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第六章、特殊材料品項 

第一節接頭類 

全民健康保險醫療費用支付標準 

特材代碼中英文品名產品型號單位支付點數 

ACA0100ABNPW IV CAP 'A;B TYPE EA 6 

ACA0108008SG IV CAP 注射帽 '8008 EA 6 

ACA011PN01NQ INJECTION CAP 'IPN001:IPN008 EA 6 

ACA011VCAPTP INJECTION CAP 'IVC-001 EA 6 

ACA0121010TZ IV LOCK 

'S-21-010-A;( 自 

980101 起改為 S-21- EA 6 

001) 

ACA012VCAPTP INJECTION CAP 'IVC-002 EA 6 

ACA0138510BD PRN ADAPTER 

'385110;385111; 

385112;385113; EA 6 

385114;385115 

ACA013851NBD PRN ADAPTER '385110;111;113 EA 6 

ACA0142375BB IV LOCK '0423751/0 EA 6 

ACA01AB00NPW IV LOCK 'A 型、B 型 EA 6 

ACA01B1596BN INJECTION PORT CAP(IV LOCK) '591596 EA 6 

ACA01C1C02LL INJECTION CUP(IV LOCK) 'CIC-001:CIC-004 EA 6 

ACA01NF005LL INJECTION CAP( 安全型 )※ 適應症請見備註欄 'CIC-005S EA 50 

ACA01SR1PNTM IV LOCK 'SRIP1 EA 6 

ACC0100360BT PLASTIC CONNECTOR 兩尖型 '360 EA 18 

ACC0100361BT PLASTIC CONNECTOR 一尖一平塑膞連接頭 '361 EA 18 

ACC0100362BT PLASTIC CONNECTOR 塑膞連接頭 '362 EA 18 

ACC0100364BT PLASTIC CONNECTOR 直型塑膞連接頭 '364 EA 18 

ACC01HSC60H6 PLASTIC CONNECTOR( 兩尖型 ) 'HS-C-60 EA 18 

ACC01HSC61H6 PLASTIC CONNECTOR( 一尖一平型 ) 'HS-C-61 EA 18 

ACC02VP004LL 3 WAY 'CVP-004 EA 12 

ACM0100254BS MANIFOLDS 4 PORTS 500PSI '46-000254-01;03 EA 400 

ACM0100297BS 

MANIFOLDS 2 PORTS 

'46-000297-00:12 EA 250 

ACM0100298BS 

ACM0101274BB 

ACM0101275BB 

ACM0101277BB 

ACM0101278BB 

ACM0101280BB 

ACM0101281BB 

ACM0101283BB 

ACM0101284BB 

ACM0101285BB 

200PSI,500PSI,1000PSI 

MANIFOLDS 3 PORTS 

200PSI,500PSI,1000PSI 

HIGH PRESSURE MANIFOLDS DOUBLE 35 

BAR 

HIGH PRESSURE MANIFOLDS DOUBLE 

W/ROTABLE ADAPTER 35 BAR 

HIGH PRESSURE MANIFOLDS DOUBLE 70 

BAR 

HIGH PRESSURE MANIFOLDS DOUBLE 


HIGH PRESSURE MANIFOLDS TRIPLE 35 

BAR 

HIGH PRESSURE MANIFOLDS TRIPLE 


HIGH PRESSURE MANIFOLDS TRIPLE 70 

BAR 

HIGH PRESSURE MANIFOLDS TRIPLE 


ANGIODYN HIGHT PRESSURE MANIFOLDS 

STOPCOCKS DOUBLE PORTS 500PSI 

1000PSI 

'46-000298-00;01; 

04:08;12:19 

EA 300 

'05012740;031 EA 250 

'05012759;767 EA 250 

'05012775;015 EA 250 

'05012783;791; 

104;120 

EA 250 

'05012805;023 EA 300 

'05012813;821; 

090;704 

EA 300 

'05012830;007 EA 300 

'05012848;856; 

066;082;077 

'5012155;5012163;501 

2759; 

5012783;5012031;5012 

112; 

5012015;5012104;5012 

199 

EA 300 

EA 250 

- 第八部第六章第一節 -1



'5012813;5012848;501 

ANGIODYN HIGHT PRESSURE MANIFOLDS 

2074; 

ACM0101286BB STOPCOCKS TRIPLE PORTS 500PSI 

EA 300 

5012066;5012893;5012 

1000PSI 

094 

ACM01202HFMR MANIFOLD 2-V 200PSI '202-HF-R EA 250 

ACM01253RXMR 

MANIFOLD 3 PORTS 200PSI;500PSI WITH 

HIGH PRESSURE TUBING 雙層 ( 可達 

1200PSI) 

'203HF-RX;503HF-RX EA 700 

ACM012P640SB 

ACM013P640SB 

ACM0142311AB 

ACM0142314AB 

ANGIOGRAPHIC MANIFOLDS 2-PORTS 

ANGIOGRAPHIC MANIFOLDS 3-PORTS 

HIGH PRESSURE STOPCOCK MANIFOLD 

FIVE-STATION 600PSI 


TWO-STATION 600PSI 


THREE-STATION 600PSI 


FOUR-STATION 600PSI 

'H965640382001; 

H965640382021; 

H965700362001; 

H965700382121 

'H965640383011; 

H965640383031; 

H965700363011; 

H965700383131 

EA 250 

EA 300 

'42311-01 EA 532 

'42312;13;14-01 EA 250 

ACM019310NAG MANIFOLDS 2 PORTS '193101:16 EA 250 

ACM019311NAG MANIFOLDS 3 PORTS '193117:32 EA 300 

ACM01APMF2H9 ANGIO PACK:MANIFOLDS 2 PORT/500 '20-1002-03-01;02 EA 250 

ACM01APMF3H9 ANGIO PACK:MANIFOLDS 3 PORT/500 '20-1002-03-03 EA 300 

ACM01PT003CK 2-PORTS MANIFOLD 連接頭 '2PTWS-MLL-R;L EA 250 

ACP011000NDL Y TYPE ADAPTOR '1003:1005 EA 365 

ACP0146201H9 

ACP01CA123L5 

ACP01EC210GH 

" 華億 " 體外循環管組 "HYM"HEART LUNG 

PACK-Y & STRAIGHT & REDUCER 

CONNECTOR(WITH LUER) 

" 加州 " 心臟麻痺轉接器 "CALIFORNIA" 

CARDIOPLEGIA ADAPTERS 

EXTRACORPOREAL TUBING Y 

CONNECTOR 

EXTRACORPOREAL TUBING STRAIGHT 

ACM0142317AB 

'42309;15;16;17- 

01 

EA 300 

ACM0142320AB 

'42310;18;19;20- 

01 

EA 400 

ACM01502RXMR MANIFOLD 2-PORTS 1200 PSI '502HF-R EA 320 

ACM01503RXMR MANIFOLD 3-PORTS 1200 PSI '503HF-R EA 400 

MANIFOLD 4 PORTS 200PSI;500PSI WITH 

ACM01504RXMR HIGH PRESSURE TUBING 雙層 ( 可達 '204HF-RX;504HF-RX EA 800 

1200PSI) 

'47-000021-01:10;47- 

000022-01:10;47- 

000054-01:04;47- 

000055-01:04;47- 

000166-01:04;47- 

000167-00:01 

'CA-10010;CA- 

10020;CA-10030; 

CA-10040;CA-11030 

'EC-2100:2120; 

EC2192:2196 

'EC-2124:2135;EC- 

2154:2165 

'EC2139:2150; 

EC2170:2180; 

EC2200:2400 

EA 100 

EA 100 

EA 100 

ACP01EC212GH 

CONNECTOR 

EA 100 

EXTRACORPOREAL TUBING 

ACP01EC214GH CONNECTORS REDUCER REDUCER /LUER 

EA 100 

SPECIALTY 

ACP01ECTBSM6 

EXTRACORPOREAL TUBING STRAIGHT 

CONNECTOR 

'ECTB/CP2283 EA 100 

ACP01ECTBYM6 

EXTRACORPOREAL TUBING Y- 

'ECTB/CP3341; 

CONNECTOR 

ECTB/CP3383 

EA 100 

ACP0214000DL 

MULTIPURPOSE PERFUSION SET WITH 

VENT LINE 

'14001 EA 910 




ACP0214003DL 

MULTIPURPOSE PERFUSION SET※ 適應症 

請見備註欄 

'14000;14003 EA 675 

ACPD1C4129BT 

ADAPTER FOR PERITONEAL DIALYSIS 

CATHETER 

'5C4129 EA 1600 

ACS0107401BT 3-WAY STOPCOCK W/LUER LOCK 'FMC7401 EA 12 

ACS0109511BB 3 WAY STOPCOCK 

'(409512/0 自 940101 擴 

增型號 );409511/1 

EA 12 

ACS0129010TZ THREE WAY STOPCOCK SYSTEM 'S-29-010;020-A EA 12 

ACS0134MPATP 

PREDURA PRESSURE RESISTAN THREE 

WAY STOPCOCK 3.4MPA 360 度 500PSI 

'3.4MPA EA 20 

ACS013CAPSM8 3 WAY STOPCOCK 'R1-FL-3CAPS EA 12 

ACS0152001TP 3 WAY STOPCOCK '52001 EA 12 

ACS0168MPATP 


WAY STOPCOCK 1000PSI 

'6.8MPA EA 70 

ACS01B1702BD STOPCOCKS W/LUER-LOCK '591702 EA 12 

ACS01D010NPW 

DISPOSABLE INFUSION SET 3 WAY 

STOPCOCK 

'D01;D02;D03;D04 EA 12 

ACS01H3FLCMR 

MANIFOLD HIGH PRESSURE 3 WAY 

STOPCOCK (1050PSI)( 自 92.10.01 起廠牌碼由 'H3FLC EA 70 

ER 改為 MR) 

ACS01M3SNCMR MARQUIS SERIES STOPCOCK 500PSI 

'M3SNC;M3RRC; 

M4SNC 

EA 34 

ACS01NCN3SNR 3 WAY STOPCOCK 塑膞三極栓 '#NCN3 EA 12 

ACS01P0W01CK 

3 WAY STOPCOCK(HIGH 

'POWS-FLL-RTF; 

PRESSURE)1200PSI 

MLL 

EA 102 

ACS01PT001CK 3 WAY STOPCOCK 1200PSI 

'PTWS-2FLL-MLL; 

RTF-R 

EA 102 

MANIFOLD 3 WAY STOPCOCK W/LUER 

ACS01S3SNCMR 

LOCK( 自 92.10.01 起廠牌碼由 ER 改為 MR) 

'S3SNC EA 20 

ACS01STP34EM 3 WAY AND 4 WAY STOPCOCK '562403;562325 EA 12 

'46-000160-00:02;46- 

ACS01STP34H9 

" 華億 " 體外循環管組 "HYM"HEART LUNG 000159-00;46- 

PACK-3 & 4 WAY STOPCOCKS 

000157-00:01;46- 

EA 12 

000158-00 

HIGH PRESSURE 1 & 3 WAY 

ACS01STPHPEM 

STOPCOCK(1050PSI) 

'565008;585301 EA 70 

ACS01TS201SG 3 WAY STOPCOCK W/LOCK 'SMTS0201 EA 12 

ACS01V68MPTP 


WAY STOPCOCK V-TYPE 1000PSI 

'6.8MPA EA 70 

ACS03SMT01SG 1000PSI HIGH PRESSURE 3 WAY 'SMET0301 EA 70 

ACVP101900NZ PUDENZ CONNECTOR STR 

'NL850-1900;NL850- 

1911;NL850-1913; EA 400 

NL850-1919 

ACVP101902NZ PUDENZ RIGHT ANGLE CONNECTOR 'NL850-1902 EA 845 

ACVP105103B0 CSF CATHETER CONNECTOR,STRAIGHT '05103 EA 400 

ACVP105104B0 

CSF CATHETER CONNECTOR,RIGHT 

ANGLE 

'05104 EA 845 

ACVP123048CM HAKIM STRAIGHT CONNECTOR '82-3048 EA 400 

ACVP145103PM CONNECTOR '45103 EA 400 

ACVP145104PM CONNECTOR L 型 '45104 EA 845 

ACVP182150CM 

ACCU-FLO STRAIGHT 

CONNECTORS(METAL,PLASTIC) 

'82-1501;82-1504 EA 400 

ACVP182151CM 

ACCU-FLO RIGHT ANGLE 

CONNECTORS(METAL,PLASTIC) 

'82-1507;82-1511 EA 845 

ACVP201908NZ PUDENZ THREE WAY CONNECTOR 'NL850-1908 EA 1600 

ACVP205105B0 CSF CATHETER CONNECTOR,3-WAY '05105 EA 1600 

ACVP221520CM 3 WAY CONNECTOR '82-1520:1 EA 1600 

ACVP245105PM 3 WAY CONNECTOR '45105 EA 1600 




ACY010210NSD PTCA Y CONNECTOR '0210NA;0210NC EA 1200 

ACY0103004P2 Y-CONNECTOR '003004 EA 12 

ACY0103331AB 

COPILOT BLEEDBACK CONTROL VALVE Y 

ADAPTOR 

'1003331 EA 1286 

ACY016248VM4 ADJUSTABLE VALVE W/3-WAY STOPCOCK '6248VAL EA 1200 

ACY0191400SB NAMIC MORSE Y ADAPTOR 

'H965914000251; 

H965914000281; 

H965914002251; 

EA 1286 

H965914002281 

ACY01KESU1NX Y-CONNECTOR(PTCA,PTA 用 ) 

'KESU0001; 

KESU0003 

EA 1200 

MONIFOLD W/HEMOSTASIS VALVE 200PSI 'MAP111:114;400; 

ACY01MAP13MR 

單 Y 型 

403;450;453 

EA 1286 

ANGIOPLASTIC PACK & DOUBLE 

ACY01MAP22MR 

HEMOSTASIS VALVES 

'MAP221 EA 1400 

ANGIOPLASTIC PACK & HEMOSTASIS 'MAP102;MAP112; 

ACY01MAP45MR 

VALVES 

MAP453 

EA 1200 


第二節容器類 


BBB01T060CTM TRANSFER BAG 600ML 'BB*T060CB EA 55 

BBB01T100BTM TRANSFER BAG 1000ML 'BB*T100BB EA 100 

BBF0300059KG KABI APPLIX TUBING SET BAG* 適應症請見 '7902131 EA 72 

BBF0307020P2 FEEDING BAG ※ 適應症請見備註欄 'M07020 EA 72 

BBF0307030P2 

BBF0307040P2 

BBF0322361AB 

FEEDING BAG DOUBLE BAG 1200CC ※ 適應 

症請見備註欄 

FEEDING BAG DOUBLE BAG WITH PUMP 

1200CC ※ 適應症請見備註欄 

PATROL TOP FILL BAG & PUMP SET※ 適應 


'07030 EA 72 

'07040 EA 127 

'M22361 SET 127 

BBF03223XXAB 

BBF0350010TZ 

BBF0373006KD 

BBF0373642SH 

BBF0373656KD 

BBF0373659SH 

BBF0377360SH 

"ABBOTT"FLEXIFLOW PATROL 1 LITER TOP 

'M223 

FILL BAG WITH STOPCOCK AND 

SET 127 

FEEDING BAG 1200CC( 動力式 )* 適應症請見備 

註欄 

'S-50-010-A EA 72 

KENDALL KANGAROO ENTERAL FEEDING 

PUMP SETS* 適應症請見備註欄 

'8884-773006 SET 127 

EASY CAP BAG 1000ML AND PUMP SET 

WITH FLUSH BAG ※ 適應症請見備註欄 

"KENDALL"KANGAROO EPUMP FEEDING 

SETS 袋鼠電子灌食機用灌食套組 * 適應症請見 

備註欄 

EASY CAP BAG 1000ML AND PUMP SET 

WITH ONE WAY VALVE※ 適應症請見備註欄 

KANGAROO FEEDING PUMP SET※ 適應症請 

見備註欄 

'8884-773642 SET 127 

'673656;672055; 

673662 

SET 127 

'8884-773659 SET 127 

'77360 SET 127 

BBF0377517KG KABI APPLIX SMART/VISION PUMP SET '7751711 SET 127 

BBF03F1200SG FEEDING PUMP SET※ 適應症請見備註欄 'FB1200 EA 127 

BBF03FB030P2 

"PAHSCO"FEEDING BAG 雙袋重力式餵食袋 * 

適應症請見備註欄 

'FB030 EA 72 

BBF03FB040P2 

"PAHSCO"FEEDING BAG 雙袋機械式餵食袋 * 


'FB040 EA 127 

BBF03FB600P2 

PAHSC0 FEEDING BAG 重力式 600ML* 適應 


'FB600 EA 72 

BBP0100070CA 

POST OPERATION OPEN TRANSPARENT 

BAG 康便舒手術後便袋 * 限住院患者申報 

'#6818 EA 61 

BBP0103144HL CLOSED MINI POUCH 51MM 單片式封口便袋 '3144 EA 10 

BBP0112441A5 NEW BIOCLOSE-AF 50MM* 限住院患者申報 '12441:43 EA 45 

BBP011497NA5 

YOUCARE CLOSE POUCH 60MM※ 限住院患 

者使用 

'14971:14977 EA 34 

BBP011680NA5 YOUCARE C 14:59MM* 限住院患者使用 '16801:16807 EA 45 

BBP0400315DD 

BBP0400818DD 

ONE PIECE SOLO MINI DRAINABLE POUCH 

15:50MM( 含人工皮、不織布 )※ 限住院患者申報 

SOLO DRAINABLE POUCHES(NON- 

STERILE) 10-40MM* 限住院患者申報 

'315-15;316-15 EA 54 

'818-10 EA 45 

- 第八部第六章第二節 -5


DISPOSABLE COLOSTOMY BAG* 限住院患者 

BBP0401240PH 

'PLPT-5 EA 10 

申報 

SUR-FIT NATURA DRAINABLE 

'401510:14; 

BBP0401512SQ 

EA 45 

POUCH(TRANSPARENT OPAQUE)32:70MM 401501:04 

BBP0401515SQ 

BBP0401927SQ 

BBP0403250HL 

SUR-FIT NATURA DRAINABLE POUCH 2 

PIECE 100MM※ 限住院患者申報 

SUR-FIT NATURA LITTLE ONES DRAINABLE 

POUCH※ 限住院患者申報 

POST OPERATION COMPACT DRAINABLE 

POUCH( 開口便袋 )※ 限住院患者申報 

'401515 EA 80 

'401927:28 EA 40 

'3250 EA 61 

BBP0403802HL DRAINABLE POUCH 44MM * 限住院患者申報 '3802 EA 40 



BBP0403857HL 

OSTOMY TWO-PIECE WITH TRANSPARENT 

57MM 中央點鎖式兩式便袋 * 限住院患者申報 

'3803;3804 EA 45 

BBP0405403SQ DRAINABLE FILTER TRANSPARENT POUCH '4054-03:05 EA 40 

DRAINABLE FILTER OPAQUE POUCH 

BBP0405436SQ 

'4054-36:37;403946 EA 40 

35/48/61MM 封口除臭便袋 * 限住院患者申報 

BBP0405441SQ 

DRAINABLE FILTER OPAQUE POUCH 

35/48MM 開口除臭便袋 * 限住院患者申報 

'4054-41:42 EA 40 

BBP0406820CA POST OPEN BAG 100MM* 限住院患者申報 '6820 EA 80 

BBP0407600HL ONE-PIECE POUCH 51MM* 限住院患者申報 '7600 EA 10 

BBP0407650HL 

STONINAL ONE PIECE POUCH 51MM 單片附 

'7650 

人造皮便袋 * 限住院患者申報 

EA 45 

BBP0409243SQ 

DRAINABLE FILTER TRANSPARENT POUCH 

'4092-43:45 

35/48/61MM 封口除臭便袋 * 限住院患者申報 

EA 40 

BBP0409766HL 

ONE PIECE PEDIATRIC DRAINABLE 

POUCH( 附人造皮 ) ※ 限住院患者申報 

'9766 EA 45 

BBP0412131A5 

PROCARE-2 DRAINABLE POUCH 

30,40,50MM* 限住院患者申報 

'12131:33 EA 54 

BBP0412134A5 

PROCARE-2 DRAINABLE POUCH 70MM* 限 

住院患者申報 

'12134 EA 60 

BBP0412501A5 

BBP0412502A5 

BBP0412503A5 

BBP0412511A5 

BBP0412521A5 

LAPACK SUPER-G 人工肛門袋 G80* 限住院患 

者申報 

LAPACK SUPER-G 人工肛門袋 G100* 限住院 

患者申報 

LAPACK SUPER-G 人工肛門袋 G125* 限住院 

患者申報 

LAPACK SUPER-C 100 人工肛門封口便袋 * 限 


LAPACK SUPER F 簡易型夾鏈式開口便袋 * 限住 

院患者使用 

'12501 EA 13 

'12502 EA 13 

'12503 EA 13 

'12511 EA 13 

'12521 EA 10 

BBP0413351A5 POSPACK-B、K 60,70MM* 限住院患者申報 '13351;13361 EA 55 



"COLOPLAST"ALTERNA FREE WITH HIDE- '13974:13976; 

BBP0413984CA 

EA 40 

AWAY OUTLET OSTOMY POUCH 

13984:13986 

BBP041418NA5 YOUCARE D 14:50MM* 限住院患者使用 '12331;14181:14185 EA 54 

BBP0414212A5 

BBP0414344CA 

BBP041501KA5 

PEDIATRIC PROCARE 1 POST-OP * 限住院患 

者使用 

"COLOPLAST"EASIFLEX OSTOMY POUCH 

(NON-STERILE) 易利膟造口術用袋 * 適應症請見 

備註欄 

"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 

'14211 EA 45 

'14344;14359 EA 40 

'15011 EA 54 

BBP0415021A5 POSPACK B 60MM※ 限住院患者使用 '15021 EA 54 

BBP041503NA5 POSPACK LIGHT 60MM※ 限住院患者使用 '15031:15037 EA 34 

BBP0416611A5 

BBP0416612A5 

BBP0416613A5 

BBP0416623A5 

BBP041662NA5 

YOUCARE 2 POUCH DF 優護二件式開口便袋 * 

'16611 

限住院患者使用 

EA 40 


'16612 


EA 40 


'16613 


EA 40 

YOUCARE 2 POUCH D 優護二件式開口便袋 * 


'16623 EA 40 

YOUCARE 2 POUCH D 優護二件式開口便袋 * 


'16621:16622 EA 40 

BBP0416771A5 YOUCARE D 14:59MM* 限住院患者使用 '16771 EA 54 

BBP041678NA5 YOUCARE D 14:59MM* 限住院患者使用 '16781:16787 EA 54 

BBP0416960CA 

ILEOSTOMY BAG MAXI 40MM,50MM,60MM※ 

限住院患者申報 

'1696;1697;1698 EA 40 

BBP0417820CA ALTERNA CHILDREN 雙片 OPEN '1782 EA 40 

BBP0418102HL NEW IMAGE DRAINABLE POUCH 2 PIECE '18102:18104 EA 40 

BBP0420922SQ LITTLE ONES ACTIVE LIFE DRAINABLE '20922 EA 45 

BBP0422771SQ ACTIVE LIFE ONE-PIECE DRAINABLE '22771 EA 54 

BBP0459850CA 

BBP0480020CA 

BBU0101460HL 

BBU0101544SQ 

"COLOPLAST"ALTERNA ILEOSTOMY BAGS 

10-70MM 愛特大迴腸造口袋 * 適應症請見備註欄 

ONE PIECE ALTERNA CHILDREN OPEN 

TRANSPARENT BAG 10:35MM※ 限住院患者 

申報 

FIRST CHOICE UROSTOMY POUCH WITH 

CUT-TO-FIT BARRIER( 含人工皮 )※ 限住院串 

者申報 

NATURA UROSTOMY POUCH 38:70MM※ 限 


'5985 EA 54 

'8002 EA 45 

'1460 EA 95 

'401543:46 EA 90 

BBU0103907HL UROSTOMY POUCH 38MM* 限住院患者申報 '3907 EA 90 

BBU0103944HL 

BBU0105451SQ 

BBU0112151A5 

CENTER POINT LOCK UROSTOMY POUCH 

※ 限住院患者申報 

URO,ACCUL,TRANSPARENT POUCH 尿袋 

35/48/61MM* 限住院患者申報 

PROCARE-2 URINARY POUCH 30,40,50MM* 

限住院患者申報 

'3902:3904 EA 100 

'4054-51:53 EA 90 

'12151:53 EA 95 



BBU0112451A5 BIOURINE-B 50MM* 限住院患者申報 '12451;12481 EA 100 

BBU0114201A5 YOUCARE U 優護一件式尿袋 * 限住院患者使用 '12351;14201:14205 EA 95 

BBU011536NA5 YOUCARE U 優護一件式尿袋 * 限住院患者使用 '15361:15366 EA 95 

BBU011666NA5 YOUCARE 2U 優護二件式尿袋 * 限住院患者使用 '16661:16662 EA 90 

BBU0117570CA 

BBU0117890CA 

BBU0118402HL 

BBU0155850CA 

BBU0164927SQ 

COLOPLAST ALTERNA UROSTOMY BAG 

MAXI375ML※ 限住院患者申報 

ALTERNA CHILDREN TRANSPARENT 

URINE BAG※ 限住院患者申報 

NEW IMAGE UROSTOMY POUCH ( 不含人工 

皮 ) 44:70MM * 限住院患者申報 

UROSTOMY BAG MAXI 375ML ※ 限住院患者 

申報 

ACTIVE LIFE ONE-PICEC UROSTOMY 

POUCH 19,25,32,38,45MM ※ 限住院患者申報 

'1757;1758;1759 EA 90 

'1789 EA 90 

'18402:18404 EA 90 

'5585 EA 95 

'64927:31 EA 95 

BBU0180090CA 

ONE PIECE ALTERNA CHILDREN 

TRANSPARENT URINE BAG 10:35MM( 含人工 '8009 EA 95 

皮 )※ 限住院患者申報 

BBW0104055P2 P.C.N. BAG (S) 腎臟造廔引流袋 'M04055(S) EA 57 

BBW0104075PP PCN BAG 750CC( 腎臟造廔引流袋 ) '15-994-0 EA 45 

BBW0104200P2 P.C.N. BAG (L) 腎臟造廔引流袋 'M04200(L) EA 57 

BBW0104200PP PCN BAG 2000CC( 腎臟造廔引流袋 ) '37-958-0 EA 45 

BBW0145000TZ PCN BAG 腎臟造口引流袋 'S-45-010;S-45-020 EA 45 

BBW0145001TZ PCN BAG 500ML 'S-45-030;S-45-031 EA 45 

BBW0156054P2 

WOUND DRAINAGE SYSTEM BAG( 接真空傷 

口引流袋 ) 

'S56054 EA 45 

BBW0185001PB 

PBN DRAINAGE BAG 

'8500 00 450;8500 00 

750;8500 02 000 

EA 45 


第三節管套類 


CAE010E522AV TUOHY EPIDURAL NEEDLE 'E522 SET 110 

CAE010E623AB EPIDURAL ANESTHESIA SET (MINI KIT) 'E623 SET 362 

CAE010G455AB 

EPIDURAL ANESTHESIA SETS(DOUBLE 

DECKER) 

'G455 SET 427 

CAE010G998AB EPIDURAL ANESTHESIA SETS(MINI KIT) 'G998 SET 427 

CAE0110118H0 EPIDURAL ANESTHESIS SET 硬腦膜外醉套 'NO.1 SET 362 

CAE0110318H0 EPIDURAL ANESTHESIS SET 硬腦膜外醉套 'NO.2 SET 362 

CAE0111000BB 

CAE0112006BB 

CAE0112170BB 

EPIDURAL ANAESTHESIA SET(N+C)( 型號包 

含 04505080,04055098) 

EPIDURAL ANAESTHESIA SET 

16:18G(N+C+F+S)( 型號含 04514300,04515- 

013:021,-200:307,04516-206:303) 

EPIDURAL ANAESTHESIA CATHETER 

'0451-3100;1000; 

1107 

'04038-070:118; 

045120-06:14 

'(04513150 自 93/10/01 

生效 );04512- 

170:260;04513- 

177:266 

SET 241 

SET 427 

EA 103 

CAE0113010BB EPIDURAL ANAESTHESIA SET(N+C+S) '0451-3010;3029 SET 362 

CAE0115005BB EPIDURAL ANAESTHESIA SET(N+C+F) 

'0451-4050;5005; 

5056 

SET 362 

CAE0139116PX EPIDURAL MINIPACK SYSTEM 1 16G 80MM '100/391/116 SET 427 




CAE014014NBD 

CAE0151238BB 

PERISAFE EPIDURAL ANAESTHESIA KIT 

NEEDLE 17,18G CATH 

19,20G(N+C+FILTER+SYRINGE+GUIDE+CO 

NNECTOR) 

PERICAN EPIDURAL NEEDLE 

'401426;401428 KIT 427 

'(04512383 自 93/10/01 

生效 );451238/8; 

451258/8;451278/2 

EA 110 

CAE0151300BB PERIFIX EPIDURAL SET '0451300/2 SET 241 



CAE0151410BB 

PERIFIX FOR CONTINUOUS EPIDURAL AND 

CAUDAL ANAESTHESIA 400 SERIES 

'04038096; 

04038100; 

04514017;04514025 

SET 427 


CAE0151520BB 

PERFIX EPIDURAL COMPLETE SET 16:18G 

(NEEDLE+CATH+FILTER+SYRINGE) 

'451-420:630/0:3 SET 427 

CAE0191019PX 

EPIDURAL MINIPACK SYSTEM 19G 硬脊膜穿 

刺麻醉針組 

'100/391/019 SET 427 

CAE01C1695TM CONNECTING EPIDURAL CATHETER 95CM 'EN*C1695 SET 103 



CAE01E5400AR 

NON-KINGKING EPIDURAL CATHETER 

20GA 91.4CM 

'EC-5400 SET 362 

CAE01ENC16TM EPIDURAL NEEDLE 16G 'EN*16 SET 110 



CAE0200695HK EPIDURAL CATHETER 硬膜外針導管 '06-95 EA 103 

第八部第六章第三節 -9


CAE0201095HK EPIDURAL CATHETER 硬膜外針導管 '10-95 EA 103 

'100/382/016; 

100/382/018; 

CAE0238216PX 

EPIDURAL ANAESTHESIA CONDUCTION 100/382/116; 

SET:EPIDURAL CATHETER 

100/382/118; 

EA 103 

100/382/816; 

100/382/818 

CAE0238218PX EPIDURAL CATHETER 18G '100/381/118 EA 103 

CAE0251315BB EPIDURAL CATHETER 18G '0451315/0 EA 103 

CAE0295440HK EPIDURAL CATHETER 22G '95440 EA 103 

CBA0104230AR 

INTRA AORTIC BALLOON CATHETER 8FR 

30CC 

'IAB-04230 EA 29500 

CBA010501SAR 

INTRA AORTIC BALLOON CATHETER 9FR 

40CC 

'IAB-04240 EA 28500 

CBA010502SAR 

CBA0111612D5 

CBA0142912D5 

CBA0143001D5 

CBA0143012D5 

CBA0147982D5 

CBA014830UAR 

CBA01AX001CK 

CBA01C0DA1CK 

CBA01N4840AR 

CBA01S730CAR 

INTRA AORTIC BALLOON CATHETER ( 型 

號 :IAB- 

04230U,04240U,04250U,06830U,06840U,R95 

0U 自 94.10.01 起生效 ) 

PEDIATRIC INTRA AORTIC BALLOON PUMP 

CATHETER FIDELITY 2.5CC 5CC 7CC 12CC 

20CC 

INTRA AORTIC BALLOON PUMP CATHETER 

FIDELITY 8FR 25CC 

INTRA AORTIC BALLOON pump CATHETER 

8FR 34CC 

INTRA-AORTIC BALLOON 8FR 34CC 40CC 

INTRA AORTIC BALLOON CATHETER 7.5FR 

25;34;40CC 

NARROWFLEX UNIVERSAL IAB CATHETER 

8FR.30CC,40CC 

ACCENT BALLOON ANGIOPLASTY 

CATHETER 

"COOK"CODA BALLOON CATHETER 

(AORTIC) 科達球曩導管 

NARROWFLEX IAB CATHETER 8FR 30- 

40CC 

REDIGUARD IAB CATHETER 7,8,9FR. 

30CC,40CC 

'IAB-05830U;IAB-05840U; 

IAB-04230U;IAB-04240U; 

IAB-04250U;IAB-06830U; 

IAB-06840U;IAB-R950U 

EA 29500 

'0684-00-0116-01:05 EA 29500 

'0684-00-0429-01; 

0684-00-0429-02 

EA 29500 

'0684-00-0430-01 EA 29500 

'0684-00-0430-02; 

0684-00-0431-02; 

(0684-00-0431-01 自 

970101 生效 ) 

'0684-00-0480-01;02; 

0684-00-0479-01;02; 

0684-00-0478-01;02 

EA 29500 

EA 29500 

'IAB-04830;04840-U EA 29500 

'AXM 5:7-XX-XXX-XX- 

XX 

'CODA-10.0-35-120- 

40;CODA-10.0-35- 

100-32 

'IAB-04830、04840、 

04840-S 

'IAB-R930-C;IAB- 

R940-C;IAB-S730- 

C;IAB-S840-C 

EA 6825 

EA 28500 

EA 29500 

EA 29500 

CBB0106433SB 

ULTRA-THIN DIAMOND BALLOON 

DILATATION CATHETER 

'16-396:425;16-428:445; 

16-448:465;16-468:485; 

16-488:527;16-555:556; 

16-559:560;16-563:564; 

16-567:568;16-940:977 

EA 6500 

CBB01115GASB 

CBB01118SASB 

CBB0112512SB 

GAZELLE BALLOON DILATATION 

CATHETER 

SASUGA PTA BALLOON DILATATION 

CATHETER 75CM,40CM 0.014" 

BLUW MAX BALLOON DILATATION 

CATHETERS 

'M001115020:M001115 

510 

EA 6500 

'18-400:405 EA 6500 

'12-200:12-256;12- 

500:12-574 

EA 6500 



CBB0114508SB XXL BALLOON DILATATION CATHETER 

'14-508:14-515;14- 

530;14-532;14- EA 6500 

550:14-559 

CBB0119SYNSB 

SYNERGY BALLOON DILATATION 

'19-256:19-504 EA 6500 

CBB0125162CL 

CATHETER 

TORQUE CONTROL OCCLUSION BALLOON 

CATHETER 5:6FR 

'POB5025162;73; 

81;5025911 

EA 3500 

CBB0125400L1 

PTA BALLOON CATHETER 

'25-100;120;400:900-22;25- 

100;120;400:900-28;25- 

100;120;400:900-42;25- 

100;120;400:900-48;25- 

400:800-82;25-400:800-88 

EA 6500 

CBB0128202L8 CLEARPAC PTA PERIPHERAL CATHETER '28202001:28202108 EA 6500 

CBB0131555N5 

GHOST II PTA ANGIOPLASTY CATHETER 

5FR. 3:10MM *1.5:10CM, 40,75,120,150CM( 衛 'GII31555:10475 EA 6500 

署字號 009069) 

CBB0135132CL 

TORQUE CONTROL OCCLUSION BALLOON '6535132;62;73; 


81;6535911 

EA 3500 

'412-4020:40; 

CBB014020NCD POWER FLEX PTA CATHETER 

5020:40L;S;T;V; EA 6500 

X 

CBB014105NCD POWERFLEX PTA BALLOON CATHTER 5FR '410-5XX EA 6500 

CBB014122NCD POWER FLEX PTA CATHETER 5FR 

'412-0020:40; 

2020:40L;S;V;X 

EA 6500 

CBB0141500CD 

POWERFLEX PTA CATHETER 

'415-0020:0060;415- 

4020:4060;(415-0020:0060- 

T:V;S;M;X;Y;415- 

4020:4060-T:V;S;M;X;Y; 自 

970401 生效 ) 

EA 6500 

CBB0141550CD 

POWERFLEX PTA BALLOON 

'415-5020:5060;415- 

6020:6060;(415-5020:5060- 

T;V;S;M;X;Y;415- 

6020:6060-T;V;S;M;X;Y; 自 

970401 起生效 ) 

EA 6500 

CBB0141570CD 


'415-7020:7060;415- 

8020:8060;(415-7020:7060- 

T;V;S;M;X;Y;415- 

8020:8060-T;V;S;M;X;Y; 自 

970401 起生效 ) 

EA 6500 

CBB014157XJD 

CBB0141590CD 

CBB01420XNCD 

CBB01421XNCD 

CBB01423SWCD 

FOX PTA CATHETER 135CM 


POWER FLEX PERCUTANEOUS 

TRANSLUMINAL ANGIOPLASTY (PTA) 

CATHETER 3MM:12MM 40,80,135CM 

M3 PTA DILATATION CATHETER 

CORDIS AMIIA.014 PERCUTANEOUS 

TRANSLUMINAL ANGIOPLASTY(PTA) 


4.0:7.0MM,80,142CM 

'A11505:A18008; 

A21505:A28008 

'415-9020:9060;(415- 

9020:9060-T;V;S;M;X;Y; 自 

970401 起生效 ) 

'420-0000:9090-S;T;X;(420- 

0000:9090-V;L;Y; 自 970401 

起生效 ) 

'421-5020S;6020S; 

7020S 

EA 6500 

EA 6500 

EA 6500 

EA 6500 

'423-4015:7040(S;W) EA 6500 



"CORDIS"AVIATOR PLUS PERCUTANEOUS 

CBB01424NWCD 

TRANSLUMINAL 

'424-4015W:424- 

ANGIOPLASTY(PTA)BALLOON DILATATION 

7040W 

CATHETER PTA 氣球擴張導管 

EA 6500 

4.0MM:6.0MM;7.0MM 

CBB0143112CL 

SILICONE RENAL PERFUSION DOUBLE 

BALLOON CATHETER 

'04-3112:3116 SET 6424 

CBB014352XCD SAVVY PTA CATHETER 5FR 

'4352-02;03;04X; 

L;S-53S;53L 

EA 6500 


'4353-02X;L;03L; 

04L;53L;S 

EA 6500 


'4354-02;04-X;L; 

03L;S 

EA 6500 

CBB014355XCD SAVVY PTA CATHETER '435502S EA 6500 

CBB014356XCD SAVVY PTA CATHETER '435602S EA 6500 

CBB014357XCD SAVVY PTA CATHETER 5FR '4352-52X;54X;L;S EA 6500 


'4353-04S;04X; 

52X;54X;L;S 

EA 6500 

CBB014359XCD 

SAVVY PERCUTANEOUS TRANSLUMINAL '435206S; 

ANGIOPLASTY(PTA)CATHETER 

X:435606S;L;Y;X 

EA 6500 

CBB01435XXCD 

'435- 

CORDIS SAVVY PERCUTANEOUS 

20;25;30;35;40;50;55;6 

TRANSLUMINAL ANGIOPLASTY(PTA) 

0-;0;2:4;6;435- 

CATHETER 80;120;135;150CM 

450;452:456 

EA 6500 

CBB0150259CL TORQUE CONTROL BALLOON CATHETER 'POB5025132; 

POB6535191 

EA 3900 

'H965SCH503- 

CBB0150300SB SMASH BALLOON DILATATION CATHETER 000:230; 

EA 6500 

H965SCH503-500:730 

CBB0150300SC 

SMASH PTA BALLOON DILATION 

CATHETER 5FR 3.0:10MM 

'SCH-50300:71 EA 8000 

CBB0150500SB 

WANDA PTA BALLOON DILATATION 

'H965SCH505-000:470 EA 6500 

CBB0153002N5 

CBB0154002N5 

CBB0182454AB 

CBB0182954AB 

CATHETER 

GHOST PTA ANGIOPLASTY CATHETER 

5.5:6FR 3:10MM, 20:150MM,90CM 

HIGH FIVE PTA ULTRA HIGH PRESSURE 

CATHETER 5FR BALLOON DIA 3:10MM 

LENGTH 2:10CM 

"ABBOTT"FOX SV PTA CATHETER 福斯深層 

周邊血管氣球導管 135CM 2.0MM:5.0MM 

"ABBOTT"FOX SV PTA CATHETER 福斯深層 

周邊血管氣球導管 90CM 2.0MM:5.0MM 

'53002:61010 EA 6500 

'H53002;H5400- 

2;4;10;H5500- 

2;4;6;10;H- 

5600;5700-2;4;6;8;10; 

H5800-2:4;6;8;10; 

H5900-2:4;6;H5100- 

2:6 

'82143-54-01:82175- 

54-01;82197-54-01; 

82372-54-01:82378-54- 

01;82964-54- 

01:82975-54-01 

'82144-54-01:82176- 

54-01;82198-54-01; 

82373-54-01:82379-54- 

01;82946-54- 

01:82957-54-01 

EA 6500 

EA 6500 

EA 6500 



CBB01AP128AB FOX PLUS PTA CATHETER 

'AP120;140;220;240- 

03:10;12;AP130- 

05:10;12;AP160- 

04:10;12;AP180- 

05:08;AP230-05:10; 

AP260-04:07;AP280- 

05:06 

EA 6500 

CBB01AT751BA 

CBB01AT752BA 

CBB01ATB01CK 

CBB01ATB02CK 

CBB01BP856VU 

CBB01CBPXXBL 

CBB01CQ575BA 

CBB01G11XXN5 

CBB01L2457KE 

CBB01L4575KE 

CBB01MG1XXN5 

CBB01P5052VC 

CBB01PAB01CK 

CBB01SF475KE 

CBB01U7522VC 

CBB01USSV1SB 

BARD ATLAS PTA BALLOON DILATATION 

CATHETER 75CM,120CM 

"BARD"ATLAS PTA BALLOON DILATATION 

CATHETER 

ALL-TERRAIN BALLOON PTA DILATATION 

CATHETERS 

"COOK"ALL-TERRAIN BALLOON PTA 

DILATATION CATHETER 經皮穿刺血管成形術 

用氣球擴張導管 

PERIPHERAL PTA BALLOON CATHETER 

CRISTAL BALLOON PERIPHERAL 

ANGIOPLASTY 3MMX20MM-12MM-40MM 

CONQUEST PTA BALLOON DILATATION 

CATHETER( 型號 CQ-50;75-52;54;58 自 950401 

起生效 , 文號 0940040071) 

"NUMED"GHOST II PTA CATHETER 40CM 

75CM 120CM 135CM 150CM 

"KANEKA"PTA BALLOON CATHETER 經皮穿 

腔成型術氣球導管 

KANEKA PTA CATHETER 

NUMED MINI GHOST DILATATION 

CATHETER 2MM-6MM 2CM:4CM 

40CM:120CM 

OPTI-PLAST BALLOON DILATATION 

CATHETER 5.5FR 

PURSUIT BALLOON ANGIOPLASTY 

CATHETER 5FR 

"KANEKA"PTA CATHETER 血管擴張氣球導管 

ULTRAVERSE SMALL VESSEL BALLOON 

DILATATION CATHETER 3.5FR 

"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 

'AT-75;120- 

122;124;142;144;162; 

164;182;184;202;204 

'AT-751-26;46;66;86; 

AT-752- 

22;24;42;44;62;64 

'ATB5-35-120-4:10- 

2.0:8.0;ATB5-35-40- 

5:10-2.0:8.0;ATB5- 

35-80-4:10-2.0:8.0 

'ATB5-35-40;80;120- 

12;14-4.0 

EA 6500 

EA 6500 

EA 6500 

EA 6500 

EA 6500 

EA 7600 

EA 6500 

EA 6500 

EA 6500 

EA 6500 

'MG100:MG181 EA 6500 

'PAC-5052:120104 SET 6500 

'BP80;40-5010; 

6010;7010 

'CBP3X2025/110; 

CBP12X40/110 

'CQ-50;75-62;64;68; 

CQ-50;75- 

72;74;76;78;CQ- 

50;75- 

82;83;84;86;88;92;94; 

CQ-75- 

102;104;122;124 

'GII100:GII227; 

GII243;GII248; 

GII250:GII328 

'L2-45;75-3020:8020; 

L2-45;75-3040:8040 

'L45;75-4020:7020; 

L45;75-4040:7040 

'PAB5-35-40:120- 

4:10MM-2:10CM 

'SF45-4020:7020; 

SF45-4040:7040; 

SF75-4020:7020; 

SF75-4040:7040; 

SF139-4040:7040 

EA 6500 

EA 6500 

'UV-7522:10056W EA 6500 

'H7493791540150:H74 

93791570200; 

H7493791640150:H74 

93791670200 

EA 6500 



CBB01X5052VC 

OPTI-PLAST XT BALLOON DILATATION 

CATHETER 5.0FR 

'XT-5052:120104 SET 8000 

CBC0110101AB 

CBC01EXP0NM4 

CBC01SCH64SB 

CBC01SCH65SB 

CBC01SE662ZU 

CBC0271200SB 

CBC02LUDUEAN 

CBC02MP628F2 

CBC02P208MCD 

CBC02Z1V60CK 

CBC02Z1V61CK 

"ABBOTT"RX ACCULINK CAROTID STENT 

SYSTEM 亞科林頸動脈支架系統 * 適應症請見備 

註欄 

EXPONENT RX SELF EXPANDING STENT 

SYSTEM* 適應症請見備註欄 

OTW&MONORAIL CAROTID WALLSTENT 

D:6:10MM,L:30:50MM* 使用規範請見備註欄 

OTW&MONORAIL CAROTID WALLSTENT* 適 

應症請見備註欄 

PROTEGE SELF EXPANDING NITINOL 

STENT WITH STARPORT DELIVERY 

TECHNOLOGY* 適應症請見備註欄 

BOSTON SCIENTIFIC WALLSTENT ILIAC 

ENDOPROSTHESIS WITH UNISTEP PLUS 

DELIVERY SYSTEM* 適應症請見備註欄 

ANGIOMED LUMINEXX VASCULAR STENT 

直徑 4MM:9MM 10MM;12MM;14MM 長度 

20MM:120MM 適應症請見備註欄 

"INVATEC"MARIS PERIPHERAL SELF- 

EXPANDING STENT SYSTEM(ILIAC 

ARTERY) 瑪瑞斯自膨式週邊血管支架系統 * 適應 


PALMAZ BALLOON-EXPANDABLE STENT 

FOR THE ILIAC ARTERIES 3.5MMX30MM※ 


"COOK"ZILVER VASCULAR STENT(ILIAC 

ARTERY) W/ 運送系統 * 適應症請見備註欄 

"COOK"ZILVER VASCULAR STENT(ILIAC 

ARTERY) 麗而服血管支架 * 適應症請見備註欄 

'1010126:1010131- 

20;1010126:1010133- 

30;1010126:1010133- 

40 

H965SCH643840 

'H965SCH647010; 

H965SCH647070; 

H965SCH647080; 

H965SCH647090; 

H965SCH647120; 

H965SCH647130; 

H965SCH647140 

'620;720;820;920;1020- 

SRCG; 

630;730;830;930;1030- 

SRCG; 

640;740;840;940;1040- 

SRCG 

'H965SCH643710; 

H965SCH643770; 

H965SCH643780; 

H965SCH643790; 

H965SCH643820; 

H965SCH643830; 

'SE6-6:9- 

20;30;40;60;80-135; 

SE7-6:10- 

20:40;60;80;120-120; 

SE7-6:10- 

20:40;60;80;120-80 

EA 30000 

SET 30000 

SET 30000 

SET 30000 

SET 30000 

'M001712-000:390 SET 31500 

'LUD;E-04:09- 

020:120;LUD;E- 

10;12;14--020:120 

'IMP060020080:IMP12 

0080080; 

IMP060020120:IMP070 

120120;IMP-08:10- 

0040120;0060120; 

0080120 

SET 31500 

SET 31500 

'P308;P308M EA 31500 

'ZIV6-80-5:10-2.0:8.0; 

ZIV6-120-5:10- 

2.0:8.0;ZIV6-125- 

5:10-2.0:8.0 

'ZIV6-80-12- 

4.0;6.0;7.0;8.0;ZIV6- 

80-14- 

3.0;4.0;6.0;7.0;8.0; 

ZIV6-125-12;14- 

3.0;4.0;6.0;7.0;8.0 

SET 31500 

SET 31500 



"ANGIOMED"BARD E.LUMINEXX VASCULAR 

'ZVS;ZVL-04;07;10- 

020:060;080; 

ZVS;ZVL-05;08;12- 

CBC02ZVS04AN 

STENT 巴德依 . 路明尼斯血管支架 ( 腸骨血管支 020:060;080; 

架 ) 直徑 4MM:10MM;12MM;14MM 長度 ZVS;ZVL-06;09;14- 

SET 31500 

60CM;135CM* 適應症請見備註欄 

020:060;080; 

ZVS;ZVL-04:14- 

100;120 

CBP01101TBRB BRAVO PTCA DILATATION CATHETER 

'101-15-10;15;20-*T; 

101-20;35-10;15;20;30- 

*T;101-22;27- 

10;20;30-*T;101- 

25;30;40- 

10;15;20;30;40-*T; 

EA 8340 

CBP01103TBRB 

CBP0150212BB 

CBP01563XNCD 

CBP0170120L8 

CBP0170121L8 

CBP0170122L8 

CBP0170124L8 

CBP0170126L8 

CBP01ARAR2AS 

"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 

SE QUENT PTCA CATHETER 

NINJA PTCA DILATATION CATHETER 

1.5:4.0MM 10:40MM( 自 92.7.1 改按條支付 ) 

101-32;37-20-*T 

'103-1510:103-4010; 

103-1515:103-4015; 

103-1520:103-4020; 

103-2530;3030;3530; 

(103- 

1205;1208;1210;1215 

; 自 98.01.01 起生效 ) 

'502-12-00:07;10:17; 

502-12-20:28;30:36; 

502-50-51;53;55;57; 

502-50-61;63;65;67; 

502-50-70:75 

'563015:440; 

5631815:2540 

TRACKFORCE PTCA BALLOON CATHETER* 

自 92.7.1 改按條支付 

'170120-03:09;11; 

63:65;67;69;71 

TRACKFORCE PTCA BALLOON CATHETER* '170121-23:25;27; 


29;31 



29;31 



29;31 



29;31 

'ABAR2-00:75-20; 

MASLA JUST RAPID EXCHANGE PTCA ABAR3-00:50-20; 


ABAR2-00:75-15; 

ABAR3-00:50-15 

CBP01NER0NW4 PTCA BALLOON CATHETER 自 92.7.1 改按條 

支付 

CBP01PN341BK 

"BIOTRONIK"PLEON PTCA CATHETER 

CBP01PWR15BS PTCA BALLOON CATHETER * 自 92.7.1 改按條 

支付 

CBP01V1G0RW4 VIGOR PTCA BALLOON CATHETER 

'NER0- 

RX2512:RX4030/2 

'341466:341491; 

345231:345255 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

'PWR-1510:4030 EA 8340 

'VG1510:VG2510; 

VG1515:VG3015; 

VG1520:VG4020; 

VG2025:VG3025; 

VG2530:VG3030 

EA 8340 



'VG2-15;20;25;30;35- 

10;15;VG2- 

CBP01V2G0RW4 VIGOR 2 PTCA BALLOON CATHETER 15;20;25;30;35;40-20; EA 8340 

VG2-20;25;30-25; 

VG2-25;30-30 

CBP0200VCFE7 PTCA BALLOON DILATATION CATHETER 'euca V 1501:6540 EA 8340 

CBP026008NAC 

CONCORDE CORONARY DILATATION 

CATHETER※ 自 92.7.1 改按條支付 

'600078:600088-20:40 EA 8340 

OVER THE WIRE BALLOON DILATATION 

CBP02D3SNNVE CATHETER D:1.5MM:4.0MM L:10MM:30MM 自 'D3S1510:D3S4030 EA 8340 

92.7.1 改按條支付 

CBP02G015XBU 

CHECKER PTCA BALLOON CATHETER 

1.5:4.0MM 12:30MM ※ 自 92.7.1 改按條支付 

'GO/1512C:4030C EA 8340 

"MEDTRONIC"NC SPRINTER RAPID 

'NCSP- 

20;225;25;30;325;35;37 

5;40-06X;12X;21X; 

CBP02NCSPRM4 

EXCHANGE BALLOON DILATATION NCSP- 

CATHETER" 美敦力 " 史賓特高壓快速交換氣球 20;25;30;325;35;375; 

EA 8340 

擴張導管 

40-09X;15X;NCSP- 

5015X;-45-15X;21X; 

NCSP-25:40-27X 

CBP02R5825KE 

CBP02R5A85KE 

CBP02S1R15HC 

CBP02S1R25HC 

CBP02SPR32M4 

CBP02SPRLGM4 

CBP02SPRNTM4 

"KANEKA"FORTIS PTCA CATHETER 

2.50MM:4.50MM 8MM:18MM 

FORTIS II PTCA CATHETER 2.50MM:4.50MM 

佛緹斯冠狀動脈成型術導管 

SIROCCO PTCA BALLOON CATHETER ※ 自 

92.7.1 改按條支付 

SIROCCO PTCA BALLOON CATHETER Ⅰ※ 


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) 

SPRINTER RAPID EXCHANGE BALLOON 

DILATION CATHETER 

'R5-8-250:R5-8-450; 

R5-13-250:R5-13- 

450;R5-18-250:R5- 

18-450;(R5A-8;13;18- 

250:450; 自 970101 生 

效 ) 

EA 8340 

'R5A-8;13;18-250:450 EA 8340 

'SIR15:40-20;20:40- 

30;40 

'SIR25:35-10;25:40- 

15;25 

'SPR15-06W:20W; 

SPR20;225;25;275- 

06W:30W; 

SPR30;325;35;375- 

06W:30W;SPR40- 

06W:30W 

'SPL-12506X- 

40006X;12510X- 

40010X;12512X- 

40012X;12515X- 

40015X;12520X- 

40020X;20025X- 

40025X;20030X- 

40030X 

'SPR1506X:SPR1520X 

; 

SPR2006X:SPR2530X 

; 

SPR22506X:SPR2753 

0X; 


; 

SPR32506X:SPR3753 

0X; 


EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 



CBP02STRZ1M4 

CBP02STRZ2M4 

CBP02X2LNNVE 

CBP02X3SNNVE 

CBP02XW151BU 

CBP030013XAC 

CBP030027NAC 

STORMER ZIPPER MX BALLOON 

'STR1510ZP:STR4030 

DILATATION CATHETER 1.5:4.0MM 10:30MM ZP 

STORMER ZIPPER MX BALLOON 

DILATATION CATHETER 2.25:3.75MM 

10:30MM 

EXTENSOR RAPID EXCHANGE BALLOON 

DILATATION CATHETER* 自 92.7.1 改按條支付 

STORMER RAPID EXCHANGE BALLOON 

DILATATION CATH※ 自 92.7.1 改按條支付 

BLUE MEDICAL XTRM-WAY PTCA 


RX ROCKET CORONARY DILATATION 


RX SOLARIS CORONARY DILATATION 


RX GEMINI CORONARY DILATATION 


'STR22510ZP:STR375 

30ZP 

EA 8340 

EA 8340 

'X2L1510:X2L4030 EA 8340 

'X3S1510:X3S4030 EA 8340 

'XW15;20;25;30;35;40- 

10;15;20; 

XW25;30;35;40-25;30 

'1001317:1001326- 

15:30 

'1002780:1002786- 

15:30 

'1002902:1002911- 

EA 8340 

EA 8340 

EA 8340 

CBP0314038TM 

CBP0314039TM 

CBP0318634TM 

CBP031CV84R5 

TERUMO RYUJIN PLUS PTCA DILATATION 

CATHETER 

TERUMO RYUJIN PLUS PTCA DILATATION 

CATHETER 

"TERUMO"RYUJIN PLUS OTW PTCA 

DILATATION CATHETER 冠狀動脈氣球擴張導 

管 

PEGASO SCRX PTCA BALLOON CATHETER 


CBP030029NAC 

10:30 

EA 8340 

'DC-RH1210EH;DC- 

RH20-30;40-EHW; 

CBP031016TTM 

DC-RH3240EHW; 

"TERUMO"RYUJIN PLUS PTCA DILATATION 

DC-RH3540EHW; 

CATHETER 琉均柏柆思冠狀動脈氣球擴張導管 

DC-RH37-10;30;40- 

EA 8340 

EHW;DC-RH40- 

10;30;40-EHW 

CBP0310281CD AQUA T3 PTCA DILATATION CATHETER '60110150:60140400 EA 8340 

'DC-RD1215EH;DC- 

CBP031215NTM RYUJIN PTCA DILATATION CATHETER RX-1 RD1515EH;DC- EA 8340 

RD1520EH 

'DC-RH- 

1510;1215;1515;1520- 

EH;DC-RH- 

25;27;30;32;35-13;18- 

EHW;DC-RH- 

20;22;25;27;30;32; 

35;37;40-15;20-EHW 

'DC-RH2010EHW; 

DC-RH- 

22;25;27;30;32;35- 

10;25;30-EHW;DC- 

RH-22;25;27;30-40- 

EHW 

'DC-PH-1210:1530- 

PH;DC-PH- 

2010:4030-PHW;(DC- 

PH-1210:1230-LH; 

DC-PH-20;25;30-20- 

LH;DC-PH-20;25;30- 

20-LHW; 自 97.10.01 

起刪除 ) 

EA 8340 

EA 8340 

EA 8340 

'ICV8412:ICV8433 EA 8340 



'DC-RD- 

20;22;25;27;30- 

15;20EHW;DC-RD- 

22;25;27;30- 

RYUJIN PTCA DILATATION CATHETER RX-1 10EBW;30EHW;DC- EA 8340 

RD-32;35;37;40- 

10EBW;EHW;DC- 

RD-32;35;37;40- 

20;30EHW 

CBP032015NTM 

CBP0320620SB 

CBP0321725SB 

CBP0321726SB 

CBP0330275SB 

CBP0330399SB 

CBP0335XXNG9 

CBP0337012L8 

CBP0337909SB 

CBP0338080SB 

CBP0338928SB 

CBP03389XXSB 

MAVERICK OVER THE WIRE PTCA 

DILATATION CATHETER 9:30MM 1.5:4.0MM 

※ 自 92.7.1 改按條支付 

NC MONORAIL PTCA DILATATION 

CATHETER* 自 92.7.1 改按條支付 

NC MONORAIL PTCA DILATATION 

CATHETER* 自 92.7.1 改按條支付 

MAVERICK MONORAIL PTCA DILATATION 

CATHETER 9:30MM 1.5:4.0MM※ 自 92.7.1 改按 

條支付 

PTCA BALLOON CATHETER※ 自 92.7.1 改按 

條支付 

ART-PTCA BALLOON CATHETER 

NIMBUS PTCA CATHETER 

PTCA DILATATION CATHETER 0.014 

SYSTEM MONORAIL 4.0-6.0MM 15,20MM 

QUANTUM MAVERICK MONORAIL DILATION 

CATHETER(PTCA BALLOON CATHETER) 

MAVERICK 2 MONORAIL BALLOON 

CATHETER * 自 92.7.1 改按條支付 

"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 

'H74920620(09:30)- 

(150:400) 

'H7492172- 

5250:5500;6250:6500 

EA 8340 

EA 8340 

'H7492172-7200:7500 EA 8340 

'H74930275(09:30)- 

(150:400) 

'H74930399(09:20)- 

(2.5:4.00) 

'351520;352012; 

352020;352512; 

352520;353012; 

353020;353030; 

353512;353520; 

353530;354012; 

354020;354030 

'370120-63;64;65; 

67;69;71;73;75 

'H74937909- 

40150:60200 

'H74938080- 

08200:30400 

'H7493892809200:H74 

93892830400 

'H7493896108150:H74 

93896120150; 

H7493895908150:H74 

93895940400 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

CBP035265NAB 

"ABBOTT"CROSSSAIL CORONARY 

DILATATION CATHETER 可思爾冠狀動脈擴張 

導管 

'1005265:1005275- 

10;1005267:1005275- 

15;1005265:1005279- 

20;1005267:1005275- 

30;1005269:1005275- 

40 

SET 8340 

CBP0356F1XCD 

CBP0356F2XCD 

CBP0356F3XCD 


10MM( 衛署字號 9349)※ 自 92.7.1 改按條支付 


15MM( 衛署字號 9349)※ 自 92.7.1 改按條支付 


18MM( 衛署字號 9349)※ 自 92.7.1 改按條支付 

'563-F022:FX040 EA 8340 

'563-F122:FX140 EA 8340 

'563-F1822:FX1840 EA 8340 



CBP0356F5XCD 


20MM( 衛署字號 9349)※ 自 92.7.1 改按條支付 

'563-F215:FX250 EA 8340 

CBP0356F6XCD 


25MM( 衛署字號 9349)※ 自 92.7.1 改按條支付 

'563-F2515:FX2540 EA 8340 

CBP0356F7XCD 


30MM( 衛署字號 9349)※ 自 92.7.1 改按條支付 

'563-F315:FX337 EA 8340 

'1005716-18; 

1005718:1005719- 

08;13;18;23;28; 

CBP035718NAB 

"ABBOTT"CORONARY DILATATION 1005720:1005726- 

CATHETER 冠狀動脈擴張術氣球導管 08:28; 

SET 8340 

1005727:1005728- 

13;18;23;28; 

1005722:1005726-33 

CBP0370120L8 NIMBUS PTCA CATHETER 

'370120-03;04;05; 

07;09;11;13;15 

EA 8340 


'370121-23;24;25; 

27;29;31;33;35 

EA 8340 


'370122-23;24;25; 

27;29;31;33;35 

EA 8340 


'370124-23;24;25; 

27;29;31;33;35 

EA 8340 


'370126-23;24;25; 

EA 8340 

CBP03701XNCD 

CBP03801XNCD 

CBP03A1540EQ 

"CORDIS"DURA STAR RX PTCA 

DILATATION CATHETER 杜芮星冠狀動脈擴張 

導管 

"CORDIS"FIRE STAR RX PTCA DILATATION 

CATHETER 法爾星冠狀動脈擴張導管 

EUROCOR AMADEUS SUPERCROSS RX- 

CORONARY BALLOON DILATATION 

CATHETER 1.5MM:4.0MM 10MM:40MM 

27;29;31;33;35 

'701-10225:10400; 

701-15225:15400; 

701-20225:20400; 

701-25375;25400; 

701-30225:30400; 

701-25225:25350 

'801- 

1015;1020;1515;1520;2 

015;2020;3020-S;D; 

801- 

10225:10350;20225:20 

350; 

15225:15350;30225:30 

350 

'AS1.5/10:AS4.0/10;12; 

15;20;25; 

AS2.0/10:AS4.0/30;40 

EA 8340 

EA 8340 

EA 8340 

CBP03B0R20HC BORA PTCA CATHETER * 自 92.7.1 改按條支付 'BOR20:50-30 EA 8340 

CBP03B0R50HC 

CBP03DCPANTM 

CBP03DCRANTM 

CBP03HPX3NW4 

CBP03M1115JD 

BORA PTCA CATHETER * 自 92.7.1 改按條支付 

GALE PTCA DILATION CATHETER 

1.5:4.0MM *20MM※ 自 92.7.1 改按條支付 ( 衛署 

字號 9430) 

ARASHI PTCA DILATION CATHETER 

1.5:4.0MM *10:30MM※ 自 92.7.1 改按條支付 ( 衛 

署字號 9697) 

PTCA BALLOON CATHETER 24FRX141CM 

※ 自 92.7.1 改按條支付 

PTCA BALLOON CATHETER※ 自 92.7.1 改按 

條支付 

'BOR20:40-10;40; 

15:50-15;20 

EA 8340 

'DC-PA1520:4020XXX EA 8340 

'DC-RA1520:4030XXX EA 8340 

'HPX202:402; 

TP202:402 

'M120;114;111-15; 

20;25;30;35;40 

EA 8340 

EA 8340 



CBP03M2950AB 

CBP03M3115AB 

CBP03N1210TM 

CBP03N1510TM 

CBP03N1520TM 

CBP03NCMERAB 

CBP03R2A15KE 

CBP03R4K15KE 

CBP03RAF25HC 

CBP03V0TWNAB 

CBP03V391NAB 

CBP03V400NAB 

CBP03V8456R5 

CBP041312NAC 

CBP041650NAC 

CBP0382123AB 

CBP01S138NSB 

CBP01S147NSB 

CBP0117475SB 

CBP0117485SB 

JOCATH MAESTRO PTCA CATHETER( 原核 

文號 0940006268) 

JOCATH MERCURY PTCA CATHETER 

HAYATE PTCA DILATATION CATHETER* 自 

92.7.1. 改按條支付 

HAYATE PTCA DILATATION CATHETER* 自 

92.7.1 改按條支付 

HAYATE PTCA BALLOON DILATION 

CATHETER 1.5:4.0MM 0.014"145CM※ 自 

92.7.1 改按條支付 

"ABBOTT"NC MERCURY PTCA CATHETER 

馬克林冠狀動脈擴張導管 

KANEKA RX CATHETER AEROCROSS 

FIGHTER 1.5MM:4.0MM 15MM:20MM 

KANEKA RX CATHETER OTTIMO 

1.5MM:4.0MM 10MM:20MM 

"HEXACATH"RAFALE PTCA DILATATION 

CATHETER 旋風冠狀動脈氣球擴張導管 

"ABBOTT"VOYAGER OTW CORONARY 

DILATATION CATHETER 莫雅佳甌第冠狀動脈 

擴張導管 

"ABBOTT"VOYAGER RX CORONARY 

DILATATION CATHETER 莫雅佳冠狀動脈擴張 

導管 

"ABBOTT"VOYAGER RX CORONARY 

DILATATION CATHETER 茉亞嘉冠狀動脈擴張 

導管 

HYPRO PEGASO SCRX SEMI-COMPLIANT 

PTCA CATHETER 1.5MM:4.0MM 

10MM:30MM 145CM 

RX FLOW TRACK 40 PERFUSION LONG 

BALLOON CATH 3CM 2.0:4.0MM ※ 自 92.7.1 

改按條支付 

RX ESPRIT CORONARY PERFUSION 

BALLOON DILATATION CATHETER 

2.0:4.0MM*20,30MM 自 92.7.1 改按條支付 

NC MERCURY PTCA CATHETER※ 適應症請 

見備註欄 

'M11-115:150;M11- 

415:450;M12- 

015:050;M12-920:950 

'M-311;314- 

15;20;25;30;35;40; 

M320- 

15;20;22;25;27;30;32;3 

5;M32040 

'DC-RB1210PH; 

TH:4040PHW;THW 

'DC-RB1510PP; 

TP:4040PPW;TPW 

'DC*RNI520:2020PH; 

2220:4020PPW 

'82123-01:82131-01; 

82123-02:82131-02; 

82123-03:82131-03 

'R2A-15-150;250:350; 

R2A-20-200:400 

'R4K-10-150;R4K-13- 

250:400;R4K-15- 

150;200;R4K-18- 

150:400;R4K-20- 

200:400 

'RAF1.5-10:25; 

RAF2.0:4.0-10:40 

'1009438-12;15; 

1009439:1009447- 

08;12;15;20;25;30 

'1011391-12;15; 

1011392:1011400- 

08;12;15;20;25;30 

'1011391-12;15; 

1011392:1011400- 

08;12;15;20;25;30 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

EA 8340 

SET 8340 

SET 8340 

SET 8340 

'ICV8456:ICV8499 EA 8340 

'10009:10013-312 EA 8340 

'1001650:58-20I;30I EA 8340 

'82123-01:82131-01; 

82123-02:82131-02; 

82123-03:82131-03 

EA 10286 

BOSTON SCIENTIFIC NIR STENT ※ 適應症請 

'13802-909:932 EA 16714 

見備註欄 

BOSTON SCIENTIFIC NIR STENT※ 適應症請 

'14742-709:732 EA 16714 

見備註欄 

RADIUS STENT W/SOE DELIVERY SYSTEM 'H74917475300:400; 

SET 19940 

※ 適應症請見備註欄 

80300:400 

RADIUS STENT W/SOE DELIVERY SYSTEM 

'H74917485300:400 SET 19940 




JOSTENT FLEXMASTER(CORONARY 

'206F-09;12;16; 

STENT) W/DELIVERY SYSTEM※ 適應症請見 

SET 19940 

19;26-25 

備註欄 

CBP01206FNJD 

CBP01210FMAB 

CBP01210FNJD 

CBP01211FMAB 

CBP012535SHC 

CBP012540SHC 

CBP0134662SB 

CBP0135040SB 

CBP0138938SB 

CBP0150200BB 

CBP0150201BB 

CBP0150281BB 

CBP0150282BB 

CBP017492NSB 

CBP0174935SB 

CBP0182926AB 

JOSTENT FLEXMASTER WITH DELIVERY 

SYSTEM * 適應症請見備註欄 

JOSTENT FLEXMASTER(CORONARY 

STENT) W/DELIVERY SYSTEM※ 適應症請見 

備註欄 

ABBOTT JOSTENT FLEXMASTER WITH 

DELIVERY SYSTEM * 適應症請見備註欄 

HELISTENT CORONARY STENT 

W/DELIVERY SYSTEM * 適應症請見備註欄 ( 原 

文號 910034694) 

HELISTENT CORONARY STENT 

W/DELIVERY SYSTEM * 適應症請見備註欄 ( 原 

文號 910034694) 

EXPRESS MONORAIL PTCA STENT 

SYSTEM W/DELIVERY SYSTEM※ 適應症請見 

備註欄 

EXPRESS MONORAIL CORONARY STENT 

WITH DELIVERY SYSTEM * 適應症請見備註欄 

LIBERTE MONORAIL CORONARY STENT 


COROFLEX CORONARY STENT 

SYSTEM(W/DELIVERY SYSTEM)* 適應症請見 

備註欄 



備註欄 



備註欄 



備註欄 

NIR STENT W/DELIVERY SYSTEM※ 適應症 


EXPRESS MONORAIL CORONARY STENT 


ABBOTT FLEXMASTER F1 CORONARY 

STENT WITH DELIVERY SYSTEM 適應症請見 

備註欄 

'206F- 

0925;1225;1625;1925;2 

625;210F09- 

30;35;40;210F12- 

30;35;40;210F16- 

30;35;40;210F19- 

30;35;40;210F26- 

30;35;40 

'210F-09;12;16; 

19;26-30;35;40 

'206F- 

09;12;16;19;23;26-27; 

206F2325;210F23- 

30;35;40 

'LICM25:35-7S;10S; 

30:40-38S 

'LICM25:40-13;16; 

19;22;28-S 

'H74934662- 

08220:32500 

'H7493504008250:H74 

93504032500 

'H749389388- 

220:400;H74938938- 

12:16;20;24-220:500; 

H74938938-28;32- 

270:500 

'5020040;50201- 

13;14;50201- 

41;42;43;76;77;78;79 

'50201- 

03;04;91;92;93;94; 

50219-00;11;22;33 

'50281- 

00;11;22;33;44;55;66;7 

7;50281-88;99 

'50282- 

10;20;22;24;26;28;30;4 

0;50282-50;60 

'H7492062- 

69250:631400 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

'H74935040-08:24-220 SET 19940 

'82079-9:82079-26; 

82080-9:82080-26; 

82081-9:82081-26; 

82082-9:82082-26; 

82083-9:82083-26 

SET 19940 



'CS- 

RA3210FW:RA3240F 

W;CS- 


TSUNAMI CORONARY STENT 

CBP01CSUNATM W;CS- 

SYSTEM(WITH BALLOON)* 適應症請見備註欄 


W;CS- 


W 

SET 19940 

CBP01DRVNXM4 

CBP01GAZ22BS 

CBP01GENXXBU 

CBP01H7493SB 

CBP01HT0C1BY 

CBP01HT0C2BY 

CBP01HTAS1BY 

CBP01HTP0CBY 

CBP01HTP0CD8 

CBP01HTPASBY 

CBP01PR008CD 

CBP01PR023CD 

CBP01R1521RB 

DRIVER RAPID EXCHANGE CORONARY 

STENT SYSTEM* 適應症請見備註欄 

"BIOSENSORS"GAZELLE RAPID EXCHANGE 

CORONARY STENT SYSTEM 格希爾快速抽換 

冠狀動脈支架系統 * 適應症請見備註欄 

GENIC EASYWAY CORONARY STENT AND 


'DRV225;250;275- 

08X; 

12X;14X;18X;24X; 

DRV-300;350- 

09X;12X;15X;18X; 

24X;30X;DRV- 

400;450- 

09X;12X;15X; 

18X;24X;30X 

'GELV40-18:28; 

GELV45-18:28; 

GEMV25-10:28; 

GEMV27-10:28; 

GEMV30-10:28; 

GEMV35-10:28; 

GEMV40-10:28 

'GAZ-2208:4008; 

GAZ-2211:4011;GAZ- 

2214:4014;GAZ- 

2218:4018;GAZ- 

2224:3224;GAZ- 

3523:4023;GAZ- 

2228:4028 

NIR STENT W/DELIVERY SYSTEM※ 適應症 


'H74933600- 

16250:32400 

Premounted Stent Delivery System ※ 適應症請 'HTX-15-300:400C; 

見備註欄 

18-300:400C 

Premounted Stent Delivery System※ 適應症請 'HTX-22-300C:400C; 

見備註欄 

28-300C:400C 

Premounted Stent Delivery System※ 適應症請 'HTX-11-30AS:40AS; 

見備註欄 

15-30AS:40AS 

BIOCOMPATIBLLES BIODIV YSIO STENT 'HTP- 

W/DELIVERY SYSTEM※ 適應症請見備註欄 08257OC:28400OC 

'HTP-08;11- 

BIODIV YSIO OC PREMOUNTED STENT 2750C:4000C;HTP- 

DELIVERY SYSTEM D2.75:4.0MM 

15;18-2750C:4000C; 

L8;11;15;18;22;28MM* 適應症請見備註欄 HTP-22;28- 

2750C:4000C 

BIOCOMPATIBLES BIODIV YSIO STENT 

DELIVERY SYSTEM 2.0:4.0MM*7:28MM * 適應 


BX SONIC BALLOON EXPANDABLE STENT 

SYSTEM ※ 適應症請見備註欄 

BX SONIC BALLOON EXPANDABLE STENT 


ORBUS R-STENT CORONARY 

STENT+DELIVERY SYSTEM* 適應症請見備註 

欄 

'HTP08275AS:15400A 

S 

'PR08;13;18- 

225:400 

'PR23;28;33- 

225:400 

'225;227;230; 

235;240-152-1 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 



CBP01R2252RB 

R-STENT EVOLUTION 2 CORONARY 


'225-092-2:240-332-2 SET 19940 

CBP01R225CRB 

R STENT AND DELIVERY SYSTEM * 適應症請 

見備註欄 

'225;227-092:232-1 SET 19940 

CBP01R230CRB 

R STENT AND DELIVERY SYSTEM * 適應症請 

見備註欄 

'230:240-092:332-1 SET 19940 

CBP01RXN01BY 


'RXN113000:153500; 

DELIVERY SYSTEM 3.0:4.0MM*11:28MM * 適 

1530EF:284000 


SET 19940 

CBP01S103NAC 

CBP01S108NAC 

CBP01S115NAC 

CBP01S173NSB 

CBP01S182NSB 

CBP01S563NAB 

CBP01S585NAC 

CBP01S600NAC 

CBP01S6275VE 

CBP01S660DVE 

CBP01S670DVE 

CBP01S7353VE 

CBP01S796NAC 

CBP01S915NAC 

CBP01S983NAB 

MULTI-LINK CORONARY STENT WITH STEP 

BALLOON DELIVERY SYSTEM * 適應症請見備 

註欄 

MULTI-LINK DUET CORONARY STENT 

W/RX ROCKET BALLOON DELIVERY 

SYSTEM※ 適應症請見備註欄 

MULTI-LINK CORONARY STENT WITH RX 

DELIVERY SYSTEM 3.0:4.0MMX15:35MM※ 


NIR STENT AND DELIVERY SYSTEM ※ 適應 


NIR STENT AND DELIVERY SYSTEM ※ 適應 


"ABBOTT"VASCULAR MULTI-LINK PIXEL 

CORONARY STENT SYSTEM 披索冠狀動脈擴 

張支架系統 * 適應症請見備註欄 

'1003498-08:1003502- 

38 

'1002711:14-08;13; 

18;23;28 

SET 19940 

SET 19940 

'1001594:1001602 SET 19940 

'14743-925:3225 SET 19940 

'13802-930:3240 SET 19940 

'1005633:1005635- 

08:28 

MULTI-LINK CORONARY STENT W/VTS & 

'1005852:1005856- 

DELIVERY SYSTEM 

08:38 

(2.5MM:4.0MM*8MM:38MM) 適應症請見備註欄 

MULTI-LINK STENT&BALLOON DELIVERY 

SYSTEM 3.0:3.75MM ※ 適應症請見備註欄 

S-SERIES CORONARY STENT DELIVERY 

SYSTEM * 適應症請見備註欄 

S-SERIES CORONARY STENT W/DELIVERY 


S-SERIES CORONARY STENT DELIVERY 


S-SERIES CORONARY STENT W/DELIVERY 


CORONARY STENT W/DELIVERY SYSTEM 


MULTI-LINK HP CORONARY STENT/W HIGH 

PRESSURE BALL.DELI.SYS.3:4MMX15MM※ 


"ABBOTT"MULTI-LINK CORONARY STENT 

SYSTEM 冠狀動脈擴張支架系統 * 適應症請見備 

註欄 

SET 19940 

SET 19940 

'600110:600113 SET 19940 

'S6275-09;12;15; 

18;24XD 

'S660-2509XD:S660- 

2524XD 

'S5402508X:24X; 

S6703009X:4039XD 

'S73009:S73530X; 

S74009:4030X 

'1007966-08:1007969- 

33 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

'1001091:1001093 SET 19940 

'1007966-08:1007969- 

33;1005633- 

08:1005635-28; 

1009836-08:1009840- 

38 

SET 19940 



'SRX1- 

2510;12;15;20;25;30; 

SRX1- 

S-STENT DELIVERY SYSTEM* 3010;12;15;20;25;30; 

適應症請見備 

SRX1- 

註欄 

3510L;12L;15L;20L;25L 

SET 19940 

;30L;SRX1- 

4010L;12L;15L;20L;25L 

;30L 

CBP01STSRXBS 

CBP01SVPSVBY 

CBP01SVPSVD8 

CBP01SY250R5 

CBP01TC250R5 

CBP01TSUNATM 

CBP01V1S1NAB 

CBP01V7844AB 

CBP01VFP01CK 

CBP01VRH08CD 

CBP01VRH18CD 

CBP01VRH28CD 

CBP01ZETANAB 

CBP06ELUT1AB 


DELIVERY SYSTEM 2.0:4.0MM*7:28MM * 適應 


BIODIV YSIO SVPREMOUNTED STENT 

DELIVERY SYSTEM D2.0:2.5MM 

L7;10;15;18;21MM* 適應症請見備註欄 

CARBOSTENT CORONARY STENT 

W/DELIVERY SYSTEM(2.5-4MM*9-25MM) 適 


CARBOSTENT TECNIC CORONARY STENT 

WITH DELIVERY SYSTEM 2.5MM:4.0MM 

9MM:31MM * 適應症請見備註欄 

TSUNAMI CORONARY STENT 

SYSTEM(WITH BALLOON)* 適應症請見備註欄 

"ABBOTT"MULTI-LINK VISION RX 

CORONARY STENT SYSTEM2.75MM:4MM 

8MM:28MM 適見冠狀動脈支架系統 * 適應症請見 

備註欄 

"ABBOTT"MULTI-LINK VISION RX 

CORONARY STENT SYSTEM 2.75:4.00MM 

8:28MM 冠狀動脈支架系統 * 適應症請見備註欄 

CORONARY STENT W/BALLOON DELIVERY 


BX VELOCITY W/HEPACOAT BALLOON 

EXPANDABLE STENT SYSTEM 8MM 13MM 








"ABBOTT"MULTI-LINK RX ZETA CORONARY 

STENT SYSTEM 智達冠狀動脈支架系統 * 適應 


"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。 

'SVP- 

07200SV:18250SV 

'B-330-1:3- 

07;10;15;18;21 

'SY2509:4025( 原文 

910036272) 

'ICV8505:ICV8528; 

TC2509:TC4031 

'CS- 

RA2010EW:2040EW; 

CS- 

RA2210EW:2240EW; 

CS- 

RA2510FW:2540FW; 

CS- 

RA2710FW:2740FW; 

CS- 

RA3010FW:3040FW 

'1007841-08:1007844- 

28 

'1007841-08:1007844- 

28 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

'VFP-2.5:3.5-8:24 SET 19940 

'VRH08225:13500 SET 19940 

'VRH18225:23500 SET 19940 

'VRH28225:33500 SET 19940 

'1009837:1009840- 

08:28; 

1009838:1009840- 

33;38 

'1009527-08:1009530- 

28 

SET 19940 

SET 19940 



'5024400:5024403; 

COROFLEX PLEASE PACLITAXEL-ELUTING 

5024410:5024413; 

CORONARY STENT SYSTEM 部分給付品項紫 

CBP06ELUT1BB 

5024420:5024423; SET 19940 

杉醇釋放型冠狀動脈血管支架 * 適應症見備註 , 

5024430:5024433; 

並註明其禁忌症勿使用。 

5024440:5024443 

CBP06ELUT1CD 

CBP06ELUT1M4 

CBP06ELUT1RB 

CBP06ELUT1SB 

CBP06ELUT2AB 

CBP06ELUT2CD 

CBP06ELUT2M4 

CBP06ELUT2SB 

CBP05210CGAB 

CBP05JCSG1JD 

CBS01SPTXXN5 

CBS029ASDAG6 

CORDIS CYPHER SIROLIMUS-ELUTING 

STENT 2.25MM:5.00MM 8MM:33MM 部分給付 

品項 * 適應症請見備註欄 . 並註明其禁忌症不可使 

用 . 

MEDTRONIC ENDEAVOR ELUTING 

CORONARY STENT SYSTEM 2.25MM:4.0MM 

8MM:30MM 部分給付品項 * 適應症請見備註欄 . 

並註明其禁忌症不可使用 . 

"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 . 適應症請見備註欄 . 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 * 適應症請見備註欄 . 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 , 適應症請見備註欄 , 

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 * 適應症請見備註欄 . 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 . 適應症請見 

備註欄 . 並註明其禁忌症不可使用 

"ABBOTT"JOSTENT GRAFTMASTER 

CORONARY STENT GRAFT(WITH 

DELIVERY SYSTEM)* 適應症請見備註欄 . 

CORONARY STENT GRAFT WITH 


"NUMED"Z-5 ATRIOSEPTOSTOMY 

CATHETER 

AMPLATZER SEPTAL OCCLUDER 

4:20MM,22MM:38MM 適應症請見備註欄 

'EN225-08X:30X; 

EN250-08X:30X; 

EN275-08X:30X; 

EN300-09X:30X; 

EN350-09X:30X; 

EN400-09X:30X 

'CRS-08;13-225:450; 

CRS-18;23;28;33- 

225:500;CRA-08- 

225:450;CRA- 

13;18;23;28;33- 

225:500 

'225;227- 

092;132;152;182;232- 

5;230;235;240- 

092;132;152;182; 

232;282;332-5 

'H74938001-08- 

220:400;H74938001- 

12;16;20;24-220:500; 

H74938001-28;32- 

270:500 

'1009527- 

08B:1009530-28B 

'CRB08-225:350; 

CRB13-225:350; 

CRB18-225:350; 

CRB23-225:350; 

CRB28-225:350; 

CRB33-225:350 

'ENSP225-08X:30X; 

ENSP250-08X:30X; 

ENSP275-08X:30X; 

ENSP300-09X:30X; 

ENSP350-09X:30X; 

ENSP400-09X:30X 

'H749389408220:H749 

3894032350; 

(H749389408400; 

H7493894012400:H74 

93894032500; 自 

970401 生效 ) 

'210CG-09;12-30:40; 

210CG-16;19;26-30:50 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 19940 

SET 52500 

'010CG09:010CG26 SET 52500 

'SPT002;SPT003 EA 9000 

'9-ASD-004:038 EA 138000 


CBS029DEL5G6 

CBS029DEL9G6 

CBS029DELNG6 

CBS029SZB2G6 

CBS029SZBNG6 

CBS02PTSXXN5 

CBS039PDAAG6 

CBT020712NAR 

CBT022014LPU 

CBT022015LPU 

CBT0405000AR 

CBT0405050AR 

CBT0407044AR 

CBT0407065AR 

CBT0407067AR 

CBT0407365AR 

CBT04131HVED 

CBT041704HBS 

CBT04254NDBS 

CBT045107SBD 

CBT0493137ED 

CBT04C144HED 

CBT04H5107BD 

"AGA"AMPLATZER DELIVERY SYSTEM 5- 

9FR* 適應症請見備註欄 


'12F-45/80;9-ASD- 

AMPLAATZER SEPTAL OCCLUDER WITH 

CBS029ASDNG6 

004:038;9-DEL-6:8F- SET 150000 

DELIVERY SYSTEM※ 適應症請見備註欄 

45/60;9-DEL-7:10 

'9-DEL-5F-180/60;9- 

DEL-6F;7F;8F;9F- 

180/80 

AMPLATZER DELIVERY SYSTEM 

9FR,10FR,12FR* 適應症請見備註欄 

'10;12F-45/80;9- 

DEL-9 

AMPLATZER DELIVERY SYSTEM 6:8FR* 適應 '45/80;7;8F-45/60; 


9-DEL-6 

AMPLATZER SIZING BALLOON II 安普拉茲測 '9-SB-018;9-SB- 

量氣球導管 * 適應症請見備註欄 

024;9-SB-034 

AMPLATZER SIZING BALLOON 24MM,34MM* '9-SZB-024;9-SZB- 


034 

PTS SIZING CATHETER 20:40MM 3:5CM 'PTS-203;PTS-253; 

80CM 0.035" GUIDE WIRE※ 適應症請見備註 PTS-303:305;PTS- 

欄 

403:405 

"AGA"AMPLATZER DUCT OCCLUDER 開放性 

動脈導管關閉器 * 適應症請見備註欄 

BALLOON WEDGE-PRESSURE CATHETER 

4:8FR 60:110CM 順流導管 ( 雙腔 ) 

PULSIOCATH CONTINUOUS CARDIAC 

OUTPUT THERMODILUTION CATHETER 

"PULSION"PULSIOCATH THERMODILUTION 

CATHETER 

THERMODILUTION CATHETER FOUR 

LUMEN 7FR 95CM 

THERMODILUTION CATHETER 5 LUMEN 

7.5FR 95CM 

BALLOON THERMODILUTION CATHETER 

4FR 75CM 附氣球熱稀釋順流導管 







EDWARDS SWAN-GANZ THERMODILUTION 

CATHETER 4LUMEN 7FR,W/AMC 

THROMBOSHIELD COATING 

EA 12000 

EA 12000 

EA 12000 

EA 15000 

EA 15000 

SET 15000 

'9-PDA-003:007 EA 70000 

'AI-07121:07128 EA 1750 

'(PV2013L07 自 940701 

生效 );(PV2015L20 自 

940701 生效 ); 

PV2014L08; 

PV2014L16 

'PV2014L22; 

PV2014L50LGW 

SET 5775 

SET 5775 

'AH-05000H SET 2800 

'AH-05050H SET 3050 

'AI07044 SET 2565 

'AI-07065 SET 2565 

'AI-07067 SET 2565 

'AI7365-HL SET 2565 

'131HVLF7 SET 2800 

THERMODILUTION CATHETER 測輸量順流導 

'TD1704HX 

管 ( 四腔 ) 

SET 1750 

THERMODILUTION CATHETER 5FR 4 'TD2704ND; 

LUMEN, 6FR 4 LUMEN ,7FR 4 LUMEN 順流導 TD2504ND; 

SET 2700 

管 ( 四腔 ) 

TD2604ND 



SWAN-GANZ THERMODILUTION 

CATHETER FOUR LUMEN 

"EDWARDS"SWAN-GANZ 

THERMODILUTION CATHETER 4 LUMEN 

7FR W/AMC THROMBOSHIELD COATING 



'SP5107H-13; 

SP5107H-14 

SET 2100 

'131H-7F SET 2800 

'C144HF7; 

S144HF7;151HF7 

SET 2800 

'SP5107H;SP5107HS SET 2100 



CBT05175HDBS 

THERMODILUTION CATHETER 7.5FR 5 'TD2755ND; 

LUMEN 

TD1755HD 

SET 3100 

CBT0550324AB 

OXIMETRIX SV02 OPTI CATHETER ※ 適應症 


'P7110-EH SET 7300 

CBT0550324HR 

FLOW-DIRECTED CATHETERS/ 測血氧 * 適應 


'50324-05 SET 7300 

CBT055507SBD 

THERMODILUTION CATHETER FIVE LUMEN 'SP5507H-13; 

7.5FR 110CM 

SP5507H-14 

SET 2100 

CBT0574175ED 

SWAN GANZ OXIMETRY AND VOLUMETRIC '741F75;741HF75; 

CATHETER* 適應症請見備註欄 

780HF75;782HF75 

SET 7300 

CBT05831H7ED 

SWAN-GANZ 5 LUMEN THERMODILUTION 

CATHETER 

'93A-831H-7.5F EA 2100 

CBT05831HVED 

EDWARDS SWAN-GANZ THERMODILUTION 

CATHETER 5LUMEN 7.5FR,W/AMC '831HVF75 SET 3050 

THROMBOSHIELD COATING 

CBT05834H7ED 

SWAN-GANZ 5 LUMEN THERMODILUTION 

CATHETER 

'93A-834H-7.5F EA 2100 

CBT0593631E6 

OXIMETRY SVO2 CATHETER 

'93-631-5.5F;93- 

5LUMEN(PA,CVP,T,POTICAL,CONNECT,BAL 

631H-5.5F 

LOON INF)* 適應症見備註 

EA 7300 

CONTINUOUS CARDIAC OUTPUT 

CBT0613975ED THERMODILUTION CATHETER 6 LUMEN '139H SET 6200 

7.5FR ※ 適應症請見備註欄 

CBT0617775ED 

SWAN GANZ CONTINUOUS CARDIAC /END 

DIASTOLIC VOLUME THERMODILUTION '177HF75 SET 6200 

CATHETER CCO/cEDV* 適應症請見備註欄 

CBT0652510HR 

OPTI-Q SVO2/CCO CATHETRER* 適應症請見 

'52510-01 

備註欄 

SET 8200 

CBT0652515HR TDQ CCO CATHETRER* 適應症請見備註欄 '52515-01 SET 6200 

CONTINUOUS CARDIAC OUTPUT 

CBT0674475ED THERMODILUTION CATHETER 7.5FR ※ 適應 '744H7.5F SET 8200 



CBT06746F8ED 

DIASTOLIC VOLUME THERMODILUTION 

CATHETER CCO/SVO2/VIP* 適應症請見備註 

'746HF8 SET 8200 

欄 

CBT06757HFED 



CATHETER CCO/SVO2/EDV/VIP* 適應症請見 

'757HF8 SET 8200 

備註欄 

CBT0677475ED 



CATHETER CCO/SVO2/CEDV* 適應症請見備 

'774HF75 SET 8200 

註欄 

CBT06777F8ED 



CATHETER CCO/SVO2/CEDV/VIP* 適應症請 

'777HF8 SET 8200 

見備註欄 

CBT07MHD68ED 

FLOTRAC SENSOR KIT W/60" OR 84" 

PRESSURE TUBING 弗羅威克感應器組 

'MHD6;MHD8 SET 6425 

CBT07MHDAZED 

FLOTRAC SENSOR KIT W/60" PRESSURE 

TUBING & VAMP ADULT SYSTEM 弗羅威克 'MHD6AZ SET 6425 

感應器組附血液管理保護系統 

CBV020MS2NTR PTMC BALLOON CATHETER 'IMS-24:28 EA 33700 

CBV02PDCXXN5 

PERCUTANEOUS TRANSLUMINAL 

'PDC500:550;S00- 

VALVULOPASTY (PTV)CATHETER 

01:69;SN001:2 

4.0MM:30.0MM,2.0CM:8.0CM 

EA 13200 



CBV02PDZXXN5 

NUMED Z-MED II PERCUTANEOUS 

TRANSULUMINAL VALVULOPLASTY 

(PTV)CATHETER 4:30MM 2:10CM 100CM 

'PDZ-600:677;SO- 

028;039;068;042;045;0 

70;071;072;079 

EA 13200 

CBV02PTVNXN5 

"NUMED"NUCLEUS PTV DILATATION 

CATHETER 二尖瓣及主動脈瓣氣球擴張導管 

'PVN200:PVN235 EA 28800 

CCC022180TBT CLOSED SYSTEM APHERESIS KIT '4R2180T SET 4400 

CCC02R2180BT BAXTER APHERESIS KIT '4R2180 EA 4400 

CCC0300AT1VB AUTOTRANSFUSION SET 'AT1 EA 3160 

CCC030980EHA 

THERAPEUTIC AND AUTOLOGOUS 

ERYTHROPHERESIS SET 

'980E SET 3160 

CCC030981EHA 

THERAPEUTIC AND AUTOLOGOUS 

ERYTHROPHERESIS SET 

'981E SET 3160 

CCC110971EHA PERIPHERAL BLOOD STEM CELLS SET '971E SET 4400 

CCC1300200HA 

CELL SAVER COLLECTION RESERVOIR ※ '( 型號 200 自 971001 更 


改為 205);205 

EA 3900 

CCC1300ATRVB 

AUTOTRANSFUSION RESERVOIR* 適應症請 

見備註欄 

'ATR40;ATR120 EA 3900 

CCC1301005M4 

AUTOLOG RESERVOIR HOLDING BAG* 適應 


'ATL1005 EA 3900 

CCC1400260HA CELL SAVER 5 FAST PACK 225ML 體血液 

收集洗滌套 ※ 適應症請見備註欄 

CCC1400ATFVB 

CCC140156NHA 

AUTOTRANSFUSION FAST START 

KIT(AUTOTRANSFUSION 

SET+AUTOTRANSFUSION 

RESERVOIR+ATS SUCTION LINE)* 適應症請 

見備註欄 

CELL SAVER SET ( 術後自體血液回收單管回 

流式 ) ※ 適應症請見備註欄 

'260( 型號 200 自 971001 

起更改為 205; 

+208+263) 

SET 8000 

'ATF40;ATF120 EA 8000 

'156-100+157 SET 4000 

CCC1402001M4 AUTOLOG WASH KIT* 適應症請見備註欄 'ATL2001 EA 8000 

BAYLOR RAPID AUTOLOGOUS 

'007-213;214-100; 

CCC1471240CB TRANSFUSION SETS BRAT 2 PROCEDURE 

SET 8000 

102 

SET※ 適應症請見備註欄 

CCC14EC243M4 

CCC1550300AH 

CCC1552300AH 

CCC1562300AH 

CDCA105060NZ 

CDCA105065NZ 

CDCA105070NZ 

CDCA105076NZ 

ONE SOURCE PACK 自體輸血系統套裝組 ※ 適 

應症請見備註欄〔含 EL240、BP721、BT133、 

BTC93〕型號 :EC2S24〔含 EL240、BP722、 

BT133、BTC93〕自 94.01.01 生效 

ATRIUM CHEST DRAINAGE WITH 

AUTOTRANSFUSION SET( 單管回流式 )※ 適應 



AUTOTRANSFUSION SET( 雙管回流式 )※ 適應 



AUTOTRANSFUSION SET( 雙引流管 )※ 適應症 


SUNDT INTERNAL W/NON-REINFORCED 

SEGMENT 

CAROTID ENDARTERECTOMY 

SHUNT,SUNDT INTERNAL 

CAROTID ENDARTERECTOMY 

SHUNT,SUNDT EXTERNAL 

SUNDT EXTERNAL W/NON-REINFORCED 

SEGMENT 

'EC1S243;EC2S243 PACK 8000 

'2050-300 SET 4000 

'2052-300 SET 4500 

'2062-300 SET 4500 

'NL850-5060:5063 EA 3375 

'NL850-5065:5067 EA 3375 

'NL850-5070:5072 EA 3375 

'NL850-5076:5079 EA 3375 



CDCA171014NZ CAROTID ENDARTERECTOMY SHUNTS 

'NL71014S01:NL71014 

S08; 

NL75227S01:NL75227 

EA 3375 

S05 

CDCC243418PM 

C.S.F CARDIAC CATHETER REDUCED TIP 

BARIUM IMPREGNATED 

'43418 SET 2790 

CDCS126101CM 

OMMAYA RESERVOIR( 含 CATHETER 

14MM,24MM) 

'82-6100;82-6101 EA 3500 

CDD010212NFM 

SILICONE T DRAINAGE TUBE W/EYES 

12:24FR 

'1910-0212:1910-0224 EA 205 

CDD0104103CL RC-T TUBE 3FR:10FR '06-4103:10 EA 468 

CDD010810NFM SILICONE T-DRAINGE TUBE 8#:24# '1910-0008:24 EA 205 

CDD0108510P2 

SILICON T DRAINGE TUBE 10FR:24FR 

3MM:8MM 

'I08510:I08524 EA 205 

CDD012014NFM SILICONE Y DRAINAGE TUBE 14:24FR '1920-0014:1920-0024 EA 205 

CDD012206NWN 

SILICONE T DRAINAGE TUBE 外徑 3:8MM 

9:24FR 

'2206-103:2206-108 EA 205 

CDD0133008KK SILICON T-TUBE 5M/M:13M/M (TRACHEAL) '3300:08 EA 2825 

CDD0162110CL SILICON T-DRAIN TUBE 9FR:24FR '06-2110:26 EA 205 

CDD0200114FM 

SILICONE ABDOMINAL SUMP DRAIN 14" 

7MMX13MM 

'2016-0114 EA 390 

CDD0200120FM 

SILICONE ABDOMINAL SUMP DRAIN 20" 

7MMX13MM 

'2016-0120 EA 390 

CDD0208040DV 

SILICON TRIPLE LUMEN SUMP DRAIN 

1.5CMx38CM 

'8040 EA 1222 

CDD0208042DV 


1.0CMx38CM 

'8042 EA 1222 

CDD0208045DV 


1.7CMx38CM 

'8045 EA 1222 

CDD0246148H9 INTRACARDIAC SUCKER '46-000148-00 EA 450 

CDD02SUCKEM6 EXTRACORPOREAL SUCKER 'ECTB/SUCKER EA 450 

CDD0401201ED PERICARDIAL SUMP(1/4") 'S-1201 EA 431 

CDD0401348C8 

CDD0403300ED 

CDD0404300SA 

CDD0404360BA 

CDD0404366BA 

CDD0406648PC 

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 ) 

SUCTION WAND(9F-22F) 

RIGID I-C SUCKER 

400CC THREE-SPRING EVACUATOR KIT 

W/PVC ROUND DRAIN 

400CC THREE-SPRING EVACUATOR KIT 

W/SILICONE ROUND DRAIN 

TLS BULB DRAINAGE SYSTEM 100CC 

10.5FR( 球 + 管 ) 

'SU130-1348;SU130- 

1349;SU130- 

1360;SU130-1361; 

SU130-1080;SU130- 

1060;SU130-1010 

'S-033;S-066;S- 

077;S-099 

'4300;15236; 

14991;10840 

'00436-00;00436- 

10;00436-20;00436- 

30 

EA 670 

EA 431 

SET 431 

EA 500 

'00436-60;00436-70 EA 670 

'6648 SET 670 

CDD0408705P2 PVC VAC ( 球 + 管 ) 450CC 1/8",3/16",1/4" '08705;08706;08707 SET 500 

CDD0408770P2 

CDD0408902P2 

SILICON VAC ( 球 + 管 ) 100CC,200CC 

1/8",3/16",1/4" 

MINIVAC WOUND DRAINAGE SYSTEM(PVC 

DRAIN 6FR WITH PVC RESERVOIR 50ML) 

'08770:08772; 

08760:08762 

SET 670 

'I08902 SET 270 

CDD0408903P2 

MINIVAC WOUND DRAINAGE SYSTEM(PVC 

DRAIN 6FR WITH PVC RESERVOIR 20ML) 

'I08903 SET 220 


CDD042541NZ1 

CDD042560NZ1 

400ML HEMOVAC COMPACT EVACUATOR 

KIT SILICONE DRAIN 1/8",3/16",1/4( 球 + 管 ) 

MINI SNYDER HEMOVAC SILICONE DRAIN 

7MM,10MM SILICONE EVACUATOR 

100ML( 球 + 管 + 針 ) 


CDD0420131FM 

ALL SILICONE C.W.V SET(RESERVOIR '20130610+2014- 

100CC+DRAIN 7MM,10MM) 

0071:2;101:2 

SET 670 

CDD0420132FM 


100CC+DRAIN 13MM) 

0131:2 

SET 670 

CDD0420133FM 

ALL SILICONE C.W.V SET(RESERVOIR '20130615;915+2014- 


0071:2;101:2 

SET 670 

CDD0420134FM 

ALL SILICONE C.W.V SET(RESERVOIR '20130615;915+2014- 


031:2 

SET 670 

CDD0420135FM 



0071:2;101:2 

SET 670 

CDD0420136FM 



0131:2 

SET 670 

CDD0425001Z1 HEMOVAC '2500-000-10 SET 500 

CDD042535NZ1 

MINI SNYDER HEMOVAC SILICONE DRAIN 

'2535;2536;2537; 

3/32 1/8",3/16",1/4" SILICONE EVACUATOR 

2538-000-10 

100ML( 球 + 管 + 針 ) 

SET 670 

'2540;2541;2545- 

000-10 

'2560;2561;2562; 

2563-000-10 

SET 620 

SET 670 

CDD042564NZ1 

EVAC KITS 100ML FLAT DRAIN W/O 

TROCAR 7MM,10MM( 球 + 管 ) 

'2564:67-00-10 SET 670 

CDD0425904Z1 HEMOVAC '2590-040-10 SET 500 

CDD0425951Z1 

PVC HEMOVAC COMPACT EVACUATOR KIT 

'2595;2505-000-10 

3/32",3/16" 7,15FR 

SET 500 

CDD0430101P2 

WOUND DRAINAGE SYSTEM (PAHSCO- 'S30101;S30201; 

VAC)450ML(BAG+TUBE+TROCAR) 

S30301 

SET 500 

CDD0430104P2 

WOUND DRAINAGE SYSTEM (PRE- 

'S30104;S30230; 

EVACUATOR)600ML,450ML(BAG+TUBE+TR 

S30303 

OCAR) 

SET 500 

CDD0433223DV CWS 400CC ( 球 + 管 ) '4360:3 SET 500 

CDD0441000TZ 

VACUUM WOUND DRAINAGE SYSTEM(PVC 'S41-010-A;S41-020- 

引流管 + 吸引球 ) 

A;S41-030-A 

SET 500 

CDD0441001S4 MINI-RADOVAC 20CC '2041001 SET 222 

CDD0445003S4 MINI-RADOVAC 50CC '2045003 SET 290 

'S50101: 

CDD0450101P2 

305;S50325:329 

CLOSED WOUND DRAINAGE SYSTEM 105;S50120:124; 

125、200ML 球 PVC、管 SILICONE ( 球 + 管 + 針 ) S50301: 

EA 620 

CDD0450201P2 

CDD0450510P2 

CDD0453101P2 

CDD0453144P2 

CDD0454101P2 

CDD0454201P2 

CLOSED WOUND DRAINAGE SYSTEM 

100、125、200ML 球 + 管 SILICONE ( 球 + 管 + 針 ) 


400ML 球 PVC、管 SILICONE ( 球 + 管 + 針 ) 


450MLPVC ( 球 + 管 + 針 ) 


250ML PVC ( 球 + 管 + 針 ) 

CLOSED WOUND DRAINAGE SYSTEMPVC 

WOUND DRAINAGE SYSTEM 20ML 

(BAG+TUBE+TROCAR) 

PVC WOUND DRAINAGE SYSTEM 

30ML(BAG+TUBE+NEEDLE) 

'S50201: 

205;S50215:219; 

S50401: 

405;S50411:415 

EA 670 

'S50510:519 EA 620 

'S53101:103;S53107: 

109;S53113: 

115;S53200:205; 

(S53184:190;S53196:1 

97; 自 960101 生效 ) 

'S53144;S53146; 

S53210:215 

'S54101:2;(S54106 自 

95 年 7 月 1 日生效 ) 

EA 500 

EA 500 

EA 220 

'S54201:2 SET 220 



CDD0454302P2 


WOUND DRAINAGE SYSTEM 50ML 

'S54302; 

(S54308;S54311; 自 EA 220 

(BAG+TUBE+TROCAR) 

95 年 7 月 1 日生效 ) 

CDD0455101P2 

PVC WOUND DRAINAGES SYSTEM 

600CC(BAG+CATH+TROCAR)※ 真空傷口引 'S55101:3 SET 500 

俵套 

CDD0455606P2 

PVC WOUND DRAINAGES SYSTEM 

450CC(BAG+CATH+TROCAR)※ 真空傷口引 'S55606:8 SET 500 

俵套 

CDD0455730P2 


200ML ( 罐 + 管 + 針 ) 

'S55730:738 EA 500 

CDD0456001P2 

CDD0456025P2 

CDD0456051P2 

CDD0457001P2 

CDD0457004P2 

CDD0457050P2 

CDD0457053P2 

CDD0457100P2 

CDD0457103P2 

CDD048410NM5 

CDD04CWCV1EF 

CDD04MB125SG 

CDD04PP400WN 

CLOSED SYSTEM SUCTION DRAINAGE SET 

800ML 1/4〞,1/8〞,3/16〞( 球 100CC+ 管 + 針 ) 


400CCPVC ( 球 + 管 + 針 ) 

'S56001:3 SET 500 

'S56025:030; 

(S56022:024 自 960101 

生效 ) 

EA 500 

CLOSED SYSTEM SUCTION DRAINAGE SET 

'S56051:3 SET 500 

( 球 100CC+ 管 + 針 ) 


'S57001:003 EA 500 

150MLPVC (BAG+ 管 + 針 ) 


150MLBAG PVC、管 SILICONE (BAG+ 管 + 針 ) 









WOUND-EVC ET(EASY TOUCH)(PVC 

RESERVOIR 400ML,SILICONE TUBING 

1/8",3/16",1/4") 

SILICONE C.W.V 

SET(100CC,150CC,400CC+7MM,10MM,13MM 

) 矽質真空傷口引流球 + 引流管 

SILICON MINI VACCUM BLUB 125CC(MB125) 

+FLAT TUBE OR ROUND TUBE MD-118 

7:9MM(HF107:9) 

BAROVAC CLOSED WOUND DRAINAGE 

SYSTEMS (PVC DRAIN 

3/32",1/8",3/16",1/4"WITH PVC RESERVOIR 

400ML) 

CDD04PT503TM PORTABLE WOUND SUCTION UNIT( 球 + 管 ) 

CDD04SS100WN 

CDD04SS200WN 

ALL SILICONE CLOSED WOUND DRAINAGE 

SYSTEMS(SILICONE DRAIN WITH 

RESERVOIR 100ML) 

ALL SILICONE CLOSED WOUND DRAINAGE 

SYSTEMS 200ML(SILICONE DRAIN WITH 

RESERVOIR 200ML) 

'S57004:013 EA 620 

'S57050:052 EA 500 

'S57053:062 EA 620 

'S57100:102 EA 500 

'S57103:112 EA 620 

'8410;8411;8412 SET 620 

'CW- 

1S100;1S150;1S400; 

2S100;2S150+CV- 

1107;1110;;1113;010 

7;0110;0113 

'MB125+HF107:9 OR 

MB125+MD118 

'PP400S;PP400M; 

PP400L;PP400XL 

'PT*5033(950701 停 

產 );PT*5044 

'SS100M;SS100L; 

SS100JP 

'SS200M;SS200L; 

SS200JP 

SET 670 

SET 670 

SET 500 

SET 500 

SET 670 

SET 670 



CDD04SU130C8 

JACKSON PRATT WOUND DRAINAGE 'SU130-401D:404D; 

SYSTEM PVC 引流管 + 穿刺針 +PVC 吸引球 SU130-401E:404E 

EA 500 

CDD0500070L6 

JACKSON-PRATT HEMADUCT SILICONE 

FLAT DRAINS W/O TROCAR 

'JP-HUF070 EA 370 

CDD0500071L6 


FLAT DRAINS W/TROCAR 

'JP-HUF071 EA 370 

ALL SILICONE WOUND TUBINGW/TROCAR 

CDD05000SMWN 

NEEDLE 3.2MM,4.8MM( 圓型 ) 

'SM;SL EA 370 

CDD0500100L6 


ROUND DRAINS W/O TROCAR 

'JP-HUR100 EA 370 

CDD0500101L6 


ROUND DRAINS W/TROCAR 

'JP-HUR101 EA 370 

CDD0500SJPWN 

ALL SILICONE WOUND TUBINGW/TROCAR 

NEEDLE 4.8MM( 扁型 ) 

'SJP;SJPL EA 370 

CDD0501002SM 

EXTRA STRENGTH ROUND SUCTION 

DRAIN WITH TROCAR 10FR 

'1002 EA 370 

CDD0501012SM 

EXTRA STRENGTH ROUND SUCTION 

DRAIN 10FR 

'1012;1014 EA 370 

'SU130-0321:0325; 

CDD0501310C8 

JACKSON-PRATT SILICONE DRAINS 7MM, SU130-1308:1311; 

10MMJACKSON-PRATT 矽質傷口引流管 SU130-1320:1325; 

EA 340 

SU130-1410:1411 

CDD0501310L6 

JACKSON-PRATT HUBLESS FLAT SILICONE 

'SU130-1310:1 

DRAINS W/O TROCAR 

EA 370 

CDD0501316L6 

JACKSON-PRATT GOLD FLAT SILICONE 


'SU130-1316:9 EA 370 

CDD050132NL6 

JACKSON-PRATT SILICONE ROUND 


'SU130-1320:5 EA 370 

CDD0501330L6 

JACKSON-PRATT GOLD SILICONE ROUND 'SU130-1330:1;130- 


1333;130-1336 

EA 370 

CDD0501416L6 

JACKSON-PRATT GOLD FLAT SILICONE 

DRAINS W/TROCAR 

'SU130-1416:9 EA 370 

CDD0502007H0 SURGICAL CWV DRAIN 7MM 'HS-2-007 EA 370 



CDD050208NFM 

SILICONE ROUND DRAIN END 

PERFORATED 8,10,16,20FR 900MM 

'2015-0208:2015-0220 EA 370 

CDD0502185ET 

"ETHICON"J-VAC CLOSED WOUND 

DRAINAGE SYSTEM BLAKE SILICON 

DRAINS WITH TROCAR 捷凡克封閉式引流系 

統 

'2185;2212;2215 EA 370 

CDD0502187ET 

"ETHICON"J-VAC CLOSED WOUND 

DRAINAGE SYSTEM BLAKE SILICON 

DRAINS WITH TROCAR 捷凡克封閉式引流系 

統 

'2189;2191;2187; 

2227;2229;2231 

EA 425 

CDD050308NFM 

SILICONE ROUND DRAIN MIDDLE 

PERFORATED 8,10,16,20FR 1100MM 

'2015-0308:2015-0320 EA 370 

CDD0503203SM 

EXTRA STRENGTH FLAT SUCTION DRAIN 

7MM 

'3203 EA 370 

CDD0503204SM 

EXTRA STRENGTH FLAT SUCTION DRAIN 

10MM 

'3204 EA 370 

CDD0508711P2 SILICON VAC DRAINAGE & TROCAR '08711 EA 370 

'S10101: 

CDD0510101P2 

302;S10305:309 

CLOSED WOUND DRAINAGE SYSTEMPVC 102;S10201:202; 

VAC DRAINAGE 

S10301: 

EA 250 



'S13101;S13201;S1330 

CDD0513101P2 

1;S13311: 

CLOSED WOUND DRAINAGE 

315;S14101; 

SYSTEMSILICONE VAC DRAINAGE 

S14104;S14201;S1420 

EA 340 

7 

CDD052540NZ1 

MINI-SNYDER HEMOVAC SILICONE DRAIN '2540-021:4-10;2540- 

3/32",1/8",3/16",1/4" 7MM,10MM W/TROCAR 069:72-10 

EA 370 

CDD052542NZ1 

DRAIN ROUND W/O TROCAR 

'2540-001:013-10 EA 370 

CDD052569NZ1 

CDD0530101P2 

CDD0530502P2 

3/32",1/8",3/16",1/4 SILICONE( 管 ) 

DRAIN FLAT W/O TROCAR 7MM,10MM 

SILICONE 


VAC DRAINAGE &TROCAR 


SYSTEMSILICONE VAC DRAINAGE 

&TROCAR 

'2569:74-00-10 EA 370 

'S30101: 

102;S30104; 

S30201: 

203;S30302:303; 

S30306: 

317;S30402;S30501 

'S30502;S33101: 

104;S33202: 

204;S33302:303; 

S33501:505 

EA 250 

EA 340 

CDD0566481B0 

SILICONE BULB DRAINAGE CATHETER 

7MM 真空傷口引俵管 

'06648-1 EA 340 

CDD0566482B0 

SILICONE BULB DRAINAGE CATHETER 真空 

'06648-2 

傷口引俵管 

EA 340 

CDD0566483B0 

SILICONE BULB RESERVOIR 100CC 真空傷 

口引俵球 

'06648-3 EA 300 

CDD0566484B0 


10MM 真空傷口引俵管 

'06648-4 EA 340 

CDD0566485B0 


W/TROCAR 

'06648-11 EA 340 

CDD0566486B0 


W/TROCAR (ROUND) 

'06648-12 EA 340 

CDD0566487B0 

SILICONE BULBRESERVOIR 100CC 

W/CLIPS 

'06648-13 EA 300 

CDD0566488B0 


W/TROCAR (FLAT) 

'06648-14 EA 340 

CDD05CV007FM SILICON CWV DRAINS TUBE 7MM 'CV-107 EA 370 



CDD05CV110EF 

CDD05HRU86C8 

CDD05MF104SG 

CDD0600640FM 

CDD0601305C8 

SILICONE C.W.V DRAIN 

JACKSON-PRATT HEMADUCT & 

HEMADUCT GOLD WOUND DRAINS 

10FR,15FR,19FRHEMADUCT 矽質傷口引流管 

SILICONE SUCTION DRAINAGE TUBE(FLAT) 

4,7,10MM 

SILICONE CLOSED WOUND VACUUM 

RESERVOIR 400CC 

JACKSON-PRATT SILICONE BULB 

RESERVOIR 100CC & 400CC 矽質真空傷口引 

流儲液器 

'CV- 

1107;1110;1113;0107 

;CV-0110;0113 

'JP-HUR860;JP- 

HUR870;JP-HUR880; 

JP-HUR890;JP- 

HUR900;JP-HUR910 

EA 340 

EA 340 

'MF-104;107;110 EA 370 

'2013-0640 EA 300 

'SU1301305D;SU130- 

1305;SU130-1000 

EA 300 

CDD0602150H0 SURGICAL CWV RESERVOIR 150CC 'HS-2-100;HS-2-150 EA 345 

CDD0602160JJ J-VAC RESERVOIR SILICON 100CC '2160 EA 300 

CDD0602161JJ J-VAC RESERVOIR 150CC,450CC(PVC 球 ) '2161;2162 EA 250 

CDD0603101SM SUCTION RESERVOIR '3101 SET 345 



CDD0608709P2 SILICON VAC RESERVOIR 100CC,200CC '08701;08709 EA 300 

CDD060S100WN 

ALL SILICONE BAROVAC RESERVOIR 

100ML 

'S100 EA 300 

CDD060S200WN 

ALL SILICONE BAROVAC RESERVOIR 

200ML 

'S200 EA 300 

CDD0620201P2 


'S20201:202; 

SYSTEMSILICONE VAC RESERVOIR125ML 

S20400;S20408 

、200ML 

EA 300 


CDD0623009P2 VAC RESERVOIR 150ML、250ML、300ML、 'S23009;S23100:103 EA 250 

450ML 

CDD0625681Z1 SIKICONE MINI SNYDER HEMOVAC 100ML '2568-000-10 EA 300 

CDD06CV150FM 

SILICONE CWV RESERVOIR 100CC,150CC 

'CV-100;CV-150 EA 300 

CDD06CW1S1EF 

球 

SILICONE C.W.V RESERVOIR 

100CC,150CC,400CC 

'CW- 

1S100;1S150;1S400;2 

S100;CW-2S150 

EA 300 

CDD06MB125SG MINI BULB 125CC 真空吸引球 'MB125 EA 300 

CDD1012001P2 DIAMOND TIP THROACIC CANNULA 8:16FR 'I12001:005 EA 259 

CDD1012007P2 

DIAMOND TIP THROACIC CANNULA 

20:32FR 

'I12007:013 EA 259 

CDD1021110MA TROCAR CATHETER 10FR,12FR,16FR '211-10;12;16 EA 259 

CDD1021120MA 

TROCAR CATHETER 

20FR,24FR,28FR,30FR,32FR 型號 211-30 自 

93.1.1 刪除 

'211-20;24;28;32 EA 259 

CDD1056080AY TROCAR CATHETER WITH NEEDLE '560805 EA 259 

CDD1056101AY TROCAR CATHETER WITH NEEDLE '561019:76 EA 259 

CDD1056701AY INGRAM TROCAR CATHETER 12FR,16FR '567017 EA 465 

CDD1056702AY 

CDD1080116PX 

CDD10TDC10EE 

CDD1100001ET 

CDD1100001PA 

CDD1100001U7 

CDD1100001ZH 

INGRAM TROCAR CATHETER 12FR,16FR 膀 

胱穿刺針組 

'567025 EA 465 

BLUNT TIP TROCAR AND THORACIC 

CANNULA 16:32FR 

'200/801/160:320 EA 259 

THORACIC DRAINAGE CATHETER 

W/TROCAR 

'STDC10:16F;24:32F EA 259 

'23NBL;S;35HL;LNA;D 

A; 

355DA;LD;M;NA;SD;M; 

TROCAR KIT 穿刺套管 2-12MM( 穿剌針 1+ 外管 M; 

1+ 內建可變式轉接頭 1) 型號含 

35NLT;ST;35OL;S; KIT 1595 

512ON;SD;M;XD/FPK02/578SD 

511DA;H;HA;NA;T;SD; 

M; 

511O/512DA/HA;N;HT; 

NA;T 

〝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) 

SURGICAL TROCAR SYSTEM 5-12MM ( 穿剌 

針 1+ 外管 1+ 內建可變式轉接頭 1) 

TROCAR KIT (5-12MM 穿刺針 X1+ 外管 X1+ 固定 

轉接頭 X1) 

'C0522;C0748;C0749 

;( 型號 C0709 自 

960401 生效 );(C0758- 

ES;0759- 

ES;0756;0757; 

0723;0521;0526;0527 

; 自 961001 生效 ) 

'FST405100;FST41010 

0;FST412100; 

FST405070 

EA 1595 

EA 1595 

'1-7016;CD1922 SET 1329 



CDD1100002PA 

'C0957;C0967;C0982 

〝安培〞安全穿刺套管系統〝APPLIED〞 ; 

TROCAR SYSTEM(5-12MM 多孔道平滑拋棄剝 (0986;0971;0956;0606; 

離式套管 )( 穿剌針 1+ 外管 1+ 內建可變式轉接頭 1) 0604;0683;0668;0958 

自 961001 生效 ) 

EA 1595 

CDD1100002U7 

CDD1100002ZH 

CDD1100003PA 

CDD1100003ZH 

CDD1100004PA 

CDD1100005PA 

CDD1100006PA 

CDD1100007PA 

CDD1100008PA 

CDD1100012ET 

CDD110005NPA 

CDD110007NPA 

CDD1100K1TPA 

SURGICAL TROCAR SYSTEM 5-12MM ( 穿剌 

針 1+ 外管 2+ 內建可變式轉接頭 2) 

DETACHAPORT OBTURATOR AND SEAL 

SET:TROCAR SLEEVE(1 支外管 +1 支固定轉 

接頭 ) 

TROCAR SYSTEM:SEPARATOR ACCESS 

SYSTEM11X100MM 12X100MM( 穿剌針 1+ 外 

管 1+ 內建可變式轉接頭 1) 

DETACHAPORT OBTURATOR AND SEAL 

SET:TROCAR KIT(1 支穿刺針 +2 支外管 +2 支 

固定轉接頭 ) 

SEPARATOR OBTURATOR 內視鏡手術剝離 

式穿刺針 

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 ) 

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) 


手術拋棄式套筒組 ( 穿剌針 ) 

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) 


手術拋棄式套筒組 ( 穿刺外管 + 可變轉接頭 ) 


手術拋棄式套筒組 ( 穿剌針 + 穿刺外管 + 可變轉接 

頭 ) 

TROCAR KIT( 穿刺針 X1+ 外管 X2+ 可變轉接頭 

X2) 

'FSK405100;FSK41010 

0;FSK412100; 

FSK405070 

'CD1929;CD1921;1- 

7013 

'C0667;C0682; 

(C0607;0605;0681;068 

0;0666; 

0665;0952;0951;0950 

; 自 961001 生效 ) 

'CD1930;CD1923;1- 

7017 

'C0901;C0915;C0930 

; 

(C0900;0902;0931;091 

6; 自 961001 生效 ) 

'C0741;C0742;C0711;C 

0509;C0529;C0631; 

( 型號 C0651 自 960401 

生效 ) 

EA 2658 

EA 957 

EA 1595 

EA 2286 

EA 638 

EA 1063 

'C0512 EA 1595 

'C0638;C0639;C0658;C 

0659 

'C0M01;C0M02;C0F01; 

C0701;722; 

702;505;510;503;504;5 

15;716;728;570 

'TKD5M/TKD5S/TKD11 

/TKD12 

'CO751;752;731;732- 

ES;C0528;538; 

539;508;530;531;568;5 

69; 

C0632;652;684;669;C0 

730;C0712 

'CO738;739- 

ES;C0708;726;727;717 

; 

718;C0501;506;507;64 

1;661;649; 

660;736;735;571;572;5 

56:559 

'C0959;C0960;C0961;C 

0962;C0963; 

C0964;C0548;C0549;C 

0536;C0537 

EA 1595 

EA 638 

EA 2658 

EA 1063 

EA 1595 

SET 2658 



" 透特 " 爾達特腹腔鏡安全套管及配 

件 "TAUT"ADAPT LAPAROSCOPIC PORTS & '40510;41010; 

ACCESSORIES( 穿剌針 1+ 外管 1+ 固定式轉接頭 41210;40522;41022 

EA 1329 

1) 

CDD110510NTU 

CDD1105121L7 

CDD1105122L7 

CDD1105123L7 

CDD1105124L7 

CDD1105125L7 

CDD11090PFUS 

CDD11095PFUS 

CDD1110051L9 

CDD1110092L9 

CDD111051NTU 

CDD114016SUS 

CDD1140522TU 

CDD1141022TU 

CDD114216KUS 

CDD117092FUS 

CDD1177092US 

CDD1177096US 

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 ) 













AUTO SUTURE VERSAPORT PLUS V2 

W/FIXATION CANNULA 11-12MM ( 外管 + 可變 

轉接頭 ) 


W/FIXATION CANNULA 11-12MM ( 穿刺內管 + 

外管 + 可變轉接頭 ) 

ENDOSCOPIC INSTRUMENT 內視鏡器械 ( 含 : 

'TRO-11B1;TRO- 

12B1;TRO-11C1; 

TRO-12C1 

'TR-06C1;TR- 

11C1;TR-11B1;TR- 

11D1;TR-12C1;TR- 

12B1;TR-12D1 

'TR-06C2;TR- 

06L2;TRO-11C2; 

TRO-11B2;TRO- 

12C2;TRO-12B2 

'TR-06S1;TR-11S1;TR- 

12S1 

'TR-06S2;TR-11S2;TR- 

12S2 

SET 1595 

SET 1595 

SET 2658 

SET 1595 

SET 2658 

'177090PF;177091PF EA 1063 

'179095PF;179096PF EA 1595 

'1005-1;1009-1 EA 1329 

穿刺針 *1+ 外管 *1+ 固定式轉接頭 *1) 

ENDOSCOPIC INSTRUMENT 內視鏡器械 ( 含 : 

'1005-2;1009-2 EA 2286 

穿刺針 *1+ 外管 *2+ 固定式轉接頭 *2) 

ADAPT LAPAROSCOPIC PORTS & 

ACCESSORIES( 外管 + 穿剌針 + 可變式轉接頭 ) 

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) 


ACCESSORIES 腹腔鏡安全套管及配件 ( 外管 + 

固定式轉接頭 ) 


ACCESSORIES 腹腔鏡安全套管及配件 ( 外管 + 

可變式轉接頭 ) 

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) 


W/FIXATION CANNULA 5MM ( 外管 + 固定轉接 

頭 ) 

VERSAPORT PLUS RPF SINGLE USE 

RADIOLUCENT TROCAR SLEEVE 5MM( 外管 

+ 固定式轉接頭 1) 


RADIOLUCENT TROCAR SLEEVE5/10-12MM 

( 外管 1+ 內建式可變轉接頭 1) 

'41051 EA 1595 

'4016 EA 1329 

'40522 EA 957 

'41022 EA 1063 

'4216 EA 2286 

'177092F;177093F EA 957 

'177092 EA 957 

'177090P;177091P; 

177096P 

EA 1063 



CDD1178062US 


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 

'178062P EA 2658 

轉接頭 2) 


CDD1178064US 

RADIOLUCENT TROCAR KITS5 MM 可變式安 

'178064 

全穿刺套管組 ( 穿剌針 1+ 外管 2+ 內建固定式轉接 

EA 2286 

頭 2) 

腹腔鏡穿刺套管 SURGISPIKE SINGLE USE 

CDD1179079US 5MM RADIOLUCENT TROCAR( 穿剌針 1+ 外管 

1+ 固定式轉接頭 1) 

'179079;179080 EA 1329 

CDD1179305US 

CDD1190689US 

CDD119075PUS 

CDD119076PUS 

CDD119094FUS 

CDD1197689US 

CDD119776PUS 

” 優施西 ” 胸腔穿刺套管 


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 ) 


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) 


W/FIXATION CANNULA 5MM ( 穿刺內管 + 外管 

+ 固定轉接頭 ) 

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) 

CDD11BASXCET 

BASX BLADELESS TROCAR 外套管 + 可變式 

轉接頭 

CDD11BASXTET BASX BLADELESS TROCAR 穿刺器 + 外套管 + 

CDD11XCEL2ET 

CDD11XCELBET 

CDD11XCELLET 

CDD11XCELSET 

可變式轉接頭 

” 愛惜康 ” 安德派思外科穿刺器雙外 

管 "ETHICON"ENDOPATH XCEL TROCAR 

” 愛惜康 ” 安德派思外科穿刺 

器 "ETHICON"ENDOPATH XCEL 

TROCAR(BLADELESS) 

” 愛惜康 ” 安德派思外科穿刺器 

"ETHICON"ENDOPATH XCEL TROCAR 

” 愛惜康 ” 安德派思外科穿刺器 - 外套管 + 固定式 

頭 "ETHICON" TROCAR 

SLEEVE(BLADELESS) 

'179305;179301; 

179303;179307 

EA 1329 

'179068;179069 EA 1329 

'176626P;179075P; 

( 型號 

176673P;176674P; 自 

96 年 7 月 1 日刪除 ) 

'179070P;179071P; 

179076P 

EA 2233 

EA 1595 

'179093F;179094F EA 1329 

'179768;179769 EA 1329 

'179770P;179771P; 

179776P 

'CTB5LT;CTB5ST;CTB 

11LT;CTB12LT 

'TB5LT;TB5ST;TB11LT 

;TB12LT;TB12ST 

'K5ST;K5LT; 

K11LT;K12LT 

'B5ST;B5SP; 

B5LT;B5LP; 

B11LT;B11LP; 

B12LT;B12LP; 

B12SRT 

'D5ST;D5LT; 

D11LT;D12LT; 

D12XT 

'CB5LT;C5ST;C5LT; 

(CB5ST 自 961001 生 

效 ); 

(CB11LT;CB12LT;C11 

LT;C12LT 自 960701 另 

編代碼 ) 

EA 1595 

EA 1063 

EA 1595 

EA 2658 

EA 1595 

EA 1595 

EA 957 


CDDF1M003LKC 

CDF0101230NZ 

SIZE) ※ 適應症請見備註欄 

DRESSING PU FOAM 256X150X32MM (L 


PUDENZ FLUSHING VALVE 

'M6275003 EA 2920 

'NL850-1330:1331; 

NL850-1356:1359 

EA 6100 


CDD11XCELVET 

” 愛惜康 ” 安德派思外科穿刺器 - 外套管 + 可變式 

'CB11LT;CB12LT;C11L 

頭 "ETHICON" TROCAR 

T;C12LT 

SLEEVE(BLADELESS) 

EA 1063 

CDD12MSBT1US ” 優施西 ” 腹腔鏡汽球固定式鈍頭穿刺套管組 

'OMS-T10BT;OMS- 

T10BTS;OMS-T12BT 

EA 3091 

CDD12MSXB1US ” 優施西 ” 可視式腹腔鏡汽球撐開式套管 'OMS-XB1;OMS-XB2 EA 2370 

CDD12PDBS2US " 優施西 " 腹腔鏡汽球撐開式套管 

'OMS-PDB1000; 

OMS-PDBS2 

EA 2370 

CDDC1M008CKC CANISTER W/ GEL 真空罐含接頭及引管 ※ 適 


'M6275008 EA 1960 

CDDF1M001SKC 

DRESSING PU FOAM 100X75X32MM (S 


'M6275001 EA 2570 

DRESSING PU FOAM 180X125X32MM (M 

CDDF1M002MKC 'M6275002 EA 2770 

CDF0121000M4 

CSF FLOW CONTROL SHUNTS AND 

ACCESSORIES V-P-SHUNT RESERVOIR 

'21000A EA 2870 

CDF0121401CM ACCU-FLO SINGLE LUMEN RESERVOIR '82-1401 EA 2870 

CDF01T4004BD DISPOSABLE FLOW/FLUSH DEVICE 'TA4004 SET 140 

CDF0200125NZ ON-OFF FLUSHING VALVE 

'NL850-0125;NL850- 

0128;NL850-0132 

EA 3350 

CDF0200301NZ 

MISHLER DUAL CHAMBER FLUSHING 'NL850-0301:0303; 

VALVE WITH INTEGRAL CONNECTORS NL850-0311:0313 

EA 3350 

CDF0201100NZ ULTRA VS VALVE SMALL 'NL850-1100:1102 KIT 2870 

CDF0201109NZ ULTRA VS VALVE STANDARD 'NL850-1109:1111 KIT 2870 

CDF0201126NZ ULTRA VS-NEONATE VALVE SYSTEM 'NL850-1127:1128 KIT 2870 

CDF0201195NZ FOLTZ CSF RESERVOIR 'NL850-1195 EA 2870 

CDF0201270NZ 

CDF0201410NZ 

CDF0209010NZ 

CDF0209810NZ 

OMMAYA CSF RESERVOIR WITH INTEGRAL 

CONNECTORS 

PUDENZ FLUSHING VALVE WITH ANTI- 

SIPHON DEVICE 

NOVUS VALVE STANDARD 

LOW PROFILE VALVE II 

'NL850-1270:1275; 

NL850-1210:1215 

'NL850-1410:1411; 

NL850-1412:1413; 

NL850-1414:1415 

'NL850-9010:9011; 

NL850-9020:9021 

'NL850-9810:9811; 

NL850-9820:9821; 

NL850-9830:9831 

SET 2870 

EA 6500 

KIT 2870 

EA 2870 

CDF0221411CM ACCU-FLO SINGLE LUMEN RESERVOIR '82-1411 EA 2870 

CDF0242104PM C.S.F. FLOW CONTROL VALVE STANDARD '42102:6 EA 6100 

CDF0283026NZ MINI-OMMAYA CSF RESERVOIR 

'NL- 

83026S01:83026S04 

EA 2870 

CDF0301192NZ BRADEN CSF RESERVOIR 'NL850-1192 EA 3350 

CDF0302512B0 CSF VALVE BURR HOLE 

'02512 L;M;H;02514 

L;M;H 

EA 6100 

CDF0302812B0 CSF VALVE BURR HOLE '02812 EA 6100 

CDF0321422CM 

ACCU-FLO DOUBLE LUMEN 

RESERVOIR(91/10/01 再重新生效 ,82-1422 刪 

除 ) 

'82-1421 EA 3350 

CDF0325491CM CODMAN HAKIM RIGHT ANGLE VALVES '82-5491:5495 EA 6100 

CDF0342324PM 

C.S.F. FLOW CONTROL VALVE 

CONTOURED 

'42312:26 EA 6100 

CDF0342544PM C.S.F. FLOW CONTROL VALVE BURR HOLE '42532:46 EA 6100 


CDP0127260SB 

CDP0129128MT 

CDP0129128SB 

CDP0129133MT 

CDP0129133SB 

CDP0138408AN 

CDP0145550SB 

DRAINAGE SET 

FLEXIMA BILIARY RO DRAINAGE 

CATHETERES(ONE STEP)( 含穿刺針組 + 引流 

管 ) 

FLEXIMA HYDROPHILIC ALL PURPOSE 

DRAINAGE CATHETER W/TROCAR(ONE 

STEP) 6:14FR 20:25CM 

FLEXIMA DRAINAGE CATHETERS SET 

W/TROCAR(ONE STEP) 

FLEXIMA HYDROPHILIC ALL PURPOSE 

DRAINAGE CATHETER W/TROCAR AND 

LOCKING LOOP(ONE STEP) 6:14FR 25CM 

FLEXIMA DRAINAGE CATHETERS SET 

W/STIFFING CANNULA .LUER CAP 

PIGTAIL CATHETER KIT(CATH+STIFFENING 

CANNULA+DILATOR+STOPCOCK) 

MICROVASIVE RAPID EXCHANGE BILIARY 

STENT SYSTEM( 含推進導管及導引導管 ) 

'M0012726-00:70; 

M001282600; 

M001282610 

'29-128;129;130; 

136;137 


CDF0400200NZ 

ON-OFF FLUSHING VALVE ANTI-SIPHON 

DEVICE (WITH 2 PUDENZ STRAIGHT 'NL850-0200 EA 6500 

CONNECTORS) 

CDLP106418B0 

LUMBAR CATHETER SET( 腦室導管 + 貯水閥 

+CONNECTOR+ 腹腔導管 ) 

'06418;06419 SET 8120 

CDLP107210NZ SPETZLER LUMBAR PERITONEAL SHUNT 'NL850-7210 SET 8120 

CDLP107420NZ 

SPETZLER LUMBAR PERITONEAL IN-LINE 

VALVE 

'NL850-7420:7422 SET 8120 

CDLP144410PM 

C.S.F. LUMBOPERITONEAL CATHETER 

SYSTEM 

'44410 SET 8120 

CDLP146418M4 EDM LUMBER CATHETER 24CM '46418 EA 2100 

CDLP207460NZ 

SPETZLER L-P LARGE,SMALL FLUSHING 'NL850-7440;NL850- 

RESERVOIR 

7460 

EA 3305 

CDLP244513PM C.S.F. LUMBOPERITONEAL RESERVOIR '44513:15 SET 3305 

CDP0104015MV 

FLEXIMA NASOBILIARY CATH 

W/GUIDEWIRE(CATH+TRANSFER 

TUBE+DRAINAGE CANNECTOR 

'4015:4018 SET 5400 

TUBE+GUIDEWIRE) 

CDP0104015SB 

FLEXIMA NASOBILIARY CATHETER 

(CATH+TRANSFER TUBE+DRAINAGE 'M00540-150:180 SET 5400 

CONNECTOR TUBE+GUIDE WIRE) 

CDP010A001CK 

OASIS ONE ACTION STENT INTRODUCER 

SYSTEM 

'OA-8.5:11.5 EA 2000 

CDP010ACL1CK 

OASIS PRE-LOADED STENT 

'OACL-7;8.5;10;11.5- 

INTRODUCTION SYSTEM 

5;7;9;12;15 

SET 4500 

CDP0111270CL P.T.C.D SET 矽質膽道膽囊穿刺套 '11-1270 SET 3000 

CDP0111807CL P.T.C.D KIT (ONE STEP) 

'11-1572;11-1807; 

11-1808 

SET 2000 

CDP011STWNCY PERCUTANEOUS DIRECT ACCESS KIT '1STW4F:1STW14F SET 2000 

CDP0120702SB 

ACCUSTICK II PERCUTANEOUS 

'MM001207020; 

INTRODUCER 

MM001207030; 

SYSTEM(NEEDLE+INTRODUCER+GUIDEWI 

MM001207100 

RE*2) 

SET 2700 

ACCUSTICK II PERCUTANEOUS 

CDP0120704SB 

INTRODUCER 

SYSTEM(NEEDLE+INTRODUCER+GUIDEWI 

'M001207040 SET 1750 

RE*1) 

CDP012633NC3 

ULTRASONICALLY GUIDED ONE-STEP 

'26330130;26330140 SET 2000 

'29- 

125:130;136;137;140:1 

42 

'29-133;134;135; 

138;139 

'29- 

124;131:135;138;139;1 

43:145 

'3840;3841- 

4100:4160 

SET 2000 

SET 2000 

SET 2000 

SET 2000 

SET 1400 

KIT 1400 

'4555:4574 SET 4500 



CDP0165150PB 

INTRODUCER 

SET(NEEDLE+INTRODUCER+GUIDE '6515-06-300 SET 2700 

WIREX2) 

CDP0169040PB 

CRUISER PLUS INTRODUCER SYSTEM '69-04;05;11;40; 

S(NEEDLE+INTRODUCER+2 GUIDE WIRE) 41-06-100;200 

SET 2700 

CDP0169140PB 

CRUISER PLUS INTRODUCER SYSTEM '691406-000;300; 

S(NEEDLE+INTRODUCER+2 GUIDE WIRE) 695406300 

SET 2700 

CDP0169150PB 

CRUISER PLUS INTRODUCER SYSTEM '69-15;55-06-000; 

S(NEEDLE+INTRODUCER+2 GUIDE WIRE) 300 

SET 2700 

CDP0169160PB 

CRUISER PLUS INTRODUCER SYSTEM 

S(NEEDLE+INTRODUCER+2 GUIDE WIRE) 

'691606000 SET 2700 

CDP0175110PB 

CDP0175601PB 

CDP0175651PB 

CDP01BS001SB 

CDP01BSK12SB 

CDP01BSK1TSB 

CDP01BTPD2BQ 

CDP01BTPDABQ 

CDP01BTPDBBQ 

CDP01BTPDCBQ 

SKATER DRAINAGE CATHETER 6:16FR 25- 

35CM 

SKATER ONE STEP DRAINAGE CATHETER 

6:16FR 20:25CM 

SKATER ONE STEP DRAINAGE CATHETER 

6:16FR 20:25CM 

AMSTERDAM BILIARY STENT KIT 

7,8.5,10,11.5FRX5,7,10,12,15CM( 含推進導管 

及導引導管 ) 

AMSTERDAM BILIARY STENT KIT ( 含推進導 

'7511;7551- 

06020:14030( 自 

950701; 起刪除 ); 

7551;7511- 

06:08;10;12-025;035; 

7551-14-025;035; 

7511-14-025; 

7511;7551-16-025 

'7560-06;07;08; 

10;12;14-020; 

025;7560-16- 

025(950701 生效 ) 

'7565-06;07;08; 

10;12;14-020; 

025;7565-16- 

025(950701 生效 ) 

SET 1400 

SET 2000 

SET 2000 

'3920:3939 SET 4500 

'3376:3380 SET 2750 

管 ) 

AMSTERDAM BILIARY STENT KIT 

'3381:3390; 

10,12FRX5,7,10,12,15CM( 含推進導管及導引導 

3392:3393 

管 ) 

PIGTAIL DRAINAGE CATHETER SET (ONE '513-407:414-001:003- 

SETP)7:14FR 19:39CM 含導管及穿刺針 

PIGTAIL DRAINAGE CATHETER SET(ONE 

STEP TYPE)( 含穿刺針組 + 引流管 ) 


STEP TYPE)( 含穿刺針組 + 引流管 ) 


STEP)( 含引流管及穿刺針組 ) 

0000 

'BT-PDS-05:10-20; 

BT-PDS-12;14;16-20; 

BT-PDS-05:10-30; 

BT-PDS-12;14;16-30; 

BT-PDS-05:10-40; 

BT-PDS-12;14;16-40 

'BT-PDS-06:10-20-W; 

BT-PDS-12;14;16-20- 

W;BT-PDS-06:10-30- 

W;BT-PDS-12;14;16- 

30-W;BT-PDS-06:10- 

40-W;BT-PDS- 

12;14;16-40-W 

'BT-PD2-05:10-20; 

BT-PD2-12;14;16-20; 

BT-PD2-05:10-30;BT- 

PD2-12;14;16-30;BT- 

PD2-05:10-40;BT- 

PD2-12;14;16-40 

SET 4500 

SET 2000 

SET 2000 

SET 2000 

SET 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) 


'BT-PD2-06:10-20-W; 

BT-PD2-12;14;16-20- 

W;BT-PD2-06:10-30- 


CDP01BTPDDBQ W;BT-PD2-12;14;16- 

STEP)( 含引流管及穿刺針組 ) 

30-W;BT-PD2-06:10- 

40-W;BT-PD2- 

12;14;16-40-W 

SET 2000 

'BT-PDS-0620-W:BT- 

PDS-1640-W;BT- 

PDS-0520:BT-PDS- 

1640 

SET 2000 

CDP01CHB1NCK COTTON HUIBREGTSE BILIARY STENT SET 'CHBS-XX-XX SET 4950 

CDP01CL120CK MAC-LOC BILIARY DRAINAGE CATH 12,14F 'ULT12;14-38-40-P- 

32S-CLB-RH 

SET 2000 

CDP01CLB85CK 

MAC-LOC BILIARY DRAINAGE CATH 'ULT8.5;10.2-38-40- 

8.5,10.2F 

P-32S-CLB-RH 

SET 2000 

CDP01DTVN1CK 

'DTVN-4.0-20XT-7.0- 

YUEH;DTVN-5.0-19- 

19-7.0/10/15/20-; 

YUEH 

” 曲克 ” 經皮引流導管針組 ”COOK” DRAINAGE 10.0-;FOOTHILLS- 

CATHETER NEEDLE SET 

041293;DTVN-5.0- 

EA 2000 

CDP01DTVN2CK 

CDP01DTVN3CK 

CDP01E001NCK 

CDP01EC01NCK 

” 曲克 ” 經皮引流導管針組 ”COOK” DRAINAGE 


” 曲克 ” 經皮引流導管針組 ”COOK” DRAINAGE 


LIGUORY ENDOSCOPIC NASAL BILIARY 

DRAINAGE SET 5:7FR 

LIGUORY ENDOSCOPIC NASAL BILIARY 

DRAINAGE CATHETER 

'DTVN-5-19-7/10- 

YUEH-BNS;DTVN-5- 

19/15-YUEH-RDC- 

070896;DTVN-5-19- 

7-VG-113093 

'DTVN-6-19UT-10- 

YUEH;DTVN-8-16-7- 

YUEH 

EA 2000 

EA 2000 

'ENBD-5:8.5-LIGUORY SET 5400 

'ENBD-5:8.5- 

LIGUORY-C 

SET 2500 

CDP01EC02NCK 

NAGARAJA ENDOSCOPIC NASAL BILIARY 

DRAINAGE CATHETER 內視鏡經膽道引流管 

'ENBD-5:8.5-NAG-C EA 730 

CDP01GEPD1CK PANCREATIC STENT SET( 含導入導引組 + 支 'GEPD-5;7-3;5;7; 

架 ) 

9;12 

SET 4950 

CDP01K3076TP P.T.C.D SET 經皮穿肝膽道引流針組 'K3076S SET 1470 

CDP01L001NCK COTTON LEUNG BILIARY STENT SET 'CLBS-XX-XX SET 4950 

CDP01MD102CK 

ULTRATHANE MULTIPUEPOSE DRAINAGE 'ULT12;14-38-25-P- 

CATH 12,14F,25CM,18G 

6S-MDC 

SET 2000 

ULTRATHANE MULTIPUEPOSE DRAINAGE 'ULT8.5;10.2-38-25- 

CDP01MDC85CK 

CATH 8.5,10.2F,25CM,18G 

P-6S-MDC 

SET 2000 

CDP01MP1S1CK 

CDP01N0DNNBA 

"COOK"MICROPUNCTURE INTRODUCER 

SETS 4F:5F 0.018 英吋 21G 微穿刺引導器組 

OPTI-DRAIN MULTI-USE DRAINAGE 

CATHETER 8-12FR 

'MPIS-401;MPIS-401- 

PED;U;MPIS-405; 

MPIS-501;MPIS-501- 

PED;SST;U;MPIS- 

505 

'NOD 8J:10J:12J; 

NOD 

8LPT:10LPT:12LPT; 

NOD 8PT:10PT:12PT 

SET 1750 

SET 2000 



'NE-TW6F:10F-30H; 

CDP01NETWNGT GOODTEC DRAINAGE CATHETER 固特克引 NE-TW12F-30H;NE- 

流管 

TW14F-30H;NE- 

TW16F-30H 

EA 530 

CDP01NNUNNBA 

CDP01NPAS1CK 

CDP01NPAS2CK 

CDP01NPAS3CK 

DRAINAGE CATHETERS AND 

ACCESSORIES( 含穿刺針組 + 引流管 ) 

NEFF PERCUTANEOUS ACCESS SETS 6FR 

20CM 0.018 60CM 

NEFF PERCUTANEOUS ACCESS SETS 6FR 

20CM 0.018 60CM 

"COOK"NEFF PERCUTANEOUS ACCESS 

SETS 4.0/7.0 20CM 22/15CM .018 4.0/6.0 

20CM 21/15CM:22/15CM .018 

'NNU-6J;8J;10J;12J; 

NNU- 

6PT;8PT;10PT;12PT; 

NNU- 

6LPT;8LPT;10LPT;12L 

PT;NNU- 

6LP15;8LP15 

'NPAS-100-RH; 

NPAS-104-RH 

'NPAS-100-RH-NT; 

NPAS-104-RH-NT 

'NPAS-100:NPAS-104- 

NT;NPAS-104-RB- 

NT:NPASW-100-RB 

SET 2000 

EA 1750 

EA 1750 

SET 1750 

CDP01ULT50CK 

CDP01ULT70CK 

CDP01ULT85CK 

CDP01ZEBD1CK 

CDP01ZEBD2CK 

CDP0240110MV 

CDP0240110SB 

MAC-LOC ULTRATHANE DRAINAGE CATH 

5,6F,25CM,23,20G 

MAC-LOC ULTRATHANE DRAINAGE CATH 

7,8.5F,25CM,19,18G 

MAC-LOC MULTIPURPOSE DRAINAGE 

CATH 8.5,10F,25CM,18G 

ZIMMON ENDOSCOPIC BILIARY STENT SET 

5:7FR(STENT GUIDEWIRE INTRODUCER 

CATHETER) 

” 曲克 ” 膽道留置管組 ”COOK”BILIARY STENT 

SET 

FLEXIMA NASOBILIARY CATH(NASOBILIRY 

CATH+NASAL TRANSFER TUBE+DRAINAGE 

CANNECTOR TUBE) 

FLEXIMA NASOBILIARY CATHETER 

(CATH+TRANSFER TUBE+DRAINAGE 

CONNECTOR TUBE) 

CDP01NPDS1CK NASAL PANCREATIC DRAINAGE SET 'NPDS-5 SET 5400 

CDP01P001NCK RING BILIARY DULT DRAINAGE CATHETER 'P8.3:12-38-XX-X-XXS- 

RING 

EA 800 

CDP01P008NCK P.T.C.D DRANIGE CATHETER 

'P8.3G-38-XX-X-XXS- 

RING 

EA 990 

CDP01PAS30BA NAVARRE PERCUTANEOUS ACCESS SET 'NPAS30;NPAS45 SET 1750 

CDP01U004NCK RING BILIARY DUCT DRAINAGE SET 'RBD-100 SET 4200 

CDP01UC102CK 

ULTRATHANE UNIVERSAL CURVED 'ULT10.2-38-25-P-3S- 

DRAINAGE CATH 10.2F,25CM,18G 

UCD-HC 

SET 2000 

CDP01UCD70CK 

ULTRATHANE UNIVERSAL CURVED 'ULT7;8.5-38-25-P- 

DRAINAGE CATH 7,8.5F,25CM,18G 

3S-UCD-HC 

SET 2000 

CDP01UL120CK 

MAC-LOC ULTRATHANE DRAINAGE CATH 'ULT10.2;12F-38-25- 

10.2,12F,25CM,18G 

P-5S-CLDM-HC 

SET 2000 

CDP01UL140CK 

MAC-LOC MULTIPURPOSE DRAINAGE 'ULT12;14-38-25-P- 

CATHETER 12,14F 25CM,18G 

6S-CLM-RH 

SET 2000 

CDP01ULT01CK 

'ULT10.2-38-40-P-32S- 

" 曲克 " 經皮引流導管針組 "COOK" DRAINAGE 

BCL;ULT8.5-38-40-P- 

CATHETER NEEDLE SET(BILIARY 

32S-BCL;ULT8.5-38- 

DRAINAGE CATHETERS) 

40-P-32S-BCL-RH 

SET 2000 

'ULT5;6-18;25-25-P- 

5S-CLDM-HC 

'ULT7;8.5-35;38-25- 

P-5S-CLDM-HC 

'ULT8.5;10.2F-38-25- 

P-6S-CLM-HC 

SET 2000 

SET 2000 

SET 2000 

'ZEBD-5:7-4;7;10 SET 4500 

'ZEBD- 

5.5;6;6.5;7.5;8;8.5;9;; 

9.5;10;10.5;11;11.5;12; 

12.5;13- 

5;6;8;9;11;12;13;14;15; 

16;17;18 

EA 4500 

'4011:4014 SET 2200 

'M00540-110:140 SET 2200 



CDP0242010CL 

P.T.C.D. INTERNAL DRAINAGE TUBE 

(SILICON) 

'14-2010:24 EA 980 

CDP02A1D16BL 

BILIARY DRAINAGE CATHETER 45CM 

12FR,16FR 

'AID12;AID16 EA 900 

COTTON HUIBREGTSE BILIARY STENT 

CDP02CHB1NCK 

ONLY 

'CHBSO-XX-XX EA 2280 

CDP02LS01NCK COTTON LEUNG BILIANY STENT ONLY 'CLSO-XX-XX EA 2280 

PERCUFLEX AMSTERDAM BILIARY STENTS 

CDP02PADBSMV '#3361:3375 

7:12FR 5:15CM 

EA 2200 

CDP02PADBSSB AMSTERDAM BILIARY STENT '3361:3375 SET 2200 

CDP02TTS01CK 

ST-2 S0EHENDRA TANNENBAUM BILIARY 'TTS0-8.5;10;11.5- 

STENT 8.5,10,11.5FR 5:12CM,15CM 5:12CM;15CM 

EA 2200 

CDP02ZS001CK 

ZIMMON ENDOSCOPIC BILIARY STENT 

ONLY 5:7FR 4,7,10CM 

'ZSO-XX-XX EA 2200 

CDPC101200NZ PUDENZ CARDIAC CATHETER 

'NL850-1200:1202; 

NL850-1220:1222 

EA 2320 

CDPC101248NZ 

RAIMONDI SPRING PERITONEAL 

CATHETER 

'NL850-1248 EA 2320 

CDPC101375NZ 

REFLUX CONTROL PERITONEAL 

'NL850-1375 EA 2320 

CATHETER 

CDPC101390NZ PUDENZ PERITONEAL CATHETER 

'NL850-1390:1392; 

NL850-1380:1382; EA 2320 

NL850-1376 

CDPC103105B0 PERITONEAL CATHETER '03105-L;M;H EA 2075 

CDPC121303CM 

ACCU-FLO BARIUM PISTAL SLIT VALVE 

PERITONEAL CATHETER 

'82-1301:3 EA 2320 

CDPC123045CM HAKIM PERITONEAL CATHETER '82-3045 EA 2075 

CDPC143103PM C.S.F CARDIAC/PERITONEAL CATHETER '43103;43111 EA 2075 

CDPC143209M4 


ACCESSORIES(CARDIAC/PERITONEAL '43209;43522;43551 EA 2075 

CATHETERS ) 

CDPC19007MM4 


ACCESSORIES CSF CARDIAC PERITONEAL 

CATHETER WITH PRESSURE 

'9007-H;M;L EA 2320 

CDSR104111B0 VENTRICULAR RESERVOIR '0411-1:5 EA 4710 

'23038A;23038B; 

" 美敦力 " 腦脊髓液儲液囊 "MEDTRONIC" 

CDSR123038M4 

23038C;23038D; EA 4710 

RESERVOIRS 

23038E;22039 

CDSR144102PM 

CDSR144111PM 

CDSR244108M4 

CDV0121700CM 

CDV0121701CM 

CDV0121702CM 

CDV0121705CM 

CDV0121720CM 

CDV0121721CM 

VENTRICULAR ACCESS DEVICE 

18MM,28MM 

VENTRICULAR ACCESS DEVICE BURR 

HOLE 12MM 

" 美敦力 " 腦脊髓液儲液 

囊 "MEDTRONIC"RESERVOIRS(CSF 

VENTRICULAR RESERVOIR 流液量 2.4ML) 

EXTERNAL DRAINAGE COLLECTION KIT 腦 

室體外引流組 

EXTERNAL DRAINAGE SYSTEM(E.D.S.) 

