全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項 

特材代碼中英文品名支付點數 

ACM012P700NL ANGIOGRAPHIC MANIFOLDS 2 PORTS 221 



ACM0154PRTMR "MERIT"MANIFOLD:4 PORTS 200PSI;500PSI" 美瑞特 " 多路水接頭 :4 連接頭 324 

ACM01MA2PTGJ MANIFOLDS (2 PORT 500PSI W/PVC PT) 多路引流器 ( 含 PVC 壓力連接管 ) 251 

ACM01MA2PTH9 MANIFOLDS 2 PORTS W/ PVC TUBING 500PSI 251 





ACM01MAN12H9 MANIFOLDS 2PORTS 500PSI 221 



ACM01MAN2PGJ MANIFOLDS (2 PORT 500PSI) 多路引流器 221 



ACM01TS520SG MANIFOLD 2 PORTS 221 



ACS0170015NL 3-WAY NAMIC MORSE STOPCOCK (200PSI) 12 



ACS01H3SNCMR MARQUIES SERIES STOPCOCKS 1050PSI 70 

ACY010210XSD MYSHELL LITE Y CONNECTORS 麥雪兒萊 Y 型接頭 1065 

ACY0191400NL NAMIC MORSE Y-ADAPTOR 1065 

ACY01MAP32MR HONOR HEMOSTASIS VALVE ANGIOPLASTY PACK 1065 

1



ACY01PTBYCCK ADAPTERS PTCA 用 1065 

BBF0320404LL "LILY"FEEDING SET ACCESSORIES 雙袋機械 (PUMP) 式餵食袋 * 127 

BBF0320405LL "LILY"FEEDING SET ACCESSORIES 雙袋重力式餵食袋 * 72 

BBP0101522F4 SUR-FIT NATURA POUCH 45/57MM 雙片式封口除臭便袋 * 限住院患者申報 43 

BBP0401512F4 SUR-FIT NATURA DRAINABLE POUCH 38:70MM 雙片式造口袋 * 限住院患者申報 43 

BBP0401515F4 SUR-FIT NATURA DRAINABLE POUCH 100MM 雙片式造口袋 * 限住院患者申報 74 

BBP0401927F4 

BBP0405403F4 

BBP0405420F4 

"CONVATEC"LITTLE ONES 2 PIECE TRANSPARENT DRAINABLE POUCH 32/45MM 雙片式開口便袋 * 限 

住院患者申報 

"CONVATEC"ESTEEMSYNERGY DRAINABLE POUCH TRANSPARENT 35/48/61MM 雙片式造口袋 * 限住 

院患者申報 

"CONVATEC"ESTEEMSYNERGY DRAINABLE POUCH OPAQUE 35/48MM 雙片式造口袋 * 限住院患者申 

報 

43 

43 

43 

BBP0405436F4 "CONVATEC"ESTEEMSYNERGY CLOSE POUCH OPAQUE 35/48/61MM 雙片式造口袋 * 限住院患者申報 43 

BBP0405441F4 

BBP0409243F4 

BBP0410384CA 

"CONVATEC"ESTEEMSYNERGY CLOSE POUCH OPAQUE MINI 35/48MM 雙片式造口袋 * 限住院患者申 

報 

"CONVATEC"ESTEEMSYNERGY CLOSE POUCH TRANSPARENT35/48/61MM 雙片式造口袋 * 限住院患者 

申報 

"COLOPLAST"OSTOMY POUCH AND ACCESSORIES(NON-STERILE) 造口術用袋及其附件 * 限住院患者 

申報 40MM:60MM 

43 

43 

43 

BBP0420922F4 ACTIVE LIFE ONE-PIECE POUCH WITH SKIN BARRIER 50MM 雙片式造口袋 * 限住院患者申報 45 

BBP0422771F4 ACTIVE LIFE ONE-PIECE DRAINABLE POUCH 19/64MM 單片式造口袋 * 限住院患者申報 55 

BBU0101544F4 SUR-FIT NATURA UROSTOMY POUCH 38:70MM 透明尿袋 * 限住院患者申報 77 

BBU0164927F4 "CONVATEC"ACTIVE LIFE ONE-PIECE UROSTOMY POUCH 19:45MM 單片式尿袋 * 限住院患者申報 91 

CAE01PC383BB PERICAN NEEDLES FOR EPIDURAL ANAESTHESIA 背利安硬脊膜麻醉穿刺針 110 

CAE01SD150BB 

CAE01SD300BB 

CAE01SD301BB 

CAE01SD401BB 

CBA0111612QM 

"B.BRAUN"PERIFIX CATHETERS FOR EPIDURAL ANAESTHESIA(CATHETER)" 柏朗 " 脊椎硬膜麻醉用 

穿刺套 

"B.BRAUN"PERIFIX CATHETERS FOR EPIDURAL ANAESTHESIA" 柏朗 " 脊椎硬膜麻醉用穿刺套 

(NEEDLE+CATHETER) 

"B.BRAUN"PERIFIX CATHETERS FOR EPIDURAL ANAESTHESIA:MINI SETS" 柏朗 " 脊椎硬膜麻醉用穿 

刺套 (NEEDLE+CATHETER+FILTER 或 SYRINGE) 

"B.BRAUN"PERIFIX CATHETERS FOR EPIDURAL ANAESTHESIA:FILTER SETS" 柏朗 " 脊椎硬膜麻醉用 

穿刺套 (NEEDLE+CATHETER+FILTER+SYRINGE) 

"MAQUET"PEDIATRIC INTRA AORTIC BALLOON (PUMP)CATHETER FIDELITY 2.5CC 5CC 7CC 12CC 

20CC" 邁柯唯 " 主動脈氣球導管 

103 

241 

362 

427 

26302 

CBA0142912QM "MAQUET"INTRA AORTIC BALLOON (PUMP) FIDELITY 8FR 25CC" 邁柯唯 " 主動脈氣球導管 26302 

CBA0143001QM "MAQUET"INTRA AORTIC BALLOON PUMP CATHETER 8FR 34CC" 邁柯唯 " 主動脈氣球導管 26302 

CBA0143012QM "MAQUET"INTRA-AORTIC (PUMP)BALLOON 8FR 34CC 40CC" 邁柯唯 " 主動脈氣球導管 26302 

2



CBA0147982QM "MAQUET"INTRA AORTIC BALLOON(PUMP) CATHETER 7.5FR 25;34;40CC" 邁柯唯 " 主動脈氣球導管 26302 

CBA0162080ED "EDWARDS"FOGARTY OCCLUSION CATHETER(AORTIC) 堵塞用導管 25916 

CBA01B2640GX "GORE"TRI-LOBE BALLOON CATHETER(AORTIC) 三葉球囊導管 25916 

CBA01C0DA2CK "COOK"CODA BALLOON CATHETER(AORTIC) 科達球囊導管 25916 

CBA01REL46M4 "MEDTRONIC"RELIANT STENT GRAFT BALLOON CATHETER 瑞萊恩氣球導管 25916 

CBA02F6830AR "ARROW"FIBER OPTIC INTRA-AORTIC BALLOON CATHETER 光纖感應主動脈弓氣球導管 41110 

CBA02SEN7FQM "MAQUET"SENSATION 7FR INTRA-AORTIC BALLOON CATHETER" 邁柯唯 " 光纖感應主動脈氣球導管 * 41110 

CBA0321002LW " 樂脈 " 普特主動脈阻斷導管 "LEMAITRE"PRUITT AORTIC OCCLUSION CATHETER* 7638 

CBB0139031SB 

CBB0139032SB 

CBB0139134SB 

CBB0139135SB 

"BOSTON SCIENTIFIC"STERLING BALLOON DILATATION CATHETERS D 3:8MM L 10:60MM C 

USABLE 80;135CM 氣球擴張導管 

"BOSTON SCIENTIFIC"STERLING BALLOON DILATATION CATHETERS(OTW)D 4:10MM L 20:100MM C 

USABLE L40:135CM 氣球擴張導管 

"BOSTON SCIENTIFIC"STERLING BALLOON DILATATION CATHETERS(OTW) D 1.5:4MM L 20:40MM C 


"BOSTON SCIENTIFIC"STERLING BALLOON DILATATION CATHETERS(OTW) D 1.5:4MM L 20:40MM C 


5822 

5822 

5822 

5822 

CBB0152111BQ "BIOTEQ"PTA BALLOON DILATATION CATHETER" 邦特 " 血管氣球擴張導管 5822 




CBB01CQ120BA "BARD"CONQUEST PTA BALLOON DILATATION CATHETER 氣球擴張導管 5822 

CBB01F0XSVAB "ABBOTT"FOX SV PTA BALLOON CATHETER D 2:6MM L 90,135,150CM 周邊血管氣球導管 5822 

CBB01FCPTAAB "ABBOTT"FOXCROSS PTA CATHETER 周邊血管氣球導管 5822 

CBB01PTA14Y9 

NANOCROSS .014 OTW PTA DILATATION CATHETER D 1.5:3.5MM L 20:120MM 導管長度 150CM 娜諾血 

管擴張氣球導管 

CBB01PTA35Y8 EVERCROSS .035 OTW PTA DILATATION CATHETER D 3.0:12.0MM L 15:120MM 導管長度 40,80, 

135CM 艾維血管擴張氣球導管 

CBB01PTA51CK 

CBB01PTAX1CK 

CBB01REU35F2 

CBB01RV135BA 

CBB01SMTRYSB 

"COOK"ADVANCED 35LP LOW PROFILE PTA BALLOON DILATION CATHETER 5-7 FR 80/135CM 艾德 

凡絲小剖面經皮穿刺血管成形術球囊 

"COOK"ADVANCED 14LP LOW PROFILE PTA BALLOON DILATATION CATH 經皮穿刺血管成形術球囊 

擴張導管直徑 2-4MM 長度 2-20CM 導管長度 170CM 

"INVATEC"REEF HP PTA BALLOON CATHETER D 4.0:8.0MM L 20:80MM USE LENGTH 50,80,120CM 週 

邊血管氣球導管 

"BARD"RIVAL PTA BALLOON DILATATION CATHETER 氣球擴張導管 SHAFT 80&135CM D 4:10MM L 

2:15CM 

"BOSTON SCIENTIFIC"SYMMETRY BALLOON DILATATION CATHETER 1.5MM-6.0MM 2CM-10CM 對 

稱式氣球裝導管 

5822 

5822 

5822 

5822 

5822 

5822 

5822 

3



CBC01PCRXCCD "CORDIS"PRECISE PRO RX NITINOL STENT SYSTEM 普塞斯普羅鎳鈦支架系統 ( 頸動脈支架 )* 28608 

CBC01PR0TEY7 

"EV3"PROTEGE RX CAROTID STENT SYSTEMS STRAIGHT L:20:60MM D:6:10MM TAPERED L:30;40MM 

D:8X6;10X7MM 波特捷自動擴張式頸動脈支架系統 * 適應症見備註 

28608 

CBC01XRXSTAB "ABBOTT"XACT CAROTID STENT SYSTEM 頸動脈支架系統 * 28608 

CBC0222262PF 

EVO TARGET NITINOL STENT IMPLANTATION SYSTEM FOR VASCULAR(A.ILIAC) 腸骨支架植入系統 

* 

30076 

CBC0244318BB "B.BRAUN"VASCUL FLEX SE SELF-EXPANDING PERIPHERAL STENT(ILIAC) 脈舒萊週邊血管支架 * 30076 

CBC02ASSURM4 "MEDTRONIC"ASSURANT COBALT OVER THE WIRE ILIAC STENT SYSTEM 腸骨血管支架系統 * 30076 

CBC02C0MSEM4 

"MEDTRONIC"COMPLETE SE ILIAC STENT SYSTEM D:4.0-10MM L:20:150MM CATHETER:80-130CM" 美 

敦力 " 康博立腸骨血管支架系統 * 適應正請見備註欄 

30076 

CBC02SCA35F2 "INVATEC"SCUBA PERIPHERAL STENT SYSTEM 80CM 130CM 腸骨血管支架系統 * 30076 

CBC02Z1V63CK "COOK"ZILVER VASCULAR STENTS(ILIAC)6:10MMX20:80MM 腸骨血管支架 * 30076 

CBC02ZVM04AN "ANGIOMED"BARD E.LUMINEXX VASCULAR STENT 腸骨血管支架 * 30076 

CBC0320714TM "TERUMO"ANACONDA AAA STENT GRAFT SYSTEM 腹主動脈人工血管支架系統 ( 主體 + 分支體 *2)* 427500 

CBC0320715TM 

CBC03AAA01CK 

CBC03AAA01M4 

CBC03AAA02CK 

CBC03AAA02M4 

CBC03AAA03CK 

"TERUMO"ANACONDA AAA STENT GRAFT SYSTEM -AORTIC CUFF 腹主動脈人工血管支架系統 - 輔助 

配件 * 

ZENITH FLEX AAA ENDOVASCULAR GRAFT W/THE H&L-B ONE-SHOT INTRO SYS 腹主動脈瘤支架暨 

輸送系統 ( 主體 + 分支體 *2)* 適應症見備註 

"MEDTRONIC"TALENT AAA STENT GRAFT W THE XCELERANT HYDRO DELIVERY SYS 腹主動脈支 

架系統 ( 主體 + 分支體 )* 

ZENITH FLEX AAA ENDOVASCULAR GRAFT W/THE H&L-B ONE-SHOT INTRODUCTION SYS 腹主動 

脈瘤支架暨輸送系統 - 輔助配件 * 適應症見備註 

"MEDTRONIC"TALENT AAA STENT GRAFT W THE XCELERANT HYDRO DELIVERY SYS(AORTIC, 

ILIAC EXT) 腹主動脈支架系統 ( 主動脈 , 髂動脈延長段 )* 適應症見備註 

"COOK"ZENITH AAA ENDOVASCULAR GRAFT W/H&L-B ONE-SHOT INTRO SYS 腹主動脈瘤支架暨輸 

送導引系統 ( 主體 + 分支體 *2)* 適應症見備註 

72000 

427500 

427500 

72000 

72000 

427500 

CBC03AAA03M4 "MEDTRONIC"ENDURANT STENT GRAFT SYSTEM" 美敦力 " 茵德倫覆膜支架系統 ( 主體 + 分支體 )* 427500 

CBC03AAA04CK 

CBC03AAA04M4 

CBC03AZT01CK 

CBC03LEZT1CK 

CBC03PA23NGX 

CBC03PC12NGX 

CBC03PL10NGX 

CBC03PX23NGX 

"COOK"ZENITH AAA ENDOVASCULAR GRAFT W/H&L-B ONE-SHOT INTRO SYS 腹主動脈瘤支架暨輸 

送導引系統 - 輔助配件 * 適應症見備註 

"MEDTRONIC"ENDURANT STENT GRAFT SYSTEM" 美敦力 " 茵德倫覆膜支架系統 ( 輔助配件 - 主動脈 . 髂 

動脈延長段 )* 

"COOK"ZENITH FLEX AAA ENDOVASCULAR GRAFT /W Z-TRAK INTRO SYS 主動脈瘤支架暨輸送導 

引系統 ( 主體 + 分支體 *2)* 適應症見備註 

"COOK"ZENITH FLEX AAA ENDOVASCULAR GRAFT W Z-TRAK INTRO SYS" 曲克 " 蘭尼斯腹主動脈瘤 

支架暨輸送導引系統 - 輔助配件 ( 髂動脈延長段 )* 適應症見備註欄 

"GORE"EXCLUDER AAA ENDOPROSTHESIS- AORTIC EXTENDER 易時固得腹主動脈瘤支架 ( 腹主動脈 

瘤主體延伸支架 )* 

"GORE"EXCLUDER AAA ENDOPROSTHESIS(CONTRALATERAL LEG ENDOPROSTHESIS) 腹主動脈瘤 

支架輔助系統 ( 腹主動脈瘤對側腳支架 )* 

"GORE"EXCLUDER AAA ENDOPROSTHESIS(ILIAC EXTENDER ENDOPROSTHESIS) 腹主動脈瘤支架輔 

助系統 ( 髂動脈分支延伸體 )* 

"GORE"EXCLUDER AAA ENDOPROSTHESIS 易時固得腹主動脈支架 ( 腹主動脈瘤主體同測腳支架 + 對測 

腳支架 + 股動脈延伸支架 )* 

72000 

72000 

427500 

72000 

72000 

72000 

72000 

427500 

4



CBC03ZFEN1CK "COOK"ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT W/H&L-B ONE-SHOT INTRO SYS 腹主 427500 

動脈瘤支架暨導引系統 ( 主體 + 分支體 *2)* 適應症見備註 

CBC04EX06CAN 

CBC04EX15CAN 

CBC04ZFV61CK 

CBC04ZFV62CK 

"ANGIOMED"BARD LIFESTENT VASCULAR STENT(DELIVERY SYS+STENT)" 安吉美爾德 " 巴德萊弗丹 

血管支架 , 支架長 20:120MM* 

"ANGIOMED"BARD LIFESTENT VASCULAR STENT(DELIVERY SYS+STENT)" 安吉美爾德 " 巴德萊弗丹 

血管支架 , 支架長 150:170MM* 

"COOK"ZILVER FLEX 35 VASCULAR STENTS" 曲克 " 麗而服福雷斯血管支架 ( 淺骨動脈血管支 

架 )20:140MM 5:10MM 

"COOK"ZILVER FLEX 35 VASCULAR STENTS" 曲克 " 麗而服福雷斯血管支架 ( 淺骨動脈血管支 

架 )170:200MM 5-8MM 

35000 

49625 

35000 

49625 

CBP01104TBRB "ORBUSNEICH"SAPPHIRE NC CORONARY DILATATION CATHETER 神飛冠狀動脈球囊擴張術導管 8340 

CBP01BLUE1BB "B.BRAUN"COROFLEX BLUE CORONARY STENT SYSTEM 普弩冠狀動脈血管支架系統 * 19940 

CBP01BLUE2BB "B.BRAUN"COROFLEX BLUE CORONARY STENT SYSTEM 普弩冠狀動脈血管支架系統 * 19940 

CBP01GAZSTBS "BIOSENSORS"GAZELLE CORONARY STENT SYSTEM 冠狀動脈內支架系統 * 19940 

CBP01PWRLNBS "BIOSENSORS"POWERLINE PTCA CATHETER 經皮冠狀動脈成形術球囊導管 8340 

CBP01TSUG2TM "TERUMO"TSUNAMI CORONARY STENT SYSTEM 冠狀動脈血管支架 * 19940 

CBP01TSUG3TM "TERUMO"TSUNAMI CORONARY STENT SYSTEM 冠狀動脈血管支架系統 * 19940 

CBP01TSUGDTM "TERUMO"TSUNAMI CORONARY STENT SYSTEM 冠狀動脈血管支架 * 19940 

CBP02NCSP1M4 

"MEDTRONIC"NC SPRINTER RAPID EXCHANGE BALLOON DILATATION CATHETER 快速交換氣球擴 

張導管 

8340 

CBP02R7R7FKE "KANEKA"IKAZUCHI RAPID EXCHANGE PTCA BALLOON CATHETER 雷快速抽換冠狀動脈氣球導管 8340 

CBP02SPRL1M4 

CBP0337910SB 

CBP0338081SB 

"MEDTRONIC"SPRINTER LEGEND RAPID EXCHANGE BALLOON DILATATION CATHETER 快速交換 

氣球擴張導管 

"BOSTON SCIENTIFIC"MAVERICK XL MONORAIL PTCA DILATATION CATHETER 馬文瑞克氣球擴張 

導管 

"BOSTON SCIENTIFIC"QUANTUM MAVERICK PTCA DILATATION CATHETER D 2.0:5.0MM L8:30MM 

冠狀動脈擴張導管 

8340 

8340 

8340 

CBP0338960SB "BOSTON SCIENTIFIC"APEX OTW PTCA DILATATION CATHETER 氣球擴張導管 8340 

CBP0338961SB "BOSTON SCIENTIFIC"APEX PTCA DILATATION CATHETER 氣球擴張導管 8340 

CBP0339124SB 

CBP0339125SB 

"BOSTON SCIENTIFIC"NC QUANTUM APEX PTCA DILATATION CATHETER(MONORAIL) 康騰艾佩斯 

氣球擴張導管 2.0:5.0MM 6:30MM 

"BOSTON SCIENTIFIC"NC QUANTUM APEX PTCA DILATATION CATHETER(OTW) 康騰艾佩斯氣球擴 

張導管 2.0:5.0MM 6:30MM 

8340 

8340 

CBP03DCRK1TM "TERUMO"TAZUNA PTCA DILATATION CATHETER" 泰爾茂 " 鈦速納冠狀動脈氣球擴張導管 8340 

CBP03SL0TWM4 

CBP06ELUT1BS 

CBP06ELUT1TM 

"MEDTRONIC"SPRINTER LEGEND OVER-THE-WIRE BALLOON DILATATION CATHETER 同軸導線球 

囊擴張導管 

"BIOSENSORS"BIOMATRIX DRUG ELUTING CORONARY STENT SYS 釋放型冠狀動脈支架系統部分給 

付品項 * 適應症見備註 , 並註明禁忌症不可使用。 

"TERUMO"NOBORI DRUG STENT SYSTEM 2.5MM:3.5MM 8MM:28MM 冠狀動脈塗藥支架部分給付品 

項 * 適應症請見備註 , 並註明其禁忌症不可使用。 

8340 

19940 

19940 

5



CBP06ELUT3AB "ABBOTT"XIENCE PRIME EVEROLIMUS ELUTING CORONARY STENT SYSTEM 冠狀動脈塗藥支架系 19940 

統部份給付品項 *, 並註明其禁忌症不可使用。 

CBP06ELUT3SB 

CBP06ELUT4M4 

CBP06ELUT4SB 

CBP06ELUT5SB 

"BOSTON SCIENTIFIC"TAXUS LIBERTE LONG MONORAIL PACLITAXEL-ELUTING CORONARY 

STENT SYS 紫杉醇釋放型冠狀動脈支架 * 適應證見備註 

"MEDTRONIC"ENDEAVOR RESOLUTE ZOTAROLIMUS-ELUTING CORONARY STENT SYS 釋放型冠狀 

動脈支架系統。部分給付品項 , 適應症見備註 , 並註明其禁忌症勿用。 

"BOSTON SCIENTIFIC"TAXUS ELEMENT PACLITAXEL-ELUTING CORONARY STENT SYS 冠狀動脈塗 

藥支架系統 * 部分給付品項 , 適應症見備註 , 並註明禁忌症不可用 

"BOSTON SCIENTIFIC"PROMUS ELEMENT EVEROLIMUS-ELUTING CORONARY STENT SYS 冠狀動脈 

塗藥支架系統 * 部分給付品項 , 適應症見備註 , 並註明禁忌症不可用 

19940 

19940 

19940 

19940 

CBS029CR19G6 AMPLATZER CRIBRIFORM OCCLUDER 安普拉茲多孔心房中膈關閉器 * 138000 

CBS029DELTG6 "AGA"AMPLATZER DELIVERY SYSTEM 安普拉茲遞送導管系統 5F:10F,12F* 12000 

CBS04407XXST " 聖猷達 " 房中膈穿刺針 "SJM" BRK TRANSSEPTAL NEEDLE 7230 

CBS059AVP4G6 "AMPLATZER"VASCULAR PLUG&DELIVERY SYSTEM 4MM:8MM 血管塞含遞送導管 21700 

CBS059AVP9G6 "AMPLATZER"VASCULAR PLUG&DELIVERY SYSTEM 10MM:16MM 血管塞含遞送導管 23800 

CBT022014NPU 

PULSIOCATH THERMODILUTION CATHETERS(PICCO2) 普新卡熱稀釋導管 ( 含 CATHETER+NITINOL 

GUIDE WIRE) 

5775 

CBT0407055AR "ARROW"BALLOON THERMODILUTION CATHETER 4FRX75CM 5FRX80CM(HEPARIN COATED) 4 

LUMENS " 亞諾 " 熱稀釋順流導管 

2710 

CBT0407367AR "ARROW" THERMODILUTION BALLOON CATHETER(4 LUMEN) 7FR 110CM " 亞諾 " 熱稀釋順流導管 1842 

CBT04132F5ED 

"EDWARDS"SWAN-GANZ THERMODILUTION CATHETER 4LUMEN 5FR 75CM( 兒童用 ) 史望康熱稀釋 

導管 

2162 

CBT0445080BD "B-D"CRITICATH THERMODILUTION CATHETERS 4 LUMEN 5F 80CM 熱稀釋導管 2162 

CBT0445110BD "B-D"CRITICATH THERMODILUTION CATHETERS 4 LUMEN 5F 110CM 熱稀釋導管 2162 

CBT05831HFED 

CBT06831HFED 

"EDWARDS"SWAN-GANZ THERMODILUTION CATHETERS 5 LUMEN 7FR W/AMC THROMBOSHIELD 

COATING 史望康熱稀釋管 

"EDWARDS"SWAN-GANZ THERMODILUTION CATHETERS 6 LUMEN 7FR W/AMC THROMBOSHIELD 

COATING 史望康熱稀釋管 

2867 

3150 

CCC13BT894R5 "SORIN"AUTOTRANSFUSION RESERVOIR SET 自動輸血組儲血器 * 3900 

CCC14745E5R5 

"SORIN"AUTOTRANSFUSION KITS FOR ELECTA(WASH SET+AUTOTRANSFUSION RESERVOIR 

SET+LINE) 依雷塔專用自體輸血組 * 

7307 

CCC1474E55R5 "SORIN"WASH SET 血液洗淨組 * 4000 

CCC1520503AH "ATRIUM"OCEAN WATER SEAL CHEST DRAINS 海洋自體血液回收胸腔引流儲血器 ( 單管回流式 )* 4000 

CCC1520523AH "ATRIUM"OCEAN WATER SEAL CHEST DRAINS 海洋自體血液回收胸腔引流儲血器 ( 雙管回流式 )* 4467 

CDCC2PCS01CK " 曲克 " 心包引流管組 "COOK"PERICARDIOCENTESIS SET 2300 

CDCC2PPD01CK 

„ 曲克 ‟ 費曼胸膜腔 / 心包積氣引流組 "COOK"FUHRMAN PLEURAL/PNEUMOPERICARDIAL 

DRAINAGE SET 

2000 

CDCG20RCA1RC "RANFAC"INTRODUCTION DRAINAGE CATHETER" 仁斐 " 導入及引流導管 ( 術中膽管攝影導管 ) 475 

6



CDD0410440LL WOUND DRAINAGE SYSTEM 400ML 真空傷口引流套 (PVC 引流管 +PVC 吸引球 + 穿刺針 ) 500 

CDD04CSB00LL "LILY"WOUND DRAINAGE SYSTEM(SILICONE)" 怡安 " 真空傷口引流套 / 套組 ( 矽質引流管 + 矽質吸引球 + 

穿刺針 ) 

670 

CDD05CSC00LL 

CDD06CSB00LL 

LILY WOUND DRAINAGE SYSTEM:SILICON SUCTION DRAINAGE TUBE 怡安真空傷口引流套 : 矽質 

傷口引流管 

LILY WOUND DRAINAGE SYSTEM:SILICON SURGICAL CWV RESERVOIR 

100ML;125ML;150ML;200ML 怡安真空傷口引流套 : 矽質真空傷口引流蓄液球 

340 

300 

CDD1100002KM TROCAR KITS 內視鏡可轉換式安全穿刺套管組 5/10MM,5/12MM ( 穿剌針 1+ 外管 1+ 可變式轉接頭 1) 1595 

CDD1100003KM 

TROCAR KITS 內視鏡鈍型可轉換式安全穿刺套管組 5-10MM/5-12MM( 穿剌針 1+ 外管 1+ 可變式轉接頭 

1+ 外管固定器 1) 

2233 

CDD1100004KM "METROMED"TROCAR " 益鳴 " 穿刺套管 ( 穿剌針 1+ 外管 1+ 固定轉接頭 1) 1329 

CDD1100005KM TROCAR KITS 內視鏡固定式安全穿刺套管組 5MM( 穿剌針 1+ 外管 1+ 固定式轉接頭 1) 1329 

CDD1100005U7 SURGICAL TROCAR SYSTEM 5-12MM ( 穿剌針 1+ 外管 1+ 內建可變式轉接頭 1) 1595 

CDD1100006KM TROCAR KITS 內視鏡可充氣式安全穿刺套管組 5MM ( 穿剌針 1+ 外管 2+ 固定式轉接頭 2) 1963 


CDD1100007KM TROCAR KITS 內視鏡可充氣式安全穿刺套管組 5MM( 穿剌針 1+ 外管 1+ 固定式轉接頭 1) 1329 

CDD1100007U7 SURGICAL TROCAR SYSTEM 5MM ( 穿剌針 1+ 外管 1+ 內建固定式轉接頭 1) 1329 


CDD1100009KM TROCAR KITS 內視鏡可轉換式安全穿刺套管組 5/10MM,5/12MM ( 穿剌針 1+ 外管 2+ 可變式轉接頭 2) 2658 






CDD1100022KM GYNECOLOGIC LAPAROSCOPE ACCESSORIES:TROCAR (1 支外管 +1 支固定轉接頭 ) 955 

CDD1100066KM "METROMED"TROCAR " 益鳴 " 穿刺套管 ( 穿剌針 1+ 外管 2+ 固定轉接頭 2) 1963 

CDD1100099KM TROCAR KITS 內視鏡固定式安全穿刺套管組 5MM ( 穿剌針 1+ 外管 2+ 固定式轉接頭 2) 1963 

CDD11200011T SURGICAL TROCAR SET 5MM( 穿刺內管 X1+ 穿刺外管 X1+ 固定式轉接頭 X1) 1329 

CDD11210011T SURGICAL TROCAR SET 5-10MM( 穿刺內管 X1+ 穿刺外管 X1+ 可變式轉接頭 X1) 1595 

CDD11220011T SURGICAL TROCAR SET 5-12MM( 穿刺內管 X1+ 穿刺外管 X1+ 可變式轉接頭 X1) 1595 

7



CDD1179093US AUTO SUTURE VERSAPORT V2 SINGLE USE W/RADIOLUCENT TROCAR SLEEVE ( 內管 + 外管 + 固定式 1329 

接頭 ) 

CDD1179095US 

AUTO SUTURE VERSAPORT V2 SINGLE USE W/RADIOLUCENT TROCAR SLEEVE ( 內管 + 外管 + 可變轉 

接頭 ) 

1595 

CDD11K1101PA TROCAR SYSTEM( 穿剌針 1+ 外管 1+ 可變式轉接頭 1) 1595 







CDD11K1108PA TROCAR SYSTEM( 外管 1+ 可變式轉接頭 1) 955 

CDD11NB12FUS 

CDD11NBFCAUS 

" 優施西 " 無刀刃可變式穿刺套管 USS VERSAPORT BLADELESS AND VERSAPORT PLUS BLADELESS 

TROCAR( 穿刺內管 X1 穿刺外管 X1 可變轉接頭 X1) 

" 優施西 " 無刀刃可變式穿刺套管 "USS" VERSAPORT PLUS BLADELESS SINGLE USE FIXATION 

CANNULA( 外管 TROCAR SLEEVE 1 支 + 固定式轉接頭 1 支 ) 

1595 

955 

CDD12K1109PA TROCAR SYSTEM 充氣式 ( 穿剌針 1+ 外管 1+ 可變式轉接頭 1) 3091 

CDD13DGC01CK "COOK"JABCZENSKI DUCTOGRAM CANNULA 30 GAGE( 乳管攝影導管 ) 960 

CDD13G1U30RC INTRODUCTION DRAINAGE CATHETER 導入及引流導管 ( 乳管攝影導管 ) 960 

CDP010ACL2CK " 曲克 " 膽道支架暨支架引導組 "COOK"COTTON-LEUNG BILIARY STENT AND INTRODUCER SET 4500 

CDP010ATS1CK 

CDP0121333BQ 

歐爾喜斯一步式支架引導系統膽道支架 "COOK"OASIS ONE ACTION STENT INTRODUCTION SYSTEM 

WITH ST-2 SOEHENDRA TANNENBAUM BILIARY STENT 

"BIOTEQ"INTRODUCER SET" 邦特 " 穿刺導入系統組 ( 含穿刺針 +INTRODUCER+0.018"GUIDE WIREX1 支 

+0.035" 或 0.038"GUIDE WIREX1 支 ) 

4500 

2700 

CDP01CLBS2CK "COOK"COTTON-LEUNG BILIARY STENTS AND INTRODUCERS 5:14FR 膽道支架暨支架引導系統 4500 

CDP01GEPD2CK " 曲克 " 吉南胰管支架組 "COOK"GEENEN PANCREATIC STENT SET 4200 

CDP01PDD10BQ 

CDP01PDD2WBQ 

CDP01PDD30BQ 

CDP01PDD4WBQ 

CDP01PDS50BQ 

CDP01PDS6WBQ 

" 邦特 " 豬尾巴引流導管組 ( 直接穿刺型 ) "BIOTEQ" PIGTAIL DRAINAGE CATHETER SET(ONE STEP 

TYPE) 


TYPE) 


TYPE) 


TYPE) 


TYPE) 


TYPE) 

2000 

2000 

2000 

2000 

2000 

2000 

8



CDP01PDS70BQ " 邦特 " 豬尾巴引流導管組 ( 直接穿刺型 ) "BIOTEQ" PIGTAIL DRAINAGE CATHETER SET(ONE STEP 2000 

TYPE) 

CDP01PDS8WBQ 


TYPE) 

2000 

CDP01ZEBD3CK ” 曲克 ” 膽道支架暨支架引導系統 ”COOK”ZIMMON BILIARY STENTS AND SET 4500 

CDP01ZEBD4CK “ 曲克 ” 膽道支架暨支架引導系統 “COOK” ZIMMON BILIARY STENTS AND INTRODUCERS 4500 

CDP02CLS01CK "COOK"COTTON-LEUNG BILIARY STENTS 5:14FR 膽道支架 2200 

CDP02SPS12CK " 曲克 " 西門胰管支架組 "COOK" ZIMMON PANCREATIC STENT SET 2200 

CDP02ZS003CK “ 曲克 ” 膽道支架 “COOK” ZIMMON BILIARY STENT 2200 

CDPN1UTPT1CK "COOK"WAYNE PNEUMOTHORAX SET( 含單向引流閥 + 豬尾導管 +0.035 導線 + 擴張器 +3WAY+ 連接管 + 

穿刺針 *2)" 曲克 " 威恩氣胸引流組 

3100 

CEE0110655LL "LILY"EXTENSION TUBE 15CM" 怡安 " 輸液延長管 11.7 

CEE0110656LL "LILY"EXTENSION TUBE 15CM (NEEDLE FREE)" 怡安 " 輸液延長管 : 免針加藥座 70 

CEE01B430BBQ 

"BIOTEQ"ANGIOGRAPHIC SYRINGE KIT(LOW PRESSURE TUBE)" 邦特 " 攝影導管用注射筒套組 ( 螺旋連 

接管 ) 

40 

CEE01CH100U2 "ICU"CLAVE DRUG PREPARATION SYSTEM:ACCESS DEVICE IV BAG CLAVE CONNECTOR" 愛喜優 " 

克萊福藥物準備系統組件 

70 

CEE01CH150U2 

CEE01CH303U2 

CEE01ENT10SG 

CEE01ENY10SG 

CEE01ETN10SG 

CEE01ETN20SG 

"ICU"CLAVE DRUG PREPARATION SYSTEM:IV BAG ACCESS SPIKE CLAVE CHECK VALVE)" 愛喜 

優 " 克萊福藥物準備系統組件 ( 玻璃瓶用 ) 

"ICU"CLAVE DRUG PREPARATION SYSTEM:5" (13CM)BAG SPIKE ADAPTER W/SPIROS NON-DEHP 

TUBING" 愛喜優 " 克萊福藥物準備系統組件 

"SIGMA"NEEDLELESS INJECTION ACCESS DEVICE T-TYPE EXTENSION TUBE" 十美牌 " 免針輸液接頭 

T 型延長管 

"SIGMA"NEEDLELESS INJECTION ACCESS DEVICE Y EXTENSION TUBE" 十美牌 " 免針輸液接頭 Y 延長 

管 

"SIGMA"NEEDLELESS INJECTION ACCESS DEVICE SINGLE EXTENSION TUBE" 十美牌 " 免針輸液接頭 

延長管 

"SIGMA"NEEDLELESS INJECTION ACCESS DEVICE DOUBLE EXTENSION TUBE" 十美牌 " 免針輸液接 

頭 2 路延長管 

70 

134 

70 

70 

70 

134 

CEE01N8000SG "SIGMA"NEEDLELESS INJECTION ACCESS DEVICE " 十美牌 " 免針輸液接頭 50 

CEE01P8100SG "SIGMA"NEEDLELESS || INJECTION ACCESS DEVICE " 十美牌 " 免針 || 型輸液接頭 50 

CEE01PET10SG 

CEE01PET20SG 

CEE01PEY10SG 

CEE01PTT10SG 

"SIGMA"NEEDLELESS || INJECTION ACCESS DEVICE SINGLE EXTENSION TUBE " 十美牌 " 免針 || 型輸液 

接頭延長管 

"SIGMA"NEEDLELESS || INJECTION ACCESS DEVICE DOUBLE EXTENSION TUBE " 十美牌 " 免針 || 型輸 

液接頭 2 路延長管 

"SIGMA"NEEDLELESS || INJECTION ACCESS DEVICE Y EXTENSION TUBE " 十美牌 " 免針 || 型輸液接頭 

Y 延長管 

"SIGMA"NEEDLELESS INJECTION ACCESS DEVICE T-TYPE EXTENSION TUBE " 十美牌 " 免針 || 型輸液 

接頭 T 延長管 

70 

134 

70 

70 

CEP0190702NL PRESSURE MONITORING LINE 6":96" 60 

CEP0191031NL CONTRAST INJECTION LINES (1200PSI 雙層 ) 顯影劑注射導線 479 

9



CEP01A813ABQ 1200PSI HIGH PRESSURE CONNECTING TUBE ( 雙層 ) 479 

CEP01A841ABQ 900PSI HIGH PRESSURE CONNECTING TUBE( 單層 ) 114 

CEP01A851ABQ 1200PSI HIGH PRESSURE CONNECTING TUBE( 單層 ) 114 

CEP01B330BBQ PRESSURE CONNECTING TUBE 500PSI 60 

CEP01PT483GJ PRESSURE TUBING 壓力連接管 (500PSI PVC 每包 3 條 ) 180 

CEP01PT500GJ PRESSURE TUBING 壓力連接管 (500PSI PVC) 60 

CEP01PTHPTGJ PRESSURE TUBING:HIGH PRESSURE TUBING 壓力連接管 (1200PSI PU 雙層 ) 479 

CEP01PTPVCGJ PRESSURE TUBING:HIGH PRESSURE TUBING 壓力連接管 (1000PSI PVC) 114 

CFD02GT301EW E-UP STOMACH TUBE(SILICON) 毅升一次性使用胃管 86 

CFD0600026BA "BARD" BUTTON REPLACEMENT GASTROSTOMY DEVICE (BUTTON+OBTURATOR+BOLUS AND F- 

TUBES+DECOMP TUBE+SY)" 巴德 " 鈕扣式置換胃造口組 

4950 

CFD0600031BA "BARD"DUAL PORT FEEDING ADAPTOR 經皮內視鏡胃造口組 : 雙座餵食管接頭 212 

CFD0600627BA 

"BARD"PONSKY PULL PEG DELUXE KIT (TUBE+WIRE+S+N+ADAP+BOL+SNARE+SCISSOR)" 巴德 " 經 

皮內視鏡胃造口組 ( 全套 ) 

5600 

CFD0601006BA "BARD"PONSKY PULL PEG KIT (TUBE+WIRE+S+N+ADAP+BOL)" 巴德 " 經皮內視鏡胃造口組 ( 半套 ) 4200 

CFD0679010FL 

CFD06BFA01CK 

CFD06BRT01CK 

CFD06FLW01CK 

CFD06PEG01CK 

PEG KIT( 全套 , 含所材料在內 ) 經皮內視鏡胃造廔組 (PEG TUBE,ADAPTER,RING,INTRODUCER 

NEEDLE,WIRE,TUBING CLAMP) 

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SYSTEM—ADAPTER 餵食管接頭 (TWO WAY OR ONE 

WAY) 

"COOK"GASTROSTOMY DEVICES/ACCESSORIES BALLOON FEEDING TUBE " 曲克 " 胃造口術器材配件 

/BALLOON 型替換管 

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SYSTEM 經皮內視鏡胃造口術系統 ( 含 FEEDING 

TUBE+ 鬱金香形頭 + 藍色導線 )+(A+N+D) 

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SYSTEM 胃造口術裝置組 ( 含 FEEDING TUBE+ 鬱金香 

形頭 + 藍色導線 )+(ADAPTER+ NEEDLE+DILATOR) 

CFD06PEGJ1CK "COOK"GASTROSTOMY DEVICES/ACCESSORIES JEJUNAL FEEDING TUBE " 曲克 " 胃造口術器材配件 / 

空腸餵食管 

CGDW1A2131BQ 

CGDW1C6121BQ 

BIOTEQ URETERAL STENT SET DOUBLE J TYPE:GUIDE WIRE 0.028":0.038" 120CM;150CM 邦特輸尿 

管導管組 ( 雙 J 型 ): 引導鋼線 

"BIOTEQ"DRAINAGE CATHETER & INTRODUCER SET:NITINOL GUIDE WIRE 0.018" 80CM " 邦特 " 引流 

導管及穿刺導入系統 : 鎳鈦合金引導鋼線 

5600 

212 

1620 

5600 

5600 

3840 

350 

710 

CGDW1PTGW1GJ STAINLESS STEEL GUIDE WIRE0.018"~0.038" 50CM;80CM W/PTFE 320 

CGDW1PTGW1H9 STAINLESS W/PTFE GUIDE WIRE 0.018":0.038" 50CM:80CM 320 

CGDW1PTGW2GJ STAINLESS STEEL GUIDE WIRE0.018"~0.038" 120CM;150CM;180CM W/PTFE 350 

CGDW1PTGW2H9 STAINLESS W/PTFE GUIDE WIRE 0.018":0.038" 120CM;150CM;180CM 350 

CGDW1PTGW3GJ STAINLESS STEEL GUIDE WIRE0.018"~0.038" 260CM;300CM W/PTFE 460 

10



CGDW1PTGW3H9 STAINLESS W/PTFE GUIDE WIRE 0.018":0.038" 260CM;300CM 460 

CGPG1AB035BQ GUIDING CATHETER 2048 



CGPG1CA031BQ GUIDING CATHETER 2048 



CGPG1CAS31BQ GUIDING CATHETER 2048 

CGPG1CGC58MR "MERIT" CONCIERGE GUIDING CATHETER(5~8F)" 美瑞特 " 康捷導引導管 2048 

CGPG1CNCRGMR "MERIT" CONCIERGE GUIDING CATHETER(5~8F)" 美瑞特 " 康捷導引導管 2048 

CGPG1CX101CK CXI SUPPORT CATHETER( 含 4 個不透線標記 ) 西斯艾支持導管 9165 

CGPG1CX102CK CXI SUPPORT CATHETER( 含 4 個不透射線標記 ) 西斯艾支持導管 9165 

CGPG1SCBR1CK SLIP-CATH GUIDING CATHETERS 4.0FR 40:150CM 2048 

CGPG1SCBR2CK SLIP-CATH GUIDING CATHETERS 4.5:6.5FR 75:135CM 2048 



CGPW112201SB STAINLESS STEEL GUIDE WIRE W/PTFE 0.014" 185CM 2870 

CGPW112202SB STAINLESS STEEL GUIDE WIRE W/PTFE 0.014" 300CM 3430 

CGPW118688TM RUNTHROUGH NS PTCA GUIDE WIRE W/PTFE 不鏽鋼 0.014" 150CM 2870 

CGPW1418XATM "TERUMO"RUNTHROUGH PTCA GUIDE WIRE(0.014" 180CM W/COATING)" 泰爾茂 " 嵐鍶路導引導線 2870 

CGPW1AHWR3AS 

CGPW1AHWRSAS 

"ASAHI"PTCA GUIDE WIRE ASAHI SION 0.014" 300CM(PTFE COATING EXTRA SUPPORT)" 朝日 " 冠狀 

動脈導引線紫苑 

"ASAHI"PTCA GUIDE WIRE ASAHI SION 0.014" 180CM (PTFE COATING EXTRA SUPPORT)"" 朝日 " 冠狀 

動脈導引線紫苑 

3430 

3200 

CGPW1CMW01CK APPROACH PRO LT MICRO WIRE GUIDE 0.014" 135CM,190CM 3000 

CGPW1CMW02CK APPROACH PRO LT MICRO WIRE GUIDE 0.014" 300CM 3000 

CGPW1CMW03CK APPROACH PRO LT MICRO WIRE GUIDE 0.018" 135CM;190CM 3000 

CGPW1CMW04CK APPROACH PRO LT MICRO WIRE GUIDE 0.018" 300CM 3000 

11



CGPW1HMW01CK APPROACH HYDRO ST MICRO WIRE GUIDE W/HYDROPHILIC COATING 親水性塗層微細導線 0.014" 3430 

300CM 

CGPW1HMW02CK APPROACH HYDRO ST MICRO WIRE GUIDE W/HYDROPHILIC COATING 親水性塗層微細導線 0.014" 

135,190CM 

2870 

CGPW1HYBGWM4 " 美敦力 " 艾坦導引導線 "MEDTRONIC" ATTAIN HYBRID GUIDE WIRE 2870 

CGPW1PAGH3AS PERIPHERIAL GUIDE WIRE 0.018" 300CM 3000 

CGPW1PAGHSAS PERIPHERIAL GUIDE WIRE 0.018" 180CM 2870 

CGPW1PAGP3AS PERIPHERIAL GUIDE WIRE 0.014" 300CM 3000 

CGPW1PAGPSAS PERIPHERIAL GUIDE WIRE 0.014" 180CM 2870 

CGPW1PRGW3AB ABBOTT HI-TORQUE PROGRESS GUIDE WIRE 0.014" 300CM 亞培博格斯血管導線 3430 

CGPW1PRGW9AB ABBOTT HI-TORQUE PROGRESS GUIDE WIRE 0.014" 190CM 亞培博格斯血管導線 2870 

CGPW1RSTF0CK ROADRUNNER EXTRA-SUPPORT WIRE GUIDES 180,270,300CM 3200 

CGS0100412K0 ANGIOGATE HV INTRODUCER KIT 12CM (S+D+GW+3WAY+SI) 650 

CGS010512TK0 ANGIOGATE TRANSRADIAL INTRODUCER KIT 12CM (S+D+N+GW+3WAY+SI) 750 

CGS010519TK0 ANGIOGATE TRANSRADIAL INTRODUCER KIT 19CM,24CM (S+D+N+GW+3WAY+SI) 1170 

CGS0121322ST FAST-CATH HEMOSTASIS INTRODUCER 費思凱絲止血導管導引器 650 

CGS0190703M0 

"MEDCOMP"CENTRAL VENOUS CATHETERS AND ACCESSORIES(PEELABLE 

INTRODUCER)(S+D+GW+N)" 美德康 " 中央靜脈導管與配件 ( 剝式導管導引器 ) 

1000 

CGS01ATTCSM4 " 美敦力 " 艾坦左心室傳送系統 "MEDTRONIC" ATTAIN COMMAND LEFT HEART DELIVERY SYSTEM * 8000 

CGS01C4852ST 

CGS01C485NST 

CGS01MPS01CK 

CGS01MPS02CK 

CGS01MPS03CK 

"SJM"ENGAGE ENGAGE TR INTRODUCER (FEMORAL)25CM 0.035"0.038"(SH+DIL+VALVE+GUIDE 

WIRE+SIDEPORT 3WAY)" 聖猷達 " 茵給桔導管導引器 

"SJM"ENGAGE ENGAGE TR INTRODUCER (FEMORAL)12CM 0.035"0.038"(SH+DIL+VALVE+GUIDE 

WIRE+SIDEPORT 3WAY)" 聖猷達 " 茵給桔導管導引器 

"COOK"MICROPUNCTURE INTRODUCER SETS(W0.018 NITINOL GUIDE WIRE+4-5FR CATHETER+21G 

NEEDLE)" 曲克 " 微穿刺引導器組 





1040 

650 

2350 

2350 

2350 

CGS01PA140ST "SJM"PEEL-AWAY INTRODUCERS 14CM 5:16FR(SHEATH+DILATOR)" 聖猷達 " 剝式導管導引器 1000 

CGS01PA14NST 

CGS01PA230ST 

"SJM"PEEL-AWAY INTRODUCERS 14CM 5:16FR(SHEATH+DILATOR+SYRINGE+NEEDLE+GUIDE 

WIRE)" 聖猷達 " 剝式導管導引器 

"SJM"PEEL-AWAY INTRODUCERS 23CM 7:14FR(SHEATH+DILATOR+SYRINGE+NEEDLE+GUIDE 

WIRE)" 聖猷達 " 剝式導管導引器 

1000 

1000 

CGS01PA6CMST "SJM"PEEL-AWAY INTRODUCERS 6CM 4;5;6FR(SHEATH+NEEDLE)" 聖猷達 " 剝式導管導引器 1000 

CGS01PLD11MR PRELUDE SHEATH INTRODUCER 11CM (W/SHEATH+SIDEPORT+VALVE+DILATOR+G.W) 650 

12



CGS01PLD23MR PRELUDE SHEATH INTRODUCER 23CM (W/SHEATH+SIDEPORT+VALVE+DILATOR+G.W) 1040 

CGS01PS11GMR PRELUDE SHEATH INTRODUCER 11CM (W/SHEATH+SIDEPORT+VALVE+DILATOR+G.W+NEEDLE) 750 

CGS01PS18TMR 

CGS01PSSMTMR 

"MERIT"PRELUDE SHORT SHEATH INTRODUCER(DILATOR+MARKER TIP 

SHEATH+STOPCOCK+0.018"GUIDE WIRE) " 美瑞特 " 福祿動靜脈廔管用導引鞘 

"MERIT"PRELUDE SHORT SHEATH INTRODUCER(DILATOR+MARKER TIP SHEATH+STOPCOCK) " 美 

瑞特 " 福祿動靜脈廔管用導引鞘 

CGS01RCFN1CK "COOK"CHECK-FLO PERFORMER INTRODUCER SETS 4.0:9.0 FR. 5.5:13 

CM(SHEATH,DILATOR,SIDE+V,RADIOLOGY GW,NEEDLE)" 曲克 " 闕克芙爾引導器組 

CGS01RCFN2CK 

CGS01SEA14ST 

CGS01TR482ST 

CGS01TR485ST 

CGS01TR487ST 

CGS01TS20NGX 

"COOK"CHECK-FLO PERFORMER INTRODUCER SETS 4.0:9.0 FR. 

23CM(SHEATH,DILATOR,SIDE+V,RADIOLOGY GW,NEEDLE)" 曲克 " 闕克芙爾引導器組 

"SJM"PEEL-AWAY INTRODUCERS 14CM 

7:12FR(SHEATH+VALVE+DILATOR+SYRINGE+NEEDLE+GUIDE WIRE)" 聖猷達 " 剝式導管導引器 

"SJM"ENGAGE ENGAGE TR INTRODUCER(RADIA INTRODUCER)12CM 0.025"(SH+DIL+VALVE GUIDE 

WIRE+SIDEPORT 3WAY+NEEDLE)" 聖猷達 " 茵給桔導管導引器 





"GORE"INTRODUCER SHEATH WITH SILICONE PINCH VALVE(W/DILATOR)30CM 20:24FR 帶矽膞夾管 

閥導鞘 

1400 

1050 

950 

1350 

1000 

950 

1350 

950 

910 

CGS0311110BQ "BIOTEQ"INTRODUCER SET:DILATOR 4:16FR 5:30CM" 邦特 " 穿刺導入系統組 : 引流用擴張管 185 

CHA01AS202ED AORTIC PERFUSION CANNULA 790 

CHAT180271A9 " 奧圖 " 旋轉式主動脈打孔器 "ALTO" A/E ROTATING AORTIC PUNCH 918 

CHAT1VCANNL5 " 加州 " 血管套管 "CALIFORNIA" VESSEL CANNULAE 135 

CHC0110001M4 ADAPTERS 轉接器 ( 結合心肺繞道手術使用 ) 346 

CHF06EBSAXTM 

CHF06EBSVXTM 

" 泰爾茂 " 人工心肺新式導管套 "TERUMO" CAPIOX EBS CANNULA KIT WITH X COATING(ARTERIAL 

CANNULATION KIT W/INTRODUCER)* 

" 泰爾茂 " 人工心肺新式導管套 "TERUMO" CAPIOX EBS CANNULA KIT WITH X COATING(VENOUS 

CANNULATION KIT W/INTRODUCER)* 

18241 

18241 

CHF06ELS88QM ELS CANNULA 雙腔靜脈引流灌注導管 ( 含 PU 導管 + 血管擴張器 + 導線 + 穿刺針 ) 18241 

CHG02SGK14QM RETROGRADE CARDIOPLEGIA CANNULA 3184 

CHH01EE061ED "EDWARDS"LEFT VENTRICULAR VENT CATHETER 左心室用導管 568 

CHH01PE062ED LEFT VENTRICULAR VENT CATHETER 685 

CHR01CA16VQM ANTEGRADE CARDIOPLEGIA CANNULAE W/VENT 順行性心臟麻醉導管 635 

CHR01CAS16QM ANTEGRADE CARDIOPLEGIA CANNULAE 順行性心臟麻醉導管 410 

CHT01CHX30QM 

CHT01P0201QM 

PLEGIOX CARDIOPLEGIA HEAT EXCHANGER( 含 DIA-CONN,PVC-75SH,PUMP CONN,SILICONE,PVC- 

70SH,Y-CONN,ONE WAY VALVE,DIA-CONN/BL) 

BLOOD CARDIOPLEGIA SET W/PLEGIOX 具自動熱交換功能 ( 含 DIA-CONN,PVC-75SH,PUMP 

CONN,SILICONE,PVC-70SH,Y-CONN,ONE WAY VALVE,DIA-CONN/BL) 

3173 

3462 

13



CHT01VBC4CGH VISION BLOOD CARDIOPLEGIA(BLOOD MIXING+CONDUCER+COIL TUBING+MP4) 具熱交換功能 3173 

CKD01US101CK "COOK"UNIVERSA FIRM AND SOFT URETERAL STENT SET( 雙 JSTENT+GUIDE WIRE+PUSHER)" 曲克 " 

由尼維莎結實型和柔軟型輸尿管內置支架組 

CKD01US102CK "COOK"UNIVERSA FIRM AND SOFT URETERAL STENT SET( 雙 JSTENT+GUIDE WIRE+PUSHER)" 曲克 " 

由尼維莎結實型和柔軟型輸尿管內置支架組 

1570 

1570 

CKD0300951CK 

CKD0300952CK 

CKDD122334BQ 

"COOK"DOUBLE PIGTAIL STENT SET(URETERAL STENT/(SILICONE、POLYURETHANE)+GUIDE 

WIRE+PUSHER) 雙豬尾型輸尿管內置導管組 4.7-8FR 22-32CM 

"COOK"DOUBLE PIGTAIL STENT SET(URETERAL STENT/(SILICONE、POLYURETHANE)+GUIDE 

WIRE+PUSHER) 雙豬尾型輸尿管內置導管組 4.7-8FR 12-30CM 

"BIOTEQ"HEMODIALYSIS CATHETER KIT(2 LUMEN CATHETER+NEEDLE+GUIDE WIRE+DILATOR) 血 

液透析導管組 

1570 

1570 

1392 

CKDD124334BQ "BIOTEQ"2 LUMEN HEMODIALYSIS CATHETER KIT(C+N+G+D) 血液透析導管組 1392 

CKDD2SL12PM0 

CKDD323334BQ 

"MEDCOMP"SILICONE DOUBLE LUMEN CATHETERS AND 

ACCESSORIES(CATHETER+NEEDLE+GUIDE WIRE+DILATOR)" 美德康 " 矽質血液透析導管與配件 

"BIOTEQ"HEMODIALYSIS CATHETER KIT(3 LUMEN CATHETER+NEEDLE+GUIDE WIRE+DILATOR) 血 

液透析導管組 

CKN0111245BQ "BIOTEQ"DRAINAGE CATHETERAND INTRODUCER SET/KIT(C+N+G+D+ 引流管袋 + 固定貼布 ) 導管 5- 

16FR 20-50CM 

CKN0113113BQ "BIOTEQ"DRAINAGE CATHETER&INTRODUCER SET/KIT(HYDROPHILIC)5-16FR 20- 

50CM(NEEDLE+GUIDE WIRE+DILATOR+ 引流管袋 + 固定貼布 ) 引流導管及穿刺導入系統 

3509 

1738 

2975 

2975 

CLPA13007NYP "PEROUSE'POLYSITE IMPLANTABLE PORT(P+C+N+I) 全套式植入式血管輸注器 * 10370 

CLPA145213NL "NAVILYST"VAXCEL IMPLANTABLE PORTS/W PASV TECHNOLOGY (1 LUMEN)(P+C+N+I)* 10370 

CLPA145455NL 

CLPA145458NL 

CLPA145470NL 

CLPA145478NL 

CLPA166041M0 

CLPA166801M0 

VAXCEL PERIPHERALLY INSERTED CENTRAL CATHETER(PICC)(1 LUMEN)/W PASV VALVE 

TECHNOLOGY 週邊導入中央靜脈導管 * 適應症見備註 

"NAVILYST"VAXCEL PERIPHERALLY INSERTED CENTRAL CATHE(PICC)W PASV VALVE 

TECHNOLOGY(1 LUMEN)(C+N+D+G) 週邊導入中央靜脈導管 * 適應症見備註 

VAXCEL PERIPHERALLY INSERTED CENTRAL CATHETER(PICC)(2 LUMEN)/W PASV VALVE 

TECHNOLOGY 週邊導入中央靜脈導管 * 適應症見備註 

"NAVILYST"VAXCEL PERIPHERALLY INSERTED CENTRAL CATHE(PICC)W PASV VALVE 

TECHNOLOGY(2 LUMEN)(C+N+D+G) 週邊導入中央靜脈導管 * 適應症見備註 

"MEDCOMP"LOW PROFILE SHAPED CT PORTS AND ACCESSORIES(P+C+N+I) 薄型植入式輸液座與導 

管組 * 

"MEDCOMP"MID-SIZE SHAPED CT PORTS AND ACCESSORIES(P+C+N+I) 中型植入式輸液座與導管組 

* 

2960 

3050 

3000 

3500 

10370 

10370 

CLPA196001M0 "MEDCOMP"PRO-FUSE AND ACCESSORIES(P+C+N+I) 普羅福斯植入式輸液座與導管組 * 10370 

CLPA1V1TA1CK "COOK"VITAL-PORT VASCULAR ACCESS SYSTEM 注射口組 (P+C+N+I) 10370 

CLPA202701WY 

CLPA202702WY 

ACCUFUSER DISPOSABLE SILICONE BALLOON INFUSER-CONTI TYPE(275ML-10ML/HR)(550ML- 

20ML/HR) 輸液器 - 連續型 (1 日型 ))( 雙層含外殼 )* 

ACCUFUSER DISPOSABLE SILICONE BALLOON INFUSER-CONTI TYPE(275ML-5.0ML/HR)(550ML- 

10.0ML/HR) 輸液器 - 連續型 (2 日型 )( 雙層含外殼 )* 適應症見備註欄 

1000 

1100 

CLPA205240W9 ACCUFLO ELASTOMERIC INFUSION DEVICE 安可復攜帶式微量輸液器 (2 日型 )( 雙層含外殼 )* 1100 

CLPA21009KBT 2 日型 INFUSOR 輸液器 ( 雙層含外殼 ) 1100 

CLPA210240W9 ACCUFLO ELASTOMERIC INFUSION DEVICE 安可復攜帶式微量輸液器 (1 日型 )( 雙層含外殼 )* 1000 

14



CLPA21063KBT 1 日型 INFUSOR 輸液器 ( 雙層含外殼 ) 1000 

CLS05130PUSG "SIGMA"INFUSION PUMP SET 幫浦輸液套 * 180 

CLS06080PUSG "SIGMA"INFUSION PUMP SET WITH BURETTE 幫浦輸液套 * 237 

CLS06120PUSG "SIGMA"INFUSION PUMP SET LIGHT-RESISTANT 幫浦輸液套 ( 不透光型 ) 220 

CLS06V9607BT "BAXTER"LIGHT SENSITIVE DRUGS SET 避光靜脈輸液管組 220 

CLS08140PUSG "SIGMA"INFUSION PUMP SET BLOOD FILTER 幫浦輸血輸液套 230 

CLS08150PUSG "SIGMA"INFUSION PUMP SET Y-SITE BLOOD FILTER Y 型幫浦輸血輸液套 230 

CMV01MFNT2CK "COOK"MIRAFLEX MICROCATHETER 2.5FR 100:150CM 麥拉菲微導管 * 7440 

CMV020F150QM AXIUS CORONARY SHUNT* 2771 

CMV0210042SB "BOSTON SCIENTIFIC"GUIDER SOFTIP XF GUIDING CATHETER* 6923 

CMV02C5015S7 "SYNOVIS"FLO-RESTER VESSEL OCCLUDERS 血管閉塞器 2591 

CMV02GNDRAVS 

"VASCULAR SOLUTIONS"GANDRAS INTRAVASCULAR CATHETER(INFUSION)" 法斯樂舒順 " 恩德拉血 

管內導管 * 

7440 

CMV02KSAW6CK "COOK"FLEXOR GUIDING CATHETERS5-8FR 55:110MM 服來瑟引導導管 * 6923 

CMV02MC172MS "MICROVENTION"HEADWAY MICROCATHETER 前進微導管 * 7440 

CMV02PNS13UF "PENUMBRA"NEURON INTRACRANIAL ACCESS SYSTEM-SELECT CATHETER 顱內導入系統導管 * 7440 

CMV03S0RXXBL "BALT"SORCERER GUIDEWIRE 魔術師導線 * 4650 

CMV03XCEGWV9 

CMV04C0SM0MS 

CMV04H2HSVMS 

"MTI"X-CELERATOR GUIDEWIRE 0.010",0.014"300CM " 恩提愛 " 愛克西亞導引線 ( 親水性導引線 + 扭轉器 

+ 導入線導入鞘 ) 

"MICROVENTION"MICROPLEX COIL SYSTEM COSMOS COMPLEX COILS(10,18 SYSTEM)" 麥新 " 微導 

線圈栓塞系統 * 

"MICROVENTION"HYDROCOIL(HYDROSOFT HELICAL) EMBOLIC SYSTEM(10 COIL 

SIZE)1.5MM:10MM 2CM:30CM 親水性線圈栓塞系統 * 

4650 

17119 

19085 

CMV04NEST2CK "COOK"NESTER EMBOLIZATION COILS(PLATINUM)" 曲克 " 奈斯特彈簧栓塞 * 3122 

CMV070NYXXV9 "MTI"ONYX LIQUID EMBOLIC SYSTEM 歐尼斯液態栓塞系統 71000 

CMV0755055V9 "MTI"MARATHON FLOW DIRECTED MICRO CATHETERS 梅洛森微導管 12550 

CPC0101406M0 SINGLE LUMEN INFUSION CATHETER SET(C+D+GW+N) 520 

CPC0102005M0 SINGLE LUMEN INFUSION CATHETER SET 20G;24G(C+D+GW+N) 740 

CPC01ECL11BB CERTOFIX CENTRAL VENOUS CATHETER (1 

LUMEN)(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦單腔中心靜脈導管組 

CPC01PED01BB CERTOFIX CENTRAL VENOUS CATHETER(PEDIATRIC 1 

LUMEN)(CATHETER+GUIDEWIRE+NEEDLE+SCALPEL+3 WAY) 舒鈦單腔小兒用中心靜脈導管組 

520 

740 

15



CPC01PTT11BB CERTOFIX CENTRAL VENOUS CATHETER(PROTECT 1 LUMEN) 

560 

(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦抗感染單腔中心靜脈導管組 

CPC01STD11BB 

CERTOFIX CENTRAL VENOUS CATHETER(1 LUMEN)(CATHETER+DILATOR+GUIDEWIRE 

+NEEDLE+SYRINGE) 舒鈦單腔中心靜脈導管組 

520 

CPC022L715M0 DOUBLE LUMEN INFUSION CATHETER SET (C+D+GW+N+SY) 1500 

CPC022LP35M0 DOUBLE LUMEN INFUSION CATHETER SET 4FR,5FR(C+D+GW+N+SY) 1700 

CPC02ECL12BB 

CERTOFIX CENTRAL VENOUS CATHETER (2 LUMEN) (CATHETER+DILATOR+GUIDEWIRE+NEEDLE+ 

SYRINGE) 舒鈦雙腔中心靜脈導管組 

1500 

CPC02PED02BB CERTOFIX CENTRAL VENOUS CATHETER (PEDIATRIC 2 

LUMEN)(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦雙腔小兒用中心靜脈導管組 

1700 

CPC02PEUD1CK SPECTRUM AND SPECTRUM PEDIATRIC 2 LUMEN CVP CATHETER 4.0~5.0FR(C+N+D+G+S) 1835 

CPC02PTT12BB 

CERTOFIX CENTRAL VENOUS CATHETER (PROTECT 2 LUMEN) 

(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦抗感染雙腔中心靜脈導管組 

1620 

CPC02SDLM1CK SPECTRUM PEDIATRIC 2 LUMEN CVP CATHETER 4.0FR(C+N+D+G+S) 1835 

CPC02STD12BB 

CERTOFIX CENTRAL VENOUS CATHETER(2 

LUMEN)(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦雙腔中心靜脈導管組 

1500 

CPC02UDLM2CK SPECTRUM AND SPECTRUM 2 LUMEN CVP CATHETER 7.5-8.0FR(C+N+D+G+S) 1620 

CPC02UDLM3CK 2 LUMEN SPECTRUM CENTERAL VENOUS CATHETER 抗感染導管 1620 

CPC033L715M0 TRIPLE LUMEN INFUSION CATHETER SET (C+D+GW+N+SY) 1800 

CPC033LP58M0 TRIPLE LUMEN INFUSION CATHETER SET 5.5FR(C+D+GW+N+SY) 2050 

CPC03ECL13BB 

CERTOFIX CENTRAL VENOUS CATHETER (3 LUMEN) 

(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦三腔中心靜脈導管組 

1800 

CPC03PED03BB CERTOFIX CENTRAL VENOUS CATHETER (PEDIATRIC 3 

LUMEN)(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦三腔小兒用中心靜脈導管組 

2050 

CPC03PTT13BB 

CPC03STD13BB 

CERTOFIX CENTRAL VENOUS CATHETER(PROTECT 3 LUMEN) 

(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦抗感染三腔中心靜脈導管組 

CERTOFIX CENTRAL VENOUS CATHETER(3 

LUMEN)(CATHETER+DILATOR+GUIDEWIRE+NEEDLE+SYRINGE) 舒鈦三腔中心靜脈導管組 

1950 

1800 

CPC03UTLM1CK SPECTRUM AND SPECTRUM 3 LUMEN CVP CATHETER 7.0-9.0FR(C+N+D+G+S) 1950 

CPC03UTLM3CK 3 LUMEN SPECTRUM CENTERAL VENOUS CATHETER 抗感染導管 1950 

CPC03UTPEDCK SPECTRUM AND SPECTRUM PEDIATRIC 3 LUMEN CVP CATHETER 5FR(C+N+D+G+S) 2200 

CPC09X3820ED 

PRESEP OXIMETRY CATHETER 3LUMEN (PROBE+3 LUMEN CVP KIT(CATHETER+DILATOR+GUIDE 

WIRE+NEEDLE+SYRINGE) 裴瑟週邊血氧濃度導管 

7300 

CPM0352026BB COMBITRANS MONITORING SETS(FD+TR+3WAYX2+TUBING) 康比得壓力監測組 650 

CPM0352036BB COMBITRANS MONITORING SETS: DISPOSABLE TRANSDUCER 康比得壓力監測組 : 壓力轉換器 554 

CPM03PX12NED "EDWARDS"TRUWAVE NEONATAL PEDIATRIC DISPOSABLE PRESSURE TRANSDUCER (1 TR) ( 

TR+FD+TUBING+3WAYX2)" 愛德華 " 凸威壓力傳導器 :1TR 小兒 

CPM03PX1X0ED "EDWARDS"TRUWAVE DISPOSABLE PRESSURE TRANSDUCER (1 TR 2WAY) 2X( 

TR+FD+TUBING+3WAYX2)" 愛德華 " 凸威壓力傳導器 :1TR 2WAY 

734 

930 

16



CPM03PX260ED "EDWARDS"TRUWAVE DISPOSABLE PRESSURE TRANSDUCER (1 DOME)( TR+FD+TUBING+3WAY)" 650 

愛德華 " 凸威壓力傳導器 :1TR 

CPM03PX2X2ED 

"EDWARDS"TRUWAVE DISPOSABLE PRESSURE TRANSDUCER (2 TR) 2X( TR+FD+TUBING+3WAY)" 

愛德華 " 凸威壓力傳導器 :2TR 

1050 

CPM03PX3X7ED "EDWARDS"TRUWAVE DISPOSABLE PRESSURE TRANSDUCER (3 TR) 3X( 

TR+FD+TUBING+3WAYX2)" 愛德華 " 凸威壓力傳導器 :3TR 

1300 

CPM03PX604ED 

CRE04C0060UW 

CRE06C0040UW 

CRT0253065VK 

"EDWARDS"TRUWAVE DISPOSABLE PRESSURE TRANSDUCER(FLUSH DEVICE X1+ STOPCOCK 1)" 愛 

德華 " 凸威壓力傳導器 :1TR 

" 巫諾 " 氣管內管 "UNOMEDICAL" ENDOTRACHEAL TUBES( 鼻彎低壓氣囊 ) * 處置使用可申報 , 手術使 

用不另給付 

" 巫諾 " 氣管內管 "UNOMEDICAL" ENDOTRACHEAL TUBES( 口彎低壓氣囊 ) * 處置使用可申報 , 手術使 


" 旭邦 " 柔得多標準型氣切管 ( 一次使用型 )"VITALTEC" ROTA-TRACH STANDARD TRACHEOSTOMY 

TUBE 

554 

245 

227 

332 

CRT02C0065MU 華新氣切套管 MODERN TRACHEOSTOMY TUBE 332 

CRT02U0065MU 華新氣切套管 MODERN TRACHEOSTOMY TUBE 332 

CRT10PTS01CK 

CRT10PTS02CK 

„ 曲克 ‟ 藍犀牛氣管引導器組 „COOK‟CIAGLIA BLUE RHINO PERCUTANEOUS TRACHEOSTOMY 

INTRODUCER SET* 

„ 曲克 ‟ 藍犀牛氣管引導器組 „COOK‟CIAGLIA BLUE RHINO PERCUTANEOUS TRACHEOSTOMY 

INTRODUCER SET* 

4500 

4500 

CVC01AMK4JK0 CARDIAC CATHETER(AMPLATZ)4-6FR 100CM 700 

CVC01CAPGTMR ANGIOGRAPHIC CATHETERS PIGTAIL CATHETER 700 

CVC01JKK4JK0 CARDIAC CATHETER(JUDKINS)4-6FR 100CM 700 

CVC01MLK4JK0 CARDIAC CATHETER(MULTIPURPOSE)4-6FR 100CM 700 

CVC01P1K4JK0 CARDIAC CATHETER(PIGTAIL)4-6FR 110-130CM 700 

CVC01RAK4JK0 CARDIAC CATHETER(INTERNAL MAMMARY, CORONARY BYPASS, RADIAL)4-6FR 100CM 700 

CVC01RH001TM TERUMO RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATHETER 泰爾茂歐帝克血管攝影導管 700 

CVC01RH002TM TERUMO RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATHETER 泰爾茂歐帝克血管攝影導管 700 

CXE01SDECAST 「“ 聖猷達 ” 史普力米生理電極導管 ”SJM”SUPREME ELECTROPHYSIOLOGY CATHETER」十極 11080 

CXE01SQUADST 「“ 聖猷達 ” 史普力米生理電極導管 ”SJM”SUPREME ELECTROPHYSIOLOGY CATHETER」- 四極 8090 

CXE0281504YB " 爾灣 " 電生理診斷導管 "IBI" ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER( 十極 ) 16370 

CXE028478NYB 

" 爾灣 " 電生理診斷導管 "IBI" ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER-QUADRIPOLAR 

STEERABLE 5F 

14090 

CXE02848STYB " 爾灣 " 電生理診斷導管 "IBI" ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER( 四極 ) 14090 

CXE02849STYB " 爾灣 " 電生理診斷導管 "IBI" ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER( 四極 ) 14090 

CXE02D4028ST " 聖猷達 " 可控式螺旋頭導管 "SJM" REFLEXION SPIRAL VARIABLE RADIUS CATHETER 16370 

17



CXE02LVW04ST “ 聖猷達 ” 可控式生理電極導管 ”SJM”LIVEWIRE STEERABLE ELECTROPHYSIOLOGY CATHETER- 14090 

4 極 

CXE02LVW10ST 

“ 聖猷達 ” 可控式生理電極導管 ”SJM”LIVEWIRE STEERABLE ELECTROPHYSIOLOGY CATHETER- 

10 極 

16370 

CXE033100TBA " 巴德 " 天蠍電燒電極導管 "BARD" SCORPION ABLATION CATHETER 24285 

CXE03ASU23FW " 艾科 " 電刀設備及其附件 "ATRICURE" ABLATION AND SENSING UNIT AND ACCESSORIES* 40854 

CXE03BD74LWE 

CXE03BD78LWE 

“ 百歐森偉伯斯特 ” 易擊史遞兒雙向可彎式診斷 / 電燒導管 “BIOSENSE WEBSTER”EZ STEER BI- 

DIRECTIONAL DIAGNOSTIC/ABLATION DEFLECTABLE TIP CATHETER 

“ 百歐森偉伯斯特 ” 易擊史遞兒雙向可彎式診斷 / 電燒導管 BIOSENSE WEBSTER EZ STEER DS BI- 

DIRECTIONAL DIAGNOSTIC/ABLATION DEFLECTABLE TIP CATHETER 

24285 

24285 

CXE03SAFFRST " 聖猷達 " 雙向電燒導管 "SJM" SAFIRE BI-DIRECTIONAL ABLATION CATHETER 24285 

CXE04EACECST " 聖猷達 " 恩賽導管 "SJM" ENSITE ARRAY CATHETER* 53000 

CXE05NN75TWE 

藍星攝氏灌注冷卻式溫控電生理導管 BIOSENSE WEBSTER NAVI-STAR/CELCIUS THERMOCOOL 

DIAGNOSTIC/ABLATION DEFLECTABLE TIP CATHETER 適應症見備註欄 

78000 

CXE05TCPACYB " 爾灣 " 瑟爾皮庫爾帕斯心臟電燒導管 "IBI" THERAPY COOL PATH ABLATION CATHETER* 78000 

FALSMHBEC11B 

FALSNMULT2A1 

FALSNMULT3A2 

FALSNT0RC2A1 

FALSNT0RCARY 

FALSNWAVE1HY 

OII HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER INTRAOCULAR LENS W/U.V. ABSORBER 艾絲 

抗紫外線疏水性丙烯酸脂後房人工水晶體 

ACRYSOF IQ RESTOR MULTI FOCAL INTRAOCULAR LENS 可舒銳視妥智慧型非球面多焦點軟式人工 

水晶體 ( 可濾部分藍光 ), 部分給付品項 , 差額由病患自付。 

TECNIS MULTIFOCAL IOL 多焦點人工水晶體 , 按一般功能人工水晶體價格給付 , 超過部分由病患自 

付 

ACRYSOF IQ TORIC SINGLE PIECE NATURAL IOL 散光矯正軟式人工水晶體 , 按一般功能人工水晶體 

價格給付 , 超過部分由病患自付 

"RAYNER"T-FLEX ASPHERIC HYDROPHILIC INTRAOCULAR LENSES" 銳能 " 散光非球面人工晶體 , 按 

一般功能人工水晶體價格給付 , 超過部分由病患自付 

"HOYA"HOYA-PS AF-I(UY)INTRAOCULAR LENS" 豪雅 " 植入器預載式人工水晶體 ※ 非球面過瀘藍光人 

工水晶體 , 超過部分由病患自付 

2843 

2843 

2843 

2843 

2843 

2843 

FAV01VA10CLB "MBI"VISCAID OPHTHALMIC VISCOELASTIC(1.0CC)" 和康 " 維視愛眼科黏彈劑 2204 

FBA0131280DP CRANIOPLASTIC (POWDER 30G+LIQUID 16.17G/20 分鐘 ) 頭顱整形泥 8000 

FBA0217XXNLV TITANIUM STAPLIZER POWERED METAPHYSEAL STAPLE 546 

FBA0228607SN KRACKOW HTO BLADE STAPLES ( 鈷鉻鉬 ) 3190 

FBA0228673SN OSTEOTOMY FIXATION STAPLES( 鈷鉻鉬 ) 1750 

FBA0228690SN REGULAR FIXATION STAPLES( 鈷鉻鉬 ) 978 

FBA0228698SN TABLE FIXATION STAPLES( 鈷鉻鉬 ) 2153 

FBA022869NSN BONE STAPLE(ㄇ型 )( 鈷鉻鉬 ) 978 

FBA0228720SN SHORT LEG FIXATION STAPLES( 鈷鉻鉬 ) 978 

FBA022872NSN BONE STAPLE IRREGULAR/SHORT FIXATION STAPLE(ㄇ型 )( 鈷鉻鉬 ) 978 

18



FBA040CB01FQ NANO OSTEOCERA BONE GRAFT SUBSTITUTE STICK 5X5X20MM(2CM3) 人工骨替代物 * 4179 

FBA040CB02FQ NANO OSTEOCERA BONE GRAFT SUBSTITUTE STICK 5X5X10MM(2CM3) 人工骨替代物 * 4179 

FBA040CG01FQ NANO OSTEOCERA BONE GRAFT SUBSTITUTE GRANULE 2-3MM(5CM3) 人工骨替代物 * 5467 

FBA040CG02FQ NANO OSTEOCERA BONE GRAFT SUBSTITUTE GRANULE 1-2MM(5CM3) 人工骨替代物 * 5467 

FBA040CG03FQ NANO OSTEOCERA BONE GRAFT SUBSTITUTE GRANULE 0.5-1MM(5CM3) 人工骨替代物 * 5467 

FBA04AG01RF8 

FBA04AG03RF8 

FBA04AG05RF8 

FBA04AG10RF8 

FBA04AG15RF8 

FBA04AG20RF8 

"FORMOSA"BONE GRAFT-CALTRIX(RESORBABLE BONE VOID FILLER)1ML" 台塑生醫 " 人工代用骨 

( 再吸收骨填充物 )* 

"FORMOSA"BONE GRAFT-CALTRIX(RESORBABLE BONE VOID FILLER) 3 ML 人工代用骨 ( 再吸收骨填 

充物 )* 


充物 )* 







2565 

4179 

5467 

8791 

10525 

12062 

FBA04BCB01FQ NANO BICERA BONE GRAFT SUBSTITUTE GRANULE 5X5X20MM(2 CM3) 人工骨替代物 * 4179 

FBA04BCB02FQ NANO BICERA BONE GRAFT SUBSTITUTE GRANULE 5X5X10MM(2 CM3) 人工骨替代物 * 4179 

FBA04BCG01FQ NANO BICERA BONE GRAFT SUBSTITUTE GRANULE2-3MM(5.0 CM3) 人工骨替代物 * 5467 

FBA04BCG02FQ NANO BICERA BONE GRAFT SUBSTITUTE GRANULE 1-2MM(5.0 CM3) 人工骨替代物 * 5467 

FBA04BCG03FQ NANO BICERA BONE GRAFT SUBSTITUTE GRANULE 0.5-1MM(5.0 CM3) 人工骨替代物 * 5467 

FBA04CA01RF8 

FBA04CA03RF8 

FBA04CA05RF8 

FBA04CA10RF8 

FBA04CA15RF8 

FBA04CA20RF8 




充物 )* 


充物 )* 

"FORMOSA"BONE GRAFT-CALTRIX(RESORBABLE BONE VOID FILLER) 10 ML 人工代用骨 ( 再吸收骨 

填充物 )* 


填充物 )* 


填充物 )* 

2565 

4179 

5467 

8791 

10525 

12062 

FBA04PB005YG OSTEO-G BONE VOID FILLER DEVICE 5G 奧斯吉骨填充裝置 * 適應症請件備註欄 5467 

FBA04PB103YG OSTEO-G BONE VOID FILLER DEVICE 3 CC 奧斯吉骨填充裝置 * 適應症請件備註欄 4179 

FBA04PB106YG OSTEO-G BONE VOID FILLER DEVICE 6 CC 奧斯吉骨填充裝置 * 適應症請件備註欄 5467 

FBD005970NS9 OMEGA3 HIP PLATE CHS SYSTEM 歐米加三固定系統 (PLATEX1+LAG SCREW+COMP SCREW) 8497 

19



FBD005973NS9 OMEGA3 HIP PLATE SYSTEM 歐米加三固定系統 (PLATEX1+LAG SCREW+COMP SCREW) 8500 

FBEFP02101SN ILIZAROV WIRE 1.5MM 475 

FBEFP02102SN ILIZAROV WIRE 1.8MM 475 

FBEFP02106SN ILIZAROV WIRE 1.5MM (WITH STOPPER) 1337 

FBEFP02107SN ILIZAROV WIRE 1.8MM(WITH STOPPER) 1337 

FBEFP24831SN HALF PIN 4MM 615 

FBEFP248XNSN SKELETAL TRACTION FULL PIN ALL SIZE (COVE POINT PIN) 1191 

FBHB11503NU0 "UNITED"HIP SYSTEM-U2 BIPOLAR IMPLANT:CUP+LINER " 聯合 " 雙極半髖人工髖關節 : 髖臼杯 + 內襯 11152 

FBHBA3000NU0 "UNITED"HIP SYSTEM-U2 BIPOLAR IMPLANT " 聯合 " 雙極半髖人工髖關節 38177 

FBHC14930NH1 ACETABULAUM CUP 11152 

FBHH16260NS2 HA FEMORAL HEAD 4696 

FBHHC6565NH1 

FBHHCCERA2W2 

CERAMIC HEAD※ 凡只更換股骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統股骨頭給付 , 超過部分 

由病患自付。 

"WRIGHT"DYNASTY ACETABULAR CUP SYSTEM:CERAMIC HEAD 陶瓷股骨頭 ※ 凡只更換股骨頭者 

, 則按傳統股骨頭給付 , 超過部份由病患自付。 

4696 

4696 

FBHL1PNNPEDP "DEPUY" PINNACLE ACETABULAR SYSTEM " 帝富 " 可耐髖人工髖臼杯系統 4336 

FBHLC4936NH1 

CERAMIC INSERT※ 凡只更換髖臼杯內襯者 , 如自願選用陶瓷髖臼杯內襯時 , 則按傳統髖臼杯內襯給 

付 , 超過部分由病患自付。 

4336 

FBHPA2000NS2 TOTAL HIP SYSTEM(STEM+CUP+INSERT+HEAD) 42513 

FBHPA4845NH1 ABG TOTAL HIP SYSTEM (STEM+CUP+HEAD+INSERT) 愛必吉全人工髖關節組 42513 

FBHPC4845NH1 

ABG CERAMIC TOTAL HIP SYSTEM※ 凡符合傳統人工髖關節組之適應症者 , 如自願選用陶瓷人工髖 

關節組時 , 按傳統人工髖關節組給付 , 超過部分由病患自付。 

42513 

FBHRA5000TZ1 CPT REVISION HIP SYSTEM(CUP+LINER+HEAD+STEM) 捷奔特髖關節組 55313 

FBHS14845NH1 ABG TOTAL HIP SYSTEM:STEM 股骨柄 22329 

FBHS1PRFMNW2 PROFEMUR HIP SYSTEM:FEMORAL STEM ( 含 NECK) 22329 

FBHS38114NZ1 CPT REVISION HIP SYSTEM:STEM 捷奔特髖關節系統 ( 股骨柄 ) 35129 

FBKA22600NU0 FEMORAL AUGMENT SET( 後端遠側 - 整塊 ) 6510 

FBKA22603NU0 FEMORAL AUGMENT SET 3006 

FBKA22803NU0 TIBIAL AUGMENT SET 3006 

FBKE22700NU0 CURVED EXTENSION STEM 5710 

20



FBKF11890NW2 "WRIGHT"ADVANCE TOTAL KNEE SYSTEM FEMORAL " 瑞德 " 艾德凡斯人工膝關節系統 : 股骨 19367 

FBKF22103NU0 FEMORAL COMPONENT PSA TYPE 19367 

FBKF26000NS2 FEMORAL COMPONENT 19367 

FBKL10460NDP PFC INSERT 8309 

FBKL13000NW2 "WRIGHT"ADVANCE TOTAL KNEE SYSTEM:INSERT(DOUBLE HIGH)" 瑞德 " 艾德凡斯人工膝關節系統 : 

脛骨襯墊 

13953 

FBKL19602NDP PFC E CURCIATE RETAINING TIBIAL INSERT 8309 

FBKL22303NU0 TIBIAL INSERT PSA TYPE 25559 

FBKP10417NDP PFC PATELLA 6344 

FBKPA3000NW2 

"WRIGHT"ADVANCE TOTAL KNEE SYSTEM(DOUBLE HIGH) " 瑞德 " 艾德凡斯人工膝關節系統高彎曲 

度 

54597 

FBKRA1100NU0 U2 REVISION TOTAL KNEE SYSTEM(FEMORAL+TIBIAL+INSERT+PATELLA) 66203 

FBKRA6000NS2 SCORPIO TOTAL KNEE REVISION SYSTEM 66203 

FBKS12703NU0 EXTENSION STRAIGHT STEM PSA TYPE 5710 

FBKT10411NDP PFC TIBIAL(PRIMARY 或 REVISION) 14933 

FBKT22203NU0 TIBIAL BASEPLATE PSA TYPE 14933 

FBKT26000NS2 TIBIAL TRAY 14933 

FBM01203XNSN MOORE PROSTHESES 8493 

FBN04403SSY2 STAINLESS INTERLOCKING SCREW 骨髓內固定螺絲 1350 

FBN04403STY2 TITANIUM KING BO INTERLOCKING SCREW 鈦合金骨髓內固定螺絲 1458 

FBN05403FSY2 STAINLESS FEMUR INTERLOCKING NAIL(NAILX1+SCREWX3) 股骨髓內釘組 9472 

FBN05403FTY2 

TITANIUM KING BO FEMUR INTERLOCKING NAIL SYSTEM(NAILX1+LOCKING BOLTX3) 鈦合金股骨 

髓內釘組 

10229 

FBN05403HSY2 STAINLESS HUMERAL INTERLOCKING NAIL(NAILX1+SCREWX3) 肱骨髓內釘組 9472 

FBN05403HTY2 TITANIUM KING BO HUMERAL INTERLOCKING NAIL SYSTEM(NAILX1+LOCKING BOLTX3) 10229 

FBN05403TSY2 STAINLESS TIBIA INTERLOCKING NAIL(NAILX1+SCREWX3) 脛骨髓內釘組 9472 

FBN05403TTY2 TITANIUM TIBIA INTERLOCKING NAIL SYSTEM(NAILX1+LOCKING BOLTX3) 脛骨髓內釘組 10229 

FBNG13120NS9 GAMMMA3 TI SYSTEM 鈦合金股骨固定系統 (NX1+SX3) 19440 

FBNG1403GSY2 STAINLESS GAMMA INTERLOCKING NAIL SYSTEM (NAILX1+LOCKINGX3) 伽瑪釘單孔 ( 骨髓內釘組 ) 18000 

21



FBNG1403GTY2 TITANIUM KING BO GAMMA LOCKING NAIL SYSTEM(NAILX1+LOCKING BOLTX3) 19440 

FBPS1006XNXH W/D PROSTHESIS 健保給付腕關節離斷義肢 42000 

FBPS1007XNXH E/D PROSTHESIS 健保給付肘關節離斷義肢 62000 

FBPS1008XNXH A/E PROSTHESIS 健保給付肘關節以上截肢義肢 65000 

FBPS1009XNXH B/E PROSTHESIS 健保給付肘下功能性義肢 42000 

FBPS1010XNXH S/D PROSTHESIS 健保給付功能性肩關節離斷義肢 65000 

FBPS1011XNXH FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 65000 

FBPS1012XNXH A/E COSMETIC PROSTHESIS 健保給付美觀性肘關節以上截肢義肢 23000 

FBPS1013XNXH B/E COSMETIC PROSTHESIS 健保給付肘關節以下美觀義肢 14000 

FBPS1014XNXH S/D COSMETIC PROSTHESIS 健保給付美觀性肩關節離斷義肢 32300 

FBPS1015XNXH TRANS-CARPAL COSMETIC PROSTHESIS 健保給付橫掌截肢義肢 7300 

FBPS1016XNXH PARTIAL FINGER COSMETIC PROSTHESIS 健保給付手指截肢義肢 4800 

FBPS2006XNXH 

FBPS2007XNXH 

FBPS2008XNXH 

W/D PROSTHESIS 部分給付腕關節離斷義肢 , 按健保給付之腕關節離斷義肢給付 , 超過部分由病患自 

付 . 

E/D PROSTHESIS 部分給付肘關節離斷義肢 , 按健保給付之肘關節離斷義肢給付 , 超過部分由病患自 

付 . 

A/E PROSTHESIS 部分給付肘關節以上截肢義肢 , 按健保給付之肘關節以上截肢義肢給付 , 超過部分由 

病患自付 . 

42000 

62000 

65000 

FBPS2009XNXH B/E PROSTHESIS 部分給付肘下功能性義肢 , 按健保給付之肘下功能性義肢給付 , 超過部分由病患自付 . 42000 

FBPS2010XNXH 

FBPS2011XNXH 

FBPS2012XNXH 

S/D PROSTHESIS 部分給付功能性肩關節離斷義肢 , 按健保給付之功能性肩關節離斷義肢給付 , 超過部 

分由病患自付 . 

FOREQUATER PROSTHESIS 部分給付肩胛截除義肢 , 按健保給付之肩胛截除義肢給付 , 超過部分由病 

患自付 . 

A/E COSMETIC PROSTHESIS 部分給付美觀性肘關節以上截肢義肢 , 按健保給付之美觀性肘關節以上 

截肢義肢給付 , 超過部分由病患自付 . 

FBPS2013XNXH B/E COSMETIC PROSTHESIS 部分給付肘關節以下美觀義肢 , 按健保給付之肘關節以下美觀義肢給付 , 

超過部分由病患自付 . 

FBPS2014XNXH 

S/D COSMETIC PROSTHESIS 部分給付美觀性肩關節離斷義肢 , 按健保給付之美觀性肩關節離斷義肢 

給付 , 超過部分由病患自付 

FBPS2015XNXH TRANS-CARPAL COSMETIC PROSTHESIS 部分給付橫掌截肢義肢 , 按健保給付之橫掌截肢義肢給付 , 


FBPS2016XNXH PARTIAL FINGER COSMETIC PROSTHESIS 部分給付手指截肢義肢 , 按健保給付之手指截肢義肢給付 , 


65000 

65000 

23000 

14000 

32300 

7300 

4800 

FBS0421654SN CANNULATED HIP PIN SYSTEM(STAINLESS STEEL) 2000 

FBS0421810SN CANNULATED SCREW(STAINLESS STEEL) 2000 

FBS0461040SN CANNULATED SCREW(TITANIUM) 2160 

22



FBS082870BKL MEGAFIX BIOABSORBABLE INTERFERENCE SCREW 可吸收性韌帶螺釘 ※ 限用於十字韌帶重建手術 5000 

者 

FBS082870TKL MEGAFIX-T INTERFERENCE SCREW ※ 限實施十字韌帶重手術使用 4500 

FBSF1000021A MONT BLANC SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1000031A MONT BLANC SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF110002U0 "UNITED"CENTURY SPINAL SYSTEM (S*4+R*2) " 聯合 " 世紀脊椎固定系統二節 27702 

FBSF110003U0 "UNITED"CENTURY SPINAL SYSTEM (S*6+R*2) " 聯合 " 世紀脊椎固定系統 ( 三節 ) 40464 

FBSF16200NS9 TITANIUM SPINAL IMPLANT(DIAPASON)(RX2+SX4) 脊椎人工置換組 : 二節 27702 

FBSF16201NS9 TITANIUM SPINAL IMPLANT (DIAPASON)(SX4+RX2) 脊椎人工置換組 : 二節 ( 免事前審查 ) 13816 

FBSF16300NS9 TITANIUM SPINAL IMPLANT(DIAPASON)(RX2+SX6) 脊椎人工置換組 : 三節 40464 

FBSF16301NS9 TITANIUM SPINAL IMPLANT (DIAPASON)(SX6+RX2) 脊椎人工置換組 : 三節 ( 免事前審查 ) 20044 

FBSF180003RK TITANIUM SPINAL SYSTEM 二節 (SX4+RX2) 27702 

FBSF180004RK TITANIUM SPINAL SYSTEM 三節 (SX6+RX2) 40464 

FBSF180005RK TITANIUM SPINAL SYSTEM 二節 (SX4+RX2) 27702 

FBSF180006RK TITANIUM SPINAL SYSTEM 三節 (SX6+RX2) 40464 

FBSF183NP2Y2 

FBSF183NP3Y2 

"SYNTEC" AREIKEN SPINAL FIXATION SYSTEM(RX2+SX4)" 亞太醫療 " 亞力健脊椎固定系統 ( 二節 ) 免事 

前審查 

"SYNTEC" AREIKEN SPINAL FIXATION SYSTEM(RX2+SX6)" 亞太醫療 " 亞力健脊椎固定系統 ( 三節 ) 免事 

前審查 

13816 

20044 

FBSF188CP2Y2 "SYNTEC" COLISEUM SPINAL FIXATION SYSTEM " 亞太醫療 " 高立捷脊椎固定系統二節 (RX2+SX4) 27702 

FBSF188CP3Y2 "SYNTEC" COLISEUM SPINAL FIXATION SYSTEM " 亞太醫療 " 高立捷脊椎固定系統三節 40464 

FBSF188NP2Y2 "SYNTEC" COLISEUM SPINAL FIXATION SYSTEM " 亞太醫療 " 高立捷脊椎固定系統二節 (RX2+SX4) 13816 

FBSF188NP3Y2 "SYNTEC" COLISEUM SPINAL FIXATION SYSTEM " 亞太醫療 " 高立捷脊椎固定系統三節 (RX2+SX6) 20044 

FBSF1ASY05AQ TITANIUM SMARTLOC EVOLUTION SPINAL SYSTEM 二節 (SX4+RX2) 27702 

FBSF1ASY06AQ TITANIUM SMARTLOC EVOLUTION SPINAL SYSTEM 三節 (SX6+RX2) 40464 

FBSF1LCLR2GZ SPINAL SYSTEM (RX2+SX4) 脊椎系統二節免事前審查 13816 

FBSF1LCLR3GZ SPINAL SYSTEM (RX2+SX6) 脊椎系統三節免事前審查 20044 

FBSF1PCS01WG "WILTROM"SPINAL FIXATION SYSTEM(RX2+SX4)" 威創 " 脊椎固定系統二節 ( 免事前審查 ) 13816 

FBSF1PCS02WG "WILTROM"SPINAL FIXATION SYSTEM(RX2+SX6)" 威創 " 脊椎固定系統三節 ( 免事前審查 ) 20044 

23



FBSF2000021A MONT BLANC SPINAL ROD 短 1089 

FBSF2000041A MONT BLANC SPINAL ROD 長 3218 

FBSF265041S9 TITANIUM SPINAL IMPLANT (DIAPASON):ROD 40:60MM 脊椎人工置換組 : 固定桿 ( 免事審查 ) 679 

FBSF26504NS9 TITANIUM SPINAL IMPLANT(DIAPASON):ROD 70:100MM 脊椎人工置換組 : 固定桿 1089 

FBSF265111S9 TITANIUM SPINAL IMPLANT(DIAPASON):ROD 110:250MM 脊椎人工置換組 : 固定桿 ( 免事前審查 ) 1851 

FBSF26511NS9 TITANIUM SPINAL (DIAPASON)ROD 26:40CM 脊椎人工置換組 : 固定桿 3218 

FBSF2839NLY2 

FBSF2839NSY2 

"SYNTEC" AREIKEN SPINAL FIXATION SYSTEM:ROD " 亞太醫療 " 亞力健脊椎固定系統 : 連結棒 ( 長 

節 )11.5~45CM, 免事前審查 

"SYNTEC" AREIKEN SPINAL FIXATION SYSTEM:ROD " 亞太醫療 " 亞力健脊椎固定系統 : 連結棒 ( 短 

節 )2~11CM, 免事前審查 

1851 

679 

FBSF2860NSY2 ROD 連結棒 - 短節 679 

FBSF2886NLY2 ROD 連結棒 - 長節 1851 

FBSF2887CLY2 ROD 連結棒 - 長節 3218 

FBSF2887CSY2 ROD 連結棒 - 短節 1089 

FBSF2ASYR3AQ TITANIUM SMARTLOC EVOLUTION SPINAL ROD 40MM:100MM 1089 

FBSF2ASYR4AQ TITANIUM SMARTLOC EVOLUTION SPINAL ROD 110:600MM 3218 

FBSF2L3401U0 "UNITED"CENTURY SPINAL SYSTEM:ROD 11:51CM " 聯合 " 世紀脊椎固定系統固定桿 ( 長節 ) 3218 

FBSF2LR001GZ SPINAL ROD 脊椎固定桿短節免事前審查 679 

FBSF2LR002GZ SPINAL ROD 脊椎固定桿長節免事前審查 1851 

FBSF2M2PLTZ6 M2 SPINAL POSTERIOR SYSTEM:PLATE M2 脊椎後方固定系統 : 骨板免事前審查 679 

FBSF2R3401U0 "UNITED"CENTURY SPINAL SYSTEM:ROD 3:10CM " 聯合 " 世紀脊椎固定系統固定桿 ( 短節 ) 1089 

FBSF2RD01TWG 

FBSF2RD02TWG 

"WILTROM"SPINAL FIXATION SYSTEM:TITANIUM SPINAL ROD 50:100MM" 威創 " 脊椎固定系統 : 連接 

桿 50:100MM( 免事前審查 ) 

"WILTROM"SPINAL FIXATION SYSTEM:TITANIUM SPINAL ROD 125:500MM" 威創 " 脊椎固定系統 : 連接 

桿 125:500MM( 免事前審查 ) 

679 

1851 

FBSF3000031A MONT BLANC SPINAL HOOK 5375 

FBSF340051WG "WILTROM"SPINAL FIXATION SYSTEM:HOOK" 威創 " 脊椎固定系統 : 椎弓鉤 5375 

FBSF4000041A MONT BLANC SPINAL SCREW 6381 

FBSF41600NB0 OPS TITANIUM SPINAL SCREW 脊椎骨質疏鬆內固定釘 14400 

FBSF44002TWG 

"WILTROM"SPINAL FIXATION SYSTEM:PEDICLE SCREW U TYPE" 威創 " 脊椎固定系統 : 脊椎骨釘 U 型 

( 免事前審查 ) 

3114 

24



FBSF44004TWG "WILTROM"SPINAL FIXATION SYSTEM:PEDICLE SCREW REDUCTION U TYPE" 威創 " 脊椎固定系統 : 脊 3114 

椎骨釘 U 型折斷 ( 免事前審查 ) 

FBSF44005TWG "WILTROM"SPINAL FIXATION SYSTEM:CANNULATED REDUCTION PEDICLE SCREW U TYPE" 威創 " 

脊椎固定系統 : 脊椎骨釘中空折斷 U 型 

6381 

FBSF44006TWG 

FBSF44007TWG 

"WILTROM"SPINAL FIXATION SYSTEM:PEDICLE SCREW AXIAL U TYPE" 威創 " 脊椎固定系統 : 脊椎骨 

釘 U 型多軸向 ( 免事前審查 ) 

"WILTROM"SPINAL FIXATION SYSTEM:PEDICLE SCREW POLY-AXIAL REDUCTION U TYPE" 威創 " 脊 

椎固定系統 : 脊椎骨釘 U 型多軸向折斷 ( 免事前審查 ) 

3114 

3114 

FBSF44008TWG "WILTROM"SPINAL FIXATION SYSTEM:CANNULATED PEDICLE SCREW POLY-AXIAL U TYPE" 威創 " 

脊椎固定系統 : 脊椎骨釘中空 U 型多軸向 

6381 

FBSF44009TWG 

"WILTROM"SPINAL FIXATION SYSTEM:CANNULATED PEDICLE SCREW POLY-AXIAL REDUCTION U 

TYPE" 威創 " 脊椎骨釘中空 U 型多軸向折斷 

6381 

FBSF44010TWG "WILTROM"SPINAL FIXATION SYSTEM:CANNULATED PEDICLE SCREW U TYPE" 威創 " 脊椎固定系統 : 

脊椎骨釘中空 U 型 

6381 

FBSF44995NS1 TITANIUM CLICK'X PEDICLE SCREW ( 免事前審查 ) 3114 

FBSF464001S9 TITANIUM SPINAL (DIAPASON)SCREW 脊椎人工置換組 : 骨釘 ( 免事前審查 ) 3114 

FBSF46400NS9 TITANIUM SPINAL(DIAPASON)SCREW 脊椎人工置換組 : 骨釘 6381 

FBSF4832NNY2 

"SYNTEC" AREIKEN SPINAL FIXATION SYSTEM:MONOAXIAL SCREW" 亞太醫療 " 亞力健脊椎固定系 

統單軸骨釘 , 免事前審查 

3114 

FBSF4884CHY2 POLYAXIAL SCREW 多軸骨釘 6381 

FBSF4886NNY2 MONOAXIAL SCREW 單軸骨釘 3114 

FBSF4895NNY2 MONOAXIAL SCREW 單軸骨釘 3114 

FBSF4896CHY2 POLYAXIAL SCREW 多軸骨釘 6381 

FBSF4ASYS3AQ TITANIUM SMARTLOC EVOLUTION SPINAL SCREW 6381 

FBSF4BA005RK TITANIUM SPINAL SCREW 6381 



FBSF4LC004GZ SPINAL SCREW 脊椎固定釘免事前審查 3114 

FBSF4M2PCNZ6 M2 SPINAL POSTERIOR SYSTEM:SCREW M2 脊椎後方固定系統 : 骨釘免事前審查 3114 

FBSF4S3101U0 "UNITED"CENTURY SPINAL SYSTEM:SCREW " 聯合 " 世紀脊椎固定系統骨螺絲 6381 

FBSF5000051A MONT BLANC SPINAL TRANSVERSE CONNECTOR 7208 

FBSF50001TWG "WILTROM"SPINAL FIXATION SYSTEM:CROSS LINK" 威創 " 脊椎固定系統 : 橫向連接鉤 ( 免事前審查 ) 3331 

FBSF5000251A MONT BLANC SPINAL TRANSVERSE LINK 免事前審查 3331 

FBSF54977NS1 TITANIUM TRANSVERSE CONNECTORS 免事前審查 3331 

25



FBSF56201NS1 TITANIUM TRANSVERSE CONNECTORS 7208 

FBSF5821NTY2 

"SYNTEC" AREIKEN SPINAL FIXATION SYSTEM:TRANSVERSE LINK " 亞太醫療 " 亞力健脊椎固定系 

統 : 橫向連結器 , 免事前審查 

3331 

FBSF5886CCY2 "SYNTEC" TRANSVERSE LINK " 亞太醫療 " 高立捷橫向連結器 7208 

FBSF5886NCY2 "SYNTEC" TRANSVERSE LINK " 亞太醫療 " 高立捷橫向連結器 3331 

FBSF5ASYL2AQ TITANIUM SMARTLOC EVOLUTION TRANSVERSE LINK 7208 

FBSF5C3201U0 "UNITED"CENTURY SPINAL SYSTEM:CROSSLINK " 聯合 " 世紀脊椎固定系統交叉連桿 7208 

FBSF5LT005GZ SPINAL LINK 脊椎橫向連結器免事前審查 3331 

FBSF7000271A MONT BLANC SPINAL HOOK SCREW SYSTEM(SX2+HX2+RX2) 免事前審查 23306 

FBSFA000011A "SPINEWAY" TWIN PEAKS LUMBAR CAGES " 施百威 ” 腰椎椎間融合器 ( 後開型 ) 25000 

FBSFA00002RK TITANIUM INTERVERTEBRAL CAGE 椎間融合器 17550 

FBSFA00003RK PEEK LUMBAR INTERVERTEBRAL CAGE 高分子材料腰椎椎間融合器 ( 後開型 ) 25000 

FBSFA0001NS1 TRAVIOS IMPLANTS PEEK( 側開型每節椎體限置放 1 個 ) 50000 

FBSFA0LY011S OLYS TRANSFORMINAL CAGE PEEK( 側開型每節椎體限置放 1 個 ) 50000 

FBSFA1000NZ1 ZIMMER SPINE FIDJI LUMBAR CAGES(PEEK) " 捷邁 " 斐濟腰椎椎間融合器 25000 

FBSFA21001XP I-TYPE INTERVERTEBRAL SPACER PEEK CAGE 馬蹄式椎間填充塊 ( 頸椎 ) 25000 

FBSFA22001XP II-TYPE INTERVERTEBRAL SPACER PEEK CAGE 錐頭式椎間填充塊 ( 後開型 ) 25000 

FBSFA22002XP II-TYPE INTERVERTEBRAL SPACER PEEK( 側開型每節椎體限置放 1 個 ) 50000 

FBSFA29906M4 CAPSTONE SPINAL SYSTEM:TLIF PEEK SPACER( 側開型每節椎體限置放 1 個 ) 50000 

FBSFA3000NS1 SYNCAGE IMPLANTS 辛凱吉椎間支架植入物 (SYNCAGE-C TITANIUM CERVICAL) 17550 

FBSFA3605LU0 "UNITED"EXPRESS LUMBAR CAGE SYSTEM(PLIF PEEK)" 聯合 " 快捷腰椎融合器系統 ( 後開型 ) 25000 

FBSFA420MNM4 TELAMON FUSION DEVICE PEEK CAGE 泰拉蒙融合器 ( 後開型 ) 25000 

FBSFA6730NS9 OIC CAGE SYSTEM-PEEK IMPLANTS 椎體護架系統 ( 後開型 ) 25000 

FBSFA6741NS9 SOLIS CERVICAL CAGE SYSTEM 梭利斯椎頸護架系統 ( 頸椎 PEEK CAGE) 25000 

FBSFA6742NS9 "STRYKER" SOLIS AS PEEK SPACER " 史賽克 " 椎間融合器 ( 頸椎 ) 25000 

FBSFA6760NS9 OIC PL PEEK SPACER 椎間融合器 ( 後開型 ) 25000 

FBSFA7074NY2 TITANIUM VETEBRAE INTERBODY CAGE:ANTERIOR CERVICAL INTERBODY CAGE 鈦合金椎籠 : 

前方頸椎間融合器 

17550 

26



FBSFA82501Y2 "SYNTEC"PEEK VERTEBRAE INTERBODY CAGE" 亞太醫療 " 春菊聚醚醚酮椎籠 ( 腰椎後開型 ) 25000 

FBSFA8380NS9 AVS TL PEEK SPACER SYSTEM( 側開型每節椎體限置放 1 個 ) 50000 

FBSFA8984NS1 PLIVIOS IMPLANTS PEEK CAGE 腰椎椎間融合器 ( 後開型 ) 25000 

FBSFA8992NS1 CERVIOS IMPLANTS WEDGE-SHAPED PEEK CAGE 頸椎椎間融合器 25000 

FBSFA8993NS1 CERVIOS IMPLANTS CURVED PEEK CAGE 頸椎椎間融合器 25000 

FBSFA919MNM4 

VERTE-STACK CRESCENT VERTEBRAL BODY SPACER:TLIF PEEK SPACER( 側開型每節椎體限置放 

1 個 ) 

50000 

FBSFAALS02AQ TITANIUM VIGOR CERVICAL DISC SPACER 17550 

FBSFAAP002AQ "A-SPINE"POLYMER LUMBAR DISC SPACER(PEEK)" 冠亞 " 高分子複合材料腰椎椎間融合器 ( 後開型 )* 25000 

FBSFAAP003AQ "A-SPINE"VIGOR PEEK CERVICAL DISC SPACER" 冠亞 " 偉戈高分子複合材料頸椎椎間融合器 * 25000 

FBSFAC000NZ1 FIDJI CERVICAL CAGES PEEK 頸椎椎間融合器 25000 

FBSFAC0CCK1S SCIENT X LUMBAR CAGE(PEEK) 賽恩司腰椎融合器 ( 後開型 ) 25000 

FBSFACC11NXA PEEK LUMBAR INTERBODY SPACER( 側開型每節椎體限置放 1 個 ) 50000 

FBSFACCAGE1A "SPINEWAY" AYERS ROCK CERVICAL CAGES"(PEEK) 施百威 " 頸椎融合器 25000 

FBSFACD11NXA PEEK LUMBAR CAGE 聚醚醚酮腰椎椎間融合器 ( 後開型 ) 25000 

FBSFACE11NXA CERVICAL CAGE 頸椎椎間融合器 ( 頸椎 PEEK CAGE) 25000 

FBSFACG11NXA TITANIUM CERVICAL CAGE 鈦合金頸椎椎間融合器 17550 

FBSFACH11NXA TITANIUM CERVICAL CAGE 鈦合金頸椎椎間融合器 17550 

FBSFAF0001RK PEEK LUMBAR INTERVERTEBRAL CAGE 高分子材料腰椎椎間融合器 ( 側開型 , 每節椎體置放 1 個 ) 50000 

FBSFAF0002RK 

REBORN ESSENCE PEEK LUMBAR INTERVERTEBRAL CAGE 瑞寶億高分子材料腰椎椎間融合器 ( 後開 

型 ) 

25000 

FBSFAF0003RK REBORN ESSENCE PEEK CERVICAL INTERVERTEBRAL CAGE 瑞寶億高分子材料頸椎椎間融合器 25000 

FBSFAFJ00CAE AESCULAP CESPACE PEEK CERVICAL FUSION SPACER 雅氏樹脂頸椎融合植入物 25000 

FBSFAJULPL1C SPINEART JULIET LUMBAR CAGE(PLIF)" 司佰特 " 腰椎融合器 25000 

FBSFAJULTL1C SPINEART JULIET LUMBAR CAGE(TLIF)" 司佰特 " 腰椎融合器 ( 側開型 , 每節椎體置放 1 個 ) 50000 

FBSFAPCAGEZV VITAL PEEK LUMBAR INTERVERTEBRAL CAGE 威拓高分子材料腰椎椎間融合器 ( 後開型 ) 25000 

FBSFAPR001AQ RAINBOO PEEK LUMBAR CAGE( 側開型每節椎體限置放 1 個 ) 50000 

FBSFASAMRY1S ANTERIOR CAGE SAMARYS(PEEK) 莎美莉前路頸椎融合器 25000 

27



FBSFASJ00NAE AESCULAP PROSPACE PEEK POSTERIOR LUMBAR AND THORACIC SPINE FUSION SYSTEM 雅氏後 25000 

方樹脂胸腰椎融合植入物 

FBSFATCAGEZV VITAL PEEK LUMBAR INTERVERTEBRAL CAGE( 側開型每節椎體限置放 1 個 ) 50000 

FBSFATRYKC1C SPINEART CERVICAL IMPLANTS(PEEK) 司佰特頸椎椎間植入物 25000 

FBSFAWS141B0 LUMBAR SPINAL PEEK CAGE( 側開型每節椎體限置放 1 個 ) 50000 

FBSFAWS16CB0 CERVICAL CAGE(PEEK) 頸椎椎間融合器 25000 

FBSFAWS41LB0 LUMBAR SPINAL CAGE PEEK CAGE 腰椎椎間融合器 ( 後開型 ) 25000 

FBSFC10002U0 

FBSFC10003U0 

FBSFC20002U0 

FBSFC20003U0 

"UNITED"SLIMFIT ANTERIOR CERVICAL PLATE SYSTEM (P*1+S*4)" 聯合 " 史令飛頸前路骨板系統二 

節 

"UNITED"SLIMFIT ANTERIOR CERVICAL PLATE SYSTEM (P*1+S*6)" 聯合 " 史令飛頸前路骨板系統三 

節 

"UNITED"BOOSTER ANTERIOR CERVICAL PLATE SYSTEM (P*1+S*4) " 聯合 " 普斯特頸前路骨板系統二 

節 

"UNITED"BOOSTER ANTERIOR CERVICAL PLATE SYSTEM (P*1+S*6) " 聯合 " 普斯特頸前路骨板系統三 

節 

22426 

23285 

22426 

23285 

FBSFC2Z86NS9 REFLEX ZERO PROFILE ANTERIOR CERVICAL PLATING SYSTEM 二節 (PLATE X1+SCREW X 4) 22426 

FBSFC3Z86NS9 REFLEX ZERO PROFILE ANTERIOR CERVICAL PLATING SYSTEM 三節 (PLATE X1+SCREW X 6) 23285 

FBSFC4030NS9 RELFEX ZERO PROFILE ANTERIOR CERVICAL SCREW 1125 

FBSFC8340NY2 TITANIUM CERVICAL PLATE FIXATION SYSTEM 三節 (PX1+SX6) 23285 

FBSFC834NNY2 TITANIUM CERVICAL PLATE FIXATION SYSTEM 二節 (PX1+SX4) 22426 

FBSFC835NNY2 TITANIUM CERVICAL BONE LOCKING SCREW 1125 

FBSFCASC03AQ TITANIUM WINLOC CERVICAL PLATE SYSTEM 二節 (PX1+SX4) 22426 

FBSFCASC04AQ TITANIUM WINLOC CERVICAL PLATE SYSTEM 三節 (PX1+SX6) 23285 

FBSFCASCS2AQ TITANIUM CERVICAL SCREW 1125 

FBSFCB0003RK TITANIUM CERVICAL SCREW 免事前審查 194 

FBSFCB0004RK TITANIUM CERVICAL PLATE 免事前審查 4046 

FBSFCBA003RK TITANIUM CERVICAL SCREW 1125 

FBSFCS3102U0 

FBSFCS3104U0 

"UNITED"SLIMFIT ANTERIOR CERVICAL PLATE SYSTEM:SCREW " 聯合 " 史令飛頸前路骨板系統 : 自攻 

螺絲 

"UNITED"BOOSTER ANTERIOR CERVICAL PLATE SYSTEM:SCREW " 聯合 " 普斯特頸前路骨板系統 : 骨 

螺絲 

1125 

1125 

FBSFCTRYC21C SPINEART CERVICAL IMPLANTS 二節 (PX1+SX4) 司佰特頸椎間植入物 22426 

FBSFCTRYC31C SPINEART CERVICAL IMPLANTS 三節 (PX1+SX6) 司佰特頸椎間植入物 23285 

28



FBSFCTRYCS1C SPINEART CERVICAL IMPLANTS:SCREW 司佰特頸椎間植入物 : 骨釘 1125 

FBSFR9701LS1 

FBSFR9702LS1 

"SYNTHES"VEPTR RIB TO LUMBAR LAMINA(CRS*1+L*3+EB*1+ER*1+H*1+FR*1)" 信迪思 " 延展式肋骨 

支撐架 : 肋骨至板狀腰椎組合 

"SYNTHES"VEPTR:RIB TO ILIUM(CRS*1+CHR*1+L*3+EB*1+LER*1+AH*1+EC*1+FR*1)" 信迪思 " 延展式 

肋骨支撐架 : 肋骨至髂骨組合 

FBSFR9703LS1 "SYNTHES"VEPTR:RIB TO RIB(CRS*1+CRS*1+CHR*2+DL*4+EB*1+FR*1)" 信迪思 " 延展式肋骨支撐架 : 

肋骨至肋骨組合 

326712 

300221 

290247 

FBSFR9704LS1 "SYNTHES"VEPTR:DISTRACTION LOCKS" 信迪思 " 延展式肋骨支撐架 : 延展用鎖 6584 

FBT01HYRANLJ HYRUAN PLUS INJ. 瀚樂骨關節腔注射液 , 每次療程注射三次 1099 

FHFCDAHF37ST 

FHFCDD284TM4 

FHFCDDRF32ST 

" 聖猷達 " 波默植入式心律去顫器 "SJM"PROMOTE IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR(CRT-D) * 

" 美敦力 " 麥思蒙植入式心臟去顫器 "MEDTRONIC" MAXIMO II CRT-D IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR* 

" 聖猷達 " 波默植入式心律去顫器 "SJM" PROMOTE IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR(CRT-D)* 

556104 

556104 

556104 

FHFCDP1068SB " 波士頓科技 " 康格斯心臟再同步治療用去顫器 "BOSTON SCIENTIFIC" COGNIS 100 HE CRT-D* 556104 

