ASIF Plates Anatomic Variable Angle Locking Tibial Plates 7 to 15 Holes SY 13 123 1694 5293 VAL 157069 1495 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SY770 AO/ASIF Plates Anatomic Variable Angle Locking Tibial Plates 7 - 15 holes SY 13 123 1694 5293 VAL 157069 1495 0 0 No Change 2013-02-01 2020-02-01 Prosthesis TN040 Newclip Activ Ankle Plate Locking Tibial Plate 7 to 15 holes TN 13 123 1694 5293 VAL 260229 260232 1495 0 0 No Change 2017-08-01 2020-02-01 Prosthesis TN053 Periarticular anatomic tibia VAL ≥ 7 to ≤ 15 holes Periarticular anatomic tibia VAL ≥ 7 to ≤ 15 holes ≥ 7 to ≤ 15 holes TN 13 123 1694 5293 VAL 260229 260232 1495 0 0 No Change 2018-08-01 2020-02-01 Prosthesis TN054 Periarticular anatomic tibia VAL ≥ 16 holes Periarticular anatomic tibia VAL ≥ 16 holes ≥ 16 holes TN 13 123 1694 5293 VAL 260229 260232 1495 0 0 No Change 2018-08-01 2020-02-01 Prosthesis WR234 Ortholoc Fracture System - Plates Anterolateral Tibia, Medial Tibia Plates or 1/3 Tubular 9, 12 or 13 holes, Right and Left WR 13 123 1694 5293 VAL 198485 1495 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI751 NCB Polyaxial Locking Plate System NCB Variable Angle Locking Plate - Tibia - Ti Alloy 9 holes - 13 holes Left & Right ZI 13 123 1694 5293 VAL 100337 100349 1495 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SK531 Stryker Plating System T-Plate, pre-shaped 7-13 hole SK 13 123 1694 5293 119848 925 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN582 TC-100 Tibia Plates 7 to ≤ 15 holes SN 13 123 1694 5293 108428 925 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY730 AO/ASIF Plates Anatomic Tibial Plates 7 - 15 Holes SY 13 123 1694 5293 157069 925 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI766 Zimmer Periarticular Plates 3.5 & 4.5mm Periarticular Plates - Tibia 7 - 15 holes Left & Right ZI 13 123 1694 5293 112735 925 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI824 Periarticular Plates Periarticular Tibial Plateau Plates - Stainless Steel 7 holes - 15 holes, Left and Right ZI 13 123 1694 5293 112735 925 0 0 No Change 2012-02-01 2020-02-01 Prosthesis DE534 Anterolateral Distal Tibia Plate Plate for Fracture Fixation 16-18 Holes Left and Right Side Specific DE 13 123 1694 5294 LK 284416 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis DE566 Medial Distal Tibia Plate Plate for Fracture Fixation 16 Holes DE 13 123 1694 5294 LK 284416 1415 0 0 No Change 2017-08-01 2020-02-01 Prosthesis OX044 ARMAR 3.5 LPS Tibial Plates 3.5mm tibial anatomical plates 16-21 holes OX 13 123 1694 5294 LK 286842 1415 0 0 No Change 2018-08-01 2020-02-01 Prosthesis SK562 Stryker Plating System Tibial Anatomical Locking Plates 16-31 hole SK 13 123 1694 5294 LK 119848 1415 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN976 Peri-Loc Tibia Plates ≥ 16 Holes SN 13 123 1694 5294 LK 108428 1415 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SY756 AO/ASIF Plates Anatomic Locking Tibial Plates ≥16 Holes SY 13 123 1694 5294 LK 157069 1415 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH288 ALPS-Anatomic Locked Plating system Distal and Proximal Tibial Plates, Titanium 16 - 25 holes BH 13 123 1694 5294 VAL 153056 97981 1728 0 0 No Change 2013-02-01 2020-02-01 Prosthesis BH310 Polyax Plating System Proximal Tibial Locking Plate, Titanium 16 to 20 holes BH 13 123 1694 5294 VAL 97981 1728 0 0 No Change 2013-02-01 2020-02-01 Prosthesis ER503 Paragon 28 Gorilla Plating System-Plate, tibial (≥ 16 holes) Paragon 28 Gorilla Silverback Plating System-Plate, tibial, lateral TTC, left or right ≥ 16 holes, 113-154 mm ER 13 123 1694 5294 VAL 289248 1728 0 0 No Change 2019-03-01 2020-02-01 Prosthesis OH561 Foot and Ankle Plates TIBIA 16+ Hole Tibia Plate 16+ Hole 16+ Hole OH 13 123 1694 5294 VAL 286861 287085 1728 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SK560 Stryker Plating System Distal Tibia Anatomical Locking Plates 16-23 hole SK 13 123 1694 5294 VAL 119848 1728 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SL147 Smith & Nephew Plate and Screw System- EVOS VAL Periarticular Anatomical Small Fragment plate - Tibia ≥ 16 holes SL 13 123 1694 5294 VAL 108428 1728 0 0 No Change 2019-11-01 2020-02-01 Prosthesis SY757 AO/ASIF Plates Anatomic Variable Locking Tibial Plates ≥16 Holes SY 13 123 1694 5294 VAL 157069 1728 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SY771 AO/ASIF Anatomic Variable Angle Locking Tibial Plates > 16 holes SY 13 123 1694 5294 VAL 157069 1728 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SY731 AO/ASIF Plates Anatomic Tibial Plates ≥16 holes SY 13 123 1694 5294 157069 1158 0 0 No Change 2012-08-01 2020-02-01 Prosthesis ZI767 Zimmer Periarticular Plates 3.5 & 4.5mm Periarticular Plates - Tibia 16 - 20 holes ZI 13 123 1694 5294 112735 1158 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ZI825 Periarticular Plates Periarticular Tibial Plateau Plates - Stainless Steel Over 16 holes Left and Right ZI 13 123 1694 5294 11275 1158 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO405 Acumed Locking Calcaneal Plates Locking Calcaneal Plates <6 Hole LK MO 13 123 1694 5295 LK 99824 1149 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OH562 Foot and Ankle Plates Calcaneal 0-6 Hole Calcaneal Plate 0 - 6 Hole 0 - 6 Hole OH 13 123 1694 5295 LK 286861 287085 1149 0 0 No Change 2018-02-01 2020-02-01 Prosthesis PB018 Calcaneal Locking Plate MIPO System - Locking Plates Posterior Tuberosity Calcaneal Locking Plate II, Anterior Process Calcaneal Locking Plate, Posterior Tuberosity Calcaneal Locking Plate 5 & 6 Holes PB 13 123 1694 5295 LK 261562 1149 0 0 No Change 2016-02-01 2020-02-01 Prosthesis MO404 Acumed Locking Calcaneal Plates Locking Calcaneal Plates ≥ 7 to ≤ 15 LK MO 13 123 1694 5296 LK 99824 1149 0 0 No Change 2013-02-01 2020-02-01 Prosthesis OX013 ARMAR 3.5mm Meril Locking Plate System - Calcaneal Plate TiCP calcaneal locking plates 15 Holes 64-81mm Length Left and Right OX 13 123 1694 5296 LK 286842 1149 0 0 No Change 2018-02-01 2020-02-01 Prosthesis PB019 Calcaneal Locking Plate - Locking Plates Calcaneal Locking Plate I, Calcaneal Locking Plate II, Compound Calcaneal Locking Plate II, Anterior Process Calcaneal Locking Plate II, Anatomical Calcaneal Locking Plate II, Anterior Process and Posterior Tuberosity Calcaneal Locking Plate ≥ 7 to ≤ 15 holes, Large, medium and small PB 13 123 1694 5296 LK 261562 1149 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SF121 Islay Calaneal Locking Plate Islay Calaneal Locking Plate 3.5 Islay Calaneal Locking Plate 3.5, large Islay Calaneal Locking Plate 3.5, medium Islay Calaneal Locking Plate 3.5, small SF 13 123 1694 5296 LK 208160 1149 0 0 No Change 2016-02-01 2020-02-01 Prosthesis SN983 Peri-Loc Calcaneal Plates >7 to <15 holes SN 13 123 1694 5296 LK 108428 1149 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SY188 AO/ASIF Plates Calcaneal, Locking 7 - 15 holes SY 13 123 1694 5296 LK 157069 1149 0 0 No Change 2005-10-31 2020-02-01 Prosthesis WR369 TO096 MaxLock Extreme System - CalcLock Extreme Plate Calcaneal variable angle locking plate, Titanium Standard, Large, Extra Large, Right and Left WR 13 123 1694 5296 LK 214671 1149 0 0 No Change 2019-03-01 2020-02-01 Prosthesis WR417 TO148 WAVE Calcaneal Fracture System PLATE The WAVE Calcaneal Fracture System is a low profile, anatomical plate and screw system designed for the minimally invasive fixation of calcaneal fractures. The plate and associated locking and non-locking screws facilitate the reconstruction of the height and width of the calcaneus, and the remodelling of the lateral calcaneal wall. The WAVE calcaneal Fracture System Plate has 7 screw holes (6 are threaded) and the plates are 2 - 3mm thick and are available in 3 sizes. The WAVE Calcaneal Fracture System Plate also has two bending zones for a customised anatomical fit Plates: Large Plates (Left or Right): Length = 71mm Width = 10-11mm Medium Plates (Left or Right): Length = 67mm Width = 10-11mm Small Plates: (Left or Right): Length = 63mm Width = 10-11mm WR 13 123 1694 5296 LK 168890 1149 0 0 No Change 2019-03-01 2020-02-01 Prosthesis BH243 ALPS Foot System Calcaneal foot plate small to large BH 13 123 1694 5296 VAL 153056 1462 0 0 No Change 2013-02-01 2020-02-01 Prosthesis DE464 Calcaneal Fracture Plate Calcaneal Fracture Plate for fixation of Calcaneal fractures X-small, small, Medium, Large - LEFT and RIGHT side specific plates DE 13 123 1694 5296 VAL 140686 1462 0 0 No Change 2015-02-01 2020-02-01 Prosthesis EO056 Aptus Foot Calcaneus Plates Left and right plates, small, medium and large EO 13 123 1694 5296 VAL 141170 1462 0 0 No Change 2012-02-01 2020-02-01 Prosthesis ER424 Paragon 28 Gorilla Plating System-Plate, Calcaneal ( ≥ 7 to ≤ 15 holes) Paragon 28 Gorilla Plating System-Plate, Calcaneus fracture, MTP various shapes, Titanium, thickness 1.1mm; multi screw diameter purchase 2.7/3.5/4.2mm ER 13 123 1694 5296 VAL 289248 1462 0 0 No Change 2017-08-01 2020-02-01 Prosthesis LM306 Osteomed FPS Calcaneal Plates 7 to 15 holes LM 13 123 1694 5296 VAL 202319 1462 0 0 No Change 2016-08-01 2020-02-01 Prosthesis OH563 Foot and Ankle Plates Calcaneal 7-15 Hole Calcaneal Plate 7 - 15 Hole 7 - 15 Hole OH 13 123 1694 5296 VAL 286861 287085 1462 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SN984 Peri-Loc Calcaneal Plates >7 to <15 holes SN 13 123 1694 5296 VAL 108428 1462 0 0 No Change 2012-08-01 2020-02-01 Prosthesis SR092 Stryker Locking Plate System Calcaneus Locking Plates 12 Hole SR 13 123 1694 5296 VAL 124319 1462 0 0 No Change 2012-02-01 2020-02-01 Prosthesis WR231 Calcaneus Plate Titanium locking plate, Tab & Perimeter 14 holes WR 13 123 1694 5296 VAL 198485 1462 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BH194 Periarticular Plating System Plate Calcaneal - Titanium Small - Large BH 13 123 1694 5296 97981 892 0 0 No Change 2013-02-01 2020-02-01 Prosthesis SK094 Stryker Plating System Small Fragment Set Calcaneal Plate 70-80mm SK 13 123 1694 5296 119848 25735 892 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN569 TC-100 Calcaneal Plates ≥ 7 to ≤ 15 holes SN 13 123 1694 5296 108428 892 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY017 AO/ASIF Plates Calcaneal Plates 7 - 15 holes SY 13 123 1694 5296 157069 892 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI857 Zimmer Periarticular Plating System 3.5mm Periarticular Plate - Calcaneal 7 holes ZI 13 123 1694 5296 112735 892 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OU038 UltOS MTP plates MTP Plates Small, Medium, Large OU 13 123 1694 5297 VAL 198773 1462 0 0 No Change 2014-08-01 2020-02-01 Prosthesis SR093 Stryker Locking Plate System Calcaneus Locking Plates 16 Hole SR 13 123 1694 5297 VAL 124319 1462 0 0 No Change 2012-02-01 2020-02-01 Prosthesis WR232 Calcaneus Plate Titanium locking plate, Tab & Perimeter 16 & 17 holes WR 13 123 1694 5297 VAL 198485 1462 0 0 No Change 2012-02-01 2020-02-01 Prosthesis BU014 Airlock Bone plate System Osteosynthesis bone plate system Left and right thickness 1.3mm to 1.35 mm, Length from 16mm to 55mm BU 13 123 1694 5298 LK 235766 693 0 0 No Change 2016-08-01 2020-02-01 Prosthesis MO380 Acumed Congruent Plate System Foot and Ankle Plate Titanium ≤ 6 hole MO 13 123 1694 5298 LK 99824 693 0 0 No Change 2012-02-01 2020-02-01 Prosthesis MO381 Acumed Congruent Plate system Foort and Ankle Plate titanium ≥7 to ≤15 hole MO 13 123 1694 5298 LK 99824 693 0 0 No Change 2012-02-01 2020-02-01 Prosthesis OU039 UltOS T plates General Fusion T plates 2 hole, 4 hole, 6 hole OU 13 123 1694 5298 LK 198773 693 0 0 No Change 2014-08-01 2020-02-01 Prosthesis OU047 UltOS straight plates General fusion straight plates 2 hole, 4 hole OU 13 123 1694 5298 LK 198773 693 0 0 No Change 2014-08-01 2020-02-01 Prosthesis WR052 Charlotte MTP Fusion System MTP plate, stainless steel, SLIM LINE Left & right WR 13 123 1694 5298 LK 198485 693 0 0 No Change 2010-02-01 2020-02-01 Prosthesis WR065 Rearfoot Plate - RPS Unique extended plate geometry for plating complex rearfoot reconstructions, uses 3.5mm locked screws for optimal bone purchase. 6 hole - 37mm, 8 hole - 50mm, 14 hole - 66mm WR 13 123 1694 5298 LK 122967 693 0 0 No Change 2010-02-01 2020-02-01 Prosthesis HW459 Variax 2 Foot Plates Polyaxial Locking plates with compressions holes Broad Straight – 2-7 Hole Slim Straight – 2-7 Hole Broad Y-Plate – 2-7 Shaft Holes Slim Y-Plate – 2-7 Holes HW 13 123 1694 5298 VAL 1007 0 0 No Change 2012-08-01 2020-02-01 Prosthesis LM339 Orthopaedic Fixation Plate Orthopaedic Fixation Plates 2 - 8 holes and/or Small, Medium, Large LM 13 123 1694 5298 VAL 266216 1007 0 0 No Change 2018-02-01 2020-02-01 Prosthesis SY715 AO/ASIF Plates Anatomic Variable Angle Locking Foot Plate 2-20 Holes SY 13 123 1694 5298 VAL 157069 1007 0 0 No Change 2012-08-01 2020-02-01 Prosthesis WR082 Ortholoc 3Di Plates Osteosynthesis Bone Plate System 2-7 holes WR 13 123 1694 5298 VAL 198485 1007 0 0 No Change 2010-08-01 2020-02-01 Prosthesis WR244 Charlotte Claw Locking Plate Straight, U, T Plates - 2, 3, & 4 Hole 15, 20, 25, 30mm, Sm, Med, Lge WR 13 123 1694 5298 VAL 122967 1007 0 0 No Change 2012-02-01 2020-02-01 Prosthesis WR292 SALVATION 3Di Plating System - Plates Bridge plates and recon plates Small, medium and large WR 13 123 1694 5298 VAL 198485 1007 0 0 No Change 2016-02-01 2020-02-01 Prosthesis IG081 Hallu-Fix Plates Hallu-C and Hallu-S titanium plates for first MTP arthrodesis Length: 40 - 55mm 3 sizes: 1, 2, 3 for left or right IG 13 123 1694 5298 173932 428 0 0 No Change 2011-02-01 2020-02-01 Prosthesis MO379 Acumed Congruent Plate System Foot and Ankle Plate itianium ≤ 6 hole MO 13 123 1694 5298 98244 428 0 0 No Change 2012-02-01 2020-02-01 Prosthesis SN731 Accord Orthopaedic Cable System, Sm Cable Grip 75-255mm SN 13 123 1694 5299 140705 637 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SY378 Trochanteric Reattachment Device Titanium alloy reattachment device with cables Standard and Long SY 13 123 1694 5299 139010 637 0 0 No Change 2007-06-01 2020-02-01 Prosthesis ZI167 Zimmer Internal Fixation Systems: Cable System Cable-Ready 6 Hole Plate - Stainless Steel 187mm long ZI 13 123 1694 5299 108377 637 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SN735 Accord Orthopaedic Cable System, Std Cable Grip 85-265mm SN 13 123 1694 5300 140705 751 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI169 Zimmer Internal Fixation Systems: Cable System Cable-Ready 10 Hole Plate - Stainless Steel 305mm long ZI 13 123 1694 5300 108377 751 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK403 Trochanteric Grip Trochanteric Grip Plate with 2 cables Large, 110 - 210mm, 2 -6 holes SK 13 123 1694 5302 144003 16232 1649 0 0 No Change 2006-11-30 2020-02-01 Prosthesis WR372 TO099 MaxLock Extreme System - Medial Malleolous Plate Medial malleolous variable angle locking plate, Titanium 5 holes WR 13 123 1694 5302 214671 1649 0 0 No Change 2019-03-01 2020-02-01 Prosthesis ZI290 Cable Ready Cable Grip System Titanium - comes with two cables (Co Cr), Integral Crimps 23 x 53mm, 1.8 x 635mm ZI 13 123 1694 5302 108377 1649 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SQ114 SuperCable Trochanteric Grips and Cable Plate System Trochanteric Grips - Titanium Short 50mm, 2 Hole Plate 135mm, 4 Hole Plate 190mm, 6 Hole Plate Straight, Right, Left 245mm SQ 13 123 1694 5303 LK 133719 2727 0 0 No Change 2016-02-01 2020-02-01 Prosthesis HW306 Dall Miles Cable Grip System - Stainless Steel Stainless Steel Plate:7 hole - Stainless Steel 8 inches HW 13 123 1694 5303 144003 16231 2470 0 0 No Change 2005-10-31 2020-02-01 Prosthesis SK402 Trochanteric Grip Trochanteric Grip Plate with 2 cables Medium 100 - 200mm, 2 -6 Holes SK 13 123 1694 5303 144003 16232 2470 0 0 No Change 2006-11-30 2020-02-01 Prosthesis SN730 Accord Orthopaedic Cable System, Titanium Plate 150-250mm SN 13 123 1694 5303 108428 2470 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI297 Cable Ready Cable Grip System Titanium 5 hole GTR with 4 cables ZI 13 123 1694 5303 108377 2470 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI298 Cable Ready Cable Grip System Titanium 2 hole GTR with 4 cables ZI 13 123 1694 5303 108377 2470 0 0 No Change 2005-10-31 2020-02-01 Prosthesis ZI299 Cable Ready Cable Grip System Titanium 4 hole GTR with 4 cables ZI 13 123 1694 5303 108377 2470 0 0 No Change 2005-10-31 2020-02-01 Prosthesis MZ012 Tritium SCP (Sternal Cable Plate) Double Cable Plate (6 Holes, 2 Integrated Cables) Periarticular Titanium Sternal Double Cable Plate, 6 Holes, 2 Integrated Cables, Locking Plate One Size MZ 13 123 1694 5994 193369 982 0 0 No Change 2014-02-01 2020-02-01 Prosthesis MZ013 Tritium SCP (Sternal Cable Plate) BOX Plate (4 Holes, 1 Integrated Cable) One Size MZ 13 123 1694 5994 193369 982 0 0 No Change 2014-02-01 2020-02-01 Prosthesis ZI926 Sternalock 360 Sternal Closure System Box Plate (4 Holes, 1 Integrated Cable) ZI 13 123 1694 5994 128458 982 0 0 No Change 2016-08-01 2020-02-01 Prosthesis MZ014 Tritium SCP (Sternal Cable Plate) Periarticular Titanium Sternal X Plate, 8 holes, 1 Integrated Cable, Locking Screws One Size MZ 13 123 1694 5996 193369 1048 0 0 No Change 2014-02-01 2020-02-01 Prosthesis ZI927 Sternalock 360 Sternal Closure System X-Plate 8 Holes, 1 Integrated Cable ZI 13 123 1694 5996 128458 1048 0 0 No Change 2016-08-01 2020-02-01 Prosthesis BH139 Peanut Growth Control Plating System - Screws Cannulated growth contol screws, titanium alloy 4.5mm Diameter, Length 16, 24, 30 and 40mm BH 13 123 1231 3369 CN 188744 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH184 Small / Large Fragment Set Cannulated Bone Screw Titanium 4.5 - 8mm BH 13 123 1231 3369 CN 153087 Group Benefit Change 185 0 0 Update 2013-02-01 2020-02-01 Prosthesis DE371 Cannulated Titanium Low Profile Screws, Large Cannulated titanium Low Profile Screws, Large 4.5-6.7mm DE 13 123 1231 3369 CN 140686 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis DZ036 Valens - Cannulated Screws Cannulated Compression Screw 4.5mm, 6.5mm, 7.3mm DZ 13 123 1231 3369 CN 276915 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER392 Paragon 28 Monster Screw System-Screws, Standard ( ≥4.5mm), cannulated Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), cannulated, headed, with and without blunt tip diameter (4.5-7.0 mm) x length (18-200 mm) x length of thread (6-200 mm) ER 13 123 1231 3369 CN 289308 Group Benefit Change 185 0 0 Update 2017-08-01 2020-02-01 Prosthesis IT010 Hawk 6.5mm Cannulated Screw System 6.5mm Cannulated Screw 6.5mm in diameter 45 to 115mm in length IT 13 123 1231 3369 CN 230954 Group Benefit Change 185 0 0 Update 2015-08-01 2020-02-01 Prosthesis JJ557 DELTA Xtend Non Locking Canulated Metaglene Screw 4.5mm SY 13 123 1231 3369 CN 126913 Group Benefit Change 185 0 0 Update 2006-11-30 2020-02-01 Prosthesis LM288 Bone Screw Bone Screw 4.5mm diameter and larger LM 13 123 1231 3369 CN 266217 Group Benefit Change 185 0 0 Update 2016-02-01 2020-02-01 Prosthesis OU034 Cannulated Screw Cannulated Screw cannulated screw 7.0 length 45, thread length 32mm up to cannulated screw 7.0 length 130, thread length 32mm and cannulated screw 7.0 length 35, thread length 16mm up to cannulated screw 7.0 length 130, thread length 16mm 5.0mm x 30mm up to 100mm titanium cannulated cancellous lag screw 6.5mm x 20mm ( up to 120mm) titanium cann.18mm thread 8.0mm x 20mm titanuium cann (up to 120mm)18mm thread 8.0mm x 20mm titanuium cann (up to 120mm)30mm thread 8.0mm x 45mm titanuium cann (up to 120mm)45mm thread 6.5mm x 30mm ( up to 120mm) titanium cann. 30mm thread 6.5mm x 45mm (up to 120mm ) titanium cann .45mm thread OU 13 123 1231 3369 CN 198754 Group Benefit Change 185 0 0 Update 2013-02-01 2020-02-01 Prosthesis OX041 ARMAR Meril Locking Plate System Self Drilling Cannulated Screw TAN Cannulated Bone Screws 4.5-6.5mm Diameter 20-150mm Length OX 13 123 1231 3369 CN 286843 Group Benefit Change 185 0 0 Update 2018-08-01 2020-02-01 Prosthesis PB044 Cannulated Screws 6.5 & 7.3mm Cannulated Screws 6.5mm & 7.3mm PB 13 123 1231 3369 CN 223188 Group Benefit Change 185 0 0 Update 2016-08-01 2020-02-01 Prosthesis SF116 Speyside Superscrew - Standard Cannulated Cortical / Cancellous Lag Screw Partial or Full Thread Dia. 4.5 / 5.0 / 6.5 / 7.2 mm x 25-140mm Length SF 13 123 1231 3369 CN 184460 Group Benefit Change 185 0 0 Update 2016-02-01 2020-02-01 Prosthesis SF165 PS Dual Thread Screw Canulated, Dual thread, Cortical Screw 4.5mm, 24-52mm length SF 13 123 1231 3369 CN 184460 Group Benefit Change 185 0 0 Update 2019-11-01 2020-02-01 Prosthesis SK529 Stryker Cannulated Screw System Asnis III Cannulated screws 5.0-8.0mm SK 13 123 1231 3369 CN 119660 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL008 Cannulated Screw Partially & Fully Threaded Titanium ≥4.5mm SL 13 123 1231 3369 CN 104369 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL009 Cannulated screws Partially & Fully Threaded Stainless Steel ≥4.5mm SL 13 123 1231 3369 CN 104369 99767 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis SQ058 CPS Bioabsorbable Fixation System OTPS fixation system: PLGA/TMC copolymer 4.5 x 90mm SQ 13 123 1231 3369 CN 154543 Group Benefit Change 185 0 0 Update 2011-08-01 2020-02-01 Prosthesis SQ144 Cannulated Screws Cannulated, Cancellous Short, Medium, Partial, Full Thread Locking, Non-locking 4.5-7.0mm Diameter 16-120mm Length SQ 13 123 1231 3369 CN 191602 Group Benefit Change 185 0 0 Update 2018-02-01 2020-02-01 Prosthesis SY630 AO/ASIF Screws Cannulated Full, Partial Thread screw ≥4.50mm SY 13 123 1231 3369 CN 157068 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis TN001 Newclip cannulated screws Cannulated screws Standard (≥4.5mm) TN 13 123 1231 3369 CN 260233 260234 Group Benefit Change 185 0 0 Update 2016-02-01 2020-02-01 Prosthesis UQ002 SP029 OsteoMed Plating & Fixation System Plates - Fracture; Screws - Cannulated Lag 6 Hole Fracture Plate 47 - 52mm; 2 x 2 Hole Angled Fracture Plate; 3 x 3 Hole Angled Fracture Plate; 6.5mm x (30 -150)mm; 7.3mm x (30 - 150)mm UQ 13 123 1231 3369 CN 130508 130509 Group Benefit Change 185 0 0 Update 2019-11-01 2020-02-01 Prosthesis VK034 eight-Plate Plus Cannulated Screw The guided growth plate system plus consists of different sizes of plates and cannulated screws. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both upper and lower extremities. 4.5mm x 16mm 4.5mm x 24mm 4.5mm x 32mm 4.5mm x 36mm VK 13 123 1231 3369 CN 289252 Group Benefit Change 185 0 0 Update 2019-07-01 2020-02-01 Prosthesis WR248 Darco Headed Compression Screw System 4.5, 6.5, 7.5 Cannulated titanium compression screws 4.5mm x 8-60mm; 6.5mm x 35-120mm; 7.5mm x 35-120mm WR 13 123 1231 3369 CN 122967 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR280 Fyxis plate screw Foot Plate Screw 9-55 mm WR 13 123 1231 3369 CN 151782 Group Benefit Change 185 0 0 Update 2015-08-01 2020-02-01 Prosthesis WR387 TO114 MaxTorque Cannulated Screw System - Standard screws Bone screws, Titanium, Cannulated, Short or Long Thread Ø5.5mm Short Thread, Length 26-70mm Ø5.5mm Long Thread, Length 45-70mm Ø7.0mm Short thread, Length 40-130mm Ø7.0mm long Thread, Length 45-130mm WR 13 123 1231 3369 CN 214803 Group Benefit Change 185 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZA016 N-Force Fixation System Cannulated screw and sheath 7.3mm ZA 13 123 1231 3369 CN 288313 Group Benefit Change 185 0 0 Update 2018-08-01 2020-02-01 Prosthesis ZI176 Zimmer Internal Fixation Systems: Cannulated Screw Magna-FX - Stainless Steel 16 mm Thread - 30-30 mm; 32 mm Thread - 40-120 mm; Fully Threaded - 30-130 mm Long ZI 13 123 1231 3369 CN 112735 Group Benefit Change 185 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI836 NCB Polyaxial Locking System 4.5mm Cannulated Variable Angle Locking Screws - Ti Alloy 14 - 100mm ZI 13 123 1231 3369 CN 100337 Group Benefit Change 185 0 0 Update 2012-02-01 2020-02-01 Prosthesis ZI872 Zimmer Cannulated Screw System 7.0mm Cannulated Screw 32mm Thread 7.0mm Cannulated Screw Full Thread 7.0mm Cannulated Screw 32mm Thread. L=140 7.0mm Cannulated Screw Full Thread. L=140 7.0mm Cannulated Screw 32mm Thread. L=145 7.0mm Cannulated Screw Full Thread. L=145 7.0mm Cannulated Screw 32mm Thread. L=150 7.0mm Cannulated Screw Full Thread. L=150 7.0mm Cannulated Screw 32mm Thread. L=155 7.0mm Cannulated Screw Full Thread. L=155 7.0mm Cannulated Screw 32mm Thread. L=160 7.0mm Cannulated Screw Full Thread. L=160 7.0mm Cannulated Screw 32mm Thread. L=165 7.0mm Cannulated Screw Full Thread. L=165 7.0mm Cannulated Screw 32mm Thread. L=170 7.0mm Cannulated Screw Full Thread. L=170 7.0mm Cannulated Screw 32mm Thread. L=175 7.0mm Cannulated Screw Full Thread. L=175 7.0mm Cannulated Screw 32mm Thread. L=180 7.0mm Cannulated Screw Full Thread. L=180 ZI 13 123 1231 3369 CN 204658 Group Benefit Change 185 0 0 Update 2013-08-01 2020-02-01 Prosthesis BU012 Nexis osteosynthesis screws Bone screw titanium alloy (compressive) Diameter 5-7 mm, Length 26-120mm BU 13 123 1231 3369 CN,DT 235765 Group Benefit Change 351 0 0 Update 2016-08-01 2020-02-01 Prosthesis BU020 MAGNEZIX CS 4.8 Compression screw for bone fixation. Diameter 4.8mm Length 24 - 70mm BU 13 123 1231 3369 CN,DT 283491 Group Benefit Change 351 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE481 Headless Compression Screw System Headless Compression Screw for bone fixation 6.5mm Diameter (30-120mm Diameter) DE 13 123 1231 3369 CN,DT 227070 Group Benefit Change 351 0 0 Update 2016-08-01 2020-02-01 Prosthesis DE588 Compression FT Compression Screw 5.0mm & 7.0mm Diameters DE 13 123 1231 3369 CN,DT 284416 Group Benefit Change 351 0 0 Update 2018-02-01 2020-02-01 Prosthesis DZ037 Valens - Cannulated Screws Countersunk Cannulated Partial-Thread Screw 5.0mm DZ 13 123 1231 3369 CN,DT 276915 Group Benefit Change 351 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ057 Valens Shoulder and Elbow - Screws Cannulated Screws 4.5mm, 5.0mm DZ 13 123 1231 3369 CN,DT 276915 Group Benefit Change 351 0 0 Update 2017-08-01 2020-02-01 Prosthesis EF004 Merete - Cannulated HCS (headless Compression Screws) 6.5mm Bone screws, Titanium, Cannulated Compression Diameter + 6.5mm, length 40-120mm (in 5mm increments) EF 13 123 1231 3369 CN,DT 212520 Group Benefit Change 351 0 0 Update 2015-02-01 2020-02-01 Prosthesis EO093 APTUS SpeedTip CCS APTUS SpeedTip CCS 5.0/7.0 5.0mm diameter and 7.0mm diameter. Short and long thread EO 13 123 1231 3369 CN,DT 206157 Group Benefit Change 351 0 0 Update 2015-08-01 2020-02-01 Prosthesis HW561 Stryker Fixos Screws Stryker Fixos Screws >4.5mm 5mm & 7mm diameter HW 13 123 1231 3369 CN,DT 227536 Group Benefit Change 351 0 0 Update 2016-02-01 2020-02-01 Prosthesis IT031 Integrant 6.5mm Screws 6.5mm diameter screws with variable pitch/dynamic thread 6.5mm diameter, 45mm-120mm length IT 13 123 1231 3369 CN,DT 230954 Group Benefit Change 351 0 0 Update 2018-08-01 2020-02-01 Prosthesis LM142 Extremity Medical Compression Screw System Compression Screws ≥ 4.5mm LM 13 123 1231 3369 CN,DT 164980 Group Benefit Change 351 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM287 IBS Screw Compression Screw 4.5, 6.5 & 8.0mm diameter LM 13 123 1231 3369 CN,DT 266217 Group Benefit Change 351 0 0 Update 2016-02-01 2020-02-01 Prosthesis LM350 Orthopaedic Fixation Screw Fixation Screw 4.5mm and larger diameter, all lengths LM 13 123 1231 3369 CN,DT 266217 Group Benefit Change 351 0 0 Update 2018-02-01 2020-02-01 Prosthesis MO357 Acutrak 2 Headless compression screw >4.5mm MO 13 123 1231 3369 CN,DT 99823 Group Benefit Change 351 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO383 Acumed Headless Compression Screw Acutrak 6/7 screw, Acutrak Plus >4.5mm MO 13 123 1231 3369 CN,DT 99823 Group Benefit Change 351 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH547 Dynafit System Compressive Screws 4.7-6.5mm x 18-120mm OH 13 123 1231 3369 CN,DT 216161 216162 Group Benefit Change 351 0 0 Update 2017-08-01 2020-02-01 Prosthesis OH650 G-BEAM Fusion Beam Cannulated Compression Screw (G-Beam) D: 5.4 - 7.4 mm L: 50 - 200 mm OH 13 123 1231 3369 CN,DT 310881 Group Benefit Change 351 0 0 Update 2019-03-01 2020-02-01 Prosthesis PB037 Headless Compression Screw System Headless Compression Screw ≥4.5mm PB 13 123 1231 3369 CN,DT 223188 Group Benefit Change 351 0 0 Update 2016-02-01 2020-02-01 Prosthesis PF024 FH Screw Systems Large Compression Screw 45mm - 110mm PF 13 123 1231 3369 CN,DT 141164 Group Benefit Change 351 0 0 Update 2017-02-01 2020-02-01 Prosthesis SF087 Speyside Double Threaded Cannulated Screw Speyside - Double threaded – Self tapping or self drilling cannulated screw Diameter 4.5 and 6.5mm x Length 30 to 100mm SF 13 123 1231 3369 CN,DT 184460 Group Benefit Change 351 0 0 Update 2015-08-01 2020-02-01 Prosthesis SF094 Versa Screw Self Drilling self tapping Cannulated Compression Screw 6.5 to 8mm Dia x 40 to 120mm length SF 13 123 1231 3369 CN,DT 184460 Group Benefit Change 351 0 0 Update 2015-08-01 2020-02-01 Prosthesis SL031 Headless Cannulated Screw Headless cannulated screw >4.5mm SL 13 123 1231 3369 CN,DT 104369 Group Benefit Change 351 0 0 Update 2014-08-01 2020-02-01 Prosthesis SY645 AO/ASIF Screws HCS Countersinkable Compression Screw 4.5mm-6.5mm SY 13 123 1231 3369 CN,DT 157068 Group Benefit Change 351 0 0 Update 2012-02-01 2020-02-01 Prosthesis SY691 Midfoot Fusion Bolt Solid intramedullary arthodesis implant 6.5mm diameter; 50-160mm Length SY 13 123 1231 3369 CN,DT 182343 Group Benefit Change 351 0 0 Update 2012-08-01 2020-02-01 Prosthesis TN002 Newclip cannulated DT screws Cannulated screws Standard (≥4.5mm) TN 13 123 1231 3369 CN,DT 260233 260234 Group Benefit Change 351 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR033 Cannulated Screw Multi use compression screw, cannulated, stainless steel or titanium 6.5mm& 7.0mm dia, 40-110mm lengths in 5mm increments WR 13 123 1231 3369 CN,DT 122967 Group Benefit Change 351 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR319 Unima Screw Foot Screw 4.5 x 26 - 70mm 7.3 x 40 - 120mm WR 13 123 1231 3369 CN,DT 151098 Group Benefit Change 351 0 0 Update 2017-08-01 2020-02-01 Prosthesis WR394 TO123 NexFix 4.5MM Compression Screw The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones 4.5mm diameter x 14-40mm in 2mm increments, 40-65mm in 5mm increments, with short and long thread options WR 13 123 1231 3369 CN,DT 148960 Group Benefit Change 351 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR397 TO126 NexFix 6.5mm Compression Screw The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones 6.5mm diameter x 40-120mm in 5mm increments with short and long thread options WR 13 123 1231 3369 CN,DT 148960 Group Benefit Change 351 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZI180 Zimmer Large Herbert Bone Screw 4.5mm Cannulated Double Threaded Compression Bone Screw - Ti Alloy 30 - 70mm ZI 13 123 1231 3369 CN,DT 112735 Group Benefit Change 351 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI181 Zimmer Large Herbert Bone Screw 6.5mm Cannulated Double Threaded Compression Bone Screw - Ti Alloy 25 mm - 100mm ZI 13 123 1231 3369 CN,DT 112735 Group Benefit Change 351 0 0 Update 2005-10-31 2020-02-01 Prosthesis ER393 Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), cannulated, dual thread, locking Paragon 28 Monster Screw System-screws, cannulated, dual thread, locking, headless, partial thread, Titanium dia (4.5-7.2 mm) x length (50-200mm) ER 13 123 1231 3369 CN,DT,LK 289308 Group Benefit Change 412 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM134 TriMed Compression Screws Compression Screws 4.5-7.5mm LM 13 123 1231 3369 CN,DT,LK 229704 Group Benefit Change 412 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM368 Intramedullary Beam Intramedullary Beam All sizes LM 13 123 1231 3369 CN,DT,LK 164980 Group Benefit Change 412 0 0 Update 2019-03-01 2020-02-01 Prosthesis SF163 PS Dual Thread Screw Dual Threaded, locking, canulated Screw 4.5mm Diameter, 24 - 90mm Long SF 13 123 1231 3369 CN,DT,LK 184460 Group Benefit Change 412 0 0 Update 2019-11-01 2020-02-01 Prosthesis SL080 Conquest FN Cannulated Screws ≥4.50mm SL 13 123 1231 3369 CN,DT,LK 104369 Group Benefit Change 412 0 0 Update 2017-08-01 2020-02-01 Prosthesis SY632 AO/ASIF Screws Cannulated Screws ≥4.50mm SY 13 123 1231 3369 CN,DT,LK 157068 Group Benefit Change 412 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR288 TriMed Compression Screws Compression Screws 4.5-7.5mm WR 13 123 1231 3369 CN,DT,LK 151098 Group Benefit Change 412 0 0 Update 2015-08-01 2020-02-01 Prosthesis BH269 Polyax Plating system Cannulated Locking Screw, Titanium 4.5 to 8.0mm diameter BH 13 123 1231 3369 CN,LK 153087 Group Benefit Change 246 0 0 Update 2013-02-01 2020-02-01 Prosthesis ER523 Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), cannulated, locking Paragon 28 Monster Screw System-Joust Beaming Screws, standard, cannulated, locking, headless, Titanium dia (5.0-7.2mm) x Length (50-185mm) ER 13 123 1231 3369 CN,LK 289308 Group Benefit Change 246 0 0 Update 2019-07-01 2020-02-01 Prosthesis JJ558 DELTA Xtend Locking Metaglene Screw Dia 4.5 4.5mm; 24, 30, 36, 42, 48 SY 13 123 1231 3369 CN,LK 126913 Group Benefit Change 246 0 0 Update 2006-11-30 2020-02-01 Prosthesis LM277 PANTERA Proximal Humerus Fracture Fixation Plate System - Post with Cross Element Threaded Locking Screw 5.2mm LM 13 123 1231 3369 CN,LK 182168 Group Benefit Change 246 0 0 Update 2016-02-01 2020-02-01 Prosthesis MN200 Bristow-Latarjet Instability Shoulder Set - Screw Cannulated locking screw ≥4.5mm SY 13 123 1231 3369 CN,LK 136374 Group Benefit Change 246 0 0 Update 2016-08-01 2020-02-01 Prosthesis OH602 Orthofix Contours Plating System - PHP Locking Screws Main Locking Screw D: 6mm L: 40-60mm OH 13 123 1231 3369 CN,LK 292837 292838 Group Benefit Change 246 0 0 Update 2018-02-01 2020-02-01 Prosthesis SK564 Stryker Plating System SPS Locking Plate System Locking Screws - 5mm SK 13 123 1231 3369 CN,LK 119660 Group Benefit Change 246 0 0 Update 2012-02-01 2020-02-01 Prosthesis SK593 Total Wrist Implant System Carpal Screws 15, 18, 22, 26, 30mm SK 13 123 1231 3369 CN,LK 237794 Group Benefit Change 246 0 0 Update 2015-08-01 2020-02-01 Prosthesis SN769 Peri-Loc Locking Cannulated Screws ≥4.5mm SN 13 123 1231 3369 CN,LK 104369 Group Benefit Change 246 0 0 Update 2005-10-31 2020-02-01 Prosthesis SY631 AO/ASIF Screws Cannulated Locking Screws ≥4.50mm SY 13 123 1231 3369 CN,LK 157068 Group Benefit Change 246 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR347 TO051 Aequalis Humeral Nail Screws Screws for Aequalis Humeral Nail. Cannulated Proximal screws: 5mm Diameter cannulated Ti, PE insert with thread inside. Distal screws 4.5mm Diameter, Ti. Sterile and non sterile. Proximal Screws length: From 36 to 60 every 4mm Distal Screws length: From 20 to 32 every 2mm WR 13 123 1231 3369 CN,LK 164795 Group Benefit Change 246 0 0 Update 2019-03-01 2020-02-01 Prosthesis BH246 Rockwood Clavical Pin Clavical Pin with dual thread 4.5mm BH 13 123 1231 3369 DT 140023 Group Benefit Change 229 0 0 Update 2013-02-01 2020-02-01 Prosthesis SF164 PS Dual Thread Cortical Screw Dual Thread Cortical screw 4.5mm, 24-52mm length SF 13 123 1231 3369 DT 184460 Group Benefit Change 229 0 0 Update 2019-11-01 2020-02-01 Prosthesis WR317 SALVATION Limb Salvage System Intramedullary Fusion Bolts Intramedullary Fusion Bolts 5 - 7mm x 50 - 170mm WR 13 123 1231 3369 DT 198549 Group Benefit Change 229 0 0 Update 2017-08-01 2020-02-01 Prosthesis WR318 SALVATION Limb Salvage System Intramedullary Fusion Beams Intramedullary Fusion Beams 5 - 7mm x 50 - 170mm WR 13 123 1231 3369 DT 198549 Group Benefit Change 229 0 0 Update 2017-08-01 2020-02-01 Prosthesis WR412 TO143 611 Ankle Fusion Nail -Component : LOCKING SCREWS The 611 ankle arthrodesis nail, self locking screws are made out of titanium alloy (Ti6AI4V) and incorporate a unique anti-backout design feature to ensure optimal fixation 5mm x100mm, 5mmx95mm, 5mmx90mm, 5mmx85mm, 5mmx80mm, 5mmx75mm, 5mmx70mm, 5mmx65mm, 5mmx60mm, 5mmx55mm, 5mmx50mm, 5mmx45mm, 5mmx40mm, 5mmx35mm, 5mmx32mm, 5mmx29mm, 5mmx26mm, 5mmx23mm, 5mmx20mm WR 13 123 1231 3369 DT 291613 Group Benefit Change 229 0 0 Update 2019-03-01 2020-02-01 Prosthesis ER522 Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), dual thread, locking Paragon 28 Monster Screw System-Joust Beaming Screws, ( ≥4.5mm), headless, dual thread, locking, Ti dia (5.0-7.2mm) x length (50-185mm) ER 13 123 1231 3369 DT,LK 289308 Group Benefit Change 289 0 0 Update 2019-07-01 2020-02-01 Prosthesis BB303 Position HTO Implant System - Locking Screws Titanium cancellous and cortical screw, locking head for solid plate fixation. 30mm-78mm x 4.5mm & 6.0mm diameter. BB 13 123 1231 3369 LK 150084 Group Benefit Change 124 0 0 Update 2008-07-01 2020-02-01 Prosthesis BH166 Comprehensive Shoulder Screws Screw, Locking, Ti 4.75 dia x (15-45)mm BH 13 123 1231 3369 LK 144584 210290 Group Benefit Change 124 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH268 Polyax Plating System Titanium Locking Screw 4.5-5.5mm BH 13 123 1231 3369 LK 153087 Group Benefit Change 124 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH284 ALPS Plating System Locking screws 4.5 to 6.5mm diameter BH 13 123 1231 3369 LK 153087 Group Benefit Change 124 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH347 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Locking Screw One size BH 13 123 1231 3369 LK 104347 Group Benefit Change 124 0 0 Update 2013-08-01 2020-02-01 Prosthesis DD056 Glenoid Baseplate Locking Bone Screws Glenoid Baseplate Locking Bone Screws 5.0mm diameter, length 14-38mm in 4mm increments DD 13 123 1231 3369 LK 212469 Group Benefit Change 124 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE343 PEEKPower HTO Plate Medial High Tibial Osteotomy Implant Device System 5.0mm DE 13 123 1231 3369 LK 140710 Group Benefit Change 124 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE344 iBalance HTO System PEEK Screws for iBalance HTO Implant 4.5mm Cortical and 6.5mm Cancellous DE 13 123 1231 3369 LK 140686 Group Benefit Change 124 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE369 Titanium Locking Cortical and Cancellous Screws, Large Titanium Locking Cortical and Cancellous Screws, Large 4.5-6.5mm DE 13 123 1231 3369 LK 140686 Group Benefit Change 124 0 0 Update 2012-02-01 2020-02-01 Prosthesis DZ048 Valetis Screws Titanium Locking Screws 5.0mm width, 10-100mm length DZ 13 123 1231 3369 LK 284755 Group Benefit Change 124 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ056 Valens Shoulder and Elbow - Screws Cortex/Cancellous Screws 4.5mm, 6.5mm DZ 13 123 1231 3369 LK 276915 Group Benefit Change 124 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER504 Paragon 28 Gorilla Plating System-Screws, standard ( ≥4.5mm), locking Paragon 28 Gorilla Plating System-Screws, standard ( ≥4.5mm), locking Paragon 28 Gorilla Plating System-Screws, standard, locking; recon/Tuffneck dia (4.5-5.2 mm) x length (14-60 mm) ER 13 123 1231 3369 LK 289308 Group Benefit Change 124 0 0 Update 2019-03-01 2020-02-01 Prosthesis ER530 Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), cannulated, locking Paragon 28 Monster Screw System-Joust Beaming Screws, standard, cannulated, locking, headless, Titanium dia (5.0-7.2mm) x Length (50-185mm) ER 13 123 1231 3369 LK 289308 Group Benefit Change 124 0 0 Update 2019-07-01 2020-02-01 Prosthesis EX047 Equinoxe Glenosphere Locking Screw The Locking Screw locks compression screws to the glenoid plate at a variable angle one size FA 13 123 1231 3369 LK 159797 Group Benefit Change 124 0 0 Update 2010-02-01 2020-02-01 Prosthesis HW531 Stryker Plating System Locking Screw 5.0mm HW 13 123 1231 3369 LK 119660 Group Benefit Change 124 0 0 Update 2014-02-01 2020-02-01 Prosthesis IT015 Superior Fusion Plate System - Locking screws 4.5mm locking screw set with lengths ranging from 35mm to 110mm.Locking screws to hold and aid an anatomical contoured locking plate used for primary, revision and pantalar anterior ankle fusions. 