SET ( 不含 VENTRICULAR SET) 

EXTERNAL DRAINAGE SYSTEM(E.D.S.) 

COLLECTION BAG 

EXTERNAL DRAINAGE SYSTEM( 

E.D.S.)VENTRICULAR SET ( 不含 TUBING 

AND BAG) 

EXTERNAL DRAINAGE SYSTEM EDSII 

(VENTRICULAR CATH+TUBING+BAG) 

EXTERNAL DRAINAGE SYSTEM EDSII 

WITHOUT CATH(TUBING+BAG) 

'44102:3 SET 4710 

'44111 SET 4710 

'44108 EA 4710 

'82-1700 SET 4850 

'82-1701 EA 4080 

'82-1702 EA 600 

'82-1705 EA 2090 

'82-1720 KIT 4850 

'82-1721 SET 4080 



CDV0121732CM 

柯特曼體外引流集液袋 "CODMAN" EDS CSF 

COLLECTION BAGS 

'82-1732 EA 600 

CDV0200FVSPH 

STANDARD FIFTH VENTRICULAR 

'FVS;FVDS1; 

DRAINAGE SYSTEM 

FVDS2 

SET 4080 

CDV0201000TP 

VENTRICULAR DRAINAGE 

'02004+ND-1000-6- 

KIT(VENTRICULAR CATH+TUBING+BAG) 12;6-9;6-6 

SET 4850 

CDV0201101B0 VENTRICULAR CATHETER '01101 EA 1200 

CDV0201228NZ PUDENZ VENTRICULAR CATHETER 

'NL850-1228;NL850- 

1504;NL850-1515; 

NL850-1517;NL850- 

EA 1200 

1519 

CDV0201229NZ 

PORTNOY FLANGED VENTRICULAR 

CATHETER 

'NL850-1229 EA 1200 

CDV0201328NZ 

NEUROVIEW ENDOSCOPIC VENTRICULAR 

CATHETER 

'NL850-1328 EA 1200 

CDV0202070TP 


'02004+ND-200;700- 

KIT(VENTRICULAR CATH+TUBING+BAG) 6-12;6-9;6-6 

SET 4850 

CDV0202204TP 


SET(TUBING+BAG) 

'02204 SET 4080 

CDV0202207TP VENTRICULAR DRAINAGE BAG '02207 EA 600 

CDV0206115B0 

EDMS VENTRICULAR CATHETER 20CM 

W/STYLET 

'06115 SET 1200 

CDV0206124B0 EDMS DRAINAGE BAG 700ML '06124 EA 600 

CDV0206126B0 

EDMS PATIENT CONNECTION LINE 

ASSEMBLY 162CM 

'06126 EA 1275 

CDV0206128B0 

EXTERNAL DRAINAGE MONITORING 

SYSTEM 63X11CM 84CM 

'06128 EA 4080 

CDV0208120HS 

HERMETIC VENTRICULAR CATHETER 'NL850-8120;8320; 

WITH TROCAR 

8420 

SET 2090 

CDV0208220HS HERMETIC VENTRICULAR CATHETER SET 'NL850-8220 SET 2090 

CDV0208300HS 

HERMETIC EXTERNAL C.S.F DRAINAGE 

SYSTEM(VENTRICULAR CATHETER 除外 ) 

'NL850-8300 SET 4080 

CDV0208305HS REPLACEMENT COLLECTION BAG 

'NL850-8305; 

8305N;8415 

EA 600 

CDV0208400HS EXTERNAL CSF DRAINAGE SYSTEM 'NL850-8400 SET 4080 

CDV0208560HS REPLACEMENT PATIENT LINE ASSEMBLY 'NL850-8560;8561; 

8425 

SET 1275 

CDV0208600HS 

HERMETIC EXTERNAL CSF DRAINAGE 'NL850-8300N; 

SYSTEM 

8600;8601 

SET 4080 

CDV020FVRSPH CSF DRAINAGE BAG 'FVRB;FVDB2 EA 600 

CDV020FVTSPH PATIENT LINE TUBING SET 

'FVTS;FVTS1; 

FVTS2 

SET 1275 

CDV0221731CM 

CODMAN EXTERNAL DRAINAGE SYSTEM 3 

WITHOUT VENTRICULAR CATHETER 

'82-1731 SET 4080 

CDV0227579M4 

EXACTA WITH PATIENT LINE(TUBING+Y- 

PORT+ANTI-REFLUX VALVE) 

'27579;27580 SET 1275 

CDV0246124PM BECKER EDMS DRAINAGE BAG 700ML '46124 EA 600 

CDV0246126PM 

EDMS PATIENT CONNECTION LINE 

ASSEMBLY 

'46126 EA 1275 

CDV0246128PM I.C.P SHUNT BECKER '46128 SET 4080 

CDV0246700M4 

EXTERNAL DRAINAGE AND MONITORING 

SYSTEM 

'46700 SET 4080 

CDV0246710M4 EXACTA DRAINAGE BAG 600ML '46710 EA 600 

CDV02FVSC1PH VENTRICULAR CATHETER WITH TROCAR 'PVSC1;FVSC3; 

FVPC1;FVPC3 

SET 2090 

CDV02ND200TP VENTRICULAR CATH 

'ND-200;700;1000- 

6-12;6-9;6-6 

EA 1200 



STANDARD FIFTH VENTRICLE SYSTEM ( 含 

'PFV 1 SET 4850 

CATHETER) 腦室引流器 

CDV030PFV1PH 

CDV030SFV1PH 

STANDARD FIFTH VENTRICULAR SYSTEM 

KIT(WITH CATHTER) 

'PFV3;SFV1; 

FVSV;FVSV2; 

FVDS3;4 

SET 4850 

CDV0506118B0 

EDMS VENTRICULAR CATHETER 35CM 

W/STYLET+TROCAR 型號 :06118S 自 94 年 10 '06118;06118S SET 2090 

月 1 日起生效 ( 文號 0940021120) 

CDV0523041CM 

HAKIM VENTRICULAR CATHETER 

W/INTRODUCER 

'82-3041 EA 2090 

CDV0527703M4 

" 美敦力 " 體外引流及監測用腦室導 

管 "MEDTRONIC" EXTERNAL DRAINAGE '27637;27703;27695 EA 2090 

AND MONITORING VENTRICULAR 

CDV0546118PM VENTRICULAR CATHETER WITH TROCAR '46118 EA 2090 

CDVC121201CM ACCU-FLO VENTRICULAR CATHETER '82-1201 EA 1200 

CDVC141101M4 

EXTERNAL DRAINAGE AND MONITORING 

VENTRICULAR CATHETER 

'26020 EA 1200 

CDVC141101PM VENTRICULAR CATHETER '41207;41101;46115 EA 1200 

CDVP101103NZ 

CDVP101113NZ 

CDVP106101NZ 

CDVP106401NZ 

CDVP109610NZ 

CDVP109840NZ 

CDVP123011CM 

CDVP128503CM 

CDVP128504CM 

CDVP128513CM 

CDVP128514CM 

CDVP128523CM 

CDVP128524CM 

CDVP128545CM 

CDVP19003AM4 

N-LINE VALVE WITH 

RESERVOIR&CATHETER 

ULTRA VS STANDARD KIT WITH 

RESERVOIR&CATHETER 

ONE PIECE SHUNT WITH RESERVOIR 

ONE PIECE SHUNTS WITH RESERVOIR 

NOVUS STANDARD AND PEDIATRIC 

SHUNTS 

LPV II SHUNT KIT ( 含 PUDENZ 

VENTRICULAR CATHETER) 

HAKIM PRECISION VALVE PRECHAMBER 

ONLY W/INTRODUCER 

UNI-SHUNT WITH RESERVOIR (CATHETER 

ONLY) 


ONLY) 


ONLY) 


ONLY) 


ONLY) 


ONLY) 


ONLY) 


ACCESSORIES V-PSHUNT KIT ( 腦室引流管 + 

腹腔導管 +CTR RESERVOIR+CONX2) 

'NL850-1103:1105 KIT 9120 

'NL850-1113:1115; 

NL850-1123:1125; 

NL850-1129:1131 

'NL850-6101:6102; 

NL850-6201:6202; 

NL850-6301;NL850- 

6503 

'NL850-6302;NL850- 

6401:6403;NL850- 

6501:6502 

'NL850-9610;NL850- 

9620;NL850-9311; 

NL850-9321 

'NL850-9840:9841; 

NL850-9850:9851; 

NL850-9860:9861 

KIT 9120 

SET 9120 

EA 9120 

KIT 9120 

KIT 9120 

'82-3011:5 EA 6100 

'82-8503 EA 5100 

'82-8504 EA 5100 

'82-8513 EA 5100 

'82-8514 EA 5100 

'82-8523 EA 5100 

'82-8524 EA 5100 

'82-8534;82-8546 EA 5100 

'9003-A;B;C EA 9120 



CDVP19003DM4 


ACCESSORIES V-PSHUNT KIT ( 腦室引流管 + '9003-D;E;F EA 9120 

腹腔導管 +CTR RESERVOIR+CONX2) 

CDVP19040BPM V-P SHUNT 腦室腹腔分流術導管組 

'41101+43103+42532:3 

6 

SET 9120 

CDVP19040EPM V-P SHUNT 腦室腹腔分流術導管組 

'41101+43103+42542:4 

6 

SET 9120 

CDVP323001CM HYDROCEPHALUS SHUNT SYSTEM '82-3001:5 SET 9120 

CDVP323006CM 

VALVE UNIT+PERITONEAL 

C+VENTRICULAR 

C+ADAPTER+CONNECTOR+VALVE 

'82-3006:10 SET 9120 

INTRODUCER 

CDVP323016CM 

VALVE UNIT+PERITONEAL 

C+VENTRICULAR 

C+ADAPTER+CONNECTOR+VALVE 

'82-3016:20 SET 9120 

INTRODUCER 

CDVP323281CM 

CODMAN HAKIM RIGHT ANGLE VALVES 

SYSTEM( 腦室導管 + 腹腔導管 + 定壓引流閥 ) 

'82-3281:3285 EA 9120 

CDVP328501CM 

UNI-SHUNT WITH ENLARGED DOME '82-8501:2;11:2; 

RESERVOIR 

21:2;31:3;41:3 

SET 9120 

CDVP346024PM C.S.F UNITIZED SHUNT KIT '46012:26 SET 9120 

CEE010090NPW EXTENSION TUBE '90CM EA 11.7 

CEE0101040TP 

ANGIOGRAPHIC TUBE 142PSI 血管造影劑注 

入延長管 

'04801:04804 EA 11.7 

CEE010150CLL 

EXTENSION TUBE 

90CM,100CM,120CM,150CM 

'CET- 

150C;100B;090AC;090 

AD; 

090AL;090AN;090AYL; 

120AC; 

120AL;120AD;150BA;1 

50B;150E 

EA 11.7 



CEE0107100TP 

ANGIOGRAPHIC TUBE W/3 WAY 142PSI 血 

管造影劑注入延長管含三路活栓 

'04807:04810 EA 34.5 

CEE0108003P2 EXTENSION TUBE WITH Y 10CM 'I08003 EA 38 

CEE0108005P2 

EXTENSION TUBE WITH SAMPLING PORT 

60CM,70CM 

'08005;08006 EA 11.7 

CEE0108007P2 

EXTENSION TUBE WITH SAMPLING PORT 

85CM:95CM 

'08007;08008;08009 EA 11.7 

CEE0108100P2 EXTENSION TUBE WITH T 15CM 'I08100 EA 28 

CEE0108300P2 IV EXTENSION TUBE 輸液延長管 45CM 'I08300 EA 11.7 


CEE0108302P2 EXTENSION TUBE 90CM 'I08302 EA 11.7 



CEE01090ASLL 

CEE010E877SG 

CEE0125120M8 

CEE0160102BD 

EXTENSION TUBE (W/DOUBLE NEEDLE 

FREE) 輸液延長管 ( 安全型 ) ※ 適應症請見備註 

欄 

EXTENSION TUBE MALE-FEMALE LUER 

LUCK 100CM 

EXTENSION TUBE 25:120CM 

POSIFLOW LUER LOK 6" EXTENSION 

SET( 無針式接頭 + 延長管 )※ 適應症請見備註欄 

'CET-090AS EA 134 

'E-877 EA 11.7 

'100N;FL25:120; 

FL50N;L;WL; 

X1:X3 

EA 11.7 

'385301;385302 EA 70 

CEE0172310CN 2 WAY Y CONNECTOR '72.3105 EA 38 



CEE0180015P2 EXTENSION TUBE WITH 3-WAY 15CM 'I08001.15 EA 34.5 

CEE0180019P2 EXTENSION TUBE WITH 3-WAY 192CM 'I08001.192 EA 34.5 

CEE01A110NPW EXTENSION TUBE WITH T 'A110;A111 EA 26 

CEE01C1000U2 

CLAVE NEEDLELESS CONNECTOR 無針式接 

'C1000 EA 60 

CEE01C2000U2 

CEE01C4200U2 

CEE01C9190BT 

CEE01DCTPQUL 

頭 ※ 適應症請見備註欄 

CLAVE NEEDLELESS CONNECTOR 

EXTENSION SET 無針式延長管 ※ 適應症請見 

備註欄 

CLAVE NEEDLELESS PIGGYBACK 

EXTENSION SET DUAL PORT 無針式雙接頭 

延長管 ※ 適應症請見備註欄 

CATHETER EXTENSION SET 無針系統導管延 

長組 ※ 適應症請見備註欄 

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 ) 

'C2000;C2002; 

C2005;C2008 

EA 70 

'C4200-2;C4203-2 EA 134 

'EMC9190;EMC9191 EA 70 

'XD2040;XD2020 EA 280 

CEE01E0085SG EXTENSION TUBE 'E0-85 EA 11.7 

CEE01ES107SG EXTENSION TUBE 'ES-107 EA 11.7 

CEE01ET015SG T-CONNECTOR 'ET-015 EA 28 

CEE01ET067BB 

SAFSITE NEEDLE FREE EXTENSION SET※ 


'ET06MDL; 

ET06MDS; 

ET06MDSL;SET07TY 

EA 70 

CEE01ET112LL EXTENSION TUBE 'CET-112;CET-150 EA 11.7 

'(ET116T;ET116TSL 

自 940101 生效 ); 

CEE01ET116BB 

(SET04T;SET04TSB 

SAFSITE NEEDLE FREE EXTENSION SET※ 

自 940101 生效 ); 


AET116;AET116L; 

EA 70 

ET116;ET116L; 

ET116SL 

CEE01ET12CLL EXTENSION TUBE 'CET-120C EA 11.7 

CEE01ET20ULL 2 WAY EXTENSION TUBE 'CET-20U EA 38 

CEE01ET24ULL 4-WAY EXTENSION TUBE 'CET-24U EA 60 

CEE01ET33SBB 

SAFSITE NEEDLE FREE EXTENSION SET( 二 

個 NEEDLE FREE)※ 適應症請見備註欄 

'(ET20SS 自 940101 生 

效 );ET33SS 

EA 134 

CEE01ET60SLL 

SAFETY EXTENSION TUBE※ 適應症請見備註 

'CET-60S 

欄 

EA 23 

CEE01ETA01NQ T-CONNECTOR(T-IV EXTENSION TUBE) 

'ETA001;002;005; 

006 

EA 26 

CEE01ETA03NQ IV EXTENSION TUBE+3 WAY 'ETA003;ETB012 EA 34.5 

CEE01ETB05NQ Y-CONNECTOR(Y-IV EXTENSION TUBE) 'ETB004;ETB005 EA 38 

CEE01ETC01NQ IV EXTENSION SET 

'ETC001:14; 

ETB001;6:8;11; 

13;15 

EA 11.7 

CEE01ETN51SG 

CEE01H001NCK 

CEE01H003NCK 

CEE01HPC03CK 

CEE01LP160MH 

EXTENSION TUBE W/FREE SITE 無針式接頭 

+ 延長管 * 適應症請見備註欄 

CONNECTING TUBE 

CONNECTING TUBE WITH DRAINAGE BAG 

CONNECTOR PCN 連接管 

CONNECTING TUBE BRAIDED 

POLYETHYLENE 1200PSI 連接管雙層 

LOW PRESSURE COUNECTOR TUBE 

300PSI( 螺旋連接管 ) 

'ETN051 EA 70 

'HPCT8.8-30:60-P;M- 

FM;MM. 

EA 479 

'CTU14.0-30:50-ST EA 305 

'HPCT 8.8-80:120-P; 

M-FM;MM.; 

(HPCT8.8-180-P-FM; 

自 961001 生效 ) 

EA 479 

'LPDCT160 SET 40 



CEE01LRX50TP 

EXTENSION TUBE 50CM W/3 WAY 

'L;R;L(360)X1;2; 

STOPCOCK 

3-50;L50;FL50 

EA 34.5 

CEE01LX1FLTP 

'X1-FL50CT;X1- 

FL100CT;X1.5- 

EXTENSION TUBE INJECTOR TYPE 213PSI 

FL50CT;X1.5- 

50CM,100CM 造影用延長管 

FL100CT;X2- 

EA 11.7 

FL50CT;X2-FL100CT 

CEE01NFEYSLL 

INFUSION SET+NEEDLE FREE※ 適應症請見 

備註欄 

'CIV-180EYS EA 70 

CEE01P5300BD POSIFLOW IV ACCESS VALVE( 無針式接頭 ) 


'385300 EA 60 

CEE01R1000BB 

SAFSITE VALVES AND ACCESSORIES※ 適 


'RV1000;RV1000NC EA 60 

CEE01SF877SG 

EXTENSION TUBE SAFETY 15CM:50CM※ 適 


'ESF-877 EA 23 

CEE01T1100U2 

CLAVE CONNECTOR AND ACCESSORIES 

DEVICES:NON-DEHP MINIBORE EXT SET 

T-CONNECTOR AND BONDED CLAVE 'CT1100 EA 70 

CONNECTOR 無針式 T 延長管 ※ 適應症請見備 

註欄 

CEE01TC15NLL T-SITE CONNECTOR 'CTC-015;CTC-015N EA 26 

CEE01VP003LL EXTENSION TUBE W/3 WAY 'CVP-003 EA 34.5 

CEE01VP005LL 

"LILY"CVP-SACLE SYSTEM:3 WAY 

W/EXTENSION TUBE 

'CVP-005 EA 34.5 

CEE01Y0306BD 

POSIFLOW DUAL Y 34" EXTENSION SET 無 

針式雙接頭延長管 ※ 適應症請見備註欄 

'385306 EA 134 

POSIFLOW LUER LOK Y EXTENSION 

CEE01Y0506BD SET( 無針式接頭 +Y 型延長管 )※ 適應症請見備註 '385305 EA 70 

欄 

CEP0106015BS 

ARTERIAL PRESSURE TUBING 

15CM,30CM,60CM 

'PT-06;12;24 EA 60 

CEP0108314P2 PRESSURE MONITOR LINES 24"-48" 

'I08314:6;I08322; 

I08327:8 

EA 60 

CEP0108317P2 PRESSURE MONITOR LINES 60"-72" 

'I08317:8;I08323:4; 

I08329:30 

EA 60 

CEP011000PTP 

ANGIOGRAPHIC TUBE W/3 WAY 1000PSI 雙 

層血管造影劑注入延長管含三路活栓 

'04821:04825 EA 549 

CEP0111507BB 

1200PSI ANGIODYN HIGH PRESSURE '05011507;515; 

TUBINGS PUR( 雙層 ) 

523;531 

EA 479 

CEP0111949BB 


TUBINGS PVC 

965;973;938 

EA 114 

CEP011200PTP 

ANGIOGRAPHIC TUBE 1200PSI 雙層血管造 

影劑注入延長管 

'04816:04820 EA 479 

CEP0118188BB 


TUBINGS PVC 

200;218;233 

EA 114 

CEP012100DCD 

EXTENSION CATHETER 45CM,65CM,100CM 

(88/8/1 改按條給付 ) 

'502-100D/101D/102D EA 479 

CEP0125701UM 

HIGH PRESSURE CATHETER CONNECTOR 

WITH METER FITTING 

'25-7011:7013 EA 479 

CEP0136090BS ARTERIAL PRESSURE TUBING 90CM 'PT36 EA 60 

CEP0142373AB ARTERIAL PRESSURE TUBING '42373-01 EA 60 

CEP0142374AB ARTERIAL PRESSURE TUBING '42374-01 EA 60 




CEP01800PSTP 

ANGIOGRAPHIC TUBE 800PSI 雙層血管造影 

劑注入延長管 

'04811:04815 EA 479 




CEP0190701SB PRESSUREE MONITORING LINE 6":96" 

'H965907010621:9659 

07029621 

EA 60 

'0163NA;0163NH;0163 

CEP01AL150SD 

ALGAFLEX CONNECTION LINES 

TP;0163TR; 

1200PSI(HIGH PRESSURE LINE) 

0209NA;0209NH;0209 

EA 479 

NK;0209NL 

CEP01B024NPW 

HIGH PRESSURE CONNECTING TUBE※ 限 'A026;A028;B024; 

連接測壓導管或檢查導管及注射造影劑使用 B026 

EA 114 

CEP01ETP01M6 PRESSURE TUBE 500PSI 

'ETP001:ETP018; 

ETP049:ETP062 

EA 60 

CEP01ETP19M6 PRESSURE TUBE 800-1000PSI 'ETP019:ETP048 EA 114 

CEP01HP20EMR HIGH PRESSURE TUBING 20" 1200PSI( 雙層 ) 

'HPF200E:K; 

HPF201E;K; 

EA 479 

HPT200E;HPT201E 


'HPF300E; 

HPF300K; 

HPF301E; 

EA 479 

HPF301K; 



'HPF480E;K; 

HPF481E;K; 


EA 479 

CEP01HP50EMR HIGH PRESSURE TUBING 500PSI( 雙層 ) 

'HP5100E; 

HP5200E;HP5300E; 

HP5480E;HP5101E; 

HP5201E;HP5301E; 

HP5481E 

EA 252 

CEP01HPT72BS HIGH PRESSURE TUBING 1000PSI( 雙層 ) 'HPT10:72" EA 479 

CEP01PT006BD ARTERIAL PRESSURE TUBING 'PT06 SET 60 




CEP01PT048BD 

ARTERIAL PRESSURE TUBING( 型號 

PT84,PT12M:84M 自 89/04/01 起生效 ) 

'PT48 SET 60 



CEP01PT500H9 PRESSURE TUBING 500PSI 壓力連接管 

'PT-04/500PSI:PT- 

96/500PSI;PT-04- 

A/500PSI:PT-96- 

A/500PSI;PT-04- 

B/500PSI:PT-96- 

B/500PSI 

EA 60 

CEP01PT500SG 

CEP01PTH12SG 

CEP01PTHPTH9 

CEP01PTPVCH9 

CEP01SHPCTCK 

ARTERIAL PRESSURE TUBING 500PSI 

6":72" 

ARTERIAL PRESSURE TUBING 1200PSI 

6":72" 

PRESSURE TUBING 1200PSI 壓力連接管 ( 雙 

層 ) 

HIGH PRESSURE TUBING PVC 1000PSI 高壓 

力連接管 

HIGH PRESSURE POLYURETHANE 

CONNECTING TUBE(SHPCT)75:125CM 

1200PSI PU 雙層 

'SMET0611:SMET0617 EA 60 

'SMET0621:SMET0627 EA 114 

'HPT-04-B:HPT-96- 

B/1200PSI 

'HPT- 

04;06;10;12;20;24;30;3 

6;40;48;60;72;84;96- 

P/1000PSI 

'SHPCT11.0-75-FSM; 

SHPCT11.0-100- 

FSM;SHPCT-11.0- 

125-FSM 

EA 479 

EA 114 

EA 479 



CET0100873AB 

EXTENSION SET WITH T-CONNECTOR 

16CM 

'873 EA 28 

CET0104612AB 

EXTENSION SET WITH T-CONNECTOR 

14CM 

'4612 EA 28 

CET0105180BB T-CONNECTOR 15CM '405180/7 EA 28 

CET01B024NPW EXTENSION TUBE 'B024 EA 11.7 

CET01B032NPW EXTENSION TUBE W/T 'B032 EA 28 

CEV010KMS1TR PTMV METAL TUBE 'KMS-1 EA 3615 

FLEXIFLO ENTERAL FEEDING TUBE 8F( 含 

CFD0100471AB STYLE、金屬頭 )※ 限 G-I 手術後併 G-I TRACT 溢 '00471 SET 450 

漏或吻合頇 NPO 者 

CFD0100475AB 

FLEXIFLO ENTERAL FEEDING TUBE 

10FR,12FR※ 適應症請見備註欄 

'00475;00476 SET 450 

CFD0150124AB 

FLEXIFLO ENTERAL FEEDING TUBE 

12F,16F(WITHOUT STYLET)※ 適應症請見備 

註欄 

'50124;50138 SET 355 

CFD01BSTPUEE 

CFD0202308P2 

CFD0216120W6 

CFD022020NFM 

CFD0222070WN 

CFD0222074WN 

CFD022207NWN 

CFD0276ST6MU 

CFD028000NCL 

CFD0280845SH 

CFD02G0101SG 

CFD02GT001SG 

CFD02GT101EW 

CFD02ST000EF 

CFD02ST000RZ 

ENTERAL FEEDING TUBE 

8,10,12,14,16FGX125CM* 適應症請見備註欄 

ALL SILICON STOMACH TUBE* 適應症請見備 

註欄 

SILICONE STOMACH TUBE 6FR:18FR* 適應 


ALL SILICONE STOMACH(GASTRIC)TUBE 

4:20FR ※ 適應症請見備註欄 4 

ALL SILICON LEVIN TUBE W/TAPER 

FUNNEL 2EYES※ 適應症請見備註欄 

ALL SILICON LEVIN TUBE W/TAPER 

FUNNEL 4EYES※ 適應症請見備註欄 

Silicon Levin Tube W/Taper Funnel 8:22FR※ 


ALL SILICONE STOMACH TUBE※ 適應症請見 

備註欄 

ALL SILICONE STOMACH TUBE* 適應症請見 

備註欄 

KANGAROO ENTERNAL FEEDING TUBE 

8,10,12FR 附導線 ※ 適應症請見備註欄 

SILICONE GASTRIC TUBE* 適應症請見備註欄 

'BSTPU08; 

BSTPU10; 

BSTPU12; 

BSTPU14;BSTPU16 

'102308;102310; 

102312;102314; 

102316;102318; 

102320;102322 

EA 355 

EA 200 

'YJ-109 EA 200 

'2020-006:18;(2020- 

0004;0005;0020; 自 

970401 生效 ) 

EA 200 

'2207-008(2):022(2) EA 200 

'2207-008:022 EA 200 

'2207-108:122 EA 200 

'8:18FR EA 200 

'8000004357; 

8000004358; 

8000004359; 

8000004373; 

8000004374; 

8000004375 

'080845;101045; 

121245 

'SMGT0101:SMGT070 

1 

EA 200 

SET 450 

EA 200 

SIGMA GASTRIC TUBE(SILICON)* 適應症請見 

'GT002;GT004 

備註欄 

EA 200 

SILICONE GASTRIC DUODENAL LEVIN 

TUBE ※ 適應症請見備註欄 

'GDL-60120 EA 200 

'ST-0006;ST-0008; 

BESMED SILICONE STOMACH TUBING* 適應 ST-0010;ST-0012; 


ST-0014;ST-0016; 

EA 200 

ST-0018 

SILICONE STOMACH TUBING※ 適應症請見 

備註欄 

'ST0006:ST0018 EA 200 



CFD05BPU08EE 

PU STOMACH CATHETER 'BPU08:BPU10;BPU12; 

聚胺酯胃管 ※ 適應 

BPU14;BPU16; 


BPU18 

EA 200 

CFE0130414RU E-B TUBE 14FR '204802-14 SET 1200 

CFE0130416RU E-B TUBE 3WAY 道球 '204802-16 SET 1200 



CFE017115NP0 E-B TUBE 食道球 3-WAY 'LB7115、LB7118 EA 1200 

CFE019160NRU S-B OESOPHAGEAL VARICES TUBE 4-WAY '916014:916818 SET 1500 

CFE01B7118P0 E-B TUBE 3 WAY 'LB7118 SET 1700 

CGAP1HY100H9 

HYM ANGIO PACK 心導管包 

(GWX1+SHEATHX1+ARTERIAL 

NEEDLEX1+MANIFOLDX2+PRESSURE 

'20-000100-01 SET 2589 

TUBINGX4+HIGHT PRESSURE TUBINGX1) 

STAINLESS GUIDE WIRE 0.025~0.035" '01-13;19-0040;01- 

CGDW10113NAN 

125~150CM 

17;19-0050 

EA 360 

'01-13;24-0030;01- 

STAINLESS GUIDE WIRE 0.025~0.045" 

CGDW10117NAN 17;19-0010;01-17;19- 

40~100CM 

0020 

EA 140 

CGDW101228CD MINI GUIDE WIRE '501-228 EA 140 

CGDW10220NAN GUIDE WIRE 80CM:150CM 0.018":0.038" 泌尿 '0220:29;31;33; 

科使用 

0300;02-0030:50 

EA 350 

'02-20;22;29;31-0020; 

03-41;43-0020;02- 

STAINLESS PTFE-COATED GUIDE WIRE 25;33-0025;02- 

CGDW10222NAN 

0.018~0.038" 80~100CM 

20;25;31;33;72;74- 

0030;03-30;35;41;43- 

0030;04-32-0030 

EA 320 

CGDW10225NAN GUIDE WIRE 200CM:260CM 0.018":0.038"( 型 

號 0300,0302-0060) 泌尿科使用 

CGDW10227NAN 

CGDW10227WAN 

CGDW10228NAN 

CGDW10229NAN 

CGDW10233NAN 

STAINLESS GUIDE WIRE PTFE-COATED 

0.018~0.038"125CM 


0.018~0.038"175~200CM 


0.018~0.038"150CM 


0.018~0.038" 220CM 


0.018~0.038" 260~500CM 

'0220;25;29;31; 

33;72;74-0060:80 

'02- 

20;22;25;29;31;33;72; 

;74-0040;03- 

07;30;35;39;41;;43- 

0040;04-32;34;54;57- 

0040 

'03-41-0055;02- 

25;31;33;72;74;- 

0060;03- 

00;02;06;10;41;43;- 

0060;04-32;34-0060 

'02- 

20;22;25;27;29;31;33;7 

0;72;;74-0050;02-31- 

1050;03- 

00;02;04;06;07;30;35;3 

7;39;;41;43;67;69- 

0050 

'02-29;31;33-0070;03- 

41-0070;04-79-0070 

'02- 

20;25;31;33;72;74;- 

0080;03-41;43-0080; 

04-32-0080;02-31- 

0090;02-31;72- 

0100;02-31-0110 

EA 460 

EA 350 

EA 350 

EA 350 

EA 460 

EA 460 



EMERALD GUIDE WIRE FIXED-CORE 

CGDW10252NCD 

STRAIGHT TIP 0.025" :0.038" 125:175CM 

'502-520:28 EA 350 


CGDW10253NCD 

STRAIGHT TIP 0.025":0.038" 125:175CM 

'502-534:39 EA 350 


CGDW10254NCD 

STRAIGHT TIP 0.025":0.038" 125:175CM 

'502-541:49 EA 350 


CGDW102555CD 

STRAIGHT TIP 0.035" 260CM 

'502-555 EA 460 


CGDW102560CD 


'502-560 EA 350 


CGDW102561CD 


'502-561 EA 350 

EMRALD GUIDE WIRE MOVABLE-CORE J 

CGDW102571CD 

CURVE 0.035" 150CM 

'502-571 EA 350 

EMERALD GUIDE WIRE MOVABLE-CORE 

CGDW102580CD 


'502-580 EA 350 

EMERALD GUIDE WIRE FIXED-CORE J 

CGDW102586CD 

CURVE 0.038" 150CM 

'502-586 EA 350 

EMERALD GUIDE WIRE FIXED-CORE J 

CGDW102587CD 

CURVE 0.035" 150CM 

'502-587(S) EA 350 

CGDW10430NAN 


0.018~0.038" 150CM 

EA 350 

'04- 

30;31;32;34;50;54;56;5 

7;90-0050;05-10- 

0050 

CGDW104435AR SPRING GUIDE WIRE 0.035" 60CM 'AW-04435 EA 140 

CGDW104566D2 

SPRING GUIDE WIRE 3MM J-TIP 0.035" 

125CM 

'404566 EA 350 

CGDW104568D2 

J TIP-FIXED CORE TEFLON GUIDE WIRES '404568:76; 

0.25",0.30",0.32",0.35" 150CM,180CM 404578:80;404583 

EA 350 

CGDW104577D2 

J TIP OR STRAIGHT FIXED CORE TEFLON '404577;404617; 

GUIDE WIRES 0.035",0.038" 260CM 404844;404874 

EA 460 

CGDW104610D2 

J TIP-FIXED CORE TEFLON GUIDE WIRES '404610:16;404618; 

0.38",0.065" 150CM,180CM 

404581:82 

EA 350 

CGDW104840D2 GUIDE WIRE TEFLON COATED '404840 EA 350 

CGDW104841D2 

STRAIGHT-FIXED CORE TEFLON GUIDE 

WIRES 0.035" 150CM 

'404841:43;404845 EA 350 

CGDW104870D2 

STRAIGHT-FIXED CORE TEFLON GUIDE 

WIRES 0.038" 150CM 

'404870:73;404875 EA 350 

CGDW104948D2 

J TIP-MOVABLE CORE TEFLON GUIDE '404948:49; 

WIRES 0.035",0.038" 150CM 

404968:69 

EA 350 

CGDW104998D2 

STRAIGHT-MOVABLE CORE TEFLON GUIDE '404998:99; 

WIRES 0.035",0.038" 150CM 

405012:13 

EA 350 

CGDW105014D2 

HEPARIN COATED-FIXED CORE TEFLON '404514;404516:18; 

GUIDE WIRES 0.035",0.038" 150CM,180CM 404520:24 

EA 350 

CGDW105018D2 

HEPARIN COATED-FIXED CORE TEFLON 

GUIDE WIRES 0.035" 260CM 

'405018 EA 460 

'0541- 

NITINOL GUIDE WIRE 0.021~0.035" 

CGDW10541NAN 0000;0010;0210;2010;2 

145~200CM 

050 

EA 770 

NITINOL GUIDE WIRE STIFF SHAFF 0.035" 

CGDW10542NAN 

145CM 

'054200-10;20;30 EA 820 

CGDW10620NMV GUIDE WIRE(0.035" 0.038" 150CM) '620(620-100:130) EA 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 ) 

'408005:10; 

408013:14; 

408016:23;408026:29 

EA 770 



CGDW108011ST 


線 "ST.JUDE"HYDROSTEER 

'408011;12;24;25 EA 1390 

GUIDEWIRE0.035:0.038" 260CM( 鎳合金 ) 

CGDW10PNGWMW GUIDE WIRE 'PNGW-389 EA 140 

CGDW111011PB WORKER GUIDE WIRE〈100CM STRAIGHT '1101-18080;35040; 

35080 

EA 320 

WORKER GUIDE WIRE 100-200CM 

CGDW111012PB 

STRAIGHT( 型號 

'1101-18;25;28; 

114035120,113935150,112035150 自 92/7/1 生 35;47-120;50;80 

EA 350 

效 ) 

CGDW111013PB 


'1101-25260;400; 

STRAIGHT( 型號 112035260 自 92/7/1 生效 ) 52300;35260;480 

EA 460 

CGDW111051PB WORKER GUIDE WIRE〈100CM CURVE 

'1105-25080;35060; 

80;38080 

EA 320 

CGDW111052PB 


CURVE( 型號 113735,110518-150 自 92/7/1 生效 ) 

'1105;06;07- 

25150:38150 

EA 350 

CGDW111053PB WORKER GUIDE WIRE 200-300CM CURVE 

'113735260; 

110535260; 

EA 460 

110535400 

CGDW111080C3 GUIDE WIRE 80CM '1100-0800 EA 320 

CGDW111400PB 

AMPLATZ GUIDE WIRE EXTRA STIFF 0.035" 

90CM 

'1140;1142-35-90 EA 830 

CGDW111420PB 

AMPLATZ GUIDE WIRE EXTRA STIFF 0.035" '1140;1141;1142-35- 

EA 890 

150CM 

150 

CGDW112511PB 

CANALIZER GUIDE WIRE 0.035" 

'125135150;180; 

150CM,180CM 

12763150;180 

EA 770 

CGDW112512PB CANALIZER GUIDE WIRE 0.035" 260CM 

'125135260; 

127635260 

EA 1390 

CGDW112901PB 

CANALIZER GUIDE WIRE STIFF 0.035" '129035150;180; 

150CM,180CM 

129735150;180 

EA 820 

CGDW112902PB 

CANALIZER GUIDE WIRE STIFF 0.035" '129035260; 

260CM 

129735260 

EA 1390 

CGDW114735AR SPRIN GUIDE WIRE 0.035" 68CM 'AW-14735 EA 140 

CGDW116402AR 

DUOFKEX SPRING GUIDE WIRE 0.018" 

68CM 

'AW-16402 EA 140 

CGDW135153WT 

WATSON GUIDE WIRE STAINLESS WITH 

PTFE 150CM 0.021:0.038" 

'TF21150I;J3; 

TF25150I;J3; 

TF32150I;J3; 

TF35150I;J3; 

TF38150I;J3; 

TF35150J6 

EA 350 

SPRING GUIDE WIRE 0.025",0.035",0.038" '395206;400;875; 

CGDW135206AG 

40:65CM FIXED CORE STRAIGHT 

962;213;770;217 

EA 140 

GUIDE WIRE 0.021,0.025,0.032" 150CM '395225;395228; 

CGDW135225AG 

TF/FC/ST 

395501 

EA 350 

CGDW135231AG GUIDE WIRE 0.035" 150CM STRAIGHT '395231 EA 350 

CGDW135234AG GUIDE WIRE 0.038" 150CM STRAIGHT '395234 EA 350 

'TF25260I;J3; 

WATSON GUIDE WIRE STAINLESS WITH 

CGDW135263WT TF35260I;J3; 

PTFE 260CM 0.025:0.038" 

TF38260I;J3 

EA 460 

CGDW135282AG GUIDE WIRE J-TIP 0.035" 150CM 3MM '395282 EA 350 

CGDW135284AG SPRINGE GUIDE WIRE 150CM 'AG395284 EA 360 

CGDW135368AG GUIDE WIRE 0.032" 260CM '395368 EA 460 

CGDW135369AG GUIDE WIRE EXTENSIVE 0.035" 260CM '395369 EA 460 

CGDW135415AG 

SPRING GUIDE WIRE 

0.025",0.032",0.035",0.038" 50,65CM FIXED 

CORE,3MMJ STRAIGHT 

'395415;539;680; 

899;855;878 

EA 140 



SPRING GUIDE WIRE 0.018",0.021" 25:80CM '395451;452;200; 

CGDW135451AG 

FIXED CORE STRAIGHT 

536;513;526;203 

EA 140 


CGDW135454AG 

40,50CM FIXED CORE,3MMJ 

573 

EA 140 


CGDW135470AG GUIDE WIRE 0.018" 150CM TF/FC/1.5MMJ '395470 EA 350 

CGDW135522AG GUIDE WIRE 0.018:0.038" 260CM TF/ST 

'395522;469;367; 

370 

EA 460 

GUIDE WIRE 0.018:0.038" 125CM,150CM '395523;466;559; 

CGDW135523AG 

TF/FC/3MMJ 

600;283 

EA 350 




GUIDE WIRE 0.035" 200CM EXCHANGE 

CGDW135703AG 

TF/ST 

'395703 EA 460 

CGDW135711AG GUIDE WIRE 75CM '395711 EA 140 

SPRING GUIDE WIRE 

CGDW135730AG 0.018",0.021",0.025",50CM FIXED 

'395730;731;732 EA 140 

CORE,6MMJ STRAIGHT 

CGDW135787AG GUIDE WIRE J-TIP 0.035" 150CM 1.5MM '395787 EA 350 

SPRING GUIDE WIRE 0.035",0.038" 70,80CM '395798;752;835; 

CGDW135798AG 

FIXED CORE,3MMJ 

924 

EA 140 

CGDW135817AG GUIDE WIRE 0.038" 200CM TF/3MMJ '395817 EA 460 

GUIDE WIRE 0.032,0.035,0.038" 260CM '395622;395794; 

CGDW135839AG 

TF/3MMJ 

395839 

EA 460 




CGDW135968AG 

40,50CM FIXED CORE,3MMJ 

271;654 

EA 140 


CGDW14652NMT AMPLATZ SUPER STIFF GUIDE WIRE '46-523:525 EA 890 

'46-500:501;46- 

AMPLATZ SUPER STIFF GUIDEWIRE 

CGDW14652NSB 503:504;46- 

145CM,180CM 

517:519;46-523:525 

EA 890 

CGDW14656NSB AMPLATZ SUPER STIFF GUIDEWIRE 75CM '46-563:564 EA 830 

AMPLATZ SUPER STIFF GUIDEWIRE '46-502;509;510; 

CGDW1465AMSB 

0.035/0.038X260CM 

520;526 

EA 950 

CGDW147382BS TEFLON GUIDEWIRE 0.035" 260CM '47-000038-02(J)(S) EA 460 

STARTER GUIDE WIRE FIXED CORE STR 

'M001491011; 

CGDW149101SB TIP 3.5CM FIEXIBLE TIP 0.032-0.035,100- 

EA 350 

1492081;101;111 

150CM 

CGDW149110SB 

CGDW149115SB 

CGDW14914NSB 

CGDW149150SB 

CGDW149155SB 

STARTER GUIDE WIRE MOVEABLE CORE 

STR TIP & J-CURVE TIP 0.035:0.038 150CM 

STARTER GUIDE WIRE FIXED CORE J- 

CURVE 3.5CM FIEXIBLE TIP 0.025:0.038 120- 

180CM 

STARTER GUIDE WIRE NEW BENSON 

TYPE 0.035 150:180CM 

STARTER GUIDE WIRE NEWTON & 

NEWTON(LLT)TYPE 0.035 150CM 

STARTER GUIDE WIRE ROSEN HEAVY 

DUTY TYPE 0.035 180CM 

'M001491101;111; 

301;321;331;351 

'M001491151;61; 

71;81;91;1491201 

'M001491451; 

M001491471 

'M001491501; 

M001491511 

EA 350 

EA 350 

EA 350 

EA 350 

'M001491551 EA 350 



'M001491001:21;1101: 

11;51:91; 

1201;21:31;1301:31;13 

STARTER GUIDEWIRE 0.018":0.038" 

51:91; 

100:180CM( 產品型號含 

1451:71;1501:61;2001; 

M001492351:81;2501:11) 

21:31;61; 

EA 350 

81;2101:51;2201:11;31: 

91 

CGDW149200LR 

CGDW149200SB 

CGDW149201LR 

CGDW149201SB 

CGDW149212SB 

CGDW149213LR 

CGDW149213SB 

CGDW149220SB 

CGDW149221SB 

CGDW149222SB 

CGDW149250SB 

CGDW15025NCD 


TIP 3.5CM FIEXIBLE TIP 0.018:0.032,100- 

150CM 

STARTER GUIDEWIRE 0.025":0.035" 

40CM,80CM 


TIP 3.5CM FIEXIBLE TIP 

0.025:0.035,40,80CM 


TIP 3.5CM FIEXIBLE TIP 0.035:0.038,100- 

180CM 

STARTER GUIDEWIRE 0.035";0.038" 260CM 

STARTER GUIDE WIRE FIXED CORE STR & 

3CM J SHAPE 3.5CM FLEXIBLE TIP 

0.035,0.038 260CM 

STARTER GUIDE WIRE DOUBLE END STR 


CURVE 3.5CM FIEXIBLE TIP 0.035 40,80CM 

STARTER GUIDE WIRE HEAVY DUTY TYPE 

0.035 150CM 

GUIDE WIRE TEFLON 0.021";0.038" 

150CM;175CM 

'M001492001;21; 

31;61;1491001 

'M001492011;2051:91 

; 

M001492221;2301:11 

'M001492011;51; 

7191;1492311 

'M001492121;41; 

51;1491021 

'M001491031;1211;134 

1; 

M001491481;1571;213 

1 

'M001492131; 

1491031;1491211 

'M001492201; 

M001492241 

'M001492211;31; 

51;61;71;81 

'M001492221; 

001492301 

EA 350 

EA 320 

EA 320 

EA 350 

EA 460 

EA 460 

EA 350 

EA 350 

EA 320 

'M001492501 EA 350 

TIP& J CURVE TIP 0.035 150CM 


CURVE 3.5CM FIEXIBLE TIP 0.035,0.038 100- 

180CM 

'502- 

520E:H;521E:H;525E:H 

; 

535E:H;584E:F;585E:H 

;587H;502- 

531:532;703;503- 

520E:F;503- 

521E:F;503-584E:585E 

EA 350 

CGDW15027XCD GUIDE WIRE TEFLON 0.035";0.038" 260CM 

CGDW154001KD 

GUIDEWIRE STAINLESS STEEL STRAIGHT 

0.038" 70CM 

CGDW150270CD GUIDE WIRE TEFLON 0.035" 80CM '502-701:702 EA 320 

'502- 

716:718;725;726;502- 

GUIDE WIRE TEFLON 0.035";0.038" 

CGDW15027NCD 730:733;502- 

150;180CM 

736H:738H;502- 

740H:742H 

EA 350 

'502-734:735;502- 

739H;502-743H 

EA 460 

'8816054001 EA 140 



'0541- 

0090;0100;0211;0220; 

NITINOL GUIDE WIRE 0.021~0.035" 

CGDW15410NAN ;0542- 

220~400CM 

0090;0100;0210;0220;0 

EA 1390 

261 

CGDW163541CK 

TEFLON WIRE GUIDE STRAIGHT 60:145CM '628413;632413; 

0.028:0.038 

635413;638X13 

EA 350 

CGDW163845CK AMPLATZ STIFF WIRE GUIDE 145cm '638455 EA 890 

CGDW172600PB NITINOL GUIDE WIRE 0.018" 80CM '1726-18-080 EA 710 

CGDW196001KD 

J/STRAIGHT STAINLESS STEEL GUIDE '8813796001; 

EA 140 

CGDW1A3513TM 

WIRE 0.035" 0.038" 70CM 

RADIFOCUS GUIDE WIRE 0.025":0.038" 

150CM ANGLED TIP 

RADIOFOCUS GUIDE WIRE 0.025",0.035" 

CGDW1A3515TM 

150CM (ANGLE) 

RADIFOCUS GUIDE WIRE 0.032":0.038" 

CGDW1A3518TM 

150CM FLEXIBLE TIP 

CGDW1A3530TM RADIOFOCUS GUIDE WIRE 0.035" 300CM 

AMPLATZ EXTRA STIFF GUIDE WIRE 

CGDW1AMP15BS 

0.035"X150CM 

AMPLATZ EXTRA STIFF GUIDE WIRE 

CGDW1AMP26BS 

0.035"X260CM 

ANGIO PACK:GUIDE WIRE 0.035" 150CM 

CGDW1APGW1H9 

PTFE 

ANGIO PACK:GUIDE WIRE 0.035" 260CM 

CGDW1APGW2H9 

PTFE 

CGDW1F3J10AS 

CGDW1F3J80AS 

CGDW1FS3JFAS 

TEFLON GUIDE WIRE 0.018:0.038" 

120CM:150CM 

TEFLON GUIDE WIRE 0.018:0.038" 80CM 


260:300CM 

8817231001 

'GA; 

GS25153:38153; 

25123:38123 

EA 770 

'RF*GA25153;35153 EA 770 

'GA;GS32158; 

35158;38158 

'RF*GA38303; 

RF*GA35303 

EA 770 

EA 1390 

'47-000039-01(J)(S) EA 890 

'47-000039-02(J)(S) EA 950 

'20-1002-01-01;02 EA 350 

'20-1002-01-03 EA 460 

EA 350 

EA 320 

EA 460 

CGDW1G002ACK GUIDE WIRE STRAIGHT 50CM,80CM 'THSF-25:52-XXX EA 320 

CGDW1G002NCK GUIDE WIRE STRAIGHT (100,125,145CM) 'THSF-25:52-XXX EA 350 

GUIDE WIRE AMPLATZ EXTRA-STIFF 

CGDW1G003ACK 

145CM,180CM 

'THSF-25:38-XXX-AES EA 890 

CGDW1G003NCK GUIDE WIRE AMPLATZ EXTRA-STIFF 'THSF-25:38-XXX-AES EA 950 

CGDW1G004NCK GUIDE WIRE COONS INTERVENTIONAL 'THSF-38-XXX-C00NS EA 350 

CGDW1G005NCK TIP DEFLECTING GUIDE WIRE 'TDW-XX-XXX-XX EA 950 

CGDW1G006ACK GUIDE WIRE CURVED 50CM, 80CM 'TSCF-18;21-XXX-XX EA 320 

GUIDE WIRE CURVED 

CGDW1G006NCK 

50:145CM(100,125,145CM) 

'TSCF-18;21-XXX-XX EA 350 

CGDW1G007ACK GUIDE WIRE CURVED 180CM 'TSCF-25:38-XXX-XX EA 350 

CGDW1G007NCK GUIDE WIRE CURVED 180:260CM(260CM) 'TSCF-25:38-XXX-XX EA 460 

CGDW1G008ACK GUIDE WIRE CURVED 50CM, 80CM 'TSCF-25:38-XXX-XX EA 320 

CGDW1G008NCK 

GUIDE WIRE CURVED 

50:145CM(100,125,145CM) 

CGDW1G009ACK GUIDE WIRE CURVED 80CM 

'TSCF-25:38-XXX-XX EA 350 

'F3J018;25;28;32;35;38 

-10-1200F;;1500F; 

FS018;25;28;32;35;38 

;-10-1200F;1500F 

'F3J018;25;28;32;35;; 

38-10-0800F; 

FS018;25;28;32; 

35;38-10-0800F 

'F3J018;25;28;32;35;38 

;-10-2600F;3000F; 

FS018;25;28;32;35;38- 

10;-2600F;3000F 

'TSFN-A;B;C-XX- 

XXX-XX 

EA 320 


CGDW1G013NCK SOS INTERVENTIONAL GUIDE WIRE 145CM 'SIG-38-21-145 EA 1100 

CGDW1G016ACK GUIDE WIRE STRAIGHT 50CM,80CM 'TSF-25:52-XXX-XX EA 320 

GUIDE WIRE STRAIGHT 

CGDW1G016NCK 

50:145CM(100,125,145CM) 

'TSF-25:52-XXX-XX EA 350 

CGDW1G017NCK GUIDE WIRE TEFCOR MOVABLE CURVED 'TCMT-XX-XXX-XX EA 350 

GUIDE WIRE LUNDERQUIST EXCHANGE 

CGDW1G018NCK 

120CM 

'SF-38-120-LUND EA 910 

RADIFOCUS GUIDEWIRE(SHAPEABLE 

'RE*GA; 

CGDW1GAGSNTM TYPE 

GS18123:38153 

ANGLE,STRAIGHT)0.018":0.038"120:150CM 

EA 770 

RADIFOCUS GUIDEWIRE(SHAPEABLE 

CGDW1GKGLNTM TYPE 


RADIFOCUS GUIDEWIRE 

CGDW1HAHSNTM HALFSTIFF(SHAPEABLE TYPE 


TEFLON GUIDE WIRE 

CGDW1HS1N2BS 

0.028:0.038"120CM,150CM 

CGDW1HS1N3BS 


50CM,80CM 

CGDW1HS1N4BS TEFLON GUIDE WIRE 0.028:0.032" 260CM 

CGDW1HSF01CK 

CGDW1HW001CK 

LUNDERQUIST RING TORQUE GUIDE WIRE 

變換金屬導線 

HYDROPHILIC WIRE GUIDES 150CM,180CM 

0.025" 0.035" 0.038" 

'RE*GK; 

GL18123M:38183M 

'RE*HA; 

HS18123M:38183M 


CGDW1G009NCK GUIDE WIRE CURVED (100,125,145CM) 

'TSFN-A;B;C-XX- 

XXX-XX 

EA 350 

CGDW1G011ACK TSF GUIDE WIRE STRAIGHT 50CM, 80CM 'TSF 18:21-XXX-XX EA 320 

TSF GUIDE WIRE STRAIGHT 

CGDW1G011NCK 

50:145CM(100,125,145CM) 

'TSF 18:21-XXX-XX EA 350 

CGDW1G012NCK GUIDE WIRE STRAIGHT 260CM 'TSF-25:52-260-XX EA 460 

'47-000028;32-00; 

01/19-01/39-00 

'47-000018;21;25; 

25-00/01(J);S 

'47-000028;32;- 

02(J);(S) 

EA 770 

EA 820 

EA 350 

EA 320 

EA 460 

'HSF-38-125-THG EA 910 

EA 770 

'HW-25-150;HW-35- 

150;180;HW-38- 

150;180 

CGDW1HW018CK HYDROPHILIC WIRE GUIDES 180CM 0.018" 'HW-18-180 EA 3000 

'HWA-25- 

HYDROPHILIC WIRE GUIDES 150CM,180CM 150;180;HWA-35- 

CGDW1HWA01CK 

0.025" 0.035" 0.038" 

150;180;HWA-38- 

150;180 

EA 770 

HYDROPHILIC WIRE GUIDES 260CM 0.025" 'HWA-25;35;38- 

CGDW1HWA02CK 

0.035" 0.038" 

260;HW-35-260 

EA 1390 

HYDROPHILIC WIRE GUIDES 150CM 180CM 

CGDW1HWA18CK 

0.018" 

'HWA-18-150;180 EA 3000 

CGDW1HWA28CK HYDROPHILIC WIRE GUIDES 260CM 0.018" 'HWA-18-260 EA 3000 

CGDW1HWAS1CK 

HYDROPHILIC WIRE GUIDES EXTRA 

'HWAS-35-150;180; 

SUPPORT(STIFF SHAFT)150CM 180CM 

HWAS-38-150;180 

0.035" 0.038" 

EA 820 

CGDW1HWAS2CK 

HYDROPHILIC WIRE GUIDES 260CM 0.035" 

0.038" 

HYDROPHILIC WIRE GUIDES EXTRA 

CGDW1HWS01CK SUPPORT(STIFF SHAFT)150CM 180CM 

0.035" 0.038" 

KAKYAK HYDROPHILIC GUIDEWIRE 

CGDW1K4662SB 

0.035,0.038150:180CM 

KAKYAK HYDROPHILIC GUIDEWIRE 

CGDW1K4664SB 

0.035,0.038 80:180CM STIFF TYPE 

'HWS-35-260;HWAS- 

35-260;HWAS-38- 

260 

'HWS-35-150;HWS-35- 

180;HWS-38- 

150;HWS-38-180 

'46-625:46-638;46- 

655 

EA 1390 

EA 820 

EA 770 

'46-645:46-649 EA 820 


CGDW1LC182TM 

CGDW1LC183TM 

CGDW1LC18NTM 

RADIFOCUS GUIDE WIRE M STIFF WIRE 

0.025"~0.038" 150CM,180CM 

RADIFOCUS GUIDE WIRE M STIFF WIRE 

0.018" 180CM 

RADIFOCUS GUIDE WIRE M 0.018"~0.038" 

120CM,150CM,180CM 


'RF*GA18- 

123;RF*GA25-183; 

RF*GA25;32;35;38- 

123;M; 

RADIFOCUS GUIDE WIRE M 

CGDW1LC181TM RF*GA18;32;38- 

0.018"~0.038"120CM,150CM,180CM 

153;M; 

RF*GA18;32;35;38- 

183;M;RF*GA25;35- 

153M 

EA 770 

'RF*PA25;35;38- 

153;M;RF*PA35;38- 

183;M 

EA 820 

'RF*PA18183M EA 820 

'RF*GS18;38-123; 

RF*GS25;32;35- 

123;M; 

RF*GS18;25;32;38- 

153;M; 

RF*GS18;25;32;35;38- 

183;M;RF*GS35153M 

EA 770 

'RF*GA18;25;35;38- 

223;M; 

RADIFOCUS GUIDE WIRE M STIFF WIRE RF*GA18;25;32;35;38- 

CGDW1LC301TM 

0.018"~0.038" 220CM,260CM,300CM 263;M; 

EA 1390 

RF*GA18;25;32-303; 

RF*GA-32223 

RADIFOCUS GUIDE WIRE M STIFF WIRE 'RF*PA25263M;RF*PA 

CGDW1LC303TM 

0.025",0.035" 260CM,300CM 

35303M 

EA 1390 

'RF*GS18;25;32;35;38- 

RADIFOCUS GUIDE WIRE M 0.018"~0.038" 263;M; 

CGDW1LC30NTM 

220CM,260CM,300CM 

RF*GS18;25;26-303; 

EA 1390 

RF*PA35263;M 

CGDW1LUN15BS LUNDER GUIDE WIRE 0.035"X150CM '47-000067-00 EA 910 

GUIDE WIRE M0RABLE CORE/PTFE 

CGDW1M1250LR 

COATED 0.032":0.038" 125,150CM 

'GMT32:38(1250:1506) EA 350 

CGDW1MSU70MW GUIDE WIRE 股靜脈、鎖骨下靜脈導管 'MSU70 EA 140 

GUIDE WIRE FIXED CORE/UNCOATED 'GFN18:38(0500:1000 

CGDW1N0500LR 

0.018":0.038" 50:100CM(STAIGHT/J TIP) ;0503D) 

EA 140 

CGDW1N405HST 

GUIDERIGHT GUIDEWIRE HEPARIN 

'405014:405017;40502 

COATED FIXED CORE 0.035",0.038" 

0;405024 

150CM;180CM 

EA 350 

CGDW1N4568ST " 聖猶達 " 蓋瑞特導引線 "ST.JUDE " 

GUIDERIGHT GUIDEWIRE 150CM 



GUIDERIGHT GUIDEWIRE SUPER STIFF 

CGDW1N458NST 

FIXED CODE 0.032",0.038" 180CM 


GUIDERIGHT GUIDEWIRE 150CM 180CM 



'404568;404576; 

404578;404580; 

404583 

'404577;404617; 

404878;404844 

EA 350 

EA 460 

'404560;404877 EA 890 

'404610;404611; 

404612;404613; 

404614;404615; 

404616;404618; 

404581;404582 

EA 350 

'404840 EA 350 




'404841;404842; 

EA 350 


404845;404843 









'404870;404871; 

404872;404873; 

404875 

'404948;404949; 

404968;404969 

'404998;404999; 

405012;405013 

EA 350 

EA 350 

EA 350 

'405018 EA 460 

CGDW1NT015BS GUIDE WIRE 0.038"X150CM(NITINOL) '47-000019-00(J)(S) EA 770 

CGDW1NT026BS GUIDE WIRE 0.038"X260CM(NITINOL) '47-000019-02(J)(S) EA 1390 

RADIFOCUS GUIDE WIRE 0.035":0.038" 'PA35083;38083; 

CGDW1PA353TM 

150CM ANGLED TIP STIFF TYPE 

153;183 

EA 820 


CGDW1R402NST COATED MOVABLE CORE 0.035",0.038" 

150CM 

'405021:405022 EA 350 

CGDW1R455NST 

CGDW1R45DDST 

CGDW1R45J2ST 

CGDW1R45NNST 

CGDW1R4876ST 

CGDW1R48NNST 

GUIDERIGHT GUIDEWIRE INTRODUCER 

0.021",0.025",0.032",0.035",0.038 50CM,80CM 

GUIDERIGHT GUIDEWIRE DOUBLE DISTAL 

FIXED CORE 0.035",0.038" 150CM,180CM 

GUIDERIGHT GUIDEWIRE J TIP FIXED 

CORE 0.32",0.35",0.038" 260CM 

GUIDERIGHT GUIDEWIRE J TIP FIXED 

CORE 0.21",0.25",0.30",0.32",0.35",0.038,0.65" 

150CM,180CM 

GUIDERIGHT GUIDEWIRE SUPER STIFF 

FIXED CODE 0.038" 260CM 

GUIDERIGHT GUIDEWIRE STRAIGHT FIXED 

CORE 0.021",0.025",0.032",0.035",0.038" 

150CM 

'404550:404554;40455 

9 

EA 320 

'404555:404558 EA 350 

'404878;404577;40461 

7 

'404580:404584;40456 

8:404569;404570: 

404576;404578:404579 

; 

404610:404613;404615 

:404616;404618 

EA 460 

EA 350 

'404876 EA 950 

'404840:404843;40484 

6:404848; 

404870:404873;404875 

EA 350 

GUIDERIGHT GUIDEWIRE STRAIGHT FIXED 

CGDW1R48SFST '404844:404874 

CORE 0.035",0.038" 260CM 

EA 460 

GUIDERIGHT GUIDEWIRE J TIP MOVABLE '404948:404949;40496 

CGDW1R4946ST 

CORE 0.035",0.038" 150CM 

8:404969 

EA 350 

GUIDERIGHT GUIDEWIRE STRAIGHT '404998:404999;40501 

CGDW1R4950ST 

MOVABLE CORE 0.035",0.038" 150CM 2:405013 

EA 350 


CGDW1R5018ST 

COATED FIXATED CORE 0.035" 260CM 

'405018 EA 460 

ROADRUNNER GUIDE WIRE 0.035",0.038" 'RFPC35;38:145; 

CGDW1RFPC1CK 

145CM,180CM/TIP 7CM 

180 

EA 770 

ROADRUNNER GUIDE WIRE 0.035",0.038" 

CGDW1RFPC2CK 

260CM/TIP 7CM 

'RFPC-35;38:260 EA 1390 

ROADRUNNER WIRE GUIDE 0.035",0.038" 'RFSPC-35;38:145; 

CGDW1RFSP1CK 

145CM,180CM 

180 

EA 770 

ROADRUNNER WIRE GUIDE 0.035",0.038" 

CGDW1RFSP2CK 

260CM 

'RFSPC-35;38-260 EA 1390 

ROADRUNNER GUIDE WIRE 0.035",0.038" 'RLPC35;38:145; 

CGDW1RLPC1CK 


180 

EA 770 


CGDW1RLPC2CK 

260CM/TIP 16CM 

'RLPC-35;38:260 EA 1390 




CGDW1RPC1XCK 


'RPC35;38:145;180 EA 770 


CGDW1RPC2XCK 

260CM/TIP 8CM 

'RPC-35;38:260 EA 1390 

RADIOFOCUS GUIDE WIRE 0.035" 150CM 

CGDW1S3515TM 

(STRAIGHT) 

'RF*GS35153 EA 770 

CGDW1S3530TM RADIOFOCUS GUIDE WIRE 0.035" 300CM 

'RF*GS38303; 

RF*GS35303 

EA 1390 

CGDW1SFA35C3 GUIDE WIRE 0.035" 150CM 'SFCTA-035 EA 350 

CGDW1SFA38C3 GUIDE WIRE 0.038" 150CM 'SFCTA-038 EA 350 

CGDW1SUPERG6 'AGA' AMPLATZER GUIDE WIRE※ 適應症請 

見備註欄 

'9-GW-001:003 SET 1600 

CGDW1T1500LR 

GUIDE WIRE FIXED CORE/PTFE COATED 

0.018":0.038" 150CM 

'GFT18:381500 EA 350 

CGDW1T1501LR 


0.018":0.035" 150CM 1.5MMJ 

'GFT18:351501 EA 350 

CGDW1T1503LR 


0.018":0.038" 150CM 3MMJ 

'GFT18:381503 EA 350 

GUIDE WIRE FIXED CORE/PTFE COATED 'GFT32:38(1500; 

CGDW1T150BLR 

0.032":0.038" 150,180CM(BENTSON TIP) 1503;1800;1803)B 

EA 350 

GUIDE WIRE FIXED CORE/PTFE COATED 'GFT32:38(1500; 

CGDW1T150NLR 

0.032":0.038" 150CM(LT,LLT,LLLT TIP) 1503)N1;N2;N3 

EA 350 

GUIDE WIRE FIXED CORE/PTFE COATED 'GFT35;38(150; 

CGDW1T150RLR 

0.035",0.038" 150,180CM(ROSEN-J TIP) 180)R 

EA 350 

GUIDE WIRE FIXED CORE/PTFE COATED 'GFT35;38(210; 

CGDW1T210RLR 

0.035",0.038" 210,260CM(ROSEN-J TIP) 260)R 

EA 460 

CGDW1T2600LR 


0.018":0.038" 260CM 

'GFT18:382600 EA 460 

CGDW1T2603LR 


0.018":0.038" 260CM 3MMJ 

'GFT18:382603 EA 460 


CGDW1T653DLR 

0.035" 65CM 

'GFT350653D EA 320 

MOVABLE CORE STRAIGHT SAFELY GUIDE 

CGDW1TSM01CK WIRE 安全導線 100,145CM(90/10/1 產品型號 'TSM-32:38-100:145 EA 350 

TSM-32:38-80 另編代碼 ) 

MOVABLE CORE STRAIGHT SAFETY GUIDE 

CGDW1TSM0ACK 

WIRE 80CM 

'TSM-32:38-80 EA 320 

CGDW1UJAJNAS 

CGDW1UJBESAS 

CGDW1USAJNAS 

CGDW1USBESAS 

ASAHI UNIQUAL ANGIOGRAPHIC GUIDE 

WIRE 0.025":0.038" 150CM:200CM 


WIRE 0.025":0.038" 220CM:300CM 


WIRE 0.025":0.038" 150CM:200CM 


WIRE 0.025":0.038" 220CM:300CM 

'UJ15-25;28;32;35;38- 

B;S;E-1500; 

1800;2000;UJ30- 

25;28;32;35;38-B;S; 

E-1500;1800;2000 

'UJ15-25;28;32;35;38- 

B;S;E-2200; 

2600;3000;UJ30- 

25;28;32;35;38-B;S; 

E-2200;2600;3000 

'US00-25;28;32;35;38- 

B;S;E-1500; 

1800;2000;UA00- 

25;28;32;35;38- 

B;S;E;- 

1500;1800;2000 

'US00-25;28;32;35;38- 

B;S;E-2200; 

2600;3000;UA00- 

25;28;32;35;38-B;S; 

E-2200;2600;3000 

EA 770 

EA 1390 

EA 770 

EA 1390 



'46- 

ZIPWIRE HYDROPHILIC GUIDE WIRE 

154B;159B;164B;169B; 

CGDW1Z1P26SB STIFF/STANDARD 0.025",0.035",0.038" 

EA 1390 

316B; 

260CM 利博親水性導線 

317B;319B;254B;255B 

CGDW1ZSD58SB 

CGDW1ZSF58SB 

CGDW1ZSF80SB 

CGPG11001NAC 

CGPG11006NAC 

CGPG110264SB 

CGPG134356SB 

CGPG138969SB 

CGPG1416TBRB 

CGPG1417TBRB 

CGPG150058SB 

CGPG151038ZF 

CGPG15565FCD 

CGPG1564XNCD 

CGPG1574XNCD 

CGPG1586XNCD 

CGPG158882CD 

ZIPWIRE HYDROPHILIC GUIDE WIRE 

0.025",0.035",0.038" 150CM,180CM 利博親水 

性導線 

ZIPWIRE HYDROPHILIC GUIDE WIRE STIFF 

0.025",0.035",0.038" 150CM,180CM 利博親水 

性導線 

'46- 

125B;126B;151B;152B; 

155B; 

156B;161B;162B;165B; 

166B;240B; 

249B;325B;331B;350B; 

355B 

'46- 

305B;306B;308B;309B; 

311B; 

312B;314B;315B;318B; 

320B;321B;322B 

EA 770 

EA 820 

ZIPWIRE HYDROPHILIC GUIDE WIRE STIFF 

0.035",0.038" 80CM 利博親水性導線 

'46-300B;301B EA 820 

VIKING CORONARY GUIDING CATHETER 

6:10FR※ 自 92.7.1 改按條支付 

'1001874:1002039 EA 2048 

VIKING CORONARY GUIDING CATHETER* 自 '1006000-06:1006265- 

92.7.1 改按條支付 

08 

EA 2048 

MACH 1 PERIPHERAL GUIDING CATHETER 'M001196000:M001198 

6:8F 55,90CM 

960 

EA 2048 

MACH 1 GUIDE CATHETER 5:8FR 100CM ( 'H7493435- 

型 

6010:6980; 

號 H74935845-010:6970)※ 自 92.7.1 改按條支付 

7010:87080 

EA 2048 

RUNWAY GUIDE CATHETER 6FR 

LUMINA GUIDING CATHETER 

LUMINA GUIDING CATHETER 

MULTIFUNCTIONAL PROBING CATHETER 

135CM 3FR 

QUICK-CROSS SUPPORT2 CATHETERS ( 含 

3 個探頭 )0.014" 135CM 0.018" 90CM 

0.035"150CM 3FR 3.4FR 4.8FR 

VISTABRITETIP GUIDING CATHETERS 5F 

0.056(ALL CURVE STYLE)* 自 92.7.1 改按條支 

付 

VISTABRITETIP GUIDING CATHETER 6FR 

0.064"※ 自 92.7.1 改按條支付 


0.074",0.078"※ 自 92.7.1 改按條支付 


0.086",0.088"※ 自 92.7.1 改按條支付 

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 ) 

'H74938969-010:920; 

H74938969-1220:6980 

'(416JL;JR35;40;45- 

00);(JL35;40- 

0T);(JL;JR40-0H); 

(JR40- 

0T);(JR35;40;45-A0); 

(JR40-AT;AH); 

'(416-AL10;15;20-00); 

(AL10- 

0T;OH);(AR10;20- 

00);(AR10- 

0H);(UB30;35;40-00); 

(UB35-0H);(IM10-00) 

EA 2048 

EA 2048 

EA 2048 

'H965SCH500580 EA 9165 

'518-032:518-038 SET 9165 

'55600000:55628090 EA 2048 

'564-615:692 EA 2048 

'574-700:792;778- 

000:279-00:90 

'586-800:897;588- 

800-8116 

'5888206:7; 

5888200:2 

EA 2048 

EA 2048 

EA 2048 



'588840P:58P;(588- 

800:8116; 

PERIPHERAL GUIDING CATHETER 8FR 

588815:588853(E;T); 

0.088※ 自 92.7.1 改按條支付 

5888203:5; 自 95 年 7 月 

EA 2048 

1 日生效 ) 

CGPG15888FCD 

CGPG159892CD 

CGPG15989FCD 

CGPG16206NCD 

CGPG16676FCD 

CGPG16706FCD 

CGPG17787FCD 

CGPG1EGA8NCY 


0.098 * 自 92.7.1 改按條支付 ( 型號 5989200:2 自 

92/7/1 生效 ) 

PERIPHERAL GUIDING CATHETER 9FR 

0.098※ 自 92.7.1 改按條支付 

ENVOY GUIDING CATHETER 6FR 0.062" 

90CM,100CM※ 自 92.7.1 改按條支付 

VISTABRITEIP GUIDING CATHETER 6FR 

0.67(ALL CURVE STYLE)※ 自 92.7.1 改按條支 

付 


0.70※( 自 92/7/1 改按條支付 ) 

VISTABRITETIP GUIDING CATHETERS 7F 

0.078(ALL CURVE STYLE)* 自 92.7.1 改按條支 

付 

GUIDING CATHETER 8FR 100CM 

TYPE:JR,JL,AR,AL,HS,SC 自 92.7.1 改按條支付 

'5989206:7; 

5989200:2 

'598941P:49P;(598- 

900:999; 

598923E:598934E; 

5989203:5; 自 95 年 7 月 

1 日生效 ) 

EA 2048 

EA 2048 

'620-600:613 EA 2048 

'66700000:66728090 EA 2048 

'67000000:67028090 EA 2048 

'77801900:77828090 EA 2048 

'EGA8-AL1:EGA8- 

SC50 

EA 2048 

CGPG1GC406RB SAFFRON 6FR GUIDING CATHETER '406-****T EA 2048 



CGPG1GCF60TM 

CGPG1GCF70TM 

HEARTRAIL PTCA GUIDING CATHETER 

5:8FR 100CM 哈得睿兒導引導管 


5:8FR 100CM 哈得睿兒導引導管 

CGPG1GCF90TM HEARTRAIL II PTCA GUIDING CATHETER 哈 

得睿兒導引導管第二代 

CGPG1GCH60TM 


STANDARD TYPE 5:8FR 

'GCF5:8-JL;SL;- 

JR300:500N;A;- 

AL0G0N;A;- 

AL1S0N;A;- 

AL010N;A;- 

AL020N;A;- 

BL250:500N;A;- 

QL350:400N;A 

'GCF5:8- 

MP010:030N;A;- 

IR100:250N;A;- 

IL350:500N;A;- 

IMA10N;A;- 

FL300:500N;A;- 

TR300:500N;GC- 

F5ST012;13NQ 

'GC-F6;F7- 

JL;JR;BL;IL;TR; 

35;40-RN;RA;GC- 

F6;F7-IR-10;15-; 

RN;RA;GC- 

F6AL01RN;GC- 

F7AL01RA 

'GCH5XXXXXX; 

GCH6XXXXXX; 

GCH7XXXXXX; 

GCH8XXXXXX 

EA 2048 

EA 2048 

EA 2048 

EA 2048 



ROUTECATH PTCA GUIDING CATHETER 

'GC-N6;N7; 

100CM 6:8F 0.068:0.085 ANY CURVE※ 自 

EA 2048 

N8XXXXXXX 

92.7.1 改按條支付 

CGPG1GCN60TM 

CGPG1JLRAPAS 

CGPG1KMF4AKE 

CGPG1LA006M4 

CGPG1LA501M4 

CGPG1LA502M4 

CGPG1LA701M4 

CGPG1LA702M4 

CGPG1LA801M4 

G-STAGE PTCA GUIDING CATHETER 

CRUSADE CORONARY ANGIOPLASTY 

CATHETER 2 LUMEN 140CM 3.2FR( 冠狀動脈 

成型術探測導管 ) 

LAUNCHER GUIDE CATHETER 6FR 






'G60AL- 

0700G10000:2002G10 

001;G60HS;;IM- 

0000G10000:; 

2G10000:G60JL;JR;SA 

;SC;- 

3500G10000:5002G10 

001 

EA 2048 

'KMF0114A EA 9165 

'LA6XXX:LA6XXXXXX 

X;(LA6- 

RBU35:40;3DRC;RMH 

SII; 

PK1W;MPHK;RDCK;S 

CR40K; 

MP1K;CHAMP15K 自 

961001 生效 ) 

'LA5- 

JL;JCL;SL;AL;SAL;EB 

U; 

JR;JCR;SR;AR;ALR;S 

AR;SCR; 

MAC;CHAMP- 

05:60;375;75 

'LA5- 

MB1:2;HSI:III;ELGAMA 

L; 

LCB;RCB(D);IMA(D);M 

PST; 

MRADIAL;HSREL;NOT 

O 

'LA7- 


U; 


AR;SCR; 

ECR;MAC;CHAMP- 

05:60;375;75-(SH) 

'LA7- 


L; 

LCB;RCB(D);IMA(D);N 

OTO;PK1W; 

MPHK;RDCK;SCR40K; 

MP1K; 

CHAMP15:25K-(SH) 

'LA8- 


U; 


AR;SCR; 

ECR;MAC;CHAMP;RB 

U-05:60;375;75-(SH) 

EA 2048 

EA 2048 

EA 2048 

EA 2048 

EA 2048 

EA 2048 



CGPG1LA802M4 LAUNCHER GUIDE CATHETER 8FR 

'LA8- 


L; 

LCB;RCB(D);IMA(D);N EA 2048 

OTO;3DRC; 

PK1W;MPHK;RDCK;S 

CR40K;MP1K-(SH) 

'G70AL;AR- 

1000J10000:2000J100 

00; 

G70IM0000J10000; 

CGPG1PBSACAS G-STAGE PTCA GUIDING CATHETER G70JL;SC- 

EA 2048 

3500J10000:5000J100 

00;G70JR;PB- 

3500J10000:4000J100 

00 

'SA5:6- 

JL;JCL;SL;AL;ALR;SAL 

;EBU; 

SHERPA NX ACTIVE GUIDE CATHETERS JR;JCR;SR;AR;SAR;S 

CGPG1SHA01M4 

5:6F 

CR;RBU;ECR; 

MAC;CHAMP- 

05:60;375;75-(SH); 

SA53RIGHT(SH) 

EA 2048 

CGPG1SHA02M4 

CGPG1SHA03M4 

CGPG1SHB01M4 

CGPG1SHB02M4 

SHERPA NX ACTIVE GUIDE CATHETERS 

5:6F 

SHERPA NX ACTIVE GUIDE CATHETERS 

5:6F 

SHERPA NX BALANCED GUIDE 

CATHETERS 6:8F 



'SA5:6- 

MB1:2;MP1:2;MPST;H 

SI:III; 

ELGAMAL;LCB(D);IMA 

(D);RCB(D); 

RCBII;MRADIAL;MRES 

S;RRAD; 

NOTO(SH);SA63DRC( 

SH) 

'SA5- 

MODHSII;HSREL;MAC 

3030;LARA- 

(SH);SA6-RMHSII; 

CHAMP15:25K;IMAK;J 

R40K;MP1K; 

MPHK;PK1W;RDCK;S 

CR40K-(SH) 

'SB6:8- 


U; 


AR;SCR; 

ECR;RBU;MAC;CHAM 

P-05:60;375;75-(SH) 

'SB6:8- 

3DRC;MB1:2;MP1:2;H 

SI:III; 

RMHSII;ELGAMAL;LC 

B(D);RCB(D); 

RCBII;IMA(D);CHAMP1 

5:25K;NOTO-(SH) 

EA 2048 

EA 2048 

EA 2048 

EA 2048 



'SB6:8- 

MPST;IMAK;JR40K;MP 

1K; 


MPHK;PK1W;RDCK;S 

CGPG1SHB03M4 


CR40K-(SH);SB7:8- 

EA 2048 

3DRIGHT- 

(SH);SB6MRADIAL; 

MRESS;RRAD-(SH) 

SKYWAY SUPPORT CATHETER 0.014" 

CGPG1SW510VS 

138CM( 多功能 ) 

'5110;5100 EA 9165 

WISEGUIDE GUIDE CATHETER 6FR 0.066" 

CGPG1W006FSB 

※ 自 92.7.1 改按條支付 

'H749198155830:6240 EA 2048 


CGPG1W007FSB 

※ 自 92.7.1 改按條支付 

'H749195005830;910 EA 2048 


CGPG1W008FSB 

※ 自 92.7.1 改按條支付 

'H749163205731:801 EA 2048 

CGPG1Z2006M4 

ZUMA CORONARY GUIDING CATHETER 

6FR 0.070 100CM※ 自 92.7.1 改按條支付 

'Z26JL30:Z26EBU455 EA 2048 

CGPG1Z2007M4 

Z2 CORONARY GUIDING CATHETER 

'Z27;Z28(ANY SIZE) EA 2048 

7FR,8FR※ 自 92.7.1 改按條支付 

CGPG1Z27PUM4 Z2 GUIDING CATHETER 

CGPG1Z28PUM4 Z2 GUIDING CATHETER 

ZUMA CORONARY GUIDING CATHETER 

CGPG1ZM005M4 

5FR 0.058 100CM※ 自 92.7.1 改按條支付 

ZUMA CORONARY GUIDING CATHETER 6F 

CGPG1ZM006M4 

0.068"100CM※ 自 92.7.1 改按條支付 

ZUMA CORONARY GUIDING CATHETER※ 

CGPG1ZM007M4 


ZUMA CORONARY GUIDING CATHETER※ 

CGPG1ZM008M4 


CGPW10462HAB 

HI-TORQUE BALANCE HEAVY WEIGHT 

GUIDE WIRE PTFE SUPPORT 0.014" 190CM 

'Z27-MP1K;MPHK; 

SCR40K;PK1W; 

RDCK 

'Z28-MP1K;MPHK; 

SCR40K;PK1W; 

RDCK 

EA 2048 

EA 2048 

'ZM5JL30:ZM51MAD EA 2048 

'ZM6AL30:ZM6SR60 EA 2048 



'1000462H;1000462HJ EA 3200 

CGPW10463HAB 

CGPW108001ST 

CGPW11048NAB 

CGPW112154SB 

CGPW112160SB 

HI-TORQUE BALANCE HEAVY WEIGHT 

GUIDE WIRE PTFE SUPPORT 0.014" 300CM 


線 "ST.JUDE"HYDROSTEER GUIDEWIRE 

0.018" 150CM,180CM( 鎳合金 ) 

HI-TORQUE PILOT 150 200 GUIDE WIRE 

0.014" 300CM 

CHOICE GUIDE WIRE 0.014" 300CM 

CHOICE GUIDE WIRE 0.014" 182CM 

'1000463H;1000463HJ EA 3000 

'408001;2;3;4 EA 2870 

'1010484H;1010484HJ; 

1010485H; 

1010485HJ 

'H7491211601-1:J1; 

H7491211701-1:J1; 

H7491211801-1:J1; 

H7491211901-1:J1; 

H7491215401-1:J1; 

H7491215501-1:J1 

'H7491213201-1:J1; 

H7491213501-1:J1; 

H7491213301-1:J1; 

H7491234001-1:J1; 

H7491216001-1:J1; 

H7491216101-1:J1 

EA 3000 

EA 3430 

EA 2870 



CGPW11418STM CROSSWIRE 0.014" 180CM 'CW*NS1418SM EA 3000 

'H74914902011; 

H7491490201J1; 

CGPW114901SB PT GRAPHIX GUIDE WIRE 0.014" 182CM 

H74914903011; 

H7491490301J1; 

EA 2870 

H74914905011; 

H7491490501J1 

CGPW114913SB PT GRAPHIX GUIDE WIRE 0.014" 300CM 

'H74914904011; 

H7491490401J1; 

(980101 更正為 EA 3430 

H74914914011; 

H7491491401J1) 

HI-TORQUE SUPER SUPPORT PTCA GUIDE '1001309;1001309J;10 

CGPW11740NAB 

WIRE 0.014" 190CM 

01740;1001740J 

EA 3200 

HI-TORQUE ALL STAR PTCA GUIDE WIRE '1001311;1001311J;10 

CGPW11741NAB 

0.014" 300CM 

01741;1001741J 

EA 3000 

'1001780;1001780J;10 

HI-TORQUE GUIDE WIRE EXTRA SUPPORT 

CGPW11780NAB 01780HC;1001780J- 

190CM 

HC 

EA 3200 

CGPW11782NAB 


300CM 

'1001782;1001782J;10 

01782HC;1001782J- 

HC 

EA 3000 

HI-TORQUE WHISPER EXTRA SUPPORT 

CGPW11834HAB 

GUIDE WIRE 190CM 0.014" 

'1011834H;1011834HJ EA 3200 

HI-TORQUE WHISPER EXTRA SUPPORT 

CGPW11835HAB 

GUIDE WIRE 300CM 0.014" 

'1011835H;1011835HJ EA 3000 

HI-TORQUE EXTRE SUPPORT GUIDE WIRE '22225M;22225MJ;222 

CGPW12224NAB 

0.014" 190CM 

99M;22299M-901 

EA 3200 

HI-TORQUE EXTRA SUPPORT GUIDE WIRE '22235M;22235MJ;223 

CGPW12234NAB 

0.014" 300CM 

59M-901;22399M 

EA 3000 

'22317H;22317HJ;2231 

HI-TORQUE PTCA GUIDE WIRE 

7H-903;22317HJ- 

CGPW1223HNAB 

W/HYDROCOAT 0.014" 190CM 

903;22318H;22318HJ 

;22349H;22349HJ 

EA 2870 

CGPW1223MNAB 

CGPW12560NAB 

CGPW128000AB 

CGPW128001AB 

CGPW13309NAB 

CGPW13310NAB 


W/MICROGLIDE COATING 0.014" 190CM 

HI-TORQUE P.T.C.A GUIDE WIRE 0.010" 

190CM 

HI-TORQUE GUIDE WIRE W/HYDROCOAT 

0.014" 190CM EXTRA SUPPORT 

HI-TORQUE GUIDE WIRE W/HYDROCOAT 

0.014" 300CM EXTRA SUPPORT 

HI-TORQUE CROSS-IT PTCA GUIDE WIRE 

0.014" 190CM 

HI-TORQUE CROSS-IT PTCA GUIDE WIRE 

0.014" 300CM 

'22317M;22317MJ;223 

17MJ-903; 

22318M;22318MJ;2233 

9M;22339MJ; 

22349M;22349MJ 

'25601:25608;25601J:2 

5608J 

EA 2870 

EA 2870 

'28000-HC;28000J-HC EA 3200 

'28001-HC;28001J-HC EA 3000 

'1003096H;1003098HJ; 

1003097H; 

1003099HJ;1003309H; 

1003309HJ; 

1003312H;1003312HJ; 

1003315H; 

1003315HJ;1003318H; 

1003318HJ 

'1003310H;1003310HJ; 

1003313H; 

1003313HJ;1003316H; 

1003316HJ; 

1003319H;1003319HJ 

EA 2870 

EA 3430 



CGPW134918SB 

FORT'E GUIDE WIRE 0.014" 185CM( 型號含 'H749349490-10;30; 

H749349490-1,3,5,7J0,J2) 

50;70;2 

EA 2870 

CGPW134930SB 

FORT'E GUIDE WIRE 0.014" 300CM( 型號含 'H749349490-20;40; 

H749349490-2,4,6,8J0,J2) 

60;80;2 

EA 3430 

CGPW1379MNAB 

CGPW138931SB 

CGPW138932SB 

CGPW138950SB 

CGPW138951SB 


W/MICROGLIDE COATING 0.014" 300CM 

PT2 GUIDEWIRE HYDROPHILIC COATING 

0.014" 185CM 

PT2 GUIDEWIRE HYDROPHILIC COATING 

0.014" 300CM 

IQ GUIDE WIRE 0.014" 185CM 

IQ GUIDE WIRE 0.014" 300CM 

CGPW14181ATM RUNTHROUGH NS PTCA GUIDE WIRE 嵐鍶 

路導引導線 

CGPW1418FATM 

RUNTHROUGH NS PTCA GUIDE WIRE 

HYDROPHILLIC COATING 180CM 0.014" 

PTCA GUIDE WIRE W/HYDROPHILIC 

CGPW1430RSTM 

COATING 0.014" 180:300CM 

CGPW144588AB 

HI-TORQUE ADVANCE GUIDE WIRE 190CM 

0.014" 

CGPW144589AB 

HI-TORQUE ADVANCE GUIDE WIRE 300CM 

0.014" 

CGPW146850SB 

V-18 CONTROL WIRE 0.018" 150-200CM 

W/HYDROPHILIC COATING 

CGPW146860SB 

V-18 CONTROL WIRE 0.018" 300CM 

W/HYDROPHILIC COATING 

CGPW1480P5AB 

HI-TORQUE PILOT 50 GUIDE WIRE 0.014" 

190CM 

CGPW1483P5AB 

HI-TORQUE PILOT 50 GUIDE WIRE 0.014" 

300CM 

CGPW148P15AB 

HI-TORQUE PILOT 150 200 GUIDE WIRE 

0.014" 190CM 

'22359M;22359M- 

903;22339MJ; 

22379M;22379MJ;2237 

9M-903;22379MJ-903 

'H74938931010; 

H74938931012; 

H7493893101J2; 

H7493893101JO; 

H74938931030; 

H74938931032; 

H7493893103J2; 

H7493893103JO 

'H74938931020; 

H74938931022; 

H7493893102J2; 

H7493893102JO; 

H74938931040; 

H74938931042; 

H7493893104J2; 

H7493893104JO 

'H7493895- 

0010:1012; 

H7493895- 

001J0:101J2 

'H7493895- 

0020:1022; 

H7493895- 

002J0:102J2 

EA 3430 

EA 2870 

EA 3430 

EA 2870 

EA 3430 

'TW-DS4181A EA 2870 

'TW-AS418FA;(TW- 

DS418FH 自 960701 生 

效 ) 

'CWRS1418;1430- 

E;F;I;S;P;H-H 

EA 2870 

EA 2870 

'1044588;1044588J EA 2870 

'1044589;1044589J EA 3430 

'46850;46852; 

46856;46858 

EA 3000 

'46854;46860 EA 3000 

'1010480H;1010480HJ EA 2870 

'1010483H;1010483HJ EA 3430 

'1010481H;1010481HJ; 

1010482H; 

1010482HJ 

EA 3200 

CGPW149283SB THRUWAY GUIDEWIRE 0.018"*300CM 'M0014928-31:61 EA 3000 

CGPW1492TWSB THRUWAY GUIDEWIRE 0.018"*130,190CM 'M001492-751:821 EA 3000 

CGPW15024XCD GUIDE WIRE TEFLON 0.018" 150CM;260CM '502-456;502-704 EA 2870 



0.018 SMALL VESSAL PERIPHERAL GUIDE '503458;558;658; 

CGPW1503XACD 

WIRE 180CM 

758 

EA 3000 

0.018 SMALL VESSEL PERIPHERAL GUIDE 

'503458;558;658; 

CGPW1503XNCD WIRE 300CM(90/10/1 型號 

758-X;Y 

503458,558,658,758-G 刪除 ) 

EA 3000 

STEERABLE GUIDE WIRE 0.014" STRAIGHT 

CGPW15072ACD 

TIP 180CM 

'507-214;114 EA 2870 

STABILIZER STEERABLE GUIDEWIRE 

CGPW15072NCD 0.014" 180CM,300CM STRAIGHT TIP 加強型 

(90/10/1 原 180CM 規格另編碼 ) 

'507-214;114(X) EA 3430 

CGPW15079ACD 

STEERABLE GUIDE WIRE 0.014" STRAIGHT 

TIP 3CM RADIOPAQUE TIP 180CM 

'507-914;714 EA 2870 

CGPW15079NCD 


0.014" 300CM STRAIGHT TIP (90/10/1 原 '507-914;714(X) EA 3430 

180CM 另編碼 ) 

CGPW15121ACD WIRE 0.014" 180CM STRAIGHT TIP 180CM '512-141:143 EA 2870 

WIZDOM GUIDEWIRE 0.014",300CM 

CGPW15121NCD 

STRAIGHT TIP (90/10/1 原 180CM 規格另編碼 ) 

'512-141:143(X) EA 3430 

GUIDE WIRE 0.014" 180CM STRAIGHT TIP 

CGPW15132ACD 

MARKER WIRE 

'513-214 EA 2870 

WIZDOM GUIDEWIRE 0.014" 300CM 

CGPW15132NCD STRAIGHT TIP MARKER WIRE (90/10/1 原 '513-214(X) EA 3430 

180CM 規格另編碼 ) 

STEERABLE GUIDE WIRE 0.014" 180CM 

CGPW15179ACD 

STRAIGHT TIP MAKER WIRE 

'517-914;714 EA 2870 


CGPW15179NCD 0.014" 300CM STRAIGHT TIP MARKER 

WIRE(90/10/1 原 180CM 另編碼 ) 

'517-914;714(X) EA 3430 

CGPW15279ACD 

CGPW15357NAB 

CGPW15359NAB 


STRAIGHT TIP EXTRA SUPPORT 

HI-TORQUE WHISPER GUIDE WIRE 0.014" 

190CM 

HI-TORQUE WHISPER GUIDE WIRE 0.14" 

300CM 

'527-914 EA 3200 

'1005357H;1005357HJ; 

1005351H; 

1005351HJ 

'1005359H;1005359HJ; 

1005353H; 

1005353HJ 

EA 2870 

EA 3430 

CGPW1595XNCD 

ATW STEERABLE GUIDEWIRE 300CM 

(90/10/1 原型號 595014,595-J,X,Y,E-014 另編碼 ) 


CGPW15970ACD 

STRAIGHT TIP 25CM RADIOPAQUE TIP 


CGPW15970NCD 0.014" 300CM STRAIGHT TIP (90/10/1 原 

180CM 規格另編碼 ) 


CGPW19660NAB 

190CM 


CGPW19661NAB 

300CM 

CGPW1547XACD SHINOBI GUIDE WIRE 0.014" 180CM '547-114;214 EA 2870 

SHINOBI GUIDEWIRE 0.014 300CM (90/10/1 

CGPW1547XNCD 

原 180CM 規格另編碼 ) 

'547-114;214(J;X) EA 3430 

ATW STEERABLE GUIDEWIRE(MARKER '595M-J;595M014; 

CGPW1595M0CD 

WIRE)0.014" 195CM 

E;EJ-014 

EA 2870 

ATW STEERABLE GUIDEWIRE(MARKER '595M-X;EX;EY- 

CGPW1595M1CD 

WIRE)0.014" 300CM 

014;Y 

EA 3430 

ATW STEERABLE GUIDE WIRE 0.014" '595014;595-J;X; 

CGPW1595XACD 

195CM 

Y;E-014 

EA 2870 

'595014;595-EX;EY- 

014 

EA 3430 

'597-014 EA 2870 

'597-014(X) EA 3430 

'1009660;1009660J EA 3200 

'1009661;1009661J EA 3000 



PTCA GUIDE WIRE PTFE SOFT 

'AG141000; 

INTERMEDIATE 0.014 ( 自 971001 由 175CM 改 

EA 2870 

AG142000 

為 180CM) 

CGPW1AG141AS 

CGPW1AG143AS 

CGPW1AG14MBS 

CGPW1AGH14AS 

CGPW1AGP14AS 

CGPW1AGPFCAS 

CGPW1AGPFDAS 

CGPW1BU140BU 

CGPW1CT190M4 

CGPW1CT300M4 

CGPW1D0CNNAB 

CGPW1FD014E7 

CGPW1FDSTFE7 

CGPW1LJ180M4 

CGPW1LJ300M4 

PTCA GUIDE WIRE 0.014 STANDARD, 

STANDARD J, EXTENSION(AG149000 仍為 

150CM, 其他型號自 971001 由 175CM 改為 

180CM) 

MIRACLE SERIES PTCA GUIDE WIRE 0.014 

175CM EXTRA SUPPORT 

NEO'S PTCA GUIDE WIRE EXTRA 

SUPPORT 0.014" ( 自 971001 由 175CM 改為 

180CM) 

PTCA GUIDE WIRE 0.014 EXTRA 

SUPPORT( 自 971001 由 175CM 改為 180CM) 

PTCA GUIDE WIRE HYDROPHILIC COATING 

EXTRA SUPPORT 0.014" 175CM 180CM 

PTCA GUIDE WIRE HYDROPHILIC COATING 

EXTRA SUPPORT 0.014" 300CM 

BLUE LINE PTCA GUIDEWIRE 0.014 190CM 

PTFE COATED STEERABLE 

WIRE WORK GUIDE WIRES 190CM 0.014" 

NITINOL HYDROPHILLIC COATING 


NITINOL HYDROPHILLIC TEFLON COATING 

ACS DOC GUIDE WIRE EXTENSION 0.014" 

145CM 

FD LINE PTCA GUIDE WIRE 

FD LINE PTCA GUIDE WIRE EXTRA 

SUPPORT 

GT-SERIES GUIDEWIRE 0.014 180CM 

GT-SERIES GUIDEWIRE 0.014 300CM 

CGPW1LS180M4 GT-SERIES GUIDEWIRE 0.014 180CM 

CGPW1LS300M4 GT-SERIES GUIDEWIRE 0.014 300CM 

CGPW1LSPH1M4 GT-SERIES GUIDE WIRE 0.014" 180CM 

CGPW1LSPH2M4 GT-SERIES GUIDE WIRE 0.014" 300CM 

CGPW1MS180M4 

GT-SERIES GUIDE WIRE 0.014" 180CM 

EXTRA-SUPPORT 

'AG143000;AG143000J 

;AG149000; 

AGH147000;AGH1470 

00J 

'AG14M045;50;60; 

70 

'AG141002; 

AGH146000 

'AGP140000; 

AG14M050;AG14M050 

J;AG14M045; 

AG14M045J;AG14M06 

0;AG14M060J 

'AGP140000J;AGP140 

001;AGP140001J 

'AGP140300;AGP1403 

00J; 

AGP140301;AGP1403 

01J 

'BLF;BLI; 

BLS014/190S 

'CGRXT190S;J;HS;HJ 

; 

CGRLS190S;J;HS;HJ 

'CGRXT300HS;HJ;CG 

RLS300HS;HJ; 

CGRXT300S;CGRXT3 

00J; 

CGRLS300S;CGRLS3 

00J 

EA 2870 

EA 3200 

EA 3200 

EA 3200 

EA 3200 

EA 3430 

EA 2870 

EA 3000 

EA 3000 

'22260 EA 2870 

'EUCAFD014F; 

EUCAFD014HF; 

EUCAFD014HS; 

EUCAFD014M; 

EUCAFD014S 

EA 2870 

'EUCA FD014STF EA 3200 

'LSPTLJ;MSPTLJ; 

FLP2LJ;DRCTLJ180 

'LSPTLJ;MSPTLJ; 

FLP2LJ;DRCTLJ300 

'LSPTLS;MSPTLS; 

FLP2LS;DRCTLS180 

'LSPTLS;MSPTLS; 

FLP2LS;DRCTLS300 

'LSPH;FLPH; 

DRCH-LS;LJ-180 

'LSPH;FLPH; 

DRCH-LS;LJ-300 

EA 2870 

EA 3430 

EA 2870 

EA 3430 

EA 2870 

EA 3430 

'MSPHLS;LJ-180 EA 3200 



GT-SERIES GUIDE WIRE 0.014"300CM 

CGPW1MS300M4 

EXTRA-SUPPORT 

'MSPHLS;LJ-300 EA 3000 

CGPW1NT180M4 GT-SERIES GUIDE WIRE 0.014" 180CM 

'NTLP;NTLH-LS;LJ- 

180 

EA 3000 

CGPW1NT300M4 GT-SERIES GUIDE WIRE 0.014" 300CM 

'NTLP;NTLH-LS;LJ- 

300 

EA 3000 

CGPW1PS180M4 

CGPW1PS300M4 

WIRE WORK GUIDE WIRE W/COATING 

HYDRO-TRACK,PRO/PEL 180CM 0.014" 沃爾 

沃克導引導線 

WIRE WORK GUIDE WIRE W/COATING 

HYDRO-TRACK,PRO/PEL 300CM 0.014" 沃爾 

沃克導引導線 

CGPW1THDR1M4 

COATING EXTRA SUPPORT 

'3PSDR180HS;3PSDR 

180S; 

6PSDR180HS;6PSDR1 

80S;9PSDR180HS; 

(9PSDR180S 自 970101 

生效 ) 

'3PSDR300HS;3PSDR 

300S; 


00S; 


00S 

'STRG-14-180-F; 

EA 2870 

EA 3430 

STRATEGY CORONARY WIRE GUIDES 

CGPW1STRG1CK 

0.014" 180CM 

MS;S 

EA 2870 

STRATEGY CORONARY WIRE GUIDES 'STRG-14-300-F; 

CGPW1STRG2CK 

0.014" 300CM 

MS;S 

EA 3430 

THRUWAY GUIDEWIRE PTFE EXTRA 

CGPW1TH491SB 

SUPPORT 0.014" 130,190CM 

'49-287:49-296 EA 3200 

CGPW1TH492SB THRUWAY GUIDEWIRE PTFE 0.014" 300CM '49-297:49-299 EA 3430 


STAINLESS STEEL TEFLON(PRO/PEL) 

EA 3200 


CGPW1THDR2M4 STAINLESS STEEL TEFLON(PRO/PEL) 

COATING EXTRA SUPPORT 

TRANSITO STEERABLE GUIDE WIRE 0.014 

CGPW1TR1ESW4 

190CM EXTRA SUPPORT 

'THNDR190S;THNDR1 

90J 

'THNDR300S;THNDR3 

00J 

EA 3000 

'TR-190-014ES EA 3200 

TRANSITO STEERABLE GUIDE WIRE 0.014 'TR-190-014F;TR- 

CGPW1TR1FMW4 

190CM 

190-014M 

EA 2870 

CGPW1ZH180M4 

'ZNGRLS180HS;HJ; 


ZNGRMS180HS;HJ; 

STAINLESS STEEL HYDROPHILLIC 

ZNGRMK180HS;HJ; 

COATING 

ZNGRS180HS;HJ 

EA 2870 

CGPW1ZH300M4 

'ZNGRLS300HS;HJ;ZN 


GRMS300HS;HJ; 

STAINLESS STEEL HYDROPHILLIC 

ZNGRMK300HS;HJ;ZN 

COATING 

GRS300HS;HJ 

EA 3430 

CGS0100011VE 

PERCUTANEOUS CATHETER 

'05;06;07;08; 

INTRODUCERS W/DILATOR,GUIDEWIRE 

090011 

11CM 5:9FR 

SET 650 

CGS0100023VE 


INTRODUCERS W/DILATOR 23CM 6:9FR 

'06;07;08;090023 SET 910 

CGS010037AVE 


INTRODUCERS 23CM(6F:9F), WITH '06;07;08;090037A SET 1040 

DILATOR,GUIDE WIRE 

CGS0101200AR HI-FLOW TRUAMA SET 'HF-01200 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) 

'405100:405144 EA 1000 

CGS0105154ST 

" 聖猷達 " 剝式導管導引器 "SJM" PEEL-AWAY 

INTRODUCER 

'405154 EA 1000 



CGS0105254ST 

" 聖猷達 " 剝式導管導引器 "SJM"PEEL-AWAY '405254;56;58; 

INTRODUCER 23CM 9:14FR(S+D+G.W) 59;61 

EA 1000 


CGS0105300ST INTRODUCER 6CM 

'405300;304;308 EA 1000 

4:6FR(SHEATH+NEEDLE) 

CGS0105400ST 



'405400:405444 EA 1000 

5:16FR(SHEATH+DILATOR) 

CGS010601NBA 

"BARD"PTFE PEEL-APART 

PERCUTANEOUS INTRODUCER KITS" 巴德 " 

剝撕式經皮導引套組 

'06011- 

10;12:16;50;65;70;80; 

06077-10;70;80;90 

KIT 1000 

CGS0106100D2 

CGS010610NST 

CGS0106138D2 

CGS0106151D2 

CGS0106160D2 

CGS0106249ST 

CGS0106255ST 

CGS0106351ST 

CGS0106560D2 

CGS010658NBA 

CGS0106652D2 

CGS0106656D2 

CGS0106660ST 

CGS0106667ST 

CGS0106668ST 

FAST-CATHETER HEMOSTASIS 

INTRODUCER SHEATH 4:7FR 8.5CM,8FR 

12CM W/GUIDE WIRE 

" 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 ) 

'406100:18;406540:6 SET 650 

'406102;406103; 

406107;406110; 

406111;406114; 

406118;406137 

EA 940 

HEMOSTASIS INTRODUCER SHEATH 6FR 

23CM W/GUIDE WIRE 

'406138:44 SET 1040 

FAST-CATH HEMOSTASIS INTRODUCER 

'406151;53;19; 

SHEATH 4.5F,5.5F,6.5F, 7.5F, 8.5F 12CM 

23;15;406397 

W/GUIDEWIRE 

EA 650 

FAST-CATH BRACHIAL ACCESS SHEATH 

'406160:64; 

5CM 4:8FR 0.025",0.038" 含 

406168:70 

SIDEPORT,SHEATH,DILATOR,GUIDEWIRE 

SET 650 

" 聖猷達 " 麥克斯導管導引器 "SJM"MAXIMUM 

'4062-49:53;59; 

HEMOSTASIS INTRODUCER 12CM 4:9FR 

4063-47;57;61;63 

0.025:0.038"(W/S+D+V+G.W+SI) 

EA 650 


HEMOSTASIS INTRODUCER 8.5CM 4:7FR 

0.021:0.025"(W/SHEATH+DILATOR+VALVE+ 

'406255:406258 EA 650 

G.W+SIDEPORT) 



0.021"(W/SHEATH+DILATOR+VALVE+G.W+ 

'406-351;353;355 EA 650 

SIDEPORT) 

FAST-CATHETER HEMOSTASIS 

INTRODUCER SHEATH 70CM 8FR 

'406560 SET 2850 

"BARD"PTFE PEEL-APART 

'0658904:0658906; 

PERCUTANEOUS INTRODUCER 

0668935:0668970; 

KITS"(MICROINTRODUCER) 巴德 " 剝撕式經皮 0678935:0678970; 

KIT 1000 

導引套組 

0669035:0669070 

INTRODUCER SHEATH FOR TRANSRADIAL 

5,6FR 12CM 

'406652;406653 SET 950 

W/SIDEARM+VALVE,GUIDEWIRE,NEEDLE 

INTRODUCER SHEATH FOR TRANSRADIAL 

5,6FR 23CM 

'406656;406657 SET 1350 

W/SIDEARM+VALVE,GUIDEWIRE,NEEDLE 


'406369;71;73; 


75;406660;61;63;65 

0.038"(W/S+D+G.W+SI+V+N) 

EA 1170 


HEMOSTASIS INTRODUCER 12CM 

'406667 EA 750 


HEMOSTASIS INTRODUCER 23CM 

'406668 EA 1170 



CGS0106700D2 

FAST-CATH HEMOSTASIS INTRODUCER 

12CM CATH-LOCK SHEATH KIT 

'406700:8 SET 650 

5:9FR(SIDEPORT SHE DIL GUI) 

CGS010674NST 

" 聖猷達 " 費思凱斯導管導引器 "SJM"FAST- 

'406742;406743; 

CATH HEMOSTASIS INTRODUCERS 45CM 

406744;406768 

30 度 (S+D+SV+3WAY) 

EA 1400 

CGS0106773D2 

INTRODUCER SHEATH 98CM 40 度 

CURVE/WITH SIDEPORT DILATOR 

'406773;406774 SET 2850 

CGS0106784D2 

INTRODUCER SHEATH 40CM 60 度 

CURVE/WITH SIDEPORT DILATOR 

'406783;406784 SET 1400 

CGS0107500ST 



'407500:407507 EA 1000 

7:12FR(S+D+SY+N+G.W+V) 

CGS0107688ST 

" 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+VAL 

'407688 EA 1040 

CGS010768NST 

CGS0107691ST 

CGS0107830ST 

CGS0107835ST 

CGS0107840ST 

CGS0107851ST 

CGS0108403AR 

CGS0108503AR 

CGS0108530VE 

CGS0108550VE 

CGS0108703AR 

VE) 


INTRODUCER WITH HEMOSTASIS VALVE( 

30CM 14:20FR 0.035" 

W/SHEATH+DILATOR+GW+SIDEPORT+VAL 

VE) 


INTRODUCER WITH HEMOSTASIS 

VALVE(25CM 22FR 0.035" W/SHEATH+ 

DILATOR+GW+SIDEPORT+VALVE) 


INTRODUCER SET (S+H+V+G+SIDEPORT) 


INTRODUCER SET 8.5CM W/HEMOSTASIS 

VALVE(S+H+V+G+SIDEPORT) 


INTRODUCER SETW/HEMOSTASIS VALVE 

12CM (S+H+V+G+SIDEPORT) 


INTRODUCER SET W/HEMOSTASIS VALVE 

23CM (S+H+V+G+SIDEPORT) 

PERCUTANEOUS SHEATH INTRODUCER 

SYSTEM 4FR 

PUNCTURE SHEATH WITH SPRING WIRE 

GUIDE 

'407687;407689; 

407690 

EA 1040 

'407691 EA 1040 

'407830:407834 EA 650 

'407835:407839 EA 650 

'407840:407850 EA 650 

'407851:407861 EA 1040 

'CW08403 SET 790 

'(CP-08403;08503A 自 

940701 生效 );(CP- 

08603;08603P 自 

940701 生效 );(CP- 

08703;08803 自 940701 

生效 );(CP-08903 自 

940701 生效 );CP- 

8503 

SET 650 

MULLINS TRANSSEPTAL INTRODUCER SET 

'008530;31;32 

PRDIATRIC 44CM 6:8FR 

SET 1400 

MULLINS TRANSSEPTAL INTRODUCER SET 

'008550;51;52;91 

AUDLT 59CM 6:8FR 

SET 1400 


SET 7FR 

11CM(SHE+DIL+G.W+SY+NE+SIDEPORT+ 保 

'CW-08703 SET 790 

護套 ) 



CGS0108803AR 


SET 8FR 

11CM(SHE+DIL+G.W+SY+N+SIDEPORT+VA 

'CW-08803 SET 790 

LVE+3 WAY) 

CGS0109600AR 

PERCUTANEOUS INTRODUCER SYSTEM 

KIT 6FR 11CM 

'SI-09600;AK-09601 SET 940 

CGS0109800AR 


KIT 8.5FR 11CM 

'AK-09800;AK-09801 SET 940 

CGS0109803AR 


KIT 8FR(SHE+DIL+SIDEPORT+G.W+NE+ 一 'CI-9803;CI-9800 SET 770 

般空針 ) 

CGS0109808AR 


KIT 8FR 11CM 

'SI-9808 SET 940 

CGS0109870AR 

PERCUTANEOUS SHEATH INTRODUCER 'SI-09870E;SI- 

SET 8.5FR 

09875E 

SET 940 

CGS011101AVE 


'05;06;07;08; 

INTRODUCERS 11CM(5F:9F),WITH 

091101A 

DILATOR, GUIDE WIRE 

SET 650 

CGS0113059ED 

CGS011389HED 

CGS0117TPSYZ 

CGS0120010RB 

CGS0120016RB 

CGS0120023RB 

CGS0120039US 

CGS0120089US 

CGS0120110RB 

CGS0120123RB 

CGS0121000BB 

INTRO-FLEX PERCUTANEOUS SHEATH 

INTRODUCER SET 10CM(S+SV+4 

WAY+D+GW+N+ 保護套 ) 


INTRODUCER SET 10CM 

W/COATING(S+SV+4 WAY+D+GW+N+ 保護 

套 ) 

玫締特導引鞘組 MEDIKIT INSERT SUPER 

SHEATH SET 

ADVANCE CATHETER SHEATH 

INTRODUCER SYSTEM 10CM(S+D+GW+N) 





CHEMOSITE 9 FR PEEL-AWAY SHEATH 

INTRODUCER KIT 

CHEMOSITE 7 FR PEEL-AWAY SHEATH 

INTRODUCER KIT 


INTRODUCER SYSTEM 10CM(S+D+GW) 


INTRODUCER SYSTEM 23CM(S+D+GW) 

INTRADYN INTENSIVE CARE KIT 8FR 

11.5CM(DILATOR SHEATH GUIDE WIRE 

NEEDLE FILER STRAW CATH) 

'I300BF9;I300F85; 

I301F5;I301F6; 

I301F7;I305BF9; 

I350BF85;I350BF9; 

I351BF7;I352BF85; 

I355BF9;I450BF85; 

I451BF6;I451BF8 

'I300BF9H; 

I305BF9H; 

I350BF9H; 

I351BF85H; 

I355BF9H; 

I400BF85H; 

I452BF85H 

'IS30:60Z03PP; 

IS60Z03PS; 

IS70:80Z03TP/TS; 

IS90Z03TP 

'200-410T;200- 

510T;200-610T; 

200-710T 

'200-T416T;200- 

T516T;200-T616T; 

200-T716T 

'200-523T;200- 

623T;200-723T 

SET 940 

SET 940 

EA 1170 

SET 640 

SET 1040 

SET 1040 

'120039 SET 1000 

'120089 SET 1000 

'201-410T;201- 

510T;201-610T; 

201-710T 

'201-523T;201- 

623T;201-723T 

SET 510 

SET 910 

'521000/3 SET 940 



CGS0121006BB 

INTRADYN CATHETER INTRODUCER SET 

HVI 6:8FR 11.5CM(DILATOR SHEATH GUIDE '521006:521008 SET 770 

WIRE NEEDLE HAEMOSTASIS) 

CGS0121009BB 

INTRADYN 8FR 11.5CM(DILATOR SHEATH 

GUIDE WIRE NEEDLE CONTAIMINATION '521009/7 SET 940 

GUARD) 

CGS0121012BB 

INTRADYN CATHETER INTRODUCER SET 

5:9FR 11.5CM(DILATOR SHEATH GUIDE '521012:521016 SET 770 

WIRE NEEDLE) 

CGS0121031BB 

INTRADYN PEEL AWAY 6:10,12FR (DILATOR 

SHEATH GUIDE WIRE NEEDLE SYRINGE J- '521031:521035 SET 1000 

STRAIGHTENER) 

CGS0125TSWYZ 

INSERT SUPER SHEATH SET 3~9FR,25CM 

(SH+DI+GW+SI+V+N) 

'IS30:90Z25PSW;TSW EA 1170 

CGS0130085ED 


INTRODUCER SET 8.5FR 

'I300BF85 SET 940 

10CM(S+D+SI+V+GW+N+ 保護套 +SY) 

CGS0130185ED 


INTRODUCER SET AMC COATED 8.5FR 'I301BF85H SET 940 

10CM(S+D+SI+V+GW+N+ 保護套 ) 

CGS0130484BB 

INTRODUCER KIT,7F,9F,11F * 適應症請見備 '0443-0484;0492; 

註欄 

0700 

SET 1000 

CGS0133404HD 

PERCUTANEOUS INTRODUCER KIT(18G 

'334-04;06;07; 

NEEDLE,2.3MMX45CM,GUIDEWIRE,CATH 

09;09A;12 

INTRODUCER 15,1,13FR) 

SET 1000 

CGS0135023BK 

" 拜耳德尼克 " 思考導線引入裝置系 

統 "BIOTRONIK"SCOUTPRO CORONARY 

SINUS LEAD DELIVERY SYSTEM* 適應症請見 

備註欄 

'350239SCOUT 

PRO7F 

SET 8000 

CGS0140009AG P.T.C.A LONG SHEATH 23CM '490008:9 SET 910 

CGS01402ANCD 

AVANTI PLUS SHEATH INTRODUCER 

11CM(4:11FR WITHOUT GUIDEWIRE) 

'402-604A:611A EA 500 

CGS01402RNCD 



'402-604R:608R EA 500 

CGS014065NST 

" 聖猷達 " 麥克斯導管導引器 "SJM" MAXIMUM 

HEMOSTASIS INTRODUCER 

'406652;406653 EA 950 

CGS0140764ST 

ULTIMUM INTRODUCER WITH 

HEMOSTASIS VALVE) SHEATH; DILATOR; 

HEMOSTASIS VALVE;GUIDEWIRE; 

SIDEPORT ( 3WAY) 12CM 0.035" 

'407647;407648;40764 

9;407650; 

407651;407652;407653 

;407654;407655 

SET 650 

CGS0140765ST 





'407657;407658;40765 

9;407660; 

407661;407662;407663 

;407664 

SET 1040 

CGS014076NST 





'407637;407638;40763 

9;407640;407641 

SET 650 

CGS0144004KD 

CGS0144013KD 

QUINTON PULL-APART INTRODUCER 

SET(7,10,12,14,16FR)( 含 C+D+GW+N+SY) 

OVAL PULL-APART INTRODUCER 

SET(PEEL-AWAY)(SH+DIL+GW+SYR+NE) 

'2;3;4;8815544- 

001;8815544010 

SET 1000 

'8815544013 EA 1000 

CGS0146005AG SHEATH INTRODUCER 5:9FR '496005:9 SET 650 

CGS0146064AG 

PEDIATRIC INTRODUCER 

KIT(SHEATH+DILATOR+GUIDE WIRE) 

'496064:7;496092 SET 650 



CGS0146070AG SHEATH INTRODUCER '496070:3 SET 650 

CGS0146131AG 

ONE PIECE TUOHY-BORST INTRODUCER 

5:9FR(INTRODUCER+GUIDE 

'496131;496135:6 SET 650 

WIRE+DILATOR) 

CGS0146132AG INTRODUCER KIT 'AG496132 SET 650 

CGS0146133AG SHEATH INTRODUCER 7FR '496133 SET 650 

CGS0146134AG SHEATH INTRODUCER 8FR '496134 SET 650 

CGS0147025BS 

LONG SHEATH INTRODUCER 5,6FR 25CM 

W/DILATOR+SIDEPORT+GW/NEEDLE) 

'47-000074-00;01-25 SET 1350 

CGS0147912BS 

CGS0150461CD 

CGS0150462CD 

CGS01504PNCD 

CGS01504TNCD 

CGS01504XNCD 

CGS0158F38MR 

INTRODUCER SHEATH 12CM 

6:8FR(S+D+GW+SIDEPORT) 

AVANTI PLUS CATHETER SHEATH 

INTRODUCER TRANSRADIAL KIT 11CM 

AVANTI PLUS CATHETER SHEATH 

INTRODUCER TRANSRADIAL KIT 23CM 


5CM(4:8FR WITH GUIDEWIRE,DILATOR) 




11CM(4:11FR WITH GUIDEWIRE,DILATOR) 

" 美瑞特 " 動脈導引鞘 "MERIT"PRELUDE 

SHEATH INTRODUCER 

'47-000079-01-12;47- 

000079-02-12;47- 

000079-03-12 

SET 650 

'504614Z:17Z EA 950 

'504624Z:27Z EA 1350 

'504-604P:611P;402- 

604P:608P;( 自 

980101 起變更為 504- 

604P:606P;402- 

604P:608P) 

'504-605T:611T;402- 

604T:611T 

'504-604X:611X;402- 

604:611X 

'PSI-5F-11-038;PSI- 

6F-11-038;PSI-7F-11- 

038;PSI-8F-11-038 

EA 650 

EA 910 

EA 650 

EA 650 

CGS016014NDV HICKMAN INTRODUCER '60141:52 SET 1000 

CGS016031NBA 

INTRO-EZE PERCUTANEOUS INTRODUCER '0601410:4420; 

KIT 5:15FR 10:16CM(SH+DI+GW+SY+N) 7740500:0530 

KIT 1000 

CGS016207DM4 

DUAL CHAMBER PERCUTANEOUS LEAD 

INTRODUCER 60CM(2SH+2D+2GW+N+SY) 

'6207D:6212D SET 1560 

CGS016207NM4 

PERCUTANEOUS LEAD INTRODUCER 

60CM(SH+D+GW+N+SY) 

'6207:6211 SET 1000 

CGS016207SM4 



'6207S:6212S SET 1000 

CGS016226DM4 

" 美敦力 " 艾坦導管輸送系統 "MEDTRONIC" 

ATTAIN TM DEFLECTABLE CATHETER '6226DEF SET 8000 


CGS0162BTKM4 



'6207BTK:6212BTK SET 1000 

RADIOFOCUS INTRODUCER II 16CM 4:6FR 'RS*A40;50; 

CGS01A40GNTM 

WITH 0.025" GUIDE WIRE 

60G16A(S)QZ 

SET 1350 

RADIFOCUS INTRODUCER II 4FR 

CGS01A40K1TM 10CM(W/SHEATH,DILATOR,GUIDEWIRE,NE 'RS*A40K10SQ SET 950 

EDLE) 

CGS01A40K2TM 

RADIFOCUS INTRODUCER II 4:11FR 

25CM(W/SHEATH,DILATOR,GUIDEWIRE,NE 

EDLE) 

'RS*A40:11K25SQ SET 1350 

CGS01AL191TM 

" 泰爾茂 " 攝影引導管 "TERUMO" RADIFOCUS 

INTRODUCER II 4-11FR,16;25CM 

'RS*A10;11;40:90-K;G- 

25;40;50-AQ;SQ; 

RM*AF4:6-C;F;J;M- 

16;25-A;S; 

AQ;AQW;AQX;AQZ;M 

Q;MQW;MQZ; 

SQ;SQW;SQZ 

EA 1350 


CGS01AS035TM 

CGS01AS073TM 

CGS01AS091TM 

CGS01ATTANM4 

CGS01B40G7TM 

KIT(W/SH+GW+SI+N+V) 

" 泰爾茂 " 攝影引導套 ( 附針 , 針 

筒 )"TERUMO"RADIFOCUS INTRODUCER 

II(WITH NEEDLE/SYRINGE) 

" 泰爾茂 " 血管攝影引導管 "TERUMO" 

RADIFOCUS INTRODUCER II 4-11FR 

7CM,10CM 


INTRODUCER II 4-11FR,5-10CM 

美敦力 ” 安坦左心室傳送系統 “MEDTRONIC 

IRELAND” ATTAIN LEFT-HEART DELIVERY 


RADIFOCUS INTRODUCER II 7CM 4:5FR 

RADIFOCUS INTRODUCER II AND WIRE 

CGS01B50N1TM 

10CM 5:11FR 

RADIFOCUS INTRODUCER II 25CM 5:11FR 

CGS01B50N2TM 

AND WIRE 


CGS01BL073TM RADIFOCUS INTRODUCER II 4-11FR 

7CM,10CM 

CGS01BL191TM 


INTRODUCER II 4-11FR,25,40CM 

CGS01BL192TM 


INTRODUCER II 4-11FR,16,25CM 


CGS01BS073TM RADIFOCUS INTRODUCER II 4-11FR 

25CM,40CM 

CGS01BS091TM 

CGS01BS092TM 

CGS01C407NST 

CGS01CL65NAR 

CGS01CL724AR 

CGS01CL735AR 






HEMOSTASIS VALVE(SHEATH;DILATOR; 


NEEDLE)12CM TRANSRADIAL KITS 

SUPER ARROW-FLEX SHEATH 

INTRODUCER 5FRX65CM 

(SHEATH+DILATOR,SIDEARM+VALVE) 

SUPER ARROW-FLEX NON-KINKING 

SHEATH INTRODUCER 5:10FR 24CM 

SUPER FLEX SHEATH INTRODUCER 

35CM(S+D+SV+3 AWY) 


'407564;407565; 

" 聖猶達 " 導管傳送系統 "ST. JUDE 

407566;407567; 

CGS01APEELD2 MEDICAL"APEEL CS CATHETER DELIVERY 

EA 8000 

407568;407569; 


407570;407571 

ANGIO PACK INTRODUCER SHEATH '20-1002-04- 

CGS01APSHKH9 

SET 770 

01:02;03;04 

'RS*A40:70-G;K;N03- 

AQ;SQ;RS*A40:70- 

G;K;N05-AQ;SQ 

'RS*A-10;11;40:90- 

K;G-7;10-S 

'RS*A10;11;40:90-K;G- 

05;07;10-AQ;SQ; 

RM*AF4:6-C;F;J;M-10- 

A;S; 

AQ;AQW;AQX;AQZ;M 

Q;MQW;MQZ; 

SQ;SQW;SQZ 

EA 950 

EA 950 

EA 950 

'6216A;6218A EA 8000 

'A40G07SQ; 

B40G07SQ;50G07 

'A50:11K10SQ, 

B5:11N10SQ、M 

'RS*B50N25A:RS*B11 

N25A 

'RS*B-10;11;40:90- 

K;N;G;H;Q-07;10- 

AQ;SQ;MR;S;MP 

'RS*B10;11;40:90-K;N- 

25;40-AQ;SQ 

'RM*BF5;6-C;F;J;M- 

16;25-AQ;MQ;SQ 

'RS*B-10;11;40:90-K;N- 

25;40-AQ;SQ 

'RS*B10;11;40:90- 

K;N;G-07;10- 

AQ;MR;SQ 

'RM*BF;CF-5;6- 

C;F;J;M-10-AQ; 

MQ;NQ;SQ 

'C407594;C407595;C4 

07596; 

C407597;C407598;C40 

7599 

EA 950 

EA 950 

EA 1220 

EA 820 

EA 1220 

EA 1350 

EA 1220 

EA 820 

EA 950 

SET 950 

'CL-07565 EA 3000 

'CL-07024;524; 

624;724;824;924 

'CL-07035;CL- 

07635;CL-07735; 

CL-07835 

SET 1470 

EA 1470 



CGS01CL745AR 

SUPER ARROW-FLEX NON-KINKING 'CL-07045;545; 

SHEATH INTRODUCER 5:8FR,10FR 45CM 645;745;845 

SET 2780 

CGS01CL765AR 

SUPER ARROW-FLEX NON-KINKING 'CL-07065;665; 

SHEATH INTRODUCER 6,7,9,10FR 65CM 865;965 

SET 3000 

CGS01CL775AR 

'CL- 

07080;07590;07690;07 

SUPER FLEX SHEATH INTRODUCER 700;CL- 

65:100CM(S+D+SV+3 AWY) 

07765;07780;07880;07 

EA 3000 

980;CL-07790-R; 

CL-07800;07900 

CGS01CP711AR 

SUPER ARROW-FLEX NON-KINKING 'CP-07011;511; 

SHEATH INTRODUCER 5:10FR 11CM 611;711;811;911 

SET 1150 

CGS01CPK85BS 

INTRODUCER SHEATH 6:8.5FR.12CM/WITH 'CPIK6F;7F;8F; 

SET 940 

DILATOR, GUIDEWIRE, NEEDLE, 保護套 

CGS01CPSAMST " 聖猷達 " 內導管 "SJM" CPS AIM INNER 

CATHETER 

CGS01CPSPLST 

CGS01CPSSLST 

CGS01CS11NYZ 

CGS01CS25NYZ 

CGS01CW08NAR 

CGS01DUH25SB 

CGS01EX124BD 

CGS01EX132BD 

CGS01EX134BD 

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 )※ 適應症請見備註欄 

SUPERSHEATH INTRODUCER SET 

11CM(SH+DI+GW+N+SI+V) 

SUPERSHEATH INTRODUCER SET 

25CM(SH+DI+GW+N+SI+V) 


5,7,9FRX7.5,11CM 

(SHE+DIL,SIDEARM+VALVE,G.WIRE,NEEDL 

E,SYRINGE,3 WAY) 

SUPER SHEATH INTRODUCER SHEATH 

25CM 5-9FR 0.035",0.038" 

(SHEATH+DILATOR+SIDEARM+VALVE,GUID 

EWIRE) 


KIT 6:9FR(W/DILATOR,GUIDE 

WIRE,NEEDLE, 保護套 ) 



WIRE,NEEDLE) 



WIRE,NEEDLE) 

CGS01MPCN4M0 " 美德康 " 微穿刺引導器組 "MEDCOMP" MICRO- 

STICK INTRODUCER SET 

CGS01N6138ST 

CGS01N6151ST 

" 聖猷達 " 費思凱絲導管導引器 "SJM" FAST- 

CATH HEMOSTASIS INTRODUCERS WITH 

HEMOSTASIS VALVE 23CM SHEATH 




8.5F 

'410140;410141; 

410142; 

410144:410148 

'410170:410177;41018 

0:410187 

'410110:410116; 

410120:410126 

'CS50P11TS:CS90P11 

TS 

'CS50P25TS:CS90P25 

TS 

'CW-08503;08603; 

08903 

'H7493908624B1:H749 

3908628B1; 

H7491603705B1:H749 

1603709B1 

'680136;124;126; 

140;128 

'680132;38;48; 

52;54 

'680134;30;22; 

50;56 

'MP4-5;MPC4-6; 

MPN4-6;MP4-5S 

'406138;406139; 

406140;406141; 

406142;406143; 

406144 

'406151;406153; 

406119;406123; 

406115;406397 

EA 1810 

EA 8000 

EA 8000 

EA 770 

EA 1170 

EA 790 

EA 1040 

EA 940 

SET 770 

SET 770 

SET 1000 

EA 1040 

EA 650 



'406159;406163; 


406165;406530; 

CGS01N6159ST CATH HEMOSTASIS INTRODUCERS WITH 

EA 650 

406532;406534; 


406536 

CGS01N6160ST 

CGS01N6560ST 

CGS01N6656ST 

CGS01N6700ST 

CGS01N6773ST 

CGS01N6784ST 

CGS01P7983ST 

CGS01RCF01CK 

CGS01RCF02CK 

CGS01RCF03CK 

CGS01RCF04CK 

CGS01RPDCAGU 







" 聖猷達 " 麥克斯導管導引器 "SJM" MAXIMUM 

HEMOSTASIS INTRODUCER 










" 聖猷達 " 導管傳送系統 "SJM"APEEL CS PLUS 

CATHETER DELIVERY SYSTEM* 適應症請見 

備註欄 

CHECK-FLO PERFORMER INTRODUCER 

SETS 25CM(SH+DI+SI+V+GW) 


SETS 30CM 

W/RADIOLOGY(SH+DI+SI+V+GW) 


SETS 45CM 

W/RADIOLOGY(SH+DI+SI+V+GW) 


SETS 

5:13CM(S+D+GW+N+SV+SY+3WAY)0.021",0. 