FHG211203NGX 

FHG212003NGX 

FHG3146W40TM 

FHG3146W41TM 

FHG3146W45TM 

FHG431401NGX 

" 戈爾 " 戈爾特賜內植人工血管 - 伸展性直型人工血管 "GORE" GORE-TEX VASCULAR GRAFTS- 

STRETCH VASCULAR GRAFT STRAIGHT 12:18MM*30CM 

" 戈爾 " 戈爾特賜內植人工血管 - 伸展性直型人工血管 "GORE" GORE-TEX VASCULAR GRAFTS- 

STRETCH VASCULAR GRAFT STRAIGHT 20:24MM*30CM 

“ 泰爾茂 ” 特普弗人工血管 “TERUMO” TAPERFLO GELATIN SEALED EPTFE VASCULAR 

PROSTHESES EPTFE STEPPED TAPER GRAFT40,45CM*4-6,5-8MM 

“ 泰爾茂 ” 特普弗人工血管 “TERUMO”TAPERFLO GELATIN SEALED EPTFE VASCULAR 

PROSTHESES EPTFE STEPPED TAPER GRAFT40,50CM*4-6,4-7MM 

“ 泰爾茂 ” 特普弗人工血管 "TERUMO”TAPERFLO GELATIN SEALED EPTFE VASCULAR 

PROSTHESES STEPPED TAPER CENTRAL SUPPORT GRAFT 40,45CM*4-7,5-8MM 

" 戈爾 " 戈爾特賜內植人工血管 - 伸展性 Y 型人工血管 "GORE" GORE-TEX VASCULAR GRAFTS-STRETCH 

VASCULAR GRAFT BIFURCATED 14:24MM*7:12MM*40CM 

9900 

12000 

13200 

13200 

15800 

16000 

FHP01ACCPMST " 聖猷達 " 艾森心臟節律器 (ACCENT IMPLANTABLE CARDIAC PULSE GENERATOR) * 74070 

FHP01ACCRMST " 聖猷達 " 艾森心臟節律器 ((ACCENT IMPLANTABLE CARDIAC PULSE GENERATOR) * 74070 

FHP01ADAPSM4 "MEDTRONIC" ADAPTA PACING SYSTEM" 美敦力 " 黛拉心臟節律系統 * 74070 

FHP01TA245BK 

FHP01TA248BK 

FHP01TA250BK 

FHP01TA252BK 

FHP01TA254BK 

FHP02ACTDRST 

FHP02ARFDRST 

拜耳德尼克 ” 塔洛斯心搏徐緩治療節律裝置 “BIOTRONIK”TALOS BRADYCARDIA THERAPY 

PACEMAKER(DDD)* 頇檢附心電圖報告專案報備使用 

拜耳德尼克 ” 塔洛斯心搏徐緩治療節律裝置 BIOTRONIK TALOS PACEMAKER(DDDR)* 按同類近似特 

材支付點數 102500 點支付超過部分由病人支付 

拜耳德尼克 ” 塔洛斯心搏徐緩治療節律裝置 BIOTRONIK TALOS PACEMAKER(VVI/AAI)* 頇檢附心電 

圖報告專案報備使用 


PACEMAKER(VDDR)* 頇檢附心電圖報告專案報備使用 


PACEMAKER(VVIR/AAIR)* 頇檢附心電圖報告專案報備使用 

" 聖猷達 " 艾森心臟節律器 (IMPLANTABLE CARDIAC PULSE GENERATOR 雙腔型 ) *, 按同類近似特材支 

付點數 102500 點支付 , 超過部分由病患自付。 

" 聖猷達 " 艾森心臟節律器 (IMPLANTABLE CARDIAC PULSE GENERATOR 雙腔型 ) *, 按同類近似特材支 

付點數 102500 點支付 , 超過部分由病患自付。 

102500 

102500 

62260 

102500 

74070 

102500 

102500 

29



FHP5611073AE " 雅氏 " 人工血管補片 "AESCULAP" VASCULAR PATCH(2*9CM,1*7CM,3*4CM) 281 

FHPCDD284DM4 

FHPCDD284VM4 

" 美敦力 " 麥思蒙植入式心臟去顫器 ( 雙腔 )"MEDTRONIC" MAXIMO II DR IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR* 

" 美敦力 " 麥思蒙植入式心臟去顫器 ( 單腔 )"MEDTRONIC" MAXIMO II VR IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR* 

426702 

362292 

FHPCDF102DSB " 波士頓科技 " 泰利均植入型心律去顫器 "BOSTON SCIENTIFIC" TELIGEN 100 HE ICD* 362292 

FHPCDF110DSB " 波士頓科技 " 泰利均植入型心律去顫器 "BOSTON SCIENTIFIC" TELIGEN 100 HE ICD* 426702 

FHPCDPD27NST 

FHPCDPVRC7ST 

FHPCDRFD22ST 

FHPCDRFVD2ST 

" 聖猷達 " 克侖特植入式心律去顫器 "SJM"CURRENT IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR( 雙腔 ) * 

" 聖猷達 " 克侖特植入式心律去顫器 "SJM"CURRENT IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR( 單腔 ) * 

" 聖猷達 " 克侖特植入式心律去顫器 "SJM" CURRENT IMPLANTABLE CARDIOVERTER 


" 聖猷達 " 克侖特植入式心律去顫器 "SJM" CURRENT IMPLANTABLE CARDIOVERTER 


426702 

362292 

426702 

362292 

FHPCL06935M4 " 美敦力 " 史賓特導管 "MEDTRONIC" SPRINT QUATTRO SECURE S LEAD* 82010 

FHPCLDU723ST " 聖猷達 " 德拉多心臟導線 "SJM" DURATA LEAD 82010 

FHPHF04195M4 " 美敦力 " 艾坦史塔菲導線 "MEDTRONIC" ATTAIN STARFIX LEAD* 27500 

FHPHF04196M4 " 美敦力 " 艾坦艾比利導線 "MEDTRONIC" ATTAIN ABILITY LEAD* 22953 

FHPHF04591SB " 波士頓 " 艾裘帝螺旋植入式電極導線 "BOSTON SCIENTIFIC" ACUITY SPIRAL IMPLANTABLE LEAD 21860 

FHPHF0C2TRM4 

" 美敦力 " 信可心臟再同步節律器 "MEDTRONIC"SYNCRA CRT-P CARDIAC RESYNCHRONIZATION 

THERAPY PACEMAKER* 

190843 

FHPHF11568ST " 聖猷達 " 左心導線 "SJM" QUICKFLEX LEAD* 21860 

FHPHF14001BK " 拜耳德尼克 " 可洛植入式雙極心導線 "BIOTRONIK" COROX OTW ENDOCARDIAL LEAD* 21860 

FHPHF14002BK " 拜耳德尼克 " 可洛植入式心導線 "BIOTRONIK" COROX OTW LEAD* 21860 

FHPHFEASY3GU " 佳騰 " 易導型第 3 代冠狀靜脈電極導線 "GUIDANT"EASYTRAK 3 CORONARY VENOUS LEAD* 21860 

FHPHFH1401GU " 佳騰 " 控達刻脈搏產生器 "GUIDANT" CONTAK RENEWAL CRT-P PULSE GENERATOR* 190843 

FHPHFPM2RTST " 聖猷達 " 安勝心臟節律器 "SJM" ANTHEM IMPLANTABLE CARDIAC PULSE GENERATOR(CRT-P)* 190843 

FHPHFPM3RTST " 聖猷達 " 安勝心臟節律器 "SJM" ANTHEM IMPLANTABLE CARDIAC PULSE GENERATOR(CRT-P)* 190843 

FHPL104088GU 

" 佳騰 " 伸縮性雙極之心內膜心房電極導線 "GUIDANT" FLEXTEND PACING LEAD* 頇檢附心電圖報告 

專案報備使用 

7951 

FHPL1PPT99ST " 聖猷達 " 亞提以司心臟導線 "SJM" OPTISENSE LEAD * 應檢附心電圖報告專案報備使用 7951 

FHPL1S9F4UST 

" 聖猷達 " 心臟節律器導線 "SJM" IMPLANTABLE CARDIAC PACING LEADS ※ 頇檢附心電圖報告專案 

報備使用 

7610 

FHPL2SLX65BK " 拜耳德尼克 " 世樂植入式電極導線 "BIOTRONIK" SOLOX IMPLANTABLE ENDOCARDIAL LEAD* 18500 

30



FHV01A1929F6 " 翁克斯 " 人工心瓣膜 "ON-X" PROSTHETIC HEART VALVE 19:29MM 40212 

FHV01ART19R5 " 索林 " 百康保雙葉式人工心臟瓣膜 "SORIN" BICARBON ARTIFICIAL HEART VALVE 50503 

FHV01CNNFVF6 " 翁克斯 " 人工心瓣膜 "ON-X" PROSTHETIC HEART VALVE 50503 

FHV01M2333F6 " 翁克斯 " 人工心瓣膜 "ON-X" PROSTHETIC HEART VALVE 23:33MM 40212 

FHV01MTR19R5 " 索林 " 百康保雙葉式人工心臟瓣膜 "SORIN" BICARBON ARTIFICIAL HEART VALVE 50503 

FHV02B2933ST " 聖猶達 " 豬組織瓣膜 "SJM"PORCINE VALVE 44149 

FHV02EPSAMST " 聖猶達 " 豬組織瓣膜 "SJM" EPIC VALVE 44149 

FHVR1AFR23ST " 聖猷達 " 愛調環狀成形術環 "SJM" ATTUNE FLEXIBLE ADJUSTABLE ANNULOPLASTY RING 20100 

FHX02CB100QM " 邁柯唯 " 噴射灌洗器 ( 滅菌 )"MAQUET" JET LAVAGE(STERILE)* 2425 

FHX02FX15RTM 

FHX02HMM50QM 

" 泰爾茂 " 菲斯膜型人工心肺 "TERUMO"CAPIOX FX(OXYGENATOR WITHOUT RESERVOIR WITH 

HYDROPHILIC POLYMER COATED AND ARTERIAL FILTER* 

" 邁柯唯 " 微孔膜氧合器 "MAQUET" QUADROX-I SMALL ADULT MICROPOROUS MEMBRANE 

OXGENATOR* 

20703 

13998 

FHX02HMS70QM " 邁柯唯 " 微孔膜氧合器 "MAQUET" OXYGENATOR QUADROX-I WITH SOFTLINE COATING * 13998 

FHX02LAVAGGJ " 吉生 " 噴射灌洗器 ( 滅菌 )"JSM" JET LAVAGE(STERILE)* 2425 

FHX02MT222L5 ” 加州 ” 灌洗器 ”CALIFORNIA” BLOWER/MISTER(WITH TUBING SET) * 2425 

FHX03FX15RTM 

" 泰爾茂 " 菲斯膜型人工心肺 "TERUMO"CAPIOX FX(OXYGENATOR WITH RESERVOIR WITH 

HYDROPHILIC POLYMER COATED AND ARTERIAL FILTER* 

24000 

FHX03HMM51QM " 邁柯唯 " 微孔膜氧合器 "MAQUET" OXYGENATOR QUADROX-I WITH SOFTLINE COATING* 15627 

FHX03HMM71QM " 邁柯唯 " 微孔膜氧合器 "MAQUET" QUADROX-I ADULT MICROPOROUS MEMBRANE OXYGENATOR* 15627 

FHX03VKM55QM 

FHX03VKM71QM 

FHX03VKM77QM 

FHX04CXXSATM 

" 邁柯唯 " 微孔膜氧合器附靜脈硬殼式儲血槽 OXYGENATOR QUADROX-I WITH SOFTLINE COATING 

WITH VENOUS HARDSHELL RESERVOIR ARTERIAL* 適應症備註欄 

" 邁柯唯 " 微孔膜氧合器附靜脈硬殼式儲血槽 OXYGENATOR QUADROX-I WITH SOFTLINE COATING 

WITH VENOUS HARDSHELL RESERVOIR+FILTER* 適應症見備註欄 

" 邁柯唯 " 微孔膜氧合器附靜脈硬殼式儲血槽 "MAQUET"OXYGENATOR QUADROX-I WITH VENOUS 

HARDSHELL RESERVOIR WITH SOFTLINE COATING 

" 泰爾茂 " 易倍適聚合物塗層人工心肺套 CAPIOX EBS CIRCUIT WITH X COATING/OXYGENATOR+SP- 

PUMP+FLOW SENSOR+COATING TUBING SET※ 使用參考請見備註欄 

14558 

18500 

14558 

44695 

FHXR2VHK11QM " 邁柯唯 " 靜脈硬殼式儲血槽 "MAQUET" VENOUS HARDSHELL CARDIOTOMY RESERVOIR 3596 

FHXR2VHK20QM " 邁柯唯 " 開心術靜脈硬殼式儲血槽 "MAQUET" VENOUS HARDSHELL CARDIOTOMY RESERVOIR 3297 

FNP9106008S7 

FNP9108014S7 

FNP9110016S7 

" 司諾維思 " 腦膜補片 "SYNOVIS"DURA-GUARD DURAL REPAIR PATCH WITH APEX PROCESSING 

6CM*8CM 

" 司諾維思 " 腦膜補片 "SYNOVIS"DURA-GUARD DURAL REPAIR PATCH WITH APEX 

PROCESSING8CM*14CM 

" 司諾維思 " 腦膜補片 "SYNOVIS"DURA-GUARD DURAL REPAIR PATCH WITH APEX PROCESSING 

10CM*16CM 

9725 

20557 

24310 

31



FPP0105152LE STRYKER LEIBINGER UNIVERSAL MANDIBLE SYSTEM:1.7MM MID-FACE Y-PLATE 5 HOLES 2022 

FPP0105188LE STRYKER LEIBINGER UNIVERSAL MANDIBLE SYSTEM:1.7MM MID-FACE CURVED PLATE 4-10 

HOLES 

2222 

FPP0105742LE 

STRYKER LEIBINGER UNIVERSAL MANDIBLE SYSTEM:1.7MM MID-FACE SET LOCKING DOUBLE 

Y PLATE 7 HOLES 

2469 

FPP0106760LE 1.7 MID-FACE L-PLATE 5-6 HOLES 1923 

FPP0108203LE 2.0 MINI PLATE BAR 4-6 HOLES 1207 

FPP010821NLE 2.0 MINI PLATE BAR 16 HOLES 2038 

FPP0108230LE 2.0 MINI PLATE L-PLATE 4-9 HOLES 1923 

FPP0108240LE 2.0 MINI PLATE T-PLATE 6-8 HOLES 2076 

FPP0108250LE 2.0 MINI PLATE Y-PLATE 5-8 HOLES 2022 

FPP010826NLE 2.0 MINI PLATE DOUBLE Y-PLATE 2469 

FPP0108586LE 2.0 MINI PLATE CURVED PLATE 12 HOLES 2222 

FPP0214201EJ 

FPP0214203EJ 

FPP0214205EJ 

FPP0214207EJ 

FPP0214208EJ 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:RECONSTRUCTION PLATE 

4+12 HOLE" 歐美特 " 下頷骨折重建系統 , 重建骨板單邊 4+12 洞 


5+16 HOLE" 歐美特 " 下頷骨折重建系統 , 重建骨板單邊 5+16 洞 


FULL 5+20+5 5+16+5 HOLE" 歐美特 " 下頷骨折重建系統 , 重建骨板雙邊 


14HOLE" 歐美特 " 下頷骨折重建系統 , 重建直型骨板 14 洞 


18HOLE" 歐美特 " 下頷骨折重建系統 , 重建直型骨板 18 洞 

FPP027051NS1 "SYNTHES"MATRIX MANDIBLE SYSTEM:ADAPTION PLATES PURE TITANIUMM 12 HOLES " 信迪思 " 

下顎固定系統 : 連結骨板 

FPP027171NS1 "SYNTHES"MATRIX MANDIBLE SYSTEM:PLATES PURE TITANIUMM 12 HOLES STRAIGHT " 信迪思 " 

下顎固定系統 : 直骨板 

FPP0314080EJ 

FPP0314210EJ 

FPP0314219EJ 

FPP0314222EJ 

FPP0314311EJ 

FPP0314400EJ 

FPP0314403EJ 

FPP037011NS1 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:BSSO PLATE 4+6 HOLE" 歐美 

特 " 下頷骨折重建系統 , 直型骨板 4+6 洞 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:FRACTURE PLATE 4:8 HOLE" 歐 

美特 " 下頷骨折重建系統 , 骨折骨板 4;8 洞 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:ANGLED FRACTION PLATE 

2X2 3X3 HOLE" 歐美特 " 下頷骨折重建系統 , 成角骨折骨板 4;6 洞 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:RIGID COMMINUTED 

FRACTURE PLATE 15HOLE" 歐美特 " 下頷骨折重建系統 , 硬式粉碎骨折骨板 15 洞 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:2.4 LOCKING FRACTURE 

PLATE 4;6 HOLE" 歐美特 " 下頷骨折重建系統 ,2.4 鎖定骨折骨板 4;6 洞 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:2.0 LOCKING FRACTURE 

PLATE 4;6 HOLE" 歐美特 " 下頷骨折重建系統 ,2.0 鎖定骨折骨板 4;6 洞 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:2.0 LOCKING COMMINUTION 

PLATE 15HOLE" 歐美特 " 下頷骨折重建系統 ,2.0 鎖定粉碎骨板 15 洞 

"SYNTHES"MATRIX MANDIBLE SYSTEM:MINI TENSION BAND PLATES 1.0MM PURE TITANIUMM 

4HOLE;6HOLE" 信迪思 " 下顎固定系統 : 迷你張力骨板 

7920 

7920 

19060 

4900 

4900 

4900 

4900 

3918 

3918 

7920 

4900 

3918 

3918 

4900 

3918 

32



FPP037101NS1 "SYNTHES"MATRIX MANDIBLE SYSTEM:DCP PLATES PURE TITANIUM 2+2 OR 3+3 HOLES" 信迪思 " 4560 

下顎固定系統 : 動態加壓骨板 

FPP037131NS1 

FPP037211NS1 

"SYNTHES"MATRIX MANDIBLE SYSTEM:DCP PLATES PURE TITANIUMM 3+3 HOLES CRESCENT OR 

ANGLED" 信迪思 " 下顎固定系統 : 動態加壓新月型或曲型骨板 

"SYNTHES"MATRIX MANDIBLE SYSTEM:DCP PLATES PURE TITANIUMM 3+3 HOLES, CRESCENT OR 

ANGLED" 信迪思 " 下顎固定系統 : 新月型或曲型骨板 

7920 

7920 

FPP060573NLE STRYKER LEIBINGER UNIVERSAL MANDIBLE SYSTEM:1.7MM MID-FACE SET LOCKING 3-D 

PLATE 6X2 HOLES 

12480 

FPP060631NLE 2.0 MINI PLATE 3-D 2X2 HOLES 0.6MM 4053 

FPP060632NLE 2.0 MINI PLATE 3-D 3X2 HOLES 0.6MM 6240 

FPP0606731LE STRYKER LEIBINGER UNIVERSAL MANDIBLE SYSTEM:1.7MM MID-FACE 3D PLATE 2X2 HOLES 4053 

FPP0610501EJ 

FPP0610502EJ 

FPP0610503EJ 

FPP069001NS1 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:MINI LOCKING STRUT PLATE 

CURVED 2X4HOLE" 歐美特 " 下頷骨折重建系統 , 迷你鎖定矩陣型骨板弧狀 


CURVED 2X6 HOLE" 歐美特 " 下頷骨折重建系統 , 迷你鎖定矩陣型骨板弧狀 


CURVED 2X8 HOLE" 歐美特 " 下頷骨折重建系統 , 迷你鎖定矩陣型骨板弧狀 

"SYNTHES"MATRIX MANDIBLE SYSTEM:PREFORMED RECONSTRUCTION PLATE" 信迪思 " 下顎固定 

系統 : 立體重建骨板 

8220 

12480 

12480 

12480 

FPP0712001EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM 12 HOLE CURVED PLAT 4970 

FPP0712002EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM 5 HOLE STRAIGHT PLATE 2830 


FPP0712013EJ 

FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM 2 HOLE STRAIGHT 

PLATE:MEDIUM,LONG 

2830 

FPP0712040EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM 2X4 HOLE QUAD PLATE 8654 

FPP0712134EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM SQUARE PLATE 4053 

FPP0712136EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM EXTENDED X PLATE 6040 

FPP0712138EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM DOUBLE Y PLATE 6040 

FPP0712140EJ 

FPP0712146EJ 

FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM BUR HOLE PLATE SMALL LARGE 

X-LARGE 

FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.2MM MESH PLATE 40X40MM 

90X90MM 

6616 

14160 


FPP0718020EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.6MM SQUARE PLATE 9MM 4053 

FPP0718022EJ 

FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.6MM 2 HOLE STRAIGHT 

PLATE:MEDIUM,LONG,SHORT 

2830 

FPP0718028EJ FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.6MM DOUBLE Y PLATE 6040 

FPP0718032EJ 

FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.6MM BUR HOLE PLATE SMALL LARGE 

X-LARGE 

6616 

33






FPP077071NS1 

FPP077081NS1 

"SYNTHES"MATRIX MANDIBLE SYSTEM:STRUT PLATES PURE TITANIUMM 4 HOLES STRAIGHT" 信 

迪思 " 下顎固定系統 : 網狀 

"SYNTHES"MATRIX MANDIBLE SYSTEM:STRUT PLATES PURE TITANIUM 8 HOLES" 信迪思 " 下顎固 

定系統 : 網狀 

4053 

8654 

FPP07801FNS1 PREFORMED ORBITAL PLATE 0.4MM 14160 

FPP0782146EJ 

FAST-FLAP NEURO FIXATION SYSTEM 速固硬式固定系統 :1.6MM MESH PLATE 40X40MM 

90X90MM 36X50MM 74X50MM 111X191MM 

14160 

FPP07FM960AE 0.6MM MICRO PLATE STRAIGHT 2HOLE,4 HOLE 2830 

FPP07FM964AE 0.6MM MICRO Y PLATE 5 HOLE 5308 

FPP07FM965AE 0.6MM MICRO PLATE STRAIGHT 16 HOLE 5170 

FPP07FM966AE 0.6MM MICRO DOUBLE Y PLATE 6 HOLE 6040 

FPP07FM968AE MICRO BOX CAR PLATE 4 HOLE 4053 

FPP07FM969AE 0.6MM MICRO BOX CAR PLATE 6 HOLE 6942 

FPP07FM970AE 0.6MM MICRO BOX CAR PLATE 8 HOLE 8654 

FPP07FM971AE 0.6MM MICRO BURR HOLE COVER PLATE 6616 

FPP07FM973AE 0.6MM MICRO MESH,MINIFEN PLATE 14160 

FPP0909104LE 2.0 MINI CHIN PLATE BAR 6 HOLES 4-10MM 3000 

FPS0100001EJ 

FPS0100002EJ 

FPS0100003EJ 

FPS0100004EJ 

FPS0100005EJ 

FPS010000NEJ 

"OSTEOMED"FAST-FLAP NEURO FIXATION SYSTEM:1.2MM AUTO-DRIVE SCREW" 歐特美 " 速固硬式 

固定系統自攻螺絲 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:2.3MM SAFETY SCREW " 歐美 

特 " 下頷骨折重建系統 ,2.3MM 安全骨釘 

"OSTEOMED"FAST-FLAP NEURO FIXATION SYSTEM:1.5MM SAFETY SCREW" 歐特美 " 速固硬式固定 

系統安全螺絲 

"OSTEOMED"MANDIBULAR FRACTURE RECONSTRUCTION SYSTEM:2.7MM SCREW " 歐美特 " 下頷骨 

折重建系統 ,2.7MM 骨釘 





1470 

710 

1470 

710 

710 

390 

FPS0120704LE 2.0 MINI BONE SCREW 390 

FPS014051NS1 

"SYNTHES"MATRIX MANDIBLE SYSTEM:SCREWS,SELF-TAPPING SCREW 2.0-2.4MM 5-18MM" 信迪 

思 " 下顎固定系統 : 骨釘 

FPS014651NS1 "SYNTHES"MATRIX MANDIBLE SYSTEM:EMERGENCY SELF-TAPPING SCREW 2.7, 5-18MM" 信迪思 " 

下顎固定系統 : 骨釘 

710 

710 

34



FPS014668NS1 2.4MM UNILOCK SCREW 自攻牙鎖定骨釘 710 

FPS016051NS1 

FPS016681NS1 

"SYNTHES"MATRIX MANDIBLE SYSTEM:LOCK SCREWS SELF-TAPPING 2.0-2.4MM" 信迪思 " 下顎固定 

系統 : 骨釘 

"SYNTHES"MATRIX MANDIBLE SYSTEM:LOCK SCREWS SELF-TAPPING 2.9 MM" 信迪思 " 下顎固定系 

統 : 骨釘 

710 

710 

FPS01FM940AE MICRO SCREW,CROSS HEAD,CENTRE,LENGTH 3:5MM 1470 

FSP6100611ZQ "SOFRADIM"PARIETENE POLYPROPYLENE MESHES 帕瑞挺人工聚丙烯編網 06X11CM 1072 

FSP6101177BA "BARD"SOFT MESH" 巴德 " 柔軟修補網 15CMX15CM 1710 

FSP6101510ZQ "SOFRADIM"PARIETENE POLYPROPYLENE MESHES 帕瑞挺人工聚丙烯編網 15X10CM 1672 

FSP6110611ZQ "SOFRADIM"PARIETENE POLYPROPYLENE MESHES 6X11CM 帕瑞挺人工聚丙烯編網 1072 

FSP6111264DV MARLEX MESH 1"X4"X0.6MM( 自 980401 起改為 BARD MESH FLAT SHEET1"X4") 1072 

FSP6111266DV MARLEX MESH 10"X14"( 自 980401 起改為 BARD MESH FLAT SHEET10"X14") 3108 

FSP6111267DV MARLEX MESH 2"X12"( 自 980401 起改為 BARD MESH FLAT SHEET2"X12") 1672 

FSP6111268DV MARLEX MESH 3"X6" (2PCS/BOX)( 自 980401 起改為 BARD MESH FLAT SHEET3"X6") 1672 


FSP6119910QM "MAQUET"MESH 內植用網 2.5CMX10.2CM 1072 

FSP6119930QM "MAQUET"MESH 內植用網 5.1CMX30.5CM,7.6CMX15.2CM 1672 



FSP6130711AH "ATRIUM"PROLITE P0LYPROPYLENE MESH 普來聚丙烯網片 (2.5CMX10CM,5CMX10CM) 1072 

FSP6130714AH "ATRIUM"PROLITE P0LYPROPYLENE MESH 普來聚丙烯網片 (7.5CMX15CM,10CMX15CM) 1672 

FSP6130717AH "ATRIUM"PROLITE P0LYPROPYLENE MESH 普來聚丙烯網片 (15CMX15CM) 1710 

FSP6130718AH "ATRIUM"PROLITE POLYPROPYLENE MESH PROLITE ULTRA(20X25.4CM) 普來聚丙烯網片 2966 

FSP6130719AH "ATRIUM"PROLITE POLYPROPYLENE MESH PROLITE ULTRA(25.4X25.4CM) 普來聚丙烯網片 2966 

FSP6130720AH "ATRIUM"PROLITE P0LYPROPYLENE MESH 普來聚丙烯網片 (25.4CMX35.5CM,30CMX30CM) 3108 

FSP61PL212AH "ATRIUM"PROLITE P0LYPROPYLENE MESH 普來聚丙烯網片 (5CMX30CM) 1672 

FSP61PL609AH "ATRIUM"PROLITE POLYPROPYLENE MESH PROLITE(15X23CM) 普來聚丙烯網片 2217 

FSP7103831AM 

"AMS"MONARC SUBFACIAL HAMMOCK 懸吊手術系統 ( 兩支不銹鋼彎曲弓狀穿引針 ( 不需再使用 

INTRODUCER)+ 一條聚丙烯懸帶 ) 

13680 

35



FUK05DF030FN "INFOMED"CVVH HEMOFILTER 0.3M 平方新生兒血液過濾器 * 3645 

FUK05DF080FN "INFOMED"CVVH HEMOFILTER 0.8M 平方血液過濾器 * 3645 



FUK05FHF20GA "GAMBRO"PRISMAFLEX SET(CVVH TUBING+HEMOFILTER)0.2M 平方普利司馬弗列克斯套組 * 4847 

FUK05RHF6SGA "GAMBRO"CVVH HEMOFILTER(0.6M 平方 ) 血液過濾器 * 3645 

FUK05TS002FN 

INFOMED EXTRACORPOREAL BLOOD CIRCUITS FOR CF200-PEDIATRIC CVVH 英弗梅體外血液迴路 

管 * 

1393 

FUK05TS200FN INFOMED EXTRACORPOREAL BLOOD CIRCUITS FOR CF200- CVVH 英弗梅體外血液迴路管 * 1393 

FUK05TS400FN INFOMED EXTRACORPOREAL BLOOD CIRCUITS-CVVH 英弗梅體外血液迴路管 * 1393 

FUK05TS504FN INFOMED EXTRACORPOREAL BLOOD CIRCUITS-PEDIATRIC CVVH 英弗梅體外血液迴路管 * 1393 

FUS0100411AM 

"AMS"800 URINARY CONTROL SYSTEM(CONTROL PUMP+PRESSURE-REGULATING BALLOON+BELT 

CUFFS+800 ACCESSORY KIT )" 艾梅斯 " 尿控系統 * 

155000 

HEF02HBF14QM " 邁柯唯 " 動脈過濾器 "MAQUET" QUART ARTERIAL FILTER 1629 

HEF02S4104M4 " 美敦力 " 艾芬你堤兒童動脈過濾器 "MEDTRONIC"AFFINITY PEDIATRIC ARTERIAL FILTER 1629 

HEF03TS203FN 

HEF03TS204FN 

英弗梅體外血液迴路管 INFOMED EXTRACORPOREAL BLOOD CIRCUITS(FOR CF200 PLASMA 

EXCHANGE) 

英弗梅體外血液迴路管 INFOMED EXTRACORPOREAL BLOOD CIRCUITS(FOR CF200-PEDIATRIC 

PLASMA EXCHANGE) 

1500 

1500 

HEF03TS401FN 英弗梅體外血液迴路管 INFOMED EXTRACORPOREAL BLOOD CIRCUITS 1500 

HEF03TSP02FN 英弗梅體外血液迴路管 INFOMED EXTRACORPOREAL BLOOD CIRCUITS(FOR PLASMA EXCHANGE) 1500 

HEF03TSP06FN 

英弗梅體外血液迴路管 INFOMED EXTRACORPOREAL BLOOD CIRCUITS(PEDIATRIC PLASMA 

EXCHANGE) 

1500 

HEH01HPHJUMY " 米得克 " 血液濃縮器 "MINNTECH" HEMOCOR HEMOCONCENTRATOR( 小兒使用 )* 3300 

HEH01HPHTSMY " 米得克 " 血液濃縮器 "MINNTECH" HEMOCOR HEMOCONCENTRATOR* 4600 

HHF01PL110WX 

HHF01PL210WX 

HHF01PL310WX 

HHF02RC101WX 

HHF02RC102WX 

HHF02RC201WX 

" 雙威 " 單次使用濾除白血球過濾器 ( 血小板用 )"SHUANGWEI" LEUKOCYTE REDUCTION FILTER FOR 

BLOOD 


BLOOD 


BLOOD 

" 雙威 " 單次使用濾除白血球過濾器 ( 全血及紅血球用 )"SHUANGWEI" LEUKOCYTE REDUCTION 

FILTER FOR BLOOD(500CC) 





1400 

1400 

1400 

615 

820 

615 

36



HHF02RC202WX " 雙威 " 單次使用濾除白血球過濾器 ( 全血及紅血球用 )"SHUANGWEI" LEUKOCYTE REDUCTION 

820 


HHM01EXPAPM4 美敦力 ” 吸除導管 "MEDTRONIC" EXPORT AP ASPIRATION CATHETER* 15000 

HHM01RF400BA 

" 巴德 " 腔靜脈過濾器 "BARD"G2 X VENA CAVA FILTER (FILTER+INTRO+DILA+DELIVERY 

KIT+ADAPTER) 

35000 

LEE0111996M4 " 美敦力 " 電極片 "MEDTRONIC" ELECTRODES 652 

LEE016025SJE " 宜喜美 " 暫時性節律導線 "ECM"TEMPORARY PACING WIRES 1038 

LEE01P1199M4 " 美敦力 " 電極片 "MEDTRONIC" ELECTRODES 490 

NAN020632GNR NIPRO NOVOFINE NEEDLE 32G 尼普爾諾和筆注射針 3.2 

NBS010001KBD 1CC SAFTI DISPOSABLE SYRINGE WITHOUT/NEEDLE 1CC 注射筒不附針 1.9 

NBS010003KBD 3CC SAFTI DISPOSABLE SYRINGE WITHOUT/NEEDLE 3CC 注射筒不附針 1 






NBS0216154NN NOVOPEN 4 WITHOUT NEEDLE( 筆型胰島素注射筒 )※ 每支以使用三年以上為原則 900 

NBS0701021N8 MRI SYRINGE SET 顯影劑注射筒 (60CC SYRINGEX1+25CC SYRINGEX1+SPIKEX2+Y 型螺旋管 X1) 455 

NBS0701800N8 MRI SYRINGE SET 顯影劑注射筒 (60CC SYRINGEX2+SPIKEX2+Y 型螺旋管 X1) 455 

NBS0701801N8 MRI SYRINGE W/SPIKE 顯影劑注射筒 60CC 237 

NBS07065VSMH DISPOSABLE SYRINGE KIT 顯影劑注射筒 ( 注射筒 2+ 剌針 2+ 低壓螺旋管與 T 型連接管 1) 455 

NBS07115VSMH DISPOSABLE SYRINGE KIT 顯影劑注射筒 ( 注射筒 2+ 剌針 2+ 低壓螺旋管與 T 型連接管 1) 455 

NBS0785003NL NAMIC ANGIOGRAPHIC CONTROL SYRINGES (8:20ML) 血管造影控制注射系統 177 

NBS07AG115BQ ANGIOGRAPHIC SYRINGE ( 注射筒 X1+ 抽藥管 X1) 240 

NBS07AG215BQ ANGIOGRAPHIC SYRINGE ( 注射筒 X1+ 抽藥管 X1) 240 

NBS07CT119BQ ANGIOGRAPHIC SYRINGE KIT ( 注射筒 X1+ 抽藥管 X1+ 螺旋管 X1) 315 



37




NBS07MR123BQ ANGIOGRAPHIC SYRINGE KIT (60CC 注射筒 X2+ 抽藥管 X1+Y 螺旋管 X1) 455 

NBS07MR214BQ ANGIOGRAPHIC SYRINGE KIT (65CC 注射筒 X2+ 抽藥管 X1+Y 螺旋管 X1) 455 

NCS010001KBD 1CC SAFTI DISPOSABLE SYRINGE W/NEEDLE 1CC 注射筒附針 2.7 

NCS010001NUU 1CC RETRACTABLE SAFETY SYRINGE W/NEEDLE 3.9 



NCS010003SYF 3CC DISPOSABLE SYRINGE W/NEEDLE (SAFETY) 2.8 



NCS010005SYF 5CC DISPOSABLE SYRINGE W/NEEDLE (SAFETY) 3.9 


NCS010020KBD 20CC SAFTI DISPOSABLE SYRINGE W/NEEDLE 20CC 注射筒附針 4 



NCS030000NUU RETRACTABLE SAFETY INSULIN SYRINGE W/NEEDLE 7 

NDN041824ATM SURSHIELD SURFLO II 安全靜脈留置針 32.4 

NDN043818ABD INSYTE AUTOGUARD SHIELDED IV CATHETER 回縮式安全靜脈導管 32.4 

NDN04FEP03BB INTROCAN SAFETY IVC CANNULAE 32.4 

NDN04PUR03BB INTROCAN SAFETY IVC CANNULAE 32.4 

NDN04S1424BD INSYTE IV CATHETER(VIALON) 14.5 

NES011815NHK "HAKKO"PTC CHIBA NEEDLE 肝膽穿刺針 150MM:250MM 400 

NES01BM00XGP 

"GALLINI"BIOMID DISPOSABLE BONE MARROW ASPIRATION BIOPSY NEEDLE" 格利尼 " 可丟棄式骨 

髓吸取針 

623 

NES0218150TP "TOP"ASPIRATION BIOPSY NEEDLE (18GX150MM) 吸引生檢針 663 



38



NES03315SDJU "PAJUNK"DELTA CUT BIOPSY SYSTEM 生檢穿刺套管組 14:20G 611 

NES041218ABA 

NES041MBS9ZM 

"BARD"MONOPTY DISPOSABLE BIOPSY INSTRUMENT+TRUGUIDE COAXIAL BIOPSY NEEDLE 組織 

取樣針 + 同軸導引針 

"MD TECH"SUPER-CORE II ADJUSTABLE BIOPSY INSTRUMENT+MD TECH CO-AXIAL INTRODUCER 

NEEDLE 切片針 + 同軸導引針 * 

1500 

1500 

NES04ACNMFG5 "ANGIOTECH"ACN BIOPSY NEEDLES WITH CO-AXIAL NEEDLE 愛仕恩切片針 ( 同軸庫針組 )14-20G* 1500 

NES04CT14NC8 

NES04MCTGABA 

"CARDINAL"BIOPSY NEEDLES 14G:22G+UNIVERSAL COAXIAL INTRODUCER NEEDLE 生檢針 + 同軸 

導引針 * 

"BARD"MAX-CORE DISPOSABLE BIOPSY INSTRUMENT+TRUGUIDE COAXIAL BIOPSY NEEDLE 組織 

取樣針 + 同軸導引針 

1500 

1500 

SAU01TA30LUS " 優施西 " TA 自動手術縫合釘 "USSC" TA LOADING UNITS 30MM 2293 




TBCT10023TVR 

TBCT10027TVR 

TBCT102836HV 

TKP03LEVEESB 

"EAGLE LABS"MANUAL OPHTHALMIC SURGICAL INSTRUMENT-LACRIMAL INTUBATION SET" 老 

鷹 " 手動式眼科手術器械 - 鼻淚管通條 

"EAGLE LABS"MANUAL OPHTHALMIC SURGICAL INSTRUMENT-LACRIMAL INTUBATION SET" 老 

鷹 " 手動式眼科手術器械 - 鼻淚管通條 

" 艾伯特海斯 " 手動式眼科手術器械 - 鼻淚管通條 "ALBERT HEISS"MANUAL OPHTHALMIC SURGICAL 

INSTRUMENT-LACHRYMAL INTUBATION SET 

LEVEEN COACCESS ELECTRODES SYSTEM AND LEVEEN NEEDLE ELECTRODES 勒鈖共進電極系統 

與勒鈖針狀電極探頭 

1773 

1773 

1773 

22215 

TKP04REL01RC "RANFAC"BREAST MARKING SYSTEM:NEEDLE+HOOK WIRE( 乳房定位器材組 ) 990 

TKP04SBS01RC 

"RANFAC"BREAST MARKING SYSTEM:NEEDLE+HOOK WIRE+STIFFENING CANNULA( 乳房定位器材 

組 ) 

1170 

TKVC105064QQ POSTERIOR VITRECTOMY CUTTERS 30PSI 20GA( 後房玻璃體切除刀 ) 4409 

TKVC10506NQQ 

TKVC105100MV 

TKVC105124QQ 

"MICRO VISION"MANUAL OPHTHALMIC SURGICAL INSTRUMENT:ACCURUS VITRECTOMY PROBE" 

麥可威視 " 手動式眼科手術器械 : 玻璃體切除探頭 

MICROVISION OPTHALMIC SURGICAL INSTRUMENT:POSTERIOR VITRECTOMY CUTTERS 微視手 

動式眼科器械 : 玻璃體切除探頭 

"MICRO VISION"MANUAL OPHTHALMIC SURGICAL INSTRUMENT:ACCURUS VITRECTOMY PROBE 

2500 切 " 麥可威視 " 手動式眼科手術器械 : 玻璃體切除探頭 

TSS01000011R 羅氏優勝血糖機組 - 羅氏優勝血糖試紙 ACCU-CHEK PERFORMA TEST STRIPS(10 片 ,25 片 ,50 片 ,MIC50 片 / 

罐 )* 使用規定請見備註欄 

4409 

4409 

4950 

13 

TSS0100001G8 測利得超值型血糖檢測系統 - 血糖試片 (25 片、50 片 / 盒 )* 使用規定請見備註欄 13 

TSS0100001J1 暐世血糖測試儀套組 - 血糖試紙 * 使用規定請見備註欄 (25 片 ,50 片 / 罐 ) 13 

TSS0100001XX 安倍賜血糖測試儀 - 安倍賜血糖試片 (25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01000021R 

羅氏優勢血糖機組 - 羅氏優勢血糖試紙 ACCU-CHEK ADVANTAGE TEST STRIPS((10 片 ,25 片 ,50 片 / 罐 )* 使 

用規定請見備註欄 

13 

TSS0100002G8 測利得超優型血糖檢測系統 - 血糖試片 (25 片、50 片 / 盒 )* 使用規定請見備註欄 13 

39



TSS0100002J1 暐世新型血糖測試儀套組 - 血糖試紙 * 使用規定請見備註欄 (50 片 ,25 片 / 罐 ) 13 

TSS01000031R 羅氏活力血糖機組 - 羅氏活力血糖試紙 (10 片 ,25 片 ,50 片 / 罐 )* 使用規定請見備註欄 13 

TSS0100003G8 好輕鬆血糖檢測系統 - 血糖試片 (25 片、50 片 / 盒 )* 使用規定請見備註欄 13 

TSS0100003J1 暐世攜帶型血糖測試儀套組 - 血糖試紙 * 使用規定請見備註欄 (10 片 ,15 片 / 罐 ) 13 

TSS01000041R 

羅氏 GO 讚血糖機組 - 羅氏 GO 讚血糖試紙 ACCU-CHEK GO TEST STRIPS((10 片 ,50 片 / 罐 )* 使用規定請見備 

註欄 

13 

TSS0100004G8 日安血糖檢測系統 - 血糖試片 (50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01000051R 

TSS0100005GV 

羅氏整合型血糖機組 - 羅氏整合型血糖試紙 ACCU-CHEK INTEGRA TEST STRIPS((17 片 / 捲 ,3 捲 / 盒 )* 使用 

規定請見備註欄 

樂適康血糖監測系統之血糖試紙 GLUCO PLUS GLUCOSE MONITORING SYSTEM'S BLOOD TEST 

STRIP(25 片或 50 片 / 盒 )* 使用規定請見備註欄 

13 

13 

TSS01000EKUE 優克糖血糖監測系統 - 血糖試紙 (25 片 / 罐 )* 使用規定請見備註欄 13 

TSS0106301AB 

TSS0111401AB 

TSS0111435AB 

" 亞培 " 信妥血糖試紙 (50 片 ,100 片 / 罐 )PRECISION PCX PLUS BLOOD GLUCOSE TEST STRIPS* 使用規定 

請見備註欄 

" 亞培 " 歐騰智慧型多功能血糖血酮監測系統 - 歐騰智慧型多功能血糖試紙 OPTIUM POINT OF CARE 

TEST STRIPS(25 片 ,50 片 ,100 片 / 罐 )* 使用規定請見備註欄 

" 亞培 " 第二代醫療專用血糖試紙 OPTIUM POINT OF CARE TEST STRIPS(25 片 ,50 片 ,100 片 / 罐 )* 使用規定 


13 

13 

13 

TSS0117311G7 龍易血糖測試系統 - 血糖試紙 (50 片 / 盒 )* 使用規定請見備註欄 13 

TSS013250BF9 福爾 2 合 1 血糖機之血糖試紙 * 使用規定請見備註欄 (25 片 ,50 片 / 盒 ) 13 

TSS014227AF9 福爾語音型血糖機之血糖試紙 * 使用規定請見備註欄 (25 片 ,50 片 / 盒 ) 13 

TSS014230DF9 福爾舒康血糖測試系統之血糖試紙 * 使用規定請見備註欄 (25 片 ,50 片 / 盒 ) 13 

TSS014231AF9 福爾易退片血糖機之血糖試紙 * 使用規定請見備註欄 (25 片 ,50 片 / 盒 ) 13 

TSS0142401AB 

" 亞培 " 利舒坦血糖檢測系統 - 利舒坦血糖試紙 FREESTYLE TEST STRIPS(10 片 ,25 片 ,50 片 ,100 片 / 罐 )* 使用 


13 

TSS014241AF9 福爾益康血糖機之血糖試紙 * 使用規定請見備註欄 (25 片 ,50 片 / 盒 ) 13 

TSS014251AF9 福爾易退片血糖機之血糖試紙 * 使用規定請見備註欄 (25 片 ,50 片 / 盒 ) 13 

TSS0145656GK 歐克葡萄糖試驗系統 - 歐克血糖試片 (25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS0145657GK 歐克語音血糖監測系統 - 歐克語音血糖測試片 (25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS0145658GK 歐克免設碼血糖監測系統 - 歐克免設碼血糖試片 (25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS0145659GK 慧昇克立測血糖監測系統 - 慧昇克立測血糖試片 (50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01505C2J3 " 愛森斯 " 快速測血糖試紙 "I-SENS"CARESENS II BLOOD GLUCOSE TEST STRIPS(10 片 ,50 片 / 罐 )* 13 

TSS01ACCP1FH 

艾康血糖測試系統 - 血糖試紙 ACON ON CALL PLUS BLOOD GLUCOSE TEST STRIPS(50 片 / 盒 ,25 片 ( 單片 

鋁箔包 )/ 盒 ,1 片 ( 單片鋁箔包 ))* 使用規定請見備註欄 

13 

40



TSS01AD0505A 欣瑞血糖測試系統 - 欣瑞血糖測試片 (25 片 ,50 片 / 罐 )* 使用規定請見備註欄 13 

TSS01AP100FT 愛彼德血糖測試系統 - 血糖試紙 (10 片 ,25 片 / 罐 )* 使用規定請見備註欄 13 

TSS01APPLUFT 愛彼德進階血糖測試系統 - 血糖測試片 (10 片 ,25 片 / 罐 )* 13 

TSS01B2001WB 

" 拜安捷 " 血糖測試試紙 ASCENSIA BREEZE 2 BLOOD GLUCOSE TEST STRIPS(10 片 /DISC,5*10 STRIPS)* 

使用規定請見備註欄 

13 

TSS01BKGS1GB 百捷血糖檢測系統 - 百捷血糖試片 (25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01BKPGSGB 百捷益血糖檢測系統 - 百捷益血糖試片 (25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01CTS01WB " 拜耳 " 拜安康血糖測試試紙 "BAYER"CONTOUR TS BLOOD GLUCOSE TEST STRIPS(50 片 / 盒 ,2*25 

STRIPS)* 使用規定請見備註欄 

13 

TSS01DG050FK 糖易測血糖監測系統 - 血糖試紙 * 使用規定請見備註欄 (10 片 ,25 片 ,50 片 ,75 片 ,100 片 / 罐 ) 13 

TSS01EL001WB 

" 拜耳 " 易理測血糖測試試紙 ASCENSIA ELITE BLOOD GLUCOSE TEST STRIPS(50 片 / 盒 )* 使用規定請見 

備註欄 

13 

TSS01EN001FY " 愛科來 " 葡萄糖檢測試紙 II(50 片 / 盒 ) * 使用規定請見備註欄 13 

TSS01EN002FY " 愛科來 "X- 血糖檢測試紙 10 片 ,50 片 / 盒 * 13 

TSS01EPSEZFU 勁速康血糖量測系統 - 血糖試紙 (10 片 ,25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01G421SVL 愛奧樂血糖測試儀專用試紙 * 使用規定請見備註欄 13 

TSS01G423SVL 愛奧樂血糖測試系統專用試紙 * 使用規定請見備註欄 13 

TSS01GM100FS 瑞特血糖監測系統 GM100- 瑞特血糖測試片 *(10 片 ,25 片 ,50 片 ,100 片 ,200 片 / 盒 )* 使用規定請見備註欄 13 

TSS01GM210FS 瑞特血糖監測系統 GM210- 瑞特血糖測試片 (10 片 ,25 片 ,50 片 ,100 片 ,200 片 / 盒 )* 使用規定請見備註欄 13 

TSS01GM300FS 瑞特血糖監測系統 GM300- 瑞特血糖測試片 *(10 片 ,25 片 ,50 片 ,100 片 / 盒 )* 使用規定請見備註欄 13 

TSS01GM550FS 瑞特血糖監測系統 GM550- 瑞特血糖測試片 (10 片 ,25 片 ,50 片 ,100 片 ,200 片 / 盒 )* 使用規定請見備註欄 13 

TSS01GPLUSBB 柏朗貝佳血糖機 - 血糖試紙 OMNITEST PLUS GLUCOSE MONITORING SYSTEM-TEST STRIPS(10 片 ,25 

片 ,50 片 / 罐 )* 使用規定請見備註欄 

13 

TSS01HHRRZFZ 隨手測血糖試紙 "ONETOUCH"HORIZON TM TEST STRIPS(25 片 / 盒 )* 使用規定請見備註欄 13 

TSS01HL5888H 瑞康 588 自我血糖監控系統 - 瑞康血糖試紙 (10 片 ,25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01MAJHRFT 茂晶血糖測試系統 - 血糖試紙 (10 片 ,25 片 / 罐 )* 使用規定請見備註欄 13 

TSS01MAJJRFT 茂晶血糖測試系統 - 血糖試紙 (10 片 ,25 片 / 罐 )* 使用規定請見備註欄 13 

TSS01RMCB1RP 優盛血糖測試套組 - 血糖試紙 (10 片 ,25 片 ,50 片 / 罐 ,25 片 *2 罐 )* 使用規定請見備註欄 13 

TSS01SE0505A 欣速血糖測試系統 - 欣速血糖測試片 SENSOREX G TEST STRIPS(50 片 / 罐 )* 使用規定請見備註欄 13 

TSS01SG103FX 易立測血糖試紙 (10 片 ,25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

41



TSS01SG105J4 易美測 I 血糖試紙 (25 片 / 盒 )* 13 

TSS01SG106FX 易立測 II 血糖試紙 (10 片 ,25 片 ,50 片 / 盒 )* 使用規定請見備註欄 13 

TSS01SG203FX 易立測血糖試紙 (25 片 *2 盒 )* 使用規定請見備註欄 13 

TSS01SG205J4 易美測 I 血糖試紙 (25 片 *2 盒 )* 13 

TSS01SG206FX 易立測 II 血糖試紙 (25 片 *2 盒 )* 使用規定請見備註欄 13 

TSS01SMC00FT 適美捷血糖測試系統 - 血糖試紙 (10 片 ,25 片 / 罐 )* 使用規定請見備註欄 13 

TSS01T10255A 必立康 GC 血糖 / 膽固醇雙功能測試系統 - 虹吸 2 血糖測試片 (25 片 ,50 片 / 罐 )* 使用規定請見備註欄 13 

TSS01T10505A 必立康血糖 / 尿酸雙功能測試系統 - 虹吸 2 血糖測試片 (25 片 ,50 片 / 罐 )* 使用規定請見備註欄 13 

TSS01T12255A 速利測血糖測試系統 - 虹吸 2 血糖測試片 (25 片 ,50 片 / 罐 )* 使用規定請見備註欄 13 

TSS01TB001F7 易速得 -168 血糖測試套組 - 易速得 -168 血糖測試片 (10 片 ,25 片 ,50 片 / 罐 ;25 片 *2 罐 )* 使用規定請見備註欄 13 



TSS01TB004F7 舒適測血糖測試套組 - 舒適測血糖測試片 (10 片 ,25 片 ,50 片 / 罐 ;25 片 *2 罐 )* 使用規定請見備註欄 13 

TSS01TB005F7 特立捷血糖測試套組 - 特立捷血糖測試片 (10 片 ,25 片 ,50 片 / 罐 ;25 片 *2 罐 )* 使用規定請見備註欄 13 

TSS01TB006F7 易速得血糖測試片 10 片 ,25 片 ,50 片 / 罐 * 使用規定請見備註欄 13 

TSS01TB007F7 台欣 TB100 血糖測試片 10 片 ,25 片 ,50 片 / 罐 * 使用規定請見備註欄 13 

TSS01ULTRAFZ 

穩豪血糖試紙 "ONETOUCH" ULTRA TEST STRIPS(25 片 / 罐 ,2 罐 / 盒 ;25 片 / 盒 100.1.1 生效 )* 使用規定請見備 

註欄 

13 

TSS01VE2255A 欣聲血糖檢測試片 (25 片 ,30 片 ,50 片 / 罐 )* 使用規定請見備註欄 13 

WBB0402050RL "RE-ORDER"ELASTIC BANDAGE(NON-STERILE)2 吋 X5 碼彈性繃帶 * 10.6 




WBB0703031NS NOK-SAN CAST PLASTER BANDAGE 石膏繃帶 3"X3Y 23 

WBB0802040HZ "HORIZON"ORTHOPEDIC CASTING TAPE(NON-STERILE) 樹脂石膏繃帶 ( 聚脂纖維 )2 吋 X4.4 碼 * 240 

WBB0802040K3 "KANGDA"ORTHOPEDIC CASTING TAPE 樹脂石膏繃帶 ( 玻璃纖維 )2 吋 4 碼 * 240 

WBB0802041HZ 

"HORIZON"ORTHOPEDIC CASTING TAPE(NEAL CAST FIBERGLASS ALPHA TYPE) 樹脂石膏繃帶 ( 玻璃 

纖維 )2 吋 X4.4 碼 * 

240 

42





WBB0803041HZ 


纖維 )3 吋 X4.4 碼 * 

280 



WBB0804041HZ 


纖維 )4 吋 X4.4 碼 * 

320 



WBB0805041HZ 


纖維 )5 吋 X4.4 碼 * 

360 


WBB0820400HZ "HORIZON"ORTHOPEDIC CASTING TAPE(NON-STERILE) 樹脂石膏繃帶 ( 玻璃纖維 )2 吋 X4.4 碼 * 240 




WDD08000153M 3M TEGADERM HYDROGEL WOUND FILLER(STERILE) 15GM 水解凝膞 * 162 

WDD08000253M 3M TEGADERM HYDROGEL WOUND FILLER(STERILE)25GM 水解凝膞 * 276 

WDD0800073SN 

WDD0800078SN 

WDD0800081SN 

"SMITH&NEPHEW"ALLEVYN AG HYDROCELLULAR ANTIMICROBIAL DRESSING 7.5CMX7.5CM" 史耐 

輝 " 愛力膟銀親水性抗菌敷料 * 

"SMITH&NEPHEW"ALLEVYN AG HYDROCELLULAR ANTIMICROBIAL DRESSING 12.5CMX12.5CM" 史 

耐輝 " 愛力膟銀親水性抗菌敷料 * 

"SMITH&NEPHEW"ALLEVYN AG HYDROCELLULAR ANTIMICROBIAL DRESSING 17.5CMX17.5CM" 史 

耐輝 " 愛力膟銀親水性抗菌敷料 * 

WDD0800083SN "SMITH&NEPHEW"ALLEVYN AG HYDROCELLULAR ANTIMICROBIAL DRESSING 5CMX5CM" 史耐輝 " 

愛力膟銀親水性抗菌敷料 * 

WDD0800086SN 

WDD0800089SN 

WDD0800091SN 

WDD0800248SN 

WDD0800249SN 

WDD0800250SN 

"SMITH&NEPHEW"ALLEVYN AG HYDROCELLULAR ANTIMICROBIAL DRESSING 10CMX10CM" 史耐 






"SMITH&NEPHEW"ALLEVYN GENTLE SOFT GEL ADHESIVE HYDROCELLULAR DRESSING 

10CMX10CM" 史耐輝 " 柔膞愛力膟敷料 ( 滅菌 )* 





198 

320 

459 

57 

228 

413 

612 

119 

225 

250 

43



WDD0800251SN "SMITH&NEPHEW"ALLEVYN GENTLE SOFT GEL ADHESIVE HYDROCELLULAR DRESSING 

364 


WDD0800510F4 DUODERM EXTRA THIN CGF DRESSING 5X10CM 超薄型親水性敷料 * 43 


WDD0800691SN "SMITH&NEPHEW"ALLEVYN DRESSING 愛力膟親水性的聚乙烯敷料 (LITE 10CMX10CM)* 123 

WDD0800692SN "SMITH&NEPHEW"ALLEVYN DRESSING 愛力膟親水性的聚乙烯敷料 (LITE 10CMX20CM)* 255 


WDD0801212UG "URGO"ALGOPLAQUE HYDROCOLLOID DRESSING(STERILE)10CMX10CM 悠可平親水性敷料 * 123 



WDD0801221UG 

WDD0801222UG 

WDD0801224UG 

WDD0801226UG 

WDD0801228UG 

WDD0801249UG 

WDD0801250UG 

WDD0801251UG 

WDD0801252UG 

"URGO"ALGOPLAQUE FILM/THIN HYDROCOLLOID DRESSING(STERILE)5CMX10CM 悠可平薄型親水 

性敷料 * 

"URGO"ALGOPLAQUE FILM/THIN HYDROCOLLOID DRESSING(STERILE)5CMX20CM 悠可平薄型親水 

性敷料 * 

"URGO"ALGOPLAQUE FILM/THIN HYDROCOLLOID DRESSING(STERILE)10CMX10CM 悠可平薄型親 

水性敷料 * 





"URGO"URGOSORB ALGINATE HYDROCOLLOID ABSORBENT DRESSING(STERILE)5CMX30CM 悠可 

吸藻酸鹽親水性敷料 * 

"URGO"URGOSORB ALGINATE HYDROCOLLOID ABSORBENT DRESSING(STERILE)5CMX5CM 悠可吸 

藻酸鹽親水性敷料 * 





43 

55 

55 

121 

196 

130 

23 

121 

139 


WDD0801701UG "URGO"HYDROGEL(STERILE)15G/TUBE 水性凝膞 * 162 

WDD0803708F4 "CONVATEC"AQUACEL AG HYDROFIBER DRESSING 10X10CM * 228 





WDD0807630SN "SMITH&NEPHEW"ALLEVYN DRESSING 愛力膟親水性的聚乙烯敷料 (HEEL 10.5CMX13.5CM)* 177 

44



WDD0807640SN "SMITH&NEPHEW"ALLEVYN DRESSING 愛力膟親水性的聚乙烯敷料 (TRACHE0STOMY 9CMX9CM)* 86 

WDD08090023M 3MTEGASORB HYDROCOLLOID DRESSING 親水性敷料 10CMX10CM* 123 

WDD08090053M 3MTEGASORB HYDROCOLLOID DRESSING 親水性敷料 15CMX15CM* 255 

WDD0810607F4 "CONVATEC"VERSIVA XC DRESSING(STERILE)11CMX11CM 威吸寶敷料 * 143 





WDD0810612F4 "CONVATEC"VERSIVA XC DRESSING(STERILE)18.5CMX20.5CM 威吸寶敷料 * 364 




WDD0811010F4 "CONVATEC"DUO DERM CGF CONTROL GEL FORMULA DRESSING 10X10CM 親水性 CGF 敷料 * 123 



WDD0837400CA "COLOPLAST"SEASORB SOFT DRESSING(ALGINATE)(FILLER)3CMX44CM 軟性敷料 * 130 

WDD0847578SN "SMITH&NEPHEW"ALLEVYN DRESSING 愛力膟親水性的聚乙烯敷料 (THIN 10CMX10CM)* 55 

WDD0847579SN "SMITH&NEPHEW"ALLEVYN DRESSING 愛力膟親水性的聚乙烯敷料 (THIN 15CMX20CM)* 145 

WDD0856100LN 

WDD0856150LN 

WDD0856600LN 

MOLNLYCKE MELGISORB AG ANTIMICROBIAL ALGINATE DRESSING 美尼克美極收銀抗菌海藻鹽敷 

料 10CMX10CM* 


料 15CMX15CM* 


料 3CMX44CM* 

228 

413 

228 

WDD0862110BB "B.BRAUN"ASKINA CALGITROL AG 雅膟凱奇樂藻酸銀敷料 10CMX10CM* 228 

WDD0862115BB "B.BRAUN"ASKINA CALGITROL AG 雅膟凱奇樂藻酸銀敷料 15CMX15CM* 413 

WDD0868210F4 KALTOSTAT ALGINATE WOUND DRESSING 5X5CM 藻酸鈣鈉鹽傷口敷料 * 23 

WDD0868212F4 KALTOSTAT ALGINATE WOUND DRESSING 7.5X12CM 藻酸鈣鈉鹽傷口敷料 * 72 


45




WDD0877901F4 AQUACEL HYDROFIBER DRESSING5CMX5CM* 30 

WDD0877902F4 AQUACEL HYDROFIBER DRESSING 10CMX10CM* 123 

WDD0877903F4 AQUACEL HYDROFIBER DRESSING 15CMX15CM* 255 

WDD0887121LN 

WDD0887321LN 

MEPILEX AG ANTIMICROBIAL SOFT SILICONE FOAM DRESSING 美皮蕾銀抗菌軟性矽膞泡棉敷料 

12.5CM*12.5CM* 

MEPILEX AG ANTIMICROBIAL SOFT SILICONE FOAM DRESSING 美皮蕾銀抗菌軟性矽膞泡棉敷料 

17.5CM*17.5CM* 

327 

576 

WDD0887987F4 "CONVATEC"DUODERM HYDROACTIVE GEL 30GM 多愛膟親水性凝膞 * 276 

WDD0887990F4 "CONVATEC"DUODERM HYDROACTIVE GEL 15GM 多愛膟親水性凝膞 * 162 

WDD08906003M 3M HYDROPHILIC WOUND DRESSING 親水性創傷覆蓋材 (TEGADERM FOAM 5CMX5CM)* 30 




WDD0899570HN "HARTMANN"ATRAUMAN AG SILVER DRESSING(5X5CM) 含銀軟膏膟料 * 適應證請見備註欄 57 



WDD08A0520SN "SMITH&NEPHEW"ALGISITE M CALCIUM ALGINATE DRESSING" 史耐輝 " 海藻酸鈣敷料 10X10CM* 121 



WDD08E1405K6 

WDD08E1407K6 

WDD08E1416K6 

WDD08E2405K6 

WDD08E2407K6 

WDD08E2412K6 

WDD08E2416K6 

WDD08E2432K6 

"EUROMED"SURESKIN HYDROCOLLOID WOUND DRESSING(STERILE)(STANDARD)10X10CM" 優而 

美 " 舒肌親水性傷口敷料 * 適應症請健備註欄 





"EUROMED"SURESKIN HYDROCOLLOID WOUND DRESSING(STERILE)(BORDER)10X10CM" 優而美 " 舒 

肌親水性傷口敷料 * 適應症請健備註欄 



"EUROMED"SURESKIN HYDROCOLLOID WOUND DRESSING(STERILE)(BORDER-SACRAL)15X18CM" 

優而美 " 舒肌親水性傷口敷料 * 適應症請健備註欄 



"EUROMED"SURESKIN HYDROCOLLOID WOUND DRESSING(STERILE)(BORDER-SACRAL LARGE 

BUTTERFLY)15X18CM" 優而美 " 舒肌親水性傷口敷料 * 適應症請健備註欄 

123 

400 

255 

123 

400 

327 

255 

327 

46



WDD08E3205K6 "EUROMED"SURESKIN HYDROCOLLOID WOUND DRESSING(STERILE)(THIN)10X10CM" 優而美 " 舒肌 55 

親水性傷口敷料 * 適應症請健備註欄 

WDD08E3216K6 

WDD08E3515K6 

"EUROMED"SURESKIN HYDROCOLLOID WOUND DRESSING(STERILE)(THIN)15X15CM" 優而美 " 舒肌 

親水性傷口敷料 * 適應症請健備註欄 

"EUROMED"SURESKIN HYDROCOLLOID WOUND DRESSING(STERILE)(THIN)5X15CM" 優而美 " 舒肌親 

水性傷口敷料 * 適應症請健備註欄 

121 

43 

WDD08F0203ZW "SAVDERM"FOAM DRESSING(STERILE)10CM*20CM 泡棉敷料 ( 滅菌 )* 255 

WDD08F0301ZW "SAVDERM"FOAM DRESSING(STERILE)(5CMX5CM) 泡棉敷料 ( 滅菌 )* 30 

WDD08F0404ZW "SAVDERM"FOAM DRESSING(STERILE)(20CMX20CM) 泡棉敷料 ( 滅菌 )* 400 

WDD08H0102ZW SAVDERM HYDROCOLLOIDS THIN DRESSING(STERILE)10X10CM 親水性敷料 ( 滅菌 )* 55 



ACM0100254BS MANIFOLDS 4 PORTS 500PSI 324 

ACM0100297BS MANIFOLDS 2 PORTS 200PSI,500PSI,1000PSI 221 

ACM0100298BS MANIFOLDS 3 PORTS 200PSI,500PSI,1000PSI 263 

ACM0101274BB HIGH PRESSURE MANIFOLDS DOUBLE 35 BAR 221 

ACM0101275BB HIGH PRESSURE MANIFOLDS DOUBLE W/ROTABLE ADAPTER 35 BAR 221 

ACM0101277BB HIGH PRESSURE MANIFOLDS DOUBLE 70 BAR 221 

ACM0101278BB HIGH PRESSURE MANIFOLDS DOUBLE W/ROTABLE ADAPTER 70 BAR 221 

ACM0101280BB HIGH PRESSURE MANIFOLDS TRIPLE 35 BAR 263 

ACM0101281BB HIGH PRESSURE MANIFOLDS TRIPLE W/ROTABLE ADAPTER 35 BAR 263 

ACM0101283BB HIGH PRESSURE MANIFOLDS TRIPLE 70 BAR 263 

ACM0101284BB HIGH PRESSURE MANIFOLDS TRIPLE W/ROTABLE ADAPTER 70 BAR 263 

ACM0101285BB ANGIODYN HIGHT PRESSURE MANIFOLDS STOPCOCKS DOUBLE PORTS 500PSI 1000PSI 221 

ACM0101286BB ANGIODYN HIGHT PRESSURE MANIFOLDS STOPCOCKS TRIPLE PORTS 500PSI 1000PSI 263 

ACM01202HFMR MANIFOLD 2-V 200PSI 221 

ACM01253RXMR MANIFOLD 3 PORTS 200PSI;500PSI WITH HIGH PRESSURE TUBING 雙層 ( 可達 1200PSI) 384 

ACM012P640SB ANGIOGRAPHIC MANIFOLDS 2-PORTS 221 

ACM013P640SB ANGIOGRAPHIC MANIFOLDS 3-PORTS 263 

47



ACM0142311AB HIGH PRESSURE STOPCOCK MANIFOLD FIVE-STATION 600PSI 430 

ACM0142314AB HIGH PRESSURE STOPCOCK MANIFOLD TWO-STATION 600PSI 221 

ACM0142317AB HIGH PRESSURE STOPCOCK MANIFOLD THREE-STATION 600PSI 263 

ACM0142320AB HIGH PRESSURE STOPCOCK MANIFOLD FOUR-STATION 600PSI 324 

ACM01502RXMR MANIFOLD 2-PORTS 500 PSI 221 

ACM01503RXMR MANIFOLD 3-PORTS 500 PSI 263 

ACM01504RXMR MANIFOLD 4 PORTS 200PSI;500PSI WITH HIGH PRESSURE TUBING 雙層 ( 可達 1200PSI) 384 

ACM019310NAG MANIFOLDS 2 PORTS 221 

ACM01APMF2H9 ANGIO PACK:MANIFOLDS 2 PORT/500 221 

ACM01APMF3H9 ANGIO PACK:MANIFOLDS 3 PORT/500 263 

ACP011000NDL Y TYPE ADAPTOR 346 

ACP0146201H9 

" 華億 " 體外循環管組 "HYM"HEART LUNG PACK-Y & STRAIGHT & REDUCER CONNECTOR(WITH 

LUER) 

88 

ACP01CA123L5 " 加州 " 心臟麻痺轉接器 "CALIFORNIA" CARDIOPLEGIA ADAPTERS 88 

ACP01EC210GH EXTRACORPOREAL TUBING Y CONNECTOR 88 

ACP01EC212GH EXTRACORPOREAL TUBING STRAIGHT CONNECTOR 88 

ACP01EC214GH EXTRACORPOREAL TUBING CONNECTORS REDUCER REDUCER /LUER SPECIALTY 88 

ACP01ECTBSM6 EXTRACORPOREAL TUBING STRAIGHT CONNECTOR 88 

ACP01ECTBYM6 EXTRACORPOREAL TUBING Y-CONNECTOR 88 

ACP0214000DL MULTIPURPOSE PERFUSION SET WITH VENT LINE 889 

ACP0214003DL MULTIPURPOSE PERFUSION SET 657 

ACPD1C4129BT " 百特 " 鈦金屬接頭 "BAXTER" ADAPTER FOR PERITONEAL DIALYSIS CATHETER 1514 

ACY010210NSD PTCA Y CONNECTOR 1065 

ACY0103331AB COPILOT BLEEDBACK CONTROL VALVE Y ADAPTOR 1065 

ACY016248VM4 ADJUSTABLE VALVE W/3-WAY STOPCOCK 1065 

ACY0191400SB NAMIC MORSE Y ADAPTOR 1065 

ACY01KESU1NX Y-CONNECTOR(PTCA,PTA 用 ) 1065 

48



ACY01MAP13MR MONIFOLD W/HEMOSTASIS VALVE 200PSI 單 Y 型 1065 

ACY01MAP22MR ANGIOPLASTIC PACK & DOUBLE HEMOSTASIS VALVES 1155 

ACY01MAP45MR ANGIOPLASTIC PACK & HEMOSTASIS VALVES 1065 

BBB01T060CTM TRANSFER BAG 600ML 60 

BBB01T100BTM TRANSFER BAG 1000ML 60 

BBP0100070CA POST OPERATION OPEN TRANSPARENT BAG 康便舒手術後便袋 * 限住院患者申報 51 

BBP0103144HL CLOSED MINI POUCH 51MM 單片式封口便袋 * 限住院患者申報 11 

BBP0112441A5 NEW BIOCLOSE-AF 50MM* 限住院患者申報 51 

BBP011680NA5 YOUCARE C 14:59MM* 限住院患者使用 51 

BBP0400315DD ONE PIECE SOLO MINI DRAINABLE POUCH 15:50MM( 含人工皮、不織布 )※ 限住院患者申報 55 

BBP0400818DD SOLO DRAINABLE POUCHES(NON-STERILE) 10-40MM* 限住院患者申報 43 

BBP0401240PH DISPOSABLE COLOSTOMY BAG* 限住院患者申報 11 

BBP0403250HL POST OPERATION COMPACT DRAINABLE POUCH( 開口便袋 )※ 限住院患者申報 55 

BBP0403802HL DRAINABLE POUCH 44MM * 限住院患者申報 43 



BBP0403857HL OSTOMY TWO-PIECE WITH TRANSPARENT 57MM 中央點鎖式兩式便袋 * 限住院患者申報 43 

BBP0406820CA POST OPEN BAG 100MM* 限住院患者申報 74 

BBP0407600HL ONE-PIECE POUCH 51MM* 限住院患者申報 11 

BBP0407650HL STONINAL ONE PIECE POUCH 51MM 單片附人造皮便袋 * 限住院患者申報 43 

BBP0412131A5 PROCARE-2 DRAINABLE POUCH 30,40,50MM* 限住院患者申報 55 

BBP0412134A5 PROCARE-2 DRAINABLE POUCH 70MM* 限住院患者申報 43 

BBP0412501A5 LAPACK SUPER-G 人工肛門袋 G80* 限住院患者申報 11 



BBP0412511A5 LAPACK SUPER-C 100 人工肛門封口便袋 * 限住院患者申報 11 

49



BBP0412521A5 LAPACK SUPER F 簡易型夾鏈式開口便袋 * 限住院患者使用 11 

BBP0413984CA 

"COLOPLAST"ALTERNA FREE WITH HIDE-AWAY OUTLET OSTOMY POUCH 

40MM,50MM,60MM(TWO-PIECE) 崇尚型易關式開口袋 * 適應證請見備註欄 

43 

BBP041418NA5 YOUCARE D 14:50MM* 限住院患者使用 55 

BBP0414344CA "COLOPLAST"EASIFLEX OSTOMY POUCH (NON-STERILE) 易利膟造口術用袋 * 43 

BBP041501KA5 "ALCARE"OSTOMY POUCH POSPACK-K 0-70MM( 含人工皮 . 不織布 ) 造口術用袋 * 限住院患者申報 55 

BBP0415021A5 POSPACK B 60MM※ 限住院患者使用 55 

BBP0416611A5 YOUCARE 2 POUCH DF 優護二件式開口便袋 * 限住院患者使用 43 



BBP0416623A5 YOUCARE 2 POUCH D 優護二件式開口便袋 * 限住院患者使用 43 

BBP041662NA5 YOUCARE 2 POUCH D 優護二件式開口便袋 * 限住院患者使用 43 

BBP0416771A5 YOUCARE D 14:59MM* 限住院患者使用 55 

BBP041678NA5 YOUCARE D 14:59MM* 限住院患者使用 55 

BBP0416960CA ILEOSTOMY BAG MAXI 40MM,50MM,60MM※ 限住院患者申報 43 

BBP0417820CA ALTERNA CHILDREN 雙片 OPEN TRANSPARENT BAG 40MM※ 限住院患者申報 45 

BBP0418102HL NEW IMAGE DRAINABLE POUCH 2 PIECE 44:70MM * 限住院患者申報 43 

BBP0459850CA "COLOPLAST"ALTERNA ILEOSTOMY BAGS 10-70MM 愛特大迴腸造口袋 * 55 

BBU0101460HL FIRST CHOICE UROSTOMY POUCH WITH CUT-TO-FIT BARRIER( 含人工皮 )※ 限住院串者申報 91 

BBU0103907HL UROSTOMY POUCH 38MM* 限住院患者申報 77 

BBU0103944HL CENTER POINT LOCK UROSTOMY POUCH※ 限住院患者申報 91 

BBU0105451SQ URO,ACCUL,TRANSPARENT POUCH 尿袋 35/48/61MM* 限住院患者申報 77 

BBU0112151A5 PROCARE-2 URINARY POUCH 30,40,50MM* 限住院患者申報 77 

BBU0112451A5 BIOURINE-B 50MM* 限住院患者申報 91 

BBU0114201A5 YOUCARE U 優護一件式尿袋 * 限住院患者使用 91 

BBU011536NA5 YOUCARE U 優護一件式尿袋 * 限住院患者使用 91 

BBU011666NA5 YOUCARE 2U 優護二件式尿袋 * 限住院患者使用 77 

50



BBU0117570CA COLOPLAST ALTERNA UROSTOMY BAG MAXI375ML※ 限住院患者申報 77 

BBU0117890CA ALTERNA CHILDREN TRANSPARENT URINE BAG※ 限住院患者申報 77 

BBU0118402HL NEW IMAGE UROSTOMY POUCH ( 不含人工皮 ) 44:70MM * 限住院患者申報 77 

BBU0155850CA UROSTOMY BAG MAXI 375ML ※ 限住院患者申報 91 

BBU0180090CA ONE PIECE ALTERNA CHILDREN TRANSPARENT URINE BAG 10:35MM( 含人工皮 )※ 限住院患者申報 91 

BBW0104055P2 P.C.N. BAG (S) 腎臟造廔引流袋 34 

BBW0104075PP PCN BAG 750CC( 腎臟造廔引流袋 ) 34 

BBW0104200P2 P.C.N. BAG (L) 腎臟造廔引流袋 34 

BBW0104200PP PCN BAG 2000CC( 腎臟造廔引流袋 ) 34 

BBW0145000TZ PCN BAG 腎臟造口引流袋 34 

BBW0145001TZ PCN BAG 500ML 34 

BBW0156054P2 WOUND DRAINAGE SYSTEM BAG( 接真空傷口引流袋 ) 34 

BBW0185001PB PBN DRAINAGE BAG 34 

CBA010502SAR 

INTRA AORTIC BALLOON CATHETER ( 型號 :IAB-04230U,04240U,04250U,06830U,06840U,R950U 自 

94.10.01 起生效 ) 

26302 

CBA014830UAR NARROWFLEX UNIVERSAL IAB CATHETER 8FR.30CC,40CC 26302 

CBA01C0DA1CK "COOK"CODA BALLOON CATHETER (AORTIC) 科達球曩導管 25916 

CBA01S730CAR REDIGUARD IAB CATHETER 7,8,9FR. 30CC,40CC 26302 

CBC0110101AB "ABBOTT"RX ACCULINK CAROTID STENT SYSTEM 亞科林頸動脈支架系統 * 28608 

CBC01EXP0NM4 EXPONENT RX SELF EXPANDING STENT SYSTEM* 28608 

CBC01SCH64SB OTW&MONORAIL CAROTID WALLSTENT D:6:10MM,L:30:50MM* 28608 

CBC01SCH65SB OTW&MONORAIL CAROTID WALLSTENT* 28608 

CBC0271200SB 

BOSTON SCIENTIFIC WALLSTENT ILIAC ENDOPROSTHESIS WITH UNISTEP PLUS DELIVERY 

SYSTEM* 

30076 

CBC02LUDUEAN ANGIOMED LUMINEXX VASCULAR STENT 直徑 4MM:9MM 10MM;12MM;14MM 長度 20MM:120MM 30076 

CBC02MP628F2 

"INVATEC"MARIS PERIPHERAL SELF-EXPANDING STENT SYSTEM(ILIAC ARTERY) 瑪瑞斯自膨式週 

邊血管支架系統 * 

30076 

CBC02P208MCD PALMAZ BALLOON-EXPANDABLE STENT FOR THE ILIAC ARTERIES 3.5MMX30MM 30076 

CBC02Z1V60CK "COOK"ZILVER VASCULAR STENT(ILIAC ARTERY) W/ 運送系統 * 30076 

51



CBC02Z1V61CK "COOK"ZILVER VASCULAR STENT(ILIAC ARTERY) 麗而服血管支架 * 30076 

CBC02Z1V62CK "COOK"ZILVER SELF EXPANDABLE VASCULAR STENTS(ILIAC ARTERY) 麗而服自展性血管支架 * 30076 

CBC02ZVS04AN 

"ANGIOMED"BARD E.LUMINEXX VASCULAR STENT 巴德依 . 路明尼斯血管支架 ( 腸骨血管支架 ) 直徑 

4MM:10MM;12MM;14MM 長度 60CM;135CM* 

30076 

CBS029ASDNG6 AMPLAATZER SEPTAL OCCLUDER WITH DELIVERY SYSTEM 143762 

CBS029SZB2G6 AMPLATZER SIZING BALLOON II 安普拉茲測量氣球導管 * 14476 

CBS029SZBNG6 AMPLATZER SIZING BALLOON 24MM,34MM* 14476 

CBS02PTSXXN5 PTS SIZING CATHETER 20:40MM 3:5CM 80CM 0.035" GUIDE WIRE 14476 

CBS039PDAAG6 "AGA"AMPLATZER DUCT OCCLUDER 開放性動脈導管關閉器 * 66941 

CBT0405000AR 

CBT0405050AR 

CBT0407044AR 

CBT0407365AR 

CBT04131HVED 

"ARROW"BALLOONTHERMODILUTION CATHETERS(HEPARIN-COATED) FOUR LUMEN" 亞諾 " 熱稀釋 

順流導管 

"ARROW"BALLOONTHERMODILUTION CATHETERS(HEPARIN-COATED) 5 LUMEN" 亞諾 " 熱稀釋順流 

導管 

"ARROW" THERMODILUTION BALLOON CATHETER(4 LUMEN) 4FR 75CM " 亞諾 " 熱稀釋順流導管 ( 兒 

童 ) 

"ARROW"BALLOON THERMODILUTION CATHETER 6FRX80CM;110CM 7FRX110CM(HEPARIN 

COATED) 4 LUMENS " 亞諾 " 熱稀釋順流導管 

EDWARDS SWAN-GANZ THERMODILUTION CATHETER 4LUMEN 7FR,W/AMC THROMBOSHIELD 

COATING 

2710 

2867 

2162 

2710 

2710 

CBT041704HBS THERMODILUTION CATHETER 測輸量順流導管 ( 四腔 )7fr 110cm 1842 

CBT04254NDBS THERMODILUTION CATHETER 5FR 4 LUMEN, 6FR 4 LUMEN ,7FR 4 LUMEN 順流導管 ( 四腔 ) 2162 

CBT045107SBD THERMODILUTION CATHETER FOUR LUMEN 7FR 110CM 1842 

CBT0493137ED 

CBT04C144HED 

SWAN-GANZ THERMODILUTION CATHETER FOUR LUMEN/AMC THROMBOSHIELD(HEPARIN) 熱稀 

釋導管 

"EDWARDS"SWAN-GANZ THERMODILUTION CATHETER 4 LUMEN 7FR W/AMC THROMBOSHIELD 

COATING 

2710 

2710 

CBT04H5107BD THERMODILUTION CATHETER FOUR LUMEN 7FR 110CM 1842 

CBT05175HDBS THERMODILUTION CATHETER 7.5FR 5 LUMEN 2867 

CBT0550324HR FLOW-DIRECTED CATHETERS/ 測血氧 * 7148 

CBT055507SBD THERMODILUTION CATHETER FIVE LUMEN 7.5FR 110CM 1341 

CBT0574175ED SWAN GANZ OXIMETRY AND VOLUMETRIC CATHETER* 7148 

CBT05831H7ED SWAN-GANZ 5 LUMEN THERMODILUTION CATHETER 1341 

CBT05831HVED 

EDWARDS SWAN-GANZ THERMODILUTION CATHETER 5LUMEN 7.5FR,W/AMC THROMBOSHIELD 

COATING 

2867 

CBT05834H7ED SWAN-GANZ 5 LUMEN THERMODILUTION CATHETER 1341 

52



CBT0593631E6 OXIMETRY SVO2 CATHETER 5LUMEN(PA,CVP,T,POTICAL,CONNECT,BALLOON INF)* 適應症見備註 7148 

CBT0652510HR OPTI-Q SVO2/CCO CATHETRER* 7052 

CBT0652515HR TDQ CCO CATHETRER* 6022 

CBT0674475ED CONTINUOUS CARDIAC OUTPUT THERMODILUTION CATHETER 7.5FR 7052 

CBT06746F8ED 

CBT06757HFED 

CBT0677475ED 

CBT06777F8ED 

SWAN GANZ CONTINUOUS CARDIAC /END DIASTOLIC VOLUME THERMODILUTION CATHETER 

CCO/SVO2/VIP* 


CCO/SVO2/EDV/VIP* 


CCO/SVO2/CEDV* 


CCO/SVO2/CEDV/VIP* 

7052 

7052 

7052 

7052 

CBT07MHD68ED FLOTRAC SENSOR KIT W/60" OR 84" PRESSURE TUBING 弗羅威克感應器組 6138 

CBT07MHDAZED 

FLOTRAC SENSOR KIT W/60" PRESSURE TUBING & VAMP ADULT SYSTEM 弗羅威克感應器組附血液 

管理保護系統 

6138 

CBV02PDCXXN5 PERCUTANEOUS TRANSLUMINAL VALVULOPASTY (PTV)CATHETER 4.0MM:30.0MM,2.0CM:8.0CM 12789 

CBV02PDZXXN5 

NUMED Z-MED II PERCUTANEOUS TRANSULUMINAL VALVULOPLASTY (PTV)CATHETER 4:30MM 

2:10CM 100CM 

12789 

CBV02PTVNXN5 "NUMED"NUCLEUS PTV DILATATION CATHETER 二尖瓣及主動脈瓣氣球擴張導管 33700 

CCC022180TBT CLOSED SYSTEM APHERESIS KIT 4336 

CCC110971EHA PERIPHERAL BLOOD STEM CELLS SET 4336 

CCC1400260HA CELL SAVER 5 FAST PACK 225ML 體血液收集洗滌套 7307 

CCC1400ATFVB 

AUTOTRANSFUSION FAST START KIT(AUTOTRANSFUSION SET+AUTOTRANSFUSION 

RESERVOIR+ATS SUCTION LINE)* 

7307 

CCC1402001M4 AUTOLOG WASH KIT* 7307 

CCC1471240CB BAYLOR RAPID AUTOLOGOUS TRANSFUSION SETS BRAT 2 PROCEDURE SET 7307 

CCC14EC243M4 

ONE SOURCE PACK 自體輸血系統套裝組〔含 EL240、BP721、BT133、BTC93〕型號 :EC2S24〔含 

EL240、BP722、BT133、BTC93〕自 94.01.01 生效 

7307 

CCC1552300AH ATRIUM CHEST DRAINAGE WITH AUTOTRANSFUSION SET( 雙管回流式 ) 4467 

CDCC243418PM C.S.F CARDIAC CATHETER REDUCED TIP BARIUM IMPREGNATED 2558 

CDD0246148H9 INTRACARDIAC SUCKER 398 

CDD02SUCKEM6 EXTRACORPOREAL SUCKER 398 

CDDC1M008CKC CANISTER W/ GEL 真空罐含接頭及引管 1829 

CDDF1M001SKC DRESSING PU FOAM 100X75X32MM (S SIZE) 2355 

53



CDDF1M002MKC DRESSING PU FOAM 180X125X32MM (M SIZE) 2603 

CDDF1M003LKC DRESSING PU FOAM 256X150X32MM (L SIZE) 2715 

CFD0150124AB FLEXIFLO ENTERAL FEEDING TUBE 12F,16F(WITHOUT STYLET) 125 

CFD01BSTPUEE ENTERAL FEEDING TUBE 8,10,12,14,16FGX125CM* 125 

CFD0202308P2 ALL SILICON STOMACH TUBE* 86 

CFD0216120W6 SILICONE STOMACH TUBE 6FR:18FR* 86 

CFD022020NFM ALL SILICONE STOMACH(GASTRIC)TUBE 4:20FR 4 86 

CFD0222070WN ALL SILICON LEVIN TUBE W/TAPER FUNNEL 2EYES 86 

CFD0222074WN ALL SILICON LEVIN TUBE W/TAPER FUNNEL 4EYES 86 

CFD022207NWN Silicon Levin Tube W/Taper Funnel 8:22FR 86 

CFD0276ST6MU ALL SILICONE STOMACH TUBE 86 

CFD028000NCL ALL SILICONE STOMACH TUBE* 86 

CFD02G0101SG SILICONE GASTRIC TUBE* 86 

CFD02GT001SG SIGMA GASTRIC TUBE(SILICON)* 86 

CFD02GT101EW SILICONE GASTRIC DUODENAL LEVIN TUBE 86 

CFD02ST000EF BESMED SILICONE STOMACH TUBING* 86 

CFD05BPU08EE PU STOMACH CATHETER 聚胺酯胃管 115 

CFE0130414RU E-B TUBE 14FR 1475 

CFE0130416RU E-B TUBE 3WAY 食道球 1475 



CFE017115NP0 E-B TUBE 食道球 3-WAY 1475 

CFE019160NRU S-B ESOPHAGEAL VARICES TUBE 4-WAY 1475 

CFE01B7118P0 E-B TUBE 3 WAY 1475 

CGAP1HY100H9 

HYM ANGIO PACK 心導管包 (GWX1+SHEATHX1+ARTERIAL NEEDLEX1+MANIFOLDX2+PRESSURE 

TUBINGX4+HIGHT PRESSURE TUBINGX1) 

2413 

CHA0106642TM AORTIC ARCH CANNULA 6.5MM 20FR 585 

54



CHA0106672TM AORTIC ARCH CANNULA 8MM 24FR 585 

CHA0159100AY AORTIC PERFUSION CANNULA 10:24FR 585 

CHA0165264TM AORTIC ARCH CANNULA 8MM 24FR 790 

CHA0175324DL PEDIATRIC STRAIGHT ARTERIAL CANNULA 18FR:24FR 585 

CHA0188020DL ARTERIAL CANNULA 20:24FR 585 

CHA01A085BED AORTIC PERFUSION CANNULAE(8-16F) 585 

CHA0305761TM SOFT-FLOW AORTIC ARCHCANNULAE W/WIRE REINFORCED 7MM,8MM 21FR,24FR 790 

CHA0305779TM SOFT-FLOW AORTIC ARCH CANNULA 7MM,8MM 21FR,24FR 585 

CHA0306395TM SOFT-FLOW AORTIC ARCH CANNULAE WITH WIRE REINFORCED 790 

CHA031137CL5 AORTIC ARCH CANNULAE WIRE-REINFORCED 6,7,8MM/18,21,24FR 790 

CHA031206CL5 AORTIC ARCH CANNULA W/WIRE REINFORCED 6:24FR 790 

CHA0312305TM HIGH FLOW AORTIC ARCH CANNULA 585 

CHA0313010TM FLEXIBLE ARTERIAL CANNULA 20:24FR 585 

CHA0320STAED AORTIC PERFUSION CANNULAE(20-24F) 790 

CHA0387020M4 DLP ARTERIAL CANNULAE WIREWOUND BODY 20FR,22FR,24FR 790 

CHA03NA120L5 AORTIC ARCH CANNULAE 585 

CHA03NA343L5 

AORTIC ARCH CANNULAE FLEXIBLE STRAIGHT TIP WITH MOVABLE SUTURE RING NON- 

REINFORCED 6,7,8MM/18,21,24FR 

585 

CHA03RA213L5 AORTIC ARCH CANNULAE STRAIGHT TIP WIRE-REINFORCED 6,7,8MM/18,21,24FR 790 

CHAT100009ED CARDIOPLEGIA DELIVERY SETS(9F) 135 

CHAT110016S6 AORTA/VEIN PUNCH 4:6MM 918 

CHAT131001DL IMA CANNULA 內乳動脈導管 567 

CHAT1AP425M4 AORTIC PUNCH 918 

CHAT1AP525M4 AORTIC PUNCH 918 

CHAT1DP48KTX " 特立菲斯 " 主動脈打孔器 "TELEFLEX"AORTIC PUNCH 918 

CHAT1MDP48TX THE DIAMOND EDGE AORTIC PUNCH 918 

CHC0100200ED CARDIOPLEGIA DELIVERY SETS(2 LINES) 346 

55



CHC0100400ED CARDIOPLEGIA DELIVERY SETS(3 LINES) 657 

CHC0130010DL CORONARY CANNULA 10:14FR 611 

CHC0130055DL CORONARY SOFT TIP 611 

CHC01CA123L5 " 加州 " 心臟麻痺轉接器 ”CALIFORNIA” CARDIOPLEGIA ADAPTERS 346 

CHC01CA410L5 MULTIPLE PERFUSION ADAPTER 657 

CHC01CA420L5 MULTIPLE PERFUSION ADAPTER WITH VENT LINE 15 INCH 889 

CHC01CA430L5 MULTIPLE PERFUSION ADAPTER WITH VESSEL CANNULA 三條 (VC-11000,VC-11010) 990 

CHC01CA810L5 CARDIOPLEGIA PERFUSION ADAPTERS WITH MONITORING SET* 1088 

CHC01CP110L5 CORONARY ARTERY PERFUSION CANNULAE 611 

CHC01CP212L5 CORONARY ARTERY PERFUSION CANNULAE WITH BALLOON 611 

CHC01MS001ED CARDIOPLEGIA DELIVERY SETS(MONITORING SET) 1088 

CHF06CB965M4 

ARTERIAL PERCUTANEOUS CANNULA KIT W/INTRODUCER SET※ 使用參考請見備註欄 ( 型 

號 :CB96540-023,CB96605-023 自 94.07.01 生效 , 文號 :W0940013331) 

18241 

CHF06CB966M4 VENOUS PERCUTANEOUS CANNULA KIT W/INTRODUCER SET※ 使用參考請見備註欄 18241 

CHF06D008VED 

CHF06EBSCATM 

FEM-FLEX II DURAFLO HEPARIN TREATED FEMORAL CANNULAE SET W/INTRODUCER 芬弗列克肝 

素塗層股靜脈導管及導引組 ※ 使用參考請見備註欄 

ARTRIAL CAPIOX EBS CANNULATION KIT W/INTRODUCER SET 13.5,15,16.5FR※ 使用參考請見備註 

欄 

18241 

18241 

CHF06EBSCVTM VENOUS CAPIOX EBS CANNULATION KIT W/INTRODUCER SET 18,19.5,21FR※ 使用參考請見備註欄 18241 

CHF06FEM08ED 

CHF06FEM14ED 

CHF06VFEM1ED 

FEM-FLEX II FEMORAL ACCESS CANNULAE SET W/INTRODUCER 股動 / 靜脈導管及導引管組 ( 無肝素 

塗層 ) ※ 使用參考請見備註欄 

FEM-FLEX II DURAFLO HEPARIN TREATED FEMORAL CANNULAE SET W/INTRODUCER 芬弗列克肝 

素塗層股動脈導管及導引組 ※ 使用參考請見備註欄 

FEM-FLEX II FEMORAL ACCESS CANNULAE SET W/INTRODUCER 股動 / 靜脈導管及導引管組 ( 無肝素 

塗層 ) ※ 使用參考請見備註欄 

12404 

18241 

12404 

CHG0204427TM RETROGRADE CARDIOPLEGIA CANNULAE MANUAL INFLATE 13FR,17FR 3184 

CHG0204429TM RETROGRADE CARDIOPLEGIA CANNULA 3184 

CHG0294006M4 DLP RETROGRADE CORONARY SINUS PERFUSION CANNULA 3184 

CHG0294010M4 

RETROGRADE CORONARY SINUS PERFUSION CANNULA WITH MANUAL INFLATING CUFF AND 

SILICONE BODY 

3147 

CHG02RCM14L5 RETROGRADE CARDIOPLEGIA CANNULAE 6,10,13,15FR 3184 

CHG02RCS14L5 RETROGRADE CARDIOPLEGIA CANNULAE 13,14,15FR 3184 

CHG02RCS35L5 RETROGRADE CARDIOPLEGIA CANNULAE 13FR,14FR,15FR 逆向心臟麻痺液灌注套管 3184 

56



CHH0112001DL LEFT HEART VENT CATHETER 13FR 568 

CHH0112002DL VENT CATHETER 685 

CHH0112008M4 DLP LEFT HEART VENT CATHETER 568 

CHH0112345TM LEFT HEAT VENT CATHETER 20FR 685 

CHH0118124TM VENT CATHETER 18FR 685 

CHH0163218L4 MALLEABLE VENT CATHETER 18FR 568 

CHH01VT218L4 MALLEABLE VENT CATHETER 12FR,18FR 568 

CHH025902MAY LEFT VENTRICULAR SUMP VENT CATHETER 14,18,20F 568 

CHR0100011RM AORTIC ROOT CANNULA 635 

CHR010014VED AORTIC PERFUSION CANNULAE(14G) 797 

CHR0110009DL AORTIC ROOT CANNULA 9FR:18FR 635 

CHR0116094TM AORTIC CANNULA 24FR 加強型動脈導管 797 

CHR01AR012ED AORTIC ROOT CANNULA 主動脈根部套管 635 

CHR01AR209L5 AORTIC ROOT CANNULAE WITH VENT LINE 9:18G 635 

CHR01AR212L5 AORTIC ROOT CANNULAE WITH VENT LINE 12:16G 635 

CHR0220009M4 AORTIC ROOT CANNULAE WITH VENT LINE 635 

CHR0220014DL AORTIC ROOT CANNULA WITH VENT LINE 635 

CHR0300014ED RETROGRADE CARDIOPLEGIA CANNULAE(14F) 3184 

CHR03RC014ED RETROGRADE CARDIOPLEGIA CANNULAE 3184 

CHR03RC301ED RETROGRADE CARDIOPLEGIA CANNULAE 3184 

CHSU116035KD ARGYLE UMBILICAL VESSEL CATHETER 2.5:8FR 170 

CHT0104413TM CONDUCER CARDIOPLEGIA SET W/MP-4 1:1,4:1,8:1 3173 

CHT0105476DE 

SIDUS CARDIOPLEGIA DELIVERY SET (1:1,4:1,8:1)(BLOOD MIXING+CONDUCER+COIL TUBING+MP4 

) 

3173 

CHT0106375TM CONDUCER CARDIOPLEGIA SSET W/MP-4 AND BRIDGE 4:1 3173 

CHT0109457TM CONDUCER CARDIOPLEGIA SET 4:1,2:1 BLOOD MIXING 2884 

CHT0109499TM CONDUCER CARDIOPLEGIA SET( 含 DOMEXI,ARTERIAL PRESSURE TUBINGX3,3-WAY STOPCOCKX1) 3173 

57



CHT0179003DL PEDIATRIC TOURNIQUET KIT 258 

CHT017903SCX TOURNIQUE KIT WITH SNARE(PEDIATRIC) 258 

CHT017903SU8 TOURNIQUET KIT WITH SNARE(1 紅 2 藍 3 白 ) 導管綁帶組附鐵線 258 

CHT01A32NSH9 HEART LUNG PACK:A32 CUSTOMER PACK(TUBING+ORGANIZER+PRE-BYPASS FILTER) 4873 

CHT01CH207H9 HEART LUNG PACK( 含 PRE-BYPASS FILTER) 4137 

CHT01CSS01TV CSS PERFUSION TUBING SET ( 含 TUBING+PRE-BYPASS FILTER +ORGANIZER+SUCKER X 2) 5500 

CHT01CSS02TV CSS PERFUSION TUBING SET ( 含 TUBING+PRE-BYPASS FILTER+SUCKER X 2) 5252 

CHT01CSS03TV CSS PERFUSION TUBING SET ( 含 TUBING+PRE-BYPASS FILTER) 4137 

CHT01CSS04TV CSS PERFUSION TUBING SET ( 只含 TUBING) 3829 

CHT01ECTB1M6 EXTRACORPOREAL TUBING PACK( 含 PRE-BYPASS FILTER+SUCKERX2+ORGANIZER) 5500 

CHT01ECTBSM6 EXTRACORPOREAL TUBING PACK( 含 PRE-BYPASS FILTER) 4137 

CHT01HS101H9 HEART LUNG PACK( 含 ORGANIZER+PRE-BYPASS FILTER+SUCKERX2) 5500 

CHT01HTA12H9 

CHT01MY100M4 

HEART LUNG PACK HSIN TUNG A12 ADULT( 含 ORGANIZER+PRE-BYPASS FILTER+SUCKER 

X2+ARTERIAL FILTER) 

MYOTHERMXP CARDIOPLEGIA DELIVERY SYSTEM(BLOOD MIXING+CONDUCER+COIL 

TUBING+MP4) 

7315 

3173 

CHT01TS100L5 TOURNIQUET KIT WITH SNARE 258 

CHT01TS130L5 TOURNIQUET KIT 258 

CHT01VBCBRGH VISION BLOOD CARDIOPLEGIA SYSTEM(BLOOD MIXING+CONDUCER+COIL TUBING) 2884 

CHT03A25PLH9 HEART LUNG PACK:A25 PRIME LINE(TUBING 49"+ Y CONNECTOR) 291 

CHV0100012ED SINGLE STAGE VENOUS RETURN CANNULAE(12:40FR/ 直 ) 771 

CHV0100028ED SINGLE STAGE VENOUS RETURN CANNULAE 771 

CHV0100040ED SINGLE STAGE VENOUS RETURN CANNULAE(12:40FR/ 彎 ) 771 

CHV0104882TM MALLEABLE VENOUS RETURN CATHETER REINFORCED 24FR 1029 

CHV0114032TM 2 STAGE VENOUS RETURN CANNULA 803 

CHV0116471TM VENOUS RETURN CAHTTER W/WIRE REINFORCED 803 

CHV0166112M4 SINGLE STAGE VENOUS CANNULA 771 

CHV0167312DL VENOUS CANNULAR 12,16,20,31FR (PEDIATRIC) 1034 

58



CHV0169312DL VENOUS CANNULAR 12:31FR (HIGH FLOW) 1034 

CHV0169424DL VENOUS CANNULAR 12:31FR (ADULT) 1034 

CHV0191228M4 TWO STAGE VENOUS CANNULA 803 

CHV01LRD32L5 DUAL STAGE VENOUS RETURN CANNULAE 32FR 803 

CHV01LRD41L5 "CALIFORNIA" DUAL STAGEVENOUS RETURN CANNULAE 803 

CHV01RV110L5 WIRE REINFORCED VENOUS RETURN CANNULAE24,28,32,34,36,40 771 

CHV01RV222L5 WIRE REINFORCED VENOUS RETURN CANNULAE(STREIGHT)20:40FR 771 

CHV01RV224L5 VENOUS RETURN CANNULAE(WIRE-REINFORCED) 靜脈回流導管 771 

CHV01TF008ED SINGLE STAGE VENOUS RETURN CANNULAE 靜脈引流導管 771 

CHV01XRDS2L5 DUAL STAGE VENOUS RETURN CANNULAE 32:36FR 803 

CHV0329370ED DUAL STAGE VENOUS RETURN CANNULAE(29/37F) 1034 

CHV0336460ED DUAL STAGE VENOUS RETURN CANNULAE(36/46F) 1034 

CHV0395051DL SINGLE 2 STAGE VENOUS CANNULA 803 

CHV03TF334ED " 愛德華 " 二階靜脈引流導管 "EDWARDS" DUAL STAGE VENOUS RETURN CANNULAE 1034 

CHV03TR283ED DUAL STAGE VENOUS RETURN CANNULA 803 

CHV03TRF29ED DUAL STAGE VENOUS CANNULAE 1034 

CKDD112122AR LARGE-BORE MULTILUMEN HEMODIALYSIS CATHETER 1392 

CKDD117005KD "KENDALL"DUAL LUMEN HEMODIALYSIS CATHETER KIT(C+N+G+D) 雙腔透析導管 1392 


CKDD122122AR "ARROW"ARROWGARD CATHETERS SETS(CATH+NEEDLE+GUIDEWIRE+DILATOR+SHEATH) 2 

LUMEN " 亞諾 " 抗感染安全尖端導管 



1392 

1392 


CKDD15553NBA DUAL-LUMEN NIAGARA SLIM CATH DIALYSIS CATH KIT(C+N+G+D) 1392 

CKDD15554NBA DUAL-LUMEN NIAGARA SLIM CATH DIALYSIS CATH KIT(C+N+G+D) 1392 

CKDD1881CKKD DUAL LUMEN HEMODIALYSIS CATHETER KIT CURVE(C+N+G+D) 1392 

CKDD1881SKKD DUAL LUMEN HEMODIALYSIS CATHETER KIT STR(C+N+G+D) 1392 

59



CKDD1883CKKD DUAL LUMEN HEMODIALYSIS CATHETER KIT CURVE(C+N+G+D) 1392 

CKDD1883SKKD DUAL LUMEN HEMODIALYSIS CATHETER KIT STRAIGHT(C+N+G+D) 1392 

CKDD193009KD CURVED AND STRAIGHT DUAL LUMEN CATHETER KITS(C+N+G+D) 1392 

CKDD1K3500VC 

CKDD1K4065VC 

DIALYSIS CATHETERS KIT(CATH+DILATOR+GUIDE WIRE+NEEDLE)12.5CM:24CM( 自 950401 起型號更 

改為 5678125.5678150.5678240. 文號 0940040227) 

雙頭管路 DIALYSIS CATHTER KIT(C+N+G+D)( 自 950401 起型號更改為 5576100.5576125.5576150. 文號 

0940040227) 

1392 

1392 

CKDD1KDLS4VC 雙頭管路 DIALYSIS CATHETER KIT(C+N+G+D) 1392 

CKDD20450NBA HICKMAN HEMODIALYSIS CATHETER KIT(CATH+INTRODUCER KIT) 永植型 3509 

CKDD20452NBA HICKMAN HEMODIALYSIS CATHETER KIT(CATH+INTRODUCER KIT) 永植型 3509 

CKDD233074KD Hemodialysis catheter(C+N+G+D) 3509 

CKDD248001KD PERMCATH DUAL LUMEN CATHETER KITS(CATH+INTRODUCER KIT) 永植型 3509 

CKDD256631BA HEMOGLIDE HEMODIALYSIS CATHETER KIT(CATH+INTRODUCER KIT) 永植型 3509 

CKDD25833NBA "BARD"HemoStar HEMODIALYSIS CATHETER KITS(CATH+INTRODUCER KIT) 永植型 3509 

CKDD260049BA HICKMAN HEMODIALYSIS CATHETER 永植型 2623 

CKDD266606BA HICKMAN HEMODIALYSIS CATHETER KIT(CATH+INTRODUCER KIT) 永植型 3509 

CKDD269001KD 

CKDD288145KD 

CKDD2D3500BA 

CKDD2D4000BA 

CKDD2D4400BA 

CKDD2K4400BA 

"KENDALL"CHRONIC HEMODIALYSIS CATHETERS(DUAL LUMEN CATHETER+INTRODUCER KIT) 永 

植型慢性血液透析導管 

"KENDALL"CHRONIC HEMODIALYSIS CATHETER KITS(DUAL LUMEN CATH+INTRODUCER KIT) 永 

植型 

DOUBLE LUMEN SUBCLAVIAN CANNULA 12.5CM(C+N+G+D)( 自 950401 起型號更改為 5577165 文號 

0940040227) 

DOUBLE LUMEN SUBCLAVIAN CANNULA 15CM(C+N+G+D)(( 自 950401 起型號更改為 5577170 文號 

0940040227) 

DOUBLE LUMEN SUBCLAVIAN CANNULA 20CM(C+N+G+D)(( 自 950401 起型號更改為 5577175 文號 

0940040227) 

DOUBLE LUMEN SUBCLAVIAN CANNULA 20(C+N+G+D)(CM( 自 950401 起型號更改為 5678200 文號 

0940040227) 

3509 

3509 

1392 

1392 

1392 

1392 

CKP010T202KD PERITONEAL DIALYSIS CATHETER(TENCKHOFF 2 CUFF)T202 1505 

CKP0119671FA PD CATHETER 1505 

CKP018812NKD PERITONEAL DIALYSIS CATHETER 1505 




60






CKP0413836FA PD ACCESSORIES SLEEP.SAFE SET/SET PLUS 自動腹膜透析管組 232 

CKP04C4407BT BAXTER CYCLER SET 腹膜透析用輸液套 ( 限自動腹膜透析 APD 使用 ) 232 

CKP04C4479BT HOMECHOICE AUTOMATED PD SET 全自動腹膜透析導管組 232 

CKP04C8303BT HOMECHOICE PEDIATRIC /LOW RECIRCULATION VOLUME A PD SET 小兒全自動腹膜透析導管組 232 

CLS0405759BB DOSIFIX W/SAFESITE NEEDLE-FREE SYSTEM W/VALVE 120ML( 自 92.03.01 更改功能類別 )* 74 

CLS0405760BB DOSIFIX W/SAFESITE NEEDLE-FREE SYSTEM W/VALVE 150ML( 自 92.03.01 起更改功能類別 )* 74 

CLS04A260NPW PERFECT DISPOSABLE INFUSION SET(W/BURETTE W/VALVE W/SAFESITE NEEDLE SYSTEM )* 74 

CLS04E010NPW INFUSION SET W/BURETTE W/VALVE W/SAFESITE NEEDLE-FREE SYSTEM* 74 

CLS04NB150SG SIGMA VOLUME METERIC ADMINISTRATION SET* 74 

CLS04NS120SG VOLUME METERIC ADMINISTRATION SET W/FREE SITE * 74 

CLS04SBASSLL VOLUME METERIC ADMINISTRATIONN SET ( 安全型免針加藥 )W/VALVE* 74 

CLS04VBNAPBB "B.BRAUN"IV-FIX BURETTE INFUSION SET( 免針加藥 )* 74 

CLS1400137BX Exacta-Mix EVA Container TPN Bag 250ML 101 





CLS1402000BB NUTRIENT MIXING BAG-NUTRIMIX 156 

CLS1403000BB TPN BAG 3000CC 156 

CLS14B8082CT VIAFLEX TPN BAG 250C.C. 96 

CLS14B8086BT EMPTY VIAFLEX CONTAINER WITH CONNECTOR 2000ML 156 

CLS14B8087BT EMPTY VIAFLEX CONTAINER WITH CONNECTOR 3000ML 156 

CLS14B8112CT ALL-IN-ONE BAG 1000CC 127 

61



CLS14B8122CT ALL-IN-ONE BAG 2000C.C. 156 

CLS14B8132CT ALL-IN-ONE BAG 3000C.C. 156 

CLS14B8152CT ALL-IN-ONE BAG 500 CC 101 

CME011032NNY GOLDVALVE DETACHABLE BALLOON 16753 

CME0180351SB SENTRY BALLOON CATHETER 150CM W/GUIDING CATH 雙導管式 36019 

CME01GVBNNN9 GOLDVALVE EMBOLIZATION BALLOONS* 16753 

CME01MABDLBL MAGIC CATHETER WITH BALLOON EMBOLIZATION SET(BALLOON+MICRO CATH+MANDRIA) 36019 

CME01MABDXBL MAGIC CATHETER WITH BALLOON EMBOLIZATION SET(BALLOON+MICRO CATH+MANDRIA) 36019 

CMV01C1FNNN9 

MINITORQUER CIFN HYPERSELECTIVE MICROCATHETER FOR DETACHABLE BALLOONS(MICRO 

CATHETER( 同軸心雙導管 )+MANDREL+HEMASTATIC)* 

18864 

CMV01CC0LNNY COAXIAL HYDROPHILIC MICRO-CATHETER 2F/3F(2FR 內導管 +3FR 外導管 +MANDREL) 18864 

CMV020402XCY CIC BALLOON CATHETER FOR EMBOLECTOMY CATHETER 2:8FR 1071 

CMV02120FFED EDWARDS FOGARTY ARTERIAL EMBOLECTOMY CATHETER 1071 

CMV02120XNED FORGATY ARTERIAL EMBOLECTOMY CATHETER 2:7FR 40:80MM 1071 

CMV021240NBT FORGATY EMBOLECTOMY CATHETER 1071 

CMV021280NBT FORGATY EMBOLECTOMY CATHETER 1071 

CMV0212TLWED FOGARTY THRU-LUMEN EMBOLECTOMY CATHETER(2 LUMEN CATH) 1895 

CMV021601SLW "LEMAITRE"EMBOLECTOMY CATHETERS 單腔式動脈血栓清除導管 1071 

CMV0216510LW "LEMAITRE"EMBOLECTOMY CATHETERS 導引線式動脈血栓清除導管 ( 雙腔 ) 1895 

CMV021801LLW "LEMAITRE"EMBOLECTOMY CATHETERS 單腔式動脈血栓清除導管 1071 

CMV021VS12ED ANASTA FLO INTRAVASCULAR SHUNT* 2771 

CMV0231100M4 CLEARVIEW INTRACORONARY SHUNT* 2771 

CMV0232080ED FORGATY VENOUS THROMBECTOMY CATHETER 1071 

CMV02A4400A4 SYNTEL ARTERIAL EMBOLECTOMY CATHETER 3:7FR/40,50,80CM 1071 

CMV02A4E01BS PYTHON ANGIOGRAPHY EMBOLECTOMY CATHETER 3:7FR(CATH+GUIDEWIRE+INTRODUCER) 2565 

CMV02A4E09A4 PYTHON DUAL LUMEN EMBOLECTOMY CATHETER(CATH+GUIDE WIRE+INTRODUCER) 2565 

CMV02A4F00A4 SYNTEL ARTERIAL EMBOLECTOMY CATHETER 2:7FR 40,60,80CM 1071 

62



CMV02C1254B2 FLORESTER CORONARY ARTERY OCCLUDER 冠狀動脈血管阻塞棒 2591 

CMV02EL134BS ARTERIAL EMBOLECTOMY CATHETER 1071 

CMV02EL326BS EMBOLECTOMY CATHETER 1071 

CMV02FT012B2 FLO-THRU INTRALUMINAL SHUNT 血管通路器 * 2771 

CMV02FT012S7 FLO-THRU INTRALUMINAL SHUNT 血管通路器 * 2771 

CMV02RFGC4TM RADIFOCUS GLIDECATH 4FR 65:100CM ALL CURVE 1071 

CMV02V3064B2 FLORESTER VASCULAR OCCLUDER 週邊動脈血管阻塞棒 2591 

CVA0107035AR "ARROW"BERMAN ANGIOGRAPHIC BALLOON CATHETERS(REVERSE)5FR 80CM;7FR 110CM" 亞諾 " 

帕曼心臟血管攝影用導管 ( 反逆流式 ) 

1750 

CXE0321000BA " 巴德 " 史汀格除顫電極導管 "BARD"STINGER ABLATION CATHETERS 24285 

CXE0331000BA " 巴德 " 天蠍電燒電極導管 "BARD"SCORPION ABLATION CATHETER 24285 

CXE03402XXST 

CXE034500TSB 

"SJM"STEERABLE ELECTROPHYSIOLOGY CATHETER " 聖猷達 " 可控式生理電極導管 ( 雙溫控可控式燒 

灼導管 LIVEWIRE TC ABLATION CATHETER) 

" 波士頓科技 " 布雷瑟心臟除顫系統 "BOSTON SCIENTIFIC" BLAZER II XP CARDIAC ABLATION 

SYSTEM 

24285 

24285 

CXE035031TSB " 波士頓科技 " 布雷瑟除顫電極導管 "BOSTON SCIENTIFIC" BLAZER ABLATION CATHETER 24285 

CXE0360811M4 

CARDIOBLATE SURGICAL ABLATION SYSTEM 心臟電燒系統 *( 產品型號 60813,60814 自 94 年 10 月 1 日生 

效 ) 

40854 

CXE038336NYB " 爾灣 " 除顫電極導管 "IBI"ABLATION ELECTROPHYSIOLOGY CATHETER 24285 

CXE038337NYB " 爾灣 " 瑟爾皮除顫電極導管 "IBI"THERAPY DUAL-8 ABLATION CATHETER 24285 

CXE038344NYB " 爾灣 " 瑟爾皮熱阻電燒導管 "IBI" THERAPY 8MM TIP THERMISTOR ABLATION CATHETER 24285 

CXE038372NYB " 爾灣 " 除顫電極導管 "IBI" ABLATION ELECTROPHYSIOLOGY CATHETER 24285 

CXE03CBBRAE8 

CXE03CMBRASB 

CXE03CS927E8 

CXE03EP920CV 

CXE03EP920WE 

" 艾斯泰格 " 康柏拉電雙極套 "ESTECH"COBRA BIPOLAR INSERTS** 限心臟外科手術時使用並附 AF 心電 

圖報告術前術中或術後 

康柏拉電刀用電極 BOSTON SCIENTIFIC 廠牌 COBRA SURGICAL PROBE 限心臟外科手術時使用並附 AF 

心電圖報告術前術中或術後 

"ESTECH"COBRA SURGICAL PROBE " 艾斯泰格 " 康柏拉電刀用電極 * 限心臟外科手術時使用並附 AF 心 

電圖報告術前術中或術後 

電生理導管 ( 四極可控式溫控導管 )( 型號含 :D7TAG;TCAGFL252RT;TPSL252RT, 

D8BTBL;BTCBL:FG252RT,D8BTCCG;BTCL:F5L252RT) 

" 百歐森偉伯司特 " 電生理導管 ( 四極可控式溫控導管 ) "BIOSENSE WEBSTER"ELECTROPHYSIOLOGY 

CATHETER 

40854 

40854 

40854 

24285 

24285 

CXE03MARNXM4 美敦力瑪林射頻電燒導管 MEDTRONIC MARINR STEERABLE ABLATION CATHETER 24285 

CXE03SA402ST " 聖猷達 " 雙向電燒導管 "SJM"BI-DIRECTIONAL ABLATION CATHETER 24285 

CXE03WAUW2ER 

" 愛匹克 " 心臟燒灼系統 "EPICOR"CARDIAC ABLATION SYSTEM 限心臟外科手術時使用並附 AF 心電圖 

報告術前術中或術後 

40854 

63



CXE03WULP2ER " 愛匹克 " 心臟燒灼系統 "EPICOR" CARDIAC ABLATION SYSTEM* 40854 

FBA0110001H1 BONE CEMENT40GM 906 

FBA011101NZ1 OSTEOBOND COPOLYMER BONE CEMENT 40G/20ML 906 

FBA011102NZ1 DOUGH TYPE BONE CEMENT 40GM 906 

FBA011112NZ1 L.V.C BONE CEMENT 1429 

FBA0131050CM CRANIOPLASTY BONE CEMENT (2PKG/BOX) 頭顱整形術專用 3903 

FBA0133CMWDP CMW BONE CEMENT 40GM( 粉末 + 液體 ) 906 

FBA01CM123C6 BONE CEMENT C.M.W.40GM 906 

FBA01ER307DP ENDURANCE BONE CEMENT 40GM WITH 18.88 LIQUID 906 

FBA022291NZ1 BONE STAPLE 368 

FBA024060NZ1 EPIPHYSEAL STAPLE 978 

FBA024061NZ1 FRACTURE STAPLE 978 

FBA024064NZ1 STAPLE 978 

FBA100900NH1 HIP STEM PLUG 8:14MM 1041 

FBA101109NZ1 POLY PLUG INTRAMEDULLARY PLUGS 1041 

FBA101905NU0 U2 HIP STEM PLUG 7:16 1041 

FBA102002NW2 CEMENT CENTRALIZER 9:21MM 1041 

FBA105460RDP C-STEM CEMENT RESTRICTOR 1041 

FBA1422321Z1 CABLE-READY COBALT CHROME CABLE+SLEEVE 3546 

FBA1422322Z1 STAINLESS CABLE-READY PLATE 6:8HOLE 7384 

FBA1422323Z1 TITANIUM CABLE-READY GRIP(SHORT) 4975 

FBA142232NZ1 STAINLESS CABLE-READY+SLEEVE 1.3MM,1.8MM 3341 

FBA142300NH1 DALL-MILES STAINLESS CABLE 1287 

FBA142301NH1 DALL-MILES STAINLESS CABLE GRIP 4586 

FBA142305NH1 DALL-MILES STAINLESS CABLE SLEEVE 1784 

FBA1428100S1 WIRE MOUNT 骨板固定鈕 1784 

64



FBA143704NH1 DALL-MILES STAINLESS CABLE BONE PLATE 7384 

FBEF110001D1 TRAUMA-FIX EXTERNAL FIXTOR:FEMORAL BASIC FRAME 股骨基本組 18900 

FBEF110002D1 TRAUMA-FIX EXTERNAL FIXTOR:FEMORAL LENGTHENING FRAME 股骨延長組 25722 

FBEF110003D1 TRAUMA-FIX EXTERNAL FIXTOR:FEMORAL BONE TRANSPORT FRAM 股骨移位組 18900 

FBEF127500R1 ILIZAROV External Fixator System :FEMORAL BASIC SET 股骨基本組 18900 

FBEF135000R1 ILIZAROV External Fixator System :FEMORAL LENGTHENING SET 股骨延長組 25722 