4.5mm in diameter with lengths of 35mm,37mm, 39mm, 41mm, 43mm, 45mm, 47mm, 49mm, 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm, 110mm each IT 13 123 1231 3369 LK 191738 Group Benefit Change 124 0 0 Update 2016-02-01 2020-02-01 Prosthesis JD014 Screws - Locking Locking ≥4.5mm JD 13 123 1231 3369 LK 222648 Group Benefit Change 124 0 0 Update 2018-02-01 2020-02-01 Prosthesis MA530 Affinis Inverse locking screw Locking Metaglene screw 24x4.0mm to 48x4.0mm MA 13 123 1231 3369 LK 241996 Group Benefit Change 124 0 0 Update 2012-08-01 2020-02-01 Prosthesis MO414 Acumed Screws Locking Screws >4.5mm MO 13 123 1231 3369 LK 99823 Group Benefit Change 124 0 0 Update 2014-02-01 2020-02-01 Prosthesis OH593 Ankle Compression Nail Fixation - Threaded Head Screws Ankle Compression Nail Fixation - Threaded Head Screws D: 5mm L: 60-120mm OH 13 123 1231 3369 LK 292830 292831 292836 Group Benefit Change 124 0 0 Update 2018-02-01 2020-02-01 Prosthesis OH651 OH564 Foot and Ankle Screws - Locking Locking Screw D: 4.5-5.5, L: 20-60mm OH 13 123 1231 3369 LK 286861 Group Benefit Change 124 0 0 Update 2019-11-01 2020-02-01 Prosthesis OX018 ARMAR Meril Locking Plate System Self tapping Locking Screws TiCP Self Tapping Locking Screws 5mm Diameter 14-90mm Length OX 13 123 1231 3369 LK 286843 Group Benefit Change 124 0 0 Update 2018-02-01 2020-02-01 Prosthesis PJ003 FlexiSystem, Flexit Cortical and Cancellous locking screws and duel threaded screws Cortical and Cancellous locking Duel threaded screws 30,35,40,45,50,55,60,6,70,75mm PJ 13 123 1231 3369 LK 206423 Group Benefit Change 124 0 0 Update 2014-02-01 2020-02-01 Prosthesis SF161 PS DT Locking Screw Dual Thread Variable Angle Locking screw 4.5mm Diameter, 24-90mm Length SF 13 123 1231 3369 LK 184460 Group Benefit Change 124 0 0 Update 2019-11-01 2020-02-01 Prosthesis SL151 Smith & Nephew Plate and Screw System - EVOS Standard screws - Locking ≥4.5mm SL 13 123 1231 3369 LK 104369 Group Benefit Change 124 0 0 Update 2019-11-01 2020-02-01 Prosthesis SN768 Peri-Loc Fixation Device, Internal, Locking, Stainless Steel, Cortical & Cancellous Screw 4.5mm -5.0mm SN 13 123 1231 3369 LK 104369 Group Benefit Change 124 0 0 Update 2005-10-31 2020-02-01 Prosthesis SQ091 Bone Screws Cortical, Locking, Self-tapping, Standard, T20, Fully Threaded 4.5 - 5.0mm Diameter 10-90mm Length SQ 13 123 1231 3369 LK 191587 191602 Group Benefit Change 124 0 0 Update 2013-08-01 2020-02-01 Prosthesis SQ116 SuperCable Trochanteric Grips and Cable Plate System Locking Screw Titanium 5.0mm diameter 10mm to 50mm length SQ 13 123 1231 3369 LK 133719 Group Benefit Change 124 0 0 Update 2016-02-01 2020-02-01 Prosthesis SY653 AO/ASIF Screws Locking Screws ≥ 4.5mm SY 13 123 1231 3369 LK 157068 Group Benefit Change 124 0 0 Update 2012-02-01 2020-02-01 Prosthesis SY693 Dynamic Locking Screw Pin-sleeve locking screw 5.0mm SY 13 123 1231 3369 LK 157068 Group Benefit Change 124 0 0 Update 2012-08-01 2020-02-01 Prosthesis TN007 Newclip Locking Bone Screws Locking Bone Screws Diam >4.5mm, length 15 - 110mm TN 13 123 1231 3369 LK 260233 260234 Group Benefit Change 124 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR074 Locking Screws Stainless Steel or Titanium Locking Screws 4.5-5.5mm diameter, 8 - 100m length WR 13 123 1231 3369 LK 122967 Group Benefit Change 124 0 0 Update 2010-08-01 2020-02-01 Prosthesis WR294 SALVATION 3Di Plating System - OP Locking Screws Osteopenic locking screws Diameter: 5.5mm Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm WR 13 123 1231 3369 LK 198485 Group Benefit Change 124 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR342 TO046 Aequalis Reversed Shoulder - Fixation Screw for Articular Implant Titanium, sterile and non-sterile D4.5mm, L20 to 50mm WR 13 123 1231 3369 LK 291613 214803 Group Benefit Change 124 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZI534 Zimmer Trabecular Metal Reverse Shoulder System Inverse/Reverse Screw 4.5mm 18mm, 24mm, 27mm, 30mm, 33mm, 36mm, 42mm, 48mm ZI 13 123 1231 3369 LK 94829 Group Benefit Change 124 0 0 Update 2006-11-30 2020-02-01 Prosthesis ZI548 Zimmer Universal Locking System 2.7mm Universal Locking Screw Length:8mm; 10mm; 12mm; 14mm; 16mm; 18mm; 20mm; 22mm; 24mm; 26mm; 28mm; 30mm; 32mm; 34mm; 36mm; 38mm; 40mm; 42mm; 44mm; 46mm; 48mm; 50mm; 55mm; 60mm ZI 13 123 1231 3369 LK 112735 Group Benefit Change 124 0 0 Update 2007-12-01 2020-02-01 Prosthesis BH167 Comprehensive Shoulder Screws Screw, Non-Locking (4.75 or 6.5)mm x 15-50mm BH 13 123 1231 3369 153087 Group Benefit Change 63 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH271 Polyax Plating System Non-Locking Screw, Titanium 40-100mm BH 13 123 1231 3369 153087 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH283 ALPS Plating System Non-locking bone screws 4.5 - 6.5mm diameter BH 13 123 1231 3369 153087 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH317 Affixus Hip Fracture Nail System Distal screw 20-80mm BH 13 123 1231 3369 177876 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH318 Affixus Hip Fracture Nail System Anti- rotational screw 5mm diameter BH 13 123 1231 3369 177876 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH331 Small / Large Fragment Set Bone Screw Titanium 4.5 to 6.5mm diameter BH 13 123 1231 3369 153087 203607 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH348 Comprehensive Segmental Revision System (SRS) Comprehensive SRS Non-Locking Screw One size BH 13 123 1231 3369 104347 Group Benefit Change 63 0 0 Update 2013-08-01 2020-02-01 Prosthesis BI262 EBI XFIX Dynafix System Bone Screw, Cortical, tapered, Cancellous, Stainless Steel 2.4mm to 6.00mm diameter BI 13 123 1231 3369 145253 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis BI829 EBI XFIX Vision System Screw, Transfixing, Stainless steel 4 - 6mm diameter BI 13 123 1231 3369 145253 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis BI834 EBI XFIX DynaFix System Screw, VS Osteotomy System, Ti 6mm x (30mm-110mm) BI 13 123 1231 3369 146250 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis DD054 Replacement retaining screw for glenoid head Replacement retaining screw for glenoid head 6.5mm x 30mm DD 13 123 1231 3369 212521 Group Benefit Change 63 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE367 Cancellous Bone Screws Cancellous Bone Screws 25-50mm x 6.5mm DE 13 123 1231 3369 98527 Group Benefit Change 63 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE423 PEEKPower HTO Plate Medial High Tibial Osteotomy Implant Device System 4.5mm Titanium compression Screws DE 13 123 1231 3369 227070 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis DE537 Arthrex Jones Fracture Screw Partially Threaded Screw to fixate fractures of the 5th Metatarsal 4.5mm (40-65mm Lengths) 5.5mm (40-65mm Lengths) 6.0mm (40-65mm Lengths) DE 13 123 1231 3369 227070 Group Benefit Change 63 0 0 Update 2017-08-01 2020-02-01 Prosthesis DE551 Low Profile Screw Low Profile Screw 4.5mm x (16-65mm lengths) 5.5mm x (20-75mm lengths) DE 13 123 1231 3369 227070 Group Benefit Change 63 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ051 Valetis Screws Titanium Cortical Screws 4.5mm width, 10-80mm length DZ 13 123 1231 3369 284755 Group Benefit Change 63 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ052 Valetis Screws Titanium Cancellous Screws 4.5mm width, 10-80mm length DZ 13 123 1231 3369 284755 Group Benefit Change 63 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER391 Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm) Paragon 28 Monster Screw System-Screws, headed, blunt tip, solid, various thread lengths dia (4.5-7.0 mm) x length (18-200 mm) x thread length (6-200 mm) ER 13 123 1231 3369 289308 Group Benefit Change 63 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER510 Paragon 28 Gorilla Plating System-Screws, standard ( ≥4.5mm) Paragon 28 Gorilla Plating System-Screws, standard ( ≥4.5mm) dia (4.5-5.2 mm) x length (14-60 mm) ER 13 123 1231 3369 289308 Group Benefit Change 63 0 0 Update 2019-03-01 2020-02-01 Prosthesis EX046 Equinoxe Compression Screw The compression screw compresses the glenoid plate to the bone while providing 30 degrees of angular variability 4.5x18mm white, 4.5x22mm black, 4.5x26mm orange, 4.5x30mm blue, 4.5x34mm red, 4.5x38mm green, 4.5x42mm yellow, 4.5x46mm purple FA 13 123 1231 3369 252473 Group Benefit Change 63 0 0 Update 2010-02-01 2020-02-01 Prosthesis GG002 Contile Fin II Bone Screw 20 to 50mm GG 13 123 1231 3369 246519 Group Benefit Change 63 0 0 Update 2018-02-01 2020-02-01 Prosthesis HW337 Stryker Plating System Screws Ti or StST 4.5-6.5mm HW 13 123 1231 3369 119660 25735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis IG113 Bone Screws Titanium screws (2) for use with the Universal2 Total Wrist System only 4.5mm x (15, 20, 25, 30, 35mm) IG 13 123 1231 3369 160521 Group Benefit Change 63 0 0 Update 2011-08-01 2020-02-01 Prosthesis IT007 Hawk Anterior Ankle Fusion Set 4.5mm screw set with lengths ranging from 35mm to 110mm. 4.5mm x length (35mm to 110mm) IT 13 123 1231 3369 191738 Group Benefit Change 63 0 0 Update 2015-08-01 2020-02-01 Prosthesis IT009 Hawk Anterior Ankle Fusion Set 6.5mm screw set with lengths ranging from 35mm to 110 mm. 6.5mm length 35mm to 110mm IT 13 123 1231 3369 191738 Group Benefit Change 63 0 0 Update 2015-08-01 2020-02-01 Prosthesis JD013 Screws - Non Locking ≥4.5mm) ≥4.5mm JD 13 123 1231 3369 222648 Group Benefit Change 63 0 0 Update 2018-02-01 2020-02-01 Prosthesis LH444 Hinge Pediatric Plating System - Screws 2 screws for articulated growth-correction fixation plate 4.5 x 35mm, 4.5 x 30mm, 4.5 x 25mm LH 13 123 1231 3369 161505 Group Benefit Change 63 0 0 Update 2010-02-01 2020-02-01 Prosthesis LH675 OO136 MUTARS Cancellous Screws MUTARS Cancellous Screws 20-40mm LH 13 123 1231 3369 237075 Group Benefit Change 63 0 0 Update 2018-08-01 2020-02-01 Prosthesis LM374 Plate Screw Plate Screw 4.5mm diameter and greater LM 13 123 1231 3369 266216 Group Benefit Change 63 0 0 Update 2019-07-01 2020-02-01 Prosthesis LM381 Screw and Locking Cap Screw and Locking Cap 4.5 mm and larger diameter LM 13 123 1231 3369 266216 Group Benefit Change 63 0 0 Update 2019-07-01 2020-02-01 Prosthesis MA539 Affinis Inverse Lag Screw Metaglene Lag screw 18x4.5mm to 38 x 4.5 mm MA 13 123 1231 3369 241996 Group Benefit Change 63 0 0 Update 2012-08-01 2020-02-01 Prosthesis MO413 Acumed Screws Screws >4.5mm MO 13 123 1231 3369 99823 Group Benefit Change 63 0 0 Update 2014-02-01 2020-02-01 Prosthesis OH592 Ankle Compression Nailing System - Screws Ankle Compression Nailing System - Screws D: 5mm L: 20 - 120mm OH 13 123 1231 3369 292830 292831 292836 Group Benefit Change 63 0 0 Update 2018-02-01 2020-02-01 Prosthesis OH603 Orthofix Contours Plating System - PHP Screws Diaphyseal and Revision Screws D: 4.5-6.5mm L: 22-36mm OH 13 123 1231 3369 292837 292838 Group Benefit Change 63 0 0 Update 2018-02-01 2020-02-01 Prosthesis OH638 GOTFRIED PC.C.P - Shaft Screws Shaft Screws 31 - 46mm OH 13 123 1231 3369 292838 292837 Group Benefit Change 63 0 0 Update 2018-08-01 2020-02-01 Prosthesis OH653 OH565 Foot and Ankle Screws Cortical, Cancellous Cortical, Cancellous Screw D: 4.5 - 5.5 L: 20-60mm OH 13 123 1231 3369 286861 Group Benefit Change 63 0 0 Update 2019-11-01 2020-02-01 Prosthesis OU027 Cortical Screw (Ti6AI4V) Cortical Screw 5.0mm x 20mm up to 120mm OU 13 123 1231 3369 198754 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis OU037 Self Tapping Cortical Screw Self Tapping Cortical Screw 4.5mm self tapping cortical screw 14mm to 95mm 4.5mm cortical screw 14mm to 140mm 4.5mm malleloar screw 25mm to 70mm 6.5 cancellous screw 16mm thread 30mm to 150mm 6.5mm cancellous screw fully threaded 20mm to 110mm OU 13 123 1231 3369 198754 Group Benefit Change 63 0 0 Update 2013-02-01 2020-02-01 Prosthesis OX017 ARMAR Meril Locking Plate System Self Tapping Cortex Screws TiCP and Stainless Steel Self Tapping Cortex Screws 4.5mm Diameter 14-145mm Length OX 13 123 1231 3369 286843 Group Benefit Change 63 0 0 Update 2018-02-01 2020-02-01 Prosthesis OX019 ARMAR Meril Locking Plate System Cancellous Screw TiCP and Stainless Steel Cancellous Bone Screws 6.5mm Diameter 20-150mm Length OX 13 123 1231 3369 286843 Group Benefit Change 63 0 0 Update 2018-02-01 2020-02-01 Prosthesis SL013 TC-100 Cortical & Cancellous Screws ≥4.5mm SL 13 123 1231 3369 104369 Group Benefit Change 63 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL014 Peri-Loc & Peri-Loc VLP Cortical & Osteopenia Screws ≥4.5mm SL 13 123 1231 3369 104369 Group Benefit Change 63 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL152 Smith & Nephew Plate and Screw System - EVOS Standard screws ≥4.5mm SL 13 123 1231 3369 104369 Group Benefit Change 63 0 0 Update 2019-11-01 2020-02-01 Prosthesis SQ113 SuperCable Trochanteric Grips and Cable Plate System Compression Screws Titanium 4.5mm Diameter 10mm to 50 mm length SQ 13 123 1231 3369 133719 Group Benefit Change 63 0 0 Update 2016-02-01 2020-02-01 Prosthesis SQ121 Verso Shoulder System - Baseplate Fixation Screw Verso Shoulder Base Plate Fixation Screw 5mm diameter, 15mm-50mm SQ 13 123 1231 3369 262473 Group Benefit Change 63 0 0 Update 2017-02-01 2020-02-01 Prosthesis SQ143 Bone Screws Self-tapping, Cortical, Solid, Cancellous Thread, T20, Partially Threaded, Recon 4.5-5.0mm Diameter 10-100mm Length SQ 13 123 1231 3369 191587 191602 Group Benefit Change 63 0 0 Update 2018-02-01 2020-02-01 Prosthesis ST004 Stryker Plating System Screws - Cortical 4.5mm Titanium or Stainless Steel 10-20mm ST 13 123 1231 3369 119660 25735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ST005 Stryker Plating System Screws - Cancellous 6.5mm Stainless Steel or Titanium 20-50mm ST 13 123 1231 3369 119660 25735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis SY596 AO/ASIF Screws Cortex,Cancellous, Compression Screws ≥ 4.5mm SY 13 123 1231 3369 157068 Group Benefit Change 63 0 0 Update 2012-02-01 2020-02-01 Prosthesis TN030 Newclip Non Locking Bone Screw Non Locking Bone Screw ≥4.5mm diameter, Length 20 - 110mm VB 13 123 1231 3369 260233 260234 Group Benefit Change 63 0 0 Update 2017-02-01 2020-02-01 Prosthesis WR036 Charlotte Carolina Jones Fracture System Low profile, solid-core, surgical grade stainless steel screw, partially threatded with thread length varying anthropometrically relative to overall screw length, utilising specialised instruments for IM placement in the 5th metatarsal 4.5mm, 4.5mm, 6.5mm, 40mm-70mm overall screw lengths WR 13 123 1231 3369 122967 Group Benefit Change 63 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR209 Non-Locking Screws Titanium or Stailess Steel Alloy Non-Locking Screws 20-100mm, 4.5-5.5mm Diameter WR 13 123 1231 3369 198485 Group Benefit Change 63 0 0 Update 2011-02-01 2020-02-01 Prosthesis WR296 SALVATION 3Di Plating System - Osteopenic Screws Osteopenic screws Diameter: 5.5mm Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm WR 13 123 1231 3369 198485 Group Benefit Change 63 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR343 TO047 Fixation Screw for Articular Implant Titanium, sterile and non-sterile D 4.5mm, L 18mm to 50mm WR 13 123 1231 3369 291613 214803 Group Benefit Change 63 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZI149 Periarticular Plates Periarticular 6.5mm Cancellous Screws - Stainless Steel 16mm Thread - 35-90mm Long, 32mm Thread - 45-90mm Long, Fully Threaded - 25-90mm Long ZI 13 123 1231 3369 112735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI151 Periarticular Plates Periarticular 4.5mm Self Tapping Screws - Stainless Steel 26 - 90mm ZI 13 123 1231 3369 112735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI204 Zimmer ECT Screws 4.5mm Cortical Screws 14 - 120mm ZI 13 123 1231 3369 112735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI205 Zimmer Screws 4.5mm Cortical Screws 14 - 120mm ZI 13 123 1231 3369 112735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI206 Zimmer ECT Screws 4.5 Malleo Screw 25 - 70mm ZI 13 123 1231 3369 112735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI207 Zimmer Screws 6.5mm Cancellous Screws 25 - 120mm ZI 13 123 1231 3369 112735 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI400 Cortical Screws Screws- Cortical - Ti alloy 4.5/30 to 60mm ZI 13 123 1231 3369 100337 Group Benefit Change 63 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI831 NCB Polyaxial Locking System Variable Angle Locking Screw Cap - Ti Alloy 8mm ZI 13 123 1231 3369 100337 Group Benefit Change 63 0 0 Update 2012-02-01 2020-02-01 Prosthesis ZI891 NCB System NCB Screws 14- 100mm ZI 13 123 1231 3369 100337 Group Benefit Change 63 0 0 Update 2014-02-01 2020-02-01 Prosthesis DE365 QuickFix Screw, Small Titanium Snapp-off Small Bone Screw, small 3.0mm Diameter x 13-19mm Lengths DE 13 123 1231 3370 Breakoff 140686 Group Benefit Change 293 0 0 Update 2012-02-01 2020-02-01 Prosthesis IG134 Snap-Off screws Titanium break-off barrel screws for Hallu-Fix Diameter 3.0mm, Length 10 - 18mm IG 13 123 1231 3370 Breakoff 173963 Group Benefit Change 293 0 0 Update 2012-02-01 2020-02-01 Prosthesis PF002 BePOD Self-Compressive Screw Lengths 10mm - 60mm PF 13 123 1231 3370 Breakoff, DT 141164 Group Benefit Change 459 0 0 Update 2012-02-01 2020-02-01 Prosthesis PF008 Arthrodesis Screws Titanium Alloy Compression Screws 10mm - 60mm PF 13 123 1231 3370 Breakoff, DT 141164 Group Benefit Change 459 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH186 Small / Large Fragment Set Cannulated Titanium Bone Screw 3.0mm - 4.0mm BH 13 123 1231 3370 CN 153087 Group Benefit Change 202 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH277 ALPS Plating System & Biodrive Screws Cannulated Bone Screws 3.0 to 4.0mm diameter BH 13 123 1231 3370 CN 210296 Group Benefit Change 202 0 0 Update 2013-02-01 2020-02-01 Prosthesis BU003 Nexis osteosynthesis screws Bone screw titanium alloy (headed) Diameter 2.9-4mm, Length 10-60mm BU 13 123 1231 3370 CN 235765 Group Benefit Change 202 0 0 Update 2016-08-01 2020-02-01 Prosthesis DE370 Cannulated Low Profile Screws, Small Cannulated Low Profile Screws, Small 3-4mm DE 13 123 1231 3370 CN 140686 Group Benefit Change 202 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE696 Patella Fracture Screw 4mm Blunt Tip Cannulated Lag Screw 4mm x 24mm - 4mm x 60mm DE 13 123 1231 3370 CN 284416 Group Benefit Change 202 0 0 Update 2019-11-01 2020-02-01 Prosthesis DZ045 Valens Hand - Screws Cannulated Screws 3.0mm, 3.5mm, 4.0mm DZ 13 123 1231 3370 CN 276915 Group Benefit Change 202 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER395 Paragon 28 Monster Screw System-Screws, small (2.71mm – 4.49mm), cannulated Paragon 28 Monster Screw System-Screws, small, cannulated, headed, partial or full thread dia (3.0-4.0) x length (10-150 mm) x thread length (3-150 mm) ER 13 123 1231 3370 CN 289308 Group Benefit Change 202 0 0 Update 2017-08-01 2020-02-01 Prosthesis IT011 Hawk 4.0mm Cannulated Screw System 4.0mm Cannulated screw 4.0mm in diameter with lengths of 26mm to 70mm IT 13 123 1231 3370 CN 230954 Group Benefit Change 202 0 0 Update 2015-08-01 2020-02-01 Prosthesis LM286 Bone Screw Bone Screw 2.71 to 4.49mm diameter LM 13 123 1231 3370 CN 266217 Group Benefit Change 202 0 0 Update 2016-02-01 2020-02-01 Prosthesis OH589 Orthofix - eight-Plate Cannulated Screws L: 16 - 36 D: 4.5 OH 13 123 1231 3370 CN 292837 292838 Group Benefit Change 202 0 0 Update 2018-02-01 2020-02-01 Prosthesis OU030 Cannulated Screw Self Drill/Tap bone screws and washers are indicated for use in fixation of various fractured bones. Mini plates and screws 3.5mm or smaller are intended fro use in small bones in the hand or foot and include metacarpal, metatarsal and phalange bones. Small and large plates and screws 4.0mm and larger are intended for use in large and long bones which can include the clavicle, scaplua, pelvis, calcaneus, talus ans long bones (humerus, ulna, radius, femur, tibia and fibula) 3.5mm x 22mm, 3.5mm x 24mm, 3.5mm x 26mm, 3.5mm x 28mm, 3.5mm x 30mm, 3.5mm x 32mm, 3.5mm x 34mm, 3.5mm x 36mm, 3.5mm x 40mm, 3.5mm x 42mm, 3.5mm x 44mm, 3.5mm x 45mm, 3.5mm x 46mm, 3.5mm x 48mm, 3.5mm x 50mm, 3.5mm x 55mm, 3.5mm x 60mm OU 13 123 1231 3370 CN 198754 Group Benefit Change 202 0 0 Update 2013-02-01 2020-02-01 Prosthesis OU033 Titianium Cannulated Cancellous lag Screw Titianium Cannulated Cancellous lag Screw 4.0mm x 10mm Titianium Cannulated Cancellous lag Screw up to (4.0mm x 28mm) OU 13 123 1231 3370 CN 198754 Group Benefit Change 202 0 0 Update 2013-02-01 2020-02-01 Prosthesis PB040 Cannulated Screws 4mm Cannulated 4mm 4mm PB 13 123 1231 3370 CN 223188 Group Benefit Change 202 0 0 Update 2016-08-01 2020-02-01 Prosthesis PJ004 Trilliant Tiger Cannulated Screw System Trilliant Tiger Cannulated Screw 8-56mm in 2mm increments PJ 13 123 1231 3370 CN 263793 Group Benefit Change 202 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK528 'Stryker Cannulated Screw System Asnis III Cannulated screws 4.0mm SK 13 123 1231 3370 CN 119660 Group Benefit Change 202 0 0 Update 2012-02-01 2020-02-01 Prosthesis SN971 Cannulated Screw Stainless Steel 2.71mm - 4.49mm SN 13 123 1231 3370 CN 104369 Group Benefit Change 202 0 0 Update 2012-02-01 2020-02-01 Prosthesis SQ137 Cannulated Screws Cannulated, Cancellous Short, Medium, Partial, Full Thread Locking, Non-locking 3.0-4.0mm Diameter 10-70mm Length SQ 13 123 1231 3370 CN 191602 Group Benefit Change 202 0 0 Update 2017-08-01 2020-02-01 Prosthesis SR094 Stryker Cannulated Screw System Asnis Micro Cannulated screw 2.71mm-3.0mm, Diameters, 8mm-40mm lengths SR 13 123 1231 3370 CN 119660 Group Benefit Change 202 0 0 Update 2012-02-01 2020-02-01 Prosthesis SY071 AO/ASIF Screws Cannulated screws >2.7mm-4.49mm SY 13 123 1231 3370 CN 157068 Group Benefit Change 202 0 0 Update 2005-10-31 2020-02-01 Prosthesis TN025 Newclip Cannulated Screws Cannulated Screws 2.71 - 4.49mm diameter, lengths 10 - 70mm TN 13 123 1231 3370 CN 260233 260234 Group Benefit Change 202 0 0 Update 2016-02-01 2020-02-01 Prosthesis UQ003 SP132 OsteoMed Plating & Fixation System Screws - Cannulated Lag Diameter 2.71mm – 4.49mm UQ 13 123 1231 3370 CN 130509 Group Benefit Change 202 0 0 Update 2019-11-01 2020-02-01 Prosthesis WR068 Cannulated Screw Titanium cannulated screw intended for use in conjunction with a plate for fixation of midfoot fusion 3.5mm diameter x 34, 36 & 38mm WR 13 123 1231 3370 CN 122967 Group Benefit Change 202 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR247 Darco Headed Compression Screw System Cannulated titanium compression screws 3.0-4.0mm x 16-50mm WR 13 123 1231 3370 CN 122967 Group Benefit Change 202 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR283 EOS Footset-Antares Footscrew 12-34mm WR 13 123 1231 3370 CN 151099 Group Benefit Change 202 0 0 Update 2015-08-01 2020-02-01 Prosthesis WR386 TO113 MaxTorque Cannulated Screw System - Small Screws Bone screws, Titanium, Cannulated, Short or Long Thread Ø3.2mm Short Thread, Length 12-30mm Ø3.2mm Long Thread, Length 12-38mm Ø3.8mm Short Thread,Length 16-50mm Ø4.0mm Long Thread, Length 14-50mm Ø4.0mm Long Thread, Length 24-50mm WR 13 123 1231 3370 CN 214803 Group Benefit Change 202 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR415 TO146 WAVE Calcaneal Fracture System - Cannulated Lag Screw The WAVE Calcaneal Fracture System is a low profile, anatomical plate and screws system designed for the fixation of calcaneal fractures. The plate and associated locking and non-locking screws facilitate the reconstruction of the height and width of the calcaneus, and possible remodelling of the lateral calcaneal wall. The WAVE Calcaneal Fracture System is provided non-sterile. The Cannulated Lag Screw is used with the WAVE Calcaneal Fracture Plate or with the washer for optional off plate use. Screws: Diameter: 4mm; Length = 26mm - 90mm (for lag screws) in 2mm increments up to 50mm and 5mm increments up to 90mm WR 13 123 1231 3370 CN 168890 Group Benefit Change 202 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZI177 Zimmer Internal Fixation Systems: Cannulated Screw Mini Magna-FX - Stainless Steel 4 & 5mm diameters ZI 13 123 1231 3370 CN 112735 Group Benefit Change 202 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI835 NCB Polyaxial Locking System 4.0mm Cannulated Variable Angle Locking Screws - Ti Alloy 14 - 65mm ZI 13 123 1231 3370 CN 100337 Group Benefit Change 202 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH190 Headless Compression Screws Headless Compression Screws 3mm-4mm BH 13 123 1231 3370 CN,DT 210290 Group Benefit Change 368 0 0 Update 2013-02-01 2020-02-01 Prosthesis BU009 Nexis osteosynthesis screws Bone screw titanium alloy (compressive) Diameter 2.9-4 mm, Length 10-60mm BU 13 123 1231 3370 CN,DT 235765 Group Benefit Change 368 0 0 Update 2016-08-01 2020-02-01 Prosthesis BU019 MAGNEZIX CS 3.2 Compression screw for bone fixation. Diameter 3.2mm Length 10-40mm BU 13 123 1231 3370 CN,DT 283491 Group Benefit Change 368 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE427 Headless Compression Screw Headless Compression Screw for bone fixation 3mm x 10-32mm DE 13 123 1231 3370 CN,DT 203466 Group Benefit Change 368 0 0 Update 2013-08-01 2020-02-01 Prosthesis DE466 Compression FT Headless Compression Screw for bone fixation 3.5mm/4.0mm x 12-60mm DE 13 123 1231 3370 CN,DT 227070 Group Benefit Change 368 0 0 Update 2015-02-01 2020-02-01 Prosthesis DE480 Headless Compression Screw System Headless Compression Screw for bone fixation 3mm Diameter ( 10-36mm Lengths) 4.3mm Diameter (14-80mm Lengths) DE 13 123 1231 3370 CN,DT 227070 Group Benefit Change 368 0 0 Update 2016-08-01 2020-02-01 Prosthesis DZ068 Austofix Cannulated Compression Screws 3.0mm Headless Cannulated Compression Screws 3.0mm width 10-30mm length DZ 13 123 1231 3370 CN,DT 276915 Group Benefit Change 368 0 0 Update 2019-03-01 2020-02-01 Prosthesis EO058 APTUS CCS Cannulated Screws 2.71 – 4.49 mm EO 13 123 1231 3370 CN,DT 206157 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis HW451 Stryker Cannulated Compression Screw Systems Double threaded compression screws 2.71mm to 4.49mm diameter HW 13 123 1231 3370 CN,DT 252452 269713 Group Benefit Change 368 0 0 Update 2012-08-01 2020-02-01 Prosthesis HW452 Fixos Screws Bone Fixation Srews, Cannulated, Double Threaded 3.0mm-7.0mm diamter HW 13 123 1231 3370 CN,DT 149535 Group Benefit Change 368 0 0 Update 2012-08-01 2020-02-01 Prosthesis IG057 Kompressor Titanium compression screw 10-34mm IG 13 123 1231 3370 CN,DT 160519 Group Benefit Change 368 0 0 Update 2010-02-01 2020-02-01 Prosthesis IG069 Bold Compression Screw Cannulated titanium 3mm diam 10-34mm length IG 13 123 1231 3370 CN,DT 173963 Group Benefit Change 368 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG070 ICOS Screw: Ideal Compression Screw Cannulated titanium 4.0mm diam 26-60mm length, 6.5mm diam 40-150mm length IG 13 123 1231 3370 CN,DT 173963 Group Benefit Change 368 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG107 Bold Compression Screw Cannulated Titanium Diameter 3.0-3.70mm, length 10-34mm IG 13 123 1231 3370 CN,DT 173963 Group Benefit Change 368 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG109 Qwix Screw Self drilling, self tapping, cannulated, titanium screws. Diameter 3.0mm-7.5mm, length 10mm-120mm IG 13 123 1231 3370 CN,DT 173963 Group Benefit Change 368 0 0 Update 2011-02-01 2020-02-01 Prosthesis IT012 Hawk 3.0mm Cannulated Screw system 3.0mm cannulated screw 3.0mm in diameter with lengths of 14mm to 50mm IT 13 123 1231 3370 CN,DT 230954 Group Benefit Change 368 0 0 Update 2015-08-01 2020-02-01 Prosthesis IT032 Integrant 4.0mm Cannulated Screws Cannulated screws with variable pitch/dynamic thread screw heads 4.0mm Diameter with lenghts from 26mm-70mm IT 13 123 1231 3370 CN,DT 230954 Group Benefit Change 368 0 0 Update 2018-08-01 2020-02-01 Prosthesis LM052 Ascension Compression Screw Titanium Compression Screw 2-5mm diameter ; 12 - 40mm length LM 13 123 1231 3370 CN,DT 118626 Group Benefit Change 368 0 0 Update 2005-10-31 2020-02-01 Prosthesis LM143 Extremity Medical Compression Screw System Compression Screws 3.0-4.5mm LM 13 123 1231 3370 CN,DT 164980 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM268 ExtremiFix Screws Headless Cannulated Compression Screw Diameter 3.0mm, 4.0mm. Length 10mm to 52mm; Diameter 2.71mm - 4.49mm. LM 13 123 1231 3370 CN,DT 202435 Group Benefit Change 368 0 0 Update 2015-08-01 2020-02-01 Prosthesis LM285 IBS Screw Compression Screw 3.00 & 3.5mm diameter LM 13 123 1231 3370 CN,DT 266217 Group Benefit Change 368 0 0 Update 2016-02-01 2020-02-01 Prosthesis LM315 Headless Compression Screws Compression Screws 3.5mm LM 13 123 1231 3370 CN,DT 279795 Group Benefit Change 368 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM349 Orthopaedic Fixation Screw Fixation Screw 2.71 to 4.49mm diameter all lengths LM 13 123 1231 3370 CN,DT 266217 Group Benefit Change 368 0 0 Update 2018-02-01 2020-02-01 Prosthesis MO355 Acutrak 2 Headless compression screw 2.71mm - 4.49mm MO 13 123 1231 3370 CN,DT 99823 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO368 Acumed Fixation Screw Acutrak Compression Screw Titanium 2.71mm - 4.49mm MO 13 123 1231 3370 CN,DT 99823 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO382 Acutrak Headless Compression Screw Acutrak 4/5 screw 2.71mm - 4.49mm MO 13 123 1231 3370 CN,DT 99823 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH480 HBS 2 midi Self-compressive screws 3.0mm x 10-40mm OH 13 123 1231 3370 CN,DT 216997 Group Benefit Change 368 0 0 Update 2014-02-01 2020-02-01 Prosthesis OH546 Dynafit System Compressive Screws 2.8-4mm x 10-70mm OH 13 123 1231 3370 CN,DT 216161 216162 Group Benefit Change 368 0 0 Update 2017-08-01 2020-02-01 Prosthesis OU031 Compression Screw Compression Screw 3.0MM META SCREW - LONG THREAD 10MM 3.0MM META SCREW - LONG THREAD 12MM 3.0MM META SCREW - LONG THREAD 14MM 3.0MM META SCREW - LONG THREAD 16MM 3.0MM META SCREW - LONG THREAD 18MM 3.0MM META SCREW - LONG THREAD 20MM 3.0MM META SCREW - LONG THREAD 22MM 3.0MM META SCREW - LONG THREAD 24MM 3.0MM META SCREW - LONG THREAD 26MM 3.0MM META SCREW - LONG THREAD 28MM 3.0MM META SCREW - LONG THREAD 30MM 3.0MM META SCREW - LONG THREAD 32MM 3.0MM META SCREW - LONG THREAD 34MM 3.0MM META SCREW - SHORT THREAD 12MM 3.0MM META SCREW - SHORT THREAD 14MM 3.0MM META SCREW - SHORT THREAD 16MM 3.0MM META SCREW - SHORT THREAD 18MM 3.0MM META SCREW - SHORT THREAD 20MM 3.0MM META SCREW - SHORT THREAD 22MM 3.0MM META SCREW - SHORT THREAD 24MM 3.0MM META SCREW - SHORT THREAD 26MM 3.0MM META SCREW - SHORT THREAD 28MM 3.0MM META SCREW - SHORT THREAD 30MM 3.0MM META SCREW - SHORT THREAD 32MM 3.0MM META SCREW - SHORT THREAD 34MM 3.0MM META SCREW - SHORT THREAD 36MM 3.0MM META SCREW - SHORT THREAD 40MM 3.0MM META SCREW - SHORT THREAD 44MM COMPRESSION SCREW 10MM COMPRESSION SCREW 12MM COMPRESSION SCREW 14MM COMPRESSION SCREW 16MM COMPRESSION SCREW 18MM COMPRESSION SCREW 20MM COMPRESSION SCREW 22MM COMPRESSION SCREW 24MM COMPRESSION SCREW 26MM COMPRESSION SCREW 28MM COMPRESSION SCREW 30MM COMPRESSION SCREW 32MM COMPRESSION SCREW 34MM SCARF SCREW 10MM SCARF SCREW 12MM SCARF SCREW 14MM SCARF SCREW 16MM SCARF SCREW 16MM SCARF SCREW 18MM SCARF SCREW 20MM SCARF SCREW 22MM SCARF SCREW 24MM SCARF SCREW 26MM SCARF SCREW 28MM SCARF SCREW 30MM SCARF SCREW 32MM SCARF SCREW 34MM OU 13 123 1231 3370 CN,DT 198754 Group Benefit Change 368 0 0 Update 2013-02-01 2020-02-01 Prosthesis PB036 Headless Compression Screw System Headless Compression Screw 2.71 - 4.49mm PB 13 123 1231 3370 CN,DT 223188 Group Benefit Change 368 0 0 Update 2016-02-01 2020-02-01 Prosthesis PB043 Cannulated Screws 3mm Cannulated Screws 3mm PB 13 123 1231 3370 CN,DT 223188 Group Benefit Change 368 0 0 Update 2016-08-01 2020-02-01 Prosthesis PB051 HN Intramedullary Nail The HN Intramedullary Nail Length 10mm - 26mm, Diameter 5.5mm PB 13 123 1231 3370 CN,DT 229660 Group Benefit Change 368 0 0 Update 2018-08-01 2020-02-01 Prosthesis PB052 The HN Intramedullary Nail locking screw The HN Intramedullary Nail locking screw, cannulated, dual-threaded Length 16mm - 60mm, Diameter 3.0mm PB 13 123 1231 3370 CN,DT 223188 Group Benefit Change 368 0 0 Update 2018-08-01 2020-02-01 Prosthesis PF001 FH Screw Systems Canulated Self-Compressive Screws lengths 10mm to 50mm PF 13 123 1231 3370 CN,DT 141164 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis PJ005 Trilliant Tiger Headless Cannulated Screw System Trilliant Tiger Headless Cannulated Screw 10-34mm in 2mm increments PJ 13 123 1231 3370 CN,DT 263793 Group Benefit Change 368 0 0 Update 2016-02-01 2020-02-01 Prosthesis SF092 Twinlock Screw - Standard Twinlock Screw - Standard 5.2/5.5mm to 6.0/7.0mm Dia x 25 to 120 mm Length SF 13 123 1231 3370 CN,DT 184460 Group Benefit Change 368 0 0 Update 2015-08-01 2020-02-01 Prosthesis SF093 TwinLock Screw - Small TwinLock Screw - Small 3.5/3.6mm to 4.0/4.1mm Dia x 16 to 34 mm length SF 13 123 1231 3370 CN,DT 184460 Group Benefit Change 368 0 0 Update 2015-08-01 2020-02-01 Prosthesis SF114 Twinlock Screw - Standard Twinlock Screw - Standard 5.2/5.5mm to 6.0/7.0mm Dia x 25 to 120 mm Length SF 13 123 1231 3370 CN,DT 184460 Group Benefit Change 368 0 0 Update 2016-02-01 2020-02-01 Prosthesis SF115 TwinLock Screw - Small TwinLock Screw - Small 3.5/3.6mm to 4.0/4.1mm Dia x 16 to 34 mm length SF 13 123 1231 3370 CN,DT 184460 Group Benefit Change 368 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK256 TwinFix Cannulated Compression Screw System 0 Diameter 3.2mm, lengths 14-34mm SK 13 123 1231 3370 CN,DT 124319 64730 Group Benefit Change 368 0 0 Update 2005-10-31 2020-02-01 Prosthesis SM173 Peri-Loc Headless Cannulated Screw 2.71mm-4.49mm Headless Cannulated Screw 8mm - 40mm SM 13 123 1231 3370 CN,DT 104369 Group Benefit Change 368 0 0 Update 2010-02-01 2020-02-01 Prosthesis SP122 ExtremiFix Screws Headless Cannulated Compression Screw Diameter 3.0mm, 4.0mm. Length 10mm to 52mm; Diameter 2.71mm - 4.49mm. SP 13 123 1231 3370 CN,DT 130509 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis SY644 AO/ASIF Screws HCS Countersinkable Compression Screw 2.71mm - 4.49mm SY 13 123 1231 3370 CN,DT 157068 Group Benefit Change 368 0 0 Update 2012-02-01 2020-02-01 Prosthesis TN016 Newclip Compression Screws Self-compressive cannulated screw 2.71-4.49mm diameter, length 10-70mm TN 13 123 1231 3370 CN,DT 260233 260234 Group Benefit Change 368 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR034 Charlotte Foot & Ankle System Multi use compression screw, cannulated, stainless steel 3.0 & 4.3mm dia. 10-60mm in 2mm increments WR 13 123 1231 3370 CN,DT 122967 Group Benefit Change 368 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR062 Headless Compression screws Compression screw cannulated, titanium, self tapping, self drilling. 2.5-3.2mm diameter x 10-32mm WR 13 123 1231 3370 CN,DT 122967 Group Benefit Change 368 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR264 MICA Compression Screw Compression Screw for Minimally Invasive Surgery Sizes: 3mm - 4mm diameter, 14mm - 70mm length WR 13 123 1231 3370 CN,DT 151098 Group Benefit Change 368 0 0 Update 2014-02-01 2020-02-01 Prosthesis WR301 Omnitech Evolution Headless Compression Screw - Cannulated, Titanium, Self-tapping, Self-drilling 2.9, 3.0, 3.5mm diameter 10-45mm length in 2mm increments WR 13 123 1231 3370 CN,DT 151098 Group Benefit Change 368 0 0 Update 2016-08-01 2020-02-01 Prosthesis WR395 TO124 NexFix 3.0mm Compression Screw The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones 3.0mm diameter x 10 - 34mm length in 2mm increments WR 13 123 1231 3370 CN,DT 148960 Group Benefit Change 368 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZA013 N-Force Fixation System Cannulated screw and sheath 4.0mm ZA 13 123 1231 3370 CN,DT 288313 Group Benefit Change 368 0 0 Update 2018-08-01 2020-02-01 Prosthesis ER396 Paragon 28 Monster Screw System-Screws, small (2.71mm – 4.49mm), cannulated, dual thread, locking Paragon 28 Monster Screw System-Screws, small, cannulated, dual thread, locking, headless, Titanium dia (3.0-4.0) x length (10-100 mm) x length of thread (3.5-100 mm) ER 13 123 1231 3370 CN,DT,LK 289308 Group Benefit Change 429 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM133 TriMed Compression Screws 'Compression Screws 3.0-4.5mm LM 13 123 1231 3370 CN,DT,LK 229704 Group Benefit Change 429 0 0 Update 2012-02-01 2020-02-01 Prosthesis IG093 Newdeal Screws/Lock Screws Screws - Cancellous, Cancellous cannulated, cortical, cortical cannulated plus Lock screws Cancellous/Cancellous cannulated - Diameter 6.5mm, Length 20mm - 100mm + Lock Screw, Cortical - Diameter 5.0mm, Length 25mm - 45mm + Lock Screw, Cortical - Diameter 4.5mm, Length 14mm - 65mm + Lock Screw, Cortical - Diameter 3.5mm, Length 14mm - 32mm + Lo IG 13 123 1231 3370 CN,LK 173963 Group Benefit Change 263 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG108 Newdeal Surfix Style Screws Titanium bone screw +locking screw for the fixation of specific Newdeal bone plates Diameter 3.5mm, Length 10-50mm; Diameter 4.5mm, length 14-65mm; Diameter 6.5, length 20-100mm IG 13 123 1231 3370 CN,LK 173963 Group Benefit Change 263 0 0 Update 2011-02-01 2020-02-01 Prosthesis MN199 Bristow-Latarjet Instability Shoulder Set - Screw Cannulated Locking Screw 2.71mm – 4.49mm SY 13 123 1231 3370 CN,LK 136374 Group Benefit Change 263 0 0 Update 2016-08-01 2020-02-01 Prosthesis SY797 AO/ASIF Screws Philos Cannulated locking screw 3.5mm SY 13 123 1231 3370 CN,LK 157068 Group Benefit Change 263 0 0 Update 2014-02-01 2020-02-01 Prosthesis ZI853 Zimmer Periarticular Plating System 5.5mm Cannulated Periarticular Locking Screws 30 - 150mm ZI 13 123 1231 3370 CN,LK 112735 Group Benefit Change 263 0 0 Update 2012-02-01 2020-02-01 Prosthesis ZI855 Zimmer Periarticular Locking System 3.5mm Cannulated Periarticular Locking Screws 30 - 90mm ZI 13 123 1231 3370 CN,LK 112735 Group Benefit Change 263 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH247 Rockwood Clavical Pin Clavical Pin with dual thread 3.0-3.8mm BH 13 123 1231 3370 DT 140023 Group Benefit Change 245 0 0 Update 2013-02-01 2020-02-01 Prosthesis DE272 