035",0.038" 

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)※ 適應症請見備註 

欄 

'406160;406162; 

406164;406168; 

406170 

EA 650 

'406560 EA 2850 

'406656;406657 EA 1350 

'406700;406703; 

406701;406704; 

406702;406705; 

406706;406707; 

406708 

EA 650 

'406773;406774 EA 2850 

'406784;406783 EA 1400 

'407579;407580; 

407581;407582; 

407583 

'RCF-5.0:8.0-35;38- 

25-J 

'RCF-6.0:8.0-38-30-J- 

RB 

EA 8000 

SET 1040 

SET 1350 

'RCF-7.0-38-45-J-RB SET 1350 

'RCF4.0:9.0-35;38-J; 

RCF4.0;5.0-21-5;7-J 

'(7553;7555;7557;7559; 

7560;7563; 

+6002;6003;6004;6005; 

6007+; 

7566+7565+7568); 

(7564;7598 自 971001 生 

效 ) 

SET 950 

SET 8000 

CGS01SC001CK SCHWARZ CATHETER INTRODUCTION SET 'SCIS-100 SET 2200 

SUPER SHEATH INTRODUCER SHEATH 4- 'H7493908601B1:H749 

9FR 7CM 0.035",0.308" 

3908606B1; 

CGS01SHSH7SB 

EA 650 

(SHEATH+DILATOR+SIDEARM+VALVE,GUID H7493908629B1:H749 

EWIRE) 

3908633B1 

CGS01SPTSWYZ 

INSERT SUPER SHEATH SET 3~9FR, 

5:7:11CM(SH+DI+GW+SI+V+N) 

'IS30:60Z05;07;11PSW 

; 

IS70:90Z05;07;11TSW 

EA 770 



'H7491603404B1; 

H7493908613B1:17B1 

SUPER SHEATH INTRODUCER SHEATH 

; 

11CM 4-9FR 0.035",0.038" 

H7491603505B1:509B 


1; 

EWIRE) 

H7491603604B1:609B 

EA 650 

1 

CGS01SUH11SB 

CGS01SUM11SB 

CGS01SUM25SB 

CGS0205800AR 

SUPER SHEATH INTRODUCER SHEATH 4- 

9FR 11CM 0.035",0.038" 


EWIRE) 

SUPER SHEATH INTRODUCER SHEATH 5- 

9FR 25CM 0.038" 


EWIRE) 

INTRODUCER KIT 8.5FR 

(SHEATH+DILATOR+SPRING WIRE 

GUIDE+PUNCTURE NEEDLE) 

'15-710B:15-715B;15- 

720B:15-725B 

EA 650 

'15-730B:15-734B EA 1040 

'SI-5800-E SET 640 

CGS0209880AR PERCUTANEOUS SHEATH 'SI-09700;SI-09880 SET 940 

CGS02S105NAR 


6FRX10CM 

(SHEATH+DILATOR,G.WIRE,NEEDLE) 

'SI05600E EA 640 

CGS030050NC3 VESSEL DILATOR 5FR:7FR '003-180-0050:0070 EA 185 



CGS0305512D2 

INTRODUCER ACCESSORIES VESSEL 

DILATOR 

'405512 EA 185 

CGS0306018M9 DILATOR(FACIAL)6:18FR 23CM 

'1900302A:10A; 

1900338A:9A 

EA 185 

CGS0360508PB DILATOR 5:8FR 20CM '610535020:610835020 EA 185 

CGS0361040PB DILATOR 4:8FR 0.035:0.038" 20:35CM '610435020:610838035 EA 185 

CGS0361090PB DILATOR 9:18FR 0.038:0.052" 25CM '610938025:611852025 EA 185 

CGS03J001NCK 

CGS03JCD01CK 

VESSEL/FASCIAL DILATOR 擴張器 

DILATOR 

'JCD5.0:10.0-18:38- 

15;20 

'JCD4.0-18:25;4.5- 

18:28-15;20 

'JCD20:24-38:52-20; 

19-38:52-20 

EA 185 

EA 185 

CGS03JCD03CK 

DILATOR 擴張器 (JCD20:24-45:52-20 自 

86.10.27 生效 ) 

EA 500 

" 美敦力 " 賽勒克可調彎導管系統 

CGS04C304SM4 "MEDTRONIC"SELECTSITE DEFLECTABLE 'C304-S59;C304-L69 EA 3000 

CATHETER SYSTEM* 適應症請見備註欄 

CGVD10DMS1TR PTMV DILATOR 'DMS-1 EA 3615 

CGVW10GMS1TR PTMV GUIDE WIRE 'GMS-1 EA 3615 

CGVW20SMS1TR PTMV STYLET 'SMS-1 EA 3615 

CHA0106642TM AORTIC ARCH CANNULA 6.5MM 20FR '6642 EA 850 

CHA0106672TM AORTIC ARCH CANNULA 8MM 24FR '6672 EA 850 

CHA0159100AY 

CHA0165264TM 

AORTIC PERFUSION CANNULA 10:24FR 

AORTIC ARCH CANNULA 8MM 24FR 

'591008:99; 

591123:56 

'165264:9;165763:5; 

9485:8 

EA 410 

EA 770 

CHA0175324DL 

PEDIATRIC STRAIGHT ARTERIAL CANNULA 

18FR:24FR 

'75318:24 EA 515 

CHA0188020DL ARTERIAL CANNULA 20:24FR '88020:24 EA 515 

CHA01A085BED AORTIC PERFUSION CANNULAE(8-16F) 

'PEDA008SB; 

PEDA010SB; 

PEDA012SB; 

PEDA014SB; 

PEDA016SB 

EA 850 



CHA0305761TM 

SOFT-FLOW AORTIC ARCHCANNULAE 

'5761:2;67:8;5798; 

W/WIRE REINFORCED 7MM,8MM 

5841:3 

21FR,24FR 

EA 850 

CHA0305779TM 

SOFT-FLOW AORTIC ARCH CANNULA '5772;74;79;81; 

7MM,8MM 21FR,24FR 

5844:7 

EA 515 

CHA0306395TM 

SOFT-FLOW AORTIC ARCH CANNULAE '6392:6395; 

WITH WIRE REINFORCED 

6384:6387 

EA 850 

CHA0306397TM 

SOFT-FLOW AORTIC ARCH CANNULAE '6388:89;6390:91; 

EA 515 

CHA031137CL5 

CHA031206CL5 

WITHOUT REINFORCED 

AORTIC ARCH CANNULAE WIRE- 

REINFORCED 6,7,8MM/18,21,24FR 

AORTIC ARCH CANNULA W/WIRE 

REINFORCED 6:24FR 

6396:6399 

'RA-1137;(RA- 

1116:1118;RA- 

1126:1128;;RA- 

1136;1138 自 98.1.1. 生 

效 ) 

EA 770 

'RA-1200:1208 EA 770 

CHA0312305TM HIGH FLOW AORTIC ARCH CANNULA '12305;12315;12325 EA 770 

CHA0313010TM FLEXIBLE ARTERIAL CANNULA 20:24FR '13010:30 EA 520 

CHA0320STAED AORTIC PERFUSION CANNULAE(20-24F) 

'ARL2011STA; 

ARL2211STA; 

ARL2411STA 

EA 850 

CHA0387020M4 

CHA03NA120L5 

CHA03NA343L5 

CHA03RA213L5 

DLP ARTERIAL CANNULAE WIREWOUND 

BODY 20FR,22FR,24FR 

AORTIC ARCH CANNULAE 

AORTIC ARCH CANNULAE FLEXIBLE 

STRAIGHT TIP WITH MOVABLE SUTURE 

RING NON-REINFORCED 

6,7,8MM/18,21,24FR 

AORTIC ARCH CANNULAE STRAIGHT TIP 

WIRE-REINFORCED 6,7,8MM/18,21,24FR 

'87020;87022;87024 EA 770 

'NA- 

1206:1208;1116:1118 

; 

1126:1128;1136:1138 

; 

1316:1318;1326:1328 

; 

1336:1338;2116:2118 

; 

2126:2128;2136:2138 

'NA-3436:3438;(NA- 

3416:3418;3426:3428 

; 

5516:5518;5526:5528 

; 

5536:5538;4516:4518 

; 

4526:4528;4536:4538 

; 自 98.1.1. 生效 ) 

'RA-2136:2138;(RA- 

2116:2118;RA- 

2126:2128 自 98.1.1. 生 

效 ) 

EA 410 

EA 410 

EA 770 

CHAT100009ED CARDIOPLEGIA DELIVERY SETS(9F) 'VSL-009 EA 150 

CHAT110016S6 AORTA/VEIN PUNCH 4:6MM '1001-622:9 EA 1150 

CHAT13001SCX VESSEL CANNULA 'PER-3001S EA 150 

CHAT131001DL IMA CANNULA 內乳動脈導管 '31001 EA 600 

CHAT131002DL ARTERIOTOMY CANNULA 2:3MM 1 1/4 ,2 1/4 '31002:3 ;31102:3 EA 295 

CHAT131003M4 ARTERIOTOMY CANNULAE '31104:6 EA 295 

CHAT1AP425M4 AORTIC PUNCH 

'AP425:440; 

444:450;45-2;6; 

460 

EA 1150 



CHAT1AP525M4 AORTIC PUNCH 

'AP525:540;54-4; 

8;550:560 

EA 1150 

'MDP-28K;36K;40K; 

CHAT1DP48KTX 

" 44K;48K;52K;56K;60K 

特立菲斯 " 主動脈打孔器 "TELEFLEX"AORTIC 

;DP- 

PUNCH 

28K;36K;40K;44K;;48 

EA 1150 

K;52K;56K;60K 

'DP- 

28;36;40;44;48;52;56;6 

CHAT1MDP48TX THE DIAMOND EDGE AORTIC PUNCH 0;MDP- 

EA 1150 

28;36;40;44;48;52;56;6 

0 

CHC0100200ED CARDIOPLEGIA DELIVERY SETS(2 LINES) 

'CDS-002Y;CDS- 

003P 

EA 675 

CHC0100400ED CARDIOPLEGIA DELIVERY SETS(3 LINES) 'CDS-004 EA 675 

CHC011004SCX MULTIPLE PERFUSION SET(Y-TYPE) 'PER-1004S SET 350 

CHC011301SCX 

MULTIPLEPERFUSIONSET* 適應症請見備註 

欄 

'PER-1301S SET 1200 

CHC011400SCX MULTIPLE PERFUSION SET( 一對四條 ) 'PER-1400S SET 675 

CHC0130010DL CORONARY CANNULA 10:14FR '30010:14 EA 620 

CHC0130055DL CORONARY SOFT TIP '30055 EA 620 

CHC01CA123L5 

" 加州 " 心臟麻痺轉接器 ”CALIFORNIA” 'CA-20010;CA- 

CARDIOPLEGIA ADAPTERS 

20020;CA-20030 

EA 350 

CHC01CA410L5 MULTIPLE PERFUSION ADAPTER 'CA-40010 EA 675 

CHC01CA420L5 

MULTIPLE PERFUSION ADAPTER WITH 

VENT LINE 15 INCH※ 適應症請見備註欄 

'CA-40020 EA 910 

CHC01CA430L5 

CHC01CA810L5 

CHC01CP110L5 

MULTIPLE PERFUSION ADAPTER WITH 

VESSEL CANNULA 三條 (VC-11000,VC-11010) 

CARDIOPLEGIA PERFUSION ADAPTERS 

WITH MONITORING SET* 適應症請見備註欄 

CORONARY ARTERY PERFUSION 

CANNULAE 

'CA-40030;CA-40040 SET 1125 

'CA-81010 SET 1200 

'CP-11010;CP- 

11012;CP-11014; 

(97/10/1 生效 CP- 

12010;CP-12012;CP- 

12014) 

EA 620 

CHC01CP212L5 

CORONARY ARTERY PERFUSION 

CANNULAE WITH BALLOON 

'CP21004;CP21005; 

CP21006;CP21007; 

CP21008;CP22004; 

CP22005;CP22006; 

CP22007;CP22008 

EA 620 

CHC01MS001ED 

CHF0696345M4 

CHF0696570M4 

CHF0696825M4 

CHF06CB965M4 

CARDIOPLEGIA DELIVERY 

SETS(MONITORING SET) 

BIO-MEDICUS CANNULA 套管及導管 

(ADULT)23:29FR* 使用參考請見備註欄 


(ADULT)15:21FR* 使用參考請見備註欄 


(PEDIATRIC)8:14FR* 使用參考請見備註欄 

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) 

'MIS-003 EA 1200 

'CB96345-023:029 EA 17010 

'CB96570;96670- 

015:021 

'CB96825;96835- 

008:014 

'CB96535-015:021; 

CB96540-023; 

CB96605-023 

EA 17010 

EA 17010 

SET 18900 



CHF06CB966M4 

CHF06D008VED 

CHF06EBSCATM 

CHF06EBSCVTM 

CHF06FEM08ED 

CHF06FEM14ED 

VENOUS PERCUTANEOUS CANNULA KIT 

W/INTRODUCER SET※ 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 


VENOUS CAPIOX EBS CANNULATION KIT 

W/INTRODUCER SET 18,19.5,21FR※ 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 

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 


CHF06MEFKAML FEMORAL CANNULAE 股動靜脈導管 ※ 適應症 


CHF06VFEM1ED 

CHG0204427TM 

CHG0204429TM 

CHG0294006M4 

CHG0294010M4 

CHG02RCM14L5 

CHG02RCS14L5 

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 

RETROGRADE CARDIOPLEGIA CANNULAE 

MANUAL INFLATE 13FR,17FR 

RETROGRADE CARDIOPLEGIA CANNULA 

DLP RETROGRADE CORONARY SINUS 

PERFUSION CANNULA 

RETROGRADE CORONARY SINUS 

PERFUSION CANNULA WITH MANUAL 

INFLATING CUFF AND SILICONE BODY 


6,10,13,15FR 


13,14,15FR 

'CB96605-015:021 SET 18900 

'DIIFEMII008V;II010V;II 

012V; 

DIIFEMII014V;DIIFLEX 

II022V; 

DVFEM018;DVFEM02 

0;DVFEM022; 

DVFEM024;DVFEM02 

8;DVFEM031;PIKV 

'CX*13;15;16ASH; 

ALH 

'CX*EB18;19; 

21VSH;VLH 

'FEMII008:020A; 

FEMII008:014AT; 

FLEXII02216A;PIKA 

'DFEMII016AS:DFEMII 

020AS; 

DIIFEMII008A:DIIFEMII 

020A; 

DIIFEMII008AT:DIIFEM 

II014AT;PIKA 

'MEFKA16:26;MEFKA1 

6:26L; 

MEFKV18:28;MEFKV1 

8:28L 

'FEMII008:014V; 

FLEXII022V; 

FLEXII026V; 

VFEM018:022;022L;02 

4;028;031;PIKV 

'4427;4428;5578; 

5580 

'4429;4430;5579; 

5584;5585;5587 

EA 18900 

SET 18900 

SET 18900 

EA 14080 

EA 18900 

EA 17010 

EA 14080 

SET 3500 

SET 3500 

'94006:94995 EA 3500 

'94010:94115; 

94215:94725 

'RCM-142- 

15;16;17;25;26; 

(RCM- 

14115;14116;14117;14 

125; 自 970701 生效 ) 

'RCS-11;12;13- 

214;215;216;217 

SET 3500 

SET 3500 

SET 3500 



'RCS11;12;13-114; 

RCS11;12;13-115; 

CHG02RCS35L5 

RCS11;12;13-116; 


RCS11;12;13-117; 

13FR,14FR,15FR 逆向心臟麻痺液灌注套管 

(RCS- 

EA 3500 

11314;12314;13314; 

自 970401 生效 ) 

CHG02RS15SCX RETROGRADE CARDIOPLEGIA CANNULA 

'RMG-T015S;RSG; 

RSR-TR14S;T014S 

SET 3500 

CHH0112001DL LEFT HEART VENT CATHETER 13FR '12001 EA 700 

CHH0112002DL VENT CATHETER '12002 EA 700 

CHH0112008M4 DLP LEFT HEART VENT CATHETER 

'12008;12016;12101; 

(12001;12002;12110;1 

2113;12115; 

EA 700 

12116;12118;12220 自 

971001 生效 ) 

CHH0112345TM LEFT HEAT VENT CATHETER 20FR '12345;14622 EA 700 

CHH0118124TM VENT CATHETER 18FR 

'18124;18080; 

4334;4333 

EA 700 

CHH0163218L4 MALLEABLE VENT CATHETER 18FR 'VT-63218 EA 495 

CHH01VT218L4 MALLEABLE VENT CATHETER 12FR,18FR 

'VT-31212;VT- 

46118;VT-53218 

EA 495 

CHH025902MAY 

LEFT VENTRICULAR SUMP VENT 

CATHETER 14,18,20F 

'16;24;88885902-08 EA 495 

CHR0100011RM AORTIC ROOT CANNULA 'ATC-011-MV EA 850 

CHR010014VED AORTIC PERFUSION CANNULAE(14G) 'ATC014V EA 850 

CHR0110009DL AORTIC ROOT CANNULA 9FR:18FR '10009:18 EA 680 

CHR0110012DL AORTIC CANNULA 12:18G '10012:18 EA 410 

CHR011012SCX 

ANTEGRADE CARDIOPLEGIA CANNULA 

12G,14G 

'ANT-1012S;1014S EA 410 

CHR0116094TM AORTIC CANNULA 24FR 加強型動脈導管 '16094 EA 800 

CHR012012SCX 

ANTEGRADE CARDIOPLEGIA CANNULA 

12G,14G 

'ANT-2012S;2014S EA 660 

CHR01AR012ED AORTIC ROOT CANNULA 主動脈根部套管 

'AR012;AR012V; 

AR014;AR014V 

EA 660 

CHR01AR109L5 AORTIC ROOT CANNULAE 9:18GA 

'10009:10016; 

23009;AR-10218 

EA 410 

CHR01AR112L5 AORTIC ROOT CANNULAE 12:16GA 

'10114; 

11012:11016;AR- 

10112 

EA 410 

CHR01AR209L5 

CHR01AR212L5 

AORTIC ROOT CANNULAE WITH VENT LINE '20009:20016; 

9:18G 

24009;AR-30401 

AORTIC ROOT CANNULAE WITH VENT LINE '11112:11116; 

12:16G 

20114;AR-20112 

AORTIC ROOT CANNULAE WITH VENT LINE '200-09;12S;14L; 

EA 660 

EA 660 

CHR0220009M4 

2011-2B;4B;4WF 

EA 660 

CHR0220014DL AORTIC ROOT CANNULA WITH VENT LINE '20012:16 EA 660 

CHR0300014ED 

RETROGRADE CARDIOPLEGIA 

'NPC014T;RC14T; 

CANNULAE(14F) 

RC3014;SRT014MIB 

EA 3500 

'RC0-14;14T;14IT; 

NPC014;RC0- 

14M;14MT;RC2- 

CHR03RC014ED RETROGRADE CARDIOPLEGIA CANNULAE 012;014;RC2- SET 3500 

014S;014LBS;014LB; 

RC2- 

012M;014M;014LBM 



CHR03RC301ED RETROGRADE CARDIOPLEGIA CANNULAE 

'RC0-14MIB;14MIBH; 

PLD014MIBH;RC0- 

14MIBB; 

SRT014MIBB;RC3- 

SET 3500 

014MIBB;014MIBH; 

RC09;RC09M 

CHSU116022AY UMBILICAL VESSEL CATHETER 3.5FR:8FR '160218;160226; 

160234 

EA 170 

'160358;160366;16037 

4;(970101 型號變更及 

CHSU116035KD 

擴增 ; 

ARGYLE UMBILICAL VESSEL CATHETER 

8888160325;88881603 

2.5:8FR 

58; 

EA 90 

8888160366;88881603 

74) 

CHT0104413TM 

CONDUCER CARDIOPLEGIA SET W/MP-4 

'4413;165720;4459 EA 3462 

CHT0105476DE 

CHT0106375TM 

CHT0109457TM 

CHT0109499TM 

1:1,4:1,8:1 

SIDUS CARDIOPLEGIA DELIVERY SET 

(1:1,4:1,8:1)(BLOOD 

MIXING+CONDUCER+COIL TUBING+MP4 ) 

CONDUCER CARDIOPLEGIA SSET W/MP-4 

AND BRIDGE 4:1 

CONDUCER CARDIOPLEGIA SET 4:1,2:1 

BLOOD MIXING 

CONDUCER CARDIOPLEGIA SET( 含 

DOMEXI,ARTERIAL PRESSURE 

TUBINGX3,3-WAY STOPCOCKX1) 

'D941;D944; 

D944P;D944S; 

D948S 

SET 3462 

'6375 EA 3462 

'9457;9448 EA 3250 

'9499+MP4 2:1RATIO EA 3462 

CHT0179003DL PEDIATRIC TOURNIQUET KIT '79003 SET 288 

CHT017903SCX TOURNIQUE KIT WITH SNARE(PEDIATRIC) 'TOU-7903S SET 288 

CHT017903SU8 

TOURNIQUET KIT WITH SNARE(1 紅 2 藍 3 白 ) 

'TOU-7903S 

導管綁帶組附鐵線 

EA 288 

HEART LUNG PACK:A32 CUSTOMER 

CHT01A32NSH9 PACK(TUBING+ORGANIZER+PRE-BYPASS 

FILTER) 

'32000199-12 EA 5600 

CHT01CAP40GH 

CHT01CH207H9 

CHT01CSS01TV 

CHT01CSS02TV 

CHT01CSS03TV 

CHT01CSS04TV 

CHT01ECTB1M6 

POSTOPERATIVE CONVERSION PACKS For 

Cardiotomy /Autotransfusion /Pleural Drainage 

Reservoir cap35 

HEART LUNG PACK( 含 PRE-BYPASS 

FILTER) 

CSS PERFUSION TUBING SET ( 含 

TUBING+PRE-BYPASS FILTER 

+ORGANIZER+SUCKER X 2) 


TUBING+PRE-BYPASS FILTER+SUCKER X 

2) 


TUBING+PRE-BYPASS FILTER) 

CSS PERFUSION TUBING SET ( 只含 

TUBING) 

EXTRACORPOREAL TUBING PACK( 含 PRE- 

BYPASS FILTER+SUCKERX2+ORGANIZER) 

'CAP450 SET 1528 

'32-000207-01 SET 4930 

'35- 

000014;283;286;292; 

303;345;376;402;411;4 

28-00 

'35-000305;311; 

327;331;397;403;409- 

00 

'35- 

000293;304;326;333;34 

4;346;356;357;419- 

00;( 型號 35-000289- 

00;000290-00; 

000291-00;000334- 

00;000421-00 自 

960701 生效 ) 

SET 6500 

SET 5830 

EA 4930 

'35-000324;347;436-00 EA 4400 

'ECTB-STANDARD 1 SET 6500 



CHT01ECTBSM6 

EXTRACORPOREAL TUBING PACK( 含 PRE- 

BYPASS FILTER) 

'ECTB-STANDARD SET 4930 

CHT01HS101H9 

HEART LUNG PACK( 含 ORGANIZER+PRE- 

BYPASS FILTER+SUCKERX2) 

'32-000101-01 SET 6500 

CHT01HTA12H9 

HEART LUNG PACK HSIN TUNG A12 

ADULT( 含 ORGANIZER+PRE-BYPASS '32-000401-05 SET 8250 

FILTER+SUCKER X2+ARTERIAL FILTER) 

CHT01MY100M4 

MYOTHERMXP CARDIOPLEGIA DELIVERY 

'MYOTHERMXP 41; 

SYSTEM(BLOOD MIXING+CONDUCER+COIL 

81;41-B 

TUBING+MP4) 

SET 3462 

CHT01TS100L5 TOURNIQUET KIT WITH SNARE 'TS-10010;10020 SET 288 

CHT01TS130L5 TOURNIQUET KIT 'TS-10130 SET 288 

CHT01TWC01E0 

INFANT TUBING PACK( 並含 SUCKER X 2)( 文 

號 0920000750 加註規格 ) 

'TWC001 SET 5300 

CHT01TWC02E0 

PEDIATRIC TUBING PACK( 含 SUCKER X 

2)( 文號 0920000750 註明規格 ) 

'TWC002 SET 5300 

CHT01TWC03E0 

ADULT TUBING PACK( 含 SUCKER X 2)( 文號 

0920000750 註明規格 ) 

'TWC003 SET 5300 

CHT01TWC04E0 

INFANT TUBING PACK( 並含 

ORGANIZER+PRE-BYPASS 

'TWC004 SET 8250 

FILTER+SUCKER*2+ARTERIAL FILTER) 

CHT01TWC05E0 

PEDIATRIC TUBING PACK( 並含 


'TWC005 SET 8250 


CHT01TWC06E0 

ADULT TUBING PACK( 並含 


'TWC006 SET 8250 


VISION BLOOD CARDIOPLEGIA 

CHT01VBCBRGH SYSTEM(BLOOD MIXING+CONDUCER+COIL 'CCS714;VBC4BR SET 3250 

TUBING) 

CHT03A25PLH9 

HEART LUNG PACK:A25 PRIME 

LINE(TUBING 49"+ Y CONNECTOR) 

'32-000199-05 EA 350 

CHT0455103AY GOTT ANEURYSM SHUNT 90CM (35") '551036 EA 5500 

CHT0546202H9 

HEART LUNG PACK:FLOW PROBE 

CONNECTOR 

'46000202-01 EA 1080 

CHT0546203H9 

CHT0569120TM 

HEART LUNG PACK:STATSAT CONNECTOR 

1/4;3/8;1/2 氧分壓測定接頭 * 適應症請見備註欄 

CDI HEMATOCRIT SATURATION CUVETTE 

血氧感知器 

'46-000203-01;46- 

000203-02;46- 

000203-03 

EA 1080 

'6912;6913;6914 EA 1080 

CHT05TMC25M4 TMC TRI-OPTIC MEASUREMENT CELL 'TMC25;38;50 EA 1080 

'TF012L;14L;16L;18L;2 

0L;22L; 

CHV0100012ED 

TF032B;34B;36B; 

TF034L;36L;38L;40L 

SINGLE STAGE VENOUS RETURN 

TF024L;26L;28L;30L;3 

CANNULAE(12:40FR/ 直 ) 

2L; 

EA 850 

CHV0100028ED 


CANNULAE 

'TF012O90; 

TF014O90; 

TF016O90; 

TF018O90; 

TF020O90; 

TF022O90; 

TF024O90; 

TF028O90 

EA 750 



'TF012L;4L;6L;8L90; 

CHV0100040ED 

TF020L;22L;24L;26L;2 


8L90; 

CANNULAE(12:40FR/ 彎 ) 

TF030L;32L;34L;36L;3 

EA 850 

8L;40L90 

CHV0104882TM 

MALLEABLE VENOUS RETURN CATHETER 

REINFORCED 24FR 

'4882:4887 EA 1100 

CHV0114032TM 2 STAGE VENOUS RETURN CANNULA 

'14032:40;9453:73; 

14992;15949 

EA 850 

CHV0116471TM 

VENOUS RETURN CAHTTER W/WIRE '16471:75;4854:70; 

REINFORCED 

5854:57 

EA 850 

CHV0166112M4 SINGLE STAGE VENOUS CANNULA '66112:67640 EA 750 

CHV0167312DL 

VENOUS CANNULAR 12,16,20,31FR 

(PEDIATRIC) 

'67312:20;67431 EA 1000 

CHV0169312DL VENOUS CANNULAR 12:31FR (HIGH FLOW) '69312:331 EA 1180 

CHV0169424DL VENOUS CANNULAR 12:31FR (ADULT) '69424:431 EA 1180 

CHV0191228M4 TWO STAGE VENOUS CANNULA 

'912-28:65;912- 

28C:65C 

EA 800 

CHV01LRD32L5 

CHV01LRD41L5 

CHV01RV110L5 

CHV01RV222L5 

CHV01RV224L5 

CHV01TF008ED 

DUAL STAGE VENOUS RETURN CANNULAE 

32FR 

"CALIFORNIA" DUAL STAGEVENOUS 

RETURN CANNULAE 

WIRE REINFORCED VENOUS RETURN 

CANNULAE24,28,32,34,36,40 

WIRE REINFORCED VENOUS RETURN 

CANNULAE(STREIGHT)20:40FR 

VENOUS RETURN CANNULAE(WIRE- 

REINFORCED) 靜脈回流導管 


CANNULAE 靜脈引流導管 

DUAL STAGE VENOUS RETURN CANNULAE 

32:36FR 

'LRD-21140 EA 800 

'RDS- 

41140;41146;41150; 

RDS- 

41040;41046;41050; 

LRD- 

41140;41146;41150; 

LRD- 

41040;41046;41050 

'RV-110-24;28;32; 

34;36;40 

EA 800 

EA 750 

'RV-10020:10040 EA 750 

'RV10020;RV20020;20 

024;20028; 

20032;20034;20036;20 

040; 

RV21020;21024;21028; 

21032; 

21034;21036;21040 

EA 750 

'TF008O90;TF010O90 EA 750 

CHV01XRDS2L5 

'RDS;XDS-21140; 

21146;21150 

EA 800 

CHV0312340TM 2 STAGE VENOUS CANNULA 32FR '12340 EA 550 

CHV0329370ED 

DUAL STAGE VENOUS RETURN 

CANNULAE(29/37F) 

'TF2937O EA 850 

CHV0336460ED 

DUAL STAGE VENOUS RETURN 

CANNULAE(36/46F) 

'TF3646O EA 850 

CHV0395051DL SINGLE 2 STAGE VENOUS CANNULA '95051 EA 850 

'TR2838L;TR3240L; 

CHV03TR283ED DUAL STAGE VENOUS RETURN CANNULA TR3240OA; 

EA 800 

TR3446L;TR3651B 

CHV03TRF29ED DUAL STAGE VENOUS CANNULAE 'TRF2937O;TRF3646O EA 850 

CKB0144002BB CYSTOFIX 10:15FR 8:12CM '444002/1 SET 542 





CKD0308518CL SILICON DOUBLE J CATHETER 'ANY SIZE SET 1570 

CKD035386NZ7 

SILICONE DOUBLE J CATHETER 

SET(STENT+GUIDE 

WIRE+PUSHER)6,7,8.5FR 22,24,26,28CM 

'5386220:5398280 SET 1570 

CKD035550NAN 

CKD035572NAN 

CKD035591NAN 

URETERAL STENTS(STENT+GUIDE 

WIRE+PUSHER) 


WIRE+PUSHER) 


WIRE+PUSHER) 


CKB0156116BA 

SUPRAPUBIC CATHETERISATION KIT 膀胱 

穿刺針組 16CH 

'561012:16 SET 590 

CKB0160600AN VESICO SET 膀胱穿刺引流組 

'60600080; 

60600100;60600120 

SET 542 

CKD0100950CK 

DOUBLE PIGTAIL(J)STENT SET 

4.7:8.2FR(stent+guide wire+pusher) 

'0095:98 SET 1570 

CKD01BTDJ2BQ 

DOUBLE J URETERAL STENT 

'BT-DJ-4.8FR:8.5FR- 

SET(STENT+GUIDE+PUSHER) 

12:30-DC 

SET 1117 

CKD030472NAN DOUBLE J-STENT 4,7FR 24CM:7FR 32CM '5550-0120:5922-0060 SET 1570 

CKD030512NCY 

ALL SILICONE DOUBLE PIGTAIL URETERAL 

'5FRX12CMSP:8.5FRX 

STENT SET 

28CMSP 

5:8.5FR(STENT+GUIDEWIRE+PUSHER) 

SET 1570 

'5550:5552- 

0010:0060; 

5611:5612- 

0010:0060; 

5700:5703- 

0010:0060; 

5740:5744- 

0010:0060;5571- 

0010:0060 

'5613;5614;5668;5672- 

0030:0050; 

5673;5752;5871- 

0030:0050; 

5721;5712- 

0010:0060;5610- 

0010:0050;5572- 

0010:0060 

'5591;5722;5838;5943- 

0020:0060; 

5553;5592;5843;5891- 

0030:0060; 

5593;5573;5872- 

0040:0060;5922-0030 

SET 1570 

SET 1570 

SET 1570 

CKD035610NAN 


WIRE+PUSHER) 

'5621;5751;5844- 

0040;5667;5842- 

0020:0050; 

5669;5893- 

0030:0040; 

5680;5681;5850;5851- 

0020;5622-0050:0060 

SET 1570 

CKD035704NAN 


WIRE+PUSHER) 

'5704-0020:0060; 

5700-0110:0130; 

5713-0030:0050; 

5714;5873;5923;5892- 

0040:0050;5740- 

0010;0120:0150 

SET 1570 


CKD035921NAN 

CKD0380155MV 

CKD0380220MV 

CKD0380244MV 

CKD0380801MV 

CKD05175XNSB 

CKD057774NBA 

CKD05BTDJ3BQ 


WIRE+PUSHER) 

CONTOUR SOFT PERCUFLEX STENTS 

W/HYDROPLUS 

COATING+GUIDEWIRE+PUSHER+CLAMP 


W/HYDROPLUS 



W/HYDROPLUS 



W/HYDROPLUS 


PERCUFLEX URETERAL STENTS 

4.8,6,7,8FR 

URETERAL STENT WITH HYDROPLUS 

COATING+GUIDE WIRE+PUSHER+CLAMP 

URETERAL STENT(DOUBLE J TYPE)(STENT 

WITH HYDROPHILIC COATING+GUIDE 

WIRE+PUSHER+CLIP) 


'5554-0030:0060; 

5550-0110:0160; 

5610-0130:0150; 

CKD035723NAN 

0050; 

5837;5941;5942- 

0010:0060 

URETERAL STENTS(STENT+GUIDE 5723;5922- 

WIRE+PUSHER) 

0040:0060;5724- 

SET 1570 

'6007;6012;6013- 

0020:0060;6008- 

0030:0060; 

6009;6014- 

0040;0050;6020- 

0010;6021-0010 

'180-220:245-02:04; 

155:7-02;03 

'180-220:245-05;06; 

07 

'180-220:244-01; 

18024502 

'180-801:845;180- 

155;56;57-01 

'M0061751950:M00617 

55840 

SET 1570 

SET 1698 

SET 1698 

SET 1698 

SET 1698 

EA 1117 

'777414:777828 SET 1698 

SET 1698 

'BT-DJ-4512:8530- 

110;BT-DJ- 

4512:8530-210;BT- 

DJ-4512:8530-310 

'DU-TW6F:DU-TW7F- 

24S:28S-HF 

'DU-TW5F:DU- 

TW8.5F-12SP:28SP 

'DU-TW5F:TW8.5F- 

DOUBLE PIGTAIL URETERAL STENT 

CKD05DSHFNGT 

SET(stent with hydromer+guide wire+pusher) 

SET 1698 


CKD05DUSPNGT 

SET(stent with hydromer+guide wire+pusher) 

SET 1698 


CKD05DUTWNGT 

SET(stent with hydromer+guide wire+pusher) 12:28 

SET 1698 

DOUBLE PIGTAIL URETERAL STENT 'DU-TW6F:DU-TW7F- 

CKD05PSHFNGT 

SET(stent with hydromer+guide wire+pusher) 24SPS:28SPS-HF 

SET 1698 

CKD0706016BA 

SILICON FLOURO-4 URETERAL 

STENT(stent+introducer kit) 

'ANY SIZE SET 2325 

CKDD112122AR 

LARGE-BORE MULTILUMEN HEMODIALYSIS 'CS-12122-F;CS- 

CATHETER 

15122F 

EA 1498 

CKDD115122AR 

ARROW-HOWES LARGE-BORE MULTI- 

'MC-12122F;MC- 

LUMEN HEMODIALYSIS CATHETER 雙腔輸液 

15122F 

導管組 

SET 900 

CKDD117005KD 

CKDD117009KD 

CKDD122122AR 

"KENDALL"DUAL LUMEN HEMODIALYSIS 

CATHETER KIT(C+N+G+D) 雙腔透析導管 



YOU-BEND TWO LUMEN CENTRAL 

VENOUS CATHETERIZATION SETS 12FR 

16CM(6") 

'8813817005; 

8831661001 

'8813817009; 

8832539007; 

8817143005 

SET 1498 

SET 1498 

'CU-22122F SET 1498 



CKDD123122AR 

CKDD139003KD 

CKDD15553NBA 

CKDD15554NBA 

CKDD1881CKKD 

CKDD1881SKKD 

CKDD1883CKKD 

CKDD1883SKKD 

CKDD193009KD 

CKDD1K3500VC 

CKDD1K4065VC 

CKDD1KDLS4VC 

CKDD200024M0 

CKDD200116M0 

CKDD20450NBA 

CKDD20452NBA 

CKDD210598SB 

CKDD214001KD 

ANTISEPTIC-RELEASING LARGE BORE 2 

LUMEN CATHETER 12FR 13CM,16CM,20CM 



DUAL-LUMEN NIAGARA SLIM CATH 

DIALYSIS CATH KIT(C+N+G+D) 

DUAL-LUMEN NIAGARA SLIM CATH 

DIALYSIS CATH KIT(C+N+G+D) 

DUAL LUMEN HEMODIALYSIS CATHETER 

KIT CURVE(C+N+G+D) 


KIT STR(C+N+G+D) 


KIT CURVE(C+N+G+D) 


KIT STRAIGHT(C+N+G+D) 

CURVED AND STRAIGHT DUAL LUMEN 

CATHETER KITS(C+N+G+D) 

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) 

雙頭管路 DIALYSIS CATHETER 

KIT(C+N+G+D) 

MEDCOMP HEMO-FLOW CATHETER 

KIT(CATHTER+INTRODUCER KIT) 永植型 

MEDCOMP DUO-FLOW CATHETERS 

SET(C+N+G+D) 

HICKMAN HEMODIALYSIS CATHETER 

KIT(CATH+INTRODUCER KIT) 永植型 



VAXCEL CHRONIC DIALYSIS CATHETER 

KITS 長期透析用導管組 

DUAL LUMEN CATHETER 雙頭血液透析管路 

'CU22122F;23122F; 

CS;CU25122F 

SET 1498 

'8832539003 SET 1498 

'5553-150;200;240 SET 1498 

'5554-120;150;200 SET 1498 

'881-7146007; 

7149007;3793013 

'881-7146001; 

7149001;3793009 

'883-0415003; 

2539006 

'883-0415001; 

2539001;2539002 

'8813793009; 

8813793013 

'DLK-3500/(5678125 自 

950401 生效 );DLK- 

4000/(5678150 自 

950401 生效 );DLK- 

4424/(5678240 自 

950401 生效 ) 

'DLK- 

4006/(5576100:950401 

生效 );DLK- 

40065/(5576125:95040 

1 生效 );DLK- 

40066/(5576150:95040 

1 生效 ) 

SET 1498 

SET 1498 

SET 1498 

SET 1498 

SET 1498 

SET 1498 

SET 1498 

'DLS-4000ST;4400ST SET 1498 

'HFS24;HFS24PC; 

HFS28;HFS28PC; 



HFS40;HFS40PC 

'XTP116MT; 

XTP118MT 

'0600-450;460; 

470;660;680;690 

'0600-452;462; 

472;662;682;692 

'M001455150; 

M001455160; 

M001455250; 

M001455260; 

M001455350; 

M001455360 

'883-0414001; 

1662001;8813794005 

SET 3741 

SET 1498 

EA 3741 

EA 3741 

SET 3741 

EA 900 

CKDD214002KD DUAL LUMEN CATHETER 雙頭血液透析管路 '8830414002 EA 900 

CHRONIC DUAL LUMEN CATHETERS AND 'AC-190KC;AC- 

CKDD2230KCHZ 

SET 3741 

KITS (CATH+INTRODUCER KIT) 永植型 230KC;AC-280KC 

CKDD233074KD Hemodialysis catheter(C+N+G+D) '8833074001:4 SET 3741 



CKDD242005KD DUAL LUMEN CATHETER 雙頭血液透析管路 

'881-7142005; 

7145005;3816005 

EA 900 

CKDD245007KD DUAL LUMEN CATHETER 雙頭血液透析管路 

'881-7145007; 

3816009;3794009 

EA 900 

'M001455-400:410; 

CKDD245540SB 

VAXCEL CHRONIC DIALYSIS CATHETER M001455-440:450; 

長 

M001455-480:490; 

期透析用導管 

M001455-520:530; 

M001455-560:570 

SET 2695 

CKDD245542SB 

CKDD248001KD 

CKDD256631BA 

CKDD25833NBA 

VAXCEL CHRONIC DIALYSIS CATHETER 

KITS 長期透析用導管 

PERMCATH DUAL LUMEN CATHETER 

KITS(CATH+INTRODUCER KIT) 永植型 

HEMOGLIDE HEMODIALYSIS CATHETER 


"BARD"HemoStar HEMODIALYSIS 

CATHETER KITS(CATH+INTRODUCER KIT) 

永植型 

'M001455-420:430; 

M001455-460:470; 

M001455-500:510; 

M001455-540:550; 

M001455-580:590 

'749001;8817- 

748001;8831-692001 

'5663150;5663190; 

5663230;5663270; 

5663690;5663730; 

5664150;5664190; 

5664230;5664270 

'5883- 

690;730;270;310;350; 

5884420;5833150; 

5833- 

690;730;270;310;350; 

5834420 

KIT 3741 

KIT 3741 

KIT 3741 

KIT 3741 

CKDD260049BA HICKMAN HEMODIALYSIS CATHETER 永植型 '0600490 EA 2695 

CKDD2600KCHZ 

CKDD266606BA 

CKDD269001KD 

CKDD2800KJHZ 

CKDD288145KD 

CKDD288155KD 

CKDD294009KD 

CKDD2AC190HZ 

CKDD2D3500BA 

CKDD2D4000BA 

ACUTE DUAL LUMEN CATHETERS AND 

KITS (C+N+G+D) 



"KENDALL"CHRONIC HEMODIALYSIS 

CATHETERS(DUAL LUMEN 

CATHETER+INTRODUCER KIT) 永植型慢性血 

液透析導管 

ACUTE DUAL LUMEN CATHETERS AND 

KITS(C+N+G+D) 

"KENDALL"CHRONIC HEMODIALYSIS 

CATHETER KITS(DUAL LUMEN 

CATH+INTRODUCER KIT) 永植型 

DUAL LUMEN CATHETER 直式雙頭血液透析 

管路 

CURVED EXTENSION DUAL LUMEN 

CATHETER 

CHRONIC DUAL LUMEN CATHETER 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 


15CM(C+N+G+D)(( 自 950401 起型號更改為 

5577170 文號 0940040227) 

'DLC-600KC;DLC- 

600KEC;DLC- 

800KC;DLC-800KEC 

SET 1498 

'6660662;6690692 EA 3741 

'8834-369001 KIT 3741 

'DLC-600KJC;DLC- 

800KJC 

'8888145001:88881450 

04; 

8888145251:88881452 

54 

'8815-543;132-001; 

8817606001 

SET 1498 

SET 3741 

EA 900 

'8813794009 EA 900 

'AC-190C;AC-230C; 

AC-280C 

'DLC-3500/(5577165 自 

950401 生效 ) 

'DLC-4000/(5577170 自 

950401 生效 ) 

SET 2695 

EA 1498 

EA 1498 




'DLC4400/(5577175 自 

20CM(C+N+G+D)(( 自 950401 起型號更改為 

EA 1498 

950401 生效 ) 

5577175 文號 0940040227) 

CKDD2D4400BA 

CKDD2J0KADJ0 

CKDD2K4400BA 

CKDD2L4424VC 

CKDD312123AR 

CKDD325123AR 

CKDD345603KD 

CKF021800NRU 

CKF0222630BA 

CKF0222656BA 

CKF02H2265BA 

CKF02L0165BA 

CKF0300006FM 

CKF030012NFM 

CKF0300142R4 

CKF0300212YN 

CKF0300242R4 

CKF0301641W6 

CKF0303308P2 

CKF030512NFM 

DOUBLE LUMEN CATHETERS 


20(C+N+G+D)(CM( 自 950401 起型號更改為 

5678200 文號 0940040227) 

雙頭管路 DIALYSIS CATHETER( 自 950401 起 

型號更改為 5577180 文號 0940040227) 

'GDC-1112.5;GDC- 

1115;GDC-1117.5; 

GDC-1120;GDC- 

1125;GDC-1112.5J; 

GDC-1120J;GDC- 

1115J;GDC-1117.5J 

'DLK-4400/(5678200 自 

950401 生效 ) 

"RUSCH"SYMPACATH BALLOON 

CATHETERS,COATED WITH HYDROGEL 雙 

叉親水性留置導尿管 * 適應症請見備註欄 

"BARD"BARDEX PEDIATRIC FOLEY 

CATHETER,LUBRICIOUS COATED,2 WAY 

3CC 導尿管 * 適應症請見備註欄 

"BARD"FOLEY CATHETER 二叉滑潤長期導尿 

管 5CC,30CC* 適應症請見備註欄 

BIOCATH HYDROGEL COATING 2 WAY 

FOLED 8:24FR 5CC,30CC ※ 適應症請見備註 

欄 

'DLC-4424/(5577180 自 

950401 生效 ) 

LARGE-BORE MULTILUMEN HEMODIALYSIS 'CS-12123F;CS- 

CATHETER 

15123F 

ANTISEPTIC-RELEASING LARGE BORE 3 'CS-22123F;CS- 

LUMEN CATHETER 12FR 16CM,20CM 25123E;CS-25123F 

'8888345603; 

"KENDALL"TRIPLE LUMEN HEMODIALYSIS 8888345611; 

CATHETERS(C+N+G+D) 三腔透析導管 8888345629; 

8888345637 

'180003-8;10;180605- 

12:30;180630-12:30 

EA 900 

EA 1498 

EA 900 

EA 1738 

SET 1738 

SET 1738 

EA 115 

'226308A;226310A EA 115 

'2265-26A;28A;30A; 

2266-26A;28A;30A 

'226512A:24A; 

226612A:24A 

EA 115 

EA 115 

LUBRICATH 2 WAY FOLED 8:26FR 3CC,5CC '0165PL08:10; 

EA 115 


0165L12:26 

2 WAY SILICONE FOLEY BALLOON CATH 

'1821-0006:10 EA 117 

1.5CC 6FR,3CC 8:10FR※ 適應症請見備註欄 

2 WAY SILICONE FOLEY BALLOON 

'1822-0012:0026; 

CATHETER 5CC,30CC 12:26FR※ 適應症請見 

EA 117 

1823-0014:0026 

備註欄 

2 WAY ALL SILICONE FOLEY BALLOON 

CATHETER 5CC 12:24FR※ 適應症請見備註欄 


CATH 12:26FR 5CC※ 適應症請見備註欄 


CATHETER 30CC 16:26FR※ 適應症請見備註 

欄 

ALL SILICONE 2 WAY FOLEY CATHETER 

6FR:26FR* 適應症請見備註欄 

SILICON 2 WAY FOLEY CATHETER* 適應症請 

見備註欄 

2 WAY SILICONE FOLEY BALLOON CATH 

W/X-RAY5CC,30CC 12:26FR※ 適應症請見備 

註欄 

'14206:14224 EA 117 

'1002 EA 117 

'24216:24226 EA 117 

'YJ-110 EA 117 

'I03308;I03312; 

I03314;I03316; 

I03318;I03320; 

I03324;I03326; 

I03328 

'1822-0512:0526; 

1823-0514:0526 

EA 117 

EA 117 



CKF030513NCL 

SILICONE 2-WAY FOLEY CATHE 6:26FR ※ 


'05-1306:05-1426 EA 117 

CKF0317060RU 

SILICONE 2 WAY FOLEY CATHETER '170003-06:10; 

6:26FR* 適應症請見備註欄 

170605-12:26 

EA 117 

CKF0317063RU 

SILICONE 2 WAY FOLEY CATHETER 


'170630-16:26 EA 117 

CKF034170NES 

SILICONE 2 WAY FOLEY CATHETER 10CC 

BALLOON 12FR:26FR ※ 適應症請見備註欄 

'41-700-08:75 EA 117 

CKF036112NP0 

2 WAY SILICONE FOLEY CATH 15CC 

BALLOON 12FR:24FR※ 適應症請見備註欄 

'AA6112:AA6124 EA 117 

CKF03AA6CNP0 

2WAY SILICON FOLEY 30CC BALLOON* 適應 


'AA6C18:AA6C24 EA 117 

CKF03F0101SG 

SILICONE 2 WAY FOLEY CATHETER* 適應症 


'SMFC0101:SMFC0110 EA 117 

CKF03FC001SG 

SILICON FOLEY BALLOON CATHETER* 適應 


'FC004 EA 117 

CKF03S2100WN 

SILICONE 2WAY FOLEY CATHE 3:50ML ※ 適 '2101-008:026;2102- 


012:026 

EA 117 

CKF03S6030AY 

ALL SILICONE 2WAY FOLEY CATHE 3:15ML '603085:101; 

8:26FR ※ 適應症請見備註欄 

605122:262 

EA 117 

CKF03S6301AY 

ALL SILICONE 2WAY FOLEY CATHE 

30:45ML 16:26FR ※ 適應症請見備註欄 

'630161:260 EA 117 

CKF0400340R4 


CATHETER 5CC,30CC 18:26FR※ 適應症請見 '34518:26;34318:26 EA 170 

備註欄 

3 WAY SILICONE FOLEY BALLOON 

CKF040514NFM CATHETER W/X-RAY 30CC 14:26FR※ 適應症 '1830-0514:1830-0526 EA 170 


CKF041426NFM 

SILICONE 3 WAY FOLEY CATHETER 


'1830-0014:26 EA 170 

CKF0417343RU 

3 WAY SILICONE FOLEY CATHETER 


'173430-18:24FR EA 170 

CKF041831NRU 

"RUSCH"SYMPACATH BALLOON 

CATHETERS,COATED WITH HYDROGEL 三 

'183130-16:24; 

183405-18:26; EA 170 

叉親水性留置導尿管 * 適應症請見備註欄 183430-18:26 

CKF042103NWN 

SILICONE 3 WAY FOLEY CATHETER '2103-016:026;2104- 

5CC,30CC 16:26FR ※ 適應症請見備註欄 016:026 

EA 170 

CKF04H1875BA 

LUBRICATH 3 WAY FOLEY CATHETER 

75CC 18:24FR ※ 適應症請見備註欄 

'01267518:24 EA 283 

CKF04H2267BA 

BIOCATH 3 WAY FOLEY CATHETER 

30:50CC 18:24FR ※ 適應症請見備註欄 

'226718A:226724A EA 170 

CKF04L1630BA 

HYDROGEL 3 WAY FOLEY CATHETER 30CC '0167L16:26; 


226716A:26A 

EA 170 

CKF04S1830AY 

SILICON 3 WAY FOLEY CATHETER 18:24FR 


'665183:241 EA 170 

CKF04Y0630GC 三叉矽質導尿管 * 適應症請見備註欄 'YJ-111 EA 170 

CKN0108000CK 

PERCUTANEOUS PIGTAIL NEPHROSTOMY 

SETS 6.0:10FR 15:30CM( 標準型 ) 

'080006:080010 SET 2716 

CKN0108090CK 

SOF-FLEX PIGTAIL NEPHROSTOMY SETS 

8.2:10FR 30CM 

'080908:080910 SET 2716 

CKN011450NC3 

PERCUTANEOUS NEPHROSTOMY SET '1450-0060:0160; 

PIGTAIL TYPE(chiba N+initial N+D+G+C) 1472-0050:0160 

SET 2716 

CKN011460NC3 

'1460-0060:0160; 

PERCUTANEOUS NEPHROSTOMY SET 

(1473-0050:0160 自 

PIGTAIL TYPE(chiba N+initial N+D+G+C) 

960101 刪除 ) 

SET 2716 

CKN011470NC3 

PERCUTANEOUS NEPHROSTOMY SET 

PIGTAIL TYPE(chiba N+initial N+D+G+C) 

'1470-0080:0180 SET 2716 


CKN015520NAN 

CKN015521NAN 

CKN015522NAN 

CKN015526NAN 

CKN0170000PB 

CKN0171000PB 

CKN0175030PB 

CKN0175730PB 

CKN0178000PB 

CKN0178050PB 

NEPHROPUR NEPHROSTOMY SET( 豬尾巴 

導管 +chiba N+intial N+G+D+ 引流管袋 + 固定盤 ) 

NEPHROPUR NEPHROSTOMY SET( 豬尾巴 

導管 +chiba N+intial N+G+D+ 引流管袋 + 固定盤 ) 

'5520-0060:0090; 

0100:0160 

SET 2716 

'5521-5060:5090 SET 2716 

SOFT-DRAIN NEPHROSTOMY SET( 豬尾巴導 

管 +intial N+D+G+ 引流管袋 ) 

'5522-0060:0090; 

4160:4190 

SOFT-DRAIN NEPHROSTOMY SET( 豬尾巴導 '5526-0070:0090; 

管 +intial N+D+G+ 引流管袋 ) 

3874-0080:0140 

DRAINAGE SET AND ACCESSORIES 導管 '7673-08;10-300; 

(HYDROFEEL)+N+GX2+D+CO-AXIAL D) 7673-08;10;12-000 

'7100-06;07;08-000; 

DRAINAGE SET AND ACCESSORIES 導管 

7101-06-000;001; 

(HYDROFEEL)+N+G+D+ 引流管袋 + 固定貼布 

7100-07-001 

DRAINAGE SET AND ACCESSORIES 導管 '7503-08;12;14-000; 

(HYDROFEEL)+N+G+D+ 固定貼布 

DRAINAGE SET AND ACCESSORIES 導管 

(HYDROFEEL)+CHIBA N+N+G+D+ 引流管袋 

PIGTAIL NEPHROSTOMY SET( 自 950401 起增 

加型號 780016030. 文號 0940041345) 

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 


CKN011897NAN SOFT DRAIN DIRECT PUNCTURE SET(N+C) '1897-0230;0430; 

0630 

SET 2000 

CKN0120111MV 

PCN NEPHROSTOMY SET 8FR 

30CM(C+N+D+G+cannecting tube) 

'420-111 SET 2651 

CKN0120111SB 

PERCUTANEOUS NEPHROSTOMY SET- 

PIGTAIL DESIGN(C+N+D+G) 

'M00642011-10;20 SET 2716 

CKN013873NAN 

SOFT DRAIN DRAINAGE SET( 針 + 雙腔引流管 '3873-0080;0110; 

+3way+ 固定盤 + 細菌過濾網 + 尖刀 ) 

0120;0140;0160 

SET 2970 

PCN NEPHROSTOMY KIT WITH SILICON 

CKN0141010CL WALECOT 10FR:14FR(C+ 穿刺 N+ 顯影 '14-1010:14 SET 3312 

N+G+D+ 引流管 ) 

CKN015500NAN 

PERCUTANEOUS NEPHROSTOMY SET: 豬尾 

巴導管 +chiba N+intial N+G+D+ 引流管袋 + 固定 

盤 

'5500-0010:0070 SET 2671 

7503-06-600;700 

'7573-07;08;10;12;14- 

000;7573-08-600;700 

'780006030:780014030 

;(780016030 自 

950401 生效 ) 

'780506030:780514030 

;(780516030 自 

950401 生效 ) 

SET 2651 

SET 2651 

SET 2930 

SET 2975 

SET 2930 

SET 2975 

SET 2939 

SET 2930 

CKN01PNPDLCY PIGTAIL NEPHROSTOMY SET 6:10FR 40CM 'PNPD06L:PNPD10L SET 2651 

CKN01PNS01CK SAFE-T-J CURVED WIRE GUIDE 'TSCF-38-60-3-PNS EA 320 

CKN0218522FM 

SILICONE 2WAY NEPHROSTOMY BALLOON 

CATHETER X-RAY OPEN TIP 8:24FR 

'1852-0208:1852-0224 EA 338 

CKN0218523FM 

CKN0218562FM 

CKN0218563FM 

CKN0251608CL 

CKN0251612CL 


CATHETER X-RAY OPEN TIP 14:24FR 

'1852-0314:1852-0324 EA 357 


CATHETER TIEMANN TIP 

'1856-0210:1856-0224 EA 338 


CATHETER TIEMANN TIP 

'1856-0310:1856-0324 EA 357 

SILICON NEPHROSTOMY BALLOON 

CATHETER 8:10FR 球型腎臟造廔管 

'05-1608:10 EA 338 


CATHETER 12:24FR 球型腎臟造廔管 

'05-1612:24 EA 338 


CATHETER(TENCKHOFF 2 CUFF)T202 


CKN0252116CL 

SILICON 3 WAY FOLEY CATHETER 16:26FR 


'05-2116:26 EA 170 

CKN02N2108YN 

ALL SILICONE NEPHROSTOMY BALLOON 

CATHETER 8:24FR1.5:5CC 

'1021 EA 338 

CKN02NS001SG 

SIGMA NEPHROSTOMY 

CATHETER(SILICON)* 適應症請見備註欄 

'NS004 EA 338 

CKN02S0101SG 

SILICONE 2 WAY NEPHROSTOMY 

'SMNS0101:SMNS010 

CATHETER 

9 

EA 338 

CKN0318552FM 

SILICONE NEPHROSTOMY CATHETER 

WITH DETACHABLE FUNNEL 14:24FR 

'1855-0212:1855-0224 EA 338 

CKN0351912CL 


CATHETER W/REMOVABLE 12:24FR 可分離 '05-1912:24 EA 530 

式腎臟造廔管 

CKN0410111MV 

PERCUTANEOUS NEPHROSTOMY 

CATHETER WITH LOOP LOCKING 

'410-111:112 EA 829 

RETENSION 豬尾巴導管 

CKN0418572FM 

SILICONE NEPHROSTOMY PIGTAIL 

PATTERN CATHETER 12FR 

'1857-0212 EA 338 

CKN045524NAN 

SOFT DRAIN PIGTAIL DRAINAGE 

CATHETER WITH 2 WAY STOPCOCK 

'5522-4060:90 EA 530 

'BT-PDS- 

0730;083;0930-W; 

NEPHROSTOMY CATHETER(WITH BT-PDS-1030;W;BT- 

CKN04BTPDSBQ 

STYLET&FLEXIBLE CANNULA) 

PDS-1230;W;BT- 

SET 829 

PDS-1430;W;BT- 

PDS-1630;W 

'082408:082414; 

CKN0508240CK MALECOT CATHETER 

(98.4.1. 註銷型號 EA 885 

082408) 

CKN051111NWN MALECOT CATHETER 4 WING 12:40FR '1111-012:040 EA 273 

CKN0514010CL 

SILICON 4 WING MALECOT 10:26FR 梅花型 

腎臟造廔管 

'14-0010:26 EA 885 

CKN051840NFM 

SILICONE 4 WING MALECOT CATHETER 

14:34FR 

'1840-0014:1840-0034 EA 885 

CKN0586010BA MALECOT NEPHROSTOMY TUBE 16:36FR '086010:40 EA 273 

CKN059106NRU MALECOT CATHETER 4 WING CH10:40 '910610:40 EA 273 

CKN0718512FM 

SILICONE 2WAY NEPHROSTOMY 

CATHETER X-RAY OPAQUE TIP 8:24FR 

'1851-0208:1851-0224 EA 338 

CKN0718513FM 

SILICONE 3WAY NEPHROSTOMY 

CATHETER X-RAY OPAQUE TIP 14:24FR 

'1851-0314:1851-0324 EA 357 

CKP010T202KD 

PERITONEAL DIALYSIS 

'8888-411405 EA 1588 

CKP0119671FA PD CATHETER 

'TENCKHOFF- 

CATHETER 916 SET 1588 

5019671 

CKP018812NKD PERITONEAL DIALYSIS CATHETER '8812-329001;2 EA 1588 

CKP018814NKD PERITONEAL DIALYSIS CATHETER '8814-843001;2 EA 1588 

CKP018817NKD PERITONEAL DIALYSIS CATHETER 

'8817-2780-01;02; 

08;11 

EA 1588 


'8810-8880-03;12; 

13;8810-887003 

EA 1588 


'8888-4142-01;19; 

27;35 

EA 1588 


'8888-4114-13;21; 

39;47 

EA 1588 


'8810-8890-03;11; 

14;8810-890003 

EA 1588 



CKP0413836FA 

PD ACCESSORIES SLEEP.SAFE SET/SET 

PLUS 自動腹膜透析管組 

'5015981;5015991 SET 251 

CKP04C4407BT 

BAXTER CYCLER SET 腹膜透析用輸液套 ( 限 

自動腹膜透析 APD 使用 ) 

'5C4407;5C4469 EA 251 

CKP04C4479BT 

HOMECHOICE AUTOMATED PD SET 全自動 

腹膜透析導管組 

'R5C4479 SET 251 

CKP04C8303BT 

HOMECHOICE PEDIATRIC /LOW 

RECIRCULATION VOLUME A PD SET 小兒全 'R5C8303 SET 251 

自動腹膜透析導管組 

CKS016020NAN 

"ANGIOMED"URETERAL 

'6020-0010:0030; 

STENTS(STENT+GUIDE+PUSHER) 

6021-0010:0030 

SET 1117 

CKS022916XCL 

CLINY SILICONE SINGLE PIGTAIL 

'0012916078:7078; 

URETERAL STENT 6:8.5FR(stent+Guide 

0012918578 

wire+ Pusher) 

SET 1570 

URETERAL PIGTAIL STENT SET 

CKS0275290PB HYDROFEEL 

'7529-06026:08028 SET 1570 

CKS0276040PB 

CKS0276290PB 

CKS0276300PB 

CKS0276320PB 

CKS0276340PB 

CKU0303903P2 

CKU03051XNP0 

CKU03054XNP0 

STEERABLE(STENT+G+SHEATH+CLIP) 


HYDROFEEL 

STANDARD(STENT+G+SHEATH+CLIP) 


HYDROFEEL 

STANDARD(STENT+G+SHEATH+CLIP) 


HYDROFEEL 

PEDIATRIC(STENT+G+SHEATH+CLIP) 


HYDROFEEL 

STEEERABLE(STENT+G+SHEATH+CLIP) 


HYDROFEEL 

STEEERABLE(STENT+G+SHEATH+CLIP) 

URETERAL CATHETER STRAIGHT TIP 

3:7FR 75CM 

URETERAL CATHETER STRAIGHT OLIVE 

TIP 3FR:12FR NYLON STYLET 

URETERIC CATHETER STRAIGHT OLIVE 

TIP 3FR:12FR 

'76-04-06024:08028; 

(75-04-06024:08028 

自 ;951001 起刪除 ) 

SET 1698 

'7629-06026:07028 SET 1698 

'7630470-24:26; 

(7530470-24:30 自 

951001 起刪除 ) 

'76-32;35- 

06024:07030;(75- 

32;35-06024:07030 

自 ;951001 起刪除 ) 

'7634470-24:30; 

(7534470-24:28 自 

951001 起刪除 ) 

SET 1698 

SET 1698 

SET 1698 

'I03903:07 EA 166 

'AC5103:AC5112 EA 166 

'AC5403:5412 EA 166 

CKU0324103CK "COOK"URETERAL CATHETER 輸尿管導管 

'024103:024109; 

024605:024608 

EA 166 

CKU033316XH0 URETERAL CATHETER OLIVE TIP '331604:331607 EA 166 

CKU033321XH0 URETERAL CATHETER ROUND TIP '332103:332108 EA 166 

CKU0336504BA URETERAL CATHETER (OLIVE TIP) 4:6FR '136504:6 EA 166 

CKU0337504BA URETERAL CATHETER (SPIRAL) 4:6FR '137504:6 EA 166 

CKU0338008BA URETERAL CATHETER (CONE TIP) 8:12FR '138008:12 EA 166 

CKU0362400AN 

CKU0362433AN 

CKU036243NAN 

CKU0362453AN 

URETERAL CATHETER 




'6242-00;01;02;03- 

10;20;6240-00;01;02- 

10;20;62400310; 

6241-00;01;02;03;04- 

00;10 

'6243-0-300;310; 

400;410 

'6243-0-000;010; 

100;110;200;210 

'6245-0-300;310; 

400;410 

EA 166 

EA 166 

EA 166 

EA 166 



CKU036245NAN URETERAL CATHETER 

'6245-0-000;010; 

100;110;200;210 

EA 166 

CKU0362500AN URETERAL CATHETER 

'6250-00-10;20;30; 

6270:6272-00- 

10;20;30;6273:6275- 

EA 166 

00-10;20;6274-0020 

CKU036251NAN 

URETERAL CATHETER CYLINDERAL 4:8CH '6251:55;6291:92; 

70CM 斑馬線導管 

6350:52-XXXX 

EA 166 

'6293-00-10;20;30; 

CKU0362930AN URETERAL CATHETER 

6294-00-10;20;6295- 

00-10;20;6310:6312- 

EA 166 

00-10;20;6312-0030 

CKU036313NAN URETERAL CATHETER 

'631-3:5-0010:0030; 

633-1:5-0010 

EA 166 

CKUB101000CK 

URETeRAL BALLOON dilator CATHETER '010004;010005; 

65CM 5FR,7FR 

010010 

EA 4032 

CKUB107835CK 

CKUB121810SB 

CKUB122510MV 

CKUB128005CK 

CKUB18884NBA 

CKUB1AUBS1CK 

CKUB1TB221SB 

CKUD126100SB 

CKUD126120SB 

"COOK"URETEROSCOPY BALLOON 

CATHETER(CATHETER+GUIDE WIRE) 輸尿 

管氣球導管 

PASSPORT urological BALLOON dilatation 

catheter with hydro plus bonded hydrogel 

coating 

UROMAX ULTRA HIGH PRESSURE 

URETERAL CATHETER W/SHEATH 

COOK UPJ OCCLUSION BALLOON 

CATHETER SETS(CATH+GUIDE WIRE) 

UROFORCE BALLOON DILATION 

CATHETER 

COOK ASCEND AQ URETERAL DILATION 

BALLOON CATHETER 4CM:10CM 

TRILOGY LOW PROFILE URETERAL 

BALLOON CATHETER 

BOSTON SCIENTIFIC AMPLATZ TYPE 

GRADUATED RENAL DILATOR SET 

"BOSTON SCIENTIFIC"AMPLATZ TYPE 

GRADUATED RENAL STYLET/SHEATH 

'078354 SET 5068 

'M006218-1000; 

M006218-1010; 

M006218-1100; 

M006218-1110 

EA 5068 

'225-100:225-118 EA 5068 

'028005;028006 SET 5068 

'888-4;5;6;7;8- 

04;06;10 

'AUB-4-4;6;10;AUB-5- 

4;6;10;AUB-6- 

4;6;10;AUB-7- 

4;6;10;AUB-10-4 

EA 4032 

SET 4032 

'M006221-2000:2060 EA 4032 

'260-100 SET 953 

'260-120 SET 695 

CKUD160300AN RENAL DILATOR W/SHEATH '61260300 EA 695 

CKUD200008CL 

SILICON NEPHROSTOMY DILATOR 腎擴張造 

'8FR;10FR 

廔導管 

EA 117 

CKUD200012CL 


'12FR;14FR 

廔導管 

EA 164 

CKUD200016CL 


'16FR;18FR 

廔導管 

EA 234 

CKUD200040AN PTFE DILATOR 4:9FR '1500040:100 EA 117 

CKUD200120AN PTFE DILATOR 12:14FR '15000140:150 EA 164 

CKUD20012DAN "ANGIOMED"DILATATION SET 12FR 擴張器組 '15000120 EA 164 

CKUD200160AN PTFE DILATOR 16FR '15000160 EA 234 

CKUS163206CL 

SILICON CHOLANGICAL BALLOON 


'06-3106:8;06-3206:8 EA 612 

CKUS22614NSB AMPLATZ TYPE RENAL SHEATH SET 

'M0062601440:M00626 

01490 

SET 820 

CKUS26015NSB 

"BOSTON SCIENTIFIC"AMPLATZ TYPE 

RENAL SHEATH SET/INDIVIDUAL SHEATHS 

'260-151:260-154 SET 820 



TFE SHEATHS FOR AMPLATZRENAL 'VS-1000xx:3600xx- 

CKUS2AMPV1CK 

DILATORS 10:36FR,16:40CM 

ARI 

SET 820 

CLPA133004HD 

CHEMO-CATHETER 1 LUMEN 4.0-9.6FR* 適 


'330-04/06/09 EA 2960 

CLPA14130NBA 

SINGLE LUMEN PER-Q-CATHETER WITH '413-2005;3105; 

GUIDWIRE 2.0:5.0FR※ 適應症請見備註欄 4105;5105 

SET 2960 

"BARD"GROSHONG NXT CLEAR VUE 

CLPA176174BA 4FR.SINGLE LUMEN(PICC) 葛羅祥刻立回中央 '7617405 SET 2960 

靜脈導管 * 適應症請見備註欄 

CLPA17715NBA 

SINGLE LUMEN GROSHONG 

PERIPHERALLY INSERT CENTRAL VENOUS '7715305;7715405 SET 2960 

CATH 3,4FR※ 適應症請見備註欄 

CLPA133007HD 

CHEMO CATHETER 2 LUMEN 7:12FR ※ 適應 


'330-07/10/12 SET 3000 

CLPA177255BA 

DUAL LUMEN GROSHONG PERIPHERALLY 

INSERT CENTRAL VENOUS CATH※ 適應症 


'772505 SET 3000 

CLPA105041AR 

CLPA130166HD 

CLPA133504HD 

CLPA135000HD 

CLPA135575HD 

CLPA136008HD 

CLPA138008HD 

CLPA140040HD 

CLPA145458SB 

CLPA1MS41NBD 

CLPA1P1CC1CK 

CLPA1P1CC2CK 

CLPA1P1CC5CK 

1 LUMEN PICC RADIOLOGY SELDINGER 

ACCESS SET(C+N+D+G)※ 適應症請見備註欄 

HDC V-CATH SINGLE LUMEN PICC SET 

(C+N+D+G) 適應症請見備註欄 

CHEMO CATHETER AND INTRODUCER 

(SINGLE)4:9.6FR * 適應症請見備註欄 ( 自 

90.09.01 至 91.04.01 核價為 0) 

HDC V-CATH SINGLE LUMEN PICC SET 

(C+N+D+G) 適應症請見備註欄 

HDC V-CATH SINGLE LUMEN PICC 

SET(C+N+D+G) 適應症請見備註欄 







VAXCEL PERIPHERALLY INSERTED 

CENTRAL CATHETER(PICC) WITH PASV 

VALVE TECHNOLOGY(SINGLE 

LUMEN,3:5FR,60CM )(C+N+D+G)* 適應症請見 

備註欄 

'PR05041LW; 

05041MW;05041T 

'30-0;3;4;6;40- 

0;2;500-166 

SET 3050 

SET 3050 

'335-04/06/09 SET 3050 

'350-00;05;08; 

10;40;42 

'355-75;385-75;405- 

55 

'360-08;40;50; 

55;78 

'380-08;45;50; 

55;75;78 

SET 3050 

SET 3050 

SET 3050 

SET 3050 

'400-40;400-50 SET 3050 

'M001454520:M001454 

540; 

M001454560:M001454 

590; 

M001454610:M001454 

640 

'384131;384141; 

384151 

'UPICS-401-MPIS; 

UPICS-501-MPIS 

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 

TURBO-FLO PERIPHERALLY INSERTED 

CENTRAL VENOUS CATHETER(PICC) SET- 

ONE LUMEN (C+D+G+N)* 適應請見備註欄 



ONE LUMEN (C+D+G+N)* 適應請見備註欄 

TURBO-FLO OVER THE WIRE 

PERIPHERALLY INSERTED CENTRAL 

VENOUS CATHETER(PICC)SET(SINGLE 

LUMEN C+I+G)* 適應症請見備註欄 

'UPICS-401-MPIS- 

NT;UPICS-501-MPIS- 

NT 

'UPICS-401-MPIS- 

OTW;UPICS-501- 

MPIS-OTW 

KIT 3050 

SET 3050 

SET 3050 

SET 3050 

SET 3050 



'CTPICC4S; 

"MEDCOMP"PRO-PICC PERIPHERALLY CTPICC5S; 

INSERTED CENTRAL VEIN CATHETER CTPICC4SL; 

SET(SINGLE LUMEN C+N+G+D) 普羅匹克週邊 CTPICC5SL; 

SET 3050 

導入中央靜脈導管組 * 適應症請見備註欄 CTPICC4SN; 

CTPICC5SN 

CLPA1PP1C1M0 

CLPA1PS41NBD 

CLPA105052AR 

CLPA133507HD 

CLPA139008HD 

CLPA139266HD 

CLPA139450HD 

CLPA139550HD 

CLPA145468SB 

CLPA150276HD 

CLPA17505NBA 

CLPA1P1CC3CK 

CLPA1P1CC4CK 

CLPA1P1CC6CK 

CLPA1PD41NBD 

CLPA1PP1C2M0 

CLPA100111HD 

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 

DUAL LUMEN PICC RADIOLOGY 

SELDINGER ACCESS SET(C+G+I+T-PORT) 


CHEMO CATHETER 2 LUMEN 

7:12FR&INTRODUCER KIT ※ 適應症請見備註 

欄 

HDC V-CATH DUAL LUMEN PICC 








VAXCEL PERIPHERALLY INSERTED 

CENTRAL CATHETER(PICC) WITH PASV 

VALVE TECHNOLOGY(DUAL 

LUMEN,4:6FR,60CM )(C+N+D+G)* 適應症請見 

備註欄 



"BARD"GROSHONG PERIPHERALLY 

INSERTED CENTRAL VENOUS DUAL- 

LUMEN W/INTRODUCER KIT* 適應症請見備註 

欄 



TWOLUMEN (C+D+G+N)* 適應請見備註欄 

TURBO-FLO OVER THE WIRE 

PERIPHERALLY INSERTED CENTRAL 

VENOUS CATHETER(PICC)SET(DOUBLE 

LUMEN C+I+G)* 適應症請見備註欄 

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(DOUBLE LUMEN C+N+G+D) 普羅匹克週 

邊導入中央靜脈導管組 * 適應症請見備註欄 

SINGLE TITANIUM CHEMO- 

PORT(PORT+CATH+NEEDLE) ※ 適應症請見 

備註欄 

'384134;44;54; 

384224;34 

'PR-05042;52; 

05052-LW;05052- 

MW 

SET 3050 

SET 3500 

'335-07/10/12 SET 3500 

'390-08;75;76;78 SET 3500 

'390;392;500; 

502;700-266 

SET 3500 

'394-50;394-60 SET 3500 

'395-50;395-60 SET 3500 

'M001454670:M001454 

690; 

M001454710:M001454 

740; 

M001454760:M001454 

790 

KIT 3500 

'500-276;502-276 SET 3500 

'7827505;7927505 SET 3500 

'UPICDS-501-MPIS SET 3500 

'UPICDS-501-MPIS-NT SET 3500 



TWOLUMEN (C+D+G+N)* 適應請見備註欄 

'UPICDS-501-MPIS- 

OTW 

SET 3500 

'384155 SET 3500 

'CTPICC5D; 

CTPICC6D; 

CTPICC5DL; 

CTPICC6DL; 

CTPICC5DN; 

CTPICC6DN 

'700-01-11:17;700- 

05-10:17 

SET 3500 

SET 9370 



CLPA100318HD 

SINGLE TITANIUM EPIDURAL 

PORT(PORT+CATH+NEEDLE)※ 適應症請見 '700-03-18:9 SET 9370 

備註欄 

CLPA100611HD 

SINGLE PLASTIC CHEMO- 

PORT(PORT+CATH+NEEDLE) ※ 適應症請見 '700-06-11:17 SET 9370 

備註欄 

CLPA101004AR 

SINGLE TITANIUM A-PORT ATTACHE 

'AP-01004;5;8;9; 

5.4FR,8.4FR 75CM(PORT+CATH+NEEDLE)※ 

01030;31;35 


EA 9370 

CLPA101006AR 

CLPA101010AR 

CLPA101510AR 

CLPA102000E5 

CLPA102000HJ 

CLPA104150HJ 

CLPA10604NBA 

CLPA107500BA 

CLPA115103CL 

CLPA120020US 

CLPA120022US 

CLPA120023US 

CLPA120024US 

CLPA120026US 

CLPA120027US 

SINGLE TITANIUM IMPLANTABLE A-PORT 

7FR 75CM(PORT+CATH+NEEDLE)※ 適應症 


SINGLE PLASTIC IMPLANTARLE LOW- 

PROFILE PORT 8.1FR 

75CM(PORT+CATH+NEEDLE)※ 適應症請見備 

註欄 

SINGLE TITANIUM IMPLANTABLE LOW- 

PROFILE PORT 8.4,9.6FR 

75CM(PORT+CATH+NEEDLE)※ 適應症請見備 

註欄 

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 

PERITONEAL SYSTEM PORT-A-CATH 

(P+C+N)※ 適應症請見備註欄 ( 含動脈 , 腹膜及 

靜脈系統 ) 

PROPORT IMPLANTABLE VENOUS ACCESS 

SYSTEMS(P+C+N)※ 適應症請見備註欄 

MRI SINGLE LUMEN IMPLANTED 

PORTS(PORT+C+N)* 適應症請見備註欄 

X-PORT ISP IMPLANTED PORT (P+C+N)* 適 


SINGLE TITANIUM SUBCUTANEOUSLY 

IMPLANTED PORT(PORT+CATH+NEEDLE) 


SINGLE TITANIUM CHEMOSITE VENOUS 

PORT(PORT+CATH+NEEDLE)※ 適應症請見 

備註欄 

SINGLE TITANIUM CHEMOSITE LOW 

PROFILE PORT(PORT+CATH+NEEDLE)※ 適 





SINGLE TITANIUM CHEMOSITE LOW- 

PROFILE PORT(P+C+N)※ 適應症請見備註欄 







'AP-01006;01007; 

01033 

EA 9370 

'AP-01010;11;15 EA 9370 

'AP-01032;01510 EA 9370 

'21-2000-22 SET 9370 

'21-2000-22;21-3000- 

22;21- 

4008;4022;4024;4034;4 

036;4052;4054;4082- 

22;21- 

4064;4070;4072;4084 

'21- 

4150;52;54;60;62;64; 

70;72;82;84;86;88-24 

'060-2650;2620; 

2640;4540;3840 

'0607500;0607510; 

0607520;0607525 

'15-1003;15- 

1011:12;13-3500:22 

SET 9370 

SET 9370 

SET 9370 

SET 9370 

SET 9370 

'120020 SET 9370 

'120022 EA 9370 

'120023 EA 9370 

'120024 EA 9370 

'120026 EA 9370 

'120027 EA 9370 



CLPA120044US 

SINGLE TITANIUM CHEMOSITE 

PORT(PORT+CATH+NEEDLE)※ 適應症請見 '120044 SET 9370 

備註欄 

CLPA120067US 

SINGLE TITANIUM CHEMOSITE ARTERIAL 


備註欄 

CLPA120085US 



備註欄 

CLPA120115US 


PROFILE ARTERIAL PORT(P+C+N) ※ 適應症 '120115 EA 9370 


CLPA12130NE5 

SINGLE TITANIUM PORT-A 

CATHETER(P+C+N)※ 適應症請見備註欄 

'21-3000-22 SET 9370 

CLPA130000BB 

CLPA130026BB 

CLPA130050BB 

CLPA130069BB 

CLPA130085BB 

CLPA14024NE5 

CLPA160260DV 

CLPA160284BA 

CLPA108050HJ 

CLPA160216DV 

CLPA10615NBA 

CLPA108050E5 

CLPA161548BA 

SINGLE TITANIUM MBS CELSITE 


備註欄 

SINGLE TITANIUM EPOXY CELSITE 


備註欄 , 型號 :04430379 自 940701 起刪除 


ARTERIAL PORT(P+C+N)※ 適應症請見備註欄 


PERITONEAL PORT(P+C+N)※ 適應症請見備 

註欄 



備註欄 

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 

SINGLE PLASTIC HICKMAN 

PORT(PORT+CATH+NEEDLE) ※ 適應症請見 

備註欄 

SINGLE MRI PLASTIC PORT W/GROSHONG 

3-WAY(P+C+N) ( 型號 0604510 自 91/07/01 生效 ) 


DUAL LUMEN TITANIUM PORT (P+C+N)※ 適 


DUAL LUMEN COATING 

PORT(TI+PL)(PORT+CATH+NEEDLE) ※ 適應 


MRI DUAL-LUMEN IMPLANTED 

PORTS(PORT+C+N)* 適應症請見備註欄 

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 

MRI DUAL PORT W/GROSHONG 

CATHETER(PORT+CATH+NEEDLE)※ 適應症 


'04430000(T301F); 

04430018(T301); 

04430042(T302); 

04430387(T301P); 

04433831(T301G); 

04434452(T301H); 

04436903(T305) 

SET 9370 

'04430026;04430034 SET 9370 

'04430050 SET 9370 

'04430069 SET 9370 

'04430085 SET 9370 

'21-4008;24;34; 

36;52;54;82-22 

SET 9370 

'60260:5 SET 9370 

'0603830;0602840; 

0604510 

'21-8050-22;21- 

8065;21-8067 

SET 9370 

SET 9500 

'60216 SET 9500 

'06-15460;07200; 

02370 

'21-8050-22;21- 

8065;67 

SET 9700 

SET 9700 

'0615480 SET 9700 



PORT-A 

SYSTEM(PORT+CATH+NEEDLE+INTRODUC 'AP-06010:06025; 

ER)※ 限癌症化學治療及癌症末期之疼痛治療使 36:46;06520 

SET 10370 

用 

CLPA106010AR 

CLPA107530BA 

CLPA11PS0TCK 

CLPA120011US 

CLPA120021US 

CLPA120025US 

CLPA120045US 

CLPA120066US 

CLPA120092US 

CLPA130092BB 

CLPA130395BB 

CLPA130893BB 

CLPA132045BB 

CLPA133718BB 

CLPA14025NE5 

CLPA14025NHJ 

X-PORT ISP IMPLANTED PORT (P+C+N+I)* 


VITAL-PORT VASCULAR ACCESS 

SYSTEMS(P+C+N+I+GW)※ 適應症請見備註欄 


PROFILE PORT 7FR (P+C+N+I)※ 適應症請見 

備註欄 


PROFILE PORT 9FR(P+C+N+I)※ 適應症請見 

備註欄 

SINGLE TITANIUM CHEMOSITE 

LOWPROFILE VENOUS PORT 

9FR(P+C+N+I)※ 適應症請見備註欄 

SINGLE TITANIUM CHEMOSITE PORT 

9FR(P+C+N+I)※ 適應症請見備註欄 

SINGLE LUMEN TITANIUM CHEMOSITE 

VENOUS PORT 9FR(P+C+N+I)※ 適應症請見 

備註欄 


PORT 7FR(P+C+N+I)※ 適應症請見備註欄 

CELSITE IMPLANTABLE PORT ,VALVE 

CATH (P+C+N+I)* 適應症請見備註欄 , 型 

號 :4430095 自 940701 起刪除 

'0607530;0607540; 

0607550;0607555 

'IP- 

S6010;S7010;S9010;S 

6110; 

S7110;S9110;S9010P; 

S9110P; 

S6013;S6113;S6113- 

MPIS;S5016;S5116 

SET 10370 

SET 10370 

'120011 SET 10370 

'120021 SET 10370 

'120025 SET 10370 

'120045 SET 10370 

'120066 SET 10370 

'120092 SET 10370 

'0443-0092 SET 10370 

CELSITE IMPLANTABLE PORT ,STANDARD '0443-0395;0409; 

(P+C+N+I)* 適應症請見備註欄 

0417;2096 

CELSITE IMPLANTABLE PORT ,SMALL 

(P+C+N+I)* 適應症請見備註欄 ( 型號 04436962 文 '0443-0893;0143; 

號 :920036552)( 型號 04436806 自 940701 起刪 04436962 

除 ) 

SINGLE TITANIUM MBS CELSITE 

PORT(PORT+CATH+NEEDLE+INTRODUCER 

)※ 適應症請見備註欄 

CELSITE IMPLANTABLE PORT ,STANDARD 

(P+C+N+I)* 適應症請見備註欄 , 型號 :4433718 自 

940701 起刪除 

SINGLE PORT-A CATH(P+C+N+I) ( 型號 21- 

4023,63,65,85,3020 自 90/10/01 生效 )※ 適應症 


TITANIUM PORT-A-CATH (P+C+N+I) ※ 適應 


'0443- 

0425;0433;0441;2045;2 

460; 

3556;3726;3750;3823;6 

709;6717; 

6725;6814;6920;6946 

'0443-3149;0443- 

3807 

'21-4009;25;35; 

37;53;55;83-22 

SET 10370 

SET 10370 

SET 10370 

SET 10370 

SET 10370 

'21-3020 SET 10370 



CLPA15105KHZ 

VORTEX VTX TITANIUM VASCULAR 

ACCESS PORTS(P+C+N+I)* 適應症請見備註 

欄 

'P12105K;P12155K; 

P12305K;P12355K; 

P5105K;P5155K; 

P5305K;P5355K; 

P5455K;(P5405K 自 

970101 起註銷 ) 

SET 10370 

CLPA161635PF 

CLPA165750BA 

CLPA170754BA 

CLPA1P0R45SB 

CLPA1VP100GH 

CLPA1VP150GH 

CLPA1VTXTRRH 

CLPA104151HJ 

CLPA14009NE5 

CLPA14071NE5 

CLPA14071NHJ 

CLPA161636PF 

SINGLE PLASTIC JET PORT 

90CM(PORT+CATH+NEEDLE+INTRODUCER 


X-PORT ISP IMPLANTED PORT WITH 

MICROINTRODUCER KIT(P+C+N+I)* 適應正請 

見備註欄 

X-PORT ISP IMPLANTED PORT WITH 

INTERMEDIATE KIT(P+C+N+I)* 適應正請見備 

註欄 

"BOSTON SCIENTIFIC"VAXCEL 

IMPLANTABLE PORTS WITH PASV 

TECHNOLOGY (SINGLE 

LUMEN)(P+C+NX2+I)* 適應症請見備註欄 

SINGLE PLASTIC VAS PORT 

(PORT+CATH+NEEDLE+INTRODUCER)※ 適 


SINGLE PLASTIC VASPORT 

SYSTEM(PORT+CATH+NEEDLE+INTRODUC 

ER)* 適應症請見備註欄 

"RITA"VORTEX TR PORT SYSTEM(P+C+N+I) 

植入型注射系統 * 適應症請見備註欄 

PROPORT IMPLANTABLE VENOUS ACCESS 

SYSTEMS(P+C+N+I+GW+GRIPPER 

NEEDLE)※ 適應症請見備註欄 

SINGLE TITANIUM PORT-A 

CATHETER(PORT+C+N+I+GRIPPER 

NEEDLE)※ 適應症請見備註欄 

TITANIUM SINGLE LUMEN PORT-A 

SYSTEM(C+G+N+I+GRIPPER NEEDLE)※ 適 


TITANIUM PORT-A-CATH 

(P+C+N+I+GRIPPER NEEDLE) ※ 適應症請見 

備註欄 

SINGLE LUMEN PFM VASCULAR ACCESS 

SYSTEM JET (C+G+N+I+GRIPPER NEEDLE)* 


'61-630-15.090 SET 10370 

'06575-00;10;20;25; 

7757540 

KIT 10370 

'7707540 KIT 10370 

'M001452130; 

M001452200; 

M001453640; 

M001453680 

SET 10370 

'VP100 SET 10370 

'VP200:400; 

100L:400L;150:450 

'SSDX;PSAX;PSDX- 

10-1; 

SSAX;SSDX;SPDX-14- 

1; 

SSAX;SSDX;SPDX;SP 

AX-16-1;SPDX- 

14;16-IL 

'21-4151;53;55;61;63; 

65;71;73;83;85;87;89- 

24 

'21-4009-22;21-4023- 

22;21-4025-22;21- 

4035-22;21-4037- 

22;21-4051-22;21- 

4053-22;21-4055- 

22;21-4065;21- 

4083-22;21-4085 

SET 10370 

SET 10370 

SET 10464 

SET 10464 

'21-4071;21-4073 SET 10464 

'21- 

4009;4023;4025;4035;4 

037; 

4051;4053;4055;4083- 

22;21- 

4065;4071;4073;4085 

'616-36;46-070-70; 

616-36;46-350-75; 

616-36;46-310-80; 

6164636075 

SET 10464 

SET 10464 



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 

'21-8052-22 SET 10700 

CLPA108052HJ 

DUAL LUMEN TITANIUM PORT (P+C+N+I) ※ 


'21-8052-22 SET 10700 

CLPA108066E5 

TITANIUM DUAL LUMEN PORT-A 

SYSTEM(C+G+N+I+GRIPPER NEEDLE)※ 適 '21-8066;21-8068 SET 10794 


CLPA108066HJ 

DUAL LUMEN TITANIUM PORT 

(P+C+N+I+GRIPPER NEEDLE) ※ 適應症請見 '21-8066;21-8068 SET 10794 

備註欄 

CLPA130100BB 

"B.BRAUN "CELSITE IMPLANTABLE 

DOUBLE PORTS (P+C+N+I+GRIPPER 

NEEDLE) 舒載皮下植入式雙槽注射座 * 適應症請 

'4430100;4430101 SET 10794 

見備註欄 

CLS041VC01TZ 

VOLUME CONTROL I.V ADMINISTRATION 

SET 

'SD—IVC001 SET 60 

CLS04CSBRBLL 

VOLUME METERIC ADMINISTRATION SET 'CIB-100AB;100RB; 

100ML 120ML 150ML 附過濾網 

100VB 

SET 60 

CLS04CSBVFLL 

VOLUME METERIC ADMINISTRATION SET 'CIB-100V;R:150V; 

100ML 120ML 150ML 附過濾網 

A;R 

SET 60 

CLS04IVC01TZ 

VOLUME CONTROL I.V ADMINISTRATION 

SET 

'SD-IVC001 SET 60 

CLS04VB10LFP "MEDPRO"INFUSION SET 輸液套 'VB10CYLL11-OP EA 60 

CLS04VB10SFP "MEDPRO"INFUSION SET 輸液套 'VB10CYLS11-OP EA 60 

CLS041VPB3JS JMS INFUSION SET WITH BURET 100CC '100CC EA 63 

CLS0440393BB 

DOSIFIX VOLUME CONTROL BAG 170CM 

120CC 

'403939/4 SET 63 

CLS04BR150SG 

VOLUME METERIC ADMINISTRATION SET 

W/FILTER 

'BRS150F;100F SET 63 

CLS04BRM08LL INFUSION SET WITH BURETTE 100CC 'BRM008 SET 63 

CLS04BT100SG VOLUMEMETRIC ADMINSTRATION SET 'BT 100 EA 63 

CLS04BT120SG 

VOLUME METERIC ADMISTRATION SET 'BV120F;BA120F; 

W/FILTER 

BR120F;BRS120F 

SET 63 

CLS04BUM08LL INFUSION SET WITH BURETTE( 雙路式 ) 'BUM008 SET 63 

CLS040114NPW 

INFUSION SET W/BURETTE W/VALVE 'C001;003;004; 

100CC 

006;010;011;014 

EA 68 

CLS0403180BB 

DOSIFIX VOLUME CONTROL SET W/15ML 

FLUID FILTER W/VALVE 120CC/200CM 

'0403180/6; 

0403306/0;0403307/8 

EA 68 

CLS0405208BB 

VOLUME CONTROL BAG 120CC/180CM 

WITH VALVE 

'405208/0 SET 68 

CLS040520VBB 

DOSIFIX VOLUME CONTROL 

ADMMINISTRATION SET 120ML WITH '0405208/0V EA 68 

VALVE 

CLS046369NPW 

INFUSION SET W/BURETTE W/VALVE 'C063;069;072; 

150CC,200CC 

078;079 

SET 68 

CLS04BS120SG 

VOLUME METERIC ADMISTRATION SET 

W/VALVE W/FILTER 

'BVS120F;BAS120F SET 68 

CLS04BS150SG 

VOLUME METERIC ADMINISTRATION SET 'BAS150F; 

W/VALUE W/FILTER 

BVS150F;100F 

SET 68 

CLS04BT163BQ Infusion set 100ml with valve &filter 'BT-163 系列 EA 68 

CLS04BT164BQ Infusion set 150ml with valve &filter 'BT-164 系列 EA 68 

CLS04BV100SG 

VOLUMEMMETRIC ADMINSTRATION SET 

100ML WITH VALVE 

'BVS100 SET 68 

CLS04BV150SG 

VOLUMEMMETRIC ADMINSTRATION SET 

150ML WITH VALVE 

'BVS150 SET 68 

CLS04C5894BT 

BURETROL IV SOLUTION ADMINISTRATION 'FMC5894; 

SET W/ VALVE 

FMC5894P 

SET 68 



CLS04CSBACLL 

"LILY"VOLUME METERIC ADMINISTRATION 

SET W/VALVE 精密輸液套 

'CIB-120ASC EA 68 

CLS04CSBESLL 

"LILY"VOLUME METERIC ADMINISTRATION 

SET(W/VALVE)* 

'CIB-120ES EA 68 

CLS04CSBVSLL 


'CIB-100VS; 

100ML 120ML 150ML W/VALVE 附止水閥、附 

RS:150VS;AS;RS 

過濾網 

SET 68 

CLS04IVPBFJS 

CLS04M270LTM 

CLS04SBAFHLL 

CLS04VB10YFP 

CLS04VB12CBB 

CLS0405759BB 

CLS0405760BB 

CLS04A260NPW 

CLS04E010NPW 

CLS04NB150SG 

CLS04NS120SG 

CLS04SBASSLL 

CLS04VBNAPBB 

CLS0404965AB 

CLS0404965HR 

INFUSION SET PEDIATRIC 100ML BURET 

W/FLOAT VALVE 

TERUFUSION VOLUMETRIC SOLUTION 

ADMINISTRAION SET WITH VALVE 


150CC W/VALVE 

"MEDPRO"INFUSION SET WITH VALVE 輸液 

套 

B.BRAUN IV-FIX BURETTE INFUSION SET 

WITH VALVE 

DOSIFIX W/SAFESITE NEEDLE-FREE 

SYSTEM W/VALVE 120ML( 自 92.03.01 更改功 

能類別 )* 適應症請見備註欄 

DOSIFIX W/SAFESITE NEEDLE-FREE 

SYSTEM W/VALVE 150ML( 自 92.03.01 起更改 

功能類別 )* 適應症請見備註欄 

PERFECT DISPOSABLE INFUSION 

SET(W/BURETTE W/VALVE W/SAFESITE 

NEEDLE SYSTEM )* 適應症請見備註欄 

INFUSION SET W/BURETTE W/VALVE 

W/SAFESITE NEEDLE-FREE SYSTEM* 適應 


SIGMA VOLUME METERIC 

ADMINISTRATION SET* 適應症請見備註欄 


W/FREE SITE * 適應症請見備註欄 

VOLUME METERIC ADMINISTRATIONN SET 

( 安全型免針加藥 )W/VALVE* 適應症請見備註欄 

"B.BRAUN"IV-FIX BURETTE INFUSION 

SET( 免針加藥 )* 適應症請見備註欄 

PRECISION VOLUME IV SET 100CC 

W/VALVE* 適應症請見備註欄 

SOLUSET 100X60 PRECISION VOLUME IV 

SET W/100ML BURETTE AND MICRODRIP 

CHAMBER※ 適應症請見備註欄 

'/FLOAT VALVE; 

TYPE PEDIATRIC 

W/100ML BURET W 

EA 68 

'TS*M270L SET 68 

'CIB-150AFH EA 68 

'VB10CYLL11-1P EA 68 

'VB12CYLL11-1P; 

VB12CYLS11-1P; 

VB15CYLL11-1P; 

VB15CYLS11-1P 

'0405759/7; 

0405759/7V 

EA 68 

EA 90 

'0405760/0 EA 90 

'A26 SET 90 

'E01 SET 90 

'NB150 EA 90 

'NBAS120 EA 90 

'CIB-120ASS;CIB- 

120ESS;(CIB- 

150ASS: 自 96.10.1 起生 

效 ) 

'VB12C(NA)LL11-1P; 

VB12C(NA)LS11-1P; 

VB15C(NA)LL11-1P; 

VB15C(NA)LS11-1P 

EA 90 

SET 90 

'4965:68 SET 94.5 

'4965-28 EA 94.5 

CLS0501648HR PLUMSET I.V PUMP SET* 適應症請見備註欄 '1648;1651 SET 192 

CLS0501756HR PRIMARY IV PUMP SET* 適應症請見備註欄 '11697 SET 192 

CLS0502210ZL 

"CARDINAL" ADMINSTRATION SET※ 適應症 


'2210 SET 192 

CLS0502230ZL 

"CARDINAL" ADMINSTRATION 

SET(0.2MICRO FILTER) 

'2230 SET 307 

CLS0502260ZL "CARDINAL" ADMINISTRATION SET 

'2260;( 型號 :2264 自 

980101 起生效 ) 

SET 283 



CLS0502280ZL 



'2280 SET 192 

CLS05036EHM8 

MEDITOP INFUSION SET FOR INFUSION 

PUMP (IV PUMP SET)* 適應症請見備註欄 

'TIS-036EH SET 73.6 

CLS05036SPBB 

"B.BRAUN"INFUSOMAT SPACE LINE 史倍司 '8700036SP; 

輸液套 * 適應症請見備註欄 

8700037SP 

SET 73.6 

CLS0503704HR IV PUMP SET* 適應症請見備註欄 '3704 SET 192 

CLS05037EHM8 



'TIS-037EH SET 73.6 

CLS050F825HR IV PUMP SET* 適應症請見備註欄 'F825 SET 180 

CLS051117ABT 

VOLUMETERIC PUMP SET( 型號 FNC1117B 自 

090/07/01 起生效 )※ 適應症請見備註欄 

'FNC1117A FNC1117B SET 192 

CLS0511285AB 

NONVENTED DURAL CHANNEL PLUM SET 

264CM※ 適應症請見備註欄 

'11285-02 SET 192 

CLS0526WEHM8 



'TIS-26WEH SET 73.6 

CLS0546009A6 

INFUSION PUMP SET 100CC P-300( 型號 

4600921 自 89/12/01 起刪除 )※ 適應症請見備註 '4600911;4600901 SET 92 

欄 

CLS05668SPBB 

INFUSOMAT SPACE LINE 史倍司輸液套 * 適應 '8751668SP; 


8751669SP 

SET 73.6 

CLS0570001BB 

INFUSOMAT PUMP SET 250CM※ 適應症請見 

備註欄 

'870001/0 SET 92 

CLS05A200LTM 

TERUFUSION IV PUMP SET WITHOUT BAG 


'TS*PA200L SET 73.6 

CLS05C0169BT 

COLLEAGUE PUMP SYRINGE ADAPTER 

SET * 適應症請見備註欄 

'2C0169;2C0169S SET 60 

CLS05C7542BT 

BURETROL PUMP SET WITH 3-INJ SITE ※ 


'2C7542S EA 237 

CLS05C9604BT 

CONTINU-FLO PLUS SOLUTION 

ADMINISTRATION PUMP SET* 適應症請見備 'FMC9604 SET 180 

註欄 

CLS05T037HTP INFUSION PUMP SET※ 適應症請見備註欄 'TIS-037H SET 92 

CLS05V1SVAJS 

VOLUMETRIC INFUSION SET(IV PUMP 

SET)* 適應症請見備註欄 

'VOLUSET A SET 73.6 

CLS0601753HR 

SOLUSET 150ML BURETTE IV PUMP SET* 適 


'1753 SET 237 

CLS0601772HR 

HOSPIRA SPECIALTY PUMP SET(VENTED 

NITROGLYCERINE I V SET) 

'1772 SET 283 

CLS0602241ZL 



'2241 SET 237 

CLS0602427HR PUMP SET(NITROGLYCERIN) '2427 SET 283 

CLS0606433AB 

PLUM SET WITH VENTED SOLUSET※ 適應 


'6433 SET 237 

CLS060E798HR HOSPIRA IV PUMP SETS* 適應症請見備註欄 'E798 SET 237 

CLS060F821HR 

NTG PUMP SET-STERILE WITH LIGHT 

PROTECTIVE POLYETHYLENE TUBING 

'F821-37 SET 220 

CLS060F826HR 

SOLUSET 150X60 PUMP SET BURETTE I V 

ADMINSTRATION SET* 適應症請見備註欄 

'F826 SET 180 

CLS060L217HR IV PUMP SET 'L217 SET 220 

CLS060L218HR 

NTG PUMP SET WITH LIGHT PROTECTIVE 

POLYETHYLENE TUBINGING 

'L218 SET 220 

CLS0611706HR BURETTE PUMP SET* 適應症請見備註欄 '11706 SET 237 

CLS0611879HR PLUMSET IV PUMP SET W/FILTER '11879 SET 307 

CLS06125SPBB 

INFUSOMAT SPACE LINE UV-PROTECT 史倍 '8700125SP; 

司輸液套 ( 不透光型 ) 

8700126SP 

SET 220 



CLS06731SPBB 

INFUSOMAT SPACE LINE PVC-FREE SET 

'8250731SP; 

FOR THE ADMINISTRATION OF CYTOTOXIC 

8250733SP 

AGENTS 史倍司輸液套 

SET 220 

CLS06C7544BT 

BURETROL SOLUTION PUMP SET * 適應症請 

見備註欄 

'2C7544S SET 237 

CLS06C7552BT VENTED NITROGLYCERIN PUMP SET '2C7552S EA 283 

CLS06C7553BT 

(NON-)VENTED PACLITAXEL SET 

W/0.22MICRON FILTER 

'2C7553;2C7555 SET 290 

CLS06C9644BT 

LIGHT SENSITIVE CLEARLINK SET 無針系統 

含過濾器避光輸液套 ※ 適應症請見備註欄 

'M6MC9644 EA 307 

CLS06C9651BT 

BURETROL PUMP SET W/BURETTE※ 適應 'FMC9651; 


FMC9651P 

SET 237 

CLS06E9607BT LIGHT SENSITIVE DRUGS SET 'ECC9607 EA 220 

CLS06M270LTM 

TERUFUSION IV PUMP SET WITH BAG 

100CC※ 適應症請見備註欄 

'TS*PM270L SET 122.6 

CLS0710912BB 

SANGOFIX BLOOD ADMISTRATION SET 輸 

血套 

'0410912/0 SET 20 

CLS071724NPW TRANSFUSION SET '17:24G SET 20 

CLS07A130NPW 

PERFECT DISPOSABLE TRANSFUSION (L 

TYPE ) 

'A13 EA 20 

CLS07A200BTM BLOOD ADMINISTRATION SET 'TB*A200B SET 20 

CLS07A200LTM BLOOD ADMINISTRATION SET 'TB*A200L SET 20 

CLS07BT350JS BLOOD TRANSFUSION SET 'TYPE 350 SET 20 

CLS07C5896BT BLOOD ADMINISTRATION SET 'FMC5896 EA 20 

CLS0801781AB Y TYPE BLOOD PUMP SET '1781 SET 240 

CLS0802277M2 

Y-TYPE BLOOD ADMINISTRATION PUMP 

SET 

'2277 SET 230 

CLS08066SPBB 

INFUSOMAT SPACE LINE TRANSFUSION '8270066SP; 

WITH 200UM BLOOD FILTER 史倍司輸血套 8270067SP 

SET 230 

CLS0808949HR Y-TYPE BLOOD SET WITH PUMP 'L288-54 SET 230 

CLS0811234AB BLOOD IV PUMP SET '11234 SET 240 

CLS0811664HR Y-TYPE BLOOD PLUMSET '11664 EA 230 

CLS0900BTYJS Y TYPE BLOOD TRANSFUSION SET 'TYPE Y SET 22 

CLS0902004TM Y TYPE ADMINISTRATION SET 'TY*A2004 SET 22 

CLS0902005TM Y TYPE ADMINISTRATION SET 'TY*A2005 SET 22 

CLS09A140NPW 

PERFECT DISPOSABLE TRANSFUSION (Y 

TYPE ) 

'A14 EA 22 

CLS09B140NPW Y TYPE BLOOD TRANSFUSION SET 'A02 SET 22 

CLS1202427HR PUMP SET(NITROGLYCERIN) '2427 SET 283 

CLS122907NM2 GEMINI SET FOR SODIUM NITROPRUSSIDE '2907 EA 220 

CLS1400137BX Exacta-Mix EVA Container TPN Bag 250ML '137 EA 120 





CLS1402000BB NUTRIENT MIXING BAG-NUTRIMIX '2/3 2000ML EA 180 

CLS1403000BB TPN BAG 3000CC '3/3 EA 180 

CLS14B8082CT VIAFLEX TPN BAG 250C.C. '2B8082 EA 105 



CLS14B8086BT 

EMPTY VIAFLEX CONTAINER WITH 

CONNECTOR 2000ML 

'2B8086 EA 176 

CLS14B8087BT 

EMPTY VIAFLEX CONTAINER WITH 

CONNECTOR 3000ML 

'2B8087 EA 180 

CLS14B8112CT ALL-IN-ONE BAG 1000CC '2B8112 EA 140 

CLS14B8122CT ALL-IN-ONE BAG 2000C.C. '2B8122 EA 176 

CLS14B8132CT ALL-IN-ONE BAG 3000C.C. '2B8132 EA 180 



CLS14B8152CT ALL-IN-ONE BAG 500 CC '2B8152 EA 130 

CME011032NNY 

CME0180351SB 

GOLDVALVE DETACHABLE BALLOON※ 適應 


SENTRY BALLOON CATHETER 150CM 

W/GUIDING CATH 雙導管式 ※ 適應症請見備註 

欄 

CME01GVBNNN9 GOLDVALVE EMBOLIZATION BALLOONS* 適 


MAGIC CATHETER WITH BALLOON 

CME01MABDLBL EMBOLIZATION SET(BALLOON+MICRO 

CATH+MANDRIA)※ 適應症請見備註欄 

MAGIC CATHETER WITH BALLOON 

CME01MABDXBL EMBOLIZATION SET(BALLOON+MICRO 

CATH+MANDRIA)※ 適應症請見備註欄 

CME04CYNACNG NBCA 栓塞球固定液 0.5CC 腦血管栓塞導管栓 

CMV0118298SB 

CMV0126137TM 

CMV0149152SB 

CMV0149152TA 

CMV0149181SB 

CMV0149189SB 

'1032813 

GVB7:1032860 GVB19 

EA 17650 

'803510;803515 EA 37000 

'BAGO0001; 

BAGO0002; 

BAGO0003; 

BAGO0004; 

BAGO0005; 

BAGO0006; 

BAGO0007 

'MABD2LTE; 

MABD2LPE; 

MA21B4X10 

'MABDTE; 

MABDPE; 

MAGELLAN 

EA 17650 

SET 37000 

SET 37000 

'CYNAL-5 EA 1905 

塞劑 

RENEGADE HI-FLO MICROCATHETER 

KIT(MICROCATH+G WIRE+HEMASTATIC)* 適 '18-298:18-303 KIT 14400 


RADIFOCUS SP CATHETER 2.6FR 0.021" 

130CM( 含 GUIDE WIRE)※ 適應症請見備註欄 

SPINNAKER ELITE FLOW DIRECTED 

INFUSION CATHETER SET(INFUSION 

CATH+MICRO GUIDEWIRE+HEMASTATIC )* 


SPINNAKER INFUSION 

CATHTER(CATH+GUIDEWIRE+HEMASTATI 

C)※ 適應症請見備註欄 

EXCELSIOR MICROCATHETER LENGTH 

150/6 TIP CONFIGURATION 1,2 MARKER * 適 


EXCELSIOR PRE-SHAPED 

MICROCATHETER* 適應症請見備註欄 

'(RF*SP26317 自 

960401 停用 ); 

(RF*SP26137 自 960401 

生效 ) 

'M00354901520; 

M00354902020; 

M00354903020; 

M00355901020; 

M00355902020; 

M00355903020 

'549015;559010; 

20;30-2 

'144181;144189; 

168181;168189 

'144- 

181;189:194;381;581; 

168- 

181;189:194;381;581 

SET 19350 

SET 14400 

SET 14400 

EA 8000 

EA 8000 

CMV0150103SB 

FAS TRACKER INFUSON CATHETER 

KIT(CATH+GUIDE WIRE+HEMASTATIC)* 適 'M0015501030 KIT 14400 


CMV0150103TA 

TARGET FAS TRACKER INFUSION 

CATHETER KIT ※ 適應症請見備註欄 

'550103 KIT 19350 

CMV016057KCD 

MASSTRASIT KIT(INFUCTION CATH+MICRO 

'605-730K;734K; 

GUIDEWIRE+HEMASTATIC)※ 適應症請見備 

780K;784K 

註欄 

SET 14400 

CMV016060NCD 

PROWLER INFUSION CATHETER※ 適應症請 

見備註欄 

'606010:606071X EA 8000 

CMV016061NCD 


見備註欄 

'606110:606170X EA 8000 


CMV01606S2CD 

CMV01606XNCD 

CMV016251NCD 

CMV018819XNY 

CMV01C1FNNN9 

CMV01CC0LNNY 

CMV01E2710TM 

CMV01ECHL0V9 

CMV01MC11XCY 

CMV01MC1S2CK 

CMV01MF251CK 

CMV01MFS01CK 

CMV01MFS11CK 

"CORDIS"PROWLER SELECT PLUS 

INFUSION CATHETER 保勒注射導管 * 適應症請 

見備註欄 


'606S152;606S152- 

X;MX;FX;606S154; 

606S154- 

CMV01606S1CD 

X;MX;FX;JX; 

"CORDIS"PROWLER SELECT LP&LP-ES 

606S132; 

INFUSION CATHETER 保勒注射導管 * 適應症請 

606S172X; 

見備註欄 

606S112X; 

606S152JX; 

606S155;606S155- 

X;MX;FX;JX 

EA 8000 

'606S252;606S252- 

X;MX;FX;JX; 

606S255;606S255- 

X;MX;FX;JX; 

606S232;606S232- 

M;F;J;606S272X; 

606S292 

EA 8000 

PROWLER INFUSION CATHETER * 適應症請 '606-131;606- 

見備註欄 

051FX:2511MX 

EA 8000 


見備註欄 

'6062511:6062711X EA 8000 

NYCOMED STARFAST-18 HYDROPHILIC 

MICRO CATHETER ※ 適應症請見備註 

'1048819;1049785 SET 19350 

MINITORQUER CIFN HYPERSELECTIVE 

MICROCATHETER FOR DETACHABLE 

BALLOONS(MICRO CATHETER( 同軸心雙導 'KTCI0001;KTCI0002 SET 19350 

管 )+MANDREL+HEMASTATIC)* 適應症請見備 

註欄 

COAXIAL HYDROPHILIC MICRO-CATHETER 

2F/3F(2FR 內導管 +3FR 外導管 +MANDREL)※ 


PROGREAT CATHETER(MICRO 

CATH+INTRODUCER 

WIRE+COATING+HEMASTATIC)※ 適應症請 

見備註欄 

"MTI"ECHELON MICRO CATHETERS 微導管 

(CATH+MICRO GUIDE 

WIRE+HEMASTATIC)* 適應症請見備註欄 

COSMO MICRO CATHETER 

KIT(CATH+GUIDEWIRE+Y 

CONNECTOR+TORQUE DEVICE)※ 適應症請 

見備註欄 

"COOK"MULTI-SIDEPORT CATHETER 

INFUSION SET 多側孔注射導管組 * 適應症請見 

備註欄 

"COOK"MIRA-FLEX 18 MICROCATHETER* 適 


MICROFERRET-21 HIGH FLOW INFUSION 

CATH SET(C+G+CONNE.+TOR.DEVICE)※ 適 


COOK MICROFERRET-18 INFUSION 

CATHETER SET(CATH+GUIDE 


'CC0L2S:CC0XSS SET 19350 

'MC-PE27-10;11;13- 

5;1 

'105-5091;5092-150; 

145-5091;5092-150; 

190-5091;5092-150 

SET 14400 

SET 14400 

'MCI135K;MCI105K KIT 19350 

'MCIS-5.0-35/38- 

40/65/100/130;- 

4.0/5.0/7.0/10.0/11.0/15 

.0;20.0/30.0/40.0/50.0 

'MF-2.5-18-100-15; 

MF-2.5-18-110-15; 

MF-2.5-18-135-15; 

MF-2.5-18-150-15 

'MFHS-110/135-UNIC- 

HC 

'MFS-110-12;20;25- 

1.0:3.0DR-HC- 

EA 8000 

EA 8000 

SET 14400 

SET 14400 


CMV01MFS15CK 

CMV01P2710TM 

CMV01PC241TM 

CMV01REBARV9 

CMV01SCR3NCK 


CATH+INTERODUCER 


見備註欄 


CATH+INTRODUCER 


見備註欄 

MTI REBAR MICRO CATHETER SET(MICRO 

CATH+GUIDE WIRE+HEMASTATIC) 恩提愛瑞 

霸微導管 * 適應症請見備註欄 

"COOK"MULTI-SIDEPORT CATHETER 

INFUSION SET 多側孔注射導管組 * 適應症請見 

備註欄 

CMV01SMAGXBL BALT MAGIC CATHETER SET ※ 適應症請見 

備註欄 

CMV01STDATAS 

CMV020402XCY 

CMV0205102SB 

ASAHI MICRO CATHETER * 適應症請見備註欄 

CIC BALLOON CATHETER FOR 

EMBOLECTOMY CATHETER 2:8FR 

FAS TRACKER INFUSON CATHETER* 適應症 


TARGET FASTRACKER INFUSION 

CATHETER※ 適應症請見備註欄 


COOK MICROFERRET-18 INFUSION 

'MFS-150-12;20;25- 

CATHETER SET(CATH+GUIDE 

SET 14400 

1.0:3.0DR-HC- 


'MC-PP27-10;11;13- 

C;5;7;1 

'MC-PC241;271-0; 

1;3 

'105-5078;5080- 

153*C;105-5081- 

153*;130;105-5083- 

153;105-5082- 

130;145 

'SCR3.0B-NT-50-P-NS- 

JB1-RT;SCR3.0B- 

NT-50-P-NS-MAYO-A- 

;040681-RT; 

SCR3.0B-NT- 

50;80;100;120; 

135;150-P-NS-0-RT 

'SMAGICSTD- 

SMABD2LPE 

'STD100:STD155- 

22S;22A;26S;26A 

SET 14400 

SET 14400 

SET 14400 

EA 8000 

SET 19350 

EA 8000 

'E-040-2-E-080-8 EA 1200 

'M0031351020; 

M0031351090; 

M0031351100; 

M0011341020; 

M0011341080; 

M0011341090; 

M0011341100; 

M0011342080; 

M0031342090; 

M0031342100 

'135102;09;10; 

KIT 8000 

CMV0205102TA 

EA 8000 

134108:10;208:10 

'OF- 

1000;1250;1500;1750;2 

000;OF- 

CMV020F150GU 

AXIUS CORONARY SHUNT* 適應症請見備註 2250;2500;2750;3000 

EA 3200 

欄 

;OF-3500;4000;OF- 

1000L;1250L;1500L; 

OF- 

1750L;2000L;2500L 

CMV0210062SB 

EA 8000 

CMV0210062TA 

EA 8000 

EDWARDS FOGARTY ARTERIAL 

CMV02120FFED 

'120404FF;120804FF EA 1200 

EMBOLECTOMY CATHETER 

FORGATY ARTERIAL EMBOLECTOMY 

CMV02120XNED 

'12040:80 EA 1400 

CATHETER 2:7FR 40:80MM 

CMV021240NBT FORGATY EMBOLECTOMY CATHETER '120403FI:120404FI EA 1500 

GUIDER SOFTIP GUIDING CATHETER* 適應 

GUIDER SOFTIP GUIDING CATHETER 5FR 

'M0031006-20:40; 

'10062:10064; 


90,100CM * 適應症請見備註欄 

M0031016-20:40 

10162:10164 



CMV021280NBT FORGATY EMBOLECTOMY CATHETER '120803FI:120806FI EA 1500 

'12TLW403F; 

12TLW404F; 

12TLW405F35; 

12TLW406F; 

FOGARTY THRU-LUMEN EMBOLECTOMY 

CMV0212TLWED 12TLW803F; 

CATHETER(2 LUMEN CATH) 

12TLW804F; 

12TLW805F35; 

12TLW806F; 

12TLW807F 

SET 2160 

CMV0214270SB 

CMV0214270TA 

TRACKER EXCEL-14 MICROCATHETER* 適 


'M00314260-10;90; 

M00314270-10;90 

EA 8000 

TARGET THERAPEUTICS TRACKER EXCEL- 

'142709 EA 8000 

14 MICROCATHETER* 適應症請見備註欄 

CMV02142NNTA 

CMV021601SLW 

CMV0216510LW 

CMV021801LLW 

CMV0218251SB 

CMV0218251TA 

CMV0218282SB 

CMV0218284SB 

CMV021VS12ED 

CMV0231100M4 

CMV0232080ED 

CMV02600XNCD 

CMV026057NCD 

CMV02A4400A4 

TARGET THERAPEUTICS TRACKER EXCEL- 

'142609:701 EA 8000 

14 MICROCATHETER* 適應症請見備註欄 

"LEMAITRE"EMBOLECTOMY CATHETERS 單 

腔式動脈血栓清除導管 

"LEMAITRE"EMBOLECTOMY CATHETERS 導 

引線式動脈血栓清除導管 ( 雙腔 ) 

"LEMAITRE"EMBOLECTOMY CATHETERS 單 

腔式動脈血栓清除導管 

RENEGADE MICROCATHETER* 適應症請見備 

註欄 

RENAGADE FIBER BRAIDED MICRO CATH 

PROXIMAL/DISTAL 3F/2.5F 130,150CM※ 適 


RENEGADE HI-FLO MICROCATHETER 

OD=3.0F/2.8F ID=0.027/0.027 L80/150CM * 適 


RENEGADE HI-FLO MICROCATHETER O.D 

3.0,2.8F I.D 0.027 L 80,150CM * 適應症請見備 

註欄 

ANASTA FLO INTRAVASCULAR SHUNT* 適應 


CLEARVIEW INTRACORONARY SHUNT* 適 


FORGATY VENOUS THROMBECTOMY 

CATHETER 

TRANSIT INFUSION CATHETER 3FR/2.5FR 

75,90,105,140,155,175CM※ 適應症請見備註欄 

MASSTRANSIT INFUSION CATHETER※ 適應 


SYNTEL ARTERIAL EMBOLECTOMY 

CATHETER 3:7FR/40,50,80CM 

'1601- 

24;26;34;38;44;48;54;5 

8;64;68;74;78 

'1651- 

34;38;44;48;54;58;84;8 

8;64;68;74;78 

'1801- 

24;26;34;38;44;48;54;5 

8;64;68;74;78 

'M00118-1250:1600; 

M00118-2470:2590 

'18-251;253;257; 

259;18-252 

'18-282;283;290; 

291 

EA 1200 

EA 2160 

EA 1200 

EA 8000 

EA 8000 

EA 8000 

'18-284:18-289 EA 8000 

'IVS1512;IVS1530; 

IVS2012;IVS2030; 

IVS2512;IVS2530; 

IVS3012;IVS3030 

'31100;31125; 

31150;31175; 

31200;31225; 

31250;31275;31300 

EA 3200 

EA 3200 

'32080 EA 1400 

'600-310:371;601- 

210:271 

'605-730;734;780; 

784 

'A4402;A4403; 

A4404;A4405; 

A4406;A4407; 

A4408 

EA 8000 

EA 8000 

EA 1200 



CMV02A4E01BS 

PYTHON ANGIOGRAPHY EMBOLECTOMY 

CATHETER 

'A4E01:A4E09 SET 2800 

3:7FR(CATH+GUIDEWIRE+INTRODUCER) 

CMV02A4E09A4 

PYTHON DUAL LUMEN EMBOLECTOMY 

CATHETER(CATH+GUIDE 

WIRE+INTRODUCER) 

'A4E01:A4E09 SET 2800 

CMV02A4F00A4 

SYNTEL ARTERIAL EMBOLECTOMY 

CATHETER 2:7FR 40,60,80CM 

'A4F00;A4F01; 

A4F02;A4F03; 

A4F04;A4F05; 

A4F06;A4F07; 

A4F08 

EA 1200 

CMV02C1254B2 

FLORESTER CORONARY ARTERY 

'54400:54480; 

OCCLUDER 冠狀動脈血管阻塞棒 

54510:54530 

EA 2900 

CMV02EL134BS ARTERIAL EMBOLECTOMY CATHETER 'EL1340:1780 EA 1200 

CMV02EL326BS EMBOLECTOMY CATHETER 

'EL3260;EL3280; 

EL3340;EL3380 

EA 1200 

CMV02FT012B2 

CMV02FT012S7 

CMV02FT10XCY 

FLO-THRU INTRALUMINAL SHUNT 血管通路 

器 * 適應症請見備註欄 

FLO-THRU INTRALUMINAL SHUNT 血管通路 

器 * 適應症請見備註欄 

INTRACEREBRAL BRAIDED GUIDING 

CATHETER HYDROPHILIC 5FR,6FR 100CM 


CMV02KCFW1CK "COOK"FLEXOR GUIDING CATHETERS 福雷 

色引導導管 * 適應症請見備註欄 

CMV02KSAW1CK 

CMV02KSAW2CK 

CMV02KSAW3CK 

COOK FLEXOR GUIDING CATHETERS 

5:8FR 90CM* 適應症請見備註欄 

COOK FLEXOR GUIDING CATHETERS 

0.038" 70:90CM* 適應症請見備註欄 

"COOK"FLEXOR GUIDING CATHETERS 

5.0FR:8.0FR 0.018/0.038:0.038 40CM:90CM 

'FT12150:12300 EA 3200 

'FT-12100;FT- 

12125;FT-12150; 

FT-12175;FT- 

12200;FT-12225; 

FT-12250;FT- 

12275;FT-12300 

'5FT100CAS; 

6FT100CAS 

'KCFW- 

4.0/5.0/6.0/7.0/8.0/9.0 

;/10.0/12.0-18/35/38- 

40/45/55;/80/90/110- 

RB- 

ANL0;ANL1;HFANL1; 

SHTL;RAABE-HC 

'KSAW-5.0-18/38-90- 

RB-SHTL-HC;KSAW- 

6.0:8.0-38-90-RB- 

SHTL-HC 

'KSAW-6.0-38-70-RB- 

SHTL-FLEX-HC; 

KSAW-6.0-38-80-RB- 

SHTL-FLEX-HC; 

KSAW-6.0-38-90-RB- 

SHTL-FLEX-HC 

'KSAW-5.0-18/38-55- 

RB-ANL1-HC:; 

KSAW-8.0-38-90-RB- 

SHTL-HC 

EA 3200 

EA 8000 

SET 8000 

SET 8000 

SET 8000 

SET 8000 

CMV02KSAW4CK "COOK"FLEXOR GUIDING CATHETERS 弗萊 

色引導導管 * 適應症請見備註欄 

'KSAW-5.0;6.0;7.0;8.0- 

38-45-RB-;BLKN- 

S1;KSAW-4.0-18;35- 

90;110-RB-SHTL;- 

HC;KSAW-5.0-18;35- 

110-RB-SHTL-HC 

SET 8000 

CMV02MF001CK 

MICROFERRET-18 INFUSION CATHETER 

SET 3FR * 適應症請見備註欄 

'MF-3.0-18-110;135; 

150-12;20-DR 

EA 8000 



RADIFOCUS GLIDECATH 4FR 65:100CM ALL 'RF*WA14110M:RF*ZV 

CMV02RFGC4TM 

CURVE 

9410GM 

EA 1500 

CMV02V3064B2 

FLORESTER VASCULAR OCCLUDER 週邊動 '64400:64480; 

脈血管阻塞棒 

64510:64530 

EA 2900 

CMV0306510SB 

DASHER STEERABLE GUIDEWIRE* '236510;236710; 

適應症請 

234214;234714; 

見備註欄 

235052 

EA 4960 

CMV0306510TA 

TARGET THERAPECUTICS DASHER 

STEERABLE GUIDE WIRE WITH 

PERMAGLIDE COATING※ 適應症請見備註欄 

'236510;710; 

234214;714;235052 

EA 4960 

CMV0331301VF 

"PRECISION VASCULAR SYSTEM"1300 

NEURO GUIDE WIRE 神經導引線 * 適應症請見 

備註欄 

'M0031- 

3010;3020;3310;3320;3 

410;3510;6310;6330 

EA 4960 

CMV0346802SB 

CMV0361414CD 

CMV0361416CD 

CMV03614XNCD 

CMV03FA509SB 

TRANSEND GUIDE WIRE * 適應症請見備註欄 

(46-806,807 自 93.10.01 起生效 )(46-802,805,808 

自 94.07.01 起生效 , 文號 0940015217) 

AGILITY STEERABLE GUIDEWIRE 0.014" 

165,205,350CM※ 適應症請見備註欄 

AGILITY STEERABLE GUIDEWIRE 0.016" 

145,175CM※ 適應症請見備註欄 

AGILITY STEERABLE GUIDEWIRE 0.010 

195CM( 型號 614-179 自 91/07/01 生效 )※ 適應症 


"BOSTON SCIENTIFIC"FATHOM-16 

STEERABLE GUIDEWIRE 菲森可控式導線 * 適 


CMV03MT1GWV9 "MTI"GUIDEWIRE 導引線 ( 親水性導入線 + 扭轉 

器 + 導入線導入鞘 )* 適應症請見備註欄 

CMV03STM48AS 

ASAHI MICRO GUIDEWIRE 0.014" 0.018"* 適 


'46-802;805;808;46- 

806;46-807;46- 

810:815 

'614-431;481;482; 

491 

'614-521;522;541; 

542 

EA 4960 

EA 4960 

EA 4960 

'614-178;614-179 EA 4960 

'M001509000; 

M001509010; 

M001509100; 

M001509110 

'103-0601;0602;0603- 

200;103-0602-175; 

103-0605-200;203- 

0602-200;103-0608 

'STM- 

080;135;150;165;180; 

185-14S;18S;STM- 

080;135;150;165; 

180;185- 

14A45;14A60; 

18A45;18A60 

EA 4960 

EA 4960 

EA 4960 

CMV03TPMG1CK MICRO GUIDE WIRE 0.14INCH * 適應症請見 'TPMG-14-135;180- 

備註欄 

ANG-PLUS-CIRRU 

EA 4960 

CMV03TPMG2CK "COOK"MICRO WIRE GUIDE 'TPMG-16-135;180- 

導線 * 適應症請 

SAG-HC;TPMG-14- 

見備註欄 

135;180-CEP-HC 

EA 4960 

CMV04M002NCK EMBOLIZATION COILS* 適應症請見備註欄 'MWCE 38-X-X SET 1900 

CMV04M006NCK EMBOLIZATION COILS * 適應症請見備註欄 

'MWCE-35- 

1;1.2;1.5;2;2.5-2:10; 

12;15;20;25;MWCE- 

35-3:8;10- 

SET 1900 

2:10;12;15;20;25; 

MWCE-35-12:15- 

2:10;12;15;20;25 

CMV04M001NCK EMBOLIZATION COILS* 適應症請見備註欄 'MWCE 25-1X2-X SET 2640 

CMV0403010TA 

FIBERED PLATINUM COIL※ 適應症請見備註 

欄 

'372301:372906 EA 3200 



FIBERED PLATINUM COIL2:30MMX2:100MM '312002:312077; 

CMV0403120TA 

EA 3200 


314210;314310 

CMV0437204TA 

CMV0437230SB 

CMV04M000TCK 

CMV04M003NCK 

CMV04M007NCK 

CMV04M008NCK 

VASCULAR PLATINUM COIL※ 適應症請見備 

註欄 

FIBERED PLATINUM COILS* 適應症請見備註 

欄 

TORNADO EMBOLIZATION MICROCOIL 

0.018,2:14CM 2:10MM※ 適應症請見備註欄 

TORNADO EMBOLIZATION MICROCOIL 

0.035,0.038,3:14CM,3:10MM※ 適應症請見備註 

欄 

COOK NESTER EMBOLIZATION COILS* 適應 


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 


CMV04SP20NBL 

EMBOLIZATION FREE SPIRALES 栓塞螺旋圈 

環 * 適應症請見備註欄 

150N 

CMV04M005NCK 

HILAL EMBOLIZATION MICROCOILS* 適應症 


CMV04DCS01CK 

DETACHABLE EMBOLIZATION COIL( 機械式 

旋轉方式解離 )* 適應症請見備註欄 

CMV04102DNMS 

MICROPLEX COIL SYSTEM(MCS)* 適應症請 

見備註欄 

CMV0410HCNMS MICROPLEX COIL SYSTEM(MCS)* 適應症請 

見備註欄 

CMV0410SXNMS MICROPLEX COIL SYSTEM(MCS)* 適應症請 

見備註欄 

CMV04182DNMS 

MICROPLEX COIL SYSTEM(MCS)* 適應症請 

見備註欄 

CMV0418HCNMS MICROPLEX COIL SYSTEM(MCS)* 適應症請 

見備註欄 

'373204:307; 

381203:6;382203:206 

'M00131- 

20021:20771; 

M00137- 

23010:33071; 

M00138-12030:22061 

'MWCE-18S-XX- 

TORNADO 

'MWCE-35/38-XX- 

TORNADO 

'MWCE-18- 

1;1.2;2;2.5;5:9;11;14; 

15-2:10;20-NESTER; 

MWCE-35;38- 

1;1.2;2;2.5;5:9; 

11;14;15-2;4:10;12;20- 

NESTER 

'IMWCE-25-1- 

2:IMWCE-25-5-5; 

IMWCE-35-1- 

3:IMWCE-35-20-20; 

IMWCE-38-1- 

3:IMWCE-38-20-10 

'SPI-2-20N;SPI-11- 

'MWCE 18-2X1- 

XHILAL 

EA 3200 

EA 3200 

EA 3200 

EA 3200 

EA 3200 

EA 3200 

EA 3200 

SET 4000 

'DCS-18;18S;11 EA 14174 

'100204CC- 

ID:101026CC-ID; 

100306CC- 

2D:101024CC-2D 

'100202HC- 

S:100410HC-S; 

100515HC- 

R:101030HC-R 

'100202HC- 

SX:100715HC-SX 

'180204CC- 

ID:182050CC-ID; 

180409CC- 

2D:182049CC-2D 

'180204HC- 

S:180615HC-S; 

180502HC- 

R:182030HC-R 

EA 18660 

EA 18660 

EA 18660 

EA 18660 

EA 18660 



CMV0436010SB 

GDC-SYNERG OCCLUSION COIL* 適應症請見 

備註欄 ( 型號 :347204-SR 自 951001 起生效 ) 

'346- 

305;308;407;509; 

515;611;615;715;720; 

815;820;920;930:1530 

;1540-SR;347- 

306;408; 

509;611;715;820:1220 

;1322;1423-SR 

EA 18660 

CMV0436018SB 

CMV04DCS01CD 

GDC-SYNERG OCCLUSION COIL* 適應症請見 

備註欄 

TRUFILL DCS DETACHABLE CIOL SYSTEM * 


CMV04DCS02CD TRUFILL DCS DETACHABLE COIL * 適應症請 

見備註欄 

CMV04DCS03CD 

CMV04GDC04TA 

CMV04GDC10SB 

CMV04GDC10TA 

"CORDIS"TRUFILL DCS DETACHABLE COIL 

SYSTEM 楚菲爾分離式白金纖維環系統 * 適應症 


GDC-SYNER G OCCLUSION COILS( 產品型號 

包括 341201SR4:344715SR4)※ 適應症請見備 

註欄 

"BOSTON SCIENTIFIC"GDC DETACHABLE 

COIL 2,2.5,3,4,5,6,7MM 古利艾美分離式閉塞捲 

* 適應症請見備註欄 

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) 

CMV04GDC11SB GDC DETACHALE COIL* 適應症請見備註欄 

'348- 

615;715;820;920; 

1030:1430;1630;1640 

;1830 ;1840; 

2033;2240;2440 

'635B00410:2030;635F 

00202:1030; 

635F00203:408;635F0 

1230:2030; 

636B00403:2030; 

636F00403;410:636F0 

0921:925; 

636F01030:2030 

'637CF0505:637CF123 

0; 

637CS0615:637CS203 

0; 

637HF0202:637HF123 

0; 

637MF0201:637MF041 

0;(637-MF-2525:3509 

自 970701 生效 ) 

'638MF0407:638MF041 

0; 

638CF0510:638CF123 

0; 

638CS0615:638CS203 

0 

EA 18660 

EA 18660 

EA 18660 

EA 18660 

'3402044:3530264 EA 18660 

'341201-SR4:341208- 

SR4;344302- 

SR4:344715-SR4; 

343201:343308; 

(343404:343408 自 

961001 生效 ) 

EA 18660 

'343201:343408 EA 18660 

'342- 

103;308;410;515; 

620;725;830;930-4; 

341- 

202:208;303;304:310; 

404:410-4 

EA 18660 






'340- 

103;204;208;304:308; 

312;406;410;510;515;6 

10; 

620;710;730;810:830; 

915;930-4 

'351- 

204;208;304;308;406; 

410;508;512;610;615- 

4;352- 

103:203;520;620; 

730;830;930-4 

'350- 

103:203;515;520;620; 

730;820;830;915;930-4 

EA 18660 

EA 18660 

EA 18660 

CMV0401030SB 

MATRIX STRETCH RESISTANT 

DETACHABLE COIL* 適應症請見備註欄 

'M00337- 

01030:15080; 

M003371- 

202SR0:720SR0; 

M00338- 

01030:09300; 

M003397- 

202SR0:408SR0 

EA 20736 

CMV04HESRNMS 

MICROVENTION HYDROCOIL EMBOLIC 

SYSTEM(HES)* 適應症請見備註欄 

CMV04HESVXMS HYDROCOIL EMBOLIC SYSTEM (HES) 親水 

性線圈栓塞系統 * 適應症請見備註欄 

CMV04MAX03TA 

MATRIX DETACHABLE COIL* 適應症請見備註 

欄 

CMV04MAX04TA 

MATRIX DETACHABLE COIL* 適應症請見備註 

欄 

MATRIX2 DETA.COIL D:2-24MM L:2-40CM 

360 度 COMP SHAPE-360 度 FIRM.360 度 

CMV04MAX05SB STANDARD SR.360 度 SOFT SR.HELICAL 

SHAPE-HELICAL ULTRA SOFT SR* 適應症見 

備註 

CMV04MAX06SB 

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 

'140- 

203;205;303;305;307; 

405;407;410;510;610;7 

10;810;910-HES-R; 

141010HES-R 

'100202HES- 

V:100610HES-V; 

140203HES- 

V:141020HES-V; 

180610HES- 

V:182020HES-V 

'M0033701030:M00337 

58200 

'M0033801030:M00338 

58250 

'494103:494930; 

492103:492930-SR; 

490304:490830-SR; 

498204:498615-SR; 

497202:497620-SR 

'485103:485825; 

475103:475820; 

480103:480930; 

470103:470930-SR; 

471304:471830-SR; 

471204:471208-SR 

EA 20736 

EA 20736 

EA 20736 

EA 20736 

EA 20736 

EA 20736 



'X-3-4-T10-TC:X-18- 

29-T10-TC;X-4-10- 

"MTI"NEXUS DETACHABLE COILS SYSTEM T10-MD:X-10-30-T10- 

CMV04NEXUSV9 

雷瑟斯分離式閉塞捲 * 適應症請見備註欄 MD;X-2-1-T10- 

EA 20736 

HSS:X-4-10-T10- 

HSS;X-5-15-T10- 

CPC0100001BB 

1 LUMEN PEDIATRIC CVP 

CATHETER(C+N+D+G+S) 

'04160177 SET 740 

CPC0100011BB 1 LUMEN CVP CATHETER(C+N+D+G+S) 

'0416-0185:0517; 

SET 520 

CPC0104706AR 

I LUMEN CVP 

SET(CATH+NEEDLE+DILATOR+GW+SYRIN 

G) 

762:89;7341:76 

'CV-04706;50014; 

50016;04301;(ES- 

04706;CS-04701;CV- 

04306;CV-04701 自 

960101 生效 ) 

SET 520 

CPC0112161AY CVP CATHETER '121616 EA 210 

CPC0112462AY CVP CATHETER '124628 EA 210 

'(04152557 自 93/10/01 

CPC0115275BB 

415275/1 

CAVAFIX CERTO 14G 16G 

生效 );(04153359 自 

32CM,45CM,72CM 

93/10/01 生效 ); 

SET 210 

CPC0115375BB CAVAFIX CERTO 16G 72CM '415375/8 SET 210 

CPC0116025BB CERTOFIX (1 LUMEN) 16G 20CM '416025/8 SET 520 

CPC0116028BB CERTOFIX (1 LUMEN) 16G 30CM '416028/2 SET 520 

CPC0124301AR 

CPC0141320BA 

CPC014132NBA 

CPC0147630AG 

CPC0147631AG 

SINGLE LUMEN CANTRAL VENOUS 

CATHETER ( 特材代碼 89/03/01 改為 

CPC01A4301AR) 

SILICONE PER-Q CATHETER(PICC)(CATH 

W/STYLET,INTRODUCER NEEDLE)2,3FR 

28CM,60CM 

SINGLE LUMEN SILICONE PER-Q 

CATHETER BASIC TRAY 2FR 

CVP KIT MINI ( 含 GUIDE WIRE, CATHETER, 

NEEDLE) 16FR 

CVP KIT MINI ( 含 GUIDE WIRE, CATHETER, 

NEEDLE) 16FR 

SINGLE LUMEN BROVIAC CATHETER 布羅 

斐式導管 2.7FR 90CM 

'CS-24301E SET 520 

'4132005;4133105 SET 1100 

'4132035;4132105; 

4132135 

SET 1100 

'497630 SET 520 

'497631 SET 520 

CPC0160004DV 

'60004;60006; 

600012 

EA 2500 

'681649:50;681662;681 

672:73; 

CPC016816NBD 

681669:70;681666;681 

SINGLE LUMEN CVP 

679;681701; 

CATHETER(CATH+N+DIL+GW+SYR) 

681709:10;681706:07;6 

SET 520 

81699;(681658 自 

970401 刪除 ) 

CPC0197182BD CVP KIT (1 LUMEN) 16G 20CM '39-718-2 SET 520 

CPC01A4250AR CVP KIT (1 LUMEN )16G 90CM 'AK-04250 SET 520 

CPC01A4301AR 

'(CS-24701E 自 940101 

ANTISEPTIC SINGLE LUMEN CVP 

生效 );CS-24301-E; 

CATHETER 16GX20CM (C+N+D+G+S)※ 適應 

(CS-24706E 自 960101 


生效 ) 

SET 560 

CPC01A4550AR CVP KIT (1 LUMEN) 20G 12.7CM(PEDATRIC) 'AK-04550 SET 740 

CPC01A4650AR 

PEDIATRIC CENTRAL VENOUS CATHETER 

1LUMEN(C+GW+D+N+SY) 

'AK-04650-E;AK- 

04522;(ES-04650;ES- 

04522;ES-04150; 自 

960101 生效 ) 

SET 740 



CPC01B1161BD 

ANTIMICROBIAL SINGLE LUMEN CVP 

CATHETER(C+N+D+G+S)※ 適應症請見備註 '681161 SET 560 

欄 

CPC01BCV11EE 

1 LUMEN CVP 

'BCV1114-S; 

CATHETER(CATHETER+GW+DILATOR+SYR 

BCV1116-S 

INGE) 

SET 520 

CPC01C4400AR CVP KIT (1 LUMEN)16G 28CM 'CS-04300;CS-04400 SET 520 

CPC01CA301AR 

ARROWGARD CATHETER SINGLE LUMEN 

(C+N+D+G+S) 抗感染安全尖端導管 ※ 適應症請 'CA-24301;CA-24306 SET 560 

見備註欄 

CPC01E4080AR EMERGENCY INFUSION DEVICE 8.0FR 'EI-04080 SET 760 

CPC01E4301AR CVP KIT (1 LUMEN) 16G 20CM 'ES-04301 SET 520 

CPC01E4700AR CVP KIT (1 LUMEN)14G 20CM 'ES-04700 SET 520 

SINGLE LUMEN CVP CATHETER 

'681010:15;44:50; 

CPC01H1056BD SET(CATH+NEEDLE+DILATOR+G.WIRE+SY 

SET 520 

55:59;98:103 

RINGE) 

CPC01M1142ED 

CPC01M1162ED 

CPC01M1201ED 

CPC01P1051BD 

CPC01R4020AR 

CPC01SWL11W8 

CPC01SWL12W8 

CPC01SWL13W8 

CPC01SWL14W8 

CPC01SWL21W8 

1 LUMEN MULTI-MED CENTRAL CATHETER 

SET W/AMC THROMBOSHIELD※ 適應症請見 

備註欄 


SET(C+N+GW+DIL+SY) 

1 LUMEN CVP CATHETER W/AMC 

THROMBOSHIELD 

COATING(C+N+D+GW+S)※ 適應症請見備註 

欄 

PEDIATRIC 1 LUMEN CVP CATH SET 

18G,20G,22G(C+N+D+G+S)※ 禁止使用於體重 

不到 20 公斤的小兒病患 

RADIAL FEMORAL ARTERIAL 

CATHETERIZATION SET( 型號 RA- 

04220,04122,04018,04016 自 91/07/01 生效 ) 

SINGLE LUMEN PEDIATRIC CENTRAL 

VENOUS CATHETER SET 

4FR(C+N+S+GW+D+ INJECTION CAP) 

SINGLE LUMEN PEDIATRIC CENTRAL 



SINGLE LUMEN CENTRAL VENOUS 

CATHETER SET 

6FR(C+N+S+GW+D+INJECTION CAP) 

SINGLE LUMEN CENTRAL VENOUS 

CATHETER SET 


DOUBLE LUMEN INFANT CENTRAL 



'M11420HS; 

M11620HS 

SET 560 

'M11620S SET 520 

'M12013HS SET 560 

'681041:43;51:53;89;93 

:97; 

(681612;681622;68163 

4;681647; 

681638;681624 自 

950701 生效 );(681658 

自 970401 生效 ) 

'RA-04020; 

(SAC00324; 

00520;22;24; 

00818;20;22; 

01218;20;22; 

01616;18;20; 

02316;18 自 941001 生 

效 ) 

'SWL-1996-01C-01- 

10;20;30;40;60;- 

SINGLE 

'SWL-1996-01C-02- 

15;20;30;40;60;- 

SINGLE 

'SWL-1996-01C-03- 

15;20;30;40;60;- 

SINGLE 

'SWL-1996-01C-04- 

15;20;30;40;60;- 

SINGLE 

'SWL-1996-02C-01- 

10;15;20;30;40;60- 

DOUBLE 

SET 740 

SET 400 

SET 740 

SET 740 

SET 520 

SET 520 

SET 1700 


CPC01SWL22W8 

CPC01SWL23W8 

CPC01SWL33W8 

CPC0200002BB 

CPC0200012BB 

DOUBLE LUMEN CENTRAL VENOUS 

CATHETER SET 


TRIPLE LUMEN CENTRAL VENOUS 

CATHETER SET 




2 LUMEN CVP CATHETER(C+N+D+G+S)( 型 

號包括 0702-9601:9685) 

SET 1500 

SET 1800 

SET 1700 

SET 1500 


DOUBLE LUMEN PEDIATRIC CENTRAL 'SWL-1996-02C-02- 


10;15;20;30;40;60- SET 1700 

5FR(C+N+S+GW+D+ INJECTION CAP) DOUBLE 

'SWL-1996-02C-03- 

15;20;30;40;60- 

DOUBLE 

'SWL-1996-03C-03- 

15;20;30;40;60- 

TRIPLE 

'04167112;39;55; 