FBEF141800R1 ILIZAROV External Fixator System :FEMORAL DOUBLE LENGTHENING SET 股骨雙層延長組 35112 

FBEF1S0C01ZA LIMB LENGTHENER+COMPRESSION-DISTRACTION UNIT 延長外固定器 12155 

FBEF1ULENGTD UNI-LENGTHENING FRAME(U1+U2 CLAMPX1+DISTR&COMP RODX1) 不含 PIN( 單側 ) 12155 

FBEF2199XNS1 DISPOFIX SYSTEM(EXTERNAL FIXATOR)(SELDRILLX4+CLAMPX4+RODX1+BARX1) 8755 

FBEF220001D1 TRAUMA-FIX EXTERNAL FIXTOR:TIBIAL BASIC FRAME 脛骨基本組 16500 

FBEF220002D1 TRAUMA-FIX EXTERNAL FIXTOR:TIBIAL BONE TRANSPORT FRAM 脛骨移位組 20625 

FBEF220003D1 TRAUMA-FIX EXTERNAL FIXTOR:SINGLE LEVEL TIBIAL LENGTHENING FRAM 23100 

FBEF220004D1 TRAUMA-FIX EXTERNAL FIXTOR:DOUBLE LEVEL TIBIAL LENGTHENING FRAM 33948 

FBEF220005D1 TRAUMA-FIX EXTERNAL FIXTOR:TIBIAL DEFORMITY FRAM 18040 

FBEF22010NZ6 HUMERUS FRAME SET( 美瑞世肱骨外固定器組 ) 一支連接桿 + 二支多向球 ) 8755 

FBEF223000R1 ILIZAROV External Fixator System :TIBIAL BASIC SET 脛骨基本組 16500 

FBEF228750R1 ILIZAROV External Fixator System :TIBIAL BONE TRANSPORT SET 脛骨移位組 20625 

FBEF231900R1 ILIZAROV External Fixator System :TIBIAL LENGTHENING SET 脛骨延長組 23100 

FBEF241400R1 ILIZAROV External Fixator System :TIBIAL DOUBLE LENGTHENING SET 脛骨雙層延長組 33948 

FBEF2S0C05ZA CLAMPX2+CONTROL ROD+COMP-DIST UNIT 四肢外固定器 8755 

FBEF2UBAS1TD UNI-BASIC FRAME(U1 CLAMPX1+U2 CLAMPX1+RODX1) 不含 PIN( 單側 ) 8755 

FBEF32180NR1 ILIZAROV External Fixator System:ANKLE BASIC SET 踝骨基本組 20866 

FBEF330001D1 TRAUMA-FIX EXTERNAL FIXTOR:ANKLE BASIC SET 踝骨基本組 20866 

FBEF421800R1 ILIZAROV External Fixator System :HUMERAL BASIC SET 肱骨基本組 17500 

FBEF500017D1 TELES CONNECTING ROD 341 

65



FBEF500018D1 CONNECTING ROD 106 

FBEF50001ND1 UNIVERSAL BALL JOINT 714 

FBEF50001NTD PIN HOLDER CLAMP 704 

FBEF50001NZ6 5HOLE UNIVERSAL BALL JOINT( 美瑞世五洞外固定器 ) 714 

FBEF50001XD1 

EXTERNAL FIXATOR SYSTEM:PIN HOLDER CLAMP(WITH ONE:TWO DIA.8MM ROD , WITH 

ONE:TWO DIA.5MM ROD) 針夾 

704 

FBEF50008ND1 EXTERNAL FIXATOR SYSTEM:ARTICULATION COUPLING(DIA.5:8MM*DIA.3:8MM) 結合器 301 

FBEF50008NTD ARTICULATION COUPLING 301 

FBEF50013ND1 ARTICULING COUPING 301 

FBEF50014NZ6 ARTICULATION COUPLING 8X3,8X4,8X5MM( 美瑞世多向外固定器 )(990701 規格 8*3 更正為 8*8MM) 301 

FBEF50018ND1 EXTERNAL FIXATOR SYSTEM:CONNECTING ROD 連結桿 106 

FBEF50018NTD CONNECTION ROD 106 

FBEF50018NZ6 CONNECTING ROD 200,250,300MM( 美瑞世骨外連接管 ) 106 

FBEF50019ND1 EXTERNAL FIXATOR SYSTEM:ADJUSTABLE TELESCOPICCONNECTING ROD 調整桿 1692 

FBEF50019NTD ADJUSTABLE TELESCOPIC CONNECTING ROD 1692 

FBEF50020NZ6 COLLES FRAME SET( 美瑞世一支連接桿 + 二支多向球 )※ 限橈骨和尺骨雙骨折使用 4201 

FBEF500D2NTD WRIST FRAME 手腕外固定器 ※ 限撓骨和尺骨雙骨折使用 4201 

FBEF500S2ND1 EXTERNAL FIXATOR SYSTEM:COLLES-FOREARM FRAME 手腕組 (L170MM) 4201 

FBEF500S2NTD COLLES FOREARM FRAM※ 限橈骨和尺骨雙骨折使用 4201 

FBEF54601NU0 UNITED EXTERNAL FIXATOR WITHOUT PIN( 手腕骨外固定器組 )※ 限撓骨和尺骨雙骨折使用 4201 

FBEF5S0C04ZA WRIST FIXATOR 手腕外固定器 ※ 限撓骨和尺骨雙骨折使用 4201 

FBEF5U1U2ND1 EXTERNAL FIXATOR SYSTEM:PIN CLAMP 針夾 (DIA.15:20MM) 3767 

FBEF5U1U2NTD PIN CLAMP 組合式外固定針夾 3767 

FBEF5U3U4ND1 EXTERNAL FIXATOR SYSTEM:SMOOTH ROD 連結桿 (DIA.20MM*L200:300MM) 866 

FBEF5U3U4NTD SMOOTH ROD 外固定平滑桿 866 

FBEF5U5LEND1 EXTERNAL FIXATOR SYSTEM:DISTRACTION&COMPRESSION ROD 伸縮桿 (250+50MM) 3192 

FBEF5U5LENTD DISTRACTION&COMPRESSION ROD 外固定伸縮延長桿 3192 

66



FBEF5U6U7ND1 EXTERNAL FIXATOR SYSTEM:ROD CONNECTOR 桿連結器 (DIA.8:20MM*DIA.20MM) 3971 

FBEF5U6U7NTD ROD CONNECTOR 外固定雙孔耦合器 3971 

FBEFP0640ND1 EXTERNAL FIXATION SYSTEM:WIRE WTITH OLIVE 1.5MM:2.0MM 300:400MM 1337 

FBEFP0666ND1 EXTERNAL FIXATION SYSTEM:WIRE 1.5MM 2.0MM 300:400MM 475 

FBEFP0M30NRT EXTERNAL FIXATOR CORTICAL SCREW 1520 

FBEFP1010NRT EXTERNAL FIXATOR CORTICAL SCREW 1520 

FBEFP1012NRT CANCELLOUS SCREW(10.130:4,10.180:4 自 90/04/01 起刪除 ) 1520 

FBEFP294NNS1 SCHANZ SCREW (FOR EXTERNAL FIXATION ) 459 

FBEFP294XNY2 SKELETAL TRACTION PIN 319 

FBEFP295XNY2 HALF PIN 319 

FBEFP296XNY2 TRANSFIXING PIN 319 

FBEFP29771S1 "MATHYS" SCHANZ SCREW (SELDRILL) 4.0/3.0MM(HALF PIN) 1039 

FBEFP29774S1 "MATHYS" SCHANZ SCREW(SELDRILL) DIA 3.5-4.0MM(HALF PIN) 1039 

FBEFP29782S1 "MATHYS" SCHANZ SCREW(SELDRILL) DIA 4.4- 5.0MM(HALF PIN) 1102 

FBEFP29792S1 SELDRILL 6.0MM(HALP PIN) 1146 

FBEFP297XNY2 SCHANZ SCREW( 型號 294400,294520:70,294620:40)(90/04/01 起型號 294300 刪除 , 新增 294960) 459 

FBEFP3059NZ6 STAINLESS FULL PIN 4-5MM( 兩截全針 ) 1191 

FBEFP3070NZ6 TITANIUM HALF PIN 2.5-3MM,3-4MM( 兩截半針 ) 1424 

FBEFP3070SZ6 STAINLESS HALF PIN 2.5-3,3-4MM 80:150CM( 粗細兩截 ) 1039 

FBEFP3090NZ6 STAINLESS HALF PIN 4-5MM,5-6MM( 兩截半針 ) 1102 

FBEFP3109NZ6 TITANIUM HALF PIN 3MM 554 

FBEFP4031NZ6 TITANIUM HALF PIN 4MM 622 

FBEFP4031SZ6 STAINLESS HALF PIN 4MM 120:180CM 615 

FBEFPFUP1ND1 EXTERNAL FIXATOR SYSTEM:FULL PIN 全針 (DIA 3:6MM*L200:300MM) 1191 

FBEFPFUP1NTD FULL PIN DIA 3-4MM,5-6MM 1191 

FBEFPHAP1ND1 EXTERNAL FIXATOR SYSTEM:HALF PIN 半針 (DIA.2:3MM*L45:90MM) 507 

67



FBEFPHAP1NTD HALF PIN DIA 2.0MM,3.0MM 507 

FBEFPKX36NAE SCHANZ SCREW 459 

FBEFPLX34NAE SCHANZ" SCREW SCHRAUBEN HALF PIN 798 

FBEFPLX74NAE SMALL EF SCHANZE SCREW AND PIN 1056 

FBEFPP1N56D1 EXTERNAL FIXATOR SYSTEM: HALF PIN 半針 (DIA.5-6MM*L150:180MM) 702 

FBEFPP1N56TD HALF PIN DIA 5.0MM,6.0MM 702 

FBEFPPN040D1 EXTERNAL FIXATOR SYSTEM: HALF PIN 半針 (DIA.4MM*L150:180MM) 615 

FBEFPPN040TD HALF PIN DIA 4.0MM 615 

FBEFPPN234D1 EXTERNAL FIXATOR SYSTEM:HALF PIN 半針 (DIA2:4MM*L70:150MM) 1039 

FBEFPPN234TD HALF PIN 2MM:4MM 外固定骨半針 1039 

FBEFPPN456D1 EXTERNAL FIXATOR SYSTEM:HALF PIN 半針 (DIA.4:6MM*L150:180MM) 1102 

FBEFPPN456TD HALF PIN DIA 4-5MM,5-6MM 1102 

FBEH14111NH1 TOTAL ELBOW :HUMERAL 41339 

FBEH15000NS2 TOTAL ELBOW SYSTEM 69732 

FBEH15005NS2 TOTAL ELBOW:HUMERAL COMPONENT 41339 

FBEH18006NZ1 TOTAL ELBOW SYSTEM(HUMERAL+ULNAR) 69732 

FBEH181051Z1 COONRAD/MORREY HUMERAL COMPONENT( 型號 32-8105-025-04:036-08 自 90/07/01 生效 ) 41339 

FBEH18105NZ1 COONRAD/MORREY TOTAL ELBOW SYSTEM(HUMERAL+ULNAR) 69732 

FBEU14112NH1 TOTAL ELB0W :ULNAR 28393 

FBEU15005NS2 TOTAL ELBOW:ULNA COMPONENT 28393 

FBEU181052Z1 COONRAD/MORREY ULNAR COMPONENT( 型號 32-8105-053-01:093-02 自 90/07/01 生效 ) 28393 

FBFJ1G470NW2 SWANSON FINGER JOINT( 含鈦合金指套 ) 14500 

FBHB1103XNDP CUP 11152 

FBHB1126XNSN SYNERGY CONVENE BIPOLAR CUP SHELL 7680 

FBHB11700NW2 BIPOLAR CUP 7680 

FBHB13110NW2 BIOPOLAR CUP&CUP INSERT 11152 

68



FBHB1501XNU0 UNITED BIPOLAR CUP 聯髖半髖外帽 7680 

FBHB15264NH1 P.C.A. CUP 11152 

FBHB15984NZ1 BIPOLAR CUP 11152 

FBHB1NK04NAE BICONTACT BIPOLAR CUP 11152 

FBHB21700NW2 BIPOLAR INSERT 3472 

FBHB2601XNU0 UNITED BIPOLAR CUP LINER 聯髖半髖內襯 3472 

FBHB27139NSN SYNERGY CONVENE BIPOLAR CUP LINER 3472 

FBHBA0580NH1 EXTER BIPOLAR SYSTEM 38177 

FBHBA1000NAE BICONTACT BIPOLAR HIP SYSTEM 38177 

FBHBA1000NDP BIPOLAR HIP SYSTEM 38177 

FBHBA1000NSN SYNERGY CONVENE BIPOLAR SYSTEM 38177 

FBHBA1000NU0 UNITED BIPOLAR SYSTEM 38177 

FBHBA1000NW2 BIOPOLAR HIP SYSTEM 38177 

FBHBA1000TZ1 BIPOLAR HIP SYSTEM 38177 

FBHBA1100NDP CORAIL BIPOLAR HIP SYSTEM 38177 

FBHBA2000NU0 UNITED U2 BIPOLAR SYSTEM 38177 

FBHBA3000TZ1 VERSYS BIPOLAR SYSTEM 38177 

FBHBA4120NH1 ABG HA BIPOLAR SYSTEM 38177 

FBHBA5000TZ1 MAYO BIPOLAR SYSTEM 38177 

FBHBA5500NS2 ACCOLADE BIPOLAR HIP SYSTEM(STEM+CUP+HEAD) 38177 

FBHBA6000NS2 BIPOLAR HIP SYSTEM 38177 

FBHBA6000NZ1 CLS BIOPOLAR SYSTEM(STEM+HEAD+CUP) 38177 

FBHBA8000TZ1 BIPOLAR HIP SYSTEM(CUP+HEAD+STEM) 38177 

FBHBA9101NH1 P.C.A. BIPOLAR HIP SYSTEM 38177 

FBHBA9610NDP C-STEM BIPOLAR HIP SYSTEM 38177 

FBHBA9979NDP SUMMIT BIPOLAR HIP STEM(STEM+CUP+HEAD) 38177 

69



FBHBCCERA1AE CERAMIC BIPOLAR HIP SYSTEM※ 符合傳統雙極式髖關節組適應症者 , 如自願選用陶瓷雙極式人工 38177 

髖關節組 , 則按傳統雙極式髖關節組給付 , 超過部分由病患自付 

FBHBCCERA1DP 

FBHBCCERA1S2 

FBHBCCERA1U0 

FBHBCCERA1W2 

FBHBCCERA1Z1 

FBHBCCERA2AE 

CERAMIC BIPOLAR HIP SYSTEM※ 符合傳統雙極式髖關節組適應症者 , 如自願選用陶瓷雙極式人工 




CERAMIC BIPOLAR SYSTEM※ 符合傳統雙極式髖關節組適應症者 , 如自願選用陶瓷雙極式人工髖關 

節組 , 則按傳統雙極式髖關節組給付 , 超過部分由病患自付 



BIPOLAR CERAMIC SYSTEM※ 符合傳統雙極式髖關節組適應症者 , 如自願選用陶瓷雙極式人工髖關 

節組 , 則按傳統雙極式髖關節組給付 , 超過部分由病患自付。 



38177 

38177 

38177 

38177 

38177 

38177 

FBHC10581NH1 ACETABULAR CUPS 11152 

FBHC11246NDP AML CUP+AML INSERT 11152 

FBHC1124XNDP AML CUP( 型號 96-23-23:80,24-09:10,50,51,53-22-040:153 自 92/4/1 生效 ) 11152 

FBHC11455NDP DURALOC HIP IMPLANT:ACETABULAR CUP 11152 

FBHC11599NDP DURALOC ACETABULAR CUP SYSTEM 11152 

FBHC1301XNU0 UNITED ACETABULAR CUP( 型號 1303-5044:5062 自 92/4/1 生效 ) 11152 

FBHC1302XNU0 TOTAL HIP CUP+LINER 11152 

FBHC1303XNU0 TITANIUM U2 ACETABULAR CUP 11152 

FBHC13671NW2 HIP CUP (1808,3000,398-XXXX 自 88/10/1 生效 ,3631,41,51-39:57-0040:80 自 93/1/1 生效 ) 11152 

FBHC14000NH1 ABG HA OUTERSHELL 42:74MM 11152 

FBHC14262NZ1 ALLOFIT CUP SYSTEM 11152 

FBHC15000NZ1 MULTIPOLAR BIPOLAR CUP 雙極式人工半髖臼杯 ( 型號 5001 自 92/1/1 生效 ) 11152 

FBHC154NXNS2 ACETABULUM CUP※ 適應症請見備欄 11152 

FBHC16200NZ1 TRILOGY ACETABULAR CUP(40:80MM) 11152 

FBHC16302NH1 VITALOCK ACETABULAR SHELL 11152 

FBHC16304NS2 ACETABULUM CUP(CUP+INSERT 一體成型 ) 11152 

FBHC16528NZ1 CUP WITH LINER 11152 

FBHC16532NZ1 HARRIS GALANTE CUP WITH LINER 11152 

FBHC17133NSN SYNERGY TOTAL HIP REFLECTION SHELL 11152 

70



FBHC17504NH1 P.C.A.DEEP SOCKET SHELL 11152 

FBHC18005NZ1 ZCA ALL-POLY ACETABULAR CUP+INSERT 15488 

FBHC1NA64NAE BICONTACT CUP 44:64MM( 型號 NH044T:068T 自 92/4/1 生效 ) 11152 

FBHC1NK810AE PE-ACETABULAR CUP+INSERT 11152 

FBHC1P1NNADP PINNACLE ACETABULAR CUP 11152 

FBHC26728NZ1 LINER 4336 

FBHC27504NH1 P.C.A. UNIVERSAL CUP(SHELL) 11152 

FBHCM1100NU0 

CUSTOM MADE FEMORAL PROXIMAL TUMOR PROTHSIS SYSTEM(H+I+C+S)※ 申報費用時應檢附發 

票備查 

144250 

FBHCM2475NH1 "HOWMEDICA"MODULAR REPLACEMENT SYSTEM -HIP※ 申報時應檢附該被保險人之發票備查 187000 

FBHCM6485NH1 "HOWMEDICA"MODULAR REPLACEMENT SYSTEM -HIP ※ 申報費用應檢附發票備查 187000 

FBHCMXXXXNW2 

CUSTOM MADE HIP SYSTEM(HEAD+INSERT+CUP+FEMORAL STEM)※ 申報費用時應檢附該被保險人 

之發票備查 

187000 

FBHH10586NH1 FEMORAL HEAD 4696 

FBHH1101XNDP AML FEMORAL HEAD(87/7/7 15190-51:60,136501:03,11: 15,21:25,29:30,43:48,9113112:13※ 適應症見備註 4696 

FBHH11840NDP CORAIL FEMORAL HEAD 4696 

FBHH1201XNU0 UNITED FEMORAL HEAD (BIPOLAR)( 型號 1201-1322:1828 自 92//4/1 生效 ) 4696 

FBHH13611NW2 FEMORAL HEAD (2601-XXXX 自 88/10/1 生效 ) 4696 

FBHH14003NH1 P.C.A.FEMORAL HEAD 4696 

FBHH15220RDP S-ROM FEMORAL HEAD 4696 

FBHH16260NH1 V40/PCA FEMORAL HEAD 4696 

FBHH16530NH1 ABG HA FEMORAL HEAD 22.22:32MM(TOTAL AND BIPOLAR) 4696 

FBHH17130NSN SYNERGY TOTAL HIP FEMORAL HEAD 4696 

FBHH18018NZ1 FEMORAL HEAD(00-8018-036-01:05 自 981001 刪除 ) 4696 

FBHH19262NZ1 FEMORAL HEAD 4696 

FBHH1962XNDP C-STEM HIP HEAD 4696 

FBHH1NK33NAE FEMORAL HEAD 4696 

FBHH1NK46NAE BICONTACT FEMORAL HEAD 28,32MM(NK330K:533K,NJ111K-134K 自 92/4/1 生效 ) 4696 

71



FBHHCCERA1AE CERAMIC HIP SYSTEM:HEAD※ 凡只更換股骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統股骨頭給付 4696 

, 超過部分由病患自付。 

FBHHCCERA1DP 

FBHHCCERA1S2 

CERAMIC HIP SYSTEM:HEAD※ 凡只更換股骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統股骨頭給 




4696 

4696 

FBHHCCERA1U0 CERAMIC FEMORAL HEAD※ 凡只更換股骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統股骨頭給付 , 

超過部分由病患自付。 

4696 

FBHHCCERA1W2 

FBHHCCERA1Z1 

FBHHCCERA2AE 

CERAMIC HIP SYSTEM:HEAD ※ 凡只更換股骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統股骨頭給 




CERAMIC HIP SYSTEM:HEAD※ 凡只更換股骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統股骨頭給付 

, 超過部分由病患自付。 

4696 

4696 

4696 

FBHL11241NDP DURALOC HIP IMPLANT:ENDURON LINER 4336 

FBHL11260NS2 HA HIP INSERT( 型號 2041C-26XX,28XX 自 91/01/01 生效 ) 4336 

FBHL11284NH1 ABG HA INSERT 42:74MM 4336 

FBHL1241XNDP AML HIP INSERT(87/7/7 新增產品型號 1251-08:24,48:64) 4336 

FBHL13646NH1 P.C.A.HIP INSERT 4336 

FBHL13820NW2 HIP CUP INSERT (3X15,5X00,5X15-XXXX 自 88/10/1 生效 ,3641:47-2200:4006 自 93/1/1 生效 ) 4336 

FBHL1401XNU0 UNITED ACETABULAR CUP LINER( 型號 1403-5044:5062 自 92/4/1 生效 ) 4336 

FBHL1403XNU0 U2 ACETABULAR LINER 4336 

FBHL16161NZ1 ACETABULAR CUP LINER(40:80MM) 4336 

FBHL16200NS2 INSERT CUP 4336 

FBHL16305NZ1 LONGEVITY ACETABULAR CUP LINER 4336 

FBHL16352NH1 SYSTEM 12 ACETABULAR INSERT 4336 

FBHL16567NZ1 ACETABULAR CUP LINER 42:70MM 4336 

FBHL1717XNSN SYNERGY TOTAL HIP ACETABULAR LINER 4336 

FBHL1NK17NAE BICONTACT INSERT 28,30MM( 型號 NA278:NA291 自 92/1/1 生效 ,NH171:476 自 92/4/1 生效 ) 4336 

FBHLCCERA1AE 

FBHLCCERA1DP 

FBHLCCERA1S2 

FBHLCCERA1U0 

CERAMIC TOTAL HIP SYSTEM:INSERT※ 凡只更換髖臼杯內襯者 , 如自願選用陶瓷髖臼杯內襯時 , 則 

按傳統髖臼杯內襯給付 , 超過部分由病患自付。 

CERAMIC HIP SYSTEM:INSERT※ 凡只更換髖臼杯內襯者 , 如自願選用陶瓷髖臼杯內襯時 , 則按傳 

統髖臼杯內襯給付 , 超過部分由病患自付。 

CERAMIC HIP SYSTEM:INSERT※ 凡只更換髖臼杯內襯者 , 如自願選用陶瓷髖臼杯內襯時 , 則按傳 

統髖臼杯內襯給付 , 超過部分由病患自付。 

CERAMIC FEMORAL INSERT※ 凡只更換髖臼杯內襯者 , 如自願選用陶瓷髖臼杯內襯時 , 則按傳統髖 

臼杯內襯給付 , 超過部份由病患自付 

4336 

4336 

4336 

4336 

72



FBHLCCERA1W2 CERAMIC HIP SYSTEM:INSERT ※ 凡只更換髖臼杯內襯者 , 如自願選用陶瓷髖臼杯內襯時 , 則按傳統 4336 

髖臼杯內襯給付 , 超過部分由病患自付。 

FBHLCCERA1Z1 

FBHMCBCER1AE 

FBHMCBCER1DP 

FBHMCBCER1S2 

CERAMIC HIP SYSTEM:LINER※ 凡只更換髖臼杯內襯者 , 如自願選用陶瓷髖臼杯內襯時 , 則按傳統 

髖臼杯內襯給付 , 超過部分由病患自付。 

CERAMIC BIPOLAR HIP SYSTEM※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷雙極式人工髖關節組 

, 則按 MOORE 人工髖關節給付 , 超過部分由病患自付。 





4336 

8493 

8493 

8493 

FBHMCBCER1U0 CERAMIC BIPOLAR SYSTEM ※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷雙極式人工髖關節組 , 

則按 MOORE 人工髖關節給付 , 超過部分由病患自付。 

8493 

FBHMCBCER1W2 

FBHMCBCER1Z1 

FBHMCBCER2AE 

FBHMCPCER1AE 

FBHMCPCER1DP 

FBHMCPCER1S2 

FBHMCPCER1U0 

FBHMCPCER1W2 

FBHMCPCER1Z1 

FBHMCPCER2AE 

FBHMCRCER1AE 

FBHMCRCER1DP 

FBHMCRCER1S2 

FBHMCRCER1U0 

FBHMCRCER1W2 

FBHMCRCER1Z1 

FBHMCRCER2AE 

FBHMMLDH01W2 

FBHMMLDH01Z1 

FBHMMLDH02W2 

CERAMIC BIPOLAR HIP SYSTEM ※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷雙極式人工髖關節組 






CERAMIC TOTAL HIP SYSTEM※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷人工髖關節組 , 則按 

MOORE 人工髖關節給付 , 超過部分由病患自付。 



CERAMIC HIP SYSTEM※ 凡符合使用 MOORE 者 , 自願選用陶瓷人工髖關節組 , 按 MOORE 給付 , 超過 

部分由病患自付 

CERAMIC HIP SYSTEM※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷人工髖關節組 , 則按 MOORE 人 

工髖關節給付 , 超過部分由病患自付。 

CERAMIC TOTAL HIP SYSTEM ※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷人工髖關節組 , 則按 






CERAMIC REVISION HIP SYSTEM※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷重建型人工髖關節 

組 , 則按 MOORE 人工髖關節給付 , 超過部分由病患自付。 







CERAMIC REVISION HIP SYSTEM ※ 凡符合使用 MOORE 規定者 , 如自願選用陶瓷重建型人工髖關節 






BIG FEMORAL HEAD TOTAL HIP SYSTEM( 含固定樁 ) ※ 符合使用 MOORE 規定者 , 如自願選用 BFH 人 

工髖關節組 , 按 MOORE 給付 , 超過部分由病患自付 

LDH TOTAL HIP SYSTEM ※ 符合使用 MOORE 規定者 , 如使用 LDH 人工髖關節組 , 按 MOORE 給付 , 超 

過部分由病患自付 

BIG FEMORAL HEAD TOTAL HIP SYSTEM( 不含固定樁 ) ※ 符合使用 MOORE 規定者 , 如自願選用 BFH 

人工髖關節組 , 按 MOORE 給付 , 超過部分由病患自付 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

8493 

73



FBHMMMETA1DP PINNACLE METAL ON METAL TOTAL HIP SYSTEM※ 符合 MOORE 者 , 如自願選用金屬人工髖關節組 8493 

, 按 MOORE 髖關節組給付 , 超過部分由病患自付 

FBHMMMETA1Z1 

METAL ON METAL TOTAL HIP SYSTEM ※ 符合使用 MOORE 規定者 , 如使用 METAL ON METAL 人工 

髖關節組 , 按 MOORE 給付 , 超過部分由病患自付 

8493 

FBHPA0580NH1 EXETER TOTAL HIP SYSTEM 42513 

FBHPA1000NAE BICONTACT TOTAL HIP SYSTEM 42513 

FBHPA1000NDP AML TOTAL HIP SYSTEM 42513 

FBHPA1000NS2 HA TOTAL HIP SYSTEM 42513 

FBHPA1000NU0 UNITED TOTAL HIP SYSTEM 聯髖人工髖關節 42513 

FBHPA1000NW2 TOTAL HIP SYSTEM 42513 

FBHPA1000TZ1 HARRIS GALANTE TOTAL HIP SYSTEM 42513 

FBHPA1100NDP CORAIL TOTAL HIP SYSTEM 42513 

FBHPA2000NU0 UNITED U2 TOTAL HIP SYSTEM 42513 

FBHPA2000TZ1 HA/TCP TOTAL HIP SYSTEM 42513 

FBHPA3000NU0 TOTAL HIP SYSTEM ( 型號 13021044:62+11045034:67+12011126:1726) 42513 

FBHPA4000TZ1 VERSYS TOTAL HIP SYSTEM 42513 

FBHPA4120NH1 ABG HA TOTAL HIP SYSTEM 42513 

FBHPA5000NS2 TOTAL HIP SYSTEM(STEM+CUP+HEAD+INSERT) 42513 

FBHPA5000TZ1 MAYO TOTAL HIP SYSTEM 42513 

FBHPA5500NS2 ACCOLADE TOTAL HIP SYSTEM(STEM+CUP+INSERT+HEAD) 42513 

FBHPA6000NZ1 CLS SPOTORNO SYSTEM(STEM+LINER+HEAD+ACETABULAR CUP) 42513 

FBHPA7000NSN SYNERGY TOTAL HIP SYSTEM 42513 

FBHPA8000TZ1 TOTAL HIP SYSTEM(CUP+LINER+HEAD+STEM) 42513 

FBHPA9101NH1 P.C.A.TOTAL HIP SYSTEM 42513 

FBHPA9610NDP C-STEM TOTAL HIP SYSTEM 42513 

FBHPA9979NDP SUMMIT TOTAL HIP SYSTEM(STEM+HEAD+CUP+INSERT) 42513 

FBHPCCERA1AE 

FBHPCCERA1DP 

CERAMIC TOTAL HIP SYSTEM※ 凡符合傳統人工髖關節組之適應症者 , 如自願選用陶瓷人工髖關節 

組時 , 則按傳統人工髖關節組給付 , 超過部分由病患自付。 



42513 

42513 

74



FBHPCCERA1S2 CERAMIC TOTAL HIP SYSTEM※ 凡符合傳統髖關節組者 , 自願選用陶瓷髖關節組 , 則按傳統髖關節 42513 

組給付 , 超過部分由病患自付 

FBHPCCERA1U0 

FBHPCCERA1W2 

FBHPCCERA1Z1 

FBHPCCERA2AE 

FBHPMLDH01W2 

FBHPMLDH01Z1 

FBHPMLDH02W2 

FBHPMMETA1DP 

FBHPMMETA1Z1 



CERAMIC TOTAL HIP SYSTEM ※ 凡符合傳統人工髖關節組之適應症者 , 如自願選用陶瓷人工髖關節 

時 , 則按傳統人工髖關節組給付 , 超過部分由病患自付。 





BIG FEMORAL HEAD TOTAL HIP SYSTEM ( 含固定樁 )※ 符合傳統髖關節組適應症者 , 如自願選用 BFH 

人工髖關節組 , 按傳統髖關節組給付 , 超過部分由病患自付 

LARGE DIAMETER HEAD (LDH))TOTAL HIP SYSTEM※ 符合傳統髖關節組適應症者 , 如自願選用 LDH 


BIG FEMORAL HEAD TOTAL HIP SYSTEM( 不含固定樁 ) ※ 符合傳統髖關節組適應症者 , 如自願選用 

BFH 人工髖關節組 , 按傳統髖關節組給付 , 超過部分由病患自付 

PINNACLE METAL ON METAL TOTAL HIP SYSTEM※ 符合傳統髖關節組適應症者 , 如自願選用金屬 


METASUL METAL ON METAL TOTAL HIP SYSTEM※ 符合傳統髖關節組適應症者 , 如自願選用金屬 


42513 

42513 

42513 

42513 

42513 

42513 

42513 

42513 

42513 

FBHRA0580NH1 EXTER REVISION TOTAL HIP SYSTEM 55313 

FBHRA1000NDP AML REVISION TOTAL HIP SYSTEM 55313 

FBHRA1000NW2 REVISION TOTAL HIP SYSTEM 55313 

FBHRA1000TZ1 REVISION TOTAL HIP SYSTEM 55313 

FBHRA10099DP C-STEM REVISION TOTAL HIP SYSTEM 55313 

FBHRA1100NH1 P.C.A.REVISION TOTAL HIP SYSTEM 55313 

FBHRA2000NW2 PERFECTA REVISION TOTAL HIP SYSTEM(NECK+BODY+STEM+HEAD+CUP+INSERT) 76555 

FBHRA2000TZ1 VERSYS REVISION TOTAL HIP SYSTEM 55313 

FBHRA3000NS2 HA REVISION TOTAL HIP SYSTEM 55313 

FBHRA3000TZ1 VERSYS CEMENTED REVISION/CALCAR TOTAL HIP SYSTEM 55313 

FBHRA4000TZ1 ZMR REVISION HIP SYSTEM(BODY+STEM+HEAD+CUP+INSERT) 76555 

FBHRA5000NS2 TOTAL HIP REVISION SYSTEM(STEM+CUP+INSERT+HEAD) 55313 

FBHRA5000NU0 U2 REVISION HIP SYSTEM 55313 

FBHRA5200RDP S-ROM TOTAL HIP SYSTEM(STEM+SLEEVES+HEAD+CUP+INSERT) 76555 

FBHRA6260NH1 RESTORATION REVISION HIP SYSTEM 55313 

FBHRANK20NAE BICONTACY REVISION HIP SYSTEM(STEM+HEAD+CUP+INSERT) 55313 

75



FBHRCCERA1AE CERAMIC REVISION HIP SYSTEM※ 符合傳統重建型髖關節組適應症者 , 如自願選用陶瓷重建型人工 55313 

髖關節組 , 按傳統重建型髖關節組給付 , 超過部分由病患自付 

FBHRCCERA1DP 

FBHRCCERA1S2 

FBHRCCERA1U0 

FBHRCCERA1W2 

FBHRCCERA1Z1 

FBHRCCERA2AE 

FBHRCCERA2W2 

CERAMIC REVISION HIP SYSTEM※ 符合傳統重建型髖關節組適應症者 , 如自願選用陶瓷重建型人工 


CERAMIC REVISION HIP SYSTEM※ 符合傳統重建型髖關節組者 , 自願選用陶瓷重建型髖關節組 , 按 

傳統重建型髖關節組給付 , 超過部分由病患自付 





REVISION CERAMIC HIP SYSTEM※ 符合傳統重建型髖關節組適應症者 , 如自願選用陶瓷重建型人工 




CERAMIC REVISION HIP SYSTEM※ 符合傳統重建型 ( 且骨頭缺損達第二度以上者 ) 者 , 自願選用陶瓷 

重建型髖關節組 , 超過部分由病患自付 

55313 

55313 

55313 

55313 

55313 

55313 

76555 

FBHS10580NH1 FEMORAL STEM 22329 

FBHS1101XNU0 UNITED PRIMARY HIP STEM (BIPOLAR STEM) 22329 

FBHS11104NU0 UNITED U2 HIP STEM 22329 

FBHS11104RU0 U2 REVISION HIP SYSTEM:STEM 35129 

FBHS1110XNU0 TOTAL HIP STEM(CEMENT STEM) 22329 

FBHS11170NS2 HA PRIMARY STEM 22329 

FBHS11200NS2 EXETER PRIMARY STEM 22329 

FBHS11300NS2 ACCOLADE PRIMARY STEM 22329 

FBHS1135XNDP AML STEM(87/7/7 新增 1554,1557-02:08,42:48,1345-20:27) 22329 

FBHS12900NZ1 CLS SPOTORNO STEM 22329 

FBHS13708NW2 FEMORAL STEM (378X-XXXX 自 88/09/01 起生效 ,385X,3793-XXXX 自 88/10/1 生效 ) 22329 

FBHS14120NH1 ABG HA FEMORAL STEM 1#:9# (TOTAL AND BIPOLAR) 22329 

FBHS16260NH1 RESTORATION P/S LONG STEM 35129 

FBHS16521NZ1 HARRIS GALANTE PRIMARY STEM 22329 

FBHS16578NZ1 VERSYS HA/TCP FIBER METAL TAPER STEM 22329 

FBHS1713XNSN SYNERGY TOTAL HIP STEM (7130-6109:7130-6418 自 88/10/1 生效 ) 22329 

FBHS17711NZ1 M/L TAPER HIP PROSTHESIS(STEM) 22329 

FBHS17841NZ1 VERSYS FIBER METAL MIDCOAT HIP STEM(COLLARED) 22329 

76



FBHS17850NZ1 VERSYS ADVOCATE CEMENTED STEM 22329 

FBHS17853NZ1 VERSYS CEMENTED TOTAL HIP STEM(7853-11:17-01:21 自 89/04/01 起生效 ) 22329 

FBHS17854NZ1 VERSYS CEMENTED HIP CT STEM 22329 

FBHS17857NZ1 VERSYS HERITAGE CDH:FEMORAL STEM 22329 

FBHS17862NZ1 VERSYS FIBER METAL TAPER HIP STEM 22329 

FBHS18026NZ1 MAYO CONSERVATIVE STEM 22329 

FBHS19101NH1 P.C.A. PRIMARY STEM 22329 

FBHS1925XNDP CORAIL FEMORAL STEM 22329 

FBHS1961XNDP C-STEM HIP STEM(9613-15000 自 92/7/1 生效 ) (9611-00500,01500,02500 自 92/10/1 生效 ) 22329 

FBHS19979NDP SUMMIT HIP STEM 22329 

FBHS1NK62NAE BICONTACT PRIMARY STEM 10:21MM( 型號 NK010K-18K,NJ009T:16T,NJ028-34K 自 92/4/1 生效 ) 22329 

FBHS2130LNS2 

"HOWMEDICA-OSTEONICS"OMNIFIT HIP SYSTEM:OMNIFIT CEMENTED LONG STEM" 好美得卡 - 奧斯 

得寧 " 人工髖關節系統 : 股骨柄 

35129 

FBHS21445NS2 EXETER HIP LONG STEM 35129 

FBHS23730NW2 REVISION HIP LONG STEM( 型號 3783-XXXX,3784-XXXX 自 89/10/1 生效 ) 35129 

FBHS2601XNS2 RESTORATION HA HIP STEM 35129 

FBHS30580NH1 FEMORAL LONG STEM 35129 

FBHS310099DP C-STEM REVISION HIP STEM 35129 

FBHS31100NH1 P.C.A. LONG STEM 35129 

FBHS32000NW2 PERFECTA REVISION HIP STEM(NECK+BODY+STEM) 56371 

FBHS3354XNDP AML LONG STEM(87/11/2 起 1571-02-000:90-000,1573-03-000:19-000) 35129 

FBHS35500RDP S-ROM ZTT SLEEVES( 近端套筒 ) 14545 

FBHS35600RDP S-ROM FEMORAL STEM( 型號含 526092L:424R,526514L:684) 41826 

FBHS37846NZ1 VERSYS BEADED FULLCOAT PLUS REVISION STEM 200MM(7843-11:20-08 自 89/04/01 起生效 ) 35129 

FBHS37855NZ1 VERSYS CEMENTED REVISION STEM 200:260MM 35129 

FBHS37871NZ1 VERSYS CEMENTED REVISION/CALCAR STEM 35129 

FBHS39980NZ1 ZMR REVISION HIP STEM 14545 

77



FBHS39990NZ1 ZMR REVISION HIP STEM BODY 41826 

FBHS3NK21NAE REVISION HIP STEM 35129 

FBHU111281DP GLOBAL SHOULDER IMPLANTS STEM 12MM 26932 

FBHU111340DP HUMERAL ASSEMBLY STEM 26932 

FBHU111344DP HUMERAL HEAD 11557 

FBHU111348DP FINNED GLENDOID HYLAMER POLLYMER PEGGED GLENOID 14526 

FBHU11134NDP GLOBAL HUMERAL STEM 26932 

FBHU111378DP GLOBAL PEGGED GLENOID 14526 

FBHU1113NNDP GLOBAL HUMERAL HEAD 11557 

FBHU143000Z1 BIGLIANI/FLATOW TOTAL SHOULDER(STEM+HEAD+CUP) 53015 

FBHU143001Z1 BIGLIANI/FLATOW HEMI SHOULDER(STEM+HEAD) 38489 

FBHU143002Z1 BIGLIANI/FLATOW MONOBLOCK SHOULDER(STEM+HEAD) 38489 

FBHU14300NZ1 BIGLIANI/FLATOW HUMERAL STEMS 26932 

FBHU14301NZ1 BIGLIANI/FLATOW MODULAR HEAD 11557 

FBHU14302NZ1 BIGLIANI/FLATOW GLENOID(PU CUP) 14526 

FBHU15300NS2 TOTAL SHOULDER SYSTEM(GLENOID+HEAD+STEM) 53015 

FBHU15301NS2 SHOULDER SYSTEM(HEAD+STEM) 38489 

FBHU15350NS2 SHOULDER HUMERAL HEAD( 鈷鉻 ) 11557 

FBHU15351NS2 SHOULDER HUMERAL STEM(TITANIUM) 26932 

FBHU15362NS2 SOLAR TOTAL SHOULDER SYSTEM:SHOULDER GLENOID COMP(PLASTIC) 14526 

FBKA20610NH1 DURACON TOTAL KNEE TIBIAL WEDGE※ 限用於人工膝關節再置換時使用 3006 

FBKA21872NW2 FEMORAL BUILD(WEDGE)※ 限用於人工膝關節再置換時使用 3006 

FBKA22510NH1 DURACON TOTAL KNEE FEMORAL SPACER DISTAL※ 限用於人工膝關節再置換時使用 3006 

FBKA23000NW2 REVISION FEMORAL WEDGE※ 限用於人工膝關節再置換時使用 3006 

FBKA23001NW2 REVISION TIBIAL WEDGE※ 限用於人工膝關節再置換時使用 3006 

FBKA25988NZ1 TIBIAL WEDGE※ 頇事前審查限用於膝關節再置換時使用 3006 

78



FBKA25990TZ1 FEMORAL AUGMENTATION ※ 頇事前審查限用於膝關節再置換時使用 3006 

FBKA27510NS2 FEMORAL /TIBIAL AUGMENTATION※ 限用於人工膝關節再置換時使用 3006 

FBKA296080JJ TC3 PFC REVISION FEMORAL AUGMENTATION ※ 限用於人工膝關節再置換時使用 3006 

FBKB21870NW2 REVISION TIBIAL LONG STEM 7.5CM,15CM ※ 限用於人工膝關節再置換時使用 5710 

FBKCM1101NU0 CUSTOM MADE KNEE JOINT TUMOR PROSTHESIS ※ 申報費用時應檢附該被保險人之發票備查 177137 

FBKCM2475NH1 "HOWMEDICA"GLOBAL MODULAR REPLACEMENT SYSTEM -KNEE, 申報費用時應附發票備查 187962 

FBKCM6485NH1 "HOWMEDICA"GLOBAL MODULAR REPLACEMENT SYSTEM -KNEE※ 申報費用應檢附發票備查 187962 

FBKCMXXXXNW2 CUSTOM-MADE TOTAL KNEE PROTHESIS , 申報費用檢附發票 187962 

FBKE21890NW2 REVISION FEMORAL LONG STEM 10CM,15CM ※ 限用於人工膝關節再置換時使用 5710 

FBKE23000NW2 EXTENSION FEMORAL TIBIAL STEM※ 限用於人工膝關節再置換時使用 5710 

FBKE25988NZ1 STEM EXTENSION ※ 頇事前審查限用於膝關節再置換時使用 5710 

FBKE26478NS2 EXTENSION STEM 80MM:155MM※ 限用於人工膝關節再置換時使用 5710 

FBKE28640NH1 

DURACON TIBIAL、FEMORAL EXTENSION STEM (6476-8-260 自 91/10/1 生效 )※ 限用於人工膝關節再置 

換時使用 

5710 

FBKE286960JJ REVISION STEM EXTENSION(96-07,17-20,21,31,32 自 89/04/01 生效 )※ 限用於人工膝關節再置換時使用 5710 

FBKF10000CSN GENESIS II TOTAL KNEE SYSTEM:FEMORAL COMPONENTS 19367 

FBKF10011NH1 FEMORAL COMPONENT EXTRA EXTRA-SMALL:LARGE 19367 

FBKF10096PSN GENESIS II TOTAL KNEE SYSTEM(PS):FEMORAL COMPONENTS 19367 

FBKF10208NH1 DURACON PS FEMORAL COMPONENT 19367 

FBKF10410NJJ PFC FEMORAL 19367 

FBKF1179NNDP LCS FEMORAL COMPONENT( 型號 1180-03 自 90/01/01 生效 ) 19367 

FBKF11880NW2 WHITESIDE ORTHOLOC FEMORAL COMPONENT( 型號 KFTC-XXXX 自 91/01/01 生效 ) 19367 

FBKF12000NW2 PSL FEMORAL COMPONENT 19367 

FBKF12101NU0 FEMORAL COMPONENT(PS) 19367 

FBKF12103MU0 U2 TOTAL KNEE SYSTEM:FEMORAL 19367 

FBKF12103NU0 U2 TOTAL KNEE SYSTEM:FEMORAL CRUCIATE RETAINING 19367 

FBKF1210XNU0 UNITED FEMORAL COMPONENT 19367 

79



FBKF15500NH1 TRIATHLON FEMORAL COMPONENT ※ 適應症見備註欄 19367 

FBKF15950TZ1 NEXGEN CR-FLEX FEMORAL COMPONENT 19367 

FBKF15964TZ1 NEXGEN LPS-FLEX FEMORAL COMPLETE 19367 

FBKF15970NZ1 FEMORAL COMPONENT 19367 

FBKF15996TZ1 NEXGEN FEMORAL COMPONENT(LPS) 19367 

FBKF16630NH1 DURACON TOTAL KNEE FEMORAL 19367 

FBKF17030NS2 SCORPIO CR FEMORAL COPMONENT 19367 

FBKF17130NS2 SCORPIO FEMORAL COPMONENT( 型號 71-4503:4513R/L 自 90/01/01 生效 ) 19367 

FBKF18000NS2 SCORPIO FEMORAL COMPONENT 19367 

FBKF18110NH1 PCA FEMORAL 19367 

FBKF19600NDP PFC SIGMA CRUCIATE RETAINING FEMORAL COMPONENT 19367 

FBKF19600NJJ PFC E CURCIATE RETAINING FEMORAL (96-0042:58 自 89/7/1 收 ,93/1/1 由 FBKF296008JJ 調來 ) 19367 

FBKF1N050NAE E.MOTION FEMORAL COMPONENT 19367 

FBKF2179NNDP LCS REVISION FEMORAL COMPONENT 19367 

FBKF21850NW2 WHITESIDE ORTHOLOC REVISION FEMORAL COMPONENT 18017 

FBKF21857NW2 WHITESIDE ORTHOLOC P.S.L REVISION FEMORAL COMPONENT 18017 

FBKF22026NH1 DURACON REVISION FEMORAL COMPONENT 19367 

FBKF23000NW2 ADVANCE REVISION FEMORAL COMPONENT 19367 

FBKF25880TZ1 NEXGEN ROTATING HINGEKNEE FEMORAL COMPONENT 80658 

FBKF25976NZ1 NEXGEN FEMORAL COMPONENT(CRA) 19367 

FBKF25994TZ1 NEXGEN FEMORAL COMPONENT(LCCK)( 型號 5994-013:017-91:92 自 92/10/01 生效 ) 19367 

FBKF26001NJJ PFC REVISION FEMORAL 19367 

FBKF296008JJ TC3 PFC REVISION FEMORAL COMPONENTS (96-0042:96-0058 自 93/01/01 轉至 FBKF19600NJJ) 19367 

FBKL10100NH1 TIBIAL INSERT EXTRA-SMALL:LARGE 9MM:16MM(6642-1009:7125 自 89/4/1 生效 ) 8309 

FBKL10460NJJ PFC INSERT (96-0410:96-0467 自 89/07/01 生效 ) 8309 

FBKL10480CSN GENESIS II TOTAL KNEE SYSTEM:TIBIAL ARTICULAR COMPONENTS 8309 

80



FBKL10802PSN GENESIS II TOTAL KNEE SYSTEM(PS):TIBIAL ARTICULAR COMPONENTS 8309 

FBKL11030NS2 OMNIFIT TIBIAL INSERT 8309 

FBKL11501PSN PS HIGH FLEXION ARTICULAR INSERT 13953 

FBKL11531CSN CR DEEP FLEXION ARTICULAR INSERT 13953 

FBKL11770NW2 WHITESIDE ORTHOLOC TIBIAL INSERT( 型號 KITC,KIMP-XXXX 自 91/01/01 生效 ) 8309 

FBKL1178NNDP LCS MENISCAL BEARINGS INSERT( 型號 1778-29-025:1778-84-025 自 90/01/01 生效 ) 8309 

FBKL12000NW2 PSL TIBIAL INSERT 8309 

FBKL12301NU0 TIBIAL INSERT(PS) 8309 

FBKL123033U0 U2 TOTAL KNEE SYSTEM:TIBIAL INSERT 8309 

FBKL12303NU0 U2 TOTAL KNEE SYSTEM:TIBIAL INSERT CRUCIATE RETAINING 8309 

FBKL1230XNU0 UNITED TIBIAL INSERT PLAINED 8309 

FBKL15500NH1 TRIATHLON TIBIA INSERT ※ 適應症見備註欄 13953 

FBKL15960NZ1 NEXGEN LPS-FLEX TIBIAL ARTICULAR SURFACE 13953 

FBKL15971NZ1 ARTICULAR SURFACE 8309 

FBKL15981NZ1 ARTICULAR SURFACE 8309 

FBKL15996NZ1 NEXGEN TIBIAL ARTICULAR SURFACE 8309 

FBKL16644NH1 DURACON TOTAL KNEE TIBIAL 8309 

FBKL17109NH1 DURACON TIBIAL PS INSERT(6742-1-009:425 自 91/10/1 生效 ) 8309 

FBKL17220NS2 SCORPIO CR INSERT COMPONENT 8309 

FBKL17230NS2 TIBIAL INSERT 8309 

FBKL17250NS2 SCORPIO SUPERFLEX PS TIBIAL INSERT 13953 

FBKL18130NH1 PCA TIBIAL INSERT 8309 

FBKL18200NS2 SCORPIO NRG TIBIAL INSERT 13953 

FBKL19059NZ1 NEXGEN CR-FLEX TIBIAL ARTICULAR SURFACE 13953 

FBKL19602NJJ PFC E CURCIATE RETAINING TIBIAL INSERT 8309 

FBKL1962RPJJ PFC SIGMA RP KNEE SYSTEM ROTATING PLATFORM INSERT 13953 

81



FBKL1N064NAE E.MOTION TIBIA INSERT 13953 

FBKL21658NW2 P.S.L REVISION TIBIAL INSERT( 型號 KIPS-0114:2625,KIRV-110S,M:630S,M 自 93/1/1 生效 ) 25559 

FBKL22410NH1 DURACON REVISION TIBIAL INSERT 25559 

FBKL25880NZ1 NEXGEN ROTATING HINGEKNEE ARTICULAR SURFACE 11684 

FBKL25970NZ1 NEXGEN TIBIAL ARTICULAR SURFACE(CRA) 25559 

FBKL25994NZ1 NEXGEN TIBIAL ARTICULAR SURFACE( 型號 5994-022:042-10:33 自 92/10/01 生效 ) 25559 

FBKL26000NS2 TIBIAL BEARING COMPONENT 25559 

FBKL26040NJJ PFC REVISION INSERT 25559 

FBKL27493NS2 SERIES 7000 TIBIAL INSERT 25559 

FBKL296050JJ TC3 PFC REVISION TIBIAL INSERT 25559 

FBKP10205NH1 PATELLA COMPONENT METAL BACK,ALL PLASTIC(6642-2040:2645 自 89/04/01 生效 ) 6344 

FBKP10417NJJ PFC PATELLA 6344 

FBKP10566NSN GENESIS II TOTAL KNEE SYSTEM:PARELLAR COMPONENTS 6344 

FBKP11670NW2 WHITESIDE ORTHOLOC PATELLA( 型號 KPRC,KPON-XXXX 自 91/01/01 生效 ) 6344 

FBKP1179NNDP LCS PATELLAR COMPONENT( 型號 1779-71:86,1497-71:76-025 自 90/01/01 生效 ) 6344 

FBKP12401NU0 TOTAL KNEE PATELLA 26:44MM 6344 

FBKP12403NU0 UKNEE TOTAL KNEE SYSTEM:PATELLA 6344 

FBKP1240XNU0 UNITED PATELLA 6344 

FBKP13420NS2 OMNIFIT PATELLA COMPONENT 6344 

FBKP15500NH1 TRIATHLON PATELLA※ 適應症見備註欄 6344 

FBKP15973NZ1 PATELLA COMPONENT 6344 

FBKP17331NS2 SCORPIO CR PATELLA 6344 

FBKP19601NDP PFC SIGMA CRUCIATE RETAINING OVAL-DOME PATELLA 6344 

FBKP19601NJJ PFC SIGMA CURCIATE RETAINING OVAL-DOME PATELLA ( 型號 96-0120:0122 自 90/10/01 生效 ) 6344 

FBKP1G442NSN GENESIS PATELLA COMPONENT 6344 

FBKP1N048NAE E.MOTION PATELLA 6344 

82



FBKP26035NJJ PFC REVISION PATELLA 6344 

FBKPA0012NH1 DURACON TOTAL KNEE SYSTEM 48953 

FBKPA0208NH1 DURACON PS TOTAL KNEE SYSTEM 48953 

FBKPA1000CSN GENESIS II TOTAL KNEE SYSTEM(CR) 48953 

FBKPA1000NDP LCS TOTAL KNEE SYSTEM 48953 

FBKPA1000NJJ PFC TOTAL KNEE SYSTEM 48953 

FBKPA1000NU0 UNITED TOTAL KNEE SYSTEM 48953 

FBKPA1000NW2 WHITESIDE ORTHOLOC TOTAL KNEE SYSTEM 48953 

FBKPA1000PSN GENESIS II TOTAL KNEE SYSTEM(PS) 48953 

FBKPA1100NDP PFC SIGMA TOTAL KNEE SYSTEM(TIBIAL+INSERT+PATELLA+FEMORAL) 48953 

FBKPA1100NJJ PFC E KNEE SYSTEM 48953 

FBKPA129RPJJ PFC SIGMA RP KNEE SYSTEMW/ROTATING PLATFORM 54597 

FBKPA2000CSN GENESIS II TOTAL KNEE SYSTEM(CR-FLEX) 高彎曲度全人工膝關節系統 54597 

FBKPA2000NU0 TOTAL KNEE SYSTEM(PS) 48953 

FBKPA2000NW2 PSL TOTAL KNEE SYSTEM 48953 

FBKPA2000PSN GENESIS II TOTAL KNEE SYSTEM(PS-FLEX) 高彎曲度全人工膝關節系統 54597 

FBKPA5000NU0 U2 TOTAL KNEE SYSTEM-CRUCIATE RETAINING 48953 

FBKPA5000TZ1 NEXGEN COMPLETE KNEE (CR)SYSTEM 48953 

FBKPA5100TZ1 NEXGEN MIS COMPLETE KNEE SOLUTION (CR) 微創全人工膝關節組 48953 

FBKPA5500NH1 

TRIATHLON TOTAL KNEE SYSTEM( 含 TIBIA INSERT+FEMORAL+TIBIA TRAY+PATELLA) ※ 適應症見 

備註欄 

54597 

FBKPA6000NU0 U2 TOTAL KNEE SYSTEM-POSTERIOR STABILIZED 48953 

FBKPA6000TZ1 NEXGEN COMPLETE KNEE (PS)SYSTEM 48953 

FBKPA7000TZ1 NEXGEN COMPLETE KNEE SOLUTION (LPS) 48953 

FBKPA7100NS2 SCORPIO TOTAL KNEE SYSTEM(PS) 48953 

FBKPA7100TZ1 NEXGEN MIS COMPLETE KNEE SOLUTION (LPS) 微創全人工膝關節組 48953 

FBKPA7200NS2 SCORPIO CR TOTAL KNEE SYSTEM 48953 

83



FBKPA7300NS2 SCORPIO TOTAL KNEE SYSTEM 54597 

FBKPA7800NS2 SCORPIO MOBILE BEARING KNEE SYSTEM 54597 

FBKPA8000TZ1 NEXGEN LPS-FLEX COMPLETE KNEE SYSTEM 54597 

FBKPA8100NS2 SCORPIO NRG TOTAL KNEE SYSTEM 54597 

FBKPA8100TZ1 NEXGEN MIS COMPLETE KNEE SOLUTION (LPS-FLEX) 微創全人工膝關節組 54597 

FBKPA9000TZ1 NEXGEN CR-FLEX COMPLETE KNEE SOLUTION 54597 

FBKPA9100TZ1 NEXGEN MIS COMPLETE KNEE SOLUTION (CR-FLEX) 微創全人工膝關節組 54597 

FBKPAG1000SN GENESIS TOTAL KNEE SYSTEM 48953 

FBKPAN000NAE E.MOTION KNEE SYSTEM FOLATING KNEE 54597 

FBKRA1000NJJ PFC REVISION KNEE SYSTEM 66203 

FBKRA1000NW2 WHITESIDE ORTHOLOC LONG STEM REVISION TOTAL KNEE SYSTEM 66203 

FBKRA1000TZ1 M/G REVISION KNEE SYSTEM 66203 

FBKRA1001NW2 REVISION TOTAL KNEE SYSTEM W/TIBIA WEDGE , 限需使用墊片者申報 69209 

FBKRA11000JJ TC3 PFC REVISION KNEE SYSTEM 66203 

FBKRA2000NDP LCS REVISION TOTAL KNEE SYSTEM 66203 

FBKRA2000NW2 WHITESIDE ORTHOLOC P.S.L.TOTAL KNEE SYSTEM 66203 

FBKRA2026NH1 DURACON REVISION KNEE SYSTEM 66203 

FBKRA3000NW2 ADVANCE REVISION TOTAL KNEE SYSTEM 66203 

FBKRA3000TZ1 NEXGEN COMPLETE KNEE SOLUTION(LCCK) 66203 

FBKRA4000TZ1 NEXGEN COMPLETE KNEE SOLUTION(CRA) 66203 

FBKRA5000TZ1 NEXGEN ROTATING HINGEKNEE SYSTEM 116678 

FBKRAG1000SN GENESIS REVISION TOTAL KNEE SYSTEM 66203 

FBKT10160NSN GENESIS II TOTAL KNEE SYSTEM:TIBIAL COMPONENTS 14933 

FBKT10224CSN GENESIS II TOTAL KNEE SYSTEM:TIBIAL+CRTICULAR COMPONENTS 14933 

FBKT10411NJJ PFC TIBIAL(PRIMARY 或 REVISION)( 型號 86-4177:9 自 89/1/1 生效 ) 14933 

FBKT1179NNDP LCS TIBIAL 14933 

84



FBKT11870NW2 WHITESIDE ORTHOLOC TIBIAL BASE 脛骨基座 13698 

FBKT11871NW2 TIBIAL BASE 13698 

FBKT11885NW2 CF TIBIAL STEM+TIBIAL BASE( 型號 KTCO,KTCC,KTTI-XXXX 自 91/01/01 生效 ) 14933 

FBKT12203NU0 U2 TOTAL KNEE SYSTEM:TIBIAL BASEPLATE 14933 

FBKT1220XNU0 UNITED TIBIAL BASEPLATE WITH STEM( 型號 2201-3010:3060 自 89/10/1 生效 ) 14933 

FBKT12330NH1 TIBIAL BASEPLATE CURCIFORM S1:L2,SCREW FIX S1:L2 14933 

FBKT1432RPJJ PFC SIGMA RP KNEE SYSTEM MOBILE BEARING TIBIA BASEPLATE 14933 

FBKT15125NZ1 M/G Ⅱ TIBIAL FIXATION 14933 

FBKT15500NH1 TRIATHLON TIBIA TRAY※ 適應症見備註欄 14933 

FBKT15950NZ1 NEXGEN MIS TIBIAL PLATE 微創人工莖骨板 14933 

FBKT15972NZ1 TIBIAL PLATE 14933 

FBKT15982NZ1 TIBIAL PLATE 14933 

FBKT1AP0LYDP PFC SIGMA KNEE SYSTEM:ALL POLYETHYLENE TIBIAL+INSERT 14933 

FBKT1N062NAE E.MOTION TIBIA FOLATING PLATE 14933 

FBKT2179NNDP LCS REVISION ROTATING TIBIAL PLATEAU 14933 

FBKT21872NW2 TIBIAL BASE WITH WEDGE ※ 限人工膝關節再置換時使用 16704 

FBKT22360NH1 DURACON REVISION TIBIAL BASEPLATE 14933 

FBKT25880NZ1 NEXGEN ROTATING HINGEKNEE TIBIAL PLATE 17992 

FBKT286000JJ TC3 PFC REVISION TIBIAL TRAY 14933 

FBKW2280XNU0 TIBIAL WEDGE※ 限用於人工膝關節再置換時使用 3006 

FBKW25220NZ1 TIBIAL WEDGE ※ 限用於人工膝關節再置換時使用 3006 

FBKW286010JJ TC3 PFC REVISION TIBIAL WEDGE ※ 限用於人工膝關節再置換時使用 3006 

FBM011109NU0 MOORE HIP SYSTEM 8493 

FBM01203XNR1 MOORE PROSTHESIS (41:52MM,HEAD) 8493 

FBM014006NZ1 MOORE HIP PROSTHESIS 1 1/2:1 15/16 8493 

FBM019138NH1 AUSTIN MOORE 8493 

85



FBUF11001NW2 UNICOMPARTMENTAL KNEE FEMORAL COMPONENT 24256 

FBUF110277DP PRESERVATION UNICOMPARTMENTAL KNEE FEMORAL COMPONENT 24256 

FBUF15842NZ1 UNICOMPARTMENTAL HIGH-FLEX FEMORAL COMPONENT 24256 

FBUF16636NH1 UNICOMPARTMENTAL KNEE FEMORAL 24256 

FBUF172500SN UNICOMPARMENTAL KNEE FEMORAL 24256 

FBUF19671NJJ PFC SIGMA UNICOMPARTMENTAL FEMORAL COMPONENT 人工半膝關節股骨元件 24256 

FBUL15842NZ1 UNICOMPARTMENTAL HIGH-FLEX ARTICULAR SURFACE 7277 

FBUL171248SN UNICOMPARMENTAL KNEE TIBIAL INSERT 7277 

FBUL19672NJJ PFC SIGMA(PFC)UNICOMPARTMENTAL TIBIAL INSERT COMPONENT 半膝關節襯墊 7277 

FBUT11002NW2 UNICOMPARTMENTAL KNEE TIBIAL+INSERT COMPONENT 22638 

FBUT110277DP PRESERVATION UNICOMPARTMENTAL KNEE TIBIAL+INSERT COMPONENT 22638 

FBUT15842NZ1 UNICOMPARTMENTAL HIGH-FLEX PRECOAT TIBIAL PLATE 15361 

FBUT16636NH1 UNICOMPARTMENTAL KNEE TIBIAL+INSERT 22638 

FBUT171242SN UNICOMPARMENTAL KNEE ALL-POLY TIBIAL+INSERT 22638 

FBUT172610SN UNICOMPARMENTAL KNEE TIBIAL BASES 15361 

FBUT19670NJJ PFC SIGMA(PFC)UNICOMPARTMENTAL TIBIAL TRAY COMPONENT 半膝關節脛骨元件 15361 

FBUT25842NZ1 UNICOMPARTMENTAL HIGH-FLEX ALL POLYETHYLENE TIBIAL BASEPLATE(TIBIAL+SURFACE) 22638 

FEP0256234XT WIRE PISTON 2811 

FEP0256235XT WIRE PISTON 2811 

FES0156295XT FISCH SPANDER II TOTAL WITH FOOTPLATE SHOE 全聽 2742 

FES0156305XT AUSTIN MODIFIED TOTAL OSSICULAR REPLACEMENT 2742 

FES0170142GS MICRON ALL TITANIUM TORP 全鈦全人工聽小骨置換物 2742 

FHFCD01701GU 

FHFCD01901GU 

" 佳騰 " 康達克艾維塔心臟再同步治療用去顫器 "GUIDANT" CONTAK RENEWALL 4 AVT CARDIAC 

RESYNCHRONIZATION THERAPY DEFIBRILLATOR * 

" 吉時利 " 康德雙腔同步整律 / 去顫器 "GUIDANT"CONTAK RENEWAL 4/4HE CARDIAL 

RESYNCHRONIZATION THERAPY DEFIBRILLATOR* 

556104 

556104 

FHFCD07298M4 " 美敦力 " 因信可植入式去纖維顫動器 * 556104 

FHFCDAHF34ST 

" 聖猷達 " 爾德樂雙腔型植入式去纖維顫動器 "SJM"ATLAS IMPLANTABLE CARDIOVERTER/ 

DEFIBRILLATORS* 

556104 

86



FHFCDAHF43ST " 聖猷達 " 雙腔型植入式去纖維顫動器 ("SJM"IMPLANTABLE CARDIOVERTER/DEFIBRILLATORS)* 556104 

FHFCDAHF65ST 

" 聖猷達 " 雙腔型植入式去纖維顫動器 ( 心臟再同步治療去顫器 CRT-D)"SJM"IMPLANTABLE 

CARDIOVERTER/ DEFIBRILLATORS* 

556104 

FHFCDAHF66ST " 聖猷達 " 雙腔型植入式去纖維顫動器 "SJM" IMPLANTABLE CARDIOVERTER/DEFIBRILLATORS* 556104 

FHFCDC174AM4 " 美敦力 " 康妥植入式心臟去顫器 CONCERTO IMPLANTABLE CARDIOVERTER DEFIBRILLATOR* 613118 

FHFCDCRT19GU 

FHFCDD234TM4 

" 佳騰 " 康達克心臟再同步治療用去顫器 "GUIDANT"CONTAK RENEWAL 4&4 HE CARDIAC 

RESYNCHRONIZATION THERAPY* 

" 美敦力 " 康賽特植入式心臟去顫器 “MEDTRONIC”CONSULTA CRT-D IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR * 

556104 

613118 

FHFCDSYN72M4 因信可植入式去纖維顫動器 “MEDTRONIC” INSYNC ICD * 556104 

FHP1104700ED CVS DIVISION PERICARDIAL PATCH 10X15CM 7838 

FHP1112120GX " 戈爾 " 普瑞得福心包膜代用膜 "GORE" PRECLUDE PRECARDIAL MEMBRANE 12*12CM 8322 

FHP11XA400ED EQUINE PERICARDIAL PATCH 10*10 CM 7838 

FHP5600782BA " 巴德 " 心血管補片 "BARD"CARDIOVASCULAR PATCH-CARDIOVASCULAR FABRICS(15.2*15.2CM) 4935 

FHP5600790BA 

" 巴德 " 心血管補片 "BARD"CARDIOVASCULAR PATCH-CARDIOVASCULAR 

FABRICS(1.0*15.2CM)(2.1*5.1CM) 

281 

FHP5600793BA " 巴德 " 心血管補片 "BARD"CARDIOVASCULAR PATCH-CARDIOVASCULAR FABRICS(2.5CM*10.2CM) 563 



FHP5607018BA 

" 巴德 " 心血管補片 "BARD" CARDIOVASCULAR PATCH-SURGICAL FELTS 

2.5*2.5CM,0.6*5.1CM,1.3*10.2CM,2.5*2.5CM,1.0*15.2CM 

281 

FHP5607836BA " 巴德 " 心血管補片 "BARD" CARDIOVASCULAR PATCH-SURGICAL FELTS 10.2*10.2CM 2319 


FHP5607963BA 

" 巴德 " 心血管補片 "BARD" CARDIOVASCULAR PATCH-PTFE FELT PLEDGETS 矩形 

4.86*6MM,9.5*4.8MM,7.9*7.9MM,6*6MM; 橢圓形 4.8*6MM; 圓形 4.8MM,6MM 

41 

FHP5607968BA " 巴德 " 心血管補片 "BARD" CARDIOVASCULAR PATCH-SURGICAL FELTS 2.5*10.2CM,5.1*5.1CM 563 


FHP5619121SB 

FHP5619145SB 

FHP5619237SB 

FHPCD07232M4 

FHPCD07278M4 

" 波士頓科技 " 美洛思心臟血管移植彌補片及止血帶 "BOSTON SCIENTIFIC"MEADOX 

CARDIOVASCULAR FABRICS & TAPES 5.1CM*10.2CM 





” 美敦力 ” 麥思蒙植入式去纖維顫動系統 ”MEDTRONIC” MAXIMO IMPLANTABLE 

DEFIBRILLATOR SYSTEM* 

” 美敦力 ” 麥思蒙植入式去纖維顫動系統 ”MEDTRONIC” MAXIMO IMPLANTABLE 


1697 

2319 

4935 

362292 

426702 

87



FHPCD07287M4 ” 美敦力 ” 茵萃斯植入式去纖維顫動系統 ”MEDTRONIC”INTRINSIC IMPLANTABLE 

426702 


FHPCD15VRCM4 

" 美敦力 " 恩特植入式心臟纖維去顫動系統 "MEDTRONIC"ENTRUST IMPLANTABLE DEFIBRILLATOR 

SYSTEM* 

362292 

FHPCD1870VGU GUIDANT VITALITY AICD 維達自動植入型心律去顫器 * 362292 

FHPCD1871DGU GUIDANT VITALITY AICD 維達自動植入型心律去顫器 * 426702 

FHPCD46998BK 

FHPCD47000BK 

FHPCD47002BK 

" 拜耳德尼克 " 植入式心內除顫器 "BIOTRONIK" IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR 

LEXOS LEXOS VR * 


LEXOS DR* 


LEXOS A+ * 

362292 

426702 

426702 

FHPCDA155DGU " 佳騰 " 維達艾維塔植入型心律去顫器 "GUIDANT" VITALITY AVT ICD* 426702 

FHPCDC164AM4 

FHPCDD1534M4 

FHPCDD164VM4 

FHPCDD234DM4 

FHPCDD234VM4 

" 美敦力 " 維多植入式心臟去顫器 "MEDTRONIC" VIRTUOSO IMPLANTABLE CARDIOVERTER 


" 美敦力 " 恩特植入式心臟纖維去顫動系統 "MEDTRONIC"ENTRUST IMPLANTABLE DEFIBRILLATOR 

SYSTEM* 

" 美敦力 " 維多植入式心臟去顫器 "MEDTRONIC" VIRTUOSO IMPLANTABLE CARDIOVERTER 


" 美敦力 " 思格拉植入式心臟去顫器 “MEDTRONIC”SECURA DR IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR * 

" 美敦力 " 思格拉植入式心臟去顫器 “MEDTRONIC”SECURA VR IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR * 

483701 

483701 

362292 

483701 

365310 

FHPCDP0230ST PHOTON DR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR* 369969 

FHPCDPD232ST PHOTON DR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR* 369969 

FHPCDPD236ST EPIC PLUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR 426702 

FHPCDPD240ST PHOTON DR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR 369969 

FHPCDPD243ST PHONTON DR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR 植入式雙腔型心臟去顫器 * 426702 

FHPCDPD255ST 

FHPCDPD258ST 

FHPCDPD26NST 

FHPCDPS158ST 

" 聖猶達 "’ 艾匹克雙腔型植入式去纖維顫動器 "SJM" EPIC PLUS IMPLANTABLE CARDIOVERTER 


" 聖猶達 "’ 艾匹克雙腔型植入式去纖維顫動器 "SJM" EPIC PLUS IMPLANTABLE CARDIOVERTER 


" 聖猶達 " 植入式雙腔型心臟去顫器 "SJM"PHONTON DR IMPLANTABLE CARDIOVERTER 


" 聖猷達 " 艾匹克單腔型植入式去纖維顫動器 "SJM" EPIC PLUS VR IMPLANTABLE CARDIOVERTER 


426702 

426702 

426702 

362292 

FHPCDPS168ST " 聖猶達 " 植入式心律去顫器 "SJM"IMPLANTABLE CARDIOVERTER DEFIBRILLATORS* 362292 

FHPCDPS193ST 植入性心律去顫器 IMPLANTABLE CARDIOVERTER DEFIBRILLATOR* 362292 

FHPCDPS196ST EPIC PLUS VR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR 362292 

FHPCDPS199ST IMPLANTABLE CARDIOVERTER DEFIBRILLATOR 312390 

88



FHPCDT167DGU " 佳騰 " 維達第 2 代自動植入型心律去顫器 "GUIDANT" VITALITY 2EL ICD ( 雙腔 )* 426702 

FHPCDT177DGU " 佳騰 " 維達第 2 代自動植入型心律去顫器 "GUIDANT" VITALITY 2EL ICD ( 單腔 )* 362292 

FHPCL06944M4 SPRINT LEAD(ICD)* 82010 

FHPCL06947M4 史賓特導線 SPRINT LEAD 58,65,75,100CM * 82010 

FHPCLAF157GU 安達植入式去顫器電極導線 ENDOTAK RELIANCE IMPLANTABLE LEAD* 82010 

FHPCLB0147GU " 佳騰 " 安達植入式去顫器電極導線 "GUIDANT" ENDOTAK RELIANCE IMPLANTABLE LEAD* 82010 

FHPCLB0157GU " 佳騰 " 安達植入式電極導線 "GUIDANT" ENDOTAK RELIANCE IMPLANTABLE LEAD* 82010 

FHPCLB0170GU "GUIDANT"ENDOTAK RELIANCE SG IMPLANTABLE LEAD* 82010 

FHPCLB0174GU " 佳騰 " 安達集植入式電極導線 "GUIDANT" ENDOTAK RELIANCE G IMPLANTABLE LEAD* 82010 

FHPCLB0184GU " 佳騰 " 安達集植入式電極導線 "GUIDANT" ENDOTAK RELIANCE G IMPLANTABLE LEAD* 82010 

FHPCLDU7SWST " 聖猷達 " 德拉多心臟導線 "SJM" DURATA LEAD * 82010 

FHPCLE0147GU 安達植入式去顫器電極導線 ENDOTAK RELIANCE IMPLANTABLE LEAD* 82010 

FHPCLKX341BK " 拜耳德尼克 " 植入式心內除顫器導線 "BIOTRONIK" ICD LEAD* 82010 

FHPCLKX345BK 

FHPCLKX348BK 

" 拜耳德尼克 " 植入式心內除顫器導線 "BIOTRONIK" ICD LEAD(KENTROX RV-S65,SL-S65/16,SL-S65/18- 

STEROID)* 

" 拜耳德尼克 " 植入式心內除顫器導線 "BIOTRONIK" ICD LEAD(KENTROX 

RV65;75,SL65/16;18,SL75/16;18,SL100/16;18-STEROID)* 

82010 

82010 

FHPCLKX633BK " 拜耳德尼克 " 肯特心內除顫器導線 "BIOTRONIK" KENTROX A+ ICD LEADS* 82010 

FHPCLLN337BK " 拜耳德尼克 " 霖納思植入式心內除顫器導線 ”BIOTRONIK” LINOX TD ICD LEADS* 82010 

FHPCLLN350BK 

" 拜耳德尼克 " 霖納思植入式心內除顫器導線 ”BIOTRONIK” LINOX SD IMPLANTABLE 

DEFIBRILLATOR LEADS* 

82010 

FHPCLLN351BK " 拜耳德尼克 " 霖納思植入式心內除顫器導線 ”BIOTRONIK” LINOX S ICD LEADS* 82010 

FHPCLLN352BK 

" 拜耳德尼克 " 霖納思植入式心內除顫器導線 ”BIOTRONIK” LINOX T IMPLANTABLE 

DEFIBRILLATOR LEADS* 

82010 

FHPCLR1ATAST TRANSVENOUS TACHYARRHYTHMIA LEAD( 產品型號 RIATA1560:1562,1590:1592 自 94.4.1 生效使用 ) 82010 

FHPCLR700NST " 聖猷達 " 經靜脈心搏過速導線 "SJM" TRANSVENOUS TACHYARRHYTHMIA LEAD* 82010 

FHPCLR704NST “ 聖猷達 ” 經靜脈心搏過速導線 ”SJM”TRANSVENOUS TACHYARRHYTHMIA LEAD* 82010 

FHPHF04193M4 ATTAIN OTW LEAD 艾坦插入式導線 21860 

FHPHF04194M4 " 美敦力 " 艾坦插入式導線 "MEDTRONIC"ATTAIN OTW LEAD* 21860 

FHPHF08042M4 INSYNC III ATRIAL SYNCHRONOUS PACING DEVICE 190843 

89



FHPHF1056NST „SJM‟LEFT VENTRICULAR LEAD„ 聖猶達 ‟ 左心室心臟節律器導線 *( 產品型號 QUICKSITE 1056T 21860 

自 95.1.1 生效 ) 

FHPHF1058NST " 聖猶達 " 左心室心臟節律器導線 "SJM" LEFT VENTRICULAR LEAD* 21860 

FHPHF33820BK 

FHPHF55CRTST 

" 拜耳德尼克 " 璽特司植入式心臟同步治療心律調節器 "BIOTRONIK"STRATOS IMPLANTABLE 

CARDIAC PACEMAKER* 

" 聖猶達 " 植入式心臟節律器 "SJM"IMPLANTABLE CARDIAC PULSE GENERATOR(BIVENTRICULAR 

STIMULATION DEVICE)* 

190843 

190843 

FHPHF86CRTST " 聖猶達 " 植入式心臟節律器 "SJM"IMPLANTABLE CARDIAC PULSE GENERATORS* 190843 

FHPHF96CRTST „SJM‟BIVENTRICULAR STIMULATION DEVICE„ 聖猶達 ‟ 雙心室心臟節律器 * 190843 

FHPHFACUTYGU " 佳騰 " 雅各易導型電極導管 "GUIDANT"ACUITY STEERABLE LEAD* 21860 

FHPHFEASY2GU " 佳騰 " 易導型第二代雙電極導管 "GUIDANT"EASYTRAK 2 IS-1 PACING LEAD* 21860 

FHPHFEASYTGU ” 佳騰 ” 易導型電極導線 ”GUIDANT”EASYTRAK 2 PACING LEAD* 21860 

FHPHFKX346BK " 拜耳德尼克 " 可洛植入式心導線 "BIOTRONIK"COROX OTW LEAD* 21860 

FHPL104067M4 CAPSURE FIX LEAD * 頇檢附心電圖報告專案報備使用 7951 

FHPL104073M4 CAPSURE SENSE LEAD 蓋普夏導線 ※ 頇附心電圖報告專案報備使用 7610 

FHPL104086GU 

" 凱登 " 飛力得類固醇洗脫可伸展 / 可縮回螺旋線圈節律 / 感應導線 "GUIDANT"FLEXTEND STEROID 

ELUTING EXTENDABLE RETRACTABLE HELIX PACE/SENSE LEAD 

7610 

FHPL104965M4 CAPSURE EPICARDIA LEAD STEROID ELUTING ※ 頇檢附心電圖專案報備使用 7924 

FHPL104968M4 CAPSURE EPICARDIAL LEAD * 頇檢附心電圖報告專案報備使用 7924 

FHPL105038M4 CAPSURE VDD LEAD * 頇檢附心電圖報告專案報備使用 7610 

FHPL105054M4 CAPSURE Z PACING LEADS * 頇檢附心電圖報告專案報備使用 7592 

FHPL105071M4 PACEMAKER LEAD (EPICARDIAL)※ 頇檢附心電圖報告專案報備使用 7924 

FHPL105076M4 CAPSURE FIX NOVUS LEAD * 頇檢附心電圖報告專案報備使用 ( 型號 4076 自 94 年 7 月 1 日生效 ) 7951 

FHPL105594M4 CAPSURE SP NOVUS ENDOCARDIAL LEAD,STEROID ELUTING* 頇附心電圖報告專案報備使用 7610 

FHPL11368NST IMPLANTABLE CARDIAC VDD PACING LEAD 52CM,58CM,65CM * 頇檢附心電圖報告專案報備使用 7610 

FHPL11388NST PACESETTER TENDRIL IMPLANTABLE CARDIAC PACING LEAD※ 頇檢附心電圖報告專案報備使用 7951 

FHPL11488NST PACESETTER TENDRIL IMPLANTABLE CARDIAC PACING LEDA * 頇檢附心電圖報告專案報備使用 7951 

FHPL11646TST IMPLANTABLE CARDIAC PACING LEAD※ 頇檢附心電圖報告專案報備使用 1646T,1642T 7951 

FHPL11688NST IMPLANTABLE CARDIAC PACING LEADS※ 頇附心電圖報告專案報備使用 7951 

FHPL117882ST 

" 聖猷達 " 心臟節律器導線 "SJM" IMPLANTABLE CARDIAC PACING LEADS* 頇附心電圖報告專案報備 

使用 

7951 

90



FHPL11888NST " 聖猷達 " 心臟節律器導線 "SJM" IMPLANTABLE CARDIAC PACING LEADS* 7951 

FHPL140335GU GUIDANT SELUTE PICOTIP PACING 沖提心內膜心房電極導線 7592 

FHPL140535GU 

GUIDANT SWEET PICOTIP RX STEROID ELUTING POSITIVE-FIXATION POROUS TIP PACING LEAD 史 

威類固醇沖提正極固定多孔尖端電極導線 

7951 

FHPL140634GU SELUTE ATRIAL-J PICOTIP PACING LEAD※ 頇檢附心電圖報告專案報備使用 7610 

FHPL1B4456GU " 佳騰 " 纖幼植入式起搏電極導線 "GUIDANT" FINELINE II PACING LEAD* 7610 

FHPL1S9F4NST 

FHPL1SR343BK 

FHPL1SR346BK 

FHPL1SS350BK 

FHPL1VDD43GU 

” 聖猷達 ” 心臟節律器導線 ”SJM” IMPLANTABLE CARDIAC PACING LEAD※ 頇檢附心電圖報告專 

案報備使用 

" 拜耳德尼克 " 喜樂植入式心律調節器電極導線 "BIOTRONIK" SELOX SR IMPLANTABLE 

ENDOCARDIAL LEAD* 需檢附心電圖報告專案報備使用 

" 拜耳德尼克 " 植入式心律調節器電極導線 "BIOTRONIK" SELOX ST/SELOX JT ENDOCARDIAL 

LEAD(SELOX ST 60,53; JT 53,45)* 需檢附心電圖報告專案報備使用 

" 拜耳德尼克 " 喜特植入式電極導線 "BIOTRONIK" SETROX S IMPLANTABLE ENDOCARDIAL LEADS* 

頇檢附心電圖報告專案報備使用 

" 佳騰 " 類固醇 (VDD 型 ) 心內膜心房電極導線 "GUIDANT"SELUTE PICOTIP VDD PACING LEADS* 應檢附 

心電圖報告專案報備使用 

7610 

7951 

7610 

7951 

7610 

FHV010019AST AORTIC VALVE 40212 

FHV010025MST " 聖猶達 " 人工機械瓣膜 "ST.JUDE" MECHANICAL HEART VALVE 40212 

FHV0117AHPST AORTIC VALVE 40212 

FHV01A1927ST REGENT MECHANICAL HEART VALVE 瑞珍機械性心臟瓣膜 50503 

FHV01A19LNR5 SORIN BICARBON ARTIFICIAL AORTIC HEART VALVE 17:31MM 40212 

FHV01AMHPJST MECHANICAL HEART VALVE 人工機械瓣膜 40212 

FHV01CAVGJST 馬斯特機械性人工心臟瓣膜 MASTERS MECHANICAL HEART VALVE* 60955 

FHV01M19LSR5 SORIN BICARBON ARTIFICIAL MITRAL HEART VALVE 19:33MM 40212 

FHV02A2650ED " 愛德華 " 卡本特愛德華人工心臟瓣膜 "EDWARDS"CARPENTIER-EDWADRS S.A.V. BIOPROSTHESIS 44149 

FHV02B10AMST PORCIN HEART VALVE (AORTIC 21MM:29MM,MITRAL 25MM:35MM) 44149 

FHV02ELEAMST „SJM‟EPIC VALVE AORTIC-21A-31A MITRAL-25M-35M 44149 

FHV02T505TM4 HANCOCK II BIOPROSTHETIC HEART VALVE(AORTIC 21:29MM,MITRAL 25:33MM) 44149 

FNP9101473CM " 柯特曼 " 人工腦膜 "CODMAN"DURAFORM DURAL GRAFT IMPLANT(2.5CM*7.5CM) 3443 

FNP9101475CM " 柯特曼 " 人工腦膜 "CODMAN"DURAFORM DURAL GRAFT IMPLANT(5CM*5CM) 4403 

FNP9101477CM " 柯特曼 " 人工腦膜 "CODMAN"DURAFORM DURAL GRAFT IMPLANT(7.5CM*7.5CM) 10495 

FNP9101480CM " 柯特曼 " 人工腦膜 "CODMAN"DURAFORM DURAL GRAFT IMPLANT(10CM*12.5CM) 22710 

91



FNP9102010BB NEURO PATCH 2X10CM 3486 

FNP9102010GX DURA SUBSTITUTE 2CMX10CM( 代用人工腦膜 ) 3486 

FNP910205XGX DURA SUBSTITUTE 2CMX5CM 2000 


FNP9102575N7 DURAGEN DURAL GRAFT MATRIX 2.5CMX7.5CM 3443 










FNP9107575N7 DURAGEN DURAL GRAFT MATRIX 7.5CMX7.5CM 10495 


FNP9110125N7 DURAGEN DURAL GRAFT MATRIX 10CMX12.5CM 22710 


FNP9112014BB "B.BRAUN"NEURO-PATCH 12CMX14CM 25444 

FNP9115003BB NEURO PATCH 1.5X3CM 750 

FNP9130406Q2 " 庫欣 " 神經硬膜補片 "COUSIN"NEUROLOGICAL PATCHES BIOMESH 4*6CM 4276 



FNP913L406Q2 " 庫欣 " 神經硬膜補片 "COUSIN"NEUROLOGICAL PATCHES BIOMESH 4*6CM 4276 



92



FNP91CDUR1CK "COOK"DURASIS DURAL SUBSTITUTE" 曲克 " 硬腦膜替代物 2CM*3CM 1102 

FNP91CDUR2CK "COOK"DURASIS DURAL SUBSTITUTE" 曲克 " 硬腦膜替代物 4CM*7CM 4403 

FSAE171000SB 

TRACHEOBRONCHIAL WALLSTENT UNISTEP DELIVERY SYS. STENT5:24*20:90MM 適應症見備 

註 M001711-000:390 

32122 

FSAE1TBXXXSB ULTRAFLEX TRACHEOBRONCHIAL STENT SYSTEM 適應症見備註 32122 

FSP6101170BA "BARD"SOFT MESH 柔軟修補網 7.5CMX15CM 10CMX15CM (15CMX15CM 自 970401 起刪除 ) 1672 

FSP6101171BA "BARD"SOFT MESH 柔軟修補網 5CMX10CM 4.5CMX10CM 6CMX13.7CM 1072 



FSP6105010BB PREMILENE MESH 2.5X10CM,5X10CM 1072 

FSP610510MGX GORE-TEX MYCROMESH 5CMX10CM 1072 


FSP6106011JJ PROLENE POLYPROPYLENE MESH PMS,6*11CM 1072 


FSP6110650BB "B.BRAUN"OPTILENE MESH 歐特靈網片 5CMX10CM 4.5CMX10CM 6CMX14CM 1072 

FSP6110651BB "B.BRAUN"OPTILENE MESH 歐特靈網片 7.5CMX15CM 10CMX15CM 1672 

FSP6110652BB "B.BRAUN"OPTILENE MESH 歐特靈網片 15CMX15CM 1710 

FSP6110653BB "B.BRAUN"OPTILENE MESH 歐特靈網片 26CMX36CM 30CMX30CM 3108 

FSP6115015BB PREMILENE MESH 7.5X15CM,15X15CM,5X30CM,10X15CM 1672 

FSP6115015JJ PROLENE POLYPROPYLENE MESH PMM,15*15CM 1710 

FSP6119910SB MESH 內植用網 2.5CMX10.2CM 1072 




FSP6130030BB PREMILENE MESH 30X30CM,26X36CM 3108 

FSP6130030JJ PROLENE POLYPROPYLENE MESH PML,30*30CM 3108 

FSP61S0035US SURGIPRO MESH 3"X5" 網狀人工腹膜 1072 

93



FSP61S0149US SURGIPRO MESH 14"X9" 3108 

FUK02CA101NV EXTRACORPOREAL TUBING SET(CAVH TUBING SET) 730 

FUK02HEF2XGA GAMBRO HEMOFILTER 2252 

FUK02PAN06AS CAVH HEMOFILTER( 產品型號 PAN-03,PAN-10 自 94 年 10 月 1 日起生效 , 文號 0940019644) 2252 

FUK0300HP1KU HEMOPERFUSION CARTRIDGE 10224 

FUK030300CGA ADSORBA 300GM 10224 

FUK04AV60SGA GAMBRO KIT FOR CAVH&CAVHD 4221 

FUK04PAN10AS HEMOFILTER 2252 

FUK0500M60GA PRISMA SET(CVVH TUBING+HEMOFILTER) 膜面積 0.6M 平方 , 連續式血液透析器及迴路套管 * 4847 

FUK05F0M60GA PRISMAFLEX SET(CVVH TUBING+HEMOFILTER)0.6M 平方 * 4847 

FUK05PST60GA "GAMBRO"PRISMAFLEX SET(CVVH TUBING+HEMOFILTER) 膜面積 0.6M 平方 *. 4847 

FUK05ST60PGA "GAMBRO"PRISMA SET 連續式血液透析器及迴路管套 * 4847 

FUK05TS403FN 

FUK05TS405FN 

INFOMED EXTRACORPOREAL BLOOD CIRCUITS TUBING SET FOR HF400- 

HEMOFILTRATION(CVVH)* 

INFOMED EXTRACORPOREAL BLOOD CIRCUITS TUBING SET FOR HF400-PEDIATRIC 

HEMOFILTRATION(CVVH)* 

1393 

1393 

FUT01CYST1ZP "BIONICHE"CYSTISTAT STERILE SODIUM HYALURONATE SOLUTION 喜仕膀胱灌注液 * 4819 

HEF0146092H9 " 華億 " 體外循環管組 "HYM"HEART LUNG PACK-ARTERIAL FILTER 3/8" ADULT 20 MICRO 1629 

HEF0146093H9 

HEART LUNG PACK:ARTERIAL FILTER WITH HEPARIN COATING(ADULT;PEDIATRIC;INFANT)* 體外 

循環 120 分以上用 

1716 

HEF01AFS40GH BLOOD ARTERIAL FILTER 40 MICRO WITH INTEGRATED BYPSS WITH INLET TUBING ATTACHED* 1629 

HEF01AFS48GH 

HEF01GAF25GH 

ARTERIAL FILTER 40MICR W/INTEGRATED BYPASS INLET TUBING* 體外循環 120 分以上用 (92.4.1 生 

效 ) 

HEPARIN COATED 25 MICRON WITH INTEGRATED BYPASS AND INLET TUBING ATTACHED* 限體外 

循環超過 120 分鐘患者使用 

1716 

1716 

HEF01GAF2BGH 25 MICRON WITHOUT INTEGRATED BYPASS AND INLET TUBING ATTACHED 1629 

HEF01GAF40GH 

ARTERIAL FILTER 40 MICRO W/INTEGRATED BYPASS,INLET TUBING* 體外循環 120 分以上用 (92.4.1 生 

效 ) 

1716 

HEF0201338M4 PEDIATRIC ARTERY FILTER 1629 

HEF02A3510M4 AFFINITY ARTERIAL FILTER 1629 

HEF02AF001TM ARTERY FILTER ADULT 1629 

HEF02AF002TM ARTERY FILTER PEDIATRIC 1629 

94



HEF02AF125TM CAPIOX ARTERIAL FILTER 1629 

HEF02E3840P3 EXTRA CORTOREAL FILTER 體外循環血液過濾器 ( 開心用 ) 1629 

LEE0106500M4 TEMPORARY MYOCARDIAL PACING LEAD 1038 

LEE011210HG1 MEDI-TRACE DEFIBRILLATION ELECTRODES 652 

LEE011410ZG1 MEDI-TRACE DEFIBRILLATION ELECTRODES 2EA/SET 652 

LEE012255RKD 肯特利柯登斯去顫器電極貼片 ”KENDALL MEDI-TRACE CADENCE ELECTRODES” 652 

LEE0125202A9 TEMPORARY CARDIAC PACING WIRE 420 

LEE014016NST " 聖猷達 " 電極導線 "SJM" PACEL BIPOLAR PACING CATHETERS 110CM 2902 

LEE014018NST " 聖猷達 " 電極導線 "SJM" PACEL BIPOLAR PACING CATHETERS 110CM 2291 

LEE0144626ST " 聖猷達 " 電極導線 "SJM" PACEL BIPOLAR PACING CATHETERS 110CM 2291 

LEE016173PBA " 巴德 " 暫時性電極導管 "BARD"TEMPORARY BALLOON PACING ELECTRODE CATHETER 2902 

LEE016221PBA " 巴德 " 暫時性電極導管 "BARD"SEMI-FLOATING BIPOLAR PACING ELECTRODE CATHETER 2291 

LEE018153PBA " 巴德 " 暫時性電極導管 "BARD"SPECIAL CARE BIPOLAR PACING ELECTRODE CATHETER 2291 

LEE0197125ED " 愛德華 " 史望康雙極心律導管組 ”EDWARDS”SWAN-GANZ BIPOLAR CATHETER KIT 2902 

LEE01AP913G4 

DEFIBRILLATOR/ADULT,PRE-GELLED,SELF-ADHESIVE DISPOSABLE DEFIBRILLATION 

ELECTRODES 可拋棄式去顫電極片 

652 

LEE01AP919G2 MARGUETTE DEFIBRILLATION PACING MONITORING PADS 652 

LEE01BP250BS BIPOLAR PACING CATHETER 5F,110CM(BALLOON CATHETER,ADAPTOR,PEEL-AWAY SHEATH) 2902 

LEE01BPX25BS BIPOLAR PACING CATHETER 5F,110CM 2291 

LEE01M1749HP DEFIB PACING PADS ADULT (2EA/SET) 652 

LEE01M3501HP MULTIFUNCTION ADULT DEFIB ELECTRODES 652 

LEE01M3713HP MULTIFUNCTION ADULT PLUS PADS 多功能電擊貼片 652 

LEE01M3716HP MULTIFUNCTION ADULT RADIOLUCENT PADS 多功能電擊貼片 X 光可穿透型 652 

LEE01STPADZ2 " 瑞爾 " 電極貼片 "ZOLL"ELECTRODES 652 

NBS010003NHG RETRACTABLE SAFETY SYRINGE 3CC WITHOUT NEEDLE 1.8 

NBS01003SSFE 3CC RETRACTABLE SAFETY SYRINGE WITHOUT NEEDLE 1.8 

NCS010001NCG 1CC RETRACTABLE SAFETY SYRINGE W/NEEDLE 克銳回拉式安全注射器附針 3.9 

95



NCS010003NCG 3CC RETRACTABLE SAFETY SYRINGE W/NEEDLE 2.8 

NCS010003NHG RETRACTABLE SAFETY SYRINGE 3CC W/NEEDLE 2.8 


NCS010005NHG RETRACTABLE SAFETY SYRINGE 5CC W/NEEDLE 3.9 


NCS01001SAFE 1CC RETRACTABLE SAFETY SYRINGE W/NEEDLE FOR ALLERGY 3.9 

NCS01001SSFE 1 CC SYRINGE W/NEEDLE( 附安全護套 ) 3.9 

NCS01003SSFE 3CC SYRINGE W/NEEDLE( 附安全護套 ) 2.8 

NCS0100526TZ ROTATABLE RETRACTABLE SAFETY SYRINGE 3CC 2.8 

NCS01005SSFE 5CC SYRINGE W/NEEDLE( 附安全護套 ) 3.9 

NCS01010SSFE 10CC RETRACTABLE SAFETY SYRINGE W/NEEDLE 4.2 

NCS010110NHG DUOPROSS RETRACTABLE SAFETY SYRINGE W/NEEDLE 0.1CC,0.3CC,0.5CC,1CC 3.9 

NCS0101ASAWD ANTI-STICK SAFETY SYRINGE W/NEEDLE 1CC 3.9 




NCS0152610TZ 1CC SAFETY SYRINGE 3.9 




NCS01A003NPW 3CC SYRINGE W/NEEDLE( 附安全護套 ) 2.8 

NES010201NBA MAX-CORE DISPOSABLE BIOPSY INSTRUMENT 14:20G( 自動式 ) 633 

NES0102300CD BIOPSY FORCEPS(88/08/1 再生效 ,300L,302L 自 88/08/01 起生效 ) 6474 

NES010804TZM "MD TECH"T-LOK BONE MARROW BIOPSY NEEDLES 迪洛骨髓活體組織切片針 598 

NES0114070HK SONO GUIDE BIOPSY NEEDLE 14G 16G 70CM ,170CM 400 

NES0115011ZM BONE MARROW ASPIRATION NEEDLE 529 

96



NES0117070HK SONO GUIDE BIOPSY NEEDLE 17G 18G 70CM ,170CM 400 

NES01174LNAN UNI-CUT NEEDLES 16G:18G 200MM 400 

NES01174NNAN UNI-CUT NEEDLES 14G:18G 75:150MM 400 

NES011762LAN VACU-CUT BIOPSY NEEDLES 18G:19.5G 200MM 663 

NES011762NAN VACU-CUT BIOPSY NEEDLES 18G:19.5G 100:150MM 663 

NES01176LNAN VACU-CUT BIOPSY NEEDLES 21G,22G 200MM 663 

NES01176NNAN VACU-CUT BIOPSY NEEDLES 21G,22G 100:150MM 663 

NES0118015ZM PEDIATRIC BONE MARROW NEEDLE 598 

NES015043NCD BIOPSY FORCEPS FOR ENDOMYOCADIAL BIOPSIES 6474 

NES0182000ZM MD TECH SNARELOK BONE MARROW BIOPSY TRAY AND ACCESSORIES 598 

NES01AM18NGP BONE MARROW ASPIRATION NEEDLE 529 

NES01AM18NHK QUICUT BONE MARROW ASPIRATION NEEDLE 15:18G 45:60MM 八光快切骨髓抽吸生檢針 529 

NES01BM13NGP BONE MARROW BIOPSY NEEDLE 598 

NES01BM13NHK QUICKCUT BIOPSY FOR BONE MARROW 7:13G,10CM:15CM 598 

NES01BMHN1ZM BONE MARROW HARVEST NEEDLE WITH SIDE HOLE 529 

NES01BN160ZM OSTY CORE BONE BIOPSY NEEDLE 598 

NES01BV00NC8 BONE BEVEL BIOPSY NEEDLE(BV SERIES) 骨髓切片或抽吸針 623 

NES01M1806ZM SOFT TISSUE BIOPSY NEEDLE 18G,9:15CM 400 

NES01M1808ZM SOFT TISSUE BIOPSY NEEDLE 18G,20CM 400 

NES01M2006ZM SOFT TISSUE BIOPSY NEEDLE 19:22G,9:15CM 400 

NES01M2008ZM SOFT TISSUE BIOPSY NEEDLE 19:22G,20CM 400 

NES01MN120BA MAGNUM BIOPSY NEEDLE 633 

NES01ST00NC8 STERNUM TEMNO DEVICE 骨髓抽吸針 623 

NES01TC00XC8 T-HANDLE JAMSHIDI BONE MARROW BIOPSY /ASPIRATION NEEDLES 623 

NES01TN00XC8 ILLINOIS STERNAL/ILIAC BONE MARROW ASPIRATION NEEDLES 529 

NES0221150TP ASPIRATION BIOPSY NEEDLE (MAJIMA NEEDLE) 150MM 663 

97



NES02B152NHK BIOPSY NEEDLE QUICKCUT 1B15G:18G 200MM:470MM 400 




NES02B234NHK BIOPSY NEEDLE QUICKCUT 1B23G 40MM:470MM 663 

NES0310800ZM "MD TECH"BIOPINCE FULL CORE BIOPSY INSTRUMENT 10CM" 美迪克 " 拜爾賓全組織切片器 633 

NES0312182BA "BARD"MONOPTY BIOPSY INSTRUMENT 組織取樣針 633 

NES0314060C8 JAMSHIDI MENGHINI BIOPSY NEEDLES 自動組織切片針 611 

NES031406NC8 CARDINAL TEMNO BIOPSY NEEDLES 14G:16G;18G:20G;22G 611 

NES0315800ZM BIOPINCE FULL CORE BIOPSY INSTRUMENT 15CM" 美迪克 " 拜爾賓全組織切片器 633 

NES0320800ZM BIOPINCE FULL CORE BIOPSY INSTRUMENT 20CM" 美迪克 " 拜爾賓全組織切片器 633 

NES0343453SB BOSTON SCIENTIFIC EASY CORE BIOPSY SYSTEM AND KIT 611 

NES0370111ZM SUPER-CORE II ADJUSTABLE BIOPSY INSTRUMENT 彈簧組織切片針 611 

NES0376260ZN ULTRA CORE BIOPSY NEEDLE FOR USE WITH BARD MAGNUM BIOPSY INSTRUMENT(AUTOMATIC) 633 

NES0376311ZR TRU-CORE II AUTOMATIC DISPOSABLE BIOPSY DEVICE 633 

NES0376501ZM PRO-MAG AUTOMATIC BIOPSY NEEDLE 633 



NES03TM14NGP SPRING LOADED BIOPSY NEEDLE( 自動彈簧切片針 ) 611 

NES03TM16NGP SPRING LOADED BIOPSY NEEDLE( 自動彈簧切片針 ) 611 

NES03TZ14NGP SPRING LOADED BIOPSY NEEDLE( 自動彈簧切片針 ) 611 

NES03TZ16NGP SPRING LOADED BIOPSY NEEDLE( 自動彈簧切片針 ) 611 

RRB0117301HU HUDSON INCENTIVE SPIROMETER TRIFLO II INSPIRATORY EXERCISER* 190 

RRB024311NGF 

” 崇仁 ” 三球式呼吸訓練器 " 及配件 GALEMED"TRI-BALLS INCENTIVE SPIROMETER AND 

ACCESSORY* 

190 

SAS02TCT55JJ LINEAR CUTTER SAFETY LOCKOUT 55MM 腸胃自動縫合器 2403 

SAS02TLC55JJ TITANIUM LINEAR CUTTER 55MM 腸胃自動縫合器 55MM 2403 

98



SAS0603036CH " 康美 " 可拆式皮膟縫合釘 "CONMED"REFLEX SKIN STAPLER* 231 

SAS0608035RA REFLEX SKIN STAPLE (REGULAR SIZE)(35) 183 

SAS0608535RA REFLEX SKIN STAPLE (WIDE SIZE)(35) 231 

SAS0628235WK VISITAT SKIN STAPLER 35W * 231 

SAS0654873US DISPOSIBLE ROYAL SKIN STAPLE 35W 231 

SAS0680351TY 皮膟縫合釘 APPOSE ULC DISPOSABLE SKIN STAPLER* 231 

SAS0680371DG SKIN STAPLE 35W 35R 231 

SAS06FJ135WK VISISTAT SKIN STAPLE 35R 183 

SAS06PMR35JJ REGULAR 35R MULTI-DIRECTION SKIN STAPLER 183 

SAS06PMW35JJ WIDE 35W MULTI-DIRECTION SKIN STAPLER 231 

SAU010TR30JJ "ETHICON"DISPOSABLE STAPLER-PROXIMATE LINEAR RELOADING UNIT( TITANIUM)30MM 2293 

SAU010TR60JJ "ETHICON"DISPOSABLE STAPLER-PROXIMATE LINEAR RELOADING UNIT( TITANIUM)60MM 2063 

SAU0110312US PERMIUM MULTIFIRE TA DLU 30 2293 

SAU0110318US PERMIUM MULTIFIRE TA DLLU 60 2063 

SAU0110322US PERMIUM MULTIFIRE TA DLU 90 2153 

SAU0115427US TA 30 P-3.5 DLU 胸腹器吻合釘 TA30 3.5MM 2293 

SAU0115433US TA 30 P-4.8 DLU 胸腹器吻合釘 TA30 4.8MM 2293 

SAU0115451US TA 55 P-3.5 DLU 胸腹器吻合釘 TA55P 3.5MM 2063 

SAU0115458US TA 55 P-4.8 DLU 胸腹器吻合釘 TA55P 4.8MM 2063 

SAU0115485US TA 90 P-3.5,4.8 DLU 胸腹器吻合釘 TA90P 3.5MM ,4.8MM 2153 

SAU01TRH90JJ "ETHICON"DISPOSABLE STAPLER-PROXIMATE LINEAR RELOADING UNIT( TITANIUM)90MM 2153 

SAU01XR30BJJ PROXIMATE RELOADABLE LINEAR STAPLER 30MM 3.5LEG,4.8LEG 2293 

SAU01XR60BJJ PROXIMATE RELOADABLE LINEAR STAPLER 60MM 3.5LEG,4.8LEG 2063 

SAU0230252US AUTO SUTURE MULTIFIRE GIA DISPOSABLE SURGICAL STAPLERS 60-2.5 2272 

SAU0230424US GIA 50P DLU 腸胃吻合釘 2272 


99





SAU026025LUS 

" 優施西 "GIA 自動手術縫合器 "USSC"AUTO SUTURE MULTIFIRE GIA DISPOSABLE SURGICAL 

STAPLER* 

2239 

SAU02TCRNNJJ RELOAD LINEAR CUTTER 55MM,75MM 腸胃自動縫合釘 2272 

SAU02TRD75ET " 愛惜康 " 普克美縫合釘 "ETHICON" PROXIMATE LINEAR CUTTERS & RELOAD UNITS * 2239 

SAU02TRT55JJ RELOAD LINEAR CUTTER 55MM 腸胃自動縫合釘 2272 

SAU02TRT75JJ RELOAD LINEAR CUTTER 75MM 腸胃自動縫合釘 2239 

SAU0310214US EEA 25,28,31 DLU 腸道、食道縫合釘 25,28,31MM 5087 

SAU0730412US ” 優施西 ”GIA 自動手術縫合器 60MM 5956 

SAU07ECR45ET 

" 愛惜康 " 愛喜龍 45 安德派思縫合釘 "ETHICON" ECHELON 45 ENDOPATH ENDOSCOPIC LINER 

CUTTERS AND RELOADS 

4802 

SAU07ECR60ET " 愛惜康 " 愛喜龍安德派思縫合釘 "ETHICON" ECHELON 60 ENDOPATH STAPLER CARTRIDGE 5756 

SAU07TR45BET 

SAU07TR60BET 

" 愛惜康 " 安德派思切割縫合釘 "ETHICON" ENDOPATH ENDOSCOPIC LINEAR CUTTER RELOADING 

UNIT 

" 愛惜康 " 安德派思切割縫合釘 "ETHICON" ENDOPATH ENDOSCOPIC LINEAR CUTTER RELOADING 

UNIT 60MM 

4802 

5756 

SCV0101204WK " 偉克 " 哈瑞隆血管夾 "WECK" HORIZON LIGATING CLIPS- 小型 24 針 / 匣 17 

SCV0102204WK " 偉克 " 哈瑞隆血管夾 "WECK" HORIZON LIGATING CLIPS- 中型 24 針 / 匣 19 

SCV011150NS6 MINI ANGLE CLIP 192 

SCV01B2180V7 " 威坦鐵克 " 鈦金屬血管夾 "VITALITEC" SLS-CLIP TITANIUM HEMOSTATIC CLIP 中型 19 

SCV01FD100WK HEMO CLIP (M) 每盒 10 排 , 每排 25CLIP 15 

SCV01FD135WK HEMO CLIP (S) 每盒 12 排 , 每排 25CLIP 13 

SCV01FD160WK HEMO CLIP (M.L) 每盒 20 排 , 每排 10CLIP 19 

SCV01FD170WK HEMO CLIP (L) 每盒 10 排 , 每排 15CLIP 30 

SCV01FD300WK HEMO CLIP (M) 每盒 20 排 , 每排 10CLIP 15 

SCV01FD335WK HEMO CLIP (S) 每盒 24 排 , 每排 10CLIP 13 

SCV01FD360WK HEMO CLIP (ML) 每盒 16 排 , 每排 10CLIP 19 

SCV01FD370WK HEMO CLIP (L) 每盒 12 排 , 每排 10CLIP 30 

SCV01FD800WK TITANIUM HEMOCLIP(MEDIUM) 19 

100



SCV01FD835WK TITANIUM HEMOCLIP(SMALL) 17 

SCV01FD860WK TITANIUM HEMOCLIP(MEDIUM-LARGE) 22 

SCV01J1180V7 " 威坦鐵克 " 鈦金屬血管夾 "VITALITEC" SLS-CLIP TITANIUM HEMOSTATIC CLIP 小型 17 

SCV01LT100JJ TITANIUM LIGA CLIP (S) 6 CLIP/ 排 17 

SCV01LT200JJ TITANIUM LIGA CLIP (M) 6 CLIP/ 排 19 

SCV01LT300JJ TITANIUM LIGA CLIP (M-L) 6 CLIP/ 排 22 

SCV01V3120V7 " 威坦鐵克 " 鈦金屬血管夾 "VITALITEC" SLS-CLIP TITANIUM HEMOSTATIC CLIP 中型 / 大型 22 

SCV029400NM1 SUGITA ANEURYSM CLIP (STANDARD TYPE) 2256 

SCV029401NM1 SUGITA ANEURYSM CLIP (LARGE TYPE) 2801 


SCV029404SM1 SUGITA ANEURYSM CLIP (LARGE TYPE) 2801 

SCV0294050M1 SURGITA ANEURYSM CLIPS LARGE TYPE N0.50 2801 

SCV0294069M1 SURGITA ANEURYSM CLIPS STANDARD TYPE N0.69 2256 

SCV029406NM1 SUGITA ANEURYSM CLIP (STANDARD TYPE) 2256 

SCV029406SM1 SUGITA ANEURYSM CLIP (LARGE TYPE) 2801 

SCV0294073M1 SURGITA ANEURYSM CLIPS LARGE TYPE N0.73 2801 


SCV02FE60NAE ANEURYSM CLIP 2602 

TBCT109600W5 CRAWFORD LARCRIMAL INTUBATION SET 鼻淚管通條 1773 

TBCT10P918C8 

"CARDINAL"MANUAL OPHTHALMIC SURGICAL INSTRUMENT-LACRIMAL INTUBATION SET" 卡迪 

諾 " 手動式眼科手術器械 - 鼻淚管通條 

1773 

TBS0100040MZ SCLERAL BUCKLING COMPONENTS:SILICON BAND 463 



TBS0100276MZ SCLERAL BUCKLING COMPONENTS:SILICON TIRE 661 



101



TBS0200503MZ SCLERAL BUCKLING COMPONENTS:SILICON SPONGE 1378 





TKVC107402A1 STANDALONE ACCURUS PROBE 4497 

TKVC12405CZS VITREOUS CUTTER W/TUBING SET 玻璃體切除刀 4409 

TKVC141018A1 ACCURUS 2500 VITRECTOMY PROBE 玻璃體切除探頭 4950 

TKVC201006A1 ANTERIOR ADVANCE TECHNOLOGY IRRIGATION OCUTOME PROBE (ATOP) 4497 

TKVC208012A1 ANTERIOR VITRECTOMY PROBE 4497 

WDD0800008SN INTRASITE GEL 8GM * 87 


WDD0800683P8 HYDROCOLL CONCAVE 6X14CM 86 

WDD0800700SN "SMITH&NEPHEW"ALLEVYN DRESSING(SACRUM)17CMX17CM 愛力膟親水性的聚乙烯膟料 * 327 

WDD0801020SN HYDROPHILIC POLYURETHANE DRESSING 10X20CM 255 

WDD0801212SN HYDROCELLULAR ADHESIVE DRESSING 12.5X12.5CM 177 

WDD0801419BB "B.BRAUN"ASKINA GEL,15G 雅膟清創凝膞 * 162 


WDD0801810ZK OMIDERM WOUND DRESSING (STERILE)18X10CM* 255 


WDD080810MZK OMIDERM WOUND DRESSING (STERILE)8X10CM* 86 

WDD0808600TB ELASTO-GEL 15X20 CM 327 

WDD0809232KD CURASORB CALCUIUM ALIGINATE DRESSINGS 5.08X5.08CM 23 




102





WDD0809354KD CURASORB CALCUIUM ZINC ALIGINATE DRESSINGS 5.08X5.08CM 23 



WDD0809801KD ULTEC PRO ALGINATE HYDROCOLLOID DRESSING 4X4(10.16X10.16CM) 121 



WDD0809923HL RESTORE EXTRA THIN 15.2CMMX20.3CM 145 

WDD0809937HL RESTORE CALCICARE WOUND CARE DRESSING STERILE 10X10CM 121 



WDD081515TSN REPLICARE ULTRA 15X15CM 121 

WDD0815182A5 KARAYAHESIVE HYDROCOLLOID WOUND DRESSING 75CM2, 親水性敷料 * 43 





WDD082100SBB "B.BRAUN"ASKINA SORB CALCIUM ALGINATE DRESSING(STERILE) 6CMX6CM 雅膟藻酸鈣敷料 * 23 



WDD082105SBB "B.BRAUN"ASKINA SORB CALCIUM ALGINATE DRESSING(STERILE) 2.7CMX34CM 雅膟藻酸鈣敷料 * 72 


WDD0825060LN MELGISORB ABSORBENT CALCIUM SODIUM ALGINATE DRESSING(5CMX5CM)* 23 



103



WDD0825300LN MELGISORB ABSORBENT CALCIUM SODIUM ALGINATE DRESSING(32CMX2.2CM)* 72 

WDD0831150CA COMFEEL PLUS ULCER DRESSING 15X15CM 255 

WDD0834130CA "COLOPLAST"BIATAIN NON-ADHESIVE DRESSING 15X15CM 平而坦非黏性泡綿敷料 * 255 

WDD0834200CA "COLOPLAST"BIATAIN ADHESIVE DRESSING 12X12CM 平而坦黏性泡綿敷料 * 177 

WDD0834230CA "COLOPLAST"BIATAIN ADHESIVE DRESSING 18X18CM 平而坦黏性泡綿敷料 * 327 

WDD0834720CA "COLOPLAST"BIATAIN DRESSING SOFT-HOLD 10CMX20CM 平而坦傷口敷料 * 255 


WDD0835390CA COMFEEL PLUS TRANSPARENT DRESSING 15X15CM 121 


WDD0835520CA 

"COLOPLAST"BIATAIN AG NON-ADHESIVE FOAM DRESSING 15X15CM 平而坦銀離子非黏性泡綿敷 

料 * 

413 

WDD0835620CA "COLOPLAST"BIATAIN AG ADHESIVE FOAM DRESSING 15X15CM 平而坦銀離子黏性泡綿敷料 * 413 