Bio-Compression Screw System Fixation Device 16mm, 18mm, 20mm, 22mm, 24mm, 26mm DE 13 123 1231 3370 DT 140794 Group Benefit Change 245 0 0 Update 2007-12-01 2020-02-01 Prosthesis EO092 APTUS SpeedTip C System APTUS SpeedTip C Screws 2.8mm diameter EO 13 123 1231 3370 DT 206157 Group Benefit Change 245 0 0 Update 2015-02-01 2020-02-01 Prosthesis MO374 Acutrak Fusion Screws Fusion Screws Titanium 2.71mm - 4.49mm MO 13 123 1231 3370 DT 99823 Group Benefit Change 245 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH477 DynafitSystem Self-compressive screws 3.2 x 10-40mm OH 13 123 1231 3370 DT 216161 216162 Group Benefit Change 245 0 0 Update 2014-02-01 2020-02-01 Prosthesis OH566 Foot and Ankle Screws, Compression Compression Screw D: 3.0-3.5mm. L: 10-60mm OH 13 123 1231 3370 DT 286861 287085 Group Benefit Change 245 0 0 Update 2018-02-01 2020-02-01 Prosthesis TN017 Newclip Compression Screws Self-Compressive Screws 2.71-4.49mm diameter, Length 10-30mm TN 13 123 1231 3370 DT 260233 260234 Group Benefit Change 245 0 0 Update 2016-02-01 2020-02-01 Prosthesis EO074 APTUS Screws Aptus Locking Screws 2.8mm - 3.5mm Diameter EO 13 123 1231 3370 DT,LK 141171 Group Benefit Change 307 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER381 Paragon 28 Phantom Lapidus Nail-Screws, small (2.71mm – 4.49mm), dual thread, locking Paragon 28 Phantom Lapidus Nail-Screws, small (2.71mm – 4.49mm), dual thread, locking dia 3.5 mm x length (10-26 mm) ER 13 123 1231 3370 DT,LK 290443 Group Benefit Change 307 0 0 Update 2017-08-01 2020-02-01 Prosthesis AE155 ASDM Clavicle Plating System - Screws Fixation Device, Internal, Locking, Stainless Steel, Cortical Screw Size: 3.5mm 3.5mm Locking Screws, 10-30mm (2mm increments) AE 13 123 1231 3370 LK 137369 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH261 HI S3 Shoulder Fixation System Locking Peg 4mm diameter BH 13 123 1231 3370 LK 153087 Group Benefit Change 141 0 0 Update 2013-02-01 2020-02-01 Prosthesis BH272 Polyax Plating System Locking Bone screws 4.0mm diameter BH 13 123 1231 3370 LK 153087 Group Benefit Change 141 0 0 Update 2013-02-01 2020-02-01 Prosthesis BU004 Airlock Bone screw Bone Screws Titanium Alloy (Locking screws) Diameter 3-3.5mm, Length 8-30mm BU 13 123 1231 3370 LK 235767 Group Benefit Change 141 0 0 Update 2016-08-01 2020-02-01 Prosthesis DE366 Low Profile Cancellous Bone Screws Low Profile Cancellous Bone Screws 4mm DE 13 123 1231 3370 LK 140686 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE368 Locking Cortical land Cancellous Screws, Small Locking Cortical and Cancellous Screws, Small 3-3.5mm DE 13 123 1231 3370 LK 284416 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis DZ008 Austofix Intramedullary Screws Humeral Head Screw, stainless steel 4.3mm DZ 13 123 1231 3370 LK 111818 Group Benefit Change 141 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ014 Austofix Proximal Humeral Plating System - Austofix PHP Locking Screw Locking Screw Titanium 3.5mm, 20-100mm DZ 13 123 1231 3370 LK 111818 Group Benefit Change 141 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ017 Austofix Proximal Humeral Plating System - Austofix VA Locking Screw Variable Angle Locking Screw, Cobalt Chrome 3.5mm 20-100mm DZ 13 123 1231 3370 LK 111818 Group Benefit Change 141 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ047 Valetis Screws Titanium Locking Screws 3.5mm width, 10-65mm length 4.0mm width, 10-75mm length DZ 13 123 1231 3370 LK 284755 Group Benefit Change 141 0 0 Update 2017-08-01 2020-02-01 Prosthesis EF006 Merete - MetaFix LS - Locking Screws Bone screws, Titanium, Locking 2.71mm - 4.49mm diameter, lengths 12 - 48mm EF 13 123 1231 3370 LK 212520 Group Benefit Change 141 0 0 Update 2015-02-01 2020-02-01 Prosthesis EF010 Bone Screw Locking Screw 2.71mm – 4.49mm EF 13 123 1231 3370 LK 239817 Group Benefit Change 141 0 0 Update 2015-08-01 2020-02-01 Prosthesis ER425 Paragon 28 Gorilla Plating System-Screws, small Paragon 28 Gorilla Plating System-Screws, small, locking; recon/Tuffneck dia (3.5-4.2 mm) x length (8-70 mm) ER 13 123 1231 3370 LK 289308 Group Benefit Change 141 0 0 Update 2017-08-01 2020-02-01 Prosthesis HW460 Memometal Anchorage Bone Screws Anchorage Bone Screws 3.0-3.5mm diameter to 10 - 40mm in length HW 13 123 1231 3370 LK 149535 Group Benefit Change 141 0 0 Update 2012-08-01 2020-02-01 Prosthesis IG067 Surfix screw plus Surfix Lock-Screw Locking screws with an independent lock-screw head 2.7mm: 10-32mm IG 13 123 1231 3370 LK 173963 Group Benefit Change 141 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG068 Surfix Screw plus Surfix Lock-Screw Locking screws with an independent lock-screw head that screw into fixation plates. This combination effects dynamic compression. 3.5mm: 10-28mm IG 13 123 1231 3370 LK 173963 Group Benefit Change 141 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG092 Newdeal Lock Screws For use with Newdeal bone screws and plates Diameter 2.7mm - 6.5mm IG 13 123 1231 3370 LK 173963 Group Benefit Change 141 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG120 Surfix Locking Screws Locking screws with an independent lock-screw head 3mm; 10-24mm length IG 13 123 1231 3370 LK 173963 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis JD001 CarboFix Piccolo Plate Systems – Locking Screws: Small Titanium alloy screws (locking) for fixation of CarboFix plate shaft and head. Locking Proximal Screw 4.0mm x 25.0mm, 30.0mm, 32.5mm, 35.0mm, 37.5mm, 40.0mm, 42.5mm, 45.0mm, 47.5mm, 50.0mm, 55.0mm, 60.0mm Locking Distal Screw 3.5mm x 10mm, 12mm, 14mm, 16mm, 18mm, 22.5mm, 25.0mm, 27.5mm, 30.0mm, 32.5mm, 35.0mm, 40.0mm, 45.0mm Locking Screw 3.5mm x 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm JD 13 123 1231 3370 LK 222648 Group Benefit Change 141 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM145 TriMed Bone Screw Locking Cortical Bone Screw 3.2mm x 10-40mm LM 13 123 1231 3370 LK 182677 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM147 TriMed Bone Screw Locking Compression Bone Screw 4mm x 35-60mm LM 13 123 1231 3370 LK 182677 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM252 OsteoMed FPS Bone screws 3.5/4mm x 10-70mm LM 13 123 1231 3370 LK 202319 Group Benefit Change 141 0 0 Update 2015-08-01 2020-02-01 Prosthesis LM278 PANTERA Proximal Humerus Fracture Fixation Plate System - Locking Cortical Screw Locking Cortical Screw 3.5mm LM 13 123 1231 3370 LK 182168 Group Benefit Change 141 0 0 Update 2016-02-01 2020-02-01 Prosthesis LM280 PANTERA Proximal Humerus Fracture Fixation Plate System - Post Cap Screw Post Cap Screw 2.7 mm LM 13 123 1231 3370 LK 182168 Group Benefit Change 141 0 0 Update 2016-02-01 2020-02-01 Prosthesis LM290 NEOFIT - Screws NEOFIT screws 2.7 & 3.0mm LM 13 123 1231 3370 LK 266216 145 0 0 No Change 2016-02-01 2020-02-01 Prosthesis LM310 Skeletal Dynamics Bone Screw Locking Bone Screw Locking 3.0m and 3.5mm LM 13 123 1231 3370 LK 278692 Group Benefit Change 141 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM351 Orthopaedic locking Screws Orthopaedic locking Screws 2.71 to 4.49 mm diameter, all lengths LM 13 123 1231 3370 LK 266216 Group Benefit Change 141 0 0 Update 2018-02-01 2020-02-01 Prosthesis LM359 Hex Locking Screws Hex plate fixation locking screws 2.71 to 4.49mm diameter LM 13 123 1231 3370 LK 178232 Group Benefit Change 141 0 0 Update 2018-08-01 2020-02-01 Prosthesis MO322 Acumed Hexalobe Locking Screws Acumed Hexalobe Locking Screws Small (2.71mm-4.49mm) MO 13 123 1231 3370 LK 99823 Group Benefit Change 141 0 0 Update 2011-08-01 2020-02-01 Prosthesis MO370 Acumed Tap-Loc Tap screws, Tap-Loc Screws 3.6mm -60 mm Length MO 13 123 1231 3370 LK 99823 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO377 Acu-Loc Distal Radius Plate System Cortical Screw 3.5mm MO 13 123 1231 3370 LK 99823 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO415 Acumed Screws Screws 2.71mm - 4.49mm MO 13 123 1231 3370 LK 99823 Group Benefit Change 141 0 0 Update 2014-02-01 2020-02-01 Prosthesis MO426 ACUMED Hexalobe Low Profile 4.3mm screws ACUMED Hexalobe low profile 4.3mm locking screws, Titanium, fully threaded 4.3mm in diameter, 18mm to 64mm in length MO 13 123 1231 3370 LK 99823 Group Benefit Change 141 0 0 Update 2015-02-01 2020-02-01 Prosthesis MZ015 Tritum SCP (Sternal Cable Plate), Rescue Screw Cannullous Locking Rescue Screw for use with Pioneer Tritium SCP (Sternal Cable Plate), 3.0mm Diameter: 3.0mm Lengths: 8mm, 10mm, 12mm, 14mm, 16mm,18mm,20mm MZ 13 123 1231 3370 LK 193369 Group Benefit Change 141 0 0 Update 2014-02-01 2020-02-01 Prosthesis OH652 OH564 Foot and Ankle Screws - Locking Locking Screw D: 3.0-3.5mm, L: 10-60mm OH 13 123 1231 3370 LK 286861 Group Benefit Change 141 0 0 Update 2019-11-01 2020-02-01 Prosthesis OX011 MBOSS 3.5mm Locking Screw 3.5mm Locking Screw, Self Tapping Diameter: 3.5mm Length: 10-95mm OX 13 123 1231 3370 LK 286843 Group Benefit Change 141 0 0 Update 2018-02-01 2020-02-01 Prosthesis PB022 Calcaneal Locking Plate MIPO System - Locking Screw Locking Screws 2.71mm - 4.49mm PB 13 123 1231 3370 LK 223188 Group Benefit Change 141 0 0 Update 2016-02-01 2020-02-01 Prosthesis SF084 Signature FAA Screw Titanium Locking Screw. 2.7mm diameter from 8-30mm in length. SF 13 123 1231 3370 LK 184460 Group Benefit Change 141 0 0 Update 2015-08-01 2020-02-01 Prosthesis SF124 Islay non-LOCKING SCREW 2.7mm non locking screw GENII 2.7mm non-locking screw 3.5mm non-locking screw GENII 3.5mm non-locking screw 8-30mm (FPS 2.7mm non locking) 10-50mm (FPS 3.5mm non-locking) SF 13 123 1231 3370 LK 184460 Group Benefit Change 141 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK563 Stryker Plating System SPS Locking Plate System Locking screws 3-4mm SK 13 123 1231 3370 LK 119660 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis SK630 SBi Locking Screws Titanium Cortical Locking Self-tapping screws 2.7mm Cortical Locking, Self-tapping 10 - 30mm 3.5mm Cortical, Locking, Self tapping 8 -20mm SK 13 123 1231 3370 LK 167057 Group Benefit Change 141 0 0 Update 2015-08-01 2020-02-01 Prosthesis SL090 Smith & Nephew Plate and Screw System - EVOS Bone Screws 2.71mm – 4.49mm SN 13 123 1231 3370 LK 104369 Group Benefit Change 141 0 0 Update 2018-02-01 2020-02-01 Prosthesis SN944 Peri-Loc Locking Screws 2.71mm - 4.49mm SN 13 123 1231 3370 LK 104369 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis SQ132 Bone Screws Cortical, Locking, Self-tapping, Standard, T15 3.5-4.0mm 10-70mm SQ 13 123 1231 3370 LK 191602 Group Benefit Change 141 0 0 Update 2017-08-01 2020-02-01 Prosthesis SR073 Stryker Locking Plate System Locking Screws Diameter 2.7 to 3.5mm SR 13 123 1231 3370 LK 124318 Group Benefit Change 141 0 0 Update 2008-07-01 2020-02-01 Prosthesis SY652 AO/ASIF Screws Locking Head Screws >2.7mm - <4.5mm SY 13 123 1231 3370 LK 157068 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis SY692 Dynamic Locking Screw Pin-sleeve locking screw 3.7mm SY 13 123 1231 3370 LK 157068 Group Benefit Change 141 0 0 Update 2012-08-01 2020-02-01 Prosthesis TN023 Newclip Locking Bone Screws Locking Bone Screws 2.71 - 4.49mm diameter, length 10-70mm TN 13 123 1231 3370 LK 260233 260234 Group Benefit Change 141 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR072 Ortholoc Fracture System Screws Titanium, variable angle locking screws 2.7, 3.5 & 4.0mm diameter, 8-100mm length WR 13 123 1231 3370 LK 198485 Group Benefit Change 141 0 0 Update 2010-08-01 2020-02-01 Prosthesis WR078 Charlotte Lisfranc Recontruction System - Screw. Solid core stainless steel screw. 3.7mm diameter, 8-100mm length. WR 13 123 1231 3370 LK 122967 Group Benefit Change 141 0 0 Update 2010-08-01 2020-02-01 Prosthesis WR218 Evolve Ortholoc EPS System 3.5 locking Stainless Steel, Variable Angle Locking, Cortical & Cancellous Screws 3.5mm Diameter, 10-60mm WR 13 123 1231 3370 LK 198485 Group Benefit Change 141 0 0 Update 2011-08-01 2020-02-01 Prosthesis WR228 Titanium Screw Locking, non-locking or cannulated, for use only with Darco titanium plates, self-tapping 8-40mm, 3.5mm WR 13 123 1231 3370 LK 122967 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR242 Stainless Steel Screw Stainless steel plate screw, locking 2.7 & 3.2 dia. 8-50mm length in 2mm increments WR 13 123 1231 3370 LK 198485 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR245 Charlotte Claw Locking Screws 3.5mm stainless steel locking screws for use with Claw Plate 3.5mm: 12-40mm WR 13 123 1231 3370 LK 122967 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR293 SALVATION 3Di Plating System - OP Locking Screws Osteopenic locking screws Diameter: 4.0mm Length: 16mm to 60mm WR 13 123 1231 3370 LK 198485 Group Benefit Change 141 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR382 TO109 MaxLock Extreme System - 3.5mm locking screws Bone screws, titanium, fixed or variable angle locking Ø 3.5mm Fixed angle, Length 8-45mm Ø 3.5mm Variable angle, Length 10-50mm WR 13 123 1231 3370 LK 214671 Group Benefit Change 141 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR391 TO118 Nexfix MTP Fusion System Unique low profile stainless steel locking screw for use with NexFix MTP Fusion plates, indicated for use in osteoporotic bone 3.2mm x 12mm, 14mm, 16mm, 18mm, 20mm WR 13 123 1231 3370 LK 148960 Group Benefit Change 141 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR416 TO147 WAVE Calcaneal Fracture System - Locking Screw The WAVE Calcaneal Fracture System is a low profile, anatomical plate and screw system designed for the minimally invasive fixation of the calcaneal fractures. The plate and associated locking and non-locking screws facilitate the reconstruction of the height and width of the calcaneus, and remodelling of the lateral calcaneal wall. The WAVE calcaneal System is provided non-sterile. The Locking Screw is used with the WAVE Calcaneal Fracture Plate Screws: Diameter = 4.0mm, Length - 14-44 in 2mm increments WR 13 123 1231 3370 LK 168890 Group Benefit Change 141 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR444 ORTHOLOC SPS Locking Screws Stainless steel locking head screws: cortical or cancellous Dia 3.5mm Length: 10mm - 60mm WR 13 123 1231 3370 LK 148960 Group Benefit Change 141 0 0 Update 2019-07-01 2020-02-01 Prosthesis ZA005 ALPS Plating System & DVR Plating System Locking screws and pegs 2.7-4.0mm ZI 13 123 1231 3370 LK 209305 210296 Group Benefit Change 141 0 0 Update 2018-02-01 2020-02-01 Prosthesis ZI852 Zimmer Periarticular Plating System 4.5mm Periarticular Locking Screws 12 - 110mm ZI 13 123 1231 3370 LK 112735 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis ZI854 Zimmer Universal Locking System 3.5mm Universal Locking Screws 12 - 90mm ZI 13 123 1231 3370 LK 112735 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis ZI856 Zimmer Universal Locking System 3.5mm Universal Locking Screws - Ti Alloy 12 - 60mm ZI 13 123 1231 3370 LK 112735 Group Benefit Change 141 0 0 Update 2012-02-01 2020-02-01 Prosthesis ZI941 Normed Foot screws Titanium locking bone screws 2.7-4.0mm ZI 13 123 1231 3370 LK 140687 Group Benefit Change 141 0 0 Update 2016-08-01 2020-02-01 Prosthesis ZI947 Screws -Locking Locking Screw 10 - 70mm ZI 13 123 1231 3370 LK 140687 Group Benefit Change 141 0 0 Update 2016-08-01 2020-02-01 Prosthesis AE154 ASDM Clavicle Plating System - Screws Fixation Device, Internal, Non-locking, Stainless Steel, Cortical Screw Size: 3.5mm & Cancellous Screw sizes 4.0mm 3.5mm Low-profile Cortex Screws, 10-30mm (2mm increments) 4.0mm Low-profile Cortex Screws, 10-30mm (2mm increments) AE 13 123 1231 3370 137369 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis BH185 Small / Large Fragment Set Bone Screw, Titanium 3.5 - 4.0mm diameter BH 13 123 1231 3370 153087 Group Benefit Change 80 0 0 Update 2013-02-01 2020-02-01 Prosthesis BU007 Airlock Bone screw Bone Screws Titanium Alloy (non locking screws) Diameter 3-3.5mm, Length 8-30mm BU 13 123 1231 3370 235767 Group Benefit Change 80 0 0 Update 2016-08-01 2020-02-01 Prosthesis DD055 Glenoid Baseplate Non Locking Bone Screw Glenoid Baseplate Non Locking Bone Screw 3.5mm diameter, length 14-34mm in 2mm increments DD 13 123 1231 3370 212470 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis DE407 Non-Locking Cortical and Cancellous Screws, Small Non-Locking Cortical and Cancellous Screws, Small 3-3.5mm DE 13 123 1231 3370 284416 Group Benefit Change 80 0 0 Update 2012-08-01 2020-02-01 Prosthesis DZ013 Austofix Proximal Humeral Plating System - Austofix PHP Cancellous Screw Cancellous Screw, Titanium 4mm 20-40mm DZ 13 123 1231 3370 111818 Group Benefit Change 80 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ015 Austofix Proximal Humeral Plating System - Austofix Cortical Screw Cortical Screw, Titanium 3.5mm, 20-40mm DZ 13 123 1231 3370 111818 Group Benefit Change 80 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ020 VRP Distal Radius Fixation System, 3.5mm Cortical Screw, Titanium 3.5mm Cortical Screw, Titanium 3.5mm diameter, 10mm-20mm lengths DZ 13 123 1231 3370 149433 Group Benefit Change 80 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ049 Valetis Screws Titanium Cortical Screws 3.5mm width, 10-80mm length 4.0mm width, 10-80mm length DZ 13 123 1231 3370 284755 Group Benefit Change 80 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ050 Valetis Screws Titanium Cancellous Screws 3.5mm width, 10-80mm length 4.0mm width, 10-80mm length DZ 13 123 1231 3370 284755 Group Benefit Change 80 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ055 Valens Shoulder and Elbow - Screws Cortex/Cancellous Screws 3.5mm, 4.0mm DZ 13 123 1231 3370 276915 Group Benefit Change 80 0 0 Update 2017-08-01 2020-02-01 Prosthesis EF007 Bone Screw Cortical Bone Screw 2.71mm – 4.49mm EF 13 123 1231 3370 239817 Group Benefit Change 80 0 0 Update 2015-08-01 2020-02-01 Prosthesis EO077 APTUS Screws Cortical Screws 2.71mm – 4.49mm EO 13 123 1231 3370 206157 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER386 Hintermann Series H3™ Total Ankle Prosthesis-Screw Hintermann Series H3™ Total Ankle Prosthesis-Screw, cortical, stainless steel dia 3.5 mm x length (12-42 mm) ER 13 123 1231 3370 289320 Group Benefit Change 80 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER394 Paragon 28 Monster Screw System-Screws, small (2.71mm – 4.49mm) Paragon 28 Monster Screw System-Screws, small, headed, with and without blunt tip, solid, recon/Tuffneck dia (3.0-4.2 mm) x length (10-150 mm) x thread length (3-150 mm) ER 13 123 1231 3370 289308 Group Benefit Change 80 0 0 Update 2017-08-01 2020-02-01 Prosthesis GO297 OsteoBridge OsteoBridge Interlocking Screw 18m to 56mm GO 13 123 1231 3370 131659 279141 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis HW461 Memometal Anchorage Bone Screws Anchorage Locking Bone Screws 3.0 - 3.5mm diameter to 10 - 40mm in length HW 13 123 1231 3370 149535 Group Benefit Change 80 0 0 Update 2012-08-01 2020-02-01 Prosthesis IG063 Tibiaxys Distal tibia system Titanium screw for use with Tibiaxys distal tibia system 4mm diameter with 6mm head; 40mm - 100mm length IG 13 123 1231 3370 173963 Group Benefit Change 80 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG066 Integra Total Wrist Fusion System Cortical Screw for use with the Integra Total Wrist Fusion Plates 3.5mm diameter: 10-32mm length IG 13 123 1231 3370 176758 Group Benefit Change 80 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG130 Spider Limited Wrist Fusion System - 2.8mm bone screws Stainless steel screws for Spider Plate Diameter 2.8mm, length 10-18mm IG 13 123 1231 3370 177622 