04166-06;22;49 

'0416- 

1211:6159;7309:17;850 

0:34;(416-7538;416- 

7546; 自 971001 生效 ) 

CPC0203174BD CVP CATHETER DESERT '3172;3174 EA 210 

CPC0214402AR 2 LUMEN CVP KIT ( 早產兒 ) 4FR 13CM 

'CS-14402;CS- 

16402;(CS-14502 自 

940101 生效 ) 

SET 1700 

CPC0216220BB CERTOFIX DUO (2 LUMEN) 20CM '416220/3 SET 1500 

CPC0216230BB CERTOFIX DUO (2 LUMEN) 30CM '416230/7 SET 1500 

CPC0217702AR 

2 LUMEN CENTRAL VENOUS CATHETER ( 型 

號 CS-25802E,27702E 自 89/03/01 起另編 

CPC02A7702AR) 

'CS-17702E;15802E SET 1500 

CPC0222502AR 

ARROWGARD CATHETER PEDIATRIC 

DOUBLE LUMEN (C+N+D+G+S) 抗感染安全尖 

端導管 ※ 適應症請見備註欄 

SET 1835 

CPC0241405AB CVP CATHTER 2 LUMEN '41405 SET 1500 

CPC0260048DV DUAL LUMEN HICKMAN CATHETER '60048 EA 3000 

CPC026817NBD 

CPC0278311HM 

CPC02A7702AR 

CPC02B1152BD 

CPC02BCV22EE 

CPC02CA702AR 

CPC02CUDLMCK 

CPC02CV702BS 

CPC02H1118BD 

2 LUMEN CVP 


HYDROCATH VENOUS CATHETER 2 

LUMEN 14GX20CM 

ANTISEPTIC TWO-LUMEN CVP CATHETER 

7FR,8FRX20CM (C+N+D+G+S)※ 適應症請見 

備註欄 

ANTIMICROBIAL 2 LUMEN CVP 

CATHETER(C+N+D+G+S)※ 適應症請見備註 

欄 

2 LUMEN CVP CATHETER/SET 二腔中央靜脈 

導管組 

(CATH+NEEDLE+DILATOR+GUIDEWIRE+SY 

RINGE) 

ARROWGARD CATHETER TWO LUMEN 

(C+N+D+G+S) 抗感染安全尖端導管 ※ 適應症請 

見備註欄 

2 LUMEN SPECTRUM AND SPECTRUM 

GLIDE CENTRAL VENOUS CATHETERS 

AND SETS(C+N+D+GW+SY)※ 適應症請見備 

註欄 


CATHETER 

DOUBLE LUMEN CVP CATHETER 

SET(CATH+NEEDLE+DILATOR+G.WIRE+SY 

RINGE) 

'681702:03; 

681713:14;681717:18 

SET 1500 

'7831-1 SET 1500 

'CS-22502;CS- 

25502;( 型號 CS- 

24402;ES-24402;CS- 

25402 自 960701 生效 ) 

'CS-25802-E;CS- 

27702-E;(CS-26702E 

自 940101 生效 ) 

SET 1620 

'681150:681153 SET 1620 

'BCV2107-S;BCV2207- 

S;BCV2108-S; 

BCV2208-S 

'CA-22702;CA- 

26702;CA-27702 

'C-UDLM-751J-ABRM- 

HC;C-UDLM-751J- 

LSC-ABRM-HC;C- 

UDLM-751J-RSC- 

ABRM-HC 

SET 1500 

SET 1620 

SET 1620 

'CV702-16;20;30 SET 1500 

'681061;62;116; 

118;120 

SET 1500 




'M2716HE;HS; 

THROMBOSHIELD 

M2720HE;HS; SET 1620 


M2816HS;M2820HS 

欄 

CPC02M2716ED 

CPC02M271SED 

CPC02M27S1ED 

CPC02N7702AR 

CPC02P1065BD 

CPC02PEDSUCK 

CPC02SUDLMCK 

CPC02SWL24W8 

CPC0300003BB 




THROMBOSHIELD 


欄 

DOUBLE LUMEN CVP 


G) 


4,5FR(C+N+D+G+S)※ 禁止使用於體重不到 20 

公斤的小兒病患 

SPECTRUM PEDIATRIC 2 LUMEN CVP 

CATHETER 4FR,5FR(C+D+GW+N+S)※ 適應 


SPECTRUM 2 LUMEN CVP 

CATHETER(C+D+GW+N+S)※ 適應症請見備 

註欄 


CATHETERIZATION SET(C+N+GW+S+D) 



'M2716S;M2716SI; 

M2720SI;M2816S; 

M2816SI;M2820S; 

M2820SI 

'M2716HSI; 

M2720HSI; 

M2816HSI;M2820HSI 

'(CS-16702 自 940101 生 

效 );(CS-17702 自 

940101 生效 );(CS- 

18702 自 940101 生效 ); 

CV-17702 

'681063:66;122; 

124;127;129; 

(681617;16;27;52;53;5 

5;56;28; 

681619;82;83;86;87; 

自 950701 生效 ) 

'C-SDLM;UDLM- 

401J;501J-PED- 

ABRM;(C-UDLM- 

401J-RSC;LSC- 

ABRM;;C-UDLM- 

501J-RSC;LSC- 

ABRM; 自 980101 生 

效 ) 

'C-SDLM;UDLM-XXXX- 

XX-ABRM;( 自 980101 

更正為 ;C-UDLM- 

751J-ABRM;C- 

UDLM-751J-LSC;RSC- 

ABRM) 

'SWL-1996-02C-04- 

15;20;30;40;60- 

DOUBLE 

SET 1500 

SET 1620 

SET 1500 

SET 1700 

SET 1835 

SET 1620 

SET 1500 

'041672-28;44;60 SET 2050 

CPC0300013BB 3 LUMEN CVP CATHETER(C+N+D+G+S) 

'04160576:746; 

1157:3311;7325:33 

SET 1800 

CPC0312123AR 

LARGE BORE 3 LUMEN CVP CATHETER 'CS-12123E;CS- 

12FR 16CM,20CM(C+N+D+G+S) 

15123E 

SET 1800 

CPC0314553AR PEDATRIC 3 LUMEN CVP SET 5.5FR 30CM 'CS-14553 SET 2050 

CPC0314703AR 

TRIPLE-LUMEN CENTRAL VENOUS 

CATHETER( 型號 CS-24703E,25703E 自 

89/03/01 起另編 CPC03A4703AR) 

'CS14703E;15703E SET 1800 

CPC0315703AR 

TRIPLE LUMEN CVP 


G) 

'CV-15703;(CS-12703 

自 940101 生效 );(CS- 

14703 自 940101 生效 ); 

(CS-15703 自 940101 生 

效 );CV-14703;(SI- 

11142 自 951001 生效 ) 

SET 1800 

CPC0316320BB CERTOFIX TRIO (3 LUMEN) 20CM '416320/6 SET 1800 



CPC0316330BB CERTOFIX TRIO (3 LUMEN) 30CM '416330/3 SET 1800 

CPC0316553AR 

'CS-16553-E;(CS- 

PEDATRIC 3 LUMENCVP KIT 5.5FR 

15553E;CV-15553; 自 

13CM(C+N+GW+SY+D) 

960101 生效 ) 

EA 2050 

CENTRAL VENOUS CATHETER TRIPLE- 

CPC0340688AR LUMEN(C+D+G+N+S) 豬尾巴卡夾固定器注射 'CV-40688 SET 1800 

帽 

CPC0341400AB CVP CATHTER 3 LUMEN '41400 SET 1800 

CPC0341413AB 

3 LUMEN CVP CATHETER 30CM (PU)( 含 

'41413 SET 1800 

CPC0355702TZ 

CPC0368172BD 

CPC03A4703AR 

CPC03A5123AR 

CPC03B1158BD 

CPC03BCV31EE 

CPC03CA703AR 

CPC03CUTLMCK 

CPC03CV703BS 

CPC03H1137BD 

CPC03M3716ED 

CPC03M371SED 

CPC03M37S1ED 

CPC03P1139BD 

C+G+N+S+D) 

3 LUMEN CENTRAL VENOUS 

CATHETER(CATH+NEE+DILA+GW+SY) 

3 LUMEN CVP 


ANTISEPTIC TRIPLE-LUMEN CVP 

CATHETER 7FRX20CM,30CM(C+N+D+G+S) 


ANTISEPTIC RELEASING LARGE BORE 3 

LUMEN CVP CATHETER(C+N+D+G+S)※ 適 


ANTIMICROBIAL 3 LUMEN CVP 

CATHETER(C+N+D+G+S)※ 適應症請見備註 

欄 

3 LUMEN CVP CATHETER 三腔中央靜脈導管 

組 

(CATHETER+GW+DILATOR+SYRINGE+NEE 

DLE) 

ARROWGARD CATHETER TRIPLE LUMEN 

(C+N+D+G+S) 抗感染安全尖端導管 ※ 適應症請 

見備註欄 

3 LUMEN SPECTRUM AND SPECTRUM 

GLIDE CENTRAL VENOUS CATHETERS 

AND SETS(C+N+D+GW+SY)※ 適應症請見備 

註欄 


CATHETER 

3 LUMEN CVP CATHETER 

SET(CATH+NEEDLE+DILATOR+G.WIRE+SY 

RINGE) 


THROMBOSHIELD 


欄 




THROMBOSHIELD 


欄 


5FR(C+N+D+G+S)※ 禁止使用於體重不到 20 公 

斤的小兒病患 

'SD-3L55F30J;SD- 

3L70F30J 

'681720:21; 

681724:25;681728:29 

'CS-24703-E;CS- 

25703-E;(CS-22703E 

自 940101 生效 ) 

SET 1800 

SET 1800 

SET 1950 

'CS-25123E SET 1950 

'681154:681159 SET 1950 

'BCV3107-S; 

(BCV3207-S 自 961001 

生效 ) 

SET 1800 

'CA-22703;CA-25703-A SET 1950 

'C-UTLM-701J-ABRM- 

HC;C-UTLM-701J- 

RSC-ABRM-HC;C- 

UTLM-701J-LSC- 

ABRM-HC 

'CV703-10;16;20; 

30 

'681067;68;69; 

133;135;137 

'M3716HE;HS; 

M3720HE;HS 

'M3716S;M3716SI; 

M3720S;M3720SI 

'M3716HSI; 

M3720HSI 

'681070;71;139; 

141; 

(681620;29;30;18;91;9 

0;681695;94 自 

950701 生效 ) 

SET 1950 

SET 1800 

SET 1800 

SET 1950 

SET 1800 

SET 1950 

SET 2050 



'C-UTLM-501J-PED- 

CPC03PEDUTCK 

ABRM;(C-UTLM- 

SPECTRUM PEDIATRIC 3 LUMEN CVP 

501J-ABRM;C-UTLM- 

CATHETER 5FR(C+D+GW+N+S)※ 適應症請 

501J-LSC;RSC- 

見備註欄 

ABRM; 自 980101 生 

效 ) 

SET 2200 

CPC03SWL34W8 

CPC03UTLMACK 

CPC05S1000BD 

CPC0885HS1ED 

CPC089FHS1ED 

CPC0977475ED 


CATHETERIZATION SET(C+N+GW+S+D) 

SPECTRUM 3 LUMEN CVP CATHETER 

5FR,7FR(C+D+GW+N+S)※ 適應症請見備註欄 

CVP CATHETER 14G:18G 90MM:160MM 

AVA ADVANCED VENOUS ACCESS 

DEVICES(AVA 3XI)(CVP KIT+ 保護套 

+SHEATH+SIDE ARM)* 適應症請見備註欄 

AVA ADVANCED VENOUS ACCESS 

DEVICES(AVA HF)(CVP KIT+ 保護套 

+SHEATH)* 適應症請見備註欄 

3 LUMEN PRESEP CENTRAL VENOUS 

OXIMETRY CATHETER 

SET(C+N+GW+D+SY)※ 適應症請見備註欄 

'SWL-1996-03C-04; 

15;20;30;40;60-TRIPLE 

'C-UTLM-501J;701J- 

XX-ABRM;( 自 980101 

更正為 ;C-UTLM- 

701J-ABRM;C-UTLM- 

701J-LSC;RSC-ABRM) 

'681000;681002; 

681004;681006 

SET 1800 

SET 1950 

EA 210 

'M3L85FHSI SET 2890 

'M3L9FHSI SET 2750 

'X3820HS SET 7300 

CPD011010DBD PRESSURE MONITOR DOME 'TA1010D EA 200 

CPD011010DHM DOME 'TA1010D EA 200 

CPD011011DBD DOME 'TA1011D SET 200 

CPD01BTR01BS PRESSURE MONITOR DOME 'BTR EA 200 

CPD01BTR01H9 BIOTRANS DOME 'BTR EA 200 

CPM0103417BB CVP MONITOR+3 WAY '403417/1 EA 150 

CPM01SC441SG CVP SCALE SYSTEM+3 WAY 'SC441 SET 150 

CPM01VP001LL CVP SCALE SYSTEM(MONITOR+3 WAY) 'CVP-001 SET 150 

CPM020460TBD 1DOME PRESSURE MONITORING KIT 'TAK0460 SET 480 

CPM021560TBD 1 DOME PRESSURE MONITORING KIT 'TAK1560T SET 480 

CPM0217120BD PRESSURE MONITORING KIT 1 DOME 'TAK1712 SET 480 

CPM0217120HM 1DOME PRESSURE MONITORING KIT 'TAK1712 SET 480 

CPM021712BBD 1 DOME PRESSURE MONITORING KIT 'TAK1712SM SET 480 

CPM021712SBD PRESSURE MONITORING KIT 1 DOME 'TAK1712SM SET 480 

CPM021712SHM 1 DOME PRESSURE MONITORING KIT 'TAK1712M SET 480 

CPM0220707BB 

1 DOME COMBIDYN PRESSURE 

'520-6502;3023; 

MONITORING SETS 

5395;7410;7070 

SET 480 

CPM0242102AB 1 DOME PRESSURE MONITORING KIT '42102;E691 SET 480 

CPM028603NSG PRESSURE MONITORING KIT 1DOME 

'8603A;8603H; 

8603S 

SET 480 

CPM02BTR24BS 

CPM02BTR24H9 

CPM02BTR33BS 

CPM02BTR33H9 

CPM02BTR48BS 

CPM02BTR48H9 

2 DOME 3WAY PRESSURE MONITORING 

KIT 2X(DOME+FLUSH+TUBING+3WAYX2) 


KIT 2X(DOME+DEVICE+TUBING+3 WAYX2) 


KIT 3X(DOME+FLUSH+TUBING+3WAYX2) 


KIT 3X(DOME+DEVICE+TUBING+3 WAYX2) 

1DOME 3WAY PRESSURE MONITORING 

KIT(DOME+DEVICE+TUBING+3WAYX2) 


KIT(DOME+DEVICE+TUBING+3 WAYX2) 

'BTR2-4812-3 SET 850 

'BTR2-4812-3 EA 850 

'BTR3-4812-3 SET 1100 

'BTR3-4812-3 EA 1100 

'BTR-4812-3 SET 480 

'BTR4812-3 EA 480 



CPM02DL418BS 

1DOME 2WAY PRESSURE MONITORING 

'BTR-4812-3DL 

KIT 1X(DOME+FLUSH+TUBINGX2+3WAYX4) 

SET 650 


CPM02DL418H9 KIT 1X(DOME+DEVICE+TUBINGX2+3 'BTR-4812-3DL EA 650 

WAYX4) 

CPM02HP60RBD PRESSURE MONITORING KIT 1DOME 'TAKHPQ60R SET 480 

CPM02VGH2QBD PRESSURE MONITORING KIT 2 DOME 'VGH2Q SET 850 

CPM02VGH2QHM PRESSURE MONITORING KIT (2 DOME) 'VGH2Q SET 850 

CPM02VGH3QBD PRESSURE MONITORING KIT 3 DOME 'VGH3Q SET 1100 

CPM02VGH3QHM PRESSURE MONITORING KIT (3 DOME) 'VGH3Q SET 1100 

CPM030TNFRBD PRESSURE MONITOR TRANSDUCER 'TNF-R EA 554 

CPM0342584HR 

TRANSPAC IV MONITORING 

KIT(TRAN+FLUSH+TUBING+3WAYX2) 

'42584 EA 650 

CPM0342591HR 

TRIFURCATED KITS WITH 3 DISPOSABLE 

TRANSDUCER 

'42591-05;42590-05 SET 1300 

CPM0342594AB 

DISPOSABLE TRANSDUCER PRESSURE 

MONITOR KIT(INTRACRAINAL 

'42594 SET 650 

INTRAUTERINE) 

CPM0342597HR 

TRANSPAC IV MONITORING KIT WITH 2 

DISPOSABLE TRANSDUCER 

'42597-05 SET 1050 

CPM0342615HR 



'42615+42615-05 SET 930 

CPM0342632HR TRANSPAC IV MONITORING KIT '42500-02;42632-05 SET 650 

CPM0342634AB 

1TRANSDUCER DISPOSABLE PRESSURE 

MONITORING KIT PEDIATRIC OPT( 含 '42634;42586 SET 650 

TR+FD+3WAY+TUBING) 

CPM0342652HR 



'42652;42500-19 SET 1050 

CPM0348123BS 

1 TRANSDUCER DISPOSABLLE PRESSURE 

MONITORING 

'BTR4812-3-BP SET 650 

KIT(TR+FD+3WAYX2+TUBING) 

CPM034812DBD 

2 TRANSDUCER DISPOSABLE PRESSURE 

MONITOR KIT(TR+FL+TU+3WAYX4) 

'DT4812D SET 1050 

CPM034812TBD 

3 TRANSDUCER DISPOSABLE PRESSURE 

MONITOR KIT(TR+FL+TU+3WAYX6) 

'DT4812T SET 1300 

CPM038603ASG 

DISPOSABLE PRESSURE MONITOR KIT 1 

'8603T;8603T-1; 

DOME 

8603T-2 

W/TRANSDUCER(TR+FLU+TUB+3WAYX2) 

SET 650 

CPM038603BSG 

CPM038603CSG 


DOME W/TRANSDUCER 

2(TR+FLU+TUB+3WAYX2) 


DOME W/TRANSDUCER 

3(TR+FLU+TUB+3WAYX2) 

'PMK-02-01;PMK-02- 

02;PMK-02-03 

'PMK-03-01;PMK-03- 

02;PMK-03-03 

SET 1050 

SET 1300 

CPM038603TSG 

PRESSURE MONITOR KIT 1 DOME WITH 

TRANSDUCER 

'8603T SET 650 

CPM03AT148H9 

PRESSURE MONITORING KIT(TR+FD+3 

WAYX2+TUBING) 

'AT4812-3 SET 650 

CPM03AT1DLH9 

PRESSURE MONITORING KIT (TR+FDX2+3 

WAYX2+TUBINGX2) 

'AT4812-3DL SET 930 

CPM03AT248H9 

PRESSURE MONITORING KIT 2X(TR+FD+3 

WAYX2+TUBING) 

'AT24812-3 SET 1050 

CPM03AT348H9 

PRESSURE MONITORING KIT 3X(TR+FD+3 

WAYX2+TUBING) 

'AT34812-3 SET 1300 

CPM03D2020BD TRANSDUCER W/FLUSH 'DT-X0 EA 554 

CPM03D4812BD 

'DT-4812;6012; 

DISPOSABLE PRESSURE MONITORING KIT 

MA;R;12MA; 

W/1 TRANSDUCER 

DT1272 

SET 650 



CPM03D4812HM 

DISPOSABLE PRESSURE MONITORING KIT 'TNF-R;T12AD-R; 

WITH TRANSDUCER 

DT-4812 

SET 650 

CPM03DDL60BD 

DISPOSABLE PRESSURE MONITORING 1 'DT-DL-DL60;DT-DL- 

TRANSDUCER(2 WAY) 

60-1 

SET 930 

PEDIATRIC 1 TRANSDUCER DISPOSABLE 

CPM03DNN12BD 

PRESSURE MONITORING KIT 

'DT-NN12 SET 734 

CPM03DP240H9 

2 TRANSDUCER PRESSURE MONITORING 

KIT 2X(TR+FD+3 WAYX2+TUBING) 

'DP2-400 SET 1050 

CPM03DP340H9 

3 TRANSDUCER PRESSURE MONITORING 

KIT 3X(TR+FD+3 WAYX2+TUBING) 

'DP3-400 SET 1300 

CPM03DPT24H9 

TREANSDUCER PRESSURE MONITORING 

KIT(TR+FD+3 WAYX2+TUBING) 

'DPT-248 SET 650 

CPM03DPTDLH9 

TRANSDUCER PRESSURE MONITORING 

2WAY KIT (TR+FD+3 WAYX2+TUBINGX2) 

'DPT-248DL SET 930 

CPM03DTL60BD 

DISPOSABLE PRESSURE MONITORING 3 

WAY KIT(2 TRANSDUCER) 

'DT-TL60B SET 1180 

CPM03MER12MR 

MERITRANS DISPOSABLE PRESSURE 

MONITORING TRANSDUCER W/3WAY 電子 'MER100;MER200 EA 554 

式壓力轉換器 

CPM03N4258AB 

DISPOSABLE PRESSURE MONIORING 

WITH TRANSDUCER KIT (DPT) 

'42584-01 SET 650 

CPM03PV800PU 

'PV8003;PV8010; 

PCCO MONITORING KIT 

PV8015; 

30CM,100CM,150CM(TX1+FX1+TX2+3- 

(PV8103;PV8115 自 

WAYX2) 

940701 生效 ) 

SET 650 

CPM03PX1X2ED 

TRUEWAVE DISPOSABLE PRESSURE 

'PX1X2 SET 930 

TRANSDUCER 2WAYS 

TRUEWAVE DISPOSABLE PRESSURE 'PX260;PX272; 

CPM03PX1XNED 

TRANSDUCER (W KIT) 

PX284 

SET 650 

TRUEWAVE DISPOSABLE PRESSURE 

CPM03PX2XNED 

TRANSDUCER 2 DOME DPT 

'PX2X2;PX2X3 SET 1050 

CPM03PX3X3ED 

TRUWAVE DISPOSABLE PRESSURE 

TRANSDUCER 3 DOME 

'PX3X3 SET 1300 

CPM03PX600ED 

TRUWAVE DISPOSABLE PRESSURE 'PX600;PX600I; 

TRANSDUCER(TRANSDUCER+3WAYX2) PX601;PX604 

EA 554 

TRUEWAVE DISPOSABLE PRESSURE 'PX12N;PX24N; 

CPM03PXPENED 

TRANSDUCER (W KIT/1 DOME DPT) PX36N 

SET 650 

CRB0100028MA 

2 LUMEN BRONCO-CATHETER LEFT/RIGHT 'L125-28:39;R126- 

28:39FR 

35:39 

EA 1490 

'197- 

" 史密斯 " 支氣管內管與配 

28R;32R;35R;37R;39R; 

CRB0119735PX 件 "SMITHS"ENDOBRONCHIAL TUBE AND 41R;198- 

EA 1490 

ACCESSORIES( 雙腔支氣管導管 ) 

28L;32L;35L;37L;39L;4 

1L 

CRB03AEBS2CK 

CRB03BBTAEDZ 

CRE01C0040MA 

CRE01C0065RU 

” 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 

” 大研 ” 支氣管閉鎖導管 ”DAIKEN” COOPDECH 

ENDOBRONCHIAL BLOCKER TUBE* 適應症 


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 

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 

'C-AEBS-7.0-65-SPH EA 3675 

'BBT-A3060-EU;BBT- 

A3060S-EU 

EA 3675 

'121-50:60 EA 159 

'111480-6.5:10.0 EA 440 



CRE01C4050UW 

" 花瑪 " 氣管內管 PHARMA ENDOTRACHEAL 

TUBES CUFF 5:8.5MM * 處置使用可申報 , 手術 

'MM61214050:55:60:65 

:70; 

EA 300 

使用不另給付 . 

MM61214075:80:85 

CRE01C4060EU 

NON-KINKING ENDOTRACHEAL TUBE 

ARMOURED CUFF 6.0:8.5MM ※ 處置使用可 '61214060:85 EA 300 

申報手術使用不另給付。 

CRE01U0030EU 

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。 

'61134030:55 EA 328 

CRE0311830MA 

CRE03C055NFM 

CRE03U0050MA 

CRE03U025NFM 

CRE04C0035RU 

CRE04C0040MA 

CRE04C0060PP 

CRE04C0060PX 

CRE04U0030RU 

CRE04U030NMA 

CRE06C0035RU 

CRE06C0040MA 

CRE06C0050PX 

CRE06C0453W6 

CRE06U0030PX 

CRE06U0030RU 

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 

SILICONE ENDOTRACHEAL TUBE W/CUFF 

5.5:10.0MM※ 處置使用可申報手術使用不另給 

付 

REINFORCED ENDOTRACHEAL TUBE 

(NON-KINKING) ※ 處置使用可申報 , 手術使用 

不另給付 

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 , 手術使用不另給付 

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 

NASAL CURVED W/CUFF ENDOTRACHEAL 

TUBE 6:8MM ※ 處置使用可申報 , 手術使用不另 

給付 

PORTEX TRACHEAL TUBES POLAR 

PERFORMED TRACHEAL TUBE IVORY PVC 

CUFF 6:8MM NASAL TYPE(950701 擴增 

5:9MM)※ 處置使用可申報手術使用不另給付 

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 , 手術使用不另給付 

RAE ORAL TRACHEAL TUBES(W/CUFF)* 處 

置使用可申報 , 手術使用不另給付 

POLAR PERFORMED TRACHEAL TUBE 

CLEAR PVC CUFF 5:9MM ORAL TYPE※ 處置 

使用可申報手術使用不另給付 

ENDOTRACHEAL TUBE (WITH/CUFF)* 處置 

使用可申報 , 手術使用不另給付 . 

POLAR PERFORMED TRACHEAL TUBE 

CLEAR PVC UNCUFF 3:7.5MM ORAL TYPE※ 

處置使用可申報手術使用不另給付 

'118-30;118-35;118- 

40;118-45;118-50; 

118-55 

EA 300 

'1520-0024:1520-0042 EA 300 

'118-60:95 EA 328 

'1510-0012:1510-0022 EA 328 

'111781 EA 245 

'119-60:80 EA 245 

'P61313060:P6131308 

0 

'100/133/060:080; 

950701 擴增 

100/179/050:090 

EA 245 

EA 245 

'100181 EA 203 

'114-30:70 EA 203 

'111780 EA 227 

'115-45:80;(115- 

40;85;90 自 96.4.1 生效 ) 

EA 227 

'100/136/050:090 EA 227 

'YJ-65 EA 227 

'100/134/030:075 EA 143 

AGT-TUBE, ORAL TRACHEAL TUBE 

WITHOUT CUFF,ID 3.0:7.0MM 處置使用可申報 '100180 EA 143 

, 手術使用不另給付 



CRE06U0304W6 

ENDOTRACHEAL TUBE (WITHOUT/CUFF) 處 

置使用可申報 , 手術使用不另給付 . 

'YJ-65 EA 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 

'113-30:70 EA 143 

CRE07C0040RU 

CRE07C0045MA 

CRG010168NHU 

LASERTUBS LASER-RESISTANT TRACHEAL 

'102004-4:8 EA 2451 

TUBE(DOUBLE CUFF TYPE)4.0:8.0MM 

LASER-SHIELD ENDOTRACHEAL TUBE 

4.5:6MM 

NASAL CPAP SYSTEM NO.0:N0.5 ※ 適應症請 

見備註欄 

NASAL CPAP CANNULA NO.0:NO.5 ※ 適應症 

CRG010169NHU 


ARGYLE CPAP NASAL CANNULA KIT 

CRG011630NAY ARGYLE 小兒專用連續正壓鼻導管組 ※ 適應症 


" 嬰克 " 嬰兒經鼻式氧氣鼻套管 "INCA" INFANT 

CRG01407NNW7 NASAL OXYGEN CPAP CANNULA* 適應症請 

見備註欄 

" 嬰克 " 嬰兒經鼻式氧氣鼻套管 "INCA" INFANT 

CRG01427NNW7 NASAL OXYGEN CPAP CANNULA* 適應症請 

見備註欄 

CRN0185067NU 

NASAL NASOPHARYNX APPLICATION 後荷 

式咽插管 

CRT01U0025ZG 

CRT01U0060PX 

CRT01U0060WN 

CRT0236368KK 

CRT0252608KK 

CRT0267350MA 

CRT02C0030UW 

CRT02C0050MA 

" 肇慶 " 氣切管 "ALLY" TRACHEOSTOMY 

TUBE(UNCUFF, ID 2.5-5.5MM) 

BLUE LINE ULTRA UNCUFFED TUBE KIT 

W/INNER CANNULAE 6:10MM 

TEFLON TRACHEOSTOMY TUBE(DOUBLE 

TUBE)6:12MM 外徑 

" 高研 " 氣管套管 "KOKEN" TRACHEAL 

CANNULA 

" 高研 " 比比氣管套管 "KOKEN" TRACHEAL 

CANNULA PP 

“ 麥林可 ” 恰可舒氣切 

管 "MALLINCKRODT"TRACHESOFT 

TRACHEOSTOMY CANNULAE 

" 花瑪 " 氣切套管 PHARMA TRACHEOSTOMY 

TUBE UNCUFF 3:10MM 

TRACHEOSTOMY TUBE CUFF 

'160-45:60 EA 2451 

'1683:1689 EA 1120 

'1690:1695 EA 654 

'8888-163014;8888- 

163030;8888-163055 

'44-0707;44-0709; 

44-0710;44-0712; 

44-0715 

'44-2707;44-2709; 

44-2710;44-2712; 

44-2715 

KIT 654 

SET 654 

SET 1120 

'085.067 EA 2960 

'TC25;TC30; 

TC35;TC40;TC45; 

TC50;TC55 

EA 361 

'100/811/060:100 EA 525 

'4217-106:112 SET 525 

'3636:3643 EA 525 

'5260:5268 EA 493 

'673- 

10;50;60;70;75;80;85;9 

0 

'P62540030:35:40:45:5 

0:60; 

P62540065:70:75:80:8 

5;P62540090:100 

'NC100-50:90;(100- 

10-1;100-50-1:100-90- 

1) 

EA 361 

EA 361 

EA 332 

CRT02C0050SG TRACHEOSTOMY TUBE W/CUFF 5.0:9.0MM 'SMTC-50:90 EA 332 

CRT02C0050TP 

SILICONE TRACHEOSTOMY TUBE 

5.0MM:9.5MM 

'0003207:0003212 EA 577 

CRT02C0050WN 

ALL SILICONE TRACHEOSTOMY TUBE 

WITH CUFF 22:42FR 5.0:10MM 內徑產品型號 '2217-050:100 SET 577 

2217-035:100 自 93.1.1 生效 

CRT02C0060PX PROFILE CUFFED TRACHEOSTOMY '100/518-060:100 EA 332 



'ID62520060; 

ID62520065; 

ID62520070; 

CRT02C0060UW 

ID62520085; 

ID62520090; 

ID62520100 

TRACHEOSTOMY TUBE,REGULAR HVLP ID62520075; 

CUFF,ID 6:10MM 氣切套管 ( 有閥 ) 

ID62520080; 

EA 332 

CRT02C0060ZG 

CRT02C0062UW 

" 肇慶 " 氣切管 "ALLY" TRACHEOSTOMY 

TUBE(W/CUFF, ID 6.0-9.0MM) 

" 花瑪 " 氣切套管 PHARMA TRACHEOSTOMY 

TUBE W/CUFF 6:10MM 

'TC60C;TC65C; 

TC70C;TC75C; 

TC80C;TC85C; 

TC90C 

'P62520060:65:70:75; 

P62520080:85:90:100 

EA 332 

EA 332 

CRT02C0080MA 

STANDARD TRACHEOSTOMY CANNULAE〔 

TRACHEOSTOMY TUBE CUFF〕 

'138-10:90,75,85 EA 332 

CRT02C0793W6 TRACHEOSTOMY TUBE (WITH/CUFF) 'YJ-64 EA 332 

CRT02C0800PX 

" 保德士 " 氣切套管 "PORTEX" 

TRACHEOSTOMY TUBE-BLUE LINE ULTRA 

'100/800/060; 

100/800/070; 

100/800/075; 

100/800/080; 

EA 332 

TRACHEOSTOMY TUBE 低壓氣囊氣切套管 100/800/085; 

100/800/090; 

100/800/100 

CRT02C1560FM 

氣切套管 FORTUNE TRACHEOSTOMY TUBE 

ID2.0MM:12.0MM( 普通球 ) 

'1560-0020:0120 SET 577 

CRT02C1565FM 


ID2.0MM:12.0MM( 低壓球 ) 

'1565-0020:0120 SET 577 

CRT02C595NFM 

SILICONE TRACHEOSTOMY TUBE W/CUFF 

5.5:9.5MM 

'1560-0024:1560-0039 EA 577 

CRT02CP050YN 

ALL SILICONE TRACHEOSTOMY TUBE '1302-5.0:8.5; 

W/CUFF 5.0:10.0MM(PRE-FORMED TYPE) 9.5:10.0PR 

EA 577 

CRT02TT016SG SIGMA TRACHEOSTOMY TUBE 'TT016:TT030 EA 332 

CRT02TT046SG SIGMA TRACHEOSTOMY TUBE(SILICON) 'TT046:TT060 EA 577 

CRT02U0025WN 


WITHOUT CUFF 12:42FR 2.5:10.0MM 內徑 

'2218-025:100 SET 460 

CRT02U0030PX PLAIN TRACHEOSTOMY TUBE 3:5MM '100/506/030:050 EA 361 

'ID62540030;35;40;45; 

CRT02U0030UW 

00 

TRACHEOSTOMY TUBE,PLAIN,UNCUFF,ID 50;60;70; 

3:10MM 氣切套管 ( 無閥 ) 

ID62540075;80;85;90;1 

EA 361 

CRT02U0030YN 

CRT02U0045S5 


UNCUFF 3.0:10.0MM(PLAIN TYPE) 

雪莉氣切套管 SHILEY TRACHEOSTOMY 

CANNULAE (PEDIATRIC TRACHEOSTOMY 

TUBE WITH OBTURATION) 

'1304-3.0:10.0U EA 460 

'ID 3.1MM:5.5MM; 

00PT:4PT;(3.0 

NEO:4.5 NEO 97/1/1 生 

效 ) 

EA 893 

CRT02U0060PX PLAIN TRACHEOSTOMY TUBE 6:10MM '100/506/060:100 EA 361 

CRT02U1561FM 


ID2.0MM:12.0MM( 無球型 ) 

'1561-0020:0120 SET 460 

CRT05BC060PX 

BLUE LINE ULTRA TUBE KIT FENESTRATED 

PROFILE SOFT-SEAL CUFF AND INNER '100/812/060:100 EA 865 

CANNULAE 6:10MM(LONG TERM CARE 使用 ) 


CVA0116391SB 

CVA011MG31SB 

CVA0135131CL 

CVA0135141CL 

IMPULSE ANGIOGRAPHIC CATHETER 

5FR,6FR 80:125CM 

IMAGER11 ANGIOGRAPHIC CATH(4- 

5FRX40,65,90,100CM)0.035,0.038( 型號 

M001316021:M001316911 自 92/7/1 生效 ) 

ANG10 CATHETER (ABDOMINAL 

SHEPHERD HOOK TYPE) 5:6.5FR 

0.035,0.038 70CM 

ANG10 CATHETER (ABDOMINAL 

SHEPHERD HOOK MODIFIED TYPE)5:6.5FR 

0.035,0.038 70CM 

ANG10 CATHETER (ABDOMINAL COBRA 

TYPE)5:6.5FR 0.035,0.038 70CM 

ANG10 CATHETER (ABDOMINAL GT TYPE) 

5:6.5FR 0.035,0.038 85CM 

ANG10 CATHETER (ABDOMINAL LOOP THE 


CRT05BC870PX 

" 史密斯 " 保德士氣切套管 "SMITHS"PORTEX 

'100/870/060;070;075;0 

TRACHEOSTOMY TUBE(BLUE LINE ULTRA 

80;085; 

SUCTIONAID TUBE WITH PROFILE SOFT- 

100/870/090;100 

SEAL CUFF AND INNER CANNULAE 

EA 865 

BLUE LINE ULTRA UNCUFFED 

CRT05BU060PX FENESTRATED TUBE KIT W/ INNER '100/813/060:100 EA 850 

CANNULAE 6:10MM 

TRACHEOSTOMY TUBES LOW PRESSURE 

CRT05C0050S5 CUFFED 5.0MM:9.0MM/LONG TERM CARE 使 '4FEN:10FEN EA 865 

用 

SINGLE FENESTRATED TRACHEOSTOMY 

CRT05U0030PX TUBES PVC UNCUFF WITH 15MM 

'100/536/030:100 EA 493 

CONNECTOR 3:10MM 

CRT05U0050S5 TRACHEOSTOMY TUBE '4CFN:8CFN EA 850 

CRT06C0060PX 

DOOUBLE FENESTRATED 

TRACHEOSTOMY TUBES PVC CUFF WITH '100/539/060:100 EA 865 

15MM CONNECTOR 6:10MM 

CRT06U0060PX 

DOOUBLE FENESTRATED 

TRACHEOSTOMY TUBES PVC UNCUFF '100/537/060:100 EA 493 

WITH 15MM CONNECTOR 6:10MM 

CVA0100490M4 

PROFLO ANGIOGRAPHIC CATHETER 

6F,7F*100,110,125CM ( 衛署字號 009770) 

'004901:060052 EA 700 

CVA0107035AR 

REVERSE BERMAN ANGIOGRAPHY 

CATHETER 5FR 7FR 

'AI-07035;AI-07037 EA 1750 

CVA0107130AR 

PEDIATRIC BERMAN ANGIOGRAPHIC 

CATHETER 4:8FR 50:110CM 心臟血管攝影導 

管 ( 帕曼 ) 

'AI-07130:07138 EA 1750 

'H74916391- 

012:H74916391- 

5042;H74916599- 

012:H74916599-5042 

EA 700 

'31-400:31-533 EA 700 

'P5035131:2; 

6538131:2 

'P5035141; 

6038141;6538141:4 

EA 720 

EA 720 

CVA0135161CL 

'P5035161; 

6038161;6538161:3 

EA 720 

CVA0135181CL 

'P5035181:2; 

6038181:3;6538181 

EA 720 

CVA0135191CL 

'P5035191; 

LOOP TYPE)5:6.5FR 0.035,0.38 85CM 6038191;6538191:3 

EA 720 

CVA0135711CL 

ANG10 CATHETER (CEREBRAL HEAD 'P5035711:3; 

PUNTER TYPE)5:7FR 0.035,0.038 100CM P6038711:3 

EA 720 

CVA0138111CL BRONCHIAL ANGIOGRAPHY CATHETER 

'P6038111; 

5035201;5035161 

EA 720 

CVA0138171CL 

ANG10 CATHETER (ABDOMINAL RH TYPE) 'P6038171:4; 

6:6.5FR 0.038 70:85CM 

P6538171:4 

EA 720 

CVA0138631CL BRONCHIAL ANGIOGRAPHY CATHETER 'P5035721;6038631 EA 720 

CVA014034FST 

" 聖猷達 " 血管攝影導管 "SJM"SPYGLASS '403340:341 ; 

ANGIOGRAPHIC CATHETERS 

403500:536 

EA 700 



'451-401V5:420H0; 

"CORDIS"TEMPO ANGIOGRAPHIC 

451-501V5:520H0; 

CVA01451XNCD CATHETER TEMPO4,TEMPO5 田布血管造影 

EA 700 

451-421H0:457V0; 

導管 

451-521H0:557V0 

CVA014567XZ9 

CVA014A00NM4 

CVA0150357CL 

CVA01512HNMR 

CVA0153551CL 

CVA01565CBMR 

CVA01565REMR 

CVA01565SMMR 

CVA01565VEMR 

CVA015A00NM4 

CVA016A00NM4 

CVA017779AMR 

CVA01A42ALAS 

MAXITORQUE PLUS ANGIOGRAPHIC 

CATHETER 

SITESEER CARDIOVASCULAR 

ANGIOGRAPHIC CATHETER 4FR 

ANG10 CATHETER (CEREBRAL SIMMONS 

TYPE) 5:7FR 0.035,0.038 100CM 

IMPRESS ANGIOGRAPHIC CATHETERS 

0.035",0.038" 100,125CM 映象血管攝影導管 

PIGTAIL CATHETER(AORTA)5:8FR 

0.035,0.038 65CM 


0.035",0.038" 65CM,100CM 映象血管攝影導管 


0.035",0.038" 40CM,65,80,100CM 映象血管攝 

影導管 


0.035",0.038" 65CM,100CM 映象血管攝影導管 


0.035",0.038" 65CM,100,125CM 映象血管攝影 

導管 





PERFORMA DIAGNOSTIC RADIOLOGY 

CATHETERS 

ANGIOGRAPHIC CATHETER 4:7FR 

'1004-01:1004-27; 

1005-01:1005-32; 

1006-01:1006-27; 

1007-01:1007-27 

EA 700 

'4A0001:4A0066 EA 700 

'P5035721:4; 

P6038721:4 

'510035HH1;HH3;5100 

38H1;H3; 

512535HH1;510038N1: 

N4 

'P5035551; 

6038551;6538551 

'565352CB1:CB2;HK0- 

8;HK1-0;565352SH0- 

8;565352SH1-0; 

565352RC;565382CB1 

:565382CB2; 

510038HS 

'56535MOT;510035MO 

T;58035RE; 

58038RE;54038KA2;56 

538KA2; 

58035MHK2:MHK3 

'56535BER;56538BER; 

56538MW2; 

510035SIM1:SIM2;510 

035BER; 

510038SIM1:SIM2;510 

038BER 

'56535B1;512535VER; 

510035B1:B2; 

510035MANI;510035V 

ER;510035MC; 

510038MANI;510038V 

ER;510038MC 

EA 720 

EA 700 

EA 720 

EA 700 

EA 700 

EA 700 

EA 700 

'5A0001:5A0073 EA 700 

'6A0001:6A0079 EA 700 

'7710:17;7719:23;7747; 

7752; 

A0:F0;10:60;53; 

5575:79;5583:89;5591; 

5594;A3:G3;13:63; 

7541-13;7543-13; 

7602-41:91;7603- 

A1:D1 

'AXX-XXXXXX- 

AXX000;(AXX- 

XXXXXX-BXX000; 自 

970401 生效 ) 

EA 700 

EA 700 



CVA01B001NCK CEREBRAL CATHETER 

'BPS6.5:7.3-XX-XXX- 

X-XX-XXX 

EA 720 

CVA01H001NCK ANGIO CATHETER CEREBRAL CATHETER 'HBP4.5:7.0-XX-XXX- 

X-XX-XXX 

EA 720 

'BT-AC4:5-H1;3;-HIH; 

BT-4:5-JB1:3;-DAV; 

CVA01H1234BQ 

BT-AC4:5-VERT;- 


WNBG;BT-AC4:5- 

100CM( 腦部血管用 ) 

SIM1:3;-HN1;4;5;BT- 

4:5-CK1;-MAN;BT- 

4:5-FC3;-VTK 

EA 700 

CVA01HN001CK 

CVA01HNB01CK 

CVA01HNB02CK 

CVA01HNB03CK 

CVA01HNBR1CK 

CVA01HNBR2CK 

CVA01HNBR3CK 

CVA01HNR01CK 

CVA01HNR02CK 

CVA01N001NCK 

CVA01NP4RCCY 

CVA01P027NCK 

ROYAL FLUSH PLUS HIGH FLOW 

ANGIOGRAPHIC FLUSH CATHETER 

0.035,0.038 4:6FR 70:110CM 

TORCON NB ANGIOGRAPHIC CATHETER 

4.1FR 50:125CM(CEREBRAL PULMONARY 

MUTIPURPOSE VISCERAL CATH) 


5.0,6.0FR 50:125CM(CEREBRAL 

PULMONARY MUTIPURPOSE VISCERAL 

CATH) 


4.1,5.0,6.0FR 70:110CM( CORONARY CATH) 

ANGIOGRAPHIC CATHETER 

W/RADIOPAQUE TIPS 4.1FR 50:125CM 


W/RADIOPAQUE TIPS 5.0FR 50:125CM 


W/RADIOPAQUE TIPS 4.1FR,5.0FR 

70:110CM CORONARY CATH 

ROYAL FLUSH PLUS ANGIOGRAPHIC 

CATHETER 0.35" 65-110CM 

ROYAL FLUSH PLUS ANGIOGRAPHIC 

CATHETER 0.035" 0.038" 65-110CM 

ANGIO CATHETER VISCERAL CATHETER 

65:100CM 

ANGIOGRAPHY CATHETER TYPE RC 

COBRA RH RLG SH HEAD-HUNTER 

PIGTTAIL 4.2FR,5FR 65:100CM 

ANGIO CATHETER 50:110CM 

'HN4.0:6.0- 

M/P/ST/10S-0;PIG 

'HNB4.1-35;38- 

50:125-XX-XX-XX 

'HNB5.0;6.0-35;38- 

50:125-XX-XX 

'HNB4.1:6.0-35;38- 

70:110-XX-XX 

'HNBR4.1-35;38- 

50:125-XX-XX-XX; 

(HNBR4.1-NT-50:125- 

M/P/JST-NS; 

/1S/2S/4S/12S- 

H1/JB1/JB2/SIM1; 

/SIM2 自 961001 生效 ) 

'HNBR5.0-35;38- 

50:125-XX-XX-XX; 

(HNBR4.1-NT-50:125- 

M/P/LST-NS; 

/1S/2S/4S/6S/8S/10S/1 

2S-RC1/C1; 

/RIM/RH/RLG 自 961001 

生效 ) 

'HNBR4.1;5.0-35; 

38-70:110-XX-XX 

'HNR4.0-35- 

65;70;80;90;100;110;- 

M;P;ST;Y- 

4S;6S;8S;10S-TYPE 

'HNR4.5;5.0;5.5;6.0;6.5 

;7.0-35;38- 

65;70;80;90;100;110-; 

M;P;ST;Y- 

4S;6S;8S;10S-TYPE 

'HNB-6.0:7.0-38-XXX- 

M-XX-XXX 

EA 700 

EA 700 

EA 700 

EA 700 

EA 700 

EA 700 

EA 700 

EA 700 

EA 700 

EA 710 

'NP4-RC-1:NP5-TK-03 EA 700 

'P4.1:10.0-XX-XX-M; 

P-XXS-XXX 

EA 700 


CVA01SCB01CK 

SLIP-CATH SELECTIVE ANGIOGRAPHIC 

CATHETER 5F 40CM:100CM 


'BT-AC4:5-RC1:2;- 

RDC;BT-AC4:5- 

LEV1;-CHG2.5-3;BT- 

CVA01RC123BQ 

RUC;BT-AC4:5-VS;- 

RIM;BT-4:5-MIK;- 

VS1:3 

ANGIOGRAPHIC CATHETER 4:5FR AC4:5-CHGA:E;- 

65~80CM( 周邊血管用 ) 

C1:3;BT-AC4:5-RH;- 

EA 700 

'SCB5.0-3.8-40:100-P- 

NS-XX 

EA 700 

CVA024SP68TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 

CATH 4:5FR PIGTAIL 

'RH*4:5SP0068 EA 720 

CVA0295007TM 

RADIOFOCUS YASHIRD ANGIOGRAPHIC 'RF*DG96007; 

CATHETER 

RF*DG95007 

EA 720 

CVA02AB441TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 'RH*AB4410GM:65108 

CATH 4:5FR COBRA 

M 

EA 720 

CVA02AC341TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 'RH*AC3410GM:4510G 

CATH 4:5FR SHEPHERD HOOK 

M 

EA 720 

CVA02AD441TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 'RH*AD4410GM:6510G 

CATH 4:5FR J CURVE 

M 

EA 720 

CVA02AE441TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 'RH*AE44108M:65108 

CATH 4:5FR SIDE WINDER 

M;BA14;35110M 

EA 720 

CVA02AG341TM 


CATH 4FR RH 

'RH*AG34108M EA 720 

CVA02AG941TM 


CATH 4:5FR YASHIRO 

'RH*AG94:5107M EA 720 

CVA02BB141TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 'RH*BB14110M:35110 

CATH 4:5FR HEADHUNTER 

M 

EA 720 

CVA02BC141TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 'RH*BC14110M:35110 

CATH 4:5FR NEWTON 

M 

EA 720 

CVA02BE141TM 

RADIFOCUS OPTITORQUE ANGIOGRAPHIC 'RH*BE14110M:25110 

CATH 4:5FR BENTSON 

M 

EA 720 

CVA02DB450TM 

RADIFOCUS COBRA ANGIOGRAPHIC 

CATHETER 5:6FR 65:100CM 

'RF*DBXXXXX EA 720 

CVA02DD450TM 

RADIFOCUS J CURVE ANGIOGRAPHIC 

CATHETER 5:7FR 65CM 

'RF*DDXXXXX EA 720 

CVA02DG350TM 

RADIFOCUS RH ANGIOGRAPHIC 

CATHETER 5FR 65CM 

'RF*DG3500G EA 720 

CVA02DG450TM 

RADIFOCUS RS ANGIOGRAPHIC 


'RF*DG4500G EA 720 

CVA02EA150TM 

RADIFOCUS SIMMONS ANGIOGRAPHIC 

CATHETER 5:6FR 100CM 

'RF*EAXXXXX EA 720 

CVA02EB150TM 

RADIFOCUS HEADHUNTER 

ANGIOGRAPHIC CATHETER 5:7FR 100CM 

'RF*EBXXXXX EA 720 

CVA02EE150TM 

RADIFOCUS BENTSON ANGIOGRAPHIC 


'RF*EEXXXXX EA 720 

OUTLOOK ANGIOGRAPHIC CATHETER 4FR 'RQ-4XXXXXX; 

CVA02RQ4FNTM 

60CM:110CM ANY CURVE ( 衛署字號 9685) RQ*.4XXXXXX 

EA 700 

OUTLOOK ANGIOGRAPHIC CATHETER 5FR 'RQ-5XXXXXX; 

CVA02RQ5FNTM 

60CM:110CM ANY CURVE ( 衛署字號 9685) RQ*.5XXXXXX 

EA 700 

'002040007:002040115 

; 

CVC0102049AB JOGRAPHY ANGIOGRAPHIC CATHETER 002050007:002050115 

; 

002060007:002060115 

EA 700 

CVC0103145D2 

SPYGLASS ANGIOGRAPHY CATHETER 6FR 

100CM ANY CURVES( 型號 403400:403447 自 

92/7/1 生效 ) 

'403145:403185 EA 700 



CVC0132400CD VISCERAL COBRA FEMORAL CATHETER '532-440 EA 720 

CVC0132412CD 

ANGIO CATHETER FEMORAL AORTIC 

FLUSH (PIGTAIL) 

'532-410T:412T EA 720 

CVC013241NCD 

ANGIO CATHETER FEMORAL VISCERAL 

(SIDEWINDER) 

'532-414:6 EA 720 

CVC0132420CD 

ANGIO CATHETER FEMORAL AORTIC 

FLUSH (STRAIGH) 

'532-420T EA 720 

CVC013243NCD 


(BENTSON) 

'532-436:8 EA 720 

CVC013244NCD 

ANGIO CATHETER FEMORAL VISCERAL J 

CURVE (SHEPHERD HOOK) 

'532-447:9 EA 720 

CVC0132461CD 


(HEADUNTER) 

'532-461 EA 720 

CVC0132474CD 


(SHEPHERD HOOK) 

'532-474 EA 720 

CVC0132545CD NIH CATHETER 5:8FR 80:100CM '532-535;532-545 EA 720 

CVC01403XXD2 

SPYGLASS ANGIOGRAPHY CATHETER 5FR 

'403129:132; 

100,110CM CURVES JUDKINS AMPLATZ 

226:232;249:252 

MULTIPURPOSE PIGTAIL 

EA 700 

CVC01430NNST 

" 聖猷達 " 血管攝影導管 "SJM"SPYGLASS 


'403129;403130; 

403131;403132; 

403232;403249; 

403252 

EA 700 

CVC014505NCD 

INFINITI DIAGNOSTIC CARDIOLOGY '450-520:567;534- 

CATHETER 5FR 

517T:572T;S;E 

EA 700 

CVC015237NCD AMPLANTZ CATHETER LEFT/RIGHT '523-740:1;744;748 EA 720 

CVC01527XNCD 

AMPLANTZ TECH LEFT OR RIGHT 

CORONARY CATHETER 

'527-XXX EA 720 

CVC015325NCD PIGTAIL CATHETER 5:8FR '532-533;650 EA 720 

CVC015334NCD 

CARDIOLOGY ANGIOGRAPHIC CATHETER 

4.1FR 65:100CM 

'533-4XX EA 720 

CVC015335NCD 


5.2FR 65:125CM 

'533-5XX EA 720 

CVC015336NCD 


6FR 80:100CM 

'533-6XX EA 720 

CVC015346NCD 

INFINITI DIAGNOSTIC CARDIOLOGY 

CATHETER 6FR 

'534-617T:676T;S;E EA 700 

'538-450E:S;538- 

453S:455S;538- 

CVC015384XCD 

440:449;460;470;472;4 

74;538-476 

INFINITI DIAGNOSTIC CARDIOLOGY 451V;457V;459V;538- 

CATHETER 4FR 

417:431;538- 

EA 700 

CVC01752F1MR 

CVC018526NSB 

ANGIO CATHETER 

EXPO ANGIOGRAPHIC CATHETER 

100:125CM 5F:7F 

'7501-13:7777-43; 

7501-H1:7777-D3; 

1308-25:38- 

0005:0086;1310- 

21:35-0043:0086 

'H74908526- 

012:2402; 

H74908641- 

012:2402; 

H74908738-012:2402 

EA 700 

EA 700 

CVC01JL235BQ ANGIOGRAPHIC CATHETER JL4,JL3.5 'BT-AC4:6-JL35:40 EA 700 

CVC01JR235BQ ANGIOGRAPHIC CATHETER JR4,JR3.5 'BT-AC4:6-JR35:40 EA 700 

CVC01N001NCK 

ANGIO CATHETER CORONARY CATHETER 'HNB7-38-XXX-M-XX- 

110:150CM 

XXX 

EA 720 



" 聖猷達 " 血管攝影導管 "SJM"SPYGLASS 


'403145;403185 EA 700 

CVC01N3145ST 

CVC01P1451BQ 


100~110CM( 冠狀動脈用 ) 

'BT-AC4:6-P145;BT- 

AC4:6-APIR;BT- 

AC4:6-MP;BT-AC4:6- 

BRF40;BT-AC4:6- 

APR1:2;BT-AC4:6- 

APL1:3;BT-AC4:6-BR 

EA 700 

CVC01PG155BQ ANGIOGRAPHIC CATHETER P155,P1G 'BT-AC4:6-P155:180 EA 700 

CVC01RHAL1TM 

OPTITORQUE ANGIOGRAPHIC CATHETER 'RH*5; 

AMPLATZ LEFT 1:3,5:6FR 100CM 

6AL1000M:3000M 

EA 720 

OPTITORQUE ANGIOGRAPHIC CATHETER 'RH*5; 

CVC01RHAR1TM 

AMPLATZ RIGHT 1-3 5:6FR 100CM 

6AR1000M:3000M 

EA 720 

CVC01RHJL4TM 

OPTITORQUE ANGIOGRAPHIC CATHETER 'RH*4;5; 

JUDKINS LEFT 3.5:5.0MM 4:6FR 100CM 6JL3500M:5000M 

EA 720 

CVC01RHJR4TM 

OPTITORQUE ANGIOGRAPHIC CATHETER 'RH*4;5; 

JUDKINS RIGHT 3.5:5.0CM 4:6FR 100CM 6JR3500M:5000M 

EA 720 

OPTITORQUE ANGIOGRAPHIC CATHETER 

CVC01RHSP6TM 

STRAIGHT PIGTAIL 4:6FR 110CM 

'RH*4:6SP0061M EA 720 

CXE0100624BA 

CXE0101130D2 

CXE0101381D2 

CXE0101458ST 

CXE0101863D2 

CXE0101893ST 

CXE010189NST 

" 巴德 " 歐文四極診斷電極導管 "BARD"WOVEN 

DIAGNOSTIC ELECTRODE CATHETER 

RESPONSE ELECTROPHYSIOLOGY CATH 

7FR DECAPOLAR /W LUMEN 65CM,120CM 

RESPONSE ELECTROPHYSIOLOGY 

CATHETER 6FR DECAPOLAR 

CSL,65CM,120CM 

"SJM"SUPREME ELECTROPHYSIOLOGY 

CATHETER-5F,6F QUADRIPOLAR FIXED 

CURVE CATHETER" 聖猷達 " 史普力米生理電極 

導管 

SUPREME ELECTROPHYSIOLOGY 

CATHETER 5F DECAPOLAR CSL CURVE 

65CM,120CM 


CATHETER-4F DECAPOLAR CSL 

CATHETER" 聖猷達 " 史普力米生理電極導管 


CATHETER-4F QUADRIPOLAR FIXED 

CURVE CATHETER" 聖猷達 " 史普力米生理電極 

導管 

'006245P;006692P; 

200201P;200570P; 

200571P;200572P 

EA 8090 

'401130;401132:8 EA 11880 

'401381;53;92; 

93;99;401400 

'401430;33:36;38; 

401440:45:48:51; 

401453;66;68;74;75; 

401859;60;71;402004 

'401863;401864; 

401865 

'401879;401893; 

401894 

'401890;401891; 

401892;401993; 

401994;401995; 

401996;402012 

EA 11080 

EA 8090 

EA 11080 

EA 11080 

EA 8090 

CXE0102853BA TRIPOLAR ELECTRODE 6:7FR 125CM '002853:4 EA 8060 

CXE0102943BA QUADPOLAR ELECTRODE 6FR 110CM 1CM '002943 EA 8090 

CXE0104019BA 

CXE0105405AR 

CXE0107150BA 

CXE0107154AR 

CXE0107155AR 

WOVEN TRIPOLAR ELECTRODE 

CATHETER 

QUADOPOLAR MAPPING PACING 


NBIH BIPOLAR PACING ELECTRODE 5:7FR 

100:125CM 

BALLOON TEMPORARY PACING 


BALLOON TEMPORARY PACING 


'4019P:20P; 

2853P:4P; 

20070:1:573 

EA 8060 

'AI-05405 EA 8090 

'007150:53 EA 6600 

'AI-7154 EA 3000 

'AI-7155 EA 3000 

CXE0108567BA QUADPOLAR ELECTRODE 6FR 120CM '008567 EA 8090 



CXE0120011BA 

CXE0120015BA 

CXE0120016BA 

CXE0120035BA 

CXE0120061BA 

CXE0120076BA 

CXE0120077BA 

CXE0120079BA 

CXE0120140BA 

CXE01272NNST 

CXE0140003BA 

CXE014000NBA 

CXE0140010BA 

CXE0140012BA 

CXE0140050BA 

CXE0140053BA 

CXE0140054BA 

CXE0140057BA 

CXE01CDFNNYB 

CXE01EPEXDSB 

" 巴德 " 歐文診斷電極導管 "BARD" WOVEN 

DIAGNOSTIC ELECTRODE CATHETERS 四極 

WOVEN QUADPOLAR ELECTRODE 

CATH200150:3,200055P,56,56E,57P,58,58E,5 

9P,60,60E,61P,62E,63P,64P 

WOVEN QUADPOLAR ELECTRODE 

CATHETER201400,200066:69,202,203,472,47 

3,574,578,582:586, 

WOVEN DECAPOLAR ELECTRODE 

CATHETER 

" 巴德 " 歐文診斷電極導管 "BARD" WOVEN 

DIAGNOSTIC ELECTRODE CATHETERS 十極 

'2001123 EA 8090 

'577:E;580:E; 

581:E;587:E;588:E 

'589:93;624;719; 

728;792:3;2944P 

'200211;212;355; 

567:8;576;595 

EA 8090 

EA 8090 

EA 11080 

'200612;7FMC00675 EA 11080 

OPEN-LUMEN QUADPOLAR ELECTRODE 

6FR 110CM 1CM 

'200076 EA 7700 

OPEN-LUMEN QUADPOLAR ELECTRODE 

6FR 110CM 5MM 

'200077 EA 7700 

QUADPOLAR OPEN LUMEN ELECTRODE 

7FR 0.038" 120CM 1CM 

'200079 EA 7700 

WOVEN PENTAPOLAR ELECTRODE 

CATHETER 

'201401;200594 EA 8090 

"SJM"EVALUATOR ELECTROPHYSIOLOGY '402720;402721; 

CATHETER" 聖猷達 " 生理電極導管 

402722;402723 

EA 8090 

VIKING DECAPOLAR ELECTRODE 

'400096:101; 

CATHETER400030:36,400070:71,400074:75 400103:104 

EA 11080 

VIKING QUADPOLAR ELECTRODE 

CATHETER400001:12,400041:48,400050:51,4 '400094P;400102 EA 8090 

00091P, 

" 巴德 " 維克診斷電極導管 "BARD" VIKING 

DIAGNOSTIC ELECTRODE CATHETER 十極 

" 巴德 " 維克診斷電極導管 "BARD" VIKING 

DIAGNOSTIC ELECTRODE CATHETER 四極 

VIKING SOFT TIP QUADPOLAR 

ELECTRODE CATHETER 

400501:512,400541:542 

VIKING SOFT TIP DECAPOLAR ELECTRODE 

CATHETER400530:536,400570:571 

" 巴德 " 探戈診斷電極導管 "BARD" TANGO 

DIAGNOSTIC ELECTRODE CATHETERS 四 , 

五極 

" 巴德 " 探戈診斷電極導管 "BARD" TANGO 

DIAGNOSTIC ELECTRODE CATHETERS 十極 

" 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 

'400107 EA 11080 

'400120;400121;40012 

2;400123;; 

400124;400119 

'400544:546; 

400550:551 

'400574:575; 

400596:601 

'40512-2:4;40055- 

0:3;40054-1;2;4:6;9 

EA 8090 

EA 8090 

EA 11080 

EA 8090 

'40057-0:2;4:7;9 EA 11080 

'80533;80534; 

80544;80055; 

80063;80064; 

80065;80137; 

80138;80139 

'M00454570:M0045459 

0;M00454770 

EA 11080 

EA 11080 



'M00454180:M0045920 

CXE01EPEXQSB 

0; 

" 波士頓科技 " 診斷電極導管 "BOSTON 

M0045222S0:M004529 

SCIENTIFIC" EXPLORER FIXED CURVE 

8S0; 

DIAGNOSTIC CATHETER 四極 

M0045404S0:M004546 

EA 8090 

1S0;M0045415A1S0 

CXE01EPSTFSB 

EXPLORER ST FIXED CURVE DIAGNOSTIC 

'5477 EA 11080 

CXE01F1000CV 

CXE01F1001CV 

CXE01F7LDGCV 

CXE01N1130ST 

CXE01N1381ST 

CXE01N1863ST 

CXE01Q0405YB 

CXE01R01NND2 

CXE0201101BA 

CXE0201103BA 

CXE0201575D2 

CXE02015NND2 

CXE0201600D2 

CXE02019NNST 

CXE0202800ST 

EP CATH. 

CXE01F0400CV 

ELECTRODE CATH.4 極 , 型號 F4:6,65- 

QA,D,E,F,H,K,L-2,5,10,252-RT;F5,6- 

CXE01F0401CV ELECTRODE CATH.QUADPOLAR, 型號 F5, 

6-ST,C,S-QF,A,D- 

ELECTRODE CATH.DECAPOLAR, 型號 F5A- 

DP-282,P10-RT;F6-DA,F,G,P- 

ELECTRODE CATH.DECAPOLAR, 型號 F6A- 

DP-282-RT;F7LA-DP-P10-RT 

ELECTROPHYSIOLOGY CATHETER〔FIXED 

CURVE LUMEN CATHETER(DECAPOLAR 固 

定式十極 )〕 

" 聖猷達 " 雷斯龐生理電極導線 "SJM" 


CATHETERS 7F,DECAPOLAR 

" 聖猷達 " 雷斯龐生理電極導線 "SJM" 


CATHETERS 6F,DECAPOLAR 

" 聖猷達 " 史普力米生理電極導管 "SJM" 

SUPREME ELECTROPHYSIOLOGY 

CATHETER 5F,DECAPOLAR 



CATHETER-INQUIRY 4F FIXED DIAGNOSTIC 

CATH.-QUADRAPOLAR 

ELECTROPHYSIOLOGY CATHETER 5:6FR 

"RESPONSE" 

DYNAMIC XT STEERABLE DECAPOLAR 


DYNAMIC XT STEERABLE QUADPOLAR 


LIVEWIRE STEERABLE 

ELECTROPHYSIOLOGY CATHETER 

6F,DECAPOLAR,TIP2MM, 

STEERABLE EP CATHETER 7 FR 

"LIVEWIRE" 

LIVEWIRE STEERABLE 

ELECTROPHYSIOLOGY CATH 6FR 

QUADRIPOLAR 4MM 115CM 

"SJM"STEERABLE ELECTROPHYSIOLOGY 

CATHETER " 聖猷達 " 可控式生理電極導管 ( 十 

極 ) 

"SJM" REFLEXION STEERABLE 

ELECTROPHYSIOLOGY CATHETER " 聖猷達 " 

可控式生理電極導管 

'QRA;D;F-5;10; 

252-RT 

EA 8090 

'005,10,252-RT EA 8090 

'2,252,282-RT; EA 11080 

'F7L-DG-5,8,252- 

RT 

EA 11080 

'F7L-DG-252-FS EA 11080 

'401130;401132; 

401133;401134; 

401135;401136; 

401137;401138 

'401381;401353; 

401392;401393; 

401399;401400 

'401863;401864; 

401865 

'80485;80535; 

80536;80463; 

80476;80479; 

80484;80516; 

80517;80518; 

80519;80520;80537 

EA 11880 

EA 11080 

EA 11080 

EA 8090 

'401206:316 EA 8090 

'201101:201102 EA 16370 

'201103:4:10:12: 

15 

'401575;401915; 

401923;(401926 自 

93.7.1 生效 ) 

EA 14090 

EA 16370 

'401576:588 EA 14090 

'(401572;401606 自 

93.7.1 生效 ); 

(401933;401934 自 

93.7.1 生效 ); 

401600;401603 

'401938;401939; 

401940 ;401941; 

401990;401991 

EA 14090 

EA 16370 

'402800 EA 16370 



"SJM" REFLEXION STEERABLE 

CXE0202801ST ELECTROPHYSIOLOGY CATHETER " 聖猷達 " '402801 EA 16370 

可控式生理電極導管 

CXE022005NBA 

EP.XT STEERABLE QUADPOLAR 

'200769:770:898、 

ELECTRODE CATH.200525:527: 735: 

201116 

737:741:769:770:898 

EA 14090 

CXE0220125BA 

QUADPOLAR ELECTRODE ATRIAL "J" TYPE 

6FR 112CM 2MM 

'200125 EA 8090 

CXE025572SSB 

POLARIS DX STEERABLE ELECTRODE 

CATHETER 可控式電極導管四極六極八極 

'5570:5579 EA 14090 

CXE02567STYB 

CXE02D0400CV 

CXE02D0401CV 

CXE02D1000CV 

CXE02D6DR2CV 

CXE02N1575ST 

CXE02N1600ST 

CXE02N1601ST 

CXE02PARSXSB 

CXE02QSNSTYB 

CXE0321000BA 

CXE0331000BA 



CATHETER-INQUIRY SOFT TIP STEERABLE 

DIAGNOSTIC CATH.-DECAPOLAR 

ELECTRODE CATH. 四極可彎 , 型號 D6,7-DR- 

5,10,252-RT;D6,7-AGALBGBLCGCLDGDL 

ELECTRODE CATH. 可彎十極 ,6,7-10DR, 

FR-2,5,P10,252-RT; 

SMALL DOME DEFLECTABLE 

QUADRAPOLAR EP CATHETER ( 可彎式四極 ) 

" 聖猷達 " 可控式生理電極導管 "SJM" 

STEERABLE ELECTROPHYSIOLOGY 

CATHETER 6F,DECAPOLAR 



CATHETER 6F,QUADRIPOLAR 



CATHETER 6F,QUADRIPOLAR 

POLARIS X STEERABLE DIAGNOSTIC EP 

CATH. 



CATHETER-INQUIRY SOFT TIP STEERABLE 

DIAGNOSTIC CATH.-QUADRAPOLAR 

" 巴德 " 史汀格除顫電極導管 "BARD"STINGER 

ABLATION CATHETERS 

" 巴德 " 天蠍電燒電極導管 "BARD"SCORPION 

ABLATION CATHETER 

'81703:06;81730; 

81732:35;81738;50; 

81940;43;45;47;81109 

; 

81524;81537;81674;81 

676;81594:81597; 

81599;81672;81673;81 

680 

ELECTRODE CATH. 可彎式四極 , 型號 D5S- 

270L-B2-RT;D5S-AL-252-RT;D5S-270L- 

'252-RT;D5T-270L- 

B02-RT; 

'EG;EL; 

FGFLPSL270RG; 

RL252RT 

EA 16370 

EA 14090 

EA 14090 

'D6A-10DR-P10-RT EA 16370 

'D6-DR-252-PS EA 14090 

'401575;401915; 

401923;(97/10/1 生效 

401926) 

EA 16370 

'401600;401603 EA 14090 

'401572;401606; 

401933;401934 

'7000D/7001D/7003D 

:7006D 

'81401;81412; 

81743;81591; 

81503;81521 

'210001:6; 

210001M:6M; 

210001S:6S;95.4 起 

2100-07;29;2100- 

01;06SM;2100- 

07;29S;M;SM;2185- 

01:07;23:29 ;2185- 

01:07;23:29S;M;SM 

EA 14090 

EA 16370 

EA 14090 

EA 25800 

'31000-1:6;31001-0:5 EA 25800 



"SJM"STEERABLE ELECTROPHYSIOLOGY 

'402101:402105; 

402112:402115; 

402120;402121 ; 

CXE03402XXST 

CATHETER " 聖猷達 " 可控式生理電極導管 ( 雙溫 402122;402123; 

控可控式燒灼導管 LIVEWIRE TC ABLATION 402124;402125; 

EA 25800 

CATHETER) 

42193:402196; 

402275;402276;402277 

;402278 

CXE034500TSB 

" 波士頓科技 " 布雷瑟心臟除顫系統 "BOSTON 

SCIENTIFIC" BLAZER II XP CARDIAC 

ABLATION SYSTEM 

'M004-4500:4770:4790- 

TH0;THM0;; 

THK20;THMK20;THN4 

0 

EA 25800 

CXE035031TSB 

" 波士頓科技 " 布雷瑟除顫電極導管 "BOSTON 

SCIENTIFIC" BLAZER ABLATION CATHETER 

'5031T;5031TH; 

5031THK2;5031THM; 

5031THMK2; 

5031THMN4;5031THN4; 

5031TK1;5031TK2; 

5031TL;5031TM; 

5031TMK2;5031TMN4; 

5031TN4 

EA 25800 

CXE035832TSB 

CXE0360811M4 

CXE038336NYB 

CXE038337NYB 

CXE038344NYB 

CXE038372NYB 

CXE03CBBRAE8 

" 波士頓科技 " 北極星除顫電極導管 "BOSTON 

SCIENTIFIC"POLARIS CARDIAC ABLATION 

CATHETER 

CARDIOBLATE SURGICAL ABLATION 

SYSTEM 心臟電燒系統 * 適應症請見備註欄 ( 產 

品型號 60813,60814 自 94 年 10 月 1 日生效 ) 

" 爾灣 " 除顫電極導管 "IBI"ABLATION 


" 爾灣 " 瑟爾皮除顫電極導管 "IBI"THERAPY 

DUAL-8 ABLATION CATHETER 

" 爾灣 " 瑟爾皮熱阻電燒導管 "IBI" THERAPY 

8MM TIP THERMISTOR ABLATION 

CATHETER 

" 爾灣 " 除顫電極導管 "IBI" ABLATION 


" 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 

'5832THMP3; 

5832THMP5; 

5832THMP7;5832THP3; 

5832THP5;5832THP7; 

5888THMP3; 

5888THMP5; 

5888THMP7;5888THP3; 

5888THP5;5888THP7 

'60811C;60813; 

60814; 

(60821;60831; 自 97 年 

4 月 1 日生效 ) 

'83364;83365; 

83366;83367; 

83368;83369 

'83370;83371; 

83372;83373; 

83374;83375 

'83441;83442; 

83444;83445;83446 

'83719:83721; 

83724:83727 

EA 25800 

EA 42000 

EA 25800 

EA 25800 

EA 25800 

EA 25800 

'600-15902 EA 42000 

CXE03CMBRASB 

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 

'M004159270 EA 42000 

CXE03CS927E8 

"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 

'600-15927 EA 42000 



CXE03EP920CV 

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) 

'C6MR10/EPTRS;MLTCS; 

D6TAG;D6TCAG:EL252RT 

; 

D7;8BTG:KL;D7BTBL:FG252 

RT;D7BTCBL:FG252RT; 

D7BTCL;BTCCL:K5L;F5L252 

RT 

EA 25800 

CXE03MARNXM4 

美敦力瑪林射頻電燒導管 MEDTRONIC 

MARINR STEERABLE ABLATION CATHETER 

" 聖猷達 " 雙向電燒導管 "SJM"BI-DIRECTIONAL 

CXE03SA402ST 

ABLATION CATHETER 

" 愛匹克 " 心臟燒灼系統 "EPICOR"CARDIAC 

CXE03WAUW2ER 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 

CXE04NS7TCWE 

'075302;075305; 

075312;075402; 

076514;076515; 

076583;076584; 

076585;076586 

EA 25800 

'402818:402823 EA 25800 

'UW-2 EA 42000 

'NS7TC- 

〝百歐森偉伯司特〞藍星導管 "BIOSENSE BL;CL;DL;EL;FL;JL- 

WEBSTER" NAVI-STAR CATHETER* 適應症請 174-HS;NS7T- 

見備註欄 

BL;CL;DL;EL;FL;JL- 

174-HS 

EA 53000 


第四節人工機能代用類 


FAD01000S2NM 

AHMED GLAUCOMA VALVE IMPLANT※ 適應 

症請見備註欄 (MODEL S3 自 91.10.01 生效 ) 

'S2;S3 BOX 19900 

FAD01000S2ZJ 

AHMED GLAUCOMA VALVE 壓滅青光眼用舒 'MODEL S2;MODEL 

壓導流瓣膜 * 適應症請見備註欄 

S3 

BOX 19900 

FALSM026TBA2 PMMA I.O.L. UV,UV+LASER 'ANY SIZE EA 2343 

FALSM030NBA2 SILICONE INTRAOCULAR LENS( 矽膞 ) 'SI30NB EA 2762 

FALSM040NBA2 SILICONE AMO INTRAOCULAR LENS 'SI40NB EA 2762 

FALSM1000NRY PMMA I.O.L 'ANY SIZE EA 2343 

FALSM3LENSHB 

FOLDABLE INTRAOCULAR 

LENS(HYDROPHILLIC ACRYLIC) 摺疊式人工 

水晶體 

'B- 

LENS;TRIPLENS;FOR 

ELENS 

EA 2843 

FALSM574R1RY 

RAYSOFT FOLDABLE INTRAOCULAR 

LENS( 型號 CENTERFLEX 570H 自 93/1/1 生效 ) 

折疊注射式人工水晶體 

'RAYSOFT574R; 

CENTERFLEX 570H 

EA 2843 

FALSM95UVNSZ PMMA I.O.L. 'ANY SIZE EA 2343 

FALSMAR40NA2 ACRYLIC ALLERGAN AMO SENSAR IOL 'AR40 EA 2843 

FALSMCLRFLA2 CLARIFLEX SILICONE IOL 'CLRFLXB EA 2762 

FALSMCR5BUA1 PMMA I.O.L 'ANY SIZE EA 2343 

FALSMDL52NA2 IOL PMMA 

'DURALENS II-52;53; 

54;54T;(59;60;65T 自 EA 2343 

950401 生效 ) 

FALSMEX802E2 PMMA INTRAOCULAR LENS 'ANY SIZE EA 2343 

FALSMH60MMB9 HYDROVIEW INTRAOCULAR LENS 'H55S;H60M EA 2843 

'AKREOS 

AKREOS FOLDABLE INTRAOCULAR 

FALSMHAKR0ZX 

DISC;AKREOS FIT; EA 2843 

LENSES(ACRYLIC W/UV FILTER) 

AKREOS ADAPT 

FALSML2B72E2 

FALSMLS100LS 

SILICONE POSTERIOR CHAMBER 

INTRAOCULAR LENS( 可摺疊式矽膞 ) 

INTRAOCULAR LENS 

'L2B72 EA 2762 

'LS-100;LS-101;LS-102;LS- 

106;LS-109;LS-111;LS- 

112;LS-114;LS-117;LA- 

500;LA-501;LA-502 

EA 2343 

FALSMMA30BA1 ACRYSOF INTRAOCULAR LENSES 

'MA30BA;MA60BM;( 型號 

MA50BM;MA60MA 自 

92.10.1 生效 );( 型號 EA 2843 

MA30AC;MA60AC; 自 

960701 生效 ) 

FALSMMC71CA1 PMMA I.O.L. UV,UV+LASER 'ANY SIZE EA 2343 

FALSMMZ30BA1 

PMMA ALCON CILCO INTRAOCULAR 

LENSES 

'ANY SIZE EA 2343 

FALSMP720AA2 PMMA INTRAOCULAR LENS '720A EA 2343 

FALSMP720CA2 PMMA INTRAOCULAR LENS '720C EA 2343 

FALSMP757AKP PMMA I.O.L 'ANY SIZE EA 2343 

FALSMP808AKP PMMA I.O.L. UV,UV+LASER 'ANY SIZE EA 2343 

FALSMP808CKP PMMA H.S.M I.O.L 表面處理型 

'808C;(757C 86/5/1 生 

效 ) 

EA 2343 

FALSMP812AA2 PMMA INTRAOCULAR LENS '812A EA 2343 

FALSMP812CA2 PMMA INTRAOCULAR LENS '812C EA 2343 

FALSMP911AA2 SILICONE INTRAOCULAR LENS '911A EA 2762 

FALSMSA30AA1 

FALSMSFLEXB9 

FALSMSTEC1LS 

ACRYSOF SINGLE-PIECE FOLDABLE 

ACRYLIC POSTERIOR CHAMBER 

INTRAOCULAR LENSES 

SILICONE SOFLEX(SOFLEX SE) 

INTRAOCULAR LENS( 可折疊式矽膞 ) 

ACRYLIC INTRAOCULAR LENS 

'SA30AL;SA30AT; 

SA60AT 

'LI51U;LI61U; 

(L161SE 自 95 年 7 月 1 日 

生效 ) 

'SOFTEC 1;SOFTEC 

III;LH-3000 

EA 2843 

EA 2762 

EA 2843 

第八部第六章第四節 -138


FALSMVA608HY 

AF-1(UV)INTRAOCULAR LENS( 可折疊式壓克 

力 ) 

'VA60BB EA 2843 

FALSNMULT1A1 

FALSNMULT1A2 

FALSNMULT1LS 

FALSNMULT1RY 

FALSNMULT2A2 

FALSNNATU1A1 

FALSNT0RC1A1 

FALSNT0RC1RY 

FALSNWAVE1A1 

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 , 超過部分由病患自付 

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 

'SN60D3 EA 2843 

'NXG1 EA 2843 

'TETRAFLEX EA 2843 

'630F;630N EA 2843 

'ZM900 EA 2843 

'SN60AT EA 2843 

'SN60T3;SN60T4;SN6 

0T5 

EA 2843 

T-FLEX TORIC INJECTABLE ACRYLIC LENS 

INJECTION SYSTEM 散光功能軟式人工水晶體 

'623T;573T 

, 按一般功能人工水晶體價格給付 , 超過部分 

EA 2843 

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 


'SN60WF EA 2843 

FALSNWAVE1A2 TECNIS IOL 非球面軟式人工水晶體 , 按一般功 


'Z9000 EA 2843 

FALSNWAVE1B9 

FALSNWAVE1RY 

FALSNWAVE2A1 

FALSNWAVE2A2 

FALSNWAVE2B9 

SOFPORT ADVANCED OPTICS ASPHERIC 

LENS 非球面軟式人工水晶體 , 按一般功能人工 'LI61AO EA 2843 

水晶體價格給付 , 超過部分由病患自付 

ASPHERIC INJECTABLE ACRYLIC LENS 

INJECTION SYSTEM 非球面推注式人工水晶體 

'970C;920H 


EA 2843 


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 



'SN6AD3 EA 2843 

'ZA9003 EA 2843 

'AKREOS AO;( 自 

980101 起改為 ADAPT- 

AO) 

EA 2843 



TECNIS CL FOLDABLE INTRAOCULAR LENS 

FALSNWAVE3A2 非球面軟式人工水晶體 , 按一般功能人工水晶 'Z9002 EA 2843 

體價格給付 , 超過部分由病患自付 

FALSNWAVE3B9 

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 

'LI61AOV EA 2843 


FAV01055CCBH 0.55ML MICROVISC 玻璃體替代物 '0.55ML EA 1753 

FAV01060CCA2 AMO ALLERVISC 0.5ML,0.6ML '0.5ML;0.6ML EA 1753 

FAV01100CCSZ OCUCOAT 1CC 玻璃體替代物 '1ML EA 2204 

FAV01AP050C0 0.5ML AMVISVC 人工玻璃體 '60051 EA 1753 

FAV01AP080C0 0.8 ML AMVISVC 人工玻璃體 '60081 EA 2204 

FAV01AV050C0 0.5ML AMVISVC 人工玻璃體 '59051 EA 1753 

FAV01AV080C0 0.8ML AMVISVC 人工玻璃體 '59081 EA 2204 

FAV01B0050A1 

0.5ML VISCOAT STERILE OCULAR 

VISCOELASTIC SOLUTION 玻離體替代物 

'0.5ML EA 1753 

FAV01B0075A1 

0.75CC VISCOAT-STERILE OCULAR 

VISCOELASTIC SOLUTION 

'0.75ML EA 2204 

FAV01C0090R9 OCULOCROM 2% 0.9CC 歐奇樂人工玻璃體 '0.9CC EA 2204 

FAV01C0100A1 

1CC Cellugel Ophthalmic Viscosurgical Device 

玻璃體替代物 

'1ML EA 2204 

FAV01C0100R9 MEGACROM 1.8% 1CC 明佳人工玻璃體 '1CC EA 2204 

FAV01C0150R9 VISICROM 2% 1.5ML 2.5ML 人工玻璃體 '1.5ML;2.5ML EA 2500 

FAV01D0100A1 

DISCOVISC OPHTHALMIC VISCOSURGICAL 

DEVICE 1CC( 人工玻璃體 ) 

'1CC EA 2204 

FAV01D3540A1 0.75ML DUOVISC VISCOELASTIC SYSTEM 

'PROVISC 

0.4ML+VISCOAT EA 2204 

0.35ML 

FAV01H0055A2 HEALON 0.55ML '0.55ML EA 1753 

FAV01H0506A2 HEALON 5 0.6ML '0.6ML EA 1753 

FAV01HGV55A2 HEALON GV 0.55ML '0.55ML EA 1753 

FAV01HGV85A2 HEALON GV 0.85ML '0.85ML EA 2204 

FAV01P0040A1 0.4ML PROVISC 玻離體替代物 '0.4ML EA 1665 

FAV01P0050A1 

0.5ML VISCOAT STERILE OPHTHALMIC 

VISCOELASTIC 玻離體替代物 

'0.5ML EA 1753 

FAV01P0055A1 0.55ML PROVISC 玻離體替代物 '0.55ML EA 1753 

FAV01P0065AW 

AMO VITRAX VISCOELASTIC SOLUCTION 

0.65ML 

'0.65ML EA 1753 

FAV01P0085A1 0.85CC PROVISC 玻離體替代物 '0.85ML EA 2204 

FAV01RN085RY 

RAYVISC OPHTHALMIC VISCOELASTIC 

0.85ML 人工玻璃體 

'0.85CC EA 2204 

FAV01UHP10FD 

IAL HYALURONIC ACID SODIUM SALT 

SOLUTION 1CC 12MG 玻離體替代物 

'1CC EA 2204 

FAV01VA04CLB VISCAID 0.4ML 'VA-1040 EA 1665 

FAV01VA05CLB VISCAID 0.55ML 'VA-1055 EA 1753 

FAV01VA08CLB VISCAID 0.8ML '0.8ML EA 2204 

FAV01VSC10V3 I-VISC 1.0ML 玻離體替代物 '1.0ML EA 2204 

FAV01VSC55V3 I-VISC 0.55ML 玻璃體替代物 '0.55ML EA 1753 

FAV01VSC85V3 I-VISC 0.85ML 玻璃體替代物 '0.85ML EA 2204 

FBA0110001H1 BONE CEMENT40GM '6191 BOX 950 

FBA011101NZ1 

OSTEOBOND COPOLYMER BONE CEMENT 

40G/20ML 

'1101-02 EA 1255 

FBA011102NZ1 DOUGH TYPE BONE CEMENT 40GM '1102-12 EA 1255 

FBA011112NZ1 L.V.C BONE CEMENT '1102-13 EA 1600 

FBA0131050CM 

CRANIOPLASTY BONE CEMENT 

'431050 PKG 4050 

(2PKG/BOX) 頭顱整形術專用 

FBA0133CMWDP CMW BONE CEMENT 40GM( 粉末 + 液體 ) 

'3312040;3322040; 

3332040 

EA 950 



FBA01CM123C6 BONE CEMENT C.M.W.40GM 'CMW1;2;3 BOX 1000 

FBA01ER307DP 

ENDURANCE BONE CEMENT 40GM WITH 

18.88 LIQUID 

'3070-040 BOX 950 

FBA0217XXN3M 

STAPLIZER POWERED METAPHYSEAL 

STAPLE(7*7MM/16*25MM/16*10MM) 

'7007-7710 EA 600 

FBA022291NZ1 BONE STAPLE(ㄇ型 ) '229-01:06 EA 404 

FBA022860NR1 KRACKOW HTO BLADE STAPLE '12-8602:10 EA 3190 

FBA022867NR1 OSTEOTOMY STAPLE '12-8673:75 EA 1750 

FBA022868NR1 TABLE FIXATION STAPLE '12-8698:99 EA 2153 

FBA022869NR1 BONE STAPLE(ㄇ型 ) '12-8690:97 EA 1075 

FBA022872NR1 

BONE STAPLE IRREGULAR/SHORT 

FIXATION STAPLE 

'12-8720:27 EA 1075 

FBA024060NZ1 EPIPHYSEAL STAPLE '4060 EA 1334 

FBA024061NZ1 FRACTURE STAPLE '4061 EA 1334 

FBA024064NZ1 STAPLE '4060-01-04 EA 1386 

FBA0400105M4 

MASTERGRAFT RESORBABLE CERAMIC 

GRANULES 5CC* 適應症請見備註欄 

'7600105 VIAL 5900 

FBA0400110M4 


GRANULES10CC* 適應症請見備註欄 

'7600110 VIAL 9125 

FBA0400115M4 



'7600115 EA 12900 

FBA0400130M4 



'7600130 EA 17600 

FBA040053NZ0 

TRIOSITE BONE SUBSTITUTES 5CC * 適應症 


'00-1109-005-03 BOX 5900 

FBA0402B04BC 

MBCP BONE SUBSTITUTE 2CC * 適應症請見 

備註欄 

'9802B04 BOX 5000 

FBA041000NS1 

FBA041001NS1 

FBA041002NS1 

FBA0410045S1 

FBA0410047S1 

FBA0410101FV 

FBA0410102FV 

FBA0410103FV 

FBA0411036Z1 

FBA041142NZ0 

FBA041151NZ0 

FBA041300NZ0 

CHRON OS GRANULE,60%POROSITY,1.0CC 

* 適應症請見備註欄 

'710.002S EA 2997 

CHRON OS 

GRANULE,60%POROSITY,5.0CC* 適應症請見 

備註欄 

'710.014S;710.025S EA 5900 

CHRON OS GANULE,60%POROSITY,10CC* 


'710.019S;710.026S EA 9125 

CHRON OSTM 

BLOCK,70%POROSITY,12.5X12.5X10MM* 適 '710.045S EA 4692 


CHRON OS 

BLOCK,70%POROSITY,20X20X10MM* 適應症 '710.047S EA 5736 


BONAGRAFT SYNTHETIC BONE 

'F07- 

SUBSTITUTE 1GM(1CC) 博納骨人工骨替代物 * 010101;010201;010301 VIAL 2997 


;010401;010501 


SUBSTITUTE 2.5GM(2.5CC) 博納骨人工骨替 

代物 * 適應症請見備註欄 


SUBSTITUTE 5GM(5CC) 博納骨人工骨替代物 * 


COLLAGRAFT BONE GRAFT 10MMX45MM 


TRIOSITE BONE SUBSTITUTES 2CC 適應症 


BIOMATLANTE TRIOSITE BONE 

SUBSTITUTES 10CC* 適應症請見備註欄 

TRIOSITE BONE SUBSTITUTES 2CC 適應症 


'F07- 

010102;010202;010302 

;010402;010502 

'F07- 

010103;010203;010303 

;010403;010503 

VIAL 5000 

VIAL 5900 

'1103-06 BOX 11630 

'1109-114-02 BOX 5000 

'1109-115-01 包 9125 

'0060-130-00 BOX 5000 



FBA042B019NT 

PRO OSTEON 200(30X8X8MM) 人工合成骨 ※ 


'2BE019 EA 4692 

FBA042G050NT 

PRO OSTEON 200(5CC/VIAL) 人工合成骨 ※ 適 

應症請見備註欄 (91.01.01 文號 910031858 再生 '2GE050 VIAL 5900 

效 ) 

FBA044020RW2 

OSTEOSET BONE VOID FILLER 4.8MM 20 

PELLETS(2CC) ※ 適應症請見備註欄 

'8400-0106 BOX 5000 

FBA044050RW2 

OSTEOSET BONE VOID FILLER 4.8MM 50 

PELLETS(5CC) ※ 適應症請見備註欄 

'8400-0104 BOX 7500 

FBA044050TW2 

OSTEOSET T BONE VOID FILLER 

'8400-0404;7000- 

W/TOBRAMYCIN 4.8MM 50 顆 5CC※ 限骨感染 

0404 

需補骨時使用 , 適應症見備註欄 

BOX 11428 

FBA045B010NT 

PRO OSTEON 500(10X10X10MM) 人工合成骨 


'5BE010 EA 2997 

FBA045B024NT 



'5BE024 EA 5736 

FBA045B100NT 



'5BE100 EA 16035 

FBA045G010NT 

PRO OSTEON 500(10CC/VIAL) 人工合成骨 ※ 


'5GE010 VIAL 9125 

FBA045G020NT 



'5GE020 VIAL 14340 

FBA045G030NT 



'5GE030;5GE30L VIAL 17600 

FBA045G050NT 

PRO OSTEON RESORBABLE BONE GRAFT 

SUBSTITUTE500R 5CC 

'5RGE05 EA 5900 

FBA045G15LNT 



'5GE015;5GE15L VIAL 12900 

FBA046184NH1 

BONESAVE SYNTHETIC BONE 

'6184-9-120;6184-9- 

SUBSTITUTE(20CC)* 適應症請見備註欄 220 

BOX 14340 

FBA0463005Z8 

STIMULAN CALCIUM SULPHATEBONE 

GRAFT 3.0MM 5CC* 適應症請見備註欄 

'600-30-005 BOX 5900 

FBA0463010Z8 



'600-30-010 BOX 9125 

FBA0463020Z8 



'600-30-020 BOX 14340 

FBA0464010Z8 



'600-48-010 BOX 9125 

FBA0464020Z8 



'600-48-020 BOX 14340 

FBA0470010Z8 

ALLOGRAN-N BONE GRAFT SUBSTITUTE 

10CC * 適應症請見備註欄 

'700-010 BOX 9125 

FBA0470035Z8 

ALLOGRAN-N BONE GRAFT SUBSTITUTE 

35CC * 適應症請見備註欄 

'700-035 BOX 17600 

FBA0480005Z8 

ALLOGRAN-R BONE VOID FILLER 5CC * 適應 


'800-005 BOX 5900 

FBA0480010Z8 

ALLOGRAN-R BONE VOID FILLER 10CC * 適 


'800-010 BOX 9125 

FBA0480020Z8 

ALLOGRAN-R BONE VOID FILLER 20CC * 適 


'800-020 BOX 14340 

FBA048110JSN 

JAX BONE VOID FILLER 10CC * 適應症請見備 

註欄 

'71178110 BOX 9125 

FBA0490G01BC 

MBCP BONE SUBSTITUTE 1CC* 適應症請見 

備註欄 

'0302G01;9901G01 BOX 2997 

FBA0490G02BC 

MBCP BONE SUBSTITUTE 2CC* 適應症請見 '9901G02;9902G02; 

備註欄 

9903G02 

BOX 5000 

FBA0490G10BC 

MSCP BONE SUBSTITUTE 10CC* 適應症請見 

備註欄 

'9902G10;9903G10 BOX 9125 



FBA0490G16BC 

MSCP BONE SUBSTITUTE 16CC* 適應症請見 

備註欄 

'9903G16 BOX 12900 

FBA049512JSN 


註欄 

'71929512 BOX 5000 

FBA049513JSN 


註欄 

'71929513 BOX 5900 

FBA0499205DP 

CONDUIT TCP(TRICALCIUM 

PHOSPHATE)GRANULES 5CC※ 適應症請見 '2761-01-005 EA 5900 

備註欄 

FBA0499210DP 



備註欄 

FBA0499215DP 



備註欄 

FBA0499230DP 


PHOSPHATE)GRANULES 30CC(2X15CC)※ '2761-01-030 EA 17600 


FBA04BB02GK8 

BI-OSTETIC BONE VOID FILLER(2.5CC)* 適應 

'BIO-02G 


BOX 5000 

FBA04BB05GK8 

BI-OSTETIC BONE VOID FILLER(5CC)* 適應 


'BIO-05G BOX 5900 

FBA04BB10GK8 



'BIO-10G BOX 9125 

FBA04BB15GK8 



'BIO-15G BOX 12900 

FBA04BB30GK8 



'BIO-30G BOX 17600 

FBA04BE003NT 

INTERPORE PRO OSTEON BONE GRAFT 

SUBSTITUTE- PRO OSTEON IMPLANT '2BE003 EA 1500 

200(5X5X10MM)※ 適應症請見備註欄 

FBA04CEM02K8 

CEM-OSTETIC BONE VOID FILLER(2.5CC)* 


'CEMO-02P BOX 5000 

FBA04CS001Z6 UNI-OSTEO 1CC* 適應症請鍵備註欄 'CS10101 BOX 2997 

FBA04CS002Z6 UNI-OSTEO 2CC* 適應症請鍵備註欄 

'CS10102;CS30252; 

CS48332 

BOX 5000 

FBA04CS003Z6 UNI-OSTEO 3CC* 適應症請鍵備註欄 'CS30253;CS48333 BOX 5500 



FBA04CS020Z6 UNI-OSTEO 20CC* 適應症請鍵備註欄 'CS10100 BOX 14340 

FBA04FM01CLB 

1CC BONE SUBSTITUTE GRANULES 骨胳填 

補顆粒 ※ 適應症請見備註欄 

'FM01 EA 2997 

FBA04FM02CLB 

2CC BONE SUBSTITUTE GRANULES 骨胳填 

補顆粒 ※ 適應症請見備註欄 

'FM02 EA 5000 

FBA04FM05CLB 

FORAMIC BONE GRAFT SUBSTITUTE 5CC* 


'FM-05 VIAL 5900 

FBA04FM10CLB 

FORAMIC BONE GRAFT SUBSTITUTE 

10CC* 適應症請見備註欄 

'FM-10 VIAL 9125 

FBA04FM20CLB 

FORAMIC BONE GRAFT SUBSTITUTE 


'FM-20 VIAL 14340 

FBA04HS112Z6 

MERRIES K-PHATE BONE SUBSTITUTE 

BLOCK(5X5X10MM),2 塊 / 包 ,0.5CC/ 包 * 適應症 'HS15102 BOX 1500 


FBA04HS114Z6 


BLOCK(5X5X10MM),4 塊 / 包 ,1CC/ 包 * 適應症請 

見備註欄 

'HS15104 BOX 2997 



FBA04HS122Z6 


BLOCK(5X5X20MM),2 塊 / 包 ,1CC/ 包 * 適應症請 'HS15202 BOX 2997 

見備註欄 

FBA04HS124Z6 


BLOCK(5X5X20MM),4 塊 / 包 ,2CC/ 包 * 適應症請 'HS15204 BOX 5000 

見備註欄 

FBA04HS201Z6 

K-PHATE BONE SUBSTITUTE 1CC※ 適應症 'HS25101;(HS22051 


自 980101 生效 ) 

VIAL 2997 

FBA04HS202Z6 

K-PHATE BONE SUBSTITUTE 2CC※ 適應症 


'HS22052 VIAL 5000 

FBA04HS205Z6 



'HS22305 VIAL 5900 

FBA04HS208Z6 



'HS22408 VIAL 5900 

FBA04HS210Z6 



'HS223010 VIAL 9125 

FBA04HS220Z6 



'HS223020 VIAL 14340 

FBA04HS255Z6 

K-PHATE BONE SUBSTITUTE 0.5CC※ 適應 


'HS220505 VIAL 1500 

FBA04HT020PQ 

"PURZER"SINBONEHT BONE 

REPLACEMENT (7 立方公分 ) 生骨替代物二代 * 'HT020 EA 5900 


FBA04HT021PQ 


REPLACEMENT(1 立方公分 )* 適應症請見備註 'HT021 EA 2997 

欄 

FBA04HT022PQ 



欄 

FBA04HT023PQ 



欄 


FBA04HT024PQ REPLACEMENT (10 立方公分 ) 生骨替代物二代 * 'HT024 EA 9125 





FBA04HT041PQ 



欄 

FBA04HT042PQ 



欄 

FBA04HT043PQ 



欄 

FBA04HT050PQ 




FBA04HT051PQ 




FBA04HT052PQ 


REPLACEMENT (2 立方公分 ) 生骨替代物二代 * 


'HT052 EA 5000 










FBA04HT091PQ REPLACEMENT(1 立方公分 )* 適應症請見備註 'HT091 EA 2997 

欄 

FBA04HT092PQ 



欄 

FBA04HT093PQ 



欄 

FBA04P6922BZ 

SBM BIOSORB BONE SUBSTITUTES 2CC* 適 


'P822692243 BOX 5000 

FBA04P6944BZ 

SBM BIOSORB BONE SUBSTITUTES 5CC* 適 'P822692-244;444; 


644 

BOX 5900 

FBA04P6946BZ 

SBM BIOSORB BONE SUBSTITUTES 15CC* 

'P822692-246;446; 

適應症請見備註欄 ( 產品型號 :P822893229 自 

646;P822893229 

940701 起生效 ) 

BOX 12900 

FBA04SB050PQ 

SINBONE BONE REPLACEMENT 7.0CM3* 適 


'SB050;SB060 EA 5900 

FBA04SB054PQ 

SINBONE BONE REPLACEMENT 10CM3* 適 


'SB054;SB064 EA 9125 

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)* 適應症請見備註欄 

'SB010;SB020 BOX 4000 

FBA070942NH1 X-CHANGE MESH '0942-8010:8070 EA 5250 

FBA072104NH1 

ACETABULAR MESH 0.45MM/0.50MM 

0.56MM 

'6512 PCS 7600 

FBA100900NH1 HIP STEM PLUG 8:14MM '0930 EA 1197 

FBA101109NZ1 POLY PLUG INTRAMEDULLARY PLUGS '1109-09:19 EA 1197 

FBA101905NU0 U2 HIP STEM PLUG 7:16 '1905-7007:1905-7016 EA 1197 

FBA102002NW2 CEMENT CENTRALIZER 9:21MM '3700-DS09:21 EA 1197 

FBA105460RDP C-STEM CEMENT RESTRICTOR 

'5460-10000:5460- 

22000 

EA 1197 

FBA1410325DP 

CONTROL CABLE W/CABLE 

SLEEVE(COBALT CHROME)※ 適應症請見備 '173928000 EA 3715 

註欄 

FBA1422321Z1 

CABLE-READY COBALT CHROME 

'2232-02-18:28;2232- 

CABLE+SLEEVE※ 適應症請見備註欄 04:05-18 

EA 3715 

FBA1422322Z1 

STAINLESS CABLE-READY PLATE 6:8HOLE 


'2232-03-01:03 EA 7840 

FBA1422323Z1 

TITANIUM CABLE-READY GRIP(SHORT)※ 適 

'2232-02-02 


EA 5616 

FBA142232NZ1 

STAINLESS CABLE-READY+SLEEVE '2232-01-13:28;2232- 

1.3MM,1.8MM ※ 適應症請見備註欄 

03-18 

EA 3440 

FBA142300NH1 

DALL-MILES STAINLESS CABLE ※ 適應症請 '0023-0-001;002; 

見備註欄 

3704-2-100;110 

EA 1440 

FBA142301NH1 

DALL-MILES STAINLESS CABLE GRIP ※ 適 


'0023-0-100;400 EA 5200 

FBA142305NH1 

DALL-MILES STAINLESS CABLE SLEEVE ※ '0023-0-515; 


520:3704-1-100;110 

EA 2000 



FBA1428100S1 WIRE MOUNT 骨板固定鈕 ※ 適應症請見備註欄 '281.001 EA 2000 

FBA143704NH1 

DALL-MILES STAINLESS CABLE BONE 

PLATE ※ 適應症請見備註欄 

'3704-3-100;130 EA 7840 

FBD00001NNY2 DCS PLATE 6:22HOLE '281960:990 EA 8500 

FBD00001XNY2 

DHS PLATE 135:150 度 2:12HOLE( 產品型號 '281120:70;220:60; 

281420:410,281540:560) 

320:60 

EA 8497 

FBD000095NZ1 

VERSA-FX SUPRACONDYLAR FIXATION 

SYSTEM 

' 按組件型號組合 SET 8500 

FBD000135NZ1 VERSA-FX FEMORAL FIXATION SYSTEM ' 按組件型號組合 SET 8497 

FBD0011931Z1 

VERSA-FX II SUPRACONDYLAR FIXATION 

SYSTEM 90,95 度 (PLATEX1+LAG 


SCREWX1+COMP SCREWX1) 

FBD001193NZ1 

VERSA-FX II FEMORAL FIXATION SYSTEM 

130,135 度 (PLATEX1+LAG SCREWX1+COMP ' 按組件型號組合 SET 8497 

SCREWX1) 

FBD001199NZ1 COMPRESSION HIP SCREW(DHS) ' 按組件型號組合 SET 8497 

FBD002412NR1 COMPRESSION HIP SCREW(DHS) ' 按組件型號組合 SET 8497 

'281002:281420;28106 

FBD0028110V2 

DHS PLATE SYSTEM 

2:281706; 

(PLATE+SCREW)130~150 度 

2800970:990;2800050: 

EA 8497 

2858145 

'281906:281922;28009 

FBD0028190V2 DCS PLATE SYSTEM (PLATE+SCREW) 95 度 70:990; 

EA 8500 

2800050:2858145 

FBD00281CNS1 COMPRESSION HIP SCREW(DHS) ' 按組件型號組合 SET 8497 

FBD00281NNS1 DCS PLATE SYSTEM ' 按組件型號組合 SET 8500 

FBD003281NZ6 

STAINLESS COMPRESSION HIP SCREW 

SYSTEM 95:140 度 (PX1+COM 


SCREWX1+LAG SCREWX1) 

FBD00401NNY2 TITANIUM DCS PLATE 6:22HOLE '481960:900 EA 9180 

FBD00401XNY2 TITANIUM DHS PLATE 135:150 度 2:10HOLE '481-120;220;320; EA 9176 

FBD005963NS9 

FBD005966NS9 

OMEGA II LOW PROFILE:CHS SYSTEM 

135-150 度 (PLATEX1+LAG 

SCREWX1+COMPRESSION SCREWX1) 

OMEGA II SYSTEM:SUPRACONDYLAR 

PLATE 95 度 (PLATE+LAG 

SCREW+COMPRESSION SCREW) 

420-100:400 

'3362-5-050:3363-5- 

130;596001S; 

596302S:596595S 

'596606S:596634S; 

3362-5-050:3363-5- 

130;596001S 

EA 8497 

EA 8500 

FBD009501NS3 OHS SYSTEM (COMPRESSION HIP SCREW) ' 按組件型號組合 SET 8497 

FBD009501NS9 

OHS SYSTEM 135-150 度 (COMPRESSION '595302:595372;59505 

HIP SCREW)( 原代碼 FBD009501NS3) 0:595145 ;595000 

EA 8497 

FBD0095606S3 COMPRESSION TUBE PLATE OCS ' 按組件型號組合 SET 8500 

FBD0095606S9 

COMPRESSION TUBE PLATE HIP SYSTEM '595606:595612;59505 

OCS 95 度 ( 原代碼 FBD0095606S3) 

0:595145;595000 

EA 8500 

FBD00DG135E3 

DYNAMIC HIP SCREW 

SYSTEM(PLATE+CONDYLAR 

'129082120:0348; 

129083400:3530; SET 8497 

SCREW+COMPRESSION SCREW) 

129091440 

FBD00K004NAE COMPRESSION HIP SCREW(DHS) ' 按組件型號組合 SET 8497 

FBD01244XNSN 

DCS COMPRESSION TUBE PLATE 

SYSTEM(PLATE+LEG SCREW+CORTICAL 

SCREW) 


FBEF100011ZV 

ILIZARAVE EXTERNAL FIXATOR FEMORAL 

BASIC FRAME 股骨基本組 ※ 適應症請見備註 

欄 

'FR;HR;TR;CP;CC;BL; 

PT;HE;NU;SW;AH 

ANY SIZE 

SET 22500 





PT; 

FBEF100012ZV LENGTHENING FRAME 股骨延長組 ※ 適應症 

SET 30500 

HE;NU;SW;AH;AT;TS 


ANY SIZE 

FBEF100013ZV 

FBEF110001D1 


BONE TRANSPORT FRAME 股骨移位組 ※ 適 


ILIZARAVE EXTERNAL FIXTOR:FEMORAL 

BASIC FRAME 股骨基本組 ※ 適應症請見備註 

欄 



ANY SIZE 

'ANY SIZE;(TD- 

1140:1200;TD- 

7008:7025;TD- 

7481;TD-7320;TD- 

7750;TD- 

7792:7794; 

ACCESSORIAL PART) 

SET 22500 

SET 22500 

FBEF110002D1 

FBEF110003D1 


LENGTHENING FRAME 股骨延長組 ※ 適應症 



1140:1200;TD-7008:7025; 

TD-7481;TD-7320;TD- 

7750;TD-7792:7794;TD- 

7610;ACCESSORIAL 

PART) 


ILIZARAVE EXTERNAL FIXTOR:FEMORAL 1140:1200;TD-7008:7025; 

BONE TRANSPORT FRAM 股骨移位組 ※ 適應 TD-7481;TD-7320;TD- 



PART) 

SET 30500 

SET 22500 

FBEF127500R1 


BASIC SET 股骨基本組 ※ 適應症請見備註欄 


FBEF135000R1 

FBEF141800R1 

FBEF1S0C01ZA 

FBEF1ULENGTD 

FBEF1UPELVTD 

FBEF200021ZV 

FBEF200022ZV 

FBEF200023ZV 

FBEF200024ZV 


LENGTHENING SET 股骨延長組 ※ 適應症請 

見備註欄 


DOUBLE LENGTHENING SET 股骨雙層延長組 


LIMB LENGTHENER+COMPRESSION- 

DISTRACTION UNIT 延長外固定器 ※ 適應症請 

見備註欄 

UNI-LENGTHENING FRAME(U1+U2 

CLAMPX1+DISTR&COMP RODX1) 不含 PIN( 單 

側 )※ 適應症請見備註欄 

PELVIC FRAME(U1 CLAMPX2+SMOOTH 

RODX3+ROD CONNECTORX2) 不含 PIN※ 適 


ILIZARAVE EXTERNAL FIXATOR TIBIA 

BASIC FRAME 脛骨基本組 ※ 適應症請見備註 

欄 


BONE TRANSPORT FRAME 脛骨移位組 ※ 適 



LENGTHENING FRAME 脛骨延長組 ※ 適應症 


ILIZARAVE EXTERNAL FIXATOR DOUBLE 

TIBIA LENGTHENING FRAME 脛骨雙層延長 

組 ※ 適應症請見備註欄 



'SE-43-0C01:3 SET 13000 

' 按組件組合 SET 13000 

' 按組件組合 SET 21000 



ANY SIZE 



ANY SIZE 


PT; 

HE;NU;SW;AH;AT;TS 

ANY SIZE 



ANY SIZE 

SET 20000 

SET 25000 

SET 28000 

SET 36000 



FBEF200025ZV 


DEFORMITY FRAME 脛骨畸形矯正組 ※ 適應 


PT;HE;NU;SW;AH SET 22000 


ANY SIZE 

FBEF2199XNS1 

DISPOFIX SYSTEM(EXTERNAL 

FIXATOR)(SELDRILLX4+CLAMPX4+RODX1+ 

BARX1)※ 適應症請見備註欄 

'199.902 SET 9830 

FBEF220001D1 

ILIZARAVE EXTERNAL FIXTOR:TIBIAL 

BASIC FRAME 脛骨基本組 ※ 適應症請見備註 

欄 


1140:1200;TD- 

7008:7025;TD- 

7481;TD-7320;TD- 

7750;TD- 

7792:7794; 


SET 20000 

FBEF220002D1 

ILIZARAVE EXTERNAL FIXTOR:TIBIAL BONE 

TRANSPORT FRAM 脛骨移位組 ※ 適應症請見 

備註欄 


1140:1200;TD- 

7008:7025;TD- 

7481;TD-7320;TD- 


PART) 

SET 25000 

FBEF220003D1 

ILIZARAVE EXTERNAL FIXTOR:SINGLE 

LEVEL TIBIAL LENGTHENING FRAM ※ 適應 



1140:1200;TD- 

7008:7025;TD- 

7481;TD-7320;TD- 

7750;TD- 

7792:7794;TD- 


PART) 

SET 28000 

FBEF220004D1 

ILIZARAVE EXTERNAL FIXTOR:DOUBLE 

LEVEL TIBIAL LENGTHENING FRAM ※ 適應 



1140:1200;TD- 

7008:7025;TD- 

7481;TD-7320;TD- 

7750;TD- 

7792:7794;TD- 


PART) 

SET 36000 

FBEF220005D1 


DEFORMITY FRAM ※ 適應症請見備註欄 


1140:1200;TD-7008:7025; 

TD-7481;TD-7320;TD- 

7750;TD-7792:7794;TD- 

7360:7380;ACCESSORIAL 

PART) 

SET 22000 

FBEF22010NZ6 

HUMERUS FRAME SET( 美瑞世肱骨外固定器 

組 ) 一支連接桿 + 二支多向球 )※ 適應症請見備註 

欄 

'HD30 EA 9830 

FBEF223000R1 

FBEF228750R1 

FBEF231900R1 


BASIC SET 脛骨基本組 ※ 適應症請見備註欄 

ILIZARAVE EXTERNAL FIXTOR:TIBIAL BONE 

TRANSPORT SET 脛骨移位組 ※ 適應症請見 

備註欄 


LENGTHENING SET 脛骨延長組 ※ 適應症請 

見備註欄 






FBEF241400R1 


DOUBLE LENGTHENING SET 脛骨雙層延長 'ANY SIZE SET 41400 

組 ※ 適應症請見備註欄 

FBEF2S0C05ZA 

CLAMPX2+CONTROL ROD+COMP-DIST 

UNIT 四肢外固定器 ※ 適應症請見備註欄 

'SE-43-0C05:6 SET 10000 

FBEF2UBAS1TD 

UNI-BASIC FRAME(U1 CLAMPX1+U2 

CLAMPX1+RODX1) 不含 PIN( 單側 )※ 適應症請 ' 按組件組合 SET 10000 

見備註欄 

FBEF300031ZV 

ILIZARAVE EXTERNAL FIXATOR ANKLE 

DEFORMITY FRAME 踝骨基本組 ※ 適應症請 

見備註欄 



ANY SIZE 

SET 19000 

FBEF32180NR1 

ILIZARAVE EXTERNAL FIXTOR:ANKLE 

BASIC SET 踝骨基本組 ※ 適應症請見備註欄 


FBEF330001D1 

ILIZARAVE EXTERNAL FIXTOR:ANKLE 

BASIC SET 踝骨基本組 ※ 適應症請見備註欄 


1140:1200;TD-7008:7025; 

TD-7481;TD-7320;TD- 

7750;TD-7792:7794; 


SET 19000 

FBEF400041ZV 

FBEF400042ZV 

FBEF421800R1 

ILIZARAVE EXTERNAL FIXATOR HUMERAL 

BASIC FRAME 肱骨基本組 ※ 適應症請見備註 

欄 

ILIZARAVE EXTERNAL FIXATOR HUMERAL 

BONE TRANSPORT 肱骨移位組 ※ 適應症請 

見備註欄 

ILIZARAVE EXTERNAL FIXTOR:HUMERAL 

BASIC SET 肱骨基本組 ※ 適應症請見備註欄 



ANY SIZE 



ANY SIZE 

SET 17500 

SET 17500 


FBEF440001D1 


BASIC SET 肱骨基本組 ※ 適應症請見備註欄 


1140:1200;TD-7008:7025; 

TD-7481;TD-7320;TD- 

7750;TD-7792:7794; 


SET 17500 

FBEF440002D1 

FBEF500001ZV 

FBEF500008ZV 


TRANSPORT FRAME 肱骨移位組 ※ 適應症請 

見備註欄 

EXTERNAL FIXATOR SYSTEM:PIN HOLDER 

CLAMP 針夾 (WITH ONE:TWO 

DIA.8MMROD,WITH ONE:TWO DIA.5MM 

ROD) 

EXTERNAL FIXATOR 

SYSTEM:ARTICULATION COUPLING 結合器 

(DIA.5:8MM*DIA.3:8MM) 


1140:1200;TD-7008:7025; 

TD-7481;TD-7320;TD- 


PART) 

'S10;S11;S12;H10;H11; 

H12 

'D84;D85;D88;S53;S54 

;S55 

SET 17500 

EA 850 

EA 370 

FBEF500017D1 TELES CONNECTING ROD 'D17 EA 420 

FBEF500018D1 CONNECTING ROD 'D18 EA 130 

FBEF500018ZV 


SYSTEM:CONNECTING ROD 連結桿 

(DIA.5:8MM*L100:350MM) 

'D18150;18200;18250; 

18300;18350; 

S18100;18150;18200 

EA 130 

FBEF500019ZV 

EXTERNAL FIXATOR SYSTEM:ADJUSTABLE 

TELESCOPIC CONNECTING ROD 調整桿 

(DIA.5:8MM*L200:300MM) 

'D19250:19300;S19200 EA 1810 

FBEF50001ND1 UNIVERSAL BALL JOINT 'D10;11 EA 850 

FBEF50001NTD PIN HOLDER CLAMP ※ 適應症請見備註欄 'H10-12/S10-12 EA 850 

FBEF50001NZ6 

5HOLE UNIVERSAL BALL JOINT( 美瑞世五洞 

外固定器 ) 

'HD-10;HD-11 EA 850 


FBEF50013ND1 ARTICULING COUPING 'D13;14;15 EA 370 

FBEF50014NZ6 

ARTICULATION COUPLING 

8X3,8X4,8X5MM( 美瑞世多向外固定器 ) 

'HD-13:HD-15 EA 370 

FBEF50018ND1 

FBEF50018NTD 


SYSTEM:CONNECTING ROD 連結桿 

CONNECTION ROD ※ 適應症請見備註欄 

'D18150;18200;18250; 

18300;18350; 

S18100;18150;18200 


FBEF50001XD1 

EXTERNAL FIXATOR SYSTEM:PIN HOLDER 

'S10;S11;S12;H10;H11; 

CLAMP(WITH ONE:TWO DIA.8MM ROD , 

H12 

WITH ONE:TWO DIA.5MM ROD) 針夾 

EA 850 

FBEF500020ZV 

EXTERNAL FIXATOR SYSTEM:COLLES- 

FOREARM FRAME 手腕組 (L170MM) 

'H20;S20;H21 EA 5000 

FBEF50008ND1 


SYSTEM:ARTICULATION 

'D84;85;88;S53;54;55 EA 370 

COUPLING(DIA.5:8MM*DIA.3:8MM) 結合器 

FBEF50008NTD 

ARTICULATION COUPLING※ 適應症請見備註 

欄 

'D84:88/S35:55 EA 370 

'D18150-350/S18100- 

200 

EA 130 

EA 130 

FBEF50018NZ6 

CONNECTING ROD 200,250,300MM( 美瑞世 

骨外連接管 ) 

'HD18/200;250;300 EA 130 

FBEF50019ND1 


SYSTEM:ADJUSTABLE 

'D19250:19300;S19200 EA 1810 

TELESCOPICCONNECTING ROD 調整桿 

FBEF50019NTD 

ADJUSTABLE TELESCOPIC CONNECTING 

ROD ※ 適應症請見備註欄 

'D-19200:19300 EA 1810 

FBEF50020NZ6 

COLLES FRAME SET( 美瑞世一支連接桿 + 二支 

'HD20 

多向球 )※ 限橈骨和尺骨雙骨折使用 

EA 5000 

FBEF500D2NTD 

WRIST FRAME 手腕外固定器 ※ 限撓骨和尺骨 

雙骨折使用 

'D-20;H-20 EA 5000 

FBEF500S2ND1 

EXTERNAL FIXATOR SYSTEM:COLLES- 

FOREARM FRAME 手腕組 (L170MM) 

'S20 EA 5000 

FBEF500S2NTD 

COLLES FOREARM FRAM※ 限橈骨和尺骨雙 

骨折使用 

'S-20 SET 5000 

FBEF54601NU0 

UNITED EXTERNAL FIXATOR WITHOUT 

PIN( 手腕骨外固定器組 )※ 限撓骨和尺骨雙骨折 '4601-5001 SET 5000 

使用 

FBEF55150NZ6 STAINLESS HALP PIN 5MM 'HD-5150;5180 EA 798 

FBEF5S0C04ZA 

WRIST FIXATOR 手腕外固定器 ※ 限撓骨和尺骨 

'SE-43-0C04 

雙骨折使用 

SET 5000 

FBEF5U1U2ND1 

EXTERNAL FIXATOR SYSTEM:PIN CLAMP 針 

夾 (DIA.15:20MM) 

'U1;SU1;U2;SU2 EA 4500 

FBEF5U1U2NTD 

PIN CLAMP 組合式外固定針夾 ※ 適應症請見備 

註欄 

'U1;U2 EA 4500 

FBEF5U1U2NZV 

EXTERNAL FIXATOR SYSTEM:PIN CLAMP 

針夾 (DIA.8:20MM) 

'U1;SU1;U2;SU2 EA 4500 

FBEF5U3U4ND1 

EXTERNAL FIXATOR SYSTEM:SMOOTH 

ROD 連結桿 (DIA.20MM*L200:300MM) 

'U3;U4 EA 1000 

FBEF5U3U4NTD 

SMOOTH ROD 外固定平滑桿 ※ 適應症請見備註 

'U3;U4 

欄 

EA 1000 


FBEF5U3U4NZV SYSTEM:CONNECTING ROD 連結桿 

(DIA.8:20MM*L150:300MM) 

'SU3;SU4;U3;U4 EA 1000 

FBEF5U5LEND1 

FBEF5U5LENTD 


SYSTEM:DISTRACTION&COMPRESSION 

ROD 伸縮桿 (250+50MM) 

DISTRACTION&COMPRESSION ROD 外固定 

伸縮延長桿 ※ 適應症請見備註欄 

'U5 EA 4000 

'U5 EA 4000 



FBEF5U5LENZV 


SYSTEM:DISTRACTION & COMPRESSION 'SU5;U5 EA 4000 

ROD 伸縮桿 (200:250MM) 

FBEF5U6U7ND1 

EXTERNAL FIXATOR SYSTEM:ROD 

CONNECTOR 桿連結器 

'U6;U7 EA 4500 

(DIA.8:20MM*DIA.20MM) 

FBEF5U6U7NTD 

ROD CONNECTOR 外固定雙孔耦合器 ※ 適應 


'U6;U7 EA 4500 

FBEF5U6U7NZV 

EXTERNAL FIXATOR SYSTEM:ROD 

CONNECTOR 桿連結器 (DIA.8: 

'SU6;SU7;U6;U7 EA 4500 

20MM*DIA.5:20MM) 

FBEFP02101R1 WIRE ※ 適應症請見備註欄 '1.5MM 102101 EA 530 

FBEFP02102R1 WIRE ※ 適應症請見備註欄 '1.8MM 1020 EA 530 

FBEFP02106R1 WIRE (WITH STOPPER) ※ 適應症請見備註欄 '1.5MM 102106 EA 1500 

FBEFP02107R1 WIRE (WITH STOPPER) ※ 適應症請見備註欄 '1.8MM 102107 EA 1500 

FBEFP0640ND1 

EXTERNAL FIXATION SYSTEM:WIRE WTITH 

OLIVE 1.5MM:2.0MM 300:400MM ※ 適應症請 

見備註欄 

'SF6408:SF6411 EA 1500 

FBEFP0640NZV OLIVE WIRE (1.5:2.0MM*300:400MM) 橄欖針 'SF6408:6411 EA 1500 

FBEFP0666ND1 

EXTERNAL FIXATION SYSTEM:WIRE 1.5MM 

2.0MM 300:400MM ※ 適應症請見備註欄 

'6661:6663 EA 530 

FBEFP0666NZV WIRE (1.5:2.0MM*300MM) 針 '6661:6663 EA 530 

FBEFP0M30NRT EXTERNAL FIXATOR CORTICAL SCREW 

'M300;301; 

M310:M316 

EA 1750 

FBEFP1010NRT EXTERNAL FIXATOR CORTICAL SCREW 

'10.100:170-119:179; 

35.100:156 

EA 1750 

FBEFP1012NRT 

CANCELLOUS SCREW(10.130:4,10.180:4 自 

90/04/01 起刪除 ) 

'10.120:9;10 EA 1750 

FBEFP2482NR1 

SKELETAL TRACTION HALF PIN 3MM 

(COVE POINT PIN) 

'12-4828:30 EA 810 

FBEFP24831R1 HALF PIN 4MM '12-4831 EA 810 

FBEFP2483NR1 

SKELETAL TRACTION HALF PIN 5MM 


'12-4833 EA 1418 

FBEFP248XNR1 

SKELETAL TRACTION FULL PIN ALL SIZE 


'12-4826 EA 1570 

FBEFP294NNS1 

SCHANZ SCREW (FOR EXTERNAL 

FIXATION ) 

'294.30:294.78; 

(294.300;430:450;520: 

570; 

650:680;711:798; 自 

960101 生效 ) 

EA 625 

FBEFP294XNY2 SKELETAL TRACTION PIN '294010:120 EA 362 

FBEFP295XNY2 HALF PIN '294210:340 EA 362 

FBEFP296XNY2 TRANSFIXING PIN '294710:930 EA 362 

FBEFP29771S1 SELDRILL 4.0/3.0MM(HALF PIN) '294771:2 EA 1400 

FBEFP29774S1 SELDRILL DIA 3.5-4.0MM(HALF PIN) '294774:9 EA 1400 

FBEFP29782S1 SELDRILL DIA 4.4- 5.0MM(HALF PIN) '294782:8 EA 1418 

FBEFP29792S1 SELDRILL 6.0MM(HALP PIN) '294792:8 EA 1470 

FBEFP297XNY2 

SCHANZ SCREW( 型號 

294400,294520:70,294620:40)(90/04/01 起型號 

294300 刪除 , 新增 294960) 

'294430:450;650:680 EA 380 

FBEFP3059NZ6 STAINLESS FULL PIN 4-5MM( 兩截全針 ) 'HD-3059:HD3062 EA 1470 

FBEFP3070NZ6 

TITANIUM HALF PIN 2.5-3MM,3-4MM( 兩截半 'HD-3070;3071; 

針 ) 

3080;3081 

EA 1531 

FBEFP3070SZ6 

STAINLESS HALF PIN 2.5-3,3-4MM 

'HS3070;HS3071; 

80:150CM( 粗細兩截 ) 

HS3080;HS3081 

EA 1400 



FBEFP3090NZ6 

STAINLESS HALF PIN 4-5MM,5-6MM( 兩截半 

針 ) 

'HD-3090:HD3102 EA 1418 

FBEFP3109NZ6 TITANIUM HALF PIN 3MM 'HD-3109;3110 EA 646 

FBEFP3109SZ6 STAINLESS HALF PIN 3MM 80:110CM 'HS3109;HS3110 EA 599 

FBEFP4021NU0 HALF PIN 3,4MM '4201-1110:4201-1121 EA 599 

FBEFP4031NZ6 TITANIUM HALF PIN 4MM 

'HD-4031;4033; 

4034 

EA 790 

FBEFP4031SZ6 STAINLESS HALF PIN 4MM 120:180CM 

'HS4031;HS4033; 

HS4034 

EA 700 

FBEFPFUP1ND1 

EXTERNAL FIXATOR SYSTEM:FULL PIN 全 'TF3420;TF4525;TF453 

針 (DIA 3:6MM*L200:300MM) 

0;TF5625;TF5630 

EA 1470 

FBEFPFUP1NTD 

FULL PIN DIA 3-4MM,5-6MM※ 適應症請見備 'TF3420;4525; 

註欄 

4530;5625;5630 

EA 1470 

FBEFPFUP1NZV 

EXTERNAL FIXATOR SYSTEM:FULL PIN 全 'TF3420;TF4525;TF453 

骨針 (DIA.3:6MM*L200:300MM) 

0;TF5625;TF5630 

EA 1470 

FBEFPHAP1ND1 

EXTERNAL FIXATOR SYSTEM:HALF PIN 半 'TF2045;2075;3008;30 

針 (DIA.2:3MM*L45:90MM) 

11 

EA 599 

FBEFPHAP1NTD 

HALF PIN DIA 2.0MM,3.0MM ※ 適應症請見備 

註欄 

'TF-2045/3011 EA 599 

FBEFPHAP1NZV 

EXTERNAL FIXATOR SYSTEM:HALF PIN 半 'TF2045;TF2007;TF300 

骨針 DIA.2:3MM*L45:110MM) 

6;TF3011;TF3008 

EA 599 

FBEFPKX36NAE SCHANZ SCREW 'KX368S:413S EA 380 

FBEFPLX34NAE SCHANZ" SCREW SCHRAUBEN HALF PIN 

'LX362S:366S; 

LX381S:385S 

EA 1200 

FBEFPLX74NAE SMALL EF SCHANZE SCREW AND PIN 'LX740S:751S EA 1200 

FBEFPP1N40ZV 

EXTERNAL FIXATOR SYSTEM:HALF PIN 半 

骨針 DIA.4MM*L150:180MM) 

'TF4015:4018 EA 700 

FBEFPP1N56D1 

EXTERNAL FIXATOR SYSTEM: HALF PIN 半 'TF5015:5018;TF6015: 

針 (DIA.5-6MM*L150:180MM) 

6018 

EA 798 

FBEFPP1N56TD 

HALF PIN DIA 5.0MM,6.0MM※ 適應症請見備 

註欄 

'TF5015;5018;6018 EA 798 

FBEFPP1N56ZV 

EXTERNAL FIXATOR SYSTEM:HALF PIN 半 'TF5015:5018;TF6015: 

骨針 DIA.5-6MM*L150:180MM) 

6018 

EA 798 

FBEFPPN040D1 

EXTERNAL FIXATOR SYSTEM: HALF PIN 

半針 (DIA.4MM*L150:180MM) 

'TF4015:4018 EA 700 

FBEFPPN040TD HALF PIN DIA 4.0MM ※ 適應症請見備註欄 'TF-4015:18 EA 714 

FBEFPPN234D1 


針 (DIA2:4MM*L70:150MM) 

12;3415 

EA 1400 

FBEFPPN234TD HALF PIN 2MM:4MM 外固定骨半針 

'TF-2307;2309; 

3410;3412;3415 

EA 1400 

FBEFPPN234ZV 

EXTERNAL FIXATOR SYSTEM:HALF PIN 

,FIXATION PIN 半骨針 ( 雙直徑 ) 

'TF1606;1607;2307;23 

09;3410; 

EA 1400 

(DIA.1.6:4MM*L60:150MM) 

TF3412;TF3415 

FBEFPPN456D1 


針 (DIA.4:6MM*L150:180MM) 

18 

EA 1418 

FBEFPPN456TD 

HALF PIN DIA 4-5MM,5-6MM ※ 適應症請見備 

'TF4515;4518;5618 EA 1418 

FBEFPPN456ZV 

FBEH14111NH1 

FBEH15000NS2 

FBEH15005NS2 

註欄 

EXTERNAL FIXATOR SYSTEM:HALF PIN 半 

骨針 ( 雙直徑 )(DIA.4:6MM*L150:180MM) 

TOTAL ELBOW :HUMERAL ※ 適應症請見備註 

欄 

TOTAL ELBOW SYSTEM※ 適應症請見備註欄 

TOTAL ELBOW:HUMERAL COMPONENT※ 


'TF4515;4518;5615;56 

18 

'6944-1;2-110;210; 

310;215;L;R 

'5005-002;003+102; 

202 

EA 1418 

EA 48930 

SET 83000 

'5005-002;003 EA 48930 



FBEH18006NZ1 

FBEH181051Z1 

FBEH18105NZ1 

FBEU14112NH1 

TOTAL ELBOW SYSTEM(HUMERAL+ULNAR) 


COONRAD/MORREY HUMERAL 

COMPONENT( 型號 32-8105-025-04:036-08 自 

90/07/01 生效 )※ 適應症請見備註欄 

COONRAD/MORREY TOTAL ELBOW 

SYSTEM(HUMERAL+ULNAR) ※ 適應症請見備 

註欄 

TOTAL ELB0W :ULNAR ※ 適應症請見備註欄 

'8006-02:04 SET 83000 

'32-8105-04;06;08; 

14;16;18 

EA 48930 


'6944-1;2-120; 

220(L)(R) 

EA 34070 

FBEU15005NS2 

TOTAL ELBOW:ULNA COMPONENT※ 適應症 

'5005-102;202 


EA 34070 

FBEU181052Z1 

COONRAD/MORREY ULNAR 

'32-8105-01;02;11; 

COMPONENT( 型號 32-8105-053-01:093-02 自 

12 


EA 34070 

FBFJ11234NDP NEUFLEX FINGER IMPLANTS(SILICON) 

'1234-00-000:1234-60- 

000 

EA 4000 

FBFJ1G470NW2 SWANSON FINGER JOINT( 含鈦合金指套 ) 'G470-XXXX EA 7288 

FBFW14885NW2 SWANSON WRIST JOINT IMPLANT '488-1;2;023;5 EA 11052 

FBHB1103XNDP CUP ※ 適應症請見備註欄 

'1035-39-000:1035-65- 

000 

EA 9260 

FBHB1126XNSN 

SYNERGY CONVENE BIPOLAR CUP SHELL 


'12-6438:6560 EA 8720 

FBHB11700NW2 BIPOLAR CUP※ 適應症請見備註欄 '1700-0038:0065 EA 9180 

FBHB13110NW2 

BIOPOLAR CUP&CUP INSERT※ 適應症請見 

備註欄 

'3110-XXXX EA 11731 

FBHB1501XNU0 

UNITED BIPOLAR CUP 聯髖半髖外帽 ※ 適應 


'1501-1040:1501-1054 EA 12775 

FBHB15264NH1 P.C.A. CUP※ 適應症請見備註欄 '6225 EA 6650 

FBHB15984NZ1 BIPOLAR CUP※ 適應症請見備註欄 '5096;5098 EA 4213 

FBHB1NK04NAE 

BICONTACT BIPOLAR CUP※ 適應症請見備註 

欄 

'NK043S:075S SET 9260 

FBHB1UH10NS2 HA CUP※ 適應症請見備註欄 'UH1 EA 9665 

FBHB21700NW2 BIPOLAR INSERT※ 適應症請見備註欄 

'1700-22XX;28XX; 

32XX 

EA 2552 

FBHB2601XNU0 

FBHB27139NSN 

FBHBA0580NH1 

FBHBA1000NAE 

UNITED BIPOLAR CUP LINER 聯髖半髖內襯 


SYNERGY CONVENE BIPOLAR CUP LINER 


EXTER BIPOLAR SYSTEM※ 適應症請見備註 

欄 

BICONTACT BIPOLAR HIP SYSTEM ※ 適應症 


'1601-1040:1601-1054 EA 3775 

'7132-3800:5712; 

7139-2638:2857 

EA 3780 



FBHBA1000NDP BIPOLAR HIP SYSTEM ※ 適應症請見備註欄 ' 按組件型號組合 SET 47060 

FBHBA1000NSN 

FBHBA1000NU0 

SYNERGY CONVENE BIPOLAR SYSTEM※ 適 

' 按產品型號組合 SET 47060 


UNITED BIPOLAR SYSTEM※ 適應症請見備註 


欄 

FBHBA1000NW2 BIOPOLAR HIP SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 47060 

FBHBA1000TZ1 BIPOLAR HIP SYSTEM ※ 適應症請見備註欄 ' 按組件型號組合 SET 47060 

FBHBA1100NDP 

CORAIL BIPOLAR HIP SYSTEM ※ 適應症請見 


備註欄 

FBHBA2000NS2 HA BIPOLAR SYSTEM ※ 適應症請見備註欄 ' 按組件型號組合 SET 47060 



FBHBA2000NU0 

UNITED U2 BIPOLAR SYSTEM※ 適應症請見 

備註欄 

' 按組件型號組合 EA 47060 

FBHBA3000TZ1 

VERSYS BIPOLAR SYSTEM※ 適應症請見備註 

' 按組件型號組合 

欄 

SET 47060 

FBHBA4120NH1 

ABG HA BIPOLAR SYSTEM ※ 適應症請見備 

註欄 


FBHBA5000NS2 BIPOLAR SYSTEM ※ 適應症請見備註欄 ' 按組件型號組合 SET 47060 

FBHBA5000TZ1 MAYO BIPOLAR SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 47060 

FBHBA5500NS2 

FBHBA6000NS2 

FBHBA6000NZ1 

FBHBA8000TZ1 

FBHBA9101NH1 

FBHBA9610NDP 

FBHBA9979NDP 

FBHBCCERA1AE 

FBHBCCERA1DP 

FBHBCCERA1S2 

ACCOLADE BIPOLAR HIP 

SYSTEM(STEM+CUP+HEAD)※ 適應症請見備 

註欄 

BIPOLAR HIP SYSTEM※ 適應症請見備註欄 

CLS BIOPOLAR 

SYSTEM(STEM+HEAD+CUP)※ 適應症請見備 

註欄 

BIPOLAR HIP SYSTEM(CUP+HEAD+STEM) 


'6020;0621- 

0130:0840; 

1001;6001;06- 

2200;2205;2210; 

2600;2605;2610;2800;2 

805;2810; 

2898;3200;3205;3210;3 

299;UHI 

'05801300:1505;1001;6 

001;06-22:32- 

00;05;10;2898;3299; 

6364-2-026:032;01- 

22:32-00;05;10;3299 

'29.00.09;59-050:200; 

01.00295.005:020; 

008018-22:32-01:05; 

5000-40-22:500-72-32 

'5000;5001;00-8018- 

028;032-14;8018- 

22:32-01:05;00-8018- 

036;040-01:05;7711- 

05:22;7711-05:22-20 

SET 47060 

SET 47060 

SET 47060 

EA 47060 

P.C.A. BIPOLAR HIP SYSTEM ※ 適應症請見 

備註欄 


C-STEM BIPOLAR HIP SYSTEM※ 適應症請見 

備註欄 


SUMMIT BIPOLAR HIP 

STEM(STEM+CUP+HEAD)※ 適應症請見備註 ' 按組件型號組合 SET 47060 

欄 

'NK560:NK562;NK460: 

NK462; 

CERAMIC BIPOLAR HIP SYSTEM※ 符合傳統 

NJ081;NJ082;NJ091:N 

雙極式髖關節組適應症者 , 如自願選用陶瓷雙 

J093;NJ101:NJ103; 

極式人工髖關節組 , 則按傳統雙極式髖關節組 

(STEM 及 CUP、 


INSERT; 依傳統組件 

SET 47060 

型號 ) 









'L84008;010;012;020;0 

22;024;(STEM 及 

CUP、INSERT; 依傳 

統組件型號 ) 

'(17-26;28;32;36-00E- 

05E);(17-28;32- 

3E;36-5E); 

(65650028:0236 自 

970701 生效 );(STEM 

及 CUP、INSERT; 依 

傳統組件型號 ) 

SET 47060 

SET 47060 



CERAMIC BIPOLAR SYSTEM※ 符合傳統雙極 '1203-1028:1436; 

式髖關節組適應症者 , 如自願選用陶瓷雙極式 (STEM 及 CUP、 

人工髖關節組 , 則按傳統雙極式髖關節組給付 INSERT; 依傳統組件 

SET 47060 

, 超過部分由病患自付 

型號 ) 

FBHBCCERA1U0 

FBHBCCERA1W2 

FBHBCCERA1Z1 





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。 

'2600-0004:12;(STEM 

及 CUP、INSERT; 依 


'407.0101:0103; 

(STEM 及 CUP、 


型號 ) 

SET 47060 

SET 47060 

FBHC10581NH1 ACETABULAR CUPS※ 適應症請見備註欄 '0580-5640:0589-5056 EA 12150 

FBHC11246NDP AML CUP+AML INSERT ※ 適應症請見備註欄 '1246-04;06;14;16 SET 14760 

FBHC1124XNDP AML CUP( 型號 96-23-23:80,24-09:10,50,51,53- 

22-040:153 自 92/4/1 生效 )※ 適應症請見備註欄 

FBHC11455NDP 

FBHC11599NDP 

DURALOC HIP IMPLANT:ACETABULAR 

CUP※ 適應症請見備註欄 

DURALOC ACETABULAR CUP SYSTEM※ 適 


'1246;47-48:64; 

1245-XX;1107-XX 

'1245- 

64;66;68;70;72;74-000 

EA 10800 

EA 10800 

'159901044:159901066 EA 10800 

FBHC12540NS2 HA ACETABULUM CUP※ 適應症請見備註欄 '2017;2054;2051 EA 9945 

FBHC1301XNU0 UNITED ACETABULAR CUP( 型號 1303- 

5044:5062 自 92/4/1 生效 ) ※ 適應症請見備註欄 

'1301-1044:1301- 

1062;(1303- 

1238:1303-5480; 自 

960101 生效 );(1303- 

7246:7280 自 970701) 

EA 15570 

FBHC1302XNU0 TOTAL HIP CUP+LINER※ 適應症請見備註欄 '1302-1044:1302-1062 EA 15300 

FBHC1303XNU0 

TITANIUM U2 ACETABULAR CUP※ 適應症請 '1303-5244:5262; 

見備註欄 

1303-5444:5462 

EA 15570 

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 )※ 

'367X;368X;381X- 

XXXX;(3658-0040:80 EA 12645 


自 951001 生效 ) 

FBHC14000NH1 

ABG HA OUTERSHELL 42:74MM ※ 適應症請 '4840-00;4840-1; 

見備註欄 

4840-2 

EA 9270 

FBHC14262NZ1 ALLOFIT CUP SYSTEM※ 適應症請見備註欄 '4262:4273 EA 6985 

FBHC15000NZ1 

MULTIPOLAR BIPOLAR CUP 雙極式人工半髖 

臼杯 ( 型號 5001 自 92/1/1 生效 )※ 適應症請見備 '5000;5001 EA 4213 

註欄 

FBHC154NXNS2 ACETABULUM CUP※ 適應症請見備欄 

'50X;54X;508-01;11- 

40A:74J 

EA 9945 

FBHC16200NZ1 

TRILOGY ACETABULAR CUP(40:80MM)※ 適 

'6200 EA 6985 

FBHC16302NH1 

FBHC16304NS2 


VITALOCK ACETABULAR SHELL※ 適應症請 

見備註欄 

ACETABULUM CUP(CUP+INSERT 一體成型 ) 


'6302-1040:6302-2276 EA 10800 

EA 15165 

'6304-5-350:360;6304- 

5-646:660;6304-5- 

848:860 

FBHC16528NZ1 CUP WITH LINER ※ 適應症請見備註欄 '6528;(6728+6610) EA 9712 

FBHC16532NZ1 

HARRIS GALANTE CUP WITH LINER ※ 適應 


'6532 EA 9712 

FBHC17133NSN 

SYNERGY TOTAL HIP REFLECTION SHELL '74-3042:3070;7133- 


0042:1076 

EA 14220 

FBHC17504NH1 

P.C.A.DEEP SOCKET SHELL※ 適應症請見備 

註欄 

'6287 EA 8910 



FBHC18005NZ1 

ZCA ALL-POLY ACETABULAR CUP+INSERT '8005-540-22:8005- 


858-28 

EA 9713 

'(NH040T:NH042T 自 

FBHC1NA64NAE 

BICONTACT CUP 44:64MM( 型號 

NH044T:068T 自 92/4/1 生效 ) ※ 適應症請見備註 

欄 

93/10/01 生效 ); 