WDD0837150CA COMFEEL SEASORB DRESSING 15X15CM 255 

WDD0839000CA COMFEEL PURILON GEL 15GM* 162 

WDD0841210BB "B.BRAUN"ASKINA FOAM WOUND DRESSING(STERILE)0CMX20CM 雅膟泡棉敷料 * 255 

WDD0850555BB ASKINA THINSITE 15CMX15CM* 121 


WDD0860923P8 TENDERWET 7.5X7.5CM 73 

WDD0861500LN MOLNLYCKE HYPERGEL 15GM* 162 

WDD0871500LN NORMLGEL 15GM* 162 

WDD0872045BB "B.BRAUN"ASKINA HYDRO 15CMX15CM 雅膟親水膞敷料 * 255 

WDD0872050BB ASKINA BS,BP,BT 10X10CM,5X20CM 123 

WDD0872051BB ASKINA BS,BP,BT 15X15CM 型號 F72051、F72015 自 93.1.1 刪除 255 

WDD0872052BB ASKINA BS,BT 20X20CM 400 

WDD0872789BB ASKINA TRANSORBENT 10X10CM 123 



104



WDD0875400SH ULTEC HYDROCOLLOID DRESSING 10X10CM 123 




WDD08900203M TEGASORB THIN HYDROCOLLOID DRESSING 5CMX10CM* 43 

WDD08900273M 3M TEGASORB THIN HYDROCOLLOID DRESSING 15CMX15CM 親水性敷料 * 121 

WDD08900283M 3M TEGASORB THIN HYDROCOLLOID DRESSING 20CMX20CM 親水性敷料 * 196 

WDD08901123M 3M TEGADERM HIGH INTEGRITY ALGINATE DRESSING(STERILE) 海藻酸鹽敷料 10CMX10CM* 121 

WDD08902123M 3M TEGADERM HIGH GELLING ALGINATE DRESSING(STERILE) 海藻酸鹽敷料 10CMX10CM* 121 

WDD0890510LN Mepitel 5cm x 7.5cm * 66 

WDD0890672P8 HYDROCOLL 15X15CM 255 

WDD0890680P8 HYDROCOLL SACRAL 15X18CM 327 

WDD0890686P8 HYDROCOLL TRANSPARENT 15X15CM( 薄 ) 121 

WDD0890710LN Mepitel 7.5cm x10cm* 98 

WDD0891010LN MEPITEL 10cm x18cm*( 型號更正為 291010) 207 

WDD0892005LN Mepitel 20cm x30cm* 674 

WDD0894100LN MEPILEX STERILE 10CMX10CM 119 



WDD0895200LN MEPILEX BORDER SAFETAC SILICON FOAM DRESSING 7.5X7.5CM* 68 

WDD0895300LN MEPILEX BORDER SAFETAC SILICON FOAM DRESSING 10X10CM* 119 

WDD0895600LN MEPILEX BORDER SAFETAC SELF-ADHERENT SOFT SILICONE FOAM DRESSING 15CMX20CM* 326 

WDD0899583P8 

WDD0899584P8 

"HARTMANN"HYDROPHILIC WOUND DRESSING(THIN)(STERILE)HYDROTUL 10X12CM 親水性創傷覆 

蓋材 * 

"HARTMANN"HYDROPHILIC WOUND DRESSING(THIN)(STERILE)HYDROTUL 15X20CM 親水性創傷覆 

蓋材 * 

55 

145 

WDD0899589P8 SORBALGON 10X20CM 255 

WDD08C1520SN "SMITH&NEPHEW"CUTINOVA HYDRO DRESSING 15X20CM* 327 

105



WDD08S0303ZW "SAVDERM"SELF-ADHESIVE FOAM DRESSING(STERILE) 自黏性泡棉敷料 10X20CM* 255 

WDD08T0510RW "TEAM POWER"HYDROPHILIC WOUND DRESSING (STERILE) 親水性創傷敷料 ( 滅菌 )5X10CM*( 薄型 )* 43 

WDD08T1515RW 

WDD08T2020RW 

"TEAM POWER"HYDROPHILIC WOUND DRESSING (STERILE) 親水性創傷敷料 ( 滅菌 )15X15CM*( 薄 

型 )* 


型 )* 

121 

196 

WDD08W1020RW "TEAM POWER"HYDROPHILIC WOUND DRESSING (STERILE) 親水性創傷敷料 ( 滅菌 )10X20CM* 255 

ACA0100ABNPW IV CAP 6 

ACA0108008SG IV CAP 注射帽 6 

ACA011PN01NQ INJECTION CAP 6 

ACA011VCAPTP INJECTION CAP 6 

ACA0121010TZ IV LOCK 6 

ACA012VCAPTP INJECTION CAP 6 

ACA01AB00NPW IV LOCK 6 

ACA01B1596BN INJECTION PORT CAP(IV LOCK) 6 

ACA01C1C02LL INJECTION CUP(IV LOCK) 6 

ACA01NF005LL INJECTION CAP( 安全型 ) 50 

ACA01SR1PNTM IV LOCK 6 

ACC0100360BT PLASTIC CONNECTOR 兩尖型 18 

ACC0100361BT PLASTIC CONNECTOR 一尖一平塑膞連接頭 18 

ACC0100362BT PLASTIC CONNECTOR 塑膞連接頭 18 

ACC0100364BT PLASTIC CONNECTOR 直型塑膞連接頭 18 

ACC01HSC60H6 PLASTIC CONNECTOR( 兩尖型 ) 18 

ACC01HSC61H6 PLASTIC CONNECTOR( 一尖一平型 ) 18 

ACC02VP004LL 3 WAY 12 

ACM012HFRXMR MANIFOLD 2-PORTS W/ HIGH PRESSURE TUBING( 可達 1200PSI) 384 

ACM01PT003CK 2-PORTS MANIFOLD 連接頭 250 

ACS0107401BT 3-WAY STOPCOCK W/LUER LOCK 12 

106



ACS0109511BB 3 WAY STOPCOCK 12 

ACS0129010TZ THREE WAY STOPCOCK SYSTEM 12 

ACS0134MPATP PREDURA PRESSURE RESISTAN THREE WAY STOPCOCK 3.4MPA 360 度 500PSI 20 

ACS013CAPSM8 3 WAY STOPCOCK 12 

ACS0152001TP 3 WAY STOPCOCK 12 

ACS0168MPATP PREDURA PRESSURE RESISTAN THREE WAY STOPCOCK 1000PSI 70 

ACS01B1702BD STOPCOCKS W/LUER-LOCK 12 

ACS01D010NPW DISPOSABLE INFUSION SET 3 WAY STOPCOCK 12 

ACS01H3FLCMR MANIFOLD HIGH PRESSURE 3 WAY STOPCOCK (1050PSI)( 自 92.10.01 起廠牌碼由 ER 改為 MR) 70 

ACS01M3SNCMR MARQUIS SERIES STOPCOCK 500PSI 34 

ACS01NCN3SNR 3 WAY STOPCOCK 塑膞三極栓 12 

ACS01S3SNCMR MANIFOLD 3 WAY STOPCOCK W/LUER LOCK( 自 92.10.01 起廠牌碼由 ER 改為 MR) 20 

ACS01STP34EM 3 WAY AND 4 WAY STOPCOCK 12 

ACS01STP34H9 " 華億 " 體外循環管組 "HYM"HEART LUNG PACK-3 & 4 WAY STOPCOCKS 12 

ACS01STPHPEM HIGH PRESSURE 1 & 3 WAY STOPCOCK(1050PSI) 70 

ACS01TS201SG 3 WAY STOPCOCK W/LOCK 12 

ACS01V68MPTP PREDURA PRESSURE RESISTAN THREE WAY STOPCOCK V-TYPE 1000PSI 70 

ACS03SMT01SG 1000PSI HIGH PRESSURE 3 WAY 70 

ACVP101900NZ PUDENZ CONNECTOR STR 400 

ACVP101902NZ PUDENZ RIGHT ANGLE CONNECTOR 845 

ACVP105103B0 CSF CATHETER CONNECTOR,STRAIGHT 400 

ACVP105104B0 CSF CATHETER CONNECTOR,RIGHT ANGLE 845 

ACVP123048CM HAKIM STRAIGHT CONNECTOR 400 

ACVP145103PM CONNECTOR 400 

ACVP145104PM CONNECTOR L 型 845 

ACVP182150CM ACCU-FLO STRAIGHT CONNECTORS(METAL,PLASTIC) 400 

107



ACVP182151CM ACCU-FLO RIGHT ANGLE CONNECTORS(METAL,PLASTIC) 845 

ACVP201908NZ PUDENZ THREE WAY CONNECTOR 1600 

ACVP205105B0 CSF CATHETER CONNECTOR,3-WAY 1600 

ACVP221520CM 3 WAY CONNECTOR 1600 

ACVP245105PM 3 WAY CONNECTOR 1600 

BBF0300059KG KABI APPLIX TUBING SET BAG* 72 

BBF0307020P2 FEEDING BAG 72 

BBF0307030P2 FEEDING BAG DOUBLE BAG 1200CC 72 

BBF0307040P2 FEEDING BAG DOUBLE BAG WITH PUMP 1200CC 127 

BBF0322361AB PATROL TOP FILL BAG & PUMP SET 127 

BBF03223XXAB 

"ABBOTT"FLEXIFLOW PATROL 1 LITER TOP FILL BAG WITH STOPCOCK AND UNIVERSAL 

ADAPTER 巡弋管灌餵食幫浦套管含餵食袋 * 

127 

BBF0350010TZ FEEDING BAG 1200CC( 動力式 )* 72 

BBF0373006KD KENDALL KANGAROO ENTERAL FEEDING PUMP SETS* 127 

BBF0373642SH EASY CAP BAG 1000ML AND PUMP SET WITH FLUSH BAG 127 

BBF0373656KD "KENDALL"KANGAROO EPUMP FEEDING SETS 袋鼠電子灌食機用灌食套組 * 127 

BBF0373659SH EASY CAP BAG 1000ML AND PUMP SET WITH ONE WAY VALVE 127 

BBF0377360SH KANGAROO FEEDING PUMP SET 127 

BBF0377517KG KABI APPLIX SMART/VISION PUMP SET BAG* 127 

BBF03F1200SG FEEDING PUMP SET 127 

BBF03FB030P2 "PAHSCO"FEEDING BAG 雙袋重力式餵食袋 * 72 

BBF03FB040P2 "PAHSCO"FEEDING BAG 雙袋機械式餵食袋 * 127 

BBF03FB600P2 PAHSC0 FEEDING BAG 重力式 600ML* 72 

BBP011497NA5 YOUCARE CLOSE POUCH 60MM※ 限住院患者使用 34 

BBP0409766HL ONE PIECE PEDIATRIC DRAINABLE POUCH( 附人造皮 ) ※ 限住院患者申報 45 

BBP0413351A5 POSPACK-B、K 60,70MM* 限住院患者申報 55 

BBP0414212A5 PEDIATRIC PROCARE 1 POST-OP * 限住院患者使用 45 

108



BBP041503NA5 POSPACK LIGHT 60MM※ 限住院患者使用 34 

BBP0480020CA ONE PIECE ALTERNA CHILDREN OPEN TRANSPARENT BAG 10:35MM※ 限住院患者申報 45 

CAE0101401BB 

PERIFIX ONE EPIDURAL ANAESTHESIA(NEEDLE+CATH+CONNECTOR+FILTER+LOR 

SYRINGE+SYRINGE) 

427 

CAE0110118H0 EPIDURAL ANESTHESIS SET 硬腦膜外醉套 362 

CAE0110318H0 EPIDURAL ANESTHESIS SET 硬腦膜外醉套 362 

CAE0111000BB EPIDURAL ANAESTHESIA SET(N+C)( 型號包含 04505080,04055098) 241 

CAE0112006BB EPIDURAL ANAESTHESIA SET 16:18G(N+C+F+S)( 型號含 04514300,04515-013:021,-200:307,04516-206:303) 427 

CAE0112170BB EPIDURAL ANAESTHESIA CATHETER 103 

CAE0113010BB EPIDURAL ANAESTHESIA SET(N+C+S) 362 

CAE0115005BB EPIDURAL ANAESTHESIA SET(N+C+F) 362 

CAE0139116PX EPIDURAL MINIPACK SYSTEM 1 16G 80MM 427 




CAE014014NBD 

PERISAFE EPIDURAL ANAESTHESIA KIT NEEDLE 17,18G CATH 

19,20G(N+C+FILTER+SYRINGE+GUIDE+CONNECTOR) 

427 

CAE0151238BB PERICAN EPIDURAL NEEDLE 110 

CAE0151300BB PERIFIX EPIDURAL SET 241 

CAE0151310BB PERIFIX EPIDURAL SET 241 

CAE0151410BB PERIFIX FOR CONTINUOUS EPIDURAL AND CAUDAL ANAESTHESIA 400 SERIES 427 

CAE0191019PX EPIDURAL MINIPACK SYSTEM 19G 硬脊膜穿刺麻醉針組 427 

CAE01C1695TM CONNECTING EPIDURAL CATHETER 95CM 103 



CAE01E5400AR NON-KINGKING EPIDURAL CATHETER 20GA 91.4CM,19GAX92CM 362 

CAE01ENC16TM EPIDURAL NEEDLE 16G 110 


109




CAE0200695HK EPIDURAL CATHETER 硬膜外針導管 103 

CAE0201095HK EPIDURAL CATHETER 硬膜外針導管 103 

CAE0238216PX EPIDURAL ANAESTHESIA CONDUCTION SET:EPIDURAL CATHETER 103 

CAE0295440HK EPIDURAL CATHETER 22G 103 

CBA02SEN7FD5 "DATASCOPE"SENSATION 7FR INTRA-AORTIC BALLOON CATHETER 光纖感應主動脈氣球導管 * 41110 

CBB0106433SB ULTRA-THIN DIAMOND BALLOON DILATATION CATHETER 5822 

CBB01115GASB GAZELLE BALLOON DILATATION CATHETER 5822 

CBB0112512SB BLUW MAX BALLOON DILATATION CATHETERS 5822 

CBB0114508SB XXL BALLOON DILATATION CATHETER 5822 

CBB0125400L1 PTA BALLOON CATHETER 5822 

CBB0131555N5 GHOST II PTA ANGIOPLASTY CATHETER 5FR. 3:10MM *1.5:10CM, 40,75,120,150CM( 衛署字號 009069) 5822 

CBB014020NCD POWER FLEX PTA CATHETER 5822 

CBB014105NCD POWERFLEX PTA BALLOON CATHTER 5FR 5822 

CBB014122NCD POWER FLEX PTA CATHETER 5FR 5822 

CBB0141500CD POWERFLEX PTA CATHETER 5822 

CBB0141550CD POWERFLEX PTA BALLOON 5822 


CBB014157XJD FOX PTA CATHETER 135CM 5822 


CBB01420XNCD 

CBB01423SWCD 

CBB01424NWCD 

POWER FLEX PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY (PTA) CATHETER 3MM:12MM 

40,80,135CM 

CORDIS AMIIA.014 PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY(PTA) DILATATION CATHETER 

4.0:7.0MM,80,142CM 

"CORDIS"AVIATOR PLUS PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY(PTA)BALLOON 

DILATATION CATHETER PTA 氣球擴張導管 4.0MM:6.0MM;7.0MM 

5822 

5822 

5822 

CBB014352XCD SAVVY PTA CATHETER 5FR 5822 



110



CBB014355XCD SAVVY PTA CATHETER 5822 

CBB014356XCD SAVVY PTA CATHETER 5822 



CBB014359XCD SAVVY PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY(PTA)CATHETER 5822 

CBB01435XXCD 

CORDIS SAVVY PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY(PTA) CATHETER 

80;120;135;150CM 

5822 

CBB0150300SB SMASH BALLOON DILATATION CATHETER 5822 

CBB0150300SC SMASH PTA BALLOON DILATION CATHETER 5FR 3.0:10MM 5822 

CBB0150500SB WANDA PTA BALLOON DILATATION CATHETER 5822 

CBB0154002N5 HIGH FIVE PTA ULTRA HIGH PRESSURE CATHETER 5FR BALLOON DIA 3:10MM LENGTH 2:10CM 5822 

CBB0182454AB "ABBOTT"FOX SV PTA CATHETER 福斯深層周邊血管氣球導管 135CM 2.0MM:5.0MM 5822 

CBB0182954AB "ABBOTT"FOX SV PTA CATHETER 福斯深層周邊血管氣球導管 90CM 2.0MM:5.0MM 5822 

CBB01ADM18F2 

"INVATEC"ADMIRAL XTREME PTA BALLOON CATHETER 愛德米羅週邊血管氣球導管 3MM:12MM 

20MM:120MM 

5822 

CBB01AP128AB FOX PLUS PTA CATHETER 5822 

CBB01AT751BA BARD ATLAS PTA BALLOON DILATATION CATHETER 75CM,120CM 5822 

CBB01AT752BA "BARD"ATLAS PTA BALLOON DILATATION CATHETER 5822 

CBB01ATB01CK ALL-TERRAIN BALLOON PTA DILATATION CATHETERS 5822 

CBB01ATB02CK "COOK"ALL-TERRAIN BALLOON PTA DILATATION CATHETER 經皮穿刺血管成形術用氣球擴張導管 5822 

CBB01CQ575BA 

CONQUEST PTA BALLOON DILATATION CATHETER( 型號 CQ-50;75-52;54;58 自 950401 起生效 , 文號 

0940040071) 

5822 

CBB01G11XXN5 "NUMED"GHOST II PTA CATHETER 40CM 75CM 120CM 135CM 150CM 5822 

CBB01L2457KE "KANEKA"PTA BALLOON CATHETER 經皮穿腔成型術氣球導管 5822 

CBB01L4575KE KANEKA PTA CATHETER 5822 

CBB01MG1XXN5 NUMED MINI GHOST DILATATION CATHETER 2MM-6MM 2CM:4CM 40CM:150CM 5822 

CBB01P5052VC OPTI-PLAST BALLOON DILATATION CATHETER 5.5FR 5822 

CBB01PCF18F2 "INVATEC"PACIFIC XTREME PTA BALLOON CATHETER 派斯飛克血管治療導管 5822 

CBB01PTA41CK 

"COOK"ADVANCED 18LP LOW PROFILE PTA BALLOON DILATATION CATHETER 艾德凡絲小剖面經 

皮穿刺血管成形術球曩擴張導管 80CM 135CM 

5822 

111



CBB01SBR18F2 "INVATEC"SUBMARINE RAPIDO PTA BALLOON CATHETER 直徑 2.00MM-7.00MM, 長度 20MM:40MM 5822 

,60MM,80MM 。USE LENGTH:75CM,135CM 潛艇周邊血管治療導管 

CBB01SF475KE "KANEKA"PTA CATHETER 血管擴張氣球導管 5822 

CBB01SUP18F2 

"INVATEC"SUBMARINE PLUS PTA CATHETER 潛艇週邊血管治療導管直徑 2.0MM:7.0MM 長度 

20MM:120MM 

5822 

CBB01U7522VC ULTRAVERSE SMALL VESSEL BALLOON DILATATION CATHETER 3.5FR 5822 

CBB01USSV1SB 

"BOSTON SCIENTIFIC"ULTRA-SOFT SV BALLOON DILATATION CATHETER4.0MM:7.0MM 

1.5CM:2.0CM 3.1CM/3.1CM:3.4CM/3.1CM 90FR,150FR 

5822 

CBB01X5052VC OPTI-PLAST XT BALLOON DILATATION CATHETER 5.0FR 5822 

CBP01101TBRB BRAVO PTCA DILATATION CATHETER 8340 

CBP01103TBRB 

"ORBUSNEICH"SAPPHIRE CORONARY DILATATION CATHETER 1.5MM:4.0MM 10MM:30MM 塞費爾冠 

狀動脈球曩擴張術導管 

8340 

CBP01206FNJD JOSTENT FLEXMASTER(CORONARY STENT) W/DELIVERY SYSTEM 19940 

CBP01210FMAB JOSTENT FLEXMASTER WITH DELIVERY SYSTEM * 19940 

CBP01210FNJD JOSTENT FLEXMASTER(CORONARY STENT) W/DELIVERY SYSTEM 19940 

CBP01211FMAB ABBOTT JOSTENT FLEXMASTER WITH DELIVERY SYSTEM * 19940 

CBP012535SHC HELISTENT CORONARY STENT W/DELIVERY SYSTEM *( 原文號 910034694) 19940 

CBP012540SHC HELISTENT CORONARY STENT W/DELIVERY SYSTEM *( 原文號 910034694) 19940 

CBP0135040SB EXPRESS MONORAIL CORONARY STENT WITH DELIVERY SYSTEM * 19940 

CBP0138938SB LIBERTE MONORAIL CORONARY STENT SYSTEM* 19940 

CBP0150200BB COROFLEX CORONARY STENT SYSTEM(W/DELIVERY SYSTEM)* 19940 


CBP0150212BB "B.BRAUN"SEQUENT PTCA CATHETER 適可穩經皮穿刺汽球擴張導管 8340 



CBP01563XNCD NINJA PTCA DILATATION CATHETER 1.5:4.0MM 10:40MM( 自 92.7.1 改按條支付 ) 8340 

CBP0174935SB EXPRESS MONORAIL CORONARY STENT DELIVERY SYSTEM * 19940 

CBP0182926AB ABBOTT FLEXMASTER F1 CORONARY STENT WITH DELIVERY SYSTEM 19940 

CBP01ARAR2AS MASLA JUST RAPID EXCHANGE PTCA DILATATION CATHETER 8340 

CBP01BL729RB "ORBUSNEICH"BLAZER CORONARY STENT DELIVERY SYSTEM 布雷冠狀動脈血管支架輸送系統 * 19940 

112



CBP01CSUNATM TSUNAMI CORONARY STENT SYSTEM(WITH BALLOON)* 19940 

CBP01DRVNXM4 DRIVER RAPID EXCHANGE CORONARY STENT SYSTEM* 19940 

CBP01FF22BF2 

"INVATEC"FALCON FORTE PTCA BALLOON CATHETER 冠狀動脈氣球導管直徑 2.00MM:4.00MM, 

4.50MM,5.00MM, 長度 145CM 

8340 

CBP01FLC10F2 "INVATEC"FALCON CTO PTCA BALLOON CATHETER 冠狀動脈氣球導管 8340 

CBP01FLCBVF2 

CBP01GAZ22BS 

"INVATEC"FALCON BRAVO PTCA BALLOON CATHETER 獵鷹柏拉弗冠狀動脈氣球導管直徑 

2.0:4.0MM BALLOON LENGTH 10,14,20,30,40MM CATHETER LENGTH 145CM 

"BIOSENSORS"GAZELLE RAPID EXCHANGE CORONARY STENT SYSTEM 格希爾快速抽換冠狀動脈支 

架系統 * 

8340 

19940 

CBP01GENXXBU GENIC EASYWAY CORONARY STENT AND DELIVERY SYSTEM* 19940 

CBP01MLVSTAB "ABBOTT"MULTI-LINK VISION RX CORONARY STENT SYSTEM 冠狀動脈支架系統 * 19940 

CBP01PN341BK "BIOTRONIK"PLEON PTCA CATHETER 8340 

CBP01PR008CD BX SONIC BALLOON EXPANDABLE STENT SYSTEM 19940 

CBP01PR023CD BX SONIC BALLOON EXPANDABLE STENT SYSTEM 19940 

CBP01PWR25BS "BIOSENSORS"POWERLINE PTCA CATHETER 動源線冠狀動脈氣球擴張導管 8340 

CBP01R2252RB R-STENT EVOLUTION 2 CORONARY DELIVERY SYSTEM* 19940 

CBP01S103NAC MULTI-LINK CORONARY STENT WITH STEP BALLOON DELIVERY SYSTEM * 19940 

CBP01S108NAC MULTI-LINK DUET CORONARY STENT W/RX ROCKET BALLOON DELIVERY SYSTEM 19940 

CBP01S115NAC MULTI-LINK CORONARY STENT WITH RX DELIVERY SYSTEM 3.0:4.0MMX15:35MM 19940 

CBP01S563NAB "ABBOTT"VASCULAR MULTI-LINK PIXEL CORONARY STENT SYSTEM 披索冠狀動脈擴張支架系統 * 19940 

CBP01S600NAC MULTI-LINK STENT&BALLOON DELIVERY SYSTEM 3.0:3.75MM 19940 

CBP01S6275VE S-SERIES CORONARY STENT DELIVERY SYSTEM * 19940 

CBP01S660DVE S-SERIES CORONARY STENT W/DELIVERY SYSTEM 19940 

CBP01S670DVE S-SERIES CORONARY STENT DELIVERY SYSTEM 19940 

CBP01S7353VE S-SERIES CORONARY STENT W/DELIVERY SYSTEM 19940 

CBP01S915NAC MULTI-LINK HP CORONARY STENT/W HIGH PRESSURE BALL.DELI.SYS.3:4MMX15MM 19940 

CBP01S983NAB "ABBOTT"MULTI-LINK CORONARY STENT SYSTEM 冠狀動脈擴張支架系統 * 19940 

CBP01STSRXBS S-STENT DELIVERY SYSTEM* 19940 

CBP01TSUNATM TSUNAMI CORONARY STENT SYSTEM(WITH BALLOON)* 19940 

113



CBP01V1G0RW4 VIGOR PTCA BALLOON CATHETER 8340 

CBP01V1S1NAB 

"ABBOTT"MULTI-LINK VISION RX CORONARY STENT SYSTEM2.75MM:4MM 8MM:28MM 適見冠狀動 

脈支架系統 * 

19940 

CBP01V2G0RW4 VIGOR 2 PTCA BALLOON CATHETER 8340 

CBP01V7844AB 

"ABBOTT"MULTI-LINK VISION RX CORONARY STENT SYSTEM 2.75:4.00MM 8:28MM 冠狀動脈支架系 

統 * 

19940 

CBP01VFP01CK CORONARY STENT W/BALLOON DELIVERY SYSTEM 19940 

CBP01VYGNCAB 

"ABBOTT"VOYAGER NC CORONARY DILATATION CATHETER 航行家恩希冠狀動脈擴張導管 

2.00MM:5.00MM 6MM:25MM 

8340 

CBP01ZETANAB "ABBOTT"MULTI-LINK RX ZETA CORONARY STENT SYSTEM 智達冠狀動脈支架系統 * 19940 

CBP02NCSPRM4 

"MEDTRONIC"NC SPRINTER RAPID EXCHANGE BALLOON DILATATION CATHETER" 美敦力 " 史賓特 

高壓快速交換氣球擴張導管 

8340 

CBP02R5825KE "KANEKA"FORTIS PTCA CATHETER 2.50MM:4.50MM 8MM:18MM 8340 

CBP02R5A85KE FORTIS II PTCA CATHETER 2.50MM:4.50MM 佛緹斯冠狀動脈成型術導管 8340 

CBP02SPR32M4 

CBP02SPRLGM4 

MEDTRONIC SPRINTER OVER-THE-WIRE BALLOON DILATATION CATHETER 1.5MM:4.0MM 

6MM:30MM 

"MEDTRONIC"SPRINTER LEGEND RAPID EXCHANGE BALLOON DILATATION CATHETER 

(D:1.25MM:4MM,L:6MM:30MM) 

8340 

8340 

CBP02SPRNTM4 SPRINTER RAPID EXCHANGE BALLOON DILATION CATHETER 8340 

CBP02X2LNNVE EXTENSOR RAPID EXCHANGE BALLOON DILATATION CATHETER* 自 92.7.1 改按條支付 8340 

CBP02XW151BU BLUE MEDICAL XTRM-WAY PTCA DILATATION CATHETER 8340 

CBP031016TTM "TERUMO"RYUJIN PLUS PTCA DILATATION CATHETER 琉均柏柆思冠狀動脈氣球擴張導管 8340 

CBP031215NTM RYUJIN PTCA DILATATION CATHETER RX-1 8340 

CBP0314038TM TERUMO RYUJIN PLUS PTCA DILATATION CATHETER 8340 

CBP0314039TM TERUMO RYUJIN PLUS PTCA DILATATION CATHETER 8340 

CBP0318634TM RYUJIN PLUS OTW PTCA DILATATION CATHETER 冠狀動脈氣球擴張導管 8340 

CBP032015NTM RYUJIN PTCA DILATATION CATHETER RX-1 8340 

CBP0338080SB QUANTUM MAVERICK MONORAIL DILATION CATHETER(PTCA BALLOON CATHETER) 8340 

CBP0338928SB MAVERICK 2 MONORAIL BALLOON CATHETER * 自 92.7.1 改按條支付 8340 

CBP03389XXSB 

"BOSTON SCIENTIFIC"APEX MONORAIL PTCA DILATATION CATHETER D 1.50MM:5.0MM 

L8MM:40MM 艾佩斯單軌氣球擴張導管 

8340 

CBP035265NAB "ABBOTT"CROSSSAIL CORONARY DILATATION CATHETER 可思爾冠狀動脈擴張導管 8340 

CBP0356F1XCD NINJA PTCA DILATATION CATHETER 10MM( 衛署字號 9349)※ 自 92.7.1 改按條支付 8340 

114








CBP035718NAB "ABBOTT"CORONARY DILATATION CATHETER 冠狀動脈擴張術氣球導管 8340 

CBP03701XNCD "CORDIS"DURA STAR RX PTCA DILATATION CATHETER 杜芮星冠狀動脈擴張導管 8340 

CBP03801XNCD "CORDIS"FIRE STAR RX PTCA DILATATION CATHETER 法爾星冠狀動脈擴張導管 8340 

CBP0382123AB NC MERCURY PTCA CATHETER 8146 

CBP03A1540EQ 

EUROCOR AMADEUS SUPERCROSS RX-CORONARY BALLOON DILATATION CATHETER 

1.5MM:4.0MM 10MM:40MM 

8340 

CBP03DCPANTM GALE PTCA DILATION CATHETER 1.5:4.0MM *20MM※ 自 92.7.1 改按條支付 ( 衛署字號 9430) 8340 

CBP03H1RU1TM "TERUMO"HIRYU PTCA DILATATION CATHETER 2.25:5.0MM 6:20MM 冠狀動脈氣球擴張導管 8340 

CBP03M1115JD PTCA BALLOON CATHETER※ 自 92.7.1 改按條支付 8340 

CBP03M2950AB JOCATH MAESTRO PTCA CATHETER( 原核文號 0940006268) 8340 

CBP03M3115AB JOCATH MERCURY PTCA CATHETER 8340 

CBP03NCMERAB "ABBOTT"NC MERCURY PTCA CATHETER 馬克林冠狀動脈擴張導管 8340 

CBP03R2A15KE KANEKA RX CATHETER AEROCROSS FIGHTER 1.5MM:4.0MM 15MM:20MM 8340 

CBP03R4K15KE KANEKA RX CATHETER OTTIMO 1.5MM:4.0MM 10MM:20MM 8340 

CBP03RAF25HC "HEXACATH"RAFALE PTCA DILATATION CATHETER 旋風冠狀動脈氣球擴張導管 8340 

CBP03V0TWNAB "ABBOTT"VOYAGER OTW CORONARY DILATATION CATHETER 莫雅佳甌第冠狀動脈擴張導管 8340 

CBP03V391NAB "ABBOTT"VOYAGER RX CORONARY DILATATION CATHETER 莫雅佳冠狀動脈擴張導管 8340 

CBP03V400NAB "ABBOTT"VOYAGER RX CORONARY DILATATION CATHETER 茉亞嘉冠狀動脈擴張導管 8340 

CBP05210CGAB "ABBOTT"JOSTENT GRAFTMASTER CORONARY STENT GRAFT(WITH DELIVERY SYSTEM)*. 49500 

CBP05JCSG1JD CORONARY STENT GRAFT WITH DELIVERY SYSTEM * 49500 

CBP06ELUT1AB 

CBP06ELUT1BB 

"ABBOTT"XIENCE V EVEROLIMUS ELUTING CORONARY STENT SYSTEM 艾諾莉茉斯冠狀動脈塗藥 

支架 , 部分給付品項 , 適應症見備註欄 , 並註明其禁忌症勿使用。 

COROFLEX PLEASE PACLITAXEL-ELUTING CORONARY STENT SYSTEM 部分給付品項紫杉醇釋放型 

冠狀動脈血管支架 * 適應症見備註 , 並註明其禁忌症勿使用。 

19940 

19940 

115



CBP06ELUT1M4 MEDTRONIC ENDEAVOR ELUTING CORONARY STENT SYSTEM 2.25MM:4.0MM 8MM:30MM 部分給付 19940 

品項 *. 並註明其禁忌症不可使用 . 

CBP06ELUT1RB 

CBP06ELUT1SB 

CBP06ELUT2AB 

CBP06ELUT2CD 

CBP06ELUT2M4 

CBP06ELUT2SB 

CBP06ELUT3M4 

"ORBUS"GENOUS R STENT 傑納斯冠狀動脈血管支架輸送系統 2.5MM:4.0MM 9MM:33MM 部分給付品 

項 .. 並註明其禁忌症不可使用 . 

TAXUS EXPRESS PACLITAXEL-ELUTING CORONARY STENT SYSTEM 2.25:5.00MM 8:32MM. 部分給付 

品項 *. 並註明其禁忌症不可使用 

"ABBOTT"PROMUS EVEROLIMUS ELUTING CORONARY STENT SYSTEM 冠狀動脈塗藥支架系統 , 部 

分給付品項 ,, 並註明其禁忌症不可使用。 

"CORDIS"CYPHER SELECT+SIROLIMUS-ELUTING CORONARY STENT 2.25:3.50MM 8:33MM 部分給付 

品項 *. 並註明其禁忌症不可使用 . 

"MEDTRONIC"ENDEAVOR SPRINT ZOTAROLIMUS ELUTING CORONARY STENT SYSTEM 釋放型冠狀 

動脈支架 , 部分給付品項 * 適應症見備註 , 並註明其禁忌症不可使用。 

TAXUS LIBERTE MONORAIL PACLITAXEL-ELUTING CORONARY STENT SYSTEM 2.25:3.5MM 

8:32MM. 部分給付品項 .. 並註明其禁忌症不可使用 

ENDEAVOR RESOLUTE ZOTAROLIMUS-ELUTING CORONARY STENT SYSTEM 釋放型冠狀動脈支架 

系統 , 部分給付品項 , 適應症見備註 , 並註明其禁忌症不可用。 

19940 

19940 

19940 

19940 

19940 

19940 

19940 

CBS01SPTXXN5 "NUMED"Z-5 ATRIOSEPTOSTOMY CATHETER 9000 

CBS029ASDAG6 AMPLATZER SEPTAL OCCLUDER 4:20MM,22MM:38MM 138000 

CBS029DEL5G6 "AGA"AMPLATZER DELIVERY SYSTEM 5-9FR*( 自 981001 起適應症代碼由 A213-4 更改為 A213-5)。 12000 

CBS029DEL9G6 AMPLATZER DELIVERY SYSTEM 9FR,10FR,12FR* 12000 

CBS029DELNG6 AMPLATZER DELIVERY SYSTEM 6:8FR* 12000 

CBS044A72FST BRK TRANSSEPTAL NEEDLE/STYLET 房中膈穿刺針 7230 

CBT020712NAR 

ARROW BALLOON WEDGE-PRESSURE CATHETERS 4:8FR 60:110CM " 亞諾 " 肺動脈楔壓導管 ( 順流導管 

雙腔 ) 

1750 

CBT022014LPU PULSIOCATH CONTINUOUS CARDIAC OUTPUT THERMODILUTION CATHETER 5775 

CBT022015LPU "PULSION"PULSIOCATH THERMODILUTION CATHETER 5775 

CBT0613975ED CONTINUOUS CARDIAC OUTPUT THERMODILUTION CATHETER 6 LUMEN 7.5FR 6200 

CBT0617775ED 


CCO/cEDV* 

6200 

CBV020MS2NTR PTMC BALLOON CATHETER 33700 

CCC0300AT1VB AUTOTRANSFUSION SET 3160 

CCC030980EHA THERAPEUTIC AND AUTOLOGOUS ERYTHROPHERESIS SET 3160 

CCC030981EHA THERAPEUTIC AND AUTOLOGOUS ERYTHROPHERESIS SET 3160 

CCC1300200HA CELL SAVER COLLECTION RESERVOIR 3900 

CCC1300ATRVB AUTOTRANSFUSION RESERVOIR* 3900 

CCC1301005M4 AUTOLOG RESERVOIR HOLDING BAG* 3900 

116



CCC140156NHA CELL SAVER SET ( 術後自體血液回收單管回流式 ) 4000 

CDCA105060NZ SUNDT INTERNAL W/NON-REINFORCED SEGMENT 3375 

CDCA105065NZ CAROTID ENDARTERECTOMY SHUNT,SUNDT INTERNAL 3375 

CDCA105070NZ CAROTID ENDARTERECTOMY SHUNT,SUNDT EXTERNAL 3375 

CDCA105076NZ SUNDT EXTERNAL W/NON-REINFORCED SEGMENT 3375 

CDCA171014NZ CAROTID ENDARTERECTOMY SHUNTS 3375 

CDCS126101CM ACCU-FLO CSF RESERVOIR( 含 CONNECTOR,CATHETER) 3500 

CDD010212NFM SILICONE T DRAINAGE TUBE W/EYES 12:24FR 205 

CDD0104103CL RC-T TUBE 3FR:10FR 468 

CDD010810NFM SILICONE T-DRAINGE TUBE 8#:24# 205 

CDD0108510P2 SILICON T DRAINGE TUBE 10FR:24FR 3MM:8MM 205 

CDD012014NFM SILICONE Y DRAINAGE TUBE 14:24FR 205 

CDD0133008KK SILICON T-TUBE 5M/M:13M/M (TRACHEAL) 2825 

CDD0162110CL SILICON T-DRAIN TUBE 9FR:24FR 205 

CDD0200114FM SILICONE ABDOMINAL SUMP DRAIN 14" 7MMX13MM 390 

CDD0200120FM SILICONE ABDOMINAL SUMP DRAIN 20" 7MMX13MM 390 

CDD0208040DV SILICON TRIPLE LUMEN SUMP DRAIN 1.5CMx38CM 1222 



CDD0401201ED PERICARDIAL SUMP(1/4") 431 

CDD0401348C8 

JACKSON-PRATT SILICONE BULB RESERVOIR WITH TUBE KITS 100CC,400CC, 

7MM/10MM/10FR/15FR/19FR 矽質真空傷口引流套 ( 儲液器 + 引流管 ) 

670 

CDD0403300ED SUCTION WAND(9F-22F) 431 

CDD0404300SA RIGID I-C SUCKER 431 

CDD0404360BA 400CC THREE-SPRING EVACUATOR KIT W/PVC ROUND DRAIN 500 

CDD0404366BA 400CC THREE-SPRING EVACUATOR KIT W/SILICONE ROUND DRAIN 670 

CDD0406648PC TLS BULB DRAINAGE SYSTEM 100CC 10.5FR( 球 + 管 ) 670 

117



CDD0408705P2 PVC VAC ( 球 + 管 ) 450CC 1/8",3/16",1/4" 500 

CDD0408770P2 SILICON VAC ( 球 + 管 ) 100CC,200CC 1/8",3/16",1/4" 670 

CDD0408902P2 MINIVAC WOUND DRAINAGE SYSTEM(PVC DRAIN 6FR WITH PVC RESERVOIR 50ML) 270 

CDD0408903P2 MINIVAC WOUND DRAINAGE SYSTEM(PVC DRAIN 6FR WITH PVC RESERVOIR 20ML) 220 

CDD0420131FM ALL SILICONE C.W.V SET(RESERVOIR 100CC+DRAIN 7MM,10MM) 670 

CDD0420132FM ALL SILICONE C.W.V SET(RESERVOIR 100CC+DRAIN 13MM) 670 





CDD0425001Z1 HEMOVAC 500 

CDD042535NZ1 MINI SNYDER HEMOVAC SILICONE DRAIN 3/32 1/8",3/16",1/4" SILICONE EVACUATOR 100ML( 球 + 管 + 

針 ) 

670 

CDD042541NZ1 400ML HEMOVAC COMPACT EVACUATOR KIT SILICONE DRAIN 1/8",3/16",1/4( 球 + 管 ) 620 

CDD042560NZ1 MINI SNYDER HEMOVAC SILICONE DRAIN 7MM,10MM SILICONE EVACUATOR 100ML( 球 + 管 + 針 ) 670 

CDD042564NZ1 EVAC KITS 100ML FLAT DRAIN W/O TROCAR 7MM,10MM( 球 + 管 ) 670 

CDD0425904Z1 HEMOVAC 500 

CDD0425951Z1 PVC HEMOVAC COMPACT EVACUATOR KIT 3/32",3/16" 7,15FR 500 

CDD0430101P2 WOUND DRAINAGE SYSTEM (PAHSCO-VAC)450ML(BAG+TUBE+TROCAR) 500 

CDD0430104P2 WOUND DRAINAGE SYSTEM (PRE-EVACUATOR)600ML,450ML(BAG+TUBE+TROCAR) 500 

CDD0433223DV CWS 400CC ( 球 + 管 ) 500 

CDD0441000TZ VACUUM WOUND DRAINAGE SYSTEM(PVC 引流管 + 吸引球 ) 500 

CDD0441001S4 MINI-RADOVAC 20CC 222 

CDD0445003S4 MINI-RADOVAC 50CC 290 

CDD0450101P2 CLOSED WOUND DRAINAGE SYSTEM 125、200ML 球 PVC、管 SILICONE ( 球 + 管 + 針 ) 620 

CDD0450201P2 CLOSED WOUND DRAINAGE SYSTEM 100、125、200ML 球 + 管 SILICONE ( 球 + 管 + 針 ) 670 

CDD0450510P2 CLOSED WOUND DRAINAGE SYSTEM 400ML 球 PVC、管 SILICONE ( 球 + 管 + 針 ) 620 

118



CDD0453101P2 CLOSED WOUND DRAINAGE SYSTEM 450MLPVC ( 球 + 管 + 針 ) 500 

CDD0453144P2 CLOSED WOUND DRAINAGE SYSTEM 250ML PVC ( 球 + 管 + 針 ) 500 

CDD045330NP2 CLOSED WOUND DRAINAGE SYSTEM 400ML PVC ( 球 + 管 + 針 ) 500 

CDD0454101P2 

CLOSED WOUND DRAINAGE SYSTEMPVC WOUND DRAINAGE SYSTEM 20ML 

(BAG+TUBE+TROCAR) 

220 

CDD0454201P2 PVC WOUND DRAINAGE SYSTEM 30ML(BAG+TUBE+NEEDLE) 220 

CDD0454302P2 

CLOSED WOUND DRAINAGE SYSTEMPVC WOUND DRAINAGE SYSTEM 50ML 

(BAG+TUBE+TROCAR) 

220 

CDD0455101P2 PVC WOUND DRAINAGES SYSTEM 600CC(BAG+CATH+TROCAR)※ 真空傷口引俵套 500 

CDD0455606P2 PVC WOUND DRAINAGES SYSTEM 450CC(BAG+CATH+TROCAR)※ 真空傷口引俵套 500 

CDD0455730P2 CLOSED WOUND DRAINAGE SYSTEM 200ML ( 罐 + 管 + 針 ) 500 

CDD0456001P2 CLOSED SYSTEM SUCTION DRAINAGE SET 800ML 1/4‟,1/8‟,3/16‟( 球 100CC+ 管 + 針 ) 500 

CDD0456025P2 CLOSED WOUND DRAINAGE SYSTEM 400CCPVC ( 球 + 管 + 針 ) 500 

CDD0456051P2 CLOSED SYSTEM SUCTION DRAINAGE SET ( 球 100CC+ 管 + 針 ) 500 

CDD0457001P2 CLOSED WOUND DRAINAGE SYSTEM 150MLPVC (BAG+ 管 + 針 ) 500 

CDD0457004P2 CLOSED WOUND DRAINAGE SYSTEM 150MLBAG PVC、管 SILICONE (BAG+ 管 + 針 ) 620 





CDD048410NM5 WOUND-EVC ET(EASY TOUCH)(PVC RESERVOIR 400ML,SILICONE TUBING 1/8",3/16",1/4") 620 

CDD04CWCV1EF SILICONE C.W.V SET(100CC,150CC,400CC+7MM,10MM,13MM) 矽質真空傷口引流球 + 引流管 670 

CDD04MB125SG SILICON MINI VACCUM BLUB 125CC(MB125)+FLAT TUBE OR ROUND TUBE MD-118 7:9MM(HF107:9) 670 

CDD04PP400WN 

BAROVAC CLOSED WOUND DRAINAGE SYSTEMS (PVC DRAIN 3/32",1/8",3/16",1/4"WITH PVC 

RESERVOIR 400ML) 

500 

CDD04PT503TM PORTABLE WOUND SUCTION UNIT( 球 + 管 ) 500 

CDD04SS100WN ALL SILICONE CLOSED WOUND DRAINAGE SYSTEMS(SILICONE DRAIN WITH RESERVOIR 100ML) 670 

CDD04SS200WN 

ALL SILICONE CLOSED WOUND DRAINAGE SYSTEMS 200ML(SILICONE DRAIN WITH RESERVOIR 

200ML) 

670 

CDD04SU130C8 JACKSON PRATT WOUND DRAINAGE SYSTEM PVC 引流管 + 穿刺針 +PVC 吸引球 500 

119



CDD0500070L6 JACKSON-PRATT HEMADUCT SILICONE FLAT DRAINS W/O TROCAR 370 

CDD0500071L6 JACKSON-PRATT HEMADUCT SILICONE FLAT DRAINS W/TROCAR 370 

CDD05000SMWN ALL SILICONE WOUND TUBINGW/TROCAR NEEDLE 3.2MM,4.8MM( 圓型 ) 370 

CDD0500100L6 JACKSON-PRATT HEMADUCT SILICONE ROUND DRAINS W/O TROCAR 370 

CDD0500101L6 JACKSON-PRATT HEMADUCT SILICONE ROUND DRAINS W/TROCAR 370 

CDD0500SJPWN ALL SILICONE WOUND TUBINGW/TROCAR NEEDLE 4.8MM( 扁型 ) 370 

CDD0501002SM EXTRA STRENGTH ROUND SUCTION DRAIN WITH TROCAR 10FR 370 

CDD0501012SM EXTRA STRENGTH ROUND SUCTION DRAIN 10FR 370 

CDD0501310C8 JACKSON-PRATT SILICONE DRAINS 7MM, 10MMJACKSON-PRATT 矽質傷口引流管 340 

CDD0501310L6 JACKSON-PRATT HUBLESS FLAT SILICONE DRAINS W/O TROCAR 370 

CDD0501316L6 JACKSON-PRATT GOLD FLAT SILICONE DRAINS W/O TROCAR 370 

CDD050132NL6 JACKSON-PRATT SILICONE ROUND DRAINS W/O TROCAR 370 

CDD0501330L6 JACKSON-PRATT GOLD SILICONE ROUND DRAINS W/O TROCAR 370 

CDD0501416L6 JACKSON-PRATT GOLD FLAT SILICONE DRAINS W/TROCAR 370 

CDD0502007H0 SURGICAL CWV DRAIN 7MM 370 



CDD050208NFM SILICONE ROUND DRAIN END PERFORATED 8,10,16,20FR 900MM 370 

CDD0502185ET 

CDD0502187ET 

"ETHICON"J-VAC CLOSED WOUND DRAINAGE SYSTEM BLAKE SILICON DRAINS WITH TROCAR 捷 

凡克封閉式引流系統 

"ETHICON"J-VAC CLOSED WOUND DRAINAGE SYSTEM BLAKE SILICON DRAINS WITH TROCAR 捷 

凡克封閉式引流系統 

370 

425 

CDD050308NFM SILICONE ROUND DRAIN MIDDLE PERFORATED 8,10,16,20FR 1100MM 370 

CDD0503203SM EXTRA STRENGTH FLAT SUCTION DRAIN 7MM 370 

CDD0503204SM EXTRA STRENGTH FLAT SUCTION DRAIN 10MM 370 

CDD0508711P2 SILICON VAC DRAINAGE & TROCAR 370 

CDD0510101P2 CLOSED WOUND DRAINAGE SYSTEMPVC VAC DRAINAGE 250 

CDD0513101P2 CLOSED WOUND DRAINAGE SYSTEMSILICONE VAC DRAINAGE 340 

120



CDD052540NZ1 MINI-SNYDER HEMOVAC SILICONE DRAIN 3/32",1/8",3/16",1/4" 7MM,10MM W/TROCAR 370 

CDD052542NZ1 DRAIN ROUND W/O TROCAR 3/32",1/8",3/16",1/4 SILICONE( 管 ) 370 

CDD052569NZ1 DRAIN FLAT W/O TROCAR 7MM,10MM SILICONE 370 

CDD0530101P2 CLOSED WOUND DRAINAGE SYSTEMPVC VAC DRAINAGE &TROCAR 250 

CDD0530502P2 CLOSED WOUND DRAINAGE SYSTEMSILICONE VAC DRAINAGE &TROCAR 340 

CDD0566481B0 SILICONE BULB DRAINAGE CATHETER 7MM 真空傷口引俵管 340 

CDD0566482B0 SILICONE BULB DRAINAGE CATHETER 真空傷口引俵管 340 

CDD0566483B0 SILICONE BULB RESERVOIR 100CC 真空傷口引俵球 300 

CDD0566484B0 SILICONE BULB DRAINAGE CATHETER 10MM 真空傷口引俵管 340 

CDD0566485B0 SILICONE BULB DRAINAGE CATHETER W/TROCAR 340 

CDD0566486B0 SILICONE BULB DRAINAGE CATHETER W/TROCAR (ROUND) 340 

CDD0566487B0 SILICONE BULBRESERVOIR 100CC W/CLIPS 300 

CDD0566488B0 SILICONE BULB DRAINAGE CATHETER W/TROCAR (FLAT) 340 

CDD05CV007FM SILICON CWV DRAINS TUBE 7MM 370 



CDD05CV110EF SILICONE C.W.V DRAIN 340 

CDD05HRU86C8 

JACKSON-PRATT HEMADUCT & HEMADUCT GOLD WOUND DRAINS 10FR,15FR,19FRHEMADUCT 矽 

質傷口引流管 

340 

CDD05MF104SG SILICONE SUCTION DRAINAGE TUBE(FLAT) 4,7,10MM 370 

CDD0600640FM SILICONE CLOSED WOUND VACUUM RESERVOIR 400CC 300 

CDD0601305C8 JACKSON-PRATT SILICONE BULB RESERVOIR 100CC & 400CC 矽質真空傷口引流儲液器 300 

CDD0602150H0 SURGICAL CWV RESERVOIR 150CC 345 

CDD0602160JJ J-VAC RESERVOIR SILICON 100CC 300 

CDD0602161JJ J-VAC RESERVOIR 150CC,450CC(PVC 球 ) 250 

CDD0603101SM SUCTION RESERVOIR 345 

CDD0608709P2 SILICON VAC RESERVOIR 100CC,200CC 300 

121



CDD060S100WN ALL SILICONE BAROVAC RESERVOIR 100ML 300 

CDD060S200WN ALL SILICONE BAROVAC RESERVOIR 200ML 300 

CDD0620201P2 CLOSED WOUND DRAINAGE SYSTEMSILICONE VAC RESERVOIR125ML 、200ML 300 

CDD0623009P2 CLOSED WOUND DRAINAGE SYSTEMPVC VAC RESERVOIR 150ML、250ML、300ML、450ML 250 

CDD0625681Z1 SIKICONE MINI SNYDER HEMOVAC 100ML 300 

CDD06CV150FM SILICONE CWV RESERVOIR 100CC,150CC 球 300 

CDD06CW1S1EF SILICONE C.W.V RESERVOIR 100CC,150CC,400CC 300 

CDD06MB125SG MINI BULB 125CC 真空吸引球 300 

CDD1012001P2 DIAMOND TIP THROACIC CANNULA 8:16FR 259 

CDD1012007P2 DIAMOND TIP THROACIC CANNULA 20:32FR 259 

CDD1021110MA TROCAR CATHETER 10FR,12FR,16FR 259 

CDD1021120MA TROCAR CATHETER 20FR,24FR,28FR,30FR,32FR 型號 211-30 自 93.1.1 刪除 259 

CDD1056080AY TROCAR CATHETER WITH NEEDLE 259 

CDD1056101AY TROCAR CATHETER WITH NEEDLE 259 

CDD1056701AY INGRAM TROCAR CATHETER 12FR,16FR 465 

CDD1056702AY INGRAM TROCAR CATHETER 12FR,16FR 膀胱穿刺針組 465 

CDD10TDC10EE THORACIC DRAINAGE CATHETER W/TROCAR 259 

CDD1100001ET 

CDD1100001PA 

TROCAR KIT 穿刺套管 2-12MM( 穿剌針 1+ 外管 1+ 內建可變式轉接頭 

1)(511;512HA;NA;DA;355NA;DA;35LNA;LDA;FPK02 自 980701 刪除 ) 

„ 安培 ‟ 安全穿刺套管系統 „APPLIED‟TROCAR SYSTEM KIT 5-12MM( 穿剌針 1+ 外管 1+ 內建可變式 

轉接頭 1) 

1595 

1595 


CDD1100001ZH TROCAR KIT (5-12MM 穿刺針 X1+ 外管 X1+ 固定轉接頭 X1) 1329 

CDD1100002PA 

„ 安培 ‟ 安全穿刺套管系統 „APPLIED‟TROCAR SYSTEM(5-12MM 多孔道平滑拋棄剝離式套管 )( 穿 

剌針 1+ 外管 1+ 內建可變式轉接頭 1) 

1595 


CDD1100002ZH DETACHAPORT OBTURATOR AND SEAL SET:TROCAR SLEEVE(1 支外管 +1 支固定轉接頭 ) 955 

CDD1100003PA 

TROCAR SYSTEM:SEPARATOR ACCESS SYSTEM11X100MM 12X100MM( 穿剌針 1+ 外管 1+ 內建可變式 

轉接頭 1) 

1595 

CDD1100003ZH DETACHAPORT OBTURATOR AND SEAL SET:TROCAR KIT(1 支穿刺針 +2 支外管 +2 支固定轉接頭 ) 1963 

122



CDD1100004PA SEPARATOR OBTURATOR 內視鏡手術剝離式穿刺針 638 

CDD1100005PA CANNULAS WITH DISPOSABLE SEAL 內視鏡手術拋棄式套筒組 ( 穿刺外管 + 可變式轉接頭 ) 955 

CDD1100006PA 

CDD1100007PA 

DISPOSABLE TROCAR W/SHIELDED FLAT BLADE OBTURATOR 穿刺套管組 ( 穿剌針 1+ 外管 1+ 可變式轉 

接頭 1) 

PREMIUM DISPOSABLE TROCAR SYSTEM W/UNIVERSAL SEAL 通用孔道拋棄式穿刺系統 ( 穿剌針 1+ 外 

管 1+ 內建可變式轉接頭 1) 

1595 

1595 

CDD1100008PA CANNULAS WITH DISPOSABLE SEAL 內視鏡手術拋棄式套筒組 ( 穿剌針 ) 638 

CDD1100012ET TROCAR KIT 穿刺套管雙支包裝 ( 穿刺針 1+ 外管 2+ 內建可變式轉接頭 2) 2658 

CDD110005NPA CANNULAS WITH DISPOSABLE SEAL 內視鏡手術拋棄式套筒組 ( 穿刺外管 + 可變轉接頭 ) 955 

CDD110007NPA CANNULAS WITH DISPOSABLE SEAL 內視鏡手術拋棄式套筒組 ( 穿剌針 + 穿刺外管 + 可變轉接頭 ) 1595 

CDD1100K1TPA TROCAR KIT( 穿刺針 X1+ 外管 X2+ 可變轉接頭 X2) 2658 

CDD1105121L7 

CDD1105122L7 

CDD1105123L7 

CDD1105124L7 

CDD1105125L7 

TROCAR KIT 10-12MM TROCAR AND CANULA 穿刺套管組 ( 防滑套管 1 支 , 穿刺針 1 支 , 多功能轉換 

器 1 組 ) 

TROCAR KIT 5-12MM TROCAR AND CANULA 穿刺套管組 ( 防滑套管 1 支 , 穿刺針 1 支 , 多功能轉換器 

1 組 ) 


2 組 ) 


1 組 ) 


2 組 ) 

1595 

1595 

2658 

1595 

2658 

CDD110612AL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-6MM( 穿刺套管 1 支 + 穿刺針 1 支 + 固定式轉接頭 1 支 ) 1329 

CDD110612BL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-12MM( 穿刺套管 1 支 + 穿刺針 1 支 + 可變式轉接頭 1 支 ) 1595 

CDD110612CL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-12MM( 穿刺套管 2 支 + 穿刺針 1 支 + 固定式轉接頭 2 支 ) 1963 

CDD110612DL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-6MM( 穿刺套管 1 支 + 穿刺針 1 支 + 固定式轉接頭 1 支 ) 1329 

CDD110612EL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-6MM( 穿刺套管 2 支 + 穿刺針 1 支 + 固定式轉接頭 2 支 ) 1963 

CDD110612FL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-6MM( 穿刺套管 1 支 + 固定式轉接頭 1 支 ) 955 

CDD110612GL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-12MM( 穿刺套管 2 支 + 穿刺針 1 支 + 可變式轉接頭 2 支 ) 2658 

CDD110612HL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-12MM( 穿刺套管 1 支 + 穿刺針 1 支 + 可變式轉接頭 1 支 ) 1595 

CDD110612JL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-12MM( 穿刺套管 1 支 + 可變式轉接頭 1 支 ) 955 

CDD110612KL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-6MM( 穿刺套管 3 支 + 穿刺針 1 支 + 固定式轉接頭 3 支 ) 2918 

CDD110612LL7 LAGIS TROCAR KIT 內視鏡安全穿刺套管 5-12MM( 穿刺套管 2 支 + 穿刺針 1 支 + 可變式轉接頭 2 支 ) 2658 

CDD11090PFUS AUTO SUTURE VERSAPORT PLUS V2 W/FIXATION CANNULA 11-12MM ( 外管 + 可變轉接頭 ) 955 

123



CDD11095PFUS AUTO SUTURE VERSAPORT PLUS V2 W/FIXATION CANNULA 11-12MM ( 穿刺內管 + 外管 + 可變轉接頭 ) 1595 

CDD1110051L9 ENDOSCOPIC INSTRUMENT 內視鏡器械 ( 含 : 穿刺針 *1+ 外管 *1+ 固定式轉接頭 *1) 1329 

CDD1110092L9 ENDOSCOPIC INSTRUMENT 內視鏡器械 ( 含 : 穿刺針 *1+ 外管 *2+ 固定式轉接頭 *2) 1963 

CDD114016SUS 

可充氣安全穿刺套管 WOODFORD SPIKE TROCAR AND CANNULA WITH GAS PORT 5MM( 穿剌針 1+ 外 

管 1+ 固定式轉接頭 1) 

CDD114216KUS 可充氣安全穿刺套管組 WOODFORD SPIKE TROCAR AND CANNULA WITH GAS PORT KIT( 穿剌針 1+ 

外管 2+ 內建固定式轉接頭 2) 

1329 

1963 

CDD117092FUS AUTO SUTURE VERSAPORT PLUS V2 W/FIXATION CANNULA 5MM ( 外管 + 固定轉接頭 ) 955 

CDD1177092US VERSAPORT PLUS RPF SINGLE USE RADIOLUCENT TROCAR SLEEVE 5MM( 外管 + 固定式轉接頭 1) 955 

CDD1177096US 

CDD1178062US 

CDD1178064US 

CDD1179079US 

VERSAPORT PLUS RPF SINGLE USE RADIOLUCENT TROCAR SLEEVE5/10-12MM ( 外管 1+ 內建式可變 

轉接頭 1) 

VERSAPORT PLUS RPF SINGLE USE RADIOLUCENT TROCAR KITS 5/10MM 可變式安全穿刺套管組 

( 穿剌針 1+ 外管 2+ 內建可變式轉接頭 2) 

VERSAPORT PLUS RPF SINGLE USE RADIOLUCENT TROCAR KITS5 MM 可變式安全穿刺套管組 ( 穿剌 

針 1+ 外管 2+ 內建固定式轉接頭 2) 

腹腔鏡穿刺套管 SURGISPIKE SINGLE USE 5MM RADIOLUCENT TROCAR( 穿剌針 1+ 外管 1+ 固定式轉接 

頭 1) 

955 

2658 

1963 

1329 

CDD1179305US ” 優施西 ” 胸腔穿刺套管 1329 

CDD1190689US 

CDD119075PUS 

CDD119076PUS 

VERSAPORT PLUS RPF SINGLE USE RADIOLUCENT TROCAR 5MM 可變式安全穿刺套管 ( 穿剌針 1+ 外 

管 1+ 固定式轉接頭 1) 

CONVERTERLESS 5-12MM TROCAR 可變式鈍頭安全穿刺套管 ( 穿刺針 1+ 外管 1+ 可變式轉接頭 1+ 袋口 

結固定器 ) 

VERSAPORT PLUS RPF SINGLE USE RADIOLUCENT TROCAR5/10-12MM 可變式安全穿刺套管 ( 穿剌針 

1+ 外管 1+ 內建可變式轉接頭 1) 

1329 

2233 

1595 

CDD119094FUS AUTO SUTURE VERSAPORT PLUS V2 W/FIXATION CANNULA 5MM ( 穿刺內管 + 外管 + 固定轉接頭 ) 1329 

CDD1197689US 

CDD119776PUS 

VERSAPORT PLUS RT SINGLE USE OBTURATORS(TROCAR) FOR USE WITH VERSAPORT RT 

REUSABLE CANNULAE 5MM( 穿剌針 1+ 外管 1+ 固定式轉接頭 1) 

VERSAPORT PLUS RT SINGLE USE OBTURATORS(TROCAR) FOR USE W/VERSAPORT RT REUSABLE 

CANNULAE 10-12MM( 穿剌針 1+ 外管 1+ 內建可變式轉接頭 1) 

744 

1010 

CDD11BASXCET BASX BLADELESS TROCAR 外套管 + 可變式轉接頭 955 

CDD11BASXTET BASX BLADELESS TROCAR 穿刺器 + 外套管 + 可變式轉接頭 1595 

CDD11XCEL2ET ” 愛惜康 ” 安德派思外科穿刺器雙外管 "ETHICON"ENDOPATH XCEL TROCAR 2658 

CDD11XCELBET ” 愛惜康 ” 安德派思外科穿刺器 "ETHICON"ENDOPATH XCEL TROCAR(BLADELESS) 1595 

CDD11XCELLET ” 愛惜康 ” 安德派思外科穿刺器 "ETHICON"ENDOPATH XCEL TROCAR 1595 

CDD11XCELSET ” 愛惜康 ” 安德派思外科穿刺器 - 外套管 + 固定式頭 "ETHICON" TROCAR SLEEVE(BLADELESS) 955 

CDD11XCELVET ” 愛惜康 ” 安德派思外科穿刺器 - 外套管 + 可變式頭 "ETHICON" TROCAR SLEEVE(BLADELESS) 955 

CDD12MSBT1US ” 優施西 ” 腹腔鏡汽球固定式鈍頭穿刺套管組 3091 

124



CDD12MSXB1US ” 優施西 ” 可視式腹腔鏡汽球撐開式套管 2370 

CDD12PDBS2US " 優施西 " 腹腔鏡汽球撐開式套管 2370 

CDF0101230NZ PUDENZ FLUSHING VALVE 6100 

CDF0121000M4 CSF FLOW CONTROL SHUNTS AND ACCESSORIES V-P-SHUNT RESERVOIR 2870 

CDF0121401CM ACCU-FLO SINGLE LUMEN RESERVOIR 2870 

CDF01T4004BD DISPOSABLE FLOW/FLUSH DEVICE 140 

CDF0200125NZ ON-OFF FLUSHING VALVE 3350 

CDF0200301NZ MISHLER DUAL CHAMBER FLUSHING VALVE WITH INTEGRAL CONNECTORS 3350 

CDF0201100NZ ULTRA VS VALVE SMALL 2870 

CDF0201109NZ ULTRA VS VALVE STANDARD 2870 

CDF0201126NZ ULTRA VS-NEONATE VALVE SYSTEM 2870 

CDF0201195NZ FOLTZ CSF RESERVOIR 2870 

CDF0201270NZ OMMAYA CSF RESERVOIR WITH INTEGRAL CONNECTORS 2870 

CDF0201410NZ PUDENZ FLUSHING VALVE WITH ANTI-SIPHON DEVICE 6500 

CDF0209010NZ NOVUS VALVE STANDARD 2870 

CDF0209810NZ LOW PROFILE VALVE II 2870 

CDF0221411CM ACCU-FLO SINGLE LUMEN RESERVOIR 2870 

CDF0242104PM C.S.F. FLOW CONTROL VALVE STANDARD 6100 

CDF0283026NZ MINI-OMMAYA CSF RESERVOIR 2870 

CDF0301192NZ BRADEN CSF RESERVOIR 3350 

CDF0302512B0 CSF VALVE BURR HOLE 6100 

CDF0302812B0 CSF VALVE BURR HOLE 6100 

CDF0321422CM ACCU-FLO DOUBLE LUMEN RESERVOIR(91/10/01 再重新生效 ,82-1422 刪除 ) 3350 

CDF0325491CM CODMAN HAKIM RIGHT ANGLE VALVES 6100 

CDF0342324PM C.S.F. FLOW CONTROL VALVE CONTOURED 6100 

CDF0342544PM C.S.F. FLOW CONTROL VALVE BURR HOLE 6100 

125



CDF0400200NZ ON-OFF FLUSHING VALVE ANTI-SIPHON DEVICE (WITH 2 PUDENZ STRAIGHT CONNECTORS) 6500 

CDLP106418B0 LUMBAR CATHETER SET( 腦室導管 + 貯水閥 +CONNECTOR+ 腹腔導管 ) 8120 

CDLP107210NZ SPETZLER LUMBAR PERITONEAL SHUNT 8120 

CDLP107420NZ SPETZLER LUMBAR PERITONEAL IN-LINE VALVE 8120 

CDLP144410PM C.S.F. LUMBOPERITONEAL CATHETER SYSTEM 8120 

CDLP146418M4 EDM LUMBER CATHETER 24CM 2100 

CDLP207460NZ SPETZLER L-P LARGE,SMALL FLUSHING RESERVOIR 3305 

CDLP244513PM C.S.F. LUMBOPERITONEAL RESERVOIR 3305 

CDP0104015MV 

CDP0104015SB 

FLEXIMA NASOBILIARY CATH W/GUIDEWIRE(CATH+TRANSFER TUBE+DRAINAGE CANNECTOR 

TUBE+GUIDEWIRE) 

FLEXIMA NASOBILIARY CATHETER (CATH+TRANSFER TUBE+DRAINAGE CONNECTOR 

TUBE+GUIDE WIRE) 

5400 

5400 

CDP010A001CK OASIS ONE ACTION STENT INTRODUCER SYSTEM 2000 

CDP010ACL1CK OASIS PRE-LOADED STENT INTRODUCTION SYSTEM 4500 

CDP0111270CL P.T.C.D SET 矽質膽道膽囊穿刺套 3000 

CDP0111807CL P.T.C.D KIT (ONE STEP) 2000 

CDP011STWNCY PERCUTANEOUS DIRECT ACCESS KIT 2000 

CDP0120702SB ACCUSTICK II PERCUTANEOUS INTRODUCER SYSTEM(NEEDLE+INTRODUCER+GUIDEWIRE*2) 2700 

CDP0120704SB ACCUSTICK II PERCUTANEOUS INTRODUCER SYSTEM(NEEDLE+INTRODUCER+GUIDEWIRE*1) 1750 

CDP012633NC3 ULTRASONICALLY GUIDED ONE-STEP DRAINAGE SET 2000 

CDP0127260SB FLEXIMA BILIARY RO DRAINAGE CATHETERES(ONE STEP)( 含穿刺針組 + 引流管 ) 2000 

CDP0129128MT 

FLEXIMA HYDROPHILIC ALL PURPOSE DRAINAGE CATHETER W/TROCAR(ONE STEP) 6:14FR 

20:25CM 

2000 

CDP0129128SB FLEXIMA DRAINAGE CATHETERS SET W/TROCAR(ONE STEP) 2000 

CDP0129133MT 

FLEXIMA HYDROPHILIC ALL PURPOSE DRAINAGE CATHETER W/TROCAR AND LOCKING 

LOOP(ONE STEP) 6:14FR 25CM 

2000 

CDP0129133SB FLEXIMA DRAINAGE CATHETERS SET W/STIFFING CANNULA .LUER CAP 1400 

CDP0138408AN PIGTAIL CATHETER KIT(CATH+STIFFENING CANNULA+DILATOR+STOPCOCK) 1400 

CDP0145550SB MICROVASIVE RAPID EXCHANGE BILIARY STENT SYSTEM( 含推進導管及導引導管 ) 4500 

CDP0165150PB INTRODUCER SET(NEEDLE+INTRODUCER+GUIDE WIREX2) 2700 

126



CDP0175110PB SKATER DRAINAGE CATHETER 6:16FR 25-35CM 1400 

CDP0175601PB SKATER ONE STEP DRAINAGE CATHETER 6:16FR 20:25CM 2000 

CDP0175651PB SKATER ONE STEP DRAINAGE CATHETER 6:16FR 20:25CM 2000 

CDP01BS001SB AMSTERDAM BILIARY STENT KIT 7,8.5,10,11.5FRX5,7,10,12,15CM( 含推進導管及導引導管 ) 4500 

CDP01BSK12SB AMSTERDAM BILIARY STENT KIT ( 含推進導管 ) 2750 

CDP01BSK1TSB AMSTERDAM BILIARY STENT KIT 10,12FRX5,7,10,12,15CM( 含推進導管及導引導管 ) 4500 

CDP01BTPD2BQ PIGTAIL DRAINAGE CATHETER SET (ONE SETP)7:14FR 19:39CM 含導管及穿刺針 2000 

CDP01BTPDABQ PIGTAIL DRAINAGE CATHETER SET(ONE STEP TYPE)( 含穿刺針組 + 引流管 ) 2000 

CDP01BTPDBBQ PIGTAIL DRAINAGE CATHETER SET(ONE STEP TYPE)( 含穿刺針組 + 引流管 ) 2000 

CDP01BTPDCBQ PIGTAIL DRAINAGE CATHETER SET(ONE STEP)( 含引流管及穿刺針組 ) 2000 

CDP01BTPDDBQ PIGTAIL DRAINAGE CATHETER SET(ONE STEP)( 含引流管及穿刺針組 ) 2000 

CDP01BTPDSBQ 

" 邦拓 " 豬尾巴引流導管組 ( 直接穿刺型 )"BIOTEQ"PIGTAIL DRAINAGE CATHETER SET(ONE STEP 

TYPE) 

2000 

CDP01CHB1NCK COTTON HUIBREGTSE BILIARY STENT SET 4950 

CDP01CL120CK MAC-LOC BILIARY DRAINAGE CATH 12,14F 2000 

CDP01CLB85CK " 曲克 " 經皮引流導管針組 "COOK" DRAINAGE CATHETER NEEDLE SET 6~16FR 2000 

CDP01CLBS1CK ” 曲克 ” 膽道支架暨支架引導組 ”COOK”COTTON-LEUNG BILIARY STENT AND INTRODUCER SET 4500 

CDP01DTVN1CK ” 曲克 ” 經皮引流導管針組 ”COOK” DRAINAGE CATHETER NEEDLE SET 2000 



CDP01E001NCK LIGUORY ENDOSCOPIC NASAL BILIARY DRAINAGE SET 5:7FR 5400 

CDP01EC01NCK LIGUORY ENDOSCOPIC NASAL BILIARY DRAINAGE CATHETER 2500 

CDP01EC02NCK NAGARAJA ENDOSCOPIC NASAL BILIARY DRAINAGE CATHETER 內視鏡經膽道引流管 730 

CDP01GEPD1CK PANCREATIC STENT SET( 含導入導引組 + 支架 ) 4950 

CDP01GPPS1FG " 福萊克斯 " 支架放置套組 "ENDO-FLEX" STENT INTRODUCTION SET GPPS 4500 

CDP01K3076TP P.T.C.D SET 經皮穿肝膽道引流針組 1470 

CDP01L001NCK COTTON LEUNG BILIARY STENT SET 4950 

127



CDP01MD102CK ULTRATHANE MULTIPUEPOSE DRAINAGE CATH 12,14F,25CM,18G 2000 

CDP01MDC85CK ULTRATHANE MULTIPURPOSE DRAINAGE CATH 8.5,10.2F,25CM,18G 2000 

CDP01MP1S1CK "COOK"MICROPUNCTURE INTRODUCER SETS 4F:5F 0.018 英吋 21G 微穿刺引導器組 1750 

CDP01N0DNNBA OPTI-DRAIN MULTI-USE DRAINAGE CATHETER 8-12FR 2000 

CDP01NETWNGT GOODTEC DRAINAGE CATHETER 固特克引流管 530 

CDP01NNUNNBA DRAINAGE CATHETERS AND ACCESSORIES( 含穿刺針組 + 引流管 ) 2000 

CDP01NPAS1CK NEFF PERCUTANEOUS ACCESS SETS 6FR 20CM 0.018 60CM 1750 

CDP01NPAS2CK NEFF PERCUTANEOUS ACCESS SETS 6FR 20CM 0.018 60CM 1750 

CDP01NPAS3CK 

"COOK"NEFF PERCUTANEOUS ACCESS SETS 4.0/7.0 20CM 22/15CM .018 4.0/6.0 20CM 21/15CM:22/15CM 

.018 

1750 

CDP01NPDS1CK NASAL PANCREATIC DRAINAGE SET 5400 

CDP01P001NCK RING BILIARY DULT DRAINAGE CATHETER 800 

CDP01P008NCK P.T.C.D DRANIGE CATHETER 990 

CDP01PAS30BA NAVARRE PERCUTANEOUS ACCESS SET 1750 

CDP01U004NCK RING BILIARY DUCT DRAINAGE SET 4200 

CDP01UC102CK ULTRATHANE UNIVERSAL CURVED DRAINAGE CATH 10.2F,25CM,18G 2000 

CDP01UCD70CK ULTRATHANE UNIVERSAL CURVED DRAINAGE CATH 7,8.5F,25CM,18G 2000 

CDP01UL120CK MAC-LOC ULTRATHANE DRAINAGE CATH 10.2,12F,25CM,18G 2000 

CDP01UL140CK MAC-LOC MULTIPURPOSE DRAINAGE CATHETER 12,14F 25CM,18G 2000 

CDP01ULT01CK 

" 曲克 " 經皮引流導管針組 "COOK" DRAINAGE CATHETER NEEDLE SET(BILIARY DRAINAGE 

CATHETERS) 

2000 

CDP01ULT50CK MAC-LOC ULTRATHANE DRAINAGE CATH 5,6F,25CM,23,20G 2000 

CDP01ULT70CK MAC-LOC ULTRATHANE DRAINAGE CATH 2000 

CDP01ULT85CK MAC-LOC MULTIPURPOSE DRAINAGE CATH 8.5,10F,25CM,18G 2000 

CDP01ZEBD1CK ZIMMON ENDOSCOPIC BILIARY STENT SET 5:7FR(STENT GUIDEWIRE INTRODUCER CATHETER) 4500 

CDP01ZEBD2CK ” 曲克 ” 膽道留置管組 ”COOK”BILIARY STENT SET 4500 

CDP0240110MV 

FLEXIMA NASOBILIARY CATH(NASOBILIRY CATH+NASAL TRANSFER TUBE+DRAINAGE 

CANNECTOR TUBE) 

2200 

CDP0240110SB FLEXIMA NASOBILIARY CATHETER (CATH+TRANSFER TUBE+DRAINAGE CONNECTOR TUBE) 2200 

128



CDP0242010CL P.T.C.D. INTERNAL DRAINAGE TUBE (SILICON) 980 

CDP02A1D16BL BILIARY DRAINAGE CATHETER 45CM 12FR,16FR 900 

CDP02CHB1NCK COTTON HUIBREGTSE BILIARY STENT ONLY 2280 

CDP02LS01NCK COTTON LEUNG BILIANY STENT ONLY 2280 

CDP02PADBSMV PERCUFLEX AMSTERDAM BILIARY STENTS 7:12FR 5:15CM 2200 

CDP02PADBSSB AMSTERDAM BILIARY STENT 2200 

CDP02PEBSTFG " 福萊克斯 " 膽道引流管 "ENDO-FLEX" BILIARY STENT 2200 

CDP02PTFESFG " 福萊克斯 " 膽道引流管 "ENDO-FLEX" PTFE BILIARY STENT 2200 

CDP02SPS11CK " 曲克 " 胰管支架及引導器 "COOK" PANCREATIC STENTS AND INTRODUCERS(STENT ONLY) 2200 

CDP02TTS01CK ST-2 S0EHENDRA TANNENBAUM BILIARY STENT 8.5,10,11.5FR 5:12CM,15CM 2200 

CDP02ZS001CK ZIMMON ENDOSCOPIC BILIARY STENT ONLY 5:7FR 4,7,10CM 2200 

CDP02ZS002CK ” 曲克 ” 膽道支架暨支架引導系統 ”COOK”ZIMMON BILIARY STENTS AND SET(STENT ONLY) 2200 

CDPC101200NZ PUDENZ CARDIAC CATHETER 2320 

CDPC101248NZ RAIMONDI SPRING PERITONEAL CATHETER 2320 

CDPC101375NZ REFLUX CONTROL PERITONEAL CATHETER 2320 

CDPC101390NZ PUDENZ PERITONEAL CATHETER 2320 

CDPC103105B0 PERITONEAL CATHETER 2075 

CDPC121303CM ACCU-FLO BARIUM PISTAL SLIT VALVE PERITONEAL CATHETER 2320 

CDPC123045CM HAKIM PERITONEAL CATHETER 2075 

CDPC143103PM C.S.F CARDIAC/PERITONEAL CATHETER 2075 

CDPC143209M4 CSF FLOW CONTROL SHUNTS AND ACCESSORIES(CARDIAC/PERITONEAL CATHETERS ) 2075 

CDPC19007MM4 

CSF FLOW CONTROL SHUNTS AND ACCESSORIES CSF CARDIAC PERITONEAL CATHETER WITH 

PRESSURE 

2320 

CDSR104111B0 VENTRICULAR RESERVOIR 4710 

CDSR123038M4 " 美敦力 " 腦脊髓液儲液囊 "MEDTRONIC" RESERVOIRS 4710 

CDSR144102PM VENTRICULAR ACCESS DEVICE 18MM,28MM 4710 

CDSR144111PM VENTRICULAR ACCESS DEVICE BURR HOLE 12MM 4710 

129



CDSR244108M4 " 美敦力 " 腦脊髓液儲液囊 "MEDTRONIC"RESERVOIRS(CSF VENTRICULAR RESERVOIR 流液量 2.4ML) 4710 

CDV0121700CM EXTERNAL DRAINAGE COLLECTION KIT 腦室體外引流組 4850 

CDV0121701CM EXTERNAL DRAINAGE SYSTEM(E.D.S.) SET ( 不含 VENTRICULAR SET) 4080 

CDV0121702CM EXTERNAL DRAINAGE SYSTEM(E.D.S.) COLLECTION BAG 600 

CDV0121705CM EXTERNAL DRAINAGE SYSTEM(E.D.S.)VENTRICULAR SET ( 不含 TUBING AND BAG) 2090 

CDV0121720CM EXTERNAL DRAINAGE SYSTEM EDSII (VENTRICULAR CATH+TUBING+BAG) 4850 

CDV0121721CM EXTERNAL DRAINAGE SYSTEM EDSII WITHOUT CATH(TUBING+BAG) 4080 

CDV0121732CM 柯特曼體外引流集液袋 "CODMAN" EDS CSF COLLECTION BAGS 600 

CDV0200FVSPH STANDARD FIFTH VENTRICULAR DRAINAGE SYSTEM 4080 

CDV0201000TP VENTRICULAR DRAINAGE KIT(VENTRICULAR CATH+TUBING+BAG) 4850 

CDV0201101B0 VENTRICULAR CATHETER 1200 

CDV0201228NZ PUDENZ VENTRICULAR CATHETER 1200 

CDV0201229NZ PORTNOY FLANGED VENTRICULAR CATHETER 1200 

CDV0201328NZ NEUROVIEW ENDOSCOPIC VENTRICULAR CATHETER 1200 

CDV0202070TP VENTRICULAR DRAINAGE KIT(VENTRICULAR CATH+TUBING+BAG) 4850 

CDV0202204TP VENTRICULAR DRAINAGE SET(TUBING+BAG) 4080 

CDV0202207TP VENTRICULAR DRAINAGE BAG 600 

CDV0206115B0 EDMS VENTRICULAR CATHETER 20CM W/STYLET 1200 

CDV0206124B0 EDMS DRAINAGE BAG 700ML 600 

CDV0206126B0 EDMS PATIENT CONNECTION LINE ASSEMBLY 162CM 1275 

CDV0206128B0 EXTERNAL DRAINAGE MONITORING SYSTEM 63X11CM 84CM 4080 

CDV0208120HS HERMETIC VENTRICULAR CATHETER WITH TROCAR 2090 

CDV0208220HS HERMETIC VENTRICULAR CATHETER SET 2090 

CDV0208300HS HERMETIC EXTERNAL C.S.F DRAINAGE SYSTEM(VENTRICULAR CATHETER 除外 ) 4080 

CDV0208305HS REPLACEMENT COLLECTION BAG 600 

CDV0208400HS EXTERNAL CSF DRAINAGE SYSTEM 4080 

130



CDV0208560HS REPLACEMENT PATIENT LINE ASSEMBLY 1275 

CDV0208600HS HERMETIC EXTERNAL CSF DRAINAGE SYSTEM 4080 

CDV020FVRSPH CSF DRAINAGE BAG 600 

CDV020FVTSPH PATIENT LINE TUBING SET 1275 

CDV0221731CM CODMAN EXTERNAL DRAINAGE SYSTEM 3 WITHOUT VENTRICULAR CATHETER 4080 

CDV0227579M4 EXACTA WITH PATIENT LINE(TUBING+Y-PORT+ANTI-REFLUX VALVE) 1275 

CDV0246124PM BECKER EDMS DRAINAGE BAG 700ML 600 

CDV0246126PM EDMS PATIENT CONNECTION LINE ASSEMBLY 1275 

CDV0246128PM I.C.P SHUNT BECKER 4080 

CDV0246700M4 EXTERNAL DRAINAGE AND MONITORING SYSTEM 4080 

CDV0246710M4 EXACTA DRAINAGE BAG 600ML 600 

CDV02FVSC1PH VENTRICULAR CATHETER WITH TROCAR 2090 

CDV02ND200TP VENTRICULAR CATH 1200 

CDV030PFV1PH STANDARD FIFTH VENTRICLE SYSTEM ( 含 CATHETER) 腦室引流器 4850 

CDV030SFV1PH STANDARD FIFTH VENTRICULAR SYSTEM KIT(WITH CATHTER) 4850 

CDV0506118B0 

EDMS VENTRICULAR CATHETER 35CM W/STYLET+TROCAR 型號 :06118S 自 94 年 10 月 1 日起生效 ( 文號 

0940021120) 

2090 

CDV0523041CM HAKIM VENTRICULAR CATHETER W/INTRODUCER 2090 

CDV0527703M4 

" 美敦力 " 體外引流及監測用腦室導管 "MEDTRONIC" EXTERNAL DRAINAGE AND MONITORING 

VENTRICULAR 

2090 

CDV0546118PM VENTRICULAR CATHETER WITH TROCAR 2090 

CDVC121201CM ACCU-FLO VENTRICULAR CATHETER 1200 

CDVC141101M4 EXTERNAL DRAINAGE AND MONITORING VENTRICULAR CATHETER 1200 

CDVC141101PM VENTRICULAR CATHETER 1200 

CDVP101103NZ N-LINE VALVE WITH RESERVOIR&CATHETER 9120 

CDVP101113NZ ULTRA VS STANDARD KIT WITH RESERVOIR&CATHETER 9120 

CDVP106101NZ ONE PIECE SHUNT WITH RESERVOIR 9120 

CDVP106401NZ ONE PIECE SHUNTS WITH RESERVOIR 9120 

131



CDVP109610NZ NOVUS STANDARD AND PEDIATRIC SHUNTS 9120 

CDVP109840NZ LPV II SHUNT KIT ( 含 PUDENZ VENTRICULAR CATHETER) 9120 

CDVP123011CM HAKIM PRECISION VALVE PRECHAMBER ONLY W/INTRODUCER 6100 

CDVP128503CM UNI-SHUNT WITH RESERVOIR (CATHETER ONLY) 5100 







CDVP19003AM4 

CDVP19003DM4 

CSF FLOW CONTROL SHUNTS AND ACCESSORIES V-PSHUNT KIT ( 腦室引流管 + 腹腔導管 +CTR 

RESERVOIR+CONX2) 

CSF FLOW CONTROL SHUNTS AND ACCESSORIES V-PSHUNT KIT ( 腦室引流管 + 腹腔導管 +CTR 

RESERVOIR+CONX2) 

9120 

9120 

CDVP19040BPM V-P SHUNT 腦室腹腔分流術導管組 9120 

CDVP19040EPM V-P SHUNT 腦室腹腔分流術導管組 9120 

CDVP323001CM HYDROCEPHALUS SHUNT SYSTEM 9120 

CDVP323006CM VALVE UNIT+PERITONEAL C+VENTRICULAR C+ADAPTER+CONNECTOR+VALVE INTRODUCER 9120 

CDVP323016CM VALVE UNIT+PERITONEAL C+VENTRICULAR C+ADAPTER+CONNECTOR+VALVE INTRODUCER 9120 

CDVP323281CM CODMAN HAKIM RIGHT ANGLE VALVES SYSTEM( 腦室導管 + 腹腔導管 + 定壓引流閥 ) 9120 

CDVP328501CM UNI-SHUNT WITH ENLARGED DOME RESERVOIR 9120 

CDVP346024PM C.S.F UNITIZED SHUNT KIT 9120 

CEE010090NPW EXTENSION TUBE 11.7 

CEE0101040TP ANGIOGRAPHIC TUBE 142PSI 血管造影劑注入延長管 11.7 

CEE010150CLL EXTENSION TUBE 90CM,100CM,120CM,150CM 11.7 



CEE0107100TP ANGIOGRAPHIC TUBE W/3 WAY 142PSI 血管造影劑注入延長管含三路活栓 34.5 

132



CEE0108003P2 EXTENSION TUBE WITH Y 10CM 38 

CEE0108005P2 EXTENSION TUBE WITH SAMPLING PORT 60CM,70CM 11.7 

CEE0108007P2 EXTENSION TUBE WITH SAMPLING PORT 85CM:95CM 11.7 

CEE0108100P2 EXTENSION TUBE WITH T 15CM 28 

CEE0108300P2 IV EXTENSION TUBE 輸液延長管 45CM 11.7 


CEE0108302P2 EXTENSION TUBE 90CM 11.7 



CEE01090ASLL EXTENSION TUBE (W/DOUBLE NEEDLE FREE) 輸液延長管 ( 安全型 ) 134 

CEE010E877SG EXTENSION TUBE MALE-FEMALE LUER LUCK 100CM 11.7 

CEE0125120M8 EXTENSION TUBE 25:120CM 11.7 

CEE0160102BD POSIFLOW LUER LOK 6" EXTENSION SET( 無針式接頭 + 延長管 ) 70 

CEE0172310CN 2 WAY Y CONNECTOR 38 

CEE0180015P2 EXTENSION TUBE WITH 3-WAY 15CM 34.5 

CEE0180019P2 EXTENSION TUBE WITH 3-WAY 192CM 34.5 

CEE01A101NPW EXTENSION TUBE 11.7 

CEE01A110NPW EXTENSION TUBE WITH T 26 

CEE01C1000U2 CLAVE NEEDLELESS CONNECTOR 無針式接頭 60 

CEE01C2000U2 CLAVE NEEDLELESS CONNECTOR EXTENSION SET 無針式延長管 70 

CEE01C4200U2 CLAVE NEEDLELESS PIGGYBACK EXTENSION SET DUAL PORT 無針式雙接頭延長管 134 

CEE01C9190BT CATHETER EXTENSION SET 無針系統導管延長組 70 

CEE01DCTPQUL 

XD2001 CT INJECTOR MISSOURI:PATIENT HOSE AND PUMP HOSE 密蘇里造影劑注射器 : 病人端輸 

液管 ( 含捲型幫浦輸液管 ) 

280 

CEE01E0085SG EXTENSION TUBE 11.7 

CEE01ES107SG EXTENSION TUBE 11.7 

CEE01ET015SG T-CONNECTOR 28 

133



CEE01ET067BB SAFSITE NEEDLE FREE EXTENSION SET 70 

CEE01ET112LL EXTENSION TUBE 11.7 

CEE01ET116BB SAFSITE NEEDLE FREE EXTENSION SET 70 

CEE01ET12CLL EXTENSION TUBE 11.7 

CEE01ET20ULL 2 WAY EXTENSION TUBE 38 

CEE01ET24ULL 4-WAY EXTENSION TUBE 60 

CEE01ET33SBB SAFSITE NEEDLE FREE EXTENSION SET( 二個 NEEDLE FREE) 134 

CEE01ET60SLL SAFETY EXTENSION TUBE 23 

CEE01ETA01NQ T-CONNECTOR(T-IV EXTENSION TUBE) 26 

CEE01ETA03NQ IV EXTENSION TUBE+3 WAY 34.5 

CEE01ETB05NQ Y-CONNECTOR(Y-IV EXTENSION TUBE) 38 

CEE01ETC01NQ IV EXTENSION SET 11.7 

CEE01ETN51SG EXTENSION TUBE W/FREE SITE 無針式接頭 + 延長管 * 70 

CEE01H001NCK CONNECTING TUBE 479 

CEE01H003NCK CONNECTING TUBE WITH DRAINAGE BAG CONNECTOR PCN 連接管 305 

CEE01HPC03CK CONNECTING TUBE BRAIDED POLYETHYLENE 1200PSI 連接管雙層 479 

CEE01LP160MH LOW PRESSURE COUNECTOR TUBE 300PSI( 螺旋連接管 ) 40 

CEE01LRX50TP EXTENSION TUBE 50CM W/3 WAY STOPCOCK 34.5 

CEE01LX1FLTP EXTENSION TUBE INJECTOR TYPE 213PSI 50CM,100CM 造影用延長管 11.7 

CEE01NFEYSLL INFUSION SET+NEEDLE FREE 70 

CEE01P5300BD POSIFLOW IV ACCESS VALVE( 無針式接頭 ) 60 

CEE01Q5100BD Q-SYTE LUER ACCESS SITE( 無針式接頭 ) 50 

CEE01Q5101BD Q-SYTE LUER ACCESS SITE EXTENSION SETS 延長型無針式輸液套接頭 70 

CEE01Q5102BD Q-SYTE LUER ACCESS SITE EXTENSION SETS 延長型無針式輸液套接頭 70 

CEE01R1000BB SAFSITE VALVES AND ACCESSORIES 60 

CEE01SF877SG EXTENSION TUBE SAFETY 15CM:50CM 23 

134



CEE01T1100U2 CLAVE CONNECTOR AND ACCESSORIES DEVICES:NON-DEHP MINIBORE EXT SET T-CONNECTOR 70 

AND BONDED CLAVE CONNECTOR 無針式 T 延長管 

CEE01TC15NLL T-SITE CONNECTOR 26 

CEE01VP003LL EXTENSION TUBE W/3 WAY 34.5 

CEE01VP005LL "LILY"CVP-SACLE SYSTEM:3 WAY W/EXTENSION TUBE 34.5 

CEE01Y0306BD POSIFLOW DUAL Y 34" EXTENSION SET 無針式雙接頭延長管 134 

CEE01Y0506BD POSIFLOW LUER LOK Y EXTENSION SET( 無針式接頭 +Y 型延長管 ) 70 

CEP0106015BS ARTERIAL PRESSURE TUBING 15CM,30CM,60CM 60 

CEP0108314P2 PRESSURE MONITOR LINES 24"-48" 60 

CEP0108317P2 PRESSURE MONITOR LINES 60"-72" 60 

CEP010A01NPW EXTENSION TUBE 800PSI 高壓延長管 114 

CEP011000PTP ANGIOGRAPHIC TUBE W/3 WAY 1000PSI 雙層血管造影劑注入延長管含三路活栓 549 

CEP0111507BB 1200PSI ANGIODYN HIGH PRESSURE TUBINGS PUR( 雙層 ) 479 

CEP0111949BB 1000PSI ANGIODYN HIGH PRESSURE TUBINGS PVC 114 

CEP011200PTP ANGIOGRAPHIC TUBE 1200PSI 雙層血管造影劑注入延長管 479 

CEP0118188BB 1000PSI ANGIODYN HIGH PRESSURE TUBINGS PVC 114 

CEP012100DCD EXTENSION CATHETER 45CM,65CM,100CM (88/8/1 改按條給付 ) 479 

CEP0125701UM HIGH PRESSURE CATHETER CONNECTOR WITH METER FITTING 479 

CEP0136090BS ARTERIAL PRESSURE TUBING 90CM 60 

CEP0142373AB ARTERIAL PRESSURE TUBING 60 




CEP01800PSTP ANGIOGRAPHIC TUBE 800PSI 雙層血管造影劑注入延長管 479 


CEP0190701SB PRESSUREE MONITORING LINE 6":96" 60 

CEP01AL150SD ALGAFLEX CONNECTION LINES 1200PSI(HIGH PRESSURE LINE) 479 

135



CEP01B024NPW HIGH PRESSURE CONNECTING TUBE※ 限連接測壓導管或檢查導管及注射造影劑使用 114 

CEP01ETP01M6 PRESSURE TUBE 500PSI 60 

CEP01ETP19M6 PRESSURE TUBE 800-1000PSI 114 

CEP01HP20EMR HIGH PRESSURE TUBING 20" 1200PSI( 雙層 ) 479 



CEP01HP50EMR HIGH PRESSURE TUBING 500PSI( 雙層 ) 252 

CEP01HPT72BS HIGH PRESSURE TUBING 1000PSI( 雙層 ) 479 

CEP01PT006BD ARTERIAL PRESSURE TUBING 60 




CEP01PT048BD ARTERIAL PRESSURE TUBING( 型號 PT84,PT12M:84M 自 89/04/01 起生效 ) 60 



CEP01PT500H9 PRESSURE TUBING 500PSI 壓力連接管 60 

CEP01PT500SG ARTERIAL PRESSURE TUBING 500PSI 6":72" 60 

CEP01PTH12SG ARTERIAL PRESSURE TUBING 1200PSI 6":72" 114 

CEP01PTHPTH9 PRESSURE TUBING 1200PSI 壓力連接管 ( 雙層 ) 479 

CEP01PTPVCH9 HIGH PRESSURE TUBING PVC 1000PSI 高壓力連接管 114 

CEP01SHPCTCK HIGH PRESSURE POLYURETHANE CONNECTING TUBE(SHPCT)75:125CM 1200PSI PU 雙層 479 

CET0105180BB T-CONNECTOR 15CM 28 

CET01B024NPW EXTENSION TUBE 11.7 

CET01B032NPW EXTENSION TUBE W/T 28 

CEV010KMS1TR PTMV( 經皮穿靜脈氣球導管二尖瓣成形術 )METAL TUBE 3615 

CFD0100471AB 

FLEXIFLO ENTERAL FEEDING TUBE 8F( 含 STYLE、金屬頭 )※ 限 G-I 手術後併 G-I TRACT 溢漏或吻合頇 

NPO 者 

450 

136



CFD0100475AB FLEXIFLO ENTERAL FEEDING TUBE 10FR,12FR 450 

CFD0120936CU 

CFD0120943CU 

CORFLO ENTERAL FEEDING TUBE 36" 6FR;8FR;10FR( 含 STYLE)※ 限 G-I 手術後併 G-I TRACT 溢漏或吻 

合頇 NPO 者 

CORFLO ENTERAL FEEDING TUBE 43" 8FR;10FR;12FR( 含 STYLE)※ 限 G-I 手術後併 G-I TRACT 溢漏或吻 

合頇 NPO 者 

450 

450 

CFD0280845SH KANGAROO ENTERNAL FEEDING TUBE 8,10,12FR 附導線 450 

CFD060640NLZ 

CFD060644NLZ 

PEG KIT( 全套 ) 經皮內視鏡胃造廔組 (PEG TUBE,RETRIEVAL SNARE,ADAPTER,RING,INTRODUCER 

NEEDLE,WIRE,TUBING CLAMP) 

PEG KIT( 半套 ) 經皮內視鏡胃造廔組 (PEG TUBE,ADAPTER,EXTERNAL RETENTION 

RING,INTRODUCER NEEDLE,WIRE,TUBING CLAMP) 

5600 

4200 

CFD0612LVNLZ GASTROSTOMY TUBE BALLOON FEEDING TUBE 胃造口術器材配件 /BALLOON 型替換管 1620 

CFD068000NCL GASTROSTOMY TUBE BALLOON FEEDING TUBE 胃造口術器材配件 /BALLOON 型替換管 1620 

CFD06PASS1CK 

GASTROSTOMY DEVICES/ACCESSORIES LOW PROFILE FEEDING TUBE 胃造口術器材配件 / 低板胃造 

口術替換套組 ( 鈕釦型替換管 ) 

4950 

CFD06PCK01CK GASTROSTOMY DEVICES/ACCESSORIES PATIENT CARE KIT 護理套組 1632 

CGDW10113NAN STAINLESS GUIDE WIRE 0.025~0.035" 125~150CM 360 

CGDW10117NAN STAINLESS GUIDE WIRE 0.025~0.045" 40~100CM 140 

CGDW101228CD MINI GUIDE WIRE 140 

CGDW10220NAN GUIDE WIRE 80CM:150CM 0.018":0.038" 泌尿科使用 350 

CGDW10222NAN STAINLESS PTFE-COATED GUIDE WIRE 0.018~0.038" 80~100CM 320 

CGDW10225NAN GUIDE WIRE 200CM:260CM 0.018":0.038"( 型號 0300,0302-0060) 泌尿科使用 460 

CGDW10227NAN STAINLESS GUIDE WIRE PTFE-COATED 0.018~0.038"125CM 350 

CGDW10227WAN STAINLESS GUIDE WIRE PTFE-COATED 0.018~0.038"175~200CM 350 

CGDW10228NAN STAINLESS GUIDE WIRE PTFE-COATED 0.018~0.038"150CM 350 

CGDW10229NAN STAINLESS GUIDE WIRE PTFE-COATED 0.018~0.038" 220CM 460 

CGDW10233NAN STAINLESS GUIDE WIRE PTFE-COATED 0.018~0.038" 260~500CM 460 

CGDW10252NCD EMERALD GUIDE WIRE FIXED-CORE STRAIGHT TIP 0.025" :0.038" 125:175CM 350 

CGDW10253NCD EMERALD GUIDE WIRE FIXED-CORE STRAIGHT TIP 0.025":0.038" 125:175CM 350 

CGDW10254NCD EMERALD GUIDE WIRE FIXED-CORE STRAIGHT TIP 0.025":0.038" 125:175CM 350 

CGDW102555CD EMERALD GUIDE WIRE FIXED-CORE STRAIGHT TIP 0.035" 260CM 460 


137




CGDW102571CD EMRALD GUIDE WIRE MOVABLE-CORE J CURVE 0.035" 150CM 350 

CGDW102580CD EMERALD GUIDE WIRE MOVABLE-CORE STRAIGHT TIP 0.038" 150CM 350 

CGDW102586CD EMERALD GUIDE WIRE FIXED-CORE J CURVE 0.038" 150CM 350 

CGDW102587CD EMERALD GUIDE WIRE FIXED-CORE J CURVE 0.035" 150CM 350 

CGDW10430NAN STAINLESS GUIDE WIRE PTFE-COATED 0.018~0.038" 150CM 350 

CGDW104435AR "ARROW"SPRING GUIDE WIRE 0.035" 60CM" 亞諾 ” 導引線 140 

CGDW10541NAN NITINOL GUIDE WIRE 0.021~0.035" 145~200CM 770 

CGDW10542NAN NITINOL GUIDE WIRE STIFF SHAFF 0.035" 145CM 820 

CGDW10620NMV GUIDE WIRE(0.035" 0.038" 150CM) 350 

CGDW108005ST " 聖猷達 " 海卓史蒂爾導引線 "ST.JUDE"HYDROSTEER GUIDEWIRE 0.035:0.038" 150CM,180CM( 鎳合金 ) 770 

CGDW108011ST " 聖猷達 " 海卓史蒂爾導引線 "ST.JUDE"HYDROSTEER GUIDEWIRE0.035:0.038" 260CM( 鎳合金 ) 1390 

CGDW10PNGWMW GUIDE WIRE 140 

CGDW111011PB WORKER GUIDE WIRE〈100CM STRAIGHT 320 

CGDW111012PB WORKER GUIDE WIRE 100-200CM STRAIGHT( 型號 114035120,113935150,112035150 自 92/7/1 生效 ) 350 

CGDW111013PB WORKER GUIDE WIRE 200-300CM STRAIGHT( 型號 112035260 自 92/7/1 生效 ) 460 

CGDW111051PB WORKER GUIDE WIRE〈100CM CURVE 320 

CGDW111052PB WORKER GUIDE WIRE 100-200CM CURVE( 型號 113735,110518-150 自 92/7/1 生效 ) 350 

CGDW111053PB WORKER GUIDE WIRE 200-300CM CURVE 460 

CGDW111080C3 GUIDE WIRE 80CM 320 

CGDW111400PB AMPLATZ GUIDE WIRE EXTRA STIFF 0.035" 90CM 830 

CGDW111420PB AMPLATZ GUIDE WIRE EXTRA STIFF 0.035" 150CM 890 

CGDW112511PB CANALIZER GUIDE WIRE 0.035" 150CM,180CM 770 

CGDW112512PB CANALIZER GUIDE WIRE 0.035" 260CM 1390 

CGDW112901PB CANALIZER GUIDE WIRE STIFF 0.035" 150CM,180CM 820 

CGDW112902PB CANALIZER GUIDE WIRE STIFF 0.035" 260CM 1390 

138



CGDW114735AR "ARROW”SPRING WIRE GUIDE 0.035” X 68CM“ 亞諾 ” 導引線 140 

CGDW116402AR "ARROW" SPRING GUIDE WIRE 0.018" 68CM (DUOFKEX)" 亞諾 ” 導引線 140 

CGDW135153WT WATSON GUIDE WIRE STAINLESS WITH PTFE 150CM 0.021:0.038" 350 

CGDW135206AG SPRING GUIDE WIRE 0.025",0.035",0.038" 40:65CM FIXED CORE STRAIGHT 140 

CGDW135225AG GUIDE WIRE 0.021,0.025,0.032" 150CM TF/FC/ST 350 

CGDW135231AG GUIDE WIRE 0.035" 150CM STRAIGHT 350 

CGDW135234AG GUIDE WIRE 0.038" 150CM STRAIGHT 350 

CGDW135263WT WATSON GUIDE WIRE STAINLESS WITH PTFE 260CM 0.025:0.038" 460 

CGDW135282AG GUIDE WIRE J-TIP 0.035" 150CM 3MM 350 

CGDW135284AG SPRINGE GUIDE WIRE 150CM 360 

CGDW135368AG GUIDE WIRE 0.032" 260CM 460 

CGDW135369AG GUIDE WIRE EXTENSIVE 0.035" 260CM 460 

CGDW135415AG SPRING GUIDE WIRE 0.025",0.032",0.035",0.038" 50,65CM FIXED CORE,3MMJ STRAIGHT 140 

CGDW135451AG SPRING GUIDE WIRE 0.018",0.021" 25:80CM FIXED CORE STRAIGHT 140 

CGDW135454AG SPRING GUIDE WIRE 0.018",0.021",0.025" 40,50CM FIXED CORE,3MMJ 140 


CGDW135470AG GUIDE WIRE 0.018" 150CM TF/FC/1.5MMJ 350 

CGDW135522AG GUIDE WIRE 0.018:0.038" 260CM TF/ST 460 

CGDW135523AG GUIDE WIRE 0.018:0.038" 125CM,150CM TF/FC/3MMJ 350 




CGDW135703AG GUIDE WIRE 0.035" 200CM EXCHANGE TF/ST 460 

CGDW135711AG GUIDE WIRE 75CM 140 

CGDW135730AG SPRING GUIDE WIRE 0.018",0.021",0.025",50CM FIXED CORE,6MMJ STRAIGHT 140 

CGDW135787AG GUIDE WIRE J-TIP 0.035" 150CM 1.5MM 350 

139



CGDW135798AG SPRING GUIDE WIRE 0.035",0.038" 70,80CM FIXED CORE,3MMJ 140 

CGDW135817AG GUIDE WIRE 0.038" 200CM TF/3MMJ 460 

CGDW135839AG GUIDE WIRE 0.032,0.035,0.038" 260CM TF/3MMJ 460 



CGDW135968AG SPRING GUIDE WIRE 0.028",0.032",0.035" 40,50CM FIXED CORE,3MMJ 140 


CGDW14652NMT AMPLATZ SUPER STIFF GUIDE WIRE 890 

CGDW14652NSB AMPLATZ SUPER STIFF GUIDEWIRE 145CM,180CM 890 

CGDW14656NSB AMPLATZ SUPER STIFF GUIDEWIRE 75CM 830 

CGDW1465AMSB AMPLATZ SUPER STIFF GUIDEWIRE 0.035/0.038X260CM 950 

CGDW147382BS TEFLON GUIDEWIRE 0.035" 260CM 460 

CGDW149101SB STARTER GUIDE WIRE FIXED CORE STR TIP 3.5CM FIEXIBLE TIP 0.032-0.035,100-150CM 350 

CGDW149110SB STARTER GUIDE WIRE MOVEABLE CORE STR TIP & J-CURVE TIP 0.035:0.038 150CM 350 

CGDW149115SB STARTER GUIDE WIRE FIXED CORE J-CURVE 3.5CM FIEXIBLE TIP 0.025:0.038 120-180CM 350 

CGDW14914NSB STARTER GUIDE WIRE NEW BENSON TYPE 0.035 150:180CM 350 

CGDW149150SB STARTER GUIDE WIRE NEWTON & NEWTON(LLT)TYPE 0.035 150CM 350 

CGDW149155SB STARTER GUIDE WIRE ROSEN HEAVY DUTY TYPE 0.035 180CM 350 

CGDW149200LR STARTER GUIDEWIRE 0.018":0.038" 100:180CM( 產品型號含 M001492351:81;2501:11) 350 

CGDW149200SB STARTER GUIDE WIRE FIXED CORE STR TIP 3.5CM FIEXIBLE TIP 0.018:0.032,100-150CM 350 

CGDW149201LR STARTER GUIDEWIRE 0.025":0.035" 40CM,80CM 320 

CGDW149201SB STARTER GUIDE WIRE FIXED CORE STR TIP 3.5CM FIEXIBLE TIP 0.025:0.035,40,80CM 320 

CGDW149212SB STARTER GUIDE WIRE FIXED CORE STR TIP 3.5CM FIEXIBLE TIP 0.035:0.038,100-180CM 350 

CGDW149213LR STARTER GUIDEWIRE 0.035";0.038" 260CM 460 

CGDW149213SB STARTER GUIDE WIRE FIXED CORE STR & 3CM J SHAPE 3.5CM FLEXIBLE TIP 0.035,0.038 260CM 460 

CGDW149220SB STARTER GUIDE WIRE DOUBLE END STR TIP& J CURVE TIP 0.035 150CM 350 

140



CGDW149221SB STARTER GUIDE WIRE FIXED CORE J-CURVE 3.5CM FIEXIBLE TIP 0.035,0.038 100-180CM 350 

CGDW149222SB STARTER GUIDE WIRE FIXED CORE J-CURVE 3.5CM FIEXIBLE TIP 0.035 40,80CM 320 

CGDW149250SB STARTER GUIDE WIRE HEAVY DUTY TYPE 0.035 150CM 350 

CGDW15024NCD GUIDE WIRE TEFLON 0.035";0.038" 260CM 460 

CGDW15025NCD GUIDE WIRE TEFLON 0.021";0.038" 150CM;175CM 350 

CGDW150270CD GUIDE WIRE TEFLON 0.035" 80CM 320 

CGDW15027NCD GUIDE WIRE TEFLON 0.035";0.038" 150;180CM 350 

CGDW15027XCD GUIDE WIRE TEFLON 0.035";0.038" 260CM 460 

CGDW154001KD GUIDEWIRE STAINLESS STEEL STRAIGHT 0.038" 70CM 140 

CGDW15410NAN NITINOL GUIDE WIRE 0.021~0.035" 220~400CM 1390 

CGDW163541CK TEFLON WIRE GUIDE STRAIGHT 60:145CM 0.028:0.038 350 

CGDW163845CK AMPLATZ STIFF WIRE GUIDE 145cm 890 

CGDW172600PB NITINOL GUIDE WIRE 0.018" 80CM 710 

CGDW196001KD J/STRAIGHT STAINLESS STEEL GUIDE WIRE 0.035" 0.038" 70CM 140 

CGDW1A3513TM RADIFOCUS GUIDE WIRE 0.025":0.038" 150CM ANGLED TIP 770 

CGDW1A3515TM RADIOFOCUS GUIDE WIRE 0.025",0.035" 150CM (ANGLE) 770 

CGDW1A3518TM RADIFOCUS GUIDE WIRE 0.032":0.038" 150CM FLEXIBLE TIP 770 

CGDW1A3530TM RADIOFOCUS GUIDE WIRE 0.035" 300CM 1390 

CGDW1AMP15BS AMPLATZ EXTRA STIFF GUIDE WIRE 0.035"X150CM 890 

CGDW1AMP26BS AMPLATZ EXTRA STIFF GUIDE WIRE 0.035"X260CM 950 

CGDW1APGW1H9 ANGIO PACK:GUIDE WIRE 0.035" 150CM PTFE 350 

CGDW1APGW2H9 ANGIO PACK:GUIDE WIRE 0.035" 260CM PTFE 460 

CGDW1F3J10AS TEFLON GUIDE WIRE 0.018:0.038" 120CM:150CM 350 

CGDW1F3J80AS TEFLON GUIDE WIRE 0.018:0.038" 80CM 320 

CGDW1FS3JFAS TEFLON GUIDE WIRE 0.018:0.038" 260:300CM 460 

CGDW1G002ACK GUIDE WIRE STRAIGHT 50CM,80CM 320 

141



CGDW1G002NCK GUIDE WIRE STRAIGHT (100,125,145CM) 350 

CGDW1G003ACK GUIDE WIRE AMPLATZ EXTRA-STIFF 145CM,180CM 890 

CGDW1G003NCK GUIDE WIRE AMPLATZ EXTRA-STIFF 950 

CGDW1G004NCK GUIDE WIRE COONS INTERVENTIONAL 350 

CGDW1G005NCK TIP DEFLECTING GUIDE WIRE 950 

CGDW1G006ACK GUIDE WIRE CURVED 50CM, 80CM 320 

CGDW1G006NCK GUIDE WIRE CURVED 50:145CM(100,125,145CM) 350 

CGDW1G007ACK GUIDE WIRE CURVED 180CM 350 

CGDW1G007NCK GUIDE WIRE CURVED 180:260CM(260CM) 460 

CGDW1G008ACK GUIDE WIRE CURVED 50CM, 80CM 320 

CGDW1G008NCK GUIDE WIRE CURVED 50:145CM(100,125,145CM) 350 

CGDW1G009ACK GUIDE WIRE CURVED 80CM 320 

CGDW1G009NCK GUIDE WIRE CURVED (100,125,145CM) 350 

CGDW1G011ACK TSF GUIDE WIRE STRAIGHT 50CM, 80CM 320 

CGDW1G011NCK TSF GUIDE WIRE STRAIGHT 50:145CM(100,125,145CM) 350 

CGDW1G012NCK GUIDE WIRE STRAIGHT 260CM 460 

CGDW1G013NCK SOS INTERVENTIONAL GUIDE WIRE 145CM 1100 

CGDW1G016ACK GUIDE WIRE STRAIGHT 50CM,80CM 320 

CGDW1G016NCK GUIDE WIRE STRAIGHT 50:145CM(100,125,145CM) 350 

CGDW1G017NCK GUIDE WIRE TEFCOR MOVABLE CURVED 350 

CGDW1G018NCK GUIDE WIRE LUNDERQUIST EXCHANGE 120CM 910 

CGDW1GAGSNTM RADIFOCUS GUIDEWIRE(SHAPEABLE TYPE ANGLE,STRAIGHT)0.018":0.038"120:150CM 770 

CGDW1GKGLNTM RADIFOCUS GUIDEWIRE(SHAPEABLE TYPE ANGLE,STRAIGHT)0.018":0.038"120:180CM 770 

CGDW1GW001G6 AGA' AMPLATZER GUIDE WIRE (PDA OCCLUDER 用 ) 1600 

CGDW1HAHSNTM RADIFOCUS GUIDEWIRE HALFSTIFF(SHAPEABLE TYPE ANGLE,STRAIGHT)0.018":0.038"120:180CM 820 

CGDW1HS1N2BS TEFLON GUIDE WIRE 0.028:0.038"120CM,150CM 350 

142



CGDW1HS1N3BS TEFLON GUIDE WIRE 0.018:0.025" 50CM,80CM 320 

CGDW1HS1N4BS TEFLON GUIDE WIRE 0.028:0.032" 260CM 460 

CGDW1HSF01CK LUNDERQUIST RING TORQUE GUIDE WIRE 變換金屬導線 910 

CGDW1HW001CK HYDROPHILIC WIRE GUIDES 150CM,180CM 0.025" 0.035" 0.038" 770 

CGDW1HW018CK HYDROPHILIC WIRE GUIDES 180CM 0.018" 3000 

CGDW1HWA01CK HYDROPHILIC WIRE GUIDES 150CM,180CM 0.025" 0.035" 0.038" 770 

CGDW1HWA02CK HYDROPHILIC WIRE GUIDES 260CM 0.025" 0.035" 0.038" 1390 

CGDW1HWA18CK HYDROPHILIC WIRE GUIDES 150CM 180CM 0.018" 3000 

CGDW1HWA28CK HYDROPHILIC WIRE GUIDES 260CM 0.018" 3000 

CGDW1HWAS1CK HYDROPHILIC WIRE GUIDES EXTRA SUPPORT(STIFF SHAFT)150CM 180CM 0.035" 0.038" 820 

CGDW1HWAS2CK HYDROPHILIC WIRE GUIDES 260CM 0.035" 0.038" 1390 

CGDW1HWS01CK HYDROPHILIC WIRE GUIDES EXTRA SUPPORT(STIFF SHAFT)150CM 180CM 0.035" 0.038" 820 

CGDW1LC181TM RADIFOCUS GUIDE WIRE M 0.018"~0.038"120CM,150CM,180CM 770 

CGDW1LC182TM RADIFOCUS GUIDE WIRE M STIFF WIRE 0.025"~0.038" 150CM,180CM 820 

CGDW1LC183TM RADIFOCUS GUIDE WIRE M STIFF WIRE 0.018" 180CM 820 

CGDW1LC18NTM RADIFOCUS GUIDE WIRE M 0.018"~0.038" 120CM,150CM,180CM 770 

CGDW1LC301TM RADIFOCUS GUIDE WIRE M STIFF WIRE 0.018"~0.038" 220CM,260CM,300CM 1390 

CGDW1LC303TM RADIFOCUS GUIDE WIRE M STIFF WIRE 0.025",0.035" 260CM,300CM 1390 

CGDW1LC30NTM RADIFOCUS GUIDE WIRE M 0.018"~0.038" 220CM,260CM,300CM 1390 

CGDW1LUN15BS LUNDER GUIDE WIRE 0.035"X150CM 910 

CGDW1MSU70MW GUIDE WIRE 股靜脈、鎖骨下靜脈導管 140 

CGDW1N405HST GUIDERIGHT GUIDEWIRE HEPARIN COATED FIXED CORE 0.035",0.038" 150CM;180CM 350 

CGDW1N4568ST " 聖猶達 " 蓋瑞特導引線 "ST.JUDE " GUIDERIGHT GUIDEWIRE 150CM 350 


CGDW1N458NST GUIDERIGHT GUIDEWIRE SUPER STIFF FIXED CODE 0.032",0.038" 180CM 890 

CGDW1N4610ST " 聖猶達 " 蓋瑞特導引線 "ST.JUDE " GUIDERIGHT GUIDEWIRE 150CM 180CM 350 

143









CGDW1NT015BS GUIDE WIRE 0.038"X150CM(NITINOL) 770 

CGDW1NT026BS GUIDE WIRE 0.038"X260CM(NITINOL) 1390 

CGDW1PA353TM RADIFOCUS GUIDE WIRE 0.035":0.038" 150CM ANGLED TIP STIFF TYPE 820 

CGDW1PMG01CK COPE NITINOL MANDRIL WIRE GUIDE(PLATINUM TIP)0.018" 25-200CM 加蓋軸心鎳鉻合金導線 1800 

CGDW1R402NST GUIDERIGHT GUIDEWIRE HEPARIN COATED MOVABLE CORE 0.035",0.038" 150CM 350 

CGDW1R455NST GUIDERIGHT GUIDEWIRE INTRODUCER 0.021",0.025",0.032",0.035",0.038 50CM,80CM 320 

CGDW1R45DDST GUIDERIGHT GUIDEWIRE DOUBLE DISTAL FIXED CORE 0.035",0.038" 150CM,180CM 350 

CGDW1R45J2ST GUIDERIGHT GUIDEWIRE J TIP FIXED CORE 0.32",0.35",0.038" 260CM 460 

CGDW1R45NNST GUIDERIGHT GUIDEWIRE J TIP FIXED CORE 0.21",0.25",0.30",0.32",0.35",0.038,0.65" 150CM,180CM 350 

CGDW1R4876ST GUIDERIGHT GUIDEWIRE SUPER STIFF FIXED CODE 0.038" 260CM 950 

CGDW1R48NNST GUIDERIGHT GUIDEWIRE STRAIGHT FIXED CORE 0.021",0.025",0.032",0.035",0.038" 150CM 350 

CGDW1R48SFST GUIDERIGHT GUIDEWIRE STRAIGHT FIXED CORE 0.035",0.038" 260CM 460 

CGDW1R4946ST GUIDERIGHT GUIDEWIRE J TIP MOVABLE CORE 0.035",0.038" 150CM 350 

CGDW1R4950ST GUIDERIGHT GUIDEWIRE STRAIGHT MOVABLE CORE 0.035",0.038" 150CM 350 

CGDW1R5018ST GUIDERIGHT GUIDEWIRE HEPARIN COATED FIXATED CORE 0.035" 260CM 460 

CGDW1RFPC1CK ROADRUNNER GUIDE WIRE 0.035",0.038" 145CM,180CM/TIP 7CM 770 

CGDW1RFPC2CK ROADRUNNER GUIDE WIRE 0.035",0.038" 260CM/TIP 7CM 1390 

CGDW1RFSP1CK ROADRUNNER WIRE GUIDE 0.035",0.038" 145CM,180CM 770 

CGDW1RFSP2CK ROADRUNNER WIRE GUIDE 0.035",0.038" 260CM 1390 

CGDW1RLPC1CK ROADRUNNER GUIDE WIRE 0.035",0.038" 145CM,180CM/TIP 16CM 770 

144



CGDW1RLPC2CK ROADRUNNER GUIDE WIRE 0.035",0.038" 260CM/TIP 16CM 1390 

CGDW1RPC1XCK ROADRUNNER GUIDE WIRE 0.035",0.038" 145CM,180CM/TIP 8CM 770 

CGDW1RPC2XCK ROADRUNNER GUIDE WIRE 0.035",0.038" 260CM/TIP 8CM 1390 

CGDW1S3515TM RADIOFOCUS GUIDE WIRE 0.035" 150CM (STRAIGHT) 770 

CGDW1S3530TM RADIOFOCUS GUIDE WIRE 0.035" 300CM 1390 

CGDW1SFA35C3 GUIDE WIRE 0.035" 150CM 350 

CGDW1SFA38C3 GUIDE WIRE 0.038" 150CM 350 

CGDW1SUPERG6 AGA' AMPLATZER GUIDE WIRE (ASD OCCLUDER 用 ) 1600 

CGDW1THSF1CK GUIDE WIRE STAINLESS STEEL TFE COATING 0.035";0.038" 260CM 460 

CGDW1TSM01CK 

MOVABLE CORE STRAIGHT SAFELY GUIDE WIRE 安全導線 100,145CM(90/10/1 產品型號 TSM-32:38-80 

另編代碼 ) 