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis IT008 Hawk Anterior Ankle Fusion Set 3.5mm diameter screw set lengths 35mm to 110mm 3.5mm x length 35mm to 110mm IT 13 123 1231 3370 191738 Group Benefit Change 80 0 0 Update 2015-08-01 2020-02-01 Prosthesis JD003 CarboFix Piccolo Plate Systems – Non-Locking Screws: Small Titanium alloy screws (non-locking) for fixation of CarboFix plate shaft and head. Non-Locking Distal Screw 3.5mm x 10mm, 12mm, 14mm, 16mm, 18mm, 22.5mm, 25.0mm, 27.5mm, 30.0mm, 32.5mm, 35.0mm, 40.0mm, 45.0mm Non-Locking Screw 3.5mm x 10mm, 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm JD 13 123 1231 3370 222648 Group Benefit Change 80 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM146 TriMed Bone Screws Non-Locking Cortical Bone Screw 3.2/3.8/4.0 x 10-60mm LM 13 123 1231 3370 182677 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM279 PANTERA Proximal Humerus Fracture Fixation Plate System - Cortical Screw Cortical Screw 3.5mm LM 13 123 1231 3370 182168 Group Benefit Change 80 0 0 Update 2016-02-01 2020-02-01 Prosthesis LM317 Skeletal Dynamics Bone Screw Non-Locking Non-Locking Cortical Bone Screws 3.0mm, 3.5mm LM 13 123 1231 3370 278692 Group Benefit Change 80 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM326 Extremilock Screws Screws 2.7mm - 4.49mm x 8-70mm LM 13 123 1231 3370 149435 202319 Group Benefit Change 80 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM340 Bone Screws Plate Fixation Bone Screws 2.71 to 4.49mm diameter All lengths LM 13 123 1231 3370 266216 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis LM341 Bone Screws - Locking Locking 2.71mm - 4.49mm diameter All lengths LM 13 123 1231 3370 266216 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis LM358 Hex Screw Hex plate fixation screw 2.71 to 4.49mm diameter LM 13 123 1231 3370 178232 Group Benefit Change 80 0 0 Update 2018-08-01 2020-02-01 Prosthesis LM380 Screw and Locking Cap Screw and Locking Cap 2.71 to 4.49 mm diameter LM 13 123 1231 3370 266216 Group Benefit Change 80 0 0 Update 2019-07-01 2020-02-01 Prosthesis MO321 Acumed Hexalobe Non Locking Screws Acumed Hexalobe Non Locking Screws 3.0mm,3.5mm and 4.0mm diameter, 8-65mm length MO 13 123 1231 3370 99823 Group Benefit Change 80 0 0 Update 2011-08-01 2020-02-01 Prosthesis MO378 Acu-Loc Distal Radius Plate System Cortical Screw Locking 3.5mm MO 13 123 1231 3370 99823 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH588 Orthofix - eight-Plate Ti Solid Screw D: 3.5-4.5mm L: 12-36mm OH 13 123 1231 3370 292837 292838 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis OH609 Orthofix Contours Plating System - VPS Non-Locking Screws VPS Non-Locking Screws D: 3.5mm L: 10-18mm OH 13 123 1231 3370 292837 292838 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis OH642 OH469 KLS Martin - Radial Plating System smartDrive Screw 3.0 x 8-30mm OH 13 123 1231 3370 276650 276674 Group Benefit Change 80 0 0 Update 2018-08-01 2020-02-01 Prosthesis OH654 OH565 Foot and Ankle Screws Cortical, Cancellous Cortical, Cancellous Screw D: 3.5-4.0mm, L: 10-60mm OH 13 123 1231 3370 286861 Group Benefit Change 80 0 0 Update 2019-11-01 2020-02-01 Prosthesis OU024 Locking screw FPS 3.5mm locking screw FPS GENII 3.5mm locking screw FPS 2.7mm locking screw FPS GENII 2.7mm locking screw 10-50MM(FPS 3.5MM locking) 8-30MM (FPS 2.7MM locking) OU 13 123 1231 3370 198754 Group Benefit Change 80 0 0 Update 2013-02-01 2020-02-01 Prosthesis OU028 fps non-LOCKING SCREW FPS 2.7mm non locking screw FPS GENII 2.7mm non-locking screw FPS 3.5mm non-locking screw FPS GENII 3.5mm non-locking screw 8-30mm (FPS 2.7mm non locking) 10-50mm (FPS 3.5mm non-locking) OU 13 123 1231 3370 198754 Group Benefit Change 80 0 0 Update 2013-02-01 2020-02-01 Prosthesis OU032 CORTICAL SCREW CORTICAL SCREW SELF TAPPING CORTICAL SCREW 3.5MM CORTICAL SCREW 8MM 3.5MM CORTICAL SCREW 10MM 3.5MM CORTICAL SCREW 12MM 3.5MM CORTICAL SCREW 14MM 3.5MM CORTICAL SCREW 16MM 3.5MM CORTICAL SCREW 18MM 3.5MM CORTICAL SCREW 20MM 3.5MM CORTICAL SCREW 22MM 3.5MM CORTICAL SCREW 24MM 3.5MM CORTICAL SCREW 26MM 3.5MM CORTICAL SCREW 28MM 3.5MM CORTICAL SCREW 30MM 3.5MM CORTICAL SCREW 32MM 3.5MM CORTICAL SCREW 34MM 3.5MM CORTICAL SCREW 36MM 3.5MM CORTICAL SCREW 38MM 3.5MM CORTICAL SCREW 40MM 3.5MM CORTICAL SCREW 42MM 3.5MM CORTICAL SCREW 44MM 3.5MM CORTICAL SCREW 45MM 3.5MM CORTICAL SCREW 50MM 3.5MM CORTICAL SCREW 55MM 3.5MM CORTICAL SCREW 60mm 3.5MM CORTICAL SCREW 65mm 3.5MM CORTICAL SCREW 70mm 3.5MM CORTICAL SCREW 75mm 3.5MM CORTICAL SCREW 80mm 3.5MM CORTICAL SCREW 85mm 3.5MM CORTICAL SCREW 90mm 3.5MM CORTICAL SCREW 95mm 3.5MM CORTICAL SCREW 100mm 3.5MM CORTICAL SCREW 105mm 3.5MM CORTICAL SCREW 110mm 3.5MM SELF TAPPING CORTICAL SCREW 10MM 3.5MM SELF TAPPING CORTICAL SCREW 12MM 3.5MM SELF TAPPING CORTICAL SCREW 14MM 3.5MM SELF TAPPING CORTICAL SCREW 16MM 3.5MM SELF TAPPING CORTICAL SCREW 18MM 3.5MM SELF TAPPING CORTICAL SCREW 20MM 3.5MM SELF TAPPING CORTICAL SCREW 22MM 3.5MM SELF TAPPING CORTICAL SCREW 24MM 3.5MM SELF TAPPING CORTICAL SCREW 26MM 3.5MM SELF TAPPING CORTICAL SCREW 28MM 3.5MM SELF TAPPING CORTICAL SCREW 30MM 3.5MM SELF TAPPING CORTICAL SCREW 32MM 3.5MM SELF TAPPING CORTICAL SCREW 34MM 3.5MM SELF TAPPING CORTICAL SCREW 36MM 3.5MM SELF TAPPING CORTICAL SCREW 38MM 3.5MM SELF TAPPING CORTICAL SCREW 40MM 3.5MM SELF TAPPING CORTICAL SCREW 45MM 3.5MM SELF TAPPING CORTICAL SCREW 50MM 3.5MM SELF TAPPING CORTICAL SCREW 55MM 3.5MM SELF TAPPING CORTICAL SCREW 60MM OU 13 123 1231 3370 198754 Group Benefit Change 80 0 0 Update 2013-02-01 2020-02-01 Prosthesis OU036 Cancellous Screw Cancellous Screw 4.0mm cancellous screw fully threaded 10mm to 60mm 4.0mm cancellous screw partially threaded 10mm to 60mm OU 13 123 1231 3370 198754 Group Benefit Change 80 0 0 Update 2013-02-01 2020-02-01 Prosthesis OX010 MBOSS 3.5 mm Cortex Screw 3.5 mm Cortex Screw, Self Tapping Diameter: 3.5mm Length: 10-150mm OX 13 123 1231 3370 286843 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis OX012 MBOSS 4.0 mm Cancellous Screw 4.0 mm Cancellous screw with short or long thread Diameter: 4mm Length: 10-100mm OX 13 123 1231 3370 286843 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis PB021 Calcaneal Locking Plate MIPO System - Cortex, Cancellous and Non Locking Screw Cortex, Cancellous, Non locking Screws 2.71mm - 4.49mm PB 13 123 1231 3370 223188 Group Benefit Change 80 0 0 Update 2016-02-01 2020-02-01 Prosthesis SF120 Islay Locking screw FPS 3.5mm locking screw FPS GENII 3.5mm locking screw FPS 2.7mm locking screw FPS GENII 2.7mm locking screw 10-50MM(FPS 3.5MM locking) 8-30MM (FPS 2.7MM locking) SF 13 123 1231 3370 184460 Group Benefit Change 80 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK229 Omega Plus Compression Hip Screw System Cephalic Implants Hansson Twin Hook Compression Screw 25mm SK 13 123 1231 3370 94876 Group Benefit Change 80 0 0 Update 2005-10-31 2020-02-01 Prosthesis SK452 Stryker Plating System Cortical Screws 2.7mm - 4.5mm Diameter 8mm - 150mm Length SK 13 123 1231 3370 119660 Group Benefit Change 80 0 0 Update 2007-06-01 2020-02-01 Prosthesis SK619 Stability Sigmoid Notch Total DRUJ System / Sigmoid Notch Screw The Sigmoid Notch Radial Screw is a low profile self tapping cortical screw made of implantable CoCr. It is designed to be placed bi cortical in the radius and is introduced into the Radial stem thru a hole. It is placed into the stem and tightened down The Sigmoid Notch screw is available in 2mm increments from 18mm - 32mm and has a diameter of approx 4mm. SK 13 123 1231 3370 237798 Group Benefit Change 80 0 0 Update 2015-08-01 2020-02-01 Prosthesis SK631 Sbi Non-Locking Screws Titanium Cortical Non-Locking Self tapping screws 2.7mm Cortical, Non Locking, Self-tapping 10 -30mm 2.7mm Lag, Non Locking, self tapping 10 -30mm 3.5mm Cortical, Non Locking,Self tapping 8 -20mm SK 13 123 1231 3370 167057 Group Benefit Change 80 0 0 Update 2015-08-01 2020-02-01 Prosthesis SL011 TC-100 Cortical and Cancellous Screws 2.71mm-4.49mm SL 13 123 1231 3370 104369 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL012 Peri-Loc and Peri-Loc VLP Cortical and Osteopenia Screws 2.71mm-4.49mm SL 13 123 1231 3370 104369 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL091 Smith & Nephew Plate and Screw System - EVOS Bone Screws 2.71mm – 4.49mm SL 13 123 1231 3370 104369 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis SQ145 Bone Screws Cortical, Cancellous, Self-tapping, Full Thread, Partial Thread, Standard, T15 3.5-4.0mm Diameter 10-70mm Length SQ 13 123 1231 3370 191602 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis ST006 Stryker Plating System Cancelleous screws 2.7-4.0mm ST 13 123 1231 3370 119660 25735 Group Benefit Change 80 0 0 Update 2005-10-31 2020-02-01 Prosthesis SY068 AO/ASIF Screws Cortex, Conical, Cancellous, Compression Screws 2.71mm-4.49mm SY 13 123 1231 3370 157068 Group Benefit Change 80 0 0 Update 2005-10-31 2020-02-01 Prosthesis TN022 Newclip Bone Screws Non-Locking Bone Screws 2.71 - 4.49mm diameter, length 10-80mm TN 13 123 1231 3370 260233 260234 Group Benefit Change 80 0 0 Update 2016-02-01 2020-02-01 Prosthesis UQ004 SP032 OsteoMed Plating & Fixation System Lag Screws - Maxi, MMF, 3.0mm 2.4mm x (8 - 42)mm; 2.4 x (12 - 18)mm; 3.0mm x (12 - 36)mm; UQ 13 123 1231 3370 130509 Group Benefit Change 80 0 0 Update 2019-11-01 2020-02-01 Prosthesis WR219 Evolve Ortholoc EPS System 3.5 NL Screws Stainless Steel, Cortical & Cancellous Screws 3.5mm diameter 10-60mm WR 13 123 1231 3370 198485 Group Benefit Change 80 0 0 Update 2011-08-01 2020-02-01 Prosthesis WR241 Stainless Steel Screw Stainless steel plate screw, non locking 2.7 & 3.2 dia. 8-50mm length in 2mm increments WR 13 123 1231 3370 198485 Group Benefit Change 80 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR295 SALVATION 3Di Plating System - Osteopenic Screws Osteopenic screws Diameter: 4.0mm Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm WR 13 123 1231 3370 198485 Group Benefit Change 80 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR381 TO108 MaxLock Extreme System - 3.5/4mm Non Locking Screws Bone screws, Titanium, non locking Ø 3.5mm, length 8-50mm Ø 4mm, length 8-60mm WR 13 123 1231 3370 198485 Group Benefit Change 80 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR414 TO145 WAVE Calcaneal Fracture System - Fully Threaded Screw The WAVE Calcaneal Fracture System is a low profile, anatomical plate and screws system designed for the fixation of calcaneal fractures. The plate and associated locking and non- locking screws facilitate the reconstrution of the height and width of the calcaneus, and possible remodelling of the lateral calcaneal wall. The WAVE calcaneal Fracture System is provided non-sterile. The Fully Threaded Screw is used with the WAVE Calcaneal Plate Screws Diameter = 4.0mm; Length = 26-50mm in 2mm increments & 55-90mm in 5mm WR 13 123 1231 3370 168890 Group Benefit Change 80 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR445 ORTHOLOC SPS Non-Locking Screws Stainless steel, cortical, non-locking screws Dia. 3.5mm Length: 10mm - 60mm WR 13 123 1231 3370 148960 Group Benefit Change 80 0 0 Update 2019-07-01 2020-02-01 Prosthesis ZA004 ALPS Plating System & DVR Plating System Non-locking bone screw 2.7-4.0mm ZI 13 123 1231 3370 209305 210296 Group Benefit Change 80 0 0 Update 2018-02-01 2020-02-01 Prosthesis ZI150 Periarticular Plates Periarticular 4.0mm Cancellous Screws - Stainless Steel Part thread - 30-60 mm, Full thread 30-110 mm ZI 13 123 1231 3370 112735 Group Benefit Change 80 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI152 Periarticular Plates 3.5mm screws lengths up to 130mm ZI 13 123 1231 3370 112735 Group Benefit Change 80 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI202 Zimmer ECT Screws 3.5mm Cortical Screws 10 - 130 mm ZI 13 123 1231 3370 112735 Group Benefit Change 80 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI203 Zimmer ECT Screws 4.0mm Cancellous Screws 10 - 60 mm ZI 13 123 1231 3370 112735 Group Benefit Change 80 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI892 NCB System NCB Screws 4mm x 14-90mm ZI 13 123 1231 3370 100337 Group Benefit Change 80 0 0 Update 2014-02-01 2020-02-01 Prosthesis ZI940 Screws - Standard Standard Screws 10 - 70mm ZI 13 123 1231 3370 140687 Group Benefit Change 80 0 0 Update 2016-08-01 2020-02-01 Prosthesis ER398 Paragon 28 Monster Screw System-Screw, mini (2.01 – 2.7 mm), breakoff Paragon 28 Monster Bite screw, mini, snap-off, 1/2 threaded, Titanium dia 2.7mm x length (8-24 mm) ER 13 123 1231 3371 Breakoff 289308 Group Benefit Change 295 0 0 Update 2017-08-01 2020-02-01 Prosthesis HW453 Fixos Screws Bone Fixation Screws, Double Threaded 2.2mm diameter, 11 to 16mm (each 1mm) HW 13 123 1231 3371 Breakoff 149535 Group Benefit Change 295 0 0 Update 2012-08-01 2020-02-01 Prosthesis IG105 Hallu Break-off screw Titanium with break-off barrel Diameter 2.7mm, Length 11-14mm IG 13 123 1231 3371 Breakoff 173963 Group Benefit Change 295 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG133 Snap-Off screws Titanium break-off barrel screws for Hallu-Fix Diameter 2.7mm; length 10-34mm IG 13 123 1231 3371 Breakoff 173963 Group Benefit Change 295 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM352 Snap Off Screws Snap Off Screws 2.01 to 2.7mm diameter LM 13 123 1231 3371 Breakoff 266217 Group Benefit Change 295 0 0 Update 2018-08-01 2020-02-01 Prosthesis OH604 Orthofix Contours Plating System - PHP Breakoff Screws Fine Threaded Breakoff Screws Diam: 2.2mm Thread Length: 20-55mm OH 13 123 1231 3371 Breakoff 292837 292838 Group Benefit Change 295 0 0 Update 2018-02-01 2020-02-01 Prosthesis OU029 TWIST-OFF SCREW 11 mm TWIST-OFF SCREW2.5MM Cancellous thread 12 mm TWIST-OFF SCREW2.5MM Cancellous thread 13 mm TWIST-OFF SCREW2.5MM Cancellous thread 14 mm TWIST-OFF SCREW2.5MM Cancellous thread 15 mm TWIST-OFF SCREW2.5MM Cancellous thread 17 mm TWIST-OFF SCREW2.5MM Cancellous thread TWIST-OFF SCREWS10mm (1.5mm Shank) TWIST-OFF SCREWS11mm (1.5mm Shank) TWIST-OFF SCREWS12mm (1.5mm Shank) TWIST-OFF SCREWS13mm (1.5mm Shank) TWIST-OFF SCREWS14mm (1.5mm Shank) TWIST-OFF SCREWS15mm (1.5mm Shank) TWIST-OFF SCREWS16mm (1.5mm Shank) TWIST-OFF SCREWS17mm (1.5mm Shank) TWIST-OFF SCREWS18mm (1.5mm Shank) TWIST-OFF SCREWS10mm TWIST-OFF SCREWS11mm TWIST-OFF SCREWS12mm TWIST-OFF SCREWS13mm TWIST-OFF SCREWS14mm TWIST-OFF SCREWS15mm TWIST-OFF SCREWS16mm TWIST-OFF SCREWS17mm TWIST-OFF SCREWS18mm 10-18mm (1.5mm shank) 10-18mm, 11-17mm (cancellous thread) OU 13 123 1231 3371 Breakoff 198754 Group Benefit Change 295 0 0 Update 2013-02-01 2020-02-01 Prosthesis PB049 Break-Off Screws A self-breaking, self-drilling screw used for the fixation of small bone osteotomies and fractures Diameter 2.0mm, Length 10-20mm Diameter 2.7mm, Length 10-20mm PB 13 123 1231 3371 Breakoff 223188 Group Benefit Change 295 0 0 Update 2018-08-01 2020-02-01 Prosthesis PF007 Forefoot Snap off Screws Titanium Alloy Screws with Snap-off Grip Weil self tapping L9 - L15 PF 13 123 1231 3371 Breakoff 141164 Group Benefit Change 295 0 0 Update 2012-02-01 2020-02-01 Prosthesis SF117 Speyside TWIST-OFF SCREW 11 mm TWIST-OFF SCREW2.5MM Cancellous thread 12 mm TWIST-OFF SCREW2.5MM Cancellous thread 13 mm TWIST-OFF SCREW2.5MM Cancellous thread 14 mm TWIST-OFF SCREW2.5MM Cancellous thread 15 mm TWIST-OFF SCREW2.5MM Cancellous thread 17 mm TWIST-OFF SCREW2.5MM Cancellous thread TWIST-OFF SCREWS10mm (1.5mm Shank) TWIST-OFF SCREWS11mm (1.5mm Shank) TWIST-OFF SCREWS12mm (1.5mm Shank) TWIST-OFF SCREWS13mm (1.5mm Shank) TWIST-OFF SCREWS14mm (1.5mm Shank) TWIST-OFF SCREWS15mm (1.5mm Shank) TWIST-OFF SCREWS16mm (1.5mm Shank) TWIST-OFF SCREWS17mm (1.5mm Shank) TWIST-OFF SCREWS18mm (1.5mm Shank) TWIST-OFF SCREWS10, 11, 12, 13, 14, 15, 16, 17, 18mm 10-18mm (1.5mm shank) 10-18mm, 11-17mm (cancellous thread) SF 13 123 1231 3371 Breakoff 184460 Group Benefit Change 295 0 0 Update 2016-02-01 2020-02-01 Prosthesis TN039 Newclip Snap-off Screws Snap-off screws 2.01 – 2.7 mm TN 13 123 1231 3371 Breakoff 260233 260234 Group Benefit Change 295 0 0 Update 2017-08-01 2020-02-01 Prosthesis WR035 Charlotte Foot & Ankle System Snap-off screws, titanium alloy 2.0 dia 11, 12, 14mm. 2.7 dia 13, 15, 17mm WR 13 123 1231 3371 Breakoff 122967 Group Benefit Change 295 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR230 Twist-off Screw Unique feature of two thread diameters to suit variable bone quality, specifically designed for Weil-osteotomy, titanium, self drilling and self tapping, twist-off connector. 2.5mm diameter x 11-15mm WR 13 123 1231 3371 Breakoff 122967 Group Benefit Change 295 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR284 EOS Footset - Entos Footscrew 11-14mm WR 13 123 1231 3371 Breakoff 151100 Group Benefit Change 295 0 0 Update 2015-08-01 2020-02-01 Prosthesis WR402 TO133 NexFix Snap-Off Screw The NexFix Snap-Off Screw System is a self-drilling and self-tapping screw system for fixation of fractures, fusions and osteotomies. The design allows the holding device to break off once the screw head is in contact with the distal cortex. 