(NH140T:NH168T 自 

93/10/01 生效 ); 

NA644T:664T 

EA 10080 

FBHC1NK810AE 

PE-ACETABULAR CUP+INSERT※ 適應症請見 

備註欄 

FBHC1P1NNADP PINNACLE ACETABULAR CUP ※ 適應症請見 

備註欄 

'NK810:828; 

842:874;946:958 

'1217-01-048:066; 

1217-02-048:066; 

1217-03-046:066; 

1217-20-046:066; 

1217-22- 

038:066;124603000 

EA 14760 

EA 10800 

FBHC26728NZ1 LINER ※ 適應症請見備註欄 '6722:6732 EA 2729 

FBHC27504NH1 

P.C.A. UNIVERSAL CUP(SHELL)※ 適應症請見 

'6288 

備註欄 

EA 8910 

CUSTOM MADE FEMORAL PROXIMAL 

FBHCM1100NU0 TUMOR PROTHSIS SYSTEM(H+I+C+S)※ 申 

報費用時應檢附發票備查 


FBHCM2475NH1 

FBHCM6485NH1 

FBHCMXXXXNW2 

PCA CUSTOM-MADE FEMORAL STEM 

SYSTEM (HEAD+INSERT+CUP+STEM)※ 申 

報時應檢附該被保險人之發票備查 

CASTOM MADE HIP SYSTEM(PROXIMAL 

FEMORAL)SYSTEM(HEAD+INSERT+CUP+S 

TEM※ 申報費用應檢附發票備查 

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 

'2475 SET 200000 


'2500-XXXX SET 161000 

FBHH10586NH1 FEMORAL HEAD※ 適應症請見備註欄 '0586-0022:0532 EA 5670 

AML FEMORAL HEAD(87/7/7 15190- 

FBHH1101XNDP 

51:60,136501:03,11: 

'1018-11:75 

15,21:25,29:30,43:48,9113112:13※ 適應症見備 

EA 9000 

註 

FBHH11260NS2 

FBHH11840NDP 

FBHH1201XNU0 

HA FEMORAL HEAD※ 適應症請見備註欄 

'1001;6001(06-22:32- 

00;05;10;2898;3299 自 

951001 生效 )(6364-2;- 

026;028;030;032;01-22:32- 

00;05;10;3299 自 980101 生 

效 ) 

EA 5625 

CORAIL FEMORAL HEAD ※ 適應症請見備註 

欄 

'L84000:L84168 EA 9000 

UNITED FEMORAL HEAD (BIPOLAR)( 型號 

1201-1322:1828 自 92//4/1 生效 ) ※ 適應症請見備 '1201-1126:1201-1726 EA 5760 

註欄 

FBHH13611NW2 FEMORAL HEAD (2601-XXXX 自 88/10/1 生效 ) 


'360X;361X;362X- 

XXXX 

EA 4441 

FBHH14003NH1 P.C.A.FEMORAL HEAD ※ 適應症請見備註欄 '6284 EA 5670 

FBHH15220RDP S-ROM FEMORAL HEAD※ 適應症請見備註欄 '522022:522034 EA 11260 

FBHH16260NH1 

FBHH16530NH1 

V40/PCA FEMORAL HEAD※ 適應症請見備註 '6260-4122:5532; 

EA 5670 

欄 

6280-0126:3032 

ABG HA FEMORAL HEAD 

22.22:32MM(TOTAL AND BIPOLAR) ※ 適應症 '4653;4654;4655 EA 5040 




FBHH17130NSN 

SYNERGY TOTAL HIP FEMORAL HEAD※ 適 


'7130-2200:3216 EA 5760 

FBHH18018NZ1 

FEMORAL HEAD※ 適應症請見備註欄 

'00-8018-028-14;00-8018- 

032-14(930701 生效 );8018- 

22:32-01:05;(00-8018-036- 

01:05;00-8018-040-01:05 自 

950101 生效 ) 

EA 7776 

FBHH19262NZ1 FEMORAL HEAD ※ 適應症請見備註欄 '9026-22:34 EA 7776 

FBHH1962XNDP C-STEM HIP HEAD※ 適應症請見備註欄 '962569:962747 EA 9000 

FBHH1NK33NAE FEMORAL HEAD※ 適應症請見備註欄 

'NK330K:533K; 

NJ111K:134K 

EA 5400 

FBHH1NK46NAE 

FBHHCCERA1AE 

FBHHCCERA1DP 

FBHHCCERA1S2 

BICONTACT FEMORAL HEAD 

28,32MM(NK330K:533K,NJ111K-134K 自 92/4/1 'NK460K:562K EA 5400 

生效 ) ※ 適應症請見備註欄 

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。 

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。 


骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統 


'NK560:NK562;NK460: 

NK462; 

NJ081;NJ082;NJ091:N 

J093;NJ101:NJ103 

'L84008;010;012;020;0 

22;024 

'17- 

2600E;2605E;2800E;2 

805E; 

3200E;3205E;3600E;3 

605E;17-28;32-3E;36- 

5E;(65650028:0236 自 

970701 生效 ) 

EA 9000 

SET 9000 

EA 9000 

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 '1203-1028:1436 EA 9000 

頭給付 , 超過部分由病患自付。 

CERAMIC HIP SYSTEM:HEAD ※ 凡只更換股 

FBHHCCERA1W2 骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統 '2600-0004:2600-0012 EA 9000 



FBHHCCERA1Z1 骨頭者 , 如自願選用陶瓷股骨頭時 , 則按傳統 


'407.0101:0103 EA 9000 

FBHL11241NDP 

DURALOC HIP IMPLANT:ENDURON LINER 


'1241-48:72- 

000;025;526;1242- 

12:26-000;025;526; 

1242-52:70-000;025 

EA 3960 

FBHL1401XNU0 

UNITED ACETABULAR CUP LINER( 型號 

1403-5044:5062 自 92/4/1 生效 )※ 適應症請見備 

註欄 

HA HIP INSERT( 型號 2041C-26XX,28XX 自 '2001;2041;2041C- 

FBHL11260NS2 

EA 5220 


26XX;28XX 

ABG HA INSERT 42:74MM ※ 適應症請見備註 '4840:1-22;28; 

FBHL11284NH1 

EA 2880 

欄 

4842:5-2 

FBHL1241XNDP AML HIP INSERT(87/7/7 新增產品型號 1251- '1241-08:64;1115- 

EA 3960 

08:24,48:64) ※ 適應症請見備註欄 

04:1115-44 

FBHL13646NH1 P.C.A.HIP INSERT※ 適應症請見備註欄 '6283;6285 EA 3240 

HIP CUP INSERT (3X15,5X00,5X15-XXXX 自 

FBHL13820NW2 88/10/1 生效 ,3641:47-2200:4006 自 93/1/1 生效 ) '3820-XXXX EA 4586 


'1401-1044:1401- 

1602;(1403- 

5238:1403-5880; 自 

960101 生效 ) 

EA 6480 



FBHL1403XNU0 U2 ACETABULAR LINER※ 適應症請見備註欄 '1403-5244:5462 EA 6480 

FBHL16161NZ1 

FBHL16200NS2 

ACETABULAR CUP LINER(40:80MM)※ 適應 


INSERT CUP※ 適應症請見備註欄 

LONGEVITY ACETABULAR CUP LINER※ 適 

FBHL16305NZ1 


SYSTEM 12 ACETABULAR INSERT※ 適應症 

FBHL16352NH1 


ACETABULAR CUP LINER 42:70MM※ 適應症 

FBHL16567NZ1 


SYNERGY TOTAL HIP ACETABULAR LINER 

FBHL1717XNSN 


BICONTACT INSERT 28,30MM( 型號 

FBHL1NK17NAE NA278:NA291 自 92/1/1 生效 ,NH171:476 自 


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 

FBHLCCERA1AE 

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 

FBHLCCERA1DP 

, 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 


FBHLCCERA1S2 


自付。 

FBHLCCERA1U0 

FBHLCCERA1W2 

FBHLCCERA1Z1 

FBHMCBCER1AE 

FBHMCBCER1DP 

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 

CERAMIC HIP SYSTEM:INSERT ※ 凡只更換 



自付。 

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。 





'6105;6110;6120 EA 2728 

'620;621;661-00;10- 

22A:32J; 

(6410028D:36I 自 

970701 生效 ) 

'6305;6310;6320; 

6341 

'6302-5000:6309; 

6352-5000:6309 

EA 5220 

EA 2728 

EA 5490 

'6722;6728 EA 2728 

'7174-0250:3270; 

7133-0446:2470 

'NK174:191; 

NA278:NA291 

'NH091:NH096;NH103: 

NH106 

'159963046;048;052;05 

4;058;062; 

159964052;054;058;06 

2 

'625-OT- 

28D;32E;F;36G;H;I; 

(2047-2844E:3264E 自 

970701 生效 ) 

EA 3780 

EA 4680 

EA 5490 

SET 5490 

EA 5490 

'1403-3252:7880 EA 5490 

'7100-2846;7200- 

2852;3252;7300- 

2858;3258;7400- 

2864;3264;3664 

EA 5490 

'01.00010.609:617 EA 5490 

'NK560:NK562;NK460:NK46 

2; 

NJ081;NJ082;NJ091:NJ093 

;NJ101:NJ103;(STEM 及 

CUP、INSERT; 依傳統組件 

型號 ) 

'L84008;010;012;020;0 

22;024;(STEM 及 CUP 

依傳統組件型號 ) 

SET 10350 

SET 10350 



'17- 

2600E;2605E;2800E;2 

CERAMIC BIPOLAR HIP SYSTEM※ 凡符合使 805E; 

用 MOORE 規定者 , 如自願選用陶瓷雙極式人工 3200E;3205E;3600E;3 

SET 10350 

髖關節組 , 則按 MOORE 人工髖關節給付 , 超過 605E;17-28;32-3E;36- 


5E;(STEM 及 CUP、 


型號 ) 

FBHMCBCER1S2 

FBHMCBCER1U0 

FBHMCBCER1W2 

FBHMCBCER1Z1 

FBHMCPCER1AE 

FBHMCPCER1DP 

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。 

CERAMIC BIPOLAR HIP SYSTEM ※ 凡符合使 








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。 




患自付。 

'1203-1028:1436;(STEM 及 


型號 ) 

'7100-2846;7200- 

2852;3252;7300- 

2858;3258;7400- 

2864;3264;3664;2600- 

0004:2600-0012;(STEM 及 

CUP 依傳統組件型號 ) 

'407.0101:0103;(STEM 及 


型號 ) 

'NK560:NK562;NK460:NK46 

2; 

NJ081;NJ082;NJ091:NJ093 

;NJ101:NJ103; 

NH091:NH096;NH103:NH10 

6;(STEM 及 CUP 依傳統組件 

型號 ) 

'L84008;010;012;020;022;02 

4; 

159963046;048;052;054;058; 

062; 

159964052;054;058;062; 

(STEM 及 CUP 依傳統組件型 

號 ) 

SET 10350 

EA 10350 

SET 10350 

SET 10350 

SET 10350 

FBHMCPCER1S2 

CERAMIC HIP SYSTEM※ 凡符合使用 MOORE 

者 , 如自願選用陶瓷人工髖關節組 , 則按 

MOORE 給付 , 超過部分由病患自付。 

'(1726;28;32;36-00E;05E); 

17-28;32-3E;36-5E;625-OT- 

28D; 

32E;F;36G;H;I(20472844E:; 

3264E 自 970701 生效 )(STEM 

及 CUP; 依傳統型號 ) 

SET 10350 

FBHMCPCER1U0 

FBHMCPCER1W2 

FBHMCPCER1Z1 

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 



患自付。 




患自付。 

'1203-1028:1436;1403- 

3252:7880;(STEM 及 CUP; 


'7100-2846;7200- 

2852;3252;7300- 

2858;3258;7400- 

2864;3264;3664;2600- 

0004:2600-0012;(STEM 及 

CUP; 依傳統組件型號 ) 

'01.00010.609:617; 

407.0101:0103;(STEM 及 


SET 10350 

EA 10350 

SET 10350 



FBHMCRCER1AE 

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 



'NK560:NK562;NK460:NK46 

2; 

NJ081;NJ082;NJ091:NJ093 

;NJ101:NJ103; 

NH091:NH096;NH103:NH10 


型號 ) 

SET 10350 

FBHMCRCER1DP 

FBHMCRCER1S2 

FBHMCRCER1U0 

FBHMCRCER1W2 

FBHMCRCER1Z1 

FBHMMLDH01DP 

FBHMMLDH01W2 

FBHMMLDH01Z1 

FBHMMLDH02W2 

FBHMMMETA1DP 













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。 





ARTICULAR SURFACE REPLACEMENT 

SYSTEM※ 符合使用 MOORE 者 , 如自願選用 

ASR 人工髖關節組 , 按 MOORE 給付 , 超過部分 


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 


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 


PINNACLE METAL ON METAL TOTAL HIP 

SYSTEM※ 符合 MOORE 者 , 如自願選用金屬人 

工髖關節組 , 按 MOORE 髖關節組給付 , 超過部 

分由病患自付 

'L84008;010;012;020;022;02 

4; 

159963046;048;052;054;058; 

062; 

159964052;054;058;062; 


號 ) 

'17- 

2600E;2605E;2800E;2805E 

; 

3200E;3205E;3600E;3605E 

;17-28;32-3E;36-5E;625- 

OT-28D;32E;F;36G;H;I; 


號 ) 

'1203-1028:1436;1403- 

3252:7880;(STEM 及 CUP; 


'7100-2846;7200- 

2852;3252;7300- 

2858;3258;7400- 

2864;3264;3664;2600- 

0004:2600-0012;(STEM 及 


'01.00010.609:617; 

407.0101:0103;(STEM 及 


'(999890139:163)(999803944 

:4146; 

4348;4550;4652;4754;4956;5 

158; 

5360;5562;5764;5966;6168;6 

370);( 含接頭 )STEM 按傳統 

組件型號 

'(971001 重新整理 38SP- 

3642:5664;3801- 

3800:5635;2600- 

0025:0027;38AM- 

3600:5635;(STEM 按傳統組 

件型組合 ) 

'01.00214.044:066; 

01.00181.380:600; 

01.00185.145:148;(STEM 

依傳統型號組合 ) 

'3802-3642:5664;2600- 

0025:0027;3801- 

3800:5635;38AM- 

3600:5635;(STEM 按傳統組 

件型號組合 ) 

'1365-16:18-500;31:35-000; 

1218-87-352:366;1218-89- 

148:166;(STEM 及 CUP 依傳 

統組件 ) 

SET 10350 

SET 10350 

SET 10350 

EA 10350 

SET 10350 

SET 10350 

SET 10350 

EA 10350 

SET 10350 

SET 10350 



FBHMMMETA1Z1 

FBHPA0580NH1 

FBHPA1000NAE 

FBHPA1000NDP 

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 


'01.00010.507:508; 

01.00010.909:917; 

19.28.05:08;19.32.05:08; 

(STEM 及 CUP 依傳統型號組 

合 ) 

EA 10350 

EXETER TOTAL HIP SYSTEM※ 適應症請見備 


註欄 

BICONTACT TOTAL HIP SYSTEM ※ 適應症請 


見備註欄 

AML TOTAL HIP SYSTEM ※ 適應症請見備註 


欄 

FBHPA1000NS2 HA TOTAL HIP SYSTEM ※ 適應症請見備註欄 ' 按組件型號組合 SET 52560 

FBHPA1000NU0 

UNITED TOTAL HIP SYSTEM 聯髖人工髖關節 



FBHPA1000NW2 TOTAL HIP SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 52560 

FBHPA1000TZ1 

HARRIS GALANTE TOTAL HIP SYSTEM ※ 適 



FBHPA1100NDP 

CORAIL TOTAL HIP SYSTEM ※ 適應症請見備 

註欄 


FBHPA2000NU0 

UNITED U2 TOTAL HIP SYSTEM※ 適應症請 

見備註欄 


FBHPA2000TZ1 

HA/TCP TOTAL HIP SYSTEM ※ 適應症請見備 

註欄 


TOTAL HIP SYSTEM ( 型號 

FBHPA3000NU0 13021044:62+11045034:67+12011126:1726)※ ' 按組件型號組合 SET 52560 


FBHPA4000NS2 TOTAL HIP SYSTEM ※ 適應症請見備註欄 ' 按組件型號組合 SET 52560 

FBHPA4000TZ1 

VERSYS TOTAL HIP SYSTEM※ 適應症請見備 

註欄 


FBHPA4120NH1 

ABG HA TOTAL HIP SYSTEM ※ 適應症請見備 


註欄 

SET 52560 

FBHPA5000NS2 

TOTAL HIP 

SYSTEM(STEM+CUP+HEAD+INSERT)※ 適應 


' 按以下特材代碼產品型號組 

合 ;FBHS11200NS2; 

FBHC16304NS2; 

FBHH11260NS2; 

FBHL16200NS2; 

FBHC154NXNS2 

SET 52560 

FBHPA5000TZ1 

FBHPA5500NS2 

FBHPA6000NZ1 

FBHPA7000NSN 

MAYO TOTAL HIP SYSTEM※ 適應症請見備註 

欄 

ACCOLADE TOTAL HIP 

SYSTEM(STEM+CUP+INSERT+HEAD)※ 適應 


CLS SPOTORNO 

SYSTEM(STEM+LINER+HEAD+ACETABULA 

R CUP)※ 適應症請見備註欄 

SYNERGY TOTAL HIP SYSTEM※ 適應症請見 

備註欄 


'6020;21- 

0130:0840;1001;6001;0 

6; 

2200;2600;2800;05;10; 

2898;3200; 

05;3299;620;21;61- 

00;10;22A; 

32J;50X;54X;50801;11 

40A:74J 

'29.00.09:59-050:200; 

01.00295.; 

005:020;6305;6310;632 

0;6341; 

6200+FBHH18018NZ1 

SET 52560 

SET 52560 




'6200;6305;6310;6320; 

6341;00-8018- 

FBHPA8000TZ1 

TOTAL HIP 

SYSTEM(CUP+LINER+HEAD+STEM)※ 適應 

028;032-14;8018- 

22:32;-01:05;00- EA 52560 


8018-036;040-01:05; 

7711-05:22;7711- 

05:22-20 

FBHPA9101NH1 

P.C.A.TOTAL HIP SYSTEM ※ 適應症請見備註 

欄 


FBHPA9610NDP 

C-STEM TOTAL HIP SYSTEM※ 適應症請見備 

註欄 


FBHPA9979NDP 

SUMMIT TOTAL HIP 

SYSTEM(STEM+HEAD+CUP+INSERT)※ 適應 



'NK560:NK562;NK460:NK46 

2; 

FBHPCCERA1AE 

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。 

NJ081;NJ082;NJ091:NJ093 

;NJ101:NJ103; 

NH091:NH096;NH103:NH10 

SET 52560 


FBHPCCERA1DP 

FBHPCCERA1S2 

FBHPCCERA1U0 

FBHPCCERA1W2 

FBHPCCERA1Z1 






髖關節組之適應症者 , 如自願選用陶瓷髖關節 

組時 , 則按傳統髖關節組給付 , 超過部分由病 

患自付。 





CERAMIC TOTAL HIP SYSTEM ※ 凡符合傳統 


工髖關節時 , 則按傳統人工髖關節組給付 , 超 






型號 ) 

'L84008;010;012;020;0 

22;024; 

159963046;048;052;05 

4;058;062; 

159964052;054;058;06 

2;(STEM 及 CUP 依傳 


'(1726;28;32;36-00E;- 

05E)(1728; 

323E;365E;625-OT- 

28D;32E;F;36G; 

H;I)(65650028:236;204 

72844E;:3264E97070 

1 生效 )STEM CUP 傳統 

'1203-1028:1436;1403- 

3252:7880;(STEM 及 


'7100-2846;7200- 

2852;3252;7300- 

2858;3258;7400- 

2864;3264;3664; 

2600-0004:2600- 

0012;(STEM 及 CUP 依 


'01.00010.609:617; 

407.0101:0103; 

(STEM 及 CUP 依傳統組 

件型號 ) 

SET 52560 

SET 52560 

SET 52560 

SET 52560 

SET 52560 



ARTICULAR SURFACE REPLACEMENT 

'(999890139:163)(9998 

03944:4146; 

4348;4550;4652;4754;4 

FBHPMLDH01DP 

SYSTEM※ 符合傳統髖關節組適應症者 , 如自 956;5158; 

願選用 ASR 人工髖關節組 , 按傳統髖關節組給 5360;5562;5764;5966;6 

SET 52560 


168;6370);( 含接 

頭 )STEM 按傳統組件型 

號 

FBHPMLDH01W2 

FBHPMLDH01Z1 

FBHPMLDH02W2 

FBHPMMETA1DP 

FBHPMMETA1Z1 

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 


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 人工髖關節組 , 按傳統髖關節組給 


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 


PINNACLE METAL ON METAL TOTAL HIP 


願選用金屬人工髖關節組 , 按傳統髖關節組給 


METASUL METAL ON METAL TOTAL HIP 


願選用金屬人工髖關節組 , 按傳統髖關節組給 


'( 自 971001 重新整理 ; 

38SP-3642:5664;3801- 

3800:5635;2600- 

0025:0027;38AM- 

3600:5635;(STEM 按 

傳統組件型號組合 ) 

'01.00214.044:066; 

01.00181.380:600; 

01.00185.145:148; 

(STEM 按傳統組件型號 ) 

'3802-3642:5664;2600- 

0025:0027;3801- 

3800:5635;38AM- 

3600:5635;(STEM 按 

傳統組件型號組合 ) 

'1365-16:18-500;31:35- 

000;1218-87- 

352:366;1218-89- 

148:166;(STEM 及 

CUP 依傳統組件 ) 

'01.00010.507:508; 

01.00010.909:917; 

19.28.05:08;19.32.05:0 


統型號組合 ) 

SET 52560 

SET 52560 

SET 52560 

SET 52560 

SET 52560 

FBHRA0580NH1 

EXTER REVISION TOTAL HIP SYSTEM※ 適 



FBHRA1000NDP 

AML REVISION TOTAL HIP SYSTEM ※ 適應 



FBHRA1000NW2 

REVISION TOTAL HIP SYSTEM※ 適應症請見 

備註欄 


FBHRA1000TZ1 

REVISION TOTAL HIP SYSTEM ※ 適應症請見 

備註欄 


FBHRA10099DP 

C-STEM REVISION TOTAL HIP SYSTEM※ 適 



FBHRA1100NH1 

P.C.A.REVISION TOTAL HIP SYSTEM※ 適應 



FBHRA2000NW2 

PERFECTA REVISION TOTAL HIP 

SYSTEM(NECK+BODY+STEM+HEAD+CUP+I 

NSERT)※ 適應症請見備註欄 


FBHRA2000TZ1 

FBHRA3000NS2 

FBHRA3000TZ1 

FBHRA4000TZ1 

VERSYS REVISION TOTAL HIP SYSTEM※ 適 



HA REVISION TOTAL HIP SYSTEM ※ 適應症 



VERSYS CEMENTED REVISION/CALCAR 

TOTAL HIP SYSTEM※ 適應症請見備註欄 


ZMR REVISION HIP 

SYSTEM(BODY+STEM+HEAD+CUP+INSERT ' 按組件型號組合 SET 87500 




FBHRA5000NS2 

TOTAL HIP REVISION 

SYSTEM(STEM+CUP+INSERT+HEAD)※ 適應 


' 按以下特材代碼產品型 

號組合 ; 

FBHS21445NS2; 

FBHC16304NS2; 

FBHH11260NS2; 

FBHL16200NS2; 

FBHC154NXNS2 

SET 63180 

FBHRA5000NU0 

FBHRA5200RDP 

FBHRA6260NH1 

FBHRANK20NAE 

FBHRCCERA1AE 

FBHRCCERA1DP 

FBHRCCERA1S2 

FBHRCCERA1U0 

FBHRCCERA1W2 

U2 REVISION HIP SYSTEM※ 適應症請見備註 

欄 

S-ROM TOTAL HIP 

SYSTEM(STEM+SLEEVES+HEAD+CUP+INS 

ERT)※ 適應症請見備註欄 

RESTORATION REVISION HIP SYSTEM※ 適 


BICONTACY REVISION HIP 

SYSTEM(STEM+HEAD+CUP+INSERT)※ 適應 


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 

建型人工髖關節組 , 按傳統重建型髖關節組給 








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 









'1104-1211:1104- 

1838;1301- 

1044:1301-1062; 

1401-1044:1401- 

1062;1201- 

1126:1201-1828 

SET 63180 


' 依組件型號組合 SET 63180 


'NK560:NK562;NK460: 

NK462; 

NJ081;NJ082;NJ091:N 

J093;NJ101:NJ103; 

NH091:NH096;NH103: 

NH106;(STEM 及 CUP 


'L84008;010;012;020;0 

22;024; 

159963046;048;052;05 

4;058;062; 

159964052;054;058;06 



'(1726;28;32;3600E;05 

E)(1728;32; 

3E;365E;625OT- 

28D;32E;F;36G;H; 

I(65650028:0236;2047 

2844E:3264;E970701 

生效 )(STEM 及 CUP 傳 

統 ) 

'1203-1028:1436;1403- 

3252:7880;(STEM 及 


'7100-2846;7200- 

2852;3252;7300- 

2858;3258;7400- 

2864;3264;3664; 

2600-0004:2600- 

0012;(STEM 及 CUP; 


SET 63180 

SET 63180 

SET 63180 

SET 63180 

SET 63180 



REVISION CERAMIC HIP SYSTEM※ 符合傳統 '01.00010.609:617; 

重建型髖關節組適應症者 , 如自願選用陶瓷重 407.0101:0103; 

建型人工髖關節組 , 按傳統重建型髖關節組給 (STEM 及 CUP 依傳統組 

SET 63180 


件型號 ) 

FBHRCCERA1Z1 

FBHRCCERA2W2 


重建型 ( 且骨頭缺損達第二度以上者 ) 適應症者 , 

如自願選用陶瓷重建型髖關節組 , 超過部分由 

病患自付 

'7100-2846;7200- 

2852;7200-3252; 

7300-2858;7300- 

3258;7400-2864; 

7400-3264;7400- 

3664;2600-0004:12; 

(STEM 及 CUP 依傳統組 

件型號 ) 

SET 87500 

FBHS10580NH1 FEMORAL STEM※ 適應症請見備註欄 '0580-0351:0506 EA 34740 

UNITED PRIMARY HIP STEM (BIPOLAR '1101-1010:1070; 

FBHS1101XNU0 

EA 24750 

STEM) ※ 適應症請見備註欄 

1101-1025C:45C 

'1104-1001:1078; 

FBHS11104NU0 UNITED U2 HIP STEM※ 適應症請見備註欄 

EA 24750 

1104-3012:3078 

FBHS11300NS2 

ACCOLADE PRIMARY STEM ※ 適應症請見備 

註欄 

FBHS1135XNDP AML STEM(87/7/7 新增 1554,1557- 

02:08,42:48,1345-20:27)※ 適應症請見備註欄 

FBHS12900NZ1 

FBHS13708NW2 

FBHS14120NH1 

FBHS16070NS2 

FBHS16260NH1 

FBHS16521NZ1 

FBHS16578NZ1 

FBHS1713XNSN 

FBHS17711NZ1 

FBHS17841NZ1 

FBHS17850NZ1 

CLS SPOTORNO STEM※ 適應症請見備註欄 

FEMORAL STEM (378X-XXXX 自 88/09/01 起生 

效 ,385X,3793-XXXX 自 88/10/1 生效 )※ 適應症請 

見備註欄 

FBHS11104RU0 

U2 REVISION HIP SYSTEM:STEM※ 適應症 


'1104-1211:1104-1838 EA 35370 

FBHS1110XNU0 

TOTAL HIP STEM(CEMENT STEM)※ 適應症 


'1104-5034:5067 EA 31500 

FBHS11170NS2 HA PRIMARY STEM ※ 適應症請見備註欄 '1017;6051;6017 EA 31770 

FBHS11200NS2 

'0580-1-300:374;0580- 

EXETER PRIMARY STEM ※ 適應症請見備註 

1-440:446;0580-1- 

欄 

501:505 

EA 31770 

'6020-0130:6020- 

0840;6021- 

0130:6021-0840 

'3821:24;370X; 

371X;372X-XXXX 

EA 31770 

EA 28800 

EA 35071 

EA 30888 

'1354-12:17;1357- 

42:46 

'29.00.09:59-050:200; 

;01.00295.005:020 

ABG HA FEMORAL STEM 1#:9# (TOTAL AND '4841-102:9;4841- 

BIPOLAR) ※ 適應症請見備註欄 

202:9 

EA 35370 

PRIMARY FEMORAL STEM ※ 適應症請見備註 '1004;6007;6050; 

欄 (6034 自 88/01/12 生效 ) 

6034 

EA 31770 

RESTORATION P/S LONG STEM※ 適應症請 '6260-1-212:6260-8- 

見備註欄 

921 

EA 41220 

HARRIS GALANTE PRIMARY STEM ※ 適應症 


'6520-11/16 EA 35071 

VERSYS HA/TCP FIBER METAL TAPER 

STEM※ 適應症請見備註欄 

'65-7862-09:18-00:30 EA 35071 

SYNERGY TOTAL HIP STEM (7130- 

6109:7130-6418 自 88/10/1 生效 )※ 適應症請見備 '7130-6609:7137-6030 EA 28800 

註欄 

M/L TAPER HIP PROSTHESIS(STEM)※ 適應 


VERSYS FIBER METAL MIDCOAT HIP 

STEM(COLLARED)※ 適應症請見備註欄 

VERSYS ADVOCATE CEMENTED STEM※ 適 


'7711-05:07;7711- 

09:13;7711- 

15;17;20;22;7711- 

05:07-20;7711-09:13- 

20;7711-15;17;20;22- 

20 

'7841-10:18;7841- 

12:16-30 

'7850-11:17;7850-11- 

05:17-25 

EA 35071 

EA 35071 

EA 35071 



FBHS17853NZ1 

VERSYS CEMENTED TOTAL HIP 

STEM(7853-11:17-01:21 自 89/04/01 起生效 )※ '7853-12:14;13:16-20 EA 35071 


FBHS17854NZ1 

VERSYS CEMENTED HIP CT STEM※ 適應症 


'7854-12:17;13:16-20 EA 35071 

FBHS17857NZ1 

VERSYS HERITAGE CDH:FEMORAL STEM '00-7857-009-00;00- 


7857-010-00 

EA 35071 

FBHS17862NZ1 

VERSYS FIBER METAL TAPER HIP STEM※ 


'7862-10:18;12:16-30 EA 35071 

FBHS18026NZ1 

MAYO CONSERVATIVE STEM※ 適應症請見 

備註欄 

'8026-92-02:95-02 EA 35071 

FBHS19101NH1 P.C.A. PRIMARY STEM ※ 適應症請見備註欄 '6279;6280;6293 EA 34740 

FBHS1925XNDP 

FBHS1961XNDP 

FBHS19979NDP 

FBHS1NK62NAE 

FBHS2130LNS2 

FBHS21445NS2 

FBHS23730NW2 

FBHS2601XNS2 

CORAIL FEMORAL STEM ※ 適應症請見備註 

欄 

C-STEM HIP STEM(9613-15000 自 92/7/1 生效 ) 

(9611-00500,01500,02500 自 92/10/1 生效 )※ 適 


SUMMIT HIP STEM※ 適應症請見備註欄 

300 自 90/1/1 生效 )※ 適應症請見備註欄 

EXETER HIP LONG STEM※ 適應症請見備註 

欄 

REVISION HIP LONG STEM※ 適應症請見備註 

欄 ( 型號 3783-XXXX,3784-XXXX 自 89/10/1 生效 ) 

RESTORATION HA HIP STEM※ 適應症請見備 

註欄 

'L92499; 

L92500:L92521; 

(3L92498:3L92521; 

3L93709:3L93716; 

L20309:L20316;L20106 

; 自 960101 生效 ) 

'961160-000:961174- 

000 

'1570-01060:01180; 

11060:11165 

EA 28800 

EA 28800 

EA 28800 

'NK620T:731T EA 32400 

BICONTACT PRIMARY STEM 10:21MM( 型號 

NK010K-18K,NJ009T:16T,NJ028-34K 自 92/4/1 

生效 )※ 適應症請見備註欄 

OMNIFIT LONG STEM(6088-0525-200:1140- 

'1013;6088-0525- 

200:1140-300 

'05801200;220;240;260 

;05803422 

'379X-XXXX;3783- 

XXXX;3784-XXXX 

'6012;6013;6014- 

XXXX 

EA 42390 

EA 42390 

EA 41508 

EA 42390 

FBHS30580NH1 FEMORAL LONG STEM※ 適應症請見備註欄 '0580-0200:0260 EA 45360 

C-STEM REVISION HIP STEM※ 適應症請見備 '961307-000:961312- 

FBHS310099DP 

EA 39420 

註欄 

000 

FBHS31100NH1 P.C.A. LONG STEM ※ 適應症請見備註欄 '6281:2 EA 45360 

PERFECTA REVISION HIP 

'PHA0-12XX+PPW3- 

FBHS32000NW2 STEM(NECK+BODY+STEM)※ 適應症請見備註 

EA 65828 

8000:8458 

欄 

FBHS3354XNDP AML LONG STEM(87/11/2 起 1571-02-000:90- 

000,1573-03-000:19-000)※ 適應症請見備註欄 

FBHS35500RDP 

S-ROM ZTT SLEEVES( 近端套筒 )※ 適應症請見 

備註欄 

'1354-22:27 EA 39420 

'5505-01:69; 

550717:51;535341:66 

EA 14540 

FBHS35600RDP 

S-ROM FEMORAL STEM( 型號含 

'523191:396; 

526092L:424R,526514L:684)※ 適應症請見備註 

418:424;563016L:518 

欄 

EA 46940 

FBHS36550NZ1 LONG STEM ※ 適應症請見備註欄 '6550;6615 EA 45691 

FBHS37846NZ1 

VERSYS BEADED FULLCOAT PLUS 

REVISION STEM 200MM(7843-11:20-08 自 

89/04/01 起生效 )※ 適應症請見備註欄 

'7846-11:20-08 EA 45691 



VERSYS CEMENTED REVISION STEM 

FBHS37855NZ1 

'7855-13:19-80:85 EA 45691 

200:260MM※ 適應症請見備註欄 

VERSYS CEMENTED REVISION/CALCAR 

FBHS37871NZ1 

'7871-13:19-60:63 SET 45691 

STEM※ 適應症請見備註欄 

ZMR REVISION HIP STEM※ 適應症請見備註 '9980-120-21:9982-22- 

FBHS39980NZ1 

EA 22500 

欄 

23 

FBHS39990NZ1 

EA 47511 

FBHS3NK21NAE REVISION HIP STEM※ 適應症請見備註欄 'NK210T:NK341T EA 43020 

G.T.F HIP STEM 大粗隆股骨柄 ※ 適應症請見備 

FBHS51108NU0 

'1108-1010:1030 EA 24750 

註欄 

FBHU111281DP 

EA 31500 

FBHU111340DP HUMERAL ASSEMBLY STEM '1134-02:37 EA 31500 

FBHU111344DP HUMERAL HEAD '1134-40:58 EA 13500 

FINNED GLENDOID HYLAMER POLLYMER 

FBHU111348DP 

'1134-84:97 EA 17000 

PEGGED GLENOID 

'1134-02000:37000; 

FBHU11134NDP GLOBAL HUMERAL STEM 

EA 31500 

28-0600:12010 

'1137-84:89-025; 

FBHU111378DP GLOBAL PEGGED GLENOID 

EA 17000 

1137-93:99-025 

'1128;1134;1135- 

FBHU1113NNDP GLOBAL HUMERAL HEAD 

EA 13500 

40:59-000:020 

NEER 2 TOTAL SHOULDER:HUMERAL 

FBHU11580N3M 

'15801:6 EA 42000 

STEM 

NEER 2 TOTAL SHOULDER:GLENOID 

FBHU1158103M 

'15810 EA 17745 

(PLASTIC) 

BIGLIANI/FLATOW TOTAL 

FBHU143000Z1 


SHOULDER(STEM+HEAD+CUP) 

BIGLIANI/FLATOW HEMI 

FBHU143001Z1 


SHOULDER(STEM+HEAD) 

BIGLIANI/FLATOW MONOBLOCK 

FBHU143002Z1 

'4300-60:69 SET 45000 

SHOULDER(STEM+HEAD) 

FBHU14300NZ1 BIGLIANI/FLATOW HUMERAL STEMS '4300-06:16-06:20 EA 31500 

'4300;4302-40:52- 

FBHU14301NZ1 BIGLIANI/FLATOW MODULAR HEAD 

EA 13500 

15:30 

FBHU14302NZ1 BIGLIANI/FLATOW GLENOID(PU CUP) '4300-80:87 EA 17000 

TOTAL SHOULDER 

FBHU15300NS2 

'5361+5350+5351 SET 62000 

SYSTEM(GLENOID+HEAD+STEM) 

FBHU15301NS2 SHOULDER SYSTEM(HEAD+STEM) '5350+5351 SET 45000 

'5350-40XX;45XX; 

FBHU15350NS2 SHOULDER HUMERAL HEAD( 鈷鉻 ) 

EA 13500 

50XX;55XX 

'5351-4103;4105; 

FBHU15351NS2 SHOULDER HUMERAL STEM(TITANIUM) 

EA 31500 

4107;4109;4111 

FBHU15362NS2 

EA 17000 

DURACON TOTAL KNEE TIBIAL WEDGE※ 限 

FBKA20610NH1 

'6630-6-105:485 EA 3638 

用於人工膝關節再置換時使用 

FBKA21872NW2 

FEMORAL BUILD(WEDGE)※ 限用於人工膝關 

'1872-1002:1872-3010 EA 3638 

節再置換時使用 

ZMR REVISION HIP STEM BODY※ 適應症請 

GLOBAL SHOULDER IMPLANTS STEM 

SOLAR TOTAL SHOULDER SYSTEM: 

'9990-17-40:9994-23- 

'112812050; 

'5361- 

見備註欄 

12MM 

SHOULDER GLENOID COMP(PLASTIC) 

55 

112812060 

6105;6107;6109;6111 

FBKA22510NH1 

FBKA23000NW2 

FBKA23001NW2 

DURACON TOTAL KNEE FEMORAL SPACER 

DISTAL※ 限用於人工膝關節再置換時使用 

'6632-5-100:215; 

6632-6-100:215 

EA 3638 

REVISION FEMORAL WEDGE※ 限用於人工膝 'KFPA-N105:N510; 

EA 3638 

關節再置換時使用 

KFDA-N105:N510 

REVISION TIBIAL WEDGE※ 限用於人工膝關 

'KTAG-B105:W615 EA 3638 




'5988-03:08-20:27; 

TIBIAL WEDGE※ 頇事前審查限用於膝關節再 

(00-5988-002-20;23; EA 3638 

置換時使用 

自 950101 生效 ) 

FBKA25988NZ1 

FBKA25990TZ1 

FBKA27510NS2 

FBKA27910NS2 

FBKA296080JJ 

FBKB21759NW2 

FBKB21870NW2 

FBKCM1101NU0 

FBKCM2475NH1 

FBKCM6485NH1 

FBKCMXXXXNW2 

FBKE21859NW2 

FBKE21890NW2 

FBKE23000NW2 

FBKE25988NZ1 

FBKE26478NS2 

FBKE27895NS2 

FBKE28640NH1 

FBKE286960JJ 

FBKF10000CSN 

FBKF10011NH1 

FEMORAL AUGMENTATION ※ 頇事前審查限 

用於膝關節再置換時使用 

FEMORAL /TIBIAL AUGMENTATION※ 限用於 

人工膝關節再置換時使用 

BONE AUGMENTATION FOR REVISION 

KNEE WEDGE ※ 限用於人工膝關節再置換時 

使用 

TC3 PFC REVISION FEMORAL 

AUGMENTATION ※ 限用於人工膝關節再置換 

時使用 

WHITESIDE ORTHOLOC REVISION TIBIAL 

STEM 5CM,6.25CM※ 適應症請見備註欄 

REVISION TIBIAL LONG STEM 7.5CM,15CM 

※ 限用於人工膝關節再置換時使用 

CUSTOM MADE KNEE JOINT TUMOR 

PROSTHESIS ※ 申報費用時應檢附該被保險人 

之發票備查 

CUSTOM MADE TOTAL KNEE SYSTEM ※ 適 

應症請見備註欄 , 申報費用時應附發票備查 

CASTOM MADE KNEE PROTHESIS(DISTAL 

FEMORAL)※ 申報費用應檢附發票備查 

CUSTOM-MADE TOTAL KNEE PROTHESIS 

※ 適應症請見備註欄 , 申報費用檢附發票 

WHITESIDE ORTHOLOC REVISION 

FEMORAL STEM 5CM ※ 適應症請見備註欄 

'5990-33:37-01:31 EA 3638 

'75-1-0305:75-1- 

1315;75-2-0305:75-2- 

1310;75-3-0305:75-3- 

1310;75-4-0310:75-4- 

1310;75-5-0305:75-5- 

1305 

EA 3638 

'7910;7915 EA 3638 

'96-0800:912 EA 3638 

'1870-0564;0462; 

0463 

'1870-0568;0464; 

66;68;0470;0664 

EA 1235 

EA 7000 


'2475 SET 200000 



'1890-0033;0034 EA 1350 

REVISION FEMORAL LONG STEM 

'1890-0036;0038; 

10CM,15CM ※ 限用於人工膝關節再置換時使用 0030;0032 

EA 7000 

EXTENSION FEMORAL TIBIAL STEM※ 限用 

於人工膝關節再置換時使用 

'KSP1-0100:6140 EA 7000 

STEM EXTENSION ※ 頇事前審查限用於膝關 


'5988-10:21-10:24 EA 7000 

EXTENSION STEM 80MM:155MM※ 限用於人 '64786395:470; 

工膝關節再置換時使用 

64786600:750 

EA 7000 

EXTENSION STEM FOR REVISION KNEE 

(TIBIAL、FEMORAL)※ 限用於人工膝關節再置 '7895 EA 7000 

換時使用 

DURACON TIBIAL、FEMORAL EXTENSION 

'6478-6-400;470; 

STEM (6476-8-260 自 91/10/1 生效 )※ 限用於人 

6476-8-250:270 

工膝關節再置換時使用 

EA 7000 

REVISION STEM EXTENSION(96-07,17- 

'96-0699;1699:716; 

20,21,31,32 自 89/04/01 生效 )※ 限用於人工膝關 

86-6401-6449 


EA 7000 

GENESIS II TOTAL KNEE SYSTEM: '7142-0000:0030; 

FEMORAL COMPONENTS※ 適應症請見備註 7142-0032:0062; EA 30960 

欄 

7142-0064:0094 

FEMORAL COMPONENT EXTRA EXTRA- 

SMALL:LARGE ※ 適應症請見備註欄 

'6630-0-010:520 EA 28177 



FBKF10096PSN 

GENESIS II TOTAL KNEE SYSTEM(PS): 

FEMORAL COMPONENTS※ 適應症請見備註 

'7142-0096:0126; 

7142-0862:0892; SET 30960 

欄 

7142-0928:0958 

FBKF10208NH1 

DURACON PS FEMORAL COMPONENT※ 適 


'6632-0208:0865 EA 16200 

FBKF10410NJJ PFC FEMORAL※ 適應症請見備註欄 

'4102:4170;2-7005- 

01:22 

EA 25788 

FBKF1179NNDP 

LCS FEMORAL COMPONENT( 型號 1180-03 自 '1179-03:10;1180- 


04:10 

EA 25788 

FBKF11880NW2 

WHITESIDE ORTHOLOC FEMORAL 

'1840-10XX;1870; 

COMPONENT( 型號 KFTC-XXXX 自 91/01/01 生 

75;80;85-00XX 

效 ) ※ 適應症請見備註欄 

EA 21962 

FBKF12000NW2 

PSL FEMORAL COMPONENT ※ 適應症請見 

備註欄 

'KFPS-NP10:60 EA 21962 

FBKF12101NU0 

FEMORAL COMPONENT(PS)※ 適應症請見備 

註欄 

'2101-3110:2101-3250 EA 20160 

FBKF12103MU0 

U2 TOTAL KNEE SYSTEM:FEMORAL※ 適應 

'2103-3110:2103-3260 


EA 20160 

FBKF12103NU0 

U2 TOTAL KNEE SYSTEM:FEMORAL '2103-1110:1260; 

CRUCIATE RETAINING※ 適應症請見備註欄 2103-1310:1460 

EA 20160 

FBKF1210LNS2 

OMNIFIT FEMORAL COMPONENT※ 適應症請 

'3021 

見備註欄 

EA 28710 

FBKF1210XNU0 

UNITED FEMORAL COMPONENT※ 適應症請 '2101-1110; 

見備註欄 

1110B:1250;1250B 

EA 20160 

FBKF15111NZ1 

M/G Ⅱ FEMORAL COMPONENT※ 適應症請 

見備註欄 

'5110-12/16 EA 29016 

FBKF15500NH1 

FBKF15950TZ1 

FBKF15964TZ1 

FBKF15970NZ1 

FBKF15996TZ1 

TRIATHLON FEMORAL COMPONENT ※ 適應 

症見備註欄 

NEXGEN CR-FLEX FEMORAL COMPONENT 


NEXGEN LPS-FLEX FEMORAL COMPLETE 


FEMORAL COMPONENT※ 適應症請見備註欄 

NEXGEN FEMORAL COMPONENT(LPS)※ 適 


'5510F;5515F- 

101;102;201;202; 

301;302;401;402;501;5 

02;601; 

602;701;702;801;802 

'00-5950;5952;5956- 

011-01:;00- 

5950;5952;5956-18-06 

'5964-012-01:5964- 

018-02;(00-5964- 

011:18-51;52; 自 

941001 生效 ) 

'5966;5970;5972- 

01;02 

'5996-11:18-01:02; 

(00-5996-011:018- 

51;52 自 ;941001 生效 ) 

EA 28710 

EA 34960 

EA 34960 

EA 30960 

EA 30960 

FBKF16630NH1 

DURACON TOTAL KNEE FEMORAL※ 適應症 


'6630-0010:0715 EA 28177 

FBKF17030NS2 

SCORPIO CR FEMORAL COPMONENT※ 適 '70-3003L;R:5113L; 


R 

EA 28710 

FBKF1710LNS2 

SERIES 7000 FEMORAL COPMONENT ※ 適 


'7021 EA 28710 

FBKF17130NS2 

SCORPIO FEMORAL COPMONENT( 型號 71- 

4503:4513R/L 自 90/01/01 生效 )※ 適應症請見備 '71-3003:5113 EA 28710 

註欄 

FBKF18000NS2 

SCORPIO FEMORAL COMPONENT※ 適應症 '80-4403L:80-4413R; 


81-4403R:81-4413L 

EA 28710 

FBKF18110NH1 PCA FEMORAL※ 適應症請見備註欄 '6628-1:4-100;500 EA 26864 



'96-0002:8;96- 

0012:18;96- 

PFC SIGMA CRUCIATE RETAINING 

0022:28;96-0032:38; 

FEMORAL COMPONENT ※ 適應症請見備註欄 

96-0042:46;48;96- 

EA 25788 

0052:56;58 

FBKF19600NDP 

FBKF19600NJJ 

FBKF1N050NAE 

FBKF2179NNDP 

FBKF21850NW2 

FBKF21857NW2 

FBKF22026NH1 

FBKF2220LNS2 

FBKF23000NW2 

FBKF25393NH1 

FBKF25880TZ1 

FBKF25976NZ1 

FBKF25994TZ1 

FBKF26001NJJ 

FBKF27370NS2 

FBKF296008JJ 

FBKL10100NH1 

FBKL10460NJJ 

FBKL10480CSN 

FBKL10802PSN 

PFC E CURCIATE RETAINING FEMORAL ※ 

適應症請見備註欄 (96-0042:58 自 89/7/1 

收 ,93/1/1 由 FBKF296008JJ 調來 ) 

E.MOTION FEMORAL COMPONENT※ 適應症 


LCS REVISION FEMORAL COMPONENT※ 適 


WHITESIDE ORTHOLOC REVISION 

FEMORAL COMPONENT ※ 適應症請見備註欄 

WHITESIDE ORTHOLOC P.S.L REVISION 


DURACON REVISION FEMORAL 

COMPONENT ※ 適應症請見備註欄 

'96-0001;0011; 

0021;0031:8 

'6-01K:18K; 

81K:88K;NO-5 

EA 25788 

EA 25788 

'1179-81:89 EA 40059 

'1858-XXXX EA 32850 

'1850-000X;1890- 

00XX;1895-XXXX; 

(KFPSNP10:60 有效日 

期 ; 

950701~970331); 

(KFPSNP10:60 自 

970401 刪除 ) 

'6632-0-260:770; 

66328800:66328855(9 

30701 生效 ) 

EA 32850 

EA 34685 

REVISION FEMORAL COMPONENT※ 適應症 


'3022;3025 EA 39690 

ADVANCE REVISION FEMORAL 

'KFCC;KFRV- 

COMPONENT※ 適應症請見備註欄 

NP0L:6L;NP0R:6R 

EA 34200 

ROTATINGE HINGE TOTAL KNEE 

SYSTEM:FEMORAL COMPONENT※ 適應症請 '6475-3-931:932 EA 41032 

見備註欄 

NEXGEN ROTATING HINGEKNEE FEMORAL 


'5880-13:16-01:02 EA 89660 

NEXGEN FEMORAL COMPONENT(CRA)※ 適 


'5976-12:17-01:02 EA 45000 

NEXGEN FEMORAL COMPONENT(LCCK)( 型 

號 5994-013:017-91:92 自 92/10/01 生效 )※ 適應 '5994-13:17-01:02 EA 45000 


PFC REVISION FEMORAL※ 適應症請見備註 

欄 

'6001:9 EA 40059 

SERIES 7000 MODULAR FEMORAL 

COPMONENT ※ 適應症請見備註欄 

'7370;7380 EA 39690 

TC3 PFC REVISION FEMORAL 

COMPONENTS (96-0042:96-0058 自 93/01/01 '96-0081:92 EA 40059 

轉至 FBKF19600NJJ)※ 適應症請見備註欄 

TIBIAL INSERT EXTRA-SMALL:LARGE 

'6630-1-009:316; 

9MM:16MM(6642-1009:7125 自 89/4/1 生效 ) ※ 

6632-1-109:816 


EA 6238 

PFC INSERT (96-0410:96-0467 自 89/07/01 生 '4601:4695; 

效 )※ 適應症請見備註欄 

4020:4395 

EA 8785 

GENESIS II TOTAL KNEE SYSTEM:TIBIAL 

'7142-0480:0518; 

ARTICULAR COMPONENTS※ 適應症請見備 

7142-0754:0800 

註欄 

EA 4320 

GENESIS II TOTAL KNEE SYSTEM(PS): 

'7142-0802:0856; 

TIBIAL ARTICULAR COMPONENTS※ 適應症 

7142-0564:0960 


SET 4320 



FBKL11030NS2 OMNIFIT TIBIAL INSERT※ 適應症請見備註欄 '3051:2 EA 7920 

FBKL11501PSN 

PS HIGH FLEXION ARTICULAR INSERT ※ 適 


'7142-1501:1528 EA 10296 

FBKL11531CSN 

CR DEEP FLEXION ARTICULAR INSERT ※ 


'7142-1531:1552 EA 10296 

'1840;80-0XXX; 

FBKL11770NW2 

1870;80-XXXX; 

WHITESIDE ORTHOLOC TIBIAL INSERT( 型 

3XXX;(KMPL1510:25 

號 KITC,KIMP-XXXX 自 91/01/01 生效 ) ※ 適應症 

自 93/10/01 生效 ); 


(KMPR1510:25 自 

EA 4044 

93/10/01 生效 ) 

LCS MENISCAL BEARINGS INSERT( 型號 

FBKL1178NNDP 1778-29-025:1778-84-025 自 90/01/01 生效 )※ 適 '11:1278-20:35;46:87 EA 8785 


FBKL12000NW2 PSL TIBIAL INSERT ※ 適應症請見備註欄 'KIPS2108:2620 EA 4044 

FBKL12301NU0 TIBIAL INSERT(PS)※ 適應症請見備註欄 '2301-5009:2301-5518 EA 12600 

FBKL123033U0 

U2 TOTAL KNEE SYSTEM:TIBIAL INSERT 


'2303-3011:2303-3065 EA 12600 

FBKL12303NU0 

U2 TOTAL KNEE SYSTEM:TIBIAL INSERT 

CRUCIATE RETAINING※ 適應症請見備註欄 

'2303-1211:1265 EA 12600 

FBKL1230XNU0 

UNITED TIBIAL INSERT PLAINED※ 適應症請 

'2301-1009:1518 EA 12600 

FBKL15120NZ1 

FBKL15500NH1 

FBKL15960NZ1 

FBKL15971NZ1 

FBKL15981NZ1 

FBKL15996NZ1 

FBKL16644NH1 

FBKL17109NH1 

FBKL17220NS2 

FBKL17230NS2 

FBKL17250NS2 

FBKL18130NH1 

FBKL18200NS2 

FBKL19059NZ1 

見備註欄 

M/G Ⅱ TIBAIL ARTICULAR SURFACE※ 適應 


'5110-20:50;5110- 

23:53 

EA 4104 

'5530-P-209:5530-P- 

TRIATHLON TIBIA INSERT ※ 適應症見備註欄 819;5532-P- 

EA 13896 

109:5532-P-825 

NEXGEN LPS-FLEX TIBIAL ARTICULAR '5960-020-10:5960-51- 

SURFACE ※ 適應症請見備註欄 

20 

EA 6296 

ARTICULAR SURFACE※ 適應症請見備註欄 

'5972-20;21;30; 

31;40;50 

EA 4320 


'5982-20;21;30; 

31;40;50;51 

EA 4320 

NEXGEN TIBIAL ARTICULAR SURFACE※ 適 


'5996-20:51-09:23 EA 4320 

DURACON TOTAL KNEE TIBIAL※ 適應症請見 

'6644-0009:0722 

備註欄 

EA 22978 

DURACON TIBIAL PS INSERT(6742-1- '6642-7109:7125; 

009:425 自 91/10/1 生效 )※ 適應症請見備註欄 6642-4209:4425 

EA 7056 

'72-2-0308:1124;( 型 

SCORPIO CR INSERT COMPONENT※ 適應 

號 72-12-0308:1124; 


自 960101 生效 ) 

EA 7920 

TIBIAL INSERT※ 適應症請見備註欄 

SCORPIO SUPERFLEX PS TIBIAL INSERT※ 


PCA TIBIAL INSERT※ 適應症請見備註欄 

SCORPIO NRG TIBIAL INSERT※ 適應症請見 

備註欄 

NEXGEN CR-FLEX TIBIAL ARTICULAR 

SURFACE ※ 適應症請見備註欄 

'72-3-0308:1124;( 型 

號 72-13-0308:1124; 

自 960101 生效 ) 

'72-5-0308:72-5- 

1124;(78-2-0310:78- 

5-1321; 自 950101 生 

效 );( 型號 72-15- 

0308:1124; 自 960101 

生效 ) 

'6628-1;2;4;3XX; 

8XX 

EA 7920 

EA 13896 

EA 6552 

'82-2-0308:82-3-1124 EA 13896 

'90-5970-20-09:;90- 

5970-50-20 

EA 6296 



FBKL19602NJJ 

PFC E CURCIATE RETAINING TIBIAL '96-0200:0275;96- 

INSERT ※ 適應症請見備註欄 

0310:0385 

EA 8785 

FBKL1962RPJJ 

'96-2012:96-2164; 

PFC SIGMA RP KNEE SYSTEM ROTATING 

962011( 自 93/04/01 生 

PLATFORM INSERT※ 適應症請見備註欄 

效 ; 文號 92002049) 

EA 10140 

FBKL1N064NAE E.MOTION TIBIA INSERT※ 適應症請見備註欄 '641:678;NO541:578 EA 10140 

FBKL21658NW2 

FBKL22410NH1 

FBKL24050NS2 

FBKL25780NZ1 

FBKL25880NZ1 

FBKL25970NZ1 

FBKL25994NZ1 

FBKL26000NS2 

P.S.L REVISION TIBIAL INSERT( 型號 KIPS- 

0114:2625,KIRV-110S,M:630S,M 自 93/1/1 生效 ) 


DURACON REVISION TIBIAL INSERT※ 適應 


'1850;90-0XXX; 

1850-1XXX;90- 

XXXX; 

(KIPS2108:2620; 有效 

日期 

950701~970331); 

(KIPS2108:2620 自 

970401 刪除 ) 

'6632-4-109:425; 

66425111:66425431(9 

30701 生效 ); 

67421009:67421425(9 

30701 生效 ) 

EA 10293 

EA 7056 

REVISION TIBIAL INSERT※ 適應症請見備註 

欄 

'3054 EA 7920 

M/G TIBIAL ARTICULAR SURFACE※ 適應症 '5780;5782-32:52- 


08:21 

EA 4536 

NEXGEN ROTATING HINGEKNEE 


'5880-30:60-12:26 EA 15000 

NEXGEN TIBIAL ARTICULAR 

SURFACE(CRA) ※ 適應症請見備註欄 

'5976-20:50-10:23 EA 8765 

NEXGEN TIBIAL ARTICULAR SURFACE( 型號 

5994-022:042-10:33 自 92/10/01 生效 ) ※ 適應症 '5994-30:51-10:23 EA 8765 


TIBIAL BEARING COMPONENT※ 適應症請見 

備註欄 

'72-40308:72-49124 EA 7920 

FBKL26040NJJ PFC REVISION INSERT※ 適應症請見備註欄 '6040:97;6520:77 EA 3418 

FBKL27493NS2 

FBKL296050JJ 

FBKP10205NH1 

FBKP10417NJJ 

FBKP10566NSN 

FBKP11670NW2 

FBKP1179NNDP 

SERIES 7000 TIBIAL INSERT※ 適應症請見備 

註欄 

TC3 PFC REVISION TIBIAL INSERT※ 適應症 


PATELLA COMPONENT METAL BACK,ALL 

PLASTIC(6642-2040:2645 自 89/04/01 生效 ) ※ 


PFC PATELLA ※ 適應症請見備註欄 

GENESIS II TOTAL KNEE SYSTEM: 

PARELLAR COMPONENTS※ 適應症請見備註 

欄 

WHITESIDE ORTHOLOC PATELLA( 型號 

KPRC,KPON-XXXX 自 91/01/01 生效 )※ 適應症 


LCS PATELLAR COMPONENT( 型號 1779- 

71:86,1497-71:76-025 自 90/01/01 生效 )※ 適應 


'7493 EA 7920 

'96-0500:0557 EA 8785 

'6630-2-050:450 EA 8605 

'4024:6039;26227; 

319-20:21;01:2 

'7142-0566:0572; 

7142-0582:0588; 

7142-0574:0580 

'1845;80-02XX; 

1870;80-04XX 

'1179-67:70;1180- 

14:17 

EA 6597 

EA 5040 

EA 7879 

EA 6597 

FBKP12401NU0 

TOTAL KNEE PATELLA 26:35MM※ 適應症請 '2401-3010;3020; 

見備註欄 

3030 

EA 9000 

FBKP12403NU0 

UKNEE TOTAL KNEE SYSTEM:PATELLA※ 


'2403-1010:1050 EA 9000 

FBKP1240XNU0 UNITED PATELLA※ 適應症請見備註欄 '2401-1010:1040 EA 9000 



'3042:44;(3044- 

OMNIFIT PATELLA COMPONENT※ 適應症請 

0026:0032 自 960401 生 EA 4950 

見備註欄 

效 ) 

FBKP13420NS2 

FBKP15163NZ1 

FBKP15500NH1 

M/G Ⅱ PATELLA COMPONENT※ 適應症請見 

備註欄 

TRIATHLON PATELLA※ 適應症見備註欄 

'5110-60;65;67 EA 4752 

'5551-L- 

299;320;350;381;401; 

5550-L- 

278;298;319;339;360; 

391 

EA 4950 

FBKP15973NZ1 PATELLA COMPONENT※ 適應症請見備註欄 '5972-61;63;65;67 EA 5040 

FBKP17331NS2 

FBKP19601NDP 

FBKP19601NJJ 

SCORPIO CR PATELLA※ 適應症請見備註欄 

PFC SIGMA CRUCIATE RETAINING OVAL- 

DOME PATELLA ※ 適應症請見備註欄 

PFC SIGMA CURCIATE RETAINING OVAL- 

DOME PATELLA ( 型號 96-0120:0122 自 


'73-3110:3910; 

(980101 更正為 73- 

3110;3308;3508; 

3708;3710;3910) 

'96-0100:0103;96- 

0120:0122 

EA 4950 

EA 6597 

'96-0100:0103 EA 6597 

FBKP1G442NSN 

GENESIS PATELLA COMPONENT※ 適應症請 '72-4426:28;7120- 

見備註欄 

4428:34 

EA 6724 

FBKP1N048NAE E.MOTION PATELLA※ 適應症請見備註欄 'NO481:NO486 EA 6597 

FBKP21190NH1 

ROTATINGE HINGE TOTAL KNEE SYSTEM 

:DOME PATELLAR ( 型號 6485-19,39,59-15 自 


'6471-5;-1;-3-900 EA 11672 

FBKP25220NZ1 M/G PATELLA DOME※ 適應症請見備註欄 '5220 EA 5346 

FBKP25226NZ1 PATELLA BUTTON※ 適應症請見備註欄 '5220-11:15 EA 5346 

FBKP26035NJJ PFC REVISION PATELLA※ 適應症請見備註欄 

'6035:6039;26227; 

319-20:21;01-2 

EA 12553 

FBKPA0012NH1 

FBKPA0208NH1 

FBKPA1000CSN 

FBKPA1000NDP 

FBKPA1000NJJ 

FBKPA1000NS2 

FBKPA1000NU0 

FBKPA1000NW2 

FBKPA1000PSN 

DURACON TOTAL KNEE SYSTEM※ 適應症請 


見備註欄 

DURACON PS TOTAL KNEE SYSTEM※ 適應 



GENESIS II TOTAL KNEE SYSTEM(CR)※ 適 


'7142-0000:30;-32:62; 

7142-0064:94;- 

160:191;7142- 

0192:0222;-480:518; 

7142-0754:0800;- 

566:572;7142- 

0582:0588;-578:580 

SET 59760 

LCS TOTAL KNEE SYSTEM ※ 適應症請見備 

註欄 


PFC TOTAL KNEE SYSTEM ※ 適應症請見備 

註欄 


OMNIFIT TOTAL KNEE SYSTEM ※ 適應症請 

見備註欄 


UNITED TOTAL KNEE SYSTEM ※ 適應症請見 


備註欄 

SET 59760 

WHITESIDE ORTHOLOC TOTAL KNEE 



GENESIS II TOTAL KNEE SYSTEM(PS)※ 適 


'7142-0096:126;862:892; 

7142-0928:958;160:191; 

7142-0192:0222;802:856; 

7142-0564:0960;566:572; 

7142-0582:588;578:580 

SET 59760 



M/G Ⅱ TOTAL KNEE SYSTEM ※ 適應症請見 

備註欄 


FBKPA1000TZ1 

FBKPA1100NDP 

PFC SIGMA TOTAL KNEE 

SYSTEM(TIBIAL+INSERT+PATELLA+FEMOR 

AL)※ 適應症請見備註欄 

'96- 

0610:0663;2510:2563 

;96-0100:0103;96- 

0120:0122;96- 

0002:8;0012:18;0022:2 

8; 

0032:38;0042:46;48;00 

52:56;58 

SET 59760 

FBKPA1100NJJ PFC E KNEE SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 59760 

FBKPA129RPJJ 

PFC SIGMA RP KNEE SYSTEMW/ROTATING 

PLATFORM※ 適應症請見備註欄 


FBKPA2000CSN 

FBKPA2000NU0 

FBKPA2000NW2 

FBKPA2000PSN 

FBKPA5000NU0 

FBKPA5000TZ1 

FBKPA5100TZ1 

FBKPA5500NH1 

GENESIS II TOTAL KNEE SYSTEM(CR- 

FLEX) ※ 適應症請見備註欄 

TOTAL KNEE SYSTEM(PS)※ 適應症請見備註 

欄 

PSL TOTAL KNEE SYSTEM ※ 適應症請見備 

註欄 

GENESIS II TOTAL KNEE SYSTEM(PS-FLEX) 


U2 TOTAL KNEE SYSTEM-CRUCIATE 

RETAINING※ 適應症請見備註欄 

NEXGEN COMPLETE KNEE (CR)SYSTEM ※ 


NEXGEN MIS COMPLETE KNEE SOLUTION 

(CR) 微創全人工膝關節組 ※ 適應症請見備註欄 

TRIATHLON TOTAL KNEE SYSTEM( 含 TIBIA 

INSERT+FEMORAL+TIBIA TRAY+PATELLA) 

※ 適應症見備註欄 

'7142- 

0000:0030;0032:0062; 

0064:0094;0160:0191;0192:0 

222; 

1531:1552;0566:0572;0582:0 

588;0574:0580 

SET 65736 


'KFPS- 

NP10:60;KIPS2108:2620; 

1885-OXXX;KTCO- 

XXXX;KTCC-XXXX;KTT1- 

XXXX;1845;80-02-XX; 

1870;80-04-XX;KPRC- 

XXXX;KPON-XXXX 

'7142- 

0096:0126;0862:0892; 

0928:0958;0160:0191;0192:0 

222; 

1501:1528;0566:0572;0582:0 

588;0574:0580 

'2103-1110:1260; 

2103-1310:1460; 

2203-3010:3060; 

2303-1211:1265; 

2403-1010:1050 

EA 59760 

SET 65736 

SET 59760 


'00-5950- 

027;037;047;057-01; 

02;03;04; 

5966;5970;5972- 

01;02;5972- 

20;21;30;31;40;50; 

5972-61;63;65;67 

'5530P209:P819;5532P 

109:P825; 

5510F;15F101:801;102 

:802;5520B; 

100:800;5551L299;320; 

350;381; 

401;5550L278;298;319; 

360;391 

SET 59760 

EA 65736 



FBKPA6000NU0 

'2203- 

3010:2203:3060; 

U2 TOTAL KNEE SYSTEM-POSTERIOR 2403-1010:2403- 

STABILIZED※ 適應症請見備註欄 

1050;2103- 

SET 59760 

3110:2103-3260; 

2303-3011:2303-3065 

FBKPA6000TZ1 

NEXGEN COMPLETE KNEE (PS)SYSTEM ※ 



FBKPA7000NS2 

SERIES 7000 TOTAL KNEE SYSTEM ※ 適應 



FBKPA7000TZ1 

NEXGEN COMPLETE KNEE SOLUTION 


FBKPA7100NS2 

FBKPA7100TZ1 

FBKPA7200NS2 

FBKPA7300NS2 

FBKPA7800NS2 

FBKPA8000TZ1 

FBKPA8100NS2 

FBKPA8100TZ1 

(LPS)※ 適應症請見備註欄 

SCORPIO TOTAL KNEE SYSTEM(PS)※ 適應 



(LPS) 微創全人工膝關節組 ※ 適應症請見備註欄 

SCORPIO CR TOTAL KNEE SYSTEM※ 適應 


SCORPIO TOTAL KNEE SYSTEM※ 適應症請 

見備註欄 

SCORPIO MOBILE BEARING KNEE SYSTEM 


NEXGEN LPS-FLEX COMPLETE KNEE 


SCORPIO NRG TOTAL KNEE SYSTEM※ 適應 



(LPS-FLEX) 微創全人工膝關節組 ※ 適應症請見 

備註欄 


'00-5950- 

027;037;047;057-01; 

02;03;04;5996- 

011:18-01:02:51:52; 

5996-20:51-09:23; 

5972-61;63;65;67 

SET 59760 


'72-5-0308:1124;71- 

3003:5113; 

7115:7125;73- 

3110:3910;(78-2- 

0310:78-5-1321;79- 

1003:3013 自 950101 生 

效 ) 

'78-2-0310:78-5- 

1321;79-1003:79- 

3013;;71;70- 

3003L/R:5113L/R;73- 

3110;3308;3508;3708;3 

710;3910;3044- 

0026:0032 

'5960-020-10:51-20; 

5964-012-01:018-02; 

5972-61:67;5980- 

27:57;5982-27:57; 

5986-27:57 

'82-2-0308:82-3- 

1124;80-4403L:80- 

4413R;81-4403R:81- 

4413L;7115- 

0003:7115-0013;73- 

3110:3910;3044- 

0026:0032 

'00-5950- 

027;037;047;057-01; 

02;03;04;5964-012- 

01:5964-018-02; 

5964-011:18-51:52; 

5960-020-10:5960-51- 

20;5972-61;63;65;67 

SET 65736 

SET 65736 

SET 65736 

SET 65736 

SET 65736 



'+5972-61;63;65;67; 

+5980;82;86- 

FBKPA9000TZ1 

27;37;47;57;+90-70- 

NEXGEN CR-FLEX COMPLETE KNEE 

20-19:90-70-50-20; 

SOLUTION※ 適應症請見備註欄 

00-50;52;56-011- 

01;:00- 

5950;5952;5956-18-06 

SET 65736 

FBKPA9100TZ1 


(CR-FLEX) 微創全人工膝關節組 ※ 適應症請見 

備註欄 

'00-5950-027;037;047;057- 

01;;02;03;04; 

5950;5952;5956-011-01:18- 

06;90-5970-20-09:90-5970- 

50-20;5972-61;63;65;67 

SET 65736 

FBKPAG1000SN 

FBKPAN000NAE 

FBKRA1000NJJ 

FBKRA1000NW2 

FBKRA1000TZ1 

FBKRA1001NW2 

FBKRA11000JJ 

FBKRA2000NDP 

FBKRA2000NS2 

FBKRA2000NW2 

FBKRA2000TZ1 

FBKRA2026NH1 

FBKRA3000NW2 

FBKRA3000TZ1 

FBKRA4000TZ1 

FBKRA5000TZ1 

FBKRA6475NH1 

FBKRA7000NS2 

FBKRAG1000SN 

GENESIS TOTAL KNEE SYSTEM ※ 適應症請 

見備註欄 


E.MOTION KNEE SYSTEM FOLATING KNEE 



PFC REVISION KNEE SYSTEM ※ 適應症請見 

備註欄 


WHITESIDE ORTHOLOC LONG STEM 

REVISION TOTAL KNEE SYSTEM ※ 適應症請 ' 按組件型號組合 SET 78245 

見備註欄 

M/G REVISION KNEE SYSTEM ※ 適應症請見 

備註欄 


REVISION TOTAL KNEE SYSTEM W/TIBIA 

WEDGE ※ 適應症請見備註欄 , 限需使用墊片者 ' 按產品型號組合 SET 81883 

申報 

TC3 PFC REVISION KNEE SYSTEM※ 適應症 



LCS REVISION TOTAL KNEE SYSTEM※ 適應 



REVISION KNEE SYSTEM ※ 適應症請見備註 

欄 


WHITESIDE ORTHOLOC P.S.L.TOTAL KNEE 



I/B II CCK REVISION TOTAL KNEE 

SYSTEM( 後十字韌帶切除用 )※ 適應症請見備註 ' 按組件型號組合 SET 78245 

欄 

DURACON REVISION KNEE SYSTEM ※ 適應 



ADVANCE REVISION TOTAL KNEE SYSTEM 



NEXGEN COMPLETE KNEE 

SOLUTION(LCCK)※ 適應症請見備註欄 


NEXGEN COMPLETE KNEE 

SOLUTION(CRA)※ 適應症請見備註欄 


NEXGEN ROTATING HINGEKNEE SYSTEM 


ROTATING HINGE TOTAL KNEE SYSTEM 

(FE+TI PLUG+PA+ 

BEARING+AXLE+BUMPER+BUSHINGX2)※ 


SERIES 7000 TOTAL KNEE REVISION 


GENESIS REVISION TOTAL KNEE SYSTEM 


'5880-13:16-01:02; 

5880-02:06-00;5880- 

30:60-12:26;5972- 

61;63;65;67 

SET 129700 






FBKT10160NSN 

GENESIS II TOTAL KNEE SYSTEM:TIBIAL '7142-0160:0191; 

COMPONENTS※ 適應症請見備註欄 

7142-0192:0222 

EA 19440 

FBKT10224CSN 

GENESIS II TOTAL KNEE SYSTEM: 

'7142-0224:0286; 

TIBIAL+CRTICULAR COMPONENTS※ 適應症 

7142-0288:0350 


EA 23760 

FBKT10411NJJ 

PFC TIBIAL(PRIMARY 或 REVISION)( 型號 86- 

4177:9 自 89/1/1 生效 ) ※ 適應症請見備註欄 

'0122:6597;2-7005-02 EA 18590 

FBKT1179NNDP LCS TIBIAL※ 適應症請見備註欄 

'1179-12:19;36:53; 

EA 18590 

FBKT11870NW2 

FBKT11871NW2 

FBKT11885NW2 

FBKT12203NU0 

FBKT1220XNU0 

FBKT12330NH1 

FBKT13710NS2 

FBKT1432RPJJ 

FBKT15125NZ1 

FBKT15500NH1 

FBKT15950NZ1 

FBKT15972NZ1 

FBKT15982NZ1 

FBKT1715LNS2 

FBKT17420NS2 

FBKT1AP0LYDP 

FBKT1N062NAE 

FBKT2179NNDP 

FBKT21872NW2 

WHITESIDE ORTHOLOC TIBIAL BASE 脛骨 

基座 ※ 適應症請見備註欄 

TIBIAL BASE※ 適應症請見備註欄 

CF TIBIAL STEM+TIBIAL BASE( 型號 

KTCO,KTCC,KTTI-XXXX 自 91/01/01 生效 ) ※ 適 


1180-26:35 

'1840;45-01XX; 

1870;75;80-1XXX 

'1880-2XXX;1880- 

4XXX 

EA 24637 

EA 24637 

'1885-0XXX EA 25873 

U2 TOTAL KNEE SYSTEM:TIBIAL 

BASEPLATE※ 適應症請見備註欄 

UNITED TIBIAL BASEPLATE WITH STEM( 型 

'2201-1010; 

號 2201-3010:3060 自 89/10/1 生效 )※ 適應症請見 

1010B:1060;1060B 

備註欄 

TIBIAL BASEPLATE CURCIFORM 

S1:L2,SCREW FIX S1:L2 ※ 適應症請見備註欄 

OMNIFIT TIBIAL BASEPLATE※ 適應症請見備 

註欄 

PFC SIGMA RP KNEE SYSTEM MOBILE 

BEARING TIBIA BASEPLATE※ 適應症請見備 

註欄 

M/G Ⅱ TIBIAL FIXATION※ 適應症請見備註欄 

TRIATHLON TIBIA TRAY※ 適應症見備註欄 

NEXGEN MIS TIBIAL PLATE 微創人工莖骨板 


TIBIAL PLATE※ 適應症請見備註欄 

TIBIAL PLATE※ 適應症請見備註欄 

SERIES 7000 TIBIAL COPMONENT※ 適應症 


SCORPIO CR TIBIAL COPMONENT※ 適應症 


PFC SIGMA KNEE SYSTEM:ALL 

POLYETHYLENE TIBIAL+INSERT ※ 適應症請 

見備註欄 

E.MOTION TIBIA FOLATING PLATE※ 適應症 


LCS REVISION ROTATING TIBIAL PLATEAU 


TIBIAL BASE WITH WEDGE ※ 限人工膝關節 

再置換時使用 

'2203-3010:3060 EA 18000 

'6632-3-305:330; 

6632-3-205:230 

EA 18000 

EA 16740 

'3070:1 EA 18180 

'129431110:129434170 EA 23211 

'5110-27:57;5110- 

25:55 

'5520-B- 

100;200;300;400;500;6 

00;700;800 

'00-5950- 

027;037;047;057-01; 

02;03;04 

'5970;5972-25;35; 

45;55 

'5980;5982;5986- 

27;37;47;57 

'7115;7125;(79- 

1003:3013 自 950101 生 

效 );(7115-0003:7115- 

0013; 自 960401 生效 ) 

EA 21888 

EA 18180 

EA 19440 

EA 19440 

EA 19440 

EA 18180 

'74-2-0310:1118 EA 26100 

'96-0610:96-0663;96- 

2510:96-2563 

'6-21K:38K; 

91K:98K;NO-5 

EA 27375 

EA 23211 

'1179-91:99 EA 22804 

'1872-XXXX EA 28275 



'6632-3-605:640; 

FBKT22360NH1 

30701 生效 ) 

DURACON REVISION TIBIAL BASEPLATE ※ 6632-3-705:740; 


66323701:66323703(9 

EA 27900 

FBKT253933H1 

FBKT253940H1 

FBKT253942H1 

FBKT253944H1 

FBKT25394NH1 

FBKT25880NZ1 

FBKT27375NS2 

FBKT286000JJ 

FBKUA1000NAE 

FBKUA1000TH1 

FBKUA1000TW2 

FBKUA1000TZ1 

FBKUA1000USN 

FBKUA10277DP 

FBKUA2000TZ1 

FBKUA9600NJJ 

FBKW2280XNU0 

FBKW25220NZ1 


SYSTEM:TIBIAL BEARING COMPONENT( 型 

號 6485-8435 自 93/4/1 生效 ※ 適應症請見備註欄 


SYSTEM:AXLE ※ 適應症請見備註欄 


SYSTEM:BUMPER COMPONENT( 型號 6485- 

4100 自 93/4/1 生效 ※ 適應症請見備註欄 


SYSTEM:BUSHING ( 型號 6485-2460 自 93/4/1 

生效 )※ 適應症請見備註欄 


SYSTEM:TIBIAL PLUG ( 型號 6485-2008:2421 

自 93/4/1 生效 ※ 適應症請見備註欄 

NEXGEN ROTATING HINGEKNEE TIBIAL 

PLATE※ 適應症請見備註欄 

SERIES 7000 MODULAR TIBIAL 

COPMONENT ※ 適應症請見備註欄 

TC3 PFC REVISION TIBIAL TRAY※ 適應症請 

見備註欄 

SEARCH UNICOMPARTMENTAL KNEE 

SYSTEM(FEMORAL+TIBIA+INSERT)※ 適應症 


EIUS UNICOMPARTMENTAL KNEE 

SYSTEM( 含 FEMORAL+TIBIAL+INSERT)※ 適 


UNICOMPARTMENTAL KNEE 

SYSTEM(FEMORAL+TIBIAL+INSERT)※ 適應 


MILLER/GALANTE UNICOMPARTMENTAL 

KNEE SYSTEM※ 適應症請見備註欄 

GENESIS UNICOMPARMENTAL KNEE 


PRESERVATION UNICOMPARTMENTAL 

KNEE SYSTEM(FEMORAL+TIBIAL+INSERT) 


UNICOMPARTMENTAL HIGH-FLEX SYSTEM 

155 度 (FEMORAL+TIBIAL +SURFACE)※ 適應 


PFC SIGMA UNICOMPARTMENTAL KNEE 

SYSTEM 人工半膝關節組 ※ 適應症請見備註欄 

TIBIAL WEDGE※ 限用於人工膝關節再置換時 

使用 

TIBIAL WEDGE ※ 限用於人工膝關節再置換時 

使用 

'6475-3-933 EA 23335 

'6475-3-940 EA 8370 

'6475-3-942 EA 5205 

'6475-3-944 EA 2344 

'6475-3-946,961 EA 23622 

'5880-02:06-00 EA 20000 

'7375;7376 EA 25685 

'86-0122:7 EA 22804 

'058T:69T; 

NL222:467;NO- 

050K:57K 

'6636- 

2001:2015+6636- 

2308:2722 

SET 58000 

SET 58000 



'7124-2409:2615; 

7124-3108:3615; 

7124-3118:3625; 

7124-8108:8312;72- 

5001:5006,7124- 

5007;72-6100:6305, 

72-7100:7305 

'149801001:5+1498111 

06:2510 

'00-5842-011-01:017- 

02;00-5842-001- 

01:006-02;00-5842- 

021-08:026-14;00- 

5842-031-08:082-14 

SET 58000 

SET 58000 

SET 58000 


'2801-1011:2801-1062 EA 3638 

'5220-61:65-01:05 EA 3638 



FBKW286010JJ 

TC3 PFC REVISION TIBIAL WEDGE ※ 限用於 '86-0171:383;86- 

人工膝關節再置換時使用 

4910:9 

EA 3638 

FBM011109NU0 MOORE HIP SYSTEM '1109-1038:1056 SET 10350 

FBM01203XNR1 MOORE PROSTHESIS (41:52MM,HEAD) '52-0341:0354 EA 10350 

FBM014006NZ1 MOORE HIP PROSTHESIS 1 1/2:1 15/16 '4006 EA 10350 

FBM019138NH1 AUSTIN MOORE '6939-1-380:510 EA 10350 

FBN0212206R1 

R-T RECONSTRUCTION NAIL 

'12-2334:2365;12- 

10:14MM,32:44CM ※ 限股骨粗隆下骨折及股骨 

2066:2106 

粗隆複合骨折患者申報 

EA 9000 

FBN04102XNU0 

HUMERAL LOCKING SCREW※ 適應症請見備 

註欄 

'5105-1024:5105-1051 EA 1350 

FBN0412223R1 

R-T PROXIMAL SCREW 6.4,8.0MM 

65:125MM ※ 限股骨粗隆下骨折及股骨粗隆複 

合骨折患者申報 

'12-2236:2261 EA 1350 

FBN0412226R1 

FBN042236SZ1 

FBN042252SZ1 

FBN042253SZ1 

FBN042265SZ1 

FBN04303XNU0 

FEMORAL LOCKING SCREW 6.4,5.0MM 

25:90MM ※ 限股骨粗隆下骨折及股骨粗隆複合 

骨折患者申報 

ZMS CORTICAL SCREW※ 適應症請見備註欄 

( 限股骨粗隆下骨折及股骨粗隆複合骨折者 

'12-2262:2274;12- 

2280:2288 

'2245-30:90-45;2236- 

65-30:90 

EA 1350 

EA 1350 

M/DN RECONSTRUCTION SCREW※ 適應症 '2252-60-55:2252-130- 


55 

EA 1350 

'2253-20-37:2253-100- 

M/DN CORTICAL SCREW※ 適應症請見備註欄 

55 

EA 1350 

ZMS CANCELLOUS SCREW ※ 適應症請見備 

註欄 

'2244-80:110-65 EA 1350 

FEMORAL&TIBIAL LOCKING SCREW W/SET 

SCREW※ 適應症請見備註欄 

'5105-3030:5105-5070 EA 1350 

FBN04520XNU0 NAIL LOCKING SCREW※ 適應症請見備註欄 '5201-1085:5201-1105 EA 1350 

FBN05002XNY2 

FBN05003XNY2 

FBN05004XNY2 

HUMERAL NAIL 7.0:9.0X210:280※ 適應症請見 

備註欄 

FEMORAL NAIL 10:17,18,19,300:480,400:180 


TIBIAL NAIL 9:13 255:420( 產品型號 

251280:420,252280:420,253280:420)※ 適應症 


'256010:70;110:80; 

220:80 

EA 9472 

'274000:274970 EA 9472 

'249250:420; 

250250:420 

EA 9472 

FBN0512202R1 FEMORAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN051732NS9 

S2 NAIL SYSTEM:FEMORAL(NX1+SX3)※ 適 


FBN0512217R1 TIBIAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

'1722-0824S:1745- 

1442S;1722- 

FBN051722NS9 

5120(S);1795- 

5001S:1796-5120S 

S2 NAIL SYSTEM:TIBIAL(NX1+SX3)※ 適應 0001S:1745-0003S; 


1791-4025(S):1791- 

SET 9472 

'1732-0926S:1735- 

1448S;1722- 

0001S:1745-0003S; 

1791-4025(S):1791- 

5120(S);1795- 

5001S:1796:5120S 

SET 9472 

FBN052236SZ1 FEMORAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN052238SZ1 TIBIAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

M/DN RETROGRADE FEMORAL NAIL( 反向股 '2240-09-14:2240-11- 

FBN052240SZ1 

EA 9000 

骨固定釘 )※ 適應症請見備註欄 

48 



FBN052252SZ1 

M/DN FEMORAL NAIL 

SYSTEM(NAIL+CORTICAL SCREW)※ 適應症 



FBN052253SZ1 

FBN052254SZ1 

FBN052450NSN 

FBN05251XNS1 

FBN05274XNS1 

FBN05301XNU0 

M/DN TIBIAL NAIL SYSTEM(NAIL+CORTICAL 

SCREW)※ 適應症請見備註欄 

M/DN HUMERAL NAIL 

SYSTEM(NAIL+CORTICAL SCREW)※ 適應症 


HUMERAL NAIL SYSTEM(NAIL+SCREW)※ 適 


TIBIAL NAIL SYSTEM(NAIL 型號 

255.927:936,256.027:238 自 89/10/1 生效 )※ 適應 


FEMORAL NAIL SYSTEM( 型號 

271.934:946,272.034:246 自 89/10/1 生效 )※ 適應 


HUMERAL NAIL 

SYSTEM(NAILX1+SCREWX3)※ 適應症請見備 

註欄 



'12-2450:76+12- 

2912:60 

SET 9472 



'4201-3010:40+5105- 

1024:51 

SET 9472 

FBN053603NS3 FEMORAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN053603NS9 

FEMORAL NAIL SYSTEM ( 原代碼 

'360261:364481S; 

FBN053603NS3)※ 適應症請見備註欄 375025:376080 

EA 9472 

FBN053792NS3 TIBIAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN053792NS9 

TIBIAL NAIL SYSTEM( 原代碼 FBN053792NS3) '380241:382391S;3800 


06:380028S 

EA 9472 

FBN05402XNY2 

TITANIUM UNREAMED HUMERAL 

'462-619:32;719:32; 

NAIL(NAILX1+LOCKING BOLTX4)※ 適應症請 

919:32 

見備註欄 

SET 10229 

FBN05403XNY2 

FBN05404XNY2 

TITANIUM UNREAMED FEMORAL 


見備註欄 

TITANIUM UNREAMED TIBIAL 


見備註欄 

'464300;5300; 

6300;7300:480 

'478250;479250; 

477250:420 

SET 10229 

SET 10229 

FBN054102NH1 FEMORAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN05601XNU0 

FEMORAL&TIBIAL NAIL 

SYSTEM(NX1+SX3)( 或 SCREW 型號 5201- 

1085:1105)※ 適應症請見備註欄 

'4201-6011:66+5105- 

3030:70 

SET 9472 

FBN056091NH1 HUMERAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN056092NH1 TIBIAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN056400NQ1 FEMORAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN056410NQ1 TIBIAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN05KA36NAE FEMORAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN05KC35NAE TIBIAL NAIL SYSTEM※ 適應症請見備註欄 ' 按組件型號組合 SET 9472 

FBN070301YM1 

INTRAMEDULLARY NAIL(KUNTSCHER NAIL) 

'01-030-01:01-030-80 

骨髓內釘 

EA 1810 

FBN074121NQ1 FEMORAL KUNTSCHER NAIL 

'1342-02:43-10;1412- 

10:1420-26 

EA 1810 

FBN07KA12NAE KIRSCHNER I.M. PIN FEMUR 

'KA328S:948S; 

KB36S:148S 

EA 1810 

FBN07KC11NAE KIRSCHNER I.M.PIN HUMERUS/TIBIAL 'KC122S:939S EA 1810 



FBN080481YM1 

INTRAMEDULLARY TIBIA (KUNTSCHER) 下腿 

'01-048-01:01-048-28 

用骨髓內釘 

EA 1810 

FBN083440NQ1 TIBIAL KUNTSCHER NAIL '1344-02:71 EA 1810 

FBN084041NZ1 KUNTSCHER NAIL 14:15MM '404-14:15 EA 1810 

FBNG1273XNS1 

PROXIMAL FEMORAL NAILS 

(273.125:137+080:120+234.075:120+259.260: 

960) ※ 適應症請見備註欄 


FBNG1473XNS1 

FBNG1511XNH1 

TI PROXIMAL FEMORAL NAIL※ 適應症請見備 

註欄 

GAMA LOCKING NAIL SYSTEM( 型號 1204- 

1125:35,1107-4050 自 90/04/01 生效 )※ 適應症請 

見備註欄 

'473.80:150+434.75:120; 

(+459.260:960)(473.121VS; 

122VS;152VS 自 90/10/1 生 

效 ); 

(473.080:120;473.125:137; 

473.150 自 960101 生效 ) 

'1205+1206+1207+110 

8 

SET 19440 

SET 18000 

FBNG22244SZ1 ZMS RECON NAIL ※ 適應症請見備註欄 

'2244;2245-10:15- 

30:50 

EA 9000 

FBNG22252SZ1 

M/DN RECONTRUCTION NAIL※ 適應症請見 '2252-240-08:2252- 

備註欄 

500-16 

EA 9000 

FBNG25113NH1 

GAMA LOCKING NAIL :GAMA NAIL ※ 適應症 


'1205 EA 11000 

FBNG360822H1 

GAMA LOCKING NAIL :SET SCREW ※ 適應症 

'1206-0822 


EA 1300 

FBNG37120NH1 

GAMA LOCKING NAIL :LAG SCREW ※ 適應 


'1207:8 EA 3000 

FBP01007XNY2 4.5 SEMI-TUBULAR PLATE 2:12HOLE '222020:120 EA 627 

FBP01008XNY2 3.5 1/3 TUBULAR PLATE 2:12HOLE '241320:420 EA 595 

FBP01009XNY2 2.7 1/4 TUBULAR PLATE 2:8HOLE '242030:080 EA 459 

ONE-THIRD TUBULAR PLATE 

'71140-302:308; 

FBP011403NSN 

2:8HOLE,9:12HOLE 

309:312 

FBP011413NSN SEMI-TUBULAR PLATE 2:7HOLE,8:12HOLE '71141-302:307; 

EA 595 

308:312 

EA 627 

FBP011480NSN QUARTER TUBULAR PLATE 3:8HOLE '71148-003:008 EA 459 

FBP0122200V2 TUBULAR PLATE SEMI 2:12HOLE '222002:12 EA 627 

'222.02:12; 

FBP01222NNS1 SEMI-TUBULAR PLATE 2:12 HOLE 39:199MM (222.020:120 自 960101 EA 627 

生效 ) 

FBP012360NZ1 1/3 TUBULAR PLATE 2:8HOLE '2361-02:08 EA 595 

FBP012367NZ1 

SEMI-TUBULAR PLATE 4:7HOLE(2364-03 自 

88/1/12 生效 ) 

'2364-03:07 EA 627 

FBP0124130V2 TUBULAR PLATE 1/3 3.5MM 2:12H '241302:12 EA 595 

FBP012413NS1 

FBP0124200V2 

FBP012420NS1 

ONE-THIRD TUBULAR PLATE 2:8 HOLE 

28:148MM 

QUARTER TUBULAR PLATE 2.7 MM 

3:8HOLE 

QUARTER TUBULAR PLATE 3:8 HOLE 

'241.32:42; 

(241.320:420 自 960101 

生效 ) 

EA 595 

'242003:08 EA 459 

'242.03:08; 

(242.030:080 自 960101 

生效 ) 

EA 459 

FBP012460NZ1 QUARTER TUBULAR PLATE 3:8HOLE '2460-25:65-03:08 EA 459 

FBP013020NS9 ONE THIRD TUBULAR PLATE 2:14HOLE '430202:430220 EA 595 

FBP014050NS9 

SEMI-TUBULAR PLATE 2:10 HOLE 

39:167MM( 原代碼 FBP014050NS3) 

'405002:405010 EA 627 

FBP014071NS9 

ONE THIRD TUBULAR PLATE 2:8 HOLE 

25:97MM( 原代碼 FBP014071NS3) 

'407102:407108 EA 595 

FBP01407XNY2 

TITANIUM SEMI-TUBULAR PLATE 4.5MM 

2:12HOLE 

'422020:120 EA 677 



FBP01408XNY2 

TITANIUM ONE-THIRD TUBULAR PLATE 

3.5MM 2:12HOLE 

'441320:420 EA 642 

FBP01409XNY2 

TITANIUM QUARTER TUBULAR PLATE 

2.7MM 2:8HOLE 

'442030:080 EA 495 

FBP0149274Z1 ONE-QUARTER TUBULAR PLATE 3:8HOLE '4927-03-03:4927-08- 

03 

EA 459 

FBP0149351Z1 ONE-THIRD TUBULAR PLATE 2:12HOLE 

'4935-02-03:4935-12- 

03 

EA 595 

FBP0149452Z1 SEMI-TUBULAR PLATE 2:12HOLE 

'4945-02-03:4945-12- 

03 

EA 627 

FBP01LM30NAE 1/3 TUBULAR PLATE 3.5MM 'LM302S:308S EA 595 

FBP01LM32NAE SEMI-TUBLUAR PLATE 4.5 MM 'LM322S:332S EA 627 

FBP01LN25NAE QUARTER TUBULAR PLATE 2.7 MM 'LN253S:258S EA 459 

FBP01LN2SNAE SMALL FRAGMENT PLATE 2.7MM 'LN2S:LN10S EA 438 

FBP02010XNY2 

4.5 BROAD DYNAMIC COMPRESSION 

PLATE 6:18HOLE 

'226060:180 EA 2180 

FBP02011XNY2 

4.5 BROAD LENGTHENING PLATE 

'227810:840; 

8:10HOLE 

227110:180 

EA 2263 

FBP02012XNY2 

4.5 NARROW DYNAMIC COMPRESSION 


'224020:170 EA 1555 

FBP02013XNY2 

4.5 NARROW LENGTHENING PLATE 

30:80MM 

'228810:860 EA 2263 

FBP02015XNY2 

2.0,2.7,3.5 DYNAMIC COMPRESSION PLATE '248020:120; 

2:12HOLE( 產品型號 243540:580) 

244020:120 

EA 2180 

FBP020559NS9 

'435506S;435508S; 

FEMORAL PLATE DISTAL 6-10HOLE( 配合 

435510S;435526S; 

4.5MM,6.5MM SCREW 用 ) 

435528S;435530S 

EA 3500 

SMALL BONE PLATES4:10 HOLES; 

FBP021010NS9 52:120MM(ULNA AND RADIUS)( 原代碼 '510104:510110 EA 2180 

FBP021010NS3) 

FBP021024NS3 SMALL BONE PLATE '510241:282 EA 1207 

FBP021024NS9 

SMALL BONE PLATE ACP 4-8 HOLE( 原代碼 

FBP021024NS3) 

'510241;51;61;71;81;82 EA 1207 

FBP021044NS9 

L-PLATES R/L3/2:6/2 HOLES; 68:116MM 

TIBIA( 原代碼 FBP021044NS3) 

'410432:410461 EA 3890 

FBP021045NS9 L-BUTTRESS PLATE 67:339MM 3:20HOLE '433003:433070 EA 2783 

FBP021046NS3 SMALL BONE PLATE 3.5 SCREW '510461 EA 1207 

FBP021402NSN 3.5MM SMALL PLATE 2:12HOLE '71140-202:212 EA 1207 

FBP021412NSN 4.5MM BROAD PLATE 6:18HOLE '71141-206:218 EA 2180 

FBP021414NSN 

4.5MM NARROW PLATE 

'71141-402:416; 

2:16HOLE,18:24HOLE 

418:424 

EA 1555 

FBP021460NSN 2.0MM STRAIGHT PLATE3:6HOLE '71146-020:026 EA 438 

FBP022235NS1 LC-DCP 3.5 PLATE 4:12HOLE '223.540:620 EA 1280 

FBP022245NS1 LC-DCP 4.5 NARROW PLATE 2:16HOLE '224.520:660 EA 1555 

FBP02224NNS1 

NARROW DYNAMIC COMPRESSION PLATE 

DCP 2:18 HOLE 39:295MM 

'224.02:16; 

(224.020:180 自 960101 

生效 ) 

EA 1555 

FBP022265NS1 LC-DCP 4.5 BROAD PLATE 6:18HOLE '226.560:680 EA 2180 

'226.06:18; 

BROAD DYNAMIC COMPRESSION PLATE 

FBP02226NNS1 

(226.060:180 自 960101 EA 2180 

DCP 6:18 HOLE 103:295MM 

生效 ) 

FBP022278NS1 

FBP02228NNS1 

BROAD LENGTHENING PLATE 8 HOLE 

135:165MM 

NARROW LENGTHENING PLATE 8 HOLE 

135:185MM 

'227.81:84; 

(227.810:840 自 960101 

生效 ) 

'228.81:86; 

(228.810:860 自 960101 

生效 ) 

EA 2263 

EA 2263 

FBP022420NZ1 STRAIGHT MINI PLATE '2420-21:45-03:06 EA 438 



FBP022429NZ1 

FOREARM PLATE 5:12HOLE( 型號 2429-05 自 

91/10/01 生效 ) 

'2429-06:12;2429-05 EA 1207 

FBP022431NS1 MINI STRAIGHT PLATE 3:6 HOLE 17:35MM 

'243.13:16; 

(243.130:160 自 960101 EA 438 

FBP022435NS1 

FBP022440NS1 

FBP022463NZ1 

FBP022470NZ1 

FBP022480NS1 

FBP023000NS9 

FBP023002NS9 

MINI DYNAMIC COMPRESSION PLATE DCP 

4:8 HOLE 22:42MM 

MINI DYNAMIC COMPRESSION PLATE 2:12 

HOLE 20:100MM 

BROAD SELF COMPRESSION PLATE 

5:14HOLE(SCP) 

NARROW SELF COMPRESSION PLATE 

12HOLE(SCP)(2462-03:11 自 88/1/11 生效 ) 

DYNAMIC COMPRESSION PLATE DCP 2:12 

HOLE 26:146MM 

NARROW BONE PLATES4:15 HOLES; 

72.5:277MM TIBIA AND ULNA( 原代碼 

FBP023000NS3) 

SMALL COMPRESSION BONE PLATE ACP 

2:30HOLE 

生效 ) 

'243.54:58; 

(243.540:580 自 960101 

生效 ) 

'244.02:22; 

(244.020:220 自 960101 

生效 ) 

EA 1605 

EA 1605 

'2463-(05:14) EA 2180 

'2462-03:12 EA 1555 

'248.02:12; 

(248.020:120 自 960101 

生效 ) 

EA 1280 

'530004:530015 EA 1555 

'430022:430070;( 型號 

430002:20;430072:80 

; 自 951001 生效 ) 

EA 2180 

FBP023100NS9 

WIDE BONE PLATES6:16 HOLES; 

105:296MM HUMERUS AND TIBIA( 原代碼 '531006:531016 EA 2180 

FBP023100NS3) 

FBP023102NS9 SMALL T BONE PLATE ACP 3:4HOLE '431022:431036 EA 1207 

FBP023205NS9 NARROW BONE PLATE 38:542MM 2:30HOLE '432052:432080 EA 1555 

FBP023215NS9 

WIDE BONE PLATE ACP 4:30HOLE 

'432156:432172;( 型號 

432154:55;432174:80 

; 自 951001 生效 ) 

EA 2180 

FBP023300NS3 Y-FORK PLATE ACP L/R '533003:105 EA 3752 

FBP023300NS9 

Y-FORK PLATE ACP L/R 3:5 HOLE( 原代碼 '533003:533005; 

FBP023300NS3) 

533103:533105 

EA 3752 

FBP023500NS3 T PLATE FEMORAL L/R 

'535003:106; 

535103:106 

EA 3890 

FBP023500NS9 

HUMERAL PLATE ACP L/R 3-6 HOLE( 原代碼 '535103:535106;53500 

FBP023500NS3) 

3:535006 

EA 3890 

FBP02410XNY2 

TITANIUM BROAD DYNAMIC 

COMPRESSION PLATE 4.5MM 6:18HOLE 

'426060:180 EA 2354 

FBP02412XNY2 

TITANIUM NARROW DYNAMIC 

COMPRESSION PLATE 4.5MM 2:16HOLE 

'424020:160 EA 1679 

FBP02415XNY2 

TITANIUM DYNAMIC COMPRESSION PLATE '44-8040:120; 

2.0MM:3.5MM 2:12HOLE 

4020:120;3540:580 

EA 1382 

FBP0249202Z1 

2.0MM MINI COMPRESSION PLATE 

4:12HOLE 

'4920-04:12 EA 1605 

FBP0249203Z1 2.0MM STRAIGHT PLATE 3:6HOLE 17:35MM '4920-03-02:4920-06- 

02 

EA 438 

FBP0249272Z1 

2.7MM MINI COMPRESSION PLATE 

2:12HOLE 

'4927-01:12 EA 1605 

FBP024935NZ1 3.5MM COMPRESSION PLATE 2:22HOLE '4935-02:22 EA 1280 

FBP0249451Z1 

4.5MM BVROAD COMPRESSION PLATE '4945-05-01:4945-26- 

5:26HOLE 

01 

EA 2180 



FBP024945NZ1 

4.5MM NARROW COMPRESSION PLATE 

2:24HOLE 

'4945-02:24 EA 1555 

FBP025055NS9 

PLATE FOR CONDYLAR-FRAGMENT R/L 

'505571:505572; 

7/6:9/6 HOLES 172:210MM( 原代碼 

505591:505592 

FBP020559NS3) 

EA 3500 

FBP025062NS3 

SMALL BONE PLATE ACP 4:6 HOLE 

27:40MM 

'506-204:6 EA 438 

FBP025062NS9 


FBP025062NS3) 

'506204:506206 EA 438 

FBP025103NS3 

SMALL BONE PLATE ACP 4:10HOLE 

'510-304:310 EA 1280 

FBP025103NS9 

FBP02510XNS9 

35:95MM 

SMALL BONE PLATE ACP L/R 4:10 HOLE( 原 

代碼 FBP025103NS3) 


FBP02510XNS3) 

'510304:510310 EA 1280 

'510003:510004; 

510404:510405; 

510751:510752 

EA 438 

FBP025804NS3 CONDYLAR PLATE ACP 90 (ANGLED) '558035:70 EA 5355 

FBP025804NS9 

ADUL OSTEOTOMY PLATE ACP 90( 原代碼 '558040:558070;56005 

FBP025804NS3) 

0:560070 

EA 5355 

FBP026028NSN MINI STRAIGHT PLATE 20 HOLE 2.0MM '7114-6028 EA 3500 

FBP027005NS3 CONDYLAR PLATE ACP 95 

'570050/574050/57205 

0:080 

EA 5355 

FBP027005NS9 

CONDYLAR PLATE ACP 95°6/8/10 HOLE( 原 '570050:80;572050:80; 

代碼 FBP027005NS3) 

574050:80 

EA 5355 

FBP028003NS3 CONDYLAR PLATE ACP 90 (ANGLED) '580035:55 EA 5355 

FBP028003NS9 

CHILDREN OSTEOTOM PLATES ACP 90 4 

HOLE( 原代碼 FBP028003NS3) 

'580035:580055 EA 5355 

FBP028192NH1 STRAIGHT WIDE PLATE 

'0819-20:26;300- 

06:14 

EA 2180 

FBP029083NQ1 

NARROW SELF COMPRESSING PLATE '1906-02:64;1908- 

(DCP) 

30:60 

EA 1555 

FBP029086NQ1 SMALL SELF COMPRESSING PLATE (DCP) '1908-62:78 EA 1280 

FBP02LM26NAE NARROW LENGTHING PLATE 4.5 MM 'LM267S:273S EA 2263 

FBP02LM28NAE BROAD LENGTHING PLATE 4.5 MM 'LM287S:295S EA 2263 

FBP02LM40NAE NARROW BONE PLATE 4.5 MM 'LM402S:416S EA 1555 

FBP02LM42NAE BROAD BONE PLATE 4.5 MM 'LM425S:438S EA 2180 

FBP02LN027AE MULTIPLE FRAGMENT PLATE 'LN027S EA 438 

FBP02LN28NAE DCP 2.0MM SMALL PLATE 'LN284S:288S EA 1605 

FBP03016XNY2 4.5 T-PLATE HOLE '240130:180 EA 2783 

FBP03017NNY2 L-TIBIAL BUTTRESS PLATE 5:13HOLE 

'240503:506;540; 

460:500;560:600 

EA 2783 

FBP03017XNY2 4.5 L/T-BUTTRESS PLATE 3:6HOLE 

'240340:60;403:06; 

440 

EA 2783 

FBP03018XNY2 4.5 SPOON PLATE 5:6HOLE '240050:060 EA 2310 

FBP03019XNY2 4.5 COBRA HEAD PLATE 8:11HOLE '240980:910 EA 4910 

FBP03021XNY2 

4.5 CONDYLAR BUTTRESS PLATE 

'240920:950; 

7:15HOLE 

240700:750 

EA 4930 

FBP03022XNY2 SMALL T-PLATE 3:6HOLE 

'241130:160; 

241230:250 

EA 1207 

FBP03023XNY2 

CLOCERLEAF PLATE 3:6HOLE,CALCANEAL '241830:860; 

PLATE 60:70MM 

241610:620 

EA 2184 

FBP03024XNY2 

1.5/2.0 MINI T-PLATE 3:4HOLE,2.0/2.7 L- '246230:40;242; 

PLATE 

243310:40;410 

EA 410 

FBP03025XNY2 1.5/2.0/2.7 MINI CONDYLAR PLATE 

'242;243; 

246610:620 

EA 3500 

FBP03026XNY2 MINI PLATE STRAIGHT 3:6HOLE '243130:160 EA 438 

FBP03027XNY2 

MINI PLATE(H PLATE 4HOLE,STR 

'243090;190; 

100MM,ADAPTATION PLATE 100MM) 246190;480 

EA 3500 



FBP03028XNY2 RECONSTRUCTION PLATE 5:22HOLE '245000:190 EA 4462 

FBP031005NSN 

STAINLESS LATERAL TIBIAL HEAD 

BUTTRESS PLATE 5:13HOLE 118:246MM 

'7114-1005:1113 EA 3890 

FBP031013NS3 V.T.L.PLATE 

'410131:81;410051; 

410061 

EA 2783 

FBP031034NS3 T PLATE '410341:361 EA 3890 

FBP031155NQ1 REINFORCED-L PLATE '1911-55:56 EA 2783 

FBP031179NZ1 RECONSTRUCTION PLATE 

'1179-02-02:1179-13- 

16 

EA 4462 

FBP031400NSN 4.5MM RECONTRACTION PLATE 3:16HOLE '71140-003:016 EA 4462 

FBP031406NSN CLOVERLEAF PLATE 3:6HOLE '71140-603:604 EA 2184 

FBP031407NSN 

T-BUTTRESS PLATE 4:6HOLE,L-BUTTRESS '71140-704:706; 

PLATE TIBIAL 

804:904 

EA 2783 

FBP031415NSN SPOON PLATE 5:6HOLE '71141-505:506 EA 2310 

FBP031416NSN T-PLATE 3:8HOLE '71141-603:608 EA 2783 

FBP031418NSN COBRA HEAD PLATE 8:11HOLE '71141-808:811 EA 4910 

FBP031432NS3 T PLATE '414323:307 EA 3890 

FBP031432NS9 

FORMA PLATE L/R 4/3,6/3,8/3 HOLE( 原代碼 '414323;03;414325;05; 

FBP031432NS3) 

414327;07 

EA 3890 

FBP031704NSN HOOK PLATE 4HOLE '7114-1704 EA 4570 

FBP0322400V2 

DCP 4.5 NARROW DYNAMIC 

COMPRESSION PLATE 2:18HOLE 

'224002:18 EA 1555 

FBP0322600V2 

DCP 4.5 BROAD DYNAMIC COMPRESSION 


'226006:22 EA 2180 

FBP0322930V2 

RECONSTRUCTION PLATE 4.5MM 

3:16HOLE 

'229303:16 EA 4462 

FBP03229NNS1 

PELVIC RECONSTRUCTION PLATE 3:16 

HOLE 45:253MM 

'229.33:46; 

(229.330:460 自 960101 

生效 ) 

EA 4462 

FBP03229XNY2 

STRAIGHT RECONSTRUCTION PLATE 4.5 '229330:390; 

3:16HOLE 

229400:460 

EA 4462 

FBP0324000V2 SPOON PLATE 4.5 5:6HOLE '240005:06 EA 2310 

FBP032400NS1 SPOON PLATE 5:6:12 HOLE 100:120MM 

'240.02:06; 

(240.020;050;060 自 

960101 生效 ) 

EA 2310 

FBP0324010V2 T PLATES 4.5MM 3:12HOLE '240103:12 EA 2783 

FBP032401NS1 T PLATE 3:8:12 HOLE 68:148MM 

'240.11:19; 

(240.130:180 自 960101 

生效 ) 

EA 2783 

FBP0324020V2 

LATERAL TIBIAL HEAD PLATE-L/R 

5:13HOLE 

'240205:13;240605:13 EA 3500 

FBP0324030V2 T-BUTTRESS PLATE 4:6HOLE '240304:06 EA 2783 

FBP032403NS1 SUPPORTING T PLATE 4:6 HOLE 81:112MM 

'240.34:36; 

(240.340:360 自 960101 

生效 ) 

EA 2783 

FBP0324040V2 L-BUTTRESS PLATE 4.5 MM L/R 3:6HOLE '240403:06;240503:06 EA 2783 

'240.44;54; 

FBP032404NS1 

(240.403:406;503:506 

SUPPORTING PLATE(L-BUTTRESS PLATE) 

; 自 891001 生效 ); 

3:6 HOLE 69:107MM 

(240.440;540 自 960101 

生效 ) 

EA 2783 

FBP032405NS1 

FBP0324070V2 

FBP032407NS1 

LATERAL TIBIAL BUTTRESS PLATE 

5:13HOLE 

CONDYLAR BUTTRESS PLATE L/R 4.5 MM 

7:15H 

DISTAL FEMUR PLATE 7:15 HOLE 

(CONDYLAR BUTTRESS PLATE) 

'240.460:500; 

240.560:600 

EA 3890 

'240707:15;240807:15 EA 4930 

'240.70:75;92:95; 

(240.700:750;920:950 

; 自 960101 生效 ) 

EA 4930 



FBP0324080S1 HOOK PLATE 128MM '240.800 EA 4570 

FBP0324080Y2 HOOK PLATE 4.5 123MM '240800 EA 4570 

FBP0324090V2 COBRA HEAD PLATE 4.5 8:11HOLE '240908:11 EA 4910 

FBP032409NS1 COBRA HEAD PLATE 8:11 HOLE 202:218MM 

'240.90:91;98:99; 

(240.900:910 ; 

980:990; 自 960101 生 

EA 4910 

效 ) 

FBP0324110V2 SMALL T-PLATE 3.5MM (3+3:4+8HOLE) '241133:48 EA 1207 

FBP032411NS1 

'241.13:16; 

SMALL T PLATE RIGHT ANGLE 3/3:6/4 HOLE 

(241.130:160 自 960101 

50:78MM 

生效 ) 

EA 1207 

FBP0324120V2 T PLATE OLIQUE 3.5MM (3+3;3+4;3+5HOLE) '241233:35 EA 1207 

FBP032412NS1 

SMALL T PLATE OLIQUE ANGLE 3/3:5/3 

HOLE 52:74MM 

'241.23:25; 

(241.230:250 自 960101 

生效 ) 

EA 1207 

FBP0324140V2 

MULTIPLE FRAGMENT MINI PLATE (W- 

PLATE) 7HOLE 

'241407 EA 410 

FBP0324160V2 CALCANEAL Y-PLATE 3.5MM '241660;670;241687 EA 3752 

FBP0324164S1 Y PLATE '241.64 EA 3752 

FBP032416NS1 CALCANEAL PLATE 3.5 '241.610;241.620 EA 3752 

FBP0324180V2 CLOVERLEAF PLATE 3.5MM 3:9HOLE '241803:09 EA 2184 

FBP032418NS1 

CLOVERLEAF PLATE 3:4 HOLE 88:104MM 

'241.83:84; 

(241.830:840 自 960101 

生效 ) 

EA 2184 

FBP0324191Z1 MINI EPIPHYSIS PLATE T L/R '2419-22-04 EA 410 

FBP032419NZ1 MINI EPIPHYSIS PLATE OBLIQUE L/R '2419-01:02-04 EA 410 

FBP0324230V2 MINI L OBLIQUE PLATE L/R 2.7MM '243321:22;242321:22 EA 410 

FBP032423NS1 

MINI L FINGER JOINT-HEAD PLATE 

'242.31:34; 

(242.310:340 自 960101 

生效 ) 

EA 410 

FBP0324240V2 MINI T PLATE 2.0,2.7MM '243422;242423 EA 410 

FBP0324241S1 MINI T FINGER JOINT-HEAD PLATE 

'242.41;(242.410 自 

960101 生效 ) 

EA 410 

FBP0324300V2 ADAPTATION PLATE 100MM 20HOLE '243020 EA 3500 

FBP0324310V2 STRAIGHT MINI PLATE 3:6HOLE '243103:06 EA 438 

FBP0324319S1 MINI PLATE 1.5 

'243.19;( 型號 246.190 

自 89/10/1 生效 ); 

(243.190 自 960101 生 

效 ) 

EA 3500 

FBP0324330V2 MINI L PLATE L/R 2.0,2.7MM '243311:12;242311:12 EA 410 

FBP032433NS1 MINI L FINGER JOINT HEAD PLATE 

'243.31:34; 

(243.310:340 自 960101 

生效 ) 

EA 410 

FBP0324341S1 

FBP0324348S1 MINI PLATE 1.5 

MINI T FINGER JOINT HEAD PLATE 

'243.41;(243.410 自 

960101 生效 ) 

'243.48;(246.480 自 

89/10/1 生效 ); 

(243.480 自 960101 生 

效 ) 

EA 410 

EA 3500 

FBP0324350V2 

DCP 2.0、2.7、3.5MM 2:12HOLE( 

'243504:08;244002:12 

DYNAMIC,COMPRESSION PLATE) ;248002:12 

EA 1280 

FBP0324491Z1 L-BUTTRESS PLATE 4 HOLE '2449-85-14:24 EA 2783 

FBP0324495Z1 T-BUTTRESS PLATE 5:6 HOLE '2449-84:116-04:06 EA 2783 

FBP03244XNZ1 

CONDYLAR BUTTRESS PLATES 

7HOLE,9HOLE 157CM,189CM 

'2449-157:189-17:29 EA 4930 

FBP0324500V2 

RECONSTRUCTION PLATE 3.5MM 

5:22HOLE 

'245005:22 EA 4462 



FBP0324509Z1 SPOON PLATE 5HOLE '2450-98:120-05:06 EA 2310 

FBP032451NS1 

'245.00:19; 

RECONSTRUCTION PLATE STRAIGHT 5:22 

(245.000:190 自 960101 

HOLE 58:262MM 

生效 ) 

EA 4462 

FBP032451NZ1 T-PLATE 4:8HOLE '2451-83:147-04:08 EA 2783 

FBP0324523Z1 CLOVERLEAF PLATE 3HOLE '2452-88:104-03:04 EA 2184 

FBP0324530V2 

RECONSTRUCTION PLATE CURVED 3.5MM 

6:18H 

'245306:18 EA 4462 

FBP032453NS1 

RECONSTRUCTION PLATE BENT 6:18 HOLE 

70:214MM 

'245.30:36; 

(245.300:360 自 960101 

生效 ) 

EA 4462 

FBP032454NZ1 SMALL T-PLATE 3:5HOLE '2454-50:75-03:05 EA 1207 

FBP032455NZ1 SMALL STRAIGHT PLATE 3:8HOLE '2455-25:65-03:08 EA 1207 

FBP032456NZ1 MULTIPLE FRAGMENT PLATE '2456-00-07 EA 438 

FBP032458NZ1 PLATE 

'2458-02-05(RT); 

2458-01-05(LT) 

EA 1605 

FBP032459NZ1 EPIPHYSIS PLATE '2459-12-05 EA 1605 

FBP03245XNY2 

PELVIC RECONSTRUCTION PLATE 3.5 

6:18HOLE 

'245300:360 EA 4462 

FBP03245XNZ1 T-PLATES 3HOLE 67CM '2451-68-03 EA 2783 

FBP0324610V2 STRAIGHT PLATE 1.5MM,2.0MM 20H '246120;243120 EA 3500 

FBP0324640V2 H PLATE STRIGHT PLATE 1.5,2.0 4HOLE '246404;243404 EA 410 

FBP03246NNS1 MINI T-PLATE 1.5,2.0 9HOLE 

'246.230;243.230; 

240 

EA 3500 

FBP033100NS9 OBLIQUE PLATE 3:8HOLE '431003:431008 EA 1207 

FBP033104NS9 CLOVERLEAF PLATE 4/6 5/6HOLE 3:10HOLE '431042:431050 EA 2184 

FBP033110NS9 CALCANEAL PLATE 14HOLE '431102:431105 EA 3752 

FBP033220NS9 

RECONSTRUCTION 4.5MM PLATE 

3:30HOLE( 型號 430104:430122 自 93/1/1 生效 ) 

'432203:432230 EA 4462 

FBP033310NS9 V-PLATE T-PLATE 63:335MM 3:20HOLE '433103:433120 EA 2783 

FBP033315NS9 T-PLATE 65:337MM 3:20HOLAE '433153:433170 EA 3890 

FBP03401XNSN 

3.5MM RECONTRACTION PLATE 

'71140-104:122; 

4:22HOLE,CURVED RECONTRACTION 

606:618 


EA 4462 

FBP03404XNSN SMALL T-PLATE PT ANGLE 3:6HOLE '71140-403:406 EA 1207 

FBP03405XNSN SMALL T-PLATE OBLIQUE 3:5HOLE '71140-503:505 EA 1207 

FBP034102NS3 

CLOVER LEAF PLATE 4/6:5/6 HOLE 

88:104MM 

'410-231:241 EA 2184 

FBP03416XNY2 TITANIUM T-PLATE 4.5MM 3:8HOLE '440130:180 EA 3005 

FBP03417XNY2 

TITANIUM L/T BUTTRESS PLATE 4.5MM 

'440-340:60;440; 

3:6HOLE,L TIBIAL BUTTRESS PLATE 

540;515:533 

5:13HOLE 

EA 4200 

FBP03418XNY2 TITANIUM SPOON PLATE 4.5MM 5:6HOLE '440050:060 EA 2494 

FBP03421XNY2 

TITANIUM CONDYLAR BUTTRESS PLATE '440940:50;730:50; 


920:30;700:20 

EA 5324 

FBP03422XNY2 TITANIUM SMALL T-PLATE 3.5MM,4.0MM '441-130:160;230:250 EA 1303 

FBP03423XNY2 

FBP03424XNY2 

FBP034250NS9 

TITANIUM CLOVERLEAF PLATE 

3.5MM,4.0MM,CALCANEAL PLATE 60:70MM 

TITANIUM MINI T-PLATE 1.5MM:2.0MM 

3:4HOLE,MINI L-PLATE 2.0MM,2.7MM 

PELVIS AND ACETABULUM PLATES4:12 

HOLES; 65:184MM( 原代碼 FBP034250NS3) 

'441-830:860;610:620 EA 2358 

'44-6230:40; 

3230:40;2330;40; 

410 

EA 442 

'425304:425312 EA 4462 



'425604:20; 

425702:20; 

FBP034256NS9 

425794:96;( 型號 

PELVIS AND ACETABULUM PLATES 

425602:03;425622:53 

2:30HOLE( 型號 425654:425772 自 93/1/1 生效 ) 

; 

EA 4462 

425774:80;425798:425 

800; 自 951001 生效 ) 

FBP03425XNY2 

TITANIUM MINI CONDYLAR PLATE 

'44-6630:40; 

1.5,2.0,2.7MM 

3610:20;2610:20 

EA 3780 

FBP03427NNY2 

TITANIUM STRAIGHT MINI H-PLATE 

1.5,2.0MM 20HOLE 

'446190;443190 EA 3780 

FBP03427XNY2 TITANIUM MINI H-PLATE 1.5,2.0MM 4HOLE '446480;443480 EA 3780 

FBP03428XNY2 

TITANIUM RECONSTRUCTION PLATE 


'445000:190 EA 4818 

FBP034301NS9 

RECONSTRUCTION 4.5MM PLATE 2:30 

HOLES 

'430102:30;( 型號 

430102:30 自 951001 生 

效 ) 

EA 4462 

FBP03440XNSN CALCANEAL Y-PLATE 9HOLE '71144009 EA 3752 

FBP03460XNSN 

2.0MM T-PLATE,L-PLATE,H-PLATE( 型號 

7114-6030,032,048 自 93/1/1 起刪除 ) 

'7114-6031; 

6033:6038;6044:6047 

EA 410 

FBP0349XXNZ1 

FBP035020NSN 

1.5MM,2.0MM T-PLATE (3:4+9HOLE) 

STAINLESS MINI STRAIGHT PLATE 20HOLE 

1.5MM 

14 

'4915-39;4920-39; 

49-04 

EA 3500 

'7114-5020 EA 3500 

FBP0349151Z1 

1.5MM,2.0MM MINI STRAIGHT PLATE '4915-20-02;4920-20- 

20HOLE 

02 

EA 3500 

FBP034915NZ1 1.5MM,2.0MM MINI H-PLATE 4HOLE 

'4915-04-20;4920-04- 

20 

EA 3500 

FBP0349201Z1 2.0MM MINI L-PLATE 4HOLE '4920-02-07:10 EA 410 

FBP034920NZ1 2.0MM MINI T-PLATE 4HOLE '4920-02-04 EA 410 

FBP0349271Z1 2.7MM MINI L-PLATE 5HOLE '4927-03-07:10 EA 410 

FBP0349273Z1 

2.7MM MULTIPLE FRAGMENT PLATE 

7HOLE 

'4927-07-18 EA 438 

FBP034927NZ1 2.7MM MINI T-PLATE 5HOLE '4927-03-04 EA 410 

FBP0349352Z1 3.5MM T-PLATE 3:4+3:8HOLE 

'4935-33-04:4935-48- 

04 

EA 1207 

FBP0349353Z1 3.5MM OBLIQUE T-PLATE 3+3:5HOLE 

'4935-33-05:4935-35- 

05 

EA 1207 

FBP0349354Z1 3.5MM CLOVERLEAF PLATE 3:10HOLE 

'4935-03-16:4935-10- 

16 

EA 2184 

FBP0349355Z1 3.5MM CALCANEAL PLATE 60:70MM 

'4935-60-17;4935-70- 

17 

EA 3752 

FBP0349356Z1 3.5MM CALCANEAL Y-PLATE '4935-87-17 EA 3752 

FBP0349453Z1 4.5MM T-PLATE 3:8HOLE 

'4945-03-04:4945-08- 

04 

EA 2783 

FBP0349454Z1 4.5MM T-BUTTRESS PLATE 4:6HOLE 

'4945-04-06:4945-06- 

06 

EA 2783 

FBP0349455Z1 4.5MM L-BUTTRESS PLATE 4HOLE 

'4945-04-11;4945-04- 

12 

EA 2783 

FBP0349456Z1 4.5MM SPOON PLATE 5:6HOLE 

'4945-05-13:4945-06- 

13 

EA 2310 

FBP0349457Z1 4.5MM COBRA HEAD PLATE 8:11HOLE 

'4945-08-14:4945-11- 

EA 4910 

FBP035030NSN 1.5MM H-PLATE 4HOLE '7114-5030 EA 3500 

FBP035600NH1 PROXIMAL TIBIAL PLATE 3:7 HOLE '4560:4563 EA 3890 

FBP036030NSN 2.0MM T-PLATE 9HOLE 

'7114-6030;7114- 

6032 

EA 3500 



FBP036048NSN 2.0MM H-PLATE 4HOLE '7114-6048 EA 3500 

FBP037012NSN MULTI FRAGMENT PLATE 7HOLE '7114-7012 EA 438 

FBP0371147SN L-PLATE,T-PLATE 2.7MM 3HOLE '7114-7001:7006 EA 410 

FBP038300NH1 STRAIGHT PLATE FOR SMALL FRAGMENT '0830-01:03;334- 

13:18 

EA 438 

FBP038310NH1 PLATE FOR MULTIPLE FRAGMENT 7 HOLE '0831-00;334-27 EA 438 

FBP038350NH1 MINI STRAIGHT PLATE 

'0835-01:03;336- 

13:15 

EA 438 

FBP038360NH1 MINI EPIPHYSEAL PLATE 

'0836-01:04;336- 

21:24 

EA 410 

FBP039086NQ1 MINI SELF COMPRESSION PLATE (DCP) '1908-61:77 EA 1605 

FBP039088NQ1 RECONSTRUCTION PLATE '1908-85:98 EA 4462 

FBP03LM16NAE CLOVERLEAF PLATE 4.5 MM 3,4 HOLE 'LM163S:164S EA 2184 

FBP03LM17NAE L/T PLATE 4.5 MM 'LM168S:179S EA 2783 

FBP03LM18NAE T-BUTTRESS PLATE 4.5 MM 4,5,6 HOLE 'LM184S:186S EA 2783 

FBP03LM19NAE L-BUTTRESS PLATE 4.5 MM L/R 4 HOLE 'LM190S:191S EA 2783 

FBP03LM50NAE COBRA HEAD PLATE 'LM150S:153S EA 4910 

FBP03LM95NAE SPOON PLATE 4.5MM 5,6 HOLE 'LM195S:196S EA 2310 

FBP03LN02NAE L-PLATE 2.7 MM 'LN021S:025S EA 410 

FBP03LN15NAE RECONSTRUCTION PLATE 3.5 MM 'LN155S:184S EA 4462 

FBP03LN16NAE RECONSTRUCTION PLATE 2.7MM 

'LN166S:LN184S; 

LN280S 

EA 4462 

FBP03LN190AE Y-PLATE 'LN190S EA 3752 

FBP03LN20NAE STRAIGHT/L PLATE 2.0 MM 'LN203S:206S EA 438 

FBP03LN225AE T-MINI FINGER PLATE 'LN225S EA 410 

FBP03LN22NAE L-MINI PLATE 2.0MM 'LN221S:LN224S EA 410 

FBP03LN26NAE DCP 2.7 MM SMALL PLATE 'LN267S:278S EA 1605 

FBP03LN278AE MAXILLO-RECOSTRUCTION PLATE 2.0MM 'LN278S EA 4500 

FBP03LN29NAE DCP PLATE 2.7MM 'LN292S:LN296S EA 1605 

FBP03LN31NAE MAXILLA PLATE 2.7MM 

'LN310S:LN317S; 

LN309S 

EA 560 

FBP03LN32NAE T-PLATE 3.5 MM 'LN321S:328S EA 1207 

FBP03LN33NAE SMALL T-PLATE 3.5MM 'LN331S:LN333S EA 1207 

FBP03LN34NAE PCP PLATE 3.5 MM 'LN342S:352S EA 1207 

FBP04142XNSN CONDYLAR PLATE 7:15HOLE LT,RT 

'71142-007:015; 

EA 5355 

FBP042351NS1 

FBP042351NY2 

FBP042356NS1 

FBP04236NNY2 

FBP04236XNS1 

FBP04236XNY2 

HIP DCP PLATE CHILD 

ANGLED BLADE PLATES FOR 

INTERTROCHANTERIC FEMORAL 

OSTEOTOMIES IN CHILDREN 

TEENAGER HIP PLATE 



OSTEOTOMIES IN SMALL ADULTS 

BABY HIP PLATE 

ANGLED BLADE PLATES 90 度 FOR 


OSTEOTOMIES IN INFANT 

107:115 

'235.17:39; 

(235.170;190;270;290; 

370;390; 自 960101 生 

效 ) 

'235170:190; 

270:290;370:390 

'235.60:78; 

(235.600;680;700;720; 

780; 自 960101 生效 ) 

EA 2315 

EA 2315 

EA 2315 

'235600:780 EA 2315 

'236.001:002; 

236.011:013; 

236.250:260; 

236.350:360 

EA 2315 

'236250:360 EA 2315 



'237.20:26; 

CONDYLAR PLATE 95 度 12 HOLE 50:80MM (237.200:260 自 960101 EA 5355 

生效 ) 

FBP042372NS1 

FBP042372NY2 

FBP042375NS1 

FBP042377NS1 

FBP042379NS1 

FBP04238NNS1 

FBP04238NNY2 

FBP042392NS1 

FBP042392NY2 

CONDYLAR PLATE 95 度 FOR ADULTS AND 

5:18HOLE 

CONDYLAR PLATE 95 度 5 HOLE 50:80MM 



ANGLED BLADE PLATE 130 度 4:12 HOLE 

50:110MM 

ANGLED BLADE PLATES 130 度 4:12HOLE 

50:110MM 

HIP PLATE 90:130 度 



OSTEOTOMIES IN ADULTS 

FBP042436NS1 MINI CONDYLAR PLATE 2.0 

'237500:960 EA 5355 

'237.50:56; 

(237.100:140 自 89/10/1 

生效 );(237.500:560 自 

960101 生效 ) 

'237.70:76; 

(237.700:760 自 960101 

生效 ) 

'237.90:96; 

(237.900:960 自 960101 

生效 ) 

'238.24:98; 

(238.240:980 自 960101 

生效 ) 

EA 5355 

EA 5355 

EA 5355 

EA 3510 

'238240:980 EA 3510 

'239.20:89; 

(239.200:240;280;300: 

320; 

330:370;430;470;530:5 

70; 

600:620;640;650;700:7 

20;730:780;800:890 

自 960101 生效 ) 

EA 3510 

'239200:890 EA 3510 

'243.61:62; 

(242.610;620 自 89/10/1 

生效 );(243.610:620 自 

960101 生效 ) 

EA 3500 

FBP042466NS1 MINI CONDYLAR PLATE '246.61:62 EA 3500 

FBP04254XNSN ADULT CONDYLAR PLATE 95 度 5:16HOLE '71225-400:422 EA 5355 

FBP04282XNS1 CONDYLAR PLATE '282.500:980 EA 3510 

FBP04282XNY2 

FBP04283XNS1 

FBP04283XNY2 

CONDYLAR PLATE 95 度 FOR SMALL 

ADULTS AND ADOLESCENTS 

ANGLED BLADE PLATE 130 度 4:9HOLE 

ANGLED BLADE PLATES 130 度 FOR SMALL 

STATURED ADULTS AND ADOLESCENTS 

4:9HOLE 

1.5MM,2.0MM,2.7MM MINI CONDYLAR 

PLATE 7HOLE 

'282500:980 EA 3510 

'283.400:460; 

283.600:660; 

283.900:960 

'283400:460; 

600:660;900:960 

EA 3510 

EA 3510 

FBP0449XXNZ1 

'4915;4920;4927- 

01;02-19 

EA 3500 

FBP045026NSN CONDYLAR PLATE 7HOLE 1.5MM RT,LT '7114-5026;5028 EA 3500 

FBP046040NSN CONDYLAR PLATE 7HOLE 2.0MM RT,LT '7114-6040:6042 EA 3500 

FBP048202NH1 CONDYLAR PLATE ANGLE 95 度 (312) 

'0820-20:34;330- 

92:95 

EA 5355 

FBP04K012NAE CONDYLAR PLATE 95 度 4.5MM 

'K0120S:K0138S(K01X 

XS/K02XXS) 

EA 5355 

FBP04K021NAE ANGLED PLATE 90:130 度 4.5MM 

'K0210S:K0372S; 

KP014S:KP322S 

EA 3510 

FBP04LM15NAE CONDYLAR BUTTRESS PLATE 4.5 MM 'LM155S:160S EA 4930 



'4102-1104;4102- 

STAINLESS ANATOMIC FEMUR PLATE 

1106;4102-1108; 

FBP094102NU0 4:8HOLE※ 限 EPIPHYSIS、METAPHYSIS 骨折 

EA 8744 

4102-1204;4102- 

使用 

1206;4102-1208 

FBP09510SNY2 

FBP096450NWL 

FBPN10579NM1 

STAINLESS ANATOMICAL PLATE 

(TIBIAL,FEMUR,FIBULAR) ※ 適應症請見備註 

欄 

ANATOMIC BONE 

PLATE(TIBIA,FEMUR,FIBULAR)122:230MM 

7:13H ※ 限 EPIPHYSIS、METAPHYSIS 骨折 

使用 

STEINMANN PIN 180:230MM 

'510105:133;510147:17 

3; 

510205:233;510245:27 

3; 

510305:333;510347:37 

3; 

510407:431;510485:48 

6 

EA 8744 

'64-5050:72/01:04 EA 8744 

'(1-57-9A;9 自 950701 

刪除 );( 型號 01-057- 

11:16; 自 951101 生效 ) 

EA 221 

FBPN12620NZ1 

KIRSCHNER WIRE (K-PIN) WITH THREAD 

2.5MM 

'262 EA 305 

FBPN12910NY2 

STEINMANN PINS(SHANK)2.0MM:4.8MM '291005:11;30:36; 

*9"(230MM) 

55:61;80:86 

EA 221 

FBPN12915NY2 

STEINMANN PINS(THREADED)2.0MM:4.8MM '291504:10;29:35; 

*9"(230MM) 

54:60;79:85 

EA 356 

FBPN12920NY2 


*70MM 

41:49;61:69 

EA 221 

'292001:309;292021:32 

FBPN129210V2 STEINMANN PINS(SHANK) 0.8MM:5.0MM 

9; 

292041:349;292061:36 

EA 221 

9;293350:590 

FBPN12921NY2 


*150MM 

41:49;61:69 

EA 221 

FBPN12922NY2 


*280MM 

41:49;61:69 

EA 221 

FBPN12923NY2 


*400MM 

41:49;61:69 

EA 221 

FBPN1292XNY2 STEINMANN PIN 70MM 150MM '292000:60;292160 EA 221 

FBPN129360V2 STEINMANN PIN WITH THREAD 

'293680:90;293730:40 

; 

291504:10;291005:11 

; 

EA 356 

291529:85;291030:36 

;29430:70;291554:60 

FBPN12936NS1 STEINMANN PIN WITH THREAD 

'293.60:94; 

(293.680:740 自 960101 EA 356 

生效 ) 

FBPN12936NY2 STEINMANN PIN W/MIDDLE THREADED '293680:740 EA 356 

FBPN1293NNS1 STEINMANN PIN 

'293.312:29; 

293.35:59; 

(293.120:290;293.350: 

EA 221 

590; 自 960101 生效 ) 

FBPN1293NNY2 STEINMANN PIN W/TROCAR TIP '293350:590 EA 221 

FBPN15050NLV C-WIRE ORTHOPAEDIC WIRE (STAINLESS) 

'5050-041:5050-049; 

5050-241:5050-249 

EA 160 

FBPN15050NZ1 Z-WIRE 0.7MM:1.57MM '5050 EA 160 

FBPN17011NZ1 STEINMANN PIN 1.8MM '187 EA 221 



FBPN17012NZ1 STEINMANN PIN 2.0MM,2.4MM '187-01;02 EA 221 



FBPN17017NZ1 STEINMANN PIN 4.8MM '187-07 EA 221 

FBPN1KX10NAE STEINMANN PIN 'ANY SIZE EA 221 

FBPN1KX30NAE STEINMANN PIN WITH THREAD 'KX308S:360S EA 356 

FBPN20750NM1 KNOWLES PIN 65MM:120MM '01-075-01:12 EA 930 

FBPN22811NZ1 KNOWLES PIN 2.5":4" '281-01:07 EA 930 

FBPN22815NZ1 KNOWLES PIN 5 1/4":6" '281-12:15 EA 930 

FBPN22818NZ1 KNOWLES PIN 4 1/4":5" '281-08:11 EA 930 

FBPN2282XNR1 KNOWLES PIN '12-8275:90 EA 930 

FBPN2283XNR1 KNOWLES PIN '12-8305:20 EA 930 

FBPN22991NY2 

KNOWLES PINS(HEX.DRIVE)4.0/4.8MM '299101:15; 

*2.5":6"(63.5MM:152.4MM) 

299201:15 

EA 930 

FBPN22993NY2 

KNOWLES PINS(SQUARE DRIVE)4.0/4.8MM '299301:15; 

*2.5":6"(63.5MM:152.4MM) 

299401:15 

EA 930 

FBPN30531YM1 MR-500 型髓內釘 (RUSH PIN) '01-053-01:01-053-25 EA 771 

FBPN31860NZ1 KIRSCHNER PIN 1.0MM:1.8MM '186 EA 80 

FBPN3216XNR1 CANNULATED HIP PIN '12-1654:12-1668 EA 2000 

FBPN38111NZ1 RUSH MEDULLARY PIN 1/4" 

'801-01-02 (801-01- 

02/10) 

PCS 771 


'802-01-02 (802-01- 

02/14) 

PCS 771 


'803-01-02 (803-01- 

02/10) 

PCS 771 


'806-01-03 (806-01- 

02/14) 

PCS 771 

FBPN3KJ10NAE RUSH PIN 'ANY SIZE EA 771 

FBPS1000XNZZ 

PARTIAL FOOT PROSTHESIS 部份足義肢 ※ 



FBPS1001XNZZ 

SYME"S PROSTHESIS 珊姆式小腿義肢 ( 踝關 

節離斷 ) ※ 適應症請見備註欄 


FBPS1002XNZZ 

K/D PROSTHESIS 膝關節離斷義肢 ※ 適應症請 

'ANY SIZE 

見備註欄 

SET 48000 

FBPS1003XNZZ 

A/K PROSTHESIS 膝上義肢 ※ 適應症請見備註 

'ANY SIZE 

欄 

SET 48000 

FBPS1004XNZZ 

B/K PROSTHESIS 膝下義肢 ※ 適應症請見備註 

'ANY SIZE 

欄 

SET 34000 

FBPS1005XNZZ 

H/D&H/P PROSTHESIS 髖關節離斷義肢 ※ 適 



FBPS1006XNZZ 

W/D PROSTHESIS 腕關節離斷義肢 ※ 適應症 



FBPS1007XNZZ 

E/D PROSTHESIS 肘關節離斷義肢 ※ 適應症請 

'ANY SIZE 

見備註欄 

SET 62000 

FBPS1008XNZZ 

A/E PROSTHESIS 肘上義肢 ※ 適應症請見備註 

'ANY SIZE 

欄 

SET 65000 

FBPS1009XNZZ 

B/E PROSTHESIS 肘下義肢 ※ 適應症請見備註 

'ANY SIZE 

欄 

SET 42000 

FBPS1010XNZZ 

S/D PROSTHESIS 肩關節離斷義肢 ※ 適應症請 

'ANY SIZE 

見備註欄 

SET 65000 

FBPS1011XNZZ 

FOREQUATER PROSTHESIS 肩胛截除義肢 



FBPS1012XNZZ 

A/E COSMETIC PROSTHESIS 肘上美觀義肢 



FBPS1013XNZZ 

B/E COSMETIC PROSTHESIS 肘下美觀義肢 



FBPS1014XNZZ 肩關節離斷美觀義肢 ※ 適應症請見備註欄 'ANY SIZE EA 32300 

FBPS1015XNZZ 橫掌截肢美觀義肢 ※ 適應症請見備註欄 'ANY SIZE EA 7300 



FBPS1016XNZZ 手指截肢美觀義肢 ※ 適應症請見備註欄 'ANY SIZE EA 4800 

FBS01037XNY2 

1.5,2.0,2.7,3.5 CORTEX SCREW( 產品型號 '210006:020; 

202006:040,204010:110) 

211006:038 

EA 190 

FBS01038XNY2 4.5 CORTEX SCREW( 產品型號 214228:250) 

'214014:140; 

214814:940 

EA 210 

FBS010701NH1 CORTEX SMALL SCREW 3.5MM,4.5MM DIA 

'262;278 (0807; 

0809) 

EA 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) 

FBS0120000V2 CORTEX SCREW 1.5,2.0,2.7,3.5 

CORTEX SCREW 3.5,4.5MM PART THREAD 

(SHATF SCREW) 

'711-61606:620; 

506:520;62206 

'2000006:020;2010006: 

038; 

2020006:040;2040010: 

110 

'2042012:055;2142022: 

EA 190 

EA 190 

FBS0120420V2 

115 

EA 190 

FBS01210NNY2 

'210;211; 

STAINLESS CORTEX SCREW 

202806:840; 

1.5:3.5X6:110MM 

204810:910 

EA 190 

'200:202XX;204XX; 

210:211XX;( 型號 

204.810:910 自 89/10/1 

FBS01211NNS1 CORTEX SCREW 1.5:4.0MM 

生效 ); 

(204.010:110;210.006: 

EA 190 

020; 

211.006:038;202.006:0 

40; 自 960401 生效 ) 

FBS0121400V2 CORTEX SCREW 4.5MM '2140012:140 EA 210 

'214.XX;( 型號 

214.814:940;228:250 

FBS01214NNS1 CORTEX SCREW 4.5MM 

自 89/10/1 生效 ); EA 210 

(214.014:140 自 960401 

生效 ) 

FBS01225XNSN 4.5MM CORTEX SCREW 14:70MM,72:145MM '71225-014:070; 

072:145 

EA 210 

FBS012306NZ1 CORTICAL SCREW 4.5MM '2306-15:71 EA 210 

FBS012320NZ1 CORTICAL SCREW 2.0MM '2320-07:25 EA 190 

FBS012324NZ1 2.7MM CORTICAL SCREW 6:24MM '2324-(07:25) EA 190 

FBS0123501Z1 3.5MM CORTICAL SCREW 10:50MM '2350-(11:51)-35 EA 190 

FBS012350NZ1 1.5MM CORTICAL SCREW 6:16MM '2350-36:48-15 EA 190 

FBS01270XNR1 CORTEX BONE SCREW '12-7016:7064 EA 210 

FBS013861NS9 

FBS014000NS3 

FBS014000NS9 

SMALL CORTEX SCREW 2.0/2.7/3.5MM 

CORTEX SCREW 1.5:3.5MM 6:9MM 

CORTEX SCREW 1.5:3.5MM 6:9MM( 原代碼 

FBS014000NS3) 