350 

CGDW1TSM0ACK MOVABLE CORE STRAIGHT SAFETY GUIDE WIRE 80CM 320 

CGDW1UJAJNAS ASAHI UNIQUAL ANGIOGRAPHIC GUIDE WIRE 0.025":0.038" 150CM:200CM 770 

CGDW1UJBESAS ASAHI UNIQUAL ANGIOGRAPHIC GUIDE WIRE 0.025":0.038" 220CM:300CM 1390 

CGDW1USAJNAS ASAHI UNIQUAL ANGIOGRAPHIC GUIDE WIRE 0.025":0.038" 150CM:200CM 770 

CGDW1USBESAS ASAHI UNIQUAL ANGIOGRAPHIC GUIDE WIRE 0.025":0.038" 220CM:300CM 1390 

CGDW1Z1P26SB ZIPWIRE HYDROPHILIC GUIDE WIRE STIFF/STANDARD 0.025",0.035",0.038" 260CM 利博親水性導線 1390 

CGDW1ZSD58SB ZIPWIRE HYDROPHILIC GUIDE WIRE 0.025",0.035",0.038" 150CM,180CM 利博親水性導線 770 

CGDW1ZSF58SB ZIPWIRE HYDROPHILIC GUIDE WIRE STIFF 0.025",0.035",0.038" 150CM,180CM 利博親水性導線 820 

CGDW1ZSF80SB ZIPWIRE HYDROPHILIC GUIDE WIRE STIFF 0.035",0.038" 80CM 利博親水性導線 820 

CGPG11001NAC VIKING CORONARY GUIDING CATHETER 6:10FR※ 自 92.7.1 改按條支付 2048 

CGPG11006NAC VIKING CORONARY GUIDING CATHETER* 自 92.7.1 改按條支付 2048 

CGPG110264SB MACH 1 PERIPHERAL GUIDING CATHETER 6:8F 55,90CM 2048 

CGPG134356SB MACH 1 GUIDE CATHETER 5:8FR 100CM ( 型號 H74935845-010:6970)※ 自 92.7.1 改按條支付 2048 

CGPG138969SB RUNWAY GUIDE CATHETER 6FR 2048 

CGPG1416TBRB LUMINA GUIDING CATHETER 2048 


145





CGPG151038ZF 

QUICK-CROSS SUPPORT2 CATHETERS ( 含 3 個探頭 )0.014" 135CM 150MM 0.018" 90CM 0.035"150CM 

65MM 3FR 3.4FR 4.8FR 

9165 

CGPG15565FCD VISTABRITETIP GUIDING CATHETERS 5F 0.056(ALL CURVE STYLE)* 自 92.7.1 改按條支付 2048 

CGPG1564XNCD VISTABRITETIP GUIDING CATHETER 6FR 0.064"※ 自 92.7.1 改按條支付 2048 

CGPG1574XNCD VISTABRITETIP GUIDING CATHETER 7FR 0.074",0.078"※ 自 92.7.1 改按條支付 2048 

CGPG1586XNCD VISTABRITETIP GUIDING CATHETER 8FR 0.086",0.088"※ 自 92.7.1 改按條支付 2048 

CGPG158882CD VISTA BRITE TIP GUIDING CATHETER 8FR 0.088 * 自 92.7.1 改按條支付 ( 型號 5888200:2 自 92/7/1 生效 ) 2048 

CGPG15888FCD PERIPHERAL GUIDING CATHETER 8FR 0.088※ 自 92.7.1 改按條支付 2048 

CGPG159892CD VISTA BRITE TIP GUIDING CATHETER 9FR 0.098 * 自 92.7.1 改按條支付 ( 型號 5989200:2 自 92/7/1 生效 ) 2048 

CGPG15989FCD PERIPHERAL GUIDING CATHETER 9FR 0.098※ 自 92.7.1 改按條支付 2048 

CGPG16206NCD ENVOY GUIDING CATHETER 6FR 0.062" 90CM,100CM※ 自 92.7.1 改按條支付 2048 

CGPG16676FCD VISTABRITEIP GUIDING CATHETER 6FR 0.67(ALL CURVE STYLE)※ 自 92.7.1 改按條支付 2048 

CGPG16706FCD VISTA BRITE TIP GUIDING CATHETER 6FR 0.70※( 自 92/7/1 改按條支付 ) 2048 

CGPG17787FCD VISTABRITETIP GUIDING CATHETERS 7F 0.078(ALL CURVE STYLE)* 自 92.7.1 改按條支付 2048 

CGPG1EGA8NCY GUIDING CATHETER 8FR 100CM TYPE:JR,JL,AR,AL,HS,SC 自 92.7.1 改按條支付 2048 

CGPG1GC406RB SAFFRON 6FR GUIDING CATHETER 2048 



CGPG1GCF60TM HEARTRAIL PTCA GUIDING CATHETER 5:8FR 100CM 哈得睿兒導引導管 2048 

CGPG1GCF70TM HEARTRAIL PTCA GUIDING CATHETER 5:8FR 100CM 哈得睿兒導引導管 2048 

CGPG1GCF90TM HEARTRAIL II PTCA GUIDING CATHETER 哈得睿兒導引導管第二代 2048 

CGPG1GCH60TM HEARTRAIL PTCA GUIDING CATHETER STANDARD TYPE 5:8FR 2048 

CGPG1JLRAPAS G-STAGE PTCA GUIDING CATHETER 2048 

CGPG1KMF4AKE CRUSADE CORONARY ANGIOPLASTY CATHETER 2 LUMEN 140CM 3.2FR( 冠狀動脈成型術探測導管 ) 9165 

CGPG1LA006M4 LAUNCHER GUIDE CATHETER 6FR 2048 

146









CGPG1MSC57VS MINNIE SUPPORT CATHETER( 含 3 個探頭 ) 9165 

CGPG1PBSACAS G-STAGE PTCA GUIDING CATHETER 2048 

CGPG1SELE2M4 " 美敦力 " 艾坦賽勒傳送導管系統 "MEDTRONIC"ATTAIN SELECT II DELIVERY CATHETER SYSTEM 2048 

CGPG1SHA01M4 SHERPA NX ACTIVE GUIDE CATHETERS 5:6F 2048 



CGPG1SHB01M4 SHERPA NX BALANCED GUIDE CATHETERS 6:8F 2048 



CGPG1SW510VS SKYWAY SUPPORT CATHETER 0.014" 138CM( 多功能 ) 9165 

CGPG1Z2007M4 Z2 CORONARY GUIDING CATHETER 7FR,8FR※ 自 92.7.1 改按條支付 2048 

CGPG1Z27PUM4 Z2 GUIDING CATHETER 2048 

CGPG1Z28PUM4 Z2 GUIDING CATHETER 2048 

CGPW10462HAB HI-TORQUE BALANCE HEAVY WEIGHT GUIDE WIRE PTFE SUPPORT 0.014" 190CM 3200 

CGPW10463HAB HI-TORQUE BALANCE HEAVY WEIGHT GUIDE WIRE PTFE SUPPORT 0.014" 300CM 3000 

CGPW108001ST " 聖猷達 " 海卓史蒂爾導引線 "ST.JUDE"HYDROSTEER GUIDEWIRE 0.018" 150CM,180CM( 鎳合金 ) 2870 

CGPW10S0L1RS REGATTA STEERABLE GUIDEWIRE 0.014" 195CM(COATING MICRO RIDGE) 3200 

CGPW11048NAB HI-TORQUE PILOT 150 200 GUIDE WIRE 0.014" 300CM 3000 

CGPW112154SB CHOICE GUIDE WIRE 0.014" 300CM 3430 

CGPW112160SB CHOICE GUIDE WIRE 0.014" 182CM 2870 

147



CGPW114901SB PT GRAPHIX GUIDE WIRE 0.014" 182CM 2870 

CGPW114913SB PT GRAPHIX GUIDE WIRE 0.014" 300CM 3430 

CGPW11740NAB HI-TORQUE SUPER SUPPORT PTCA GUIDE WIRE 0.014" 190CM 3200 

CGPW11741NAB HI-TORQUE ALL STAR PTCA GUIDE WIRE 0.014" 300CM 3000 

CGPW11780NAB HI-TORQUE GUIDE WIRE EXTRA SUPPORT 190CM 3200 


CGPW11834HAB HI-TORQUE WHISPER EXTRA SUPPORT GUIDE WIRE 190CM 0.014" 3200 

CGPW11835HAB HI-TORQUE WHISPER EXTRA SUPPORT GUIDE WIRE 300CM 0.014" 3000 

CGPW11S0L1RS REGATTA STEERABLE GUIDEWIRE 0.014" 300CM(COATING MICRO RIDGE) 3000 

CGPW12224NAB HI-TORQUE EXTRE SUPPORT GUIDE WIRE 0.014" 190CM 3200 

CGPW12234NAB HI-TORQUE EXTRA SUPPORT GUIDE WIRE 0.014" 300CM 3000 

CGPW1223HNAB HI-TORQUE PTCA GUIDE WIRE W/HYDROCOAT 0.014" 190CM 2870 

CGPW1223MNAB HI-TORQUE PTCA GUIDE WIRE W/MICROGLIDE COATING 0.014" 190CM 2870 

CGPW12560NAB HI-TORQUE P.T.C.A GUIDE WIRE 0.010" 190CM 2870 

CGPW128000AB HI-TORQUE GUIDE WIRE W/HYDROCOAT 0.014" 190CM EXTRA SUPPORT 3200 

CGPW128001AB HI-TORQUE GUIDE WIRE W/HYDROCOAT 0.014" 300CM EXTRA SUPPORT 3000 

CGPW13309NAB HI-TORQUE CROSS-IT PTCA GUIDE WIRE 0.014" 190CM 2870 

CGPW13310NAB HI-TORQUE CROSS-IT PTCA GUIDE WIRE 0.014" 300CM 3430 

CGPW1379MNAB HI-TORQUE PTCA GUIDE WIRE W/MICROGLIDE COATING 0.014" 300CM 3430 

CGPW138931SB PT2 GUIDEWIRE HYDROPHILIC COATING 0.014" 185CM 2870 

CGPW138932SB PT2 GUIDEWIRE HYDROPHILIC COATING 0.014" 300CM 3430 

CGPW138950SB IQ GUIDE WIRE 0.014" 185CM 2870 

CGPW138951SB IQ GUIDE WIRE 0.014" 300CM 3430 

CGPW14181ATM RUNTHROUGH NS PTCA GUIDE WIRE 嵐鍶路導引導線 2870 

CGPW1418FATM RUNTHROUGH NS PTCA GUIDE WIRE HYDROPHILLIC COATING 180CM 0.014" 2870 

CGPW1430RSTM PTCA GUIDE WIRE W/HYDROPHILIC COATING 0.014" 180:300CM 2870 

148



CGPW144586AB HI-TORQUE ADVANCE LITE GUIDE WIRE W/HYDROCOAT HYDROPHILIC COATING 0.014" 190CM 2870 

CGPW144587AB HI-TORQUE ADVANCE LITE GUIDE WIRE W/HYDROCOAT HYDROPHILIC COATING 0.014" 300CM 3430 

CGPW144588AB HI-TORQUE ADVANCE GUIDE WIRE 190CM 0.014" 2870 

CGPW144589AB HI-TORQUE ADVANCE GUIDE WIRE 300CM 0.014" 3430 

CGPW146850SB V-18 CONTROL WIRE 0.018" 150-200CM W/HYDROPHILIC COATING 3000 

CGPW146860SB V-18 CONTROL WIRE 0.018" 300CM W/HYDROPHILIC COATING 3000 

CGPW1480P5AB HI-TORQUE PILOT 50 GUIDE WIRE 0.014" 190CM 2870 

CGPW1483P5AB HI-TORQUE PILOT 50 GUIDE WIRE 0.014" 300CM 3430 

CGPW148P15AB HI-TORQUE PILOT 150 200 GUIDE WIRE 0.014" 190CM 3200 

CGPW149283SB THRUWAY GUIDEWIRE 0.018"*300CM 3000 

CGPW1492TWSB THRUWAY GUIDEWIRE 0.018"*130,190CM 3000 

CGPW15024XCD GUIDE WIRE TEFLON 0.018" 150CM;260CM 2870 

CGPW1503XACD 0.018 SMALL VESSAL PERIPHERAL GUIDE WIRE 180CM 3000 

CGPW1503XNCD 0.018 SMALL VESSEL PERIPHERAL GUIDE WIRE 300CM(90/10/1 型號 503458,558,658,758-G 刪除 ) 3000 

CGPW15072ACD STEERABLE GUIDE WIRE 0.014" STRAIGHT TIP 180CM 2870 

CGPW15072NCD 

STABILIZER STEERABLE GUIDEWIRE 0.014" 180CM,300CM STRAIGHT TIP 加強型 (90/10/1 原 180CM 規 

格另編碼 ) 

3430 

CGPW15079ACD STEERABLE GUIDE WIRE 0.014" STRAIGHT TIP 3CM RADIOPAQUE TIP 180CM 2870 

CGPW15079NCD STABILIZER STEERABLE GUIDEWIRE 0.014" 300CM STRAIGHT TIP (90/10/1 原 180CM 另編碼 ) 3430 

CGPW15121ACD WIRE 0.014" 180CM STRAIGHT TIP 180CM 2870 

CGPW15121NCD WIZDOM GUIDEWIRE 0.014",300CM STRAIGHT TIP (90/10/1 原 180CM 規格另編碼 ) 3430 

CGPW15132ACD GUIDE WIRE 0.014" 180CM STRAIGHT TIP MARKER WIRE 2870 

CGPW15132NCD WIZDOM GUIDEWIRE 0.014" 300CM STRAIGHT TIP MARKER WIRE (90/10/1 原 180CM 規格另編碼 ) 3430 

CGPW15179ACD STEERABLE GUIDE WIRE 0.014" 180CM STRAIGHT TIP MAKER WIRE 2870 

CGPW15179NCD 

STABILIZER STEERABLE GUIDEWIRE 0.014" 300CM STRAIGHT TIP MARKER WIRE(90/10/1 原 180CM 另 

編碼 ) 

3430 

CGPW15279ACD STEERABLE GUIDE WIRE 0.014" 180CM STRAIGHT TIP EXTRA SUPPORT 3200 

CGPW15357NAB HI-TORQUE WHISPER GUIDE WIRE 0.014" 190CM 2870 

149



CGPW15359NAB HI-TORQUE WHISPER GUIDE WIRE 0.14" 300CM 3430 

CGPW1547XACD SHINOBI GUIDE WIRE 0.014" 180CM 2870 

CGPW1547XNCD SHINOBI GUIDEWIRE 0.014 300CM (90/10/1 原 180CM 規格另編碼 ) 3430 

CGPW1595M0CD ATW STEERABLE GUIDEWIRE(MARKER WIRE)0.014" 195CM 2870 

CGPW1595M1CD ATW STEERABLE GUIDEWIRE(MARKER WIRE)0.014" 300CM 3430 

CGPW1595XACD ATW STEERABLE GUIDE WIRE 0.014" 195CM 2870 

CGPW1595XNCD ATW STEERABLE GUIDEWIRE 300CM (90/10/1 原型號 595014,595-J,X,Y,E-014 另編碼 ) 3430 

CGPW15970ACD STEERABLE GUIDE WIRE 0.014" 180CM STRAIGHT TIP 25CM RADIOPAQUE TIP 2870 

CGPW15970NCD STABILIZER STEERABLE GUIDEWIRE 0.014" 300CM STRAIGHT TIP (90/10/1 原 180CM 規格另編碼 ) 3430 



CGPW196646AB 

CGPW196657AB 

HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II GUIDE WIRE W/HYDROCOAT HYDROPHILIC 

COATING 0.014" 190CM 

HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II GUIDE WIRE W/HYDROCOAT HYDROPHILIC 

COATING 0.014" 300CM 

2870 

3430 

CGPW1AG141AS PTCA GUIDE WIRE PTFE SOFT INTERMEDIATE 0.014 ( 自 971001 由 175CM 改為 180CM) 2870 

CGPW1AG143AS 

PTCA GUIDE WIRE 0.014 STANDARD, STANDARD J, EXTENSION(AG149000 仍為 150CM, 其他型號自 

971001 由 175CM 改為 180CM) 

2870 

CGPW1AG14MBS MIRACLE SERIES PTCA GUIDE WIRE 0.014 175CM EXTRA SUPPORT 3200 

CGPW1AGH14AS NEO'S PTCA GUIDE WIRE EXTRA SUPPORT 0.014" ( 自 971001 由 175CM 改為 180CM) 3200 

CGPW1AGP14AS PTCA GUIDE WIRE 0.014 EXTRA SUPPORT( 自 971001 由 175CM 改為 180CM) 3200 

CGPW1AGPFCAS PTCA GUIDE WIRE HYDROPHILIC COATING EXTRA SUPPORT 0.014" 175CM 180CM 3200 

CGPW1CT190M4 WIRE WORK GUIDE WIRES 190CM 0.014" NITINOL HYDROPHILLIC COATING 3000 

CGPW1CT300M4 WIRE WORK GUIDE WIRES 300CM 0.014" NITINOL HYDROPHILLIC TEFLON COATING 3000 

CGPW1D0CNNAB ACS DOC GUIDE WIRE EXTENSION 0.014" 145CM 2870 

CGPW1LJ180M4 GT-SERIES GUIDEWIRE 0.014 180CM 2870 

CGPW1LJ300M4 GT-SERIES GUIDEWIRE 0.014 300CM 3430 

CGPW1LS180M4 GT-SERIES GUIDEWIRE 0.014 180CM 2870 

CGPW1LS300M4 GT-SERIES GUIDEWIRE 0.014 300CM 3430 

150



CGPW1LSPH1M4 GT-SERIES GUIDE WIRE 0.014" 180CM 2870 

CGPW1LSPH2M4 GT-SERIES GUIDE WIRE 0.014" 300CM 3430 

CGPW1MS180M4 GT-SERIES GUIDE WIRE 0.014" 180CM EXTRA-SUPPORT 3200 

CGPW1MS300M4 GT-SERIES GUIDE WIRE 0.014"300CM EXTRA-SUPPORT 3000 

CGPW1NT180M4 GT-SERIES GUIDE WIRE 0.014" 180CM 3000 

CGPW1NT300M4 GT-SERIES GUIDE WIRE 0.014" 300CM 3000 

CGPW1PS180M4 WIRE WORK GUIDE WIRE W/COATING HYDRO-TRACK,PRO/PEL 180CM 0.014" 沃爾沃克導引導線 2870 

CGPW1PS300M4 WIRE WORK GUIDE WIRE W/COATING HYDRO-TRACK,PRO/PEL 300CM 0.014" 沃爾沃克導引導線 3430 

CGPW1SK195F2 SKIPPER & SKIPPER RACE GUIDEWIRES PTFE 0.014" 175CM;195CM 2870 

CGPW1SK300F2 SKIPPER & SKIPPER RACE GUIDEWIRES PTFE 0.014" 300CM 3430 

CGPW1STRG1CK STRATEGY CORONARY WIRE GUIDES 0.014" 180CM 2870 

CGPW1STRG2CK STRATEGY CORONARY WIRE GUIDES 0.014" 300CM 3430 

CGPW1TH491SB THRUWAY GUIDEWIRE PTFE EXTRA SUPPORT 0.014" 130,190CM 3200 

CGPW1TH492SB THRUWAY GUIDEWIRE PTFE 0.014" 300CM 3430 

CGPW1THDR1M4 

CGPW1THDR2M4 

WIRE WORK GUIDE WIRES 190CM 0.014" STAINLESS STEEL TEFLON(PRO/PEL) COATING EXTRA 

SUPPORT 

WIRE WORK GUIDE WIRES 300CM 0.014" STAINLESS STEEL TEFLON(PRO/PEL) COATING EXTRA 

SUPPORT 

3200 

3000 

CGPW1TR1ESW4 TRANSITO STEERABLE GUIDE WIRE 0.014 190CM EXTRA SUPPORT 3200 

CGPW1TR1FMW4 TRANSITO STEERABLE GUIDE WIRE 0.014 190CM 2870 

CGPW1ZH180M4 WIRE WORK GUIDE WIRES 180CM 0.014" STAINLESS STEEL HYDROPHILLIC COATING 2870 

CGPW1ZH300M4 WIRE WORK GUIDE WIRES 300CM 0.014" STAINLESS STEEL HYDROPHILLIC COATING 3430 

CGS0100011VE PERCUTANEOUS CATHETER INTRODUCERS W/DILATOR,GUIDEWIRE 11CM 5:9FR 650 

CGS0100023VE PERCUTANEOUS CATHETER INTRODUCERS W/DILATOR 23CM 6:9FR 910 

CGS010037AVE PERCUTANEOUS CATHETER INTRODUCERS 23CM(6F:9F), WITH DILATOR,GUIDE WIRE 1040 

CGS0101200AR HI-FLOW TRUAMA SET 700 

CGS0105100ST " 聖猷達 " 剝式導管導引器 "SJM"PEEL-AWAY INTRODUCER 14CM 5:16FR(S+D+SY+N+G.W) 1000 

CGS0105154ST " 聖猷達 " 剝式導管導引器 "SJM" PEEL-AWAY INTRODUCER 1000 

151



CGS0105254ST " 聖猷達 " 剝式導管導引器 "SJM"PEEL-AWAY INTRODUCER 23CM 9:14FR(S+D+G.W) 1000 

CGS0105300ST " 聖猷達 " 剝式導管導引器 "SJM"PEEL-AWAY INTRODUCER 6CM 4:6FR(SHEATH+NEEDLE) 1000 

CGS0105400ST " 聖猷達 " 剝式導管導引器 "SJM"PEEL-AWAY INTRODUCER 14CM 5:16FR(SHEATH+DILATOR) 1000 

CGS010601NBA "BARD"PTFE PEEL-APART PERCUTANEOUS INTRODUCER KITS" 巴德 " 剝撕式經皮導引套組 1000 

CGS010610NST 

CGS0106249ST 

CGS0106255ST 

CGS0106351ST 

CGS010658NBA 

CGS0106660ST 

" 聖猷達 " 費思凱斯導管導引器 "SJM"FAST-CATH HEMOSTASIS INTRODUCER 

12CM(S+D+SV+GW+SY+N+ 保護套 ) 

" 聖猷達 " 麥克斯導管導引器 "SJM"MAXIMUM HEMOSTASIS INTRODUCER 12CM 4:9FR 

0.025:0.038"(W/S+D+V+G.W+SI) 

" 聖猷達 " 麥克斯導管導引器 "SJM"MAXIMUM HEMOSTASIS INTRODUCER 8.5CM 4:7FR 

0.021:0.025"(W/SHEATH+DILATOR+VALVE+G.W+SIDEPORT) 


0.021"(W/SHEATH+DILATOR+VALVE+G.W+SIDEPORT) 

"BARD"PTFE PEEL-APART PERCUTANEOUS INTRODUCER KITS"(MICROINTRODUCER) 巴德 " 剝撕式 

經皮導引套組 


0.038"(W/S+D+G.W+SI+V+N) 

940 

650 

650 

650 

1000 

1170 

CGS0106667ST " 聖猷達 " 麥克斯導管導引器 "SJM"MAXIMUM HEMOSTASIS INTRODUCER 12CM 750 

CGS0106668ST " 聖猷達 " 麥克斯導管導引器 "SJM"MAXIMUM HEMOSTASIS INTRODUCER 23CM 1170 

CGS010674NST 

" 聖猷達 " 費思凱斯導管導引器 "SJM"FAST-CATH HEMOSTASIS INTRODUCERS 45CM 30 度 

(S+D+SV+3WAY) 

1400 

CGS0107500ST " 聖猷達 " 剝式導管導引器 "SJM"PEEL-AWAY INTRODUCER 14CM 7:12FR(S+D+SY+N+G.W+V) 1000 

CGS0107688ST 

CGS010768NST 

CGS0107691ST 

" 聖猷達 " 雅帝明導管導引器 "SJM"ULTIMUM INTRODUCER WITH HEMOSTASIS VALVE( 35CM 16FR 

0.035" W/SHEATH+DILATOR+GW+SIDEPORT+VALVE) 

" 聖猷達 " 雅帝明導管導引器 "SJM"ULTIMUM INTRODUCER WITH HEMOSTASIS VALVE( 30CM 14:20FR 

0.035" W/SHEATH+DILATOR+GW+SIDEPORT+VALVE) 

" 聖猷達 " 雅帝明導管導引器 "SJM"ULTIMUM INTRODUCER WITH HEMOSTASIS VALVE(25CM 22FR 

0.035" W/SHEATH+ DILATOR+GW+SIDEPORT+VALVE) 

1040 

1040 

1040 

CGS0107830ST " 聖猷達 " 雅帝明導管導引器 "SJM"ULTIMUM INTRODUCER SET (S+H+V+G+SIDEPORT) 650 

CGS0107835ST 

CGS0107840ST 

CGS0107851ST 

CGS0108403AR 

CGS0108503AR 

" 聖猷達 " 雅帝明導管導引器 "SJM"ULTIMUM INTRODUCER SET 8.5CM W/HEMOSTASIS 

VALVE(S+H+V+G+SIDEPORT) 

" 聖猷達 " 雅帝明導管導引器 "SJM"ULTIMUM INTRODUCER SETW/HEMOSTASIS VALVE 12CM 

(S+H+V+G+SIDEPORT) 

" 聖猷達 " 雅帝明導管導引器 "SJM"ULTIMUM INTRODUCER SET W/HEMOSTASIS VALVE 23CM 

(S+H+V+G+SIDEPORT) 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM 4FR X 7.5CM(S+D+GW+SV+3WAY+N) 

“ 亞諾 ” 經皮導引鞘組 

"ARROW"PERCUTANEOUS SHEATH WITH SPRING WIRE GUIDE(S+D+G+SV+3 WAY)4:6FR 

7.5CM;5:9FR 11CM" 亞諾 " 經皮導引鞘組 

650 

650 

1040 

790 

650 

CGS0108530VE MULLINS TRANSSEPTAL INTRODUCER SET PRDIATRIC 44CM 6:8FR 1400 

CGS0108550VE MULLINS TRANSSEPTAL INTRODUCER SET AUDLT 59CM 6:8FR 1400 

CGS0108703AR 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SET 7:8FR 11CM(S+D+SV+GW+N+SY+3WAY)" 亞 

諾 " 經皮導引鞘組 

790 

152



CGS0109600AR PERCUTANEOUS INTRODUCER SYSTEM KIT 6FR 11CM 940 

CGS0109803AR PERCUTANEOUS INTRODUCER SYSTEM KIT 8FR(SHE+DIL+SIDEPORT+G.W+NE+ 一般空針 ) 770 

CGS0109808AR PERCUTANEOUS INTRODUCER SYSTEM KIT 8FR 11CM 940 

CGS0109870AR PERCUTANEOUS SHEATH INTRODUCER SET 8.5FR 940 

CGS011101AVE PERCUTANEOUS CATHETER INTRODUCERS 11CM(5F:9F),WITH DILATOR, GUIDE WIRE 650 

CGS0113059ED INTRO-FLEX PERCUTANEOUS SHEATH INTRODUCER SET 10CM(S+SV+4 WAY+D+GW+N+ 保護套 ) 940 

CGS011389HED 

INTRO-FLEX PERCUTANEOUS SHEATH INTRODUCER SET 10CM W/COATING(S+SV+4 

WAY+D+GW+N+ 保護套 ) 

940 

CGS0117TPSYZ 玫締特導引鞘組 MEDIKIT INSERT SUPER SHEATH SET 1170 

CGS0120010RB ADVANCE CATHETER SHEATH INTRODUCER SYSTEM 10CM(S+D+GW+N) 640 



CGS0120039US CHEMOSITE 9 FR PEEL-AWAY SHEATH INTRODUCER KIT 1000 

CGS0120089US CHEMOSITE 7 FR PEEL-AWAY SHEATH INTRODUCER KIT 1000 

CGS0120110RB ADVANCE CATHETER SHEATH INTRODUCER SYSTEM 10CM(S+D+GW) 510 

CGS0120123RB ADVANCE CATHETER SHEATH INTRODUCER SYSTEM 23CM(S+D+GW) 910 

CGS0125TSWYZ INSERT SUPER SHEATH SET 3~9FR,25CM (SH+DI+GW+SI+V+N) 1170 

CGS0130085ED 

CGS0130185ED 

INTRO-FLEX PERCUTANEOUS SHEATH INTRODUCER SET 8.5FR 10CM(S+D+SI+V+GW+N+ 保護套 

+SY) 

INTRO-FLEX PERCUTANEOUS SHEATH INTRODUCER SET AMC COATED 8.5FR 

10CM(S+D+SI+V+GW+N+ 保護套 ) 

940 

940 

CGS0130484BB INTRODUCER KIT,7F,9F,11F * 1000 

CGS0135023BK 

" 拜耳德尼克 " 思考導線引入裝置系統 "BIOTRONIK"SCOUTPRO CORONARY SINUS LEAD DELIVERY 

SYSTEM* 

8000 

CGS0140009AG P.T.C.A LONG SHEATH 23CM 910 

CGS01402ANCD AVANTI PLUS SHEATH INTRODUCER 11CM(4:11FR WITHOUT GUIDEWIRE) 500 

CGS01402RNCD AVANTI PLUS SHEATH INTRODUCER 5CM(4:8FR WITHOUT GUIDEWIRE) 500 

CGS014065NST " 聖猷達 " 麥克斯導管導引器 "SJM" MAXIMUM HEMOSTASIS INTRODUCER 950 

CGS0140764ST 

CGS0140765ST 

ULTIMUM INTRODUCER WITH HEMOSTASIS VALVE) SHEATH; DILATOR;HEMOSTASIS VALVE; 

GUIDEWIRE; SIDEPORT ( 3WAY) 12CM 0.035" 

ULTIMUM INTRODUCER WITH HEMOSTASIS VALVE) SHEATH; DILATOR;HEMOSTASIS VALVE; 


650 

1040 

153



CGS014076NST ULTIMUM INTRODUCER WITH HEMOSTASIS VALVE) SHEATH; DILATOR;HEMOSTASIS VALVE; 650 


CGS0144004KD QUINTON PULL-APART INTRODUCER SET(7,10,12,14,16FR)( 含 C+D+GW+N+SY) 1000 

CGS0144013KD OVAL PULL-APART INTRODUCER SET(PEEL-AWAY)(SH+DIL+GW+SYR+NE) 1000 

CGS0146005AG SHEATH INTRODUCER 5:9FR 650 

CGS0146064AG PEDIATRIC INTRODUCER KIT(SHEATH+DILATOR+GUIDE WIRE) 650 

CGS0146070AG SHEATH INTRODUCER 650 

CGS0146131AG ONE PIECE TUOHY-BORST INTRODUCER 5:9FR(INTRODUCER+GUIDE WIRE+DILATOR) 650 

CGS0146132AG INTRODUCER KIT 650 

CGS0146133AG SHEATH INTRODUCER 7FR 650 

CGS0146134AG SHEATH INTRODUCER 8FR 650 

CGS0146151AG INTRODUCER KIT(SHEATH,DILATOR,SIDE PORT,3 WAY,GUIDE WIRE) 650 

CGS0147025BS LONG SHEATH INTRODUCER 5,6FR 25CM W/DILATOR+SIDEPORT+GW/NEEDLE) 1350 

CGS0147912BS INTRODUCER SHEATH 12CM 6:8FR(S+D+GW+SIDEPORT) 650 

CGS0150461CD AVANTI PLUS CATHETER SHEATH INTRODUCER TRANSRADIAL KIT 11CM 950 

CGS0150462CD AVANTI PLUS CATHETER SHEATH INTRODUCER TRANSRADIAL KIT 23CM 1350 

CGS01504PNCD AVANTI PLUS SHEATH INTRODUCER 5CM(4:8FR WITH GUIDEWIRE,DILATOR) 650 

CGS01504TNCD AVANTI PLUS SHEATH INTRODUCER 23CM(4:11FR WITHOUT GUIDEWIRE) 910 

CGS01504XNCD AVANTI PLUS SHEATH INTRODUCER 11CM(4:11FR WITH GUIDEWIRE,DILATOR) 650 

CGS0158F38MR " 美瑞特 " 動脈導引鞘 "MERIT"PRELUDE SHEATH INTRODUCER 650 

CGS016014NDV HICKMAN INTRODUCER 1000 

CGS016031NBA INTRO-EZE PERCUTANEOUS INTRODUCER KIT 5:15FR 10:16CM(SH+DI+GW+SY+N) 1000 

CGS016207DM4 DUAL CHAMBER PERCUTANEOUS LEAD INTRODUCER 60CM(2SH+2D+2GW+N+SY) 1560 

CGS016207NM4 PERCUTANEOUS LEAD INTRODUCER 60CM(SH+D+GW+N+SY) 1000 

CGS016207SM4 PERCUTANEOUS LEAD INTRODUCER 60CM(SH+D+GW+N+SY) 1000 

CGS016226DM4 

" 美敦力 " 艾坦導管輸送系統 "MEDTRONIC" ATTAIN TM DEFLECTABLE CATHETER DELIVERY 

SYSTEM* 

8000 

CGS0162BTKM4 PERCUTANEOUS LEAD INTRODUCER 60CM(SH+D+GW+N+SY) 1000 

154



CGS01A40GNTM RADIOFOCUS INTRODUCER II 16CM 4:6FR WITH 0.025" GUIDE WIRE 1350 

CGS01A40K1TM RADIFOCUS INTRODUCER II 4FR 10CM(W/SHEATH,DILATOR,GUIDEWIRE,NEEDLE) 950 

CGS01A40K2TM RADIFOCUS INTRODUCER II 4:11FR 25CM(W/SHEATH,DILATOR,GUIDEWIRE,NEEDLE) 1350 

CGS01AL191TM " 泰爾茂 " 攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR,16;25CM 1350 

CGS01APSHKH9 ANGIO PACK INTRODUCER SHEATH KIT(W/SH+GW+SI+N+V) 770 

CGS01AS035TM " 泰爾茂 " 攝影引導套 ( 附針 , 針筒 )"TERUMO"RADIFOCUS INTRODUCER II(WITH NEEDLE/SYRINGE) 950 

CGS01AS073TM " 泰爾茂 " 血管攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR 7CM,10CM 950 

CGS01AS091TM " 泰爾茂 " 攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR,5-10CM 950 

CGS01ATTANM4 

美敦力 ” 安坦左心室傳送系統 “MEDTRONIC IRELAND” ATTAIN LEFT-HEART DELIVERY 

SYSTEM* 

8000 

CGS01B11MQTM RADIFOCUS INTRODUCER II 11FR 0.035"(GW+SH+SD) 不含 NEEDLE 820 

CGS01B40G7TM RADIFOCUS INTRODUCER II 7CM 4:5FR 950 

CGS01B50N1TM RADIFOCUS INTRODUCER II AND WIRE 10CM 5:11FR 950 

CGS01B50N2TM RADIFOCUS INTRODUCER II 25CM 5:11FR AND WIRE 1220 

CGS01BL073TM " 泰爾茂 " 血管攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR 7CM,10CM 820 

CGS01BL191TM " 泰爾茂 " 攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR,25,40CM 1220 

CGS01BL192TM " 泰爾茂 " 攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR,16,25CM 1350 

CGS01BS073TM " 泰爾茂 " 血管攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR 25CM,40CM 1220 

CGS01BS091TM " 泰爾茂 " 攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR,7;10CM 820 

CGS01BS092TM " 泰爾茂 " 攝影引導管 "TERUMO" RADIFOCUS INTRODUCER II 4-11FR,7;10CM 950 

CGS01C407NST 

CGS01CL724AR 

CGS01CL735AR 

CGS01CL745AR 

CGS01CL765AR 

CGS01CL775AR 

CGS01CP711AR 

ULTIMUM INTRODUCER WITH HEMOSTASIS VALVE(SHEATH;DILATOR;HEMOSTASIS VALVE; 

GUIDEWIRE;NEEDLE)12CM TRANSRADIAL KITS 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM (SUPER ARROW-FLEX NON- 

KINKING)5:10FR 24CM“ 亞諾 ” 經皮導引鞘組 ( 可彎折式 ) 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM (SUPER FLEX)35CM(S+D+SV+3 AWY) 

“ 亞諾 ” 經皮導引鞘組 ( 可彎折式 ) 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM (SUPER ARROW-FLEX NON- 

KINKING)5:8FR,10FR 45CM“ 亞諾 ” 經皮導引鞘組 ( 可彎折式 ) 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM (SUPER ARROW-FLEX NON-KINKING) 

6,7,9,10FR 65CM“ 亞諾 ” 經皮導引鞘組 ( 可彎折式 ) 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM(SUPER FLEX) 65:100CM(S+D+SV+3 AWY) 

“ 亞諾 ” 經皮導引鞘組 ( 可彎折式 ) 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM(SUPER ARROW-FLEX NON- 

KINKING)5:10FR 11CM“ 亞諾 ” 經皮導引鞘組 ( 可彎折式 ) 

950 

1470 

1470 

2780 

3000 

3000 

1150 

155



CGS01CPK85BS INTRODUCER SHEATH 6:8.5FR.12CM/WITH DILATOR, GUIDEWIRE, NEEDLE, 保護套 940 

CGS01CPSAMST " 聖猷達 " 內導管 "SJM" CPS AIM INNER CATHETER 1810 

CGS01CPSPLST 

CGS01CPSSLST 

縱裂式外導引導管 CPS DIRECT PL PEELABLE OUTER CATHETER( 導管 + 擴張器 + 止血閥接合器 ( 含導 

引絲 )+ 止血閥旁縱裂器 ) 

縱裂式外導引導管 CPS DIRECT SL OUTER CATHETER( 導管 + 擴張器 + 止血閥接合器 ( 含導引絲 )+ 止血 

閥旁縱裂器 ) 

8000 

8000 

CGS01CS11NYZ SUPERSHEATH INTRODUCER SET 11CM(SH+DI+GW+N+SI+V) 770 

CGS01CS25NYZ SUPERSHEATH INTRODUCER SET 25CM(SH+DI+GW+N+SI+V) 1170 

CGS01CW08NAR 

"ARROW"PERCUTANEOUS SHEATH INTRODUCER SYSTEM 5,7,9FRX7.5,11CM (S+D+SV+W+N+SY+3 

WAY)“ 亞諾 ” 經皮導引鞘組 

CGS01DUH25SB SUPER SHEATH INTRODUCER SHEATH 25CM 5-9FR 0.035",0.038" 

(SHEATH+DILATOR+SIDEARM+VALVE,GUIDEWIRE) 

790 

1040 

CGS01EX124BD PERCUTANEOUS SHEATH INTRODUCER KIT 6:9FR(W/DILATOR,GUIDE WIRE,NEEDLE, 保護套 ) 940 

CGS01EX132BD PERCUTANEOUS SHEATH INTRODUCER KIT 6:9FR(W/DILATOR,GUIDE WIRE,NEEDLE) 770 

CGS01EX134BD PERCUTANEOUS SHEATH INTRODUCER KIT 6:9FR(W/DILATOR,GUIDE WIRE,NEEDLE) 770 

CGS01MPCN4M0 " 美德康 " 微穿刺引導器組 "MEDCOMP" MICRO-STICK INTRODUCER SET 1000 

CGS01N6100ST 

CGS01N6123ST 

CGS01N6138ST 

CGS01N6151ST 

CGS01N6159ST 

CGS01N6160ST 

CGS01N6560ST 

" 聖猷達 " 費思凱絲導管導引器 "SJM" FAST-CATH HEMOSTASIS INTRODUCERS WITH HEMOSTASIS 

VALVE 12CM SHEATH 













650 

650 

1040 

650 

650 

650 

2850 

CGS01N6656ST " 聖猷達 " 麥克斯導管導引器 "SJM" MAXIMUM HEMOSTASIS INTRODUCER 1350 

CGS01N6700ST 

CGS01N6773ST 

CGS01N6784ST 







650 

2850 

1400 

CGS01P7983ST " 聖猷達 " 導管傳送系統 "SJM"APEEL CS PLUS CATHETER DELIVERY SYSTEM* 8000 

CGS01RCF01CK CHECK-FLO PERFORMER INTRODUCER SETS 25CM(SH+DI+SI+V+GW) 1040 

CGS01RCF02CK CHECK-FLO PERFORMER INTRODUCER SETS 30CM W/RADIOLOGY(SH+DI+SI+V+GW) 1350 

156



CGS01RCF03CK CHECK-FLO PERFORMER INTRODUCER SETS 45CM W/RADIOLOGY(SH+DI+SI+V+GW) 1350 

CGS01RCF04CK CHECK-FLO PERFORMER INTRODUCER SETS 5:13CM(S+D+GW+N+SV+SY+3WAY)0.021",0.035",0.038" 950 

CGS01RPDCAGU 

雷必多可切開式導管組合系統 RAPIDO CUT-AWAY GUIDING CATHETER 

SYSTEM(CATHETER+FINISH WIRE+CUTTER+RHV+BCV) 

8000 

CGS01SC001CK SCHWARZ CATHETER INTRODUCTION SET 2200 

CGS01SHSH7SB SUPER SHEATH INTRODUCER SHEATH 4-9FR 7CM 0.035",0.308" 


650 

CGS01SPTSWYZ INSERT SUPER SHEATH SET 3~9FR, 5:7:11CM(SH+DI+GW+SI+V+N) 770 

CGS01SUH11SB SUPER SHEATH INTRODUCER SHEATH 11CM 4-9FR 0.035",0.038" 


CGS01SUM11SB SUPER SHEATH INTRODUCER SHEATH 4-9FR 11CM 0.035",0.038" 


CGS01SUM25SB SUPER SHEATH INTRODUCER SHEATH 5-9FR 25CM 0.038" 


650 

650 

1040 

CGS0209880AR PERCUTANEOUS SHEATH 940 

CGS030050NC3 VESSEL DILATOR 5FR:7FR 185 



CGS0306018M9 DILATOR(FACIAL)6:18FR 23CM 185 

CGS0360508PB DILATOR 5:8FR 20CM 185 

CGS0361040PB DILATOR 4:8FR 0.035:0.038" 20:35CM 185 

CGS0361090PB DILATOR 9:18FR 0.038:0.052" 25CM 185 

CGS03J001NCK VESSEL/FASCIAL DILATOR 擴張器 185 

CGS03JCD01CK DILATOR 185 

CGS03JCD03CK DILATOR 擴張器 (JCD20:24-45:52-20 自 86.10.27 生效 ) 500 

CGS04C304SM4 " 美敦力 " 賽勒克可調彎導管系統 "MEDTRONIC"SELECTSITE DEFLECTABLE CATHETER SYSTEM* 3000 

CGVD10DMS1TR PTMV( 經皮穿靜脈氣球導管二尖瓣成形術 )DILATOR 3615 

CGVW10GMS1TR PTMV( 經皮穿靜脈氣球導管二尖瓣成形術 )GUIDE WIRE 3615 

CGVW20SMS1TR PTMV( 經皮穿靜脈氣球導管二尖瓣成形術 )STYLET 3615 

CHA0306397TM SOFT-FLOW AORTIC ARCH CANNULAE WITHOUT REINFORCED 515 

CHAT131002DL ARTERIOTOMY CANNULA 2:3MM 1 1/4 ,2 1/4 295 

157



CHAT131003M4 ARTERIOTOMY CANNULAE 295 

CHF0696345M4 BIO-MEDICUS CANNULA 套管及導管 (ADULT)23:29FR* 使用參考請見備註欄 17010 

CHF0696570M4 BIO-MEDICUS CANNULA 套管及導管 (ADULT)15:21FR* 使用參考請見備註欄 17010 

CHF0696825M4 BIO-MEDICUS CANNULA 套管及導管 (PEDIATRIC)8:14FR* 使用參考請見備註欄 17010 

CHF06MEFKAML FEMORAL CANNULAE 股動靜脈導管 17010 

CHR0110012DL AORTIC CANNULA 12:18G 410 

CHR01AR109L5 AORTIC ROOT CANNULAE 9:18GA 410 

CHR01AR112L5 AORTIC ROOT CANNULAE 12:16GA 410 

CHSU116022AY UMBILICAL VESSEL CATHETER 3.5FR:8FR 170 

CHT01CAP40GH POSTOPERATIVE CONVERSION PACKS For Cardiotomy /Autotransfusion /Pleural Drainage Reservoir cap35 1528 

CHT0546202H9 HEART LUNG PACK:FLOW PROBE CONNECTOR 914 

CHT0546203H9 HEART LUNG PACK:STATSAT CONNECTOR 1/4;3/8;1/2 氧分壓測定接頭 * 914 

CHT0569120TM CDI HEMATOCRIT SATURATION CUVETTE 血氧感知器 914 

CHT05TMC25M4 TMC TRI-OPTIC MEASUREMENT CELL 914 

CHV0312340TM 2 STAGE VENOUS CANNULA 32FR 550 

CKB0144002BB CYSTOFIX 10:15FR 8:12CM 542 




CKB0156116BA SUPRAPUBIC CATHETERISATION KIT 膀胱穿刺針組 16CH 590 

CKB0160600AN VESICO SET 膀胱穿刺引流組 542 

CKD0100950CK DOUBLE PIGTAIL(J)STENT SET 4.7:8.2FR(stent+guide wire+pusher) 1570 

CKD01BTDJ2BQ DOUBLE J URETERAL STENT SET(STENT+GUIDE+PUSHER) 1117 

CKD030472NAN DOUBLE J-STENT 4,7FR 24CM:7FR 32CM 1570 

CKD030512NCY ALL SILICONE DOUBLE PIGTAIL URETERAL STENT SET 5:8.5FR(STENT+GUIDEWIRE+PUSHER) 1570 

CKD0308518CL SILICON DOUBLE J CATHETER 1570 

158



CKD035550NAN URETERAL STENTS(STENT+GUIDE WIRE+PUSHER) 1570 







CKD0380155MV CONTOUR SOFT PERCUFLEX STENTS W/HYDROPLUS COATING+GUIDEWIRE+PUSHER+CLAMP 1698 




CKD057774NBA URETERAL STENT WITH HYDROPLUS COATING+GUIDE WIRE+PUSHER+CLAMP 1698 

CKD05BTDJ3BQ 

URETERAL STENT(DOUBLE J TYPE)(STENT WITH HYDROPHILIC COATING+GUIDE 

WIRE+PUSHER+CLIP) 

1698 

CKD05DSHFNGT DOUBLE PIGTAIL URETERAL STENT SET(stent with hydromer+guide wire+pusher) 1698 

CKD05DUSPNGT DOUBLE PIGTAIL URETERAL STENT SET(stent with hydromer+guide wire+pusher) 1698 

CKD05DUTWNGT DOUBLE PIGTAIL URETERAL STENT SET(stent with hydromer+guide wire+pusher) 1698 

CKD05PSHFNGT DOUBLE PIGTAIL URETERAL STENT SET(stent with hydromer+guide wire+pusher) 1698 

CKD05USH01CK 

"COOK"UNIVERSA STENT FIRM AQ AND SOFT AQ SET (STENT-WITH HYDROPHILIC 

COATING+GUIDE WIRE+PUSHER) 由尼維莎輸尿管內置支架組 

1698 

CKD0706016BA SILICON FLOURO-4 URETERAL STENT(stent+introducer kit) 2325 

CKDD115122AR ARROW-HOWES LARGE-BORE MULTI-LUMEN HEMODIALYSIS CATHETER 雙腔輸液導管組 900 

CKDD214001KD DUAL LUMEN CATHETER 雙頭血液透析管路 900 




CKDD288155KD DUAL LUMEN CATHETER 直式雙頭血液透析管路 900 

CKDD294009KD CURVED EXTENSION DUAL LUMEN CATHETER 900 

159



CKDD2J0KADJ0 DOUBLE LUMEN CATHETERS 900 

CKDD2L4424VC 雙頭管路 DIALYSIS CATHETER( 自 950401 起型號更改為 5577180 文號 0940040227) 900 

CKDD312123AR 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION 

SETS(CATH+NEEDLE+GUIDEWIRE+DILATOR)" 亞諾 " 多重輸液導管套 



1738 

1738 

CKDD345603KD "KENDALL"TRIPLE LUMEN HEMODIALYSIS CATHETERS(C+N+G+D) 三腔透析導管 1738 

CKF021800NRU "RUSCH"SYMPACATH BALLOON CATHETERS,COATED WITH HYDROGEL 雙叉親水性留置導尿管 * 115 

CKF0222630BA "BARD"BARDEX PEDIATRIC FOLEY CATHETER,LUBRICIOUS COATED,2 WAY 3CC 導尿管 * 115 

CKF0222656BA "BARD"FOLEY CATHETER 二叉滑潤長期導尿管 5CC,30CC* 115 

CKF02H2265BA BIOCATH HYDROGEL COATING 2 WAY FOLED 8:24FR 5CC,30CC 115 

CKF02L0165BA LUBRICATH 2 WAY FOLED 8:26FR 3CC,5CC 115 

CKF0300006FM 2 WAY SILICONE FOLEY BALLOON CATH 1.5CC 6FR,3CC 8:10FR 117 

CKF030012NFM 2 WAY SILICONE FOLEY BALLOON CATHETER 5CC,30CC 12:26FR 117 

CKF0300142R4 2 WAY ALL SILICONE FOLEY BALLOON CATHETER 5CC 12:24FR 117 

CKF0300212YN 2 WAY ALL SILICONE FOLEY BALLOON CATH 12:26FR 5CC 117 

CKF0300242R4 2 WAY ALL SILICONE FOLEY BALLOON CATHETER 30CC 16:26FR 117 

CKF0301641W6 ALL SILICONE 2 WAY FOLEY CATHETER 6FR:26FR* 117 

CKF0303308P2 SILICON 2 WAY FOLEY CATHETER* 117 

CKF030512NFM 2 WAY SILICONE FOLEY BALLOON CATH W/X-RAY5CC,30CC 12:26FR 117 

CKF030513NCL SILICONE 2-WAY FOLEY CATHE 6:26FR 117 

CKF0317060RU SILICONE 2 WAY FOLEY CATHETER 6:26FR* 117 

CKF0317063RU SILICONE 2 WAY FOLEY CATHETER 16:26FR* 117 

CKF034170NES SILICONE 2 WAY FOLEY CATHETER 10CC BALLOON 12FR:26FR 117 

CKF036112NP0 2 WAY SILICONE FOLEY CATH 15CC BALLOON 12FR:24FR 117 

CKF0376SF6MU MODERN ALL SILICONE FOLEY CATHETER 導尿管 * 117 

CKF03AA6CNP0 2WAY SILICON FOLEY 30CC BALLOON* 117 

CKF03F0101SG SILICONE 2 WAY FOLEY CATHETER* 117 

160



CKF03FC001SG SILICON FOLEY BALLOON CATHETER* 117 

CKF03S2100WN SILICONE 2WAY FOLEY CATHE 3:50ML 117 

CKF03S6030AY ALL SILICONE 2WAY FOLEY CATHE 3:15ML 8:26FR 117 

CKF03S6301AY ALL SILICONE 2WAY FOLEY CATHE 30:45ML 16:26FR 117 

CKF0400340R4 3 WAY ALL SILICONE FOLEY BALLOON CATHETER 5CC,30CC 18:26FR 170 

CKF040514NFM 3 WAY SILICONE FOLEY BALLOON CATHETER W/X-RAY 30CC 14:26FR 170 

CKF041426NFM SILICONE 3 WAY FOLEY CATHETER 14:26FR 170 

CKF0417343RU 3 WAY SILICONE FOLEY CATHETER 18:24FR* 170 

CKF041831NRU "RUSCH"SYMPACATH BALLOON CATHETERS,COATED WITH HYDROGEL 三叉親水性留置導尿管 * 170 

CKF042103NWN SILICONE 3 WAY FOLEY CATHETER 5CC,30CC 16:26FR 170 

CKF04H1875BA LUBRICATH 3 WAY FOLEY CATHETER 75CC 18:24FR 283 

CKF04H2267BA BIOCATH 3 WAY FOLEY CATHETER 30:50CC 18:24FR 170 

CKF04L1630BA HYDROGEL 3 WAY FOLEY CATHETER 30CC 16:26FR 170 

CKF04S1830AY SILICON 3 WAY FOLEY CATHETER 18:24FR 170 

CKF04Y0630GC 三叉矽質導尿管 * 170 

CKN0108000CK PERCUTANEOUS PIGTAIL NEPHROSTOMY SETS 6.0:10FR 15:30CM( 標準型 ) 2716 

CKN011450NC3 PERCUTANEOUS NEPHROSTOMY SET PIGTAIL TYPE(chiba N+initial N+D+G+C) 2716 



CKN011897NAN SOFT DRAIN DIRECT PUNCTURE SET(N+C) 2000 

CKN0120111MV PCN NEPHROSTOMY SET 8FR 30CM(C+N+D+G+cannecting tube) 2651 

CKN0120111SB PERCUTANEOUS NEPHROSTOMY SET-PIGTAIL DESIGN(C+N+D+G) 2716 

CKN013873NAN SOFT DRAIN DRAINAGE SET( 針 + 雙腔引流管 +3way+ 固定盤 + 細菌過濾網 + 尖刀 ) 2970 

CKN0141010CL PCN NEPHROSTOMY KIT WITH SILICON WALECOT 10FR:14FR(C+ 穿刺 N+ 顯影 N+G+D+ 引流管 ) 3312 

CKN015500NAN PERCUTANEOUS NEPHROSTOMY SET: 豬尾巴導管 +chiba N+intial N+G+D+ 引流管袋 + 固定盤 2671 

CKN015520NAN NEPHROPUR NEPHROSTOMY SET( 豬尾巴導管 +chiba N+intial N+G+D+ 引流管袋 + 固定盤 ) 2716 

161



CKN015521NAN NEPHROPUR NEPHROSTOMY SET( 豬尾巴導管 +chiba N+intial N+G+D+ 引流管袋 + 固定盤 ) 2716 

CKN015522NAN SOFT-DRAIN NEPHROSTOMY SET( 豬尾巴導管 +intial N+D+G+ 引流管袋 ) 2651 

CKN015526NAN SOFT-DRAIN NEPHROSTOMY SET( 豬尾巴導管 +intial N+D+G+ 引流管袋 ) 2651 

CKN0170000PB DRAINAGE SET AND ACCESSORIES 導管 (HYDROFEEL)+N+GX2+D+CO-AXIAL D) 2930 

CKN0171000PB DRAINAGE SET AND ACCESSORIES 導管 (HYDROFEEL)+N+G+D+ 引流管袋 + 固定貼布 2975 

CKN0175030PB DRAINAGE SET AND ACCESSORIES 導管 (HYDROFEEL)+N+G+D+ 固定貼布 2930 

CKN0175730PB DRAINAGE SET AND ACCESSORIES 導管 (HYDROFEEL)+CHIBA N+N+G+D+ 引流管袋 2975 

CKN0178000PB PIGTAIL NEPHROSTOMY SET( 自 950401 起增加型號 780016030. 文號 0940041345) 2939 

CKN0178050PB 

PIGTAIL NEPHROSTOMY SET W/SAFETY STRING LOCK SYSTEM( 自 950401 起增加型號 780516030. 文號 

0940041345) 導管 (HYDROFEEL)+STIFFENER+GX2+D+ 固定貼布 

2930 

CKN01PNPDLCY PIGTAIL NEPHROSTOMY SET 6:10FR 40CM 2651 

CKN01PNS01CK SAFE-T-J CURVED WIRE GUIDE 320 

CKN0218522FM SILICONE 2WAY NEPHROSTOMY BALLOON CATHETER X-RAY OPEN TIP 8:24FR 338 

CKN0218523FM SILICONE 3WAY NEPHROSTOMY BALLOON CATHETER X-RAY OPEN TIP 14:24FR 357 

CKN0218562FM SILICONE 2WAY NEPHROSTOMY BALLOON CATHETER TIEMANN TIP 338 

CKN0218563FM SILICONE 3WAY NEPHROSTOMY BALLOON CATHETER TIEMANN TIP 357 

CKN0251608CL SILICON NEPHROSTOMY BALLOON CATHETER 8:10FR 球型腎臟造廔管 338 

CKN0251612CL SILICON NEPHROSTOMY BALLOON CATHETER 12:24FR 球型腎臟造廔管 338 

CKN0252116CL SILICON 3 WAY FOLEY CATHETER 16:26FR 170 

CKN02N2108YN ALL SILICONE NEPHROSTOMY BALLOON CATHETER 8:24FR1.5:5CC 338 

CKN02NS001SG SIGMA NEPHROSTOMY CATHETER(SILICON)* 338 

CKN02S0101SG SILICONE 2 WAY NEPHROSTOMY CATHETER 338 

CKN0318552FM SILICONE NEPHROSTOMY CATHETER WITH DETACHABLE FUNNEL 14:24FR 338 

CKN0351912CL SILICON NEPHROSTOMY BALLOON CATHETER W/REMOVABLE 12:24FR 可分離式腎臟造廔管 530 

CKN0410111MV PERCUTANEOUS NEPHROSTOMY CATHETER WITH LOOP LOCKING RETENSION 豬尾巴導管 829 

CKN0418572FM SILICONE NEPHROSTOMY PIGTAIL PATTERN CATHETER 12FR 338 

CKN045524NAN SOFT DRAIN PIGTAIL DRAINAGE CATHETER WITH 2 WAY STOPCOCK 530 

162



CKN04BTPDSBQ NEPHROSTOMY CATHETER(WITH STYLET&FLEXIBLE CANNULA) 829 

CKN0508240CK MALECOT CATHETER 885 

CKN051111NWN MALECOT CATHETER 4 WING 12:40FR 273 

CKN0514010CL SILICON 4 WING MALECOT 10:26FR 梅花型腎臟造廔管 885 

CKN051840NFM "FORTUNE"SILICONE MALECOT CATHETER 14:36FR 矽質梅花型引流管 885 

CKN0586010BA MALECOT NEPHROSTOMY TUBE 16:36FR 273 

CKN059106NRU MALECOT CATHETER 4 WING CH10:40 273 

CKN0718512FM SILICONE 2WAY NEPHROSTOMY CATHETER X-RAY OPAQUE TIP 8:24FR 338 

CKN0718513FM SILICONE 3WAY NEPHROSTOMY CATHETER X-RAY OPAQUE TIP 14:24FR 357 

CKS016020NAN "ANGIOMED"URETERAL STENTS(STENT+GUIDE+PUSHER) 1117 

CKS022916XCL CLINY SILICONE SINGLE PIGTAIL URETERAL STENT 6:8.5FR(stent+Guide wire+ Pusher) 1570 

CKS0275290PB URETERAL PIGTAIL STENT SET HYDROFEEL STEERABLE(STENT+G+SHEATH+CLIP) 1570 

CKS0276040PB URETERAL PIGTAIL STENT SET HYDROFEEL STANDARD(STENT+G+SHEATH+CLIP) 1698 

CKS0276290PB URETERAL PIGTAIL STENT SET HYDROFEEL STANDARD(STENT+G+SHEATH+CLIP) 1698 

CKS0276300PB URETERAL PIGTAIL STENT SET HYDROFEEL PEDIATRIC(STENT+G+SHEATH+CLIP) 1698 

CKS0276320PB URETERAL PIGTAIL STENT SET HYDROFEEL STEEERABLE(STENT+G+SHEATH+CLIP) 1698 

CKS0276340PB URETERAL PIGTAIL STENT SET HYDROFEEL STEEERABLE(STENT+G+SHEATH+CLIP) 1698 

CKU0303903P2 URETERAL CATHETER STRAIGHT TIP 3:7FR 75CM 166 

CKU03051XNP0 URETERAL CATHETER STRAIGHT OLIVE TIP 3FR:12FR NYLON STYLET 166 

CKU03054XNP0 URETERIC CATHETER STRAIGHT OLIVE TIP 3FR:12FR 166 

CKU0324103CK "COOK"URETERAL CATHETER 輸尿管導管 166 

CKU033316XH0 URETERAL CATHETER OLIVE TIP 166 

CKU0336504BA URETERAL CATHETER (OLIVE TIP) 4:6FR 166 

CKU0337504BA URETERAL CATHETER (SPIRAL) 4:6FR 166 

CKU0338008BA URETERAL CATHETER (CONE TIP) 8:12FR 166 

CKU0362400AN URETERAL CATHETER 166 

163




CKU036243NAN URETERAL CATHETER 166 




CKU036251NAN URETERAL CATHETER CYLINDERAL 4:8CH 70CM 斑馬線導管 166 



CKUB101000CK URETeRAL BALLOON dilator CATHETER 65CM 5FR,7FR 4032 

CKUB101415CK 

BALLOON URETERAL(UREThERAL 自 980401 起改為 URETERAL) DILATOR SETS 5:7FR 

65CM(CATH+GUIDE WIRE) 

5068 

CKUB107835CK "COOK"URETEROSCOPY BALLOON CATHETER(CATHETER+GUIDE WIRE) 輸尿管氣球導管 5068 

CKUB121810SB PASSPORT urological BALLOON dilatation catheter with hydro plus bonded hydrogel coating 5068 

CKUB122510MV UROMAX ULTRA HIGH PRESSURE URETERAL CATHETER W/SHEATH 5068 

CKUB128005CK COOK UPJ OCCLUSION BALLOON CATHETER SETS(CATH+GUIDE WIRE) 5068 

CKUB18884NBA UROFORCE BALLOON DILATION CATHETER 4032 

CKUB1AUBS1CK COOK ASCEND AQ URETERAL DILATION BALLOON CATHETER 4CM:10CM 4032 

CKUB1TB221SB TRILOGY LOW PROFILE URETERAL BALLOON CATHETER 4032 

CKUD126100SB BOSTON SCIENTIFIC AMPLATZ TYPE GRADUATED RENAL DILATOR SET 953 

CKUD126120SB "BOSTON SCIENTIFIC"AMPLATZ TYPE GRADUATED RENAL STYLET/SHEATH 695 

CKUD160300AN RENAL DILATOR W/SHEATH 695 

CKUD200008CL SILICON NEPHROSTOMY DILATOR 腎擴張造廔導管 117 



CKUD200040AN PTFE DILATOR 4:9FR 117 

CKUD200120AN PTFE DILATOR 12:14FR 164 

CKUD20012DAN "ANGIOMED"DILATATION SET 12FR 擴張器組 164 

164



CKUD200160AN PTFE DILATOR 16FR 234 

CKUS163206CL SILICON CHOLANGICAL BALLOON CATHETER 6:8FR 612 

CKUS22614NSB AMPLATZ TYPE RENAL SHEATH SET 820 

CKUS26015NSB "BOSTON SCIENTIFIC"AMPLATZ TYPE RENAL SHEATH SET/INDIVIDUAL SHEATHS 820 

CKUS2AMPV1CK TFE SHEATHS FOR AMPLATZRENAL DILATORS 10:36FR,16:40CM 820 

CLPA102000E5 SINGLE TITANIUM EPOXY PERITONEAL PORT(P+C+N)※ 限化學治療及癌症未期之疼痛治療使用 9370 

CLPA102000HJ PERITONEAL SYSTEM PORT-A-CATH (P+C+N)( 含動脈 , 腹膜及靜脈系統 ) 9370 

CLPA104150HJ PROPORT IMPLANTABLE VENOUS ACCESS SYSTEMS(P+C+N) 9370 

CLPA104151HJ PROPORT IMPLANTABLE VENOUS ACCESS SYSTEMS(P+C+N+I+GW+GRIPPER NEEDLE) 10464 

CLPA105041AR 1 LUMEN PICC RADIOLOGY SELDINGER ACCESS SET(CATHETER+NEEDLE+DILATOR+GUIDE WIRE) 3050 

CLPA105052AR DUAL LUMEN PICC RADIOLOGY SELDINGER ACCESS SET(C+G+I+T-PORT) 3500 

CLPA10604NBA MRI SINGLE LUMEN IMPLANTED PORTS(PORT+C+N)* 9370 

CLPA10615NBA MRI DUAL-LUMEN IMPLANTED PORTS(PORT+C+N)* 9700 

CLPA107500BA X-PORT ISP IMPLANTED PORT (P+C+N)* 9370 

CLPA107530BA X-PORT ISP IMPLANTED PORT (P+C+N+I)* 10370 

CLPA108050E5 TI DUAL PORT (P+C+N) 型號 21-8065,67 自 90/10/1 生效 ※ 限癌症化療及癌症未期之疼痛治療使用 9700 

CLPA108050HJ DUAL LUMEN TITANIUM PORT (P+C+N) 9500 

CLPA108052E5 DUAL LUMEN TITANIUM PORT (P+C+N+I)※ 限化學治療及癌症未期之疼痛治療使用 10700 

CLPA108052HJ DUAL LUMEN TITANIUM PORT (P+C+N+I) 10700 

CLPA108066E5 TITANIUM DUAL LUMEN PORT-A SYSTEM(C+G+N+I+GRIPPER NEEDLE) 10794 

CLPA108066HJ DUAL LUMEN TITANIUM PORT (P+C+N+I+GRIPPER NEEDLE) 10794 

CLPA115103CL SINGLE TITANIUM SUBCUTANEOUSLY IMPLANTED PORT(PORT+CATH+NEEDLE) 9370 

CLPA11PS0TCK VITAL-PORT VASCULAR ACCESS SYSTEMS(P+C+N+I+GW) 10370 

CLPA120011US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT 7FR (P+C+N+I) 10370 

CLPA120020US SINGLE TITANIUM CHEMOSITE VENOUS PORT(PORT+CATH+NEEDLE) 9370 

CLPA120021US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT 9FR(P+C+N+I) 10370 

165



CLPA120022US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT(PORT+CATH+NEEDLE) 9370 

CLPA120023US SINGLE TITANIUM CHEMOSITE LOW PROFILE PORT(PORT+CATH+NEEDLE) 9370 

CLPA120024US SINGLE TITANIUM CHEMOSITE LOW-PROFILE PORT(P+C+N) 9370 

CLPA120025US SINGLE TITANIUM CHEMOSITE LOWPROFILE VENOUS PORT 9FR(P+C+N+I) 10370 

CLPA120026US SINGLE TITANIUM CHEMOSITE LOW-PROFILE PORT(PORT+CATH+NEEDLE) 9370 

CLPA120027US SINGLE TITANIUM CHEMOSITE LOW-PROFILE PORT(PORT+CATH+NEEDLE) 9370 

CLPA120044US SINGLE TITANIUM CHEMOSITE PORT(PORT+CATH+NEEDLE) 9370 

CLPA120045US SINGLE TITANIUM CHEMOSITE PORT 9FR(P+C+N+I) 10370 

CLPA120066US SINGLE LUMEN TITANIUM CHEMOSITE VENOUS PORT 9FR(P+C+N+I) 10370 

CLPA120067US SINGLE TITANIUM CHEMOSITE ARTERIAL PORT(PORT+CATH+NEEDLE) 9370 

CLPA120085US SINGLE TITANIUM CHEMOSITE VENOUS PORT(PORT+CATH+NEEDLE) 9370 

CLPA120092US SINGLE TITANIUM CHEMOSITE VENOUS PORT 7FR(P+C+N+I) 10370 

CLPA120115US SINGLE TITANIUM CHEMOSITE LOW-PROFILE ARTERIAL PORT(P+C+N) 9370 

CLPA12130NE5 SINGLE TITANIUM PORT-A CATHETER(P+C+N) 9370 

CLPA130000BB SINGLE TITANIUM MBS CELSITE PORT(PORT+CATH+NEEDLE) 9370 

CLPA130026BB SINGLE TITANIUM EPOXY CELSITE PORT(PORT+CATH+NEEDLE), 型號 :04430379 自 940701 起刪除 9370 

CLPA130050BB SINGLE TITANIUM EPOXY CELSITE ARTERIAL PORT(P+C+N) 9370 

CLPA130069BB SINGLE TITANIUM EPOXY CELSITE PERITONEAL PORT(P+C+N) 9370 

CLPA130085BB SINGLE TITANIUM EPOXY CELSITE PORT(PORT+CATH+NEEDLE) 9370 

CLPA13008NYP "PEROUSE"POLYSITE IMPLANTABLE PORT(PORT+CATH) 植入式血管輸注器 * 9285 

CLPA130092BB 

CLPA130100BB 

"B.BRAUN"CELSITE IMPLANTABLE PORTS (PORT+CATH+NEEDLE+INTRODUCER) 舒載皮下植入式注 

射座組 *, 

"B.BRAUN "CELSITE IMPLANTABLE DOUBLE PORTS (P+C+N+I+GRIPPER NEEDLE) 舒載皮下植入式雙 

槽注射座 * 

10370 

10794 

CLPA130166HD HDC V-CATH SINGLE LUMEN PICC SET (C+N+D+G) 3050 

CLPA130395BB CELSITE IMPLANTABLE PORT ,STANDARD (P+C+N+I)* 10370 

CLPA130893BB 

CELSITE IMPLANTABLE PORT ,SMALL (P+C+N+I)*( 型號 04436962 文號 :920036552)( 型號 04436806 自 

940701 起刪除 ) 

10370 

CLPA132045BB SINGLE TITANIUM MBS CELSITE PORT(PORT+CATH+NEEDLE+INTRODUCER) 10370 

166



CLPA133718BB CELSITE IMPLANTABLE PORT ,STANDARD (P+C+N+I)*, 型號 :4433718 自 940701 起刪除 10370 

CLPA135000HD HDC V-CATH SINGLE LUMEN PICC SET (C+N+D+G) 3050 

CLPA135575HD HDC V-CATH SINGLE LUMEN PICC SET(C+N+D+G) 3050 



CLPA139008HD HDC V-CATH DUAL LUMEN PICC SET(C+N+D+G) 3500 





CLPA14009NE5 SINGLE TITANIUM PORT-A CATHETER(PORT+C+N+I+GRIPPER NEEDLE) 10464 

CLPA14024NE5 

TI SINGLE PORT-A(P+C+N) 型號 21-4022,64,70,72,84 自 90/10/1 生效 ※ 限癌症化療及癌症未期之疼痛治療 

使用 

9370 

CLPA14025NE5 SINGLE PORT-A CATH(P+C+N+I) ( 型號 21-4023,63,65,85,3020 自 90/10/01 生效 ) 10370 

CLPA14025NHJ TITANIUM PORT-A-CATH (P+C+N+I) 10370 

CLPA14071NE5 TITANIUM SINGLE LUMEN PORT-A SYSTEM(C+G+N+I+GRIPPER NEEDLE) 10464 

CLPA14072NHJ "SMITHS"IMPLANTABLE ACCESS SYSTEM 內植用輸液管 (P+C+N+I+GRIPPER NEEDLE)* 10464 

CLPA14130NBA SINGLE LUMEN PER-Q-CATHETER WITH GUIDWIRE 2.0:5.0FR 2960 

CLPA145458SB 

CLPA145468SB 

VAXCEL PERIPHERALLY INSERTED CENTRAL CATHETER(PICC) WITH PASV VALVE 

TECHNOLOGY(SINGLE LUMEN,3:5FR,60CM )(C+N+D+G)* 

VAXCEL PERIPHERALLY INSERTED CENTRAL CATHETER(PICC) WITH PASV VALVE 

TECHNOLOGY(DUAL LUMEN,4:6FR,60CM )(C+N+D+G)* 

3050 

3500 


CLPA15105KHZ VORTEX VTX TITANIUM VASCULAR ACCESS PORTS(P+C+N+I)* 10370 

CLPA160260DV SINGLE PLASTIC HICKMAN PORT(PORT+CATH+NEEDLE) 9370 

CLPA160284BA SINGLE MRI PLASTIC PORT W/GROSHONG 3-WAY(P+C+N) ( 型號 0604510 自 91/07/01 生效 ) 9370 

CLPA161548BA MRI DUAL PORT W/GROSHONG CATHETER(PORT+CATH+NEEDLE) 9700 

CLPA161635PF ARTERIAL PORT-CATH(PORT+CATH+NEEDLE+INTRODUCER) 10370 

CLPA161636PF SINGLE LUMEN PFM VASCULAR ACCESS SYSTEM JET (C+G+N+I+GRIPPER NEEDLE)* 10464 

167



CLPA165750BA X-PORT ISP IMPLANTED PORT WITH MICROINTRODUCER KIT(P+C+N+I)* 適應正請見備註欄 10370 

CLPA170754BA X-PORT ISP IMPLANTED PORT WITH INTERMEDIATE KIT(P+C+N+I)* 適應正請見備註欄 10370 

CLPA17505NBA 

"BARD"GROSHONG PERIPHERALLY INSERTED CENTRAL VENOUS DUAL-LUMEN W/INTRODUCER 

KIT* 

3500 

CLPA176174BA "BARD"GROSHONG NXT CLEAR VUE 4FR.SINGLE LUMEN(PICC) 葛羅祥刻立回中央靜脈導管 * 2960 

CLPA17715NBA SINGLE LUMEN GROSHONG PERIPHERALLY INSERT CENTRAL VENOUS CATH 3,4FR 2960 

CLPA177255BA DUAL LUMEN GROSHONG PERIPHERALLY INSERT CENTRAL VENOUS CATH 3000 

CLPA1MS41NBD 

CLPA1P0R45SB 

CLPA1P1CC1CK 

CLPA1P1CC2CK 

CLPA1P1CC3CK 

CLPA1P1CC4CK 

CLPA1P1CC5CK 

CLPA1P1CC6CK 

1 LUMEN FIST PICC PROCEDURE KIT 3:5FRX65CM (C+G+I+T-PORT)※ 限癌症化療及癌症末期之疼痛 

治療使用 

"BOSTON SCIENTIFIC"VAXCEL IMPLANTABLE PORTS WITH PASV TECHNOLOGY (SINGLE 

LUMEN)(P+C+NX2+I)* 

TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-ONE LUMEN 

(C+D+G+N)* 適應請見備註欄 

TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-ONE LUMEN 


TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-TWOLUMEN 


TURBO-FLO PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER(PICC) SET-TWOLUMEN 


TURBO-FLO OVER THE WIRE PERIPHERALLY INSERTED CENTRAL VENOUS 

CATHETER(PICC)SET(SINGLE LUMEN C+I+G)* 

TURBO-FLO OVER THE WIRE PERIPHERALLY INSERTED CENTRAL VENOUS 

CATHETER(PICC)SET(DOUBLE LUMEN C+I+G)* 

3050 

10370 

3050 

3050 

3500 

3500 

3050 

3500 

CLPA1P1CC7CK "COOK"TURBO-JECT PICC SET(CATH+INTRODUCER) 週邊導入中央靜脈導管組 ( 單腔 )* 3050 

CLPA1P1CC8CK "COOK"TURBO-JECT PICC SET(CATH+INTRODUCER) 週邊導入中央靜脈導管組 ( 雙腔 )* 3500 

CLPA1PD41NBD 

CLPA1PP1C1M0 

CLPA1PP1C2M0 

CLPA1PS41NBD 

2 LUMEN FIST PICC PROCEDURE KIT 65CM (C+G+I+T-PORT)※ 限癌症化療及癌症末期之疼痛治療使 

用 

"MEDCOMP"PRO-PICC PERIPHERALLY INSERTED CENTRAL VEIN CATHETER SET(SINGLE LUMEN 

C+N+G+D) 普羅匹克週邊導入中央靜脈導管組 * 

"MEDCOMP"PRO-PICC PERIPHERALLY INSERTED CENTRAL VEIN CATHETER SET(DOUBLE LUMEN 

C+N+G+D) 普羅匹克週邊導入中央靜脈導管組 * 

1 LUMEN FIST PICC PROCEDURE KIT 1.9:5FRX65CM (C+G+I+T-PORT)※ 限癌症化療及癌症末期之疼 

痛治療使用 

3500 

3050 

3500 

3050 

CLPA1VP100GH SINGLE PLASTIC VAS PORT (PORT+CATH+NEEDLE+INTRODUCER) 10370 

CLPA1VP150GH SINGLE PLASTIC VASPORT SYSTEM(PORT+CATH+NEEDLE+INTRODUCER)* 10370 

CLPA1VTXTRRH "RITA"VORTEX TR PORT SYSTEM(P+C+N+I) 植入型注射系統 * 10370 

CLS040114NPW INFUSION SET W/BURETTE W/VALVE 100CC 68 

CLS0404965HR SOLUSET 100X60 PRECISION VOLUME IV SET W/100ML BURETTE AND MICRODRIP CHAMBER 94.5 

CLS040520VBB DOSIFIX VOLUME CONTROL ADMMINISTRATION SET 120ML WITH VALVE 68 

168



CLS040708NPW PERFECT DISPOSABLE INFUSION SET(W/BURETTE W/VALVE) 68 

CLS041VC01TZ VOLUME CONTROL I.V ADMINISTRATION SET 60 

CLS041VPB3JS JMS INFUSION SET WITH BURET 100CC 63 

CLS046369NPW INFUSION SET W/BURETTE W/VALVE 150CC,200CC 68 

CLS04BR150SG VOLUME METERIC ADMINISTRATION SET W/FILTER 63 

CLS04BRM08LL INFUSION SET WITH BURETTE 100CC 63 

CLS04BS120SG VOLUME METERIC ADMISTRATION SET W/VALVE W/FILTER 68 

CLS04BS150SG VOLUME METERIC ADMINISTRATION SET W/VALUE W/FILTER 68 

CLS04BT100SG VOLUMEMETRIC ADMINSTRATION SET 63 

CLS04BT120SG VOLUME METERIC ADMISTRATION SET W/FILTER 63 

CLS04BT163BQ Infusion set 100ml with valve &filter 68 

CLS04BT164BQ Infusion set 150ml with valve &filter 68 

CLS04BUM08LL INFUSION SET WITH BURETTE( 雙路式 ) 63 

CLS04BV100SG VOLUMEMMETRIC ADMINSTRATION SET 100ML WITH VALVE 68 

CLS04BV150SG VOLUMEMMETRIC ADMINSTRATION SET 150ML WITH VALVE 68 

CLS04C5894BT BURETROL IV SOLUTION ADMINISTRATION SET W/ VALVE 68 

CLS04CSBACLL "LILY"VOLUME METERIC ADMINISTRATION SET W/VALVE 精密輸液套 68 

CLS04CSBESLL "LILY"VOLUME METERIC ADMINISTRATION SET(W/VALVE)* 68 

CLS04CSBRBLL VOLUME METERIC ADMINISTRATION SET 100ML 120ML 150ML 附過濾網 60 

CLS04CSBVFLL VOLUME METERIC ADMINISTRATION SET 100ML 120ML 150ML 附過濾網 60 

CLS04CSBVSLL VOLUME METERIC ADMINISTRATION SET 100ML 120ML 150ML W/VALVE 附止水閥、附過濾網 68 

CLS04IVC01TZ VOLUME CONTROL I.V ADMINISTRATION SET 60 

CLS04IVPBFJS INFUSION SET PEDIATRIC 100ML BURET W/FLOAT VALVE 68 

CLS04M270LTM TERUFUSION VOLUMETRIC SOLUTION ADMINISTRAION SET WITH VALVE 68 

CLS04SBAFHLL VOLUME METERIC ADMINISTRATION SET 150CC W/VALVE 68 

CLS04VB10LFP "MEDPRO"INFUSION SET 輸液套 60 

169



CLS04VB10SFP "MEDPRO"INFUSION SET 輸液套 60 

CLS04VB10YFP "MEDPRO"INFUSION SET WITH VALVE 輸液套 68 

CLS04VB12CBB B.BRAUN IV-FIX BURETTE INFUSION SET WITH VALVE 68 

CLS0501648HR PLUMSET I.V PUMP SET* 192 

CLS0501756HR PRIMARY IV PUMP SET* 192 

CLS0502210ZL "CARDINAL" ADMINSTRATION SET 192 

CLS0502230ZL "CARDINAL" ADMINSTRATION SET(0.2MICRO FILTER) 307 

CLS0502260ZL "CARDINAL" ADMINISTRATION SET 283 


CLS05036EHM8 MEDITOP INFUSION SET FOR INFUSION PUMP (IV PUMP SET)* 73.6 

CLS05036SPBB "B.BRAUN"INFUSOMAT SPACE LINE 史倍司輸液套 * 73.6 

CLS0503704HR IV PUMP SET* 192 

CLS05037EHM8 MEDITOP INFUSION SET FOR INFUSION PUMP (IV PUMP SET)* 73.6 

CLS050F825HR IV PUMP SET* 180 

CLS051117ABT VOLUMETERIC PUMP SET( 型號 FNC1117B 自 090/07/01 起生效 ) 192 

CLS052027HM8 "MEDITOP"INFUSION SET FOR INFUSION PUMP 輸液套 ( 輸液幫浦用 ) 73.6 

CLS0526WEHM8 MEDITOP INFUSION SET FOR INFUSION PUMP (IV PUMP SET)* 73.6 

CLS05668SPBB INFUSOMAT SPACE LINE 史倍司輸液套 * 73.6 

CLS05A200LTM TERUFUSION IV PUMP SET WITHOUT BAG 73.6 

CLS05C0169BT COLLEAGUE PUMP SYRINGE ADAPTER SET * 60 

CLS05C7542BT BURETROL PUMP SET WITH 3-INJ SITE 237 

CLS05C9604BT CONTINU-FLO PLUS SOLUTION ADMINISTRATION PUMP SET* 180 

CLS05T037HTP INFUSION PUMP SET 92 

CLS0601753HR SOLUSET 150ML BURETTE IV PUMP SET* 237 

CLS0601772HR HOSPIRA SPECIALTY PUMP SET(VENTED NITROGLYCERINE I V SET) 283 


170



CLS0602427HR PUMP SET(NITROGLYCERIN) 283 

CLS060E798HR HOSPIRA IV PUMP SETS* 237 

CLS060F821HR NTG PUMP SET-STERILE WITH LIGHT PROTECTIVE POLYETHYLENE TUBING 220 

CLS060F826HR SOLUSET 150X60 PUMP SET BURETTE I V ADMINSTRATION SET* 180 

CLS060L217HR IV PUMP SET 220 

CLS060L218HR NTG PUMP SET WITH LIGHT PROTECTIVE POLYETHYLENE TUBINGING 220 

CLS0611706HR BURETTE PUMP SET* 237 

CLS0611879HR PLUMSET IV PUMP SET W/FILTER 307 

CLS06125SPBB INFUSOMAT SPACE LINE UV-PROTECT 史倍司輸液套 ( 不透光型 ) 220 

CLS06731SPBB 

INFUSOMAT SPACE LINE PVC-FREE SET FOR THE ADMINISTRATION OF CYTOTOXIC AGENTS 史倍 

司輸液套 

220 

CLS06C7544BT BURETROL SOLUTION PUMP SET * 237 

CLS06C7552BT VENTED NITROGLYCERIN PUMP SET 283 

CLS06C7553BT (NON-)VENTED PACLITAXEL SET W/0.22MICRON FILTER 290 

CLS06C9644BT LIGHT SENSITIVE CLEARLINK SET 無針系統含過濾器避光輸液套 307 

CLS06C9651BT BURETROL PUMP SET W/BURETTE 237 

CLS06M270LTM TERUFUSION IV PUMP SET WITH BAG 100CC 122.6 

CLS071724NPW TRANSFUSION SET 20 

CLS07A130NPW PERFECT DISPOSABLE TRANSFUSION (L TYPE ) 20 

CLS07A200BTM BLOOD ADMINISTRATION SET 20 

CLS07A200LTM BLOOD ADMINISTRATION SET 20 

CLS07BT350JS BLOOD TRANSFUSION SET 20 

CLS07C5896BT BLOOD ADMINISTRATION SET 20 

CLS08066SPBB INFUSOMAT SPACE LINE TRANSFUSION WITH 200UM BLOOD FILTER 史倍司輸血套 230 

CLS0808949HR Y-TYPE BLOOD SET WITH PUMP 230 

CLS0811664HR Y-TYPE BLOOD PLUMSET 230 

CLS0900BTYJS Y TYPE BLOOD TRANSFUSION SET 22 

171



CLS0902004TM Y TYPE ADMINISTRATION SET 22 

CLS0902005TM Y TYPE ADMINISTRATION SET 22 

CLS09A140NPW PERFECT DISPOSABLE TRANSFUSION (Y TYPE ) 22 

CLS09B140NPW Y TYPE BLOOD TRANSFUSION SET 22 

CLS1202427HR PUMP SET(NITROGLYCERIN) 283 



CME04CYNACNG NBCA 栓塞球固定液 0.5CC 腦血管栓塞導管栓塞劑 1905 

CMV0118298SB RENEGADE HI-FLO MICROCATHETER KIT(MICROCATH+G WIRE+HEMASTATIC)* 14963 

CMV0149152SB 

SPINNAKER ELITE FLOW DIRECTED INFUSION CATHETER SET(INFUSION CATH+MICRO 

GUIDEWIRE+HEMASTATIC )* 

14963 

CMV0149152TA SPINNAKER INFUSION CATHTER(CATH+GUIDEWIRE+HEMASTATIC) 14963 

CMV0149181SB EXCELSIOR MICROCATHETER LENGTH 150/6 TIP CONFIGURATION 1,2 MARKER * 7440 

CMV0149189SB EXCELSIOR PRE-SHAPED MICROCATHETER* 7440 

CMV0150103SB FAS TRACKER INFUSON CATHETER KIT(CATH+GUIDE WIRE+HEMASTATIC)* 14963 

CMV016060NCD PROWLER INFUSION CATHETER 7440 


CMV01606S1CD "CORDIS"PROWLER SELECT LP&LP-ES INFUSION CATHETER 保勒注射導管 * 7440 

CMV01606S2CD "CORDIS"PROWLER SELECT PLUS INFUSION CATHETER 保勒注射導管 * 7440 

CMV01606XNCD PROWLER INFUSION CATHETER * 7440 


CMV018819XNY NYCOMED STARFAST-18 HYDROPHILIC MICRO CATHETER ※ 適應症請見備註 14963 

CMV01E2710TM PROGREAT CATHETER(MICRO CATH+INTRODUCER WIRE+COATING+HEMASTATIC) 14963 

CMV01ECHL0V9 "MTI"ECHELON MICRO CATHETERS 微導管 (CATH+MICRO GUIDE WIRE+HEMASTATIC)* 14963 

CMV01FS135MR "MERIT"FOUNTAIN INFUSION SYSTEM(CATH+GUIDE WIRE+HEMASTATIC) 芳登灌輸系統 * 14963 

CMV01MC11XCY COSMO MICRO CATHETER KIT(CATH+GUIDEWIRE+Y CONNECTOR+TORQUE DEVICE) 14963 

CMV01MC1S2CK "COOK"MULTI-SIDEPORT CATHETER INFUSION SET 多側孔注射導管組 * 7440 

172



CMV01MF251CK "COOK"MIRA-FLEX 18 MICROCATHETER* 7440 

CMV01MFNT1CK "COOK"MIRAFLEX MICROCATHETER 麥拉菲微導管 * 7440 

CMV01MFS01CK MICROFERRET-21 HIGH FLOW INFUSION CATH SET(C+G+CONNE.+TOR.DEVICE) 14963 

CMV01MFS11CK COOK MICROFERRET-18 INFUSION CATHETER SET(CATH+GUIDE WIRE+HEMASTATIC)* 14963 

CMV01MFS15CK COOK MICROFERRET-18 INFUSION CATHETER SET(CATH+GUIDE WIRE+HEMASTATIC)* 14963 

CMV01P2710TM PROGREAT CATHETER(MICRO CATH+INTERODUCER WIRE+COATING+HEMASTATIC) 14963 

CMV01PC241TM PROGREAT CATHETER(MICRO CATH+INTRODUCER WIRE+COATING+HEMASTATIC) 14963 

CMV01REBARV9 MTI REBAR MICRO CATHETER SET(MICRO CATH+GUIDE WIRE+HEMASTATIC) 恩提愛瑞霸微導管 * 14963 

CMV01SCR3NCK "COOK"MULTI-SIDEPORT CATHETER INFUSION SET 多側孔注射導管組 * 7440 

CMV01SCWHVMR "MERIT"FOUNTAIN INFUSION SYSTEM(CATH+GUIDE WIRE+HEMASTATIC) 芳登灌輸系統 * 14963 

CMV01SMAGXBL BALT MAGIC CATHETER SET 18227 

CMV01SQ135MR "MERIT"FOUNTAIN INFUSION SYSTEM(CATH+GUIDE WIRE+HEMASTATIC) 芳登灌輸系統 * 14963 

CMV01STDATAS ASAHI MICRO CATHETER * 7440 

CMV0205102SB FAS TRACKER INFUSON CATHETER* 7440 

CMV0205102TA TARGET FASTRACKER INFUSION CATHETER 7440 

CMV0210062SB "BOSTON SCIENTIFIC"GUIDER SOFTIP XF GUIDING CATHETER* 6923 

CMV0210062TA GUIDER SOFTIP GUIDING CATHETER 5FR 90,100CM * 6923 

CMV0214270SB TRACKER EXCEL-14 MICROCATHETER* 7440 

CMV0214270TA TARGET THERAPEUTICS TRACKER EXCEL-14 MICROCATHETER* 7440 

CMV02142NNTA TARGET THERAPEUTICS TRACKER EXCEL-14 MICROCATHETER* 7440 

CMV0218251SB RENEGADE MICROCATHETER* 7440 

CMV0218251TA RENAGADE FIBER BRAIDED MICRO CATH PROXIMAL/DISTAL 3F/2.5F 130,150CM 7440 

CMV0218282SB RENEGADE HI-FLO MICROCATHETER OD=3.0F/2.8F ID=0.027/0.027 L80/150CM * 7440 

CMV0218284SB RENEGADE HI-FLO MICROCATHETER O.D 3.0,2.8F I.D 0.027 L 80,150CM * 7440 

CMV02600XNCD TRANSIT INFUSION CATHETER 3FR/2.5FR 75,90,105,140,155,175CM 7440 

CMV02FT10XCY INTRACEREBRAL BRAIDED GUIDING CATHETER HYDROPHILIC 5FR,6FR 100CM 6923 

173



CMV02KCFW1CK "COOK"FLEXOR GUIDING CATHETERS 福雷色引導導管 * 6923 

CMV02KSAW1CK COOK FLEXOR GUIDING CATHETERS 5:8FR 90CM* 6923 

CMV02KSAW2CK COOK FLEXOR GUIDING CATHETERS 0.038" 70:90CM* 6923 

CMV02KSAW3CK "COOK"FLEXOR GUIDING CATHETERS 5.0FR:8.0FR 0.018/0.038:0.038 40CM:90CM 6923 

CMV02KSAW4CK "COOK"FLEXOR GUIDING CATHETERS 弗萊色引導導管 * 6923 

CMV02KSAW5CK "COOK"FLEXOR GUIDING CATHETERS 弗萊色引導導管 * 6923 

CMV02LMGN1CK "COOK"NORTHSTAR LUMAX FLEX GUIDING CATHETERS 諾斯達盧馬福雷司導引導管 * 6923 

CMV02LMGN2CK "COOK"WHITE LUMAX GUIDING CATHETERS 懷特盧馬導引導管 * 6923 

CMV02MF001CK MICROFERRET-18 INFUSION CATHETER SET 3FR * 7440 

CMV0306510SB DASHER STEERABLE GUIDEWIRE* 4650 

CMV0306510TA TARGET THERAPECUTICS DASHER STEERABLE GUIDE WIRE WITH PERMAGLIDE COATING 4650 

CMV0346802SB TRANSEND GUIDE WIRE * 4650 

CMV0361414CD AGILITY STEERABLE GUIDEWIRE 0.014" 165,205,350CM 4650 

CMV0361416CD AGILITY STEERABLE GUIDEWIRE 0.016" 145,175CM 4650 

CMV03614XNCD AGILITY STEERABLE GUIDEWIRE 0.010 195CM( 型號 614-179 自 91/07/01 生效 ) 4650 

CMV03FA509SB "BOSTON SCIENTIFIC"FATHOM-16 STEERABLE GUIDEWIRE 菲森可控式導線 * 4650 

CMV03FWR45MR "MERIT"FOUNTAIN INFUSION SYSTEM(GUIDE WIRE+TORQUE) 芳登灌輸系統 * 4650 

CMV03MT1GWV9 "MTI"GUIDEWIRE 導引線 ( 親水性導入線 + 扭轉器 + 導入線導入鞘 )* 4650 

CMV03STM48AS ASAHI MICRO GUIDEWIRE 0.014" 0.018"* 4650 

CMV03TPMG1CK MICRO GUIDE WIRE 0.14INCH * 4650 

CMV03TPMG2CK "COOK"MICRO WIRE GUIDE 導線 * 4650 

CMV0403010TA FIBERED PLATINUM COIL 3122 

CMV0403120TA FIBERED PLATINUM COIL2:30MMX2:100MM 3122 

CMV0436010SB GDC-SYNERG OCCLUSION COIL*( 型號 :347204-SR 自 951001 起生效 ) 17119 

CMV0436018SB GDC-SYNERG OCCLUSION COIL* 17119 

CMV0437204TA VASCULAR PLATINUM COIL 3122 

174



CMV0437230SB FIBERED PLATINUM COILS* 3122 

CMV04AX1UMV9 "MTI"AXIUM DETACHABLE COILS SYSTEM 西恩分離式閉塞捲 1.5MM:25MM,1CM:50CM* 17119 

CMV04DCS01CD TRUFILL DCS DETACHABLE CIOL SYSTEM * 17119 

CMV04DCS01CK DETACHABLE EMBOLIZATION COIL( 機械式旋轉方式解離 )* 14174 

CMV04DCS02CD TRUFILL DCS DETACHABLE COIL * 17119 

CMV04DCS03CD "CORDIS"TRUFILL DCS DETACHABLE COIL SYSTEM 楚菲爾分離式白金纖維環系統 * 17119 

CMV04GDC04TA GDC-SYNER G OCCLUSION COILS( 產品型號包括 341201SR4:344715SR4) 17119 

CMV04GDC10SB "BOSTON SCIENTIFIC"GDC DETACHABLE COIL 2,2.5,3,4,5,6,7MM 古利艾美分離式閉塞捲 * 17119 

CMV04GDC10TA GDC OCCLUSION COILS(OD 2:20MM 1:30CM) 適應症見備註 (355-8254,10:20-34 92.7.1 生效 920009154) 17119 

CMV04GDC11SB GDC DETACHALE COIL* 17119 




CMV04HCSVXMS "MICROVENTION"MICROPLEX COIL SYSTEM 微導線圈栓塞系統 * 17119 

CMV04HESRNMS MICROVENTION HYDROCOIL EMBOLIC SYSTEM(HES)* 19085 

CMV04HESVXMS HYDROCOIL EMBOLIC SYSTEM (HES) 親水性線圈栓塞系統 * 19085 

CMV04M000TCK TORNADO EMBOLIZATION MICROCOIL 0.018,2:14CM 2:10MM 3122 

CMV04M001NCK EMBOLIZATION COILS* 2019 

CMV04M002NCK EMBOLIZATION COILS* 2019 

CMV04M003NCK TORNADO EMBOLIZATION MICROCOIL 0.035,0.038,3:14CM,3:10MM 3122 

CMV04M005NCK HILAL EMBOLIZATION MICROCOILS* 3122 

CMV04M006NCK EMBOLIZATION COILS * 2019 

CMV04M007NCK COOK NESTER EMBOLIZATION COILS* 3122 

CMV04M008NCK 

CMV04MAX05SB 

CMV04MAX06SB 

COOK MREYE EMBOLIZATION COILS AND DETACHABLE COILS 0.025 英吋 .1:5 公分 0.035 英吋 .1:20 公 

分 0.038 英吋 .1:20 公分 * 適應請見備註欄 

MATRIX2 DETA.COIL D:2-24MM L:2-40CM 360 度 COMP SHAPE-360 度 FIRM.360 度 STANDARD SR.360 度 

SOFT SR.HELICAL SHAPE-HELICAL ULTRA SOFT SR* 適應症見備註 

MATRIX COIL D:2-20MM L:4:30CM 3D OMEGA SHAPE-3D OMEGA FIRM;STANDARD HELICAL 

SHAPE-2DFIRM;STANDARD SR;SOFT SR;HELICAL SOFT SR* 適應症見備註 

3122 

19085 

19085 

175



CMV04MCSVXMS "MICROVENTION"MICROPLEX COIL SYSTEM 微導線圈栓塞系統 * 17119 

CMV04MWCE1CK 

"COOK"MREYE EMBOLIZATION COILS 密絲特艾栓塞線圈 , 伸展之栓塞長度 1:20 公分 , 線圈狀栓塞直 

徑 2:25 公厘 * 

3122 

CMV04NEXUSV9 "MTI"NEXUS DETACHABLE COILS SYSTEM 雷瑟斯分離式閉塞捲 * 19085 

CMV0621029LW "LEMAITRE"PRUITT IRRIGATION OCCLUSION CATHETER 普特灌沖血管閉塞導管 2466 

CMV0621036LW "LEMAITRE"PRUITT OCCLUSION CATHETER 普特血管閉塞導管 2466 

CPC0100001BB 1 LUMEN PEDIATRIC CVP CATHETER(C+N+D+G+S) 740 

CPC0100011BB 1 LUMEN CVP CATHETER(C+N+D+G+S) 520 

CPC0104706AR 

"ARROW"CENTRAL VEIN CATHETERIZATION SET I LUMEN(CATH+NEEDLE+DILATOR+GUIDE 

WIRE+SYRING)" 亞諾 " 中央靜脈導管組 

520 

CPC0124301AR SINGLE LUMEN CANTRAL VENOUS CATHETER ( 特材代碼 89/03/01 改為 CPC01A4301AR) 520 

CPC0141320BA SILICONE PER-Q CATHETER(PICC)(CATH W/STYLET,INTRODUCER NEEDLE)2,3FR 28CM,60CM 1100 

CPC014132NBA SINGLE LUMEN SILICONE PER-Q CATHETER BASIC TRAY 2FR 1100 

CPC0147630AG CVP KIT MINI ( 含 GUIDE WIRE, CATHETER, NEEDLE) 16FR 520 

CPC0147631AG CVP KIT MINI ( 含 GUIDE WIRE, CATHETER, NEEDLE) 16FR 520 

CPC0160004DV SINGLE LUMEN BROVIAC CATHETER 布羅斐式導管 2.7FR 90CM 2500 

CPC016816NBD SINGLE LUMEN CVP CATHETER(CATH+N+DIL+GW+SYR) 520 

CPC01A4301AR 

CPC01A4650AR 

"ARROW"ARROWGARD CATHETERS:ANTISEPTIC SINGLE LUMEN CVP CATHETER 16GX20CM 

(C+N+D+G+S)" 亞諾 " 抗感染安全尖端導管 

"ARROW"CENTRAL VEIN CATHETERIZATION SET I 

LUMEN(PEDIATRIC)(CATH+NEEDLE+DILATOR+GUIDE WIRE+SYRING)" 亞諾 " 中央靜脈導管組 

560 

740 

CPC01B1161BD ANTIMICROBIAL SINGLE LUMEN CVP CATHETER(C+N+D+G+S) 560 

CPC01BCV11EE 1 LUMEN CVP CATHETER(CATHETER+GW+DILATOR+SYRINGE) 520 

CPC01C4400AR 



520 

CPC01CA301AR ARROWGARD CATHETER SINGLE LUMEN (C+N+D+G+S) 抗感染安全尖端導管 560 

CPC01E4301AR 

CPC01E4700AR 



"ARROW"CENTRAL VEIN CATHETERIZATION SET(1 

LUMEN)(CATHETER+NEEDLE+DILATOR+GUIDE WIRE+SYRINGE)" 亞諾 " 中央靜脈導管組 

520 

520 

CPC01H1056BD SINGLE LUMEN CVP CATHETER SET(CATH+NEEDLE+DILATOR+G.WIRE+SYRINGE) 520 

CPC01M1142ED 1 LUMEN MULTI-MED CENTRAL CATHETER SET W/AMC THROMBOSHIELD 560 

CPC01M1162ED 1 LUMEN MULTI-MED CENTRAL CATHETER SET(C+N+GW+DIL+SY) 520 

176



CPC01M1201ED 1 LUMEN CVP CATHETER W/AMC THROMBOSHIELD COATING(C+N+D+GW+S) 560 

CPC01P1051BD 1 LUMEN CVP CATH SET 18G,20G,22G(PEDIATRIC)(C+N+D+G+S) 740 

CPC01R4020AR 

CPC01SWL11W8 

CPC01SWL12W8 

"ARROW"ARTERIAL CATHETERIZATION SET(RA-04220,04122,FA04018,04016 自 91/07/01 生 

效 ))(SAC00324;524;01616;02316 自 100 年 4 月 1 日刪除 ) 動脈測壓導管 

SINGLE LUMEN PEDIATRIC CENTRAL VENOUS CATHETER SET 4FR(C+N+S+GW+D+ INJECTION 

CAP) 

SINGLE LUMEN PEDIATRIC CENTRAL VENOUS CATHETER SET 5FR(C+N+S+GW+D+ INJECTION 

CAP) 

400 

740 

740 

CPC01SWL13W8 SINGLE LUMEN CENTRAL VENOUS CATHETER SET 6FR(C+N+S+GW+D+INJECTION CAP) 520 

CPC01SWL14W8 SINGLE LUMEN CENTRAL VENOUS CATHETER SET 7FR(C+N+S+GW+D+INJECTION CAP) 520 

CPC01SWL21W8 DOUBLE LUMEN INFANT CENTRAL VENOUS CATHETER SET 4FR(C+N+S+GW+D+ INJECTION CAP) 1700 

CPC01SWL22W8 

DOUBLE LUMEN PEDIATRIC CENTRAL VENOUS CATHETER SET 5FR(C+N+S+GW+D+ INJECTION 

CAP) 

1700 

CPC01SWL23W8 DOUBLE LUMEN CENTRAL VENOUS CATHETER SET 7FR(C+N+S+GW+D+INJECTION CAP) 1500 

CPC01SWL33W8 TRIPLE LUMEN CENTRAL VENOUS CATHETER SET 7FR(C+N+S+GW+D+INJECTION CAP) 1800 


CPC0200012BB 2 LUMEN CVP CATHETER(C+N+D+G+S)( 型號包括 0702-9601:9685) 1500 

CPC0214402AR 

CPC0217702AR 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION SETS:2 LUMEN ( 早產兒 ) 4FR 13CM" 

亞諾 " 多重輸液導管 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION SETS:2 LUMEN(C+N+GW+SY+D)" 


CPC0222502AR "ARROW"ARROWGARD CATHETERS:ANTISEPTIC PEDIATRIC DOUBLE LUMEN (C+N+D+G+S)" 亞諾 " 

抗感染安全尖端導管 

1700 

1500 

1835 

CPC0260048DV DUAL LUMEN HICKMAN CATHETER 3000 

CPC026817NBD 2 LUMEN CVP CATHETER(CATH+N+DIL+GW+SYR) 1500 

CPC02A7702AR 

"ARROW"ARROWGARD CATHETER (DOUBLE LUMEN )14FR X 15CM(C+N+D+G+S)" 亞諾 " 抗感染安全 

尖端導管 ( 大管徑 ) 

1620 

CPC02B1152BD ANTIMICROBIAL 2 LUMEN CVP CATHETER(C+N+D+G+S) 1620 

CPC02BCV22EE 

2 LUMEN CVP CATHETER/SET 二腔中央靜脈導管組 

(CATH+NEEDLE+DILATOR+GUIDEWIRE+SYRINGE) 

1500 

CPC02CA702AR ARROWGARD CATHETER TWO LUMEN (C+N+D+G+S) 抗感染安全尖端導管 1620 

CPC02CUDLMCK 

2 LUMEN SPECTRUM AND SPECTRUM GLIDE CENTRAL VENOUS CATHETERS AND 

SETS(C+N+D+GW+SY) 

1620 


CPC02M271SED 2 LUMEN MULTI-MED CENTRAL CATHETER SET(C+N+GW+DIL+SY) 1500 

CPC02M27S1ED 2 LUMEN CVP CATHETER W/AMC THROMBOSHIELD COATING(C+N+D+GW+S) 1620 

177



CPC02N7702AR "ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION SETS:2 LUMEN(C+N+GW+SY+D)" 1500 


CPC02P1065BD 2 LUMEN CVP CATH SET 4,5FR(PEDIATRIC)(C+N+D+G+S) 1700 

CPC02PEDSUCK SPECTRUM PEDIATRIC 2 LUMEN CVP CATHETER 4FR,5FR(C+D+GW+N+S) 1835 

CPC02PEDUDCK 

2 LUMEN SPECTRUM GLIDE CENTRAL VENOUS CATHETERS AND SETS 4.0-5.0FR 8CM 小兒用 

(C+N+D+G+S) 抗感染導管 

1835 

CPC02SUDLMCK SPECTRUM 2 LUMEN CVP CATHETER(C+D+GW+N+S) 1620 

CPC02SWL24W8 DOUBLE LUMEN CENTRAL VENOUS CATHETERIZATION SET(C+N+GW+S+D) 1500 

CPC02UDL81CK 

2 LUMEN SPECTRUM GLIDE CENTRAL VENOUS CATHETERS AND SETS 8.0FR 15CM (C+N+D+G+S) 抗 

感染導管 

1620 


CPC0300013BB 3 LUMEN CVP CATHETER(C+N+D+G+S) 1800 

CPC0312123AR 

CPC0314553AR 

CPC0314703AR 

CPC0315703AR 

CPC0316553AR 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION SETS:LARGE BORE 3 LUMEN CVP 

CATHETER 12FR(C+N+D+G+S)" 亞諾 " 多重輸液導管套 ( 大管徑 ) 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION SETS:PEDATRIC 3 LUMEN CVP SET 

5.5FR 30CM(C+N+GW+SY+D)" 亞諾 " 多重輸液導管 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION SETS:TRIPLE-LUMEN 

C+N+GW+SY+D)" 亞諾 " 多重輸液導管 


(CATH+NEEDLE+DILATOR+GW+SYRING)" 亞諾 " 多重輸液導管 


(CATH+NEEDLE+DILATOR+GW+SYRING)5.5FR 13CM" 亞諾 " 多重輸液導管 

1800 

2050 

1800 

1800 

2050 

CPC0355702TZ 3 LUMEN CENTRAL VENOUS CATHETER(CATH+NEE+DILA+GW+SY) 1800 

CPC0368172BD 3 LUMEN CVP CATHETER(CATH+N+DIL+GW+SYR) 1800 

CPC03A4703AR 

"ARROW"ARROWGARD CATHETERS:ANTISEPTIC TRIPLE-LUMEN (C+N+D+G+S)" 亞諾 " 抗感染安全尖 

端導管 

1950 

CPC03A5123AR "ARROW"ARROWGARD CATHETERS:ANTISEPTIC LARGE BORE TRIPLE-LUMEN (C+N+D+G+S)" 亞諾 " 

抗感染安全尖端導管 

1950 

CPC03B1158BD ANTIMICROBIAL 3 LUMEN CVP CATHETER(C+N+D+G+S) 1950 

CPC03BCV31EE 3 LUMEN CVP CATHETER 三腔中央靜脈導管組 (CATHETER+GW+DILATOR+SYRINGE+NEEDLE) 1800 

CPC03CA703AR ARROWGARD CATHETER TRIPLE LUMEN (C+N+D+G+S) 抗感染安全尖端導管 1950 

CPC03CUTLMCK 

3 LUMEN SPECTRUM AND SPECTRUM GLIDE CENTRAL VENOUS CATHETERS AND 

SETS(C+N+D+GW+SY) 

1950 


CPC03M371SED 3 LUMEN MULTI-MED CENTRAL CATHETER SET(C+N+GW+DIL+SY) 1800 

CPC03M37S1ED 3 LUMEN CVP CATHETER W/AMC THROMBOSHIELD COATING(C+N+D+GW+S) 1950 

CPC03P1139BD 3 LUMEN CVP CATH SET 5FR(PEDIATRIC)(C+N+D+G+S) 2050 

178



CPC03PEDUTCK SPECTRUM PEDIATRIC 3 LUMEN CVP CATHETER 5FR(C+D+GW+N+S) 2200 

CPC03SWL34W8 TRIPLE LUMEN CENTRAL VENOUS CATHETERIZATION SET(C+N+GW+S+D) 1800 

CPC03UTLMACK SPECTRUM 3 LUMEN CVP CATHETER 5FR,7FR(C+D+GW+N+S) 1950 

CPC03UTPE2CK SPECTRUM GLIDE CENTRAL VENOUS CATHETERS AND SETS 3 LUMEN 5FR(C+D+GW+N+S) 2200 

CPC05S1000BD CVP CATHETER 14G:18G 90MM:160MM 210 

CPC0885HS1ED AVA ADVANCED VENOUS ACCESS DEVICES(AVA 3XI)(CVP KIT+ 保護套 +SHEATH+SIDE ARM)* 2890 

CPC089FHS1ED AVA ADVANCED VENOUS ACCESS DEVICES(AVA HF)(CVP KIT+ 保護套 +SHEATH)* 2750 

CPC0902022PU 

CEVOX CENTRAL VENOUS OXYGEN SATURATION MONITORING SYSTEM:FIBROPTIC PROBE 

CATHETER 中央靜脈血氧飽和度 : 光纖探針導管 

5500 

CPC0977475ED 3 LUMEN PRESEP CENTRAL VENOUS OXIMETRY CATHETER SET(CVPC+PROBE+N+GW+D+SY) 7300 

CPD011010DBD PRESSURE MONITOR DOME 200 

CPD011010DHM DOME 200 

CPD011011DBD DOME 200 

CPD01BTR01BS PRESSURE MONITOR DOME 200 

CPD01BTR01H9 BIOTRANS DOME 200 

CPM0103417BB CVP MONITOR+3 WAY 150 

CPM01SC441SG CVP SCALE SYSTEM+3 WAY 150 

CPM01VP001LL CVP SCALE SYSTEM(MONITOR+3 WAY) 150 

CPM020460TBD 1DOME PRESSURE MONITORING KIT 480 

CPM021560TBD 1 DOME PRESSURE MONITORING KIT 480 

CPM0217120BD PRESSURE MONITORING KIT 1 DOME 480 

CPM0217120HM 1DOME PRESSURE MONITORING KIT 480 

CPM021712BBD 1 DOME PRESSURE MONITORING KIT 480 

CPM021712SBD PRESSURE MONITORING KIT 1 DOME 480 

CPM021712SHM 1 DOME PRESSURE MONITORING KIT 480 

CPM0220707BB 1 DOME COMBIDYN PRESSURE MONITORING SETS 480 

CPM028603NSG PRESSURE MONITORING KIT 1DOME 480 

179



CPM02BTR24BS 2 DOME 3WAY PRESSURE MONITORING KIT 2X(DOME+FLUSH+TUBING+3WAYX2) 850 

CPM02BTR24H9 2 DOME 3WAY PRESSURE MONITORING KIT 2X(DOME+DEVICE+TUBING+3 WAYX2) 850 

CPM02BTR33BS 3 DOME 3WAY PRESSURE MONITORING KIT 3X(DOME+FLUSH+TUBING+3WAYX2) 1100 

CPM02BTR33H9 3 DOME 3WAY PRESSURE MONITORING KIT 3X(DOME+DEVICE+TUBING+3 WAYX2) 1100 

CPM02BTR48BS 1DOME 3WAY PRESSURE MONITORING KIT(DOME+DEVICE+TUBING+3WAYX2) 480 

CPM02BTR48H9 1 DOME 3WAY PRESSURE MONITORING KIT(DOME+DEVICE+TUBING+3 WAYX2) 480 

CPM02DL418BS 1DOME 2WAY PRESSURE MONITORING KIT 1X(DOME+FLUSH+TUBINGX2+3WAYX4) 650 

CPM02DL418H9 1 DOME 2WAY PRESSURE MONITORING KIT 1X(DOME+DEVICE+TUBINGX2+3 WAYX4) 650 

CPM02HP60RBD PRESSURE MONITORING KIT 1DOME 480 

CPM02VGH2QBD PRESSURE MONITORING KIT 2 DOME 850 

CPM02VGH2QHM PRESSURE MONITORING KIT (2 DOME) 850 

CPM02VGH3QBD PRESSURE MONITORING KIT 3 DOME 1100 

CPM02VGH3QHM PRESSURE MONITORING KIT (3 DOME) 1100 

CPM030TNFRBD PRESSURE MONITOR TRANSDUCER 554 

CPM0342584HR TRANSPAC IV MONITORING KIT(TRAN+FLUSH+TUBING+3WAYX2) 650 

CPM0342591HR TRIFURCATED KITS WITH 3 DISPOSABLE TRANSDUCER 1300 

CPM0342597HR TRANSPAC IV MONITORING KIT WITH 2 DISPOSABLE TRANSDUCER 1050 


CPM0342632HR TRANSPAC IV MONITORING KIT 650 


CPM0348123BS 1 TRANSDUCER DISPOSABLLE PRESSURE MONITORING KIT(TR+FD+3WAYX2+TUBING) 650 

CPM034812DBD 2 TRANSDUCER DISPOSABLE PRESSURE MONITOR KIT(TR+FL+TU+3WAYX4) 1050 

CPM034812TBD 3 TRANSDUCER DISPOSABLE PRESSURE MONITOR KIT(TR+FL+TU+3WAYX6) 1300 

CPM038603ASG DISPOSABLE PRESSURE MONITOR KIT 1 DOME W/TRANSDUCER(TR+FLU+TUB+3WAYX2) 650 

CPM038603BSG DISPOSABLE PRESSURE MONITOR KIT 2 DOME W/TRANSDUCER 2(TR+FLU+TUB+3WAYX2) 1050 

CPM038603CSG DISPOSABLE PRESSURE MONITOR KIT 3 DOME W/TRANSDUCER 3(TR+FLU+TUB+3WAYX2) 1300 

180



CPM038603TSG PRESSURE MONITOR KIT 1 DOME WITH TRANSDUCER 650 

CPM03AT148H9 PRESSURE MONITORING KIT(TR+FD+3 WAYX2+TUBING) 650 

CPM03AT1DLH9 PRESSURE MONITORING KIT (TR+FDX2+3 WAYX2+TUBINGX2) 930 

CPM03AT248H9 PRESSURE MONITORING KIT 2X(TR+FD+3 WAYX2+TUBING) 1050 

CPM03AT348H9 PRESSURE MONITORING KIT 3X(TR+FD+3 WAYX2+TUBING) 1300 

CPM03ATF30H9 PRESSURE MONITORING KIT(TR+FD+3 WAYX2+TUBING) 650 

CPM03D2020BD TRANSDUCER W/FLUSH 554 

CPM03D4812BD DISPOSABLE PRESSURE MONITORING KIT W/1 TRANSDUCER 650 

CPM03D4812HM DISPOSABLE PRESSURE MONITORING KIT WITH TRANSDUCER 650 

CPM03DDL60BD DISPOSABLE PRESSURE MONITORING 1 TRANSDUCER(2 WAY) 930 

CPM03DNN12BD PEDIATRIC 1 TRANSDUCER DISPOSABLE PRESSURE MONITORING KIT 734 

CPM03DP240H9 2 TRANSDUCER PRESSURE MONITORING KIT 2X(TR+FD+3 WAYX2+TUBING) 1050 

CPM03DP340H9 3 TRANSDUCER PRESSURE MONITORING KIT 3X(TR+FD+3 WAYX2+TUBING) 1300 

CPM03DPT24H9 TREANSDUCER PRESSURE MONITORING KIT(TR+FD+3 WAYX2+TUBING) 650 

CPM03DPT30H9 PRESSURE MONITORING KIT(TR+FD+3 WAYX2+TUBING) 650 

CPM03DPTDLH9 TRANSDUCER PRESSURE MONITORING 2WAY KIT (TR+FD+3 WAYX2+TUBINGX2) 930 

CPM03DTL60BD DISPOSABLE PRESSURE MONITORING 3 WAY KIT(2 TRANSDUCER) 1180 

CPM03MER12MR MERITRANS DISPOSABLE PRESSURE MONITORING TRANSDUCER W/3WAY 電子式壓力轉換器 554 

CPM03PV800PU PCCO MONITORING KIT 30CM,100CM,150CM(TX1+FX1+TX2+3-WAYX2) 650 

CRB0100028MA 2 LUMEN BRONCO-CATHETER LEFT/RIGHT 28:39FR 1490 

CRB03AEBS1CK ARNDT ENDOBRONCHIAL BLOCKER SET 9.0FR. 78CM * 限肺葉切除或食道手術使用 3675 

CRB03AEBS2CK 

CRB03AEBS3CK 

” 曲克 ” 支氣管內管阻隔管組 ARNDT ENDOBRONCHIAL BLOCKER SET 7.0FR. 65CM * 限肺葉切除或 

食道手術使用 

” 曲克 ” 支氣管內管阻隔管組 ARNDT ENDOBRONCHIAL BLOCKER SET 5.0FR. 50CM,65CM * 限肺葉 

切除或食道手術使用 

3675 

4000 

CRB03BBTAEDZ ” 大研 ” 支氣管閉鎖導管 ”DAIKEN” COOPDECH ENDOBRONCHIAL BLOCKER TUBE* 3675 

CRE01C0040MA ENDOTRACHEAL TUBE MLT 4:6FR ※ 處置使用可申報 , 手術使用不另給付。型號 121-40 自 93.1.1 刪除 159 

CRE01C0065RU EDGAR TUBE WITH CUFF 6.5MM:10.0MM TWO LUMEN※ 限處置使用可申報 , 手術使用不另給付 440 

181



CRE01C4050UW " 花瑪 " 氣管內管 PHARMA ENDOTRACHEAL TUBES CUFF 5:8.5MM * 處置使用可申報 , 手術使用不另給 300 

付 . 