2.0mm x 11mm, 2.0mm x 12mm, 2.0mm x 13mm, 2.7mm x 13mm, 2.7mm x 15mm, 2.7mm x 17 mm WR 13 123 1231 3371 Breakoff 148960 Group Benefit Change 295 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZI921 Twistoff Screws Twistoff Screws 2.7mm x 8mm-24mm ZI 13 123 1231 3371 Breakoff 210296 Group Benefit Change 295 0 0 Update 2016-08-01 2020-02-01 Prosthesis HW457 Fixos Screws Bone Fixation Screws 2mm diam. X11mm lenth to 2mm x 16mm HW 13 123 1231 3371 Breakoff, CN 149535 Group Benefit Change 417 0 0 Update 2012-08-01 2020-02-01 Prosthesis DZ044 Valens Hand - Screws Cannulated Screws 2.7mm DZ 13 123 1231 3371 CN 276915 Group Benefit Change 204 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER399 Paragon 28 Monster Screw System-Screws, mini (2.01 – 2.7 mm), cannulated Paragon 28 Monster Screw System-Screws, mini, cannulated, partially or fully threaded dia 2.5mm x length (10-100 mm) x length of thread (3-100 mm) ER 13 123 1231 3371 CN 289308 Group Benefit Change 204 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM284 Bone Screw Bone Screw 2.01-2.7mm diameter LM 13 123 1231 3371 CN 266217 Group Benefit Change 204 0 0 Update 2016-02-01 2020-02-01 Prosthesis SN970 Cannulated Screw Stainless Steel 2.01mm - 2.7mm SN 13 123 1231 3371 CN 104369 Group Benefit Change 204 0 0 Update 2012-02-01 2020-02-01 Prosthesis SR095 Stryker Cannulated Screw System Asnis Micro Cannulated Screw 2.01mm-2.7mm, Diameters, 8mm-40mm lengths SR 13 123 1231 3371 CN 119660 Group Benefit Change 204 0 0 Update 2012-02-01 2020-02-01 Prosthesis SY321 AO/ASIF Screw Cannulated screw 2.4mm SY 13 123 1231 3371 CN 157068 Group Benefit Change 204 0 0 Update 2005-10-31 2020-02-01 Prosthesis TN049 Screws 2.01 - 2.7 CN Mini screws 2.01-2.7 CN 2.01- 2.7 mm TN 13 123 1231 3371 CN 260233 260234 Group Benefit Change 204 0 0 Update 2018-08-01 2020-02-01 Prosthesis UQ005 SP133 OsteoMed Plating & Fixation System Screws - Cannulated Lag Diameter 2.01 – 2.7 mm UQ 13 123 1231 3371 CN 130509 Group Benefit Change 204 0 0 Update 2019-11-01 2020-02-01 Prosthesis WR246 Headed Compression Screw System Cannulated compression screws - titanium or stainless steel 2.0-2.7mm x 10-50mm WR 13 123 1231 3371 CN 122967 Group Benefit Change 204 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR285 EOS Footset-Pyxis Footscrew 11-28mm WR 13 123 1231 3371 CN 151100 Group Benefit Change 204 0 0 Update 2015-08-01 2020-02-01 Prosthesis WR385 TO112 MaxTorque Cannulated Screw System - Mini Cannulated Screws Bone screws, Titanium, Cannulated, Short or Long Thread Ø2.5mm Short Thread, Length 18-30mm Ø2.5mm Long Thread, Length 10-30mm WR 13 123 1231 3371 CN 214803 Group Benefit Change 204 0 0 Update 2019-03-01 2020-02-01 Prosthesis BH241 Headless Compression Screws Headless Compression Screws 2.0 - 3mm BH 13 123 1231 3371 CN,DT 209305 210296 Group Benefit Change 370 0 0 Update 2013-02-01 2020-02-01 Prosthesis BU010 Nexis osteosynthesis screws Bone screw titanium alloy (compressive) Diameter 2.3mm, Length 10-30mm BU 13 123 1231 3371 CN,DT 235765 Group Benefit Change 370 0 0 Update 2016-08-01 2020-02-01 Prosthesis BU018 MAGNEZIX CS 2.7 Compression screw for bone fixation. Diameter 2.7mm Length 10 - 34mm BU 13 123 1231 3371 CN,DT 283491 Group Benefit Change 370 0 0 Update 2017-02-01 2020-02-01 Prosthesis DE465 Compression FT Headless Compression Screw for bone fixation 2.5mm x 8-50mm DE 13 123 1231 3371 CN,DT 227070 Group Benefit Change 370 0 0 Update 2015-02-01 2020-02-01 Prosthesis DE479 Headless Compression Screw System Headless Compression Screw for bone fixation 2.5mm Diameter x (8-34mm Length) DE 13 123 1231 3371 CN,DT 227070 Group Benefit Change 370 0 0 Update 2016-08-01 2020-02-01 Prosthesis DZ070 Austofix Cannulated Compression Screws 2.4mm Headless Cannulated Compression Screws 2.4mm diameter 10-30mm length DZ 13 123 1231 3371 CN,DT 276915 Group Benefit Change 370 0 0 Update 2019-03-01 2020-02-01 Prosthesis EO057 Aptus CCS 2.01 - 2.7 Cannulated Compression Screw (2.01 – 2.7 mm) diameter EO 13 123 1231 3371 CN,DT 206157 Group Benefit Change 370 0 0 Update 2012-02-01 2020-02-01 Prosthesis HW454 Fixos Screws, Cannulated, Double Threaded, 2.5mm Done Fixation Screws, Cannulated Threaded, 2.5mm 2.5mm diameter, 10 to 30 (each 2mm) HW 13 123 1231 3371 CN,DT 149535 Group Benefit Change 370 0 0 Update 2012-08-01 2020-02-01 Prosthesis IG121 BOLD 2.5mm Compression Screw Cannulated, double threaded compression screw Diameter 2.5mm, length 10-30mm IG 13 123 1231 3371 CN,DT 173963 Group Benefit Change 370 0 0 Update 2012-02-01 2020-02-01 Prosthesis LC062 HVS BONE SCREW Self drilling, self threading double threaded cannulated screw Length 10-34mm LC 13 123 1231 3371 CN,DT 173930 Group Benefit Change 370 0 0 Update 2011-08-01 2020-02-01 Prosthesis LM283 IBS Screw Compression Screw 2.5mm diameter LM 13 123 1231 3371 CN,DT 266216 Group Benefit Change 370 0 0 Update 2016-02-01 2020-02-01 Prosthesis LM314 Headless Compression Screws Compression Screws 2.5mm LM 13 123 1231 3371 CN,DT 279795 Group Benefit Change 370 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM327 Osteomed Screws Cannulated Compression Screws Diameter 2.0mm, 2.4mm and 2.7mm. Length 6mm to 52mm LM 13 123 1231 3371 CN,DT 202319 Group Benefit Change 370 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM348 Orthopaedic Fixation Screw Fixation Screw 2.01 to 2.7mm all lengths LM 13 123 1231 3371 CN,DT 266217 Group Benefit Change 370 0 0 Update 2018-02-01 2020-02-01 Prosthesis MO356 Acutrak 2 Headless compression screw 2.5mm MO 13 123 1231 3371 CN,DT 99823 Group Benefit Change 370 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH475 DynafitSystem Self-compressive screws 2.6mm x 10-40mm OH 13 123 1231 3371 CN,DT 216161 216162 Group Benefit Change 370 0 0 Update 2014-02-01 2020-02-01 Prosthesis OU025 2.5 mm Meta Screw Meta Screw 2.5mm length 10 up to 2.5mm length 26mm OU 13 123 1231 3371 CN,DT 19875 Group Benefit Change 370 0 0 Update 2013-02-01 2020-02-01 Prosthesis PB042 Compression Screws Headless Compression Screws 2.4mm PB 13 123 1231 3371 CN,DT 223188 Group Benefit Change 370 0 0 Update 2016-08-01 2020-02-01 Prosthesis SF088 Speyside HVS Bone Screw Self drilling, self threading double threaded cannulated screw Length 10-34mm SF 13 123 1231 3371 CN,DT 184460 Group Benefit Change 370 0 0 Update 2015-08-01 2020-02-01 Prosthesis SF122 2.5 mm Speyside B Screw Speyside B Screw 2.5mm length 10 up to 2.5mm length 26mm SF 13 123 1231 3371 CN,DT 184460 Group Benefit Change 370 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK620 AutoFIX The SBi AutoFIX Twin Pitch Cannulated Compression Screw System implants are indicated in the treatment of fractures, nonunions, pseudarthrosis and degenerative changes, as well as corrective osteotomies geared towards a functionally stable osteosynthesis 2.0mm and 2.5mm Cannulated Compression Screw SK 13 123 1231 3371 CN,DT 252452 Group Benefit Change 370 0 0 Update 2015-08-01 2020-02-01 Prosthesis SY646 AO/ASIF Screws HCS Countersinkable Compression Screw 2.01mm-2.7mm SY 13 123 1231 3371 CN,DT 157068 Group Benefit Change 370 0 0 Update 2012-02-01 2020-02-01 Prosthesis TN018 Newclip Compression Screws Self-Compressive Cannulated Screws 2.01mm - 2.7mm diameter, length 10 - 38mm TN 13 123 1231 3371 CN,DT 260233 260234 Group Benefit Change 370 0 0 Update 2016-02-01 2020-02-01 Prosthesis UQ006 SP121 ExtremiFix Screws Headless Cannulated Compression Screw Diameter 2.0mm, 2.4mm. Length 10mm to 52mm; Diameter 2.01mm - 2.7mm UQ 13 123 1231 3371 CN,DT 130509 Group Benefit Change 370 0 0 Update 2019-11-01 2020-02-01 Prosthesis WR303 Omnitech Evolution Headless Compression Screw Cannulated, Titanium, Self-Tapping, Self-Drilling 2.1, 2.5mm diameter 10-32mm length, in 2mm increments WR 13 123 1231 3371 CN,DT 151098 Group Benefit Change 370 0 0 Update 2016-08-01 2020-02-01 Prosthesis WR396 TO125 NexFix 2.5mm Compression Screw The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones 2.5mm diameter x 10 - 34mm length in 2mm increments WR 13 123 1231 3371 CN,DT 291613 Group Benefit Change 370 0 0 Update 2019-03-01 2020-02-01 Prosthesis ER400 Paragon 28 Monster Screw System-Screws, mini (2.01 – 2.7 mm), cannulated, dual thread, locking Paragon 28 Monster Screw System-screws, mini, cannulated, dual thread, locking, headless, partially threaded, Titanium dia 2.5 mm x length (8-100 mm) x length of thread (3-32 mm) ER 13 123 1231 3371 CN,DT,LK 289308 Group Benefit Change 431 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM132 TriMed Compression Screws Compression Screws 2.0mm – 2.5mm LM 13 123 1231 3371 CN,DT,LK 229704 Group Benefit Change 431 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM312 Skeletal Dynamics Peg High Compression Locking High Compression Locking Peg 2.7mm LM 13 123 1231 3371 CN,DT,LK 278692 Group Benefit Change 431 0 0 Update 2017-02-01 2020-02-01 Prosthesis MO437 Acu-Loc Distal Radius Plating System Frag-Loc Cannulated Compression Screw with Compression Sleeve Standard 16mm to 24mm,Long 20mm to 28mm MO 13 123 1231 3371 CN,LK 99823 Group Benefit Change 265 0 0 Update 2017-02-01 2020-02-01 Prosthesis TN068 Cannulated Locking Screws Cannulated Locking Screws 2.01 – 2.7 mm diameter TN 13 123 1231 3371 CN,LK 260233 260234 Group Benefit Change 265 0 0 Update 2019-11-01 2020-02-01 Prosthesis BH245 Rockwood Clavicle Pin Clavicle Pin with dual thread 2.5mm BH 13 123 1231 3371 DT 140023 Group Benefit Change 247 0 0 Update 2013-02-01 2020-02-01 Prosthesis MO373 Acutrak fusion Screws Fusion Screws Titanium 2.01mm - 2.7mm MO 13 123 1231 3371 DT 99823 Group Benefit Change 247 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH476 DynafitSystem Compressive Screws 2.4/2.6mm - 10x40mm OH 13 123 1231 3371 DT 216161 216162 Group Benefit Change 247 0 0 Update 2014-02-01 2020-02-01 Prosthesis OH567 Foot and Ankle Screws, Compression Compression Screw D: 2.4-2.7mm, L: 08-40mm OH 13 123 1231 3371 DT 286861 287085 Group Benefit Change 247 0 0 Update 2018-02-01 2020-02-01 Prosthesis ZI178 Zimmer Herbert Bone Screw Double Threaded Compression Bone Screw Scaphoid - 12 - 30mm length ZI 13 123 1231 3371 DT 112735 Group Benefit Change 247 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI179 Zimmer Herbert/Whipple Bone Screw Cannulated Double Threaded Compression Bone Screw 12 mm - 30 mm ZI 13 123 1231 3371 DT 112735 Group Benefit Change 247 0 0 Update 2005-10-31 2020-02-01 Prosthesis EO073 APTUS Screws Aptus Locking Screws 2.5mm Diameter EO 13 123 1231 3371 DT,LK 141171 Group Benefit Change 308 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH515 KLS Martin Hand fracture system - multidirectional screw Multidirectional screw 2.3mm OH 13 123 1231 3371 DT,LK 236206 Group Benefit Change 308 0 0 Update 2015-08-01 2020-02-01 Prosthesis OH607 Orthofix Contours Plating System - VPS Locking Screws VPS Locking Screws D: 2.4-2.7mm L: 12-26mm OH 13 123 1231 3371 DT,LK 292837 292838 Group Benefit Change 308 0 0 Update 2018-02-01 2020-02-01 Prosthesis BI929 RibFix/Sternalock Screws Ti 2.4-2.7mm x 7-20mm BI 13 123 1231 3371 LK 128459 Group Benefit Change 143 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE412 Low Profile Locking Screws Locking screws for Arthrex Fracture Plate Fixation 2.01mm to 2.7mm DE 13 123 1231 3371 LK 284416 Group Benefit Change 143 0 0 Update 2013-02-01 2020-02-01 Prosthesis DZ010 VRP Distal Radius Fixation System VRP Distal Radius Fixation System, Variable Angle, Threaded, non-threaded, partially threaded locking, non-locking screw, peg, titanium 2.5-2.7mm diameter, 10-34mm length DZ 13 123 1231 3371 LK 149433 Group Benefit Change 143 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ026 VRP Distal Radius Fixation System - VRP VA locking Screw Variable Angle Locking Screw, Cobalt Chrome 2.5mm, 10-30mm DZ 13 123 1231 3371 LK 149433 Group Benefit Change 143 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ043 Mini Fragment - Screws Locking Screws 2.5mm, 2.7mm DZ 13 123 1231 3371 LK 276915 Group Benefit Change 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ046 Valetis Screws Titanium Locking Screws 2.7mm width, 6-28mm length DZ 13 123 1231 3371 LK 284755 Group Benefit Change 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ054 Valens Shoulder and Elbow - Screws Self-Tapping Locking Screws 2.4mm, 2.7mm DZ 13 123 1231 3371 LK 276915 Group Benefit Change 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis EF026 Arix Locking Screw Locking Screw 2.01 – 2.7 mm EF 13 123 1231 3371 LK 239817 Group Benefit Change 143 0 0 Update 2018-02-01 2020-02-01 Prosthesis ER426 Paragon 28 Gorilla Plating System-Screws, mini Paragon 28 Gorilla Plating System-Screws, mini, locking; recon/Tuffneck/baby dia (2.5-2.7 mm) x length (8-50 mm) ER 13 123 1231 3371 LK 289308 Group Benefit Change 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis IG126 Surfix Locking Screws Locking screws with an independent lock-screw head 2.7mm, 10 - 24mm length IG 13 123 1231 3371 LK 173963 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis JD007 CarboFix Piccolo Plate Systems – Locking Screws: Mini Titanium alloy screws (locking) for fixation of CarboFix plate shaft and head. Locking Proximal Screw 2.5mm x 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm Locking Screw 2.7mm x 10mm, 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm JD 13 123 1231 3371 LK 222648 Group Benefit Change 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM061 Xpode Screws Xpode screws 2.4mm LM 13 123 1231 3371 LK 182677 Group Benefit Change 143 0 0 Update 2006-03-24 2020-02-01 Prosthesis LM112 Ascension Radial Head Plate Screws Ascension Radial Head Plate Locking Screws 2.7mm x 10mm - 40mm LM 13 123 1231 3371 LK 118625 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM185 Trimed Locking Cortical Screws Locking cortical screw 2.01 to 2.7mm diameter LM 13 123 1231 3371 LK 182677 Group Benefit Change 143 0 0 Update 2013-08-01 2020-02-01 Prosthesis LM313 Volar Bearing Plate Screws Volar Bearing Plate Screws 2.5mm x 10mm-30mm LM 13 123 1231 3371 LK 278692 Group Benefit Change 143 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM320 Screws Screws, Locking 2.01 to 2.7mm diameter LM 13 123 1231 3371 LK 278692 Group Benefit Change 143 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM324 Osteomed Screws Bone Screws 2- 2.7m x 6-38mm LM 13 123 1231 3371 LK 202319 Group Benefit Change 143 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM345 Orthopaedic Plate Fixation Screw Orthopaedic Plate Fixation Screw 2.01 to 2.7 mm diameter all lengths LM 13 123 1231 3371 LK 266216 Group Benefit Change 143 0 0 Update 2018-02-01 2020-02-01 Prosthesis LM353 Locking Screws Locking Screws 2.7mm diameter, multiple lengths LM 13 123 1231 3371 LK 266216 Group Benefit Change 143 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI295 VariLoc Locking Compression Plate System Locking Screws 2.4mm - 2.7mm MI 13 123 1231 3371 LK 307502 307501 Group Benefit Change 143 0 0 Update 2019-03-01 2020-02-01 Prosthesis MO320 Acumed Hexalobe Locking Screws Acumed Hexalobe Locking Screws 2.7mm diameter, 8-65mm length MO 13 123 1231 3371 LK 99823 Group Benefit Change 143 0 0 Update 2011-08-01 2020-02-01 Prosthesis MO369 Acumed Tap-Loc Tap screws, Tap-Loc Screws 2.7mm 36mm-60mm length MO 13 123 1231 3371 LK 99823 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO376 Acu-Loc Distal Radius Plate System Locking screws 2.01-2.7mm MO 13 123 1231 3371 LK 99823 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO394 RibLoc rib fracture plating system screws RibLoc Screws Mini 2.01-2.7mm MO 13 123 1231 3371 LK 158694 Group Benefit Change 143 0 0 Update 2012-08-01 2020-02-01 Prosthesis MO421 ACUMED Hexalobe 2.3mm Multiscrews ACUMED Hexalobe 2.3 Multiscrew 2.3mm in diameter, 5mm to 20mm in length MO 13 123 1231 3371 LK 99823 Group Benefit Change 143 0 0 Update 2015-02-01 2020-02-01 Prosthesis MO435 RibLoc Dual Locking Screw Locking Screws 2.7mm diameter,6mm to 14mm length MO 13 123 1231 3371 LK 158694 Group Benefit Change 143 0 0 Update 2017-02-01 2020-02-01 Prosthesis MZ017 Tritium SCP (Sternao Cable Plate), Standard Screw Cannullous Locking Screw for use with Pioneer Tritium SCP (Sternal Cable Plate), 2.7mm "Diamter: 2.7mm Lengths: 8mm, 10mm, 12mm, 14mm, 16mm, 18mm, 20mm" MZ 13 123 1231 3371 LK 193369 Group Benefit Change 143 0 0 Update 2014-02-01 2020-02-01 Prosthesis OH568 Foot and Ankle Screws Locking Locking Screw D: 2.4-2.7mm, L 8-40mm OH 13 123 1231 3371 LK 286861 287085 Group Benefit Change 143 0 0 Update 2018-02-01 2020-02-01 Prosthesis OH639 OH468 KLS Martin - Radial Plating Sysem smartDrive Locking Screw 2.5 x 8-30mm OH 13 123 1231 3371 LK 276674 276650 Group Benefit Change 143 0 0 Update 2018-08-01 2020-02-01 Prosthesis OH640 OH468 KLS Martin - Radial Plating Sysem smartDrive Locking Screws 3.0 x 8-30mm OH 13 123 1231 3371 LK 276650 276674 Group Benefit Change 143 0 0 Update 2018-08-01 2020-02-01 Prosthesis OX028 ARMAR 2.4 Locking Distal Radial Plate System - Self Tapping Locking Screws TAN Self Tapping Locking Screws 2.4-2.7mm Diameter 6-60mm Length OX 13 123 1231 3371 LK 286843 Group Benefit Change 143 0 0 Update 2018-02-01 2020-02-01 Prosthesis PB020 Calcaneal Locking Plate MIPO System - Locking Screw Locking Screws Mini (2.01mm-2.7mm) PB 13 123 1231 3371 LK 223188 Group Benefit Change 143 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK527 Stryker Locking Plate System Locking Screws 2.01-2.7mm HW 13 123 1231 3371 LK 269713 295226 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL028 D-RAD SMART PACK Cortical screws 2.01 mm - 2.7 mm SL 13 123 1231 3371 LK 104369 Group Benefit Change 143 0 0 Update 2014-02-01 2020-02-01 Prosthesis SL030 D-RAD SMART PACK VAL Locking screws 2.01mm - 2.7mm 2.01mm - 2.7mm SL 13 123 1231 3371 LK 104369 Group Benefit Change 143 0 0 Update 2014-02-01 2020-02-01 Prosthesis SL042 VLP EVOS VAL Locking Screws Mini Screws (2.01 – 2.7 mm) SL 13 123 1231 3371 LK 104369 Group Benefit Change 143 0 0 Update 2015-02-01 2020-02-01 Prosthesis SL044 VLP EVOS VAL Locking Screws Micro Screws (2.01 – 2.7 mm) SL 13 123 1231 3371 LK 104369 Group Benefit Change 143 0 0 Update 2015-02-01 2020-02-01 Prosthesis SN968 Peri-Loc Locking screws 2.01mm - 2.7mm SN 13 123 1231 3371 LK 104369 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis SN969 Peri-Loc VLP VAL Locking Screws 2.01mm - 2.7mm 2.01mm - 2.7mm SN 13 123 1231 3371 LK 104369 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis SQ147 Bone Screws Cortical, Locking, Self-tapping, Standard, T10, 2.7mm Diameter 5-60mm Length SQ 13 123 1231 3371 LK 191602 Group Benefit Change 143 0 0 Update 2018-02-01 2020-02-01 Prosthesis SY651 AO/ASIF Cortex Screws Locking Head Screws 2.4mm-2.7mm SY 13 123 1231 3371 LK 157068 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis TN041 Newclip Locking Bone Screws Locking Bone Screw 2.01 - 2.7mm diameter, lengths 8 - 34mm TN 13 123 1231 3371 LK 260233 260234 Group Benefit Change 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis WR032 Micronail Intramedullary Radial Fixation 2.5mm titanium buttress screw 16 - 28mm WR 13 123 1231 3371 LK 122967 Group Benefit Change 143 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR081 Ortholoc Fracture System Titanium, variable angle locking screws 2.4, 2.7mm diameter, 8-100mm length WR 13 123 1231 3371 LK 198485 Group Benefit Change 143 0 0 Update 2010-08-01 2020-02-01 Prosthesis WR227 Titanium Screw Locking, non-locking or cannulated, for use only with Darco titanium plates, self-tapping 8-40mm, 2.7mm WR 13 123 1231 3371 LK 122967 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR243 Charlotte Claw Locking Screws 2.7mm stainless steel locking screws for use with Claw Plate 2.7mm, 12-36mm WR 13 123 1231 3371 LK 122967 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis WR257 Evolve EPS System 2.7 Locking Stainless Steel Variable Angle Locking Screws 2.7mm Diameter, 10-50mm WR 13 123 1231 3371 LK 198485 Group Benefit Change 143 0 0 Update 2012-08-01 2020-02-01 Prosthesis WR377 TO104 Mini MaxLock Extreme System - 2.4/2.7mm Locking Screws Bone screws, Titanium, fixed or variable angle locking Ø2.4/2.7mm Fixed angle locking, Length 6-40mm Ø2.4mm Variable angle locking, Length 6-30mm WR 13 123 1231 3371 LK 214671 Group Benefit Change 143 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZA007 ALPS Plating System, DVR Plating System & F3 Plating System Locking titanium and multidirectional bone screws 2.2-2.7mm ZI 13 123 1231 3371 LK 209305 210296 Group Benefit Change 143 0 0 Update 2018-02-01 2020-02-01 Prosthesis ZI201 Zimmer Cortical Screws Cortical Screws 6 - 50mm ZI 13 123 1231 3371 LK 112735 Group Benefit Change 143 0 0 Update 2005-10-31 2020-02-01 Prosthesis ZI858 Zimmer Periarticular Locking Screws 2.4 & 2.7mm Periarticular Locking Screws 8-40mm ZI 13 123 1231 3371 LK 112735 Group Benefit Change 143 0 0 Update 2012-02-01 2020-02-01 Prosthesis ZI985 MSP Fixation System – Locking Screw MSP Fixation System – Locking Screw 2.4mm x 8mm, 2.4mm x 10mm, 2.4mm x 12mm, 2.4mm x 14mm, 2.4mm x 16mm, 2.4mm x 18mm ZI 13 123 1231 3371 LK 259860 Group Benefit Change 143 0 0 Update 2017-08-01 2020-02-01 Prosthesis AE149 ASDM Clavicle Plating System - Screws Fixation Device, Internal, Non-locking, Stainless Steel, Cortical Screw Size: 2.7mm 2.7mm Low-profile cortex screws, 10-30mm (2mm increments) AE 13 123 1231 3371 134456 Group Benefit Change 81 0 0 Update 2012-02-01 2020-02-01 Prosthesis BI768 Mandibular Fracture System Screw, IMF 2./2.4 Mandibular Fracture, Titanium 2.0 x(5 - 13)mm BI 13 123 1231 3371 128459 Group Benefit Change 81 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE214 Cortical Screw Screw for Bone fixation 2.01-2.7mm DE 13 123 1231 3371 284416 Group Benefit Change 81 0 0 Update 2005-10-31 2020-02-01 Prosthesis DE543 Cortex Screw Cortical Screw 2.4mm x (08-34mm) DE 13 123 1231 3371 284416 Group Benefit Change 81 0 0 Update 2017-08-01 2020-02-01 Prosthesis EF029 Bone Screw Cortical Bone Screw 2.01mm – 2.7mm EF 13 123 1231 3371 239817 