'338610:338750; 

349606:349660 

'321;331;338;349- 

006:150 

'321108:321122; 

321136:150;331006:03 

8; 

338008:090;349006:04 

0 

EA 190 

EA 190 

EA 190 

FBS014001NS3 CORTEX BONE SCREW '340012:120 EA 210 

FBS014061NS9 CORTEX SCREW 4.5MM 14:150MM '340614:340750 EA 210 

FBS01410NNY2 

'410;411; 

TITANIUM CORTEX SCREW 

402806:840; 

1.5:3.5X6:110MM 

404810:910 

EA 205 

FBS014148NY2 TITANIUM CORTEX SCREW 3.0:4.0X8:50MM '414814:872 EA 226 



TITANIUM CORTEX SCREW 1.5MM:3.5MM '40-0706:720; 

FBS01437XNY2 

EA 205 

( 型號 402006:040,404010:110,404212:250) 1106:138;2006:040 

'414014:140; 

FBS01438XNY2 TITANIUM CORTEX SCREW 4.5MM 

EA 226 

414228:250 

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) 

'4815-06:24-01;02; 

03 

EA 190 

FBS014845NZ1 4.5MM CORTICAL SCREW 

'4845-14:160-01;- 

22:100-04 

EA 210 

FBS01CAN65E3 6.5MM CANCELLOUS BONE SCREW 

'129796910:7060; 

129796700:6890 

EA 361 

FBS01COR45E3 4.5MM CORTICAL BONE SCREW '129799420:5720 EA 210 

FBS01LA11NAE CORTEX SCREW 4.5MM 'LA114S:193S EA 210 

FBS01LB02NAE CORTEX SCREW 2.0MM 'LB026S:049S EA 190 

FBS01LB06NAE CORTEX SCREW 1.5MM 6:20MM 'LB6S:LB20S EA 190 

FBS01LB12NAE CORTEX SCREW 2.7MM 'LB126S:151S EA 190 

FBS01LB18NAE CORTEX SCREW 'LB180S:211S EA 190 

FBS02039XNY2 

FBS02040XNY2 

FBS0220600V2 

FBS02207NNS1 

FBS0221800V2 

FBS02218NNS1 

FBS02223XNSN 

FBS02229XNSN 

FBS022322NZ1 

4.0 CANCELLOUS SCREW 

6.5 CANCELLOUS SCREW( 產品型號 

217045:150) 

CANCELLOUS SCREW 4.0MM FULL,PART 

THREAD 

CANCELLOUS BONE SCREW 3.5:4.0MM 

CANCELLOUS SCREW 6.5MM 

16,24,32MM,FULL THREAD 

CANCELLOUS BONE SCREW 6.5MM 

4.0MM FULL,PART TH CANC SCREW 

10:100,10:50,55:100MM 

6.5MM CANC SCREW 16,32MM,FULL TH 

25:150MM( 產品型號 7122- 

8045:8110,8115:8150,9025:9110,9115:9150) 

4.0MM CANCELLOUS SCREW PARTIAL 

THREAD 10:50MM 

'206010:060; 

207010:060 

'218020:110; 

216030:120 

'2060010:060;2070010: 

060 

'206.XX;207.XX; 

(206.010:060;207.010: 

060; 自 960101 生效 ) 

'2180020:110;2160030: 

110; 

2162040:110;2170045: 

110 

'216.XX;217.XX; 

218.XX; 

(216.030:120;217.045: 

130;218.020:110 自 

960101 生效 ) 

'71223-010:100; 

210:250;255:300 

'7122-6030:60; 

6075:6150 

EA 200 

EA 361 

EA 200 

EA 200 

EA 361 

EA 361 

EA 200 

EA 361 

'2322-(11:51) EA 200 

FBS022330NZ1 CANCELLOUS SCREW '2330-30:50 EA 361 

FBS022331NZ1 

LONG CANCELLOUS SCREW FULLY 

THREAD 6.5MM 

'2331-46:2331-111 EA 361 

FBS0223321Z1 

6.5MM CANCELLOUS SCREW FULLY 

THREADED 25:40MM 

'2332-26;2333-31:41 EA 361 


FBS022333NZ1 CANCELLOUS BONE SCREW 32MM 6.5MM '2333-30:111 EA 361 


FBS022340NZ1 

4.0MM CANCELLOUS SCREW FULLY 

THREADED 14:60MM 

'2340-(15:61) EA 200 

FBS024102NS3 CANCELLOUS BONE SCREW '341025:341100 EA 361 

FBS024103NS9 

CANCELLOUS BONE SCREW 6.5MM(1/3) 

115:150MM 

'341030:341150 EA 361 


FBS024204NS9 

CANCELLOUS BONE SCREW 6.5MM(2/3) 

105:200M 

'342045:342200 EA 361 



FBS024302NS9 

CANCELLOUS BONE SCREW 6.5MM 

105:150M 

'343020:343150 EA 361 


FBS02439XNY2 TITANIUM CANCELLOUS SCREW 4.0MM 

'406010:060; 

407010:060 

EA 216 

'4402-1035;4402- 

1040;4402-1045; 

FBS024402NU0 

STAINLESS SELF-LOCKING SCREW 4.5MM 4402-1050;4402- 

35:75MM 

1055;4402-1060; 

EA 200 

4402-1065;4402- 

1070;4402-1075 

FBS02440XNY2 

TITANIUM CANCELLOUS SCREW 6.5MM( 型 '418020:110; 

號 417045:150) 

416030:120 

EA 389 

FBS024541NS3 CANCELLOUS BONE SCREW (SMALL) '345410:60 EA 200 

FBS024541NS9 SMALL CANCELLOUS BONE SCREW 4MM '345410:345500 EA 200 

FBS024551NS3 CANCELLOUS BONE SCREW (SMALL) '345510:60 EA 200 

FBS024551NS9 

SMALL CANCELLOUS BONE SCREW 4MM 

(1/2) 

'345510:345600 EA 200 

FBS024840NZ1 4.0MM CANCELLOUS SCREW 

'4840-10:100;4840- 

10-01:100-01 

EA 200 

FBS024865NZ1 6.5MM CANCELLOUS SCREW 

'4865-20:150;30:150- 

1;45:150-02 

EA 361 

FBS028080NH1 CANCELLOUS BONE SCREW 4.0MM '0808-01:15 EA 200 

FBS028120NH1 CANCELLOUS BONE SCREW 6.5MM DIA 

'282;284 (0812; 

0813) 

EA 361 

FBS02LA33NAE THREAD CANCELLOUS SCREW 6.5MM 

'LA330S:394S; 

LA425S:462S 

EA 361 

FBS02LB35NAE CANCELLOUS SCREW 4.0MM 

'LB250S:300S; 

LB350S:372S 

EA 200 

FBS03041XNY2 4.5 MALLEOLAR SCREW '215025:070 EA 326 

FBS030811NH1 MALLEOLAR SCREW 踝質釘 '0811-01:10 EA 326 

FBS0321500V2 MALLEOLAR SCREW 4.5MM '2150025:070 EA 326 

FBS03215NNS1 MALLEOLAR SCREW (ANY SIZE) 

'215.XX;(215.025:070 

自 960101 生效 ) 

EA 326 

FBS032252NSN 4.5MM MALLEOLAR SCREW 25:70MM '71225225:71225270 EA 326 

FBS032323NZ1 MALLEOLAR SCREW '2323-16 EA 326 

FBS032334NZ1 MALLEOLAR SCREW '2334-25:71 EA 326 

FBS034402NS3 MALLEOLAR SCREW '344025:070 EA 326 

FBS034402NS9 

MALLEOLAR SCREWS 4.5MM( 原代碼 

FBS034402NS3) 

'344025:344070 EA 326 

FBS0348451Z1 4.5MM MALLEOLAR SCREW 

'4845-25-08:4845-70- 

08 

EA 326 

FBS03LA22NAE MALLEOLAR SCREW 20:110MM 'LA220:310S EA 326 

FBS04042XNY2 

3.5,4.5 CANNULATED SCREW( 產品型號 '205010:050; 

214420:472,214620:672) 

205210:250 

EA 2000 

FBS04043XNY2 

6.5 CANNULATED SCREW( 產品型號 '208230:330; 

208620:730) 

208445:530 

EA 2000 

FBS04044XNY2 

7.0,7.3 CANNULATED SCREW( 產品型號 '208030:130; 

209420:530,208830:950,209850:930) 209045:130 

EA 2000 

FBS04100XNR1 CANNULATED HIP SCREW WASHER '12-1680 EA 2000 

FBS041142NZ1 

MINI MAGNA-FX CANNULATED SCREW '1142-40;50-12:65; 

4.0MM,5.0MM 

41;51-24:70 

EA 2000 

FBS041146NZ1 

MAGNA-FX CANNULATED SCREW 

16MM,32MM 

'1146-30:130;40:120 EA 2000 

FBS041155NZ1 

HERBERT CANNULATED BONE SCREW '47-1155-(25:100)- 

25:100MM 

(05:07) 

EA 2000 



FBS0420260V2 CANNULATED SCREW 3.5,4.0,4.5 

'2050010:060;2052010: 

060; 

2076010:050;2077016: 

050; 

EA 2000 

2145020:072;2147020: 

072 

FBS04202NNS1 3.0 CANNULATED SCREW 

'202.608:640; 

202.714:740 

EA 2000 

FBS04202NNY2 

STAINLESS CANNULATED SCREW '202608:740; 

3.4:4.0X8:50MM 

207610:750 

EA 2000 


'205.010:050; 

205.210:250 

EA 2000 


'207.610:650; 

207.716:750 

EA 2000 

FBS0420800V2 CANNULATED SCREW 7.0,7.3 

'2080030:150;2090045: 

150; 

2094020:150;2088030: 

150; 

EA 2000 

2098045:150;2096020: 

130 

FBS0420840V2 CANNULATED SCREW 6.5 

'2084030:180;2085045: 

180;2086020:180 

EA 2000 

FBS04208NNS1 CANNULATED SCREW 7.0MM,7.3MM 

'208.00:95;( 型號 

208.830:950;209.845:9 

50;620:730 自 89/10/1 

生效 ); 

EA 2000 

(208.030:130;401:425; 

431:452;460:482 自 

960101 生效 ) 

'209.00:95; 

FBS04209NNS1 

(209.045:130;209.420: 

CANNULATED SCREW 7.0MM 32MM 

530; 

L45:130MM 

209.620:730;209.845:9 

EA 2000 

50; 自 960101 生效 ) 

'2118010:30;2118417:4 

FBS0421180V2 CANNULATED SCREW 2.4,3.0 

30; 

2026008:040;2027014: 

EA 2000 

040 


'214.520:572; 

214.720:772 

EA 2000 

FBS042170NSN 

CANNULATED SCREW D 8,6.5,4MM( 產品型 '121700:15;625:44; 

EA 2000 

FBS04218NNY2 

FBS04402NNS1 

FBS04402NNY2 

FBS04407NNS1 

FBS04408NNS1 

FBS04408XNY2 

FBS044144NY2 

FBS04414NNS1 

號 71100045:71100130,222820:870) 

STAINLESS CANNULATED SCREW 

7.0:7.3X30:150MM 

TITANIUM 3.0 CANNULATED SCREW 

TITANIUM CANNULATED SCREW 

3.0:4.0X8:50MM 




7.0X30:130MM 


4.5X20:72MM 


810:70 

'218230:950; 

219045:530 

'402.608:640; 

402.714:740 

'402608:740; 

407610:750 

'407.610:650; 

407.716:750 

'408.830:950; 

409.620:950 

'408030:130; 

409045:530 

'414420:72; 

414620:72 

'414.520:572; 

414.720:772 

EA 2000 

EA 2160 

EA 2160 

EA 2160 

EA 2160 

EA 2160 

EA 2160 

EA 2160 




'418230:950; 

FBS04418NNY2 

EA 2160 

7.0:7.3X30:150MM 

419045:530 

'408870:925; 

FBS04442XNY2 TITANIUM CANNULATE SCREW 7.3MM 

EA 2160 

409850:930 

FBS051150NZ1 HERBERT MINI BONE SCREW 10:24MM '1150-10:24 EA 2000 

FBS051151NZ1 HERBERT SCREW 16:30MM '1154-16:30 EA 2000 

HERBERT WHIPPLE BONE SCREW 

FBS051152NZ1 

'1152-12:30 EA 2000 

12:30MM 

FBS051154NZ1 HERBERT BONE SCREW 12:30MM '47-1154-12:30 EA 2000 

TITANIUM CANNULATED 

'602630:602930; 

FBS05602XNS3 

EA 2160 

SCREW(604610:604670 自 88/09/01 起生效 ) 611040:611130 

'611040:611130; 

TITANIUM CANNULATED SCREW( 原代碼 

FBS05602XNS9 

602635:720;602855:93 EA 2160 

FBS05602XNS3) 

0 

FBS064304NSN NUT FOR 4.5MM CORTEX SCREW '71143045 EA 84 

FBS0649001Z1 CORTICAL NUT '4900-45-50 EA 84 

FBS07044XNY2 4.5,7.0,7.3 WASHER '219910;70;80;90 EA 85 

'71143010;43007; 

FBS071430NSN WASHER 10,7,13MM OD 

EA 85 

43013 

FBS0721990V2 WASHER 4.5MM 7.0MM 13.0MM '2199070:90 EA 85 

'219.98:99; 

(219.910;970;972 自 

FBS072199NS1 WASHER 

89/10/1 生效 ); EA 85 

(219.980;990 自 960101 

生效 ) 

'219.93:96; 

(219.910;219.930;940; 

FBS07219XNS1 WASHER/NUT 

EA 84 

950;960; 自 960101 生 

效 ) 

FBS072344NZ1 WASHERS '2344-01:07 EA 85 

WASHER FOR TITANIUM CANNULATE '419.910;972;980; 

FBS074199NS1 

EA 92 

SCREW 

990 

'419970;419980; 

FBS07444XNY2 TITANIUM WASHER 

EA 92 

419990 

FBS074900NZ1 1.5MM:4.5MM WASHER '4900-20;40;65-51 EA 85 

WASHER FOR TCS SCREWS(619905 自 

FBS076199NS3 

'619904 EA 92 

88/09/01 起生效 ) 

FBS076199NS9 WASHER( 原代碼 FBS076199NS3) '619904;619905 EA 92 

FBS079001NS9 WASHER '390016:390019 EA 85 

FBS07LA196AE WASHER 4.5MM 'LA196S EA 85 

FBS07LA198AE WASHER 1.3MM 'LA198S EA 85 

BIODEGRADABLE MINI PLATING SYSTEM: 

'ACL-4101:ACL-4109; 

FBS0804101NF ACL/PCL SCREW※ 限實施十字韌帶重建手術 

EA 5000 

ACL-4112 

患者使用 

FBS081322SAW 

FASTAK SUTURE ANCHOR 2.4MM 縫合錨釘 '(AR-1324S 自 93/10/01 

EA 3400 

※ 限肩關節韌帶手術患者使用 

生效 );AR-1322S 

FBS081370BAW 

BIO-INTERFERENCE SCREW※ 限實施十字韌 'AR-1370B:1400B; 

EA 5000 

帶重建手術患者使用 

1370TB:1404TB 

CANNULATED INTERFERENCE SCREW ※ 

FBS081370TAW 'AR1370T:1402T EA 4500 

限實施十字韌帶重手術使用 

FBS081915SAW 

SUTURE ANCHOR※ 限肩關節韌帶手術患者使 'AR1915S;1920S; 

EA 3400 

用 

1925S 

MITEK ROTATOR CUFF ANCHOR ※ 限肩關 

FBS082123NT1 

'212315 EA 3400 

節韌帶手術患者使用 

SOFT TISSUE ANCHOR(G II SNAP-PAK MINI 

'216593;212366; 

FBS082165NT1 QUICK ANCHER)※ 限肩關節韌帶手術患者使 

EA 3400 

212466 

用 



FASTIN SOFT TISSUE ANCHOR※ 限肩關節 '222-130;530;140; 

FBS082221NT1 

EA 3400 

韌帶手術患者使用 

540 

FASTIN ANCHOR※ 限肩關節韌帶手術患者使 

FBS082225NT1 

'222-152;552 EA 3400 

用 

FBS082545NT1 

FBS083512NLA 

FBS086101NLV 

FBS0872070SN 

FBS0872071SN 

FBS0872075SN 

FBS0872091SN 

FBS088057NLV 

FBS088320NLV 

FBS088321NLV 

ABSOLUTE ABSORBABLE INTERFERENCE 

SCREW※ 限實施十字韌帶重建手術患者使用 

'254501:254508; 

254515 

EA 5000 

LIGAMENT CANULATED SCREW※ 限十字韌 'F110630:930; 

帶重建手術使用 

111030;315215:230 

EA 4500 

REVO SUTURE ANCHOR(CANCELLOUS 

'C6101;C6109; 

SCREW)2.7,4MM (C6140,C6141 自 91/10/01 生 

C6140;C6141 

效 )※ 限肩關節韌帶手術患者使用 

EA 3400 

SOFTSILK TM SCREW SYSTEM( 型號含 

'7207001:18;147:52;15 

7207256:7207264)※ 限實施十字韌帶重建手術 

7:9;715:6 

使 

EA 4500 

RCI SCREW SYSTEM RCI 固定螺絲 ※ 限十字 

韌帶重建手術使用 

'7207030:7208323 EA 4500 

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 

'7207554:7207607 EA 5000 

'7209100:3, 

7209107; 

(7210181:183;7210213 

TWINFIX SUTURE ANCHOR(TI) 軟組織錨釘 ;7210595;597;598 自 

※ 限肩關節韌帶手術患者使用 

951001 生效 ); 

EA 3400 

(72200762;763;766;75 

0;752;755; 自 970401 

生效 ) 

生物可吸收性固定錨釘 ENDOPEARL 

BIOABSORBABLE SOFT TISSUE DEVICE※ 


LINVATEC CANNULATED INTEREFERENCE 

SCREW ※ 限實施十字韌帶重建術患者使用 

LINVATEC PROPEL CANNULATED 

INTERFERENCE SCREW ※ 限實施十字韌帶 

重建術患者使用 

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 

FBS08C8000LV 

FBS08C8027LV 

FBSCM1103NU0 

FBSCM6487NH1 

FBSF100002ZV 

FBSF100003ZV 

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 

CUSTOM MADE HUMERAL TUMOR 

PROSTHESIS ※ 申報費用時應檢附該被保險人 

之發票備查 

'C8057:59 EA 4100 

'C8320(950701 停產 ); 

C8950:52; 

8960S:8964S; 

8970S:8974S 

'C8325:C8530(950701 

停產 );C8620:C8720 

'AR-1324SF;AR- 

1324HF;AR-1915SF; 

AR-1920SF 

EA 4500 

EA 4500 

EA 4100 

'C8010:C8019 EA 5000 

'C8027:C8042 EA 5000 


CASTOM MADE HUMERAL PROTHESIS※ 申 

報費用應檢附發票備查 


VIMAX SPINAL SYSTEM 二節 (SX4+RX2) ※ 適 '124-4530:7045;132- 


6040:6100 

SET 36940 

VIMAX SPINAL SYSTEM 三節 (SX6+RX2) ※ 適 '124-4530:7045;132- 


6040:6100 

SET 53460 


FBSF100013ZV 

FBSF100022ZV 

FBSF100023ZV 

FBSF10002NDP 

FBSF10002TAD 

FBSF10002TUA 

FBSF10003NDP 

FBSF10003TAD 

FBSF10003TUA 

FBSF101625B0 

FBSF101626B0 

FBSF101635B0 

FBSF101640B0 

FBSF101641B0 

FBSF101642B0 

FBSF101643B0 

FBSF1082TMDA 

FBSF1083TMDA 

VIM SPINAL SYSTEM 三節 (SX6+RX2)※ 適應 


SET 53460 


'111-6040:6550;112- 

FBSF100012ZV 

1335:1345 

VIM SPINAL SYSTEM 二節 (SX4+RX2 或 5535:7045;132- 

SX4+PX2)※ 適應症請見備註欄 

5504:5510;174- 

SET 36940 

'111-6040:6550;112- 

5535:7045;132- 

5504:5510 

VIMAX SPINAL SYSTEM 二節 (SX4+RX2) 免事 '106-5035:7045;132- 

前審查 

6004:6010 

SET 16632 

VIMAX SPINAL SYSTEM 三節 (SX6+RX2) 免事 '106-5035:7045;132- 

前審查 

6004:6010 

SET 23868 

STAINLESS ANTERIOR ISOLA 

SYSTEM(SX4+RX2) 二節 


TITANIUM ISOLA SPINAL SYSTEM 二節 ※ 適 '5200-1518+2223:26- 


2435:3550 

SET 36940 

'SG1604:1610; 

SG2140:2180; 

TITANIUM OPTIMA SPINAL SYSTEM 二節 

SM4025:8055; 

(RX2+SX4)※ 適應症請見備註欄 

SPA5030:8055; 

SET 36940 

SPA6135:7155 

STAINLESS ANTERIOR ISOLA 

SYSTEM(SX6+RX2) 三節 

TITANIUM ISOLA SPINAL SYSTEM 三節 ※ 適 


TITANIUM OPTIMA SPINAL SYSTEM 三節 


TITANIUM SPINAL SYSTEM(PX2+SX4)※ 適應 


TITANIUM SPINAL SYSTEM(RX2+SX4)※ 適應 


TITANIUM SPINAL SYSTEM(RX2+SX6 或 

RX2+SX4+HX2)※ 適應症請見備註欄 


'5200-1518+2223:26- 

2435:3550 

'SG1604:1610; 

SG2140:2180; 

SM4025:8055; 

SPA5030:8055; 

SPA6135:7155 

SET 53460 

SET 53460 


' 按產品型號組合 (130- 

5030:6250;130- 

6530;35;40;45;50; 

110-6053;100- 

5540:52;140-0020:;30 

自 960101 生效 ;961001 

另編代碼 ) 

' 按產品型號組合 (130- 

5030:6250;;6530;35;4 

0;45;50;110-6053; 

100-5540:52;140- 

0020:30; 自 960101 生 

效 ; 自 961001 另編代 

碼 ) 

TITANIUM LUMBAR SPINAL SYSTEM 二節 

(PX2+SX4) 

'XCP40X2+120- 

6040X4 

TITANIUM LUMBAR SPINAL SYSTEM 三節 'XCP41X2+120- 

(PX2+SX6) 

6040X6 

TITANIUM LUMBAR SYSTEM 二節 (SX4+RX2) '170- 

免事前審查 

5030:39+PR40:PR60 

TITANIUM LUMBAR SYSTEM 三節 (SX6+RX2) '170- 

免事前審查 

5030:39+PR70:PR100 

TITANIUM TSRH SPINAL SYSTEM( 二節 ) ※ 適 '828-704:710; 


804:810+755:960 

TITANIUM TSRH SPINAL SYSTEM( 三節 ) ※ 適 '828-704:710; 


804:810+755:960 

SET 36940 

SET 53460 

SET 16632 

SET 23868 

SET 16632 

SET 23868 

SET 36940 

SET 53460 


FBSF110002TT 

FBSF11002LTD 

FBSF11003LTD 

FBSF11302NB0 

FBSF11303NB0 

FBSF11465NT4 

FBSF11466NT4 

FBSF12400NDX 

FBSF1296XNS1 

FBSF13400NDX 

TITANIUM SPINAL SYSTEM 三節 

(RX2+SX6)( 免事前審查 ) 

TITANIUM TREND SPINAL SYSTEM 二節 

(SX4+RX2)※ 適應症請見備註欄 

TITANIUM TREND SPINAL SYSTEM 三節 


TITANIUM SPINAL FIXATION SYSTEM 脊椎 

固定系統二節 (SX4+RX2) ※ 適應症請見備註欄 

TITANIUM SPINAL FIXATION SYSTEM 脊椎 

固定系統三節 (SX6+RX2) ※ 適應症請見備註欄 

TITANIUM ALPS CERVICAL LOCKING 

PLATE( 二節 ) ※ 適應症請見備註欄 

TITANIUM ALPS CERVICAL LOCKING 

PLATE( 三節 ) ※ 適應症請見備註欄 

TITANIUM ALPHA STRYKER CERVICAL 

IMPLANT( 二節 )※ 適應症請見備註欄 

STAINLESS SPINAL FIXATOR 二節 ※ 適應症 

請見備註欄 , 應事前審查經本局同意後使用。 

TITANIUM ALPHA STRYKER CERVICAL 

IMPLANT( 三節 )※ 適應症請見備註欄 

FBSF13800NS9 TITANIUM XIA SPINAL SCREW( 免事審查 ) 

FBSF13802NS9 

TITANIUM XIA SPINAL SYSTEM( 二節 

SX4+RX2)( 免事審查 ) 


'115-4030:7550;118- 

TITANIUM SPINAL SYSTEM 二節 

FBSF110001TT 

4030:7550;132- SET 16632 


5040:5100 

'115-4030:7550;118- 

4030:7550;132- 

5040:5100 

'1101- 

6040;6245;6550; 

1102- 

6040;6245;6550; 

1106- 

6040;6245;6550; 

1104- 

6022;6025;6030;6035;6 

040;6045;1600- 

6004:6010 

'1101- 

6040;6245;6550; 

1102- 

6040;6245;6550; 

1106- 

6040;6245;6550; 

1104- 

6022;6025;6030;6035 

;6040;6045;1600- 

6004:6010 

'130-5030:6250;130- 

6530;6535; 

6540;6545;6550;110- 

6053;100-5540:5544; 

140-0020:0030 

'130-5030:6250;130- 

6530;6535; 

6540;6545;6550;110- 

6053;100-5542:5546; 

140-0020:0030 

'1465-26:32+1422- 

10:24 

'1465-36:102+1422- 

10:24 

SET 23868 

SET 36940 

SET 53460 

SET 36940 

SET 53460 

SET 22426 

SET 23285 

'62479900:62480924 SET 22426 

'296.49:55;296.68; 

(296.680 自 960101 生 

效 ) 

SET 30400 

'62479900:62480924 SET 23285 

'03800425:760; 

03801530:760 

'03800425:760;038015 

30:760; 

(03802040:2100 自 

980101 起變更為 ; 

03802040:03802060) 

EA 3618 

SET 16632 



'03800425:760;038015 

FBSF13803NS9 

30:760; 

TITANIUM XIA SPINAL SYSTEM( 三節 

(03802040:2100 自 

SX6+RX2)( 免事審查 ) 

980101 起變更為 ; 

03802040:03802060) 

SET 23868 

FBSF13820NS9 

FBSF142000T4 

FBSF148144S9 

FBSF148145S9 

FBSF1495XNS1 

FBSF14981NS1 

FBSF14982NS1 

FBSF14985NS1 

FBSF1498XNS1 

FBSF15A00NAD 

FBSF15B00NAD 

FBSF16200NDX 

FBSF162200S9 

FBSF162300S9 

FBSF163000T4 

FBSF16300NDX 

TITANIUM XIA SPINAL SYSTEM 二節前置脊 

椎固定 (SX4+RX2)※ 適應症請見備註欄 

TITANIUM TRIFIX SPINAL SYSTEM ( 二節 )※ 

適應症請見備註欄 , 頇事前審查 

XIA TITANIUM SPINAL IMPLANTS 

(SX4+RX2) 二節 ※ 適應症請見備註欄 

XIA TITANIUM SPINAL IMPLANTS 

(SX6+RX2) 三節 ※ 適應症請見備註欄 

TITANIUM CLICK'X SPINAL SYSTEM 上開式三 

節 (SX6+RX2) ※ 適應症請見備註欄 

TITANIUM UNIVERSAL SPINAL SYSTEM ( 二 

節 SCREWX4+RODX2)※ 適應症請見備註欄 , 

頇事前審查 

VENTROFIX ANTERIOR SPINAL 

SYSTEM(RODX2+ 或 X1+SCREWX4)※ 適應症 


'03802040:03802600; 

03820425:03821760 

SET 36940 

'111:120+131:174 SET 36940 

'(4814- 

4525:70;5025:70;5525: 

70;6530:70);(4813- 

4525:45;5025:50; 

5525:55;6530:60)+(481 

33030;40; 

50;60;70;80;90;100) 

'(4814- 

4525:70;5025:70;5525: 

70;6530:70);(4813- 

4525:45;5025:50; 

5525:55;6530:60)+(481 

33030;40; 

50;60;70;80;90;100) 

EA 36940 

EA 53460 


' 按組件型號組合 ; 

(498.102:103;150:151 

; 

496.680:780;498.530:5 

55;630:760 自 960101 

生效 ) 

SET 36940 


TITANIUM CLICK'X SPINAL SYSTEM 上開式二 

' 按產品型號組合 

節 (SX4+RX2) ※ 適應症請見備註欄 

SET 36940 

TITANIUM UNIVERSAL SPINAL SYSTEM ( 三 

節 SCREWX6+RODX2)※ 適應症請見備註欄 , ' 按組件型號組合 SET 53460 


STANLESS ISOLA SPINE SET 二節 

SCREWX4,RODX2 (ROD 6:10CM)※ 適應症請 

見備註欄 , 頇事前審查 

STANLESS ISOLA SPINAL SET 三節 

SCREWX6,RODX2 (ROD6:10CM)※ 適應症請 


TITANIUM SPINAL IMPLANT(RX2+SX4) 二節 

型號 48485030:9060,XL 自 90/07/01 生效 ※ 適應 


TITANIUM ROD PLATE SPINE SYSTEM 二節 

(RX2+SX4+BLOCKERX4) 

TITANIUM ROD PLATE SPINE SYSTEM 三節 

(RX2+SX6+BLOCKERX6) 

TITANIUM TRIFIX SPINAL SYSTEM ( 三節 )※ 


TITANIUM SPINAL IMPLANT 三節 (SX6+RX2) 

型號 48485030:9060,XL 自 90/07/01 生效 ※ 適應 




'664000:664310+66504 

0:665100 

SET 36940 

'626001:6260560 SET 16632 

'626001:6260560 SET 23868 

'111:120+131:174 SET 53460 

'664000:664310+66504 

0:665150 

SET 53460 



FBSF16720NS9 

TITANIUM OPUS SPINAL FIXATION 二節 '670000B:670386B+67 

(SX4+RX2) 

1040:671600 

SET 16632 

FBSF16730NS9 

TITANIUM OPUS SPINAL FIXATION 三節 '670000B:670386B+67 

(SX6+RX2) 

1040:671600 

SET 23868 

FBSF17200NDX 

OPUS SPINAL FIXATION 二節 

'670001:670385+67104 

(SCREWX4+RODX2)※ 適應症請見備註欄 0:671400 

SET 36940 

FBSF172201Z1 

SILHOUETTE SPINAL FIXATION 

'7220-4525:8560-00; 

SYSTEM(R*2+S*6) 三節 ※ 適應症請見備註欄 7500-5601-00 

SET 53460 

FBSF17220NZ1 

SILHOUETTE SPINAL FIXATION 

'7220-4525:8560-00; 

SYSTEM(R*2+S*4) 二節 ※ 適應症請見備註欄 7500-5601-00 

SET 36940 

FBSF172211Z1 

SILHOUETTE SPINAL FIXATION SYSTEM- '7120-4525:8560-00; 

(R*2+S*6) 免事前審查 

7500-5510-00 

EA 23868 

FBSF17221NZ1 

SILHOUETTE SPINAL FIXATION SYSTEM- '7120-4525:8560-00; 

(R*2+S*4) 免事前審查 

7500-5510-00 

EA 16632 

FBSF17300NDX 

OPUS SPINAL FIXATION 三節 

'670001:670385+67104 

(SCREWX6+RODX2)※ 適應症請見備註欄 0:671400 

SET 53460 

FBSF1755P2Y2 

STAINLESS SPINAL SYSTEM 二節 (RX2+SX4) '755030:650+905:930+ 


756030:650 

SET 30400 

FBSF1755P3Y2 

STAINLESS SPINAL SYSTEM 三節 (RX2+SX6) '755030:650+905:930+ 


756030:650 

SET 44000 

'759130:855; 

FBSF175902Y2 

STAINLESS POSTERIOR SPINAL FIXATION 

SYSTEM(RX2+SX4)( 原產品型號 

759130:855+759905:930) 

771004:30; 

771704:30; 

771804:30( 自 93/07/01 

生效 ) 

SET 15400 

FBSF175903Y2 

FBSF1765P2Y2 

FBSF1765P3Y2 

FBSF176902Y2 

FBSF176903Y2 

FBSF177002Y2 

FBSF177003Y2 

FBSF177102Y2 

FBSF177103Y2 

FBSF177202Y2 

FBSF177203Y2 

FBSF17720NY2 

STAINLESS POSTERIOR SPINAL FIXATION 

SYSTEM 三節 (RX2+SX6)( 原產品型號 

759130:855+759905:930) 

'759130:855; 

771004:30; 

771704:30; 

771804:30( 自 930701 生 

效 ) 

TITANIUM SPINAL SYSTEM 二節 (RX2+SX4)※ '765030:650+905:930+ 


766030:650 

TITANIUM SPINAL SYSTEM 三節 (RX2+SX6)※ '765030:650+905:930+ 


766030:650 

'769130:855; 

TITANIUM POSTERIOR SPINAL FIXATION 770004:30; 

SYSTEM 二節 (RX2+SX4)( 原產品型號 770704:30; 

769130:855+765905:930) 

770804:30( 自 93/07/01 

生效 ) 

TITANIUM POSTERIOR SPINAL FIXATION 

SYSTEM 三節 (RX2+SX6)( 原產品型號 

769130:855+765905:930) 

'769130:855; 

770004:30; 

770704:30; 

770804:30( 自 93/07/01 

生效 ) 

TITANIUM C TYPE SPINAL FIXATION 

SYSTEM 二節 (RX2+SX4)( 免術前審查 ) 

'77-0130:655; 

2530:950+0004:830 

TITANIUM C TYPE SPINAL FIXATION '77-0130:655; 

SYSTEM 三節 (RX2+SX6)( 免術前審查 ) 2530:950+0004:830 

STAINLESS C TYPE SPINAL FIXATION '771130:655; 

SYSTEM 二節 (RX2+SX4)( 免術前審查 ) 3530:950+1004:830 

STAINLESS C TYPE SPINAL FIXATION '771130:655; 

SYSTEM 三節 (RX2+SX6)( 免術前審查 ) 3530:950+1004:830 

TITANIUM SPINAL SYSTEM(RX2+SX4) 二節 ※ '772040:450+765905:3 


0;770071:74 

TITANIUM SPINAL SYSTEM(RX2+SX6) 三節 ※ '772040:450+765905:3 


0;770071:74 

STAINLESS SPINAL SYSTEM(RX2+SX4) 二節 '773040:450+755905:3 


0;771071:74 

SET 22100 

SET 36940 

SET 53460 

SET 16632 

SET 23868 

SET 16632 

SET 23868 

SET 15400 

SET 22100 

SET 36940 

SET 53460 

SET 30400 



FBSF177302Y2 

STAINLESS O TYPE SPINAL 

SYSTEM(RX2+SX4) 二節 ※ 適應症請見備註欄 

'775030:455+771033:3 

6;755905:30 

SET 30400 

FBSF177303Y2 

FBSF17730NY2 

FBSF177402Y2 

FBSF177403Y2 

FBSF18082NDA 

FBSF180NP2Y2 

FBSF180NP3Y2 

FBSF1821XNDA 

FBSF1822MNM4 

FBSF1865N2M4 

FBSF1865N3M4 

FBSF1865P2M4 

FBSF1A3EHNXA 

STAINLESS O TYPE SPINAL 

SYSTEM(RX2+SX6) 三節 ※ 適應症請見備註欄 

STAINLESS SPINAL SYSTEM(RX2+SX6) 三節 


TITANIUM O TYPE SPINAL SYSTEM 二節 


TITANIUM O TYPE SPINAL SYSTEM 三節 


STANLESS TSRH SPINAL IMPLANT 二節 

(SX4+RX2)※ 適應症請見備註欄 , 頇事前審查 

ARTEST SPINAL FIXATION 

SYSTEM(SX4+RX2) 二節亞力士脊椎固定系統 


ARTEST SPINAL FIXATION 

SYSTEM(SX6+RX2) 三節亞力士脊椎固定系統 


TITANIUM ZPLATE ANTERIOR SPINAL 

SYSTEM (PLATEX1+SCREWX4)※ 適應症請見 

備註欄 , 頇事前審查 

ZPLATE II ANTERIOR FIXATION 

SYSTEM(PX1+SX4) 二節 ※ 適應症請見備註欄 

BASIS SPINAL SYSTEM TITANIUM 二節 

(SX4+RX2)( 免事前審查 ) 

BASIS SPINAL SYSTEM TITANIUM 三節 

(SX6+RX2)( 免事前審查 ) 

BASIS SPINAL SYSTEM 二節 (ATL PLATE 

SYSTEM)(PX1+SX4)※ 適應症請見備註欄 

A3 POSTERIOR TITANIUM SPINAL 

EVOLUTION 

HOOK(SCREWX2+HOOKX2+NUTX2) 

'775030:455+771033:3 

6;755905:30 

'773040:450+755905:3 

0;771071:74 

'77-4030:455+33:36; 

765905:30 

'77-4030:455+33:36; 

765905:30 

SET 44000 

SET 44000 

SET 36940 

SET 53460 


'803020:955;804020:95 

5; 

806020:955;807020:95 

5;785720:802 

'803020:955;804020:95 

5; 

806020:955;807020:95 

5;785720:802 

'821:22- 

004:013+821:22- 

115:260 

'821220:821250; 

8220028:8220046; 

8220058:8220076; 

8221028:8221046; 

822230:822260; 

822640:822650 

'8654010;8654530:755 

; 

(8650520:560;8650620 

:665; 

8650725:770;8654010 

; 自 960401 生效 ; 許可 

證 017718 號 ) 

'8654010;8654530:755 

; 

(8650520:560;8650620 

:665; 

8650725:770;8654010 

; 自 960401 生效 ; 許可 

證 017718 號 ) 

'8653005:012;8653035: 

055;8653130:160 

'NP4525:8055;NMR452 

5:8055; 

NPP4525:8055;NPR45 

25:8055; 

NEH5542:6060 

EA 36940 

EA 53460 

SET 36940 

SET 36940 

SET 16632 

SET 23868 

SET 36940 

SET 28060 



FBSF1A3N2NXA 

'NR- 

5504:5510;NP4525:805 

25:8055; 

NPR4525:8055 

A3 POSTERIOR TITANIUM SPINAL SYSTEM 5; 

二節 (RX2+SX4)※ 適應症請見備註欄 

NMR4525:8055;NPP45 

SET 36940 

FBSF1A3N3NXA 

FBSF1AAS2NXA 

FBSF1AAS8NXA 

FBSF1ALPSNT4 

FBSF1AS001AQ 

FBSF1AS002AQ 

FBSF1AS003AQ 

FBSF1AS004AQ 

FBSF1ASAT1AQ 

FBSF1ASN01AQ 

FBSF1ASN02AQ 

FBSF1ASPL1AQ 

FBSF1ASPL2AQ 

FBSF1ASPL3AQ 

FBSF1ASPL4AQ 

FBSF1ASY01AQ 

A3 POSTERIOR TITANIUM SPINAL SYSTEM 

三節 (RX2+SX6)※ 適應症請見備註欄 

'NR5504:5510;NP4525: 

8055; 

NMR4525:8055;NPP45 

25:8055; 

NPR4525:8055 

TITANIUM SPINAL SYSTEM 二節 (RX2+SX4)※ 'UP-4530:7545;UR- 


0604:0611 

TITANIUM SPINAL SYSTEM 三節 (RX2+SX6)※ 'UP-4530:7545;UR- 


0604:0611 

TITANIUM ANTERIOR ALPS 

THORACOLUMBAR LOCKING 

'1415;1445;1416; 

PLATE(PLATEX1+SCREWX4)※ 適應症請見備 1418 

註欄 

TITANIUM SPINAL OC-FIX SCREW SYSTEM 

二節 (RX2+SX4) 免術前審查 

TITANIUM SPINAL OC-FIX SCREW SYSTEM 

三節 (RX2+SX6) 免術前審查 

TITANIUM SPINAL FIXATION SYSTEM 

(SX4+RX2) 二節免事前審查 

TITANIUM SPINAL FIXATION SYSTEM 

(SX6+RX2) 三節免事前審查 

TITANIUM ANTERIOR SPINAL 

SYSTEM(PX1+SX4)※ 適應症請見備註欄 

TITANIUM SMARTLOC SPINAL 

SYSTEM(SX4+RX2) 免事前審前 

TITANIUM SMARTLOC SPINAL 

SYSTEM(SX6+RX2) 免事前審前 

'135-4030:135-8055; 

138-4030:138-8055; 

132-5050:132-5100 

'135-4030:135-8055; 

138-4030:138-8055; 

132-5050:132-5100 

'115-4030:7550;118- 

4030:7550;132- 

5050;5100 

'115-4030:7550;118- 

4030:7550;132- 

5050;5100 

'1415-70U:120U;1445- 

45U:120U ;1416- 

35U:60U;1418- 

20U:55U;1618- 

22:27;1420-25U:40U 

'131-50302:80602; 

136-50302:80602; 

134-5030F:8060F; 

132-60402:61002 

'131-50302:80602; 

136-50302:80602; 

134-5030:8060F;132- 

60402:61002 

SET 53460 

SET 36940 

SET 53460 

SET 36940 

SET 16632 

SET 23868 

EA 16632 

EA 23868 

SET 36940 

SET 16632 

SET 23868 

TITANIUM SPINAL SYSTEM 二節 (RX2+SX4)※ 



SET 36940 

TITANIUM SPINAL SYSTEM 二節 (PX2+SX4)※ 



SET 36940 

TITANIUM SPINAL SYSTEM 三節 (RX2+SX6)※ 



SET 53460 

TITANIUM SPINAL SYSTEM 三節 (PX2+SX6)※ 



SET 53460 

TITANIUM SMARTLOC SPINAL SYSTEM 二節 


'131-40308:80608; 

136-40308:80608; 

139-4030F:8060F; 

132-50402:51002 

SET 36940 



'131-40308:80608; 

FBSF1ASY02AQ 

132-50402:51002 

TITANIUM SMARTLOC SPINAL SYSTEM 三節 136-40308:80608; 


139-4030F:8060F; 

SET 53460 

FBSF1ASY03AQ 

FBSF1ASY04AQ 

SMARTLOC SPINAL SYSTEM 二節 

(RX2+SX4) ※ 適應症請見備註欄 

SMARTLOC SPINAL SYSTEM 三節 

(RX2+SX6) ※ 適應症請見備註欄 

'134-4525R:8060R; 

139-4525R:8060R; 

132-50402:51002 

'134-4525R:8060R; 

139-4525R:8060R; 

132-50402:51002 

SET 36940 

SET 53460 

FBSF1CENTAS9 

TITANIUM CENTAUR ANTERIOR SYSTEM( 二 

節 1P+4S 或 2L+4S)※ 適應症請見備註欄 


FBSF1FASSNY2 

FBSF1FPSS3Y2 

FBSF1FPSSNY2 

FBSF1JAVA2JA 

FBSF1JAVA2SJ 

FBSF1JAVA3JA 

FBSF1JAVA3SJ 

FBSF1KASRNAD 

FBSF1KAT12DP 

FBSF1KAT13DP 

STAINLESS ANTERIOR SPINAL SYSTEM 二 

節 (PLATEX1+SCREWX4)※ 適應症請見備註欄 


FBSF1AYS2NXA 

Y TYPE POSTERIOR TITANIUM SPINAL 'YP-4530:7545;YR- 

SYSTEM 二節 (RX2+SX4)( 免事前審查 ) 0605:0610 

SET 16632 

FBSF1AYS8NXA 

Y TYPE POSTERIOR TITANIUM SPINAL 'YP-4530:7545;YR- 

SYSTEM 三節 (RX2+SX6)( 免事前審查 ) 0605:0610 

SET 23868 

FBSF1CD2S2M4 

TITANIUM CD SPINAL SYSTEM 二節 '8655535:750; 

(SX4+RX2)( 免術前審查 ) 

96030L35T:50T 

SET 16632 

FBSF1CD2S3M4 

TITANIUM CD SPINAL SYSTEM 三節 '8655535:750; 

(SX6+RX2)( 免術前審查 ) 

96030L35T:50T 

SET 23868 

FBSF1CDH2TDA 

TITANIUM CD HORIZON SPINAL SYSTEM 二 

節 (SCREWX4+RODX2)※ 適應症請見備註欄 


FBSF1CDH3TDA 

TITANIUM CD HORIZON SPINAL SYSTEM 三 

節 (SCREWX6+RODX2)※ 適應症請見備註欄 


STAINLESS POSTEIOR SPINE SYSTEM 三節 

(SX6+RX2) ※ 適應症請見備註欄 


STAINLESS POSTERIOR SPINAL SYSTEM 

二節 (PLATEX2+SCREWX4+RODX3)※ 適應症 ' 按組件型號組合 SET 30400 


'(SN2023-0- 

23005:26065;; 

SN2023-0- 

TITANIUM SPINAL SYSTEM 二節 (RX2+SX4) 

33005:36075); 


(SN2023-0-03:10- 

SET 36940 

051;SN2023-0-; 

03:10-055) 

TITANIUM SHIRAZ JAVA SYSTEM( 二 

節 )(RX2+SX4)※ 適應症請見備註欄 

TITANIUM SPINAL SYSTEM 三節 (RX2+SX6) 


TITANIUM SHIRAZ JAVA SYSTEM( 三 

節 )(RX2+SX6)※ 適應症請見備註欄 

TITANIUM KANEDA SR ANTERIOR SPINAL 

SYSTEM(SX4+RX2) ※ 適應症請見備註欄 

KANEDA SR-ANTERIOR TITANIUM SPINAL 

SYSTEM 二節 


SYSTEM 三節 


'(SN2023-0- 

23005:26065; 

SN2023-0- 

33005:36075)+; 

(SN2023-0-03:10- 

051);SN2023-0- 

03:10-055) 

SET 53460 


'5210;11- 

2830:60+3210- 

2045:2150 

SET 36940 





FBSF1M2SP2Z6 

TITANIUM SPINAL SYSTEM 二節 (PX2+SX4 或 

RX2+SX4) 


FBSF1M2SP3Z6 

TITANIUM SPINAL SYSTEM 三節 (PX2+SX6 或 

RX2+SX6) 


FBSF1M3SP2Z6 

FBSF1M3SP3Z6 

TITANIUM M3 SPINAL POSTERIOR SYSTEM 

二節 (RX2+SX4)※ 適應症請見備註欄 

TITANIUM M3 SPINAL POSTERIOR SYSTEM 

三節 (RX2+SX6)※ 適應症請見備註欄 

'SP4702; 

RD045:105; 

SE5030:7045 

'SP6903; 

RD045:105; 

SE5030:7045 

SET 36940 

SET 53460 

FBSF1M8RS2M4 

TITANIUM CD HORIZON M8 SPINAL 

SYSTEM(RX2+SX4) 二節 ※ 適應症請見備註欄 

'(86944520:8575 自 940401 生 

效 );855011:012; 

859425:755;8690030:080; 

8692320:2755; 

8694520:8575 

SET 36940 

FBSF1M8RS3M4 

TITANIUM CD HORIZON M8 SPINAL 

SYSTEM(RX2+SX6) 三節 ※ 適應症請見備註欄 

'(86944520:8575 自 940401 生 

效 );855011:012; 

859425:755;8690030:080; 

8692320:2755; 

8694520:8575 

SET 53460 

FBSF1MES2NZ6 

FBSF1MES3NZ6 

FBSF1RF002RX 

FBSF1RF003RX 

FBSF1SA1S2Y2 

FBSF1SA1T2Y2 

FBSF1SA2S2Y2 

FBSF1SA2T2Y2 

FBSF1SW200AE 

FBSF1SW300AE 

TITANIUM SPINAL SYSTEM 二節 (RODX2 或 

PLATEX2+SCREWX4)※ 適應症請見備註欄 

TITANIUM SPINAL SYSTEM 三節 (RODX2 或 

PLATEX2+SCREWX6)※ 適應症請見備註欄 

RF SPINAL SYSTEM 二節 (SX4+RX2)( 免事前審 

查 ) 

RF SPINAL SYSTEM 三節 (SX6+RX2)( 免事前審 

查 ) 

STAINLESS UNIVERSAL ANTERIOR SPINAL 

FIXATION SYSTEM(SX4+PX1)※ 適應症請見 

備註欄 

TITANIUM UNIVERSAL ANTERIOR SPINAL 

FIXATION SYSTEM(SX4+PX1)※ 適應症請見 

備註欄 

STAINLESS UNIVERSAL ANTERIOR SPINAL 

FIXATION SYSTEM(SX4+BLOCKX2+RODX2) 


TITANIUM UNIVERSAL ANTERIOR SPINAL 

FIXATION SYSTEM(SX4+BLOCKX2+RODX2) 


TITANIUM S4 SPINE SYSTEM 二節 (SX4+RX2) 


TITANIUM S4 SPINE SYSTEM 三節 (SX6+RX2) 


'TP4702+TR045:105+P 

S5030:7045;(PS7050 

自 970701 生效 ) 

'TP6903+TR045:105+P 

S5030:7045;(PS7050 

自 970701 生效 ) 

'1105- 

6040;6245;6550; 

1107- 

6040;6245;6550; 

1600-5504:5510 

'1105- 

6040;6245;6550; 

1107- 

6040;6245;6550; 

1600-5504:5510 

SET 36940 

SET 53460 

SET 16632 

SET 23868 





'SW701T:SW799T;SW 

790T; 

SW664T:SW666T;SW 

674T:SW682T 

'SW701T:SW799T;SW 

790T; 

SW664T:SW666T;SW 

674T:SW682T 

SET 36940 

SET 53460 



FBSF1SW60NAE 

TITANIUM JBS SPINE SYSTEM 二節 

(SCREWX4+RODX2)※ 適應症請見備註欄 


FBSF1SW80NAE 

TITANIUM JBS SPINE SYSTEM 三節 

(SCREWX6+RODX2)※ 適應症請見備註欄 


FBSF1SX002AE 

FBSF1SX003AE 

FBSF1T2552DP 

FBSF1T3553DP 

FBSF1TS002JA 

FBSF1TS002SJ 

FBSF1TS003JA 

FBSF1TS003SJ 

FBSF1VSP2NAD 

FBSF1VSP2TAD 

FBSF1VSP3NAD 

FBSF1VSP3TAD 

TITANIUM SPINE SYSTEM EVOLUTION 二節 

(SCREWX4+LODX2)(96 年 10 月 1 日起免事前審 

查 ) 

TITANIUM SPINE SYSTEM EVOLUTION 三節 

(SCREWX6+LODX2)(96 年 10 月 1 日起免事前審 

查 ) 

M-M TITANIUM SPINAL SYSTEM( 二節 ) ※ 適 


M-M TITANIUM SPINAL SYSTEM( 三節 ) ※ 適 


TITANIUM SPINAL SYSTEM 二節 


TITANIUM SHIRAZ JAVA SYSTEM ( 免事前審 

查 ) 二節 

TITANIUM SPINAL SYSTEM 三節 


TITANIUM SHIRAZ JAVA SYSTEM( 免事前審 

查 ) 三節 

STANLESS VSP SPINAL SET 二節 

(SCREWX4+PLATEX1) ※ 適應症請見備註欄 , 


TITANIUM VSP SPINAL SYSTEM 二節 ※ 適應 


STANLESS VSP SPINAL SET 三節 

(SCREWX6+PLATEX1) ※ 適應症請見備註欄 , 


TITANIUM VSP SPINAL SYSTEM 三節 ※ 適應 


' 按產品型號組合 ; 

(SX070T:SX895T;SX7 

04T:SX720T; 

SX104T:SX120T;SX77 

0T:SX780T; 

SX170T:SX180T) 

' 按產品型號組合 ; 

(SX070T:SX895T;SX7 

04T:SX720T; 

SX104T:SX120T;SX77 

0T:SX780T; 

SX170T:SX180T) 

SET 16632 

SET 23868 



'(SN2036-0- 

23005:26075; 

SN3036-0- 

23005:26075)+; 

(SN2023-0-03:10-050) 

'SN2023-0-04031:10031; 

SN2023-0-04061:10061; 

SN2024-0-05505:06008; 

SN2024-0-13005:16008 

'(SN2036-0- 

23005:26075; 

SN3036-0- 

23005:26075)+; 

(SN2023-0-03:10-050) 

'SN2023-0- 

04031:10031; 

SN2023-0- 

04061:10061; 

SN2024-0- 

05505:06008; 

SN2024-0- 

13005:16008 

'2026- 

2216:3350+2025-01:05 

'2223:26-2226:3550; 

2225-1A:3.5A 

'2026- 

2216:3350+2025-01:05 

'2223:26-2226:3550; 

2225-1A:3.5A 

SET 16632 

SET 16632 

SET 23868 

SET 23868 

SET 30400 

SET 36940 

SET 44000 

SET 53460 



FBSF1X200NS9 

XIA TITANIUM SPINAL IMPLANTS 二節 

(SX4+RX2)(03820425:860,03821425:760 自 


'0380- 

0425:1760+0380- 

2040:2100;(980101 起 

變更為 03820425:860; 

03821425:760; 

03802070:03802100) 

SET 36940 

FBSF1X300NS9 

XIA TITANIUM SPINAL IMPLANTS 三節 

(SX6+RX2)(03820425:860,03821425:760 自 


'0380-0425:1760+0380- 

2040:2100;(980101 起變更 

為 03820425:860; 

03821425:760; 

03802070:03802100) 

SET 53460 

FBSF200002ZV 

VIMAX SPINAL ROD 40:100MM ※ 適應症請見 

備註欄 

'132-6040:6100 EA 1950 

FBSF200004ZV 

VIMAX SPINAL ROD 110:450MM ※ 適應症請 

見備註欄 

'132-6110:6450 EA 4470 

FBSF200012ZV 

VIM SPINAL ROD、PLATE 40:100MM、35MM '132-5504:5510;174- 


1335:1345 

EA 1950 

FBSF200014ZV 

VIM SPINAL ROD 110:300MM ※ 適應症請見備 

'132-5511:5530 

註欄 

EA 4470 

FBSF200022ZV VIMAX SPINAL ROD 40:100MM 免事前審查 '132-6004:6010 EA 1080 

FBSF200024ZV VIMAX SPINAL ROD 110:150MM 免事前審查 '134-6011:6015 EA 2484 

FBSF20021TUA 

FBSF20022TUA 

FBSF20572NDP 

FBSF20574NDP 

FBSF20808NDA 

FBSF2080TMDA 

FBSF2081TMDA 

FBSF2087XNDA 

FBSF210001TT 

FBSF210002TT 

FBSF210B2NZ6 

FBSF210B5NZ6 

FBSF21316NT4 

FBSF21326NT4 

FBSF21600LTD 

FBSF21600STD 

FBSF22040NS9 

TITANIUM OPTIMA SPINAL ROD 40:100MM 


'SG1604:1610 EA 1950 

TITANIUM OPTIMA SPINAL ROD 120:600MM 


'SG1612:1660 EA 4470 

M-M TITANIUM ROD 30CM,48CM※ 適應症請 

見備註欄 

'1755-70:72 EA 4470 

M-M TITANIUM ROD 12CM※ 適應症請見備註 

欄 

'1755-74 EA 1950 

STANLESS TSRH SPINAL IMPLANT SYSTEM 

'808-083:87 

ROD 51CM ※ 適應症請見備註欄 

EA 3680 

TITANIUM TSRH SPINAL ROD( 短節 ) ※ 適應 


'828-704:710;804:810 EA 1950 

TITANIUM TSRH SPINAL ROD( 長節 ) ※ 適應 '828-083:087; 


712:722;812:822 

EA 4470 


'808-712:20;734:750 EA 3680 

ROD 12:20CM ※ 適應症請見備註欄 

TITANIUM SPINAL ROD 50:100MM( 免事前審 

查 ) 

'132-5040:5100 EA 1080 

TITANIUM SPINAL ROD 110MM:450MM( 免事 

前審查 ) 

'132-5110:5450 EA 2484 

TITANIUM SPINAL ROD 4.5:10.5CM※ 適應症 


'TR45:TR105 EA 1950 

TITANIUM SPINAL ROD 12.5:20CM※ 適應症 


'TR125:TR200 EA 4470 

TITANIUM TRIFIX SPINAL ROD OR PLATE ※ '131:32-0020:5100; 


163;174-XXXX 

EA 1950 

TITANIUM TRIFIX SPINAL ROD ※ 適應症請見 

備註欄 , 頇事前審查 

'132-5100:5300 EA 4470 

TITANIUM TREND SPINAL ROD 110:300MM 


'1600-6011:6030 EA 4470 

TITANIUM TREND SPINAL ROD※ 適應症請見 

備註欄 

'1600-6004:6010 EA 1950 

XIA TITANIUM SPINAL ROD 40:60MM( 免事前 

審查 ) 

'03802040:03802060 EA 1080 



FBSF22110NS9 

XIA TITANIUM SPINAL ROD 110:350MM( 免事 

前審查 ) 

'03802110:03802350 EA 2484 

FBSF232102DP 


ROD 

'3210-2045:3210-2150 EA 1080 

FBSF248147S9 

XIA TITANIUM SPINAL ROD 40:100MM( 短節 ) '48133030;40;50;60;70; 


80;90;100 

EA 1950 

FBSF248148S9 

XIA TITANIUM SPINAL ROD 110:600MM ( 長 

節 ) ※ 適應症請見備註欄 

'48133200;48133480 EA 4470 

FBSF24981NS1 

TITANIUM UNIVERSAL SPINAL ROD ※ 適應 '498.102:103; 

症請見備註欄 , 應事前審查 

498.150:151 

EA 1950 

FBSF2498XNS1 

TITANIUM UNIVERSAL SPINAL ROD LONG '498.104:119; 

※ 適應症請見備註欄 , 應事前審查 

498.152:154 

EA 4470 

FBSF250001DP STAINLESS ANTERIOR ISOLA SPINAL ROD '5000-1018:1528 EA 1000 

FBSF254040B0 

TITANIUM SPINAL ROD 40MM:110MM( 短節 ) 


'100-5540:42 EA 1950 

FBSF254047B0 

TITANIUM SPINAL ROD 120MM:250MM( 長節 ) 

'100-5543:46 


EA 4470 

FBSF26051NB0 

TITANIUM SPINAL PLATE※ 適應症請見備註 

欄 

'110-6051 EA 1950 

FBSF26504NDX 

FBSF26511NDX 

FBSF26702NDX 

FBSF26710NDX 

FBSF26711NDX 

FBSF26714NS9 

FBSF275001Z1 

FBSF27500NZ1 

FBSF275011Z1 

FBSF27501NZ1 

FBSF2751NNY2 

FBSF275590Y2 

FBSF27559NY2 

FBSF276590Y2 

FBSF27659NY2 

FBSF277004Y2 

FBSF277006Y2 

FBSF277011Y2 

TITANIUM DIAPASON SPINAL ROD 

40:100MM ※ 適應症請見備註欄 , 頇事前審查 

'665040:665100 EA 1950 

TITANIUM DIAPASON SPINAL ROD 11:40CM 

※ 適應症請見備註欄 , 頇事前審查 

'665110:665400 EA 4470 

OPUS SPINAL FIXATION PLATE ※ 適應症請 

見備註欄 

'670221:670223 EA 1950 

OPUS SPINAL FIXATION ROD 40:100MM ※ 


'671040:671100 EA 1950 

OPUS SPINAL FIXATION ROD 110:400MM ※ 


'6711100:671400 EA 4470 

TITANIUM OPUS SPINAL FIXATION ROD( 免 

事前審查 ) 

'671410:671600 EA 2484 

SILHOUETTE SPINAL FIXATION SYSTEM- 

ROD 20,47CM※ 適應症請見備註欄 

'7500-5602:5603-00 EA 4470 


ROD 10CM※ 適應症請見備註欄 

'7500-5601-00 EA 1950 


ROD 20,47,50CM 免事前審查 

'7500-5520:5550-00 EA 2484 


ROD 10CM 免事前審查 

'7500-5510-00 EA 1080 

STAINLESS SPINE ROD 120:300MM※ 適應症 


'751012:30 EA 3680 

STAINLESS SPINAL ROD 5:10CM※ 適應症請 

見備註欄 

'755905:910 EA 1600 

STAINLESS SPINAL ROD 12:30CM※ 適應症 


'755912:930 EA 3680 

TITANIUM SPINAL ROD 5:10CM※ 適應症請見 

備註欄 

'765905:910 EA 1950 

TITANIUM SPINAL ROD 12:30CM※ 適應症請 

見備註欄 

'765912:930 EA 4470 

TITANIUM SPINAL ROD 6X50:100MM 短節 ( 免 

術前審查 ) 

TITANIUM SPINAL ROD 短節 ※ 適應症請見備 

註欄 

TITANIUM SPINAL ROD 6X110:300MM 長節 

固定四節以上 ( 免術前審查 ) 

'770004:10; 

770704:10;770804:10 

EA 1080 

'770033:36 EA 1950 

'770011:30; 

770711:30;770811:30 

EA 2484 



FBSF277071Y2 

TITANIUM SPINAL FIXATION PLATE 


'770071:74 EA 1950 

FBSF277104Y2 

FBSF277106Y2 

FBSF277111Y2 

STAINLESS SPINAL ROD 4:10CM 短節 ( 免術前 

審查 ) 

STAINLESS SPINAL ROD 短節 ※ 適應症請見備 

註欄 

STAINLESS SPINAL ROD 11:30CM 長節 ( 免術 

前審查 ) 

'771004:10; 

771704:10;771804:10 

EA 1000 

'771033:36 EA 1600 

'771011:30; 

771711:30;771811:30 

EA 1000 

FBSF277171Y2 

STAINLESS SPINAL FIXATION PLATE 


'771071:74 EA 1600 

FBSF2785NLY2 

ARTEST SPINAL FIXATION SYSTEM:ROD 

115:450MM 亞力士脊椎固定系統長節連接管 ※ '785803:810 EA 4470 


FBSF2785NSY2 

ARTEST SPINAL FIXATION SYSTEM:ROD 

20:110MM 亞力士脊椎固定系統短節連接管 ※ '785720:802 EA 1950 


FBSF28280NM4 

TITANIUM SPINAL ROD 51CM※ 適應症請見備 

'828-089;828-090 

註欄 

EA 4470 

FBSF2855LTDA 

TITANIUM CD HORIZON SPINAL ROD( 長節 ) '855712:855720; 


855011 

EA 4470 

FBSF2855STDA TITANIUM CD HORIZON SPINAL ROD( 短節 ) 


'855704:855710 EA 1950 

FBSF286540M4 

BASIS SPINAL TITANIUM ROD 51CM( 免事前 

審查 ) 

'8654010 EA 1080 

FBSF2A3R1NXA 

A3 POSTERIOR TITANIUM SPINAL ROD 

4:10CM※ 適應症請見備註欄 

'NR-5504:5510 EA 1950 

FBSF2A3R2NXA 

A3 POSTERIOR TITANIUM SPINAL ROD 

11:50CM ※ 適應症請見備註欄 

'NR-5511:5550 EA 4470 

FBSF2AS001AQ TITANIUM SPINAL ROD 5:10CM 免術前審查 '132-5050;132-5100 EA 1080 

FBSF2ASLP1AQ 

TITANIUM SPINAL PLATE※ 適應症請見備註 

欄 

'174-1235:1335;- 

1240:1355;174-1270:1311;- 

2535:1835 ;174- 

1535:1455;-2570:1811 ; 

174-2540:1855;-1635:1755; 

174-3530:75 

EA 1950 

FBSF2ASLR1AQ 

TITANIUM SPINAL ROD 20:90MM※ 適應症請 

見備註欄 

'132-0430:0460;163-0300; 

132-5040;132-5060:5090; 

163-00302:0050A;163- 

0030:0050;163- 

03002:0300A 

EA 1950 

FBSF2ASLR2AQ 

TITANIUM SPINAL ROD 110:450MM※ 適應症 


'132-5110:5450 EA 4470 

FBSF2ASNR1AQ 

TITANIUM SMARTLOC SPINAL ROD 

40:100MM 免事前審前 

'132-60402:61002 EA 1080 

FBSF2ASNR2AQ 

TITANIUM SMARTLOC SPINAL ROD 

110:450MM 免事前審前 

'132-61102:64502 EA 2484 

FBSF2ASYR1AQ 

TITANIUM SMARTLOC SPINAL ROOD 


'132-50402:51002 EA 1950 

FBSF2ASYR2AQ 

TITANIUM SMARTLOC SPINAL ROOD 


'132-51102:54802 EA 4470 

FBSF2M2SRNZ6 TITANIUM SPINAL ROD 4.5:10.5CM 'SR045:105 EA 1080 

FBSF2M3LRDZ6 

TITANIUM M3 SPINAL POSTERIOR ROD 


'RD125:RD300 EA 4470 

FBSF2M3SRDZ6 

TITANIUM M3 SPINAL POSTERIOR ROD 


'RD045:RD105 EA 1950 



FBSF2PR040B0 

TITANIUM SPINAL ROD 40MM:100MM 免事前 

審查 

'PR40:PR100 EA 1080 

FBSF2PR041B0 

TITANIUM SPINAL ROD 110MM:450MM 免事 

前審查 

'PR110:PR450 EA 2484 

FBSF2R063NXA 

TITANIUM SPINAL ROD 4:11CM※ 適應症請見 

備註欄 

'UR-0604:0611 EA 1950 

FBSF2R068NXA 

TITANIUM SPINAL ROD 13:40CM※ 適應症請 

見備註欄 

'UR-0613:0640 EA 4470 

FBSF2R8550M4 

TITANIUM CD HORIZON M8 SPINAL ROD 

20"( 免術前審查 ) 

'855011 EA 2484 

FBSF2R855LM4 

TITANIUM CD HORIZON M8 SPINAL ROD 長 

節 50.4CM※ 適應症請見備註欄 

'855012 EA 4470 

FBSF2R869SM4 

TITANIUM CD HORIZON M8 SPINAL ROD 短 

節 3CM,8CM※ 適應症請見備註欄 

'8690030:080 EA 1950 

FBSF2RADLTAD 

TITANIUM ISOLA SPINAL ROD 10:46CM ※ 適 


'5200-1518 EA 4470 

FBSF2RADNNAD STANLESS ISOLA SPINAL ROD ISOLA 脊椎 '5000-1018:2024; 

固定桿 ※ 適應症請見備註欄 

5000-40:46 

EA 3680 

FBSF2RADSTAD 

TITANIUM ISOLA SPINAL ROD 4:10CM ※ 適 


'5200-1518 EA 1950 

FBSF2RF00LRX RF SPINAL ROD 110:150MM( 免事前審查 ) '1600-5511:5515 EA 2484 

FBSF2RF00SRX RF SPINAL ROD 40:100MM( 免事前審查 ) '1600-5504:5510 EA 1080 

FBSF2RY63NXA 

Y TYPE POSTERIOR TITANIUM SPINAL ROD 

'YR-0605:0610 

5:10CM( 免事前審查 ) 

EA 1080 

FBSF2RY68NXA 

Y TYPE POSTERIOR TITANIUM SPINAL ROD 

'YR-0612:0640 

12:40CM( 免事前審查 ) 

EA 2484 

FBSF2SR125Z6 

TITANIUM SPINAL ROD 125MM:200MM( 免事 'SR125;SR150; 

前審查 ) 

SR200 

EA 2484 

FBSF2SW03NAE 

TITANIUM SPINAL ROD 50:220MM※ 適應症 'SW031T:039T; 


091T:099T 

EA 1950 

FBSF2SW04NAE 

TITANIUM SPINAL ROD 250:600MM※ 適應症 'SW040T:048T; 


100T:108T 

EA 4470 

FBSF2SW35NAE 

TITANIUM S4 SPINE SYSTEM:ROD 'SW664T:SW666T;SW 

35MM:120MM※ 適應症請見備註欄 

674T:SW682T 

EA 1950 

FBSF2SW50NAE 

TITANIUM S4 SPINE SYSTEM:ROD 


'SW667T:SW672T EA 4470 

FBSF2SX10NAE TITANIUM SPINE ROD 40-200MM (96 年 10 月 1 'SX104T:120T; 

日起免事前審查 ) 

SX704T:720T 

EA 1080 

FBSF2SX12NAE 

TITANIUM SPINE ROD 250-500MM (96 年 10 月 'SX125T:150T; 

1 日起免事前審查 ) 

SX725T:750T 

EA 2484 

FBSF2T1FRMCM TI-FRAME TITANIUM( 後頸椎固定架 )※ 適應症 '46-4061:4079(46-4072 


除外 ) 

EA 7607 

FBSF2TL01TJA 

FBSF2TL01TSJ 

FBSF2TL02TJA 

FBSF2TL02TSJ 

FBSF2TS01TJA 

FBSF2TS01TSJ 



TITANIUM SHIRAZ JAVA ROD 40-100MM※ 適 




TITANIUM SHIRAZ JAVA ROD 120-200MM※ 


TITANIUM SPINAL ROD 30:100MM( 免事前審 

查 ) 

TITANIUM SHIRAZ JAVA ROD 40:120MM( 免 


'SN2023-0-03:10-051; 

SN2023-0-03:10-055 

'SN2023-0- 

04030:10030 

'SN2023-0- 

12;16;20;30; 

40;50;60;70;80055 

'SN2023-0- 

12030:10060 

EA 1950 

EA 1950 

EA 4470 

EA 4470 

'SN2023-0-03:10-050 EA 1080 

'SN2023-0- 

04031:10031; 

SN2023-0- 

04061:10061 

EA 1080 


FBSF2X211NS9 

FBSF300003ZV 

FBSF300013ZV 

XIA TITANIUM SPINAL ROD 360:600MM※ 適 


VIMAX SPINAL HOOK ※ 適應症請見備註欄 

VIM SPINAL HOOK ※ 適應症請見備註欄 

'0380-2110:2600; 

(980101 起變更為 ; 

03802360:03802600) 


FBSF2TS02TJA 

TITANIUM SPINAL ROD 120-200MM( 免事前審 '20050;SN2023-0- 

查 ) 

12050;16050 

EA 2484 

FBSF2X204NS9 

'0380-2040:2100; 

XIA TITANIUM SPINAL ROD 70:100MM※ 適應 

(980101 起變更為 ; 


03802070:03802100) 

EA 1950 

'156-2004:2015;156- 

2109:2112 

'156-3004:3015;156- 

1109;1212 

EA 4470 

EA 5375 

EA 5375 

FBSF301020B0 TITANIUM SPINAL HOOK※ 適應症請見備註欄 '160-1020 EA 5375 

FBSF30559NDP M-M TITANIUM HOOK※ 適應症請見備註欄 '1755-50:59 EA 5375 

FBSF3080TMDA 

TITANIUM TSRH SPINAL HOOK ※ 適應症請 

見備註欄 

'828-010:035;101:118 EA 5375 

FBSF308XXNDA 

STANLESS TSRH SPINAL IMPLANT SYSTEM '808-110:118; 

HOOK ※ 適應症請見備註欄 

010:035;603:613 

EA 4424 

FBSF3140XNTD 

TITANIUM TREND SPINAL HOOK※ '1405-0108;0209;1406- 

適應症請 

0104;0206; 

見備註欄 

0309;0412;0515;0617 

EA 5375 

FBSF31560NT4 

TITANIUM TRIFIX SPINAL HOOK ※ 適應症請 


'156-0104:1212 EA 5375 

FBSF34251NS2 

TITANIUM HALIFAX PLUS INTERLAMINAR 

CLAMP 

'45042511:2561 EA 5000 

FBSF348150S9 

XIA TITANIUM SPINAL HOOK ※ 適應症請見備 

'48130201:48130221 

註欄 

EA 5375 

FBSF34983NS1 

TITANIUM UNIVERSAL SPINAL HOOK ※ 適應 

'498.310:383 

症請見備註欄 , 頇事前審查 

EA 5375 

FBSF35911NDX 

TITANIUM DIAPASON SPINAL HOOK ※ 適應 

'659113:659301 EA 5375 

FBSF36132NY2 

FBSF37410NZ1 

FBSF375504Y2 

症請見備註欄 , 頇事前審查 

TITANIUM CERVICAL CLAMP( 配合 

FBSF46132NY2 使用 ) 


HOOK※ 適應症請見備註欄 

STAINLESS SPINAL HOOK※ 適應症請見備註 

欄 

'613201:206 EA 4110 

'7400;7430;7450;7455; 

7460;7470-; 

0108:0110-00; 

7410;7490-0106:0110- 

00;7420-0106:0210- 

00;7440-0108:0210- 

00 

'755004;755005; 

755006 

EA 5375 

EA 4424 

FBSF376504Y2 TITANIUM SPINAL HOOK※ 適應症請見備註欄 '765004:765006 EA 5375 

FBSF377041Y2 TITANIUM SPINAL HOOK( 免術前審查 ) '770041;43:46 EA 2420 

FBSF377141Y2 STAINLESS SPINAL HOOK( 免術前審查 ) '771041:46 EA 2241 

FBSF386520M4 BASIS SPINAL TITANIUM HOOK( 免事前審查 ) '8652001:8652003 EA 2420 

FBSF3961TMDA 

TITANIUM CD HORIZON SPINAL HOOK ※ 適 


'84101:190; 

96101:190 

EA 5375 


FBSF39970TDP 

FBSF3A3H1NXA 

TITANIUM ISOLA SPINAL SYSTEM HOOK※ 


A3 POSTERIOR TITANIUM SPINAL HOOK ※ 


'NPH0804:0809;NTH12 

07:1211; 

NLH0504:0711;NHL07 

09:0711; 

NHR0709:0711 

EA 5375 

EA 5375 

FBSF3ASLH1AQ TITANIUM SPINAL HOOK※ 適應症請見備註欄 ' 按組件型號組合 EA 5375 

FBSF3ASYH1AQ 

FBSF3H212NXA 

FBSF3H8415M4 

FBSF3H859PM4 

FBSF3H859SM4 

FBSF3H869RM4 

FBSF3HAAKNAD 

FBSF3HAAKTAD 

TITANIUM SMARTLOC SPINAL HOOK※ 適應 


'156-05042:07112; 

156-18042:18092; 

156-27092;27112; 

156-37092;37112 

EA 5375 

TITANIUM SPINAL PEDICLE HOOK※ 適應症 


'UH11227;UH21221 EA 5375 

TITANIUM CD REDUCTION SCREW 

CONNECTOR HOOK( 免術前審查 ) 

'84154T EA 2420 

TITANIUM CDH M8 PEDIATRIC HOOK※ 適應 


'859002:052 EA 5375 

TITANIUM CD HORIZON M8 SPINAL HOOK※ 

'859102:162 


EA 5375 

TITANIUM CDH M8 REDUCTION SPINAL 

HOOK※ 適應症請見備註欄 

'8692102:152 EA 5375 

STANLESS ISOLA SPINAL HOOK 鉤 ※ 適應症 


'5000-80:235 EA 4424 

TITANIUM ISOLA SPINAL HOOK ※ 適應症請 '5200-95:235; 

見備註欄 

205:235A:05-S 

EA 5375 

FBSF3HK01NZ6 TITANIUM SPINAL HOOK※ 適應症請見備註欄 'HK01:HK04 EA 5375 

FBSF3HY12NXA 

FBSF3M3SHKZ6 

Y TYPE POSTERIOR TITANIUM SPINAL 

HOOK( 免事前審查 ) 

TITANIUM M3 SPINAL POSTERIOR HOOK※ 


'YH11227;YH21221 EA 2420 

'PH01:PH04 EA 5375 

FBSF3SW35NAE TITANIUM SPINAL HOOK※ 適應症請見備註欄 'SW350T:645T EA 5375 

FBSF3SX30NAE TITANIUM SPINE HOOK※ 適應症請見備註欄 'SX304T:398T EA 5375 

FBSF400004ZV VIMAX SPINAL SCREW ※ 適應症請見備註欄 '124-4530:7045 EA 8260 


'2053-26;32;5000- 

293:440;5003- 

80:445;5003- 

FBSF39970SDP 

3430:50;7000- 

STAINLESS ISOLA SPINAL SYSTEM HOOK 

732:739;5003-88:134- 


R;L;5003-81S:220- 

S;L;5003- 

116M;126M;5000- 

293B 

EA 4424 

'5200-293:445;5203- 

80:445;5203-104:134- 

R;L 

FBSF400014ZV VIM SPINAL SCREW ※ 適應症請見備註欄 

'111-6040:6550;112- 

5535:7045 

EA 8260 

FBSF400024ZV VIMAX SPINAL SCREW 免事前審查 '106-5035:7045 EA 3618 

FBSF40041TUA 

'SM4025:8055; 

TITANIUM OPTIMA SPINAL SCREW※ 適應症 

SPA5030:8055; 


SPA6135:7155 

EA 8260 



'PS5030:7045;SC6040: 

TITANIUM SPINAL SCREW※ 適應症請見備註 6550; 

FBSF4010RNZ6 

EA 8260 

欄 

(PS7050;SC7050 自 

970701 生效 ) 

TITANIUM HALIFAX PLUS INTERLAMINAR 

FBSF40425NS2 

'45042571:2591 EA 2460 

SCREW 

FBSF40536NDP M-M TITANIUM SCREW MONO( 型號 1755- '1755-01:13;1755- 

29125:29155 自 92/1/1 生效 )※ 適應症請見備註欄 30:36 

EA 8260 

FBSF40543NDP M-M TITANIUM SCREW POLY( 型號 1755- '1755-14:25;1755- 

37125:37155 自 92/1/1 生效 )※ 適應症請見備註欄 38:43 

EA 8260 

FBSF4080TMDA 

TITANIUM TSRH SPINAL SCREW ※ 適應症請 

見備註欄 

'828-755:960 EA 8260 

FBSF408XXNDA 


'808-780:960;225:460 

SCREW ※ 適應症請見備註欄 

EA 6800 

FBSF409099DP 

TITANIUM MOSS MIAMI SPINAL SCREW※ 適 

'1755-36-420:480 


EA 8260 

FBSF410001TT TITANIUM SPINAL SCREW( 免事前審查 ) 

'115-4030:7550;118- 

4030:7550 

EA 3618 

'1101- 

6040;6245;6550; 

1102- 

FBSF4110XNTD 

TITANIUM TREND SPINAL SCREW※ 6040;6245;6550; 

適應症 

1106- 


6040;6245;6550; 

1104- 

6022;6025;6030;6035 

;6040;6045 

EA 8260 

FBSF41112NT4 

FBSF41300NB0 

FBSF42026NAD 

FBSF42236NAD 

FBSF448146S9 

FBSF44985NS1 

FBSF44988NS1 

FBSF450000DP 

TITANIUM TRIFIX SPINAL FIXATION SCREW 


TITANIUM SPINAL FIXATION SYSTEM: 

SCREW 脊椎固定螺絲 ※ 適應症請見備註欄 

'111:113-5535:7045; 

120-0035:45 

'130-5030:6250;130- 

6530;6535; 

6540;6545;6550 

EA 8260 

EA 8260 

STANLESS VSP SINAL SCREW ※ 適應症請見 

'2026-2216:3550 EA 6800 

備註欄 , 應事前審查經本局同意後使用 

TITANIUM PEDICLE SCREW ※ 適應症請見備 

'2223:26-2435:3550 EA 8260 

註欄 

XIA TITANIUM SPINAL SCREW ※ 適應症請見 

備註欄 

TITANIUM UNIVERSAL SPINAL SCREW ※ 適 


TITANIUM CLICK'X SPINAL SCREW※ 適應症 


STAINLESS ANTERIOR ISOLA SPINAL 

SCREW 

'(4814- 

4525:70;5025:70;5525: 

70;6530:70);(4813- 

4525:45;5025:50; 

5525:55;6530:60) 

'498.68:78; 

(497;498.425:555; 自 

90/04/01 生效 ); 

(496.680:780;498.530: 

760; 

498.530:555;498.630:7 

60; 自 960101 生效 ) 

'498.510:517; 

80:87+498.571+570; 

(498.510:517;580:587 

;498.571;570 自 

960101 生效 ) 

EA 8260 

EA 8260 

EA 8260 

'5000:5011-2825:3245 EA 3350 



FBSF452102DP 


SCREW 

'5210-2830:5210-2860 EA 3618 

FBSF455030B0 TITANIUM SPINAL SCREW( 免事前審查 ) 

'150-5030:39;170- 

5030:39 

EA 3618 

FBSF46121NY2 STAINLESS CERVICAL SCREW 17:24MM '612117:124 EA 188 

FBSF461221Y2 

STAINLESS SPINAL RESCUABLE 

SCREW(FBSF46121NY2 失敗時用 , 配合 '612217:24 EA 188 

FBSF661202Y2 用 ) 

FBSF461321Y2 

TITANIUM SPINAL RESCUABLE 

SCREW(FBSF66131NY2 失敗時用 , 配合 '613217:24 EA 194 

FBSF661302Y2 用 ) 

FBSF46132NY2 

TITANIUM CERVICAL SCREW( 配合 

FBSF36132NY2 使用 ) 

'613211:213 EA 2400 

FBSF46400NDX 

TITANIUM DIAPASON SPINAL SCREW 型號 

'664000:664311; 

48485030:9060,XL 自 90/07/01 生效 ※ 適應症請 

48485030:9060;XL 

見備註欄 

EA 8260 

FBSF46700NDX 

OPUS SPINAL FIXATION SCREW ※ 適應症請 

見備註欄 

'670001:670385 EA 8260 

FBSF4670BNS9 

TITANIUM OPUS SPINAL FIXATION 

SCREW( 免事前審查 ) 

'670000B:670386B EA 3618 

FBSF471201Z1 


'7120-4525:8560-00 EA 3618 

FBSF47120NZ1 

FBSF471545B0 

FBSF4751NNY2 

FBSF4755NNY2 

SCREW 免事前審查 



TITANIUM SPINAL SCREW( 型號含 120- 

6035:45)※ 適應症請見備註欄 

STAINLESS SPINE PEDICLE SCREW※ 適應 


STAINLESS SPINAL SCREW※ 適應症請見備 

註欄 

'7220-4525:8560-00 EA 8260 

'110-6052;0615:45; 

7015:45;( 型號 130- 

5030;6250;6530;6535 

;6540;6545;6550 自 

960101 生效 ;; 自 

961001 起另編列代碼 ) 

'751-930:45;030; 

135;235:50 

'755030:755650; 

756030:756650 

EA 8260 

EA 6800 

EA 6800 

FBSF4759NNY2 STAINLESS PEDICLE SCREW 4.5:8,30:55MM '759130:855 EA 2180 

FBSF4765NNY2 

FBSF4769NNY2 

FBSF4770NNY2 

FBSF4771NNY2 

FBSF477253Y2 

FBSF4772NNY2 

FBSF477353Y2 

FBSF4773NNY2 

FBSF4774NNY2 

FBSF4775NNY2 

TITANIUM SPINAL SCREW※ 適應症請見備註 '765030:650; 

EA 8260 

欄 

766030:650 

TITANIUM SPINAL PEDICLE SCREW 

'769130:855 EA 3618 

4.5:8,30:55MM 

TITANIUM SPINAL PEDICLE SCREW( 免術前 

'770130:655 EA 3618 

審查 ) 

STAINLESS SPINAL PEDICLE SCREW( 免術 

'771130:655 EA 3350 

前審查 ) 

TITANIUM SPINAL OSTEOPOROTIC 

'772530:950 EA 3618 

SCREW( 免術前審查 ) 

TITANIUM SPINAL SCREW ※ 適應症請見備註 

'772040:450 EA 8260 

欄 

STAINLESS SPINAL OSTEOPOROTIC 

'773530:950 EA 3350 

SCREW( 免術前審查 ) 

STAINLESS SPINAL SCREW ※ 適應症請見備 

'773040:450 EA 6800 

註欄 

TITANIUM O TYPE SPINAL FIXATION 

'774030:455 EA 8260 


STAINLESS O TYPE SPINAL SCREW※ 適應 

'775030:455 EA 6800 




FBSF4780NNY2 

ARTEST SPINAL FIXATION SYSTEM: 

TITANIUM SPINAL PEDICLE SCREW( 免事前 '780020:780955 EA 3618 

審查 ) 

FBSF4781NNY2 


TITANIUM SPINAL POLYAXIAL PEDICLE '781020:781955 EA 3618 


FBSF4790NNY2 


TITANIUM SPINAL CANNULATED PEDICLE '790020:790955 EA 3618 


FBSF4791NNY2 


TITANIUM SPINAL CANNULATED 

'791020:791955 EA 3618 

POLYAXIAL PEDICLE SCREW( 免事前審查 ) 

FBSF4803NNY2 


PEDICLE SCREW 亞力士脊椎固定系統 : 骨釘 '803020:955 EA 8260 


FBSF4804NNY2 


CANNULATED PEDICLE SCREW 亞力士脊椎 '804020:955 EA 8260 

固定系統 : 骨釘 ※ 適應症請見備註欄 

FBSF4806NNY2 


POLYAXIAL PEDICLE SCREW 亞力士脊椎固 '806020:955 EA 8260 

定系統 : 骨釘 ※ 適應症請見備註欄 

FBSF4807NNY2 


CANNULATED POLYAXIAL PEDICLE 

SCREW 亞力士脊椎固定系統骨釘 ※ 適應症請 

見備註欄 

'807020:955 EA 8260 

FBSF4807TMDA 

FBSF4827MNM4 

FBSF4865MNM4 

FBSF4A3S1NXA 

FBSF4AS001AQ 

FBSF4AS002AQ 

TITANIUM CD HORIZON SPINAL SCREW ※ 


TITANIUM MULTI AXIAL SPINAL SCREW※ 適 


BASIS SPINAL TITANIUM SCREW( 免事前審 

查 ) 

A3 POSTERIOR TITANIUM SPINAL SCREW 


TITANIUM SPINAL SCREW 免術前審查 

TITANIUM SPINAL FIXATION 

SYSTEM:SCREW 免事前審查 

'8275:77; 

96055L30HT:96075L55 

HT 

EA 8260 

'827-225:775 EA 8260 

'8654530:755; 

(8650520:560;8650620 

:665;8650725:770 自 

960401 生效 ; 許可證 

017718 號 ) 

'NP4525:8055;NMR452 

5:8055; 

NPP4525:8055;NPR45 

25:8055 

'115-4030:7550;118- 

4030:7550 

'135-4030:135-8055; 

138-4030:138-8055 

EA 3618 

EA 8260 

EA 3618 

EA 3618 

FBSF4ASLS1AQ 

TITANIUM SPINAL SCREW※ 適應症請見備註 

欄 

'111;112;1235030:8055;5535 

8:705;112- 

55352:7045A;55358:70558; 

113-6235C:7045C;4530:8055 

;120-4030:7055;40302:655 

EA 8260 

FBSF4ASNS1AQ 

FBSF4ASYS1AQ 

FBSF4ASYS2AQ 

TITANIUM SMARTLOC SPINAL SCREW 免事 

前審查 

TITANIUM SMARTLOC SPINAL SCREW※ 適 


SMARTLOC SPINAL SCREW ※ 適應症請見備 

註欄 

'131-50302:80602; 

136-50302:80602; 

134-5030F:8060F 

'131-40308:80608; 

136-40308:80608; 

139-4030F:8060F 

'134-4525R:8060R; 

139-4525R:8060R 

EA 3618 

EA 8260 

EA 8260 



FBSF4LB05NAE 

STANLESS SPONGIOSA CERVICAL 

CASPAR SCREW 3.5MM WIDE THREAD 'LBO50S:LB059S EA 188 

10MM:19MM 

FBSF4LB06NAE 

STANLESS SPONGIOSA CERVICAL 

CASPAR SCREW 3.5MM WIDE THREAD 'LB060S:LB100S EA 228 

20MM 以上 

FBSF4M2PWNZ6 TITANIUM SPINAL SCREW 

'PW5030:7045; 

SW6040:6550 

EA 3618 

FBSF4M3SSEZ6 

TITANIUM M3 SPINAL POSTERIOR SCREW 'SE5030:7045; 


SS6040:6550 

EA 8260 

'1105- 

FBSF4RF001RX RF SPINAL SCREW( 免事前審查 ) 

6040;6245;6550; EA 3618 

1107-6040;6245;6550 

FBSF4S859FM4 

TITANIUM CD HORIZON M8 SPINAL SCREW 


'859425:755 EA 8260 

FBSF4S8655M4 TITANIUM CD TULIP SCREW( 免術前審查 ) '8655535:750 EA 3618 

'8694520:8575; 

FBSF4S869MM4 

TITANIUM CDH M8 MULTIAXIAL SCREW※ 適 8692320:2755; 


(86944520:8575 自 

EA 8260 

940401 生效 ) 

FBSF4S9603M4 

TITANIUM CD REDUCTION SCREW( 免術前 

審查 ) 

'96030L35T:50T EA 3618 

FBSF4SCRE1AD 

STANLESS ISOLA SPINAL SCREW 釘 ※ 適應 '5000-2430:3650; 


5000-6.25:7 

EA 6800 

FBSF4SCRE2AD 

STANLESS ISOLA SPIANL SCREW 釘 ※ 適應 '2023-3630:3650; 


5200-6.25:7 

EA 6800 

FBSF4SW50NAE 


欄 

'SW500T:875T EA 8260 

FBSF4SW70NAE 

TITANIUM S4 SPINE SYSTEM: 

TRANSPEDICULAR BONE SCREW※ 適應症 


'SW701T:SW799T EA 8260 

FBSF4SX07NAE 

FBSF4TL01TJA 

FBSF4TL01TSJ 

FBSF4TL02TSJ 

FBSF4TL03TSJ 

FBSF4TS01TJA 

FBSF4TS02TSJ 

FBSF4UP04NXA 

TITANIUM SPINE SCREW (96 年 10 月 1 日起免 


TITANIUM SPINAL PEDICLE SCREW※ 適應 


TITANIUM SHIRAZ JAVA PEDICLE SCREW※ 


TITANIUM SHIRAZ JAVA SCREW※ 適應症請 

見備註欄 

TITANIUM SHIRAZ JAVA SCREW※ 適應症請 

見備註欄 

TITANIUM SPINAL PEDICLE SCREW( 免事前 

審查 ) 

TITANIUM SHIRAZ JAVA SCREW( 免事前審 

查 ) 


欄 

'SX070T:SX895T EA 3618 

'SN2023-0- 

23005:26065; 

SN2023-0- 

33005:36075 

'SN2023-0- 

03504:16007 

'SN2023-0- 

13005:15505; 

SN2023-0- 

13506:16006; 

SN2023-0- 

13507:16607 

EA 8260 

EA 8260 

EA 8260 

'SN2023-0-00200 EA 8260 

'SN2036-0- 

23005:26075; 

SN3036-0- 

23005:26075 

'SN2024-0- 

05505:06008; 

SN2024-0- 

13005:16008 

EA 3618 

EA 3618 

'UP-4530:UPR7545 EA 8260 



'0380- 

FBSF4X380NS9 

XIA TITANIUM SPINAL SCREW( 型號 

03820425:860,03821425:760 自 92/4/1 生效 )※ 


0425:0760;1530:1760 

;(980101 起變更為 

03820425:860; 

03821425:760) 

EA 8260 

FBSF4YP04NXA 

Y TYPE POSTERIOR TITANIUM SPINAL 

PEDICLE SCREW( 免事前審查 ) 

'YP4530:YP7545; 

YPR7040;YPR7045 

EA 3618 

FBSF500005ZV 

VIMAX SPINAL TRANSVERSE LINK ※ 適應症 


'161-2606 SET 9330 

FBSF500015ZV 

VIM SPINAL TRANSVERSE LINK ※ 適應症請 

見備註欄 

'161-2602 EA 9330 

FBSF500025ZV VIMAX SPINAL LINK 免事前審查 '161-3660 EA 4082 

FBSF50055TJA 

TITANIUM SPINAL TRANSVERSE 

'SN2023-0- 

CONNECTOR※ 適應症請見備註欄 

62055;72055;82055 

EA 9330 

FBSF50055TSJ 

'SN2023-0- 

52005:82005 

TITANIUM SHIRAZ JAVA TRANSVERSE 52020:82020; 


SN2023-0- 

SET 9330 

FBSF50055TUA 

TITANIUM OPTIMA SPINAL TRANSVERSE 

LINK※ 適應症請見備註欄 

'SG2140:2180 EA 9330 

FBSF5010TNZ6 

TITANIUM SPINAL TRANSVERSE LINK※ 適 


'TT01:TT04 EA 9330 

FBSF50380NS9 

XIA SPINAL SYSTEM:CROSS LINK ( 免事前 '03803040;03803060;0 

審查 ) 

3803080 

EA 4082 

FBSF5040XNDA 


'804-000:43 

CROSS LINK ※ 適應症請見備註欄 

EA 7680 

FBSF50565NDP 

M-M TITANIUM TRANSVERSE CONNECTOR 


'1755-61:65 EA 9330 

FBSF5080TMDA 

TITANIUM TSRH SPINAL CROSSLINK PLATE 

'824-000:043 


SET 9330 

FBSF510001TT 

TITANIUM SPINAL TRANSVERSE LINK( 免事 

前審查 ) 

'161-2602 EA 4082 

FBSF51610NT4 

TITANIUM TRIFIX SPINAL TRANSVERSE '161-2601:2602;162- 

LINK ※ 適應症請見備註欄 , 頇事前審查 2630:2675 

SET 9330 

FBSF5170XNTD 

TITANIUM TREND TRANSVERSE LINK※ 適應 

'1700-6070 


EA 9330 

FBSF518010B0 

TITANIUM TRANSVERSE LINK※ 適應症請見 

備註欄 

'180-0010 EA 9330 

FBSF518012B0 TITANIUM TRANSVERSE LINK( 免事前審查 ) '180-0012 EA 4082 

FBSF52030NAD 

STANLESS SPINAL TRANSVERSE ROD '2030-00:34;2230- 

CONNECTOR 連結器 ※ 適應症請見備註欄 00:34 

EA 7680 

FBSF52230TAD 

TITANIUM ISOLA TRANSVERSE ROD 

CONNECTOR ※ 適應症請見備註欄 

'2230-00:34;5200-63 EA 9330 

TITANIUM KANEDA SR ANTERIOR 

FBSF53210NAD TRANSVERSE SMOOTH ROD COUPLERS ※ '3210-13:16 SET 9330 


FBSF53210NDP 

FBSF54107NS9 

FBSF548149S9 

FBSF54981NS1 


LINK 

MAC TATINIUM TRANSVERSE LINK※ 適應症 


XIA TITANIUM SPINAL CROSSLINK ※ 適應症 


TITANIUM UNIVERSAL SPINAL CROSS LINK 


'3210-13:3210-16 EA 4082 

'4107017:526 EA 9330 

'48133124;130;136;481 

33012:024; 

48130110;111;4813500 

0;48135101:109 

EA 9330 

'498.120+498.811 SET 9330 



TITANIUM DIAPASON TRANSVERSE LINK※ 

'664500+664510:66455 

FBSF56452NDX 適應症請見備註欄 (730000+720040:100 自 

SET 9330 

0 

86/11/17 生效 ) 

FBSF57200NS9 TITANIUM TRANSVERSE LINKS( 免事審查 ) '730000+720040:100 EA 4082 

FBSF57301NZ1 


TRANSVERSE CONNECTOR( 免術前申請 ) 

'7300-0012:0103-00 EA 4082 

FBSF57310NZ1 


TRANSVERSE CONNECTOR※ 適應症請見備 

註欄 

'7300-0104:0107-00; 

7310- 

0001;1000;1001;3548;4 

457;5366;6275-00 

EA 9330 

FBSF5751NNY2 

STAINLESS SPINE CONNECTION PLATE※ 


'751640:860 EA 7680 

FBSF57551NY2 

STAINLESS SPINAL CROSS-LINK※ 適應症請 

見備註欄 

'755010:755013 EA 7680 

FBSF57651NY2 

TITANIUM SPINAL CROSS-LINK※ 適應症請見 '765010+765011+7650 

備註欄 

12+765013 

EA 9330 

FBSF577003Y2 

TITANIUM SPINAL TRANSVERSE LINK( 免術 

前審查 ) 

'770031+32+34 EA 4082 

FBSF577103Y2 

STAINLESS SPINAL TRANSVERSE LINK( 免 


'771031+32+34 EA 3780 

FBSF5811XNDA 

TATINIUM TSRH LOW PROFILE CROSSLINK '811:300-323; 


811:400-423 

EA 9330 

FBSF5A3C1NXA 

A3 POSTERIOR TITANIUM SPINAL 

'UHC1115;USI0804;UR 

CROSSLINK HOOK ※ 適應症請見備註欄 C0305:0312 

SET 9330 

FBSF5AS001AQ TITANIUM SPINAL LINK 免術前審查 '161-2603 EA 4082 

FBSF5ASLL1AQ TITANIUM SPINAL LINK※ 適應症請見備註欄 

'161-2602;161-2604; 

161-2605;161- 

26032:2603A 

EA 9330 

FBSF5ASNL1AQ 

TITANIUM SMARTLOC TRANSVERSE LINK 

免事前審前 

'161-26072 EA 4082 

FBSF5ASYL1AQ 

TITANIUM SMARTLOC TRANSVERSE LINK 


'161-26082 EA 9330 

FBSF5C111NXA 

TITANIUM SPINAL CROSS LINK ※ 適應症請 'UHC1115+USI0804+U 

見備註欄 

RC0350 

SET 9330 

FBSF5CY11NXA 

Y TYPE POSTERIOR TITANIUM SPINAL 'YHC1115; 

LINK( 免事前審查 ) 

YRC0350;YSI0804 

EA 4082 

FBSF5DTT4TDA 

TITANIUM CD HORIZON SPINAL D.T.T#4( 橫 '96107DHT; 

向固定桿 ) ※ 適應症請見備註欄 

96107CHT;96147HT 

EA 9330 

FBSF5L8414M4 

TITANIUM CD DTT #4 TRANSVERSE LINK( 免 

'84147ET 


EA 4082 

FBSF5M2TKNZ6 TITANIUM SPINAL TRANSVERSE LINK 'TK01:02 EA 4082 

FBSF5M3SLKZ6 

TITANIUM M3 SPINAL POSTERIOR 

TRANSVERSE LINK※ 適應症請見備註欄 

'LK01;LK02 EA 9330 

FBSF5RF001RX RF SPINAL LINK( 免事前審查 ) '1700-5570 EA 4082 

FBSF5SW06NAE 

TITANIUM SPINAL CROSS LINK 

'SW006T:026T+SW00 

50:100MM(PLATEX1+NUTX2)※ 適應症請見備 

1T 

註欄 

SET 9330 

FBSF5SW69NAE 

TITANIUM S4 SPINE SYSTEM:CROSS 


'SW690T:SW696T EA 9330 

FBSF5SX17NAE 

TITANIUM SPINE CROSSLINK (96 年 10 月 1 日 'SX170T-180T; 

起免事前審查 ) 

SX770T:780T 

EA 4082 

FBSF5TS55TJA 

TITANIUM SPINAL TRANSVERSE 

CONNECTOR( 免事前審查 ) 

'SN2023-0-52055 EA 4082 

FBSF5X380NS9 

XIA TITANIUM SPINAL CROSS LINK※ 適應症 


'0380-3040:3080 EA 9330 

FBSF610001TT TITANIUM CERVICAL PLATE( 免術前審查 ) '1465-26:90 EA 4046 

FBSF610002TT TITANIUM CERVICAL SCREW( 免術前審查 ) 

'1422-12:26;1423- 

12:26 

EA 194 



FBSF62025NAD 

STANLESS VSP SPINAL PLATE ※ 適應症請見 

'2025-01:05 

備註欄 , 應事前審查經本局同意後使用 

EA 1600 

FBSF62225NAD TITANIUM VSP PLATE ※ 適應症請見備註欄 '2225-1A:3.5A EA 1950 

FBSF661202Y2 STAINLESS CERVICAL PLATE 28:72CM '612028:612072 EA 3747 

FBSF661302Y2 TITANIUM CERVICAL PLATE 28:72MM 

'613024:26 自 93/04/01 

生效 ; 

613028:613090; 文號 

EA 4046 

9100260 

FBSF66131NY2 TITANIUM CERVICAL SCREW 17:24MM 

'(613110:613116 自 

940101 生效 ); 

(613126:613146 自 EA 194 

940401 生效 ); 

613117:124 

FBSF6613NNY2 

TITANIUM DYNAMIC CERVICAL FIXATION '613110:16; 

SYSTEM 

613126:46 

EA 194 

FBSF6FF930AE 

STANLESS CASPAR OSTEOSYNTH 

CERVICAL PLATE 28:33MM LONG 

'FF930:33S SET 3747 

FBSF6FF934AE 


CERVICAL PLATE 37:46MM LONG 

'FF934:38S SET 4098 

FBSF6FF939AE 

STANLESS CASPAR 

OSTEOSYNTH.CERVICAL PLATE.48:54MM 'FF939:42S SET 4273 

LONG 

FBSF6FF944AE 


CERVICAL PLATE 60MM LONG 

'FF944S SET 4536 

FBSF6FF946AE 



'FF946S SET 5128 

FBSF6FF947AE 



'FF947S SET 5763 

FBSF700027ZV 

VIMAX SPINAL HOOK SCREW 

'104-6040:7040;156- 

SYSTEM(SX2+HX2+RX2) 免事前審查 1109:1212;132-5040 

SET 28060 

STANLESS STEEL HOOK SCREW 

'295.400;295.420; 

FBSF7295NNS1 SYSTEM(SCREWX2+HOOKX2+NUTX4+SPRI +219.210:240+295.380 SET 28060 

NGX2) 

+390 

FBSF7SX25NAE 

TITANIUM SPINE EVOLUTION HOOK 'SX250:265T; 

SYSTEM(SCREWX2+HOOKX2+NUTX2) 070:075T;025:026T 

SET 28060 

FBSFA2740LB0 

TITANIUM LUMBAR SPINAL CAGE 腰椎椎間 

融合器 ※ 適應症請見備註欄 

'WS27:40 EA 17550 

FBSFA6720NS9 

TITANIUM OIC CAGE SYSTEM 

9:13MMX20:25MM ※ 適應症請見備註欄 

'672009:672813 EA 17550 

FBSFA706NNY2 

TITANIUM VETEBRAL INTERBODY CAGE 高 

9:14MM 長 20:24※ 適應症請見備註欄 

'706101:905 EA 17550 

FBSFA7091NY2 

TITANIUM VETEBRAE INTERBODY CAGE 

'709101:709185 EA 17550 

FBSFA7092NY2 

FBSFA908MNM4 

FBSFA9501NS1 

9:14MMX20:24MM※ 適應症請見備註欄 

TITANIUM VETEBRAE INTERBODY CAGE 


TELAMON FUSION DEVICE※ 適應症請見備註 

欄 

TITANIUM CONTACT FUSION CAGE 9:15MM 

X8:11MM※ 適應症請見備註欄 

'709201:709285 EA 17550 

'9080820;860; 

9081020;1060; 

9081163;1173; 

9081220;1260; 

9081268;1278; 

9081738;1748; 

9081763:1773; 

9081938:1948; 

9081963:1973 

EA 17550 

'495.009:015 EA 17550 



'(165- 

08102;09112;10122;11 

TITANIUM LUMBAR DISC SPACER ※ 142;165-12162;594- 

適應症 

05072;06082;07092 


自 970401 刪除 );(594- 

EA 17550 

08102;09112;10122;11 

142;12162) 

FBSFAALS01AQ 

FBSFAALS01TT 

FBSFACA11NXA 

FBSFACG15NZ6 

FBSFC0912NS9 

FBSFC10030AD 

FBSFC10108AD 

FBSFC1742SDP 

FBSFC1743SDP 

FBSFC1792SDP 

FBSFC1793SDP 

FBSFC2485NS9 

FBSFC2486NS9 

FBSFC27551B0 

FBSFC27552B0 

TITANIUM LUMBAR DISC SPACER※ 適應症 


TITANIUM VERTEBRAL FUSION CAGE 


TITANIUM SPINAL SPACER 5:11MMX7:13MM 


ALPHA CERVICAL SCREW※ 適應症請見備註 

欄 

TITANIUM PEAK ANTERIOR CERVICAL 

SCREW( 型號含 1749-02019:13026)※ 適應症請 

見備註欄 

TITANIUM SLIM-LOC ANTERIOR CERVICAL 



PLATE 二節 ※ 適應症請見備註欄 


PLATE 三節 ※ 適應症請見備註欄 


PLATE 二節 ※ 適應症請見備註欄 


PLATE 三節 ※ 適應症請見備註欄 

REFLEX HYBRID ANTERIOR CERVICAL 

PLATE SYSTEM(PX1+SX4) 二節芮菲斯前置頸 

椎固定系統 ※ 適應症請見備註欄 

TI REFLEX ANTERIOR CERVICAL PLATE 

SYSTEM 二節 ( 型號 48624010:522 自 92/4/1 生效 ) 


TITANIUM CERVICAL SPINAL 

SYSTEM(PX1+SX4)※ 適應症請見備註欄 


SYSTEM(HOOKX4+RODX2)※ 適應症請見備註 

欄 

'594-08103:12163 EA 17550 

'CA01220:11522;CA41 

220:41322; 

CA81220:CA81422; 

(CA00820:11524; 自 

95 年 7 月 1 日起生效 ) 

'CG15;CG19; 

CG21;CG22; 

CG23;CG24;CG25 

EA 17550 

EA 17550 

'62480912:62481024 EA 1125 

'1746-04008:7450; 

3600 

EA 1125 

'179606012:17960718 EA 1125 

'17490- 

1024:63+9010:18; 

911010 

'17490- 

1024:63+9010:18; 

911010 

'06-12:07-018;17496- 

01-22:02-53 

'06-12:07-018;17496- 

01-22:02-53 

'48650114:0122; 

48654010:4018;486640 

10:4018; 

48674010:4020;486745 

12:4520; 

48684010:4020;486845 

12:4520 

'48610112:10484+4861 

4010:14516 

'XCP27T:33T+BM17T: 

21T 或 BM12T: 

'160-1020X4+100- 

5540:42X2 

SET 22426 

SET 23285 

SET 22426 

SET 23285 

SET 22426 

SET 22426 

SET 22426 

SET 22426 

FBSFC27553B0 


'XCP35:45T+BM12T:14 

SYSTEM(PX1+SX6)※ 適應症請見備註欄 T 或 +BM17:2 

SET 23285 

FBSFC27555B0 

TITANIUM CERVICAL SCREW※ 適應症請見 

備註欄 

'BM12:14T;BM17:21T EA 1125 

FBSFC27556B0 

TITANIUM CERVICAL PLATE 24:90MM( 免術 

前審查 ) 

'P24:P90 EA 4046 

FBSFC27557B0 TITANIUM CERVICAL SCREW( 免術前審查 ) 'BM12:14S;BM17:21S EA 194 



TRINICA AND TRINICA SELECT ANTERIOR '07.00340-001:009; 

CERVICAL PLATE SYSTEM 二節 (PX1+SX4)※ 07.00811.001:009; SET 22426 


07.00812.001:009 

FBSFC3400NZ1 

FBSFC3401NZ1 

FBSFC3485NS9 

FBSFC3486NS9 

FBSFC4010NS9 

FBSFC4020NS9 

FBSFC450XNS1 

FBSFC4871NS1 

FBSFC487XNS1 

FBSFC6113NY2 

FBSFC8712NDA 

FBSFC8713NDA 

FBSFC871S2M4 

TRINICA AND TRINICA SELECT ANTERIOR 

CERVICAL PLATE SYSTEM 三節 (PX1+SX6)※ 



PLATE SYSTEM(PX1+SX6) 三節芮菲斯前置頸 

椎固定系統 ※ 適應症請見備註欄 

TI REFLEX ANTERIOR CERVICAL PLATE 

SYSTEM 三節 ( 型號 48624010:522 自 92/4/1 生效 ) 


REFLEX ANTERIOR CERVICAL SCREW※ 適 



SCREW 芮菲斯前置頸椎骨釘 ※ 適應症請見備 

註欄 

CERVICAL SPINE SOLID EXPANSION HEAD 

SCREW 4.0/4.35MM 擴張頭實心骨釘 ※ 適應症 


TITANIUM CERVICAL SPINE LOCKING 

PLATE SYSTEM 二節 ※ 適應症請見備註欄 

TITANIUM CERVICAL SPINE LOCKING 

PLATE SYSTEM 三節 ※ 適應症請見備註欄 

'07.00341-001:009; 

07.00811.001:009; 

07.00812.001:009 

'48650124:0246:48650 

339:0369; 

48650460:0484;486640 

10:4018; 

48674010:4020;486745 

12:4520; 

48684010:4020;486845 

12:4520 

'48610112:10484+4861 

4010:14516 

SET 23285 

SET 23285 

SET 23285 

'48614010:48624522 EA 1125 

'48654010:18;4866401 

0:18; 

48674010:4020;486745 

12:4520; 

48684010:4020;486845 

12:4520 

'450.012;450.016;451.0 

12; 

451.016;487.040;487.0 

44; 

487.046;487.054;487.0 

56;488.814 

'487.XXX+497.78; 

(450;487;451;488; 自 

900401 生效 ); 

(487.044:046;487.054: 

056; 

240:290+497.780; 自 

960101 生效 ) 

'487.XXX+497.78; 

(450+451+488 自 

90/04/01 生效 ); 

(487.044:046;487.054: 

056; 

300:380+497.780; 自 

960101 生效 ) 

EA 1125 

EA 1125 

SET 22426 

SET 23285 

TITANIUM CERVICAL SPINE SCREW※ 適應 


'611312:611430 EA 1125 

TITANIUM ORION CERVICAL SYSTEM 二節 

'871-121:2101+87- 

(PLATEX1+SCREWX4)※ 適應症請見備註欄 , 

010:026 


SET 22426 

TITANIUM ORION CERVICAL SYSTEM 三節 

'871-121:2101+87- 


010:026 


SET 23285 

TITANIUM ORION CERVICAL PLATE 

SYSTEM 二節 (SX4+PX1)※ 適應症請見備註欄 

'0010:077;0121:410; 

871-010:077 

SET 22426 



FBSFC871S3M4 

FBSFC8792NM4 

FBSFC879N2M4 

FBSFC879N3M4 

FBSFCASC01AQ 

FBSFCASC02AQ 

TITANIUM ORION CERVICAL PLATE 

SYSTEM 三節 (SX6+PX1)※ 適應症請見備註欄 

ZEPHIR ANTERIOR CERVICAL SCREW ※ 適 


ZEPHIR ANTERIOR CERVICAL SYSTEM 二節 

(SX4+PX1) ※ 適應症請見備註欄 

ZEPHIR ANTERIOR CERVICAL SYSTEM 三節 

(SX6+PX1) ※ 適應症請見備註欄 

TITANIUM CERVICAL PLATE SYSTEM 二節 

(PX1+SX4)※ 適應症請見備註欄 

TITANIUM CERVICAL PLATE SYSTEM 三節 


FBSFCASCS1AQ TITANIUM CERVICAL SCREW※ 適應症請見 

備註欄 

FBSFCCSF12Y2 

TITANIUM CERVICAL SPINE FIXATION 

SYSTEM 二節 (PX1+SX4)※ 適應症請見備註欄 

'0010:077;0121:410; 

871-010:077 

'8792111;8792113;879 

2115; 

8792117;8792711;8792 

713; 

8792715;8792717 

'8799022;025;027;130; 

132;135; 

137;140;142;145;147;1 

50;152; 

155;157;160;162;165;1 

67;170; 

8792111;113;115;117;7 

11;713;715;717 

'8799022;025;027;130; 

132;135; 

137;140;142;145;147;1 

50; 

152;155;157;160;162;1 

65; 

167;170;8792111;113;1 

15;117; 

711;713;715;717 

'1422-12:26;1423- 

12C:16C ;1423- 

12:26;1422-12P:16P; 

1424-14:16;1422- 

12C:16C;1465- 

26:38;1465-26K:38K 

'1422-12:26;1423- 

12C:16C ;1423- 

12:26;1422-12P:16P; 

1424-14:16;1422- 

12C:16C ;1465- 

40:90;1465-40K:90K 

'1422-12:26;1423- 

12C:16C;1423- 

12:26;1422-12P:16P ; 

1424-14:16;1422- 

12C:16C 

SET 23285 

EA 1125 

SET 22426 

SET 23285 

SET 22426 

SET 23285 

EA 1125 

'611040:52+611312:32 SET 22426 

FBSFCCSF13Y2 

FBSFCFG2XNAE 

FBSFCFG3XNAE 

FBSFCFG4XNAE 

TITANIUM CERVICAL SPINEFIXATION 

SYSTEM 三節 (PX1+SX6) ※ 適應症請見備註欄 

TITANIUM CASPAR CERVICAL SYSTEM 二節 



TITANIUM CASPAR CERVICAL SYSTEM 三節 



CASPAR EVOLUTION CERVICAL 

SYSTEM( 型號含 LA017T:028T) 二節 

(PLATEX1+SCREWX4)※ 適應症請見備註欄 

'611058:94+611312:61 

11430 

'FG324T:90T+LB50T:6 

8T;LA57T:64T 

'FG324T:90T+LB50T:6 

8T;LA57T:64T 

'FG424T:90T; 

LB554T:9T; 

450T:468T 

SET 23285 

SET 22426 

SET 23285 

SET 22426 



FBSFCFG4XXAE 

CASPAR EVOLUTION CERVICAL SYSTEM 

ANTERIOR( 型號含 LA017T:028T) 三節 

'FG424T:90T; 

LB554T:9T; 

SET 23285 


450T:468T 

FBSFCFJ700AE 

TITANIUM ABC ANTERIOR CERVICAL 

PLATING SYSTEM(PX1+SX4)※ 適應症請見備 'FJ740T:FJ853T SET 22426 

FBSFCFJ790AE 

FBSFCFJ800AE 

FBSFCS8710M4 

FBT01020MLHE 

FBT01020MSHE 

FBT01025MLH8 

FBT01025MLN0 

FBT01025MLR7 

FBT01025MLU5 

FBT01AA25CLB 

FBT01HJ001V0 

FBT01HY001FD 

FBT01HY002FD 

FBT01N25MLR7 

FBTCM1102NU0 

FBUF11001NW2 

FBUF110277DP 

FBUF15790NZ1 

FBUF15842NZ1 

FBUF16636NH1 

註欄 

ABC TITANIUM CERVICAL SCREW※ 適應症 


TITANIUM ABC ANTERIOR CERVICAL 

PLATING SYSTEM(PX1+SX6)※ 適應症請見備 

註欄 

TITANIUM ORION CERVICAL SCREW※ 適應 


SUPLASYN STERILE SODIUM 

HYALURONATE SOLUTION(2ML/ 瓶裝 ) 每次療 

程注射三次 ※ 適應症請見備註欄 

SUPLASYN STERILE SODIUM 

HYALURONATE SOLUTION(2ML/ 注射筒裝 ) 每 

次療程注射三次 ※ 適應症請見備註欄 

HIKAMILON DISPO 1% 2.5ML/SYRINGE 

25MG 關節內注射劑 ( 每次療程注射五次 )※ 適應 


'FJ790T:808T; 

810T:818T;851T:53T 

EA 1125 

'FJ740T:FJ853T SET 23285 

'0010:077;871- 

010:077 

SET 1125 

'FP-0137 EA 1095 

'FP-0137 EA 1099 

'2.5ML/SYRINGE EA 659 

LUMISTERON DISPO 2.5ML/SYRINGE( 每次 

療程注射五次 )※ 適應症請見備註欄 

'2.5ML EA 659 

ARTZ/ARTZDISPO 雅節關節內注射劑 ( 每次療 

程注射五次 )※ 適應症請見備註欄 

'2.5ML/SYRINGE EA 659 

UNIHYLON DISPO 2.5ML W/SYRINGE( 每次療 

'2.5ML 

程注射五次 )※ 適應症請見備註欄 

EA 659 

ARTIAID INTRA-ARTICULAR INJECTION( 每 

次療程注射 5 次 )※ 適應症請見備註欄 

'AA-25 EA 659 

HYA-JOINT SYNOVIAL FLUID 

SUPPLEMENT(2.5ML/ 支 ) 每次療程注射三次 ※ '2.5CC EA 1099 


HYALGAN INTRA-ARTICULAR INJECTOR 

W/SYRINGE( 自 97 年 4 月 1 日起改每次療程注射 3 

次 )※ 適應症請見備註欄 

HYALGAN INTRA-ARTICULAR INJECTOR 

WITHOUT/SYRINGE( 自 97 年 4 月 1 日起改每次 

療程注射 3 次 )※ 適應症請見備註欄 

ARTZ/ARTZDISPO 2.5ML 25MG WITHOUT 

SYRINGE( 每次療程注射五次 )※ 適應症請見備 

註欄 

CUSTOMER MADE TIBIAL TUMOR 

PROSTHESIS ※ 適應症請見備註欄 , 申報費用 

應檢附發票備查 

UNICOMPARTMENTAL KNEE FEMORAL 



KNEE FEMORAL COMPONENT※ 適應症請見 

備註欄 

MILLER/GALANTE UNI PRECOAT FEMORAL 


UNICOMPARTMENTAL HIGH-FLEX 


UNICOMPARTMENTAL KNEE FEMORAL※ 適 


'20MG/2CC EA 1099 

'20MG/2CC EA 1095 

'2.5ML 25MG EA 655 


'KFNP-UN1:4L;R EA 30000 

'149801001:5 EA 34000 

'5790-20:33 EA 30000 

'00-5842-011-01:017- 

02 

EA 30000 

'6636-2001:2015 EA 30000 



FBUF172500SN 

UNICOMPARMENTAL KNEE FEMORAL※ 適 '7124-5007;72- 


5001:5006 

EA 29000 

PFC SIGMA UNICOMPARTMENTAL 

FBUF19671NJJ FEMORAL COMPONENT 人工半膝關節股骨元 

件 ※ 適應症請見備註欄 

'96-7102:7106 EA 26000 

FBUL15788NZ1 

FBUL15842NZ1 

FBUL171248SN 

FBUL19672NJJ 

FBUT11002NW2 

FBUT110277DP 

FBUT15791NZ1 

FBUT15842NZ1 

FBUT16636NH1 

FBUT171242SN 

FBUT172610SN 

FBUT19670NJJ 

FBUT25842NZ1 

FBW0106321M1 

MILLER/GALANTE UNI PRECOAT TIBIAL 

ARTICULAR SURFACE ※ 適應症請見備註欄 



UNICOMPARMENTAL KNEE TIBIAL INSERT 


PFC SIGMA(PFC)UNICOMPARTMENTAL 

TIBIAL INSERT COMPONENT 半膝關節襯墊 



TIBIAL+INSERT COMPONENT※ 適應症請見 

備註欄 


KNEE TIBIAL+INSERT COMPONENT※ 適應 


MILLER/GALANTE UNI PRECOAT TIBIAL 



PRECOAT TIBIAL PLATE※ 適應症請見備註欄 


TIBIAL+INSERT※ 適應症請見備註欄 

UNICOMPARMENTAL KNEE ALL-POLY 

TIBIAL+INSERT※ 適應症請見備註欄 

UNICOMPARMENTAL KNEE TIBIAL BASES※ 


PFC SIGMA(PFC)UNICOMPARTMENTAL 

TIBIAL TRAY COMPONENT 半膝關節脛骨元 

件 ※ 適應症請見備註欄 

UNICOMPARTMENTAL HIGH-FLEX ALL 

POLYETHYLENE TIBIAL 

BASEPLATE(TIBIAL+SURFACE)※ 適應症請見 

備註欄 

KIRSCHNER WIRE (K-PIN) 1.0:1.2MM 300MM 

'5788-40-08:5788-80- 

14 

'00-5842-021-08:026- 

14 

EA 9000 

EA 9000 

'7124-8108:8312 EA 9000 

'96-7001:7045 EA 8000 

'KTAP-UN17:49; 

U110:412 

EA 28000 

'149811106:2510 EA 24000 

'5790-45-01:5790-85- 

12 

'00-5842-001-01:006- 

02 

EA 19000 

EA 19000 

'6636-2308:2722 EA 28000 

'7124-2409:2615; 

7124-3108:3615; 

7124-3118:3625 

'72-6100:6305;72- 

7100:7305 

'86-8010:8019;96- 

7301:7369 

'00-5842-031-08:082- 

14 

'(1-063-01:2 自 950701 

刪除 );( 型號 01-036- 

21:22; 自 951101 生效 ) 

EA 29000 

EA 20000 

EA 24000 

EA 28000 

EA 80 

FBW0106324M1 

KIRSCHNER WIRE (K-PIN) 1.5:1.8MM 300MM 

'(1-063-03:4 自 950701 

刪除 );( 型號 01-063- 

23:24; 自 951101 生效 ) 

EA 80 

FBW0106325M1 

FBW0106326M1 

FBW0106327M1 

KIRSCHNER WIRE (K-PIN) 2.0MM 300MM 



'(1-063-05 自 950701 刪 

除 );( 型號 01-063-25; 

自 951101 生效 ) 

'(1-063-06 自 950701 刪 

除 );( 型號 01-063-26; 

自 951101 生效 ) 

'(1-063-07 自 950701 刪 

除 );( 型號 01-063-27; 

自 951101 生效 ) 

EA 80 

EA 80 

EA 80 



K-WIRE 0.6:1.6MM,2.0MM 

'7116-2006; 

1008:1016;1020 

EA 80 

FBW011610NSN 

FBW012900NY2 

FBW0129101Y2 

FBW012910NY2 

FBW012911NY2 

FBW012915NY2 

KIRSCHNER 

WIRES(SHANK)0.7MM,0.9MM,1.1MM,1.6MM 

*4"(101.6MM) 

KIRSCHNER WIRE 

KIRSCHNER 


*9"(230MM) 

KIRSCHNER 


*12"(300MM) 

KIRSCHNER 

WIRES(THREADED)0.9MM,1.1MM,1.6MM 

*9"(230MM) 

'290001:04;11:14; 

21:24;31:34 

'291016;48;49; 

50;70 

'291001:04;26:29; 

51:54;76:79 

'291101:04;26:29; 

51:54;76:79 

'291501:03;26:28; 

51:53;76:78 

EA 80 

EA 80 

EA 80 

EA 80 

EA 305 

FBW0129200V2 K-PIN,GUIDEWIRE WITH THREAD 

'292019;292620;650;68 

0;292720 

EA 305 

FBW012926NY2 KIRSCHNER WIRE W/THREADED '292600;708;770 EA 305 

FBW012927NS1 K-PIN,GUIDEWIRE WITH THREAD 

'292.71:79; 

(292.600:681;708;640- 

666;820 自 891001 生 

效 );(292.710:790 自 

960101 生效 ) 

EA 305 

FBW01292NNS1 

KIRSCHNER WIRE (K-PIN)1.25MM 

'292.06:31;( 型號 

292.020;330;460:630; 

自 89/10/1 生效 ); 

(292.060:330 自 960101 

生效 ) 

EA 80 

FBW01294XNY2 KIRSCHNER WIRE WITH THREADED TIP '292640:820 EA 305 

FBW01LX08NAE K-WIRE 0.8MM ,1.0MMX310MM 'LX08S;LX10S EA 80 

FBW01LX08SAE KIRSCHNER WIRE (K-PIN)0.8MMx150MM 'LX108S EA 80 

FBW01LX105AE K-WIRE 2.5MMx70MM 'LX105S EA 80 


FBW01LX12NAE K-WIRE 310MM,1.2:1.7MM 'LX12:17S EA 80 





FBW01LX17SAE K-WIRE 150MM 1.7MM 'LX117S EA 80 

FBW01LX18NAE K-WIRE 310MM,1.8MM 'LX18S EA 80 











FBW01LX32NAE K-WIRE 310MM,1.2:1.6MM 'LX32S:36S EA 80 





FBW01LX37SAE KIRSCHNER WIRE 1.7MMx150MM 'LX137S EA 80 












FBW01LX47SAE KIRSCHNER WIRE 雅式鋼針 'LX047S EA 80 

FBW01LX90NAE KIRSCHNER WIRE 雅式鋼針 'LX901S;LX902S EA 80 

FBW01LX915AE KIRSCHNER WIRE 雅式鋼針 'LX915S;LX917S EA 80 

FBW01LX91NAE KIRSCHNER WIRE 雅式鋼針 

'LX911S;LX912S; 

LX913S 

EA 80 



'LX921S;LX922S; 

LX923S 

EA 80 



'LX951S;LX952S; 

LX953S 

EA 80 

FBW01LX98SAE K-WIRE 0.8MM,1.0MMX70MM 'LX98S;LX100S EA 80 

FBW03C018NM1 

KIRSCHNER WIRE( 田島 PIN) 0.7:1.5MM 

100:120MM 

'(3-1-81:84 自 950701 刪 

除 );( 型號 03-001- 

81:84; 自 951101 生效 ) 

EA 80 

FEP0256234XT WIRE PISTON '11-56234 EA 3500 

FEP0256235XT WIRE PISTON '11-56235 EA 2100 

FEP0356324XT FISCH TEF-WIRE PISTON '11-56324 EA 1365 

FEP0456210XT MCGEE MODIFIED LOOP PISTON '11-56210 EA 1250 



FES0156295XT 

FISCH SPANDER II TOTAL WITH 

'11-56295 EA 6000 

FES0156305XT 

FES0170142GS 

FES0256362XT 

FES0256363XT 

FES0270141GS 

FHFCD01701GU 

FHFCD01901GU 

FOOTPLATE SHOE 全聽 

AUSTIN MODIFIED TOTAL OSSICULAR 

REPLACEMENT 

MICRON ALL TITANIUM TORP 全鈦全人工聽 

小骨置換物 

AUSTIN MODIFIED PARTIAL OSSICULAR 

REPLACEMENT 

AUSTIN MODIFIED PARTIAL OSSICULAR 

REPLACEMENT 

MICRON ALL TITANIUM PORP 全鈦部分人工 

聽小骨置換物 

" 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 * 適應症請見備註欄 

" 吉時利 " 康德雙腔同步整律 / 去顫 

器 "GUIDANT"CONTAK RENEWAL 4/4HE 

CARDIAL RESYNCHRONIZATION THERAPY 

DEFIBRILLATOR* 適應症請見備註欄 

'11-56305:7 EA 2700 

'70141044:1045;70141 

050:1067; 

70141490:1493;701420 

10:2027; 

70142032:2035 

EA 2700 

'11-56362 EA 3500 

'11-56363 EA 3500 

'7014- 

1022:1026;1046:1047 

; 

1070:1073;1495;2004:2 

009;2028:2031;2036 

'M170;M175; 

M177;M179 

'CONTAK RENEWAL 4 

H190/H195;CONTAK 

RENEWAL 4HE H199 

EA 3500 

EA 654600 

EA 654600 



FHFCD07298M4 

" 美敦力 " 因信可植入式去纖維顫動器 * 適應症請 

見備註欄 

'7298 EA 654600 

FHFCDAHF34ST 

" 聖猶達 " 爾德樂雙腔型植入式去纖維顫動 

器 "SJM"ATLAS IMPLANTABLE 

CARDIOVERTER/ DEFIBRILLATORS* 適應症 

'ATLAS+(V-340) EA 654600 


FHFCDAHF43ST 

" 聖猶達 " 雙腔型植入式去纖維顫動器 

("SJM"IMPLANTABLE 

CARDIOVERTER/DEFIBRILLATORS)* 適應症 

'ATLAS+(V-343) EA 654600 


FHFCDAHF65ST 

" 聖猶達 " 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* 適應症 

'ATLAS II HF(V-365) EA 654600 


FHFCDAHF66ST 

" 聖猶達 " 雙腔型植入式去纖維顫動器 "SJM" 

IMPLANTABLE 

CARDIOVERTER/DEFIBRILLATORS* 適應症 

'ATLAS II+HF(V-366) EA 654600 


FHFCDC174AM4 

" 美敦力 " 康妥植入式心臟去顫器 CONCERTO 

IMPLANTABLE CARDIOVERTER 

'C174AWK EA 654600 


FHFCDCRT19GU 

" 佳騰 " 康達克心臟再同步治療用去顫 

器 "GUIDANT"CONTAK RENEWAL 4&4 HE 

CARDIAC RESYNCHRONIZATION 

'H190;H195;H199 EA 654600 

THERAPY* 適應症請見備註欄 

FHFCDEASY3GU 

" 佳騰 " 易導型第 3 代冠狀靜脈電極導 

線 "GUIDANT"EASYTRAK 3 CORONARY 

'LV- 

1:4524;4525;4527;IS- EA 25000 

VENOUS LEAD* 適應症請見備註欄 

1:4548;4549;4550 

FHFCDEHF55ST 

" 聖猶達 " 雙腔型植入式去纖維顫動器 "SJM" 

EPIC HF IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR( 心臟再同步治療去顫器 CRT- 

D)* 適應症請見備註欄 

'EPIC II HF(V-355) EA 654600 

FHFCDEHF78ST 

FHFCDSYN72M4 

FHG110304NGX 

FHG110307NGX 

" 聖猶達 " 雙腔型植入式去纖維顫動器 "SJM"EPIC 

HF IMPLANTABLE CARDIOVERTER 


因信可植入式去纖維顫動器 “MEDTRONIC” 

INSYNC ICD * 適應症請見備註欄 

STRAIGHT VASCULAR PROSTHESIS 

3MM,4MM,5MM,6MM,7MM,8MM,10MM 40CM 

STRAIGHT VASCULAR PROSTHESIS 


'EPIC HF(V-337); 

EPIC HF(V-338) 

EA 654600 

'7272;7279 EA 654600 

'V03040L:V10040L EA 11560 

'V03070L:V10070L EA 16800 

FHG1104010MP STRAIGHT GRAFT 4MM 10CM '10S04 EA 3440 

FHG110401CMP 

CARBOFLO GRAFT,STRAIGHT,10CM '10S04C;10S05C; 

卡邦人 

10S06C;10S07C; EA 3440 

工血管 

10S08C;10S10C 


FHG1104040SB 

EXXCEL EPTFE VASCULAR 

GRAFT4,5MM,40CM,STRAIGHT 

'381044;381045 EA 11560 

FHG110404CMP 

FHG110405CMP 

CARBOFLO GRAFT,STRAIGHT,40CM 卡邦人 

工血管 


工血管 

'40S04C;40S05C; 

40S06C;40S07C; 

40S08C 

'50S04C;50S05C; 

50S06C;50S07C; 

50S08C 

EA 11560 

EA 13600 



FHG1104070SB 

EXXCEL EPTFE VASCULAR GRAFT 

4,5MM,70CM STRAIGHT 

'381074;381075 EA 16800 

FHG1104080SB 


4,5MM,80CM,STRAIGHT 

'381084;381085 EA 18080 

FHG110503NGX 

GORE-TEX VASCULAR GRAFTS 

'V05030L;V06030L; 

5MM,6MM,8MMX30CM 

V08030L 

EA 9180 


FHG1105050SB 

EXXCEL EPTFE VASCULAR GRAFT 5MM* 

50CM 

'381055 EA 13600 

FHG1106010ED STRAIGHT EPTFE GRAFT 6MM 10CM 'R06010 EA 3440 

FHG1106010SB 

EXXCEL SOFT EPTFE VASCULAR 

STANDARD WALL GRAFT 6MMX10CM 型號 '481016,381016 EA 3440 

381016 自 92.10.1 生效 

FHG1106010VA PTFE STRAIGHT GRAFT10CM*6,7,8,10MM 'S10S06:S10S10 EA 3440 

FHG1106020MP STRAIGHT GRAFT 6,8MM 20CM '20S06;20S08 EA 6500 

FHG1106020SB 


'481024;26;28, 

STANDARD WALL GRAFT 4,6,8MMX20CM 型 

381026;28 

號 381026,28 自 92.10.1 生效 

EA 6500 

FHG1106020VA PTFE STRAIGHT GRAFT 20CM*6,8MM 'S20S06:S20S08 EA 6500 

FHG110602CMP 

CARBOFLO GRAFT,STRAIGHT,20CM 卡邦人 '20S06C;20S07C; 

工血管 

20S08C 

EA 6500 


FHG1106030SB STANDARD WALL GRAFT 6MMX30CM 型號 '481036,381036 EA 9180 

381036 自 92.10.1 生效 

FHG1106030VA PTFE STRAIGHT GRAFT30CM*6MM 'S30S06 EA 9180 

FHG110603CMP 


工血管 

'30S06C;35S06C EA 9180 


FHG1106040SB 


'481044;45;46; 

STANDARD WALL GRAFT 4:8MMX40CM 型號 

47;48 

381046,47,48 自 92.10.1 生效 

EA 11560 


FHG1106050AH 

STRAIGHT GRATF STANDARD WALL '21617:19;21017; 

6MM,7MM,8MM 50CM 

21317 

EA 13600 

FHG1106050ED STRAIGHT EPTFE GRAFT 6MM,8MM,50CM 'R06050;R08050 EA 13600 


FHG1106050SB 


STANDARD WALL GRAFT 4:8MMX50CM 型號 '481055;56;57;58 EA 13600 

381056,57,58 自 92.10.1 生效 


FHG1106060SB 


STANDARD WALL GRAFT 6MMX60CM 型號 '481066 EA 15300 

381066 自 92.10.1 生效 



FHG1106070SB 


'481074;74;75; 

STANDARD WALL GRAFT 4:8MMX70CM 型號 

76;77;78 

381076,77,78 自 92.10.1 生效 

EA 16800 


FHG110607CMP 


EA 16800 

FHG1106080ED 

FHG1106080SB 

工血管 

STRAIGHT EPTFE GRAFT 6MM,8MM,10MM 

80CM 


STANDARD WALL GRAFT 4,5,6,8MMX80CM 

型號 381086,88 自 92.10.1 生效 

70S08C 

'R06080;R08080; 

R10080 

EA 18080 

'481084;85;86;88 EA 18080 

FHG1106080VA PTFT STRAIGHT GRAFT80CM*6,7,8,10MM 'S80S06:S80S10 EA 18080 



FHG110608CMP 


工血管 

80S08C;80S10C 

EA 18080 

FHG1106090SB 


STANDARD WALL GRAFT 6MMX90CM 

'481096 EA 19080 


FHG1106S10TM 

FHG1106S20TM 

FHG1106S30TM 

FHG1106S40TM 

"TERUMO" SEALPTFE GELATIN SEALED 

EPTFE VASCULAR PROSTHESES 

STRAIGHT GRAFT 10CM*6,7,8,10MM 










'S10S06S; 

S10S07S;S10S08S; 

S10S10S;S1006S; 

S1007S;S1008S; 

S1010S 

'S20S06S; 

S20S08S;S2006S; 

S2007S;S2008S; 

S2010S 

'S30S06S;S3006S; 

S3007S;S3008S; 

S3010S 

'S40S06S; 

S40S07S;S40S08S; 

S40S10S;S4006S; 

S4007S;S4008S; 

S4010S 

EA 3440 

EA 6500 

EA 9180 

EA 11560 

FHG1106S50TM 




'S50S06S; 

S50S07S;S50S08S; 

S50S10S;S5006S; 

S5007S;S5008S; 

S5010S 

EA 13600 

FHG1106S60TM 




'S60S06S;S6006S; 

S6007S;S6008S; 

S6010S 

EA 15300 

FHG1106S70TM 




'S70S06S; 

S70S07S;S70S08S; 

S70S10S;S7006S; 

S7007S;S7008S; 

S7010S 

EA 16800 

FHG1106S80TM 




'S80S06S; 

S80S07S;S80S08S; 

S80S10S;S8006S; 

S8007S;S8008S; 

S8010S 

EA 18080 


FHG11D5008BA 

" 巴德 " 迪斯塔人工血管 "BARD"DISTAFLO 

BYPASS GRAFTS 50CM 

'D5008C EA 13600 

FHG11D500CBA 

" 巴德 " 迪斯塔人工血管 "BARD" DISTAFLO 

BYPASS GRAFTS 

'D5006C;D5007C EA 13600 

FHG11D6008BA 



'D6008C EA 15300 

FHG11D600CBA 



'D6006C;D6007C EA 15300 

FHG11D7008BA 



'D7008C EA 16800 

FHG11D700CBA 



'D7006C;D7007C EA 16800 



FHG11D8008BA 



'D8008C EA 18080 

FHG11D800CBA 



'D8006C;D8007C EA 18080 

FHG11V106CMP 

VENAFLO GRAFT,STRAIGHT,10CM 維那人工 

血管 

'V1006C;V1007C EA 3440 

FHG11V206CMP 

VENAFLO GRAFT,STRAIGHT,20CM 維那人工 

血管 

'V2006C;V2007C EA 6500 

FHG11V306CMP 

VENAFLO GRAFT,STRAIGHT,30CM 維那人工 'V3006C;V3007C; 

血管 

V3008C 

EA 9180 

FHG11V406CMP 


血管 

V4008C 

EA 11560 

FHG11V506CMP 


血管 

V5008C 

EA 13600 

IMPRA VENAFLO EPTFE VASCULAR 

FHG11VL100MP GRAFTS-STRAIGHT GRAFT(6,7MM,10CM) 維 'VL1006C;VL1007C EA 3440 

那人工血管直式 

FHG11VL200MP 


GRAFTS-STRAIGHT GRAFT(6,7MM,20CM) 維 'VL2006C;VL2007C EA 6500 


FHG11VL300MP 




FHG11VL400MP 




FHG11VL500MP 


GRAFTS-STRAIGHT GRAFT(6,7MM,50CM) 維 


'VL5006C;VL5007C EA 13600 

FHG120304NGX 

THIN WALLED VASCULAR GRAFT 


'VT03040L:VT10040L EA 11560 

FHG120307NGX 

FHG120401TMP 

FHG120405TMP 

FHG1204070SB 

FHG120407TMP 

FHG1204080SB 

THIN WALLED VASCULAR GRAFT 


CARBOFLO GRAFT,STRAIGHT 

THINWALL,10CM 卡邦人工血管 



EXXCEL EPTFE VASCULAR GRAFT THIN 

WALL4,5MM,70CM STRAIGHT 



EXXCEL EPTFE VASCULAR GRAFT THIN 

WALL 4-5MM 80CM 

'VT03070L:VT10070L EA 16800 

'10S04TWC; 

10S05TWC; 

10S06TWC; 

10S07TWC; 

10S08TWC; 

10S10TWC 

'50S04TWC; 

50S05TWC; 

50S06TWC; 

50S07TWC; 

50S08TWC 

EA 3440 

EA 13600 

'391074,391075 EA 16800 

'70S04TWC; 

70S05TWC; 

70S06TWC; 

70S07TWC; 

70S08TWC 

EA 16800 

'391084,391085 EA 18080 



'80S05TWC; 

FHG120508TMP 


80S06TWC; 


80S07TWC; 

EA 18080 

80S08TWC 

EXXCEL SOFT EPTFE VASCULAR THIN 

FHG1206010SB WALL GRAFT 6MMX10CM 型號 391016 自 '491016 EA 3440 

92.10.1 生效 

FHG1206010VA 

PTFE THIN WALL STRAIGHT 

GRAFT10CM*6,7,8,10MM 

'T10S06:T10S10 EA 3440 

FHG1206020SB 


WALL GRAFT 6,8MMX20CM 型號 391026,28 '491026;28 EA 6500 

自 92.10.1 生效 

FHG1206020VA 


GRAFT20CM*6,8MM 

'T20S06:T20S08 EA 6500 

FHG120602TMP 



'20S06TWC EA 6500 

FHG1206030SB 


WALL GRAFT 6,8MMX30CM 型號 391036,38 '491036;38 EA 9180 

自 92.10.1 生效 

FHG1206030VA 


GRAFT30CM*6MM 

'T30S06 EA 9180 

FHG120603TMP 



'30S06TWC EA 9180 

FHG1206040SB 


WALL GRAFT 6,8,10MMX40CM 型號 '491041;46;48 EA 11560 

391046,48,41 自 92.10.1 生效 

FHG1206040VA 


'T40S06:T40S08 EA 11560 

FHG120604TMP 

FHG1206050ED 

FHG1206050SB 

FHG1206050VA 

FHG1206060SB 

FHG1206060VA 

FHG1206070SB 

FHG1206070VA 

FHG1206075TM 

FHG1206075VA 

FHG1206076TM 

GRAFT40CM*6,7,8MM 



THIN STRAIGHT EPTFE GRAFT 

6MM,8MM,50CM 


WALL GRAFT 6,8,10MMX50CM 型號 

391056,51 自 92.10.1 生效 




WALL GRAFT 6MMX60CM 型號 391066 自 

92.10.1 生效 




WALL GRAFT 4,5,6,7,8,10MMX70CM 



"TERUMO"GELSOFT PLUS GELATIN 

SEALED POLYESTER VASCULAR 

PROSTHESES GELSOFT PLUS 

EXTERNALLY REINFORCED STRAIGHT 

GRAFTS6:10MM 75CM 

EXTERNALLY REINFORCED,GELSOFT 

STRAIGHT 6:10MM 75CM( 產品型號 

670006P:10P 自 91.10.1 生效 ) 

"TERUMO" GELSEAL GELATIN SEALED 

POLYESTER VASCULAR PROSTHESES 

GELSEAL EXTERNALLY REINFORCEED 

STRAIGHT 6:10MM 75CM 

'40S06TWC; 

40S08TWC 

EA 11560 

'T06050;T08050 EA 13600 

'491051;56;58 EA 13600 

'T50S06:T50S08 EA 13600 

'491066 EA 15300 

'T60S06:T60S07 EA 15300 

'491071;74;75; 

76;77;78 

EA 16800 

'T70S06:T70S08 EA 16800 

'670006P;670008P; 

670010P 

'470006:10; 