CRE01C4060EU 

CRE01U0030EU 

CRE0311830MA 

NON-KINKING ENDOTRACHEAL TUBE ARMOURED CUFF 6.0:8.5MM ※ 處置使用可申報手術使用不另 

給付。 

NON-KINKING ENDOTRACHEAL TUBE ARMOURED UNCUFF 3.0:5.5MM ※ 處置使用可申報手術使用 

不另給付。 

REINFORCED ENDOTRACHEAL TUBE NON-KINKING 加強型氣管內管 * 處置使用可申報 , 手術使用不另 

給付 

300 

328 

300 

CRE03C055NFM SILICONE ENDOTRACHEAL TUBE W/CUFF 5.5:10.0MM※ 處置使用可申報手術使用不另給付 300 

CRE03U0050MA REINFORCED ENDOTRACHEAL TUBE (NON-KINKING) ※ 處置使用可申報 , 手術使用不另給付 328 

CRE03U025NFM 

CRE04C0035RU 

SILICONE ENDOTRACHEAL TUBE W/WIRE WITHOUT CUFF 2.5:5.0MM※ 處置使用可申報手術使用不 

另給付 

AGT-TUBE,NASAL TRACHEAL TUBE W/LOW-PRESSURE CUFF,ID 3.5:8.0MM 處置使用可申報 , 手術使 


328 

245 

CRE04C0040MA RAE NASAL TRACHEAL TUBE W/CUFF 4.5:8MM 鼻彎 ※ 處置使用可申報手術用不另給付 245 

CRE04C0060PP NASAL CURVED W/CUFF ENDOTRACHEAL TUBE 6:8MM ※ 處置使用可申報 , 手術使用不另給付 245 

CRE04U0030RU 

CRE04U030NMA 

CRE06C0035RU 

AGT-TUBE, NASAL TRACHEAL TUBE WITHOUT CUFF,ID 3.0:7.0MM 處置使用可申報 , 手術使用不另 

給付 

RAE PREFORMED ENDOTRACHEAL TUBE (NASAL TYPE) 氣管內管 ( 處置使用可申報手術使用不另給 

付 ) 

AGT-TUBE, ORAL TRACHEAL TUBE W/LOW-PRESSURE CUFF, ID 3.5:9.0MM 處置使用可申報 , 手術使 


203 

203 

227 

CRE06C0040MA RAE ORAL TRACHEAL TUBES(W/CUFF)* 處置使用可申報 , 手術使用不另給付 227 

CRE06C0050MU MODERN ENDOTRACHEAL TUBE(CUFFED) 華新氣管內管 * 處置使用可申報、手術使用不另申報。 227 

CRE06C0453W6 ENDOTRACHEAL TUBE (WITH/CUFF)* 處置使用可申報 , 手術使用不另給付 . 227 

CRE06U0030RU 

AGT-TUBE, ORAL TRACHEAL TUBE WITHOUT CUFF,ID 3.0:7.0MM 處置使用可申報 , 手術使用不另給 

付 

143 

CRE06U0304W6 ENDOTRACHEAL TUBE (WITHOUT/CUFF) 處置使用可申報 , 手術使用不另給付 . 143 

CRE06U045NMA 

RAE PREFORMED ENDOTRACHEAL TUBE WITHOUT CUFF 口彎型 ※ 處置使用可申報 , 手術使用不 

另給付 

143 

CRE07C0040RU LASERTUBS LASER-RESISTANT TRACHEAL TUBE(DOUBLE CUFF TYPE)4.0:8.0MM 2451 

CRE07C0045MA " 麥林可 " 鐳射氣管內管 "MALLINCKRODT"LASER-FLEX TRACHEAL TUBE 2451 

CRG010168NHU NASAL CPAP SYSTEM NO.0:N0.5 1120 

CRG010169NHU NASAL CPAP CANNULA NO.0:NO.5 654 

CRG011630NAY ARGYLE CPAP NASAL CANNULA KIT ARGYLE 小兒專用連續正壓鼻導管組 654 

CRG01407NNW7 " 嬰克 " 嬰兒經鼻式氧氣鼻套管 "INCA" INFANT NASAL OXYGEN CPAP CANNULA* 654 

CRG01427NNW7 " 嬰克 " 嬰兒經鼻式氧氣鼻套管 "INCA" INFANT NASAL OXYGEN CPAP CANNULA* 1120 

182



CRN0185067NU NASAL NASOPHARYNX APPLICATION 後荷式咽插管 2960 

CRT01TTLPCS5 雪莉氣切套管及其附件 SHILEY TRACHEOSTOMY CANNULAE AND ACCESSORIES 865 

CRT01U0025ZG " 富齡 " 氣切管 "ALLY" TRACHEOSTOMY TUBE(UNCUFF, ID 2.5-5.5MM) 361 

CRT01U0060WN TEFLON TRACHEOSTOMY TUBE(DOUBLE TUBE)6:12MM 外徑 525 

CRT0236368KK " 高研 " 氣管套管 "KOKEN" TRACHEAL CANNULA 525 

CRT0252608KK " 高研 " 比比氣管套管 "KOKEN" TRACHEAL CANNULA PP 493 

CRT0267350MA “ 麥林可 ” 恰可舒氣切管 "MALLINCKRODT"TRACHESOFT TRACHEOSTOMY CANNULAE 361 

CRT02C0030UW " 花瑪 " 氣切套管 PHARMA TRACHEOSTOMY TUBE UNCUFF 3:10MM 361 

CRT02C0050MA TRACHEOSTOMY TUBE CUFF 332 

CRT02C0050SG TRACHEOSTOMY TUBE W/CUFF 5.0:9.0MM 332 

CRT02C0050TP SILICONE TRACHEOSTOMY TUBE 5.0MM:9.5MM 577 

CRT02C0050WN 

ALL SILICONE TRACHEOSTOMY TUBE WITH CUFF 22:42FR 5.0:10MM 內徑產品型號 2217-035:100 自 

93.1.1 生效 

577 

CRT02C0060UW TRACHEOSTOMY TUBE,REGULAR HVLP CUFF,ID 6:10MM 氣切套管 ( 有閥 ) 332 

CRT02C0060ZG " 富齡 " 氣切管 "ALLY" TRACHEOSTOMY TUBE(W/CUFF, ID 6.0-9.0MM) 332 

CRT02C0062UW " 花瑪 " 氣切套管 PHARMA TRACHEOSTOMY TUBE W/CUFF 6:10MM 332 

CRT02C0080MA STANDARD TRACHEOSTOMY CANNULAE〔TRACHEOSTOMY TUBE CUFF〕 332 

CRT02C0793W6 TRACHEOSTOMY TUBE (WITH/CUFF) 332 

CRT02C1560FM 氣切套管 FORTUNE TRACHEOSTOMY TUBE ID2.0MM:12.0MM( 普通球 ) 577 

CRT02C1565FM 氣切套管 FORTUNE TRACHEOSTOMY TUBE ID2.0MM:12.0MM( 低壓球 ) 577 

CRT02C595NFM SILICONE TRACHEOSTOMY TUBE W/CUFF 5.5:9.5MM 577 

CRT02CP050YN ALL SILICONE TRACHEOSTOMY TUBE W/CUFF 5.0:10.0MM(PRE-FORMED TYPE) 577 

CRT02TT016SG SIGMA TRACHEOSTOMY TUBE 332 

CRT02TT046SG SIGMA TRACHEOSTOMY TUBE(SILICON) 577 

CRT02U0025WN ALL SILICONE TRACHEOSTOMY TUBE WITHOUT CUFF 12:42FR 2.5:10.0MM 內徑 460 

CRT02U0030UW TRACHEOSTOMY TUBE,PLAIN,UNCUFF,ID 3:10MM 氣切套管 ( 無閥 ) 361 

CRT02U0030YN ALL SILICONE TRACHEOSTOMY TUBE UNCUFF 3.0:10.0MM(PLAIN TYPE) 460 

183



CRT02U0045S5 雪莉氣切套管 SHILEY TRACHEOSTOMY CANNULAE (PEDIATRIC TRACHEOSTOMY TUBE WITH 893 

OBTURATION) 

CRT02U1561FM 氣切套管 FORTUNE TRACHEOSTOMY TUBE ID2.0MM:12.0MM( 無球型 ) 460 

CRT04C678MHJ 

CRT04C750MHJ 

CRT04C850MHJ 

" 史密斯 " 百弗納氣切套管與配件 "SMITHS" BIVONA TRACHEOSTOMY TUBE AND ACCESSORIES* 使用 






3800 

3800 

3800 

CRT05C0050S5 TRACHEOSTOMY TUBES LOW PRESSURE CUFFED 5.0MM:9.0MM/LONG TERM CARE 使用 865 

CRT05U0050S5 TRACHEOSTOMY TUBE 850 

CVA0100490M4 PROFLO ANGIOGRAPHIC CATHETER 6F,7F*100,110,125CM ( 衛署字號 009770) 700 

CVA0107130AR 

CVA011MG31SB 

"ARROW"BERMAN ANGIOGRAPHIC CATHETER(PEDIATRIC) 4:8FR 50:110CM “ 亞諾 ” 帕曼心臟血管 

攝影用導管 

IMAGER11 ANGIOGRAPHIC CATH(4-5FRX40,65,90,100CM)0.035,0.038( 型號 M001316021:M001316911 自 

92/7/1 生效 ) 

1750 

700 

CVA014034FST " 聖猷達 " 血管攝影導管 "SJM"SPYGLASS ANGIOGRAPHIC CATHETERS 700 

CVA01451XNCD "CORDIS"TEMPO ANGIOGRAPHIC CATHETER TEMPO4,TEMPO5 田布血管造影導管 700 

CVA014567XZ9 MAXITORQUE PLUS ANGIOGRAPHIC CATHETER 700 

CVA014A00NM4 SITESEER CARDIOVASCULAR ANGIOGRAPHIC CATHETER 4FR 700 

CVA01512HNMR IMPRESS ANGIOGRAPHIC CATHETERS 0.035",0.038" 100,125CM 映象血管攝影導管 700 

CVA01565CBMR IMPRESS ANGIOGRAPHIC CATHETERS 0.035",0.038" 65CM,100CM 映象血管攝影導管 700 

CVA01565REMR IMPRESS ANGIOGRAPHIC CATHETERS 0.035",0.038" 40CM,65,80,100CM 映象血管攝影導管 700 

CVA01565SMMR IMPRESS ANGIOGRAPHIC CATHETERS 0.035",0.038" 65CM,100CM 映象血管攝影導管 700 

CVA01565VEMR IMPRESS ANGIOGRAPHIC CATHETERS 0.035",0.038" 65CM,100,125CM 映象血管攝影導管 700 



CVA017779AMR PERFORMA DIAGNOSTIC RADIOLOGY CATHETERS 700 

CVA01A42ALAS ANGIOGRAPHIC CATHETER 4:7FR 700 

CVA01A80CMTM "TERUMO"RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATHETER 4FR 80CM 歐帝克血管攝影導管 700 

CVA01B001NCK CEREBRAL CATHETER 720 

CVA01H001NCK ANGIO CATHETER CEREBRAL CATHETER 720 

184



CVA01H1234BQ ANGIOGRAPHIC CATHETER 4:5FR 100CM( 腦部血管用 ) 700 

CVA01HN001CK ROYAL FLUSH PLUS HIGH FLOW ANGIOGRAPHIC FLUSH CATHETER 0.035,0.038 4:6FR 70:110CM 700 

CVA01HNB01CK 

CVA01HNB02CK 

TORCON NB ANGIOGRAPHIC CATHETER 4.1FR 50:125CM(CEREBRAL PULMONARY MUTIPURPOSE 

VISCERAL CATH) 

TORCON NB ANGIOGRAPHIC CATHETER 5.0,6.0FR 50:125CM(CEREBRAL PULMONARY 

MUTIPURPOSE VISCERAL CATH) 

700 

700 

CVA01HNB03CK TORCON NB ANGIOGRAPHIC CATHETER 4.1,5.0,6.0FR 70:110CM( CORONARY CATH) 700 

CVA01HNBR1CK ANGIOGRAPHIC CATHETER W/RADIOPAQUE TIPS 4.1FR 50:125CM 700 

CVA01HNBR2CK ANGIOGRAPHIC CATHETER W/RADIOPAQUE TIPS 5.0FR 50:125CM 700 

CVA01HNBR3CK ANGIOGRAPHIC CATHETER W/RADIOPAQUE TIPS 4.1FR,5.0FR 70:110CM CORONARY CATH 700 

CVA01HNBR4CK TORCON NB ANGIOGRAPHIC CATHETER 700 

CVA01HNBR5CK TORCON NB ANGIOGRAPHIC CATHETER 700 

CVA01HNR01CK ROYAL FLUSH PLUS ANGIOGRAPHIC CATHETER 0.35" 65-110CM 700 

CVA01HNR02CK ROYAL FLUSH PLUS ANGIOGRAPHIC CATHETER 0.035" 0.038" 65-110CM 700 

CVA01N001NCK ANGIO CATHETER VISCERAL CATHETER 65:100CM 710 

CVA01NP4RCCY 

ANGIOGRAPHY CATHETER TYPE RC COBRA RH RLG SH HEAD-HUNTER PIGTTAIL 4.2FR,5FR 

65:100CM 

700 

CVA01P027NCK ANGIO CATHETER 50:110CM 700 

CVA01RC123BQ ANGIOGRAPHIC CATHETER 4:5FR 65~80CM( 周邊血管用 ) 700 

CVA01SCB01CK SLIP-CATH SELECTIVE ANGIOGRAPHIC CATHETER 5F 40CM:100CM 700 

CVA024SP68TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR PIGTAIL 720 

CVA0295007TM RADIOFOCUS YASHIRD ANGIOGRAPHIC CATHETER 720 

CVA02AB441TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR COBRA 720 

CVA02AC341TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR SHEPHERD HOOK 720 

CVA02AD441TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR J CURVE 720 

CVA02AE441TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR SIDE WINDER 720 

CVA02AG341TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4FR RH 720 

CVA02AG941TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR YASHIRO 720 

CVA02BB141TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR HEADHUNTER 720 

185



CVA02BC141TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR NEWTON 720 

CVA02BE141TM RADIFOCUS OPTITORQUE ANGIOGRAPHIC CATH 4:5FR BENTSON 720 

CVA02DB450TM RADIFOCUS COBRA ANGIOGRAPHIC CATHETER 5:6FR 65:100CM 720 

CVA02DD450TM RADIFOCUS J CURVE ANGIOGRAPHIC CATHETER 5:7FR 65CM 720 

CVA02DG350TM RADIFOCUS RH ANGIOGRAPHIC CATHETER 5FR 65CM 720 

CVA02DG450TM RADIFOCUS RS ANGIOGRAPHIC CATHETER 5FR 65CM 720 

CVA02EA150TM RADIFOCUS SIMMONS ANGIOGRAPHIC CATHETER 5:6FR 100CM 720 

CVA02EB150TM RADIFOCUS HEADHUNTER ANGIOGRAPHIC CATHETER 5:7FR 100CM 720 

CVA02EE150TM RADIFOCUS BENTSON ANGIOGRAPHIC CATHETER 5FR 100CM 720 

CVA02RQ4FNTM OUTLOOK ANGIOGRAPHIC CATHETER 4FR 60CM:110CM ANY CURVE ( 衛署字號 9685) 700 

CVA02RQ5FNTM OUTLOOK ANGIOGRAPHIC CATHETER 5FR 60CM:110CM ANY CURVE ( 衛署字號 9685) 700 

CVC0102049AB JOGRAPHY ANGIOGRAPHIC CATHETER 700 

CVC0132400CD VISCERAL COBRA FEMORAL CATHETER 720 

CVC0132412CD ANGIO CATHETER FEMORAL AORTIC FLUSH (PIGTAIL) 720 

CVC013241NCD ANGIO CATHETER FEMORAL VISCERAL (SIDEWINDER) 720 

CVC0132420CD ANGIO CATHETER FEMORAL AORTIC FLUSH (STRAIGH) 720 

CVC013243NCD ANGIO CATHETER FEMORAL VISCERAL (BENTSON) 720 

CVC013244NCD ANGIO CATHETER FEMORAL VISCERAL J CURVE (SHEPHERD HOOK) 720 

CVC0132461CD ANGIO CATHETER FEMORAL VISCERAL (HEADUNTER) 720 

CVC0132474CD ANGIO CATHETER FEMORAL VISCERAL (SHEPHERD HOOK) 720 

CVC0132545CD NIH CATHETER 5:8FR 80:100CM 720 

CVC01430NNST " 聖猷達 " 血管攝影導管 "SJM"SPYGLASS ANGIOGRAPHIC CATHETERS 700 

CVC014505NCD INFINITI DIAGNOSTIC CARDIOLOGY CATHETER 5FR 700 

CVC015237NCD AMPLANTZ CATHETER LEFT/RIGHT 720 

CVC01527XNCD AMPLANTZ TECH LEFT OR RIGHT CORONARY CATHETER 720 

CVC015325NCD PIGTAIL CATHETER 5:8FR 720 

186



CVC015334NCD CARDIOLOGY ANGIOGRAPHIC CATHETER 4.1FR 65:100CM 720 

CVC015335NCD CARDIOLOGY ANGIOGRAPHIC CATHETER 5.2FR 65:125CM 720 

CVC015336NCD CARDIOLOGY ANGIOGRAPHIC CATHETER 6FR 80:100CM 720 

CVC015346NCD INFINITI DIAGNOSTIC CARDIOLOGY CATHETER 6FR 700 

CVC015384XCD INFINITI DIAGNOSTIC CARDIOLOGY CATHETER 4FR 700 

CVC01752F1MR ANGIO CATHETER 700 

CVC018526NSB EXPO ANGIOGRAPHIC CATHETER 100:125CM 5F:7F 700 

CVC01HF456BK HYPERFLOW DIAGNOSTIC CATHETER 700 

CVC01JL235BQ ANGIOGRAPHIC CATHETER JL4,JL3.5 700 

CVC01JR235BQ ANGIOGRAPHIC CATHETER JR4,JR3.5 700 

CVC01N001NCK ANGIO CATHETER CORONARY CATHETER 110:150CM 720 

CVC01N3145ST " 聖猷達 " 血管攝影導管 "SJM"SPYGLASS ANGIOGRAPHIC CATHETERS 700 

CVC01P1451BQ ANGIOGRAPHIC CATHETER 4:6FR 100~110CM( 冠狀動脈用 ) 700 

CVC01PG155BQ ANGIOGRAPHIC CATHETER P155,P1G 700 

CVC01RHAL1TM OPTITORQUE ANGIOGRAPHIC CATHETER AMPLATZ LEFT 1:3,5:6FR 100CM 720 

CVC01RHAR1TM OPTITORQUE ANGIOGRAPHIC CATHETER AMPLATZ RIGHT 1-3 5:6FR 100CM 720 

CVC01RHJL4TM OPTITORQUE ANGIOGRAPHIC CATHETER JUDKINS LEFT 3.5:5.0MM 4:6FR 100CM 720 

CVC01RHJR4TM OPTITORQUE ANGIOGRAPHIC CATHETER JUDKINS RIGHT 3.5:5.0CM 4:6FR 100CM 720 

CVC01RHSP6TM OPTITORQUE ANGIOGRAPHIC CATHETER STRAIGHT PIGTAIL 4:6FR 110CM 720 

CXE0100624BA " 巴德 " 歐文四極診斷電極導管 "BARD"WOVEN DIAGNOSTIC ELECTRODE CATHETER 8090 

CXE0101458ST 

CXE0101893ST 

CXE010189NST 

"SJM"SUPREME ELECTROPHYSIOLOGY CATHETER-5F,6F QUADRIPOLAR FIXED CURVE CATHETER" 

聖猷達 " 史普力米生理電極導管 

"SJM"SUPREME ELECTROPHYSIOLOGY CATHETER-4F DECAPOLAR CSL CATHETER" 聖猷達 " 史普力 

米生理電極導管 

"SJM"SUPREME ELECTROPHYSIOLOGY CATHETER-4F QUADRIPOLAR FIXED CURVE CATHETER" 聖 

猷達 " 史普力米生理電極導管 

8090 

11080 

8090 

CXE0102853BA TRIPOLAR ELECTRODE 6:7FR 125CM 8060 

CXE0102943BA QUADPOLAR ELECTRODE 6FR 110CM 1CM 8090 

CXE0104019BA WOVEN TRIPOLAR ELECTRODE CATHETER 8060 

187



CXE0107150BA NBIH BIPOLAR PACING ELECTRODE 5:7FR 100:125CM 6600 

CXE0108567BA QUADPOLAR ELECTRODE 6FR 120CM 8090 

CXE0120011BA " 巴德 " 歐文診斷電極導管 "BARD" WOVEN DIAGNOSTIC ELECTRODE CATHETERS 四極 8090 

CXE0120015BA WOVEN QUADPOLAR ELECTRODE CATH200150:3,200055P,56,56E,57P,58,58E,59P,60,60E,61P,62E,63P,64P 8090 

CXE0120016BA WOVEN QUADPOLAR ELECTRODE CATHETER201400,200066:69,202,203,472,473,574,578,582:586, 8090 

CXE0120035BA WOVEN DECAPOLAR ELECTRODE CATHETER 11080 

CXE0120061BA " 巴德 " 歐文診斷電極導管 "BARD" WOVEN DIAGNOSTIC ELECTRODE CATHETERS 十極 11080 

CXE0120076BA OPEN-LUMEN QUADPOLAR ELECTRODE 6FR 110CM 1CM 7700 

CXE0120077BA OPEN-LUMEN QUADPOLAR ELECTRODE 6FR 110CM 5MM 7700 

CXE0120079BA QUADPOLAR OPEN LUMEN ELECTRODE 7FR 0.038" 120CM 1CM 7700 

CXE0120140BA WOVEN PENTAPOLAR ELECTRODE CATHETER 8090 

CXE01272NNST "SJM"EVALUATOR ELECTROPHYSIOLOGY CATHETER" 聖猷達 " 生理電極導管 8090 

CXE0140003BA VIKING DECAPOLAR ELECTRODE CATHETER400030:36,400070:71,400074:75 11080 

CXE014000NBA VIKING QUADPOLAR ELECTRODE CATHETER400001:12,400041:48,400050:51,400091P, 8090 

CXE0140010BA " 巴德 " 維克診斷電極導管 "BARD" VIKING DIAGNOSTIC ELECTRODE CATHETER 十極 11080 

CXE0140012BA " 巴德 " 維克診斷電極導管 "BARD" VIKING DIAGNOSTIC ELECTRODE CATHETER 四極 8090 

CXE0140050BA VIKING SOFT TIP QUADPOLAR ELECTRODE CATHETER 400501:512,400541:542 8090 

CXE0140053BA VIKING SOFT TIP DECAPOLAR ELECTRODE CATHETER400530:536,400570:571 11080 

CXE0140054BA " 巴德 " 探戈診斷電極導管 "BARD" TANGO DIAGNOSTIC ELECTRODE CATHETERS 四 , 五極 8090 

CXE0140057BA " 巴德 " 探戈診斷電極導管 "BARD" TANGO DIAGNOSTIC ELECTRODE CATHETERS 十極 11080 

CXE0140123ST 

CXE01CDFNNYB 

CXE01EPEXDSB 

CXE01EPEXQSB 

" 聖猷達 " 雷斯龐生理電極導線 "SJM" RESPONSE ELECTROPHYSIOLOGY CATHETERS 5F,6F 

QUADRIPOLAR 

" 爾灣 " 電生理診斷導管 "IBI"ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER-INQUIRY FIXED SOFT 

TIP DIAGNOSTIC CATH.-DECAPOLAR 

" 波士頓科技 " 診斷電極導管 "BOSTON SCIENTIFIC" EXPLORER FIXED CURVE DIAGNOSTIC 

CATHETER 十極 

" 波士頓科技 " 診斷電極導管 "BOSTON SCIENTIFIC" EXPLORER FIXED CURVE DIAGNOSTIC 

CATHETER 四極 

8090 

11080 

11080 

8090 

CXE01F0400CV ELECTRODE CATH.4 極 , 型號 F4:6,65-QA,D,E,F,H,K,L-2,5,10,252-RT;F5,6- 8090 

CXE01F0401CV ELECTRODE CATH.QUADPOLAR, 型號 F5,6-ST,C,S-QF,A,D- 8090 

188



CXE01F1000CV ELECTRODE CATH.DECAPOLAR, 型號 F5A-DP-282,P10-RT;F6-DA,F,G,P- 11080 

CXE01F1001CV ELECTRODE CATH.DECAPOLAR, 型號 F6A-DP-282-RT;F7LA-DP-P10-RT 11080 

CXE01F7LDGCV ELECTROPHYSIOLOGY CATHETER〔FIXED CURVE LUMEN CATHETER(DECAPOLAR 固定式十極 )〕 11080 

CXE01N1130ST " 聖猷達 " 雷斯龐生理電極導線 "SJM" RESPONSE ELECTROPHYSIOLOGY CATHETERS 7F,DECAPOLAR 11880 

CXE01N1381ST " 聖猷達 " 雷斯龐生理電極導線 "SJM" RESPONSE ELECTROPHYSIOLOGY CATHETERS 6F,DECAPOLAR 11080 

CXE01N1863ST " 聖猷達 " 史普力米生理電極導管 "SJM" SUPREME ELECTROPHYSIOLOGY CATHETER 5F,DECAPOLAR 11080 

CXE01Q0405YB 

" 爾灣 " 電生理診斷導管 "IBI"ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER-INQUIRY 4F FIXED 

DIAGNOSTIC CATH.-QUADRAPOLAR 

8090 

CXE0201101BA DYNAMIC XT STEERABLE DECAPOLAR ELECTRODE CATHETER 16370 

CXE0201103BA DYNAMIC XT STEERABLE QUADPOLAR ELECTRODE CATHETER 14090 

CXE02019NNST "SJM"STEERABLE ELECTROPHYSIOLOGY CATHETER " 聖猷達 " 可控式生理電極導管 ( 十極 ) 16370 

CXE022005NBA EP.XT STEERABLE QUADPOLAR ELECTRODE CATH.200525:527: 735:737:741:769:770:898 14090 

CXE02567STYB 

" 爾灣 " 電生理診斷導管 "IBI"ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER-INQUIRY SOFT TIP 

STEERABLE DIAGNOSTIC CATH.-DECAPOLAR 

16370 

CXE02D0400CV ELECTRODE CATH. 可彎式四極 , 型號 D5S-270L-B2-RT;D5S-AL-252-RT;D5S-270L- 14090 

CXE02D0401CV ELECTRODE CATH. 四極可彎 , 型號 D6,7-DR-5,10,252-RT;D6,7-AGALBGBLCGCLDGDL 14090 

CXE02D1000CV ELECTRODE CATH. 可彎十極 ,6,7-10DR,FR-2,5,P10,252-RT; 16370 

CXE02D6DR2CV SMALL DOME DEFLECTABLE QUADRAPOLAR EP CATHETER ( 可彎式四極 ) 14090 

CXE02N1575ST " 聖猷達 " 可控式生理電極導管 "SJM" STEERABLE ELECTROPHYSIOLOGY CATHETER 6F,DECAPOLAR 16370 

CXE02N15NNST 

CXE02N1600ST 

CXE02N1601ST 

CXE02QSNSTYB 

" 聖猷達 " 可控式生理電極導管 "SJM" STEERABLE ELECTROPHYSIOLOGY CATHETER 

7F,QUADRIPOLAR 





" 爾灣 " 電生理診斷導管 "IBI"ELECTROPHYSIOLOGY DIAGNOSTIC CATHETER-INQUIRY SOFT TIP 

STEERABLE DIAGNOSTIC CATH.-QUADRAPOLAR 

14090 

14090 

14090 

14090 

CXE04NS7TCWE „ 百歐森偉伯司特 ‟ 藍星導管 "BIOSENSE WEBSTER" NAVI-STAR CATHETER* 53000 

FAD01000S2ZJ AHMED GLAUCOMA VALVE 壓滅青光眼用舒壓導流瓣膜 * 19900 

FALSM3LENSHB FOLDABLE INTRAOCULAR LENS(HYDROPHILLIC ACRYLIC) 摺疊式人工水晶體 2843 

FALSM95UVNSZ PMMA I.O.L. 2343 

FALSMAR40NA2 ACRYLIC ALLERGAN AMO SENSAR IOL 2843 

189



FALSMCLRFLA2 CLARIFLEX SILICONE IOL 2762 

FALSMCR5BUA1 PMMA I.O.L 2343 

FALSMDL52NA2 DURALENS II IOL 2343 

FALSMEX802E2 PMMA INTRAOCULAR LENS 2343 

FALSMH60MMB9 HYDROVIEW INTRAOCULAR LENS 2843 

FALSMHAKR0ZX AKREOS FOLDABLE INTRAOCULAR LENSES(ACRYLIC W/UV FILTER) 2843 

FALSML2B72E2 SILICONE POSTERIOR CHAMBER INTRAOCULAR LENS( 可摺疊式矽膞 ) 2762 

FALSMLS100LS INTRAOCULAR LENS 2343 

FALSMMA30BA1 ACRYSOF INTRAOCULAR LENSES 2843 

FALSMMC71CA1 PMMA I.O.L. UV,UV+LASER 2343 

FALSMMZ30BA1 PMMA ALCON CILCO INTRAOCULAR LENSES 2343 

FALSMNEFL1RQ NEO EYE FOLDABLE INTRAOCULAR LENS 新視軟式人工水晶體 2843 

FALSMSA30AA1 ACRYSOF SINGLE-PIECE FOLDABLE ACRYLIC POSTERIOR CHAMBER INTRAOCULAR LENSES 2843 

FALSMSFLEXB9 SILICONE SOFLEX(SOFLEX SE) INTRAOCULAR LENS( 可折疊式矽膞 ) 2762 

FALSMSTEC1LS ACRYLIC INTRAOCULAR LENS 2843 

FALSNMULT1A1 

FALSNMULT1A2 

FALSNMULT1LS 

FALSNMULT1RY 

FALSNMULT2A2 

FALSNNATU1A1 

FALSNT0RC1A1 

FALSNT0RC1RY 

FALSNWAVE1A1 

FALSNWAVE1B9 

ACRYSOF RESTOR NATURAL SINGLE PIECE IOL 多焦點軟式人工水晶體 , 按一般功能人工水晶體價 

格給付 , 超過部分由病患自付 

REZOOM ACRYLIC MULTIFOCAL IOL 多焦點軟式人工水晶體 , 按一般功能人工水晶體價格給付 , 超 

過部分由病患自付 

TETRAFLEX INTRAOCULAR LENS 多焦點軟式人工水晶體 , 按一般功能人工水晶體價格給付 , 超過 


M-FLEX MULTIFOCAL INJECTABLE ACRYLIC LENS INJECTION SYSTEM 敏視多焦點推注式人工水晶 

體系統 , 按一般功能人工水晶體價格給付 , 超過部分由病患自付 

TECNIS MULTIFOCAL IOL 多焦點軟式人工水晶體 , 按一般功能人工水晶體價格給付 , 超過部分由病 

患自付 

ACRYSOF NATURAL STERILE UV-ABSORBING ACRYLIC FOLDABLE SINGLE PIECE IOL 黃色軟式人 

工水晶體 , 按一般功能人工水晶體價格給付 , 超過部分由病患自付 

ACRYSOF TORIC SINGLE PIECE NATURAL IOL 散光功能軟式人工水晶體 , 按一般功能人工水晶體價 

格給付 , 超過部分由病患自付 

T-FLEX TORIC INJECTABLE ACRYLIC LENS INJECTION SYSTEM 散光功能軟式人工水晶體 , 按一般 

功能人工水晶體價格給付 , 超過部分由病患自付 

ACRYSOF ASPHERIC NATURAL IQ SINGLE PIECE IOL 非球面軟式人工水晶體 , 按一般功能人工水晶 

體價格給付 , 超過部分由病患自付 

SOFPORT ADVANCED OPTICS ASPHERIC LENS 非球面軟式人工水晶體 , 按一般功能人工水晶體價格 

給付 , 超過部分由病患自付 

2843 

2843 

2843 

2843 

2843 

2843 

2843 

2843 

2843 

2843 

FALSNWAVE1LS ASPHERIC IOL 非球面人工水晶體 , 按一般功能人工水晶體價格給付 , 超過部分由病患自付 2843 

190



FALSNWAVE1RY ASPHERIC INJECTABLE ACRYLIC LENS INJECTION SYSTEM 非球面推注式人工水晶體 , 按一般功能 2843 

人工水晶體價格給付 , 超過部分由病患自付 

FALSNWAVE2A1 

FALSNWAVE2A2 

FALSNWAVE2B9 

FALSNWAVE3A2 

FALSNWAVE3B9 

FALSNWAVE4A2 

FALSNWAVE4B9 

ACRYSOF RESTOR APODIZED DIFFRACTIVE ASPHERIC IOL 非球面軟式人工水晶體 ( 含多焦點及可過 

濾藍光 ) 按一般功能人工水晶體價格給付 , 超過部分由病患自付 

TECNIS FOLDABLE ACRYLIC IOL 非球面軟式人工水晶體 , 按一般功能人工水晶體價格給付 , 超過部 

分由病患自付 

AKREOS ADVANCED OPTICS ASPHERIC INTRAOCULAR LENS 非球面軟式人工水晶體 , 按一般功能 

人工水晶體價格給付 , 超過部分由病患自付 

TECNIS CL FOLDABLE INTRAOCULAR LENS 非球面軟式人工水晶體 , 按一般功能人工水晶體價格給 

付 , 超過部分由病患自付 

SOF PORT AO W/VIOLET SHIELD ADVANCED OPTICS LENS 非球面軟式人工水晶體 , 按一般功能人 

工水晶體價格給付 , 超過部分由病患自付 

TECNIS 1 PIECE ACRYLIC INTRAOCULAR LENS 非球面 , 按一般功能人工水晶體價格給付 , 超過部分 

由病患自付 

AKREOS AO MICRO INCISION LENS 非球面軟式人工水晶體 , 按一般功能人工水晶體價格給付 , 超過 


2843 

2843 

2843 

2843 

2843 

2843 

2843 

FAV01100CCSZ OCUCOAT 1CC 玻璃體替代物 2204 

FAV01B0050A1 0.5ML VISCOAT STERILE OCULAR VISCOELASTIC SOLUTION 玻離體替代物 1753 

FAV01B0075A1 0.75CC VISCOAT-STERILE OCULAR VISCOELASTIC SOLUTION 2204 

FAV01C0090R9 OCULOCROM 2% 0.9CC 歐奇樂人工玻璃體 2204 

FAV01C0100A1 1CC Cellugel Ophthalmic Viscosurgical Device 玻璃體替代物 2204 

FAV01C0100R9 MEGACROM 1.8% 1CC 明佳人工玻璃體 2204 

FAV01C0150R9 VISICROM 2% 1.5ML 2.5ML 人工玻璃體 2500 

FAV01D0100A1 DISCOVISC OPHTHALMIC VISCOSURGICAL DEVICE 1CC( 人工玻璃體 ) 2204 

FAV01D3540A1 0.75ML DUOVISC VISCOELASTIC SYSTEM 2204 

FAV01H0055A2 HEALON 0.55ML 1753 

FAV01H0506A2 HEALON 5 0.6ML 1753 

FAV01HGV55A2 HEALON GV 0.55ML 1753 

FAV01HGV85A2 HEALON GV 0.85ML 2204 

FAV01P0040A1 0.4ML PROVISC 玻離體替代物 1665 

FAV01P0055A1 0.55ML PROVISC 玻離體替代物 1753 

FAV01P0085A1 0.85CC PROVISC 玻離體替代物 2204 

FAV01RN085RY RAYVISC OPHTHALMIC VISCOELASTIC 0.85ML 人工玻璃體 2204 

FAV01VA04CLB VISCAID 0.4ML 1665 

191





FAV01VSC10V3 I-VISC 1.0ML 玻離體替代物 2204 

FAV01VSC55V3 I-VISC 0.55ML 玻璃體替代物 1753 

FAV01VSC85V3 I-VISC 0.85ML 玻璃體替代物 2204 

FBA022860NSN KRACKOW HTO BLADE STAPLE ( 鈷鉻鉬 ) 3190 

FBA022867NSN OSTEOTOMY STAPLE( 鈷鉻鉬 ) 1750 

FBA022868NSN TABLE FIXATION STAPLE( 鈷鉻鉬 ) 2153 

FBA040053NZ0 TRIOSITE BONE SUBSTITUTES 5CC * 5467 

FBA0402B04BC MBCP BONE SUBSTITUTE 2CC * 4179 

FBA041000NS1 CHRON OS GRANULE,60%POROSITY,1.0CC * 2565 

FBA041001NS1 CHRON OS GRANULE,60%POROSITY,5.0CC* 5467 

FBA041002NS1 CHRON OS GANULE,60%POROSITY,10CC* 8791 

FBA0410045S1 CHRON OSTM BLOCK,70%POROSITY,12.5X12.5X10MM* 3922 

FBA0410047S1 CHRON OS BLOCK,70%POROSITY,20X20X10MM* 5142 

FBA0410101FV BONAGRAFT SYNTHETIC BONE SUBSTITUTE 1GM(1CC) 博納骨人工骨替代物 * 2565 

FBA0410102FV BONAGRAFT SYNTHETIC BONE SUBSTITUTE 2.5GM(2.5CC) 博納骨人工骨替代物 * 4179 

FBA0410103FV BONAGRAFT SYNTHETIC BONE SUBSTITUTE 5GM(5CC) 博納骨人工骨替代物 * 5467 

FBA041142NZ0 TRIOSITE BONE SUBSTITUTES 2CC 4179 

FBA041151NZ0 BIOMATLANTE TRIOSITE BONE SUBSTITUTES 10CC* 8791 

FBA041300NZ0 TRIOSITE BONE SUBSTITUTES 2CC 4179 

FBA044020RW2 OSTEOSET BONE VOID FILLER 4.8MM 20 PELLETS(2CC) 4179 

FBA044050RW2 OSTEOSET BONE VOID FILLER 4.8MM 50 PELLETS(5CC) 5467 

FBA044050TW2 

OSTEOSET T BONE VOID FILLER W/TOBRAMYCIN 4.8MM 50 顆 5CC※ 限骨感染需補骨時使用 , 適應症 

見備註欄 

10785 

FBA046184NH1 BONESAVE SYNTHETIC BONE SUBSTITUTE(20CC)* 12062 

FBA0463005Z8 STIMULAN CALCIUM SULPHATEBONE GRAFT 3.0MM 5CC* 5467 

192







FBA0470010Z8 ALLOGRAN-N BONE GRAFT SUBSTITUTE 10CC * 8791 

FBA0470035Z8 ALLOGRAN-N BONE GRAFT SUBSTITUTE 35CC * 17092 

FBA0480005Z8 ALLOGRAN-R BONE VOID FILLER 5CC * 5467 



FBA048110JSN JAX BONE VOID FILLER 10CC * 8791 

FBA0490G01BC MBCP BONE SUBSTITUTE 1CC* 2565 

FBA0490G02BC MBCP BONE SUBSTITUTE 2CC* 4179 

FBA0490G10BC MSCP BONE SUBSTITUTE 10CC* 8791 

FBA0490G16BC MSCP BONE SUBSTITUTE 16CC* 10525 



FBA0499205DP CONDUIT TCP(TRICALCIUM PHOSPHATE)GRANULES 5CC 5467 



FBA0499230DP CONDUIT TCP(TRICALCIUM PHOSPHATE)GRANULES 30CC(2X15CC) 17092 

FBA04A2Q05RJ "GRAFTYS"RESORBABLE BONE VOID FILLER 5CC 可吸收性骨填充物 * 5467 



FBA04BB02GK8 BI-OSTETIC BONE VOID FILLER(2.5CC)* 4179 

FBA04BB05GK8 BI-OSTETIC BONE VOID FILLER(5CC)* 5467 


193





FBA04CEM02K8 CEM-OSTETIC BONE VOID FILLER(2.5CC)* 4179 

FBA04CS001Z6 UNI-OSTEO 1CC* 適應症請鍵備註欄 2565 






FBA04FM01CLB 1CC BONE SUBSTITUTE GRANULES 骨胳填補顆粒 2565 

FBA04FM02CLB 2CC BONE SUBSTITUTE GRANULES 骨胳填補顆粒 4179 

FBA04FM05CLB FORAMIC BONE GRAFT SUBSTITUTE 5CC* 5467 



FBA04HS114Z6 MERRIES K-PHATE BONE SUBSTITUTE BLOCK(5X5X10MM),4 塊 / 包 ,1CC/ 包 * 2565 



FBA04HS201Z6 K-PHATE BONE SUBSTITUTE 1CC 2565 


FBA04HS205Z6 MERRIES K-PHATE BONE SUBSTITUTE 5CC* 5467 

FBA04HS208Z6 MERRIES K-PHATE BONE SUBSTITUTE 8CC* 5467 



FBA04HT020PQ "PURZER"SINBONEHT BONE REPLACEMENT (7 立方公分 ) 生骨替代物二代 * 5467 

FBA04HT021PQ "PURZER"SINBONEHT BONE REPLACEMENT(1 立方公分 )* 2565 


194

















FBA04P6922BZ SBM BIOSORB BONE SUBSTITUTES 2CC* 4179 

FBA04P6944BZ SBM BIOSORB BONE SUBSTITUTES 5CC* 5467 

FBA04P6946BZ SBM BIOSORB BONE SUBSTITUTES 15CC*( 產品型號 :P822893229 自 940701 起生效 ) 10525 

FBA04SB050PQ SINBONE BONE REPLACEMENT 7.0CM3* 5467 

FBA04SB054PQ SINBONE BONE REPLACEMENT 10CM3* 8791 

FBA04SB0X0PQ 

SINBONE BONE REPLACEMENT (SB020:5MM*5MM*5MM 7.0 CM3) (SB010 自 970701 起將 

5MM*5MM*40MM 7.0 CM3 變更為 5MM*5MM*20MM 7.0 CM3)* 

3416 

FBA070942NH1 X-CHANGE MESH 5250 

FBD00001NNY2 DCS PLATE 6:22HOLE 8500 

FBD00001XNY2 DHS PLATE 135:150 度 2:12HOLE( 產品型號 281420:410,281540:560) 8497 

FBD000095NZ1 VERSA-FX SUPRACONDYLAR FIXATION SYSTEM 8500 

FBD000135NZ1 VERSA-FX FEMORAL FIXATION SYSTEM 8497 

FBD0011931Z1 

VERSA-FX II SUPRACONDYLAR FIXATION SYSTEM 90,95 度 (PLATEX1+LAG SCREWX1+COMP 

SCREWX1) 

8500 

195



FBD001193NZ1 VERSA-FX II FEMORAL FIXATION SYSTEM 130,135 度 (PLATEX1+LAG SCREWX1+COMP SCREWX1) 8497 

FBD001199NZ1 COMPRESSION HIP SCREW(DHS) 8497 

FBD002412NSN COMPRESSION HIP SCREW SYSTEM (DHS) 8497 

FBD0028110V2 DHS PLATE SYSTEM (PLATE+SCREW)130~150 度 8497 

FBD0028190V2 DCS PLATE SYSTEM (PLATE+SCREW) 95 度 8500 

FBD00281CNS1 COMPRESSION HIP SYSTEM(DHS)130-150 度 8497 

FBD00281NNS1 DCS PLATE SYSTEM 95 度 8500 

FBD003281NZ6 STAINLESS COMPRESSION HIP SCREW SYSTEM 95:140 度 (PX1+COM SCREWX1+LAG SCREWX1) 8497 

FBD00401NNY2 TITANIUM DCS PLATE 6:22HOLE 9180 

FBD00401XNY2 TITANIUM DHS PLATE 135:150 度 2:10HOLE 9176 

FBD005963NS9 

OMEGA II LOW PROFILE:CHS SYSTEM 135-150 度 (PLATEX1+LAG SCREWX1+COMPRESSION 

SCREWX1) 

8497 

FBD005966NS9 OMEGA II SYSTEM:SUPRACONDYLAR PLATE 95 度 (PLATE+LAG SCREW+COMPRESSION SCREW) 8500 

FBD009501NS3 OHS SYSTEM (COMPRESSION HIP SCREW) 8497 

FBD009501NS9 OHS SYSTEM 135-150 度 (COMPRESSION HIP SCREW)( 原代碼 FBD009501NS3) 8497 

FBD0095606S3 COMPRESSION TUBE PLATE OCS 8500 

FBD0095606S9 COMPRESSION TUBE PLATE HIP SYSTEM OCS 95 度 ( 原代碼 FBD0095606S3) 8500 

FBD00DG135E3 DYNAMIC HIP SCREW SYSTEM(PLATE+CONDYLAR SCREW+COMPRESSION SCREW) 8497 

FBD00K004NAE COMPRESSION HIP SCREW(DHS) 8497 

FBD01244XNSN DCS COMPRESSION TUBE PLATE SYSTEM(PLATE+LEG SCREW+CORTICAL SCREW) 8500 

FBEF1UPELVTD PELVIC FRAME(U1 CLAMPX2+SMOOTH RODX3+ROD CONNECTORX2) 不含 PIN 21000 

FBEF440001D1 TRAUMA-FIX EXTERNAL FIXTOR:HUMERAL BASIC SET 肱骨基本組 17500 

FBEF440002D1 TRAUMA-FIX EXTERNAL FIXTOR:HUMERAL TRANSPORT FRAME 肱骨移位組 17500 

FBEF55150NZ6 STAINLESS HALP PIN 5MM 798 

FBEFP2482NSN SKELETAL TRACTION HALF PIN 3MM (COVE POINT PIN) 599 

FBEFP2483NSN SKELETAL TRACTION HALF PIN 5MM (COVE POINT PIN) 798 

FBEFP3109SZ6 STAINLESS HALF PIN 3MM 80:110CM 599 

196



FBEFP4021NU0 HALF PIN 3,4MM 599 

FBFJ11234NDP NEUFLEX FINGER IMPLANTS(SILICON) 3712 

FBFW14885NW2 SWANSON WRIST JOINT IMPLANT 11052 

FBHS51108NU0 G.T.F HIP STEM 大粗隆股骨柄 24750 

FBKB21759NW2 WHITESIDE ORTHOLOC REVISION TIBIAL STEM 5CM,6.25CM 1235 

FBKE21859NW2 WHITESIDE ORTHOLOC REVISION FEMORAL STEM 5CM 1350 

FBKF22105NU0 FEMUR COMPONENT 訂製型股骨植入物 89000 

FBKF25393NH1 ROTATINGE HINGE TOTAL KNEE SYSTEM:FEMORAL COMPONENT 41032 

FBKP21190NH1 ROTATINGE HINGE TOTAL KNEE SYSTEM :DOME PATELLAR ( 型號 6485-19,39,59-15 自 93/4/1 生效 ) 11672 

FBKRA6475NH1 ROTATING HINGE TOTAL KNEE SYSTEM (FE+TI PLUG+PA+ BEARING+AXLE+BUMPER+BUSHINGX2) 117924 

FBKS129051U0 SEGMENT PART 訂製型脛骨中段延伸件 23000 

FBKS12905NU0 STEM 訂製型脛骨下段延伸件 25000 

FBKT222059U0 TIBIAL BEARING COMPONENT 訂製型脛骨連接件 18000 

FBKT22205NU0 TIBIAL COMPONENT 訂製型脛骨植入物 33000 

FBKT253933H1 

ROTATINGE HINGE TOTAL KNEE SYSTEM:TIBIAL BEARING COMPONENT( 型號 6485-8435 自 93/4/1 生 

效 

23335 

FBKT253940H1 ROTATINGE HINGE TOTAL KNEE SYSTEM:AXLE 8370 

FBKT253942H1 ROTATINGE HINGE TOTAL KNEE SYSTEM:BUMPER COMPONENT( 型號 6485-4100 自 93/4/1 生效 5205 

FBKT253944H1 ROTATINGE HINGE TOTAL KNEE SYSTEM:BUSHING ( 型號 6485-2460 自 93/4/1 生效 ) 2344 

FBKT25394NH1 ROTATINGE HINGE TOTAL KNEE SYSTEM:TIBIAL PLUG ( 型號 6485-2008:2421 自 93/4/1 生效 ) 23622 

FBKUA1000NAE SEARCH UNICOMPARTMENTAL KNEE SYSTEM(FEMORAL+TIBIA+INSERT) 46894 

FBKUA1000TH1 EIUS UNICOMPARTMENTAL KNEE SYSTEM( 含 FEMORAL+TIBIAL+INSERT) 46894 

FBKUA1000TW2 UNICOMPARTMENTAL KNEE SYSTEM(FEMORAL+TIBIAL+INSERT) 46894 

FBKUA1000USN GENESIS UNICOMPARMENTAL KNEE SYSTEM 46894 

FBKUA10277DP PRESERVATION UNICOMPARTMENTAL KNEE SYSTEM(FEMORAL+TIBIAL+INSERT) 46894 

FBKUA2000TZ1 UNICOMPARTMENTAL HIGH-FLEX SYSTEM 155 度 (FEMORAL+TIBIAL +SURFACE) 46894 

FBKUA9600NJJ PFC SIGMA UNICOMPARTMENTAL KNEE SYSTEM 人工半膝關節組 46894 

197



FBN0212206SN R-T RECONSTRUCTION NAIL ※ 限股骨粗隆下骨折及股骨粗隆複合骨折患者申報 9000 

FBN04102XNU0 HUMERAL LOCKING SCREW 1350 

FBN0412223SN R-T PROXIMAL SCREW 1350 

FBN0412226SN FEMORAL LOCKING SCREW 1350 

FBN042252SZ1 M/DN RECONSTRUCTION SCREW 1350 

FBN042253SZ1 M/DN CORTICAL SCREW 1350 

FBN04303XNU0 FEMORAL&TIBIAL LOCKING SCREW W/SET SCREW 1350 

FBN04520XNU0 NAIL LOCKING SCREW 1350 

FBN05002XNY2 HUMERAL NAIL 7.0:9.0X210:280 9472 

FBN05003XNY2 FEMORAL NAIL 10:17,18,19,300:480,400:180 9472 

FBN05004XNY2 TIBIAL NAIL 9:13 255:420( 產品型號 251280:420,252280:420,253280:420) 9472 

FBN0512202R1 FEMORAL NAIL SYSTEM 9472 

FBN0512202SN FEMORAL NAIL SYSTEM( 含 NAIL+SCREW) 9472 

FBN0512217R1 TIBIAL NAIL SYSTEM 9472 

FBN0512217SN TIBIAL NAIL SYSTEM( 含 NAIL+SCREW) 9472 

FBN051722NS9 S2 NAIL SYSTEM:TIBIAL(NX1+SX3) 9472 

FBN051732NS9 S2 NAIL SYSTEM:FEMORAL(NX1+SX3) 9472 

FBN052240SZ1 M/DN RETROGRADE FEMORAL NAIL( 反向股骨固定釘 ) 9000 

FBN052252SZ1 M/DN FEMORAL NAIL SYSTEM(NAIL+CORTICAL SCREW) 9472 

FBN052253SZ1 M/DN TIBIAL NAIL SYSTEM(NAIL+CORTICAL SCREW) 9472 

FBN052254SZ1 M/DN HUMERAL NAIL SYSTEM(NAIL+CORTICAL SCREW) 9472 

FBN052450NSN HUMERAL NAIL SYSTEM(NAIL+SCREW) 9472 

FBN05251XNS1 TIBIAL NAIL SYSTEM(NAIL 型號 255.927:936,256.027:238 自 89/10/1 生效 ) 9472 

FBN05274XNS1 FEMORAL NAIL SYSTEM( 型號 271.934:946,272.034:246 自 89/10/1 生效 ) 9472 

FBN05301XNU0 HUMERAL NAIL SYSTEM(NAILX1+SCREWX3) 9472 

FBN053603NS3 FEMORAL NAIL SYSTEM 9472 

198



FBN053603NS9 FEMORAL NAIL SYSTEM ( 原代碼 FBN053603NS3) 9472 

FBN053792NS3 TIBIAL NAIL SYSTEM 9472 

FBN053792NS9 TIBIAL NAIL SYSTEM( 原代碼 FBN053792NS3) 9472 

FBN05402XNY2 TITANIUM UNREAMED HUMERAL NAIL(NAILX1+LOCKING BOLTX4) 10229 

FBN05403XNY2 TITANIUM UNREAMED FEMORAL NAIL(NAILX1+LOCKING BOLTX4) 10229 

FBN05404XNY2 TITANIUM UNREAMED TIBIAL NAIL(NAILX1+LOCKING BOLTX4) 10229 

FBN054102NH1 FEMORAL NAIL SYSTEM 9472 

FBN05601XNU0 FEMORAL&TIBIAL NAIL SYSTEM(NX1+SX3)( 或 SCREW 型號 5201-1085:1105) 9472 

FBN056091NH1 HUMERAL NAIL SYSTEM 9472 

FBN056092NH1 TIBIAL NAIL SYSTEM 9472 

FBN05KA36NAE FEMORAL NAIL SYSTEM 9472 

FBN05KC35NAE TIBIAL NAIL SYSTEM 9472 

FBN070301YM1 INTRAMEDULLARY NAIL(KUNTSCHER NAIL) 骨髓內釘 1810 

FBN07KA12NAE KIRSCHNER I.M. PIN FEMUR 1810 

FBN07KC11NAE KIRSCHNER I.M.PIN HUMERUS/TIBIAL 1810 

FBN080481YM1 INTRAMEDULLARY TIBIA (KUNTSCHER) 下腿用骨髓內釘 1810 

FBN084041NZ1 KUNTSCHER NAIL 14:15MM 1810 

FBNG1273XNS1 PROXIMAL FEMORAL NAILS STAINLESS STEEL(273.125:137+080:120+234.075:120+259.260:960) 18000 

FBNG14003NS9 GAMMA3 SYSTEM STAINLESS STEEL 脛股骨固定系統 (NAILX1+SCREWX3) 18000 

FBNG1473XNS1 TI PROXIMAL FEMORAL NAIL 19440 

FBNG1511XNH1 GAMA LOCKING NAIL SYSTEM( 型號 1204-1125:35,1107-4050 自 90/04/01 生效 ) 18000 

FBNG22252SZ1 M/DN RECONTRUCTION NAIL 9000 

FBNG24060NS9 GAMMA3 SYSTEM:NAIL 11000 

FBNG25113NH1 GAMA LOCKING NAIL :GAMA NAIL 11000 

FBNG34003NS9 GAMMA3 SYSTEM:SET SCREW 1300 

FBNG34004NS9 GAMMA3 SYSTEM:LAG SCREW 3000 

199



FBNG360822H1 GAMA LOCKING NAIL :SET SCREW 1300 

FBNG37120NH1 GAMA LOCKING NAIL :LAG SCREW 3000 

FBP01007XNY2 4.5 SEMI-TUBULAR PLATE 2:12HOLE 627 

FBP01008XNY2 3.5 1/3 TUBULAR PLATE 2:12HOLE 595 

FBP01009XNY2 2.7 1/4 TUBULAR PLATE 2:8HOLE 459 

FBP011403NSN ONE-THIRD TUBULAR PLATE 2:8HOLE,9:12HOLE 595 

FBP011413NSN SEMI-TUBULAR PLATE 2:7HOLE,8:12HOLE 627 

FBP011480NSN QUARTER TUBULAR PLATE 3:8HOLE 459 

FBP0122200V2 TUBULAR PLATE SEMI 2:12HOLE 627 

FBP01222NNS1 SEMI-TUBULAR PLATE 2:12 HOLE 39:199MM 627 

FBP012360NZ1 1/3 TUBULAR PLATE 2:8HOLE 595 

FBP012367NZ1 SEMI-TUBULAR PLATE 4:7HOLE(2364-03 自 88/1/12 生效 ) 627 

FBP0124130V2 TUBULAR PLATE 1/3 3.5MM 2:12H 595 

FBP012413NS1 ONE-THIRD TUBULAR PLATE 2:8 HOLE 28:148MM 595 

FBP0124200V2 QUARTER TUBULAR PLATE 2.7 MM 3:8HOLE 459 

FBP012420NS1 QUARTER TUBULAR PLATE 3:8 HOLE 459 

FBP012460NZ1 QUARTER TUBULAR PLATE 3:8HOLE 459 

FBP013020NS9 ONE THIRD TUBULAR PLATE 2:14HOLE 595 

FBP014050NS9 SEMI-TUBULAR PLATE 2:10 HOLE 39:167MM( 原代碼 FBP014050NS3) 627 

FBP014071NS9 ONE THIRD TUBULAR PLATE 2:8 HOLE 25:97MM( 原代碼 FBP014071NS3) 595 

FBP01407XNY2 TITANIUM SEMI-TUBULAR PLATE 4.5MM 2:12HOLE 677 

FBP01408XNY2 TITANIUM ONE-THIRD TUBULAR PLATE 3.5MM 2:12HOLE 642 

FBP01409XNY2 TITANIUM QUARTER TUBULAR PLATE 2.7MM 2:8HOLE 495 

FBP0149274Z1 ONE-QUARTER TUBULAR PLATE 3:8HOLE 459 

FBP0149351Z1 ONE-THIRD TUBULAR PLATE 2:12HOLE 595 

FBP0149452Z1 SEMI-TUBULAR PLATE 2:12HOLE 627 

200



FBP01LM30NAE 1/3 TUBULAR PLATE 3.5MM 595 

FBP01LM32NAE SEMI-TUBLUAR PLATE 4.5 MM 627 

FBP01LN25NAE QUARTER TUBULAR PLATE 2.7 MM 459 

FBP01LN2SNAE SMALL FRAGMENT PLATE 2.7MM 438 

FBP02010XNY2 4.5 BROAD DYNAMIC COMPRESSION PLATE 6:18HOLE 2180 

FBP02011XNY2 4.5 BROAD LENGTHENING PLATE 8:10HOLE 2263 

FBP02012XNY2 4.5 NARROW DYNAMIC COMPRESSION PLATE 2:17HOLE 1555 

FBP02013XNY2 4.5 NARROW LENGTHENING PLATE 30:80MM 2263 

FBP02015XNY2 2.0,2.7,3.5 DYNAMIC COMPRESSION PLATE 2:12HOLE( 產品型號 243540:580) 2180 

FBP020559NS9 FEMORAL PLATE DISTAL 6-10HOLE( 配合 4.5MM,6.5MM SCREW 用 ) 3500 

FBP021010NS9 SMALL BONE PLATES4:10 HOLES; 52:120MM(ULNA AND RADIUS)( 原代碼 FBP021010NS3) 2180 

FBP021024NS3 SMALL BONE PLATE 1207 

FBP021024NS9 SMALL BONE PLATE ACP 4-8 HOLE( 原代碼 FBP021024NS3) 1207 

FBP021044NS9 L-PLATES R/L3/2:6/2 HOLES; 68:116MM TIBIA( 原代碼 FBP021044NS3) 3890 

FBP021045NS9 L-BUTTRESS PLATE 67:339MM 3:20HOLE 2783 

FBP021046NS3 SMALL BONE PLATE 3.5 SCREW 1207 

FBP021402NSN 3.5MM SMALL PLATE 2:12HOLE 1207 

FBP021412NSN 4.5MM BROAD PLATE 6:18HOLE 2180 

FBP021414NSN 4.5MM NARROW PLATE 2:16HOLE,18:24HOLE 1555 

FBP021460NSN 2.0MM STRAIGHT PLATE3:6HOLE 438 

FBP022235NS1 LC-DCP 3.5 PLATE 4:12HOLE 1280 

FBP022245NS1 LC-DCP 4.5 NARROW PLATE 2:16HOLE 1555 

FBP02224NNS1 NARROW DYNAMIC COMPRESSION PLATE DCP 2:18 HOLE 39:295MM 1555 

FBP022265NS1 LC-DCP 4.5 BROAD PLATE 6:18HOLE 2180 

FBP02226NNS1 BROAD DYNAMIC COMPRESSION PLATE DCP 6:18 HOLE 103:295MM 2180 

FBP022278NS1 BROAD LENGTHENING PLATE 8 HOLE 135:165MM 2263 

201



FBP02228NNS1 NARROW LENGTHENING PLATE 8 HOLE 135:185MM 2263 

FBP022420NZ1 STRAIGHT MINI PLATE 438 

FBP022429NZ1 FOREARM PLATE 5:12HOLE( 型號 2429-05 自 91/10/01 生效 ) 1207 

FBP022431NS1 MINI STRAIGHT PLATE 3:6 HOLE 17:35MM 438 

FBP022435NS1 MINI DYNAMIC COMPRESSION PLATE DCP 4:8 HOLE 22:42MM 1605 

FBP022440NS1 MINI DYNAMIC COMPRESSION PLATE 2:12 HOLE 20:100MM 1605 

FBP022463NZ1 BROAD SELF COMPRESSION PLATE 5:14HOLE(SCP) 2180 

FBP022470NZ1 NARROW SELF COMPRESSION PLATE 12HOLE(SCP)(2462-03:11 自 88/1/11 生效 ) 1555 

FBP022480NS1 DYNAMIC COMPRESSION PLATE DCP 2:12 HOLE 26:146MM 1280 

FBP023000NS9 NARROW BONE PLATES4:15 HOLES; 72.5:277MM TIBIA AND ULNA( 原代碼 FBP023000NS3) 1555 

FBP023002NS9 SMALL COMPRESSION BONE PLATE ACP 2:30HOLE 2180 

FBP023100NS9 WIDE BONE PLATES6:16 HOLES; 105:296MM HUMERUS AND TIBIA( 原代碼 FBP023100NS3) 2180 

FBP023102NS9 SMALL T BONE PLATE ACP 3:4HOLE 1207 

FBP023205NS9 NARROW BONE PLATE 38:542MM 2:30HOLE 1555 

FBP023215NS9 WIDE BONE PLATE ACP 4:30HOLE 2180 

FBP023300NS3 Y-FORK PLATE ACP L/R 3752 

FBP023300NS9 Y-FORK PLATE ACP L/R 3:5 HOLE( 原代碼 FBP023300NS3) 3752 

FBP023500NS3 T PLATE FEMORAL L/R 3890 

FBP023500NS9 HUMERAL PLATE ACP L/R 3-6 HOLE( 原代碼 FBP023500NS3) 3890 

FBP02410XNY2 TITANIUM BROAD DYNAMIC COMPRESSION PLATE 4.5MM 6:18HOLE 2354 

FBP02412XNY2 TITANIUM NARROW DYNAMIC COMPRESSION PLATE 4.5MM 2:16HOLE 1679 

FBP02415XNY2 TITANIUM DYNAMIC COMPRESSION PLATE 2.0MM:3.5MM 2:12HOLE 1382 

FBP0249202Z1 2.0MM MINI COMPRESSION PLATE 4:12HOLE 1605 

FBP0249203Z1 2.0MM STRAIGHT PLATE 3:6HOLE 17:35MM 438 

FBP0249272Z1 2.7MM MINI COMPRESSION PLATE 2:12HOLE 1605 

FBP024935NZ1 3.5MM COMPRESSION PLATE 2:22HOLE 1280 

202



FBP0249451Z1 4.5MM BVROAD COMPRESSION PLATE 5:26HOLE 2180 

FBP024945NZ1 4.5MM NARROW COMPRESSION PLATE 2:24HOLE 1555 

FBP025055NS9 PLATE FOR CONDYLAR-FRAGMENT R/L 7/6:9/6 HOLES 172:210MM( 原代碼 FBP020559NS3) 3500 

FBP025062NS3 SMALL BONE PLATE ACP 4:6 HOLE 27:40MM 438 

FBP025062NS9 SMALL BONE PLATE ACP 4-6 HOLE( 原代碼 FBP025062NS3) 438 

FBP025103NS3 SMALL BONE PLATE ACP 4:10HOLE 35:95MM 1280 

FBP025103NS9 SMALL BONE PLATE ACP L/R 4:10 HOLE( 原代碼 FBP025103NS3) 1280 

FBP02510XNS9 SMALL BONE PLATE ACP 3-5 HOLE( 原代碼 FBP02510XNS3) 438 

FBP025804NS3 CONDYLAR PLATE ACP 90 (ANGLED) 5355 

FBP025804NS9 ADUL OSTEOTOMY PLATE ACP 90( 原代碼 FBP025804NS3) 5355 

FBP026028NSN MINI STRAIGHT PLATE 20 HOLE 2.0MM 3500 

FBP027005NS3 CONDYLAR PLATE ACP 95 5355 

FBP027005NS9 CONDYLAR PLATE ACP 95°6/8/10 HOLE( 原代碼 FBP027005NS3) 5355 

FBP028003NS3 CONDYLAR PLATE ACP 90 (ANGLED) 5355 

FBP028003NS9 CHILDREN OSTEOTOM PLATES ACP 90 4 HOLE( 原代碼 FBP028003NS3) 5355 

FBP028192NH1 STRAIGHT WIDE PLATE 2180 

FBP02LM26NAE NARROW LENGTHING PLATE 4.5 MM 2263 

FBP02LM28NAE BROAD LENGTHING PLATE 4.5 MM 2263 

FBP02LM40NAE NARROW BONE PLATE 4.5 MM 1555 

FBP02LM42NAE BROAD BONE PLATE 4.5 MM 2180 

FBP02LN027AE MULTIPLE FRAGMENT PLATE 438 

FBP02LN28NAE DCP 2.0MM SMALL PLATE 1605 

FBP03016XNY2 4.5 T-PLATE HOLE 2783 

FBP03017NNY2 L-TIBIAL BUTTRESS PLATE 5:13HOLE 2783 

FBP03017XNY2 4.5 L/T-BUTTRESS PLATE 3:6HOLE 2783 

FBP03018XNY2 4.5 SPOON PLATE 5:6HOLE 2310 

203



FBP03019XNY2 4.5 COBRA HEAD PLATE 8:11HOLE 4910 

FBP03021XNY2 4.5 CONDYLAR BUTTRESS PLATE 7:15HOLE 4930 

FBP03022XNY2 SMALL T-PLATE 3:6HOLE 1207 

FBP03023XNY2 CLOCERLEAF PLATE 3:6HOLE,CALCANEAL PLATE 60:70MM 2184 

FBP03024XNY2 1.5/2.0 MINI T-PLATE 3:4HOLE,2.0/2.7 L-PLATE 410 

FBP03025XNY2 1.5/2.0/2.7 MINI CONDYLAR PLATE 3500 

FBP03026XNY2 MINI PLATE STRAIGHT 3:6HOLE 438 

FBP03027XNY2 MINI PLATE(H PLATE 4HOLE,STR 100MM,ADAPTATION PLATE 100MM) 3500 

FBP03028XNY2 RECONSTRUCTION PLATE 5:22HOLE 4462 

FBP031005NSN STAINLESS LATERAL TIBIAL HEAD BUTTRESS PLATE 5:13HOLE 118:246MM 3890 

FBP031013NS3 V.T.L.PLATE 2783 

FBP031034NS3 T PLATE 3890 

FBP031179NZ1 RECONSTRUCTION PLATE 4462 

FBP031400NSN 4.5MM RECONTRACTION PLATE 3:16HOLE 4462 

FBP031406NSN CLOVERLEAF PLATE 3:6HOLE 2184 

FBP031407NSN T-BUTTRESS PLATE 4:6HOLE,L-BUTTRESS PLATE TIBIAL 2783 

FBP031415NSN SPOON PLATE 5:6HOLE 2310 

FBP031416NSN T-PLATE 3:8HOLE 2783 

FBP031418NSN COBRA HEAD PLATE 8:11HOLE 4910 

FBP031432NS3 T PLATE 3890 

FBP031432NS9 FORMA PLATE L/R 4/3,6/3,8/3 HOLE( 原代碼 FBP031432NS3) 3890 

FBP031704NSN HOOK PLATE 4HOLE 4570 

FBP0322400V2 DCP 4.5 NARROW DYNAMIC COMPRESSION PLATE 2:18HOLE 1555 

FBP0322600V2 DCP 4.5 BROAD DYNAMIC COMPRESSION PLATE 6:22HOLE 2180 

FBP0322930V2 RECONSTRUCTION PLATE 4.5MM 3:16HOLE 4462 

FBP03229NNS1 PELVIC RECONSTRUCTION PLATE 3:16 HOLE 45:253MM 4462 

204



FBP03229XNY2 STRAIGHT RECONSTRUCTION PLATE 4.5 3:16HOLE 4462 

FBP0324000V2 SPOON PLATE 4.5 5:6HOLE 2310 

FBP032400NS1 SPOON PLATE 5:6:12 HOLE 100:120MM 2310 

FBP0324010V2 T PLATES 4.5MM 3:12HOLE 2783 

FBP032401NS1 T PLATE 3:8:12 HOLE 68:148MM 2783 

FBP0324020V2 LATERAL TIBIAL HEAD PLATE-L/R 5:13HOLE 3500 

FBP0324030V2 T-BUTTRESS PLATE 4:6HOLE 2783 

FBP032403NS1 SUPPORTING T PLATE 4:6 HOLE 81:112MM 2783 

FBP0324040V2 L-BUTTRESS PLATE 4.5 MM L/R 3:6HOLE 2783 

FBP032404NS1 SUPPORTING PLATE(L-BUTTRESS PLATE) 3:6 HOLE 69:107MM 2783 

FBP032405NS1 LATERAL TIBIAL BUTTRESS PLATE 5:13HOLE 3890 

FBP0324070V2 CONDYLAR BUTTRESS PLATE L/R 4.5 MM 7:15H 4930 

FBP032407NS1 DISTAL FEMUR PLATE 7:15 HOLE (CONDYLAR BUTTRESS PLATE) 4930 

FBP0324080S1 HOOK PLATE 128MM 4570 

FBP0324080Y2 HOOK PLATE 4.5 123MM 4570 

FBP0324090V2 COBRA HEAD PLATE 4.5 8:11HOLE 4910 

FBP032409NS1 COBRA HEAD PLATE 8:11 HOLE 202:218MM 4910 

FBP0324110V2 SMALL T-PLATE 3.5MM (3+3:4+8HOLE) 1207 

FBP032411NS1 SMALL T PLATE RIGHT ANGLE 3/3:6/4 HOLE 50:78MM 1207 

FBP0324120V2 T PLATE OLIQUE 3.5MM (3+3;3+4;3+5HOLE) 1207 

FBP032412NS1 SMALL T PLATE OLIQUE ANGLE 3/3:5/3 HOLE 52:74MM 1207 

FBP0324140V2 MULTIPLE FRAGMENT MINI PLATE (W-PLATE) 7HOLE 410 

FBP0324160V2 CALCANEAL Y-PLATE 3.5MM 3752 

FBP0324164S1 Y PLATE 3752 

FBP032416NS1 CALCANEAL PLATE 3.5 3752 

FBP0324180V2 CLOVERLEAF PLATE 3.5MM 3:9HOLE 2184 

205



FBP032418NS1 CLOVERLEAF PLATE 3:4 HOLE 88:104MM 2184 

FBP0324191Z1 MINI EPIPHYSIS PLATE T L/R 410 

FBP032419NZ1 MINI EPIPHYSIS PLATE OBLIQUE L/R 410 

FBP0324230V2 MINI L OBLIQUE PLATE L/R 2.7MM 410 

FBP032423NS1 MINI L FINGER JOINT-HEAD PLATE 410 

FBP0324240V2 MINI T PLATE 2.0,2.7MM 410 

FBP0324241S1 MINI T FINGER JOINT-HEAD PLATE 410 

FBP0324300V2 ADAPTATION PLATE 100MM 20HOLE 3500 

FBP0324310V2 STRAIGHT MINI PLATE 3:6HOLE 438 

FBP0324319S1 MINI PLATE 1.5 3500 

FBP0324330V2 MINI L PLATE L/R 2.0,2.7MM 410 

FBP032433NS1 MINI L FINGER JOINT HEAD PLATE 410 

FBP0324341S1 MINI T FINGER JOINT HEAD PLATE 410 

FBP0324348S1 MINI PLATE 1.5 3500 

FBP0324350V2 DCP 2.0、2.7、3.5MM 2:12HOLE(DYNAMIC,COMPRESSION PLATE) 1280 

FBP0324491Z1 L-BUTTRESS PLATE 4 HOLE 2783 

FBP0324495Z1 T-BUTTRESS PLATE 5:6 HOLE 2783 

FBP03244XNZ1 CONDYLAR BUTTRESS PLATES 7HOLE,9HOLE 157CM,189CM 4930 

FBP0324500V2 RECONSTRUCTION PLATE 3.5MM 5:22HOLE 4462 

FBP0324509Z1 SPOON PLATE 5HOLE 2310 

FBP032451NS1 RECONSTRUCTION PLATE STRAIGHT 5:22 HOLE 58:262MM 4462 

FBP032451NZ1 T-PLATE 4:8HOLE 2783 

FBP0324523Z1 CLOVERLEAF PLATE 3HOLE 2184 

FBP0324530V2 RECONSTRUCTION PLATE CURVED 3.5MM 6:18H 4462 

FBP032453NS1 RECONSTRUCTION PLATE BENT 6:18 HOLE 70:214MM 4462 

FBP032454NZ1 SMALL T-PLATE 3:5HOLE 1207 

206



FBP032455NZ1 SMALL STRAIGHT PLATE 3:8HOLE 1207 

FBP032456NZ1 MULTIPLE FRAGMENT PLATE 438 

FBP032458NZ1 PLATE 1605 

FBP032459NZ1 EPIPHYSIS PLATE 1605 

FBP03245XNY2 PELVIC RECONSTRUCTION PLATE 3.5 6:18HOLE 4462 

FBP03245XNZ1 T-PLATES 3HOLE 67CM 2783 

FBP0324610V2 STRAIGHT PLATE 1.5MM,2.0MM 20H 3500 

FBP0324640V2 H PLATE STRIGHT PLATE 1.5,2.0 4HOLE 410 

FBP03246NNS1 MINI T-PLATE 1.5,2.0 9HOLE 3500 

FBP033100NS9 OBLIQUE PLATE 3:8HOLE 1207 

FBP033104NS9 CLOVERLEAF PLATE 4/6 5/6HOLE 3:10HOLE 2184 

FBP033110NS9 CALCANEAL PLATE 14HOLE 3752 

FBP033220NS9 RECONSTRUCTION 4.5MM PLATE 3:30HOLE( 型號 430104:430122 自 93/1/1 生效 ) 4462 

FBP033310NS9 V-PLATE T-PLATE 63:335MM 3:20HOLE 2783 

FBP033315NS9 T-PLATE 65:337MM 3:20HOLAE 3890 

FBP03401XNSN 3.5MM RECONTRACTION PLATE 4:22HOLE,CURVED RECONTRACTION PLATE 6:18HOLE 4462 

FBP03404XNSN SMALL T-PLATE PT ANGLE 3:6HOLE 1207 

FBP03405XNSN SMALL T-PLATE OBLIQUE 3:5HOLE 1207 

FBP034102NS3 CLOVER LEAF PLATE 4/6:5/6 HOLE 88:104MM 2184 

FBP03416XNY2 TITANIUM T-PLATE 4.5MM 3:8HOLE 3005 

FBP03417XNY2 TITANIUM L/T BUTTRESS PLATE 4.5MM 3:6HOLE,L TIBIAL BUTTRESS PLATE 5:13HOLE 4200 

FBP03418XNY2 TITANIUM SPOON PLATE 4.5MM 5:6HOLE 2494 

FBP03421XNY2 TITANIUM CONDYLAR BUTTRESS PLATE 4.5MM 7:15HOLE 5324 

FBP03422XNY2 TITANIUM SMALL T-PLATE 3.5MM,4.0MM 1303 

FBP03423XNY2 TITANIUM CLOVERLEAF PLATE 3.5MM,4.0MM,CALCANEAL PLATE 60:70MM 2358 

FBP03424XNY2 TITANIUM MINI T-PLATE 1.5MM:2.0MM 3:4HOLE,MINI L-PLATE 2.0MM,2.7MM 442 

207



FBP034250NS9 PELVIS AND ACETABULUM PLATES4:12 HOLES; 65:184MM( 原代碼 FBP034250NS3) 4462 

FBP034256NS9 PELVIS AND ACETABULUM PLATES 2:30HOLE( 型號 425654:425772 自 93/1/1 生效 ) 4462 

FBP03425XNY2 TITANIUM MINI CONDYLAR PLATE 1.5,2.0,2.7MM 3780 

FBP03427NNY2 TITANIUM STRAIGHT MINI H-PLATE 1.5,2.0MM 20HOLE 3780 

FBP03427XNY2 TITANIUM MINI H-PLATE 1.5,2.0MM 4HOLE 3780 

FBP03428XNY2 TITANIUM RECONSTRUCTION PLATE 3.5MM 5:22HOLE 4818 

FBP034301NS9 RECONSTRUCTION 4.5MM PLATE 2:30 HOLES 4462 

FBP03440XNSN CALCANEAL Y-PLATE 9HOLE 3752 

FBP03460XNSN 2.0MM T-PLATE,L-PLATE,H-PLATE( 型號 7114-6030,032,048 自 93/1/1 起刪除 ) 410 

FBP0349151Z1 1.5MM,2.0MM MINI STRAIGHT PLATE 20HOLE 3500 

FBP034915NZ1 1.5MM,2.0MM MINI H-PLATE 4HOLE 3500 

FBP0349201Z1 2.0MM MINI L-PLATE 4HOLE 410 

FBP034920NZ1 2.0MM MINI T-PLATE 4HOLE 410 

FBP0349271Z1 2.7MM MINI L-PLATE 5HOLE 410 

FBP0349273Z1 2.7MM MULTIPLE FRAGMENT PLATE 7HOLE 438 

FBP034927NZ1 2.7MM MINI T-PLATE 5HOLE 410 

FBP0349352Z1 3.5MM T-PLATE 3:4+3:8HOLE 1207 

FBP0349353Z1 3.5MM OBLIQUE T-PLATE 3+3:5HOLE 1207 

FBP0349354Z1 3.5MM CLOVERLEAF PLATE 3:10HOLE 2184 

FBP0349355Z1 3.5MM CALCANEAL PLATE 60:70MM 3752 

FBP0349356Z1 3.5MM CALCANEAL Y-PLATE 3752 

FBP0349453Z1 4.5MM T-PLATE 3:8HOLE 2783 

FBP0349454Z1 4.5MM T-BUTTRESS PLATE 4:6HOLE 2783 

FBP0349455Z1 4.5MM L-BUTTRESS PLATE 4HOLE 2783 

FBP0349456Z1 4.5MM SPOON PLATE 5:6HOLE 2310 

FBP0349457Z1 4.5MM COBRA HEAD PLATE 8:11HOLE 4910 

208



FBP0349XXNZ1 1.5MM,2.0MM T-PLATE (3:4+9HOLE) 3500 

FBP035020NSN STAINLESS MINI STRAIGHT PLATE 20HOLE 1.5MM 3500 

FBP035030NSN 1.5MM H-PLATE 4HOLE 3500 

FBP035600NH1 PROXIMAL TIBIAL PLATE 3:7 HOLE 3890 

FBP036030NSN 2.0MM T-PLATE 9HOLE 3500 

FBP036048NSN 2.0MM H-PLATE 4HOLE 3500 

FBP037012NSN MULTI FRAGMENT PLATE 7HOLE 438 

FBP0371147SN L-PLATE,T-PLATE 2.7MM 3HOLE 410 

FBP038300NH1 STRAIGHT PLATE FOR SMALL FRAGMENT 438 

FBP038310NH1 PLATE FOR MULTIPLE FRAGMENT 7 HOLE 438 

FBP038350NH1 MINI STRAIGHT PLATE 438 

FBP038360NH1 MINI EPIPHYSEAL PLATE 410 

FBP03LM16NAE CLOVERLEAF PLATE 4.5 MM 3,4 HOLE 2184 

FBP03LM17NAE L/T PLATE 4.5 MM 2783 

FBP03LM18NAE T-BUTTRESS PLATE 4.5 MM 4,5,6 HOLE 2783 

FBP03LM19NAE L-BUTTRESS PLATE 4.5 MM L/R 4 HOLE 2783 

FBP03LM50NAE COBRA HEAD PLATE 4910 

FBP03LM95NAE SPOON PLATE 4.5MM 5,6 HOLE 2310 

FBP03LN02NAE L-PLATE 2.7 MM 410 

FBP03LN15NAE RECONSTRUCTION PLATE 3.5 MM 4462 

FBP03LN16NAE RECONSTRUCTION PLATE 2.7MM 4462 

FBP03LN190AE Y-PLATE 3752 

FBP03LN20NAE STRAIGHT/L PLATE 2.0 MM 438 

FBP03LN225AE T-MINI FINGER PLATE 410 

FBP03LN22NAE L-MINI PLATE 2.0MM 410 

FBP03LN26NAE DCP 2.7 MM SMALL PLATE 1605 

209



FBP03LN278AE MAXILLO-RECOSTRUCTION PLATE 2.0MM 4500 

FBP03LN29NAE DCP PLATE 2.7MM 1605 

FBP03LN31NAE MAXILLA PLATE 2.7MM 560 

FBP03LN32NAE T-PLATE 3.5 MM 1207 

FBP03LN33NAE SMALL T-PLATE 3.5MM 1207 

FBP03LN34NAE PCP PLATE 3.5 MM 1207 

FBP04142XNSN CONDYLAR PLATE 7:15HOLE LT,RT 5355 

FBP042351NS1 HIP DCP PLATE CHILD 2315 

FBP042351NY2 ANGLED BLADE PLATES FOR INTERTROCHANTERIC FEMORAL OSTEOTOMIES IN CHILDREN 2315 

FBP042356NS1 TEENAGER HIP PLATE 2315 

FBP04236NNY2 ANGLED BLADE PLATES FOR INTERTROCHANTERIC FEMORAL OSTEOTOMIES IN SMALL ADULTS 2315 

FBP04236XNS1 BABY HIP PLATE 2315 

FBP04236XNY2 ANGLED BLADE PLATES 90 度 FOR INTERTROCHANTERIC FEMORAL OSTEOTOMIES IN INFANT 2315 

FBP042372NS1 CONDYLAR PLATE 95 度 12 HOLE 50:80MM 5355 

FBP042372NY2 CONDYLAR PLATE 95 度 FOR ADULTS AND 5:18HOLE 5355 




FBP04238NNS1 ANGLED BLADE PLATE 130 度 4:12 HOLE 50:110MM 3510 

FBP04238NNY2 ANGLED BLADE PLATES 130 度 4:12HOLE 50:110MM 3510 

FBP042392NS1 HIP PLATE 90:130 度 3510 

FBP042392NY2 ANGLED BLADE PLATES FOR INTERTROCHANTERIC FEMORAL OSTEOTOMIES IN ADULTS 3510 

FBP042436NS1 MINI CONDYLAR PLATE 2.0 3500 

FBP042466NS1 MINI CONDYLAR PLATE 3500 

FBP04254XNSN ADULT CONDYLAR PLATE 95 度 5:16HOLE 5355 

FBP04282XNS1 CONDYLAR PLATE 3510 

210



FBP04282XNY2 CONDYLAR PLATE 95 度 FOR SMALL ADULTS AND ADOLESCENTS 3510 

FBP04283XNS1 ANGLED BLADE PLATE 130 度 4:9HOLE 3510 

FBP04283XNY2 ANGLED BLADE PLATES 130 度 FOR SMALL STATURED ADULTS AND ADOLESCENTS 4:9HOLE 3510 

FBP0449XXNZ1 1.5MM,2.0MM,2.7MM MINI CONDYLAR PLATE 7HOLE 3500 

FBP045026NSN CONDYLAR PLATE 7HOLE 1.5MM RT,LT 3500 

FBP046040NSN CONDYLAR PLATE 7HOLE 2.0MM RT,LT 3500 

FBP048202NH1 CONDYLAR PLATE ANGLE 95 度 (312) 5355 

FBP04K012NAE CONDYLAR PLATE 95 度 4.5MM 5355 

FBP04K021NAE ANGLED PLATE 90:130 度 4.5MM 3510 

FBP04LM15NAE CONDYLAR BUTTRESS PLATE 4.5 MM 4930 

FBP094102NU0 STAINLESS ANATOMIC FEMUR PLATE 4:8HOLE※ 限 EPIPHYSIS、METAPHYSIS 骨折使用 8744 

FBP09510SNY2 STAINLESS ANATOMICAL PLATE (TIBIAL,FEMUR,FIBULAR) 8744 

FBP096450NWL 

ANATOMIC BONE PLATE(TIBIA,FEMUR,FIBULAR)122:230MM 7:13H ※ 限 EPIPHYSIS、METAPHYSIS 

骨折使用 

8744 

FBPN10579NM1 STEINMANN PIN 180:230MM 221 

FBPN12620NZ1 KIRSCHNER WIRE (K-PIN) WITH THREAD 2.5MM 305 

FBPN12910NY2 STEINMANN PINS(SHANK)2.0MM:4.8MM *9"(230MM) 221 

FBPN12915NY2 STEINMANN PINS(THREADED)2.0MM:4.8MM *9"(230MM) 356 

FBPN12920NY2 STEINMANN PINS(SHANK)0.8MM:3.0MM *70MM 221 

FBPN129210V2 STEINMANN PINS(SHANK) 0.8MM:5.0MM 221 




FBPN1292XNY2 STEINMANN PIN 70MM 150MM 221 

FBPN129360V2 STEINMANN PIN WITH THREAD 356 

FBPN12936NS1 STEINMANN PIN WITH THREAD 356 

FBPN12936NY2 STEINMANN PIN W/MIDDLE THREADED 356 

211



FBPN1293NNS1 STEINMANN PIN 221 

FBPN1293NNY2 STEINMANN PIN W/TROCAR TIP 221 

FBPN17011NZ1 STEINMANN PIN 1.8MM 221 

FBPN17012NZ1 STEINMANN PIN 2.0MM,2.4MM 221 



FBPN17017NZ1 STEINMANN PIN 4.8MM 221 

FBPN1KX10NAE STEINMANN PIN 221 

FBPN1KX30NAE STEINMANN PIN WITH THREAD 356 

FBPN1LK30NXA STEINMANN PIN(THREADED)3.0;3.5;4.0;4.5;5.0;6.0MM 356 

FBPN1MK30NXA STEINMANN PIN(NON-THREADED)3.0;3.5;4.0;4.5;5.0;6.0MM 221 

FBPN1NK30NXA STEINMANN PIN(WITH TROCAR TIP)3.0;3.5;4.0;4.5;5.0;6.0MM 221 

FBPN20750NM1 KNOWLES PIN 65MM:120MM 930 

FBPN22811NZ1 KNOWLES PIN 2.5":4" 930 

FBPN22815NZ1 KNOWLES PIN 5 1/4":6" 930 

FBPN22818NZ1 KNOWLES PIN 4 1/4":5" 930 

FBPN2282XNSN KNOWLES PIN 930 

FBPN2283XNSN KNOWLES PIN 930 

FBPN22991NY2 KNOWLES PINS(HEX.DRIVE)4.0/4.8MM *2.5":6"(63.5MM:152.4MM) 930 

FBPN22993NY2 KNOWLES PINS(SQUARE DRIVE)4.0/4.8MM *2.5":6"(63.5MM:152.4MM) 930 

FBPN2KK28NXA KNOWLES PIN 2.8;3.2;4.0;4.8MM 930 

FBPN30531YM1 MR-500 型髓內釘 (RUSH PIN) 771 

FBPN31860NZ1 KIRSCHNER PIN 1.0MM:1.8MM 80 

FBPN38111NZ1 RUSH MEDULLARY PIN 1/4" 771 



212




FBPN3KJ10NAE RUSH PIN 771 

FBPS1000XNX0 PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 









FBPS1000XNXB PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXC PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXD PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXE PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXF PARTIAL FOOT PROSTHESIS 健保給寸部分足義肢 . 19000 

FBPS1000XNXG PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXH PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXJ PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXK PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXN PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 19000 

FBPS1000XNXS PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1000XNXV PARTIAL FOOT PROSTHESIS 健保給付部分足義肢 . 19000 

FBPS1001XNX0 SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 



213









FBPS1001XNXB SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXC SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXD SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXE SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXF SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXG SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXH SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXJ SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXK SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXN SYME"S PROSTHESIS 珊姆式小腿義肢 ( 踝關節離斷 ) 24000 

FBPS1001XNXS SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1001XNXV SYME"S PROSTHESIS 健保給付珊姆式小腿義肢 ( 踝關節離斷 ). 24000 

FBPS1002XNX0 K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 








214




FBPS1002XNXB K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXC K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXD K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXE K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXF K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXG K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXH K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXJ K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXK K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXN K/D PROSTHESIS 膝關節離斷義肢 48000 

FBPS1002XNXS K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1002XNXV K/D PROSTHESIS 健保給付膝關節離斷義肢 . 48000 

FBPS1003XNX0 A/K PROSTHESIS 健保給付膝上義肢 . 48000 










FBPS1003XNXB A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXC A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXD A/K PROSTHESIS 健保給付膝上義肢 . 48000 

215



FBPS1003XNXE A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXF A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXG A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXH A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXJ A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXK A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXN A/K PROSTHESIS 膝上義肢 48000 

FBPS1003XNXS A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1003XNXV A/K PROSTHESIS 健保給付膝上義肢 . 48000 

FBPS1004XNX0 B/K PROSTHESIS 健保給付膝下義肢 . 34000 










FBPS1004XNXB B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXC B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXD B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXE B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXF B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXG B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXH B/K PROSTHESIS 健保給付膝下義肢 . 34000 

216



FBPS1004XNXJ B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXK B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXN B/K PROSTHESIS 膝下義肢 34000 

FBPS1004XNXS B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1004XNXV B/K PROSTHESIS 健保給付膝下義肢 . 34000 

FBPS1005XNX0 H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 









FBPS1005XNXB H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXC H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXD H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXE H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXF H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXG H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXH H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXJ H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXK H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXN H/D&H/P PROSTHESIS 髖關節離斷義肢 68000 

FBPS1005XNXS H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

FBPS1005XNXV H/D&H/P PROSTHESIS 健保給付髖關節離斷義肢 . 68000 

217



FBPS1006XNX0 W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 








FBPS1006XNXB W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXC W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXD W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXE W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXF W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXG W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXJ W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXK W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXS W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1006XNXV W/D PROSTHESIS 健保給付腕關節離斷義肢 . 42000 

FBPS1007XNX0 E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 








218



FBPS1007XNXB E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXC E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXD E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXE E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXF E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXG E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXJ E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXK E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXS E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1007XNXV E/D PROSTHESIS 健保給付肘關節離斷義肢 . 62000 

FBPS1008XNX0 A/E PROSTHESIS 健保給付肘上義肢 . 65000 








FBPS1008XNXB A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXC A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXD A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXE A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXF A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXG A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXJ A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXK A/E PROSTHESIS 健保給付肘上義肢 . 65000 

219



FBPS1008XNXS A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1008XNXV A/E PROSTHESIS 健保給付肘上義肢 . 65000 

FBPS1009XNX0 B/E PROSTHESIS 健保給付肘下義肢 . 42000 








FBPS1009XNXB B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXC B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXD B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXE B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXF B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXG B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXJ B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXK B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXS B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1009XNXV B/E PROSTHESIS 健保給付肘下義肢 . 42000 

FBPS1010XNX0 S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 






220





FBPS1010XNXB S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXC S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXD S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXE S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXF S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXG S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXJ S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXK S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXS S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1010XNXV S/D PROSTHESIS 健保給付肩關節離斷義肢 . 65000 

FBPS1011XNX0 FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 








FBPS1011XNXB FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXC FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXD FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXE FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXF FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXG FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

221



FBPS1011XNXJ FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXK FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXS FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1011XNXV FOREQUATER PROSTHESIS 健保給付肩胛截除義肢 . 65000 

FBPS1012XNX0 A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 








FBPS1012XNXB A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXC A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXD A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXE A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXF A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXG A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXJ A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXK A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXN A/E COSMETIC PROSTHESIS 肘上美觀義肢 23000 

FBPS1012XNXS A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1012XNXV A/E COSMETIC PROSTHESIS 健保給付肘上美觀義肢 . 23000 

FBPS1013XNX0 B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 



222








FBPS1013XNXB B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXC B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXD B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXE B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXF B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXG B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXJ B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXK B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXN B/E COSMETIC PROSTHESIS 肘下美觀義肢 14000 

FBPS1013XNXS B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1013XNXV B/E COSMETIC PROSTHESIS 健保給付肘下美觀義肢 . 14000 

FBPS1014XNX0 健保給付肩關節離斷美觀義肢 . 32300 








FBPS1014XNXB 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXC 健保給付肩關節離斷美觀義肢 . 32300 

223



FBPS1014XNXD 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXE 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXF 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXG 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXJ 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXK 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXS 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1014XNXV 健保給付肩關節離斷美觀義肢 . 32300 

FBPS1015XNX0 健保給付橫掌截肢美觀義肢 . 7300 








FBPS1015XNXB 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXC 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXD 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXE 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXF 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXG 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXJ 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXK 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXS 健保給付橫掌截肢美觀義肢 . 7300 

FBPS1015XNXV 健保給付橫掌截肢美觀義肢 . 7300 

224



FBPS1016XNX0 健保給付手指截肢美觀義肢 . 4800 








FBPS1016XNXB 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXC 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXD 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXE 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXF 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXG 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXJ 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXK 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXS 健保給付手指截肢美觀義肢 . 4800 

FBPS1016XNXV 健保給付手指截肢美觀義肢 . 4800 

FBPS2000XNX0 

FBPS2000XNX1 

FBPS2000XNX2 

FBPS2000XNX4 

FBPS2000XNX5 

FBPS2000XNX6 

FBPS2000XNX7 

FBPS2000XNX8 

PARTIAL FOOT PROSTHESIS 部分給付部分足義肢 , 按健保給付之部分足義肢給付 , 超過部分由病患 

自付 . 


自付 . 


自付 . 


自付 . 


自付 . 


自付 . 


自付 . 


自付 . 

19000 

19000 

19000 

19000 

19000 

19000 

19000 

19000 

225



FBPS2000XNX9 PARTIAL FOOT PROSTHESIS 部分給付部分足義肢 , 按健保給付之部分足義肢給付 , 超過部分由病患 19000 

自付 . 

FBPS2000XNXB 

FBPS2000XNXC 

FBPS2000XNXD 

FBPS2000XNXE 

FBPS2000XNXF 

FBPS2000XNXG 

FBPS2000XNXH 

FBPS2000XNXJ 

FBPS2000XNXK 

FBPS2000XNXN 

FBPS2000XNXS 

FBPS2000XNXV 

FBPS2001XNX0 

FBPS2001XNX1 

FBPS2001XNX2 

FBPS2001XNX4 

FBPS2001XNX5 

FBPS2001XNX6 

FBPS2001XNX7 

FBPS2001XNX8 

FBPS2001XNX9 

FBPS2001XNXB 

FBPS2001XNXC 

FBPS2001XNXD 

FBPS2001XNXE 


自付 . 


自付 . 


自付 . 


自付 . 

PARTIAL FOOT PROSTHESIS 部分給寸部分足義肢 , 按健保給付之部分足義肢給付 , 超過部分由病患 

自付 . 


自付 . 


自付 . 


自付 . 


自付 . 


自付 . 


自付 . 


自付 . 

SYME"S PROSTHESIS 部分給付珊姆式小腿義肢 ( 踝關節離斷 ), 按健保給付之珊姆式小腿義肢 ( 踝關節 

離斷 ) 給付 , 超過部分由病患自付 . 

























19000 

19000 

19000 

19000 

19000 

19000 

19000 

19000 

19000 

19000 

19000 

19000 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

226



FBPS2001XNXF SYME"S PROSTHESIS 部分給付珊姆式小腿義肢 ( 踝關節離斷 ), 按健保給付之珊姆式小腿義肢 ( 踝關節 24000 


FBPS2001XNXG 

FBPS2001XNXH 

FBPS2001XNXJ 

FBPS2001XNXK 

FBPS2001XNXN 

FBPS2001XNXS 

FBPS2001XNXV 

FBPS2002XNX0 

FBPS2002XNX1 

FBPS2002XNX2 

FBPS2002XNX4 

FBPS2002XNX5 

FBPS2002XNX6 

FBPS2002XNX7 

FBPS2002XNX8 

FBPS2002XNX9 

FBPS2002XNXB 

FBPS2002XNXC 

FBPS2002XNXD 

FBPS2002XNXE 

FBPS2002XNXF 

FBPS2002XNXG 

FBPS2002XNXH 

FBPS2002XNXJ 

FBPS2002XNXK 















K/D PROSTHESIS 部分給付膝關節離斷義肢 , 按健保給付之膝關節離斷義肢給付 , 超過部分由病患自 

付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 

24000 

24000 

24000 

24000 

24000 

24000 

24000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

48000 

227



FBPS2002XNXN K/D PROSTHESIS 部分給付膝關節離斷義肢 , 按健保給付之膝關節離斷義肢給付 , 超過部分由病患自 48000 

付 . 

FBPS2002XNXS 

FBPS2002XNXV 


付 . 


付 . 

48000 

48000 

FBPS2003XNX0 A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 










FBPS2003XNXB A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXC A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXD A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXE A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXF A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXG A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXH A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXJ A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXK A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXN A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXS A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2003XNXV A/K PROSTHESIS 部分給付膝上義肢 , 按健保給付膝上義肢給付 , 超過部分由病患自付 . 48000 

FBPS2004XNX0 B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

228












FBPS2004XNXB B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXC B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXD B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXE B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXF B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXG B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXH B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXJ B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXK B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXN B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXS B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2004XNXV B/K PROSTHESIS 部分給付膝下義肢 , 按健保給付之膝下義肢給付 , 超過部分由病患自付 . 34000 

FBPS2005XNX0 

FBPS2005XNX1 

FBPS2005XNX2 

FBPS2005XNX4 

FBPS2005XNX5 

H/D&H/P PROSTHESIS 部分給付髖關節離斷義肢 , 按健保給付之髖關節離斷義肢給付 , 超過部分由病 

患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 

68000 

68000 

68000 

68000 

68000 

229



FBPS2005XNX6 H/D&H/P PROSTHESIS 部分給付髖關節離斷義肢 , 按健保給付之髖關節離斷義肢給付 , 超過部分由病 68000 

患自付 . 

FBPS2005XNX7 

FBPS2005XNX8 

FBPS2005XNX9 

FBPS2005XNXB 

FBPS2005XNXC 

FBPS2005XNXD 

FBPS2005XNXE 

FBPS2005XNXF 

FBPS2005XNXG 

FBPS2005XNXH 

FBPS2005XNXJ 

FBPS2005XNXK 

FBPS2005XNXN 

FBPS2005XNXS 

FBPS2005XNXV 

FBPS2006XNX0 

FBPS2006XNX1 

FBPS2006XNX2 

FBPS2006XNX4 

FBPS2006XNX5 

FBPS2006XNX6 

FBPS2006XNX7 

FBPS2006XNX9 

FBPS2006XNXB 

FBPS2006XNXC 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

68000 

42000 

42000 

42000 

42000 

42000 

42000 

42000 

42000 

42000 

42000 

230



FBPS2006XNXD W/D PROSTHESIS 部分給付腕關節離斷義肢 , 按健保給付之腕關節離斷義肢給付 , 超過部分由病患自 42000 

付 . 

FBPS2006XNXE 

FBPS2006XNXF 

FBPS2006XNXG 

FBPS2006XNXJ 

FBPS2006XNXK 

FBPS2006XNXN 

FBPS2006XNXS 

FBPS2006XNXV 

FBPS2007XNX0 

FBPS2007XNX1 

FBPS2007XNX2 

FBPS2007XNX4 

FBPS2007XNX5 

FBPS2007XNX6 

FBPS2007XNX7 

FBPS2007XNX9 

FBPS2007XNXB 

FBPS2007XNXC 

FBPS2007XNXD 

FBPS2007XNXE 

FBPS2007XNXF 

FBPS2007XNXG 

FBPS2007XNXJ 

FBPS2007XNXK 

FBPS2007XNXN 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 

42000 

42000 

42000 

42000 

42000 

42000 

42000 

42000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

62000 

231



FBPS2007XNXS E/D PROSTHESIS 部分給付肘關節離斷義肢 , 按健保給付之肘關節離斷義肢給付 , 超過部分由病患自 62000 

付 . 

FBPS2007XNXV 


付 . 

62000 

FBPS2008XNX0 A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 








FBPS2008XNXB A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXC A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXD A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXE A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXF A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXG A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXJ A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXK A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXN A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXS A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2008XNXV A/E PROSTHESIS 部分給付肘上義肢 , 按健保給付之肘上義肢給付 , 超過部分由病患自付 . 65000 

FBPS2009XNX0 B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 





232






FBPS2009XNXB B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXC B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXD B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXE B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXF B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXG B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXJ B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXK B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXN B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXS B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2009XNXV B/E PROSTHESIS 部分給付肘下義肢 , 按健保給付之肘下義肢給付 , 超過部分由病患自付 . 42000 

FBPS2010XNX0 

FBPS2010XNX1 

FBPS2010XNX2 

FBPS2010XNX4 

FBPS2010XNX5 

FBPS2010XNX6 

FBPS2010XNX7 

FBPS2010XNX9 

FBPS2010XNXB 

FBPS2010XNXC 

FBPS2010XNXD 

FBPS2010XNXE 

S/D PROSTHESIS 部分給付肩關節離斷義肢 , 按健保給付之肩關節離斷義肢給付 , 超過部分由病患自 

付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

233



FBPS2010XNXF S/D PROSTHESIS 部分給付肩關節離斷義肢 , 按健保給付之肩關節離斷義肢給付 , 超過部分由病患自 65000 

付 . 

FBPS2010XNXG 

FBPS2010XNXJ 

FBPS2010XNXK 

FBPS2010XNXN 

FBPS2010XNXS 

FBPS2010XNXV 

FBPS2011XNX0 

FBPS2011XNX1 

FBPS2011XNX2 

FBPS2011XNX4 

FBPS2011XNX5 

FBPS2011XNX6 

FBPS2011XNX7 

FBPS2011XNX9 

FBPS2011XNXB 

FBPS2011XNXC 

FBPS2011XNXD 

FBPS2011XNXE 

FBPS2011XNXF 

FBPS2011XNXG 

FBPS2011XNXJ 

FBPS2011XNXK 

FBPS2011XNXN 

FBPS2011XNXS 

FBPS2011XNXV 


付 . 


付 . 


付 . 


付 . 


付 . 


付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

65000 

234



FBPS2012XNX0 A/E COSMETIC PROSTHESIS 部分給付肘上美觀義肢 , 按健保給付之肘上美觀義肢給付 , 超過部分由 23000 


FBPS2012XNX1 

FBPS2012XNX2 

FBPS2012XNX4 

FBPS2012XNX5 

FBPS2012XNX6 

FBPS2012XNX7 

FBPS2012XNX9 

FBPS2012XNXB 

FBPS2012XNXC 

FBPS2012XNXD 

FBPS2012XNXE 

FBPS2012XNXF 

FBPS2012XNXG 

FBPS2012XNXJ 

FBPS2012XNXK 

FBPS2012XNXN 

FBPS2012XNXS 

FBPS2012XNXV 

FBPS2013XNX0 

FBPS2013XNX1 

FBPS2013XNX2 

FBPS2013XNX4 

FBPS2013XNX5 

FBPS2013XNX6 

FBPS2013XNX7 

A/E COSMETIC PROSTHESIS 部分給付肘上美觀義肢 , 按健保給付之肘上美觀義肢給付 , 超過部分由 




































B/E COSMETIC PROSTHESIS 部分給付肘下美觀義肢 , 按健保給付之肘下美觀義肢給付 , 超過部分由病 

患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

23000 

14000 

14000 

14000 

14000 

14000 

14000 

14000 

235



FBPS2013XNX9 B/E COSMETIC PROSTHESIS 部分給付肘下美觀義肢 , 按健保給付之肘下美觀義肢給付 , 超過部分由病 14000 

患自付 . 

FBPS2013XNXB 

FBPS2013XNXC 

FBPS2013XNXD 

FBPS2013XNXE 

FBPS2013XNXF 

FBPS2013XNXG 

FBPS2013XNXJ 

FBPS2013XNXK 

FBPS2013XNXN 

FBPS2013XNXS 

FBPS2013XNXV 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 


患自付 . 