Group Benefit Change 81 0 0 Update 2018-02-01 2020-02-01 Prosthesis EO076 APTUS Screws Cortical Screws 2.3mm - 2.5mm Diameter EO 13 123 1231 3371 141171 Group Benefit Change 81 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER397 Paragon 28 Monster Screw System-Screws, mini (2.01 – 2.7 mm) Paragon 28 Monster Screw System-Screws, mini, headed, with or without a blunt tip, recon/Tuffneck, Titanium dia (2.5-2.7 mm) x length (10-100 mm) x length of thread (3-100 mm) ER 13 123 1231 3371 289308 Group Benefit Change 81 0 0 Update 2017-08-01 2020-02-01 Prosthesis IG065 Integra Total Wrist Fusion System - Cortical Screw Cortical screw for use with the integra Total Wrist Fusion Plates 2.7mm diameter: 10-32mm length IG 13 123 1231 3371 176758 Group Benefit Change 81 0 0 Update 2011-02-01 2020-02-01 Prosthesis IG129 Spider Limited Wrist Fusion System - 2.4mm bone screws Stainless steel screws for Spider plate Diameter 2.4mm, length 8-14mm IG 13 123 1231 3371 177622 Group Benefit Change 81 0 0 Update 2012-02-01 2020-02-01 Prosthesis JD002 CarboFix Piccolo Plate Systems – Non-Locking Screws: Mini Titanium alloy screws (non-locking) for fixation of CarboFix plate shaft and head. Non-Locking Proximal Screw 2.5mm x 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm Non-Locking Screw 2.7mm x 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm JD 13 123 1231 3371 222648 Group Benefit Change 81 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM111 Ascension Radial Head Plate Screws Ascension radial Head Plate Non-Locking Screws 2.7mm x 10-26mm LM 13 123 1231 3371 118625 Group Benefit Change 81 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM144 TriMed Bone Screw Non-Locking Cortical Bone Screws 2.3mm x 7mm - 32mm 2.7mm x 8mm - 28mm LM 13 123 1231 3371 182677 Group Benefit Change 81 0 0 Update 2012-02-01 2020-02-01 Prosthesis LM319 Screws Non Locking 2.01 - 2.7mm diameter all lengths LM 13 123 1231 3371 278692 Group Benefit Change 81 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM325 Osteomed Screws Bone Screw standard and threaded/lag. 2.01-2.7mm x 4-50mm. LM 13 123 1231 3371 202319 Group Benefit Change 81 0 0 Update 2017-02-01 2020-02-01 Prosthesis LM344 Orthopaedic Plate Fixation Screw Orthopaedic Plate Fixation Screw 2.01 to 2.7mm diameter All lengths LM 13 123 1231 3371 266216 Group Benefit Change 81 0 0 Update 2018-02-01 2020-02-01 Prosthesis LM354 Non-Locking Screws Non-Locking Screws 2.7mm diameter, multiple lengths LM 13 123 1231 3371 266216 Group Benefit Change 81 0 0 Update 2018-08-01 2020-02-01 Prosthesis MI294 VariLoc Locking Compression Plate System Cortex Screw 2.4mm - 2.7mm MI 13 123 1231 3371 307502 307501 Group Benefit Change 81 0 0 Update 2019-03-01 2020-02-01 Prosthesis MO323 Acumed Hexalobe Non Locking Screws Acumed Hexalobe Non Locking Screws 2.7mm diameter,8-65mm length MO 13 123 1231 3371 99823 Group Benefit Change 81 0 0 Update 2011-08-01 2020-02-01 Prosthesis MO375 Acu-Loc Distal Radius Plate System Threaded, non-threaded,locking, non-locking screw peg, titanium 2.3 mm MO 13 123 1231 3371 99823 Group Benefit Change 81 0 0 Update 2012-02-01 2020-02-01 Prosthesis MO423 ACUMED Hexalobe 2.3mm Lag screw ACUMED Hexalobe 2.3mm Lag screw 2.3mm in diameter, 5mm to 20mm in length MO 13 123 1231 3371 99823 Group Benefit Change 81 0 0 Update 2015-02-01 2020-02-01 Prosthesis OH518 KLS Martin Hand fracture system - standard screw Standard screw 2.3mm OH 13 123 1231 3371 236206 Group Benefit Change 81 0 0 Update 2015-08-01 2020-02-01 Prosthesis OH610 Orthofix Contours Plating System - VPS Non-Locking Screws - Mini VPS Non-Locking Screws D: 2.4mm L: 12-20mm OH 13 123 1231 3371 292837 292838 Group Benefit Change 81 0 0 Update 2018-02-01 2020-02-01 Prosthesis OH641 OH469 KLS Martin - Radial Plating System smartDrive Screw 2.5 x 8-30mm OH 13 123 1231 3371 276650 276674 Group Benefit Change 81 0 0 Update 2018-08-01 2020-02-01 Prosthesis OU026 Cortex screws Cortex screws 2.4mm x 10mm up to 28mm 2.0mm x 8mm up to 26mm 2.0mm cortical screw 6mm up to 38mm 2.0mm self tapping S/S cortical screw 8mm up to 24mm 2.7mm cortical screw 6mm up to 38mm OU 13 123 1231 3371 198754 Group Benefit Change 81 0 0 Update 2013-02-01 2020-02-01 Prosthesis OX029 ARMAR 2.4 Locking Distal Radial Plate System - Cortex and Compression Screws TAN Cortex and Compression Screws 2.4-2.7mm Diameter 6-60mm Length OX 13 123 1231 3371 286843 Group Benefit Change 81 0 0 Update 2018-02-01 2020-02-01 Prosthesis PB033 Mini Locking System - Cortex Screw, Stardrive, Self-tapping Cortex Screws, Stardrive, Self-tapping 6.-30mm PB 13 123 1231 3371 223188 Group Benefit Change 81 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK103 Stryker Plating System Cortical bone screws 2.01-2.7mm HW 13 123 1231 3371 269713 295226 Group Benefit Change 81 0 0 Update 2005-10-31 2020-02-01 Prosthesis SK599 Carpal Screw Titanium 2.5mm diameter in sizes 12mm - 20mm length SK 13 123 1231 3371 167057 Group Benefit Change 81 0 0 Update 2015-08-01 2020-02-01 Prosthesis SK618 Percufix Titanium Diameter: 2-2.5mm, Length 22-40mm SK 13 123 1231 3371 252452 Group Benefit Change 81 0 0 Update 2015-08-01 2020-02-01 Prosthesis SL045 VLP EVOS VAL Cortical Screws Mini Screws (2.01 – 2.7 mm) SL 13 123 1231 3371 104369 Group Benefit Change 81 0 0 Update 2015-02-01 2020-02-01 Prosthesis SN082 TC 100 Cortical Screws 2.01mm - 2.7mm SN 13 123 1231 3371 104369 Group Benefit Change 81 0 0 Update 2005-10-31 2020-02-01 Prosthesis SN833 Peri-Loc & Peri-Loc VLP Cortical Screws 2.01-2.7mm SN 13 123 1231 3371 104369 Group Benefit Change 81 0 0 Update 2006-11-30 2020-02-01 Prosthesis SQ148 Bone Screws Cortical Screw, Self-tapping, Standard, T10 2.7mm Diameter 5-60mm Length SQ 13 123 1231 3371 191602 Group Benefit Change 81 0 0 Update 2018-02-01 2020-02-01 Prosthesis SY352 A/ASIF Screw Cortex, Cancellous, Compression Screws 2.01mm-2.7mm SY 13 123 1231 3371 157068 Group Benefit Change 81 0 0 Update 2006-11-30 2020-02-01 Prosthesis TN036 Newclip Bone Screws Non-locking Bone Screw 2.01-2.7mm diameter, lengths 8 - 34mm TN 13 123 1231 3371 260233 260234 Group Benefit Change 81 0 0 Update 2017-08-01 2020-02-01 Prosthesis WR031 Micronail intramedullary radial fixation 2.7mm Titanium Screw 10mm - 20mm WR 13 123 1231 3371 122967 Group Benefit Change 81 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR255 Evolve EPS System Non-Locking Stainless Steel Cortical Screws 2.5 - 2.7mm Diameter, 10-50mm WR 13 123 1231 3371 198485 Group Benefit Change 81 0 0 Update 2012-08-01 2020-02-01 Prosthesis WR380 TO107 MaxLock Extreme System - 2.4/2.7mm Non locking screws Bone screws, Titanium, Non locking Ø 2.4/2.7mm, length 6-40mm WR 13 123 1231 3371 214671 Group Benefit Change 81 0 0 Update 2019-03-01 2020-02-01 Prosthesis WR393 TO120 Nexfix MTP Fusion System Unique low profile stainless steel locking screw for use with NexFix MTP Fusion plates, indicated for use in normal bone 2.7mm x 12mm, 14mm, 16mm, 18mm, 20mm, 24mm, 28mm WR 13 123 1231 3371 148960 Group Benefit Change 81 0 0 Update 2019-03-01 2020-02-01 Prosthesis ZA006 ALPS Plating System, DVR Plating System & F3 Plating System Non-locking bone screw 2.01-2.7mm ZI 13 123 1231 3371 209305 210296 Group Benefit Change 81 0 0 Update 2018-02-01 2020-02-01 Prosthesis ZI981 Re-Line Fixation System – Compression Screw Re-Line Fixation System – Compression Screw 2.7mm x 10mm, 2.7mm x 12mm, 2.7mm x 14mm, 2.7mm x 16mm, 2.7mm x 18mm, 2.7mm x 20mm, 2.7mm x 22mm ZI 13 123 1231 3371 259860 Group Benefit Change 81 0 0 Update 2017-08-01 2020-02-01 Prosthesis ZI984 MSP Fixation System – Cortical Screw MSP Fixation System – Cortical Screw 2.4mm x 8mm, 2.4mm x 10mm, 2.4mm x 12mm, 2.4mm x 14mm, 2.4mm x 16mm, 2.4mm x 18mm, ZI 13 123 1231 3371 259860 Group Benefit Change 81 0 0 Update 2017-08-01 2020-02-01 Prosthesis BH193 Twistoff Screw TwistOff Screw Titanium 8-15mm Long BH 13 123 1231 3372 Breakoff 210290 Group Benefit Change 273 0 0 Update 2013-02-01 2020-02-01 Prosthesis BU001 Nexis osteosynthesis screws Bone screw titanium alloy snap off Diameter 2mm, Length 11-16mm BU 13 123 1231 3372 Breakoff Group Benefit Change 273 0 0 Update 2016-02-01 2020-02-01 Prosthesis DE364 QuickFix Screw Micro Titanium Snap-off Small Bone Screw 2.0mm Diameter x 10-14mm lengths DE 13 123 1231 3372 Breakoff 140686 Group Benefit Change 273 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER402 Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), breakoff Paragon 28 Monster Bite Screws, micro (≤ 2.0mm), snap-off, 1/2 or 3/4 threaded dia 2.0 mm x length (8-24 mm) ER 13 123 1231 3372 Breakoff 289308 Group Benefit Change 273 0 0 Update 2017-08-01 2020-02-01 Prosthesis IG135 Spin screw: Snap-off screws Titanium break-off barrel screws Diameter 2.0 mm, Length 11 -14mm IG 13 123 1231 3372 Breakoff 173963 Group Benefit Change 273 0 0 Update 2012-02-01 2020-02-01 Prosthesis IT013 Hawk 2.0mm Twist off Screw 2.0mm Twist off Screw 2.0mm in diameter with lengths of 11mm to 20mm IT 13 123 1231 3372 Breakoff 230954 Group Benefit Change 273 0 0 Update 2015-08-01 2020-02-01 Prosthesis SF091 Speyside Self Breaking Screw - Micro Speyside Self Breaking Screw - Micro Dia 2.0 mm x Length 7-24 mm SF 13 123 1231 3372 Breakoff 184460 Group Benefit Change 273 0 0 Update 2015-08-01 2020-02-01 Prosthesis SM172 Peri-Loc 2.0mm Twist-Off Screw 2.0mm Twist-Off Screw 8mm, 2.0mm Twist-Off Screw 10mm, 2.0mm Twist-Off Screw 12mm, 2.0mm Twist-Off Screw 14mm, 2.0mm Twist-Off Screw 16mm, 2.0mm Twist-Off Screw 18mm SM 13 123 1231 3372 Breakoff 104369 Group Benefit Change 273 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR229 Twist-off Screw Unique feature of two thread diameters to suit variable bone quality, specifically designed for Weil-osteotomy, titanium, self drilling and self tapping, twist-off connector. 2.0mm diameter x 11-15mm WR 13 123 1231 3372 Breakoff 122967 Group Benefit Change 273 0 0 Update 2012-02-01 2020-02-01 Prosthesis EO090 APTUS SpeedTip C-Snap System APTUS SpeedTip C-Snap Screws 2.0mm diameter EO 13 123 1231 3372 Breakoff, DT 206157 Group Benefit Change 438 0 0 Update 2015-02-01 2020-02-01 Prosthesis MO367 Acumed Fixation Screw Acutrak Compression Screw Titanium ≤2mm MO 13 123 1231 3372 Breakoff, DT 99823 Group Benefit Change 438 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH545 Dynafit System Snap Off, Compressive Screws 2.0mm x 10-14mm OH 13 123 1231 3372 Breakoff, DT 216161 216162 Group Benefit Change 438 0 0 Update 2017-08-01 2020-02-01 Prosthesis ER403 Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), cannulated Paragon 28 Monster Screw System-screws, micro, cannulated, headed dia 2.0 mm x length (8-100mm) x length of thread (3-100 mm) ER 13 123 1231 3372 CN 289308 Group Benefit Change 180 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM281 PANTERA Proximal Humerus Fracture Fixation Plate System - Cross Element Screw Cross Element Screw 1.9 mm LM 13 123 1231 3372 CN 182168 Group Benefit Change 180 0 0 Update 2016-02-01 2020-02-01 Prosthesis BU017 MAGNEZIX CS 2.0 Absorbable compression screw. Diameter 2.0mm BU 13 123 1231 3372 CN,DT 283491 Group Benefit Change 346 0 0 Update 2017-02-01 2020-02-01 Prosthesis DZ069 Austofix Cannulated Compression Screws 1.7mm Cannulated Headless Compression Screws 1.7mm diameter 6mm to 14mm length DZ 13 123 1231 3372 CN,DT 276915 Group Benefit Change 346 0 0 Update 2019-03-01 2020-02-01 Prosthesis LM258 Bone Screws - cannulated Screws - cannulated 2.0mm x 6.0-36.0mm LM 13 123 1231 3372 CN,DT 202320 Group Benefit Change 346 0 0 Update 2015-08-01 2020-02-01 Prosthesis LM282 IBS Screw Compression Screw 2mm diameter LM 13 123 1231 3372 CN,DT 266217 Group Benefit Change 346 0 0 Update 2016-02-01 2020-02-01 Prosthesis LM371 Orthopaedic Fixation Screw Fixation Screw 2.0mm or less diameter LM 13 123 1231 3372 CN,DT 266217 Group Benefit Change 346 0 0 Update 2019-03-01 2020-02-01 Prosthesis OH481 HBS 2 mini Self-compressive screws Diam: 1.7 - 2.0mm Length: 10 - 40mm OH 13 123 1231 3372 CN,DT 276650 276674 Group Benefit Change 346 0 0 Update 2014-02-01 2020-02-01 Prosthesis PB035 Mini Locking System - Headless Compression Screw Compression Screws 1.5mm & 2mm PB 13 123 1231 3372 CN,DT 223188 Group Benefit Change 346 0 0 Update 2016-02-01 2020-02-01 Prosthesis SY647 AO/ASIF Screws HCS Countersinkable Compression Screw ≤ 2.0mm SY 13 123 1231 3372 CN,DT 157068 Group Benefit Change 346 0 0 Update 2012-02-01 2020-02-01 Prosthesis TN015 Foot Motion - weil screws Weil screw is a titanium self tapping, self-cutting screw 2.0mm diameter, length 8mm - 15mm TN 13 123 1231 3372 CN,DT 260233 260234 Group Benefit Change 346 0 0 Update 2016-02-01 2020-02-01 Prosthesis WR300 Omnitech Evolution Headless Compression Screw - Cannulated, Titanium, Sefl-tapping, Self-drilling 1.7mm diameter 6-15mm length in 2mm increments WR 13 123 1231 3372 CN,DT 151098 Group Benefit Change 346 0 0 Update 2016-08-01 2020-02-01 Prosthesis ER404 Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), cannulated, dual thread, locking Paragon 28 Monster micro screws, cannulated, dual thread, locking, headless, partially threaded dia 2.0 mm x length (8-100 mm) x length of thread (3mm-32 mm) ER 13 123 1231 3372 CN,DT,LK 289308 Group Benefit Change 407 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM131 TriMed Compression Screws Compression screws 1.7mm LM 13 123 1231 3372 CN,DT,LK 229704 Group Benefit Change 407 0 0 Update 2012-02-01 2020-02-01 Prosthesis EO091 APTUS SpeedTip C System APTUS SpeedTip C Screws 2.0mm diameter EO 13 123 1231 3372 DT 206157 Group Benefit Change 224 0 0 Update 2015-02-01 2020-02-01 Prosthesis OH544 Dynafit System Compressive Screw 2.0mm x 10-14mm OH 13 123 1231 3372 DT 216161 216162 Group Benefit Change 224 0 0 Update 2017-08-01 2020-02-01 Prosthesis OH569 Foot and Ankle Screws Compression Compression Screw D: 2.0mm, L: 8-30mm OH 13 123 1231 3372 DT 286861 287085 Group Benefit Change 224 0 0 Update 2018-02-01 2020-02-01 Prosthesis WR399 TO128 NexFix Compression Pin The NexFix Compression Pin is a tapered stainless steel compression pin for use in maintaining alignment and providing interfragmentary compression of small bones in osteotomies, fusions and fractures until a stable bony union occurs. It is self drilling 2.0mm x 10mm, 2.0mm x 12mm, 2.0mm x 14mm, 2.0mm x 16mm, 2.7mm x 20mm, 2.7mm x 24mm, 3.5mm x 25mm, 3.5mm x 30mm WR 13 123 1231 3372 DT 132072 Group Benefit Change 224 0 0 Update 2019-03-01 2020-02-01 Prosthesis EO072 APTUS Screws Aptus Locking Screws 1.5mm - 2.0mm Diameter EO 13 123 1231 3372 DT,LK 141171 Group Benefit Change 285 0 0 Update 2012-02-01 2020-02-01 Prosthesis OH514 KLS Martin Hand fracture system - multidirectional locking screw Multidirectional locking screw 1.2 – 2.0mm OH 13 123 1231 3372 DT,LK 236206 Group Benefit Change 285 0 0 Update 2015-08-01 2020-02-01 Prosthesis OH608 Orthofix Contours Plating System - VPS Micro-Threaded Locking Screws Micro-Threaded Locking Screws D: 2.0mm L: 12-24mm OH 13 123 1231 3372 DT,LK 292837 292838 Group Benefit Change 285 0 0 Update 2018-02-01 2020-02-01 Prosthesis BH300 ALPS Hand Fracture System Locking Bone Screws 1.0 - 2.0mm BH 13 123 1231 3372 LK 153087 Group Benefit Change 119 0 0 Update 2013-02-01 2020-02-01 Prosthesis DZ042 Valens Hand - Screws Locking Screws 1.5mm, 2.0mm DZ 13 123 1231 3372 LK 276915 Group Benefit Change 119 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ053 Valens Shoulder and Elbow - Screws Self-Tapping Locking Screws 2.0mm DZ 13 123 1231 3372 LK 276915 Group Benefit Change 119 0 0 Update 2017-08-01 2020-02-01 Prosthesis DZ066 VRP Distal Radius Fixation System VRP Distal Radius Fixation System, Locking Peg 2.0mm width, 14-30mm length DZ 13 123 1231 3372 LK 149433 Group Benefit Change 119 0 0 Update 2018-02-01 2020-02-01 Prosthesis EF014 Bone Screw Locking Screw ≤ 2.0mm EF 13 123 1231 3372 LK 239817 Group Benefit Change 119 0 0 Update 2015-08-01 2020-02-01 Prosthesis ER427 Paragon 26 Gorilla Plating System-Screws, micro Paragon 26 Gorilla Plating System-Screws, locking, baby dia 2.0 mm x length (8-40 mm) ER 13 123 1231 3372 LK 289308 Group Benefit Change 119 0 0 Update 2017-08-01 2020-02-01 Prosthesis LM257 OsteoMed HPS Bone screws - angled locking 1.6/2mm x 6-36mm LM 13 123 1231 3372 LK 202230 Group Benefit Change 119 0 0 Update 2015-08-01 2020-02-01 Prosthesis MO420 ACUMED Hexalobe 1.5mm Multiscrews ACUMED Hexalobe 1.5mm locking Multiscrew 1.5mm in diameter, 5mm to 20mm in length MO 13 123 1231 3372 LK 99823 Group Benefit Change 119 0 0 Update 2015-02-01 2020-02-01 Prosthesis OH570 Foot and Ankle Screws Locking Locking Screw D: 2.0mm, L: 08-30mm OH 13 123 1231 3372 LK 286861 287085 Group Benefit Change 119 0 0 Update 2018-02-01 2020-02-01 Prosthesis PB034 Mini Locking System - Locking Screw, Stardrive, Self Tapping Locking Screws 1.5mm & 2mm PB 13 123 1231 3372 LK 223188 Group Benefit Change 119 0 0 Update 2016-02-01 2020-02-01 Prosthesis SK526 Stryker Locking Plate System Locking Screws 1.2-2.0mm diameter HW 13 123 1231 3372 LK 200615 251654 269713 295226 Group Benefit Change 119 0 0 Update 2012-02-01 2020-02-01 Prosthesis SL037 VLP VAL Locking screws Micro Screws ≤ 2.0mm SL 13 123 1231 3372 LK 104369 Group Benefit Change 119 0 0 Update 2014-08-01 2020-02-01 Prosthesis SY650 AO/ASIF Cortex Screws Locking head screws 1.3-2.0mm SY 13 123 1231 3372 LK 157068 Group Benefit Change 119 0 0 Update 2012-02-01 2020-02-01 Prosthesis TN064 Newclip Locking Screws VAL Locking screws Micro Screws ≤ 2.0mm TN 13 123 1231 3372 LK 260233 260234 Group Benefit Change 119 0 0 Update 2019-11-01 2020-02-01 Prosthesis WR030 Evolve Locking Cancellous Bone Screws The Evolve stainless steel locking screw 2.0mm x 14 - 28mm WR 13 123 1231 3372 LK 122967 Group Benefit Change 119 0 0 Update 2010-02-01 2020-02-01 Prosthesis WR073 Ortholoc Fracture System Titanium, variable angle locking screws 2.0mm diameter, 8 - 100mm length WR 13 123 1231 3372 LK 198485 Group Benefit Change 119 0 0 Update 2010-08-01 2020-02-01 Prosthesis WR258 Evolve EPS System 2.0 Locking Stainless Steel Variable Angle Locking Screws 2.0mm Diameter, 10-50mm WR 13 123 1231 3372 LK 198485 Group Benefit Change 119 0 0 Update 2012-08-01 2020-02-01 Prosthesis BH299 ALPS Plating System Bone Screws 1.0 - 2.0mm BH 13 123 1231 3372 210296 Group Benefit Change 58 0 0 Update 2013-02-01 2020-02-01 Prosthesis DZ041 Valens Hand - Screws Cortical Screws 1.5mm, 2.0mm DZ 13 123 1231 3372 276915 Group Benefit Change 58 0 0 Update 2017-08-01 2020-02-01 Prosthesis EF015 Bone Screw Cortical Bone Screw ≤ 2.0mm EF 13 123 1231 3372 239817 Group Benefit Change 58 0 0 Update 2015-08-01 2020-02-01 Prosthesis EO075 APTUS Screws Cortical Screws 1.5mm - 2.0mm Diameter EO 13 123 1231 3372 141171 Group Benefit Change 58 0 0 Update 2012-02-01 2020-02-01 Prosthesis ER401 Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm) Paragon 28 Monster Screw System-Screws, micro, headed, blunt tip, solid, partially or fully threaded dia 2.0 mm x length (8-100 mm) x length of thread (3-100 mm) ER 13 123 1231 3372 289308 Group Benefit Change 58 0 0 Update 2017-08-01 2020-02-01 Prosthesis HW661 Stryker Plating System Cortical Bone Screws 0.5-2.0mm HW 13 123 1231 3372 269713 295226 Group Benefit Change 58 0 0 Update 2019-07-01 2020-02-01 Prosthesis LM256 Osteomed Screws Bone Screws - threaded/lag 1.2/1.6/2.0mm x 4-36mm LM 13 123 1231 3372 202319 Group Benefit Change 58 0 0 Update 2015-08-01 2020-02-01 Prosthesis MO422 ACUMED Hexalobe 1.5mm Lag Screws ACUMED Hexalobe 1.5mm Lag Screw 1.5mm in diameter, 5mm to 20mm in length MO 13 123 1231 3372 99823