670006P:10P 

'470006;470008; 

470010 

EA 19600 

EA 19600 

EA 19600 



FHG1206080ED 

THIN STRAIGHT EPTFE GRAFT 

'T06080;T08080; 

6MM,8MM,10MM,80CM 

T10080 

EA 18080 

FHG1206080SB 


'491081;84;85; 

WALL GRAFT 4,5,6,7,8,10MMX80CM 型號 

86;87;88 

391086:88,81 自 92.10.1 生效 

EA 18080 

FHG1206080VA 



'T80S06:T80S08 EA 18080 

FHG1206090SB 


WALL GRAFT 6MMX90CM 

'491096 EA 19080 

FHG12F0470MP P.T.F.E FLEX GRAFT 4:10MM 70CM 'F7004 EA 24000 

FHG12F0650MP FLEX GRAFT 6:10MM 50CM 'F5006:10 EA 19250 



FHG130504NGX 

STANDARD STREATCH GRAFT 

5MM,6MM,7MM,8MM,10MM 40CM 

'S0504:S1004 EA 12840 

FHG130507NGX 

STANDARD STRETCH GRAFT 

5MM,6MM,7MM,8MM 70CM 

'S0507:S0807 EA 18620 

FHG1406040SB 


EXTERNALLY SUPPORTED 6MMX40CM 

'384406 EA 14920 

FHG1406045SB 


'384456 EA 14920 

FHG1406050ED 

FHG1406070SB 

FHG1406080ED 

FHG1406080SB 

FHG140623NGX 

FHG140624NGX 

EXTERNALLY SUPPORTED6MMX45CM 

SPIRAL EXTERNALLY SUPPORTED 

STRAIGHT GRAFT 6MM,8MM,10MM,50CM 

EXXCEL SOFT EPTFE GRAFT STRAIGHT 

EXTERNALLY SUPPORTED 

6MM,8MM/70CM/20-50CM 

SPIRAL EXTERNALLY SUPPORTED 




6MM,8MM/80CM/20-50CM 

" 戈爾 " 戈爾特賜內植人工血管 "GORE" GORE- 

TEX VASCULAR GRAFTS 6MM,8MMX(20CM 

環 )X30CM 


TEX VASCULAR GRAFTS 6MM,8MMX(20CM 

環 )X40CM 

'R06050C50; 

R08050C50 

EA 19250 

'484726;36;56;58 EA 21700 

'R06080C80; 

R08080C80; 

R10080C80 

EA 25760 

'484826;36;56;58 EA 23280 

'R06020030L; 

R08020030L 

'R06020040L; 

R08020040L 

EA 11850 

EA 14920 

FHG1406545GX RINGED GRAFT 5CM 6MM 45CM 'RD06005045L EA 14920 

FHG1406550SB 


EXTERNALLY SUPPORTED6MMX50CM 

'384506 EA 17550 

FHG140657NGX 

FHG140677NGX 

FHG1406C40SB 

FHG1406C50SB 

FHG1408030SB 

FHG1410330GX 

RINGED GRAFT 50CM 6MM,8MM 70CM 


TEX VASCULAR GRAFTS 

6MM,8MM,10MMX(70CM 環 )X70CM 


CENTRALLY SUPPORTED 

6MM/40CM,45CM/5CM 


CENTRALLY SUPPORTED 6MM/50CM/5CM 



8MM/30CM/12CM 


TEX VASCULAR GRAFTS 10MMX(30CM 

環 )X30CM 

'R06050070L; 

R08050070L 

'R06070070L; 

R08070070L; 

R10070070L 

EA 21700 

EA 21700 

'484406;484456 EA 14920 

'484506 EA 17550 

'484318 EA 11850 

'R10030030L EA 11850 



FHG1506010VA 

PTFE THIN WALL FULL SUPPORT 

STRAIGHT GRAFT10CM*6,8MM 

'T10S06R:T10S08R EA 4440 

FHG1506030VA 


STRAIGHT GRAFT30CM*6,8MM 

'T30S06R:T30S08R EA 11850 

FHG1506040SB 

EXXCEL SOFT EPTFE GRAFT THIN WALL 

STRAIGHT EXTERNALLY SUPPORTED '494426;28;36;38 EA 14920 

6MM,8MM/40CM/20-30CM 

FHG1506050ED 

SPIRAL EXTERNALLY SUPPORTED THIN 'T06050C50; 

STRAIGHT GRAFT 6MM,8MM,50CM T08050C50 

EA 19250 

FHG1506050VA 


STRAIGHT GRAFT50CM*6,7,8MM 

'T50S06R:T50S08R EA 19250 

FHG1506060VA 



'T60S06R:T60S08R EA 21840 

FHG1506070SB 


'494726;28;36; 

STRAIGHT EXTERNALLY SUPPORTED 

38;55;56;58;66 

5MM,6MM,8MM/70CM/20-60CM 

EA 21700 

FHG1506070VA 

FHG1506080ED 

FHG1506080SB 

FHG1506080VA 

FHG1506440SB 

FHG1506550SB 

FHG150657NGX 

FHG1506660SB 

FHG1506770SB 

FHG1506880SB 

FHG1508030SB 

FHG154515NGX 

FHG160577NGX 

FHG1606010VA 

FHG1606020VA 

FHG1606030VA 

FHG1606040VA 



SPIRAL EXTERNALLY SUPPORTED THIN 




6MM,8MM/80CM/30-60CM 





6MM/40CM/40CM 


WALL GRAFT WITH EXTERNALLY RING 

SUPPORTED 6MM,10MMX50CM/RING50CM 

RINGED THIN WALLED GRAFT 50CM 

6MM,8MM,10MM 70CM 



6MM/60CM/60CM 



6MM,8MM,10MM/70CM/70CM 



6MM,8MM/80CM/80CM 

EXXCEL SOFT EPTFE GRAGT THIN WALL 


8MM/30CM/12CM 

RINGED THIN WALLED GRAFT 5CM 

4MM,5MM 15CM 

REMOVABLE RINGED THIN WALLED 

GRAFT 70CM 5MM,6MM,8MM 70CM 

PTFE FULL SUPPORT STRAIGHT 

GRAFT10CM*6MM 


GRAFT20CM*6,7,8,MM 





'T70S06R:T70S08R EA 24000 

'T06080C80; 

T08080C80; 

T10080C80 

'494836;56;58; 

66;78 

EA 25760 

EA 23280 

'T80S06R:T80S08R EA 25760 

'493046 EA 14920 

'493056;493051 EA 19250 

'RT06050070L:RT1005 

0070L 

EA 21700 

'493066 EA 21840 

'493076;78;71 EA 24000 

'493086;493088 EA 25760 

'494318 EA 11850 

'RT04005015L; 

RT05005015L 

'RRT05070070L:RRT0 

8070070L 

EA 4440 

EA 24000 

'S10S06R EA 4440 

'S20S06R:S20S08R EA 8400 

'S30S06R:S30S08R EA 11850 

'S40S06R:S40S10R EA 14920 



FHG1606050AH 

HELIX SUPPORT STRAIGHT GRAFT 

STANDARD WALL 6MM,8MM 50CM( 型號 '21662;21664 EA 19250 

21664 自 90/10/01 生效 ) 

FHG1606050ED 

CENTER SPIRAL STRAIGHT EPTFE GRAFT 

6MM,50CM 

'R06050CS EA 17550 

FHG1606050VA 

PTFT FULL SUPPORT STRAIGHT 


'S50S06R:S50S10R EA 19250 

FHG1606060VA 



'S60S06R:S60S10R EA 21840 

FHG1606070VA 



'S70S06R:S70S10R EA 24000 

FHG1606080AH 

HELIX SUPPORT STRAIGHT GRAFT 

STANDARD WALL 6MM,8MM,10MM 80CM( 型 '21675;21677;21678 EA 25760 

號 21677,21678 自 90/10/01 生效 ) 

FHG1606080VA 


GRAFT80CM*6,7,8,10CM 

'S80S06R:S80S10R EA 25760 

FHG160623NGX 

REMOVABLE RINGED THIN WALLED 'RRT06020030L; 

GRAFT 20CM RS 30CM,6MM,8MM 

RRT08020030L 

EA 11850 

FHG160634NGX 

REMOVABLE RINGED THIN WALLED 'RRT06030040L; 

GRAFT 8MM 40CM 

RRT08030040L 

EA 16360 


FHG1606550SB EXTERNALLY SUPPORTED 

'483056;483058 EA 19250 


FHG1606660SB 



'483066 EA 21840 

6MM/60CM/60CM 

FHG1606670GX 


GRAFT 60CM 6MM 70CM 

'RRT06060070L EA 24000 

FHG1606680GX 


GRAFT 60CM RS 80CM,6MM 

'RRT06060080L EA 25760 

FHG1606770SB 



'483076;78 EA 24000 


FHG1606880SB 



'483086;88 EA 25760 


"TERUMO" SEALPTFE GELATIN SEALED 'S4006CPS; 

FHG1606C40TM 

EPTFE VASCULAR PROSTHESES CENTRAL S4007CPS; 

SUPPORT STRAIGHT GRAFT 

S4008CPS; 

EA 14920 

40CM*6,7,8,10MM 

S4010CPS 

FHG1606C40VA 

PTFE CENTRAL SUPPORT STRAIGHT 

'S40S06CR:S40S08CR EA 14920 

FHG1606C50TM 

FHG1606C50VA 

FHG1606E50TM 

FHG1606E50VA 



EPTFE VASCULAR PROSTHESES CENTRAL 


50CM*6,7,8,10MM 

PTFE CENTRAL SUPPORT STRAIGHT 



EPTFE VASCULAR PROSTHESES END 


50CM*6,7,8,10MM 

PTFE END SUPPORT STRAIGHT 

GRAFT50CM*6MM 

'S5006CPS; 

S5007CPS; 

S5008CPS; 

S5010CPS 

EA 17550 

'S50S06CR:S50S08CR EA 17550 

'S5006EPS; 

S5007EPS; 

S5008EPS; 

S5010EPS 

EA 17550 

'S50S06ER EA 17550 



FHG1606S10TM 


EPTFE VASCULAR PROSTHESES FULL 


10CM*6,7,8,10MM 

'S1006ES; 

S1007ES;S1008ES; 

S1010ES;S1006PS; 

S1007PS;S1008PS; 

S1010PS 

EA 4440 

FHG1606S20TM 




20CM*6,7,8,10MM 

'S2006ES; 

S2007ES;S2008ES; 

S2010ES;S2006PS; 

S2007PS;S2008PS; 

S2010PS 

EA 8400 

FHG1606S30TM 




30CM*6,7,8,10MM 

'S3006ES; 

S3007ES;S3008ES; 

S3010ES;S3006PS; 

S3007PS;S3008PS; 

S3010PS 

EA 11850 

FHG1606S40TM 




40CM*6,7,8,10MM 

'S4006ES; 

S4007ES;S4008ES; 

S4010ES;S4006PS; 

S4007PS;S4008PS; 

S4010PS 

EA 14920 

FHG1606S50TM 

" 泰爾茂 " 緻密人工血管 "TERUMO" SEALPTFE 

GELATIN SEALED EPTFE VASCULAR 

PROSTHESES-PTFE FULL SUPPORT 


'S5006ES; 

S5007ES;S5008ES; 

S5010ES;S5006PS; 

S5007PS;S5008PS; 

S5010PS 

EA 19250 

FHG1606S60TM 




60CM*6,7,8,10MM 

'S6006ES; 

S6007ES;S6008ES; 

S6010ES;S6006PS; 

S6007PS;S6008PS; 

S6010PS 

EA 21840 

FHG1606S70TM 




70CM*6,7,8,10MM 

'S7006ES; 

S7007ES;S7008ES; 

S7010ES;S7006PS; 

S7007PS;S7008PS; 

S7010PS 

EA 24000 

FHG1606S80TM 




80CM*6,7,8,10MM 

'S8006ES; 

S8007ES;S8008ES; 

S8010ES;S8006PS; 

S8007PS;S8008PS; 

S8010PS 

EA 25760 

FHG1608780GX 


GRAFT 70CM RS 80CM,8MM 

'RRT08070080L EA 25760 



FHG16CF604MP 

CARBOFLO GRAFT,CENTERFLEX,40CM 卡 

邦人工血管 

'CF4006C;CF4008C EA 14920 

FHG16CF605MP 

CARBOFLO GRAFT,CENTERFLEX,50CM 卡 

邦人工血管 

'CF5006C EA 17550 

FHG16CV604MP 

VENAFLO GRAFT,CENTERFLEX,40CM 維那 

人工血管 

'CV4006C;CV4007C EA 14920 

FHG16CV605MP 

VENAFLO GRAFT,CENTERFLEX,50CM 維那 

人工血管 

'CV5006C;CV5008C EA 17550 

FHG16CVL40MP 


'CVL4006C; 

GRAFTS CENTERFLEX(6-7MM,40CM) 印帕維 

CVL4007C 

那人工血管中間螺旋式 

EA 14920 


FHG16CVL50MP GRAFTS CENTERFLEX(6MM,50CM) 印帕維那 'CVL5006C EA 17550 

FHG16DF508BA 

FHG16DF5SCBA 

FHG16DF600BA 

FHG16DF6SCBA 

FHG16DF700BA 

FHG16DF7SCBA 

FHG16DF800BA 

FHG16DF8SCBA 

人工血管中間螺旋式 


BYPASS GRAFTS WITH FLEX SMALL 

BEADING 50CM 



BEADING 50CM 



BEADING 60CM 



BEADING 60CM 



BEADING 70CM 



BEADING 70CM 



BEADING 80CM 



BEADING 80CM 

'DF5008SC; 

DFM5006SC 

'DF5006SC; 

DF5007SC 

'DF6008SC; 

DFM6006SC 

'DF6006SC; 

DF6007SC 

'DF7008SC; 

DFM7006SC 

'DF7006SC; 

DF7007SC 

'DF8008SC; 

DFM8006SC 

'DF8006SC; 

DF8007SC 

EA 19250 

EA 19250 

EA 21840 

EA 21840 

EA 24000 

EA 24000 

EA 25760 

EA 25760 

FHG16F0640MP FLEX GRAFT 6,7,8,10MM 40CM 'F4006 EA 14920 

FHG16F401TMP 

CARBOFLO GRAFT,FLEX THINWALL SMALL 

BEADING,10CM 卡邦人工血管 

'F1004TWSC EA 4440 

'F7005TWSC; 

FHG16F507TMP 

F7008TWSC 

CARBOFLO GRAFT,FLEX THINWALL SMALL F7006TWSC; 


F7007TWSC; 

EA 24000 

FHG16F601CMP 

FHG16F603TMP 

FHG16F604CMP 

FHG16F605CMP 

FHG16F605TMP 

FHG16F606CMP 

CARBOFLO GRAFT,STRAIGHT FLEX,10CM 

卡邦人工血管 

'F1006C EA 4440 

CARBOFLO GRAFT,FLEX THINWALL SMALL 'F3006TWSC; 


F3008TWSC 

EA 11850 



'F4006C;F4008C EA 14920 

CARBOFLO GRAFT,STRAIGHT FLEX,50CM 'F5006C;F5006SC; 


F5008C;F5010C 

EA 19250 

CARBOFLO GRAFT,FLEX THINWALL SMALL 'F5006TWSC; 


F5008TWSC 

EA 19250 

CARBOFLO GRAFT,STRAIGHT FLEX,60CM 'F6006C;F6008C; 


F6010C 

EA 21840 



FHG16F606TMP 



'F6006TWSC EA 21840 

FHG16F607CMP 

'F7006C;F7006SC; 


F7007C;F7008C; 


F7008SC 

EA 24000 

FHG16F608CMP 

FHG16F608TMP 

FHG170534NGX 

FHG170577NGX 

FHG170645NGX 

FHG1806040GX 

FHG180604NGX 

FHG180606NGX 

FHG180608NGX 

FHG1860520GX 

FHG2106030TM 

FHG2106030VA 

FHG2106031TM 

FHG2106060TM 






TEX VASCULAR GRAFTS(STRETCH 

VASCULAR GRAFT WITH REMOVABLE 

RINGS 5MM,6MM,8MM*30CM RS*40CM 




RINGS 5MM,6MM,8MM*70CM RS*70CM 




RINGS 6MM,8MM*40CM RS*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 




X 60CM 




X 80CM 

" 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 5CM X 

20CM 



PROSTHESES GELSEAL STRAIGHT 


GELSEAL 

TRIAXIAL,GELSOFT(STRAIGHT)6:10MM 

30CM( 產品型號 633006P:10P 自 91.10.1 生效 ) 



GELSEAL TRIAXIAL,GELSOFT STRAIGHT 

6:10MM 30CM 





'F8006C;F8006SC; 

F8008C;F8008SC; 

F8010C 

'F8006TWSC; 

F8007TWSC; 

F8008TWSC 

'SRRT05030040L; 

SRRT06030040L; 

SRRT08030040L 

'SRRT05070070L; 

SRRT06070070L; 

SRRT08070070L 

'SRRT06040050L; 

SRRT08040050L 

EA 25760 

EA 25760 

EA 17990 

EA 26400 

EA 21170 

'IRS06040L EA 15440 

'IRST06040040L; 

IRST07040040L; 

IRST08040040L 

'IRST06060060L; 

IRST07060060L; 

IRST08060060L 

'IRST06080080L; 

IRST07080080L; 

IRST08080080L 

EA 17990 

EA 26400 

EA 28330 

'IRS06005020L EA 9240 

'633006P;633007P; 

633008P;633010P 

'433006:10; 

633006P:10P 

'433006;433008; 

433010 

'636006P;636007P; 

636008P;636010P 

EA 8340 

EA 8340 

EA 8340 

EA 14000 



GELSEAL,GELSOFT TRIAXIAL(STRAIGHT)6- 

'436006:10; 

10MM 60CM( 產品型號 636006P:10P 自 91.10.1 

EA 14000 

636006P:10P 

生效 ) 

FHG2106060VA 

FHG2106061TM 

FHG2112025TM 

FHG2112030AH 

FHG2112050TM 

FHG2112051TM 

FHG211752PSB 

FHG2117542SB 

FHG211754PSB 

FHG2118025VA 

FHG2118050VA 

FHG2120020TM 

FHG2120025TM 

FHG2120025VA 




6:10MM 60CM 




GRAFTS12:18MM 25,30CM 

ULTRAMAX VASCULAR GRAFT STRAIGHT 

12MM:18MM 30CM 








12:18MM 50,60CM 

'436006;436008; 

436010 

'633012P;633014P; 

633016P;632518P 

EA 14000 

EA 7920 

'23122;42;62;82 EA 9900 

'636012P;636014P; 

636016P;636018P 

'436012;436014; 

436016;435018 

EA 10140 

EA 10550 

HEMASHIELD PLATINUM WOVEN DOUBLE 

'175206P:175210P EA 8340 

VELOUR VASCULAR GRAFT 6-10MM*30CM 


VELOUR VASCULAR GRAFT 20-38MM* 

30CM 


VELOUR VASCULAR GRAFT 12-18MM* 

30CM 

GELSEAL,GELSOFT 

TRIAXIAL(STRAIGHT)18MM 25CM( 產品型號 

632518P 自 91.10.1 生效 ) 

GELSEAL,GELSOFT TRIAXIAL (STRAIGHT) 

18MM 50CM( 產品型號 635018P 自 91.10.1 生效 ) 




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 

GELSEAL TRIAXIAL 20-26MM 

25CM,GELSOFT20-24MM 25CM( 產品型號 

632520P:24P 自 91.10.1 生效 ) 

ULTRAMAX VASCULAR GRAFT STRAIGHT 

20MM:30MM 30CM 

'175420P:175438P EA 12000 

'175412P:175418P EA 9900 

'432518;632518P EA 7920 

'435018;635018P EA 10550 

'432520;432522; 

432524;432526; 

432528;432030; 

432032;432034; 

432038 

'632520P;632522P; 

632524P 

'432520:26; 

632520P:24P 

EA 9600 

EA 9600 

EA 9600 

FHG2120030AH 

'23202;22;42;62; 

82;23302 

EA 12000 

FHG2130020VA GELSEAL TRIAXIAL 30MM 20CM '432030 EA 9600 

FHG2130040VA 

GELSEAL TRIAXIAL (STRAIGHT) 30:38MM 

40CM 

'434030:38 EA 12800 




POLYESTER VASCULAR PROSTHESES '4320:4330- 

SPECIAL FOUR 

1088/8;10;4320:4330- EA 59000 

BRANCH(PLEXUS)40CM*4@15CM* 適應症請 0877/8;10 

見備註欄 

FHG2143108TM 

FHG2173108TM 

FHG2175406SB 

FHG2175420SB 

FHG2175920SB 

FHG21GK020V8 

FHG21GK021V8 

FHG21GK040V8 

FHG21GK041V8 

FHG21GK070V8 

FHG21GK100V8 

FHG21GKUT1V8 

"TERUMO" GELWEAVE GELATIN SEALED 


SPECIAL FOUR 

BRANCH(PLEXUS)40CM*4@15CM * 適應症請 

見備註欄 

" 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 

" 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 

" 波士頓科技 " 四分支白金雙重絲絨人工血管 


VELOUR VASCULAR GRAFT* 適應症請見備註 

欄 

"INTERVASCULAR"INTERGARD KNITTED 

VASCULAR GRAFTS" 英特維 " 英特佳針織系列 

人工血管 6-10MM,20CM 















人工血管 8MM,100CM 

" 英特維 " 英特佳 "INTERVASCULAR" 

INTERGARD KNITTED VASCULAR GRAFTS 

ULTRA THIN 5-8MM,70CM 

'7320:7334- 

1088/8;10;8ET; 

7320:7334-1088/10ET 

'175406P;175407P; 

175408P;175410P 

'175620P;175622P; 

175624P;175628P; 

175630P;175632P; 

175634P;175638P 

'M002021757- 

32P0:34P0; 

M002021759- 

20P0:34P0 

'IGK0006-20; 

IGK0007-20; 

IGK0008-20; 

IGK0010-20 

'IGK0012-20; 

IGK0014-20; 

IGK0016-20; 

IGK0018-20; 

IGK0020-20; 

IGK0022-20; 

IGK0024-20 

'IGK0006-40; 

IGK0007-40; 

IGK0008-40; 

IGK0010-40 

'IGK0012-40; 

IGK0014-40; 

IGK0016-40; 

IGK0018-40; 

IGK0020-40; 

IGK0022-40; 

IGK0024-40 

'IGK0006-70; 

IGK0007-70; 

IGK0008-70; 

IGK0010-70 

EA 59000 

EA 14000 

EA 15360 

EA 59000 

EA 5900 

EA 7920 

EA 9600 

EA 10550 

EA 14000 

'IGK0008-100 EA 19400 

'IGKUT0005-70; 

IGKUT0006-70; 

IGKUT0007-70; 

IGKUT0008-70 

EA 14000 



'IGKUT0005-40; 


IGKUT0006-40; 

FHG21GKUT2V8 INTERGARD KNITTED VASCULAR GRAFTS 

EA 9600 

IGKUT0007-40; 


IGKUT0008-40 

FHG21GKUT3V8 

FHG21HEWAAV8 

FHG21K1206V8 

FHG21W0630TM 

FHG21W0630VA 

FHG21W0660TM 

FHG21W0660VA 

FHG21W1230TM 

FHG21W1230VA 

FHG21W1260TM 

FHG21W1260VA 

FHG21W1407V8 

FHG21W1825VA 

FHG21W1850VA 

FHG21W2025VA 

FHG21W2030TM 


INTERGARD KNITTED VASCULAR GRAFTS 


"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 



雙叉人工血管 12-24MM,50CM 



GELWEAVE STRAIGHT VASCULAR GRAFTS 

30CM*6,8,10MM 

GELWEAVE STRAIGHTS VASCULAR 

GRAFTS(30CMX6,8,10MM) 




60CM*6-10MM 






30CM*12-18MM 






60CM*12-18MM 







GRAFTS(25CMX18MM) 




GRAFTS(25CMX20,22,24,26,28MM) 




30CM*20-38MM 

'IGKUT0006-20; 

IGKUT0007-20; 

IGKUT0008-20 

'HEWAA20:341008081 

0/1 

'IGK1206;IGK1407; 

IGK1608;IGK1809; 

IGK2010;IGK2211; 

IGK2412 

'733006;733007; 

733008;733009; 

733010 

EA 5900 

EA 59000 

EA 16000 

EA 8340 

'733006:10 EA 8340 

'736006;736007; 

736008;736009; 

736010 

EA 14000 

'736006:10 EA 14000 

'733012;733014; 

733016;733018 

EA 9900 

'733012:16 EA 9900 

'736012;736014; 

736016;736018 

EA 10140 

'736012:16 EA 10140 

'IGW1407; 

IGW1608; 

IGW1809; 

IGW2010; 

IGW2211;IGW2412 

EA 16000 

'732518 EA 7920 

'735018 EA 10550 

'732520:28 EA 9600 

'733020;733022; 

733024;733026; 

733028;733030; 

733032;733034; 

733036;733038 

EA 12000 



"TERUMO" GELWEAVE GELATIN SEALED '735020;735022; 

FHG21W2050TM 

POLYESTER VASCULAR PROSTHESES 735024;735026; 

GELWEAVE STRAIGHT VASCULAR GRAFTS 735028;735030; 

EA 12800 

50CM*20-34MM 

735032;735034 

FHG21W2050VA 


GRAFTS(50CMX20,22,24,26,28MM) 

'735020:28 EA 12800 

FHG21W3020VA 



'732030 EA 9600 

FHG21W3040VA 


'734030:38 EA 12800 

FHG21WK015V8 

FHG21WK016V8 

FHG21WK030V8 

FHG21WK031V8 

FHG21WK032V8 

FHG21WK060V8 

FHG3146040GX 

FHG3146040SB 

FHG3146040TM 

GRAFTS(40CMX30,32,34,38MM) 



















" 戈爾 " 戈爾特賜內植人工血管 "GORE"GORE- 

TEX VASCULAR GRAFTS-TAPERED GRAFT 

4-6MM*40CM 

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 

'IGW0012-15; 

IGW0014-15; 

IGW0016-15; 

IGW0018-15; 

IGW0020-15; 

IGW0022-15; 

IGW0024-15 

'IGW0026-15; 

IGW0028-15; 

IGW0030-15; 

IGW0032-15; 

IGW0034-15; 

IGW0036-15 

'IGW0006-30; 

IGW0008-30; 

IGW0010-30 

'IGW0012-30; 

IGW0014-30; 

IGW0016-30; 

IGW0018-30 

'IGW0020-30; 

IGW0022-30; 

IGW0024-30; 

IGW0026-30; 

IGW0028-30; 

IGW0030-30; 

IGW0032-30; 

IGW0034-30; 

IGW0036-30; 

IGW0038-30 

'IGW0022-60; 

IGW0024-60; 

IGW0026-60; 

IGW0028-60; 

IGW0030-60; 

IGW0032-60 

EA 4750 

EA 5760 

EA 8340 

EA 9900 

EA 12000 

EA 15360 

'V46040L EA 13200 

'489446;47;57 

482456;57 

'S40T0406S; 

S40T0407S; 

S45T0406S; 

S45T0407S 

EA 13200 

EA 13200 



'S40T0406S; 

PTFE SHORT TAPER GRAFT40,50CM*4-6,4- 

S40T0407S; 

EA 13200 

7MM 

S45T0406S 

FHG3146040VA 

FHG3146041TM 

FHG3146045SB 

FHG3146050GX 

FHG3146050SB 

FHG3146S30TM 

FHG3146S30VA 

FHG3146S40TM 

FHG3146S40VA 

FHG3146S41TM 

FHG3146S45TM 

FHG3146S45VA 

FHG3146S46TM 

" 泰爾茂 " 麥斯弗人工血管 "TERUMO" MAXIFLO 

EXPANDED EPTFE VASCULAR 

PROSTHESES(SHORT TAPER 

GRAFT40,50CM*4-6:4-7MM) 


STANDARD WALL GRAFT(STEP)4-6MM,4- 

7MMX45CM 型號 382456,57 自 92.10.1 生效 


TEX VASCULAR GRAFTS-TAPERED GRAFT 

4-6MM*50CM 


TAPER 4-6MM,4-7MM/50CM 型號 389546,47 自 

92.10.1 生效 

" 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 

PTFE STEPPED TAPER GRAFT30,35CM*4- 

6:5-8MM 



GELATIN SEALED STEPPED TAPER GRAFT 

40,45CM 4-6:5-8MM 

PTFE STEPPED TAPER GRAFT40,45CM*4- 

6:5-8MM 



PROSTHESES(STEPPED TAPER 

GRAFT40,45CM*4-6:5-8MM) 



VASCULAR PROSTHESES STEPPED TAPER 

CENTRAL SUPPORT GRAFT 40,45CM 4-7,5- 

8MM 

PTFE STEPPED TAPER CENTRAL 

SUPPORT GRAFT40,45CM*4-7,5-8MM 



PROSTHESES(SHORT TAPER WITH 

CENTRAL REINFORCEMENT40,45CM*4-7: 

5-8MM) 

'S40T0406; 

S40T0407; 

S45T0406;S45T0407 

EA 13200 

'482456;482457 EA 13200 

'V46050L EA 15500 

'489546;489547 EA 15500 

'S30ST0406S; 

S30ST0407S; 

S35ST0406S; 

S35ST0407S; 

S35ST0508S 

'S30ST0406S:07S; 

S35ST0406S:508S 

'S40ST0406S; 

S40ST0407S; 

S40ST0508S; 

S45ST0406S; 

S45ST0407S; 

S45ST0508S 

'S40ST0406S:508S; 

S45ST0406S:508 

'S40ST0406; 

S40ST0407; 

S40ST0508; 

S45ST0406; 

S45ST0407; 

S45ST0508 

'S40ST0407CRS;CES 

; 

S45ST0407CRS;CES 

; 

S45ST0508CRS;CES 

; 

S40T0406CRS;CES; 

S40T0407CRS;CES; 

S45T0407CRS;CES 

'S40ST0407CR; 

S45ST0407CR:0508C 

R 

'S40ST0407CR; 

S45ST0407CR; 

S45ST0508CR; 

S40T0406CR; 

S40T0407CR; 

S45T0407CR 

EA 10500 

EA 10500 

EA 13200 

EA 13200 

EA 13200 

EA 15800 

EA 15800 

EA 15800 



FHG3146S50TM 



GELATIN SEALED STEPPED TAPER 

CENTRAL SUPPORT GRAFT 50CM 4-7MM 

'S50ST0407CRS; 

S50ST0407CES 

EA 15500 

FHG3146S50VA 

FHG3147030TM 

PTFE STEPPED TAPER GRAFT50CM*4-6:5- 

8MM 



VASCULAR PROSTHESES SHORT TAPER 

GRAFT 30CM 4-7MM 

'S50ST0406S:S50ST0 

508S 

EA 15500 

'S30T0407S EA 10500 

FHG3147030VA PTFE SHORT TAPER GRAFT30CM*4-7MM 'S30T0407S EA 10500 

SHORT TAPER STRAIGHT GRAFT 

'21713:15;21113:15; 

FHG3147040AH STANDARD WALL 4-6MM,4-7MM * 

EA 13200 

21413:15 

40CM,45CM( 型號 21713 自 91/1/1 生效 ) 

FHG3147040GX TAPERED GRAFT 4-7MM 40CM 'V47040L EA 13200 

FHG3147045SB 

EXXCEL EPTFE VASCULAR GRAFT SHORT 

TAPER CENTRALLY SUPPORTED4: 

7MM,45CM,15CM,4:7MM,45CM,10CM 

'389457 EA 13200 

FHG3147050ED 

CENTER SPIRAL STEPPED STRAIGHT 

EPTFE GRAFT 4:7MM,50CM 

'RS47050 EA 15500 

FHG3147S45MP STEPPED GRAFT 4-7MM 45CM 'T454-7 EA 13200 

FHG3147T40AH 

STEP TAPER STRAIGHT GRAFT STANDARD 

'21701;21702;21703 EA 13200 

WALL 4-6MM,4-7MM * 40CM,45CM 

FHG3164A40MP 

CARBOFLO GRAFT,SHORT TAPERED,40CM 


'40A6-4C;40A7-4C EA 13200 

FHG316CF50MP CENTER FLEX 6:8MM 50CM 'CF5006:8 EA 17550 

FHG3174T40MP TAPERED GRAFT 7-4MM 40CM '40T7-4 EA 13200 

FHG31T4645MP 

CARBOFLO GRAFT,STEPPED,45CM 卡邦人 'T454-6C;T454-7C; 

EA 13200 

工血管 

T455-8C 

FHG31T4750MP 

CARBOFLO GRAFT,STEPPED,50CM 卡邦人 

'T504-7C EA 15500 

工血管 

FHG31VLT20MP 

FHG31VLT30MP 

FHG31VLT40MP 

FHG31VT246MP 


GRAFTS STEPPED GRAFT(4-6,4- 

7MM,20CM,25CM) 印帕維那人工血管階級式 







VENAFLO GRAFT,STEPPED,20/25CM 維那人 

工血管 

'VLT2046C; 

VLT2047C; 

VLT2546C; 

VLT2547C 

'VLT3046C; 

VLT3047C; 

VLT3546C; 

VLT3547C 

'VLT4046C; 

VLT4047C; 

VLT4546C; 

VLT4547C 

'VT2046C; 

VT2047C;VT2546C; 

VT2547C 

EA 7000 

EA 10500 

EA 13200 

EA 7000 

FHG31VT346MP 

VENAFLO GRAFT,STEPPED,30CM 維那人工 

血管 

'VT3046C;VT3047C EA 10500 

FHG3274070MP 

CARBOFLO GRAFT,TAPERED 

'70T7-4TWC;70T8- 


5TWC 

EA 19180 


FHG3346045GX TEX VASCULAR GRAFTS-TAPERED 'S46045 EA 14640 

STRETCH GRAFT 4-6MM*45CM 

FHG3347040GX 

TAPERED STRETCH VASCULAR GRAFT 

4:7MMX40CM 

'S47040 EA 14640 

FHG336CF40MP CENTER FLEX GRAFT 6:10MM 40CM 'CF4006:8 EA 14920 



FHG3447040SB 


TAPER CENTRALLY SUPPORTED 4: '386940 EA 14400 

7MM,40CM,5CM 

FHG3447045AH 

SHORT TAPER HELIX SUPPORT STRAIGHT 

GRAFT STANDARD WALL 4-7MM,45CM( 型號 '21125;21723;21725 EA 14400 

21723,21725 自 91/1/1 生效 ) 

FHG3447045SB 


TAPER CENTRALLY 

SUPPORTED47MM,45CM,15CM,47MM,45CM 

'386945;386947 EA 14400 

,10CM 

FHG3447C40SB 


'486940;45;47 

TAPER ,STEP CENTRALLY SUPPORTED 4- 

486457 

7MM/40CM,45CM/5-15CM 

EA 14400 

FHG3447S45MP 

CENTERFLEX STEPPED GRAFT 4-7MM,5- 

8MM 45CM 

'CFT454-7;CFT455-8 EA 14400 

FHG3646040VA 

PTFE SHORT TAPER SUPPORT 

'S40T0406TR; 

GRAFT40CM*4-6,4-7MM 

S40T0407CR 

EA 15800 

FHG3647050ED 

CENTER SPIRAL STEPPED STRAIGHT 

EPTFE GRAFT 4:7MM,50CM 

'RS47050CS EA 16950 

FHG3647145GX TAPERED GRAFT WITH REMOVAL RINGED 'RR47010045L EA 15800 

FHG3647S50VA 

PTFE STEPPED TAPER CENTRAL 

SUPPORT GRAFT50CM*4-7MM 

'S50ST0407CR EA 16950 

FHG3674A40MP 

CARBOFLO GRAFT,SHORT TAPERED 

CENTERFLEX,40CM 卡邦人工血管 

'CF40A7-4C EA 15800 

FHG36CVLT4MP 


GRAFTS STEPPED CENTERFLEX(4- 

7MM,45CM) 印帕維那人工血管階級中間螺旋式 

'CVLT4547C EA 14400 

FHG36F7407MP 

CARBOFLO GRAFT,FLEX THINWALL 

'F70T74TSC; 

TAPERED SMALL BEADING,70CM 卡邦人工 

F70T85TSC 

血管 

EA 22960 

FHG36T4740MP 

CARBOFLO GRAFT,STEPPED 

'CFT404-7C;CFT454- 

CENTERFLEX,40/45CM 卡邦人工血管 7C;CFT455-8C 

EA 15800 

FHG36T4750MP 

CARBOFLO GRAFT,STEPPED 

CENTERFLEX,50CM 卡邦人工血管 

'CFT504-7C EA 16950 

FHG36VT454MP 

VENAFLO GRAFT,STEPPED 

CENTERFLEX,45CM 維那人工血管 

'CVT4547C EA 15800 

FHG3846045GX 

" 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 'IRS46045L EA 17380 

GRAFTS(INTERING GRAFT)4-6MM X 45CM 

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 'IRS47045L EA 17380 

GRAFTS(INTERING GRAFT)4-7MM X 45CM 

FHG4108R10AH 

ULTRAMAX VASCULAR GRAFT AXILLO- 

BIFEMORAL 8MM,10MM,100X60CM 

'23004:07 EA 26000 

FHG4112040AH 

ULTRAMAX VASCULAR GRAFT 

'23512:20;23522; 

BIFURCATES-STANDARD,ANATOMICAL 

23524 

40CM 

EA 16000 

EXTERNALLY REINFORCED 

FHG4208100VA ANGLE,GELSOFT 8MM 100CM 60CM( 產品型 

號 690808P 自 91.10.1 生效 ) 

'490808;690808P EA 21500 

FHG421664PSB 


VELOUR VASCULAR GRAFT 〔 

'166126P:166241P EA 16000 

BIFURCATIONS〕12-24MM*6-12MM*40CM 



"TERUMO"GELSOFT PLUS GELATIN '631206P;631407P; 


631608P;631809P; 

PROSTHESES BIFURCATION WOVEN 632010P;632211P; 

EA 16000 

GRAFTS12:24*6:12MM 45CM 

632412P 

FHG4312645TM 

FHG4312646TM 

FHG4314745VA 

FHG4316845VA 

FHG4318945VA 

FHG4320145VA 

FHG4322145VA 

FHG4324145VA 

FHG43W1245TM 

FHG43W1445VA 

FHG43W1645VA 

FHG43W1845VA 

FHG43W2045VA 

FHG43W2245VA 

FHG43W2445VA 

FHP0100KSRM4 

FHP0104841GU 

FHP0105172ST 

FHP0110SS1M4 

FHP0111941GU 



BIFURCATION WOVEN GRAFT 

12:24*6:12MM 45CM 

BIFURCATION WOVEN,GELSOFT GRAFT 

14&7MMx45CM( 產品型號 631407P 自 91.10.1 生 

效 ) 


16&8MMx45CM( 產品型號 631608P 自 91.10.1 生 

效 ) 


18&9MMx45CM( 產品型號 631809P 自 91.10.1 生 

效 ) 


20&10MMx45CM( 產品型號 632010P 自 91.10.1 

生效 ) 


22&11MMx45CM( 產品型號 632211P 自 91.10.1 

生效 ) 

BIFURCATION WOVEN ,GELSOFT GRAFT 

24&12MMx45CM( 產品型號 632412P 自 91.10.1 

生效 ) 



BIFURCATION WOVEN GRAFT 

12:24*6:12MM 45CM 

GELWEAVE BIFURCATE VASCULAR 

GRAFTS(45CMX14,7MM) 











KAPPA SR PULSE GENERATOR※ 頇檢附心 

電圖報告專案報備使用 

INSIGNIA I IMPLANTABLE PULSE 

GENERATOR GUIDANT ENTRA SINGLE 

CHAMBER ADAPTIVE RATE 適應症請見備註 

欄 

SINGLE CHAMBER PULSE GENERATOR 

SSIR* 頇檢附心電圖報告專案報備使用 

SIGMA SSI PACEMAKER WITHOUT LEAD※ 

頇檢附心電圖報告專案報備使用 

INSIGNIA I IMPLANTABLE PULSE 

GENERATOR SINGLE CHAMBER BLENDED 

SENSOR ADAPTIVE RATE 適應症請見備註欄 

'431206;431407; 

431608;431809; 

432010;432211; 

432412 

EA 16000 

'431407;631407P EA 16000 

'431608;631608P EA 16000 

'431809;631809P EA 16000 

'432010;632010P EA 16000 

'432211;632211P EA 16000 

'432412;632412P EA 16000 

'731206;731407; 

731608;731809; 

732010;732211; 

732412 

EA 16000 

'731407 EA 16000 

'731608 EA 16000 

'731809 EA 16000 

'732010 EA 16000 

'732211 EA 16000 

'732412 EA 16000 

'KSR401;403 EA 74070 

'484&485 EA 56540 

'IDENTITY SR 5172 EA 74070 

'SS103;106;203; 

303;SVVI103 

SET 56540 

'1194 EA 74070 



FHP0111951GU 

GUIDANT INSIGNIA I IMPLANTABLE PULSE 

GENERATOR※ 頇檢附心電圖報告專案報備使 '1195;1198 EA 74070 

用 

REGENCY SR+SSIR PULSE GENERATOR 

FHP0112400PR W/AUTOCAPTURE※ 頇檢附心電圖報告專案報 '2400L EA 74070 

備使用 

FHP0112402PR 

REGENCY SC+SSIC PULSE GENERATOR 

W/AUTOCAPTURE※ 頇檢附心電圖報告專案報 '2402L EA 62260 

備使用 

FHP0112525PR 

REGENCY/MICRONY SSIR PULSE 

'MICRONY II SR+ 

GENERATOR 頇附心電圖報告專案報備使用 ( 

2525T 

不頇事前審查 ) 

EA 74070 

FHP011SS1RM4 

FHP0120081BK 

FHP0120744BK 

FHP012404NPR 

FHP012406NPR 

FHP0134115BK 

FHP0134119BK 

FHP0134981BK 

FHP01AVTSRGU 

FHP01AVTSSGU 

SIGMA SSIR PACEMAKER WITHOUT LEAD 

※ 頇檢附心電圖報告專案報備使用 

ACTROS SR AAIR/VVIR IS-1 PACEMAKER 

WITHOUT LEAD※ 頇檢附心電圖報告專案報備 

使用 

ACTROS S AAI/VVI IS-1 PACEMAKER 


使用 

REGENCY SR SSIR PULSE GENERATOR 


使用 

REGENCY SC/SCX SSI PULSE GENERATOR 


使用 

〝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 

" 拜耳德尼克 " 璽洛植入式心律調節 

器 "BIOTRONIK"CYLOS IMPLANTABLE 

CARDIAC PACEMAKERS* 適應症請見備註欄 

" 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 


器 "GUIDANT"INSIGNIA I AVT PULSE 

GENERATOR* 頇檢附心電圖報告專案報備適用 

'SSR203;SSR303; 

SSR306 

SET 74070 

'120081 EA 74070 

'120744 EA 62260 

'2404L EA 74070 

'2406L;2408L EA 56540 

'341815;341824 EA 74070 

'341819;341823 EA 62260 

'349811;349813 EA 74070 

'1192 EA 74070 

'482;882 EA 62260 

FHP01ESS1RM4 

ENPULSE PACING GENERATOR 頇檢附心電 'E2SR01;E2SR03; 

圖報告專案報備使用 

E2SR06 

個 74070 

FHP01K9KSRM4 

KAPPA PULSE GENERATOR ※ 頇檢附心電 

圖報告專案報備使用 

'KSR901、903、906 EA 74070 

FHP01KAKSRM4 

KAPPA PULSE GENERATOR (SSIR) * 頇檢附 

'KSR701;703;706 

心電圖報告專案報備使用 

EA 74070 

FHP01M2535ST 

" 聖猶達 " 植入式心臟節律器 * 需檢附心電圖報告 'MICRONY K SR 

專案報備使用 

2535K 

EA 74070 

FHP01S1195GU 

INSIGNIA I ENTRA PULSE GENERATOR※ 頇 

檢附心電圖報告專案報備使用 

'1195;1198 EA 74070 

FHP01S484NGU 

INSIGNIA I ENTRA PULSE GENERATOR※ 頇 


'484;485 EA 56540 



FHP01SSIRCM4 

CLARITY IMPLANTABLE PACEMAKER* 頇檢 

附心電圖報告專案報備使用 

'560;565;562 EA 85500 

FHP01UTASRGU 


器 "GUIDANT"INSIGNIA I ULTRA PULSE 

GENERATOR SSIR* 頇檢附心電圖報告專案報 

'1190 EA 74070 

備適用 

" 聖猶達 " 維奇植入式心臟節律器 "SJM" 

FHP01V56SRST 

VICTORY IMPLANTABLE CARDIAC PULSE 'VICTORY SR MODEL 

GENERATOR * 頇檢附心電圖報告專案報備使 5610 

EA 74070 

用 

FHP01VEESRST 

FHP01VERSCST 

FHP01VERSRST 

FHP02DDD12GU 

FHP02DDD18BK 

FHP02DDD2SST 

FHP02DDD2UST 

FHP02DDD32GU 

FHP02DDD6SST 

FHP02DDD6UST 

FHP02DDDADM4 

FHP02DDDENM4 

FHP02DDDKKM4 

FHP02DDDSEM4 

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 

植入式心臟節律器 IMPLANTABLE CARDIAC 

PULSE GENERATOR 

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 

因施尼亞內植用心律調節器 GUIDANT 

INSIGNIA I ENTRA PULSE GENERATOR* 適 


雙腔型心臟節律器 "BIOTRONIK" 

IMPLANTABLE PACEMAKERS-PHILOS II D* 


雙腔型心臟節律器 "SJM" IMPLANTABLE 

CARDIAC PULSE GENERATOR * 適應症請見 

備註欄 



備註欄 

內植用雅密特心臟整律器 GUIDANT INSIGNIA I 

AVT PULSE GENERATOR* 適應症請見備註欄 



備註欄 



備註欄 

美敦力黛拉心臟節律器 MEDTRONIC ADAPTA 

PACING GENERATOR* 適應症請見備註欄 

美敦力心臟節律系統 MEDTRONIC ENPULSE 


美敦力卡帕人工心律調節器 MEDTRONIC 

KAPPA PULSE GENERATOR* 適應症請見備註 

欄 

美敦力賽亞心臟節律器 MEDTRONIC SENSIA 


'IDENTITY ADX 

SR(5180) 

EA 74070 

'5056 EA 62260 

'5156;5157M/S EA 74070 

'985;986 EA 102500 

'341820;341825 EA 102500 

'IDENTITY ADX XL DC 

5286 

'IDENTITY ADX XL DC 

5286 

EA 102500 

EA 102500 

'982 EA 102500 

'VERITY ADX XL DC 

5256 

'VERITY ADX XL DC 

5256 

EA 102500 

EA 102500 

'ADD01 EA 102500 

'E2D01;E2D03 EA 102500 

'KD701; KD703; 

KD706;KD901; 

KD903; KD906 

EA 102500 

'SED01 EA 102500 

FHP02DDDSGM4 希格瑪人工心律調節器 * 適應症請見備註欄 'SD203;SD303 EA 102500 

因施尼亞內植用心律調節器 GUIDANT 

FHP02DDR11GU 

INSIGNIA I ENTRA PULSE GENERATOR* 適 

應症請見備註欄 , 按同類近似特材支付點數 

102500 點支付 , 超過部分由病患自付。 

'1296;1294;1295 EA 102500 



FHP02DDR21BK 


IMPLANTABLE PACEMAKERS-PHILOS II* 適 


'341821;341826 EA 102500 


FHP02DDR21GU 

因施尼亞心律調節器 GUIDANT INSIGNIA I 

PLUS PULSE GENERATOR* 適應症請見備註 

欄 , 按同類近似特材支付點數 102500 點支付 , 超 

'1297;1298 EA 102500 


FHP02DDR31GU 

內植用雅密特心臟整律器 GUIDANT INSIGNIA I 

AVT PULSE GENERATOR* 適應症請見備註欄 , 

按同類近似特材支付點數 102500 點支付 , 超過 

'1292 EA 102500 


FHP02DDR34BK 

雙腔型心律調節器 "BIOTRONIK" CYLOS 

IMPLANTABLE CARDIAC PACEMAKERS* 適 


'349799;349804 EA 102500 

102500 點給付超過部分由病患自付 


FHP02DDR3SST 

CARDIAC PULSE GENERATOR * 適應症請見 'ADX DR 5380;ADX 

備註欄 , 按同類近似特材支付點數 102500 點支付 XL DR5386 

EA 102500 


FHP02DDR3UST 

FHP02DDR41GU 

FHP02DDR5SST 

FHP02DDR5UST 

FHP02DDR7SST 

FHP02DDR7UST 

FHP02DDR8UST 

FHP02DDRADM4 

FHP02DDRENM4 



備註欄 , 按同類近似特材支付點數 102500 點支付 


因施尼亞心臟整律器 GUIDANT INSIGNIA I 

ULTRA PULSE GENERATOR* 適應症請見備註 

欄 , 按同類近似特材支付點數 102500 點支付 , 超 










雙腔型心臟節律器 "SJM" DUAL CHAMBER 

PULSE GENERATOR * 適應症請見備註欄 , 按同 

類近似特材支付點數 102500 點支付 , 超過部分 






雙腔型心臟節律器 "SJM" VICTORY 

IMPLANTABLE CARDIAC PULSE 

GENERATOR * 適應症請見備註欄 , 按同類近似 

特材支付點數 102500 點支付 , 超過部分由病患 

自付。 


PACING GENERATOR* 適應症請見備註欄 , 按 

同類近似特材支付點數 102500 點支付 , 超過部 






'IDENTITY ADX DR 

5380;IDENTITY ADX 

XL DR 5386 

EA 102500 

'1290;1291 EA 102500 

'VERITY ADX XL DR 

5356;VERITY ADX 

XL DR 5357 M/S 

'VERITY ADX XL DR 

5356;VERITY ADX 

XL DR 5357 M/S 

'IDENTITY DR 5370; 

IDENTITY XL DR 5376 

'IDENTITY DR 5370; 

IDENTITY XL DR 5376 

'VICTORY XL DR 

5816;VICTORY DR 

5810 

'ADDR01;ADDR03; 

ADDR06;ADDRS1; 

ADDRL1 

'E2DR01;E2DR03; 

E2DR06;E2DR21; 

E2DR31;E2DR33 

EA 102500 

EA 102500 

EA 102500 

EA 102500 

EA 102500 

EA 102500 

EA 102500 



'KDR901;KDR903; 

FHP02DDRKKM4 

KDR906;KDR921; 



KAPPA PULSE GENERATOR* 適應症請見備註 


欄 , 按同類近似特材支付點數 102500 點支付 , 




EA 102500 

KDR401;KDR403 

美敦力賽亞心臟節律器 MEDTRONIC SENSIA 

FHP02DDRSEM4 



'SEDR01;SEDRL1 EA 102500 

FHP02DDRSGM4 

FHP02DDRTHM4 

FHP02DDRVEM4 

FHP02VDDADM4 

FHP02VDDENM4 


希格瑪人工心律調節器 * 適應症請見備註欄 , 按同 

類近似特材支付點數 102500 點支付 , 超過部分 


植入式心臟節律系統 ENRHYTHM 

IMPLANTABLE PACEMAKER SYSTEMS* 適應 

症請見備註欄 , 按同類近似特材支付點數 


美敦力維莎心臟節律器 MEDTRONIC VERSA 








'SDR303;SDR306; 

SDR203 

EA 102500 

'P1501DR EA 102500 

'VEDR01 EA 102500 

'ADVDD01 EA 102500 

'E2VDD01 EA 102500 

FHP02VDDKKM4 


KAPPA PULSE GENERATOR* 適應症請見備註 'KVDD901;KVDD701 EA 102500 

欄 

FHP02VDDSGM4 希格瑪人工心律調節器 * 適應症請見備註欄 'SVDD303 EA 102500 


FHP02VDR16BK IMPLANTABLE PACEMAKERS-PHILOS II 

SLR* 適應症請見備註欄 

'341816;341822 EA 102500 

FHP02VDR1SST 

FHP02VDR1UST 

FHP02VDR4SST 

FHP02VDR4UST 

FHP1104700ED 

FHP1106120GX 

FHP1112120GX 

FHP1115200GX 



備註欄 



備註欄 



備註欄 



備註欄 

CVS DIVISION PERICARDIAL PATCH 

10X15CM 

" 戈爾 " 普瑞得福心包膜代用膜 "GORE" 

PRECLUDE PRECARDIAL MEMBRANE 

6*12CM 



12*12CM 



15*20CM 

'VERITY ADX VDR 

5456 

'VERITY ADX VDR 

5456 

'IDENTITY ADX VDR 

5480 

'IDENTITY ADX VDR 

5480 

EA 102500 

EA 102500 

EA 102500 

EA 102500 

'4700 EA 8000 

'1PCM100 EA 4310 

'1PCM102 EA 8680 

'1PCM103 EA 14500 



FHP11XA400ED EQUINE PERICARDIAL PATCH 10*10 CM 'XAG-400 PCS 8000 

FHP5600782BA 

" 巴德 " 心血管補片 "BARD"CARDIOVASCULAR 

PATCH-CARDIOVASCULAR 

FABRICS(15.2*15.2CM) 

'007956;007829; 

007827;007831; 

007835 

EA 5440 

FHP5600790BA 



FABRICS(1.0*15.2CM)(2.1*5.1CM) 

'007940;007943 EA 300 

FHP5600793BA 



FABRICS(2.5CM*10.2CM) 

'007942;007937 EA 606 

FHP5600794BA 

FHP5600795BA 

FHP5607018BA 







'007944;007939; 

007957;007979 

'007955;007828; 

007826;007830; 

007834 

" 巴德 " 心血管補片 "BARD" CARDIOVASCULAR 

'007018;007019; 

PATCH-SURGICAL FELTS 

007021;007973; 

2.5*2.5CM,0.6*5.1CM,1.3*10.2CM,2.5*2.5CM,1 

007974;007975 

.0*15.2CM 

EA 1825 

EA 2450 

EA 300 

FHP5607836BA 


PATCH-SURGICAL FELTS 10.2*10.2CM 

'007836;007838; 

007958 

EA 2450 

FHP5607837BA 



'007837;007839; 

007959;008972 

EA 5440 

FHP5607963BA 

FHP5607968BA 

FHP5607976BA 

FHP5619121SB 

FHP5619145SB 

FHP5619237SB 

FHP5619301SB 


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 


PATCH-SURGICAL FELTS 

2.5*10.2CM,5.1*5.1CM 



" 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 




10.2CM*10.2CM 




15.2CM*15.2CM 

PTFE FELTS 彌補片 7.6X30.5CM,15.2X15.2CM 

'007963;007965; 

007969;007970; 

007971;007972; 

007984 

EA 42 

'007968;007977 EA 606 

'007976 EA 895 

'M002000191210 EA 1825 

'M002000191450; 

M002000192350; 

M002000192550 

EA 2450 

'M002000192370 EA 5440 

'M002000193061; 

M002000193560; 

M002000193991 

EA 5440 

FHP5619302SB PTFE FELTS 彌補片 10.2X10.2CM 

'M002000193041; 

M002000193540 

EA 2450 

FHP5619303SB PTFE FELTS 彌補片 5.1X15.2CM 'M002000193831 EA 1825 



FHP5619304SB PTFE FELTS 彌補片 2.5X15.2CM 'M002000193821 EA 895 

FHP5619305SB PTFE FELTS 彌補片 5.1X5.1CM,2.5X10.2CM 'M002000193811; EA 606 

FHP5619307SB 

PTFE FELTS 彌補片 

0.64X15.2CM,0.95X15.2CM,1.3X15.2CM,2.5X 

2.5CM,2.5X5.1CM 

M002000193841 

'M002000193851; 

M002000193861; 

M002000193871; 

M002000193881; 

M002000193981 

EA 300 

FHP5619308SB 

PTFE PLEDGETS 襯墊 

3.2:6X6:6.4MM,4.8:9.5X6.4:19.1MM 

'M002000193101;111 

; 

M002000193121;361; 

M002000193401;411; 

M002000193441;481; 

M002000193971 

EA 42 

FHPCD07230M4 

FHPCD07231M4 

FHPCD07232M4 

FHPCD07274M4 

FHPCD07275M4 

FHPCD07278M4 

MARQUIS IMPLANTABLE CARDIOVERTER 

DEFIBRILATOR 單腔 ※ 適應症請見備註欄 

GEM III IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR(ICD)* 適應症請見備註欄 

” 美敦力 ” 麥思蒙植入式去纖維顫動系統 ” 

MEDTRONIC” MAXIMO IMPLANTABLE 

DEFIBRILLATOR SYSTEM* 適應症請見備註欄 

MARQUIS IMPLANTABLE CARDIOVERTER 

DEFIBRILATOR 雙腔 ※ 適應症請見備註欄 

GEM III IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR(ICD)* 適應症請見備註欄 

” 美敦力 ” 麥思蒙植入式去纖維顫動系統 ” 

MEDTRONIC” MAXIMO IMPLANTABLE 


'7230X、7230B、 

7230E 

EA 405000 

'7231CX EA 351000 

'7232CX EA 405000 

'7274 EA 504000 

'7275 EA 436800 

'7278 EA 504000 

FHPCD07287M4 

FHPCD15VRCM4 

FHPCD18601GU 

FHPCD18611GU 

FHPCD18701GU 

FHPCD1870VGU 

FHPCD18711GU 

FHPCD1871DGU 

” 美敦力 ” 茵萃斯植入式去纖維顫動系統 ” 

MEDTRONIC”INTRINSIC IMPLANTABLE 


" 美敦力 " 恩特植入式心臟纖維去顫動系 

統 "MEDTRONIC"ENTRUST IMPLANTABLE 


VENTAK PRIZM 2 AUTOMATIC 


DEFIBRILLATOR VR* 適應症請見備註欄 

VENTAK PRIZM 2 AUTOMATIC 


DEFIBRILLATOR DR 

GUIDANT VITALITY AICD 吉時利維大力植入型 

心臟整流去顫器 ( 單腔式 )* 適應症請見備註欄 

GUIDANT VITALITY AICD 維達自動植入型心律 

去顫器 * 適應症請見備註欄 

GUIDANT VITALITY AICD 吉時利維大力植入型 

心臟整流去顫器 ( 雙腔式 )* 適應症請見備註欄 

GUIDANT VITALITY AICD 維達自動植入型心律 

去顫器 * 適應症請見備註欄 

'7287;7288 EA 504000 

'D153VRC;D154VRC EA 405000 

'1860 EA 351000 

'1861 EA 436800 

'1870 EA 405000 

'1870 VR EA 405000 

'1871 EA 504000 

'1871DR EA 504000 



FHPCD46998BK 

" 拜耳德尼克 " 植入式心內除顫器 "BIOTRONIK" 

IMPLANTABLE CARDIOVERTER- 

DEFIBRILLATOR LEXOS LEXOS VR * 適應症 

'346998 EA 405000 


FHPCD47000BK 



DEFIBRILLATOR LEXOS DR* 適應症請見備註 

'347000 EA 504000 

欄 

FHPCD47002BK 



DEFIBRILLATOR LEXOS A+ * 適應症請見備註 

欄 

'347002 EA 504000 

FHPCDA155DGU " 佳騰 " 維達艾維塔植入型心律去顫器 "GUIDANT" 

VITALITY AVT ICD* 適應症請見備註欄 

'A155 EA 504000 

FHPCDC164AM4 

" 美敦力 " 維多植入式心臟去顫器 "MEDTRONIC" 

VIRTUOSO IMPLANTABLE CARDIOVERTER 


'D164AWG EA 536800 

FHPCDD1534M4 

" 美敦力 " 恩特植入式心臟纖維去顫動系 

統 "MEDTRONIC"ENTRUST IMPLANTABLE 


'D153ATG; 

D153DRG; 

D154ATG;D154DRG 

EA 536800 

FHPCDD164VM4 

FHPCDP0230ST 

FHPCDPD232ST 

FHPCDPD236ST 

FHPCDPD240ST 

FHPCDPD243ST 

FHPCDPD255ST 

FHPCDPD258ST 

FHPCDPD26NST 

FHPCDPS158ST 

" 美敦力 " 維多植入式心臟去顫器 "MEDTRONIC" 

VIRTUOSO IMPLANTABLE CARDIOVERTER 


PHOTON DR IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR* 適應症請 

見備註欄 



見備註欄 

EPIC PLUS IMPLANTABLE CARDIOVERTER 

DEFIBRILLATOR※ 適應症請見備註欄 


CARDIOVERTER DEFIBRILLATOR※ 適應症 


PHONTON DR IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR 植入式雙 

腔型心臟去顫器 * 適應症請見備註欄 

" 聖猶達 "’ 艾匹克雙腔型植入式去纖維顫動 

器 "SJM" EPIC PLUS IMPLANTABLE 


見備註欄 

" 聖猶達 "’ 艾匹克雙腔型植入式去纖維顫動 

器 "SJM" EPIC PLUS IMPLANTABLE 


見備註欄 

" 聖猶達 " 植入式雙腔型心臟去顫 

器 "SJM"PHONTON DR IMPLANTABLE 


見備註欄 

" 聖猶達 " 艾匹克單腔型植入式去纖維顫動 

器 "SJM" EPIC PLUS VR IMPLANTABLE 


見備註欄 

'D164VWC EA 405000 

'V-230HV EA 436800 

'V-232 EA 436800 

'EPIC+DR(V-236); 

EPIC+DR(V-239) 擴增 

型號 

EA 504000 

'ATLAS V-240 EA 436800 

'ATLAS+DR(V-243) EA 504000 

'EPIC II DR(V-255) EA 504000 

'EPIC II DR(V-258) EA 504000 

'ATLAS II DR V-265 & 

+ DR V-268 

EA 504000 

'EPIC II VR(V-158) EA 405000 



FHPCDPS168ST 

" 聖猶達 " 植入式心律去顫 

器 "SJM"IMPLANTABLE CARDIOVERTER 'ATLAS II VR(V-168) EA 405000 

DEFIBRILLATORS* 適應症請見備註欄 

FHPCDPS193ST 

植入性心律去顫器 IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR* 適應症請 'ATLAS+VR(V-193) EA 405000 

見備註欄 

FHPCDPS194ST 

PHOTON MICRO VR IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR* 適應症請 'V-194 EA 351000 

見備註欄 

FHPCDPS196ST 

EPIC PLUS VR IMPLANTABLE 

CARDIOVERTER DEFIBRILLATOR※ 適應症 'V-196 EA 405000 


FHPCDPS199ST 


DEFIBRILLATOR※ 適應症請見備註欄 

'ATLAS VR(V-199) EA 351000 

FHPCDT167DGU 

" 佳騰 " 維達第 2 代自動植入型心律去顫 

器 "GUIDANT" VITALITY 2EL ICD ( 雙腔 )* 適應 'T167 EA 504000 


FHPCDT177DGU 

" 佳騰 " 維達第 2 代自動植入型心律去顫 

器 "GUIDANT" VITALITY 2EL ICD ( 單腔 )* 適應 'T177 EA 405000 


FHPCL00127GU 

ENDOTAK RELIANCE S ENDOCARDIAL 

DEFIBRILLATION LEAD* 適應症請見備註欄 

'0127;0128 EA 93600 

FHPCL00147GU 

ENDOTAK RELIANCE ENDOCARDIAL 


'0147;0148;0149 EA 93600 

FHPCL00157GU 

'0137(59CM); 

" 吉時利 " 恩德禮來內植除顫導 

0138(64CM); 

線 "GUIDANT"ENDOTAK 

0157(59CM); 

RELIANCE/RELIANCE S ENDOCARDIAL 

0158(64CM); 


0159(90CM) 

EA 93600 

FHPCL06942M4 SPRINT LEAD(ICD)* 適應症請見備註欄 

'6932;6942;6943; 

6945 

EA 93600 

FHPCL06944M4 SPRINT LEAD(ICD)* 適應症請見備註欄 '6944 EA 93600 

FHPCL06947M4 

史賓特導線 SPRINT LEAD 58,65,75,100CM * 適 

'6947 EA 93600 

FHPCLAF157GU 

FHPCLB0147GU 

FHPCLB0157GU 

FHPCLB0170GU 

FHPCLB0174GU 

FHPCLB0184GU 

FHPCLE0147GU 

FHPCLKX341BK 


安達植入式去顫器電極導線 ENDOTAK 

RELIANCE IMPLANTABLE LEAD* 適應症請見 

備註欄 

" 佳騰 " 安達植入式去顫器電極導線 "GUIDANT" 

ENDOTAK RELIANCE IMPLANTABLE LEAD* 


" 佳騰 " 安達植入式電極導線 "GUIDANT" 

ENDOTAK RELIANCE IMPLANTABLE LEAD* 


"GUIDANT"ENDOTAK RELIANCE SG 

IMPLANTABLE LEAD* 適應症請見備註欄 

" 佳騰 " 安達集植入式電極導線 "GUIDANT" 

ENDOTAK RELIANCE G IMPLANTABLE 

LEAD* 適應症請見備註欄 

" 佳騰 " 安達集植入式電極導線 "GUIDANT" 

ENDOTAK RELIANCE G IMPLANTABLE 


安達植入式去顫器電極導線 ENDOTAK 

RELIANCE IMPLANTABLE LEAD* 適應症請見 

備註欄 

" 拜耳德尼克 " 植入式心內除顫器導 

線 "BIOTRONIK" ICD LEAD* 適應症請見備註欄 

'0137;0138;0139; 

0157;0158;0159 

'0147:0149; 

0127:0129 

'0157:0159; 

0137:0139 

'0170;0171;0172; 

0180;0181;0182 

'0174;0175;0176; 

0177 

'0184;0185;0186; 

0187 

'0127;0128;0129; 

0147;0148;0149 

EA 93600 

EA 93600 

EA 93600 

EA 93600 

EA 93600 

EA 93600 

EA 93600 

'341435;341434 EA 93600 




線 "BIOTRONIK" ICD LEAD(KENTROX RV- '343080;345988; 

S65,SL-S65/16,SL-S65/18-STEROID)* 適應症 345989 

EA 93600 


FHPCLKX345BK 

FHPCLKX348BK 

FHPCLKX633BK 

FHPCLLN337BK 

FHPCLLN350BK 

FHPCLLN351BK 

FHPCLLN352BK 

FHPCLR1ATAST 

FHPCLR700NST 

FHPCLR704NST 


線 "BIOTRONIK" ICD LEAD(KENTROX 

RV65;75,SL65/16;18,SL75/16;18,SL100/16;18- 

STEROID)* 適應症請見備註欄 

" 拜耳德尼克 " 肯特心內除顫器導線 "BIOTRONIK" 

KENTROX A+ ICD LEADS* 適應症請見備註欄 

" 拜耳德尼克 " 霖納思植入式心內除顫器導線 ” 

BIOTRONIK” LINOX TD ICD LEADS* 適應症請 

見備註欄 


BIOTRONIK” LINOX SD IMPLANTABLE 

DEFIBRILLATOR LEADS* 適應症請見備註欄 


BIOTRONIK” LINOX S ICD LEADS* 適應症請見 

備註欄 


BIOTRONIK” LINOX T IMPLANTABLE 

DEFIBRILLATOR LEADS* 適應症請見備註欄 

TRANSVENOUS TACHYARRHYTHMIA LEAD 

※ 適應症請見備註欄 ( 產品型號 

RIATA1560:1562,1590:1592 自 94.4.1 生效使用 ) 

" 聖猶達 " 經靜脈心搏過速導線 "SJM" 

TRANSVENOUS TACHYARRHYTHMIA 


“ 聖猶達 ” 經靜脈心搏過速導線 ”SJM” 

TRANSVENOUS TACHYARRHYTHMIA 


'348090:348091; 

347351:347354; 

347349:347350 

EA 93600 

'345633;345634 EA 93600 

'351337;351338; 

351339;351340; 

351335;351336 

'350053;350054; 

350055;350056 

EA 93600 

EA 93600 

'351333;351334 EA 93600 

'351353;351354 EA 93600 

'RIATA1560; 

RIATA1561; 

RIATA1562; 

RIATA1580:81, 

1570:71; 

RIATA1590; 

RIATA1591; 

RIATA1592 

EA 93600 

'RIATA(7000:7002) EA 93600 

'RIATA ST 

7040;7041;7042 

EA 93600 

FHPCLTVLNNST TVL PACING LEAD* 適應症請見備註欄 'TVL(1559) RV06:RV07 EA 93600 

FHPHF01401GU 

" 吉時利 " 康得整律器 "GUIDANT"CONTAK 

RENEWAL TR2 CRT-P(PULSE 

GENERATOR)* 適應症請見備註欄 

'H140;H145 EA 203300 

FHPHF02187M4 

FHPHF04193M4 

FHPHF04194M4 

FHPHF08042M4 

FHPHF1056NST 

FHPHF1058NST 

CARDIAC VEIN PACING LEAD※ 適應症請見 

備註欄 

ATTAIN OTW LEAD 艾坦插入式導線 ※ 適應症 


" 美敦力 " 艾坦插入式導 

線 "MEDTRONIC"ATTAIN OTW LEAD* 適應症 


INSYNC III ATRIAL SYNCHRONOUS PACING 

DEVICE※ 適應症請見備註欄 

〝SJM〞LEFT VENTRICULAR LEAD〝聖猶達 

〞左心室心臟節律器導線 * 適應症請見備註欄 ( 產 

品型號 QUICKSITE 1056T 自 95.1.1 生效 ) 

" 聖猶達 " 左心室心臟節律器導線 "SJM" LEFT 

VENTRICULAR LEAD* 適應症請見備註欄 

'2187 EA 21850 

'4193 EA 23750 

'4194 EA 23750 

'8042 EA 203300 

'QUICKSITE 1056K; 

QUICKSITE 1056T 

EA 23750 

'QUICKSITE(1058T) EA 23750 



FHPHF33820BK 

" 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* 適應症請見備註欄 

'STRATOS LV- 

T(338202) 

EA 203300 

FHPHF55CRTST 

FHPHF86CRTST 

FHPHF96CRTST 

" 聖猶達 " 植入式心臟節律 

器 "SJM"IMPLANTABLE CARDIAC PULSE 

GENERATOR(BIVENTRICULAR 

STIMULATION DEVICE)* 適應症請見備註欄 

" 聖猶達 " 植入式心臟節律 

器 "SJM"IMPLANTABLE CARDIAC PULSE 

GENERATORS* 適應症請見備註欄 

〝SJM〞BIVENTRICULAR STIMULATION 

DEVICE〝聖猶達〞雙心室心臟節律器 * 適應症 


FHPHFACUTYGU " 佳騰 " 雅各易導型電極導管 "GUIDANT"ACUITY 

STEERABLE LEAD* 適應症請見備註欄 

FHPHFEASY2GU 

" 佳騰 " 易導型第二代雙電極導 

管 "GUIDANT"EASYTRAK 2 IS-1 PACING 


FHPHFEASYTGU ” 佳騰 ” 易導型電極導線 ”GUIDANT”EASYTRAK 

2 PACING LEAD* 適應症請見備註欄 

FHPHFKX346BK 

FHPL104035GU 

FHPL104063GU 

FHPL104067M4 

FHPL104073M4 

FHPL104086GU 

FHPL104092M4 

FHPL104340GU 

FHPL104523M4 

FHPL104556GU 

FHPL104965M4 

FHPL104968M4 

FHPL105038M4 

FHPL105054M4 

" 拜耳德尼克 " 可洛植入式心導 

線 "BIOTRONIK"COROX OTW LEAD* 適應症請 

見備註欄 

STEROID ELUTING LEAD※ 頇檢附心電圖報告 


SELUTEPICOTIP ATRIAL-J LEAD STEROID 

※ 頇檢附心電圖報告專案報備使用 

CAPSURE FIX LEAD * 頇檢附心電圖報告專案 

報備使用 

CAPSURE SENSE LEAD 蓋普夏導線 ※ 頇附心 


" 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 

CAPSURE SP PACING LEADS * 頇檢附心電圖 

報告專案報備使用 

凱登希洛地心房雙極導線 GUIDANT SELUTE 

PICOTIP VDD PACING LEAD※ 頇附心電圖報 

告專案報備使用 

CAPSURE SP PACING LEADS 蓋普夏整律導 

管 ※ 頇檢附心電圖報告專案報備使用〔產品型 

號 4023) 

FINELINE II ENDOCARDIAL PACING LEAD 頇 

檢附心電圖報告專案報備使用 4469:4474 

CAPSURE EPICARDIA LEAD STEROID 

ELUTING ※ 頇檢附心電圖專案報備使用 

CAPSURE EPICARDIAL LEAD * 頇檢附心電圖 


CAPSURE VDD LEAD * 頇檢附心電圖報告專 

案報備使用 

CAPSURE Z PACING LEADS * 頇檢附心電圖 


'5508;5508L EA 203300 

'FRONTIER II 5586 EA 203300 

'FRONTIER II 5596 EA 203300 

'4554;4555;4556 EA 23750 

'4542;4543;4544 EA 23750 

'4515;4517;4518; 

4520 

EA 23750 

'346542;346543 EA 23750 

'4035 EA 10000 

'4063、4064 EA 10000 

'4067:8;4568; 

5067:8;5568;6940 

EA 10000 

'4073,4074,4574 EA 10000 

'4086(45CM); 

4087(52CM); 

4088(59CM) 

'4092;4592;5092; 

5592 

'4340;4341;4342; 

4343 

'4523,5023M,5024M 

,5524 

'4456:4459,4479: 

4480 

EA 10000 

EA 10000 

EA 10000 

EA 10000 

EA 10000 

'4965 EA 10000 

'4968 EA 10000 

'5038 EA 10000 

'5054;5554 EA 10000 



FHPL105071M4 

PACEMAKER LEAD (EPICARDIAL)※ 頇檢附心 

'5071 


EA 10000 

FHPL105072M4 

SUREFIX LEAD ,ENDOCARDIAL,STEROID 

ELUTING* 頇檢附心電圖報告專案報備使用 

'5072 EA 10000 

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 '4076;5076 EA 10000 

效 ) 

FHPL105594M4 

CAPSURE SP NOVUS ENDOCARDIAL 

LEAD,STEROID ELUTING* 頇附心電圖報告專 '5594 EA 10000 


FHPL11336TST 

IMPLANTABLE CARDIAC PACING LEADS '1336T;42T;43K; 

(ENDOCARDIAL LEAD PASSIVE PLUS DX) 45K;46T 

EA 10000 

IMPLANTABLE CARDIAC VDD PACING LEAD 

FHPL11368NST 52CM,58CM,65CM * 頇檢附心電圖報告專案報 'AV PLUS DX 1368 EA 10000 

備使用 

FHPL11388NST 

PACESETTER TENDRIL IMPLANTABLE 

CARDIAC PACING LEAD※ 頇檢附心電圖報告 'DX1388K/T EA 10000 


FHPL11400KPR 

PACEMAKER LEAD( 含類脂醇 ) ※ 頇附心電圖 '1400K;1400T; 


1420T 

EA 10000 

FHPL11488NST 

PACESETTER TENDRIL IMPLANTABLE 

'TENDRIL SDX 

CARDIAC PACING LEDA * 頇檢附心電圖報告 

1488K/T 


EA 10000 

FHPL11646TST 

FHPL11688NST 

FHPL117882ST 

FHPL11888NST 

FHPL140335GU 

FHPL140535GU 

FHPL140634GU 

FHPL1B4456GU 

FHPL1LD14TPR 

FHPL1PX119BK 

FHPL1S9F4NST 

FHPL1SLX65BK 

IMPLANTABLE CARDIAC PACING LEAD※ 頇 

檢附心電圖報告專案報備使用 1646T,1642T 

'1645K;1643K; 

1635K;1636T 

EA 10000 

IMPLANTABLE CARDIAC PACING LEADS※ 'TENDRIL 

頇附心電圖報告專案報備使用 

SDX(1688T/TC) 

EA 10000 

" 聖猶達 " 心臟節律器導線 "SJM" IMPLANTABLE 

CARDIAC PACING LEADS* 頇附心電圖報告專 '1788T/TC;1782TC EA 10000 


" 聖猶達 " 心臟節律器導線 "SJM" IMPLANTABLE 

CARDIAC PACING LEADS* 適應症請見備註欄 

'TENDRIL ST 

1888TC;1882TC 

EA 10000 

GUIDANT SELUTE PICOTIP PACING 沖提心 

內膜心房電極導線 

'4033;4034;4035 EA 10000 

GUIDANT SWEET PICOTIP RX STEROID 

ELUTING POSITIVE-FIXATION POROUS TIP '4050;4051;4052; 

PACING LEAD 史威類固醇沖提正極固定多孔尖 4053;4054;4055 

EA 10000 

端電極導線 

SELUTE ATRIAL-J PICOTIP PACING LEAD※ 


'4063;4064 EA 10000 

" 佳騰 " 纖幼植入式起搏電極導線 "GUIDANT" 

FINELINE II PACING LEAD* 適應症請見備註欄 

MEMBRANE EX PACEMAKER LEAD 

UNIPOLAR STEROID ※ 頇檢附心電圖專案報 

備使用 

POLYROX IMPLANTABLE ENDOCARDIAL 

LEAD※ 頇檢附心電圖報告專案報備使用 

” 聖猶達 ” 心臟節律器導線 ”SJM” IMPLANTABLE 

CARDIAC PACING LEAD※ 頇檢附心電圖報告 


" 拜耳德尼克 " 世樂植入式電極導線 

'4456:4459; 

4479:4480;4469:4474 

'1470T;1472T; 

1474T 

'119687;924; 

120307;435 

EA 10000 

EA 10000 

EA 10000 

'ISOFLEX1944;1948 EA 10000 

'SLX65/11;13:15-BP; 

124539:124542; 

SLX58/11;13:15-BP ; 

333899:333902 

EA 10000 



" 拜耳德尼克 " 喜樂植入式心律調節器電極導 

線 "BIOTRONIK" SELOX SR IMPLANTABLE '343081;343082; 

ENDOCARDIAL LEAD* 需檢附心電圖報告專案 343083 

EA 10000 

報備使用 

FHPL1SR343BK 

FHPL1SR346BK 

FHPL1SS350BK 

FHPL1SX120BK 

FHPL1SX124BK 

FHPL1TJ111BK 

FHPL1TR110BK 

FHPL1VDD43GU 

" 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 

SYNOX IMPLANTABLE ENDOCARDIAL 

LEAD(BIPOLAR)※ 頇檢附心電圖報告專案報備 

使用 

" 拜耳德尼克 " 植入式心律調整器用電極導 

線 "BIOTRONIK"IMPLANTABLE 

ENDOCARDIAL LEAD* 需檢附心電圖報告專案 

報備使用 

TIJ IMPLANTABLE ENDOCARDIAL LEAD※ 頇 


TIR IMPLANTABLE ENDOCARDIAL LEAD※ 


" 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 

'346367;346366; 

346368;346369 

'350973;350974; 

350975 

'119684;120143; 

438;444 

'SX 53/15-BP124853; 

SX 60/15-BP124854 

EA 10000 

EA 10000 

EA 10000 

EA 10000 

'111704;111706 EA 10000 

'110454;986; 

111018;117324 

'4340;4341;4342; 

4343 

EA 10000 

EA 10000 

FHV01CAVGJST 

FHV01EZ770M4 

FHV01M19LSR5 

FHV01M2333R6 

馬斯特機械性人工心臟瓣膜 MASTERS 

MECHANICAL HEART VALVE* 適應症請見備 

註欄 

HALL EASY-FIT PROSTHETIC HEART 

VALVE 

SORIN BICARBON ARTIFICAL MITRAL 

HEART VALVE 19:33MM 

ON-X MITRAL PROSTHETIC HEART VALVE 

23:33MM 

FHPL203830M4 

" 美敦力 " 賽西兒導線 

"MEDTRONIC"SELECTSURE LEAD* 適應症請 '3830 EA 22500 

見備註欄 

FHV010019AST AORTIC VALVE 

'19:27A-101; 

17AHPJ:27AHPJ-505 

EA 41500 

FHV010025MST MITRAL VALVE 

'25:33M-101; 

19MJ:33MJ-501 

EA 41500 

FHV0117AHPST AORTIC VALVE '17:21AHP-105 EA 41500 

FHV01A1729R6 

ON-X AORTIC PROSTHETIC HEART VALVE 

17:29MM 

'ONXA-17:29 EA 41500 

FHV01A1927ST 

REGENT MECHANICAL HEART VALVE 瑞珍 '19-27AGN-751;19- 

機械性心臟瓣膜 

27AGFN-756 

EA 51000 

FHV01A19LNR5 

SORIN BICARBON ARTIFICAL AORTIC 'ART19LN:31LN; 

HEART VALVE 19:31MM 

ART19LNF:31LNF 

EA 41500 

FHV01A5025CS 

AORTIC VALVE (A5-019,21,23,25,27) 

19:27MM 

'A5-019:027 EA 41500 

FHV01AMHPJST MECHANICAL HEART VALVE 人工機械瓣膜 

'17-27AHPJ:MHPJ- 

505 

EA 41500 

FHV01AP021CS 

CARBO-SEAL ASCENDING AORTIC 

PROSTHESIS 上升主動脈血管瓣膜 ( 瓣膜尺寸 

21:31) 

'AP-021;AP-023;AP- 

025;AP-027;AP- 

029;AP-031 

EA 61000 

'19;21;23;25-CAVGJ- 

51400;27;29;31;33- 

CAVGJ-51400 

'A7700EZ19:29; 

M7700EZ23:31 

'MTR19LS:31LS; 

MTR19LSF:33LSF 

EA 61000 

EA 39900 

EA 41500 

'ONXM-23:33 EA 41500 



FHV01M7025CS MITRAL VALVE 21:33MM(21:24MM 自 86-11-1 

'M7-021:033 EA 41500 

起實施 ) 

FHV01VAVGJST 

FHV0200995M4 

FHV022500PED 

FHV0299500M4 

" 聖猶達 " 馬斯特機械性人工心臟瓣膜 "SJM" 

MASTERS MECHANICAL HEART VALVE* 適 


FREESTYLE AORTIC ROOT 

BIOPROSTHESIS(19MM:27MM)※ 適應症請見 

備註欄 

PRIMA PLUS STENTLESS BIOPROSTHESIS 


THE PRESTYLED FREESTYLE 

BIOPROSTHESIS 

'19VAVGJ-515; 

21VAVGJ-515; 

23VAVGJ-515; 

25VAVGJ-515; 

27VAVGJ-515; 

29VAVGJ-515 

EA 85000 

'995 EA 63000 

'2500P EA 63000 

'995CS/995MS EA 56000 

FHV02A2625ED CARPENTIER-EDWARDS BIOPROSTHESES '2625-19:25;6625-31 EA 32250 

FHV02A2650ED 

FHV02B10AMST 

FHV02ELEAMST 

FHV02T505TM4 

FHVR104100ED 

FHVR104450ED 

FHVR104600ED 

" 愛德華 " 卡本特愛德華人工心臟瓣 

膜 "EDWARDS"CARPENTIER-EDWADRS 

S.A.V. BIOPROSTHESIS 

PORCIN HEART VALVE (AORTIC 

21MM:29MM,MITRAL 25MM:35MM) 

〝SJM〞EPIC VALVE AORTIC-21A-31A 

MITRAL-25M-35M 

HANCOCK II BIOPROSTHETIC HEART 

VALVE(AORTIC 21:29MM,MITRAL 25:33MM) 

卡本特 - 麥卡錫亞當二尖瓣修補 

環 "EDWARDS"CARPENTIER-MCCARTHY- 

ADMA IMR ETLOGIX ANNULOPLASTY 

RING24MM:34MM 

C/E PHYSIO ANNULOPLASTY 

RING(24:40MM) 

COSGROVE-EDWARDS ANNULOPLASTY 

SYSTEM(26:38MM) 

'2650;6650 EA 46000 

'B10-21A:29A; 

25M:35M 

'EL-21A-31A;EL-25M- 

35M 

EA 46000 

EA 46000 

'T505;T510 EA 46000 

'4100 EA 20100 

'4450 EA 20100 

'4600 EA 20100 

FHVR1AR726CS ANNULOFLO SYSTEM 26-36MM 心臟瓣環系統 'AR-726:AR-736 EA 20100 

FHVR1CG638M4 

FHVR1D610BM4 

FHVR1H608HM4 

FHVR1M4900ED 

COLVIN-GALLOWAY FUTURE 

ANNULOPLASTY BAND 瓣膜成型帶 

DURAN FLEXIBLE ANNULOPLASTY RING 

25MM:35MM 擴增產品型號 620R 、620B-25: 

35 自 93.1.1 生效 

DURAN FLEXIBLE ANNULOPLASTY RING 

25:35MM 

" 愛德華 " 三尖瓣環成形術系統 "EDWARDS"MC3 

TRICUSPID ANNULOPLASTY SYSTEM 

'638B EA 20100 

'610R025:35; 

610B025:35 

EA 20100 

'H608H25:35 EA 20100 

'4900 EA 20100 

FHVR1MRS40TQ MITRAL REPAIR SYSTEM 僧帽瓣膜修補系統 'MRS28:MRS40 EA 20100 

FHVR1RSARNST " 聖猷達 " 環狀成形術環 "SJM" RIGID SADDLE 

RING 

環狀成形術環 SEGUIN ANNULOPLASTY 

FHVR1SARNNST 

RING 

FHVR1SARPNST 

FHVR1T4528ED 

環狀成形術環 SEGUIN ANNULOPLASTY 

RING 

CARPENTIER-EDWARDS CLASSIC 

ANNULOPLASTY RING(26:36MM) 

'RSAR- 

24;26;28;30;32;34 

'SAR-M24:M28;SAR- 

M32:M40 

'SARP-24:28;SARP- 

32-40;SARP- 

30(93/04/01 生效 ) 

EA 15700 

EA 20100 

EA 20100 

'4400;4500 EA 15700 



SJM TAILOR ANNULOPLASTY 

FHVR1TARNNST 

RING(25MM:35MM) 

'TARN25:35 EA 20100 

FHVR1TARPNST 

TAILOR ANNULOPLASTY RING 泰勒環狀成形 

術環 

'TARP25:35 EA 20100 

FHX0203381M4 MINIMAX PLUS OXYGENATOR '3381 EA 12000 

FHX0229400M4 

OCTOPUS 4 TISSUE STABILIZER SYSTEM 

( 產品型號 29403 自 94 年 10 月 1 日生 

'29400;29403 SET 44800 

效 )29700&29800 自 95 年 9 月 1 日刪除給付 

FHX029905KGN 

OPCAB GENZYME IMMOBILIZER 

SYS(FLEXIBLE ARMX1 IMMOBILIZERX4 

RETRACTORX2 BLOWER SYSX1 

'89-9905K SET 44800 

SUTUREX2) 

FHX02BL0MSM4 

" 美敦力 " 噴射灌洗器 "MEDTRONIC" 

BLOWER/MISTER(WITH TUBING SET) 

'22150 EA 2425 

FHX02D705PDE 

HOLLOW FIBRE OXYGENATOR 

PAEDIATRIC WITHOUT RESERVOIR 膜式人 'D705 MIDIFLO SET 12000 

工肺 

FHX02E4012E8 

SYNERGY ATTACHMENT * 心臟不停跳冠狀動 

脈繞道手術用吸引式穩定器 

'401-228 SET 44800 

FHX02E401SE8 

CORONARY ARTERY STABILIZER * 心臟不停 

跳冠狀動脈繞道手術用穩定器 

'401-203S;204S SET 44800 

FHX02MS175GU 

CTS MIDCAB SYSTEM(ACCESS PLATFORM 

'CMS-075(950701 刪 

SWING ARM/SLIDE MOUNT STABILIZER 

除 );CMS175 

IMA HOLDR) 

SET 28759 

FHX02RX050TM 

FHX02RX150TM 

FHX02RX250TM 

FHX02SCTSPM4 

FHX02UM400GU 

FHX02UM600GU 

FHX02UM900GU 

FHX0303301M4 

CAPIOX RX HOLLOW FIBER OXYGENATOR 

WITHOUT RESERVOIR BY X-COATING 

” 泰爾茂 ” 膜型人工心肺 RX”TERUMO”CAPIOX 

RX OXYGENATOR(WITHOUT RESERVOIR)* 


CAPIOX RX OXYGENATOR 

WITHOUT/RESERVOIR W/HYDROPHILIC 

POLYMER COATED※ 適應症請見備註欄 

( 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 

ULTIMA OPCAB SYSTEM(AXIUS VACCUM 

STABILIZER SYETEM WITH STANDARD 

BLADE) 

ACROBAT OFF-PUMP SYSTEM STABILIZER 

WITH BLADES 心臟不停跳穩定器 

ACROBAT VACUUM OFF PUMP 

SYSTEM(ACCESS RAIL 

PLATFORM+STABILIZER+VACCUM TUBING 

SET) 

MINIMAX PLUS OXYGENATOR WITH 

RESERVOIR 

DISPOSABLE PUMP HEAD (BIO PUMP)※ 適 

'CX*RX05W:CX*RX05 

E 

'CX*RX15W; 

CX*RX15E 

'CX-RX25; 

CX*RX25; 

CX*RX25W; 

CX*RX25E 

EA 11500 

EA 14200 

EA 14200 

'TS2000 SET 44800 

'0M-4000(950701 刪 

除 );5000(950701 刪 

除 );OM-7000S;OM- 

7000D;OM- 

7100S;OM-7100D 

'OM-6000D;OM- 

6000S 

'OM-9000D;OM- 

9000S;OM-9100D; 

OM-9100S 

SET 44800 

SET 44800 

SET 44800 

'3301 SET 14500 

FHX0307850TM 


'7850 EA 10800 

FHX030BP80M4 BIO-PUMP ※ 適應症請見備註欄 'BP80;BP50 EA 10800 

FHX030DP38M4 BIO-PROBE INSERT ※ 適應症請見備註欄 'DP38;DP38P EA 1080 



FHX0312500M4 

艾克模薄膜式人工心肺 MEDTRONIC ECMO 

SILICON MEMBRANE OXGENATOR* 適應症 

'0600;0800;1500;I- 

2500-2A;I-3500-2A; EA 24500 


I-4500-2A 

FHX0350509DE 

” 滴得口 ” 膜式人工心肺 ” DIDECO”HOLLOW 

FIBER OXYGENATOR WITH RESERVOIR 

'D905 EOS(050509) EA 14500 

FHX0350510DE 



WITH PHISIO COATING(OXY MODULE 

'D905 EOS(050510) EA 16700 

COATED) 適應症請見備註欄 

FHX0350512DE 



WITH PHISIO COATING(FULLY COATED) 適 

'D905 EOS(050512) EA 18500 

FHX0350515DE 

FHX0350516DE 

FHX03541TTM4 

FHX036000SGH 

FHX03A5410M4 

FHX03A541TM4 

FHX03BPX80M4 

FHX03CB511M4 

FHX03D703ADE 

FHX03D705PDE 

FHX03D901PDE 

FHX03FC038TM 

FHX03FS038TM 

FHX03ME002ML 

FHX03ME062ML 






PHISIO COATED OXY MODULE 適應症請見備 

註欄 

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 * 適應症請見備註 

欄 

GISH IBC FLOPUMP WITH GBS COATING* 適 


'COMPACTFLO 

EVO(050515) 

'COMPACTFLO 

EVO(050516) 

EA 14500 

EA 16700 

'541TT;541TT-R EA 18500 

'6000S EA 10800 


OXYGENATOR WITH TRILLIUM BIOPASSIVE '541 SET 14000 

SURFACE AND INTEGRATED CVR NT 


OXYGENATOR W/RESERVOIR (TRILLIUM 

COATED)※ 適應症請見備註欄 

'541T SET 16700 

BIO-PUMP PLUS CENTRIFUGAL BLOOD 

PUMP * 適應症請見備註欄 

'BPX80 EA 10800 

AFFINITY HOLLOW FIBER OXYGENATOR 

BIOACTIVE SURFACE※ 適應症請見備註欄〔 'CB511 EA 14200 

限重大複雜之心臟血管手術 ‧‧〕 

DIDECO ADULT HOLLOW FIBRE 

OXYGENATOR WITH RESERVOIR 

'D703+D742 SET 14500 

DIDECO HOLLOW FIBRE OXYGENATOR 

WITH RESERVOIR 

'D705+D742 SET 14500 

DIDECO NEW-BORN HOLLOW FIBRE 

OXYGENATOR WITH RESERVOIR 

'D901+D742 SET 14500 

” 泰爾茂 ” 血液幫浦 - 流量接頭 ”TERUMO” 

CAPIOX SP PUMP-FLOW CONNECTOR* 適應 'CX*FC38 EA 1080 


CAPIOX SP BLOOD FLOW SENSOR ※ 適應 


'ME-FS38 EA 1080 

HOLLOW FIBER OXYGENATOR WITH 

'ME 6202 0002;ME 

RESERVOIR,RHEOPARIN COATED(HILITE 

6205 C002;ME 6208 

7000ADULT/HILITE 2800PEDIATRIC/HILITE 

C003 

1000INFANT) 適應症請見備註欄 

SET 16700 

HOLLOW FIBER OXYGENATOR WITH 

RESERVOIR,(HILITE 7000ADULT/HILITE 

2800PEDIATRIC/HILITE 1000INFANT) 

'ME 6202 0062;ME 

6205 0002;ME 6208 

0003 

SET 14000 



FHX03MECL6ML 

" 'ME6202CL01; 

美德思 " 人工心肺 "MEDOS"OXYGENATOR* 適 

ME6205CL01; 


ME6208CL01 

EA 24500 

" 美德思 " 血液幫浦系 

FHX03MEDP2ML 統 "MEDOS"DELTASTREAM BLOOD PUMP 'ME DP02 0001 EA 10800 


FHX03RX05RTM 

CAPIOX RX HOLLOW FIBER OXYGENATOR 'CX*RX05RW; 

EA 14000 

FHX03RX15RTM 

FHX03RX25RTM 

FHX03SP045TM 

FHX03SX10RTM 

FHX03SX18RTM 

FHX03VKM04JT 

FHX04A20E1H9 

FHX04A21E1H9 

FHX04A31CPH9 

FHX04CB1V9M4 

FHX04CB4P7M4 

FHX04CBCCSM4 

FHX04CXESLTM 

WITH RESERVOIR BY X-COATING 

” 泰爾茂 ” 膜型人工心肺 RX”TERUMO”CAPIOX 

RX OXYGENATOR* 適應症請見備註欄 

CAPIOX RX OXYGENATOR W/RESERVOIR 

W/HYDROPHILIC COATED※ 適應症請見備註 

欄 ( 二 )( 產品型號 CX*RX25RW,CX*RX25RE 於 

941001 生效 ) 

CAPIOX SP PUMP HEAD ※ 適應症請見備註 

欄 

CAPIOX SX MEMBRANE OXYGENATOR 

WITH HARD-SHELL RESERVOIR 

(PEDIATRIC) 

CAPIOX SX MEMBRANE OXYGENATOR 

WITH HARD-SHELL RESERVOIR (ADULT) 

OXYGENATOR WITH VENOUS HARDSHELL 

CARDIOTOMY RESERVOIR 

"HYM" HEART LUNG 

PACK(W/OXYGENATOR+PUMP 

HEAD+FLOW PROBE+TUBING SET 等 ) 適應症 


"HYM" HEART LUNG 

PACK(W/OXYGENATOR+FLOW 

PROBE+TUBING SET 等 ) 適應症請見備註欄 

HEART LUNG PACK 適應症備註 PRE BYPASS 

FILTER+ORGANIZER+SUCKER*2+ARTERIA 

L 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 

" 美敦力 " 血液套裝組 ”MEDTRONIC”BLOOD 

TUBING PACK(WITHOUT OXYGENATOR)* 適 


ECMO CLOSE CHEST SUPPORT CIRCUIT 

W/OXYGENATOR+BIO-PUMP+TUBING SET 

使用參考見備註欄 CB2506 於 920401 擴增 

CAPIOX EBS OXYGENATOR KIT(HP) 人工心 

肺套 /OXYGENATOR+SP-PUMP+TUBING 

SET※ 使用參考請見備註欄 

CX*RX05RE 

'CX*RX15RW30; 

CX*RX15RE30; 

CX*RX15RW40; 

CX*RX15RE40 

'CX-RX25R; 

CX*RX25R; 

CX*RX25RW; 

CX*RX25RE 

EA 18500 

SET 18500 

'CX-SP45 EA 10800 

'CXS X10R SET 14500 

'CXS X18R SET 14500 

'VKMO4200(HMO1010 

& VHK4200) 

'32000199-00; 

32000199-02; 

32000199-04 

'32000199-01; 

32000199-03 

SET 14000 

SET 45000 

SET 34200 

'32000199-11 SET 21210 

'CB1Q91R4(940701 生 

效 );CB1V97R; 

CB1V97R1(940101 生 

效 ); 

CB2503R1(940701 生 

效 ); 

CB1Q91R6(960401 生 

效 ) 

SET 45000 

'CB4P72R EA 30800 

'CB2505、2506 SET 45000 

'CX*EQL001; 

CX*ESL002 

SET 45000 



ECMO LT 

'ME 6202 CL02;ME 

SYSTEM(OXGENATOR+TUBING,A-V 

6205 CL02;ME 6208 SET 45000 

LOOP,ADAPTOR,ACCESSORY+PUMP 

CL02 

HEAD) 適應症請見備註欄 

FHX04ME620ML 

FHX04ME623ML 

ECMO LT SYSTEM WITHOUT PUMPHEAD 適 


'ME 6202 CL03;ME 

6205 CL03;ME 6208 

CL03 

SET 34200 

FHXR200321M4 AFFINITY VENOUS RESERVOIR BAG '321 EA 2500 

FHXR20CR40TM CARDIOTOMY RESERVOIR 4000CC 'CX-CR40 SET 3340 

FHXR2CAPDFGH 

CARDIOTOMY 

RESERVOIR/AUTOTRANSFUSION/PLEURAL 

DRAINAGE RESERVOIR ※ 適應症請見備註欄 

'CAP35DF SET 3750 

CARDIOTOMY RESERVOIR 

FHXR2D742RDE 

'D742 EA 2500 

4500CC,2500CC,1600CC 

CARDIOTOMY RESERVOIR* 適應症請見備註 'EL400;EL402; 

FHXR2EL400M4 

EA 3750 

欄 

EL404 

FHXR2RV500M4 VENOUS RESERVOIR 'RV—500—1:3 EA 2000 

FNP9101473CM 

" 柯特曼 " 人工腦膜 "CODMAN"DURAFORM 

'80-1473 EA 3799 

DURAL GRAFT IMPLANT(2.5CM*7.5CM) 

FNP9101475CM 


'80-1475 EA 5065 

DURAL GRAFT IMPLANT(5CM*5CM) 

FNP9101477CM 


'80-1477 EA 11396 

DURAL GRAFT IMPLANT(7.5CM*7.5CM) 

FNP9101480CM 


'80-1480 EA 25062 

DURAL GRAFT IMPLANT(10CM*12.5CM) 

DURA-GUARD DURAL DEPAIR PATCH 

FNP9102009B2 

'DG-0209S EA 3647 

2CMX9CM 

FNP9102010BB NEURO PATCH 2X10CM '106405/3 EA 4060 

DURA SUBSTITUTE 2CMX10CM( 代用人工腦 

FNP9102010GX 

'1PDM300 EA 4052 

膜 ) 

FNP910205XGX DURA SUBSTITUTE 2CMX5CM '1PDX306 EA 2026 


DURAGEN DURAL GRAFT MATRIX 

FNP9102575N7 

'ID-1301-1 EA 3805 

2.5CMX7.5CM 

DURA-GUARD DURAL REPAIR PATCH 

FNP9104004B2 

'DG-0404S EA 3242 

4CMX4CM 





FNP9105006GX 

'1PDM301 EA 6078 

膜 ) 



FNP9106008B2 

'DG-0608S EA 9725 

6CMX8CM 



FNP9106010GX 

'1PDM302 EA 12155 

膜 ) 




FNP9107575N7 

'ID-3301-1 EA 11420 

7.5CMX7.5CM 


FNP9108014B2 

'DG-0814S EA 22690 

8CMX14CM 


FNP9110012GX 

'1PDM303 EA 24310 

膜 ) 


FNP9110016B2 

'DG-1016S EA 24310 

10CMX16CM 



FNP9110125N7 


10CMX12.5CM 

'ID-4501-1 EA 25070 


FNP9112014BB "B.BRAUN"NEURO-PATCH 12CMX14CM '01064002 EA 31606 

FNP9115003BB NEURO PATCH 1.5X3CM '106406/1 EA 914 

FNP9130406Q2 

" 庫欣 " 神經硬膜補 

片 "COUSIN"NEUROLOGICAL PATCHES 'FBION30406 EA 4862 

BIOMESH 4*6CM 

FNP9130610Q2 



BIOMESH 6*10CM 

FNP9130614Q2 




FNP913L406Q2 


片 "COUSIN"NEUROLOGICAL PATCHES 'FBION3L406 EA 4862 

BIOMESH 4*6CM 

FNP913L610Q2 




FNP913L614Q2 




FNP9140380T0 WIRE MESH 10X10CM '34-0380 EA 263 

FNP91CDUR1CK "COOK"DURASIS DURAL SUBSTITUTE" 曲克 " 

'C-DUR-2*3 

硬腦膜替代物 2CM*3CM 

EA 1215 

FNP91CDUR2CK "COOK"DURASIS DURAL SUBSTITUTE" 曲克 " 

'C-DUR-4*7 

硬腦膜替代物 4CM*7CM 

EA 5670 

FNP91DUR01CK 

" 曲克 " 硬腦膜替代物 "COOK" DURASIS DURAL 

SUBSTITUTE 7CM×10CM 

'C-DUR-7×10 EA 14182 

FNP91DUR02CK 

" 曲克 " 硬腦膜替代物 "COOK" DURASIS DURAL 

SUBSTITUTE 7CM×20CM 

'C-DUR-7×20 EA 24192 

FPM0119604HH 

MICROGRAFT GAUZE WITH CORKPLATE 

1:4※ 適應症請見備註欄 

'04.3.196.02 EA 1700 

FPM0119606HH 



'06.3.196.02 EA 1700 

FPM0119609HH 



'09.3.196.02 EA 1700 

FPP010574NLE 

MINI DOUBLE Y PLATE 7 HOLE※ 適應症請見 

備註欄 

'55-05164 EA 2469 

FPP010575NLE 

MINI Y PLATE W/BAR 5 HOLE※ 適應症請見備 

'55-05151 

註欄 

EA 2022 

FPP010576NLE 

MINI LOCKING PLATE W/BAR 5-6 HOLE ※ 適 


'55-05761;55- 

05763;55-05765;55- 

05767 

EA 1923 

FPP0106002M3 

2HOLE MINI LOW PROFILE PLATE※ 適應症 


'10-06002 EA 1207 

FPP0106106LE 

0.6,1.0MM MINI BONE PLATE 5,6HOLE '54-06106;55- 

REGULAR STR ※ 適應症請見備註欄 10105:7;01-08206 

EA 1207 

FPP0106109LE 

0.6,1.0MM MINI BONE PLATE 8HOLE 

REGULAR STR※ 適應症請見備註欄 

'54-06109;01-08208 EA 1504 

FPP0106112LE 

0.6,1.0MM MINI BONE PLATE 4 HOLE '54-06104;06112:3; 

REGULAR STR ※ 適應症請見備註欄 01-08204 

EA 1207 

FPP0106120LE 

0.6,1.0MM MINI L-PLATE REGULAR RIGHT 

4HOLE ※ 適應症請見備註欄 

'54-06120;01-08230 EA 1937 

FPP0106121LE L-PLATE LEFT 0.6MM ※ 適應症請見備註欄 '54-06121 EA 1937 

FPP0106122LE 

0.6,1.0MM MINI L-PLATE LONG RIGHT 


'54-06122;01-08232 EA 1937 



FPP0106123LE 

0.6,1.0MM MINI L-PLATE LONG LEFT 4HOLE 


'54-06123;01-08233 EA 1937 

FPP0106124LE 

0.6,1.0MM MINI L-PLATE REGULAR LEFT 


'54-06124:5;01-08231 EA 1937 

FPP0106140LE 

0.6,1.0MM MINI T-PLATE REGULAR 90 度 


'54-06140;01-08240 EA 2190 

FPP0106141LE 

0.6,1.0MM MINI T-PLATE LONG 90 度 5HOLE 


'54-06141;01-08241 EA 2190 

FPP0106142LE 

0.6,1.0MM MINI T-PLATE LONG 80 度 RIGHT 


'54-06142;01-08244 EA 2190 

FPP0106143LE 

0.6,1.0MM MINI T-PLATE LONG 80 度 LEFT 


'54-06143;01-08245 EA 2190 

FPP0106144LE 

0.6,1.0MM MINI DOUBLE T PLATE REGULAR 


'54-06144;01-08248 EA 2379 

FPP0106145LE 

0.6,1.0MM MINI DOUBLE T LONG 90 度 


'54-06145;01-08249 EA 2379 

FPP0106160LE 

0.6,1.0MM MINI Y PLATE(REGULAR '54-06160:1;01- 

LONG)5HOLE ※ 適應症請見備註欄 

08250:1 

EA 2154 

FPP0106162LE 

0.6,1.0MM MINI DOUBLE Y PLATE LONG 


'54-06162:3;01-08262 EA 2905 

FPP0106164LE 

0.6,1.0MM MINI DOUBLE Y PLATE LONG 

EXTENDED 8HOLE ※ 適應症請見備註欄 

'54-06164;01-08263 EA 2905 

FPP0106181LE 

LOW PROFILE ORBITA PLATE CURVE 6,8 

HOLE 0.6MM REGULAR ※ 適應症請見備註欄 

'54-06181:2 EA 2222 

FPP0106214M3 

TITANIUM 0.6MM MINI PLATE L SHAPE ※ 適 '10-06214;224; 


314;324;330;332 

EA 1937 

0.6MM,1.0MM TIANIUM LOW PROFILE MINI 

FPP0106763M3 PLATE DOUBLE Y 6HOLE※ 適應症請見備註 '10-06763;10-56116 EA 2469 

欄 

FPP010677NLE MINI T PLATE 5 HOLE※ 適應症請見備註欄 '55-06771 EA 2076 

TITANIUM 0.6MM LOW PROFILE MINI PLATE 

FPP0106906M3 ORBITA SHAPE 6,8 HOLES ※ 適應症請見備註 '10-06906;06908 EA 2222 

欄 

FPP0108216LE 

1.0MM MINI BONE PLATE 16HOLE 

REGULAR STR ※ 適應症請見備註欄 

'01-08216 EA 2038 

FPP0108260LE 

1.0MM MINI DOUBLE Y PLATE REGULAR 


'01-08260 EA 2905 

FPP0110000EJ 

FPP0110001EJ 

FPP0110002EJ 

FPP0110003EJ 

FPP0110021EJ 

FPP0110022EJ 

FPP0110023EJ 

FPP0110030EJ 

2.0 MM MINI "L" PLATE 90 DEGREE, 4 HOLE 


2.0 MM MINI "L" PLATE 4 HOLE ※ 適應症請見 

備註欄 

2.0 MM MINI ZED PLATE 4 HOLE ※ 適應症請 

見備註欄 

2.0 MM MINI "Y" PLATE 7 HOLE ※ 適應症請見 

備註欄 

2.0 MM MINI L PLATE 4 HOLE ※ 適應症請見 

備註欄 

2.0 MM MINI ZED PLATE 4 HOLE ※ 適應症請 

見備註欄 

2.0 MM MINI Y PLATE 7 HOLE ※ 適應症請見 

備註欄 

2.0 MM MINI STRAIGHT PLATE 4 HOLE ※ 適 


'210-0002;210- 

0003;210-0004 ;210- 

0005 

'210- 

0006;0008;0010;0012;0 

014;210-0016;210- 

0090:210-0093 

'210- 

0020;0022;0024;0026 

EA 1923 

EA 1923 

EA 2170 

'210-0018 EA 2022 

'210- 

0206;0208;0210;0212 

;210-0214;0216 

'210- 

0220;0222;0224;0226 

EA 1923 

EA 2170 

'210-0218 EA 2022 

'210-0030;210-1030 EA 1207 



FPP0110032EJ 

2.0 MM MINI STRAIGHT PLATE 10 HOLE ※ 


'210-0032 EA 1284 

FPP0110034EJ 



'210-0034;210-1036 EA 2038 

FPP0110036EJ 

2.0 MM MINI T PLATE 5 HOLE ※ 適應症請見 

備註欄 

'210-0036 EA 2076 

FPP0110039EJ 

2.0 MM MINI LARGE BUR HOLE PLATE 6 

HOLE ※ 適應症請見備註欄 

'210-0039 EA 6400 

FPP0110052EJ 

2.0 MM MINI X PLATE 4 HOLE ※ 適應症請見 

備註欄 

'210-0052 EA 2469 

FPP0110103LE 

1.0MM MINI BONE PLATE 4HOLE LONG STR 


'55-10103;01-08205 EA 1207 

FPP0110106LE 

0.6,1.0MM MINI BONE PLATE 6HOLE LONG '55-10106;54- 

STR ※ 適應症請見備註欄 

06107:8;01-08207 

EA 1415 

FPP0110230EJ 



'210-0230;0231;0237 EA 1207 

FPP0110232EJ 



'210-0232 EA 1284 

FPP0110235EJ 

2.0 MM MINI I PLATE 4 HOLE ※ 適應症請見備 

註欄 

'210-0235 EA 2379 

FPP0110236EJ 

2.0 MM MINI Y PLATE 5 HOLE ※ 適應症請見 

備註欄 

'210-0236 EA 2022 

FPP0110239EJ 

2.0 MM MINI DOUBLE Y PLATE 6 HOLE ※ 適 


'210-0239 EA 2469 

FPP011051NLE MINI PLATE 16 HOLE※ 適應症請見備註欄 '55-10516 EA 2038 

FPP011054NLE MINI PLATE 4 HOLE※ 適應症請見備註欄 '55-10504;55-10505 EA 1207 

FPP011056NLE MINI PLATE 6 HOLE※ 適應症請見備註欄 '55-10506 EA 1284 

FPP011057NLE 

MINI STRAIGHT PLATE 8 HOLE ※ 適應症請見 

'55-06708 

備註欄 

EA 1284 

FPP01105NNLE 

MINI LOCKING STRAIGHT PLATE 16 HOLES 


'55-05716 EA 2038 

FPP011067NLE 

MINI PLATE 4 HOLE W/BAR ※ 適應症請見備 

註欄 

'55-06704 EA 1207 

FPP0111031EJ 



'210-1031 EA 1284 

FPP0111032EJ 



'210-1032 EA 1284 

FPP0114008EJ 

2.0 MM MINI TR BSSO PLATE 4 HOLE ※ 適應 

'214-0085;0086;0088 


EA 2379 

FPP0120211Y2 

MINI PLATE 1.0MM 4HOLE STR※ 適應症請見 

備註欄 

'420211;420212 EA 1207 

FPP0120213Y2 

MINI PLATE 1.0MM 8HOLE STR※ 適應症請見 

備註欄 

'420213:420215 EA 1284 

FPP0120216Y2 

MINI PLATE 1.0MM 16HOLE STR※ 適應症請 

見備註欄 

'420216 EA 2038 

FPP0120221Y2 

MINI PLATE 1.0MM 4HOLE L-SHAPE※ 適應症 

'420221:420228 


EA 1923 

FPP0120231Y2 

MINI PLATE 1.0MM 5HOLE T-SHAPE 80,90 度 


'420231:420234 EA 2076 

FPP0120241Y2 

MINI PLATE 1.0MM 5HOLE DOUBLE T- 

SHAPE ※ 適應症請見備註欄 

'420241:420242 EA 2379 

FPP0120246Y2 

MINI PLATE 1.0MM 6HOLE Y-SHAPE ※ 適應 


'420246:420247 EA 2022 

FPP0120251Y2 

MINI PLATE 1.0MM 6HOLE DOUBLE Y- 

SHAPE ※ 適應症請見備註欄 

'420251:420253 EA 2469 

FPP0120256Y2 

MINI NASAL BONE PLATE 1.0MM※ 適應症請 

見備註欄 

'420256:420257 EA 4560 



FPP0147004S1 

MINI PLATE 1.5/2.0 2:4HOLE 16:28MM ※ 適應 '446.020:024; 


447.002:004;023 

EA 1207 

FPP0147016S1 

MINI PLATE 2.0 6HOLE 35:40MM ※ 適應症請 

見備註欄 

'447.015:016;025 EA 1415 

FPP0147018S1 

2.0MM MANDIBLE MINI PLATE 

6HOLE,70D( 轉 70 度 ) TWISTED 40MM ※ 適應 '447.017:018 EA 2670 


FPP0147100S1 

ADAPTION MINI PLATE 1.5,2.0 20HOLE STR '447.020;100; 


446.10X;449.020 

EA 2038 

FPP0147220S1 

ORBITAL RIM PLATE 1.5,2.0 CURVED 8:12 '446.180:220; 

HOLES ※ 適應症請見備註欄 

447.180:220 

EA 2222 

FPP01475NNS1 

L- PLATE 1.5,2.0 5:10 HOLES ※ 適應症請見備 '446.5XX;447.04X; 

註欄 

5XX 

EA 1937 

FPP0147620S1 

Y- PLATE 1.5,2.0 5:8 HOLES ※ 適應症請見備 

註欄 

'446.61X;447.610:620 EA 2154 

FPP0147680S1 

DOUBLE Y-PLATE 2.0 8HOLE ※ 適應症請見 

備註欄 

'447.680 EA 2905 

FPP0147810S1 

X-PLATE 1.5,2.0 4 HOLES ※ 適應症請見備註 

欄 

'446.81X;447.810 EA 2508 

FPP0147850S1 

MINI H-PLATE 2.0 8:9 HOLES ※ 適應症請見備 

註欄 

'447.850:860 EA 4930 

FPP0147910S1 

MINI BURR HOLE COVER 1.5,2.0 6 HOLES 


'446.900:910;447.910 EA 6400 

FPP0151004M3 

TITANIUM 0.6MM,1.0MM MINI PLATE 4 '10-51004;204; 

HOLES STR ※ 適應症請見備註欄 

06004;104;114 

EA 1207 

FPP0151006M3 

TITANIUM 0.6MM,1.0MM MINIP LATE 6 '10-51006;206; 

HOLES STR ※ 適應症請見備註欄 

06006;116 

EA 1300 

FPP0151008M3 

TITANIUM 0.6MM,1.0MM MINIP LATE 8HOLE 


'10-51008;06008 EA 1504 

FPP0151016M3 

TITANIUM 0.6MM,1.0MM MINI PLATE 16 

HOLE STR ※ 適應症請見備註欄 

'10-51016;06016 EA 2038 

FPP0152014M3 

TITANIUM 1.0MM MINI PLATE L SHAPE 4 '10-52014;114; 


214;314;320;322 

EA 1937 

FPP0152414M3 

TITANIUM 0.6MM,1.0MM MINI PLATE L '10-52414;52514; 

SHAPE 4HOLE ※ 適應症請見備註欄 

06414;06424 

EA 1937 

FPP0152520M3 

TITANIUM0.6MM,1.0MM MINI PLATE 110 度 '10-52520;52522; 


06430;06432 

EA 1937 

FPP0154015M3 

TITANIUM 0.6MM,1.0MM MIN IPLATE T '10-54015;54215; 

SHAPE 90 度 4HOLE ※ 適應症請見備註欄 06806;06816 

EA 2190 

FPP0154315M3 

TITANIUM 0.6MM,1.0MM MINI PLATE T '10-54315;54415; 

SHAPE 80 度 4HOLE ※ 適應症請見備註欄 06826;06836 

EA 2190 

FPP0154816M3 

TITANIUM 0.6MM,1.0MM MINI PLATE 

'10-54816;54916; 

DOUBLE T SHAPE 90 度 4,6HOLE※ 適應症請 

06846;06856 

見備註欄 

EA 2379 

FPP0155015M3 

FPP0156016M3 

FPP0156217M3 

FPP0157012M3 

FPP0187004MC 

FPP0187005MC 

TITANIUM0.6MM,1.0MM MINI PLATE Y 



DOUBLE Y SHAPE 6HOLE ※ 適應症請見備註 

欄 


DOUBLE Y SHAPE 7HOLE ※ 適應症請見備註 

欄 

TITANIUM 0.6MM,1.0MM MINI PLATE H 


TITANIUM 1MM MINI PLATE 4HOLE STR ※ 


TITANIUM 1MM MINI PLATE 5HOLE STR※ 適 


'10-55015;55115; 

06715;06725 

EA 2154 

'10-56016;06735 EA 2905 

'10-56217;06775 EA 2905 

'10-57012;06917 EA 4560 

'68.70.04 EA 1207 

'68.70.05 EA 1207 



FPP0187006MC 

TITANIUM 1MM MINI PLATE 6 HOLE STR ※ 


'68.70.06 EA 1365 

FPP0187008MC 

TITANIUM 1MM MINI PLATE 8 HOLE STR ※ 


'68.70.08 EA 1504 

FPP0187014MC 

TITANIUM 1MM MINI PLATE 4 HOLE 9MM 


'68.70.14 EA 1207 

FPP0187024MC 



'68.70.24 EA 1207 

FPP0187031MC 

TITANIUM 1MM MINI L-PLATE RIGHT 9MM 4 

HOLE※ 適應症請見備註欄 

'68.70.31 EA 1923 

FPP0187032MC 

TITANIUM 1MM MINI L-PLATE LEFT 9MM 4 


'68.70.32 EA 1923 

FPP0187033MC 

TITANIUM 1MM MINI L-PLATE R 9MM 4 


'68.70.33 EA 1923 

FPP0187034MC 



'68.70.34 EA 1923 

FPP0187035MC 

TITANIUM 1MM MINI L-PLATE RIGHT 12MM 

4 HOLE ※ 適應症請見備註欄 

'68.70.35 EA 1923 

FPP0187042MC 



'68.70.42 EA 1923 

FPP0187053MC 

TITANIUM 1MM MINI Y PLATE 9MM 4 HOLE 


'68.70.53 EA 2022 

FPP0187054MC 

TITANIUM 1MM MINI Y PLATE 12MM 4HOLE 


'68.70.54 EA 2022 

FPP0187055MC 

TITANIUM 1MM MINI DOUBLE Y PLATE 9MM 


'68.70.55;56;68.70 EA 2469 

FPP0187077MC 

TITANIUM 1MM MANDIBULAR ANGLE 

PLATE 4HOLE LEFT ※ 適應症請見備註欄 

'68.70.77 EA 2170 

FPP0187078MC 

TITANIUM 1MM MINI MANDIBULAR ANGLE 

PLATE 4HOLE RIGHT ※ 適應症請見備註欄 

'68.70.78 EA 2170 

FPP0187079MC 


PLATE 6HOLE LEFT ※ 適應症請見備註欄 

'68.70.79 EA 2450 

FPP0187080MC 


PLATE 6HOLE RIGHT ※ 適應症請見備註欄 

'68.70.80 EA 2450 

FPP0187085MC 

1MM MINI TI-ORBITA PLATE 12MM 4HOLE※ 


'68.70.85 EA 2222 

FPP0187424MC 



'68.74.24 EA 1207 

FPP0189501MC 

TITANIUM MANDIBULAR 

RECONSTRUCTION PLATE STRAIGHT '68.95.01 EA 4900 

100MM 2MM ※ 適應症請見備註欄 

FPP0189503MC 


RECONSTRUCTION PLATE STRAIGHT '68.95.03 EA 4900 

120MM 2MM ※ 適應症請見備註欄 

FPP0189512MC 


RECONSTRUCTION PLATE ANGLE 105MM 

2MM 14HOLE R/L※ 適應症請見備註欄 

'68.95.12;68.95.13 EA 8836 

FPP01A7072WR 

FPP01A7106WR 

FPP01A7120WR 

FPP01A7135WR 

0.6MM MINI L-PLATE 100 度 4-6 HOLE 1.5MM 


MINI PREFORMED ORBITAL FLOOR PLATE 


MINI X-PLATE REGULAR 4 HOLE ※ 適應症請 

見備註欄 

0.6MM NASAL H PLATE, REGULAR 12HOLE 


'01-7072;01-7073;01- 

7076;01-7077;01- 

7080;01-7081;01- 

7028;01-7029;01- 

7032:7037 

EA 1923 

'01-7106:01-7109 EA 8220 

'01-7120 EA 2469 

'01-7135 EA 4560 


FPP01A9206WR 

FPP01A9207WR 

FPP01A9208WR 

FPP01A9215WR 

FPP01A9216WR 

FPP01A9226WR 

FPP01A9228WR 

FPP01A9230WR 

FPP01A9235WR 

FPP01A9240WR 

FPP01A9250WR 

FPP01A9260WR 

FPP01A9264WR 

0.6,1.0MM MINI BONE PLATE 6 HOLE 

STRAIGHT※ 適應症請見備註欄 

0.6,1.0MM MINI BONE PLATE 6 HOLE LONG 




1.0MM MINI BONE PLATE, EXTRA LONG 4 

HOLE STRAIGHT 2.0MM ※ 適應症請見備註欄 

0.6;1.0MM MINI BONE PLATE 16 HOLE 


0.6;1.0MM MINI ORBITAL PLATE 6:10HOLE 


MINI PLATE, 6-8 HOLE ANGLE 2.0MM ※ 適應 


0.6;1.0MM MINI L-PLATE 4 HOLE ※ 適應症請 

見備註欄 

MINI V PLATE, 9 HOLE 2.0MM ※ 適應症請見 

備註欄 

0.6;1.0MM MINI T PLATE 5:7 HOLE ※ 適應症 


0.6;1.0MM MINI Y PLATE 5 HOLE ※ 適應症請 

見備註欄 

0.6,1.0MM MINI DOUBLE Y PLATE 6:8HOLE 


0.6;1.0MM MINI L-PLATE 6 HOLE ※ 適應症請 

見備註欄 


FPP01A7316WR 

MESH BURR HOLE PLATE 1.5MM※ 適應症請 '01-7316;01-7318;01- 

見備註欄 

7319 

EA 6400 

FPP01A7345WR 

NEURO MINI PLATE STRAIGHT 2 HOLE 

1.5MM ※ 適應症請見備註欄 

'01-7345;01-7347 EA 1207 

FPP01A8046WR 

0.6MM MINI BONE PLATE, MEDIUM 2 HOLE 

STRAIGHT 2.0MM ※ 適應症請見備註欄 

'01-8046 EA 1207 

FPP01A8057WR 

0.6MM MINI L-PLATE 5 HOLE ※ 適應症請見備 

註欄 

'01-8057;01-8059 EA 1923 

FPP01A8068WR MINI BURR HOLE PLATE※ 適應症請見備註欄 

'01-8066;01-8068;01- 

7306;01-7308;01-7309 

EA 6400 

FPP01A8081WR 

0.6MM MINI Z PLATE 4 HOLE ※ 適應症請見備 '01-8081:01-8084;01- 

註欄 

7083:01-7088 

EA 2170 

FPP01A9204WR 

'01-9204;01-9288;01- 

9205;01-8050;01- 


8010;01-8011;01- 


7040;01-7045;01- 

7047;01-7048 

EA 1207 

'01-9206;01-8056;01- 

9289;01-7050;01- 

7055;01-7057;01- 

7058 

EA 1284 

'01-9207;01-8058 EA 1284 

'01-9208;01-9291;01- 

8013;01-7062 

EA 1284 

'01-9215 EA 1207 

'01-9216;01-8014;01- 

7066 

'01-9226;01-8018;01- 

8019;01-7126;01- 

7128;01-7130 

EA 2038 

EA 2222 

'01-9228;01-9229 EA 2450 

'01-9230:01-9233;01- 

8052:01-8055;01- 

7070;01-7071;01- 

7074;01-7075;01- 

7078;01-7079 

EA 1923 

'01-9235 EA 4560 

'01-9240;01-9241;01- 

8060:01-8061;01- 

8090:01-8092;01- 

7090;01-7094;01-7095 

'01-9250;01-9251;01- 

9253;01-8070;01- 

8071;01-8076;01- 

7100;01-7102;01-7104 

'01-9260;01-9262;01- 

9263;01-8072;01- 

8073;01-7110;01- 

7112;01-7114 

'01-9264:01-9267;01- 

8094:01-8097;01- 

7030;01-7031 

EA 2076 

EA 2022 

EA 2469 

EA 1923 



FPP01A9294WR 

'01-9294;01-9248;01- 

0.6;1.0MM MINI DOUBLE T-PLATE 4,6 HOLE 

8064;01-8065;01- 


7091:01-7093 

EA 2379 

BRIDGING PLATE STR 6:10HOLE 2.8MM ( 型 

FPP0208732LE 號 5620006,8,5629008,10 自 92/1/1 生效 )※ 適應 '01-08732 EA 3918 


FPP0208733LE 

BRIDGING PLATE STRAIGHT 

11HOLE(4+3+4HOLE) 2.8MM ※ 適應症請見備 '01-08733 EA 5370 

註欄 

FPP0208734LE 

BRIDGING PLATE STR 11:17 H 

(5620011:7,8003:11,3,9012:6,5415070,563303 '01-08734 EA 5870 

4:139 92/1/1 生效 )※ 適應症見備註 

FPP0208735LE 


13HOLE(4+5+4HOE)2.8MM ※ 適應症請見備註 '01-08735 EA 5870 

欄 

FPP0208736LE 


14HOLE(4+6+4HOLE)2.8MM ※ 適應症請見備 '01-08736 EA 5870 

註欄 

FPP0208737LE 


15HOLE(4+7+4HOLE)2.8MM※ 適應症請見備 '01-08737 EA 5870 

註欄 

FPP0208743LE 

BRIDGING PLATE ANGLE LEFT 

11HOLE(4+3+4HOLE)2.8MM ( 型號 5415076 自 '01-08743 EA 7920 

92/1/1/ 生效 )※ 適應症請見備註欄 

FPP0208745LE 

BRIDGING PLATE L-ANGLE 12:21H( 型號 

5620048:59,8025:87,9038:76 自 92/1/1 生效 ) ※ '01-08745 EA 8836 


FPP0208747LE 

BRIDGING PLATE ANGLE LEFT 


註欄 

FPP0208749LE 

BRIDGING PLATE ANGLE LEFT 17HOLE 

(4+9+4HOLE)2.8MM ※ 適應症請見備註欄 

'01-08749 EA 8836 

FPP0208753LE 

BRIDGING PLATE ANGLE RIGHT 


註欄 

FPP0208755LE 



註欄 

FPP0208757LE 


15HOLE(4+7+4HOLE)2.8MM ※ 適應症請見備 

註欄 

'01-08757 EA 8836 

FPP0208759LE 

FPP0208770LE 

FPP0208771LE 

FPP021552NLE 


17HOE(4+9+4HOLE)2.8MM ※ 適應症請見備註 

欄 

CONDYLAR IMPLANT LEFT 14MM ※ 適應症 


CONDYLAR IMPLANT RIGHT 14MM※ 適應症 


ANGLE PLATE 6-10 HOLE※ 適應症請見備註 

欄 

'01-08759 EA 8836 

'01-08770;( 型號 56- 

20090;56-20094;56- 

33280 自 920101 生效 ); 

(56-25001 自 960701 生 

效 ) 

'01-08771;( 型號 

5620092;56-20096; 

56-33282 自 920101 生 

效 );(56-25002 自 

960701 生效 ) 

'55-15524;55- 

15526;55-15536 

EA 9007 

EA 9007 

EA 7920 



'55-15911;55- 

RECON PLATE STRAIGHT 11-24 HOLE※ 適 

FPP021591NLE 

15917;55-28911;55- EA 4900 


28917;55-15514 

FPP021592NLE 

FPP0220511Y2 

FPP0220518Y2 

FPP0220521Y2 

FPP0220610Y2 

FPP0220611Y2 

FPP0220612Y2 

FPP0220621Y2 

FPP0240008M3 

FPP0240010M3 

FPP0240016M3 

FPP0240028M3 

FPP0240032M3 

FPP0240036M3 

FPP0240080M3 

FPP024009KM3 

FPP0241509LE 

FPP0249630S1 

FPP0249720S1 

FPP024988NS1 

FPP025633NLE 

RECON PLATE HEMI/FULL※ 適應症請見備註 

欄 

'(55-15920;55-15922; 

55- 

28920;28922;28930;28 

932;28934 自 961001 

更正型號 ) 

EA 9007 

COMPRESSION PLATE 1.6MM 4,8HOLE STR 


'420511:420517 EA 3918 

COMPRESSION PLATE 1.6MM 16HOLE STR 


'420518 EA 4900 

COMPRESSION PLATE 1.6MM 4HOLE STR/ 

斜孔 ※ 適應症請見備註欄 

'420521:420523 EA 3918 

TOTAL MANDIBULAR BRIDGING STR PLATE 

3.0MM(4+9+4) HOLE※ 適應症請見備註欄 

'420610 EA 19060 

MANDIBULAR BRIDGING STR PLATE 

3.0MM(4+2+4) HOLE※ 適應症請見備註欄 

'420611 EA 3918 


3.0MM(4+3,4,5,6,7+4)HOLE※ 適應症請見備註 '420612:420616 EA 4900 

欄 


3.0MM(4+3,5,7,9+4)HOLE※ 適應症請見備註欄 

'420621:420634 EA 7920 


8HOLE STR※ 適應症請見備註欄 

'34-40008 EA 3918 

TITANIUM RECONSTRUCTION PLATE '34-40010;40012; 

10:14HOLE STR※ 適應症請見備註欄 40014 

EA 5870 


16,18HOLE STR※ 適應症請見備註欄 

'34-40016;40018 EA 5870 


5+8HOLE ANG※ 適應症請見備註欄 

'34-40028;40048 EA 7920 


5+12HOLE ANG※ 適應症請見備註欄 

'34-40032;40052 EA 8836 


'34-40036;40040; 

5+16HOLE,5+20HOLE ANG※ 適應症請見備註 

40056;40060 

欄 

EA 8836 


5+20+5HOLE COMPLETE MANDIBLE ※ 適應 '34-40080 EA 19060 


TITANIUM CONDYLAR PROTHESIS W/2 

FIXATION HOLES※ 適應症請見備註欄 

'34-40090-K EA 9007 

COMPRESSION PLATE ANGLE 4HOLE※ 適 


'5415094 EA 7920 

2.4MM RECONSTRUCTION PLATE 

STRAIGHT 12HOLE 95MM ※ 適應症請見備註 '449.620 EA 5870 

欄 

'(449.614;449.621 自 

2.4MM RECONSTRUCTION PLATE 

940701 生效 ); 

STRAIGHT 20:24HOLE 159MM ※ 適應症請見 

(449.624 自 940701 生 

備註欄 

效 );449.700 

EA 5870 

2.4MM RECONSTRUCTION PLATE ANGLED '(449.626:629 自 940701 

EA 8836 

18:27HOLE 146MM ※ 適應症請見備註欄 

TOTAL BRIDGING PLATE 25:30HOLE( 型號含 

5633154:69)※ 適應症請見備註欄 

生效 );449.870:883 

'562-0077;79; 

8089;91;95 

EA 19060 




FPP0269502MC RECONSTRACTION PLATE 14HOLE※ 適應症 '68.95.02 EA 4900 



FPP0269510MC RECONSTRACTION PLATE ANGLE 12HOLE '68.95.10;68.95.11 EA 7920 


FPP02A4506WR 

2.4 LOCKING RECON PLATES6,12 HOLE※ 


'24-4506;24-4512 EA 4900 

FPP02A4507WR 

2.0 LOCKING FRACTURE PLATES 6 

HOLE,ANGLE※ 適應症請見備註欄 

'20-4507 EA 7920 

FPP02A4518WR 

2.4 LOCKING RECON PLATES 18,24 HOLE※ 


'24-4518;24-4524 EA 4900 

FPP02A4540WR 

2.4 LOCKING RECON 5+11 PLATES,ANGLE 


'24-4540;24-4541 EA 7920 

FPP02A4542WR 

2.4 LOCKING RECON 5+22 PLATES,ANGLE 


'24-4542;24-4543 EA 7920 

FPP02A4544WR 

2.4 LOCKING RECON PLATE,DOUBLE 

ANGLE※ 適應症請見備註欄 

'24-4544 EA 19060 

FPP0308640LE 

FRACTURE PLATE 4:8HOLE 35MM 1.8MM( 型 

號 5415-031:064,081:084 自 92/1/1 生效 ) ※ 適應 '01-08640 EA 3918 


FPP0308642LE 

FRACTURE PLATE 4 HOLE 40MM 1.8MM ※ 


'01-08642 EA 3918 

FPP0308644LE 



'01-08644 EA 3918 

FPP0308650LE 



'01-08650 EA 3918 

FPP0308652LE 



'01-08652 EA 3918 

FPP0308660LE 

MAND ANGLE PLATE 60 R "TS 1.8MM ※ 適應 

'01-08660:8 


EA 4560 

FPP0308670LE 

FRACTURE PLATE 4H 35MM 1.8MM STR ※ 


'01-08670 EA 3918 

FPP0308672LE 

FRACTURE PLATE 4H 40MM 1.8MM STR※ 


'01-08672 EA 3918 

FPP0308674LE 

FRACTURE PLATE 4H 50MM 1.8MM STR ※ 


'01-08674 EA 3918 

FPP0315064LE 

MANDIBULAR COMPRESSION PLATE 


'5415064 EA 3918 

FPP0315070LE 

MANDIBULAR COMPRESSION PLATE 


'5415070 EA 4900 

FPP0315131M3 

MRS FRACTURE BONE PLATE 4:8HOLE '10-15131;34;37; 


46;49;64;74;76 

EA 3918 

FPP0315170M3 

MRS FRACTURE BONE PLATE 14HOLE STR 


'10-15170 EA 4900 

FPP031550NLE 

COMPRESSION PLATE 2-10 HOLE※ 適應症 


'55-15504:55- 

15507;55-15570;55- 

15580 

EA 3918 

FPP0320526Y2 

COMPRESSION PLATE 1.6MM 4HOLE 

STR/60 度 ※ 適應症請見備註欄 

'420526:420529 EA 4560 

FPP03434NNS1 

2.0MM ZYGOMATIC DCP 4:6HOLE STR ※ 適 '443.4XX; 


449.034:036 

EA 3918 

FPP0349038S1 DCP 2.0 7:8 HOLES ※ 適應症請見備註欄 '449.037:038 EA 3918 

FPP0349110S1 

TENSION BAND PLATE 2.0,2.4 4:6HOLE STR 

22:35MM ※ 適應症請見備註欄 

'449.040:110 EA 3918 

FPP0349160S1 

2.4MM LC-DCP STRAIGHT 4:6HOLE 


'449.140:160 EA 3918 



FPP0349236S1 

2.4MM LIMITED CONTACT-DCP ECCENTRIC 

'449.234:236 

4:6HOLE 36:52MM ※ 適應症請見備註欄 

EA 4560 

FPP0349260S1 

2.4MM LC-DCP CURVED 4:6HOLE 35:50MM 


'449.240:260 EA 4560 

FPP0349380S1 

UNIVERSAL FRACTURE PLATE 2.4 

STRAIGHT 8 HOLES ※ 適應症請見備註欄 

'449.380 EA 3918 

FPP0349400S1 


STRAIGHT 10 HOLES ※ 適應症請見備註欄 

'449.400 EA 3918 

FPP0349424S1 


STRAIGHT 24 HOLES (447.021 自 90/10/01 生 


'449.424 EA 5870 

FPP034944NS1 

FPP034984NS1 

FPP035415NLE 

FPP0358104M3 

FPP0389601MC 

FPP0389604MC 

FPP0389605MC 

FPP03A1060WR 

FPP03A1068WR 

FPP03A4504WR 

FPP03A4516WR 

FPP03A9282WR 

FPP03C1050WR 

FPP03C1064WR 

FPP03C1068WR 

FPP0606310LE 

FPP0606312LE 

FPP0606320LE 

FPP0606322LE 

FPP0606332LE 

UNIVERSAL FRACTURE PLATE 2.4 ANGLED 

20:27 HOLES ※ 適應症請見備註欄 

'449.44X EA 8836 

UNIVERSAL FRACTURE PLATE 2.4 ANGLED 

6:10 HOLES ※ 適應症請見備註欄 

'449.820:844 EA 7920 

MANDIBULAR COMPRESSION PLATE '54150-31;37;46; 

4:6HOLE ※ 適應症請見備註欄 

52;76;81;84;94 

EA 3918 

MINIPLATE JALLUT GLIDING 4HOLE※ 適應 


'10-58104 EA 3918 

1.7MM MINI MANDIBULAR FRACTURE 

PLATE 4,6HOLE STR※ 適應症請見備註欄 

'68.96.01:03 EA 3918 


PLATE 8HOLE STR ※ 適應症請見備註欄 

'68.96.04 EA 3918 



'68.96.05 EA 5870 

2.4 FRACTURE PLATES 16 HOLE※ 適應症請 

見備註欄 

'24-1060 EA 4900 

2.4 FRACTURE PLATES,6 HOLE CURVED※ 


'24-1068 EA 7920 

2.0 LOCKING FRACTURE PLATES 4,6 HOLE 


'20-4506 EA 3918 

2.0 LOCKING FRACTURE PLATES 16 HOLE 


'20-4516 EA 4900 

COMPRESSION STRAIGHT PLATE, 4,6,8 '01-9282;01-9284;01- 


9286;01-9287 

EA 3918 

'24-1050;24-1052;24- 

1.8MM FRACTURE PLATE, STRAIGHT 4,6,8 

1054;24-1056;24- 


1058 

EA 3918 

1.8MM FRACTURE PLATE, 6,8 HOLE 

ANGLED※ 適應症請見備註欄 

'24-1064;24-1066 EA 7920 

1.8MM FRACTURE PLATE, 6 HOLE CURVED 


'24-1068 EA 2450 

TITAN MINI 3-D BONE PLATE 2X2 HOLES 

SQUARE 0.6MM ※ 適應症請見備註欄 

'54-06310 EA 4053 


RECTANGULAR SEGMENT 0.6MM ※ 適應症 '54-06312 EA 4053 



SQUARE SEGMENT 0.6MM ※ 適應症請見備 '54-06320 EA 6240 

註欄 




TITAN 3-D BONE PLATE 4X2 HOLES 





FPP0610054EJ 

2.0 MM MINI SQUARE PLATE 4 HOLE ※ 適應 


'210-0054 EA 4053 

FPP0610310LE 



註欄 

FPP0610312LE 




FPP0610322LE 




FPP0610330LE 



註欄 

FPP0610332LE 


'54-06332;(951001 型 

RECTANGULAR SEGMENT 1.0MM ※ 適應症 

號更正為 54-10332) 


EA 8220 

FPP0610532LE 3 D PLATE 3X2 HOLE※ 適應症請見備註欄 '55-10532 EA 6240 



FPP0620261Y2 

MINI H-SHAPE(3-D)PLATE 2X2 HOLE※ 適應 


'420261 EA 4053 

FPP0620262Y2 

MINI 1.0MM H-SHAPE(3-D)PLATE 3X2 HOLE 


'420262 EA 6240 

FPP0620263Y2 



'420263 EA 8220 

FPP0620266Y2 



'420266 EA 4053 

FPP0620267Y2 



'420267 EA 6240 

FPP0620268Y2 


'420268 EA 8220 

FPP0657710M3 

FPP0657720M3 

FPP0657730M3 


MINI 2000 CAD 4 HOLE PLATE SQUARE 

,RECTANGULAR 0.6MM,1.0MM※ 適應症請見 

備註欄 



備註欄 



備註欄 

'10-57710;57712; 

06920;06922 

'10-57720;57722; 

06925;06927 

'10-57730;57732; 