14000 

14000 

14000 

14000 

14000 

14000 

14000 

14000 

14000 

14000 

14000 

FBPS2014XNX0 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 








FBPS2014XNXB 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXC 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXD 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXE 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXF 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXG 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

236



FBPS2014XNXJ 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXK 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXS 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2014XNXV 部分給付肩關節離斷美觀義肢 , 按健保給付之肩關節離斷美觀義肢給付 , 超過部分由病患自付 . 32300 

FBPS2015XNX0 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 








FBPS2015XNXB 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXC 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXD 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXE 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXF 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXG 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXJ 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXK 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXN 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXS 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2015XNXV 部分給付橫掌截肢美觀義肢 , 按健保給付之橫掌截肢美觀義肢給付 , 超過部分由病患自付 . 7300 

FBPS2016XNX0 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 



237








FBPS2016XNXB 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXC 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXD 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXE 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXF 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXG 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXJ 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXK 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXN 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXS 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBPS2016XNXV 部分給付手指截肢美觀義肢 , 按健保給付之手指截肢美觀義肢給付 , 超過部分由病患自付 . 4800 

FBS01037XNY2 1.5,2.0,2.7,3.5 CORTEX SCREW( 產品型號 202006:040,204010:110) 190 

FBS01038XNY2 4.5 CORTEX SCREW( 產品型號 214228:250) 210 

FBS010701NH1 CORTEX SMALL SCREW 3.5MM,4.5MM DIA 210 

FBS011622NSN 1.5,2.0,2.7,3.5MM CORTEX SCREW ( 產品型號 71162-008:020,022:032,7122006:024,26:40,10:50,55:115) 190 

FBS0120000V2 CORTEX SCREW 1.5,2.0,2.7,3.5 190 

FBS0120420V2 CORTEX SCREW 3.5,4.5MM PART THREAD(SHATF SCREW) 190 

FBS01210NNY2 STAINLESS CORTEX SCREW 1.5:3.5X6:110MM 190 

FBS01211NNS1 CORTEX SCREW 1.5:4.0MM 190 

FBS0121400V2 CORTEX SCREW 4.5MM 210 

FBS01214NNS1 CORTEX SCREW 4.5MM 210 

238



FBS01225XNSN 4.5MM CORTEX SCREW 14:70MM,72:145MM 210 

FBS012306NZ1 CORTICAL SCREW 4.5MM 210 

FBS012320NZ1 CORTICAL SCREW 2.0MM 190 

FBS012324NZ1 2.7MM CORTICAL SCREW 6:24MM 190 

FBS0123501Z1 3.5MM CORTICAL SCREW 10:50MM 190 

FBS012350NZ1 1.5MM CORTICAL SCREW 6:16MM 190 

FBS01270XNSN CORTEX BONE SCREW 210 

FBS013861NS9 SMALL CORTEX SCREW 2.0/2.7/3.5MM 190 

FBS014000NS3 CORTEX SCREW 1.5:3.5MM 6:9MM 190 

FBS014000NS9 CORTEX SCREW 1.5:3.5MM 6:9MM( 原代碼 FBS014000NS3) 190 

FBS014001NS3 CORTEX BONE SCREW 210 

FBS014061NS9 CORTEX SCREW 4.5MM 14:150MM 210 

FBS01410NNY2 TITANIUM CORTEX SCREW 1.5:3.5X6:110MM 205 

FBS014148NY2 TITANIUM CORTEX SCREW 3.0:4.0X8:50MM 226 

FBS01437XNY2 TITANIUM CORTEX SCREW 1.5MM:3.5MM ( 型號 402006:040,404010:110,404212:250) 205 

FBS01438XNY2 TITANIUM CORTEX SCREW 4.5MM 226 

FBS014800NZ1 1.5:3.5MM CORTICAL SCREW( 型號 482006:50-01,02,03,482706:70-01,483510:150-01,-40:130-07,-16:50-04) 190 

FBS014845NZ1 4.5MM CORTICAL SCREW 210 

FBS01CAN65E3 6.5MM CANCELLOUS BONE SCREW 361 

FBS01COR45E3 4.5MM CORTICAL BONE SCREW 210 

FBS01LA11NAE CORTEX SCREW 4.5MM 210 

FBS01LB02NAE CORTEX SCREW 2.0MM 190 

FBS01LB06NAE CORTEX SCREW 1.5MM 6:20MM 190 

FBS01LB12NAE CORTEX SCREW 2.7MM 190 

FBS01LB18NAE CORTEX SCREW 190 

FBS02039XNY2 4.0 CANCELLOUS SCREW 200 

239



FBS02040XNY2 6.5 CANCELLOUS SCREW( 產品型號 217045:150) 361 

FBS0220600V2 CANCELLOUS SCREW 4.0MM FULL,PART THREAD 200 

FBS02207NNS1 CANCELLOUS BONE SCREW 3.5:4.0MM 200 

FBS0221800V2 CANCELLOUS SCREW 6.5MM 16,24,32MM,FULL THREAD 361 

FBS02218NNS1 CANCELLOUS BONE SCREW 6.5MM 361 

FBS02223XNSN 4.0MM FULL,PART TH CANC SCREW 10:100,10:50,55:100MM 200 

FBS02229XNSN 6.5MM CANC SCREW 16,32MM,FULL TH 25:150MM( 產品型號 7122- 

8045:8110,8115:8150,9025:9110,9115:9150) 

361 

FBS022322NZ1 4.0MM CANCELLOUS SCREW PARTIAL THREAD 10:50MM 200 

FBS022330NZ1 CANCELLOUS SCREW 361 

FBS022331NZ1 LONG CANCELLOUS SCREW FULLY THREAD 6.5MM 361 

FBS0223321Z1 6.5MM CANCELLOUS SCREW FULLY THREADED 25:40MM 361 


FBS022333NZ1 CANCELLOUS BONE SCREW 32MM 6.5MM 361 


FBS022340NZ1 4.0MM CANCELLOUS SCREW FULLY THREADED 14:60MM 200 

FBS024102NS3 CANCELLOUS BONE SCREW 361 

FBS024103NS9 CANCELLOUS BONE SCREW 6.5MM(1/3) 115:150MM 361 


FBS024204NS9 CANCELLOUS BONE SCREW 6.5MM(2/3) 105:200M 361 

FBS024302NS9 CANCELLOUS BONE SCREW 6.5MM 105:150M 361 


FBS02439XNY2 TITANIUM CANCELLOUS SCREW 4.0MM 216 

FBS024402NU0 STAINLESS SELF-LOCKING SCREW 4.5MM 35:75MM 200 

FBS02440XNY2 TITANIUM CANCELLOUS SCREW 6.5MM( 型號 417045:150) 389 

FBS024541NS3 CANCELLOUS BONE SCREW (SMALL) 200 

FBS024541NS9 SMALL CANCELLOUS BONE SCREW 4MM 200 

240



FBS024551NS3 CANCELLOUS BONE SCREW (SMALL) 200 

FBS024551NS9 SMALL CANCELLOUS BONE SCREW 4MM (1/2) 200 

FBS024840NZ1 4.0MM CANCELLOUS SCREW 200 

FBS024865NZ1 6.5MM CANCELLOUS SCREW 361 

FBS028080NH1 CANCELLOUS BONE SCREW 4.0MM 200 

FBS028120NH1 CANCELLOUS BONE SCREW 6.5MM DIA 361 

FBS02LA33NAE THREAD CANCELLOUS SCREW 6.5MM 361 

FBS02LB35NAE CANCELLOUS SCREW 4.0MM 200 

FBS03041XNY2 4.5 MALLEOLAR SCREW 326 

FBS030811NH1 MALLEOLAR SCREW 踝質釘 326 

FBS0321500V2 MALLEOLAR SCREW 4.5MM 326 

FBS03215NNS1 MALLEOLAR SCREW (ANY SIZE) 326 

FBS032252NSN 4.5MM MALLEOLAR SCREW 25:70MM 326 

FBS032323NZ1 MALLEOLAR SCREW 326 

FBS032334NZ1 MALLEOLAR SCREW 326 

FBS034402NS3 MALLEOLAR SCREW 326 

FBS034402NS9 MALLEOLAR SCREWS 4.5MM( 原代碼 FBS034402NS3) 326 

FBS0348451Z1 4.5MM MALLEOLAR SCREW 326 

FBS03LA22NAE MALLEOLAR SCREW 20:110MM 326 

FBS04042XNY2 3.5,4.5 CANNULATED SCREW( 產品型號 214420:472,214620:672) 2000 

FBS04043XNY2 6.5 CANNULATED SCREW( 產品型號 208620:730) 2000 

FBS04044XNY2 7.0,7.3 CANNULATED SCREW( 產品型號 209420:530,208830:950,209850:930) 2000 

FBS041142NZ1 MINI MAGNA-FX CANNULATED SCREW 4.0MM,5.0MM 2000 

FBS041146NZ1 MAGNA-FX CANNULATED SCREW 16MM,32MM 2000 

FBS041155NZ1 HERBERT CANNULATED BONE SCREW 25:100MM 2000 

FBS0420260V2 CANNULATED SCREW 3.5,4.0,4.5 2000 

241



FBS04202NNS1 3.0 CANNULATED SCREW 2000 

FBS04202NNY2 STAINLESS CANNULATED SCREW 3.4:4.0X8:50MM 2000 



FBS0420800V2 CANNULATED SCREW 7.0,7.3 2000 

FBS0420840V2 CANNULATED SCREW 6.5 2000 

FBS04208NNS1 CANNULATED SCREW 7.0MM,7.3MM 2000 

FBS04209NNS1 CANNULATED SCREW 7.0MM 32MM L45:130MM 2000 

FBS0421180V2 CANNULATED SCREW 2.4,3.0 2000 


FBS04216XNSN CANNULATED HIP PIN 2000 

FBS042170NSN CANNULATED SCREW D 8,6.5,4MM( 產品型號 71100045:71100130,222820:870) 2000 

FBS04218NNY2 STAINLESS CANNULATED SCREW 7.0:7.3X30:150MM 2000 

FBS04402NNS1 TITANIUM 3.0 CANNULATED SCREW 2160 

FBS04402NNY2 TITANIUM CANNULATED SCREW 3.0:4.0X8:50MM 2160 



FBS04408XNY2 TITANIUM CANNULATED SCREW 7.0X30:130MM 2160 

FBS044144NY2 TITANIUM CANNULATED SCREW 4.5X20:72MM 2160 


FBS04418NNY2 TITANIUM CANNULATED SCREW 7.0:7.3X30:150MM 2160 

FBS04442XNY2 TITANIUM CANNULATE SCREW 7.3MM 2160 

FBS051150NZ1 HERBERT MINI BONE SCREW 10:24MM 2000 

FBS051151NZ1 HERBERT SCREW 16:30MM 2000 

FBS051152NZ1 HERBERT WHIPPLE BONE SCREW 12:30MM 2000 

FBS051154NZ1 HERBERT BONE SCREW 12:30MM 2000 

242



FBS05602XNS3 TITANIUM CANNULATED SCREW(604610:604670 自 88/09/01 起生效 ) 2160 

FBS05602XNS9 TITANIUM CANNULATED SCREW( 原代碼 FBS05602XNS3) 2160 

FBS064304NSN NUT FOR 4.5MM CORTEX SCREW 84 

FBS0649001Z1 CORTICAL NUT 84 

FBS07044XNY2 4.5,7.0,7.3 WASHER 85 

FBS071430NSN WASHER 10,7,13MM OD 85 

FBS0721990V2 WASHER 4.5MM 7.0MM 13.0MM 85 

FBS072199NS1 WASHER 85 

FBS07219XNS1 WASHER/NUT 84 

FBS072344NZ1 WASHERS 85 

FBS074199NS1 WASHER FOR TITANIUM CANNULATE SCREW 92 

FBS07444XNY2 TITANIUM WASHER 92 

FBS074900NZ1 1.5MM:4.5MM WASHER 85 

FBS076199NS3 WASHER FOR TCS SCREWS(619905 自 88/09/01 起生效 ) 92 

FBS076199NS9 WASHER( 原代碼 FBS076199NS3) 92 

FBS079001NS9 WASHER 85 

FBS07LA196AE WASHER 4.5MM 85 

FBS07LA198AE WASHER 1.3MM 85 

FBS0804101NF BIODEGRADABLE MINI PLATING SYSTEM:ACL/PCL SCREW※ 限實施十字韌帶重建手術患者使用 5000 

FBS081322SAW FASTAK SUTURE ANCHOR 2.4MM 縫合錨釘 ※ 限肩關節韌帶手術患者使用 3400 

FBS081370BAW BIO-INTERFERENCE SCREW※ 限實施十字韌帶重建手術患者使用 5000 

FBS081370TAW CANNULATED INTERFERENCE SCREW ※ 限實施十字韌帶重手術使用 4500 

FBS081915SAW SUTURE ANCHOR※ 限肩關節韌帶手術患者使用 3400 

FBS082123NT1 MITEK ROTATOR CUFF ANCHOR ※ 限肩關節韌帶手術患者使用 3400 

FBS082165NT1 SOFT TISSUE ANCHOR(G II SNAP-PAK MINI QUICK ANCHER)※ 限肩關節韌帶手術患者使用 3400 

FBS082221NT1 FASTIN SOFT TISSUE ANCHOR※ 限肩關節韌帶手術患者使用 3400 

243



FBS082225NT1 FASTIN ANCHOR※ 限肩關節韌帶手術患者使用 3400 

FBS082545NT1 ABSOLUTE ABSORBABLE INTERFERENCE SCREW※ 限實施十字韌帶重建手術患者使用 5000 

FBS083512NLA LIGAMENT CANULATED SCREW※ 限十字韌帶重建手術使用 4500 

FBS086101NLV 

REVO SUTURE ANCHOR(CANCELLOUS SCREW)2.7,4MM (C6140,C6141 自 91/10/01 生效 )※ 限肩關節韌帶 

手術患者使用 

3400 

FBS0872070SN SOFTSILK TM SCREW SYSTEM( 型號含 7207256:7207264)※ 限實施十字韌帶重建手術使 4500 

FBS0872075SN BIORCI SCREW SYSTEM RCI 可吸收性介面固定螺絲 ※ 限十字韌帶重建手術使用 5000 

FBS087207NSN TITANIUM RCI SCREW 固定螺釘 ※ 限實施十字韌帶重建手術使用。 4500 

FBS0872091SN TWINFIX SUTURE ANCHOR(TI) 軟組織錨釘 ※ 限肩關節韌帶手術患者使用 3400 

FBS0872200SN TWINFIX SUTURE ANCHORS AND ACCESSORIES 3400 

FBS088320NLV LINVATEC CANNULATED INTEREFERENCE SCREW ※ 限實施十字韌帶重建術患者使用 4500 

FBS088321NLV LINVATEC PROPEL CANNULATED INTERFERENCE SCREW ※ 限實施十字韌帶重建術患者使用 4500 

FBS08ARWSFAW SUTURE ANCHOR W/FIBER WIRE 縫合錨釘含高鋼性縫線 ※ 限肩關節韌帶手術患者使用 4100 

FBS08C8000LV 

FBS08C8027LV 

LINVATEC ABSORBABLE INTERFERENCE SCREW ( 型號 C8030:39 自 92/7/1 生效 )※ 限實施十字韌帶重建 

手術患者使用 

LINVATEC BIOSCREW XTRALOK 9:11MMX35:40MM( 加長型可吸收性固定螺絲 )※ 限用於十字韌帶重 

建手術者 

5000 

5000 

FBSCM1103NU0 CUSTOM MADE HUMERAL TUMOR PROSTHESIS ※ 申報費用時應檢附該被保險人之發票備查 197000 

FBSCM6487NH1 CASTOM MADE HUMERAL PROTHESIS※ 申報費用應檢附發票備查 197000 

FBSF100002ZV VIMAX SPINAL SYSTEM 二節 (SX4+RX2) 27702 

FBSF100003ZV VIMAX SPINAL SYSTEM 三節 (SX6+RX2) 40464 

FBSF100012ZV VIM SPINAL SYSTEM 二節 (SX4+RX2 或 SX4+PX2) 27702 

FBSF100013ZV VIM SPINAL SYSTEM 三節 (SX6+RX2) 40464 

FBSF100022ZV VIMAX SPINAL SYSTEM 二節 (SX4+RX2) 免事前審查 13816 

FBSF100023ZV VIMAX SPINAL SYSTEM 三節 (SX6+RX2) 免事前審查 20044 

FBSF10002TDP TITANIUM ISOLA SPINAL SYSTEM 二節 27702 

FBSF10003TDP TITANIUM ISOLA SPINAL SYSTEM 三節 40464 

FBSF101625B0 TITANIUM SPINAL SYSTEM(PX2+SX4) 27702 

FBSF101626B0 TITANIUM SPINAL SYSTEM(RX2+SX4) 27702 

244



FBSF101635B0 TITANIUM SPINAL SYSTEM(RX2+SX6 或 RX2+SX4+HX2) 40464 

FBSF101640B0 TITANIUM LUMBAR SPINAL SYSTEM 二節 (PX2+SX4) 13816 

FBSF101641B0 TITANIUM LUMBAR SPINAL SYSTEM 三節 (PX2+SX6) 20044 

FBSF101642B0 TITANIUM LUMBAR SYSTEM 二節 (SX4+RX2) 免事前審查 13816 

FBSF101643B0 TITANIUM LUMBAR SYSTEM 三節 (SX6+RX2) 免事前審查 20044 

FBSF1082TMDA TITANIUM TSRH SPINAL SYSTEM( 二節 ) 27702 

FBSF1083TMDA TITANIUM TSRH SPINAL SYSTEM( 三節 ) 40464 

FBSF110001TT TITANIUM SPINAL SYSTEM 二節 (RX2+SX4)( 免事前審查 ) 13816 

FBSF110002TT TITANIUM SPINAL SYSTEM 三節 (RX2+SX6)( 免事前審查 ) 20044 

FBSF11002LTD TITANIUM TREND SPINAL SYSTEM 二節 (SX4+RX2) 27702 

FBSF11003LTD TITANIUM TREND SPINAL SYSTEM 三節 (SX6+RX2) 40464 

FBSF11302NB0 TITANIUM SPINAL FIXATION SYSTEM 脊椎固定系統二節 (SX4+RX2) 27702 

FBSF11303NB0 TITANIUM SPINAL FIXATION SYSTEM 脊椎固定系統三節 (SX6+RX2) 40464 

FBSF12400NDX TITANIUM ALPHA STRYKER CERVICAL IMPLANT( 二節 ) 22426 

FBSF13400NDX TITANIUM ALPHA STRYKER CERVICAL IMPLANT( 三節 ) 23285 

FBSF13800NS9 TITANIUM XIA SPINAL SCREW( 免事審查 ) 3114 

FBSF13802NS9 TITANIUM XIA SPINAL SYSTEM( 二節 SX4+RX2)( 免事審查 ) 13816 

FBSF13803NS9 TITANIUM XIA SPINAL SYSTEM( 三節 SX6+RX2)( 免事審查 ) 20044 

FBSF13820NS9 TITANIUM XIA SPINAL SYSTEM 二節前置脊椎固定 (SX4+RX2) 27702 

FBSF140001RK TITANIUM ANTERIOR SPINAL SYSTEM(PX1+SX4) 27702 

FBSF148144S9 XIA 4.5 TITANIUM SPINAL IMPLANTS (SX4+RX2) 二節 27702 

FBSF148145S9 XIA 4.5 TITANIUM SPINAL IMPLANTS (SX6+RX2) 三節 40464 

FBSF1495XNS1 TITANIUM CLICK'X SPINAL SYSTEM 上開式三節 (SX6+RX2) 40464 

FBSF14981NS1 TITANIUM UNIVERSAL SPINAL SYSTEM ( 二節 SCREWX4+RODX2), 頇事前審查 27702 

FBSF14982NS1 VENTROFIX ANTERIOR SPINAL SYSTEM(RODX2+ 或 X1+SCREWX4) 27702 

FBSF14985NS1 TITANIUM CLICK'X SPINAL SYSTEM 上開式二節 (SX4+RX2) 27702 

245



FBSF1498XNS1 TITANIUM UNIVERSAL SPINAL SYSTEM ( 三節 SCREWX6+RODX2), 頇事前審查 40464 

FBSF14994NS1 TITANIUM SPINAL SYSTEM 三節 (SX6+RX2) 免事前審查 20044 

FBSF14995NS1 TITANIUM SPINAL SYSTEM 二節 (SX4+RX2) 免事前審查 13816 

FBSF16200NDX TITANIUM SPINAL IMPLANT(RX2+SX4) 二節型號 48485030:9060,XL 自 90/07/01 生效 27702 

FBSF16202NS1 TITANIUM PANGEA SPINAL SYSTEM(SX4+RX2) 27702 

FBSF16203NS1 TITANIUM PANGEA SPINAL SYSTEM(SX6+RX2) 40464 

FBSF162200S9 TITANIUM ROD PLATE SPINE SYSTEM 二節 (RX2+SX4+BLOCKERX4) 13816 

FBSF162300S9 TITANIUM ROD PLATE SPINE SYSTEM 三節 (RX2+SX6+BLOCKERX6) 20044 

FBSF16300NDX TITANIUM SPINAL IMPLANT 三節 (SX6+RX2) 型號 48485030:9060,XL 自 90/07/01 生效 40464 

FBSF16720NS9 TITANIUM OPUS SPINAL FIXATION 二節 (SX4+RX2) 13816 

FBSF16730NS9 TITANIUM OPUS SPINAL FIXATION 三節 (SX6+RX2) 20044 

FBSF17200NDX OPUS SPINAL FIXATION 二節 (SCREWX4+RODX2) 27702 

FBSF172201Z1 SILHOUETTE SPINAL FIXATION SYSTEM(R*2+S*6) 三節 40464 

FBSF17220NZ1 SILHOUETTE SPINAL FIXATION SYSTEM(R*2+S*4) 二節 27702 

FBSF172211Z1 SILHOUETTE SPINAL FIXATION SYSTEM-(R*2+S*6) 免事前審查 20044 

FBSF17221NZ1 SILHOUETTE SPINAL FIXATION SYSTEM-(R*2+S*4) 免事前審查 13816 

FBSF17300NDX OPUS SPINAL FIXATION 三節 (SCREWX6+RODX2) 40464 

FBSF1765P2Y2 TITANIUM SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1765P3Y2 TITANIUM SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF176902Y2 TITANIUM POSTERIOR SPINAL FIXATION SYSTEM 二節 (RX2+SX4)( 原產品型號 769130:855+765905:930) 13816 

FBSF176903Y2 TITANIUM POSTERIOR SPINAL FIXATION SYSTEM 三節 (RX2+SX6)( 原產品型號 769130:855+765905:930) 20044 

FBSF177002Y2 TITANIUM C TYPE SPINAL FIXATION SYSTEM 二節 (RX2+SX4)( 免術前審查 ) 13816 

FBSF177003Y2 TITANIUM C TYPE SPINAL FIXATION SYSTEM 三節 (RX2+SX6)( 免術前審查 ) 20044 

FBSF177202Y2 TITANIUM SPINAL SYSTEM(RX2+SX4) 二節 27702 

FBSF177203Y2 TITANIUM SPINAL SYSTEM(RX2+SX6) 三節 40464 

FBSF177402Y2 TITANIUM O TYPE SPINAL SYSTEM 二節 (RX2+SX4) 27702 

246



FBSF177403Y2 TITANIUM O TYPE SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF180001RK TITANIUM SPINAL SYSTEM (SX4+RX2) 二節 27702 

FBSF180002RK TITANIUM SPINAL SYSTEM (SX6+RX2) 三節 40464 

FBSF180NP2Y2 ARTEST SPINAL FIXATION SYSTEM(SX4+RX2) 二節亞力士脊椎固定系統 27702 

FBSF180NP3Y2 ARTEST SPINAL FIXATION SYSTEM(SX6+RX2) 三節亞力士脊椎固定系統 40464 

FBSF181NP2Y2 BRIDGE SPINAL FIXATION SYSTEM 二節 (RX2+SX4) 免事前審查 13816 

FBSF181NP3Y2 BRIDGE SPINAL FIXATION SYSTEM 三節 (RX2+SX6) 免事前審查 20044 

FBSF1821XNDA TITANIUM ZPLATE ANTERIOR SPINAL SYSTEM (PLATEX1+SCREWX4), 頇事前審查 27702 

FBSF1822MNM4 ZPLATE II ANTERIOR FIXATION SYSTEM(PX1+SX4) 二節 27702 

FBSF186001RK TITANIUM SPINAL SYSTEM (SX4 + RX2) 二節免事前審查 13816 

FBSF186002RK TITANIUM SPINAL SYSTEM (SX6+RX2) 三節免事前審查 20044 

FBSF1865N2M4 BASIS SPINAL SYSTEM TITANIUM 二節 (SX4+RX2)( 免事前審查 ) 13816 

FBSF1865N3M4 BASIS SPINAL SYSTEM TITANIUM 三節 (SX6+RX2)( 免事前審查 ) 20044 

FBSF1865P2M4 BASIS SPINAL SYSTEM 二節 (ATL PLATE SYSTEM)(PX1+SX4) 27702 

FBSF1A3EHNXA A3 POSTERIOR TITANIUM SPINAL EVOLUTION HOOK(SCREWX2+HOOKX2+NUTX2) 23306 

FBSF1A3N2NXA A3 POSTERIOR TITANIUM SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1A3N3NXA A3 POSTERIOR TITANIUM SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF1AAS2NXA TITANIUM SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1AAS8NXA TITANIUM SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF1AS001AQ TITANIUM SPINAL OC-FIX SCREW SYSTEM 二節 (RX2+SX4) 免術前審查 13816 

FBSF1AS002AQ TITANIUM SPINAL OC-FIX SCREW SYSTEM 三節 (RX2+SX6) 免術前審查 20044 

FBSF1AS003AQ TITANIUM SPINAL FIXATION SYSTEM (SX4+RX2) 二節免事前審查 13816 

FBSF1AS004AQ TITANIUM SPINAL FIXATION SYSTEM (SX6+RX2) 三節免事前審查 20044 

FBSF1ASAT1AQ TITANIUM ANTERIOR SPINAL SYSTEM(PX1+SX4) 27702 

FBSF1ASN01AQ TITANIUM SMARTLOC SPINAL SYSTEM(SX4+RX2) 免事前審前 13816 

FBSF1ASN02AQ TITANIUM SMARTLOC SPINAL SYSTEM(SX6+RX2) 免事前審前 20044 

247



FBSF1ASPL1AQ TITANIUM SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1ASPL2AQ TITANIUM SPINAL SYSTEM 二節 (PX2+SX4) 27702 

FBSF1ASPL3AQ TITANIUM SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF1ASPL4AQ TITANIUM SPINAL SYSTEM 三節 (PX2+SX6) 40464 

FBSF1ASY01AQ TITANIUM SMARTLOC SPINAL SYSTEM 二節 (SX4+RX2) 27702 

FBSF1ASY02AQ TITANIUM SMARTLOC SPINAL SYSTEM 三節 (SX6+RX2) 40464 

FBSF1ASY03AQ SMARTLOC SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1ASY04AQ SMARTLOC SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF1AYS2NXA Y TYPE POSTERIOR TITANIUM SPINAL SYSTEM 二節 (RX2+SX4)( 免事前審查 ) 13816 

FBSF1AYS8NXA Y TYPE POSTERIOR TITANIUM SPINAL SYSTEM 三節 (RX2+SX6)( 免事前審查 ) 20044 

FBSF1CD2S2M4 TITANIUM CD SPINAL SYSTEM 二節 (SX4+RX2)( 免術前審查 ) 13816 

FBSF1CD2S3M4 TITANIUM CD SPINAL SYSTEM 三節 (SX6+RX2)( 免術前審查 ) 20044 

FBSF1CDH2TDA TITANIUM CD HORIZON SPINAL SYSTEM 二節 (SCREWX4+RODX2) 27702 

FBSF1CDH3TDA TITANIUM CD HORIZON SPINAL SYSTEM 三節 (SCREWX6+RODX2) 40464 

FBSF1CENTAS9 TITANIUM CENTAUR ANTERIOR SYSTEM( 二節 1P+4S 或 2L+4S) 27702 

FBSF1GS12NG0 GSS TITANIUM SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1GS13NG0 GSS TITANIUM SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF1JAVA2JA TITANIUM SPINAL SYSTEM 二節 (RX2+SX4) 27702 

FBSF1JAVA2SJ TITANIUM SHIRAZ JAVA SYSTEM( 二節 )(RX2+SX4) 27702 

FBSF1JAVA3JA TITANIUM SPINAL SYSTEM 三節 (RX2+SX6) 40464 

FBSF1JAVA3SJ TITANIUM SHIRAZ JAVA SYSTEM( 三節 )(RX2+SX6) 40464 

FBSF1KASRNAD TITANIUM KANEDA SR ANTERIOR SPINAL SYSTEM(SX4+RX2) 27702 

FBSF1KAT12DP KANEDA SR-ANTERIOR TITANIUM SPINAL SYSTEM 二節 13816 

FBSF1KAT13DP KANEDA SR-ANTERIOR TITANIUM SPINAL SYSTEM 三節 20044 

FBSF1M2SP2Z6 TITANIUM SPINAL SYSTEM 二節 (PX2+SX4 或 RX2+SX4) 13816 

FBSF1M2SP3Z6 

M2 SPINAL POSTERIOR SYSTEM 三節 (ROD×2+SCREW×6 或 PLATE×2+SCREW×6)M2 脊椎後方固定系統 

免事前審查 

20044 

248



FBSF1M3SP2Z6 TITANIUM M3 SPINAL POSTERIOR SYSTEM 二節 (RX2+SX4) 27702 

FBSF1M3SP3Z6 TITANIUM M3 SPINAL POSTERIOR SYSTEM 三節 (RX2+SX6) 40464 

FBSF1M8RS2M4 TITANIUM CD HORIZON M8 SPINAL SYSTEM(RX2+SX4) 二節 27702 

FBSF1M8RS3M4 TITANIUM CD HORIZON M8 SPINAL SYSTEM(RX2+SX6) 三節 40464 

FBSF1MES2NZ6 TITANIUM SPINAL SYSTEM 二節 (RODX2 或 PLATEX2+SCREWX4) 27702 

FBSF1MES3NZ6 TITANIUM SPINAL SYSTEM 三節 (RODX2 或 PLATEX2+SCREWX6) 40464 

FBSF1P2SP2Z6 PROT II POSTERIOR SPINE SYSTEM 二節 (RX2+SX4) 27702 

FBSF1P2SP3Z6 PROT II POSTERIOR SPINE SYSTEM 三節 (RX2+SX6) 40464 

FBSF1R200NS9 XIA REDUCTION IMPLANTS 二節 (RX2+SX4) 27702 

FBSF1R300NS9 XIA REDUCTION IMPLANTS 三節 (RX2+SX6) 40464 

FBSF1RF002RX RF SPINAL SYSTEM 二節 (SX4+RX2)( 免事前審查 ) 13816 

FBSF1RF003RX RF SPINAL SYSTEM 三節 (SX6+RX2)( 免事前審查 ) 20044 

FBSF1S200NS9 SR90D RODDING SYSTEM 二節 (RODX2+SCREWX4) 27702 

FBSF1S300NS9 SR90D RODDING SYSTEM 三節 (RODX2+SCREWX6) 40464 

FBSF1SA1T2Y2 TITANIUM UNIVERSAL ANTERIOR SPINAL FIXATION SYSTEM(SX4+PX1) 27702 

FBSF1SA2T2Y2 TITANIUM UNIVERSAL ANTERIOR SPINAL FIXATION SYSTEM(SX4+BLOCKX2+RODX2) 27702 

FBSF1SW200AE TITANIUM S4 SPINE SYSTEM 二節 (SX4+RX2) 27702 

FBSF1SW300AE TITANIUM S4 SPINE SYSTEM 三節 (SX6+RX2) 40464 

FBSF1SX002AE TITANIUM SPINE SYSTEM EVOLUTION 二節 (SCREWX4+LODX2)(96 年 10 月 1 日起免事前審查 ) 13816 

FBSF1SX003AE TITANIUM SPINE SYSTEM EVOLUTION 三節 (SCREWX6+LODX2)(96 年 10 月 1 日起免事前審查 ) 20044 

FBSF1T2552DP M-M TITANIUM SPINAL SYSTEM( 二節 ) 27702 

FBSF1T3553DP M-M TITANIUM SPINAL SYSTEM( 三節 ) 40464 

FBSF1TS002JA TITANIUM SPINAL SYSTEM 二節 (RX2+SX4)( 免事前審查 ) 13816 

FBSF1TS002SJ TITANIUM SHIRAZ JAVA SYSTEM ( 免事前審查 ) 二節 13816 

FBSF1TS003JA TITANIUM SPINAL SYSTEM 三節 (RX2+SX6)( 免事前審查 ) 20044 

FBSF1TS003SJ TITANIUM SHIRAZ JAVA SYSTEM( 免事前審查 ) 三節 20044 

249



FBSF1VSP2TDP TITANIUM VSP SPINAL SYSTEM 二節 27702 

FBSF1VSP3TDP TITANIUM VSP SPINAL SYSTEM 三節 40464 

FBSF1X200NS9 XIA TITANIUM SPINAL IMPLANTS 二節 (SX4+RX2)(03820425:860,03821425:760 自 92/4/1 生效 ) 27702 

FBSF1X300NS9 XIA TITANIUM SPINAL IMPLANTS 三節 (SX6+RX2)(03820425:860,03821425:760 自 92/4/1 生效 ) 40464 

FBSF200002ZV VIMAX SPINAL ROD 40:100MM 1089 

FBSF200004ZV VIMAX SPINAL ROD 110:450MM 3218 

FBSF200012ZV VIM SPINAL ROD、PLATE 40:100MM、35MM 1089 

FBSF200014ZV VIM SPINAL ROD 110:300MM 3218 

FBSF200022ZV VIMAX SPINAL ROD 40:100MM 免事前審查 679 

FBSF200024ZV VIMAX SPINAL ROD 110:150MM 免事前審查 1851 

FBSF20572NDP M-M TITANIUM ROD 30CM,48CM 3218 

FBSF20574NDP M-M TITANIUM ROD 12CM 1089 

FBSF2080TMDA TITANIUM TSRH SPINAL ROD( 短節 ) 1089 

FBSF2081TMDA TITANIUM TSRH SPINAL ROD( 長節 ) 3218 

FBSF210001TT TITANIUM SPINAL ROD 50:100MM( 免事前審查 ) 679 

FBSF210002TT TITANIUM SPINAL ROD 110MM:450MM( 免事前審查 ) 1851 

FBSF210B2NZ6 TITANIUM SPINAL ROD 4.5:10.5CM 1089 

FBSF210B5NZ6 TITANIUM SPINAL ROD 12.5:20CM 3218 

FBSF21502NS1 TITANIUM UNIVERSAL SPINAL ROD 免事前審查 679 

FBSF21534NS1 TITANIUM UNIVERSAL SPINAL ROD LONG 免事前審查 1851 

FBSF21600LTD TITANIUM TREND SPINAL ROD 110:300MM 3218 

FBSF21600STD TITANIUM TREND SPINAL ROD 1089 

FBSF22040NS9 XIA TITANIUM SPINAL ROD 40:60MM( 免事前審查 ) 679 

FBSF22110NS9 XIA TITANIUM SPINAL ROD 110:350MM( 免事前審查 ) 1851 

FBSF232102DP KANEDA SR-ANTERIOR TITANIUM SPINAL ROD 679 

FBSF248147S9 XIA TITANIUM SPINAL ROD 40:100MM( 短節 ) 1089 

250



FBSF248148S9 XIA TITANIUM SPINAL ROD 110:600MM ( 長節 ) 3218 

FBSF24981NS1 TITANIUM UNIVERSAL SPINAL ROD 1089 

FBSF24985NS1 TITANIUM PANGEA ROD 35:85MM 1089 

FBSF2498XNS1 TITANIUM UNIVERSAL SPINAL ROD LONG , 應事前審查 3218 

FBSF250001DP STAINLESS ANTERIOR ISOLA SPINAL ROD 558 

FBSF254040B0 TITANIUM SPINAL ROD 40MM:110MM( 短節 ) 1089 

FBSF254047B0 TITANIUM SPINAL ROD 120MM:200MM( 長節 ) 3218 

FBSF26051NB0 TITANIUM SPINAL PLATE 1089 

FBSF26202NS1 TITANIUM PANGEA ROD 200-500MM 3218 

FBSF26504NDX TITANIUM DIAPASON SPINAL ROD 40:100MM , 頇事前審查 1089 

FBSF26511NDX TITANIUM DIAPASON SPINAL ROD 11:40CM , 頇事前審查 3218 

FBSF26702NDX OPUS SPINAL FIXATION PLATE 1089 

FBSF26710NDX OPUS SPINAL FIXATION ROD 40:100MM 1089 

FBSF26711NDX OPUS SPINAL FIXATION ROD 110:400MM 3218 

FBSF26714NS9 TITANIUM OPUS SPINAL FIXATION ROD( 免事前審查 ) 1851 

FBSF275001Z1 SILHOUETTE SPINAL FIXATION SYSTEM-ROD 20,47CM 3218 

FBSF27500NZ1 SILHOUETTE SPINAL FIXATION SYSTEM-ROD 10CM 1089 

FBSF275011Z1 SILHOUETTE SPINAL FIXATION SYSTEM-ROD 20,47,50CM 免事前審查 1851 

FBSF27501NZ1 SILHOUETTE SPINAL FIXATION SYSTEM-ROD 10CM 免事前審查 679 

FBSF276590Y2 TITANIUM SPINAL ROD 5:10CM 1089 

FBSF27659NY2 TITANIUM SPINAL ROD 12:30CM 3218 

FBSF277004Y2 TITANIUM SPINAL ROD 6X50:100MM 短節 ( 免術前審查 ) 679 

FBSF277006Y2 TITANIUM SPINAL ROD 短節 1089 

FBSF277011Y2 TITANIUM SPINAL ROD 6X110:300MM 長節固定四節以上 ( 免術前審查 ) 1851 

FBSF277071Y2 TITANIUM SPINAL FIXATION PLATE 45:80MM 1089 

FBSF277104Y2 STAINLESS SPINAL ROD 4:10CM 短節 ( 免術前審查 ) 558 

251



FBSF277111Y2 STAINLESS SPINAL ROD 11:30CM 長節 ( 免術前審查 ) 558 

FBSF2785NLY2 ARTEST SPINAL FIXATION SYSTEM:ROD 115:450MM 亞力士脊椎固定系統長節連接管 3218 

FBSF2785NSY2 ARTEST SPINAL FIXATION SYSTEM:ROD 20:110MM 亞力士脊椎固定系統短節連接管 1089 

FBSF2820NLY2 TITANIUM SPINAL ROD 11.5:45CM 長節免事前審查 1851 

FBSF2820NSY2 TITANIUM SPINAL ROD 2:11CM 短節免事前審查 679 

FBSF28280NM4 TITANIUM SPINAL ROD 51CM 3218 

FBSF2855LTDA TITANIUM CD HORIZON SPINAL ROD( 長節 ) 3218 

FBSF2855STDA TITANIUM CD HORIZON SPINAL ROD( 短節 ) 1089 

FBSF286540M4 BASIS SPINAL TITANIUM ROD 51CM( 免事前審查 ) 679 

FBSF2A3R1NXA A3 POSTERIOR TITANIUM SPINAL ROD 4:10CM 1089 

FBSF2A3R2NXA A3 POSTERIOR TITANIUM SPINAL ROD 11:50CM 3218 

FBSF2AS001AQ TITANIUM SPINAL ROD 5:10CM 免術前審查 679 

FBSF2ASLP1AQ TITANIUM SPINAL PLATE 1089 

FBSF2ASLR1AQ TITANIUM SPINAL ROD 20:90MM 1089 

FBSF2ASLR2AQ TITANIUM SPINAL ROD 110:450MM 3218 

FBSF2ASNR1AQ TITANIUM SMARTLOC SPINAL ROD 40:100MM 免事前審前 679 

FBSF2ASNR2AQ TITANIUM SMARTLOC SPINAL ROD 110:450MM 免事前審前 1851 

FBSF2ASYR1AQ TITANIUM SMARTLOC SPINAL ROOD 40:100MM 1089 

FBSF2ASYR2AQ TITANIUM SMARTLOC SPINAL ROOD 110:480MM 3218 

FBSF2B0001RK TITANIUM SPINAL ROD 40:100 MM( 短節 ) 免事前審查 679 

FBSF2B0002RK TITANIUM SPINAL ROD 110:480MM( 長節 ) 免事前審查 1851 

FBSF2BA001RK TITANIUM SPINAL ROD 40:100MM( 短節 )※ 適應症請見備註 1089 

FBSF2BA002RK TITANIUM SPINAL ROD 110:450MM( 長節 ) 3218 

FBSF2BA003RK TITANIUM SPINAL PLATE 1089 

FBSF2GS21NG0 GSS TITANIUM SPINAL ROD 40-100MM 1089 

FBSF2GS22NG0 GSS TITANIUM SPINAL ROD 110-600MM 3218 

252



FBSF2M2SRNZ6 TITANIUM SPINAL ROD 4.5:10.5CM 679 

FBSF2M3LRDZ6 TITANIUM M3 SPINAL POSTERIOR ROD 125:300MM 3218 

FBSF2M3SRDZ6 TITANIUM M3 SPINAL POSTERIOR ROD 45:105MM 1089 

FBSF2P2LRDZ6 PROT II POSTERIOR SPINE ROD 12.5:20CM 3218 

FBSF2P2SRDZ6 PROT II POSTERIOR SPINE ROD 4.5:10.5CM 1089 

FBSF2PR040B0 TITANIUM SPINAL ROD 40MM:100MM 免事前審查 679 

FBSF2PR041B0 TITANIUM SPINAL ROD 110MM:450MM 免事前審查 1851 

FBSF2R063NXA TITANIUM SPINAL ROD 4:11CM 1089 

FBSF2R068NXA TITANIUM SPINAL ROD 13:40CM 3218 

FBSF2R482NS9 XIA REDUCTION ROD 30:90MM 1089 

FBSF2R8550M4 TITANIUM CD HORIZON M8 SPINAL ROD 20"( 免術前審查 ) 1851 

FBSF2R855LM4 TITANIUM CD HORIZON M8 SPINAL ROD 長節 50.4CM 3218 

FBSF2R869SM4 TITANIUM CD HORIZON M8 SPINAL ROD 短節 3CM,8CM 1089 

FBSF2RADLTDP TITANIUM ISOLA SPINAL ROD 10:46CM 3218 

FBSF2RF00LRX RF SPINAL ROD 110:150MM( 免事前審查 ) 1851 

FBSF2RF00SRX RF SPINAL ROD 40:100MM( 免事前審查 ) 679 

FBSF2RY63NXA Y TYPE POSTERIOR TITANIUM SPINAL ROD 5:10CM( 免事前審查 ) 679 

FBSF2RY68NXA Y TYPE POSTERIOR TITANIUM SPINAL ROD 12:40CM( 免事前審查 ) 1851 

FBSF2S192NS9 SR90D RODDING SYSTEM ROD 110:600MM 3218 

FBSF2S812NS9 SR90D RODDING SYSTEM ROD 30:90MM 1089 

FBSF2SR125Z6 TITANIUM SPINAL ROD 125MM:200MM( 免事前審查 ) 1851 

FBSF2SW35NAE TITANIUM S4 SPINE SYSTEM:ROD 35MM:120MM 1089 

FBSF2SW50NAE TITANIUM S4 SPINE SYSTEM:ROD 150MM:500MM 3218 

FBSF2SX10NAE TITANIUM SPINE ROD 40-200MM (96 年 10 月 1 日起免事前審查 ) 679 

FBSF2SX12NAE TITANIUM SPINE ROD 250-500MM (96 年 10 月 1 日起免事前審查 ) 1851 

FBSF2T1FRMCM TI-FRAME TITANIUM( 後頸椎固定架 ) 7607 

253



FBSF2TL01TJA TITANIUM SPINAL ROD 30:100MM 1089 

FBSF2TL01TSJ TITANIUM SHIRAZ JAVA ROD 40-100MM 1089 

FBSF2TL02TJA TITANIUM SPINAL ROD 120:800MM 3218 

FBSF2TL02TSJ TITANIUM SHIRAZ JAVA ROD 120-200MM 3218 

FBSF2TS01TJA TITANIUM SPINAL ROD 30:100MM( 免事前審查 ) 679 

FBSF2TS01TSJ TITANIUM SHIRAZ JAVA ROD 40:120MM( 免事前審查 ) 679 

FBSF2TS02TJA TITANIUM SPINAL ROD 120-200MM( 免事前審查 ) 1851 

FBSF2X204NS9 XIA TITANIUM SPINAL ROD 70:100MM 1089 

FBSF2X211NS9 XIA TITANIUM SPINAL ROD 360:600MM 3218 

FBSF300003ZV VIMAX SPINAL HOOK 5375 

FBSF300013ZV VIM SPINAL HOOK 5375 

FBSF301020B0 TITANIUM SPINAL HOOK 5375 

FBSF30559NDP M-M TITANIUM HOOK 5375 

FBSF3080TMDA TITANIUM TSRH SPINAL HOOK 5375 

FBSF308XXNDA STANLESS TSRH SPINAL IMPLANT SYSTEM HOOK 4424 

FBSF3140XNTD TITANIUM TREND SPINAL HOOK 5375 

FBSF348150S9 XIA TITANIUM SPINAL HOOK 5375 

FBSF34983NS1 TITANIUM UNIVERSAL SPINAL HOOK , 頇事前審查 5375 

FBSF35911NDX TITANIUM DIAPASON SPINAL HOOK , 頇事前審查 5375 

FBSF36132NY2 TITANIUM CERVICAL CLAMP( 配合 FBSF46132NY2 使用 ) 4110 

FBSF36201NS1 TITANIUM PANGEA SPINAL HOOK 5375 

FBSF37410NZ1 SILHOUETTE SPINAL FIXATION SYSTEM-HOOK 5375 

FBSF375504Y2 STAINLESS SPINAL HOOK 4424 

FBSF376504Y2 TITANIUM SPINAL HOOK 5375 

FBSF377041Y2 TITANIUM SPINAL HOOK( 免術前審查 ) 2420 

FBSF386520M4 BASIS SPINAL TITANIUM HOOK( 免事前審查 ) 2420 

254



FBSF3961TMDA TITANIUM CD HORIZON SPINAL HOOK 5375 

FBSF39970SDP STAINLESS ISOLA SPINAL SYSTEM HOOK 4424 

FBSF39970TDP TITANIUM ISOLA SPINAL SYSTEM HOOK 5375 

FBSF3A3H1NXA A3 POSTERIOR TITANIUM SPINAL HOOK 5375 

FBSF3ASLH1AQ TITANIUM SPINAL HOOK 5375 

FBSF3ASYH1AQ TITANIUM SMARTLOC SPINAL HOOK 5375 

FBSF3BA001RK TITANIUM SPINAL HOOK 5375 

FBSF3H212NXA TITANIUM SPINAL PEDICLE HOOK 5375 

FBSF3H8415M4 TITANIUM CD REDUCTION SCREW CONNECTOR HOOK( 免術前審查 ) 2420 

FBSF3H859PM4 TITANIUM CDH M8 PEDIATRIC HOOK 5375 

FBSF3H859SM4 TITANIUM CD HORIZON M8 SPINAL HOOK 5375 

FBSF3H869RM4 TITANIUM CDH M8 REDUCTION SPINAL HOOK 5375 

FBSF3HAAKNDP STANLESS ISOLA SPINAL HOOK 鉤 4424 

FBSF3HAAKTDP TITANIUM ISOLA SPINAL HOOK 5375 

FBSF3HK01NZ6 TITANIUM SPINAL HOOK 5375 

FBSF3HY12NXA Y TYPE POSTERIOR TITANIUM SPINAL HOOK( 免事前審查 ) 2420 

FBSF3M3SHKZ6 TITANIUM M3 SPINAL POSTERIOR HOOK 5375 

FBSF3R382NS9 XIA REDUCTION HOOK 5375 

FBSF3S600NS9 SR90D RODDING SYSTEM HOOK 5375 

FBSF3SX30NAE TITANIUM SPINE HOOK 5375 

FBSF3X600NS9 XIA TITANIUM SPINAL HOOK(03820200:20215;03820220;20221;20230;20231 自 980401 生效 ) 5375 

FBSF400004ZV VIMAX SPINAL SCREW 6381 

FBSF400014ZV VIM SPINAL SCREW 6381 

FBSF400024ZV VIMAX SPINAL SCREW 免事前審查 3114 

FBSF4010RNZ6 TITANIUM SPINAL SCREW 6381 

FBSF40536NDP M-M TITANIUM SCREW MONO( 型號 1755-29125:29155 自 92/1/1 生效 ) 6381 

255



FBSF40543NDP M-M TITANIUM SCREW POLY( 型號 1755-37125:37155 自 92/1/1 生效 ) 6381 

FBSF4080TMDA TITANIUM TSRH SPINAL SCREW 6381 

FBSF409099DP TITANIUM MOSS MIAMI SPINAL SCREW 6381 

FBSF410001TT TITANIUM SPINAL SCREW( 免事前審查 ) 3114 

FBSF4110XNTD TITANIUM TREND SPINAL SCREW 6381 

FBSF41300NB0 TITANIUM SPINAL FIXATION SYSTEM:SCREW 脊椎固定螺絲 6381 

FBSF42236NDP TITANIUM PEDICLE SCREW 6381 

FBSF448146S9 XIA 4.5 TITANIUM SPINAL SCREW 6381 

FBSF44985NS1 TITANIUM UNIVERSAL SPINAL SCREW 6381 

FBSF44988NS1 TITANIUM CLICK'X SPINAL SCREW 6381 

FBSF44989NS1 TITANIUM CLICK'X SPINAL SCREW (499.500V:507V;520V:527V 自 981001 刪除 ) 6381 

FBSF452102DP KANEDA SR-ANTERIOR TITANIUM SPINAL SCREW 3114 

FBSF455030B0 TITANIUM SPINAL SCREW( 免事前審查 ) 3114 

FBSF46121NY2 STAINLESS CERVICAL SCREW 17:24MM 188 

FBSF461221Y2 STAINLESS SPINAL RESCUABLE SCREW(FBSF46121NY2 失敗時用 , 配合 FBSF661202Y2 用 ) 188 

FBSF461321Y2 TITANIUM SPINAL RESCUABLE SCREW(FBSF66131NY2 失敗時用 , 配合 FBSF661302Y2 用 ) 194 

FBSF46132NY2 TITANIUM CERVICAL SCREW( 配合 FBSF36132NY2 使用 ) 2400 

FBSF46201NS1 TITANIUM PANGEA PEDICLE SCREW 6381 

FBSF46400NDX TITANIUM DIAPASON SPINAL SCREW 型號 48485030:9060,XL 自 90/07/01 生效 6381 

FBSF46700NDX OPUS SPINAL FIXATION SCREW 6381 

FBSF4670BNS9 TITANIUM OPUS SPINAL FIXATION SCREW( 免事前審查 ) 3114 

FBSF471201Z1 SILHOUETTE SPINAL FIXATION SYSTEM-SCREW 免事前審查 3114 

FBSF47120NZ1 SILHOUETTE SPINAL FIXATION SYSTEM-SCREW 6381 

FBSF471545B0 TITANIUM SPINAL SCREW( 型號含 120-6035:45) 6381 

FBSF4765NNY2 TITANIUM SPINAL SCREW 6381 

FBSF4769NNY2 TITANIUM SPINAL PEDICLE SCREW 4.5:8,30:55MM 3114 

256



FBSF4770NNY2 TITANIUM SPINAL PEDICLE SCREW( 免術前審查 ) 3114 

FBSF477253Y2 TITANIUM SPINAL OSTEOPOROTIC SCREW( 免術前審查 ) 3114 

FBSF4772NNY2 TITANIUM SPINAL SCREW 6381 

FBSF4774NNY2 TITANIUM O TYPE SPINAL FIXATION SCREW 6381 

FBSF4780NNY2 ARTEST SPINAL FIXATION SYSTEM:TITANIUM SPINAL PEDICLE SCREW( 免事前審查 ) 3114 

FBSF4781NNY2 ARTEST SPINAL FIXATION SYSTEM:TITANIUM SPINAL POLYAXIAL PEDICLE SCREW( 免事前審查 ) 3114 

FBSF4782NNY2 PEDICLE SCREW( 免事前審查 ) 3114 

FBSF4790NNY2 

FBSF4791NNY2 

ARTEST SPINAL FIXATION SYSTEM:TITANIUM SPINAL CANNULATED PEDICLE SCREW( 免事前審 

查 ) 

ARTEST SPINAL FIXATION SYSTEM:TITANIUM SPINAL CANNULATED POLYAXIAL PEDICLE 

SCREW( 免事前審查 ) 

3114 

3114 

FBSF4803NNY2 ARTEST SPINAL FIXATION SYSTEM:PEDICLE SCREW 亞力士脊椎固定系統 : 骨釘 6381 

FBSF4804NNY2 ARTEST SPINAL FIXATION SYSTEM:CANNULATED PEDICLE SCREW 亞力士脊椎固定系統 : 骨釘 6381 

FBSF4806NNY2 ARTEST SPINAL FIXATION SYSTEM:POLYAXIAL PEDICLE SCREW 亞力士脊椎固定系統 : 骨釘 6381 

FBSF4807NNY2 

ARTEST SPINAL FIXATION SYSTEM:CANNULATED POLYAXIAL PEDICLE SCREW 亞力士脊椎固定 

系統骨釘 

6381 

FBSF4807TMDA TITANIUM CD HORIZON SPINAL SCREW 6381 

FBSF4816NNY2 REDUCTION PEDICLE SCREW 免事前審查 3114 

FBSF4818NNY2 POLYAXIAL PEDICLE SCREW 免事前審查 3114 

FBSF4827MNM4 TITANIUM MULTI AXIAL SPINAL SCREW 6381 

FBSF4865MNM4 BASIS SPINAL TITANIUM SCREW( 免事前審查 ) 3114 

FBSF4A3S1NXA A3 POSTERIOR TITANIUM SPINAL SCREW 6381 

FBSF4AS001AQ TITANIUM SPINAL SCREW 免術前審查 3114 

FBSF4AS002AQ TITANIUM SPINAL FIXATION SYSTEM:SCREW 免事前審查 3114 

FBSF4ASLS1AQ TITANIUM SPINAL SCREW 6381 

FBSF4ASNS1AQ TITANIUM SMARTLOC SPINAL SCREW 免事前審查 3114 

FBSF4ASYS1AQ TITANIUM SMARTLOC SPINAL SCREW 6381 

FBSF4ASYS2AQ SMARTLOC SPINAL SCREW 6381 

FBSF4B0001RK TITANIUM SPINAL SCREW 免事前審查 3114 

257





FBSF4GS41NG0 GSS TITANIUM SPINAL PEDICLE SCREW 6381 

FBSF4LB05NAE STANLESS SPONGIOSA CERVICAL CASPAR SCREW 3.5MM WIDE THREAD 10MM:19MM 188 

FBSF4LB06NAE STANLESS SPONGIOSA CERVICAL CASPAR SCREW 3.5MM WIDE THREAD 20MM 以上 228 

FBSF4M2PWNZ6 TITANIUM SPINAL SCREW 3114 

FBSF4M3SSEZ6 TITANIUM M3 SPINAL POSTERIOR SCREW 6381 

FBSF4P2SCWZ6 PROT II POSTERIOR SPINE SCREW 6381 

FBSF4R382NS9 XIA REDUCTION SCREW 6381 

FBSF4RF001RX RF SPINAL SCREW( 免事前審查 ) 3114 

FBSF4S475NS9 SR90D RODDING SYSTEM SCREW 6381 

FBSF4S859FM4 TITANIUM CD HORIZON M8 SPINAL SCREW 6381 

FBSF4S8655M4 TITANIUM CD TULIP SCREW( 免術前審查 ) 3114 

FBSF4S869MM4 TITANIUM CDH M8 MULTIAXIAL SCREW 6381 

FBSF4S9603M4 TITANIUM CD REDUCTION SCREW( 免術前審查 ) 3114 

FBSF4SW70NAE TITANIUM S4 SPINE SYSTEM:TRANSPEDICULAR BONE SCREW 6381 

FBSF4SX07NAE TITANIUM SPINE SCREW (96 年 10 月 1 日起免事前審查 ) 3114 

FBSF4TL01TJA TITANIUM SPINAL PEDICLE SCREW 6381 

FBSF4TL01TSJ TITANIUM SHIRAZ JAVA PEDICLE SCREW 6381 

FBSF4TL02TSJ TITANIUM SHIRAZ JAVA SCREW 6381 

FBSF4TL03TSJ TITANIUM SHIRAZ JAVA SCREW 6381 

FBSF4TS01TJA TITANIUM SPINAL PEDICLE SCREW( 免事前審查 ) 3114 

FBSF4TS02TSJ TITANIUM SHIRAZ JAVA SCREW( 免事前審查 ) 3114 

FBSF4UP04NXA TITANIUM SPINAL SCREW 6381 

FBSF4X380NS9 XIA TITANIUM SPINAL SCREW( 型號 03820425:860,03821425:760 自 92/4/1 生效 ) 6381 

FBSF4YP04NXA Y TYPE POSTERIOR TITANIUM SPINAL PEDICLE SCREW( 免事前審查 ) 3114 

258



FBSF500005ZV VIMAX SPINAL TRANSVERSE LINK 7208 

FBSF500015ZV VIM SPINAL TRANSVERSE LINK 7208 

FBSF500025ZV VIMAX SPINAL LINK 免事前審查 3331 

FBSF50055TJA TITANIUM SPINAL TRANSVERSE CONNECTOR 7208 

FBSF50055TSJ TITANIUM SHIRAZ JAVA TRANSVERSE CONNECTOR 7208 

FBSF5010TNZ6 TITANIUM SPINAL TRANSVERSE LINK 7208 

FBSF50380NS9 XIA SPINAL SYSTEM:CROSS LINK ( 免事前審查 ) 3331 

FBSF50382NS9 XIA TITANIUM CROSS CONNECTOR 7208 

FBSF50565NDP M-M TITANIUM TRANSVERSE CONNECTOR 7208 

FBSF5080TMDA TITANIUM TSRH SPINAL CROSSLINK PLATE 7208 

FBSF510001TT TITANIUM SPINAL TRANSVERSE LINK( 免事前審查 ) 3331 

FBSF5170XNTD TITANIUM TREND TRANSVERSE LINK 7208 

FBSF518010B0 TITANIUM TRANSVERSE LINK 7208 

FBSF518012B0 TITANIUM TRANSVERSE LINK( 免事前審查 ) 3331 

FBSF52230TDP TITANIUM ISOLA TRANSVERSE ROD CONNECTOR 7208 

FBSF53210NAD TITANIUM KANEDA SR ANTERIOR TRANSVERSE SMOOTH ROD COUPLERS 7208 

FBSF53210NDP KANEDA SR-ANTERIOR TITANIUM SPINAL LINK 3331 

FBSF54107NS9 MAC TATINIUM TRANSVERSE LINK 7208 

FBSF548149S9 XIA 4.5 TITANIUM SPINAL CROSSLINK 7208 

FBSF54981NS1 TITANIUM UNIVERSAL SPINAL CROSS LINK , 頇事前審查 7208 

FBSF56452NDX TITANIUM DIAPASON TRANSVERSE LINK(730000+720040:100 自 86/11/17 生效 ) 7208 

FBSF57200NS9 TITANIUM TRANSVERSE LINKS( 免事審查 ) 3331 

FBSF57301NZ1 SILHOUETTE SPINAL FIXATION SYSTEM-TRANSVERSE CONNECTOR( 免術前申請 ) 3331 

FBSF57310NZ1 SILHOUETTE SPINAL FIXATION SYSTEM-TRANSVERSE CONNECTOR 7208 

FBSF57651NY2 TITANIUM SPINAL CROSS-LINK 7208 

FBSF577003Y2 TITANIUM SPINAL TRANSVERSE LINK( 免術前審查 ) 3331 

259



FBSF5811XNDA TATINIUM TSRH LOW PROFILE CROSSLINK PLATE 7208 

FBSF5821NHY2 BRIDGE TRANSVERSE LINK 免事前審查 3331 

FBSF5A3C1NXA A3 POSTERIOR TITANIUM SPINAL CROSSLINK HOOK 7208 

FBSF5AS001AQ TITANIUM SPINAL LINK 免術前審查 3331 

FBSF5ASLL1AQ TITANIUM SPINAL LINK 7208 

FBSF5ASNL1AQ TITANIUM SMARTLOC TRANSVERSE LINK 免事前審前 3331 

FBSF5ASYL1AQ TITANIUM SMARTLOC TRANSVERSE LINK 7208 

FBSF5B0001RK TITANIUM SPINAL LINK 免事前審查 3331 

FBSF5BA001RK TITANIUM SPINAL TRANSVERSE LINK 7208 

FBSF5C111NXA TITANIUM SPINAL CROSS LINK 7208 

FBSF5CY11NXA Y TYPE POSTERIOR TITANIUM SPINAL LINK( 免事前審查 ) 3331 

FBSF5DTT4TDA TITANIUM CD HORIZON SPINAL D.T.T#4( 橫向固定桿 ) 7208 

FBSF5GS51NG0 GSS TITANIUM SPINAL TRANSVERSE LINK 7208 

FBSF5L8414M4 TITANIUM CD DTT #4 TRANSVERSE LINK( 免術前審查 ) 3331 

FBSF5M2TKNZ6 TITANIUM SPINAL TRANSVERSE LINK 3331 

FBSF5M3SLKZ6 TITANIUM M3 SPINAL POSTERIOR TRANSVERSE LINK 7208 

FBSF5P2CLKZ6 PROT II POSTERIOR SPINE CROSS LINK 7208 

FBSF5P2CNTZ6 PROT II POSTERIOR SPINE ROD CONNECTOR 7208 

FBSF5P2TLKZ6 PROT II POSTERIOR SPINE TRANSVERSE LINK 7208 

FBSF5R382NS9 XIA REDUCTION CROSS LINK 7208 

FBSF5RF001RX RF SPINAL LINK( 免事前審查 ) 3331 

FBSF5S500NS9 SR90D RODDING SYSTEM CROSS LINK 7208 

FBSF5SW69NAE TITANIUM S4 SPINE SYSTEM:CROSS CONNECTOR 7208 

FBSF5SX17NAE TITANIUM SPINE CROSSLINK (96 年 10 月 1 日起免事前審查 ) 3331 

FBSF5TS55TJA TITANIUM SPINAL TRANSVERSE CONNECTOR( 免事前審查 ) 3331 

FBSF5X380NS9 XIA TITANIUM SPINAL CROSS LINK 7208 

260



FBSF610001TT TITANIUM CERVICAL PLATE( 免術前審查 ) 4046 

FBSF610002TT TITANIUM CERVICAL SCREW( 免術前審查 ) 194 

FBSF62225NDP TITANIUM VSP PLATE 1089 

FBSF661202Y2 STAINLESS CERVICAL PLATE 28:72CM 3747 

FBSF661302Y2 TITANIUM CERVICAL PLATE 28:72MM 4046 

FBSF66131NY2 TITANIUM CERVICAL SCREW 17:24MM 194 

FBSF6613NNY2 TITANIUM DYNAMIC CERVICAL FIXATION SYSTEM 194 

FBSF6CPU16XA TITANIUM CERVICAL PLATE ( 免術前審查 ) 4046 

FBSF6CPU20XA TITANIUM CERVICAL PLATE ( 免術前審查 ) 4046 

FBSF6CSA35XA TITANIUM CERVICAL SCREW ( 免術前審查 ) 194 

FBSF6CSB35XA TITANIUM CERVICAL SCREW ( 免術前審查 ) 194 

FBSF6FF930AE STANLESS CASPAR OSTEOSYNTH CERVICAL PLATE 28:33MM LONG 3747 

FBSF6FF934AE STANLESS CASPAR OSTEOSYNTH CERVICAL PLATE 37:46MM LONG 4098 

FBSF6FF939AE STANLESS CASPAR OSTEOSYNTH.CERVICAL PLATE.48:54MM LONG 4273 

FBSF6FF944AE STANLESS CASPAR OSTEOSYNTH CERVICAL PLATE 60MM LONG 4536 



FBSF700027ZV VIMAX SPINAL HOOK SCREW SYSTEM(SX2+HX2+RX2) 免事前審查 23306 

FBSF7295NNS1 STANLESS STEEL HOOK SCREW SYSTEM(SCREWX2+HOOKX2+NUTX4+SPRINGX2) 21604 

FBSF7804NHY2 BRIDGE SPINAL HOOK SCREW SYSTEM(HX2+SX4+NX2) 免事前審查 23306 

FBSF7SX25NAE TITANIUM SPINE EVOLUTION HOOK SYSTEM(SCREWX2+HOOKX2+NUTX2) 23306 

FBSF8T1SFWCM TITANIUM CABLE SOFWIRE( 後頸椎固定軟鋼絲索 ) 8000 

FBSFA00001RK TITANIUM INTERVERTEBRAL CAGE 椎間融合器 17550 

FBSFA2740LB0 TITANIUM LUMBAR SPINAL CAGE 腰椎椎間融合器 17550 

FBSFA6720NS9 TITANIUM OIC CAGE SYSTEM 9:13MMX20:25MM 17550 

FBSFA706NNY2 TITANIUM VETEBRAL INTERBODY CAGE 高 9:14MM 長 20:24 17550 

261



FBSFA7091NY2 TITANIUM VETEBRAE INTERBODY CAGE 9:14MMX20:24MM 17550 

FBSFA7092NY2 TITANIUM VETEBRAE INTERBODY CAGE 9:14MMX20:24MM 17550 

FBSFA908MNM4 TELAMON FUSION DEVICE 17550 

FBSFA9501NS1 TITANIUM CONTACT FUSION CAGE 9:15MM X8:11MM 17550 

FBSFAALS01AQ TITANIUM LUMBAR DISC SPACER 17550 

FBSFAALS01TT TITANIUM LUMBAR DISC SPACER 17550 

FBSFACA11NXA TITANIUM VERTEBRAL FUSION CAGE 20:24MMX8:15MM 17550 

FBSFACG15NZ6 TITANIUM SPINAL SPACER 5:11MMX7:13MM 17550 

FBSFAFJ00NAE TSPACE PEEK TLIF SYSTEM 樹脂椎間盤支撐架植入物 ( 側開型 , 每節椎體置放 1 個 ) 50000 

FBSFALCAGEZV GOALIE LUMBAR INTERVERTEBRAL CAGE 17550 

FBSFC0912NS9 ALPHA CERVICAL SCREW 1125 

FBSFC10030AD TITANIUM PEAK ANTERIOR CERVICAL SCREW( 型號含 1749-02019:13026) 1125 

FBSFC10108AD TITANIUM SLIM-LOC ANTERIOR CERVICAL SCREW 1125 

FBSFC1742SDP TITANIUM PEAK ANTERIOR CERVICAL PLATE 二節 22426 

FBSFC1743SDP TITANIUM PEAK ANTERIOR CERVICAL PLATE 三節 23285 

FBSFC1792SDP TITANIUM SLIM-LOC ANTERIOR CERVICAL PLATE 二節 22426 

FBSFC1793SDP TITANIUM SLIM-LOC ANTERIOR CERVICAL PLATE 三節 23285 

FBSFC2485NS9 REFLEX HYBRID ANTERIOR CERVICAL PLATE SYSTEM(PX1+SX4) 二節芮菲斯前置頸椎固定系統 22426 

FBSFC2486NS9 TI REFLEX ANTERIOR CERVICAL PLATE SYSTEM 二節 ( 型號 48624010:522 自 92/4/1 生效 ) 22426 

FBSFC27551B0 TITANIUM CERVICAL SPINAL SYSTEM(PX1+SX4) 22426 

FBSFC27552B0 TITANIUM CERVICAL SPINAL SYSTEM(HOOKX4+RODX2) 22426 

FBSFC27553B0 TITANIUM CERVICAL SPINAL SYSTEM(PX1+SX6) 23285 

FBSFC27555B0 TITANIUM CERVICAL SCREW 1125 

FBSFC27556B0 TITANIUM CERVICAL PLATE 24:90MM( 免術前審查 ) 4046 

FBSFC27557B0 TITANIUM CERVICAL SCREW( 免術前審查 ) 194 

FBSFC3400NZ1 TRINICA AND TRINICA SELECT ANTERIOR CERVICAL PLATE SYSTEM 二節 (PX1+SX4) 22426 

262



FBSFC3401NZ1 TRINICA AND TRINICA SELECT ANTERIOR CERVICAL PLATE SYSTEM 三節 (PX1+SX6) 23285 

FBSFC3485NS9 REFLEX HYBRID ANTERIOR CERVICAL PLATE SYSTEM(PX1+SX6) 三節芮菲斯前置頸椎固定系統 23285 

FBSFC3486NS9 TI REFLEX ANTERIOR CERVICAL PLATE SYSTEM 三節 ( 型號 48624010:522 自 92/4/1 生效 ) 23285 

FBSFC4010NS9 REFLEX ANTERIOR CERVICAL SCREW 1125 

FBSFC4020NS9 REFLEX HYBRID ANTERIOR CERVICAL SCREW 芮菲斯前置頸椎骨釘 1125 

FBSFC450XNS1 CERVICAL SPINE SOLID EXPANSION HEAD SCREW 4.0/4.35MM 擴張頭實心骨釘 1125 

FBSFC4871NS1 TITANIUM CERVICAL SPINE LOCKING PLATE SYSTEM 二節 22426 

FBSFC487XNS1 TITANIUM CERVICAL SPINE LOCKING PLATE SYSTEM 三節 23285 

FBSFC6113NY2 TITANIUM CERVICAL SPINE SCREW 1125 

FBSFC8792NM4 ZEPHIR ANTERIOR CERVICAL SCREW 1125 

FBSFC879N2M4 ZEPHIR ANTERIOR CERVICAL SYSTEM 二節 (SX4+PX1) 22426 

FBSFC879N3M4 ZEPHIR ANTERIOR CERVICAL SYSTEM 三節 (SX6+PX1) 23285 

FBSFCASC01AQ TITANIUM CERVICAL PLATE SYSTEM 二節 (PX1+SX4) 22426 

FBSFCASC02AQ TITANIUM CERVICAL PLATE SYSTEM 三節 (PX1+SX6) 23285 

FBSFCASCS1AQ TITANIUM CERVICAL SCREW 1125 

FBSFCASP01AQ TITANIUM CERVICAL PLATE ( 免事前審查 ) 4046 

FBSFCASS02AQ TITANIUM CERVICAL SCREW( 免事前審查 ) 194 

FBSFCBA001RK TITANIUM CERVICAL PLATE SYSTEM (PX1+SX4) 二節 22426 

FBSFCBA002RK TITANIUM CERVICAL PLATE SYSTEM (PX1+SX6) 三節 23285 

FBSFCCPCN2XA TITANIUM CERVICAL PLATE SYSTEM(PX1+SX4) 二節 22426 

FBSFCCPCN3XA TITANIUM CERVICAL PLATE SYSTEM(PX1+SX6) 三節 23285 

FBSFCCSC35XA TITANIUM CERVICAL SCREW 1125 

FBSFCCSD35XA TITANIUM CERVICAL SCREW 1125 

FBSFCCSF12Y2 TITANIUM CERVICAL SPINE FIXATION SYSTEM 二節 (PX1+SX4) 22426 

FBSFCCSF13Y2 TITANIUM CERVICAL SPINEFIXATION SYSTEM 三節 (PX1+SX6) 23285 

FBSFCFG2XNAE TITANIUM CASPAR CERVICAL SYSTEM 二節 (PLATEX1+SCREWX4), 頇事前審查 22426 

263



FBSFCFG3XNAE TITANIUM CASPAR CERVICAL SYSTEM 三節 (PLATEX1+SCREWX6), 頇事前審查 23285 

FBSFCFG4XNAE CASPAR EVOLUTION CERVICAL SYSTEM( 型號含 LA017T:028T) 二節 (PLATEX1+SCREWX4) 22426 

FBSFCFG4XXAE CASPAR EVOLUTION CERVICAL SYSTEM ANTERIOR( 型號含 LA017T:028T) 三節 (PX1+SX6) 23285 

FBSFCFJ700AE TITANIUM ABC ANTERIOR CERVICAL PLATING SYSTEM(PX1+SX4) 22426 

FBSFCFJ790AE ABC TITANIUM CERVICAL SCREW 1125 

FBSFCFJ800AE TITANIUM ABC ANTERIOR CERVICAL PLATING SYSTEM(PX1+SX6) 23285 

FBT01020MLHE SUPLASYN STERILE SODIUM HYALURONATE SOLUTION(2ML/ 瓶裝 ) 每次療程注射三次 1095 

FBT01020MSHE SUPLASYN STERILE SODIUM HYALURONATE SOLUTION(2ML/ 注射筒裝 ) 每次療程注射三次 1099 

FBT01025MLH8 HIKAMILON DISPO 1% 2.5ML/SYRINGE 25MG 關節內注射劑 ( 每次療程注射五次 ) 659 

FBT01025MLN0 "NISSIN"LUMISTERON DISPO (2.5ML/SYRINGE)" 日新 " 倍利骨關節腔注射劑 ( 每次療程注射五次 ) 659 

FBT01025MLR7 ARTZ/ARTZDISPO 雅節關節內注射劑 ( 每次療程注射五次 ) 659 

FBT01025MLU5 UNIHYLON DISPO 2.5ML W/SYRINGE( 每次療程注射五次 ) 659 

FBT01AA25CLB ARTIAID INTRA-ARTICULAR INJECTION( 每次療程注射 5 次 ) 659 

FBT01HJ001V0 HYA-JOINT SYNOVIAL FLUID SUPPLEMENT(2.5ML/ 支 ) 每次療程注射三次 1099 

FBT01HY001FD HYALGAN INTRA-ARTICULAR INJECTOR W/SYRINGE( 自 97 年 4 月 1 日起改每次療程注射 3 次 ) 1099 

FBT01HY002FD HYALGAN INTRA-ARTICULAR INJECTOR WITHOUT/SYRINGE( 自 97 年 4 月 1 日起改每次療程注射 3 次 ) 1095 

FBT01N25MLR7 ARTZ/ARTZDISPO 2.5ML 25MG WITHOUT SYRINGE( 每次療程注射五次 ) 655 

FBTCM1102NU0 CUSTOMER MADE TIBIAL TUMOR PROSTHESIS , 申報費用應檢附發票備查 160000 

FBW0106321M1 KIRSCHNER WIRE (K-PIN) 1.0:1.2MM 300MM 80 

FBW0106324M1 KIRSCHNER WIRE (K-PIN) 1.5:1.8MM 300MM 80 

FBW0106325M1 KIRSCHNER WIRE (K-PIN) 2.0MM 300MM 80 



FBW011610NSN K-WIRE 0.6:1.6MM,2.0MM 80 

FBW012900NY2 KIRSCHNER WIRES(SHANK)0.7MM,0.9MM,1.1MM,1.6MM *4"(101.6MM) 80 

FBW0129101Y2 KIRSCHNER WIRE 80 

264



FBW012910NY2 KIRSCHNER WIRES(SHANK)0.7MM,0.9MM,1.1MM,1.6MM *9"(230MM) 80 

FBW012911NY2 KIRSCHNER WIRES(SHANK)0.7MM,0.9MM,1.1MM,1.6MM *12"(300MM) 80 

FBW012915NY2 KIRSCHNER WIRES(THREADED)0.9MM,1.1MM,1.6MM *9"(230MM) 305 

FBW0129200V2 K-PIN,GUIDEWIRE WITH THREAD 305 

FBW012926NY2 KIRSCHNER WIRE W/THREADED 305 

FBW012927NS1 K-PIN,GUIDEWIRE WITH THREAD 305 

FBW01292NNS1 KIRSCHNER WIRE (K-PIN)1.25MM 80 

FBW01294XNY2 KIRSCHNER WIRE WITH THREADED TIP 305 

FBW01LX08NAE K-WIRE 0.8MM ,1.0MMX310MM 80 

FBW01LX08SAE KIRSCHNER WIRE (K-PIN)0.8MMx150MM 80 

FBW01LX105AE K-WIRE 2.5MMx70MM 80 


FBW01LX12NAE K-WIRE 310MM,1.2:1.7MM 80 





FBW01LX17SAE K-WIRE 150MM 1.7MM 80 

FBW01LX18NAE K-WIRE 310MM,1.8MM 80 








265






FBW01LX32NAE K-WIRE 310MM,1.2:1.6MM 80 





FBW01LX37SAE KIRSCHNER WIRE 1.7MMx150MM 80 










FBW01LX47SAE KIRSCHNER WIRE 雅式鋼針 80 

FBW01LX90NAE KIRSCHNER WIRE 雅式鋼針 80 

FBW01LX915AE KIRSCHNER WIRE 雅式鋼針 80 






266



FBW01LX98SAE K-WIRE 0.8MM,1.0MMX70MM 80 

FBW03C018NM1 KIRSCHNER WIRE( 田島 PIN) 0.7:1.5MM 100:120MM 80 

FEP0356324XT FISCH TEF-WIRE PISTON 1365 

FEP0456210XT MCGEE MODIFIED LOOP PISTON 1250 



FES0256362XT AUSTIN MODIFIED PARTIAL OSSICULAR REPLACEMENT 3500 

FES0256363XT AUSTIN MODIFIED PARTIAL OSSICULAR REPLACEMENT 3500 

FES0270141GS MICRON ALL TITANIUM PORP 全鈦部分人工聽小骨置換物 3500 

FHG110304NGX STRAIGHT VASCULAR PROSTHESIS 3MM,4MM,5MM,6MM,7MM,8MM,10MM 40CM 11560 

FHG110307NGX STRAIGHT VASCULAR PROSTHESIS 3MM,4MM,5MM,6MM,7MM,8MM,10MM 70CM 16800 

FHG1104010MP STRAIGHT GRAFT 4MM 10CM 3440 

FHG110401CMP CARBOFLO GRAFT,STRAIGHT,10CM 卡邦人工血管 3440 




FHG110503NGX GORE-TEX VASCULAR GRAFTS 5MM,6MM,8MMX30CM 9180 


FHG1106020MP STRAIGHT GRAFT 6,8MM 20CM 6500 

FHG1106020QM 

FHG1106020SB 

" 邁柯唯 " 人工血管 "MAQUET"EXXCEL SOFT EPTFE VASCULAR GRAFT(STANDARD WALL 

STRAIGHT4-8MM*20CM) 

EXXCEL SOFT EPTFE VASCULAR STANDARD WALL GRAFT 4,6,8MMX20CM 型號 381026,28 自 92.10.1 生 

效 

6500 

6500 




FHG1106040QM " 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT 4-6MM*40CM 11560 

FHG1106040SB EXXCEL SOFT EPTFE VASCULAR STANDARD WALL GRAFT 4:8MMX40CM 型號 381046,47,48 自 92.10.1 

生效 

11560 

267



FHG1106050AH STRAIGHT GRATF STANDARD WALL 6MM,7MM,8MM 50CM 13600 


FHG1106050QM " 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT 6MM*50CM 13600 


生效 

13600 

FHG1106060QM 

" 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT(STANDARD WALL STRAIGHT 

6MM*60CM 

15300 

FHG1106060SB EXXCEL SOFT EPTFE VASCULAR STANDARD WALL GRAFT 6MMX60CM 型號 381066 自 92.10.1 生效 15300 


FHG1106070QM 


4-8MM*70CM 


生效 

16800 

16800 


FHG1106080QM 


4-8MM*80CM 

FHG1106080SB EXXCEL SOFT EPTFE VASCULAR STANDARD WALL GRAFT 4,5,6,8MMX80CM 型號 381086,88 自 92.10.1 

生效 

18080 

18080 


FHG1106090SB EXXCEL SOFT EPTFE VASCULAR STANDARD WALL GRAFT 6MMX90CM 19080 

FHG1106S10TM 

FHG1106S20TM 

FHG1106S30TM 

FHG1106S40TM 

FHG1106S50TM 

FHG1106S60TM 

FHG1106S70TM 

FHG1106S80TM 

"TERUMO" SEALPTFE GELATIN SEALED EPTFE VASCULAR PROSTHESES STRAIGHT GRAFT 

10CM*6,7,8,10MM 


20CM*6,7,8,10MM 


30CM*6,7,8,10MM 


40CM*6,7,8,10MM 


50CM*6,7,8,10MM 


60CM*6,7,8,10MM 


70CM*6,7,8,10MM 


80CM*6,7,8,10MM 

3440 

6500 

9180 

11560 

13600 

15300 

16800 

18080 


FHG1116040QM " 邁柯唯 " 人工血管 "MAQUET" EXXCEL SOFT EPTFE VASCULAR GRAFT 5-8MM*40CM 11560 

FHG1116050QM 

FHG1121000AH 


5-8MM*50CM 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS STANDARD 

WALL-STRAIGHT,6MM 10CM 

13600 

3440 

268



FHG1121012AH " 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS STANDARD 11560 

WALL-STRAIGHT,6MM 8MM 40CM 

FHG1130S06BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(STRAIGHT 6MM*30CM) 9180 

FHG1140S08BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(STRAIGHT 3.5,8,10MM*40CM) 11560 

FHG11D5008BA " 巴德 " 迪斯塔人工血管 "BARD"DISTAFLO BYPASS GRAFTS 50CM 13600 

FHG11D500CBA " 巴德 " 迪斯塔人工血管 "BARD" DISTAFLO BYPASS GRAFTS 13600 


FHG11D600CBA " 巴德 " 迪斯塔人工血管 "BARD" DISTAFLO BYPASS GRAFTS 60CM 15300 





FHG11V106CMP VENAFLO GRAFT,STRAIGHT,10CM 維那人工血管 3440 





FHG11VL100MP IMPRA VENAFLO EPTFE VASCULAR GRAFTS-STRAIGHT GRAFT(6,7MM,10CM) 維那人工血管直式 3440 





FHG120304NGX THIN WALLED VASCULAR GRAFT 3MM,4MM,5MM,6MM,7MM,8MM,10MM 40CM 11560 

FHG120307NGX THIN WALLED VASCULAR GRAFT 3MM,4MM,5MM,6MM,7MM,8MM,10MM 70CM 16800 

FHG120401TMP CARBOFLO GRAFT,STRAIGHT THINWALL,10CM 卡邦人工血管 3440 



269




FHG1206020QM " 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT(THIN WALL STRAIGHT 6- 

8MM*20CM 

6500 

FHG1206020SB EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT 6,8MMX20CM 型號 391026,28 自 92.10.1 生效 6500 




10MM*40CM 

11560 

FHG1206040SB EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT 6,8,10MMX40CM 型號 391046,48,41 自 92.10.1 生效 11560 



10MM*50CM 

13600 

FHG1206050SB EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT 6,8,10MMX50CM 型號 391056,51 自 92.10.1 生效 13600 

FHG1206060QM 

" 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT(THIN WALL STRAIGHT 

6MM*60CM 

15300 

FHG1206060SB EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT 6MMX60CM 型號 391066 自 92.10.1 生效 15300 


10MM*70CM 

16800 

FHG1206070SB EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT 4,5,6,7,8,10MMX70CM 16800 

FHG1206075TM 

FHG1206076TM 

"TERUMO"GELSOFT PLUS GELATIN SEALED POLYESTER VASCULAR PROSTHESES GELSOFT PLUS 

EXTERNALLY REINFORCED STRAIGHT GRAFTS6:10MM 75CM 

"TERUMO" GELSEAL GELATIN SEALED POLYESTER VASCULAR PROSTHESES GELSEAL 

EXTERNALLY REINFORCEED STRAIGHT 6:10MM 75CM 


10MM*80CM) 

FHG1206080SB 

EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT 4,5,6,7,8,10MMX80CM 型號 391086:88,81 自 

92.10.1 生效 

19600 

19600 

18080 

18080 

FHG1206090SB EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT 6MMX90CM 19080 

FHG1221185AH 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS THIN WALL- 

STRAIGHT,6MM 7MM 8MM *70CM 

16800 

FHG1230STWBA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(STRAIGHT THINWALL 6MM*30CM) 9180 

FHG1240STWBA 

" 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(STRAIGHT THINWALL 

3,6,8MM*40CM) 

11560 

FHG12F0470MP P.T.F.E FLEX GRAFT 4:10MM 70CM 24000 

FHG12F0650MP FLEX GRAFT 6:10MM 50CM 19250 



270



FHG130504NGX STANDARD STREATCH GRAFT 5MM,6MM,7MM,8MM,10MM 40CM 12840 

FHG130507NGX STANDARD STRETCH GRAFT 5MM,6MM,7MM,8MM 70CM 18620 

FHG1321010AH 

FHG1321015AH 

FHG1321024AH 

FHG1321179AH 

FHG1406070QM 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS(STANDARD 

4MM,6-8MM,40CM) 


4-8MM;10MM*50CM) 


4:8MM,10MM 70CM) 


6MM*60CM) 


EXTERNALLY SUPPORTED 6-8MM*70CM*20-50CM 

11560 

13600 

16800 

15300 

21700 

FHG1406070SB EXXCEL SOFT EPTFE GRAFT STRAIGHT EXTERNALLY SUPPORTED 6MM,8MM/70CM/20-50CM 21700 

FHG1406080QM 



23280 

FHG1406080SB EXXCEL SOFT EPTFE GRAFT STRAIGHT EXTERNALLY SUPPORTED 6MM,8MM/80CM/20-50CM 23280 

FHG140623NGX " 戈爾 " 戈爾特賜內植人工血管 "GORE" GORE-TEX VASCULAR GRAFTS 6MM,8MMX(20CM 環 )X30CM 11850 

FHG140624NGX " 戈爾 " 戈爾特賜內植人工血管 "GORE" GORE-TEX VASCULAR GRAFTS 6MM,8MMX(20CM 環 )X40CM 14920 

FHG1406545GX RINGED GRAFT 5CM 6MM 45CM 14920 

FHG140657NGX RINGED GRAFT 50CM 6MM,8MM 70CM 21700 

FHG140677NGX 

" 戈爾 " 戈爾特賜內植人工血管 "GORE" GORE-TEX VASCULAR GRAFTS 6MM,8MM,10MMX(70CM 

環 )X70CM 

21700 

FHG1406C40QM " 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT 6MM*45CM 14920 

FHG1406C40SB EXXCEL SOFT EPTFE GRAFT STRAIGHT CENTRALLY SUPPORTED 6MM/40CM,45CM/5CM 14920 

FHG1406C50QM 


CENTRALLY SUPPORTED 6MM*50CM*5CM 

17550 

FHG1406C50SB EXXCEL SOFT EPTFE GRAFT STRAIGHT CENTRALLY SUPPORTED 6MM/50CM/5CM 17550 

FHG1408030QM 


EXTERNALLY SUPPORTED 8MM*30CM*12CM 

11850 

FHG1408030SB EXXCEL SOFT EPTFE GRAFT STRAIGHT EXTERNALLY SUPPORTED 8MM/30CM/12CM 11850 

FHG1410330GX " 戈爾 " 戈爾特賜內植人工血管 "GORE" GORE-TEX VASCULAR GRAFTS 10MMX(30CM 環 )X30CM 11850 

FHG1416C40QM 

FHG1421092AH 

FHG1506040QM 

FHG1506040SB 


CENTRALLY SUPPORTED 6MM*40CM*5CM 


WALL-CENTER HELIX,6MM* 45CM 



EXXCEL SOFT EPTFE GRAFT THIN WALL STRAIGHT EXTERNALLY SUPPORTED 6MM,8MM/40CM/20- 

30CM 

14920 

14920 

14920 

14920 

271




FHG1506070SB 

FHG1506080QM 

FHG1506080SB 

FHG1506440QM 

EXXCEL SOFT EPTFE GRAFT THIN WALL STRAIGHT EXTERNALLY SUPPORTED 

5MM,6MM,8MM/70CM/20-60CM 



EXXCEL SOFT EPTFE GRAFT THIN WALL STRAIGHT EXTERNALLY SUPPORTED 6MM,8MM/80CM/30- 

60CM 



21700 

23280 

23280 

14920 

FHG1506440SB EXXCEL SOFT EPTFE GRAFT THIN WALL STRAIGHT EXTERNALLY SUPPORTED 6MM/40CM/40CM 14920 


FHG1506550SB 

EXXCEL SOFT EPTFE VASCULAR THIN WALL GRAFT WITH EXTERNALLY RING SUPPORTED 

6MM,10MMX50CM/RING50CM 

19250 

FHG150657NGX RINGED THIN WALLED GRAFT 50CM 6MM,8MM,10MM 70CM 21700 


FHG1506660SB EXXCEL SOFT EPTFE GRAFT THIN WALL STRAIGHT EXTERNALLY SUPPORTED 6MM/60CM/60CM 21840 


FHG1506770SB 


6MM,8MM,10MM/70CM/70CM 

24000 


FHG1506880SB 

FHG1508030QM 


6MM,8MM/80CM/80CM 



25760 

11850 

FHG1508030SB EXXCEL SOFT EPTFE GRAGT THIN WALL STRAIGHT EXTERNALLY SUPPORTED 8MM/30CM/12CM 11850 

FHG1516070QM 

FHG1516550QM 

FHG1516880QM 







21700 

19250 

25760 

FHG154515NGX RINGED THIN WALLED GRAFT 5CM 4MM,5MM 15CM 4440 

FHG15F30TWBA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(FLEX THINWALL 6MM*30CM) 11850 

FHG15F4007BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(FLEX THINWALL 6,8MM*40CM) 14920 

FHG15F408SBA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(FLEX SMALL BEADING 8MM*40CM) 14920 

FHG160577NGX REMOVABLE RINGED THIN WALLED GRAFT 70CM 5MM,6MM,8MM 70CM 24000 

FHG1606050AH HELIX SUPPORT STRAIGHT GRAFT STANDARD WALL 6MM,8MM 50CM( 型號 21664 自 90/10/01 生效 ) 19250 

272



FHG1606080AH HELIX SUPPORT STRAIGHT GRAFT STANDARD WALL 6MM,8MM,10MM 80CM( 型號 21677,21678 自 25760 

90/10/01 生效 ) 

FHG160623NGX REMOVABLE RINGED THIN WALLED GRAFT 20CM RS 30CM,6MM,8MM 11850 

FHG160634NGX REMOVABLE RINGED THIN WALLED GRAFT 8MM 40CM 16360 

FHG1606550QM 


EXTERNALLY SUPPORTED 6-8MM*50CM*50CM 

19250 

FHG1606550SB EXXCEL SOFT EPTFE GRAFT STRAIGHT EXTERNALLY SUPPORTED 6MM,8MM/50CM/50CM 19250 


FHG1606660SB EXXCEL SOFT EPTFE GRAFT STRAIGHT EXTERNALLY SUPPORTED 6MM/60CM/60CM 21840 

FHG1606670GX REMOVABLE RINGED THIN WALLED GRAFT 60CM 6MM 70CM 24000 

FHG1606680GX REMOVABLE RINGED THIN WALLED GRAFT 60CM RS 80CM,6MM 25760 





FHG1606C40TM 

FHG1606C50TM 

FHG1606E50TM 

FHG1606S10TM 

FHG1606S20TM 

FHG1606S30TM 

FHG1606S40TM 

FHG1606S50TM 

FHG1606S60TM 

FHG1606S70TM 

FHG1606S80TM 

"TERUMO" SEALPTFE GELATIN SEALED EPTFE VASCULAR PROSTHESES CENTRAL SUPPORT 

STRAIGHT GRAFT 40CM*6,7,8,10MM 

"TERUMO" SEALPTFE GELATIN SEALED EPTFE VASCULAR PROSTHESES CENTRAL SUPPORT 

STRAIGHT GRAFT 50CM*6,7,8,10MM 

"TERUMO" SEALPTFE GELATIN SEALED EPTFE VASCULAR PROSTHESES END SUPPORT STRAIGHT 

GRAFT 50CM*6,7,8,10MM 

"TERUMO" SEALPTFE GELATIN SEALED EPTFE VASCULAR PROSTHESES FULL SUPPORT STRAIGHT 








" 泰爾茂 " 緻密人工血管 "TERUMO" SEALPTFE GELATIN SEALED EPTFE VASCULAR PROSTHESES- 

PTFE FULL SUPPORT STRAIGHT GRAFT 50CM*6,7,8,10MM 







14920 

17550 

17550 

4440 

8400 

11850 

14920 

19250 

21840 

24000 

25760 

FHG1608780GX REMOVABLE RINGED THIN WALLED GRAFT 70CM RS 80CM,8MM 25760 

FHG1621062AH 


WALL-HELIX SUPPORTED,6MM * 50CM 

19250 

273



FHG16CF604MP CARBOFLO GRAFT,CENTERFLEX,40CM 卡邦人工血管 14920 

FHG16CF605MP CARBOFLO GRAFT,CENTERFLEX,50CM 卡邦人工血管 17550 

FHG16CV604MP VENAFLO GRAFT,CENTERFLEX,40CM 維那人工血管 14920 

FHG16CV605MP VENAFLO GRAFT,CENTERFLEX,50CM 維那人工血管 17550 

FHG16CVL40MP 

FHG16CVL50MP 

IMPRA VENAFLO EPTFE VASCULAR GRAFTS CENTERFLEX(6-7MM,40CM) 印帕維那人工血管中間螺 

旋式 

IMPRA VENAFLO EPTFE VASCULAR GRAFTS CENTERFLEX(6MM,50CM) 印帕維那人工血管中間螺旋 

式 

14920 

17550 

FHG16DF508BA " 巴德 " 迪斯塔人工血管 "BARD"DISTAFLO BYPASS GRAFTS WITH FLEX SMALL BEADING 50CM 19250 

FHG16DF5SCBA " 巴德 " 迪斯塔人工血管 "BARD" DISTAFLO BYPASS GRAFTS WITH FLEX SMALL BEADING 50CM 19250 







FHG16F0640MP FLEX GRAFT 6,7,8,10MM 40CM 14920 

FHG16F3006BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(FLEX 6MM*30CM) 11850 

FHG16F4007BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(FLEX 7;8;10MM*40CM) 14920 

FHG16F401TMP CARBOFLO GRAFT,FLEX THINWALL SMALL BEADING,10CM 卡邦人工血管 4440 


FHG16F601CMP CARBOFLO GRAFT,STRAIGHT FLEX,10CM 卡邦人工血管 4440 







274






FHG170534NGX 

FHG170577NGX 

FHG170645NGX 

FHG1721068AH 

FHG1721220AH 

FHG1722063AH 

FHG1806040GX 

FHG180604NGX 

FHG180606NGX 

FHG180608NGX 

FHG1860520GX 

FHG1861020GX 

FHG2106030TM 

FHG2106031TM 

FHG2106060TM 

FHG2106061TM 

FHG2112025TM 

" 戈爾 " 戈爾特賜內植人工血管 "GORE" GORE-TEX VASCULAR GRAFTS(STRETCH VASCULAR GRAFT 

WITH REMOVABLE RINGS 5MM,6MM,8MM*30CM RS*40CM 


WITH REMOVABLE RINGS 5MM,6MM,8MM*70CM RS*70CM 


WITH REMOVABLE RINGS 6MM,8MM*40CM RS*50CM 


WALL-HELIX SUPPORTED 4:8MM,70CM) 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS THIN WALL- 

HELIX SUPPORTED,6MM 7MM 8MM* 70CM 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS(WALL-HELIX 

SUPPORTED STANDARD 5MM:8MM*50CM) 

" 戈爾 " 戈爾特賜內植人工血管 ( 內環伸展性人工血管 )"GORE" GORE-TEX VASCULAR 

GRAFTS(INTERING GRAFT)6MM X 40CM 

" 戈爾 " 戈爾特賜內植人工血管 ( 內環伸展性薄壁人工血管 )"GORE" GORE-TEX VASCULAR 

GRAFTS(INTERING GRAFT)6MM,7MM,8MM X 40CM 






GRAFTS(INTERING GRAFT)6MM X 5CM X 20CM 


GRAFTS(INTERING GRAFT)6MM X 10CM X 20CM 

"TERUMO"GELSOFT PLUS GELATIN SEALED POLYESTER VASCULAR PROSTHESES GELSEAL 

STRAIGHT GRAFTS6:10MM 30CM 


TRIAXIAL,GELSOFT STRAIGHT 6:10MM 30CM 




TRIAXIAL,GELSOFT STRAIGHT 6:10MM 60CM 


STRAIGHT GRAFTS12:18MM 25,30CM 

17990 

26400 

21170 

24000 

24000 

19250 

15440 

17990 

26400 

28330 

9240 

9240 

8340 

8340 

14000 

14000 

7920 

FHG2112030AH ULTRAMAX VASCULAR GRAFT STRAIGHT 12MM:18MM 30CM 9900 

FHG2112050TM 

FHG2112051TM 

FHG211752PQM 




TRIAXIAL,GELSOFT STRAIGHT 12:18MM 50,60CM 

" 邁柯唯 " 白金雙重絲絨人工血管 "MAQUET"HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR 

VASCULAR GRAFT6-10MM*30CM 

10140 

10550 

8340 

FHG211752PSB HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFT 6-10MM*30CM 8340 

FHG2117542QM 


VASCULAR GRAFT20:38MM*30CM 

12000 

275



FHG2117542SB HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFT 20-38MM*30CM 12000 

FHG211754PQM 



9900 

FHG211754PSB HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFT 12-18MM*30CM 9900 

FHG2120020TM 

FHG2120025TM 


TRIAXIAL,GELSOFT STRAIGHT 20:38MM 20,25CM 

" 泰爾茂 " 傑斯弗特加強型人工血管 "TERUMO" GELSOFT PLUS GELATIN SEALED POLYESTER 

VASCULAR PROSTHESES-GELSEAL STRAIGHT GRAFTS,20:24MM,25CM 

9600 

9600 

FHG2120030AH ULTRAMAX VASCULAR GRAFT STRAIGHT 20MM:30MM 30CM 12000 

FHG2143108TM 

FHG2173108TM 

FHG2175406QM 

FHG2175406SB 

FHG2175407QM 

FHG2175420QM 

FHG2175420SB 

FHG2175422QM 

FHG2175920QM 

FHG2175920SB 

"TERUMO" GELSEAL GELATIN SEALED POLYESTER VASCULAR PROSTHESES SPECIAL FOUR 

BRANCH(PLEXUS)40CM*4@15CM* 

"TERUMO" GELWEAVE GELATIN SEALED POLYESTER VASCULAR PROSTHESES SPECIAL FOUR 

BRANCH(PLEXUS)40CM*4@15CM * 


VASCULAR GRAFT8-10MM*60CM 

" 波士頓科技 " 白金雙重絲絨人工血管 "BOSTON SCIENTIFIC"HEMASHIELD PLATINUM WOVEN 

DOUBLE VELOUR VASCULAR GRAFT 60CM 

" 邁柯唯 " 白金雙重絲絨人工血管 "MAQUET" HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR 

GRAFT 6-7MM*60CM 



" 波士頓科技 " 白金雙重絲絨人工血管 "BOSTON SCIENTIFIC"HEMASHIELD PLATINUM WOVEN 

DOUBLE VELOUR VASCULAR GRAFT 60CM 



" 邁柯唯 " 白金雙重絲絨人工血管 - 四分支 "MAQUET"HEMASHIELD PLATINUM WOVEN DOUBLE 

VELOUR VASCULAR GRAFT 4 BRANCH 

" 波士頓科技 " 四分支白金雙重絲絨人工血管 HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR 

VASCULAR GRAFT* 

FHG21GK020V8 "INTERVASCULAR"INTERGARD KNITTED VASCULAR GRAFTS" 英特維 " 英特佳針織系列人工血管 6- 

10MM,20CM 


24MM,20CM 


10MM,40CM 


24MM,40CM 


10MM,70CM 

FHG21GK100V8 

FHG21GKRS1V8 

FHG21GKRS2V8 

"INTERVASCULAR"INTERGARD KNITTED VASCULAR GRAFTS" 英特維 " 英特佳針織系列人工血管 

8MM,100CM 

" 英特維 " 英特佳針織系列人工血管 "INTERVASCULAR" INTERGARD KNITTED VASCULAR GRAFTS 

RADIALLY SUPPORTED 6-8MM,70CM,R15-30CM 

" 英特維 " 英特佳針織系列人工血管 "INTERVASCULAR" INTERGARD KNITTED VASCULAR GRAFTS 

RADIALLY SUPPORTED ULTRA THIN 6MM,85CM,R45CM 

FHG21GKUT1V8 " 英特維 " 英特佳 "INTERVASCULAR" INTERGARD KNITTED VASCULAR GRAFTS ULTRA THIN 5- 

8MM,70CM 

FHG21GKUT2V8 " 英特維 " 英特佳 "INTERVASCULAR" INTERGARD KNITTED VASCULAR GRAFTS ULTRA THIN 5- 

8MM,40CM 

59000 

59000 

14000 

14000 

14000 

15360 

15360 

15360 

59000 

59000 

5900 

7920 

9600 

10550 

14000 

19400 

19600 

21030 

14000 

9600 

276



FHG21GKUT3V8 " 英特維 " 英特佳 "INTERVASCULAR" INTERGARD KNITTED VASCULAR GRAFTS ULTRA THIN 6- 5900 

8MM,20CM 

FHG21HEWAAV8 

FHG21K1206V8 

FHG21W0630TM 

FHG21W0660TM 

FHG21W1230TM 

FHG21W1260TM 

"INTERVASCULAR"INTERGARD WOVEN VASCULAR GRAFTS" 英特維 " 英特佳編織系列四分叉主動脈 

弓人工血管 20-34MM*8-10MM,50CM 

"INTERVASCULAR"INTERGARD KNITTED VASCULAR GRAFTS" 英特維 " 英特佳針織系列雙叉人工血 

管 12-24MM,50CM 

"TERUMO" GELWEAVE GELATIN SEALED POLYESTER VASCULAR PROSTHESES GELWEAVE 

STRAIGHT VASCULAR GRAFTS 30CM*6,8,10MM 


STRAIGHT VASCULAR GRAFTS 60CM*6-10MM 





59000 

16000 

8340 

14000 

9900 

10140 

FHG21W1407V8 "INTERVASCULAR"INTERGARD WOVEN VASCULAR GRAFTS" 英特維 " 英特佳編織系列人工血管 14- 

24MM,50CM 

16000 

FHG21W2030TM 

FHG21W2050TM 





12000 

12800 

FHG21WK015V8 "INTERVASCULAR"INTERGARD WOVEN VASCULAR GRAFTS" 英特維 " 英特佳編織系列人工血管 12- 

24MM,15CM 


36MM,15CM 


10MM,30CM 


18MM,30CM 


38MM,30CM 


32MM,60CM 

4750 

5760 

8340 

9900 

12000 

15360 

FHG3121112AH 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS SHORT 

TAPER STRAIGHT,4-6MM,4-7MM* 40CM,45CM 

13200 

FHG3140A64BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(SHORT TAPERED 6,7-4MM*40CM) 13200 

FHG3146040GX " 戈爾 " 戈爾特賜內植人工血管 "GORE"GORE-TEX VASCULAR GRAFTS-TAPERED GRAFT 4-6MM*40CM 13200 

FHG3146040QM 

FHG3146040SB 

FHG3146040TM 

FHG3146041TM 

" 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT(STANDARD WALL SHORT 

TAPER 4-7MM*40-45CM 

EXXCEL SOFT EPTFE GRAFT SHORT TAPER,STEP 4-6MM,4-7MM*40CM,45CM 型號 389446,389447 自 

92.10.1 生效 

" 泰爾茂 " 特普弗人工血管 "TERUMO" TAPERFLO GELATIN SEALED EPTFE VASCULAR PROSTHESES 

SHORT TAPER GRAFT40,45CM 4-6,4-7MM 

" 泰爾茂 " 麥斯弗人工血管 "TERUMO" MAXIFLO EXPANDED EPTFE VASCULAR PROSTHESES(SHORT 

TAPER GRAFT40,50CM*4-6:4-7MM) 

13200 

13200 

13200 

13200 


FHG3146045SB 

EXXCEL SOFT EPTFE VASCULAR STANDARD WALL GRAFT(STEP)4-6MM,4-7MMX45CM 型號 

382456,57 自 92.10.1 生效 

13200 

FHG3146050GX " 戈爾 " 戈爾特賜內植人工血管 "GORE"GORE-TEX VASCULAR GRAFTS-TAPERED GRAFT 4-6MM*50CM 15500 

277



FHG3146050QM " 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT(STANDARD WALL SHORT 15500 

TAPER 4-7MM*50CM 

FHG3146050SB EXXCEL SOFT EPTFE GRAFT SHORT TAPER 4-6MM,4-7MM/50CM 型號 389546,47 自 92.10.1 生效 15500 

FHG3146S30TM 

FHG3146S40TM 

FHG3146S41TM 

FHG3146S45TM 

FHG3146S46TM 

FHG3146S50TM 

FHG3147030TM 

" 泰爾茂 " 特普弗人工血管 TAPERFLO GELATIN SEALED EPTFE VASCULAR PROSTHESES GELATIN 

SEALED STEPPED TAPER GRAFT 30,35CM 4-6:5-8MM 


SEALED STEPPED TAPER GRAFT 40,45CM 4-6:5-8MM 

" 泰爾茂 " 麥斯弗人工血管 "TERUMO" MAXIFLO EXPANDED EPTFE VASCULAR PROSTHESES(STEPPED 

TAPER GRAFT40,45CM*4-6:5-8MM) 


STEPPED TAPER CENTRAL SUPPORT GRAFT 40,45CM 4-7,5-8MM 

" 泰爾茂 " 麥斯弗人工血管 "TERUMO" MAXIFLO EXPANDED EPTFE VASCULAR PROSTHESES(SHORT 

TAPER WITH CENTRAL REINFORCEMENT40,45CM*4-7:5-8MM) 


SEALED STEPPED TAPER CENTRAL SUPPORT GRAFT 50CM 4-7MM 


SHORT TAPER GRAFT 30CM 4-7MM 

10500 

13200 

13200 

15800 

15800 

15500 

10500 

FHG3147040AH SHORT TAPER STRAIGHT GRAFT STANDARD WALL 4-6MM,4-7MM * 40CM,45CM( 型號 21713 自 91/1/1 

生效 ) 

13200 

FHG3147040GX TAPERED GRAFT 4-7MM 40CM 13200 

FHG3147S45MP STEPPED GRAFT 4-7MM 45CM 13200 

FHG3147T40AH STEP TAPER STRAIGHT GRAFT STANDARD WALL 4-6MM,4-7MM * 40CM,45CM 13200 

FHG3148045QM " 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT(STANDARD WALL STEP 4- 

6MM*45CM 

13200 

FHG3164A40MP CARBOFLO GRAFT,SHORT TAPERED,40CM 卡邦人工血管 13200 

FHG316CF50MP CENTER FLEX 6:8MM 50CM 17550 

FHG3174T40MP TAPERED GRAFT 7-4MM 40CM 13200 

FHG31T4645MP CARBOFLO GRAFT,STEPPED,45CM 卡邦人工血管 13200 

FHG31T4750MP CARBOFLO GRAFT,STEPPED,50CM 卡邦人工血管 15500 

FHG31VLT20MP 

FHG31VLT30MP 

FHG31VLT40MP 

IMPRA VENAFLO EPTFE VASCULAR GRAFTS STEPPED GRAFT(4-6,4-7MM,20CM,25CM) 印帕維那人工 

血管階級式 





7000 

10500 

13200 

FHG31VT246MP VENAFLO GRAFT,STEPPED,20/25CM 維那人工血管 7000 

FHG31VT346MP VENAFLO GRAFT,STEPPED,30CM 維那人工血管 10500 

FHG3274070MP CARBOFLO GRAFT,TAPERED THINWALL,70CM 卡邦人工血管 19180 

FHG3322114AH 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS(SHORT 

TAPER STANDARD WALL 4-6MM,4-7MM*40CM,45CM) 

13200 

278



FHG3346045GX " 戈爾 " 戈爾特賜內植人工血管 "GORE"GORE-TEX VASCULAR GRAFTS-TAPERED STRETCH GRAFT 4- 14640 

6MM*45CM 

FHG3347040GX TAPERED STRETCH VASCULAR GRAFT 4:7MMX40CM 14640 

FHG336CF40MP CENTER FLEX GRAFT 6:10MM 40CM 14920 

FHG3421125AH 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS SHORT 

TAPER CENTER HELIX,4-7MM* 45CM 

14400 

FHG3447045AH SHORT TAPER HELIX SUPPORT STRAIGHT GRAFT STANDARD WALL 4-7MM,45CM( 型號 21723,21725 

自 91/1/1 生效 ) 

14400 

FHG3447940QM 

" 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT(STANDARD WALL SHORT 

TAPER CENTRALLY SUPPORTED 4-7MM*40-45CM*5-10CM 

14400 

FHG3447C40QM " 邁柯唯 " 人工血管 "MAQUET" EXXCELSOFT EPTFE VASCULAR GRAFT 4-7MM*45CM 14400 

FHG3447C40SB 

EXXCEL SOFT EPTFE GRAFT SHORT TAPER ,STEP CENTRALLY SUPPORTED 4-7MM/40CM,45CM/5- 

15CM 

14400 

FHG3447S45MP CENTERFLEX STEPPED GRAFT 4-7MM,5-8MM 45CM 14400 

FHG34CF40ABA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(SHORT TAPERED CENTERFLEX 6,7- 

4MM*40CM) 

FHG34CFT40BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(STEPPED CENTERFLEX 4- 

7MM*40CM) 

14400 

14400 

FHG3622125AH 

" 亞翠恩 " 艾德凡達聚四氟乙烯人工血管 "ATRIUM" ADVANTA PTFE VASCULAR GRAFTS(SHORT 

TAPER CENTER HELIX STANDARD 4-7MM*45CM) 

15800 

FHG3630A74BA " 印帕 " 聚四氟乙烯人工血管 "IMPRA" EPTFE VASCULAR GRAFT(SHORT TAPERED 7-4MM*30CM) 10500 

FHG3647145GX TAPERED GRAFT WITH REMOVAL RINGED 15800 

FHG3674A40MP CARBOFLO GRAFT,SHORT TAPERED CENTERFLEX,40CM 卡邦人工血管 15800 

FHG36CVLT4MP 

IMPRA VENAFLO EPTFE VASCULAR GRAFTS STEPPED CENTERFLEX(4-7MM,45CM) 印帕維那人工血 

管階級中間螺旋式 

14400 

FHG36F7407MP CARBOFLO GRAFT,FLEX THINWALL TAPERED SMALL BEADING,70CM 卡邦人工血管 22960 

FHG36T4740MP CARBOFLO GRAFT,STEPPED CENTERFLEX,40/45CM 卡邦人工血管 15800 

FHG36T4750MP CARBOFLO GRAFT,STEPPED CENTERFLEX,50CM 卡邦人工血管 16950 

FHG36VT454MP VENAFLO GRAFT,STEPPED CENTERFLEX,45CM 維那人工血管 15800 

FHG3846045GX 

FHG3847045GX 

" 戈爾 " 戈爾特賜內植人工血管 ( 錐狀內環伸展性人工血管 )"GORE" GORE-TEX VASCULAR 

GRAFTS(INTERING GRAFT)4-6MM X 45CM 

戈爾特賜內植人工血管 ( 錐狀內環伸展性人工血管 )GORE-TEX VASCULAR GRAFTS(INTERING 

GRAFT)4-7MM X 45CM 

17380 

17380 

FHG4108R10AH ULTRAMAX VASCULAR GRAFT AXILLO-BIFEMORAL 8MM,10MM,100X60CM 26000 

FHG4112040AH ULTRAMAX VASCULAR GRAFT BIFURCATES-STANDARD,ANATOMICAL 40CM 16000 

FHG421664PQM 

FHG421664PSB 


VASCULAR GRAFT(BIFURCATIONS)14:24MM*7:12MM*40CM 

HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFT 〔BIFURCATIONS〕12- 

24MM*6-12MM*40CM 

16000 

16000 

279



FHG4312645TM "TERUMO"GELSOFT PLUS GELATIN SEALED POLYESTER VASCULAR PROSTHESES BIFURCATION 16000 

WOVEN GRAFTS12:24*6:12MM 45CM 

FHG4312646TM 

FHG43W1245TM 

"TERUMO" GELSEAL GELATIN SEALED POLYESTER VASCULAR PROSTHESES BIFURCATION 

WOVEN GRAFT 12:24*6:12MM 45CM 

"TERUMO" GELWEAVE GELATIN SEALED POLYESTER VASCULAR PROSTHESES BIFURCATION 

WOVEN GRAFT 12:24*6:12MM 45CM 

16000 

16000 

FHP0100KSRM4 KAPPA SR PULSE GENERATOR※ 頇檢附心電圖報告專案報備使用 74070 

FHP0105172ST SINGLE CHAMBER PULSE GENERATOR SSIR* 頇檢附心電圖報告專案報備使用 74070 

FHP0110SS1M4 SIGMA SSI PACEMAKER WITHOUT LEAD※ 頇檢附心電圖報告專案報備使用 56540 

FHP0111940GU " 佳騰 " 因施尼亞心律調節器 "GUIDANT" INSIGNIA I PLUS GENERATOR* 74070 

FHP0112400PR REGENCY SR+SSIR PULSE GENERATOR W/AUTOCAPTURE※ 頇檢附心電圖報告專案報備使用 74070 

FHP0112402PR REGENCY SC+SSIC PULSE GENERATOR W/AUTOCAPTURE※ 頇檢附心電圖報告專案報備使用 62260 

FHP0112525PR REGENCY/MICRONY SSIR PULSE GENERATOR 頇附心電圖報告專案報備使用 ( 不頇事前審查 ) 74070 

FHP011SS1RM4 SIGMA SSIR PACEMAKER WITHOUT LEAD ※ 頇檢附心電圖報告專案報備使用 74070 

FHP012404NPR REGENCY SR SSIR PULSE GENERATOR WITHOUT LEAD※ 頇檢附心電圖報告專案報備使用 74070 

FHP012406NPR REGENCY SC/SCX SSI PULSE GENERATOR WITHOUT LEAD※ 頇檢附心電圖報告專案報備使用 56540 

FHP0134115BK 

FHP0134119BK 

„BIOTRONIK‟IMPLANTABLE PACEMAKER-PHILOS II„ 拜耳德尼克 ‟ 植入式心律調整器 (VVIR) 需 

檢附心電圖報告專案報備使用 

„BIOTRONIK‟IMPLANTABLE PACEMAKER-PHILOS II„ 拜耳德尼克 ‟ 植入式心律調整器 (VVI) 需檢 

附心電圖報告專案報備使用 

74070 

62260 

FHP0134981BK " 拜耳德尼克 " 璽洛植入式心律調節器 "BIOTRONIK"CYLOS IMPLANTABLE CARDIAC PACEMAKERS* 74070 

FHP01AVTSRGU 

FHP01AVTSSGU 

" 佳騰 " 因施尼亞內植用雅密特心臟整律器 "GUIDANT"INSIGNIA I AVT PULSE GENERATOR SSIR* 頇檢 

附心電圖報告專案報備適用 

" 佳騰 " 因施尼亞內植用雅密特心臟整律器 "GUIDANT"INSIGNIA I AVT PULSE GENERATOR* 頇檢附心 

電圖報告專案報備適用 

74070 

62260 

FHP01DDD20SB " 波士頓科技 " 歐超心臟整律器 "BOSTON SCIENTIFIC" ALTRUA 20 PACEMAKER * 適應症見備註欄。 102500 

FHP01ESS1RM4 ENPULSE PACING GENERATOR 頇檢附心電圖報告專案報備使用 74070 

FHP01K9KSRM4 KAPPA PULSE GENERATOR ※ 頇檢附心電圖報告專案報備使用 74070 

FHP01KAKSRM4 KAPPA PULSE GENERATOR (SSIR) * 頇檢附心電圖報告專案報備使用 74070 

FHP01M2535ST " 聖猶達 " 植入式心臟節律器 * 需檢附心電圖報告專案報備使用 74070 

FHP01S1195GU INSIGNIA I ENTRA PULSE GENERATOR※ 頇檢附心電圖報告專案報備使用 74070 

FHP01S484NGU INSIGNIA I ENTRA PULSE GENERATOR※ 頇檢附心電圖報告專案報備使用 56540 

FHP01SENAAM4 

" 美敦力 " 賽亞心臟節律系統 "MEDTRONIC" SENSIA PACING SYSTEM VVI/AAI* 需檢附心電圖報告專案 

報備使用 

62260 

280



FHP01SENARM4 " 美敦力 " 賽亞心臟節律系統 "MEDTRONIC" SENSIA PACING SYSTEM VVIR/AAIR* 需檢附心電圖報告專 74070 


FHP01SSR20SB " 波士頓科技 " 歐超心臟整律器 "BOSTON SCIENTIFIC" ALTRUA 20 PACEMAKER * 適應症見備註欄。 74070 

FHP01SSR40SB " 波士頓科技 " 歐超心臟整律器 "BOSTON SCIENTIFIC" ALTRUA 40 PACEMAKER * 適應症見備註欄 74070 

FHP01SSR50SB 

FHP01SSR60SB 

" 波士頓科技 " 歐超心臟整律器 "BOSTON SCIENTIFIC" ALTRUA 50 PACEMAKER * 需檢附心電圖報告專 




74070 

74070 

FHP01SSS20SB " 波士頓科技 " 歐超心臟整律器 "BOSTON SCIENTIFIC" ALTRUA 20 PACEMAKER * 適應症見備註欄。 56540 

FHP01UTASRGU 

FHP01V56SRST 

" 佳騰 " 因施尼亞內植用雅密特心臟整律器 "GUIDANT"INSIGNIA I ULTRA PULSE GENERATOR SSIR* 頇 

檢附心電圖報告專案報備適用 

" 聖猶達 " 維奇植入式心臟節律器 "SJM" VICTORY IMPLANTABLE CARDIAC PULSE GENERATOR * 頇 

檢附心電圖報告專案報備使用 

74070 

74070 

FHP01VDSS5SB " 波士頓科技 " 歐超心臟整律器 "BOSTON SCIENTIFIC" ALTRUA 50 PACEMAKER * 適應症見備註欄 62260 

FHP01VEESRST 

IMPLANTABLE CARDIAC PULSE GENERATOR 單腔型植入式心臟節律器 * 頇檢附心電圖報告專案報備 

使用 

74070 

FHP01VERSCST 植入式心臟節律器 IMPLANTABLE CARDIAC PULSE GENERATOR 62260 

FHP01VERSRST 植入式心臟節律器 IMPLANTABLE CARDIAC PULSE GENERATOR# 頇檢附心電圖報告專案報備使用 74070 

FHP01ZESR6ST " 聖猷達 " 神風植入式心臟節律器 "SJM" ZEPHYR IMPLANTABLE CARDIAC PULSE GENERATOR * 74070 

FHP02DDD12GU 因施尼亞內植用心律調節器 GUIDANT INSIGNIA I ENTRA PULSE GENERATOR* 102500 

FHP02DDD18BK 雙腔型心臟節律器 "BIOTRONIK" IMPLANTABLE PACEMAKERS-PHILOS II D* 102500 

FHP02DDD2SST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02DDD2UST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02DDD32GU 內植用雅密特心臟整律器 GUIDANT INSIGNIA I AVT PULSE GENERATOR* 102500 

FHP02DDD50SB 



102500 

FHP02DDD6SST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02DDD6UST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02DDDADM4 美敦力黛拉心臟節律器 MEDTRONIC ADAPTA PACING GENERATOR* 102500 

FHP02DDDENM4 美敦力心臟節律系統 MEDTRONIC ENPULSE PACING GENERATOR* 102500 

FHP02DDDKKM4 美敦力卡帕人工心律調節器 MEDTRONIC KAPPA PULSE GENERATOR* 102500 

FHP02DDDSEM4 美敦力賽亞心臟節律器 MEDTRONIC SENSIA PACING GENERATOR* 102500 

FHP02DDDSGM4 希格瑪人工心律調節器 * 102500 

281



FHP02DDR11GU 因施尼亞內植用心律調節器 GUIDANT INSIGNIA I ENTRA PULSE GENERATOR*, 按同類近似特材支付 102500 

點數 102500 點支付 , 超過部分由病患自付。 

FHP02DDR20SB 

FHP02DDR21BK 

FHP02DDR21GU 

FHP02DDR31GU 

FHP02DDR34BK 

FHP02DDR3SST 

FHP02DDR3UST 

FHP02DDR40SB 

FHP02DDR41GU 

FHP02DDR50SB 

FHP02DDR5SST 

FHP02DDR5UST 

FHP02DDR60SB 

FHP02DDR7SST 

FHP02DDR7UST 

FHP02DDR8SST 

FHP02DDR8UST 

FHP02DDRADM4 

" 波士頓科技 " 歐超心臟整律器 "BOSTON SCIENTIFIC" ALTRUA 20 PACEMAKER * 適應症見備註欄 , 按 

同類近似特材支付點數 102500 點支付 , 超過部分由病患自付。 

雙腔型心臟節律器 "BIOTRONIK" IMPLANTABLE PACEMAKERS-PHILOS II*, 按同類近似特材支付點數 

102500 點支付 , 超過部分由病患自付。 

因施尼亞心律調節器 GUIDANT INSIGNIA I PLUS PULSE GENERATOR*, 按同類近似特材支付點數 


內植用雅密特心臟整律器 GUIDANT INSIGNIA I AVT PULSE GENERATOR*, 按同類近似特材支付點數 


雙腔型心律調節器 "BIOTRONIK" CYLOS IMPLANTABLE CARDIAC PACEMAKERS*, 按同類近似特材 

支付點數 102500 點給付超過部分由病患自付 

雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR *, 按同類近似特材支付點數 






因施尼亞心臟整律器 GUIDANT INSIGNIA I ULTRA PULSE GENERATOR*, 按同類近似特材支付點數 










雙腔型心臟節律器 "SJM" DUAL CHAMBER PULSE GENERATOR *, 按同類近似特材支付點數 102500 點 

支付 , 超過部分由病患自付。 



維奇植入式心臟節律器 "SJM"VICTORY IMPLANTABLE CARDIAC PULSE GENERATOR, 按同類近似特 

材支付點數 102500 點支付 , 超過部分由病患自付 

雙腔型心臟節律器 "SJM" VICTORY IMPLANTABLE CARDIAC PULSE GENERATOR *, 按同類近似特材 

支付點數 102500 點支付 , 超過部分由病患自付。 

美敦力黛拉心臟節律器 MEDTRONIC ADAPTA PACING GENERATOR*, 按同類近似特材支付點數 


102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

102500 

FHP02DDRENM4 美敦力心臟節律系統 MEDTRONIC ENPULSE PACING GENERATOR*, 按同類近似特材支付點數 102500 

點支付 , 超過部分由病患自付。 

102500 

FHP02DDRKKM4 

FHP02DDRSEM4 

美敦力卡帕人工心律調節器 MEDTRONIC KAPPA PULSE GENERATOR*, 按同類近似特材支付點數 


美敦力賽亞心臟節律器 MEDTRONIC SENSIA PACING GENERATOR*, 按同類近似特材支付點數 


102500 

102500 

FHP02DDRSGM4 希格瑪人工心律調節器 *, 按同類近似特材支付點數 102500 點支付 , 超過部分由病患自付。 102500 

FHP02DDRTHM4 

植入式心臟節律系統 ENRHYTHM IMPLANTABLE PACEMAKER SYSTEMS*, 按同類近似特材支付點 

數 102500 點支付 , 超過部分由病患自付。 

102500 

FHP02DDRVEM4 美敦力維莎心臟節律器 MEDTRONIC VERSA PACING GENERATOR*, 按同類近似特材支付點數 102500 

點支付 , 超過部分由病患自付。 

102500 

FHP02VDDADM4 美敦力黛拉心臟節律器 MEDTRONIC ADAPTA PACING GENERATOR* 102500 

282



FHP02VDDENM4 美敦力心臟節律系統 MEDTRONIC ENPULSE PACING GENERATOR* 102500 

FHP02VDDKKM4 美敦力卡帕人工心律調節器 MEDTRONIC KAPPA PULSE GENERATOR* 102500 

FHP02VDDSGM4 希格瑪人工心律調節器 * 102500 

FHP02VDR16BK 雙腔型心臟節律器 "BIOTRONIK" IMPLANTABLE PACEMAKERS-PHILOS II SLR* 102500 

FHP02VDR1SST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02VDR1UST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02VDR4SST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02VDR4UST 雙腔型心臟節律器 "SJM" IMPLANTABLE CARDIAC PULSE GENERATOR * 102500 

FHP02ZEDRSST 

FHP02ZEDRUST 

神風植入式心臟節律器 "SJM"ZEPHYR IMPLANTABLE CARDIAC PULSE GENERATOR, 按同類近似特材 


神風植入式心臟節律器 "SJM"ZEPHYR IMPLANTABLE CARDIAC PULSE GENERATOR, 按同類近似特材 


102500 

102500 



FHP41V1017VW " 維喜 " 人工血管接環 "VASORING" VASCULAR RING CONNECTOR 35000 

FHPHF02187M4 CARDIAC VEIN PACING LEAD 21850 

FHPL203830M4 " 美敦力 " 賽西兒導線 "MEDTRONIC"SELECTSURE LEAD* 22500 

FHPL205038M4 „ 美敦力 ‟ 蓋普夏整律導管 "METRONIC" CAPSURE VDD-2 LEAD* 18500 

FHPL21368NST " 聖猷達 " 植入式心臟節律器電刺激導線 "SJM" IMPLANTABLE CARDIAC PACING LEAD* 18500 

FHV01EZ770M4 HALL EASY-FIT PROSTHETIC HEART VALVE 39900 

FHV01VAVGJST " 聖猶達 " 馬斯特機械性人工心臟瓣膜 "SJM" MASTERS MECHANICAL HEART VALVE* 85000 

FHV0200995M4 FREESTYLE AORTIC ROOT BIOPROSTHESIS(19MM:27MM) 63000 

FHV022500PED PRIMA PLUS STENTLESS BIOPROSTHESIS 63000 

FHV0299500M4 THE PRESTYLED FREESTYLE BIOPROSTHESIS 56000 

FHV02A2625ED CARPENTIER-EDWARDS BIOPROSTHESES 32250 

FHVR104100ED 

卡本特 - 麥卡錫亞當二尖瓣修補環 "EDWARDS"CARPENTIER-MCCARTHY-ADMA IMR ETLOGIX 

ANNULOPLASTY RING24MM:34MM 

20100 

FHVR104450ED C/E PHYSIO ANNULOPLASTY RING(24:40MM) 20100 

FHVR104600ED COSGROVE-EDWARDS ANNULOPLASTY SYSTEM(26:38MM) 20100 

283



FHVR1CG638M4 COLVIN-GALLOWAY FUTURE ANNULOPLASTY BAND 瓣膜成型帶 20100 

FHVR1D610BM4 DURAN FLEXIBLE ANNULOPLASTY RING 25MM:35MM 擴增產品型號 620R 、620B-25:35 自 93.1.1 生效 20100 

FHVR1H608HM4 DURAN FLEXIBLE ANNULOPLASTY RING 25:35MM 20100 

FHVR1M4900ED " 愛德華 " 三尖瓣環成形術系統 "EDWARDS"MC3 TRICUSPID ANNULOPLASTY SYSTEM 20100 

FHVR1RSARNST " 聖猷達 " 環狀成形術環 "SJM" RIGID SADDLE RING 15700 

FHVR1SARNNST 環狀成形術環 SEGUIN ANNULOPLASTY RING 20100 

FHVR1SARPNST 環狀成形術環 SEGUIN ANNULOPLASTY RING 20100 

FHVR1T4528ED CARPENTIER-EDWARDS CLASSIC ANNULOPLASTY RING(26:36MM) 15700 

FHVR1TARNNST SJM TAILOR ANNULOPLASTY RING(25MM:35MM) 20100 

FHVR1TARPNST TAILOR ANNULOPLASTY RING 泰勒環狀成形術環 20100 

FHX0203381M4 MINIMAX PLUS OXYGENATOR 10920 

FHX0229400M4 OCTOPUS 4 TISSUE STABILIZER SYSTEM ( 產品型號 29403 自 94 年 10 月 1 日生效 )29700&29800 自 95 年 9 月 1 

日刪除給付 

44800 

FHX02BL0MSM4 " 美敦力 " 噴射灌洗器 "MEDTRONIC" BLOWER/MISTER(WITH TUBING SET) 2425 

FHX02E4012E8 SYNERGY ATTACHMENT * 心臟不停跳冠狀動脈繞道手術用吸引式穩定器 37598 

FHX02E401SE8 CORONARY ARTERY STABILIZER * 心臟不停跳冠狀動脈繞道手術用穩定器 37598 

FHX02RX050TM CAPIOX RX HOLLOW FIBER OXYGENATOR WITHOUT RESERVOIR BY X-COATING 10920 

FHX02RX150TM ” 泰爾茂 ” 膜型人工心肺 RX”TERUMO”CAPIOX RX OXYGENATOR(WITHOUT RESERVOIR)* 13998 

FHX02RX250TM 

FHX02SCTSPM4 

CAPIOX RX OXYGENATOR WITHOUT/RESERVOIR W/HYDROPHILIC POLYMER COATED( 二 )( 產品型 

號 CX*RX25W,CX*RX25E 自 94 年 10 月 1 日生效 ) 

" 美敦力 " 穩定器 "MEDTRONIC" CARDIOVASCULAR SURGICAL INSTRUMENTS(STERILE)-OCTOPUS 

TISSUE STABILIZER 心臟不停跳冠狀動脈繞道手術用穩定器 

13998 

44800 

FHX02UM400GU ULTIMA OPCAB SYSTEM(AXIUS VACCUM STABILIZER SYETEM WITH STANDARD BLADE) 44800 

FHX02UM600GU ACROBAT OFF-PUMP SYSTEM STABILIZER WITH BLADES 心臟不停跳穩定器 44800 

FHX02UM900QM 

ACROBAT VACUUM OFF PUMP SYSTEM(ACCESS RAIL PLATFORM+STABILIZER+VACCUM TUBING 

SET) 

44800 

FHX0303301M4 MINIMAX PLUS OXYGENATOR WITH RESERVOIR 12587 

FHX0307850TM DISPOSABLE PUMP HEAD (BIO PUMP) 9528 

FHX030BP80M4 BIO-PUMP 9528 

FHX030DP38M4 BIO-PROBE INSERT 914 

284



FHX0312500M4 艾克模薄膜式人工心肺 MEDTRONIC ECMO SILICON MEMBRANE OXGENATOR* 23486 

FHX03541TTM4 

AFFINITY NT HOLLOW FIBER OXYGENATOR WITH TRILLIUM BIOPASSIVE SURFACE AND 

INTEGRATED CVR NT 含心臟切開術靜脈貯槽之人工心肺 * 

14558 

FHX036000SGH GISH IBC FLOPUMP WITH GBS COATING* 9528 

FHX03A5410M4 

AFFINITY NT HOLLOW FIBER OXYGENATOR WITH TRILLIUM BIOPASSIVE SURFACE AND 

INTEGRATED CVR NT 

12587 

FHX03A541TM4 AFFINITY NT HOLLOW FIBER OXYGENATOR W/RESERVOIR (TRILLIUM COATED) 13458 

FHX03BPX80M4 BIO-PUMP PLUS CENTRIFUGAL BLOOD PUMP * 9528 

FHX03CB511M4 AFFINITY HOLLOW FIBER OXYGENATOR BIOACTIVE SURFACE〔限重大複雜之心臟血管手術〕 13998 

FHX03FC038TM ” 泰爾茂 ” 血液幫浦 - 流量接頭 ”TERUMO”CAPIOX SP PUMP-FLOW CONNECTOR* 914 

FHX03FS038TM CAPIOX SP BLOOD FLOW SENSOR 914 

FHX03ME002ML 

FHX03ME062ML 

HOLLOW FIBER OXYGENATOR WITH RESERVOIR,RHEOPARIN COATED(HILITE 7000ADULT/HILITE 

2800PEDIATRIC/HILITE 1000INFANT) 

HOLLOW FIBER OXYGENATOR WITH RESERVOIR,(HILITE 7000ADULT/HILITE 

2800PEDIATRIC/HILITE 1000INFANT) 

13458 

12587 

FHX03MECL6ML " 美德思 " 人工心肺 "MEDOS"OXYGENATOR* 23486 

FHX03MEDP2ML " 美德思 " 血液幫浦系統 "MEDOS"DELTASTREAM BLOOD PUMP SYSTEM* 9528 

FHX03PHEADH9 " 華億 " 體外循環管組 "HYM" HEART LUNG PACK(PUMP HEAD)* 9528 

FHX03RRF32QM 

" 邁柯唯 " 離心幫浦 ( 未含肝素塗層 ) "MAQUET" CENTRIFUGAL PUMP ROTAFLOW WITHOUT BIOLINE 

COATING* 

9528 

FHX03RX05RTM CAPIOX RX HOLLOW FIBER OXYGENATOR WITH RESERVOIR BY X-COATING 12587 

FHX03RX15RTM ” 泰爾茂 ” 膜型人工心肺 RX”TERUMO”CAPIOX RX OXYGENATOR* 14558 

FHX03RX25RTM 

CAPIOX RX OXYGENATOR W/RESERVOIR W/HYDROPHILIC COATED( 二 )( 產品型號 

CX*RX25RW,CX*RX25RE 於 941001 生效 ) 

14558 

FHX03SP045TM CAPIOX SP PUMP HEAD 9528 

FHX03SX10RTM CAPIOX SX MEMBRANE OXYGENATOR WITH HARD-SHELL RESERVOIR (PEDIATRIC) 12587 

FHX03SX18RTM CAPIOX SX MEMBRANE OXYGENATOR WITH HARD-SHELL RESERVOIR (ADULT) 12587 

FHX04A20E1H9 "HYM" HEART LUNG PACK(W/OXYGENATOR+PUMP HEAD+FLOW PROBE+TUBING SET 等 ) 44695 

FHX04A21E1H9 "HYM" HEART LUNG PACK(W/OXYGENATOR+FLOW PROBE+TUBING SET 等 ) 33129 

FHX04A31CPH9 

FHX04CB1V9M4 

HEART LUNG PACK 適應症備註 PRE BYPASS FILTER+ORGANIZER+SUCKER*2+ARTERIAL 

FILTER+TRANSDUCER+PROBE CONNECTOR+SATURATION CUVETTE+PUMP HEAD 

BLOOD TUBING PACK 血液套裝組 (OXYGENATOR+BIO-PUMP+TUBING SET+DISPOSABLE PROBE) 型 

號 CB1Q91R4,CB2503R1 自 940701 生效 

19301 

44695 

FHX04CB4P7M4 " 美敦力 " 血液套裝組 ”MEDTRONIC”BLOOD TUBING PACK(WITHOUT OXYGENATOR)* 28028 

285



FHX04CBCCSM4 ECMO CLOSE CHEST SUPPORT CIRCUIT W/OXYGENATOR+BIO-PUMP+TUBING SET 使用參考見備註 44695 

欄 CB2506 於 920401 擴增 

FHX04CXESLTM 

CAPIOX EBS OXYGENATOR KIT(HP) 人工心肺套 /OXYGENATOR+SP-PUMP+TUBING SET※ 使用參考 


44695 

FHX04ME620ML ECMO LT SYSTEM(OXGENATOR+TUBING,A-V LOOP,ADAPTOR,ACCESSORY+PUMP HEAD) 44695 

FHX04ME623ML ECMO LT SYSTEM WITHOUT PUMPHEAD 33129 

FHXR200321M4 AFFINITY VENOUS RESERVOIR BAG 3297 

FHXR20CR40TM CARDIOTOMY RESERVOIR 4000CC 3297 

FHXR2CAPDFGH CARDIOTOMY RESERVOIR/AUTOTRANSFUSION/PLEURAL DRAINAGE RESERVOIR 3596 

FHXR2EL400M4 CARDIOTOMY RESERVOIR* 3596 

FHXR2RV500M4 VENOUS RESERVOIR 1820 

FNP9140380T0 WIRE MESH 10X10CM 263 

FNP91DUR01CK " 曲克 " 硬腦膜替代物 "COOK" DURASIS DURAL SUBSTITUTE 7CM×10CM 14182 

FNP91DUR02CK " 曲克 " 硬腦膜替代物 "COOK" DURASIS DURAL SUBSTITUTE 7CM×20CM 24192 

FPM0119604HH MICROGRAFT GAUZE WITH CORKPLATE 1:4 1700 



FPP010574NLE MINI DOUBLE Y PLATE 7 HOLE 2469 

FPP010575NLE MINI Y PLATE W/BAR 5 HOLE 2022 

FPP010576NLE MINI LOCKING PLATE W/BAR 5-6 HOLE 1923 

FPP0106002M3 2HOLE MINI LOW PROFILE PLATE 1207 

FPP0106106LE 0.6,1.0MM MINI BONE PLATE 5,6HOLE REGULAR STR 1207 

FPP0106109LE 0.6,1.0MM MINI BONE PLATE 8HOLE REGULAR STR 1504 

FPP0106112LE 0.6,1.0MM MINI BONE PLATE 4 HOLE REGULAR STR 1207 

FPP0106120LE 0.6,1.0MM MINI L-PLATE REGULAR RIGHT 4HOLE 1937 

FPP0106121LE L-PLATE LEFT 0.6MM 1937 

FPP0106122LE 0.6,1.0MM MINI L-PLATE LONG RIGHT 4HOLE 1937 

FPP0106123LE 0.6,1.0MM MINI L-PLATE LONG LEFT 4HOLE 1937 

286



FPP0106124LE 0.6,1.0MM MINI L-PLATE REGULAR LEFT 4HOLE 1937 

FPP0106140LE 0.6,1.0MM MINI T-PLATE REGULAR 90 度 6HOLE 2190 

FPP0106141LE 0.6,1.0MM MINI T-PLATE LONG 90 度 5HOLE 2190 

FPP0106142LE 0.6,1.0MM MINI T-PLATE LONG 80 度 RIGHT 5HOLE 2190 

FPP0106143LE 0.6,1.0MM MINI T-PLATE LONG 80 度 LEFT 5HOLE 2190 

FPP0106144LE 0.6,1.0MM MINI DOUBLE T PLATE REGULAR 6HOLE 2379 

FPP0106145LE 0.6,1.0MM MINI DOUBLE T LONG 90 度 4HOLE 2379 

FPP0106160LE 0.6,1.0MM MINI Y PLATE(REGULAR LONG)5HOLE 2154 

FPP0106162LE 0.6,1.0MM MINI DOUBLE Y PLATE LONG 6HOLE 2905 

FPP0106164LE 0.6,1.0MM MINI DOUBLE Y PLATE LONG EXTENDED 8HOLE 2905 

FPP0106181LE LOW PROFILE ORBITA PLATE CURVE 6,8 HOLE 0.6MM REGULAR 2222 

FPP0106214M3 TITANIUM 0.6MM MINI PLATE L SHAPE 1937 

FPP0106763M3 0.6MM,1.0MM TIANIUM LOW PROFILE MINI PLATE DOUBLE Y 6HOLE 2469 

FPP010677NLE MINI T PLATE 5 HOLE 2076 

FPP0106906M3 TITANIUM 0.6MM LOW PROFILE MINI PLATE ORBITA SHAPE 6,8 HOLES 2222 

FPP0108216LE 1.0MM MINI BONE PLATE 16HOLE REGULAR STR 2038 

FPP0108260LE 1.0MM MINI DOUBLE Y PLATE REGULAR 6HOLE 2905 

FPP0110000EJ 2.0 MM MINI "L" PLATE 90 DEGREE, 4 HOLE 1923 

FPP0110001EJ 2.0 MM MINI "L" PLATE 4 HOLE 1923 

FPP0110002EJ 2.0 MM MINI ZED PLATE 4 HOLE 2170 

FPP0110003EJ 2.0 MM MINI "Y" PLATE 7 HOLE 2022 

FPP0110021EJ 2.0 MM MINI L PLATE 4 HOLE 1923 

FPP0110022EJ 2.0 MM MINI ZED PLATE 4 HOLE 2170 

FPP0110023EJ 2.0 MM MINI Y PLATE 7 HOLE 2022 

FPP0110030EJ 2.0 MM MINI STRAIGHT PLATE 4 HOLE 1207 


287




FPP0110036EJ 2.0 MM MINI T PLATE 5 HOLE 2076 

FPP0110039EJ 2.0 MM MINI LARGE BUR HOLE PLATE 6 HOLE 6400 

FPP0110052EJ 2.0 MM MINI X PLATE 4 HOLE 2469 

FPP0110103LE 1.0MM MINI BONE PLATE 4HOLE LONG STR 1207 

FPP0110106LE 0.6,1.0MM MINI BONE PLATE 6HOLE LONG STR 1415 



FPP0110235EJ 2.0 MM MINI I PLATE 4 HOLE 2379 

FPP0110236EJ 2.0 MM MINI Y PLATE 5 HOLE 2022 

FPP0110239EJ 2.0 MM MINI DOUBLE Y PLATE 6 HOLE 2469 

FPP011051NLE MINI PLATE 16 HOLE 2038 



FPP011057NLE MINI STRAIGHT PLATE 8 HOLE 1284 

FPP01105NNLE MINI LOCKING STRAIGHT PLATE 16 HOLES 2038 

FPP011067NLE MINI PLATE 4 HOLE W/BAR 1207 



FPP0114008EJ 2.0 MM MINI TR BSSO PLATE 4 HOLE 2379 

FPP0120211Y2 MINI PLATE 1.0MM 4HOLE STR 1207 



FPP0120221Y2 MINI PLATE 1.0MM 4HOLE L-SHAPE 1923 

FPP0120231Y2 MINI PLATE 1.0MM 5HOLE T-SHAPE 80,90 度 2076 

FPP0120241Y2 MINI PLATE 1.0MM 5HOLE DOUBLE T-SHAPE 2379 

288



FPP0120246Y2 MINI PLATE 1.0MM 6HOLE Y-SHAPE 2022 

FPP0120251Y2 MINI PLATE 1.0MM 6HOLE DOUBLE Y-SHAPE 2469 

FPP0120256Y2 MINI NASAL BONE PLATE 1.0MM 4560 

FPP0147004S1 MINI PLATE 1.5/2.0 2:4HOLE 16:28MM 1207 

FPP0147016S1 MINI PLATE 2.0 6HOLE 35:40MM 1415 

FPP0147018S1 2.0MM MANDIBLE MINI PLATE 6HOLE,70D( 轉 70 度 ) TWISTED 40MM 2670 

FPP0147100S1 ADAPTION MINI PLATE 1.5,2.0 20HOLE STR 2038 

FPP0147220S1 ORBITAL RIM PLATE 1.5,2.0 CURVED 8:12 HOLES 2222 

FPP01475NNS1 L- PLATE 1.5,2.0 5:10 HOLES 1937 

FPP0147620S1 Y- PLATE 1.5,2.0 5:8 HOLES 2154 

FPP0147680S1 DOUBLE Y-PLATE 2.0 8HOLE 2905 

FPP0147810S1 X-PLATE 1.5,2.0 4 HOLES 2508 

FPP0147850S1 MINI H-PLATE 2.0 8:9 HOLES 4930 

FPP0147910S1 MINI BURR HOLE COVER 1.5,2.0 6 HOLES 6400 

FPP0151004M3 TITANIUM 0.6MM,1.0MM MINI PLATE 4 HOLES STR 1207 

FPP0151006M3 TITANIUM 0.6MM,1.0MM MINIP LATE 6 HOLES STR 1300 

FPP0151008M3 TITANIUM 0.6MM,1.0MM MINIP LATE 8HOLE STR 1504 

FPP0151016M3 TITANIUM 0.6MM,1.0MM MINI PLATE 16 HOLE STR 2038 

FPP0152014M3 TITANIUM 1.0MM MINI PLATE L SHAPE 4 HOLE 1937 

FPP0152414M3 TITANIUM 0.6MM,1.0MM MINI PLATE L SHAPE 4HOLE 1937 

FPP0152520M3 TITANIUM0.6MM,1.0MM MINI PLATE 110 度 4HOLE 1937 

FPP0154015M3 TITANIUM 0.6MM,1.0MM MIN IPLATE T SHAPE 90 度 4HOLE 2190 

FPP0154315M3 TITANIUM 0.6MM,1.0MM MINI PLATE T SHAPE 80 度 4HOLE 2190 

FPP0154816M3 TITANIUM 0.6MM,1.0MM MINI PLATE DOUBLE T SHAPE 90 度 4,6HOLE 2379 

FPP0155015M3 TITANIUM0.6MM,1.0MM MINI PLATE Y SHAPE 5HOLE 2154 

FPP0156016M3 TITANIUM 0.6MM,1.0MM MINI PLATE DOUBLE Y SHAPE 6HOLE 2905 

289



FPP0156217M3 TITANIUM 0.6MM,1.0MM MINI PLATE DOUBLE Y SHAPE 7HOLE 2905 

FPP0157012M3 TITANIUM 0.6MM,1.0MM MINI PLATE H SHAPE 12HOLE 4560 

FPP0187004MC TITANIUM 1MM MINI PLATE 4HOLE STR 1207 

FPP0187005MC TITANIUM 1MM MINI PLATE 5HOLE STR 1207 

FPP0187006MC TITANIUM 1MM MINI PLATE 6 HOLE STR 1365 

FPP0187008MC TITANIUM 1MM MINI PLATE 8 HOLE STR 1504 

FPP0187014MC TITANIUM 1MM MINI PLATE 4 HOLE 9MM STR 1207 


FPP0187031MC TITANIUM 1MM MINI L-PLATE RIGHT 9MM 4 HOLE 1923 

FPP0187032MC TITANIUM 1MM MINI L-PLATE LEFT 9MM 4 HOLE 1923 

FPP0187033MC TITANIUM 1MM MINI L-PLATE R 9MM 4 HOLE 1923 


FPP0187035MC TITANIUM 1MM MINI L-PLATE RIGHT 12MM 4 HOLE 1923 


FPP0187053MC TITANIUM 1MM MINI Y PLATE 9MM 4 HOLE 2022 

FPP0187054MC TITANIUM 1MM MINI Y PLATE 12MM 4HOLE 2022 

FPP0187055MC TITANIUM 1MM MINI DOUBLE Y PLATE 9MM 6HOLE 2469 

FPP0187077MC TITANIUM 1MM MANDIBULAR ANGLE PLATE 4HOLE LEFT 2170 

FPP0187078MC TITANIUM 1MM MINI MANDIBULAR ANGLE PLATE 4HOLE RIGHT 2170 

FPP0187079MC TITANIUM 1MM MINI MANDIBULAR ANGLE PLATE 6HOLE LEFT 2450 

FPP0187080MC TITANIUM 1MM MINI MANDIBULAR ANGLE PLATE 6HOLE RIGHT 2450 

FPP0187085MC 1MM MINI TI-ORBITA PLATE 12MM 4HOLE 2222 


FPP0189501MC TITANIUM MANDIBULAR RECONSTRUCTION PLATE STRAIGHT 100MM 2MM 4900 

FPP0189512MC TITANIUM MANDIBULAR RECONSTRUCTION PLATE ANGLE 105MM 2MM 14HOLE R/L 8836 

FPP01A7072WR 0.6MM MINI L-PLATE 100 度 4-6 HOLE 1.5MM 1923 

290



FPP01A7106WR MINI PREFORMED ORBITAL FLOOR PLATE 8220 

FPP01A7120WR MINI X-PLATE REGULAR 4 HOLE 2469 

FPP01A7135WR 0.6MM NASAL H PLATE, REGULAR 12HOLE 4560 

FPP01A7316WR MESH BURR HOLE PLATE 1.5MM 6400 

FPP01A7345WR NEURO MINI PLATE STRAIGHT 2 HOLE 1.5MM 1207 

FPP01A8046WR 0.6MM MINI BONE PLATE, MEDIUM 2 HOLE STRAIGHT 2.0MM 1207 

FPP01A8057WR 0.6MM MINI L-PLATE 5 HOLE 1923 

FPP01A8068WR MINI BURR HOLE PLATE 6400 

FPP01A8081WR 0.6MM MINI Z PLATE 4 HOLE 2170 

FPP01A9204WR 0.6,1.0MM MINI BONE PLATE 4 HOLE STRAIGHT 1207 


FPP01A9207WR 0.6,1.0MM MINI BONE PLATE 6 HOLE LONG STRAIGHT 1284 


FPP01A9215WR 1.0MM MINI BONE PLATE, EXTRA LONG 4 HOLE STRAIGHT 2.0MM 1207 

FPP01A9216WR 0.6;1.0MM MINI BONE PLATE 16 HOLE STRAIGHT 2038 

FPP01A9226WR 0.6;1.0MM MINI ORBITAL PLATE 6:10HOLE 2222 

FPP01A9228WR MINI PLATE, 6-8 HOLE ANGLE 2.0MM 2450 

FPP01A9230WR 0.6;1.0MM MINI L-PLATE 4 HOLE 1923 

FPP01A9235WR MINI V PLATE, 9 HOLE 2.0MM 4560 

FPP01A9240WR 0.6;1.0MM MINI T PLATE 5:7 HOLE 2076 

FPP01A9250WR 0.6;1.0MM MINI Y PLATE 5 HOLE 2022 

FPP01A9260WR 0.6,1.0MM MINI DOUBLE Y PLATE 6:8HOLE 2469 

FPP01A9264WR 0.6;1.0MM MINI L-PLATE 6 HOLE 1923 

FPP01A9294WR 0.6;1.0MM MINI DOUBLE T-PLATE 4,6 HOLE 2379 

FPP0208732LE BRIDGING PLATE STR 6:10HOLE 2.8MM ( 型號 5620006,8,5629008,10 自 92/1/1 生效 ) 3918 

FPP0208733LE BRIDGING PLATE STRAIGHT 11HOLE(4+3+4HOLE) 2.8MM 5370 

291



FPP0208734LE BRIDGING PLATE STR 11:17 H (5620011:7,8003:11,3,9012:6,5415070,5633034:139 92/1/1 生效 )※ 適應症見備 5870 

註 

FPP0208735LE BRIDGING PLATE STRAIGHT 13HOLE(4+5+4HOE)2.8MM 5870 

FPP0208736LE BRIDGING PLATE STRAIGHT 14HOLE(4+6+4HOLE)2.8MM 5870 

FPP0208737LE BRIDGING PLATE STRAIGHT 15HOLE(4+7+4HOLE)2.8MM 5870 

FPP0208743LE BRIDGING PLATE ANGLE LEFT 11HOLE(4+3+4HOLE)2.8MM ( 型號 5415076 自 92/1/1/ 生效 ) 7920 

FPP0208745LE BRIDGING PLATE L-ANGLE 12:21H( 型號 5620048:59,8025:87,9038:76 自 92/1/1 生效 ) 8836 

FPP0208747LE BRIDGING PLATE ANGLE LEFT 15HOLE(4+7+4HOLE)2.8MM 8836 

FPP0208749LE BRIDGING PLATE ANGLE LEFT 17HOLE (4+9+4HOLE)2.8MM 8836 

FPP0208753LE BRIDGING PLATE ANGLE RIGHT 11HOLE(4+3+4HOLE)2.8MM 7920 



FPP0208759LE BRIDGING PLATE ANGLE RIGHT 17HOE(4+9+4HOLE)2.8MM 8836 

FPP0208770LE CONDYLAR IMPLANT LEFT 14MM 9007 

FPP0208771LE CONDYLAR IMPLANT RIGHT 14MM 9007 

FPP021552NLE ANGLE PLATE 6-10 HOLE 7920 

FPP021591NLE RECON PLATE STRAIGHT 11-24 HOLE 4900 

FPP021592NLE RECON PLATE HEMI/FULL 9007 

FPP0220511Y2 COMPRESSION PLATE 1.6MM 4,8HOLE STR 3918 

FPP0220518Y2 COMPRESSION PLATE 1.6MM 16HOLE STR 4900 

FPP0220521Y2 COMPRESSION PLATE 1.6MM 4HOLE STR/ 斜孔 3918 

FPP0220610Y2 TOTAL MANDIBULAR BRIDGING STR PLATE 3.0MM(4+9+4) HOLE 19060 

FPP0220611Y2 MANDIBULAR BRIDGING STR PLATE 3.0MM(4+2+4) HOLE 3918 

FPP0220612Y2 MANDIBULAR BRIDGING STR PLATE 3.0MM(4+3,4,5,6,7+4)HOLE 4900 

FPP0220621Y2 MANDIBULAR BRIDGING STR PLATE 3.0MM(4+3,5,7,9+4)HOLE 7920 

FPP0240008M3 TITANIUM RECONSTRUCTION PLATE 8HOLE STR 3918 

FPP0240010M3 TITANIUM RECONSTRUCTION PLATE 10:14HOLE STR 5870 

292



FPP0240016M3 TITANIUM RECONSTRUCTION PLATE 16,18HOLE STR 5870 

FPP0240028M3 TITANIUM RECONSTRUCTION PLATE 5+8HOLE ANG 7920 

FPP0240032M3 TITANIUM RECONSTRUCTION PLATE 5+12HOLE ANG 8836 

FPP0240036M3 TITANIUM RECONSTRUCTION PLATE 5+16HOLE,5+20HOLE ANG 8836 

FPP0240080M3 TITANIUM RECONSTRUCTION PLATE 5+20+5HOLE COMPLETE MANDIBLE 19060 

FPP024009KM3 TITANIUM CONDYLAR PROTHESIS W/2 FIXATION HOLES 9007 

FPP0241509LE COMPRESSION PLATE ANGLE 4HOLE 7920 

FPP0249630S1 2.4MM RECONSTRUCTION PLATE STRAIGHT 12HOLE 95MM 5870 

FPP0249720S1 2.4MM RECONSTRUCTION PLATE STRAIGHT 20:24HOLE 159MM 5870 

FPP024988NS1 2.4MM RECONSTRUCTION PLATE ANGLED 18:27HOLE 146MM 8836 

FPP025633NLE TOTAL BRIDGING PLATE 25:30HOLE( 型號含 5633154:69) 19060 

FPP0269502MC TITANIUM MANDIBULAR RECONSTRACTION PLATE 14HOLE 4900 

FPP0269510MC TITANIUM MANDIBULAR RECONSTRACTION PLATE ANGLE 12HOLE 7920 

FPP02A4506WR 2.4 LOCKING RECON PLATES6,12 HOLE 4900 

FPP02A4507WR 2.0 LOCKING FRACTURE PLATES 6 HOLE,ANGLE 7920 

FPP02A4518WR 2.4 LOCKING RECON PLATES 18,24 HOLE 4900 

FPP02A4540WR 2.4 LOCKING RECON 5+11 PLATES,ANGLE 7920 

FPP02A4542WR 2.4 LOCKING RECON 5+22 PLATES,ANGLE 7920 

FPP02A4544WR 2.4 LOCKING RECON PLATE,DOUBLE ANGLE 19060 

FPP0308640LE FRACTURE PLATE 4:8HOLE 35MM 1.8MM( 型號 5415-031:064,081:084 自 92/1/1 生效 ) 3918 

FPP0308642LE FRACTURE PLATE 4 HOLE 40MM 1.8MM 3918 




FPP0308660LE MAND ANGLE PLATE 60 R "TS 1.8MM 4560 

FPP0308670LE FRACTURE PLATE 4H 35MM 1.8MM STR 3918 

293





FPP0315064LE MANDIBULAR COMPRESSION PLATE 8HOLE 3918 

FPP0315070LE MANDIBULAR COMPRESSION PLATE 14HOLE 4900 

FPP0315131M3 MRS FRACTURE BONE PLATE 4:8HOLE STR 3918 

FPP0315170M3 MRS FRACTURE BONE PLATE 14HOLE STR 4900 

FPP031550NLE COMPRESSION PLATE 2-10 HOLE 3918 

FPP0320526Y2 COMPRESSION PLATE 1.6MM 4HOLE STR/60 度 4560 

FPP03434NNS1 2.0MM ZYGOMATIC DCP 4:6HOLE STR 3918 

FPP0349038S1 DCP 2.0 7:8 HOLES 3918 

FPP0349110S1 TENSION BAND PLATE 2.0,2.4 4:6HOLE STR 22:35MM 3918 

FPP0349160S1 2.4MM LC-DCP STRAIGHT 4:6HOLE 36:52MM 3918 

FPP0349236S1 2.4MM LIMITED CONTACT-DCP ECCENTRIC 4:6HOLE 36:52MM 4560 

FPP0349260S1 2.4MM LC-DCP CURVED 4:6HOLE 35:50MM 4560 

FPP0349380S1 UNIVERSAL FRACTURE PLATE 2.4 STRAIGHT 8 HOLES 3918 

FPP0349400S1 UNIVERSAL FRACTURE PLATE 2.4 STRAIGHT 10 HOLES 3918 

FPP0349424S1 UNIVERSAL FRACTURE PLATE 2.4 STRAIGHT 24 HOLES (447.021 自 90/10/01 生效 ) 5870 

FPP034944NS1 UNIVERSAL FRACTURE PLATE 2.4 ANGLED 20:27 HOLES 8836 

FPP034984NS1 UNIVERSAL FRACTURE PLATE 2.4 ANGLED 6:10 HOLES 7920 

FPP035415NLE MANDIBULAR COMPRESSION PLATE 4:6HOLE 3918 

FPP0358104M3 MINIPLATE JALLUT GLIDING 4HOLE 3918 

FPP0389601MC 1.7MM MINI MANDIBULAR FRACTURE PLATE 4,6HOLE STR 3918 

FPP0389604MC 1.7MM MINI MANDIBULAR FRACTURE PLATE 8HOLE STR 3918 

FPP0389605MC 1.7MM MINI MANDIBULAR FRACTURE PLATE 16HOLE STR 5870 

FPP03A1060WR 2.4 FRACTURE PLATES 16 HOLE 4900 

FPP03A1068WR 2.4 FRACTURE PLATES,6 HOLE CURVED 7920 

294



FPP03A4504WR 2.0 LOCKING FRACTURE PLATES 4,6 HOLE 3918 

FPP03A4516WR 2.0 LOCKING FRACTURE PLATES 16 HOLE 4900 

FPP03A9282WR COMPRESSION STRAIGHT PLATE, 4,6,8 HOLE 3918 

FPP03C1050WR 1.8MM FRACTURE PLATE, STRAIGHT 4,6,8 HOLE 3918 

FPP03C1064WR 1.8MM FRACTURE PLATE, 6,8 HOLE ANGLED 7920 

FPP03C1068WR 1.8MM FRACTURE PLATE, 6 HOLE CURVED 2450 

FPP0606310LE TITAN MINI 3-D BONE PLATE 2X2 HOLES SQUARE 0.6MM 4053 

FPP0606312LE TITAN MINI 3-D BONE PLATE 2X2 HOLES RECTANGULAR SEGMENT 0.6MM 4053 

FPP0606320LE TITAN MINI 3-D BONE PLATE 3X2 HOLES SQUARE SEGMENT 0.6MM 6240 


FPP0606332LE TITAN 3-D BONE PLATE 4X2 HOLES RECTANGULAR SEGMENT 0.6MM 8220 

FPP0610054EJ 2.0 MM MINI SQUARE PLATE 4 HOLE 4053 






FPP0610532LE 3 D PLATE 3X2 HOLE 6240 



FPP0620261Y2 MINI H-SHAPE(3-D)PLATE 2X2 HOLE 4053 

FPP0620262Y2 MINI 1.0MM H-SHAPE(3-D)PLATE 3X2 HOLE 6240 





295



FPP0657710M3 MINI 2000 CAD 4 HOLE PLATE SQUARE ,RECTANGULAR 0.6MM,1.0MM 4053 



FPP06A7131WR NEURO SQUARE PLATE 4053 

FPP06A7132WR NEURO TRIANGLE PLATE 4773 

FPP06A7136WR 1.5MM MINI MATRIX PLATE 2X3 HOLE 6240 

FPP06A7137WR 1.5MM MINI MATRIX PLATE 2X4 HOLE 8220 

FPP06A7357WR 1.5MM NEURO PLATE,2X2 HOLE 4053 

FPP06A9270WR 2.0MM MINI MATRIX,2X2 HOLE 4053 




FPP0706104M3 MONDEAL TITANIUM 0.6MM MICRO 1200 PLATE 4HOLE STR ※ 限顏面骨折患者使用 3048 

FPP0706106M3 MONDEAL TITANIUM 0.6MM MICRO 1200 PLATE 6HOLE STR 3300 

FPP0706107M3 MICRO 1200 TITANIUM STR PLATE 6HOLE 7.5MM 2993 

FPP0706108M3 MONDEAL TITANIUM 0.6MM MICRO 1200 8HOLE PLATE STR 3300 

FPP0706114M3 MICRO 1200 TITANIUM STR PLATE 4HOLE 6MM:9MM 2830 

FPP0706116M3 MONDEAL TITANIUM 0.6MM MICRO 1200 16HOLE PLATE STR 5605 

FPP0706120M3 MONDEAL TITANIUM 0.6MM MICRO 1200 L PLATE 5,8HOLE 4970 

FPP0706124M3 MONDEAL TITANIUM 0.6MM MICRO 1200 L PLATE 4HOLE 4431 

FPP0706126M3 MONDEAL TITANIUM 0.6MM MICRO 1200 L PLATE 5HOLE 4970 

FPP0706141M3 MONDEAL TITANIUM 0.6MM MICRO 1200 T PLATE 7 HOLE ※ 限顏面骨折患者使用 5543 

FPP0706142M3 MONDEAL TITANIUM 0.6MM MICRO 1200 T PLATE 4 HOLE 4816 

FPP0706144M3 MONDEAL TITANIUM 0.6MM MICRO 1200 H PLATE 9,14HOLE ※ 限顏面骨折患者使用 6622 

FPP0706160M3 MONDEAL TITANIUM 0.6MM MICRO 1200 Y PLATE 6 HOLE 5564 

FPP0706162M3 MONDEAL TITANIUM 0.6MM MICRO 1200 X PLATE 6,7 HOLE 6818 

296



FPP0706174M3 MONDEAL TITANIUM 0.6MM MICRO 1200 Y PLATE 4 HOLE 5308 

FPP0706182M3 MONDEAL TITANIUM 0.6MM MICRO 1200 ORBITAL 8HOLE 5210 

FPP0706204LE MICROPLUS BONE PLATE 0.55MM 4 HOLE STR 3048 




FPP0706210LE MICROPLUS BONE PLATE 0.55MM 16HOLE STR 5605 


FPP0706220LE MICROPLUS BONE PLATE 0.55MM L SHAPE 5 HOLE 4970 

FPP0706222LE MICROPLUS BONE PLATE 0.55 MM L SHAPE 8 HOLE 5118 

FPP070622NLE MICRO STRAIGHT PLATE 24HOLE 5170 

FPP070623NLE MICRO 3D PLATE 2X2 HOLE 4053 

FPP0706240LE MICROPLUS BONE PLATE 0.55MM T SHAPE 5 HOLE 90 DE 5360 

FPP0706241LE MICROPLUS BONE PLATE 0.55MM T SHSPE 7 HOLE 90 DE 5543 

FPP0706244LE MICROPLUS BONE PLATE 0.55MM DOUBLE T SHAPE 9 HOLE 6622 



FPP070624NLE MICRO DOUBLE Y PLATE 7HOLE 6040 

FPP070625NLE MICRO ORBITA PLATE 4,10 HOLE 4970 

FPP0706260LE MICROPLUS BONE PLATE 0.55MM Y SHAPE 6 HOLE 5564 

FPP0706262LE MICROPLUS BONE PLATE 0.55MM DOUBLE Y SHAPE 6 HOLE 6818 

FPP0706263LE MICROPLUS BONE PLATE 0.55MM DOUBLE Y SHAPE 7 HOLE 6818 

FPP070626NLE MICRO L PLATE 8HOLE 4431 

FPP0706270LE MICROPLUS BURR 0.55MM H COVERING & BONE FLAP FIXATION PLATE 7,10,14MM 6616 

FPP070627NLE MICRO T PLATE 7HOLE 4816 

FPP0706282LE MICROPLUS BONE PLATE 0.55MM ORBITA PLATE 8 HOLE CURVED 5210 

297



FPP0706303M3 MONDEAL TITANIUM 0.6MM MICRO 1200 CAD PLATE 3 HOLE,4HOLE SQUARE 4773 

FPP0706325M3 MONDEAL TITANIUM 0.6MM MICRO 1200 CAD PLATE 6HOLE 6942 

FPP0706335M3 MONDEAL TITANIUM 0.6MM MICRO 1200 CAD PLATE 8HOLE 8654 

FPP070633NLE MICRO 3D PLATE 6X2 HOLE 12340 

FPP070637NLE MICRO MALLEABLE BURR HOLE COVER PLATE 7,10,14MM 6616 

FPP0706415LE MICROPLUS BONE PLATE 0.55MM 4(2X2)HOLE SQUARE SEGMENTS,REGANG ULAR SEGMENT 4773 

FPP0706425LE MICROPLUS BONE PLATE 0.55MM 6(3X2)HOLE SQUARE ,RECTANG ULAR SEAGMENT 6942 

FPP0706435LE MICROPLUS BONE PLATE 0.55MM 8(4X2)HOLE SQUARE ,REGANG ULAR SEGMENT 8654 

FPP0706445LE MICROPLUS BONE PLATE 0.55MM 16(4X4)HOLE SQUARE SEGMENTS 12340 

FPP0706467LE TITANIUM MICRO 3-D PLATE 0.55MM 6X4HOLE 13460 

FPP0707007M3 MICRO BURR HOLE COVER PLATE 7:14MM 6616 

FPP0712003EJ M4 RIGID FIXATION SYSTEM 7, 11 HOLE Y PLATE, 0.5MM 5308 

FPP0712006EJ M4 RIGID FIXATION SYSTEM 6 HOLE LARGE, SMALL BUR HOLE PLATE, 0.5MM 6616 

FPP0712032EJ M4 RIGID FIXATION SYSTEM 6 HOLE H PLATE, 0.5MM 6040 

FPP0712034EJ M4 RIGID FIXATION SYSTEM 18 HOLE STRAIGHT PLATE, 0.55MM 5170 

FPP0712036EJ M4 RIGID FIXATION SYSTEM 12 HOLE CURVED PLATE, 0.55MM 4970 



FPP0712045EJ M4 RIGID FIXATION SYSTEM 4 HOLE 13, 16 MM LEFT, RIGHT L PLATE, 0.5MM 4431 

FPP0712046EJ M4 RIGID FIXATION SYSTEM 2X4 HOLE QUAD PLATE, 0.5MM 8654 

FPP0712052EJ M4 RIGID FIXATION SYSTEM 5 HOLE19 MM T PLATE, 0.5MM 4816 

FPP0712068EJ M4 RIGID FIXATION SYSTEM 5 HOLE X PLATE, 0.5MM 6040 

FPP0712086EJ M4 RIGID FIXATION SYSTEM ORBITAL FLOOR PLATE 0.35MM;0.25MM 14160 

FPP0712104EJ M4 RIGID FIXATION SYSTEM MICRO 6 HOLE DOUBLE Y PLATE, 0.5MM 6040 

FPP0712130EJ M4 RIGID FIXATION SYSTEM MICRO 4 HOLE STRAIGHT PLATE, 0.5MM 2830 

FPP0712312EJ M4 RIGID FIXATION SYSTEM MICRO 6, 8 HOLE STRAIGHT PLATE, 0.5MM 2993 

298



FPP0720010S1 MICRO STRUT PLATE 16:22HOLE( 網狀 ) 12340 

FPP0720100S1 MICRO 0.5MM ADAPTION PLATE 24HOLES( 型號 420.100 另編代碼 FPP072010N) 5605 

FPP072010NS1 MICRO 0.5MM ADAPTION PLATE 34HOLE 7430 

FPP0720111Y2 MICRO PLATE 0.6MM 4HOLE STR 2830 

FPP0720112Y2 MICRO PLATE 0.6MM 6,8HOLE STR 2993 

FPP0720114Y2 MICRO PLATE 0.6MM 12,16,24HOLE STR 5170 

FPP0720121Y2 MICRO PLATE 0.6MM 5,8HOLE L-SHAPE 4431 

FPP0720131Y2 MICRO PLATE 0.6MM 5,7HOLE T-SHAPE 4816 

FPP0720135Y2 MICRO PLATE 0.6MM 6HOLE Y-SHAPE 5308 

FPP0720136Y2 MICRO PLATE 0.6MM 6,7HOLE DOUBLE Y-SHAPE 6040 

FPP0720141Y2 MICRO ORBITA PLATE 0.6MM 8HOLE 4970 

FPP0720150Y2 MICRO 0.6MM H-SHAPE(3-D)PLATE 2X2 HOLE 4773 










FPP072016NY2 MICRO BURR HOLES PLATE 0.6MM 7:14MM 6616 

FPP0720210S1 MICRO 0.5MM ORBITAL RIM PLATE CURVED 8:12HOLE 5210 

FPP07204NNS1 MICRO ORBITAL FLOOR PLATE UNIVERSAL/L/R (421.040,044,045 自 89/10/1 生效 ) 14160 

FPP07205NNS1 MICRO 0.5MM L-PLATE 5:9HOLE 4970 

FPP0720620S1 MICRO 0.5MM Y-PLATE 5:13HOLE 5564 

299



FPP0720680S1 MICRO 0.5MM DOUBLE Y-PLATE 6HOLE( 型號 421.068,069 自 89/10/1 生效 ) 6818 

FPP0720710S1 MICRO 0.5MM T-PLATE 7:12HOLE 5543 

FPP0720810S1 MICRO 0.5MM X-PLATE 4HOLE 6040 

FPP0720850S1 MICRO 0.5MM H-PLATE 6:11HOLE 6622 

FPP0720910S1 TITANIUM MICRO BURR HOLE COVER 6616 

FPP0721024S1 MICRO 0.5MM PLATE 2:4HOLE STR 3048 

FPP0721096S1 MICRO BOX PLATE 4 HOLES 4773 

FPP0750306S1 CRANIAL PLATE 2:4HOLE 2830 

FPP075030NS1 MICRO T PLATE 3+4HOLE 0.5:0.8MM 4816 

FPP075031NS1 ORBITAL RIM PLATE 12HOLE 0.4:0.7MM 4970 

FPP075032NS1 MICRO ADAPTION PLATE 20HOLE 0.4:0.8MM 5170 

FPP075033NS1 MICRO Y PLATE (3+2HOLE) 0.4:0.7MM 5308 

FPP075034NS1 MICRO DOUBLE Y PLATE 6HOLE 0.4:0.7MM 6040 

FPP075035NS1 MICRO BOX PLATE 4HOLE 0.4:0.7MM 4053 

FPP075036NS1 MICRO X PLATE 4HOLE 0.4:0.7MM 6040 

FPP075037NS1 MICRO STRUT PLATE 18HOLE 0.4:0.7MM 12340 

FPP075038NS1 MICRO L PLATE 3+2HOLE 0.5:0.8MM 4431 

FPP075039NS1 MICRO L PLATE 3+4HOLE;4+6HOLE 0.5:0.8MM 4431 

FPP07503FNS1 ORBITAL FLOOR MESH PLATE 0.2:0.4MM 14160 

FPP07503HNS1 MICRO H PLATE 11HOLE 0.5:0.8MM 6040 

FPP07503NNS1 ANATOMICAL ORBITAL FLOOR PLATE 14160 

FPP07503XNS1 UNIVERSAL ORBITAL FLOOR PLATE 0.4:0.5MM 14160 

FPP075403NLE ORBITAL FLOOR PLATE 14160 

FPP0788704MC MICRO PLATE 4 HOLE 6.0,4.5MM 0.6MM STR 2830 

FPP0788706MC MICRO PLATE 6 HOLE 0.6MM STR 2993 

FPP0788708MC MICRO PLATE 8 HOLE 0.6MM STR 3300 

300



FPP0788734MC MICRO PLATE 4HOLE 7.5,9MM 0.6MM STR 3048 

FPP0788745MC MICRO PLATE 4HOLE 12MM 0.6MM STR 3048 

FPP0788747MC MICRO PLATE 6HOLE 7.5MM 0.6MM STR 3300 

FPP0788748MC MICRO PLATE 6HOLE 12MM 0.6MM STR 3300 

FPP0788750MC MICRO L-PLATE 4HOLE 7.5,9MM 0.6MM LEFT,RIGHT 4431 

FPP0788754MC MICRO L-PLATE 6HOLE 12MM 0.6MM LEFT,RIGHT 4970 

FPP0788760MC MICRO T-PLATE 4HOLE 7.5,9MM 0.6MM 4816 

FPP0788764MC MICRO T-PLATE 5HOLE 12MM 0.6MM 5360 

FPP0788765MC TITANIUM MICRO 0.6MM H-PLATE 9HOLE※ 限顏面骨折患者使用 6622 

FPP0788770MC TITANIUM 0.6MM MICRO Y-PLATE 4HOLE 8,12,15MM 5308 

FPP0788774MC TITANIUM 0.6MM MICRO DOUBLE Y-PLATE 6,7HOLE 6818 

FPP0788780MC TITANIUM MICRO 0.6MM ORBITAL PLATE 6,7HOLE 8,12,15MM 5210 

FPP0789050MC 0.4MM TITANIUM BURR HOLES PLATE 6:13MM 6616 

FPP0789104MC 0.55MM MICRO CRANIO MAXILLO FACIAL TITANIUM PLATE 4HOLE STR※ 限顏面骨折患者使用 3048 

FPP0789106MC 0.55MM MICRO CRANIO MAXILLO FACIAL TITANIUM PLATE 6HOLE STR 3300 

FPP0789116MC 0.55MM MICRO CRANIO MAXILLO FACIAL TITANIUM PLATE 16HOLE STR 5605 

FPP0789126MC 0.55MM MICRO CRANIO MAXILLO FACIAL TITANIUM H-PLATE 9HOLE ※ 限顏面骨折患者使用 6622 

FPP0789133MC 0.55MM MICRO CRANIO MAXILLO FACIAL TITANIUM Y-PLATE 6HOLE 5564 

FPP0789134MC 0.55MM MICRO CRANIO MAXILLO FACIAL TITANIUM DOUBLE Y-PLATE 6HOLE 6818 

FPP0789145MC 0.55MM MICRO CRANIO MAXILLO FACIAL TITANIUM ORBITA PLATE 8HOLE 5210 

FPP07A7504WR MICRO STRAIGHT PLATE, 4-HOLE, REGULAR 2830 

FPP07A7516WR MICRO STRAIGHT PLATE, 16 HOLE, REGULAR 5170 

FPP07A7524WR MICRO STRAIGHT PLATE, 24-HOLE, ADAPTION 5170 

FPP07A7530WR MICRO L-PLATE 5,8 HOLE 4431 

FPP07A7540WR MICRO T-PLATE, 5-HOLE, REGULAR 4816 

FPP07A7541WR MICRO T-PLATE, 7-HOLE, REGULAR 4816 

301



FPP07A7548WR MICRO DOUBLE T-SHAPE, 11-HOLE REGULAR 6040 

FPP07A7550WR MICRO Y-PLATE, 6-HOLE, REGULAR 5308 

FPP07A7560WR MICRO DOUBLE Y-PLATE 6,7 HOLE 6040 

FPP07A7568WR MICRO ORBITAL PLATE, 8-HOLE, CURVED 4970 

FPP07A7570WR MICRO SQUARE PLATE 2X2 HOLE 1.0MM 4773 

FPP07A7572WR MATRIX PLATE 2X3 HOLE 1.0MM 6942 

FPP07A7574WR 1.0MM MICRO MATRIX PLATE 2X4 HOLE 8654 

FPP07A7576WR MICRO BURR HOLE PLATE 6616 

FPP0903104LE TITANIUM LIGATURE WIRE 0.4MM 30CM 147 



FPP0910004EJ 2.0 MM MINI CHIN PLATE 3000 

FPP0913511LE CHIN PLATE 4MM 3000 






FPP0920185Y2 SKULL TITANIUM WIRE 0.4:0.6MM 147 

FPP094707NS1 TITANIUM MINI CHIN PLATE 2.0 DOUBLE BEND 5 HOLE 3000 

FPP0957504M3 TIANIUM CHINPLATE 4HOLE 4:12MM 3000 

FPP09A6471WR 2.0MM DUAL RAIL CHIN PLATES 3000 

FPP1042736W2 TENDON SPACER 3:6MM 2500 

FPP1101501FV BONAMATES BIOFIXATION SYSTEM:STR 4 HOLE 1.0X1.5MM,1.2X2.0MM,1.5X2.5MM 3048 

FPP1101502FV BONAMATES BIOFIXATION SYSTEM:STR 6 HOLE 1.0X1.5MM,1.2X2.0MM,1.5X2.5MM 3300 

FPP1101503FV BONAMATES BIOFIXATION SYSTEM:C 型 7 HOLE 1.0X1.5MM,1.2X2.0MM 5210 

302



FPP1101504FV BONAMATES BIOFIXATION SYSTEM:Y 型 8 HOLE 1.0X1.5MM,1.2X2.0MM ,1.5X2.5MM 5564 

FPP1101505FV BONAMATES BIOFIXATION SYSTEM:L 型 8/10 HOLE 1.0X1.5MM,1.2X2.0MM ,1.5X2.5MM 5118 

FPP1101507FV BONAMATES BIOFIXATION SYSTEM:X 型 10 HOLE 1.0X1.5MM,1.2X2.0MM ,1.5X2.5MM 6818 

FPP1101508FV BONAMATES BIOFIXATION SYSTEM:STR 8 HOLE 1.5X2.5MM 3300 

FPS010071NS1 1.5 MM CORTEX SCREW SELF-TAPPING 4:18 MM 390 

FPS0100NNNS1 1.0:1.3 MM MICRO,1.2:1.7 MM EMERGENCY SCREW 2:8MM 1700 

FPS010151NS1 2.4 MM,2.0MM CORTEX SCREW SELF-TAPPING 8:18 MM 823 

FPS010156NS1 2.7MM EMERGENCY SCREW 8:18MM 823 

FPS0108405LE MINI BONE SCREW 2.0X5MM( 型號 52-17012:52-82308 自 90/07/01 生效 ) 390 

FPS0108407LE MINI BONE SCREW 2.0x7MM 390 

FPS0108409LE MINI BONE SCREW 2.0x8MM/9MM 390 




FPS0108417LE MINI 2.0MM BONE SCREW 17MM 390 

FPS0108459LE MINI 2.3MM EMERGENCY BONE SCREW 9MM 390 

FPS0108780LE BRIFGING BONE SCREW 3.5X10MM 710 



FPS0108786LE BRIDGING BONE SCREW ( 型號 5227-375:822,5230-008:135,5108:5130 自 92/1/1 生效 ) 823 




FPS0109650LE COMPREDSSION BONE SCREW SELF-TAPPING 2.7x10MM 823 

FPS0109652LE COMPRESSION BONE SCREW SELF-TAPPING 2.7x12MM 823 

FPS0109654LE BONE SCREW SELF-TAPPING 2.7x14MM 823 

303











FPS0109674LE COMPRESSION EMERGENCY BONE SCREW 3.2x12MM 823 

FPS0109676LE EMERGENCY BONE SCREW 3.2x16MM 823 



FPS01119NNS1 2MM MINI CORTEX 2.4MM,EMERGENCY SCREW SELF-TAPPING 390 

FPS0112102LE MICROPLUS BONE SCREW SELF-TAPPING( 型號 52-10002:81409,59-14105:14111 自 90/07/01 生效 ) 1700 

FPS0112104LE MICROPLUS BONE SCREW SELF-TAPPING 1.2x4MM,1.2x5MM 1700 

FPS0112106LE MICROPLUS BONE SCREW SELF-TSPPING 1.2x6MM:1.2x12MM 1700 

FPS011210NLE MICRO BONE SCREW 1.2MM 1.4MM 1470 

FPS0114103LE MICROPLUS EMERGENCY BONE SCREW SELF-TAPPING 1.4x3MM 1700 

FPS0115104LE BONE SCREW 1.5x4MM 390 

FPS0115105LE LOW PROFILE BONE SCREW 1.5x5MM 390 

FPS0115106LE LOE PROFILE BONE SCREW 1.5x6MM 390 






304





FPS011700NLE MINI BONE SCREW 1.7MM,1.9MM 390 

FPS0120013M3 TITANIUM LOCK-DRIVE TRANSPLANT SCREW 2.0X7:17MM SELF-CUTTING 823 

FPS012009NLE TITANIUM FASTENING SCREW FOR TEMPORARY CONDYLAR PROSTHESES 710 

FPS012017NY2 MICRO BONE SCREW 1.2MM 2:12MM 1470 

FPS0120220EJ M4 RIGID FIXATION SYSTEM 2.0MM SCREW 390 

FPS012028NY2 MINI BONE SCREW 2.0MM 5:19MM 390 

FPS0120412EJ M4 RIGID FIXATION SYSTEM MICRO SCREW 1.2MM(SCREW 1.2 X 2, 3, 4, 6, 8, 10, 12, 14MM) 1470 

FPS0120415EJ M4 RIGID FIXATION SYSTEM MICRO SAFETY SCREW 1.5MM 1470 

FPS012042NLE MINI SCREW 2.0:2.7MM 710 

FPS012053NY2 COMPRESSION BONE SCREW 2.7,3.2MM 710 

FPS0120624EJ M4 RIGID FIXATION SYSTEM 2.4MM MAXI FRACTURE SCREW 710 

FPS0120627EJ M4 RIGID FIXATION SYSTEM 2.7MM MAXI FRACTURE SCREW 710 

FPS0120641Y2 MANDIBULAR BONE SCREW 3.5MM 10:20MM 710 

FPS0120819EJ M4 RIGID FIXATION SYSTEM 1.9MM SCREW 390 

FPS0121112EJ M4 RIGID FIXATION SYSTEM:AUTO-DRIVE SCREW 1470 

FPS0121116EJ M4 RIGID FIXATION SYSTEM 1.6 MM SCREW 390 

FPS0121120EJ M4 RIGID FIXATION SYSTEM 2.0 MM SCREW 390 

FPS014009SM3 TITANIUM CONDYLAR PROTHESIS FIXATION SCREW 710 

FPS01503CNS1 1.5MM SELF-TAPPING MICRO SCREW 3:12MM 1470 

FPS01503DNS1 1.5MM SELF-DRILLING MICRO SCREW 3:8MM 1470 

FPS01503ENS1 1.8MM EMERGENCY MICRO SCREW 3:12MM 1470 

FPS015223NLE MANDIBULAR SCREW 2.3MM 6:22MM 739 

FPS015227NLE MANDIBULAR SCREW 2.7MM 6:22MM 739 

FPS0152306M3 MRS TITANIUM SCREW 710 

305



FPS017020NM3 MONDEAL TITANIUM 1.2MM MICRO LOCK DRIVE SCREW 2:8MM,1.5MMX4:6MM 1700 

FPS01702NNM3 TITANIUM 1.2MM MICRO LOCK DRIVE SCREW 1470 

FPS0172005M3 TITANIUM 2.0MM MINI STANDARD SCREW 5MM:19MM 390 

FPS0172007M3 TITANIUM 2.0MM MINI LOCK-DRIVE SCREW 5MM:19MM 390 

FPS0172305M3 TITANIUM 2.3MM MINI EMERGENCY SCREW 5MM:9MM 390 

FPS0172307M3 TITANIUM 2.3MM MINI EMERGENCY LOCK-DRIVE SCREW 5MM:9MM 390 

FPS018020NM3 MONDEAL TITANIUM 1.2MM MICRO CROSS FIT SCREW 2:8MM,1.5X4:6MM 1700 

FPS0182004M3 CROSS-FIT,LOCK-DRIVE SCREW 2.0 4MM 390 

FPS0182005M3 TITANIUM 2.0MM MINI CROSS-FIT SCREW 5MM:19MM 390 

FPS0182305M3 TITANIUM 2.3MM MINI EMERGENCY CROSS-FIT SCREW 5MM:9MM 390 

FPS0182716M3 TITANIUM LOCK-DRIVE SCREW 2.7X8:22MM SELF-CUTTING 823 

FPS0183012M3 TITANIUM LOCK-DRIVE EMERGENCY SCREW 3.0X8:14MM SELF-CUTTING 823 

FPS0187505MC TITANIUM 2MM MINI SCREW 5.5MM 390 

FPS0187507MC TITANIUM 2MM MINI SCREW 7MM 390 




FPS0188303MC MICRO SCREW 3.5X1.5MM 1470 

FPS0188305MC MICRO SCREW 5X1.5MM 1616 




FPS0188313MC TITANIUM 1.5MM MICRO SCREW 13,15,16,17MM 1700 

FPS0188334MC MICRO EMERGENCY SCREW 4X1.9MM 1508 

FPS0188339MC MICRO EMERGENCY SCREW 9X1.9MM 1700 

FPS0189222MC MICRO 1.2MM MAXILLO FACIAL TITANIUM SCREW 2:12MM 1700 

306



FPS0189521MC TITANIUM SCREWS 2.7X9MM 750 








FPS0189531MC TITANIUM EMERGENCY SCREWS 3.2X9MM 823 

FPS0189532MC TITANIUM EMERGENCY SCREWS 3.2X13MM 823 

FPS0192004M3 NEWS S-DRIVE SELF-DRILLING SCREW(MINI 2000) 390 

FPS01A1803WR TITANIUM MINI EMERGENCY SCREW 1.5MM,1.8MM,2.3MM 390 

FPS01A2406WR MINI 2.4 TITANIUM SCREWS 710 

FPS01A2706WR MINI 2.7 TITANIUM SCREWS 710 

FPS01A7002WR 1.5 MINI CROSS-DRIVE TITANIUM SCREWS 390 

FPS01A7283WR 1.5 MINI CENTER-DRIVE TITANIUM SCREWS 390 

FPS01A7372WR MICRO TITANIUM SCREWS 1.0MM 1470 

FPS01A7383WR MICRO TITANIUM EMERGENCY SCREW 1.0MM 1470 

FPS01A7604WR MINI CROSS-DRIVE TITANIUM SCREWS 2.0MM 390 

FPS01A9474WR MINI CENTER-DRIVE TITANIUM SCREWS 2.0MM 390 

FPS0201N2NS1 2.0,2.4,2.7MM CORTEX SCREW 20:28MM 1030 

FPS0201N3NS1 2.0,2.4,2.7MM CORTEX SCREW 30:40MM 1150 

FPS02A2424WR TITANIUM LAG SCREWS 2.4MM 1030 

FPS1150400FV BONAMATES BIOFIXATION SYSTEM:SCREW 1.5X4.0~2.5X25MM( 單支包裝 ) 1700 

FPS1150401FV BONAMATES BIOFIXATION SYSTEM:SCREW 1.5X4.0~2.5X25MM(2 支 / 包 ) 3400 

FPS1150402FV BONAMATES BIOFIXATION SYSTEM:SCREW 1.5X4.0~2.5X25MM(4 支 / 包 ) 6800 

307



FPT0120789L0 TISSUE EXPANDER 1CC~1000CC 9000 

FPT01TAX2NN2 TISSUE EXPANSION DEVICES 9000 

FPT01TCS2NN2 TISSUE EXPANSION DEVICES 9000 

FPT01TRC2NN2 TISSUE EXPANSION DEVICES 9000 

FPT01TRD2NN2 

FSP7103657AM 

FSP711VS12TY 

FSP7181004ET 

TISSUE EXPANDER 50:1100CC TYPE ROUND RECTANGLE U'DESIGN CRESCENT CROISSANT※ 適應症 

見備註欄 

"AMS"SPARC SLING SYSTEM 懸吊手術系統 ( 兩支不銹鋼彎曲弓狀穿引針 ( 不需再使用 INTRODUCER)+ 

一條聚丙烯懸帶 ) 

IVS TUNNELLER INTRA-VAGINAL SLING PLACEMENT INSTRUMENT( 含 INTRODUCER 及 CATHETER 

GUIDE) 

TENSION-FREE VAGINAL TAPE(TVT)DEVICE 含 INTRODUCER 及 RIGID CATHETER 

GUIDE(810081,810041B 自 940701 起生效 , 文號 0940011575) 

9000 

13680 

13680 

13680 

FSP71BRD16BA "BARD"ALIGN URETHRAL SUPPORT SYSTEM( 含 INTRODUCER+MESH ASSEMBLY) 艾萊尿道支撐系統 13680 

FUK0501000GA PRISMAFLEX SET(CVVH TUBING+HEMOFILTER) 膜面積 1.1M 平方 * 5400 

FUK0501400GA PRISMAFLEX SET(CVVH TUBING+HEMOFILTER) 膜面積 1.4M 平方 * 5400 

FUK050M100GA PRISMA SET(CVVH TUBING+HEMOFILTER) 膜面積 0.9M 平方 , 連續式血液透析器及迴路套管 * 5400 

FUK05FM100GA PRISMAFLEX SET(CVVH TUBING+HEMOFILTER)0.9M 平方 * 5400 

FUK05FM150GA "GAMBRO"PRISMAFLEX SET(CVVH TUBING+HEMOFILTER 膜面積 1.5M 平方 ) 普利司馬弗列克斯套組 * 5400 

FUK05HD150E9 CVVH HEMOFILTER* 3645 



FUK05PF150GA "GAMBRO"PRISMAFLEX SET* 5400 

FUK05PFXSTGA "GAMBRO"PRISMAFLEX SET(CVVH TUBING+HEMOFILTER) 膜面積 1M 平方 *. 5400 

FUK05PR100GA "GAMBRO"PRISMA SET (CVVH TUBING+HEMOFILTER)1.15M 平方 * 5400 

FUK05ST100GA 

"GAMBRO"PRISMA SET(CVVH TUBING+HEMOFILTER) 膜面積 1.0M 平方連續式血液透析器及迴路管套 

* 

5400 

FUK05U1000FA "FRESENIUS"POLYSULFONE HAEMOFILTERS(CVVH FILTER 1.8M 平方 ) 人工合成膜血液過濾器 * 4095 

FUK05U400SFA "FRESENIUS"POLYSULFONE HAEMOFILTERS(CVVH FILTER 0.7M 平方 ) 人工合成膜血液過濾器 * 3645 

FUK05U600SFA "FRESENIUS"POLYSULFONE HAEMOFILTERS(CVVH FILTER 1.4M 平方 ) 人工合成膜血液過濾器 * 4095 

HEF030P005AS PLASMAFLO 4500 

HEF030P008AS PLASMAFLO(PLASMA FILTER) 4500 

308



HEF030PS06KU PVA FILTER,PLASMACURE 4500 

HEF030PS08KU 固拉力血漿分離器 KURARAY PLASMACURE PE PLASMA SEPARATOR 4500 

HEF032011NF5 MJ BLOOD LINE SET FOR BLOOD PURIFICATION 邁捷血液淨化迴路導管 1500 

HEF03AC177AS PLASMA FILTER 附血液迴路管 6000 

HEF03EC030AS " 旭 " 血漿成分分離器 "ASAHI" CASCADEFLO EC PLASMA COMPONENT SEPARATOR 4500 

HEF03EVACUKA EVACURE PLASMA SEPARATOR 4500 

HEF03EVAFLKA EVAFLUX 血液成份分離器加血液迴路管組 6000 

HEF03HD400E9 雙重濾過血液濾過器 HEMOFILTER 6000 

HEF03HD500E9 雙重濾過血液濾過器 HEMOFILTER 6000 

HEF03LF030FN " 英弗梅 " 血漿過濾器 "INFOMED"PLASMAFILTER 4500 



HEF03PLA20E9 MEDICA PLASMAFILTERS 0.15 平方公尺 4500 



HEF03PRFPEGA "GAMBRO"PRISMAFLEX SET 血漿透析器及血液迴路管 6000 

HEF03PRLPEGA "GAMBRO"PRISMAFLEX SET 血液透析器及迴路管套 6000 

HEF03PRTPEGA "GAMBRO"PRISMA SET 連續式血液透析器及迴路管套 6000 

HEF03TS402FN 

"INFOMED"EXTRACORPOREAL BLOOD CIRCUITS TUBING SET FOR HF400-PLASMA EXCHANGE 體外 

血液循環管路 - 血漿置換 

1500 

HEF05CPS02P3 PALL EXTRACORPOREAL CIRCUIT FILTER* 722 

HEF05VBT16QM " 邁柯唯 " 氣泡過濾器 "MAQUET" VENOUS BUBBLE TRAP 722 

HEF060BC1BP3 

PALL EXTRACORPOREAL CIRCUIT FILTER ※ 限開心手術使用於 BLOOD CARDIOPIEGIA SOLUTION 

時申報 

2995 

HEH011000TMY HEMOCONCENTRATOR WITH TUBING 4600 

HEH01400TSMY HEMOCONCENTRATOR WITH TUBING 3300 

HEH01511SLTM HEMOCONCENTRATOR W/HEMODIALYSIS OR HEMOCARE TUBING SET 4600 

HEH01HF53TFA " 比孚 " 血液濃縮器 "B.V."HEMOCONCENTRATORS(WITH TUBING)* 4600 

309



HEH01M1N1TMY HEMOCONCENTRATOR WITH CONNECTOR PACKAGE,TUBING" 米得克 " 血液濃縮器 * 3300 

HFF01096NTP3 TPN FILTER 0.2UUM 80 

HFF0209930BB STERIFIX INFUSION FILTER 00.2UM(T.P.N) 80 

HFF02C1103BT TPN FILTER W/EXTENSION TUBE 80 

HFF02C8363BT TPN 0.22 MICRO FILTER 80 

HFF02E25YFLL TPN FILTER W/EXTENSION TUBE 80 

HFF02EF010SG TPN FILTER SET 0.22UM 80 

HFF02EF15YSG TPN FILTER SET 0.22UM 80 

HFF02ET15FLL TPN FILTER W/EXTENSION TUBE 80 

HHF01P1ASDTM LEUKOCYTE REMOVAL FILTER IMUGARD III-PL* 1400 

HHF01P214YTM LEUKOCYTE REMOVAL FILTER IMUGARD III-PL 12UNIT Y TYPE 1400 

HHF01PLX10AS SEPACELL LEUKOCYTE REMOVAL FILTER( 血小板專用 ) 過濾 12 UNIT* 1400 

HHF01PPBBFFA LENKOCYTE REMOVAL FILTER FOR PLATELET CONCENTRATES* 1400 

HHF01PPBSFFA LENKOCYTE REMOVAL FILTER FOR PLATELET CONCENTRATES* 1400 

HHF01PXL8YP3 LEUKOCYTE REMOVAL FILTER FOR PLATELATE 1400 

HHF02R204YTM LEUKOCYTE REMOVAL FILTER IMUGARD III-RC 500CC Y TYPE 615 

HHF02R500AAS SEPACELL LEUKOCYTE REMOVAL FILTER 1000CC( 紅血球專用 ) 820 

HHF02R602ETM IMUGARD III-RC LEUKOCYTE REMOVAL FILTER* 615 

HHF02RCL1YP3 LEUKOCYTE REMOVAL FILTER FOR RBC 615 

HHF02RM1N1FA LENKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATES* 615 

HHF02RPBB2FA LEUKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATE 過濾 1000CC* 820 

HHF02RPBBFFA LENKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATES* 615 

HHF02RPBS2FA LEUKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATE 過濾 1000CC* 820 

HHF02RPBSFFA LENKOCYTE REMOVAL FILTER FOR RED CELL CONCENTRATES* 615 

HHF04500A3AS SEPACELL LEUKOCYTE REMOVAL FILTER FOR RBC 2 UNIT 820 

HHF04R500AAS LEUKOCYTE REMOVAL FILTER( 紅血球專用 ) 過濾 1000CC 820 

310



HHM010040SP3 BLOOD TRANSFUSION FILTER 40UM 1500CC 305 

HHM0104435BB 

" 柏朗 " 永久性腔靜脈過濾器 "B.BRAUN" VENATECH LP PERMANENT VENA CAVA FILTER( 含 

PUNCTURE KIT,GUIDE WIRE,FILTER INTRODUCER,DILATOR,FILTER,SHEATH) 

35000 

HHM0111649AB " 亞培 " 阿克奈防血塊栓塞保護系統 "ABBOTT" RX ACCUNET EMBOLIC PROTECTION SYSTEM* 35000 

HHM012120FN6 

VERSATILE VENA CAVA FILTER SYSTEM 含 FILTER+INTRO+DILA+DELIVERY KIT(PUSHWIRE+Y 

ADAPTER) 

35000 

HHM01445TWSB FILTER WIRE EX SYETEM L 190CM,300CM* 35000 

HHM01466XNCD TRAPEASE PERMANENT VENA CAVA FILTER AND INTRODUCTION KIT 35000 

HHM01500TWSB GREENFIELD VENA CAVA FILTER SET(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 35000 

HHM0150300SB GREENFIELD VENA CAVA FILTER SYSTEM(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 35000 

HHM0150301SB GREENFIELD VENA CAVA FILTER SYSTEM(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 35000 

HHM0182945AB "ABBOTT"EMBOSHIELD PRO EMBOLIC PROTECTION SYSTEM 血管保護盾 35000 

HHM0192010SB FILTERWIRE EMBOLIC PROTECTION SYSTEM L190CM,300CM* 35000 

HHM01CELECCK " 曲克 " 色列克特腔靜脈濾器 "COOK" CELECT VENA CAVA FILTER 35000 

HHM01DV445F2 " 英泰克 " 戴芙血栓清除導管 "INVATEC"DIVER CE RAPID EXCHANGE CLOT EXTRACTION CATHETER* 15000 

HHM01DVMAXF2 " 英泰克 " 戴芙血栓清除導管加大型 "INVATEC" DIVER CE MAX CLOT EXTRACTIOM CATHETER 15000 

HHM01EPSNNST " 聖猷達 " 栓塞防護系統 "SJM"PROXIS EMBOLIC PROTECTION SYSTEM* 35000 

HHM01EXPRTM4 美敦力 ” 吸除導管 "MEDTRONIC" EXPORT XT ASPIRATION CATHETER* 15000 

HHM01FETCHF3 " 普希士 " 快取血栓清除導管 "POSSIS" FETCH ASPIRATION CATHETER* 15000 

HHM01G1462M4 

" 美敦力 " 保護導線加上暫時阻斷吸除系統 GUARDWIRE PLUS TEMPORARY OCCLUSION AND 

ASPIRATION SYSTEM(EXPORT XT ASPIRATION CATHETER)* 

15000 

HHM01G146SM4 GUARDWIRE PLUS TEMPORARY OCCLUSION AND ASPIRATION SYSTEM* 35000 

HHM01P5010VS 

" 法斯樂舒順 " 普倫特羅賓血栓清除導管 "VASCULAR SOLUTIONS" PRONTO LP EXTRACTION 

CATHETER* 

15000 

HHM01Q5070VS " 法斯樂舒順 " 快特血栓清除導管 "VASCULAR SOLUTIONS" QXT EXTRACTION CATHETER* 15000 

HHM01SPDEREY 史派德栓塞防護系統 "EV3"SPIDER FX EMBOLIC PROTECTION DEVICE* 35000 

HHM01T2R9SKE ” 卡內卡 ” 史隆巴斯特血栓抽吸導管 "KANEKA" THROMBUSTER II* 15000 

HHM01TUL1PCK 

HHM01TULIPCK 

COOK GUNTHER TULIP VENA CAVA MREYE FILTER 

SET(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 

COOK GUNTHER TULIP VENA CAVA MREYE FILTER 

SET(INTRODUCER+FILTER+SHEATH/DILATOR+ADAPTER) 

35000 

35000 

HHM02040SNP3 BLOOD TRANSFUSION FILTER 40UM 移除微血栓輸血過濾器 ( 小兒科專用 ) 305 

311



LEE012266PKD 肯特利柯登斯去顫器電極貼片 ”KENDALL MEDI-TRACE CADENCE ELECTRODES”( 小兒用 ) 490 

LEE01AP518G2 PEDIATRIC DEFIB ELECTRODES 體外心律調節器貼片 490 

LEE01AP915G4 DEFIBRILLATOR/PEDIATRIC DEFIBRILLATION ELECTRODES 小兒可拋棄式去顫電極片 490 

LEE01M3504HP MULTIFUNCTION PEDIATRIC DEFIB ELECTRODES 490 

LEE01M3717HP MULTIFUNCTION PEDIATRIC PLUS PADS 多功能兒童用電擊貼片 490 

LEE01M3870HP INFANT/CHILD PADS 多功能嬰幼兒用電擊貼片 490 

LEE01N1749HP DEFIB PACING PADS CHILD (2 EA/SET) 490 

NAN011530NSP DISPOSABLE NEEDLE 15G:30G 0.5 

NAN011627NBB NEEDLE 0.5 

NAN011826NV4 DISPOSABLE NEEDLE 18G:26G 0.5 

NAN011827NBD NEEDLE 0.5 

NAN011827NFE SAFETY NEEDLE 1 

NAN011827NHG HYPODERMIC NEEDLE 0.5 

NAN011827NNR NEEDLE 0.5 

NAN011827NTM NEEDLE 0.5 

NAN011827NTP NEEDLE 0.5 

NAN011827NUY NEEDLE 0.5 

NAN011923NBN NEEDLE 0.5 

NAN020031NBD PEN NEEDLE 胰島素筆型針頭 3.2 

NAN020050NNR NOVOFINE NEEDLE 30G 胰島素筆型注射器針頭 3.2 

NAN0291676BB OMNICAN FINE NEEDLES 29:31G 胰島素注射筆專用針頭 3.2 

NAN041823NNR IC NEEDLE 心肌長針 4.9 

NAN0618150TP P.T.C.D NEEDLE 102 

NAN061822NHK P.T.C.D NEEDLE 150:200MM 102 

NAN061822NTP P.T.C..D NEEDLE 102 

NAN061823MTP P.T.C.D NEEDLE MS TYPE 18G:23G 102 

312




NAN0621150TP P.T.C.D NDDELE 102 


NAN0623150TP P.T.C.D NEEDLE 23GX150MM 102 

NAN1118275AG AMC/4 ARTERIAL NEEDLE 18Gx23/4"(7.0CM) 導線導引針 120 

NAN1121200AG AMC/4 ARTERIAL NEEDLE 21Gx2"(5.1CM) 導線導引針 120 

NAN115324NAR 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION SETS:INTRODUCER NEEDLE( 單 

針 )" 亞諾 " 多重輸液導管 ( 單針 ) 

60 

NAN11AP1NEH9 ANGIO PACK :INTRODUCER NEEDLE( 單針 ) 60 

NAN141822NCK DISPOSABLE ONE PART NEEDLE 導線導引針 132 

NAN1418275AG AMC/4 ARTERIAL NEEDLE WITH FIXED WINGS 18Gx23/4"(7.0CM) 導線導引針 132 

NAN1421100AG AMC/3 ARTERIAL NEEDLE 21Gx1"(2.5CM) 導線導引針 132 

NAN1447662BS ARTERIAL NEEDLE FOR PERCUTANEOUS ENTRY ( 單針 ) 60 

NAN145312NAG AMC/3 ARTERIAL NEEDLE 18GX7CM,3.8CM 19GX3.8CM 132 

NAN1521500C3 DISPOSABLE SELDING NEEDLE 18G 7.5CM 150 

NAN1547073BS ARTERIAL NEEDLE FOR PERCUTANEOUS ENTRY ( 外管 + 內針 ) 150 

NAN1547661BS ARTERIAL NEEDLE FOR PERCUTANEOUS ENTRY ( 外管 + 內針 ) 150 

NAN1550400PB PUNCTURE NEEDLE W/STYLET 雙針 ( 外套管 + 內針 ) 150 

NAN155324NAG PERCUTANEOUS ENTRY NEEDLE 16GX7.3CM,18GX7.3CM,19GX3.8,7.3CM,21GX3.8CM 150 

NAN155324NAR 

"ARROW"MULTI-LUMEN CENTRAL VENOUS CATHETERIZATION:INTRODUCER NEEDLE ( 外套管 + 內 

針 ) 

150 

NAN15ADVANMR ADVANCE ANGIOGRAPHIC NEEDLES 高昇血管攝影穿刺針 ( 外管 + 內針 ) 150 

NAN15AN72SMR MAJESTIK SERIES ANGIOGRAPHY NEEDLES 16-21G( 雙針 ) 150 

NAN15DCM18CK DISPOSABLE PERCUTANEOUS ENTRY THINWALL NEEDLES 18:22G 2.5:9.0CM 150 

NAN1647664BS ARTERIAL NEEDLE FOR PERCUTANEOUS ENTRY ( 外管 + 內針 +STYLE) 203 

NAN165341NAG ARTERIAL CATHETER NEEDLE 16GX6.4CM,18GX6.4CM,20GX3.8CM 203 

NAN16AN18TMR MAJESTIK SERIES ANGIOGRAPHY NEEDLES 18G 7CM(3-PART)( 外管 + 內針 + 填充器 ) 203 

NBS010001NBD 1CC SYRINGE WITHOUT NEEDLE 1.9 

313



NBS010001NSP 1CC SYRINGE WITHOUT NEEDLE 1.9 

NBS010001NV4 1 CC SYRINGE WITHOUT NEEDLE 1.9 

NBS010001PTM 1CC SYRINGE WITHOUT/NEEDLE 1.9 

NBS010001VPW 1CC SYRINGE WITHOUT NEEDLE 1.9 

NBS010002NSP 2-3CC SYRINGE WITHOUT NEEDLE 1 

NBS010003NBD 3CC SYRINGE WITHOUT NEEDLE 1 

NBS010003NPW 3CC SYRINGE WITHOUT NEEDLE 1 

NBS010003NV4 2 CC,3CC SYRINGE WITHOUT NEEDLE 1 

NBS010003PTM 3CC SYRINGE WITHOUT/NEEDLE 1 

NBS010003VPW 3CC SYRINGE WITHOUT NEEDLE 1 


NBS010005NHG RETRACTABLE SAFETY SYRINGE 5CC WITHOUT NEEDLE 2.6 






NBS010010NFR 10 CC SYRINGE WITHOUT NEEDLE 2.7 

NBS010010NPW 10CC SYRINGE WITHOUT NEEDLE 2.7 


NBS010010NUY 10CC SYRINGE WITHOUT/NEEDLE 2.7 




NBS010020NBB 20 CC SYRINGE WITHOUT NEEDLE 3.5 

NBS010020NBD 20 CC SYRINGE WITHOUT NEEDLE 3.5 

314



NBS010020NBN 20 CC SYRINGE WITHOUT NEEDLE 3.5 


NBS010020NNR 20 CC SYRINGE WITHOUT NEEDLE 3.5 

NBS010020NPD 20CC SYRINGE WITHOUT NEEDLE 3.5 

NBS010020NPW 20 CC SYRINGE WITHOUT NEEDLE 3.5 


NBS010020NTM 20 CC SYRINGE WITHOUT NEEDLE 3.5 

NBS010020NTP 20 CC SYRINGE WITHOUT NEEDLE 3.5 


NBS010020NV4 20CC SYRINGE WITHOUT NEEDLE 3.5 

NBS010020NYF 20 CC SYRINGE WITHOUT NEEDLE 3.5 










NBS010030NSH 30 CC SYRINGE WITHOUT NEEDLE 6.8 






315







NBS010050NFR 50CC SYRINGE WITHOUT NEEDLE 12.1 



NBS010050NSP 50CC,60CC SYRINGE WITHOUT NEEDLE 12.1 






NBS01005SSFE 5CC RETRACTABLE SAFETY SYRINGE WITHOUT NEEDLE 2.6 



NBS0100N20BD PLASTIPAK SYRINGE 20CC WITHOUT NEEDLE 3.5 



NBS01010SSFE 10CC RETRACTABLE SAFETY SYRINGE WITHOUT/NEEDLE 4 

NBS01020SSFE 20CC RETRACTABLE SAFETY SYRINGE WITHOUT/NEEDLE 6.6 

NBS020060NNN NOVOPEN 3 WITHOUT NEEDLE( 筆型胰島素注射筒 )※ 每支以使用三年以上為原則 900 

NBS0216155NN NOVOPEN 4 WITHOUT NEEDLE( 筆型胰島素注射筒 )※ 每支以使用三年以上為原則 900 

NBS02M9662HQ INSULIN DELIVERY DEVICE 胰島素注射筆 , 每支以使用三年以上為原則 900 

NBS02M9673HQ HUMAPEN LUXURA HD INSULIN DELIVERY DEVICE 胰島素注射筆 , 每支以使用三年以上為原則 900 

NBS0700060MH DISPOSABLE SYRINGE 顯影劑注射筒 237 

316



NBS0700096LF OPTIVANTAGE DUAL-HEAD INJECTOR 200CC SYRINGE ( 注射筒 X1+ 吸管 X1) 240 

NBS0700099LF OPTIVANTAGE DUAL-HEAD INJECTOR 200CC SYRINGE ( 注射筒 X1+ 吸管 X1+ 螺旋管 X1) 315 

NBS0700150MH CONTRAST MEDIUM INJECTION SYRINGE 130,150CC( 型號 DSK130 自 91/4/1 生效 ) 237 

NBS0700172LF DISPOSABLE SYRINGE FOR DIGITAL INJECTION 130CC W/H-FIL 高壓注射器用拋棄式針筒 240 

NBS0700200MH CONTRAST MEDIUM INJECTION SYRINGE 200CC 顯影劑注射筒 237 

NBS070060QMH DISPOSABLE SYRINGE 60CC W/FILL TUBE 260 

NBS070125FMH DISPOSABLE SYRINGE 顯影劑注射筒 125CC 237 

NBS070130QMH DISPOSABLE SYRINGE 130CC W/FILL TUBE 260 

NBS070150QMH DISPOSABLE SYRINGE 150CC W/FILL TUBE 顯影劑注射筒 260 

NBS070200FMH CONTRAST MEDIUM INJECTION SYRINGE 200CC 237 

NBS070200QMH CONTRAST MEDIUM INJECTION SYRINGE 200ML W/FILL TUBE 顯影劑注射筒 260 

NBS070260QMH DISPOSABLE SYRINGE 260CC W/FILL TUBE 顯影劑注射筒 260 

NBS071010TTY OPTIRAY 350 造影劑注射筒 237 

NBS07125FQMH DISPOSABLE SYRINGE 125CC W/FILL TUBE 260 

NBS07137NASD ANGIOGRAPHIC POWER SYRINGE 100ML 130ML W/J-CURVED FILL TUBE 240 

NBS07137NCSD ANGIOGRAPHIC POWER SYRINGE 200ML W/J-CURVED FILL TUBE 260 

NBS07137NESD ANGIOGRAPHIC POWER SYRINGE 150ML W/J-CURVED FILL TUBE 260 

NBS07150AQMH DISPOSABLE SYRINGE 150CC W/FILL TUBE 顯影劑注射筒 260 

NBS07200FCMH DISPOSABLE SYRINGE KIT 200ML( 注射筒 + 吸管 + 螺旋連接管 ) 315 

NBS07200FQMH DISPOSABLE SYRINGE 200CC W/FILL TUBE 顯影劑注射筒 260 

NBS0730210N8 DISPOSABLE SYRINGE SYSTEM WITH ACCESSORIES( 注射筒 + 吸管 ) 240 

NBS0732377MA OPTIRAY 320 IOVERSOL INJECTION SYRINGE 125ML 歐得利 320 造影劑注射筒 237 

NBS0742040AB ANGIOGRAPHIC SYRINGE 10,12CC 177 

NBS0744020LF OPTIVANTAGE DUAL-HEAD INJECTOR( 注射筒 X1+ 吸管 X1+Y 型螺旋接管 X1) 315 

NBS0744022LF OPTIVANTAGE DUAL-HEAD INJECTOR( 注射筒 X2+ 吸管 X2+Y 型螺旋接管 X1) 455 

NBS0760269N8 DISPOSABLE SYRINGE SYSTEM WITH ACCESSORIES( 注射筒 + 吸管 + 螺旋低壓連接管 ) 315 

317



NBS0790064LF 150ML SYRINGE W/HANDI-FIL 240 

NBS0790073LF 200ML FRONT LOADING SYRINGE W/HANDI-FIL 240 

NBS0790103N8 DISPOSABLE SYRINGE SYSTEM 150CC W/HANDI FIL LINDEN LUER 注射筒 + 吸管 240 

NBS07C8536CC ANGIOGRAPHIC SYRINGE AND HAND-FILL SET 100~200ML 240 

NBS07C8539CC ANGIOGRAPHIC SYRINGE CT PACK(SYRINGE+HAND-FILL 100~200ML+ 螺旋連接管 ) 315 

NBS07CCS60MR CORONARY CONTROL SYRINGE 6CC 10CC 12CC 177 

NBS07DCTPQMH DISPOSABLE 200 CC SYRINGE 二支 KIT( 注射筒 X2+ 吸管 + 連接管 +PRIME TUBE) 455 

NBS07DCTPSMH DISPOSABLE 200 CC SYRINGE 二支 KIT( 注射筒 X2+SPIKE+ 連接管 +PRIME TUBE) 455 

NBS07SCTPQMH DISPOSABLE 200 CC SYRINGE KIT( 含吸管 + 連接管 +PRIME TUBE) 315 

NBS07SCTPSMH DISPOSABLE 200 CC SYRINGE KIT( 含 SPIKE+ 連接管 +PRIME TUBE) 277 

NBS07SSQFTMH DISPOSABLE 200 CC SYRINGE KIT( 含吸管 ) 240 

NBS07SSSPKMH DISPOSABLE 200 CC SYRINGE KIT( 含 SPIKE) 237 

NCS010001NBD 1 CC SYRINGE 2.7 

NCS010001NBN 1 CC SYRINGE 2.7 

NCS010001NDD 1CC SYRINGE 2.7 

NCS010001NFR 1 CC SYRINGE 2.7 

NCS010001NNR 1 CC SYRINGE 2.7 

NCS010001NPD 1CC SYRINGE W/NEEDLE 2.7 

NCS010001NPW 1 CC SYRINGE 2.7 

NCS010001NSH 1 CC SYRINGE 2.7 

NCS010001NSP 1CC SYRINGE W/NEEDLE 2.7 

NCS010001NTM 1 CC SYRINGE 2.7 

NCS010001NTP 1 CC SYRINGE 2.7 

NCS010001NUY 1 CC SYRINGE W/NEEDLE 2.7 

NCS010001NV4 1CC SYRINGE W/NEEDLE 2.7 

NCS010001PTM 1CC SYRINGE W/NEEDLE 2.7 

318



NCS010001VPW 1CC SYRINGE W/NEEDLE 2.7 


NCS010002NSP 2-3CC SYRINGE W/NEEDLE 1.6 

NCS010003NBB 3 CC SYRINGE 1.6 




NCS010003NFR 3CC SYRINGE W/NEEDLE 1.6 







NCS010003NUY 3 CC SYRINGE W/NEEDLE 1.6 

NCS010003NV4 2CC,3CC SYRINGE W/NEEDLE 1.6 

NCS010003NYF 3 CC SYRINGE 1.6 










319







NCS010005NUY 5CC SYRINGE W/NEEDLE 2.2 






















320



NCS010020NBD 20 CC SYRINGE ( 附針 ) 4 

NCS010020NBN 20CC SYRINGE W/NEEDLE 4 

NCS010020NDD 20CC SYRINGE 4 

NCS010020NFR 20CC SYRINGE W/NEEDLE 4 

NCS010020NNR 20 CC SYRINGE( 附針 ) 4 

NCS010020NPD 20CC SYRINGE W/NEEDLE 4 

NCS010020NPW 20CC SYRINGE W/NEEDLE 4 

NCS010020NSP 20CC SYRINGE W/NEEDLE 4 

NCS010020NTM 20 CC SYRINGE ( 附針 ) 4 

NCS010020NTP 20CC SYRINGE W/NEEDLE 4 

NCS010020NUY 20CC SYRINGE W/NEEDLE 4 

NCS010020NV4 20CC SYRINGE W/NEEDLE 4 

NCS010020NYF 20 CC SYRINGE ( 附針 ) 4 

NCS010020VPW 20CC SYRINGE W/NEEDLE 4 



NCS010030NPW 30CC SYRINGE W/NEEDLE 7.3 





NCS010050NBN DISPOSABLE SYRINGE 50CC W/NEEDLE 12.6 



NCS010050NPW 50CC SYRINGE W/NEEDLE 12.6 

NCS010050NSP 50CC,60CC SYRINGE W/NEEDLE 12.6 

321






NCS0300100NR INSULIN SYRINGE 1CC 4.3 

NCS03001S1FE 1CC RETRACTABLE SAFETY INSULIN SYRINGE W/NEEDLE 7 

NCS030310NHG 

RETRACTABLE SAFETY SYRINGE(FIXED NEEDLE) 一次性使用無菌回縮式安全自毀注射器胰島素專 

用 ( 固定針 ) 

7 

NCS030310NSP INSULIN SYRINGE W/NEEDLE 4.3 

NCS030510NBB 0.3:1.0CC INSULIN SYRINGE W/NEEDLE 4.3 

NCS030510NBD INSULIN SYRINGE(30G 自 87/12/23 起生效 ) 4.3 

NCS030510NBN INSULIN SYRINGE 100UNIT 4.3 

NCS030510NMJ INSULIN SYRINGE 4.3 

NCS030510NNR INSULIN SYRINGE 1 CC 4.3 

NCS030510NPW INSULIN SYRINGE W/NEEDLE 4.3 

NCS030510NTM INSULIN SYRINGE 0.3,0.5,1CC(0.3CC 自 87/12/19 收錄 )( 型號 SS30M,05M3009(A) 自 91/10/01 生效 ) 4.3 

NCS0388816KD INSULINE SYRINGE W/NEEDLE(8881-600137,145,350,368,1358,1366,600700,800,601600) 4.3 

NCS0391511BB OMNICAN INSULIN SYRINGES W/NEEDLE 0.5/1.0ML 4.3 

NCS0391613BB INSULIN SYRINGE 4.3 

NDD04N8008SG INJECTION CAP W/FREE SITE 無針式接頭 * 50 

NDN0100022GW SCALP VEIN SET 22:25G 5.5 

NDN01023XNPW SCALP NEEDLE 5.5 

NDN011825NV4 SCALP SET 18G:25G 5.5 

NDN011827NFR SCALP NEEDLE 5.5 

NDN011827NJS SCALP NEEDLE 5.5 

NDN011827NNR SCALP NEEDLE 5.5 

NDN011827NTP SCALP NEEDLE 5.5 

NDN011925NLL SCALP 頭皮針 5.5 

322



NDN011925NTM SCALP NEEDLE 5.5 

NDN01A010NPW SCALP VEIN SET 16:27G 5.5 

NDN020112NBA HUBER PLUS NON-CORING NEEDLE SAFETY INFUSION SET W/TUBING 94 

NDN0202006HJ PORT-A-CATH NEEDLE 85 

NDN02027NNHJ PORT-A-CATH GRIPPER NEEDLE W/EXTENSION TUBING 94 

NDN0206023BA STRAIGHT AND RIGHT-ANGLE NON-CORING NEEDLE 直式或直角無心彎針 85 

NDN0206025BA PORT-A NON-CORING NEEDLE ※ 限癌症化學治療及癌症未期之疼痛治療使用 85 

NDN0206033BA WINGED INFUSION SET 蝴蝶彎針注射套組 94 

NDN0220012US PORT-A NON-CORING NEEDLE/RIGHT ANGLE 85 

NDN0220013US PORT-A NON-CORING NEEDLE/STRAIGHT 85 

NDN0222052BA 蝴蝶彎針 WINGED INFUSION SET 94 

NDN0239759BB CYTOCAN NEEDLES FOR ACCESS PORT W/EXTENSION TUBING 94 

NDN0239953BB SURECAN NON-CORING NEEDLE FOR PORT A 85 

NDN0248430BB SURECAN NON-CORING NEEDLE W/EXTENSION TUBE FOR ACCESS PORTS 94 

NDN02A180NPW WINGED CORE RESISTANT NEEDLE SETS 94 

NDN02A190NPW WINGED NEEDLE SET( 含輸液管 ) 94 

NDN02P1922KA PORT ACCESS INFUSION SET(NON-DEHP TUBING)19:22G 94 

NDN02PN001SG PORT ACCESS INFUSION SET 94 

NDN040002AMX PROTECTIV IV CATHETER SAFETY SYSTEM 32.4 

NDN040024CBB INTROCAN CERTO-IV CATHETER 24G(PU) 14.5 

NDN0404000MX JELCO IV CATHETER(TEFLON) 14 

NDN0405000MX OPTIVA IV CATHETER(PU) 14.5 

NDN041214NAY IV CATHETER(TEFLON) 14 

NDN041422CBB INTROCAN CERTO-IV CATHETER 14:22G (PU)( 產品型號 0405-5756,64,72,6272,99) 14.5 

NDN041422NBB IV CATHETER(TEFLON) 14 

NDN041422NBN IV CATHETER(TEFLON) 14 

323



NDN041424ABD INSYTE AUTOGUARD INTRAVASCULAR CATHETER 安全性靜脈導管 32.4 

NDN041424NBD IV CATHETER(TEFLON) 14 

NDN041424NTM IV CATHETER(TEFLON) 14 

NDN041424STM SURFLO IV CATHETER 14G:24G(ETFE) 14 

NDN041622NBD IV CATHETER(TEFLON) 14 

NDN041622NNR IV CATHETER(TEFLON) 14 

NDN041622NTM IV CATHETER(TEFLON) 14 

NDN041624ABD IV CATHETER(PU) 14.5 

NDN041627NTM IV CATHETER 16:27G (PU) 14.5 

NDN041824NTP IV CATHETER MN(TEFLON) 14 

NDN042400NBB IV CATHETER(TEFLON) 14 

NDN042400NNR IV CATHETER(TEFLON) 14 

NDN0442603BB VASOFIX SAFETY I.V. CANNULAE 菲適免針加藥安全靜脈留置針 47.7 

NDN0442689BB VASOFIX I.V. CANNULAE 菲適免針加藥靜脈留置針 26.2 

NDN0442CWSBB INTROCAN CERTO SAFETY PU 18:24G 安全靜脈留置針 32.4 

NDN0442NWSBB INTROCAN CERTO SAFETY TEF 18:24G 安全靜脈留置針 32.4 

NDN04SR01NTM SURFLO I.V CATHETER 14G:24G 14 

NDN04T1424BD INSYTE IV CATHETER(PU/VIALON) 14.5 

NDN04W1624BD INSYTE-W IV CATHETER(PU/VIALON) 14.5 

NDN050024WBB INTROCAN CERTO IV CATHETER W/WING 24G(PU) 14.5 

NDN050024WBD IV CATHETER 24G(TEFLON) 14 

NDN051422WBB INTROCAN CERTO IV CATHETER W/WING (PU) 14:22G( 產品型號 0405-6280,5780,5799,6264,7802) 14.5 

NDN051622NBB VASOCAN IV CATHETER(TEFLON)( 蠂翼靜脈留置針 ) 14 

NDN051622WBD IV CATHETER 16:22G(TEFLON) 14 

NES04QCS01CK "COOK"COAXIAL QUICK-CORE BIOPSY SETS 同軸庫可取樣針組 * 1500 

RRB0119009HU HUDSON INCENTIVE SPIROMETER VOLDYNE 5000* 140 

324



RRB0119017HU HUDSON INCENTIVE SPIROMETER PEDIATRIC VOLDYNE * 140 

RRB0119025HU HUDSON INCENTIVE SPIROMETER VOLDYNE 2500* 140 

RRB024301NGF GALEMED SPIROMETER AND ACCESSORY* 140 

SAS026025SUS 

" 優施西 "GIA 自動手術縫合器 "USSC"AUTO SUTURE MULTIFIRE GIA DISPOSABLE SURGICAL 

STAPLER* 

2459 

SAS02TLC75JJ LINEAR CUTTER SAFETY LOCKOUT 75MM 腸胃自動縫合器 2459 

SAS02TLHNNJJ TITANIUM LINEAR STAPLE 30,60,90MM ( 自動縫合器 + 釘 ) 2300 

SAS03CDHXXET " 愛惜康 " 普克美釘合器 "ETHICON"PROXIMATE ILS INTRALUMINAL STAPLER* 5196 

SAS03EEA25US " 優施西 " 一次性彎形端對端縫合器 "USSC" AUTO SUTURE CEEA SINGLE USE STAPLERS* 5196 

SAS03SDH21JJ CIRCULAR STAPLE 消化道動吻合器 + 釘 21,25,29,33MM 5196 

SAS0608025RA REFLEX SKIN STAPLE (REGULAR SIZE)(25) 410 

SAS0608525RA REFLEX SKIN STAPLE (WIDE SIZE)(25) 410 

SAS0654854US DISPOSIBLE ROYAL SKIN STAPLE 25W 410 



SAS06FJ125WK VISISTAT SKIN STAPLE 25R 367 

SAU0115441US TA 30 P-V3 DLU 胸腹器吻合釘 TA30P-V 2.5MM 2294 

SAU01XR30RJJ PROXIMATE RELOADABLE LINEAR STAPLER 30MM VASCULAR 2294 

SAU01XR30VET 

" 愛惜康 " 普克美縫合釘 "ETHICON" PROXIMATE LINEAR CUTTERS & RELOAD UNITS(RELOADABLE 

LINEAR STAPLER)* 

2294 

SAU0282534DG VALTRAC BIOFRAGMENTABLE ANASTOMOSIS RING 1.5:2.5MMX25:34MM 3900 



SCS0101037CM RANEY SCALP CLIP 頭皮夾 20 排 / 盒 10 支 / 排 13 

SCS0103100P2 " 太平洋 " 頭皮夾 "PAHSCO" SCALP CLIP 13 

SCS01FF15PAE RANEY SCALP CLIPS 13 

SCV0104120V7 " 威坦鐵克 " 鈦金屬血管夾 "VITALITEC" SLS-CLIP TITANIUM HEMOSTATIC CLIP 大型 35 

SCV01FD870WK TITANIUM HEMOCLIP(LARGE) 35 

325



SCV01LT400JJ TITANIUM LIGA CLIP (L) 6 CLIP/ 排 35 

SCV029380NM1 SUGITA ANEURYSM CLIPS(FENESTRATED LARGE TYPE)NO.7,9,12,14 3000 

SCV029404NM1 SUGITA ANEURYSM CLIP (FENESTRATED LARGE TYPE) 3000 

SCV029405NM1 SUGITA ANEURYSM CLIP (TEMPORARY TYPE) 3000 

SCV029407SM1 SUGITA ANEURYSM CLIP (FENESTRATED LARGE TYPE) 3000 

SCV029408SM1 SUGITA ANEURYSM CLIP (MINI TYPE) 3000 

SCV0300001PA " 安培 " 腹腔鏡血管夾 "APPLIED"LAPAROSCOPIC CLIP APPLIER SYSTEM 200 

SCV0300005ET LIGACLIP MULTIPLE CLIP APPLIER 多釘縫合釘 175 

SCV031112CRG 

SCV031113LQX 

內視鏡多發式可重複使用血管夾 "MICROLINE"M/L-10 ENDOSCOPIC MULTI-FIRE RATCHETED 

REUSABLE CLIP APPLIER-DISPOSABLE 19 TITANIUM CLIP 

" 麥克嵐潘特斯 " 傑尼多發式血管夾 "MICROLINE PENTAX" GEMINI MULTI-FIRE LARGE CLIP 

APPLIER 

175 

175 

SCV03530MLCH " 康美 " 拋棄式血管夾 "CONMED" DISPOSABLE CLIP APPLIER 175 

SCV03615MLUS ENDO CLIP APPLIER M/L CLIPS 內視鏡自動血管夾 175 

SCV03625LLUS ENDO CLIP APPLIER M/L CLIPS 內視鏡自動血管夾 200 

SCV2023701WK HEMOCLIP AUTOMATIC CLIP APPLIER WITH CLIPS S15 102 

SCV2023703WK HEMOCLIP AUTOMATIC CLIP APPLIER WITH CLIPS M20 104 

SCV2032081US SURGI-CLIP M-9.5 ( 每支 20 CLIP) 104 

SCV2032091US SURGI-CLIP M-11 ( 每支 20 CLIP) 104 

SCV2034031US PREMIUM SURGI-CLIP ( 每支 20 CLIP) M-11.5 104 

SCV2034044US PREMIUM SURGI-CLIP M9.75 ( 每支 15 CLIP) 104 

SCV2034046US PREMIUM SURGI-CLIP ( 每支 20 CLIP) S9.0 102 

SCV2034048US PREMIUM SURGI-CLIP L-13.0 ( 每支 15 CLIP) 122 

SCV2034051US AUTO SUTURE DISPOSABLE AUTOMATIC CLIP APPLIER PREMIUM SURGICLIP II(M-9.75) 104 

SCV2034053US AUTO SUTURE DISPOSABLE AUTOMATIC CLIP APPLIER PREMIUM SURGICLIP II(M-11.5) 104 

SCV2035220CH CONMED DISPOSABLE CLIP APPLIER 拋棄式血管夾 104 

SCV20MCL20JJ MULTIPLE CLIPS APPLIER (20 CLIP/PC) 122 

SCV20MCM20JJ MULTIPLE CLIP APPLIER (20 CLIP/PC) 104 

326



SCV20MCM30JJ MULTIPLE CLIP APPLIER (30 CLIP/PC) 104 

SCV20MCS20JJ MULTIPLE CLIP APPLIER (20 CLIP/PC) 102 

TKC0202100K2 SUPERBLADE TREPHINE VACUUM 2350 

TKC028260NJM HESSBURG-BARRON VACUUM TREPHINE 漢氏伯手動環鉅 2350 

TKF0108120A1 LIGHT GUIDE 20G 1450 

TKF0192801ZT FIBER OPTIC ENDOILLUMINATOR PROBE 後房手術用光纖 1450 

TKF01DP602B9 ILLUMINATORS 眼科手術儀用光纖導管 1450 

TKF01MVS01B9 ILLUMINATORS 眼科手術儀用光纖導管 1450 

TKP0113509WF EHL 9FR 電擊線 3477 

TKP0113713WF EHL 3.5FR 電擊線 3477 

TKP0113715WF EHL 5FR 電擊線 3477 

TKP012280NWF LITHOTRIPTER:RIWOLITH PROBES 2280.XXX 3477 

TKP012708NKL EHL PROBE 電擊碎石線 3477 

TKVC1CX408B9 HIGH SPEED VITRECTOMY CUTTER TIPS 高速玻璃體切割頭 600-1500 次 / 分 4500 

TKVS1D4801B9 

VITREOUS ASPIRATION AND CUTTING INSTRUMENT PACKS:VENTURI BASIC POSTERIOR 

VITRECTOMY ( 含盒子 ) 

4500 

TKVS1D4801SZ BASIC POSTERIOR VITRECTOMY PACK 4500 

TKVS1D4803B9 

VITREOUS ASPIRATION AND CUTTING INSTRUMENT PACKS:POSTERIOR VITRECTOMY CUTTER 

PACKS( 不含盒子 ) 

4500 

TKVS1D4803SZ MICROVIT VITRECTOMY CUTER POSTERIOR 4500 

WBB0402050A8 ELASTIC BANDAGE 10.6 

WBB0402050C7 ELASTIC BANDAGE 10.6 

WBB0402050EX ELASTIC BANDAGE 10.6 

WBB0402050EZ ELASTIC BANDAGE 2"x5Y * 10.6 

WBB0402050F0 FOR CARE ELASTIC BANDAGE* 適應正請見備註欄 10.6 

WBB0402050GM ELASTIC BANDAGE 10.6 

WBB0402050KB DURELASTIC-M 5CMx4.5M * 10.6 

WBB0402050KF ELASTIC BANDAGE 10.6 

327



WBB0402050MG ELASTIC BANDAGE 2"x5Y 10.6 

WBB0402050TW ELASTIC BANDAGE* 10.6 

WBB0402050YS ELASTIC BANDAGE 2"X5Y 10.6 

WBB0402050YU YU CHUNG ELASTIC BANDAGE (NON-STERILE)* 10.6 

WBB0402050Z5 S.S BANDAGE 2x5* 10.6 

WBB0402050ZB ELASTIC BANDAGE* 10.6 


WBB0403050B5 ELASTIC BANDAGE 15.2 





WBB0403050FF ELASTIC BANDAGE 15.2 


WBB0403050KB DURELASTIC-M 7.5CMx4.5M * 15.2 




WBB0403050YS ELASTIC BANDAGE 3"x5Y 15.2 


WBB0403050Z5 S.S BANDAGE 3x5* 15.2 


WBB0403050ZE O.P.S ELASTIC BANDAGE(NON-STERILE) 15.2 




328





























329






WBB0702030AZ "M&A"POP PLASTER OF PARIS BANDAGE EXTRA FAST SETTING 2"X3Y 石膏繃帶 20.5 

WBB0702050AZ PLASTER OF PARIS BANDAGE 2"x5Y 23 

WBB0702050JN "JOIN"OPTIMA POP PLASTER OF PARIS BANDAGE2"X5Y 歐替瑪石膏繃帶 23 

WBB0703030A5 CAST BANDAGE 23 

WBB0703030AZ "M&A"POP PLASTER OF PARIS BANDAGE EXTRA FAST SETTING 3"X3Y 石膏繃帶 23 

WBB0703030C7 "CSD"PLASTER OF PAIRS BANDAGE 3"X3Y 石膏繃帶 23 

WBB0703030NJ PLASTER BANDAGE 3"X3Y 23 

WBB0703030U6 PLASTER OF PARIS BANDAGE 3"X3Y 23 

WBB0703030ZD DUK-IN PLASTER BANDAGE 23 


WBB0703050AZ PLASTER OF PARIS BANDAGE 3"X5Y 32 

WBB0703050C7 CAST BANDAGE 32 



WBB0704030DQ PLASTER OF PARIS BANDAGE B.P 25 


WBB0704040U6 PLASTER OF PARIS BANDAGE 4"X4Y 34.1 

WBB0704040ZD DUK-IN PLASTER BANDAGE 34.1 

WBB0704050A5 CAST BANDAGE 40 




WBB0704050MB CAST BANDAGE 40 

330




WBB0704050NS NOK-SAN CAST PLASTER BANDAGE 10CMX4.5M(4"X5Y) 40 


WBB0705050AZ "M&A"POP PLASTER OF PARIS BANDAGE EXTRA FAST SETTING 5"X5Y 石膏繃帶 50 






WBB0706040ZD DUK-IN PLASTER BANDAGE 47 

WBB0706050A5 "Alcare"casting 6"x5y 53 




WBB0706050MB CAST BANDAGE 53 


WBB0706050NS NOK-SAN CAST PLASTER BANDAGE 15CMX4.5M(6"X5Y) 53 




WBB0801020KB "KOB"KOBRA CAST 易速石膏繃帶 ( 聚脂石膏繃帶 )1 吋 X2 碼 * 100 

WBB0801020Q9 "TOMATO"ORTHOPAEDIC CASTING TAPE(NON-STERILE) 玻璃纖維石膏繃帶 1 吋 X2 碼 * 100 

WBB08020403M SCOTCHCAST PLUS CASTING TAPE 玻璃纖維石膏繃帶 2 吋 X4 碼 * 240 


WBB0802040NJ FIBERGLASS CAST TAPE 玻璃纖維石膏繃帶 2 吋 X4Y* 240 

WBB0802040Q3 "DONG HAE"ORTHOPEDIC CASTING TAPE 輕石膏 ( 玻璃纖維 )2 吋 X4 碼 * 240 

331



WBB0802040Q5 "S&F"ROBO CASTING TAPE 若玻樹脂石膏繃帶 ( 聚脂纖維 )2 吋 X4 碼 * 240 

WBB0802040Q6 NEMOA CAST ORTHOPAEDIC CASTING TAPE(POLYESTER) 米尼亞聚脂繃帶 2 吋 X4 碼 * 240 

WBB0802040Q7 "KJC"PP-BAND CASTING TAPE 必庇綁樹脂石膏 ( 聚脂纖維 )2 吋 X4 碼 * 240 

WBB0802040Q8 "OPTIMA CAST"ORTHOPAEDIC CASTING TAPE(NON-STERILE) 樹脂石膏繃帶 ( 玻璃纖維 )2 吋 X4 碼 * 240 


WBB08020413M SCOTCHCAST PREMIUM CASTING TAPE 玻璃纖維石膏繃帶 2 吋 X4 碼 * 240 

WBB0802041NJ POLYESTER CAST TAPE 聚脂纖維石膏繃帶 2 吋 X4Y* 240 




















332





















WBB0815381A5 玻璃纖維石膏繃帶 2 吋 X4 碼 * 240 




WBB0817941A5 聚脂纖維石膏繃帶 2 吋 X4 碼 * 240 




333



WBB0820400Q5 "S&F"ROBO CASTING TAPE 若玻樹脂石膏繃帶 ( 玻璃纖維 )2 吋 X4 碼 * 240 





WBP0102040JN OPTIMA PAD 石膏棉捲 11 

WBP0103030C7 CSD ORTHOPAEDIC CAST COTTON PADDING 13.5 

WBP0103030DQ SABHARWAL'S BANDAGE ORTHOPAEDIC CAST PADDING 13.5 

WBP0103030LD LANTOR ORTHOPEDIC COTTON BANDAGE 13.5 

WBP0103030TH ORTHOPEDIC COTTON BANDAGE 13.5 

WBP0103040C7 CSD ORTHOPAEDIC CAST COTTON PADDING 14 

WBP0103040FC ORTHOPEDIC COTTON BANDAGE 14 

WBP0103040FF ORTHOPEDIC COTTON BANDAGE 14 

WBP0103040JN OPTIMA PAD 石膏棉捲 14 

WBP0103040KF ORTHOPEDIC COTTON BANDAGE 14 

WBP0103040LD LANTOR ORTHOPEDIC COTTON BANDAGE 14 

WBP0103040ZC CAST PADDING SOFT COTTON BANDAGE 14 



WBP0104033DQ ORTHOPAEDIC CAST PADDING 14 

WBP0104040BP B.P.I UNDER CAST PADDING BANDAGE COTTON 18.3 


WBP0104040FC ORTHOPEDIC COTTON BANDAGE 18.3 

WBP0104040FF ORTHOPEDIC COTTON BANDAGE 18.3 

WBP0104040GM ORTHOPEDIC COTTON BANDAGE 18.3 

WBP0104040JN OPTIMA PAD 石膏棉捲 18.3 

334



WBP0104040KF ORTHOPEDIC COTTON BANDAGE 18.3 


WBP0104040NJ ORTHOPEDIC COTTON BANDAGE 18.3 

WBP0104040TH ORTHOPEDIC COTTON BANDAGE 18.3 

WBP0104040ZC CAST PADDING SOFT COTTON BANDAGE 18.3 







WBP0106033DQ ORTHOPAEDIC CAST PADDING 24 

WBP0106040BP B.P.I UNDER CAST PADDING BANDAGE COTTON 27.5 


WBP0106040FC ORTHOPEDIC COTTON BANDAGE 27.5 

WBP0106040FF ORTHOPEDIC COTTON BANDAGE 27.5 

WBP0106040GM ORTHOPEDIC COTTON BANDAGE 27.5 

WBP0106040JN OPTIMA PAD 石膏棉捲 27.5 

WBP0106040KF ORTHOPEDIC COTTON BANDAGE 27.5 


WBP0106040NJ ORTHOPEDIC COTTON BANDAGE 27.5 

WBP0106040TH ORHTOPEDIC COTTON BANDAGE 27.5 

WBP0106040ZC CAST PADDING SOFT COTTON BANDAGE 27.5 

WBP0106050A5 ORTHOPEDIC COTTON BANDAGE 34.4 



335




WDD0800100CA COMFEEL DRESSING 10X10CM 123 

WDD0800451SN "SMITH&NEPHEW"ALLEVYN DRESSING(SACRUM)22CMX22CM 愛力膟親水性的聚乙烯膟料 * 400 






WDD080300BDB BIO-BRANE 13CMX38CM 1500 

WDD0809921HL RESTORE EXTRA THIN 10CMMX10CM 55 

WDD0809953HL RESTORE PLUS WOUND CARE DRESSING STERILE 10X10CM 123 

WDD0809955HL RESTORE PLUS WOUND CARE DRESSING STERILE 20X20CM 400 

WDD0809956HL RESTORE PLUS TAPERED EDGE WOUND CARE DRESSING STERILE 10X10CM 123 


WDD0815181A5 KARAYAHESIVE HYDROCOLLOID WOUND DRESSING 37.5CM2, 親水性敷料 * 26 







WDD0834100CA "COLOPLAST"BIATAIN NON-ADHESIVE DRESSING 10X10CM 平而坦非黏性泡綿敷料 * 123 

WDD0834160CA "COLOPLAST"BIATAIN DRESSING NON-ADHESIVE 20CMX20CM 平而坦傷口敷料 * 400 




336



WDD0835500CA "COLOPLAST"BIATAIN AG NON-ADHESIVE FOAM DRESSING 10X10CM 平而坦銀離子非黏性泡綿敷 228 

料 * 

WDD0837100CA COMFEEL SEASORB DRESSING 10X10CM 123 

WDD0839030CA COMFEEL PURILON GEL 25GM* 276 



WDD0850554BB "B.BRAUN"ASKINA THINSITE DRESSING(STERILE)10CMX10CM* 55 


WDD0860924P8 TENDERWET 10X10CM 123 

WDD0860928P8 TENDERWET 10X10CM 123 



WDD08900223M HYDROCOLLOID DRESSING 10X10CM( 薄 ) 55 

WDD08900333M TEGASORB THIN HYDROCOLLOID DRESSING 10CMX10CM * 55 

WDD08900523M 3M TEGASORB THIN HYDROCOLLOID DRESSING 5CMX20CM* 55 



WDD0890685P8 HYDROCOLL TRANSPARENT 10X10CM( 薄 ) 55 


WDD0895400LN MEPILEX BORDER SAFETAC SILICON FOAM DRESSING 15X15CM* 250 

WDD0899581P8 

"HARTMANN"HYDROPHILIC WOUND DRESSING(THIN)(STERILE)HYDROTUL 5X5CM 親水性創傷覆蓋 

材 * 

26 



WDD08C0506SN "SMITH&NEPHEW"CUTINOVA HYDRO DRESSING 新世代人工皮膟 5CMX6CM* 30 

WDD08C1010SN "SMITH&NEPHEW"CUTINOVA HYDRO DRESSING 10X10CM* 123 

WDD08F0102ZW "SAVDERM"FOAM DRESSING (STERILE)10X10CM 泡棉敷料 * 123 


337





WDD08T0520RW "TEAM POWER"HYDROPHILIC WOUND DRESSING (STERILE) 親水性創傷敷料 ( 滅菌 )5X20CM*( 薄型 )* 55 

WDD08T1010RW 


型 )* 

55 




338

全民健康保險醫療費用支付標準第八部第六章特殊材料品項表修正品項1

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