06930;06932 

EA 4053 

EA 6240 

EA 8220 

FPP06A7131WR NEURO SQUARE PLATE※ 適應症請見備註欄 '01-7131 EA 4053 

FPP06A7132WR 

FPP06A7136WR 

FPP06A7137WR 

FPP06A7357WR 

FPP06A9270WR 

FPP06A9274WR 

FPP06A9278WR 

NEURO TRIANGLE PLATE※ 適應症請見備註 

欄 

'01-7132 EA 4773 

1.5MM MINI MATRIX PLATE 2X3 HOLE※ 適應 

'01-7136 


EA 6240 

1.5MM MINI MATRIX PLATE 2X4 HOLE※ 適應 

'01-7137 


EA 8220 

1.5MM NEURO PLATE,2X2 HOLE※ 適應症請 

見備註欄 

'01-7357;01-7359 EA 4053 

2.0MM MINI MATRIX,2X2 HOLE※ 適應症請見 

備註欄 

'01-9270;01-9272 EA 4053 

2.0MM MINI MATRIX,2X4 HOLE※ 適應症請見 '01-9274;01-9276;01- 

備註欄 

9277 

EA 8220 

2.0MM MINI MATRIX,2X6 HOLE※ 適應症請見 

備註欄 

'01-9278:01-9280 EA 12480 



FPP06A9281WR 

2.0MM MINI MATRIX,2X8 HOLE※ 適應症請見 '01-9281;01-9283;01- 

備註欄 

9285 

EA 12480 

FPP0706104M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 

PLATE 4HOLE STR ※ 限顏面骨折患者使用 

'12-06104 EA 3048 

FPP0706106M3 



'12-06106 EA 3300 

FPP0706107M3 

MICRO 1200 TITANIUM STR PLATE 6HOLE 

7.5MM※ 適應症請見備註欄 

'12-06107 EA 2993 

FPP0706108M3 


8HOLE PLATE STR ※ 適應症請見備註欄 

'12-06108 EA 3300 

FPP0706114M3 

MICRO 1200 TITANIUM STR PLATE 4HOLE 


'12-06114;06115 EA 2830 

FPP0706116M3 


16HOLE PLATE STR※ 適應症請見備註欄 

'12-06116 EA 5605 

FPP0706120M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 L 

PLATE 5,8HOLE ※ 適應症請見備註欄 

'12-06120:06123 EA 4970 

FPP0706124M3 


PLATE 4HOLE ※ 適應症請見備註欄 

'12-06124:06125 EA 4431 

FPP0706126M3 


PLATE 5HOLE ※ 適應症請見備註欄 

'12-06126:06127 EA 4970 

FPP0706141M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 T 

PLATE 7 HOLE ※ 限顏面骨折患者使用 

'12-06141 EA 5543 

FPP0706142M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 T 

PLATE 4 HOLE ※ 適應症請見備註欄 

'12-06142:06143 EA 4816 

FPP0706144M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 H 

PLATE 9,14HOLE ※ 限顏面骨折患者使用 

'12-06144;06146 EA 6622 

FPP0706160M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 Y 

PLATE 6 HOLE※ 適應症請見備註欄 

'12-06160 EA 5564 

FPP0706162M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 X 

PLATE 6,7 HOLE※ 適應症請見備註欄 

'12-06162;06163 EA 6818 

FPP0706174M3 

MONDEAL TITANIUM 0.6MM MICRO 1200 Y 

PLATE 4 HOLE ※ 適應症請見備註欄 

'12-06174:06175 EA 5308 

FPP0706182M3 


ORBITAL 8HOLE※ 適應症請見備註欄 

'12-06182 EA 5210 

FPP0706204LE 

MICROPLUS BONE PLATE 0.55MM 4 HOLE 


'54-06204 EA 3048 

FPP0706206LE 



'54-06206 EA 3300 

FPP0706208LE 



'54-06208 EA 3300 

FPP0706209LE 



'54-06209 EA 5605 

FPP0706210LE 

MICROPLUS BONE PLATE 0.55MM 16HOLE 


'54-06210 EA 5605 

FPP0706211LE 



'54-06211 EA 5605 

FPP0706220LE 

MICROPLUS BONE PLATE 0.55MM L SHAPE 


'54-06220;54-06221 EA 4970 

FPP0706222LE 

MICROPLUS BONE PLATE 0.55 MM L 

SHAPE 8 HOLE ※ 適應症請見備註欄 

'54-06222;54-06223 EA 5118 

FPP070622NLE 

MICRO STRAIGHT PLATE 24HOLE ※ 適應症 


'55-06224 EA 5170 

FPP070623NLE 

MICRO 3D PLATE 2X2 HOLE※ 適應症請見備 

註欄 

'55-06231 EA 4053 

FPP0706240LE 

MICROPLUS BONE PLATE 0.55MM T SHAPE 

5 HOLE 90 DE ※ 適應症請見備註欄 

'54-06240 EA 5360 

FPP0706241LE 

MICROPLUS BONE PLATE 0.55MM T SHSPE 

7 HOLE 90 DE ※ 適應症請見備註欄 

'54-06241 EA 5543 



FPP0706244LE 

FPP0706246LE 

FPP0706249LE 

FPP070624NLE 

FPP070625NLE 

FPP0706260LE 

FPP0706262LE 

FPP0706263LE 

MICROPLUS BONE PLATE 0.55MM DOUBLE 

T SHAPE 9 HOLE ※ 適應症請見備註欄 





MICRO DOUBLE Y PLATE 7HOLE ※ 適應症請 

見備註欄 

MICRO ORBITA PLATE 4,10 HOLE ※ 適應症 


MICROPLUS BONE PLATE 0.55MM Y SHAPE 



Y SHAPE 6 HOLE ※ 適應症請見備註欄 


Y SHAPE 7 HOLE ※ 適應症請見備註欄 

'54-06244 EA 6622 

'54-06246 EA 6622 

'54-06249 EA 6040 

'55-06240 EA 6040 

'55-06250;55-06254 EA 4970 

'54-06260 EA 5564 

'54-06262 EA 6818 

'54-06263 EA 6818 

FPP070626NLE MICRO L PLATE 8HOLE ※ 適應症請見備註欄 '55-06260;55-06261 EA 4431 

FPP0706270LE 

MICROPLUS BURR 0.55MM H COVERING & 

BONE FLAP FIXATION PLATE 7,10,14MM※ 


'54-06270;06272; 

06275 

EA 6616 

FPP070627NLE MICRO T PLATE 7HOLE ※ 適應症請見備註欄 '55-06270 EA 4816 

FPP0706282LE 

FPP0706303M3 

FPP0706325M3 

FPP0706335M3 

FPP070633NLE 

FPP070637NLE 

FPP0706415LE 

FPP0706425LE 

FPP0706435LE 

FPP0706445LE 

FPP0706467LE 

MICROPLUS BONE PLATE 0.55MM ORBITA 

PLATE 8 HOLE CURVED※ 適應症請見備註欄 


CAD PLATE 3 HOLE,4HOLE SQUARE ※ 適應 



CAD PLATE 6HOLE ※ 適應症請見備註欄 


CAD PLATE 8HOLE ※ 適應症請見備註欄 

MICRO 3D PLATE 6X2 HOLE※ 適應症請見備 

註欄 

MICRO MALLEABLE BURR HOLE COVER 

PLATE 7,10,14MM ※ 適應症請見備註欄 

MICROPLUS BONE PLATE 0.55MM 

4(2X2)HOLE SQUARE SEGMENTS,REGANG 

ULAR SEGMENT ※ 適應症請見備註欄 


6(3X2)HOLE SQUARE ,RECTANG ULAR 

SEAGMENT ※ 適應症請見備註欄 


8(4X2)HOLE SQUARE ,REGANG ULAR 

SEGMENT ※ 適應症請見備註欄 


16(4X4)HOLE SQUARE SEGMENTS ※ 適應症 


TITANIUM MICRO 3-D PLATE 0.55MM 

6X4HOLE※ 適應症請見備註欄 

'54-06282 EA 5210 

'12-06303;12- 

06315;12-06317 

EA 4773 

'12-06325;06327 EA 6942 

'12-06335;12-06337 EA 8654 

'55-06233 EA 12340 

'55-06373;55- 

06374;55-06376 

EA 6616 

'54-06415;54-06417 EA 4773 

'54-06425;54-06427 EA 6942 

'54-06435;54-06437 EA 8654 

'54-06445 EA 12340 

'54-06467 EA 13460 



'10-07007;07014; 

07107;07114;10- 

FPP0707007M3 

MICRO BURR HOLE COVER PLATE 7:14MM 07214;12-07214 自 


940401 生效 ;12- 

EA 6616 

07107;12-07114 自 

940401 生效 

FPP0712003EJ 

M4 RIGID FIXATION SYSTEM 7, 11 HOLE Y 

PLATE, 0.5MM ※ 適應症請見備註欄 

'2120030;2120031 EA 5308 

FPP0712006EJ 

M4 RIGID FIXATION SYSTEM 6 HOLE 

LARGE, SMALL BUR HOLE PLATE, 0.5MM※ '2120062;2120064 EA 6616 


FPP0712032EJ 

M4 RIGID FIXATION SYSTEM 6 HOLE H 


'2120032 EA 6040 

FPP0712034EJ 


STRAIGHT PLATE, 0.55MM※ 適應症請見備註 

欄 

'2120034 EA 5170 

FPP0712036EJ 

FPP0712038EJ 

FPP0712039EJ 

FPP0712045EJ 

FPP0712046EJ 

FPP0712052EJ 

FPP0712068EJ 

FPP0712086EJ 

FPP0712104EJ 

FPP0712130EJ 

FPP0712312EJ 

FPP0720010S1 

FPP0720100S1 

FPP072010NS1 

FPP0720111Y2 

FPP0720112Y2 


CURVED PLATE, 0.55MM※ 適應症請見備註欄 



欄 



欄 

M4 RIGID FIXATION SYSTEM 4 HOLE 13, 16 

MM LEFT, RIGHT L PLATE, 0.5MM※ 適應症請 

見備註欄 

M4 RIGID FIXATION SYSTEM 2X4 HOLE 

QUAD PLATE, 0.5MM※ 適應症請見備註欄 

M4 RIGID FIXATION SYSTEM 5 HOLE19 MM 

T PLATE, 0.5MM※ 適應症請見備註欄 

M4 RIGID FIXATION SYSTEM 5 HOLE X 


M4 RIGID FIXATION SYSTEM ORBITAL 

FLOOR PLATE 0.35MM;0.25MM※ 適應症請見 

備註欄 

M4 RIGID FIXATION SYSTEM MICRO 6 

HOLE DOUBLE Y PLATE, 0.5MM※ 適應症請 

見備註欄 

M4 RIGID FIXATION SYSTEM MICRO 4 

HOLE STRAIGHT PLATE, 0.5MM※ 適應症請 

見備註欄 

M4 RIGID FIXATION SYSTEM MICRO 6, 8 

HOLE STRAIGHT PLATE, 0.5MM※ 適應症請 

見備註欄 

MICRO STRUT PLATE 16:22HOLE( 網狀 ) ※ 適 


MICRO 0.5MM ADAPTION PLATE 

24HOLES( 型號 420.100 另編代碼 FPP072010N) 


'2120036 EA 4970 

'2120038 EA 2830 

'2120039 EA 2993 

'2120044;2120046;212 

0048;2120050 

'2120040;2120041;212 

0069 

EA 4431 

EA 8654 

'2120052 EA 4816 

'2120068 EA 6040 

'2120080;2120086 EA 14160 

'2121040 EA 6040 

'2121030 EA 2830 

'2121031;2121032 EA 2993 

'420.010;040; 

421.080 

EA 12340 

'421.010 EA 5605 

MICRO 0.5MM ADAPTION PLATE 34HOLE ※ 

'420.100 EA 7430 


MICRO PLATE 0.6MM 4HOLE STR※ 適應症請 

'420111 EA 2830 

見備註欄 

MICRO PLATE 0.6MM 6,8HOLE STR※ 適應症 

'420112;420113 EA 2993 




FPP0720114Y2 

MICRO PLATE 0.6MM 12,16,24HOLE STR※ 


'420114:420116 EA 5170 

FPP0720121Y2 

MICRO PLATE 0.6MM 5,8HOLE L-SHAPE※ 適 

'420121:420124 


EA 4431 

FPP0720131Y2 

MICRO PLATE 0.6MM 5,7HOLE T-SHAPE※ 


'420131;420132 EA 4816 

FPP0720135Y2 

MICRO PLATE 0.6MM 6HOLE Y-SHAPE※ 適 


'420135 EA 5308 

FPP0720136Y2 

MICRO PLATE 0.6MM 6,7HOLE DOUBLE Y- 

SHAPE※ 適應症請見備註欄 

'420136;420137 EA 6040 

FPP0720141Y2 

MICRO ORBITA PLATE 0.6MM 8HOLE※ 適應 


'420141 EA 4970 

FPP0720150Y2 

MICRO 0.6MM H-SHAPE(3-D)PLATE 2X2 


'420150 EA 4773 

FPP0720151Y2 



'420151 EA 6942 

FPP0720152Y2 



'420152 EA 8654 

FPP0720153Y2 



'420153 EA 12340 

FPP0720154Y2 



'420154 EA 13460 

FPP0720155Y2 



'420155 EA 4773 

FPP0720156Y2 



'420156 EA 6942 

FPP0720157Y2 



'420157 EA 8654 

FPP0720158Y2 



'420158 EA 12340 

FPP0720159Y2 



'420159 EA 13460 

FPP072016NY2 

MICRO BURR HOLES PLATE 0.6MM 7:14MM 


'420161:420163 EA 6616 

FPP0720210S1 

MICRO 0.5MM ORBITAL RIM PLATE 

CURVED 8:12HOLE ※ 適應症請見備註欄 

'420.210;421.021 EA 5210 

FPP07204NNS1 

FPP07205NNS1 

FPP0720620S1 

FPP0720680S1 

FPP0720710S1 

FPP0720810S1 

FPP0720850S1 

FPP0720910S1 

FPP0721024S1 

MICRO ORBITAL FLOOR PLATE 

UNIVERSAL/L/R (421.040,044,045 自 89/10/1 生 


'(421.048:049 自 940701 

生效 );(421.302:304 自 

940701 生效 );420.4XX 

EA 14160 

MICRO 0.5MM L-PLATE 5:9HOLE ※ 適應症請 

見備註欄 

'420.5XX;421.05X EA 4970 

MICRO 0.5MM Y-PLATE 5:13HOLE ※ 適應症 


'420.620:630;421.061 EA 5564 

MICRO 0.5MM DOUBLE Y-PLATE 6HOLE( 型 

號 421.068,069 自 89/10/1 生效 )※ 適應症請見備 '420.680 EA 6818 

註欄 

MICRO 0.5MM T-PLATE 7:12HOLE ※ 適應症 


'420.700:710;421.071 EA 5543 

MICRO 0.5MM X-PLATE 4HOLE ※ 適應症請見 

'420.810;421.081 

備註欄 

EA 6040 

MICRO 0.5MM H-PLATE 6:11HOLE ※ 適應症 


'420.840:850;421.085 EA 6622 

TITANIUM MICRO BURR HOLE COVER※ 適 '420.910;421.090; 


091 

EA 6616 

MICRO 0.5MM PLATE 2:4HOLE STR ※ 適應 


'421.022:024 EA 3048 



MICRO BOX PLATE 4 HOLES ※ 適應症請見備 

'421.095:096 EA 4773 

註欄 

FPP0721096S1 

FPP075403NLE 

FPP0788704MC 

FPP0788706MC 

FPP0788708MC 

FPP0788734MC 

FPP0788745MC 

FPP0788747MC 

FPP0788748MC 

FPP0788750MC 

FPP0788754MC 

FPP0788760MC 

FPP0788764MC 

FPP0788765MC 

FPP0788770MC 

FPP0788774MC 

FPP0788780MC 

FPP0789050MC 

FPP0789104MC 

FPP0789106MC 

FPP0789116MC 

FPP0789126MC 

FPP0789133MC 

FPP0789134MC 

FPP0789145MC 

ORBITAL FLOOR PLATE※ 適應症請見備註欄 

'54-03001:03003; 

04001:04002 

EA 14160 

MICRO PLATE 4 HOLE 6.0,4.5MM 0.6MM 


'68.87.04;14;24 EA 2830 

MICRO PLATE 6 HOLE 0.6MM STR ※ 適應症 


'68.87.06 EA 2993 

MICRO PLATE 8 HOLE 0.6MM STR ※ 適應症 


'68.87.08 EA 3300 

MICRO PLATE 4HOLE 7.5,9MM 0.6MM STR 


'68.87.34;44 EA 3048 

MICRO PLATE 4HOLE 12MM 0.6MM STR ※ 


'68.87.45 EA 3048 

MICRO PLATE 6HOLE 7.5MM 0.6MM STR ※ 


'68.87.47 EA 3300 

MICRO PLATE 6HOLE 12MM 0.6MM STR ※ 


'68.87.48 EA 3300 

MICRO L-PLATE 4HOLE 7.5,9MM 0.6MM 

LEFT,RIGHT ※ 適應症請見備註欄 

'68.87.50;51;52;53 EA 4431 

MICRO L-PLATE 6HOLE 12MM 0.6MM 

LEFT,RIGHT ※ 適應症請見備註欄 

'68.87.54;55 EA 4970 

MICRO T-PLATE 4HOLE 7.5,9MM 0.6MM ※ 


'68.87.60;62 EA 4816 

MICRO T-PLATE 5HOLE 12MM 0.6MM※ 適應 


'68.87.64 EA 5360 

TITANIUM MICRO 0.6MM H-PLATE 9HOLE※ 

限顏面骨折患者使用 

'68.87.65 EA 6622 

TITANIUM 0.6MM MICRO Y-PLATE 4HOLE 

8,12,15MM ※ 適應症請見備註欄 

'68.87.70;72;73 EA 5308 

TITANIUM 0.6MM MICRO DOUBLE Y-PLATE 

6,7HOLE ※ 適應症請見備註欄 

'68.87.74;68.87.75 EA 6818 

TITANIUM MICRO 0.6MM ORBITAL PLATE 

6,7HOLE 8,12,15MM※ 適應症請見備註欄 

'68.87.80;81;82 EA 5210 

0.4MM TITANIUM BURR HOLES PLATE 


'68.90.50;51;52 EA 6616 

0.55MM MICRO CRANIO MAXILLO FACIAL 

TITANIUM PLATE 4HOLE STR※ 限顏面骨折 '68.91.04 EA 3048 

患者使用 


TITANIUM PLATE 6HOLE STR※ 適應症請見 '68.91.06 EA 3300 

備註欄 


TITANIUM PLATE 16HOLE STR※ 適應症請見 '68.91.16 EA 5605 

備註欄 


TITANIUM H-PLATE 9HOLE ※ 限顏面骨折患 '68.91.26 EA 6622 

者使用 


TITANIUM Y-PLATE 6HOLE※ 適應症請見備註 '68.91.33 EA 5564 

欄 


TITANIUM DOUBLE Y-PLATE 6HOLE※ 適應 


'68.91.34 EA 6818 


TITANIUM ORBITA PLATE 8HOLE ※ 適應症請 '68.91.45 EA 5210 

見備註欄 



MICRO STRAIGHT PLATE, 4-HOLE, 

FPP07A7504WR 

'01-7504 EA 2830 

REGULAR※ 適應症請見備註欄 

MICRO STRAIGHT PLATE, 16 HOLE, 

FPP07A7516WR 

'01-7516 EA 5170 

REGULAR※ 適應症請見備註欄 

MICRO STRAIGHT PLATE, 24-HOLE, 

FPP07A7524WR 

'01-7524 EA 5170 

ADAPTION※ 適應症請見備註欄 

FPP07A7530WR 

MICRO L-PLATE 5,8 HOLE※ 適應症請見備註 '01-7530;01-7531;01- 

EA 4431 

欄 

7532;01-7533 

FPP07A7540WR 

MICRO T-PLATE, 5-HOLE, REGULAR※ 適應 

'01-7540 EA 4816 


FPP07A7541WR 

MICRO T-PLATE, 7-HOLE, REGULAR※ 適應 

'01-7541 EA 4816 


MICRO DOUBLE T-SHAPE, 11-HOLE 

FPP07A7548WR 

'01-7548 EA 6040 

REGULAR ※ 適應症請見備註欄 

FPP07A7550WR 

MICRO Y-PLATE, 6-HOLE, REGULAR※ 適應 

'01-7550 EA 5308 


FPP07A7560WR 

MICRO DOUBLE Y-PLATE 6,7 HOLE※ 適應症 

'01-7560;01-7562 EA 6040 


MICRO ORBITAL PLATE, 8-HOLE, CURVED 

FPP07A7568WR 

'01-7568 EA 4970 


MICRO SQUARE PLATE 2X2 HOLE 1.0MM ※ 

FPP07A7570WR '01-7570 EA 4773 


FPP07A7572WR 

MATRIX PLATE 2X3 HOLE 1.0MM ※ 適應症請 

'01-7572 EA 6942 

見備註欄 

1.0MM MICRO MATRIX PLATE 2X4 HOLE※ 

FPP07A7574WR 

'01-7574 EA 8654 


FPP07A7576WR 

MICRO BURR HOLE PLATE※ 適應症請見備註 

'01-7576;01-7578 EA 6616 

欄 

TITANIUM LIGATURE WIRE 0.4MM 30CM ※ 

FPP0903104LE 

'01-03104 EA 147 



FPP0903105LE 

'01-03105 EA 154 



FPP0903106LE 

'01-03106 EA 154 


2.0 MM MINI CHIN PLATE ※ 適應症請見備註 '210-0040:0044;210- 

FPP0910004EJ 

EA 3000 

欄 

0046;210-0048 

FPP0913511LE CHIN PLATE 4MM ※ 適應症請見備註欄 '01-13511 EA 3000 






SKULL TITANIUM WIRE 0.4:0.6MM※ 適應症 

FPP0920185Y2 

'420185:420187 EA 147 


TITANIUM MINI CHIN PLATE 2.0 DOUBLE 

FPP094707NS1 

'447.073:076 EA 3000 

BEND 5 HOLE ※ 適應症請見備註欄 

FPP0957504M3 

EA 3000 

FPP09A6471WR 

2.0MM DUAL RAIL CHIN PLATES※ 適應症請 

'01-6471;01-6479 EA 3000 

見備註欄 

FPP1042736W2 TENDON SPACER 3:6MM '427-3:6 EA 2500 

BONAMATES BIOFIXATION SYSTEM:STR 

'F00-101501;F00- 

FPP1101501FV 4 HOLE 1.0X1.5MM,1.2X2.0MM,1.5X2.5MM ※ 

EA 3048 

122001;F00-152501 


TIANIUM CHINPLATE 4HOLE 4:12MM※ 適應 '10-57504;06;08; 


10;12 

FPP1101502FV 


6 HOLE 1.0X1.5MM,1.2X2.0MM,1.5X2.5MM ※ 


'F00-101502;F00- 

122002;F00-152502 

EA 3300 



BONAMATES BIOFIXATION SYSTEM:C 型 

'F00-101503;F00- 

7 HOLE 1.0X1.5MM,1.2X2.0MM ※ 適應症請見 

EA 5210 

122003 

備註欄 

FPP1101503FV 

FPP1101504FV 

FPP1101505FV 

FPP1101507FV 

FPP1101508FV 

FPS010071NS1 

FPS0100NNNS1 

FPS010151NS1 

FPS010156NS1 

FPS0108405LE 

FPS0108407LE 

FPS0108409LE 

FPS0108411LE 

FPS0108413LE 

FPS0108415LE 

FPS0108417LE 

FPS0108459LE 

FPS0108780LE 

FPS0108782LE 

FPS0108784LE 

FPS0108786LE 

FPS0108788LE 

FPS0108790LE 

BONAMATES BIOFIXATION SYSTEM:Y 型 8 

HOLE 1.0X1.5MM,1.2X2.0MM ,1.5X2.5MM ※ 


BONAMATES BIOFIXATION SYSTEM:L 型 

8/10 HOLE 1.0X1.5MM,1.2X2.0MM 

,1.5X2.5MM ※ 適應症請見備註欄 

'F00-101504;F00- 

122004;F00-152504 

'F00-101505;F00- 

122005;F00- 

152505;F00-101506; 

F00-122006;F00- 

152506 

EA 5564 

EA 5118 

BONAMATES BIOFIXATION SYSTEM:X 型 

'F00-101507;F00- 

10 HOLE 1.0X1.5MM,1.2X2.0MM ,1.5X2.5MM 

122007;F00-152507 


EA 6818 


8 HOLE 1.5X2.5MM ※ 適應症請見備註欄 

'F00-152503 EA 3300 

1.5 MM CORTEX SCREW SELF-TAPPING 

4:18 MM ※ 適應症請見備註欄 

'400.70X;71X EA 390 

'400.50X;400.23X; 

(400.144:145 自 940701 

1.0:1.3 MM MICRO,1.2:1.7 MM EMERGENCY 

生效 );(400.774:775 自 

SCREW 2:8MM ※ 適應症請見備註欄 

940701 生效 ); 

EA 1700 

400.60X;400.88X 

2.4 MM,2.0MM CORTEX SCREW SELF- 

TAPPING 8:18 MM ※ 適應症請見備註欄 

2.7MM EMERGENCY SCREW 8:18MM※ 適應 


MINI BONE SCREW 2.0X5MM( 型號 52- 

17012:52-82308 自 90/07/01 生效 )※ 適應症請見 

備註欄 

'401.50X;51X;59X EA 823 

'401.55X;56X EA 823 

'01-08405 (52-20105) EA 390 

MINI BONE SCREW 2.0x7MM ※ 適應症請見備 

'01-08407 (52-20106:7) 

註欄 

EA 390 

MINI BONE SCREW 2.0x8MM/9MM ※ 適應症 


'01-08409 (52-20108:9) EA 390 

MINI BONE SCREW 2.0x10MM/11MM ※ 適應 


'01-08411 (52-20110:1) EA 390 



'01-08413 (52-20112:3) EA 390 



'01-08415 (52-20114:5) EA 390 

MINI 2.0MM BONE SCREW 17MM ※ 適應症請 '01-08417(01- 

見備註欄 

08457)(52-23107) 

EA 390 

MINI 2.3MM EMERGENCY BONE SCREW 

9MM ※ 適應症請見備註欄 

'01-08459 (52-23109) EA 390 

BRIFGING BONE SCREW 3.5X10MM※ 適應 


'01-08780 EA 710 



'01-08782 EA 760 



'01-08784 EA 800 

BRIDGING BONE SCREW ( 型號 5227- 

375:822,5230-008:135,5108:5130 自 92/1/1 生 '01-08786 EA 823 






'01-08788 EA 823 

'01-08790 EA 823 



FPS0108795LE 



'01-08795 EA 823 

FPS0109650LE 

COMPREDSSION BONE SCREW SELF- 

TAPPING 2.7x10MM ※ 適應症請見備註欄 

'01-09650 EA 823 

FPS0109652LE 

COMPRESSION BONE SCREW SELF- 


'01-09652 EA 823 

FPS0109654LE 

BONE SCREW SELF-TAPPING 2.7x14MM ※ 


'01-09654 EA 823 

FPS0109656LE 



'01-09656 EA 823 

FPS0109658LE 



'01-09658 EA 823 

FPS0109660LE 



'01-09660 EA 823 

FPS0109662LE 



'01-09662 EA 823 

FPS0109664LE 



'01-09664 EA 823 

FPS0109666LE 



'01-09666 EA 823 

FPS0109668LE 



'01-09668 EA 823 

FPS0109670LE 



'01-09670 EA 823 

FPS0109674LE 

COMPRESSION EMERGENCY BONE 

SCREW 3.2x12MM ※ 適應症請見備註欄 

'01-09674 EA 823 

FPS0109676LE 

EMERGENCY BONE SCREW 3.2x16MM ※ 適 


'01-09676 EA 823 

FPS0109678LE 



'01-09678 EA 823 

FPS0109680LE 



'01-09680 EA 823 

FPS01119NNS1 

FPS0112102LE 

FPS0112104LE 

2MM MINI CORTEX 2.4MM,EMERGENCY 

SCREW SELF-TAPPING ※ 適應症請見備註欄 

MICROPLUS BONE SCREW SELF- 

TAPPING( 型號 52-10002:81409,59- 

14105:14111 自 90/07/01 生效 )※ 適應症請見備 

註欄 

MICROPLUS BONE SCREW SELF-TAPPING 

1.2x4MM,1.2x5MM ※ 適應症請見備註欄 

'401.104:118; 

401.3XX;411.9XX 

EA 390 

'59-12102;59-12103 EA 1700 

'59-12104;59-12105 EA 1700 

FPS0112106LE 

FPS011210NLE 

FPS0114103LE 

MICROPLUS BONE SCREW SELF-TSPPING 

1.2x6MM:1.2x12MM ※ 適應症請見備註欄 

MICRO BONE SCREW 1.2MM 1.4MM ※ 適應 


MICROPLUS EMERGENCY BONE SCREW 

SELF-TAPPING 1.4x3MM ※ 適應症請見備註欄 

'59-12106:12112 EA 1700 

'50-12003:12006;50- 

12012; 

12903;14003;14005;14 

007;14009 

EA 1470 

'59-14103 EA 1700 

FPS0115104LE BONE SCREW 1.5x4MM ※ 適應症請見備註欄 '52-15104 EA 390 

FPS0115105LE 

FPS0115106LE 

LOW PROFILE BONE SCREW 1.5x5MM ※ 適 


LOE PROFILE BONE SCREW 1.5x6MM ※ 適 


'52-15105 EA 390 

'52-15106 EA 390 



FPS0115107LE 



'52-15107 EA 390 

FPS0115108LE 



'52-15108 EA 390 

FPS0115109LE 



'52-15109 EA 390 

FPS0115110LE 

LOW PROFILE BONE SCREW 1.5x10MM ※ 


'52-15110 EA 390 

FPS0115111LE 

BONE SCREW 1.5x11MM ※ 適應症請見備註 

欄 

'52-15111 EA 390 

FPS0115112LE 


欄 

'52-15112 EA 390 

FPS0115113LE 


欄 

'52-15113 EA 390 

FPS011700NLE 

FPS0120013M3 

FPS012009NLE 

FPS012017NY2 

FPS0120220EJ 

FPS012028NY2 

FPS0120412EJ 

FPS0120415EJ 

MINI BONE SCREW 1.7MM,1.9MM ※ 適應症 


TITANIUM LOCK-DRIVE TRANSPLANT 

SCREW 2.0X7:17MM SELF-CUTTING※ 適應 


TITANIUM FASTENING SCREW FOR 

TEMPORARY CONDYLAR PROSTHESES※ 


MICRO BONE SCREW 1.2MM 2:12MM※ 適應 


M4 RIGID FIXATION SYSTEM 2.0MM 


MINI BONE SCREW 2.0MM 5:19MM※ 適應症 


M4 RIGID FIXATION SYSTEM MICRO 

SCREW 1.2MM(SCREW 1.2 X 2, 3, 4, 6, 8, 10, 

12, 14MM)※ 適應症請見備註欄 

M4 RIGID FIXATION SYSTEM MICRO 

SAFETY SCREW 1.5MM※ 適應症請見備註欄 

'50- 

17003:17008;17010;17 

012;50- 

17903:17906;50- 

17504:17506;50- 

19003;19005;19007;19 

009 

EA 390 

'34-20007:20017 EA 823 

'56-20099;(56-25000 

自 960701 生效 ) 

EA 710 

'420171:420181 EA 1470 

'202- 

2004;2005;2006;2008;2 

010; 

2012;2014;2016;2018;2 

020;2022 

EA 390 

'420281:420288 EA 390 

'2041202;2041203;204 

1204; 

2041206;2041208;2041 

210; 

2041212;2041214 

EA 1470 

'2041503;2041506 EA 1470 

FPS012042NLE MINI SCREW 2.0:2.7MM※ 適應症請見備註欄 '52-20404:53-20442 EA 710 

FPS012053NY2 

FPS0120624EJ 

FPS0120627EJ 

FPS0120641Y2 

COMPRESSION BONE SCREW 2.7,3.2MM※ 


M4 RIGID FIXATION SYSTEM 2.4MM MAXI 

FRACTURE SCREW ※ 適應症請見備註欄 

M4 RIGID FIXATION SYSTEM 2.7MM MAXI 

FRACTURE SCREW ※ 適應症請見備註欄 

MANDIBULAR BONE SCREW 3.5MM 


'420531:41; 

420571:78 

'206- 

2404;2405;2406;2408;2 

410; 

2412;2414;2416;2418;2 

420;2422 

EA 710 

EA 710 

'206-2708;2712;2716 EA 710 

'420641:420646 EA 710 



FPS0120819EJ 

M4 RIGID FIXATION SYSTEM 1.9MM 


'208-1904 EA 390 

FPS0121112EJ 

M4 RIGID FIXATION SYSTEM:AUTO-DRIVE '211-1203;211- 


1204;211-1205 

EA 1470 

FPS0121116EJ 

M4 RIGID FIXATION SYSTEM 1.6 MM '1605;1606;1608;211- 


1604 

EA 390 

FPS0121120EJ 

M4 RIGID FIXATION SYSTEM 2.0 MM '211- 


2004;2005;2006;2008 

EA 390 

FPS014009SM3 

TITANIUM CONDYLAR PROTHESIS 

FIXATION SCREW※ 適應症請見備註欄 

'34-40090-S EA 710 

FPS015223NLE 

MANDIBULAR SCREW 2.3MM 6:22MM※ 適應 


'5223146:5223162 EA 739 

FPS015227NLE 

MANDIBULAR SCREW 2.7MM 6:22MM※ 適應 


'5227806:5227822 EA 739 

FPS0152306M3 

FPS017020NM3 

FPS01702NNM3 

FPS0172005M3 

FPS0172007M3 

FPS0172305M3 

FPS0172307M3 

FPS018020NM3 

FPS0182004M3 

FPS0182005M3 

FPS0182305M3 

FPS0182716M3 

FPS0183012M3 

FPS0187505MC 

FPS0187507MC 

FPS0187509MC 

FPS0187511MC 

FPS0187513MC 

FPS0187515MC 

MRS TITANIUM SCREW※ 適應症請見備註欄 

MONDEAL TITANIUM 1.2MM MICRO LOCK 

DRIVE SCREW 2:8MM,1.5MMX4:6MM※ 適應 


TITANIUM 1.2MM MICRO LOCK DRIVE 


TITANIUM 2.0MM MINI STANDARD SCREW 

5MM:19MM ※ 適應症請見備註欄 

TITANIUM 2.0MM MINI LOCK-DRIVE SCREW 


TITANIUM 2.3MM MINI EMERGENCY 

'09-52306:52318;09- 

52708:52716 

'09-70202:208; 

70504;70506 

'09-702;705; 

80211:15;80511:15 

EA 710 

EA 1700 

EA 1470 

'10-72005:72019 EA 390 

'09-72005:72019 EA 390 

SCREW 5MM:9MM ※ 適應症請見備註欄 

'10-72305:309 EA 390 

TITANIUM 2.3MM MINI EMERGENCY LOCK- 

DRIVE SCREW 5MM:9MM ※ 適應症請見備註 '09-72305-72309 EA 390 

欄 

MONDEAL TITANIUM 1.2MM MICRO CROSS 

'09-80202:208; 

FIT SCREW 2:8MM,1.5X4:6MM※ 適應症請見 

80504;80506 

備註欄 

EA 1700 

CROSS-FIT,LOCK-DRIVE SCREW 2.0 4MM 


'10-82004;09-72004 EA 390 

TITANIUM 2.0MM MINI CROSS-FIT SCREW 


'10-82005:82019 EA 390 

TITANIUM 2.3MM MINI EMERGENCY 

CROSS-FIT SCREW 5MM:9MM ※ 適應症請見 '10-82305:82309 EA 390 

備註欄 

TITANIUM LOCK-DRIVE SCREW 

2.7X8:22MM SELF-CUTTING※ 適應症請見備 '09-82708:82722 EA 823 

註欄 

TITANIUM LOCK-DRIVE EMERGENCY 

SCREW 3.0X8:14MM SELF-CUTTING※ 適應 '09-83008:83014 EA 823 


TITANIUM 2MM MINI SCREW 5.5MM ※ 適應 


'68.75.05 EA 390 

TITANIUM 2MM MINI SCREW 7MM ※ 適應症 


'68.75.07 EA 390 



'68.75.09 EA 390 


'68.75.11 


EA 390 


'68.75.13 


EA 390 


'68.75.15 


EA 390 


FPS01A2406WR 

FPS01A2706WR 

MINI 2.4 TITANIUM SCREWS ※ 適應症請見備 

註欄 

MINI 2.7 TITANIUM SCREWS ※ 適應症請見備 

註欄 


FPS0188303MC 

MICRO SCREW 3.5X1.5MM ※ 適應症請見備 

註欄 

'68.83.03 EA 1470 

FPS0188305MC 

MICRO SCREW 5X1.5MM ※ 適應症請見備註 

欄 

'68.83.05 EA 1616 

FPS0188307MC 


欄 

'68.83.07 EA 1693 

FPS0188309MC 


欄 

'68.83.09 EA 1700 

FPS0188311MC 


欄 

'68.83.11 EA 1700 

FPS0188313MC 

TITANIUM 1.5MM MICRO SCREW 

13,15,16,17MM※ 適應症請見備註欄 

'68.83.13;15;17 EA 1700 

FPS0188334MC 

MICRO EMERGENCY SCREW 4X1.9MM ※ 適 


'68.83.34 EA 1508 

FPS0188339MC 

MICRO EMERGENCY SCREW 9X1.9MM ※ 適 


'68.83.39 EA 1700 

FPS0189222MC 

MICRO 1.2MM MAXILLO FACIAL TITANIUM 

SCREW 2:12MM ※ 適應症請見備註欄 

'68.92.22:32 EA 1700 

FPS0189521MC 

TITANIUM SCREWS 2.7X9MM ※ 適應症請見 

備註欄 

'68.95.21 EA 750 

FPS0189522MC 


備註欄 

'68.95.22 EA 770 

FPS0189523MC 


備註欄 

'68.95.23 EA 793 

FPS0189524MC 


備註欄 

'68.95.24 EA 816 

FPS0189525MC 


備註欄 

'68.95.25 EA 823 

FPS0189526MC 


備註欄 

'68.95.26 EA 823 

FPS0189527MC 


備註欄 

'68.95.27 EA 823 

FPS0189528MC 


備註欄 

'68.95.28 EA 823 

FPS0189531MC 

TITANIUM EMERGENCY SCREWS 3.2X9MM 


'68.95.31 EA 823 

FPS0189532MC 

TITANIUM EMERGENCY SCREWS 

3.2X13MM ※ 適應症請見備註欄 

'68.95.32 EA 823 

FPS0192004M3 

NEWS S-DRIVE SELF-DRILLING 

'05-92004;05- 

SCREW(MINI 2000)※ 適應症請見備註欄 92005;05-92007 

EA 390 

FPS01A1803WR 

'95- 

1803;1805;1807;1809 

;01- 

2309;2311;2313;2315;2 

317;01- 

9495;9497;9499 

TITANIUM MINI EMERGENCY SCREW 7223;7225;7227;95- 

1.5MM,1.8MM,2.3MM ※ 適應症請見備註欄 2305;2307; 

EA 390 

'85- 

2406;2408;2410;2412 

; 

2414;2416;2418;2508 

; 

2510;2512;2514;2516;2 

518 

'85- 

2706;2708;2710;2712;2 

714;2716 

EA 710 

EA 710 


FPS01A7283WR 

FPS01A7372WR 

FPS01A7383WR 

FPS01A7604WR 

FPS01A9474WR 

FPS0201N2NS1 

FPS0201N3NS1 

FPS02A2424WR 

FPS1150400FV 

FPS1150401FV 

FPS1150402FV 

FPT0100350NW 

1.5 MINI CENTER-DRIVE TITANIUM 

SCREWS ※ 適應症請見備註欄 

MICRO TITANIUM SCREWS 1.0MM ※ 適應症 


MICRO TITANIUM EMERGENCY SCREW 


MINI CROSS-DRIVE TITANIUM SCREWS 


MINI CENTER-DRIVE TITANIUM SCREWS 

2.0MM※ 適應症請見備註欄 

2.0,2.4,2.7MM CORTEX SCREW 20:28MM ※ 


2.0,2.4,2.7MM CORTEX SCREW 30:40MM ※ 


TITANIUM LAG SCREWS 2.4MM ※ 適應症請 

見備註欄 

BONAMATES BIOFIXATION SYSTEM: 

SCREW 1.5X4.0~2.5X25MM( 單支包裝 ) ※ 適應 



SCREW 1.5X4.0~2.5X25MM(2 支 / 包 ) ※ 適應症 



SCREW 1.5X4.0~2.5X25MM(4 支 / 包 ) ※ 適應症 


TISSUE EXPANDER 25CC:1000CC ※ 適應症 



'95-1511;13;15;95- 

6103:6107;01-7002: 

FPS01A7002WR 

7293:7297;95- 

1502:1509 

1.5 MINI CROSS-DRIVE TITANIUM SCREWS 01-7009;01-7011; 


13;15;01- 

EA 390 

'01-7283:01-7285;01- 

7202:7209;01- 

7211;13;15 

'01-7372:01-7377;01- 

7403:01-7407 

'01-7383;01-7385;01- 

7413;01-7415;01- 

7417 

'01- 

7604;05;07;09;11;13;15 

;17;19;84;85;87;95- 

2004;05;07;09;11;13;15 

;17;19T;95- 

2304;5205;07;09;11; 

13;15;95-6204;05;07 

'01-9474;01-9475;01- 

9477;01-9479;01- 

9481;01-9483;01- 

9485;01-9487;01- 

9489;01-9492:01- 

9494 

'401.12X;52X; 

402.02X 

'401.13X;53X; 

402.03X 

'85-2424;85-2428;85- 

2432;85-2436;85- 

2440 

'F00- 

150400;150600;200600 

; 

200800;202000;250600 

;250800; 

252500;SC04;SD10;SD 

012;SD014 

'F00- 

150401;150601;200601 

; 

200801;202001;250601 

;250801;252501 

'F00- 

150402;150602;200602 

; 

200802;202002;250602 

;250802;252502 

'350-4301M:17M; 

5301M:06M4321:32 

EA 390 

EA 1470 

EA 1470 

EA 390 

EA 390 

EA 1030 

EA 1150 

EA 1030 

EA 1700 

包 3400 

包 6800 

EA 9000 


FPT01SC088NH 

FPT01TAX2NN2 

FPT01TCS2NN2 

FPT01TRC2NN2 

FPT01TRD2NN2 

FSAE171000SB 

FSAE1TBXXXSB 

FSP6101170BA 

FSP6101171BA 

FSP6101515ZQ 

CUI TISSUE EXPANDERS※ 適應症請見備註 

欄 

TISSUE EXPANSION DEVICES※ 適應症請見 

備註欄 


備註欄 


備註欄 

TISSUE EXPANDER 50:1100CC TYPE 

ROUND RECTANGLE U'DESIGN CRESCENT 

CROISSANT※ 適應症見備註欄 

TRACHEOBRONCHIAL WALLSTENT 

UNISTEP DELIVERY SYS. STENT5:24* 

20:90MM 適應症見備註 M001711-000:390 

ULTRAFLEX TRACHEOBRONCHIAL STENT 

SYSTEM 適應症見備註 

"BARD"SOFT MESH 柔軟修補網 7.5CMX15CM 

10CMX15CM (15CMX15CM 自 970401 起刪除 ) 

"BARD"SOFT MESH 柔軟修補網 5CMX10CM 

4.5CMX10CM 6CMX13.7CM 

"SOFRADIM"PARIETENE POLYPROPYLENE 

MESHES 15X15CM 

'CZV;CRS0907:2116;F 

ZV;SFV08:18; 

RZV;SRV0604:2007;S 

RS0604:1508; 

SFS60:1000;SCS0705: 

1512; 

SLS1605;1907;SOE36 

24;4528 

EA 9000 

'TA;TA-X;TRD-X EA 9000 


'881;861;810;817;800;8 

FPT0120789L0 

07;830; 

TISSUE EXPANDER 1CC~1000CC※ 適應症請 

820;827;741;880;841;8 

見備註欄 

51;776-105;776- 

106;776-212;776-424 

EA 9000 

'TCS-X;TCF;TCF- 

X;TEV;TEV-X 

'TRC-X;TCY-S;-S- 

X;-C;-C-X 

'TRD;TRC;TU; 

YCR;TCS 

'H9654-021:120-00: 

30 

'6892:99;6901;03; 

6904:6909 自 94/4/1 生 

效 ;6912:6918 自 94/4/1 

生效 ; 

6913:6919;20:31; 

6941:6947;48:59; 

6990;92;97;99 

'0117009;0117010; 

(0117011 自 970401 起 

刪除 ) 

'0117008;0117012; 

0117013;0117014; 

0117015 

EA 9000 

EA 9000 

EA 9000 

KIT 33000 

KIT 33000 

EA 1900 

EA 1050 

'PPL1515 EA 1938 

FSP6103030ZQ 

"SOFRADIM"PARIETENE POLYPROPYLENE 

MESHES 30X30CM 

'PPL3030 EA 4000 

FSP6105010BB 

PREMILENE MESH 30X30CM 

2.5X10CM,5X10CM 

'1064304;1064312 EA 1050 

FSP610510MGX GORE-TEX MYCROMESH 5CMX10CM '1MYM01 EA 1050 


FSP6106011JJ 

PROLENE POLYPROPYLENE MESH 

PMS,6*11CM 

'6*11CM EA 1050 


FSP6110650BB 

"B.BRAUN"OPTILENE MESH 歐特靈網片 '1065020;1065140; 

5CMX10CM 4.5CMX10CM 6CMX14CM 1065150 

EA 1050 

FSP6110651BB 

"B.BRAUN"OPTILENE MESH 歐特靈網片 

7.5CMX15CM 10CMX15CM 

'1065030;1065040 EA 1900 

FSP6110652BB 


15CMX15CM 

'1065080 EA 1938 

FSP6110653BB 


26CMX36CM 30CMX30CM 

'1065060;1065090 EA 4000 

FSP6112010DG DEXON MESH 12X10CM (3PCS/BOX) '7976-00 PCS 1000 



FSP6115015BB 

PREMILENE MESH 

'1064428;1064436; 

7.5X15CM,15X15CM,5X30CM,10X15CM 1064444;1064490 

EA 1900 

FSP6115015JJ 


PMM,15*15CM 

'15*15CM EA 1938 

FSP6119910SB MESH 內植用網 2.5CMX10.2CM 'M002000199101 EA 1050 

FSP6119930SB MESH 內植用網 5.1CMX30.5CM 

'M002000199211; 

M002000199301 

EA 1900 



FSP6123018DG DEXON MESH 23X18CM(3PCS/BOX) '7979-00 PCS 1995 

FSP6130030BB PREMILENE MESH 30X30CM,26X36CM '1064452;1064460 EA 4000 

FSP6130030JJ 


PML,30*30CM 

'30*30CM EA 4000 

FSP61RM054JJ MESH FOR HERNIA 30X30CM 'RM-54 PCS 563 

FSP61S0035US SURGIPRO MESH 3"X5" 網狀人工腹膜 'SPM-35 EA 1800 

FSP61S0149US SURGIPRO MESH 14"X9" 'SMP149 EA 4000 

FSP7103657AM 

"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 '72403657 SET 13680 

INTRODUCER)+ 一條聚丙烯懸帶 ) 

IVS TUNNELLER INTRA-VAGINAL SLING 'IVS-01;IVS-02( 自 

FSP711VS12TY PLACEMENT INSTRUMENT( 含 INTRODUCER 980401 起 ; 刪除產品型 SET 13680 

及 CATHETER GUIDE) 

號 IVS-01) 

FSP7181004ET 

FSP71BRD16BA 

FUK02CA101NV 

TENSION-FREE VAGINAL 

TAPE(TVT)DEVICE 含 INTRODUCER 及 RIGID 

CATHETER GUIDE(810081,810041B 自 

940701 起生效 , 文號 0940011575) 

"BARD"ALIGN URETHRAL SUPPORT 

SYSTEM( 含 INTRODUCER+MESH 

ASSEMBLY) 艾萊尿道支撐系統 

EXTRACORPOREAL TUBING SET(CAVH 

TUBING SET) 

'810041;810041B; 

810081 

'BRD- 

100R;200S;300RS;400 

HK;500HL;600HH 

'ECTB/CAV-101- 

330TC;331TC;332TC 

;ECTB/CAV-101- 

CVVH;ECMO; 

ECTB/CAV-101- 

NTUH;VGH; 

ECTB/CAV-101- 

TE/CGMH; 

ECTB/CAV-101;1/4 

SET 13680 

SET 13680 

SET 800 

FUK02HEF2XGA GAMBRO HEMOFILTER '2X EA 2500 

FUK02PAN06AS 

CAVH HEMOFILTER( 產品型號 PAN-03,PAN- 'PAN-06;PAN-03; 

10 自 94 年 10 月 1 日起生效 , 文號 0940019644) PAN-10 

EA 2500 

FUK0300HP1KU HEMOPERFUSION CARTRIDGE 'DHP-1 EA 10500 

FUK030300CGA ADSORBA 300GM '300C EA 10000 

FUK04AV020GA 

C.A.V.H KIT FOR CHILD(HEMOFILTER, LINE 

SET, UREOFIX 500 COLLECTION, 3-WAY 

STOPCOAKS) 

'FH-22H SET 3200 

FUK04AV60SGA GAMBRO KIT FOR CAVH&CAVHD 'AV60S SET 5000 

FUK04PAN10AS HEMOFILTER 'PAN-03;PAN-10 EA 2500 

PRISMA SET(CVVH TUBING+HEMOFILTER) 

FUK0500M60GA 膜面積 0.6M 平方 , 連續式血液透析器及迴路套管 * 'M60 SET 4950 


FUK0501000GA 

FUK0501400GA 

PRISMAFLEX SET(CVVH 

TUBING+HEMOFILTER) 膜面積 1.1M 平方 * 適應 





'HF1000 SET 5400 

'HF1400 SET 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 * 'M100 SET 5400 



FUK05F0M60GA TUBING+HEMOFILTER)0.6M 平方 * 適應症請見 'PRISMAFLEX M60 SET 4950 

備註欄 

FUK05FM100GA 


TUBING+HEMOFILTER)0.9M 平方 * 適應症請見 'PRISMAFLEX M100 SET 5400 

備註欄 

FUK05FM150GA 

"GAMBRO"PRISMAFLEX SET(CVVH 

TUBING+HEMOFILTER 膜面積 1.5M 平方 ) 普利 'M150 AET 5400 

司馬弗列克斯套組 * 適應症請見備註欄 

FUK05HD150E9 CVVH HEMOFILTER* 適應症請見備註欄 'D150(0.25M 平方 ) EA 3645 



FUK05HF403FN 

BLOOD TUBING SET-CVVH* 適應症請見備註 

欄 

'HF400-03 SET 1450 

FUK05PF150GA 

"GAMBRO"PRISMAFLEX SET* 適應症請見備 

註欄 

'ST150 SET 5400 


FUK05PFXSTGA TUBING+HEMOFILTER) 膜面積 1M 平方 * 適應症 'ST100 SET 5400 

請見備註欄 . 

"GAMBRO"PRISMA SET (CVVH 

FUK05PR100GA TUBING+HEMOFILTER)1.15M 平方 * 適應症請 'PRISMA HF 1000 SET 5400 

見備註欄 

FUK05PST60GA 



症請見備註欄 . 

'ST60 SET 4950 

FUK05ST100GA 

FUK05ST60PGA 

FUK05TS403FN 

"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 * 適應症請見備註欄 

"GAMBRO"PRISMA SET 連續式血液透析器及 

迴路管套 * 適應症請見備註欄 

INFOMED EXTRACORPOREAL BLOOD 

CIRCUITS TUBING SET FOR HF400- 

HEMOFILTRATION(CVVH)* 適應症請見備註欄 

'ST100 PRE SET 5400 

'ST60PRE SET 4950 

'TS-400-03 SET 1450 

FUK05TS405FN 

INFOMED EXTRACORPOREAL BLOOD 

CIRCUITS TUBING SET FOR HF400- 

PEDIATRIC HEMOFILTRATION(CVVH)* 適應 

'TS-400-05 SET 1450 


FUK05U1000FA 

"FRESENIUS"POLYSULFONE 

HAEMOFILTERS(CVVH FILTER 1.8M 平方 ) 人 'ULTRAFLUX AV1000S EA 4095 

工合成膜血液過濾器 * 適應症請見備註欄 

FUK05U400SFA 




FUK05U600SFA 




FUS0100410AM 

SPHINCTER URINARY PROSTHESIS ※ 適應 


'800 EA 135000 

FUT01CYST1ZP 

"BIONICHE"CYSTISTAT STERILE SODIUM 

'1X50ML VIAL OF 

HYALURONATE SOLUTION 喜仕膀胱灌注液 * 

CYSTISTAT 40MG 


VIAL 5300 


第五節過濾類 


HEF0146092H9 

" 華億 " 體外循環管組 "HYM"HEART LUNG 

PACK-ARTERIAL FILTER 3/8" ADULT 20 '46-000092-01 EA 1750 

MICRO 

HEF0146093H9 

HEART LUNG PACK:ARTERIAL FILTER 

'46-000093-00;46- 

WITH HEPARIN 

000164-00;46- 

COATING(ADULT;PEDIATRIC;INFANT)* 體外 

000247-00 

循環 120 分以上用 

EA 2000 

BLOOD ARTERIAL FILTER 40 MICRO WITH 

HEF01AFS40GH INTEGRATED BYPSS WITH INLET TUBING 

ATTACHED* 適應症請見備註欄 

'AFS40-3BP SET 2000 

HEF01AFS48GH 

ARTERIAL FILTER 40MICR W/INTEGRATED 

BYPASS INLET TUBING* 體外循環 120 分以上 

用 (92.4.1 生效 ) 

'AFS40-3;3BP+ECEPL- 

48;GAF40- 

3BP+ECEPL-48 

SET 2000 

HEF01GAF25GH 

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 

'GAF25-3BP SET 2000 

HEF01GAF2BGH 

25 MICRON WITHOUT INTEGRATED 

BYPASS AND INLET TUBING ATTACHED 

'GAF25-2BP SET 1750 

HEF01GAF40GH 

ARTERIAL FILTER 40 MICRO 

W/INTEGRATED BYPASS,INLET TUBING* 體 'GAF40-3BP SET 2000 

外循環 120 分以上用 (92.4.1 生效 ) 

HEF0201338M4 PEDIATRIC ARTERY FILTER '1338 EA 1750 

HEF02A3510M4 AFFINITY ARTERIAL FILTER '351;352;353;354 EA 1750 

HEF02AF001TM ARTERY FILTER ADULT 'AF-01 EA 1750 

HEF02AF002TM ARTERY FILTER PEDIATRIC 'AF-02 EA 1750 

HEF02AF125TM CAPIOX ARTERIAL FILTER 

'CX*AF125X;CX- 

AF125X 

EA 1750 

HEF02E3840P3 

EXTRA CORTOREAL FILTER 體外循環血液過 

濾器 ( 開心用 ) 

'EC3840 SET 1750 

HEF030P005AS PLASMAFLO 'OP-05 EA 4500 

HEF030P008AS PLASMAFLO(PLASMA FILTER) 

'OP-02W(L);OP- 

08W(L) 

EA 4500 

HEF030PS06KU PVA FILTER,PLASMACURE 'ANY SIZE SET 4500 

HEF03AC177AS PLASMA FILTER 附血液迴路管 'AC-1770 SET 6000 

HEF03EVACUKA EVACURE PLASMA SEPARATOR 

'EC-1A;EC-2A;EC- 

3A;EC-4A 

EA 4500 

HEF03EVAFLKA EVAFLUX 血液成份分離器加血液迴路管組 '2A;3A;4A SET 6000 

HEF03HD400E9 雙重濾過血液濾過器 HEMOFILTER 'D400 SET 6000 

HEF03HD500E9 雙重濾過血液濾過器 HEMOFILTER 'D500 SET 6000 

HEF03LF030FN 

" 英弗梅 " 血漿過濾 

器 "INFOMED"PLASMAFILTER 

'LF-030 EA 4500 

HEF03LF050FN 



'LF-050 EA 4500 

HEF03LF070FN 



'LF-070 EA 4500 

HEF03PLA20E9 MEDICA PLASMAFILTERS 0.15 平方公尺 'PLASMART20 EA 4500 



HEF03PRFPEGA 

"GAMBRO"PRISMAFLEX SET 血漿透析器及血 'PRISMAFLEX 

SET 6000 

HEF03PRLPEGA 

HEF03PRTPEGA 

液迴路管 

TPE1000 

"GAMBRO"PRISMAFLEX SET 血液透析器及迴 

路管套 

"GAMBRO"PRISMA SET 連續式血液透析器及 

迴路管套 

'PRISMAFLEX 

TPE2000 

SET 6000 

'TPE2000 SET 6000 

第八部第六章第五節 -290


HEF03TS402FN 

"INFOMED"EXTRACORPOREAL BLOOD 

CIRCUITS TUBING SET FOR HF400-PLASMA 'TS-400-02 SET 1500 

EXCHANGE 體外血液循環管路 - 血漿置換 

HEF05CPS02P3 

HEF060BC1BP3 

HEH011000TMY 

HEH01400TSMY 

HEH01511SLTM 

HEH01HF53TFA 

PALL EXTRACORPOREAL CIRCUIT FILTER* 


PALL EXTRACORPOREAL CIRCUIT FILTER 

※ 限開心手術使用於 BLOOD CARDIOPIEGIA 

SOLUTION 時申報 

HEMOCONCENTRATOR WITH TUBING ※ 適 


HEMOCONCENTRATOR WITH TUBING※ 適 


HEMOCONCENTRATOR W/HEMODIALYSIS 

OR HEMOCARE TUBING SET※ 適應症請見備 

註欄 

" 比孚 " 血液濃縮 

器 "B.V."HEMOCONCENTRATORS(WITH 

TUBING)* 適應症請見備註欄 

'CPS02 SET 722 

'BC1B SET 2995 

'HPH-1000-TS SET 4600 

'HPH-400TS EA 3300 

'CX*HC05S; 

CX*HC11S;L 

'HF3000TS; 

HF5000TS 

SET 4600 

SET 4600 

HEH01MINITMY 

HEMOCONCENTRATOR WITH 

'HPH MINI 

CONNECTOR PACKAGE,TUBING* 適應症請見 

SET 3300 

HFF01096NTP3 TPN FILTER 0.2UUM 'ELD96NT EA 80 

HFF0209930BB STERIFIX INFUSION FILTER 00.2UM(T.P.N) '409930/3 EA 80 

HFF02C1103BT TPN FILTER W/EXTENSION TUBE '2C1103 EA 80 

HFF02C8363BT TPN 0.22 MICRO FILTER 'IC8363 EA 80 

HFF02E25YFLL TPN FILTER W/EXTENSION TUBE 'CET-25YF EA 80 

HFF02EF010SG TPN FILTER SET 0.22UM 'EF107-10 EA 80 

HFF02EF15YSG TPN FILTER SET 0.22UM 'EF107-15Y EA 80 

HFF02ET15FLL TPN FILTER W/EXTENSION TUBE 'CET-15F EA 80 

HHF01P1ASDTM 

HHF01P214YTM 

HHF01PLX10AS 

HHF01PPBBFFA 

HHF01PPBSFFA 

HHF01PXL8YP3 

HHF02R204YTM 

LEUKOCYTE REMOVAL FILTER IMUGARD 

III-PL* 適應症請見備註欄 


III-PL 12UNIT Y TYPE※ 適應症請見備註欄 

SEPACELL LEUKOCYTE REMOVAL 

FILTER( 血小板專用 ) 過濾 12 UNIT* 適應症請見 

備註欄 

LENKOCYTE REMOVAL FILTER FOR 

PLATELET CONCENTRATES* 適應症請見備註 

欄 

LENKOCYTE REMOVAL FILTER FOR 

PLATELET CONCENTRATES* 適應症請見備註 

欄 

LEUKOCYTE REMOVAL FILTER FOR 

PLATELATE ※ 適應症請見備註欄 


III-RC 500CC Y TYPE※ 適應症請見備註欄 

'TF*IP1AS2DS EA 1400 

'TFIP2014N; 

2014NJ;2011N; 

(TFIP2002N 自 96.10.1 

生效 );(TFIP2002N01 

自 96.10.1 生效 ) 

EA 1400 

'PLX-10A EA 1400 

'9008911 EA 1400 

'9008901 EA 1400 

'PXL8Y EA 1400 

'TFIR2004NC; 

2004NCJ; 

(TFIR2002NC 自 

96.10.1 生效 ) 

EA 615 

HHF02R500AAS 

SEPACELL LEUKOCYTE REMOVAL FILTER 

1000CC( 紅血球專用 )※ 適應症請見備註欄 

'RZ500A SET 820 

HHF02R602ETM 

IMUGARD III-RC LEUKOCYTE REMOVAL 

FILTER* 適應症請見備註欄 

'TF*IR1602ES EA 615 

HHF02RCL1YP3 

LEUKOCYTE REMOVAL FILTER FOR RBC ※ 

'RCXL1Y 


EA 615 


HHM0114040N1 

EMBOLI ENTRAPMENT DEVICE 

NEUROSHIELD* 適應症請見備註欄 

'NFS014040; 

NFS014050; 

NFS014060 

SET 35000 

HHM012120FN6 

VERSATILE VENA CAVA FILTER SYSTEM 含 

'2120F;2220J; 

FILTER+INTRO+DILA+DELIVERY 

2320A 

KIT(PUSHWIRE+Y ADAPTER) 

SET 35000 

FILTER WIRE EX SYETEM L 190CM,300CM* 'H749195031900; 

HHM01445TWSB 


H749305033000 

SET 35000 

HHM01466XNCD 

TRAPEASE PERMANENT VENA CAVA 

FILTER AND INTRODUCTION KIT 

'466-P306A SET 35000 

HHM01500TWSB 

GREENFIELD VENA CAVA FILTER 

'M001504000; 

SET(INTRODUCER+FILTER+SHEATH/DILAT 

M001505010 

OR+ADAPTER) 

EA 35000 

HHM0150300SB 


SYSTEM(INTRODUCER+FILTER+SHEATH/DI '50-300 SET 35000 

LATOR+ADAPTER) 

HHM0150301SB 

HHM0182945AB 

HHM0192010SB 


SYSTEM(INTRODUCER+FILTER+SHEATH/DI '50-301 SET 35000 

LATOR+ADAPTER) 

"ABBOTT"EMBOSHIELD PRO EMBOLIC 

PROTECTION SYSTEM 血管保護盾 

FILTERWIRE EMBOLIC PROTECTION 

SYSTEM L190CM,300CM* 適應症請見備註欄 


HHF02RM1N1FA 

LENKOCYTE REMOVAL FILTER FOR RED 

CELL CONCENTRATES* 適應症請見備註欄 

'9008981 EA 615 

HHF02RPBB2FA 

LEUKOCYTE REMOVAL FILTER FOR RED 

CELL CONCENTRATE 過濾 1000CC* 適應症請 '9009441 EA 820 

見備註欄 

HHF02RPBBFFA 



'9009711 EA 615 

HHF02RPBS2FA 

LEUKOCYTE REMOVAL FILTER FOR RED 

CELL CONCENTRATE 過濾 1000CC* 適應症請 '9009511 EA 820 

見備註欄 

HHF02RPBSFFA 



'9009701 EA 615 

HHF04500A3AS 

SEPACELL LEUKOCYTE REMOVAL FILTER 

FOR RBC 2 UNIT※ 適應症請見備註欄 

'R-500A(III) SET 820 

HHF04R500AAS LEUKOCYTE REMOVAL FILTER( 紅血球專用 ) 

過濾 1000CC ※ 適應症請見備註欄 

'R-500A EA 820 

HHM010040SP3 

BLOOD TRANSFUSION FILTER 40UM 

1500CC 

'SQ40S EA 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 

'04435125 SET 35000 

WIRE,FILTER 

INTRODUCER,DILATOR,FILTER,SHEATH) 

HHM0110865SB 

FILTER WIRE EMBOLIC PROTECTION 'H749195031900; 


H749305033000 

SET 35000 

HHM0111649AB 

" 亞培 " 阿克奈防血塊栓塞保護系統 "ABBOTT" 

RX ACCUNET EMBOLIC PROTECTION 


'1011649- 

45;55;65;75;1011650- 

45;55;65;75 

EA 35000 

'82904-19;82904- 

31;82905-19;82905- 

31 

'H749201003990; 

H749201004000; 

H749201051900; 

H749201053000 

EA 35000 

SET 35000 



'IGTCFS-65-FEM- 

HHM01CELECCK " CELECT;IGTCFS-65- 

曲克 " 色列克特腔靜脈濾器 "COOK" CELECT 

JUG-CELECT; 

VENA CAVA FILTER 

IGTCFS-65-UNI- 

CELECT 

SET 35000 

HHM01EPSNNST " 聖猷達 " 栓塞防護系統 "SJM"PROXIS EMBOLIC 

PROTECTION SYSTEM* 適應症請見備註欄 

HHM01G146SM4 

HHM01SPDEREY 

HHM01TUL1PCK 

HHM01TULIPCK 

HHM02040SNP3 

GUARDWIRE PLUS TEMPORARY 

OCCLUSION AND ASPIRATION SYSTEM* 適 


史派德栓塞防護系統 "EV3"SPIDER FX 

EMBOLIC PROTECTION DEVICE* 適應症請見 

備註欄 

COOK GUNTHER TULIP VENA CAVA MREYE 

FILTER 


OR+ADAPTER) 

COOK GUNTHER TULIP VENA CAVA MREYE 

FILTER 


OR+ADAPTER) 

BLOOD TRANSFUSION FILTER 40UM 移除微 

血栓輸血過濾器 ( 小兒科專用 ) 

'EPS 101 EA 35000 

'G146-200;300-US; 

G145-200;300-US; 

GEZ5-200;300-US; 

GEZ6-200;300-US 

'SPD2-US-030:070- 

190;SPD2-US- 

030:070-320 

EA 35000 

SET 35000 

'IGTCFS-65-UNI SET 35000 

'IGTCFS-65-UNI SET 35000 

'SQ40SN EA 305 


第六節傳導類 


LEE0101616D2 

PACEL BIPOLAR PACING CATHETER FLOW 

DIRECTED 5FR 110CM(BALLOON 

'401616;401624 EA 3200 

CATH,ADAPTER,PEEL-AWAY) 

LEE0101664D2 

PACEL BIPOLAR PACING CATHETER '401664:66; 

VENTRICULAR PACING 4:7FR 110CM 401672:76 

EA 2500 

LEE0105210AR TORQUA PACING CATHETER 5FR 110CM 

'AI05210;05225; 

06210;06225 

EA 3000 

LEE0106500M4 TEMPORARY MYOCARDIAL PACING LEAD '6500;6491;6492 EA 1080 

LEE011210HG1 

MEDI-TRACE DEFIBRILLATION 

ELECTRODES 

'1210H SET 720 

LEE011410ZG1 

MEDI-TRACE DEFIBRILLATION 

ELECTRODES 2EA/SET 

'1410Z SET 720 

LEE012255RKD 

LEE012266PKD 

肯特利柯登斯去顫器電極貼片 ”KENDALL 

MEDI-TRACE CADENCE ELECTRODES” 

肯特利柯登斯去顫器電極貼片 ”KENDALL 

MEDI-TRACE CADENCE ELECTRODES”( 小 

兒用 ) 

'22550R;22550A; 

22770R;22660R; 

22661R 

'22661P;22550P; 

22770P 

EA 720 

EA 490 

LEE0125202A9 TEMPORARY CARDIAC PACING WIRE 'M-25;M-25B EA 450 

LEE014016NST 

" 聖猷達 " 電極導線 "SJM" PACEL BIPOLAR 

PACING CATHETERS 110CM 

'401616;401624 EA 3200 

LEE014018NST 

" 聖猷達 " 電極導線 "SJM" PACEL BIPOLAR 


'401680;401682 EA 2500 

LEE0144626ST 

" 聖猷達 " 電極導線 "SJM" PACEL BIPOLAR '401664;401666; 


401672;401676 

EA 2500 

LEE016173PBA 

" 巴德 " 暫時性電極導管 "BARD"TEMPORARY 

BALLOON PACING ELECTRODE CATHETER 

'006173P;008556P; 

008635P;520004P 

EA 3200 

LEE016221PBA 

" 巴德 " 暫時性電極導管 "BARD"SEMI-FLOATING 

BIPOLAR PACING ELECTRODE CATHETER 

'006221P;006225P; 

006241P;006242P 

EA 2500 

LEE018153PBA 

" 巴德 " 暫時性電極導管 "BARD"SPECIAL CARE 

BIPOLAR PACING ELECTRODE CATHETER 

'008153P;008154P EA 2500 

LEE0197125ED 

" 愛德華 " 史望康雙極心律導管組 ”EDWARDS” 

SWAN-GANZ BIPOLAR CATHETER KIT 

'D97120F5;D97130F5 EA 3200 

LEE01AP518G2 

PEDIATRIC DEFIB ELECTRODES 體外心律調 

節器貼片 

'850/40518/005,025 PAIR 490 

DEFIBRILLATOR/ADULT,PRE- 

LEE01AP913G4 

GELLED,SELF-ADHESIVE DISPOSABLE '9131-001 AED/AED 

DEFIBRILLATION ELECTRODES 可拋棄式去 PRO 

PAIR 720 

顫電極片 

LEE01AP915G4 

DEFIBRILLATOR/PEDIATRIC 

'9730-002 AED/AED 

DEFIBRILLATION ELECTRODES 小兒可拋棄 

PRO 

式去顫電極片 

PAIR 490 

LEE01AP919G2 

MARGUETTE DEFIBRILLATION PACING 

MONITORING PADS 

'850/40156/005 PAIR 720 

LEE01BEDGEM4 

電極貼片 ELECTRODE RTS PEDIATRIC 

ELECTRODES 

'11996-000034 PAIR 490 

LEE01BP250BS 

BIPOLAR PACING CATHETER 

5F,110CM(BALLOON 

CATHETER,ADAPTOR,PEEL-AWAY 

'BP2502-10 EA 3200 

SHEATH) 

LEE01BPX25BS BIPOLAR PACING CATHETER 5F,110CM 'BPX2502-10 EA 2500 

第八部第六章第六節 -294


LEE01CEDGEM4 電極貼片 ELECTRODE 

'11996-000017; 

11996-000042;11996- 

000090;11996- PAIR 720 

000091;11996- 

000092 

LEE01FEP13JJ PACING WIRE 'FEP13;FEP15 EA 441 

LEE01M1749HP DEFIB PACING PADS ADULT (2EA/SET) 'M1749A SET 720 

LEE01M3501HP 

MULTIFUNCTION ADULT DEFIB 

ELECTRODES 

'M3501A SET 720 

LEE01M3504HP 

MULTIFUNCTION PEDIATRIC DEFIB 

ELECTRODES 

'M3504A SET 490 

LEE01M3713HP 

MULTIFUNCTION ADULT PLUS PADS 多功能 

電擊貼片 

'M3713A PAIR 720 

LEE01M3716HP 

MULTIFUNCTION ADULT RADIOLUCENT 

PADS 多功能電擊貼片 X 光可穿透型 

'M3716A PAIR 720 

LEE01M3717HP 

MULTIFUNCTION PEDIATRIC PLUS PADS 多 

功能兒童用電擊貼片 

'M3717A PAIR 490 

LEE01M3870HP INFANT/CHILD PADS 多功能嬰幼兒用電擊貼片 'M3870A PAIR 490 

LEE01N1749HP DEFIB PACING PADS CHILD (2 EA/SET) 'M1749C SET 490 

LEE01STPADZ2 " 瑞爾 " 電極貼片 "ZOLL"ELECTRODES 'STAT.PADZ EA 720 

第八部第六章第六節 -295

第七節針具類 


NAN011530NSP DISPOSABLE NEEDLE 15G:30G '15G:30G EA 0.5 

NAN011627NBB NEEDLE '16:27G EA 0.5 

NAN011823NNR NEEDLE '18G:23G EA 0.5 

NAN011826NV4 DISPOSABLE NEEDLE 18G:26G '18G:26G EA 0.5 

NAN011827NBD NEEDLE '18:27G EA 0.5 

NAN011827NFE SAFETY NEEDLE※ 適應症請見備註欄 

'6001825:2025; 

6002032:2038; 

6002125:2138; 

6002225:2238; EA 1 

6002325:2338; 

6002516:2525; 

6002732 

NAN011827NHG HYPODERMIC NEEDLE '18:27G EA 0.5 

NAN011827NNR NEEDLE '18G:27G EA 0.5 

NAN011827NTM NEEDLE '18:27G EA 0.5 

NAN011827NTP NEEDLE '18G:27G EA 0.5 

NAN011827NUY NEEDLE '18:27G EA 0.5 

NAN011923NBN NEEDLE '19G;23G EA 0.5 

NAN020030NBD 

INSULIN NEEDLE 29GX1/2",30GX5/16"(31G '320209;320268; 

320105:320131 自 90/07/01 生效 ) 筆型針頭 320105:320131 

EA 3.2 

'320190;320208; 

NAN020031NBD PEN NEEDLE 胰島素筆型針頭 

320209;320592; 

320594;320631; 

EA 3.2 

320632 

NAN020050NNR 

NOVOFINE NEEDLE 30G 胰島素筆型注射器針 

'30G 

頭 

EA 3.2 

NAN041823NNR IC NEEDLE 心肌長針 '18:23G EA 4.9 

NAN0618150TP P.T.C.D NEEDLE '18GX150MM EA 102 

NAN061822NHK P.T.C.D NEEDLE 150:200MM '17:22G EA 102 

NAN061822NTP P.T.C..D NEEDLE '18:22G EA 102 

NAN061823MTP P.T.C.D NEEDLE MS TYPE 18G:23G '635112:635117 EA 102 


NAN0621150TP P.T.C.D NDDELE '21150 EA 102 


NAN0623150TP P.T.C.D NEEDLE 23GX150MM '05110 EA 102 

NAN1118275AG 

AMC/4 ARTERIAL NEEDLE 18Gx23/4"(7.0CM) 

'AG195318 

導線導引針 

EA 120 

NAN1121200AG 

AMC/4 ARTERIAL NEEDLE 21Gx2"(5.1CM) 導 

線導引針 

'AG195323 EA 120 

NAN115324NAR INTRODUCER NEEDLE( 單針 ) 'AN-04318;AN-04320 EA 60 

NAN11AP1NEH9 

ANGIO PACK :INTRODUCER NEEDLE( 單 '20-1002-02-01;20- 

針 ) 

1002-02-02 

EA 60 

NAN141822NCK 

DISPOSABLE ONE PART NEEDLE 導線導引 

針 

'BSDN-XX-XX EA 132 

NAN1418275AG 

AMC/4 ARTERIAL NEEDLE WITH FIXED 

WINGS 18Gx23/4"(7.0CM) 導線導引針 

'AG195352 EA 132 

NAN1421100AG 

AMC/3 ARTERIAL NEEDLE 21Gx1"(2.5CM) 導 

線導引針 

'AG195311 EA 132 

NAN1447662BS 

ARTERIAL NEEDLE FOR PERCUTANEOUS 

ENTRY ( 單針 ) 

'47-000066-02 EA 60 

NAN145312NAG 

AMC/3 ARTERIAL NEEDLE 18GX7CM,3.8CM 

19GX3.8CM 

'195312;13;15 EA 132 

NAN1521500C3 DISPOSABLE SELDING NEEDLE 18G 7.5CM '021-500-0180 EA 150 

NAN1547073BS 


ENTRY ( 外管 + 內針 ) 

'47-000073-00 EA 150 

第八部第六章第七節 -296


NAN1547661BS 


ENTRY ( 外管 + 內針 ) 

'47-000066-01 EA 150 

NAN1550400PB 

PUNCTURE NEEDLE W/STYLET 雙針 ( 外套管 

+ 內針 ) 

'5040-18-007 EA 150 

NAN155324NAG 

PERCUTANEOUS ENTRY NEEDLE 

16GX7.3CM,18GX7.3CM,19GX3.8,7.3CM,21G '195324;195326:29 EA 150 

X3.8CM 

NAN155324NAR INTRODUCER NEEDLE ( 外套管 + 內針 ) 'CN-04018 EA 150 

NAN1572096SN INTRADUCER NEEDLE-GE 穿刺針 '7209601 EA 150 

'AN18T72S(AN18T;20T 

;21T52C;18T52;72- 

MC;1952C;21T32C; 

NAN15AN72SMR 

MAJESTIK SERIES ANGIOGRAPHY 19U52MC;16T;19U72S 

NEEDLES 16-21G( 雙針 ) 

;;18T52;72- 

EA 150 

SH;18T72SC;3311- 

11;21;31 自 970701 生 

效 ) 

DISPOSABLE PERCUTANEOUS ENTRY 

NAN15DCM18CK 

THINWALL NEEDLES 18:22G 2.5:9.0CM 

'DCM-18:22-2.5:9.0 EA 150 

NAN1647664BS 


ENTRY ( 外管 + 內針 +STYLE) 

'47-000066-04 EA 203 

NAN165341NAG 

ARTERIAL CATHETER NEEDLE 

'195341;42;43 EA 203 

NAN16AN18TMR 

16GX6.4CM,18GX6.4CM,20GX3.8CM 

MAJESTIK SERIES ANGIOGRAPHY 

NEEDLES 18G 7CM(3-PART)( 外管 + 內針 + 填充 

器 ) 

'AN21T53CO; 

AN18T73SO; 

AN19U73SO; 

AN18T73SHO 

EA 203 

NBS010001NSP 1CC SYRINGE WITHOUT NEEDLE '1CC EA 1.9 

NBS010001NV4 1 CC SYRINGE WITHOUT NEEDLE '1CC EA 1.9 

NBS010001PTM 1CC SYRINGE WITHOUT/NEEDLE 'SS+01T EA 1.9 

NBS010001VPW 1CC SYRINGE WITHOUT NEEDLE '1CC EA 1.9 

NBS010002NSP 2-3CC SYRINGE WITHOUT NEEDLE '2CC;3CC EA 1 

NBS010003NHG 

RETRACTABLE SAFETY SYRINGE 3CC 

WITHOUT NEEDLE※ 適應症請見備註欄 

'FP-SS-LS-030 EA 1.9 

NBS010003NPW 3CC SYRINGE WITHOUT NEEDLE '3CC EA 1 

NBS010003NV4 2 CC,3CC SYRINGE WITHOUT NEEDLE '2CC;3CC EA 1 

NBS010003PTM 3CC SYRINGE WITHOUT/NEEDLE 'SS+03L;SS+03S EA 1 

NBS010003VPW 3CC SYRINGE WITHOUT NEEDLE '3CC EA 1 

NBS010005NHG 



'FP-SS-LS-050 EA 2.6 



NBS010005PTM 5CC SYRINGE WITHOUT/NEEDLE 'SS+05L;SS+05S EA 1.4 


NBS010010ND7 10CC SYRINGE WITHOUT NEEDLE '10CC EA 2.7 

NBS010010NFR 10 CC SYRINGE WITHOUT NEEDLE '10 CC EA 2.7 

NBS010010NPW 10CC SYRINGE WITHOUT NEEDLE '10CC EA 2.7 


NBS010010NUY 10CC SYRINGE WITHOUT/NEEDLE '10CC EA 2.7 


NBS010010PTM 10CC SYRINGE WITHOUT/NEEDLE 'SS+10L;SS+10S EA 2.7 


NBS010020NBB 20 CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 

NBS010020NBD 20 CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 

NBS010020NBN 20 CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 

NBS010020ND7 20 CC SYRINGE WITHOUT NEEDLE '20 CC EA 3.5 


NBS010020NNR 20 CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 



NBS010020NPD 20CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 

NBS010020NPW 20 CC SYRINGE WITHOUT NEEDLE '20 CC EA 3.5 


NBS010020NTM 20 CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 

NBS010020NTP 20 CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 


NBS010020NV4 20CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 

NBS010020NYF 20 CC SYRINGE WITHOUT NEEDLE '20CC EA 3.5 

NBS010020PTM 20CC SYRINGE WITHOUT/NEEDLE 'SS+20ES EA 3.5 





NBS010030NBN 30 CC SYRINGE WITHOUT NEEDLE '30CC EA 6.8 

NBS010030ND7 30CC SYRINGE WITHOUT NEEDLE '30CC EA 6.8 




NBS010030NSH 30 CC SYRINGE WITHOUT NEEDLE '30 CC EA 6.8 



NBS010030NTP 30 CC SYRINGE WITHOUT NEEDLE '30 CC EA 6.8 




NBS01003SSFE 

3CC RETRACTABLE SAFETY SYRINGE 


'603L000 EA 1.9 



NBS010050NBN 50 CC SYRINGE WITHOUT NEEDLE '50 CC EA 12.1 

NBS010050ND7 50 CC SYRINGE WITHOUT NEEDLE '50 CC EA 12.1 

NBS010050NFR 50CC SYRINGE WITHOUT NEEDLE '50CC EA 12.1 



NBS010050NSP 50CC,60CC SYRINGE WITHOUT NEEDLE '50CC;60CC EA 12.1 


NBS010050NTP 50 CC SYRINGE WITHOUT NEEDLE '50CC EA 12.1 




NBS01005SSFE 



'605L000 EA 2.6 

NBS010060NBD 60CC SYRINGE WITHOUT NEEDLE '60CC EA 12.1 


NBS0100N20BD 

PLASTIPAK SYRINGE 20CC WITHOUT 

NEEDLE 

'300629;300613 EA 3.5 

NBS0100N30BD 

PLASTIPAK SYRINGE 30CC WITHOUT 

NEEDLE 

'301229;301231 EA 6.8 

NBS0100N50BD 

PLASTIPAK SYRINGE 50CC WITHOUT '300865;300866; 

NEEDLE 

300867 

EA 12.1 

NBS01010SSFE 


WITHOUT/NEEDLE※ 適應症請見備註欄 

'610L000 EA 4 

NBS01020SSFE 


WITHOUT/NEEDLE※ 適應症請見備註欄 

'620L000 EA 6.6 

NBS012020NBD 20 CC 2-PIECE SYRINGE '20 CC EA 2.9 

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 

'NOVOPEN 3 EA 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 

'NOVOPEN 4 EA 900 

NBS02M9662HQ 

INSULIN DELIVERY DEVICE 胰島素注射筆 , 每 

支以使用三年以上為原則 ※ 適應症請見備註欄 

'HUMAPEN LUXURA EA 900 

NBS0700060MH DISPOSABLE SYRINGE 顯影劑注射筒 '60FT SET 237 

NBS0700096LF 

OPTIVANTAGE DUAL-HEAD INJECTOR 

200CC SYRINGE ( 注射筒 X1+ 吸管 X1) 

'800096 EA 240 

NBS0700099LF 

OPTIVANTAGE DUAL-HEAD INJECTOR 

200CC SYRINGE ( 注射筒 X1+ 吸管 X1+ 螺旋管 '800099 EA 315 

X1) 

NBS0700150MH 

CONTRAST MEDIUM INJECTION SYRINGE 

130,150CC( 型號 DSK130 自 91/4/1 生效 ) 

'150FT;DSK130 EA 237 

NBS0700172LF 

DISPOSABLE SYRINGE FOR DIGITAL 

INJECTION 130CC W/H-FIL 高壓注射器用拋棄 '600172 EA 240 

式針筒 

NBS0700200MH 


200CC 顯影劑注射筒 

'200FT EA 237 

NBS070060QMH DISPOSABLE SYRINGE 60CC W/FILL TUBE '60FT-Q SET 260 

NBS070125FMH DISPOSABLE SYRINGE 顯影劑注射筒 125CC '125FLS SET 237 

NBS070130QMH DISPOSABLE SYRINGE 130CC W/FILL TUBE '130AML-P-Q SET 260 

NBS070150QMH 

NBS070200FMH 

NBS070200QMH 

NBS070260QMH 

DISPOSABLE SYRINGE 150CC W/FILL TUBE 

顯影劑注射筒 


200CC 


200ML W/FILL TUBE 顯影劑注射筒 



'150FT-Q SET 260 

'200-FLS EA 237 

'200-FT-Q EA 260 

'260FT-Q SET 260 

NBS07100AQMH DISPOSABLE SYRINGE 100CC W/FILL TUBE '100FT-A-Q SET 259 

NBS071010TTY OPTIRAY 350 造影劑注射筒 '125ML EA 237 

NBS07125FQMH DISPOSABLE SYRINGE 125CC W/FILL TUBE '125FLS-Q SET 260 

NBS07137NASD 

ANGIOGRAPHIC POWER SYRINGE 100ML 

130ML W/J-CURVED FILL TUBE 

NBS07137NCSD 


W/J-CURVED FILL TUBE 

NBS07137NESD 


W/J-CURVED FILL TUBE 

NBS07150AQMH 



NBS07200FCMH DISPOSABLE SYRINGE KIT 200ML( 注射筒 + 

吸管 + 螺旋連接管 ) 

NBS07200FQMH 



NBS0730210N8 

DISPOSABLE SYRINGE SYSTEM WITH 

ACCESSORIES( 注射筒 + 吸管 ) 

NBS0732377MA 

OPTIRAY 320 IOVERSOL INJECTION 

SYRINGE 125ML 歐得利 320 造影劑注射筒 

NBS0742040AB 

NBS0744020LF 

NBS0744022LF 

ANGIOGRAPHIC SYRINGE 10,12CC 

'0137NA;0137NB SET 240 

'0137NC;0137ND SET 260 

'0137NE;0137NF SET 260 

'150FT-A-Q SET 260 

'CTP200-FLS SET 315 

'200FLS-Q SET 260 

'302100;900101;60026 

9;800096;600169 

EA 240 

'125ML EA 237 

'42040:42045-01; 

42047:42049-01 

EA 177 

OPTIVANTAGE DUAL-HEAD INJECTOR( 注射 

筒 X1+ 吸管 X1+Y 型螺旋接管 X1) 

'844020 SET 315 

OPTIVANTAGE DUAL-HEAD INJECTOR( 注射 

筒 X2+ 吸管 X2+Y 型螺旋接管 X1) 

'844022 SET 455 



DISPOSABLE SYRINGE SYSTEM WITH 

'900102;601193;80009 

ACCESSORIES( 注射筒 + 吸管 + 螺旋低壓連接 

EA 315 

9;601194 

管 ) 

NBS0760269N8 

NBS0790103N8 

NBS07C8536CC 

NBS07C8539CC 

NBS07CCS60MR 

DISPOSABLE SYRINGE SYSTEM 150CC 

W/HANDI FIL LINDEN LUER 注射筒 + 吸管 

ANGIOGRAPHIC SYRINGE AND HAND-FILL 

SET 100~200ML 

ANGIOGRAPHIC SYRINGE CT 

PACK(SYRINGE+HAND-FILL 100~200ML+ 螺 

旋連接管 ) 

CORONARY CONTROL SYRINGE 6CC 10CC 

12CC 

NBS07DCTPQMH DISPOSABLE 200 CC SYRINGE 二支 KIT( 注 

射筒 X2+ 吸管 + 連接管 +PRIME TUBE) 

NBS07DCTPSMH DISPOSABLE 200 CC SYRINGE 二支 KIT( 注 

射筒 X2+SPIKE+ 連接管 +PRIME TUBE) 

'900103 EA 240 

'C853-0100;C853- 

0130;C853-0155; 

C853-0210;C853- 

6150 

'C853-0229;C853- 

0231;C853-6159 

'CCS601;CCS800; 

CCS460 

EA 240 

SET 315 

EA 177 

'SDS-CTP-QFT SET 455 

'SDS-CTP-SPK SET 455 

NBS07SCTPQMH DISPOSABLE 200 CC SYRINGE KIT( 含吸管 + 

連接管 +PRIME TUBE) 

'SSS-CTP-QFT SET 315 

NBS07SCTPSMH DISPOSABLE 200 CC SYRINGE KIT( 含 

SPIKE+ 連接管 +PRIME TUBE) 

'SSS-CTP-SPK SET 277 

NBS07SSQFTMH DISPOSABLE 200 CC SYRINGE KIT( 含吸管 ) 'SSS-QFT SET 240 

NBS07SSSPKMH DISPOSABLE 200 CC SYRINGE KIT( 含 

SPIKE) 

'SSS-SPK SET 237 

NCS010001NBD 1 CC SYRINGE '1CC EA 2.7 

NCS010001NBN 1 CC SYRINGE '1CC EA 2.7 

NCS010001NCG 


W/NEEDLE 克銳回拉式安全注射器附針 ※ 適應 

'CA0103-B;CA0183- 

B;(CA0182:CA0187- 

C;CA0192:CA0197- 

C;CA0102:CA0107- EA 4 


C;CA0112:CA0117- 

C; 自 96 年 10 月 1 日生 

效 ) 

NCS010001ND7 1 CC SYRINGE '1 CC EA 2.7 

NCS010001NDD 1CC SYRINGE '1CC EA 2.7 

NCS010001NFR 1 CC SYRINGE '1 CC EA 2.7 

NCS010001NNR 1 CC SYRINGE '1CC EA 2.7 

NCS010001NPD 1CC SYRINGE W/NEEDLE '1CC EA 2.7 

NCS010001NPW 1 CC SYRINGE '1 CC EA 2.7 

NCS010001NSH 1 CC SYRINGE '1CC EA 2.7 

NCS010001NSP 1CC SYRINGE W/NEEDLE '1CC EA 2.7 

NCS010001NTM 1 CC SYRINGE '1CC EA 2.7 

NCS010001NTP 1 CC SYRINGE '1CC EA 2.7 

NCS010001NUY 1 CC SYRINGE W/NEEDLE '1CC EA 2.7 

NCS010001NV4 1CC SYRINGE W/NEEDLE '1CC EA 2.7 

NCS010001PTM 1CC SYRINGE W/NEEDLE 

'SS+01T2516; 

01T2525 

EA 2.7 

NCS010001VPW 1CC SYRINGE W/NEEDLE '1CC EA 2.7 


NCS010002NSP 2-3CC SYRINGE W/NEEDLE '2CC;3CC EA 1.6 

NCS010003NBB 3 CC SYRINGE '3 CC EA 1.6 





'CA0301-B;CA0302- 

B;CA0311-B; 

NCS010003NCG 

CA0312-B;CA0321- 


B;CA0322-B; 

W/NEEDLE※ 適應症請見備註欄 

CA0331-B;CA0332- 

EA 3.1 

B;CA0352-B; 

CA0353-B 



NCS010003NFR 3CC SYRINGE W/NEEDLE '3CC EA 1.6 

NCS010003NHG 



'FP-SS-LL-030 EA 3.1 





NCS010003NTM 3 CC SYRINGE '3 CC EA 1.6 


NCS010003NUY 3 CC SYRINGE W/NEEDLE '3CC EA 1.6 

NCS010003NV4 2CC,3CC SYRINGE W/NEEDLE '2CC;3CC EA 1.6 

NCS010003NYF 3 CC SYRINGE '3CC EA 1.6 


'SS03L; 

SS03S2116:2516 

EA 1.6 

NCS010003SBD 

3CC DISPOSABLE SAFETY LOK SYRINGE ※ 

'309592:309596 


SET 3.1 


NCS010005NBB 5 CC SYRINGE '5 CC EA 2.2 



NCS010005NCG 



'CA0501-B;CA0502- 

B;CA0511-B; 

CA0512-B;CA0521- 

B;CA0522-B; 

CA0531-B;CA0532-B 

EA 4.1 




NCS010005NHG 



'FP-SS-LL-050 EA 4.1 







NCS010005NUY 5CC SYRINGE W/NEEDLE '5CC EA 2.2 




'SS05L; 

SS05S2125:2332 

EA 2.2 



NCS010010NBB 10 CC SYRINGE '10CC EA 3.2 





'CA1001-B;CA1002- 

NCS010010NCG 

B;CA1011-B; 


CA1012-B;CA1021- 


B;CA1022-B; 

EA 4.5 

CA1031-B;CA1032-B 














'SS10L; 

SS10S2125:2332 

EA 3.2 


NCS01001SAFE 


W/NEEDLE FOR ALLERGY※ 適應症請見備註 

'6012610A; 

6012613A; 

EA 4 

欄 

6012710A;6012713A 

NCS01001SSFE 

1 CC SYRINGE W/NEEDLE( 附安全護套 ) ※ 適 '6012-516;610; 


613;713;813 

EA 4 

NCS010020NBD 20 CC SYRINGE ( 附針 ) '20 CC EA 4 

NCS010020NBN 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020ND7 DISPOSABLE SYRINGE 20ML W/NEEDLE '20CC EA 4 

NCS010020NDD 20CC SYRINGE '20CC EA 4 

NCS010020NFR 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020NNR 20 CC SYRINGE( 附針 ) '20 CC EA 4 

NCS010020NPD 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020NPW 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020NSP 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020NTM 20 CC SYRINGE ( 附針 ) '20 CC EA 4 

NCS010020NTP 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020NUY 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020NV4 20CC SYRINGE W/NEEDLE '20CC EA 4 

NCS010020NYF 20 CC SYRINGE ( 附針 ) '20CC EA 4 

NCS010020VPW 20CC SYRINGE W/NEEDLE '20CC EA 4 



NCS010030NPW 30CC SYRINGE W/NEEDLE '30CC EA 7.3 





NCS01003SSFE 

3CC SYRINGE W/NEEDLE( 附安全護套 )※ 適應 

'6031825:6032525 


EA 3.1 



NCS010050NPW 50CC SYRINGE W/NEEDLE '50CC EA 12.6 

NCS010050NSP 50CC,60CC SYRINGE W/NEEDLE '50CC;60CC EA 12.6 






'S-26-031-PA;S-26- 

032-PA;S-26-033- 

ROTATABLE RETRACTABLE SAFETY 

PA;S-26-034-PA;S- 

SYRINGE 3CC※ 適應症請見備註欄 

26-035-PA;S-26-133- 

EA 3.1 

PA;S-26-135-PA 

NCS0100526TZ 

NCS01005SSFE 

NCS01010SSFE 

NCS010110NHG 

NCS0101ASAWD 

NCS0103ASAWD 

NCS0105ASAWD 

NCS0110ASAWD 





DUOPROSS RETRACTABLE SAFETY 

SYRINGE W/NEEDLE 

0.1CC,0.3CC,0.5CC,1CC ※ 適應症請見備註欄 

ANTI-STICK SAFETY SYRINGE W/NEEDLE 








'6052025:6052238 EA 4.1 

'6101825;32;38; 

6102025;32;38; 

6102125;32;38; 

6102225;32;38; 

6102325;32;38; 

6102516;25 

'SWAS012885-A; 

SWAS013085-A 

'SWAS032010A:14A;2 

110A:14A;; 

SWAS032210A;2310A; 

2410A:14A; 

SWAS032585A;2510A 

'SWAS052010A;2110A 

:14A; 

SWAS052210A;2310A; 

2410A:14A 

'SWAS102010A;2110A 

:14; 

SWAS102210A;2310A; 

2410A:14A 

EA 4.5 

EA 4 

EA 4 

EA 3.1 

EA 4.1 

EA 4.5 

NCS012002NBD 2 CC 2-PIECE SYRINGE '2 CC EA 1.5 



NCS012020NBD 20CC 2-PIECE SYRINGE WITH NEEDLE '20CC EA 3.4 

NCS0152610TZ 

NCS0152611TZ 

NCS0152612TZ 

NCS0152613TZ 

1CC SAFETY SYRINGE ※ 適應症請見備註欄 




'FP-SS-FN-001;FP- 

SS-FN-003;FP-SS- 

FN-005;FP-SS-FN- 

010 

'S-26-M15-A;S-26- 

A15-A;S-26-B15:17- 

A;S-26-115-A;S-26- 

015:017-A 

'S-26-B31:35-A;S-26- 

A33;35-A 

'S-26-B51:B55-A;S- 

26-A53;A55-A;S-26- 

051:055-A;S-26- 

153;155-A 

'S-26-A01;02;04;13- 

A;S-26-101:104-A; 

S-26-113-A 

EA 4 

EA 3.1 

EA 4.1 

EA 4.5 

NCS01A003NPW 


'3CC 


SET 3.1 

NCS0300100D7 INSULIN SYRINGE 1CC '1CC EA 4.3 

NCS0300100NR INSULIN SYRINGE 1CC '1CC EA 4.3 



'6012810INS; 

6012813INS; 

NCS03001S1FE 

6012910INS; 

1CC RETRACTABLE SAFETY INSULIN 

6012913INS; 

SYRINGE W/NEEDLE※ 適應症請見備註欄 

6013008INS; 

6013010INS; 

6013013INS 

EA 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 )※ 適應症請見備註欄 

'0.3ML;0.5ML;1ML EA 7 

NCS030310NSP INSULIN SYRINGE W/NEEDLE 

'0.3CC;0.5CC; 

1.0CC 

EA 4.3 

NCS030510NBB 0.3:1.0CC INSULIN SYRINGE W/NEEDLE '9151001K:9151176K EA 4.3 

NCS030510NBD INSULIN SYRINGE(30G 自 87/12/23 起生效 ) 

'0.3CC;0.5CC; 

1CC; 

(326769;326719;32844 

0;328822; 

EA 4.3 

328821;328820 自 

941001 生效 ) 

NCS030510NBN INSULIN SYRINGE 100UNIT '1 CC EA 4.3 

NCS030510NMJ INSULIN SYRINGE '0.5CC;1CC EA 4.3 

NCS030510NNR INSULIN SYRINGE 1 CC '1CC EA 4.3 

NCS030510NPW INSULIN SYRINGE W/NEEDLE 

'0.3CC;0.5CC; 

1.0CC 

EA 4.3 

NCS030510NTM 

NCS0388816KD 

NCS0391613BB 

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 ) 

'SS*05M2713; 

10M2713;10M2913 

EA 4.3 

INSULINE SYRINGE W/NEEDLE(8881- 

600137,145,350,368,1358,1366,600700,800,60 '0.3CC;0.5CC;1CC EA 4.3 

1600) 

INSULIN SYRINGE 

'9161-23;31:33;37; 

38/3:7 

EA 4.3 

NDD04N8008SG 

INJECTION CAP W/FREE SITE 無針式接頭 * 適 

'N8008 


EA 50 

NDN0100022GW SCALP VEIN SET 22:25G '22:25G EA 5.5 

NDN01023XNPW SCALP NEEDLE '19:25G EA 5.5 

NDN011825NV4 SCALP SET 18G:25G '18:25G EA 5.5 

NDN011827NBN SCALP NEEDLE '18:27G EA 5.5 

NDN011827NFR SCALP NEEDLE '18:27G EA 5.5 

NDN011827NJS SCALP NEEDLE '18:27G EA 5.5 

NDN011827NNR SCALP NEEDLE '18:27G EA 5.5 

NDN011827NTP SCALP NEEDLE '18:27G EA 5.5 

NDN011925NLL SCALP 頭皮針 'CSV-019:CSV-025 EA 5.5 

NDN011925NTM SCALP NEEDLE '18:27G EA 5.5 

NDN01A010NPW SCALP VEIN SET 16:27G 'A01 EA 5.5 

NDN0202006E5 PORT-A NEEDLE※ 適應症請見備註欄 '21-2006 EA 85 

NDN0202006HJ 

NDN02027NNE5 

PORT-A-CATH NEEDLE※ 適應症請見備註欄 

PORT-A CATHETER GRIPPER NEEDLE 

W/EXTENSION TUBING※ 適應症請見備註欄 

'21- 

0634;0801;2003;2005:2 

008; 

2013;2014;2016;2021;2 

287;2316;2317 

'21-2739:41;47:49; 

55:57-04 

SET 85 

EA 94 


NDN0204014AR 

NDN0206023BA 

NDN0206025BA 

NDN0206033BA 

NDN020634NE5 

NDN0220012US 

NDN0220013US 

NDN0222052BA 

NDN0239759BB 

NDN0239953BB 

NDN0248430BB 

NDN0270025HD 

WINGED INFUSION SET W/EXTENSION 

TUBE 蝶翼輸液套 ※ 適應症請見備註欄 

STRAIGHT AND RIGHT-ANGLE NON- 

CORING NEEDLE 直式或直角無心彎針 ※ 適應 


PORT-A NON-CORING NEEDLE ※ 限癌症化 

學治療及癌症未期之疼痛治療使用 

WINGED INFUSION SET 蝴蝶彎針注射套組 


PORT-A NEEDLE※ 適應症請見備註欄 

PORT-A NON-CORING NEEDLE/RIGHT 

ANGLE ※ 適應症請見備註欄 

PORT-A NON-CORING NEEDLE/STRAIGHT 


蝴蝶彎針 WINGED INFUSION SET※ 適應症請 

見備註欄 

CYTOCAN NEEDLES FOR ACCESS PORT 


SURECAN NON-CORING NEEDLE FOR 

PORT A※ 適應症請見備註欄 

SURECAN NON-CORING NEEDLE 

W/EXTENSION TUBE FOR ACCESS PORTS 


CHEMO-PORT ANGLE NEEDLE 

W/INFUSION SET※ 適應症請見備註欄使用 


NDN02027NNHJ 

'21- 

2739:2741;2747:2749 

;2755:2757-04(21- 

PORT-A-CATH GRIPPER NEEDLE 

2938:41;2946;:49;295 


5:57;2714:15;2717:18 

;2720:21;2733:37- 

24; 自 960401 生效 ) 

SET 94 

'AP- 

04014;04016;04017;04 

018; 

04020;04023;04024;04 

025;04027;04028 

'06023- 

00;10;20;30;40;50; 

06025- 

10;20;30;40;50;60;70;9 

0;0604120 

'0602500;0602580; 

0602780 

'06032-70;80;90;06033- 

00;10;20;40;06042- 

60;70;2205219; 

2206219 

'21-0634;21-0801; 

21-2003;21- 

2005:2008;21-2013; 

21-2014;21-2016; 

21-2021;21-2287; 

21-2316:2317 

'120012;120037; 

120052;120053 

EA 94 

EA 85 

EA 85 

EA 94 

EA 85 

EA 85 

'120013;120036 EA 85 

'2205220;2205222; 

2206220;2206222 

'04439759; 

04439767; 

04439775; 

04439694;04439635;04 

439686 

'044-39953; 39848; 

39414; 38000; 

39430;39406;39929; 

39937;39945; 34862; 

39813; 39821;39830; 

34870 

'0444-8472; 8529; 

8430; 8480;8537; 

8448; 8499; 8545; 

8553; 8375; 8286; 

8332;8383; 8294; 

8340; 8391;8308; 

8359; 8405; 8367 

'700-24;25;27; 

39;40;42;43; 

45;46 

EA 94 

EA 94 

EA 85 

EA 94 

EA 94 



NDN0270029HD 

CHEMO-PORT STRAIGHT NOR-CORING 

NEEDLE ※ 限癌症化學治療及癌症末期之疼痛 '700-20;23;29;30 EA 85 

治療使用 

NDN0270031HD 

CHEMO-PORT ANGLE NOR-CORING 

'700-21;22;28; 

NEEDLE ※ 限癌症化學治療及癌症末期之疼痛 

31;32;33 

治療使用 

EA 85 

NDN0270125HD 

CHEMO-PORT ANGLE NEEDLE W/Y TYPE 

INFUSION SET※ 適應症請見備註欄 

'701-24:701-46 EA 94 

NDN02A180NPW 

WINGED CORE RESISTANT NEEDLE SETS 


'A01:A24 EA 94 

NDN02A190NPW 

WINGED NEEDLE SET( 含輸液管 )※ 適應症請 

'A01:A24 EA 94 

NDN02P1922KA 

NDN02PN001SG 

NDN040002AMX 

見備註欄 

PORT ACCESS INFUSION SET(NON-DEHP 

TUBING)19:22G※ 適應症請見備註欄 

PORT ACCESS INFUSION SET※ 適應症請見 

備註欄 

PROTECTIV IV CATHETER SAFETY 


'PI01Y00:PI01Y91; 

PI03000:PI04091 

EA 94 

'PN001;PN002;PN003 EA 94 

'3060;3062;3063;3065: 

3068; 

3042;3048;3050;3053;3 

055:3057 

EA 36 

NDN040024CBB INTROCAN CERTO-IV CATHETER 24G(PU) '04251300 EA 14.5 

NDN0404000MX 

JELCO IV CATHETER(TEFLON) 

'4010;4012;4013;4014; 

4016;4018; 

4030;4032;4033;4034;4 

035;4036;4038;4039 

EA 14 

NDN0405000MX OPTIVA IV CATHETER(PU) '5060:5066;5068:5069 EA 14.5 

NDN041214NAY IV CATHETER(TEFLON) '12:14G EA 14 

NDN041422CBB 

INTROCAN CERTO-IV CATHETER 14:22G '0425-1318;26;34; 

(PU)( 產品型號 0405-5756,64,72,6272,99) 42;50;69 

EA 14.5 

NDN041422NBB IV CATHETER(TEFLON) '14:22G EA 14 

NDN041422NBN IV CATHETER(TEFLON) '14:22G EA 14 

NDN041424ABD 

INSYTE AUTOGUARD INTRAVASCULAR 

CATHETER 安全性靜脈導管 ※ 適應症請見備註 

'381412;381423; 

381433;381434; 

381437;381444; EA 36 

欄 

381447;381454; 

381457;381467 

NDN041424NBD IV CATHETER(TEFLON) '14;24G EA 14 

NDN041424NTM IV CATHETER(TEFLON) '14;24G EA 14 

NDN041424STM SURFLO IV CATHETER 14G:24G(ETFE) 

'SR+OT1832C:2419C 

; 

EA 14 

SR+OX1451C:2419C 

NDN041622NBD IV CATHETER(TEFLON) '16:22G EA 14 

NDN041622NNR IV CATHETER(TEFLON) '16:22G EA 14 

NDN041622NTM IV CATHETER(TEFLON) '16:22G EA 14 

NDN041624ABD BOIN IV CATHETER(PU) '591836:591846 EA 14.5 

NDN041627NTM IV CATHETER 16:27G (PU) 

'14;16;18-51;64; 

2051;2225;2419 

EA 14.5 

NDN041824NTP IV CATHETER MN(TEFLON) '18:24G EA 14 

NDN042400NBB IV CATHETER(TEFLON) '24G EA 14 

NDN042400NNR IV CATHETER(TEFLON) '24G EA 14 

NDN0442CWSBB INTROCAN CERTO SAFETY PU 18:24G 安全 

靜脈留置針 ※ 適應症請見備註欄 

NDN0442NWSBB INTROCAN CERTO SAFETY TEF 18:24G 安全 

靜脈留置針 ※ 適應症請見備註欄 

'4251601:4251709; 

4253523:4253604 

'4252500:4252594; 

4254503:4254562 

EA 36 

EA 36 


NES010201NBA 

MAX-CORE DISPOSABLE BIOPSY 

INSTRUMENT 14:20G( 自動式 ) 

'MC1410;1610;16; 

1810:25;2010:20 

SET 680 


NDN04S3834BD 

'18GX1.16"; 

INTIMA-II INTEGRATED CATHETER 封閉式整 

20GX1.16"; 

合型靜脈導管 ( 含靜脈留置針 + 注射帽 + 直型延長 

22GX0.75"; 

管 ) 

22GX1.0";24GX0.75" 

SET 31.7 

'SR+OT1832C(9):SR+ 

NDN04SR01NTM SURFLO I.V CATHETER 14G:24G 

OT2419C(9); 

SR+OX1451C(9):SR+ 

EA 14 

OX2419C(9) 

NDN04T1424BD INSYTE IV CATHETER(PU/VIALON) '381212:381267 EA 14.5 

'18GX1.16"; 

NDN04T3834BD 

INTIMA-II INTEGRATED CATHETER 封閉式整 20GX1.16"; 

合型靜脈導管 ( 含靜脈留置針 + 注射帽 +Y 延長管 ) 22GX0.75"; 

SET 46 

22GX1.0";24GX0.75" 

NDN04W1624BD INSYTE-W IV CATHETER(PU/VIALON) '381312:381357 EA 14.5 

NDN050024WBB 

INTROCAN CERTO IV CATHETER W/WING 

24G(PU) 

'04253302 EA 14.5 

NDN050024WBD IV CATHETER 24G(TEFLON) '24G EA 14 

NDN051422WBB 

INTROCAN CERTO IV CATHETER W/WING 

'0425-3302;10;29; 

(PU) 14:22G( 產品型號 0405- 

37;45;53;61 

6280,5780,5799,6264,7802) 

EA 14.5 

NDN051622NBB 

VASOCAN IV CATHETER(TEFLON)( 蠂翼靜脈 

留置針 ) 

'16:22G EA 14 

NDN051622WBD IV CATHETER 16:22G(TEFLON) '16:22G EA 14 

NES0102300CD 

BIOPSY FORCEPS(88/08/1 再生效 ,300L,302L 

自 88/08/01 起生效 ) 

'502-300;502-302 EA 7000 

NES010804JZM 

BONE MARROW NEEDLE WITH TRAP 'DBMNJ-080;110- 

CANNULA 

4:6T;1304;13025 

EA 700 

NES010804TZM 

'DBMNJ- 

"MD TECH"T-LOK BONE MARROW BIOPSY 0804TL;0806TL;1104T 

NEEDLES 迪洛骨髓活體組織切片針 

L;1106TL;DBMNJ- 

EA 700 

1304;13025 

NES0114070HK 

SONO GUIDE BIOPSY NEEDLE 14G 16G '14070;14170; 

70CM ,170CM 

16070;16170 

EA 470 

NES0115011ZM BONE MARROW ASPIRATION NEEDLE 

'DBMN1-1501;1504; 

1601 

EA 700 

NES0117070HK 

SONO GUIDE BIOPSY NEEDLE 17G 18G '17070;17170; 

70CM ,170CM 

18070;18170 

EA 470 

NES01174LNAN UNI-CUT NEEDLES 16G:18G 200MM '1742;44;46-0080 EA 420 

NES01174NNAN UNI-CUT NEEDLES 14G:18G 75:150MM 

'1742;44;46- 

0020:70;50-0020:80 

EA 300 

NES011762LAN 

VACU-CUT BIOPSY NEEDLES 18G:19.5G 

200MM 

'1762;64-0080 EA 420 

NES011762NAN 

VACU-CUT BIOPSY NEEDLES 18G:19.5G 

100:150MM 

'1762;64-0050;70 EA 300 

NES01176LNAN 

VACU-CUT BIOPSY NEEDLES 21G,22G 

200MM 

'1760;61-0080 EA 750 

NES01176NNAN 

VACU-CUT BIOPSY NEEDLES 21G,22G 

100:150MM 

'1760;61-0050;70 EA 700 

NES0118015ZM PEDIATRIC BONE MARROW NEEDLE 'ION18015 EA 700 

NES0118100BA BIOPSY CUT NEEDLE '001418 EA 680 

NES012000GDY 

DISPOSABLE SEMIAUTOMATIC FINE CORE 

BIOPSY NEEDLE 200MM 

'21G EA 750 



NES012346XSB 

T-REX BIOPSY FORCEPS 

'23467-001;23467- 

002;23468-002; 

23468-004;23468-005 

EA 7000 

NES015043NCD 

NES0182000ZM 

BIOPSY FORCEPS FOR ENDOMYOCADIAL 

BIOPSIES 

MD TECH SNARELOK BONE MARROW 

BIOPSY TRAY AND ACCESSORIES 

EA 7000 

EA 700 

NES01AM18NGP BONE MARROW ASPIRATION NEEDLE 'AM18/28-AM15/43 EA 700 

QUICUT BONE MARROW ASPIRATION 

NES01AM18NHK NEEDLE 15:18G 45:60MM 八光快切骨髓抽吸生 'AM15/43:AM18/28 EA 700 

檢針 

'504300:2;L; 

502050S;400;402; 

B;M 

'8200-08;11- 

400SL;600SL;8200- 

13-200SL;300SL 

NES01BM13NGP BONE MARROW BIOPSY NEEDLE 'BM13/10-BM7/15 EA 700 

NES01BM13NHK 

QUICKCUT BIOPSY FOR BONE MARROW 

7:13G,10CM:15CM 

'BM7/15:BM13/10 EA 700 

BONE MARROW HARVEST NEEDLE WITH 'BMHN-1104-X;1304- 

NES01BMHN1ZM 

SIDE HOLE 

X;VX 

EA 700 

NES01BN160ZM OSTY CORE BONE BIOPSY NEEDLE 

'OBN-16075;16125; 

16165 

EA 700 

'BV- 

NES01BV00NC8 

257;2511;311;3511;411 

BONE BEVEL BIOPSY NEEDLE(BV SERIES) 

;4515;BV- 

骨髓切片或抽吸針 

3511MN;3513MN;4511 

MN 

EA 700 

NES01M1806ZM SOFT TISSUE BIOPSY NEEDLE 18G,9:15CM '1806-US;MCN; 

MFN-1803 

EA 300 

NES01M1808ZM SOFT TISSUE BIOPSY NEEDLE 18G,20CM 'MCN;MFN-1808-US EA 300 

NES01M2006ZM 

SOFT TISSUE BIOPSY NEEDLE 

'06-US;22-03; 

19:22G,9:15CM 

MCN;MFN-20 

EA 300 

NES01M2008ZM 

SOFT TISSUE BIOPSY NEEDLE 

'2208-US;MCN; 

19:22G,20CM 

MFN-2008 

EA 300 

'MN1210;13;16;20; 

MN1410;13;16;20; 

NES01MN120BA MAGNUM BIOPSY NEEDLE 

MN1610;13;16;20; 

MN1810;13;16;20; 

MN2010;13;16;20 

EA 680 

NES01ST00NC8 

NES01TC00XC8 

NES01TN00XC8 

NES0221150TP 

NES02B152NHK 

NES02B154NHK 

NES02B192NHK 

NES02B194NHK 

STERNUM TEMNO DEVICE 骨髓抽吸針 

T-HANDLE JAMSHIDI BONE MARROW 

BIOPSY /ASPIRATION NEEDLES 

ILLINOIS STERNAL/ILIAC BONE MARROW 

ASPIRATION NEEDLES 

ASPIRATION BIOPSY NEEDLE (MAJIMA 

NEEDLE) 150MM 

BIOPSY NEEDLE QUICKCUT 1B15G:18G 

200MM:470MM 


40MM:150MM 


200MM:470MM 


40MM:150MM 

'ST1;ST2C;ST2L; 

ST3;STF1;STF2 

'TJC3513;TJC4008; 

TJC4011;TJC6008; 

TJC6011;TJM3513; 

TJM4008;TJM4011; 

TJM6008;TJM6011 

EA 700 

EA 700 

'TIN3015;TIN3018 EA 700 

'21G SET 750 

'15:18G EA 420 

'15:18G EA 300 

'19G:22G EA 750 

'19:22G EA 700 


NES0370111ZM 

NES0376260ZN 

NES0376311ZR 

NES0376501ZM 

NES0376502ZM 

NES0376511ZM 

NES03TM14NGP 

NES03TM16NGP 

NES03TZ14NGP 

NES03TZ16NGP 

SYSTEM AND KIT 

SUPER-CORE II ADJUSTABLE BIOPSY 

INSTRUMENT 彈簧組織切片針 

ULTRA CORE BIOPSY NEEDLE FOR USE 

WITH BARD MAGNUM BIOPSY 

INSTRUMENT(AUTOMATIC) 

TRU-CORE II AUTOMATIC DISPOSABLE 

BIOPSY DEVICE 

PRO-MAG AUTOMATIC BIOPSY NEEDLE 




NES02B234NHK 

BIOPSY NEEDLE QUICKCUT 1B23G 

40MM:470MM 

'23G EA 800 

NES0310800ZM 

BIOPINCE FULL CORE BIOPSY 

INSTRUMENT 10CM 

'360-1080-01 EA 680 

NES0311290SB 

ASAP AUTOMATED BIOPSY 

SYSTEM15,18GX10,15,21CM 

'1290:1293 SET 680 

NES0312182BA 

"BARD"MONOPTY BIOPSY INSTRUMENT 組 '1218-16;20;1220- 

織取樣針 

16;20 

EA 680 

NES0314060C8 

'T14;15;16/15;20;48; 

JAMSHIDI MENGHINI BIOPSY NEEDLES 自 T14;15;16/6;9; 

動組織切片針 

T18;20;21/15;20;48; 

EA 680 

T18;20;21/6;9 

NES031406NC8 

CARDINAL TEMNO BIOPSY NEEDLES 

14G:16G;18G:20G;22G 

'T146:T2220 EA 680 

NES0315800ZM 



'360-1580-01 EA 680 

NES0320800ZM 



'360-2080-01 EA 680 

NES0343104SB 

ASAP BIOPSY SYSTEM WITH DELTA CUT 

NEEDLE 15:20G 10:21CM 

'405:409;43-104 EA 680 

NES0343453SB 

BOSTON SCIENTIFIC EASY CORE BIOPSY '43-450:43-455;500- 

EA 680 

104:500-107 

'7011-14;16;18;20- 

090;150;200 

'7626-14;16- 

100;130;160;200; 

7626-18- 

100;130;160;200;300; 

7626-20-100;130;160 

'763114- 

100X;160X;200X; 

763116- 

100X;160X;200X; 

763118- 

100X;160X;200X; 

763120- 

100X;160X;200X; 

763418-200X;250X; 

'7650-14;18-100; 

120;160;200 

'7650-16;20-100; 

160;200 

'7651-14;16;18;20- 

080;120;160 

'TM14;18;21-7; 

11;16;20;25 

'TM14;16;18;20; 

21-30;49 

'TZ14:16;18:21-6; 

SPRING LOADED BIOPSY NEEDLE( 自動彈簧 

切片針 ) 


切片針 ) 


切片針 ) 

10;16;20;25 

SPRING LOADED BIOPSY NEEDLE( 自動彈簧 'TZ14:16;18:26-30; 

切片針 ) 

48;60 

EA 680 

SET 680 

EA 680 

SET 680 

SET 680 

SET 680 

EA 680 

EA 680 

EA 680 

EA 680 


第八節復健治療類 


RRB0117301HU 

HUDSON INCENTIVE SPIROMETER TRIFLO 

II INSPIRATORY EXERCISER* 適應症請見備 '8884717301 EA 280 

註欄 

RRB0119009HU 

HUDSON INCENTIVE SPIROMETER 

VOLDYNE 5000* 適應症請見備註欄 

'8884719009 EA 140 

RRB0119017HU 


PEDIATRIC VOLDYNE * 適應症請見備註欄 

'8884719017 EA 140 

RRB0119025HU 


VOLDYNE 2500* 適應症請見備註欄 

'8884719025 EA 140 

RRB01PR030PL RESPI-FLO III※ 適應症請見備註欄 'PR-030 EA 280 

RRB024301NGF 

GALEMED SPIROMETER AND ACCESSORY* 

'4301 


SET 140 

RRB024311NGF 

” 崇仁 ” 三球式呼吸訓練器 " 及配件 

GALEMED"TRI-BALLS INCENTIVE 

'4311 

SPIROMETER AND ACCESSORY* 適應症請見 

EA 280 

備註欄 

第八部第六章第八節 -310

第九節縫合結紮類 


SAS026025SUS 

'GIA6025S; 

" 優施西 "GIA 自動手術縫合器 "USSC"AUTO 

GIA6038S; 

SUTURE MULTIFIRE GIA DISPOSABLE 

GIA6048S; 

SURGICAL STAPLER* 適應症請見備註欄 

GIA8038S;GIA8048S 

EA 2459 

SAS02TCT55JJ 

LINEAR CUTTER SAFETY LOCKOUT 55MM 

腸胃自動縫合器 ※ 適應症請見備註欄 

'TCT 55;TCT75 EA 2459 

SAS02TLC55JJ 

TITANIUM LINEAR CUTTER 55MM 腸胃自動 

縫合器 55MM ※ 適應症請見備註欄 

'TLC55 EA 2459 

SAS02TLC75JJ 

LINEAR CUTTER SAFETY LOCKOUT 75MM 

腸胃自動縫合器 ※ 適應症請見備註欄 

'TLC75 EA 2459 

SAS02TLHNNJJ 

TITANIUM LINEAR STAPLE 30,60,90MM ( 自 

動縫合器 + 釘 )※ 適應症請見備註欄 

'TLH30;60;90 EA 2300 

SAS03CDHXXET 

SAS03EEA25US 

SAS03SDH21JJ 

SAS0603036CH 

SAS0608025RA 

SAS0608035RA 

SAS0608525RA 

SAS0608535RA 

SAS0628235WK 

SAS0654854US 

SAS0654873US 

" 愛惜康 " 普克美釘合器 "ETHICON"PROXIMATE 

ILS INTRALUMINAL STAPLER* 適應症請見備 

註欄 

'CDH21;25;29;33 EA 5196 

" 優施西 " 一次性彎形端對端縫合器 "USSC" 

AUTO SUTURE CEEA SINGLE USE 

STAPLERS* 適應症請見備註欄 

'CEEA 25;28;31;34 EA 5196 

CIRCULAR STAPLE 消化道動吻合器 + 釘 

21,25,29,33MM ※ 適應症請見備註欄 

'SDH21;25;29;33 EA 5196 

" 康美 " 可拆式皮膟縫合釘 "CONMED"REFLEX '3036;3036R; 

SKIN STAPLER* 適應症請見備註欄 

3013;3013R 

EA 490 

REFLEX SKIN STAPLE (REGULAR SIZE)(25) 


'8025 EA 410 

REFLEX SKIN STAPLE (REGULAR SIZE)(35) 


'8035 EA 504 

REFLEX SKIN STAPLE (WIDE SIZE)(25)※ 適 


'8525 EA 410 

REFLEX SKIN STAPLE (WIDE SIZE)(35)※ 適 


'8535 EA 504 

VISITAT SKIN STAPLER 35W * 適應症請見備 

註欄 

'528235 EA 490 

DISPOSIBLE ROYAL SKIN STAPLE 25W※ 適 


'054854 EA 410 

DISPOSIBLE ROYAL SKIN STAPLE 35W※ 適 


'054873 EA 504 

SAS0680341DG SKIN STAPLE 25W 25R※ 適應症請見備註欄 '8034-12 EA 410 

SAS0680351TY 

皮膟縫合釘 APPOSE ULC DISPOSABLE SKIN 

STAPLER* 適應症請見備註欄 

'8035-12;8037-12 EA 490 



SAS06FJ125WK 

SAS06FJ135WK 

SAS06PMR35JJ 

SAS06PMW35JJ 

SAU010TR30JJ 

VISISTAT SKIN STAPLE 25R※ 適應症請見備 

註欄 

VISISTAT SKIN STAPLE 35R※ 適應症請見備 

註欄 

REGULAR 35R MULTI-DIRECTION SKIN 

STAPLER※ 適應症請見備註欄 

WIDE 35W MULTI-DIRECTION SKIN 

STAPLER※ 適應症請見備註欄 

RELOAD LINEAR STAPLE 30MM ※ 適應症請 

見備註欄 

'528125 EA 367 

'528135 EA 500 

'PMR35 EA 500 

'PMW35 EA 490 

'TR30 EA 1917 

第八部第六章第九節 -311


SAU010TR60JJ 

RELOAD LINEAR STAPLE 60MM ※ 適應症請 

見備註欄 

'TR60 EA 1917 

SAU0110312US 

PERMIUM MULTIFIRE TA DLU 30 ※ 適應症請 

見備註欄 

'010312;14;16 EA 2294 

SAU0110318US 

PERMIUM MULTIFIRE TA DLLU 60 ※ 適應症 


'010318;20 EA 2300 

SAU0110322US 

PERMIUM MULTIFIRE TA DLU 90 ※ 適應症請 

見備註欄 

'010322;24 EA 2400 

SAU0115427US 

TA 30 P-3.5 DLU 胸腹器吻合釘 TA30 3.5MM 


'015427 EA 2294 

SAU0115433US 

TA 30 P-4.8 DLU 胸腹器吻合釘 TA30 4.8MM 


'015433 EA 2294 

SAU0115441US 

TA 30 P-V3 DLU 胸腹器吻合釘 TA30P-V 


'015441 EA 2294 

SAU0115451US 

TA 55 P-3.5 DLU 胸腹器吻合釘 TA55P 3.5MM 


'015451 EA 2300 

SAU0115458US 

TA 55 P-4.8 DLU 胸腹器吻合釘 TA55P 4.8MM 


'015458 EA 2300 

SAU0115485US 

TA 90 P-3.5,4.8 DLU 胸腹器吻合釘 TA90P 

3.5MM ,4.8MM ※ 適應症請見備註欄 

'015477;015485 EA 2400 

SAU01TRH90JJ 

RELOAD LINEAR STAPLE 90MM-H 胸腹自動 

縫合釘 90 MM- 寬 ※ 適應症請見備註欄 

'TRH90 EA 1544 

SAU01XR30BJJ 

PROXIMATE RELOADABLE LINEAR 

STAPLER 30MM 3.5LEG,4.8LEG ※ 適應症請 'XR30B;XR30G EA 2294 

見備註欄 

SAU01XR30RJJ 


STAPLER 30MM VASCULAR ※ 適應症請見備 'XR30R EA 2294 

註欄 

SAU01XR30VET 

" 愛惜康 " 普克美縫合釘 "ETHICON" 

PROXIMATE LINEAR CUTTERS & RELOAD 

UNITS(RELOADABLE LINEAR STAPLER)* 適 

'XR30V EA 2294 


SAU01XR60BJJ 


STAPLER 60MM 3.5LEG,4.8LEG ※ 適應症請 'XR60B;XR60G EA 2300 

見備註欄 

SAU0230252US 

AUTO SUTURE MULTIFIRE GIA 

DISPOSABLE SURGICAL STAPLERS 60-2.5 


'030252L EA 1870 

SAU0230424US GIA 50P DLU 腸胃吻合釘 ※ 適應症請見備註欄 '030424 EA 2459 

SAU0230678US 

SAU0231739US 

SAU0231749US 

SAU026025LUS 

SAU0282534DG 

SAU02TCRNNJJ 










" 優施西 "GIA 自動手術縫合器 "USSC"AUTO 

SUTURE MULTIFIRE GIA DISPOSABLE 

SURGICAL STAPLER* 適應症請見備註欄 

VALTRAC BIOFRAGMENTABLE 

ANASTOMOSIS RING 1.5:2.5MMX25:34MM 


RELOAD LINEAR CUTTER 55MM,75MM 腸胃 

自動縫合釘 ※ 適應症請見備註欄 

'030678L EA 1870 

'031739L EA 2300 

'031749L EA 2300 

'GIA6025L; 

GIA6038L; 

GIA6048L; 

GIA8038L;GIA8048L 

EA 2300 

'8082:8092-00 SET 3900 

'TCR55;TCR75 EA 2000 



SAU02TRD75ET 

" 愛惜康 " 普克美縫合釘 "ETHICON" 

PROXIMATE LINEAR CUTTERS & RELOAD 'TRD75 EA 2300 

UNITS * 適應症請見備註欄 

SAU02TRT55JJ 

RELOAD LINEAR CUTTER 55MM 腸胃自動縫 

合釘 ※ 適應症請見備註欄 

'TRT55 EA 1870 

SAU02TRT75JJ 

RELOAD LINEAR CUTTER 75MM 腸胃自動縫 

合釘 ※ 適應症請見備註欄 

'TRT75 EA 2300 

SAU0310214US 

EEA 25,28,31 DLU 腸道、食道縫合釘 '110214;110238; 

25,28,31MM ※ 適應症請見備註欄 

110276 

EA 5196 

SAU0730412US ” 優施西 ”GIA 自動手術縫合器 60MM 

'030412;030414; 

030415 

EA 5960 


'030416;030418; 

030419 

EA 4000 


'030426;030425; 

030422;030423 

EA 4900 

SAU07ECR60ET 

SAU07TR45BET 

SAU07TR60BET 

" 愛惜康 " 愛喜龍安德派思縫合釘 "ETHICON" 

ECHELON 60 ENDOPATH STAPLER 

CARTRIDGE 

" 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 

'ECR60W;ECR60B; 

ECR60D;ECR60G 

'TR45G;TR45B; 

TR45W;6R45B; 

ZR45G;ZR45B; 

(6R45M 自 97/10/1 生效 ) 

'TR60B;TR60G; 

TR60W 

EA 5960 

EA 4900 

EA 5960 

SCS0101037CM RANEY SCALP CLIP 頭皮夾 20 排 / 盒 10 支 / 排 '20-1037 支 13 

SCS0103100P2 " 太平洋 " 頭皮夾 "PAHSCO" SCALP CLIP 'O03100 EA 13 

SCS01FF15PAE RANEY SCALP CLIPS 'FF015P EA 13 

SCV0101204WK 

" 偉克 " 哈瑞隆血管夾 "WECK" HORIZON 

LIGATING CLIPS- 小型 24 針 / 匣 

'001204 EA 16.6 

SCV0102204WK 

" 偉克 " 哈瑞隆血管夾 "WECK" HORIZON 

LIGATING CLIPS- 中型 24 針 / 匣 

'002204 EA 20 

SCV0104120V7 

" 威坦鐵克 " 鈦金屬血管夾 "VITALITEC" SLS- 

CLIP TITANIUM HEMOSTATIC CLIP 大型 

'O4120.1 EA 35 

SCV011150NS6 MINI ANGLE CLIP '1001-500:505 支 200 

SCV01B2180V7 


CLIP TITANIUM HEMOSTATIC CLIP 中型 

'B2180.1 EA 20 

SCV01FD100WK HEMO CLIP (M) 每盒 10 排 , 每排 25CLIP '523100;523400 CLIP 29 

SCV01FD135WK HEMO CLIP (S) 每盒 12 排 , 每排 25CLIP '523135;523435 CLIP 22 

SCV01FD160WK HEMO CLIP (M.L) 每盒 20 排 , 每排 10CLIP '523160;523460 CLIP 30 

SCV01FD170WK HEMO CLIP (L) 每盒 10 排 , 每排 15CLIP '523170;523470 CLIP 40 

SCV01FD300WK HEMO CLIP (M) 每盒 20 排 , 每排 10CLIP '523300;523600 CLIP 20 

SCV01FD335WK HEMO CLIP (S) 每盒 24 排 , 每排 10CLIP '523335;523635 CLIP 16.6 

SCV01FD360WK HEMO CLIP (ML) 每盒 16 排 , 每排 10CLIP '523360;523660 CLIP 28 

SCV01FD370WK HEMO CLIP (L) 每盒 12 排 , 每排 10CLIP '523370;523670 CLIP 38 

SCV01FD800WK TITANIUM HEMOCLIP(MEDIUM) '523800 CLIP 23 

SCV01FD835WK TITANIUM HEMOCLIP(SMALL) '523835 CLIP 20 

SCV01FD860WK TITANIUM HEMOCLIP(MEDIUM-LARGE) '523860 CLIP 29 

SCV01FD870WK TITANIUM HEMOCLIP(LARGE) '523870 CLIP 35 

SCV01J1180V7 


CLIP TITANIUM HEMOSTATIC CLIP 小型 

'J1180.1 EA 16.6 

SCV01LT100JJ TATANIUM LIGA CLIP (S) 6 CLIP/ 排 'LT-100 CLIP 20 

SCV01LT200JJ TITANIUM LIGA CLIP (M) 6 CLIP/ 排 'LT-200 CLIP 23 

SCV01LT300JJ TITANIUM LIGA CLIP (M-L) 6 CLIP/ 排 'LT-300 CLIP 29 

SCV01LT400JJ TITANIUM LIGA CLIP (L) 6 CLIP/ 排 'LT-400 CLIP 35 



SCV01V3120V7 


CLIP TITANIUM HEMOSTATIC CLIP 中型 / 大型 

'V3120.1 EA 28 

SCV029380NM1 

SUGITA ANEURYSM CLIPS(FENESTRATED '07-938-07;09;12; 

LARGE TYPE)NO.7,9,12,14 

14 

EA 3000 

SCV029400NM1 

SUGITA ANEURYSM CLIP (STANDARD 

TYPE) 

'07-940-01:09 支 2226 

SCV029401NM1 SUGITA ANEURYSM CLIP (LARGE TYPE) '07-940-10:18 支 2700 

SCV029402NM1 SUGITA ANEURYSM CLIP (LARGE TYPE) '07-940-20:25 支 3000 

SCV029404NM1 

SUGITA ANEURYSM CLIP (FENESTRATED 

LARGE TYPE) 

'07-940-26:46 支 3000 

SCV029404SM1 SUGITA ANEURYSM CLIP (LARGE TYPE) '07-940-47:49 支 3000 

SCV0294050M1 

SURGITA ANEURYSM CLIPS LARGE TYPE 

N0.50 

'07-940-50 EA 2700 

SCV029405NM1 

SUGITA ANEURYSM CLIP (TEMPORARY 

TYPE) 

'07-940-51:55;56:58 支 3000 

SCV0294069M1 

SURGITA ANEURYSM CLIPS STANDARD 

TYPE N0.69 

'07-940-69 EA 2226 

SCV029406NM1 

SUGITA ANEURYSM CLIP (STANDARD 

TYPE) 

'07-940-64;68 支 3000 

SCV029406SM1 SUGITA ANEURYSM CLIP (LARGE TYPE) '07-940-60:63 支 3000 

SCV0294073M1 

SURGITA ANEURYSM CLIPS LARGE TYPE 

N0.73 

'07-940-73 EA 2700 

SCV029407NM1 SUGITA ANEURYSM CLIP (LARGE TYPE) '07-940-19A;B;C 支 3000 

SCV029407SM1 

SUGITA ANEURYSM CLIP (FENESTRATED 

LARGE TYPE) 

'07-940-74:79 支 3000 

SCV029408SM1 SUGITA ANEURYSM CLIP (MINI TYPE) '07-940-80:89;95:99 支 3000 

SCV02FE60NAE ANEURYSM CLIP 'FE600K:FE840K EA 2700 

SCV0300001PA 

" 安培 " 腹腔鏡血管 

夾 "APPLIED"LAPAROSCOPIC CLIP APPLIER 'CA010 EA 200 

SYSTEM 

SCV0300005ET 

LIGACLIP MULTIPLE CLIP APPLIER 多釘縫合 

釘 

'ER320/ER420 CLIP 175 

” 麥克嵐 ” 內視鏡多發式可重複使用血管 

SCV031112CRG 

夾 "MICROLINE"M/L-10 ENDOSCOPIC MULTI- 

'1112 

FIRE RATCHETED REUSABLE CLIP 

EA 175 

APPLIER-DISPOSABLE 19 TITANIUM CLIP 

SCV03530MLCH 

" 康美 " 拋棄式血管夾 "CONMED" DISPOSABLE 

CLIP APPLIER 

'530 EA 175 

SCV03615MLUS 

ENDO CLIP APPLIER M/L CLIPS 內視鏡自動血 

'176615;176657 

管夾 

EA 175 

SCV03625LLUS 

ENDO CLIP APPLIER M/L CLIPS 內視鏡自動血 

'176625 

管夾 

EA 200 

SCV2023701WK 

HEMOCLIP AUTOMATIC CLIP APPLIER 

WITH CLIPS S15 

'523701 CLIP 103 

SCV2023703WK 

HEMOCLIP AUTOMATIC CLIP APPLIER 

WITH CLIPS M20 

'523703 CLIP 103 

SCV2032081US SURGI-CLIP M-9.5 ( 每支 20 CLIP) '132081 CLIP 104 

SCV2032091US SURGI-CLIP M-11 ( 每支 20 CLIP) '132091 CLIP 104 

SCV2034031US PREMIUM SURGI-CLIP ( 每支 20 CLIP) M-11.5 '134031 CLIP 103 

SCV2034044US PREMIUM SURGI-CLIP M9.75 ( 每支 15 CLIP) '134044 CLIP 137 

SCV2034046US PREMIUM SURGI-CLIP ( 每支 20 CLIP) S9.0 '134046 CLIP 103 

SCV2034048US PREMIUM SURGI-CLIP L-13.0 ( 每支 15 CLIP) '134048 CLIP 142 

SCV2034051US 

AUTO SUTURE DISPOSABLE AUTOMATIC 

CLIP APPLIER PREMIUM SURGICLIP II(M- 

9.75) 

'134051 CLIP 103 



SCV2034053US 

AUTO SUTURE DISPOSABLE AUTOMATIC 

CLIP APPLIER PREMIUM SURGICLIP II(M- '134053 CLIP 103 

11.5) 

SCV2035220CH 

CONMED DISPOSABLE CLIP APPLIER 拋棄式 

'3522 

血管夾 

CLIP 103 

SCV20MCL20JJ MULTIPLE CLIPS APPLIER (20 CLIP/PC) 'MCL20 CLIP 142 

SCV20MCM20JJ MULTIPLE CLIP APPLIER (20 CLIP/PC) 'MCM20 CLIP 137 

SCV20MCM30JJ MULTIPLE CLIP APPLIER (30 CLIP/PC) 'MCM30 CLIP 137 

SCV20MCS20JJ MULTIPLE CLIP APPLIER (20 CLIP/PC) 'MCS20 CLIP 137 


第十節工具類 


TBCT109600W5 

TBCT10P918C8 

CRAWFORD LARCRIMAL INTUBATION SET 

鼻淚管通條 

"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 

'9600 EA 1800 

'OP0918-801; 

OP0918-821; 

OP0918-851; 

OP0918-881 

SET 1500 

TBS0100040MZ 

SCLERAL BUCKLING COMPONENTS: 

SILICON BAND 

'40 EA 450 

TBS0100042MZ 


SILICON BAND 

'42 EA 500 

TBS0100240MZ 


SILICON BAND 

'240 EA 460 

TBS0100276MZ 


SILICON TIRE 

'276 EA 660 

TBS0100277MZ 


SILICON TIRE 

'277 EA 696 

TBS0100279MZ 


SILICON TIRE 

'279 EA 632 

TBS0200503MZ 


SILICON SPONGE 

'501:503 EA 1425 

TBS0200504MZ 



'504 EA 1365 

TBS0200505MZ 



'505T EA 1425 

TBS0200506MZ 



'506 EA 1365 

TBS0200507MZ 



'507T EA 1425 

TKC0202100K2 SUPERBLADE TREPHINE VACUUM 'K-20-2050 EA 2000 

'21-8260;21-8265;21- 

TKC028260NJM 

HESSBURG-BARRON VACUUM TREPHINE 8270;21-8275;21- 

漢氏伯手動環鉅 

8280;21-8285;21- 

EA 1600 

8290 

TKF0108120A1 LIGHT GUIDE 20G '8065-8120-01 EA 1450 

TKF0192801ZT 

FIBER OPTIC ENDOILLUMINATOR PROBE 

後房手術用光纖 

'192801 EA 1450 

TKF01DP602B9 ILLUMINATORS 眼科手術儀用光纖導管 

'DP9602:DP9608;DP96 

10;DP9612;DP9614 

EA 1450 

TKF01MVS01B9 ILLUMINATORS 眼科手術儀用光纖導管 'MVS1011C EA 1450 

TKP0113509WF EHL 9FR 電擊線 '213509 EA 3477 

TKP0113713WF EHL 3.5FR 電擊線 '213713 EA 3477 

TKP0113715WF EHL 5FR 電擊線 '213715 EA 3477 

TKP012280NWF 

TKP012708NKL 

LITHOTRIPTER:RIWOLITH PROBES 

2280.XXX 

EHL PROBE 電擊碎石線 

'2280.091;2280.121;22 

80.131; 

2280.151;2280.221;228 

0.231; 

2280.321;2280.331;228 

0.421;2280.431 

'27080EA;27080FA; 

27080GA;27080GL; 

27080HA 

EA 3477 

EA 3477 

TKP01E4XXFZ7 EHL PROBE 2,3,5,9FR '3F;5F;9F;E4-2F EA 3477 

TKP03LVNCAR2 

COACESS LEVEEN NEEDLE ELECTRODE 勒 

'CA3515 SET 23500 

鈖針狀電極含穿刺針 ※ 適應症請見備註欄 

第八部第六章第十節 -316


'LE212;LE215; 

LEVEEN NEEDLE ELECTRODE 勒鈖針狀電極 LE312;LE315; 


LE3512;LE3515; 

SET 23500 

LE3525;LE415 

TKP03LVNLER2 

TKP03LVNLESB 

TKP03RFTANZY 

RF3000 RADIOFREQUENCY ABLATION 

SYSTEM:LEVEEN NEEDLE ELECTRODES 

勒鈖針狀電極探頭 2CM:4CMX12,15,25CM※ 適 


TA ELECTRODES 弟恩電極 ※ 適應症請見備註 

欄 

'26202:26207; 

26213;26215 

'TA8142N;TA8143N;TA 

8144N; 

TA8242N;TA8243N;TA 

8244N 

EA 23500 

EA 23500 

TKVC101005A1 

POSTERIOR ADVANCE TECHNOLOGY 

OCUTOME PROBE (ATOP) 

'1005 EA 4500 

TKVC107402A1 STANDALONE ACCURUS PROBE '8065-7402-41 EA 4500 

TKVC12405CZS 

VITREOUS CUTTER W/TUBING SET 玻璃體 

切除刀 

'2405CE EA 4500 

TKVC141018A1 

ACCURUS 2500 VITRECTOMY PROBE 玻璃 

體切除探頭 

'8065741018 EA 5400 

TKVC1CX408B9 

HIGH SPEED VITRECTOMY CUTTER TIPS 

高速玻璃體切割頭 600-1500 次 / 分 

'CX4804 EA 4500 

TKVC201006A1 

ANTERIOR ADVANCE TECHNOLOGY 

IRRIGATION OCUTOME PROBE (ATOP) 

'1006 EA 4360 

TKVC208012A1 ANTERIOR VITRECTOMY PROBE '8065-8012-01 EA 4500 

TKVS1D4801B9 

VITREOUS ASPIRATION AND CUTTING 

INSTRUMENT PACKS:VENTURI BASIC 'DP4801 EA 4500 

POSTERIOR VITRECTOMY ( 含盒子 ) 

TKVS1D4801SZ BASIC POSTERIOR VITRECTOMY PACK 'ST DP 4801 SET 4500 

TKVS1D4803B9 

VITREOUS ASPIRATION AND CUTTING 

INSTRUMENT PACKS:POSTERIOR 'DP4803 EA 4500 

VITRECTOMY CUTTER PACKS( 不含盒子 ) 

TKVS1D4803SZ 

MICROVIT VITRECTOMY CUTER 

POSTERIOR 

'DP4803 EA 4500 

第八部第六章第十節 -317

第十一節傷口護理類 


WBB0402050A8 ELASTIC BANDAGE※ 適應症請見備註欄 '2"X5Y ROLL 10.6 

WBB0402050C7 ELASTIC BANDAGE※ 適應症請見備註欄 '2"X5Y ROLL 10.6 

WBB0402050EX ELASTIC BANDAGE※ 適應症請見備註欄 'MT-02X5Y ROLL 10.6 

WBB0402050EZ ELASTIC BANDAGE 2"x5Y * 適應症請見備註欄 '087-02 EA 10.6 

FOR CARE ELASTIC BANDAGE* 適應正請見 

WBB0402050F0 

'2"X5Y EA 10.6 

備註欄 

WBB0402050GM ELASTIC BANDAGE※ 適應症請見備註欄 '2"X5Y ROLL 10.6 

WBB0402050KB 

DURELASTIC-M 5CMx4.5M * 適應症請見備註 

'KOB620 ROLL 10.6 

欄 

WBB0402050KF ELASTIC BANDAGE※ 適應症請見備註欄 '2"X5Y ROLL 10.6 

WBB0402050MG 

ELASTIC BANDAGE 2"x5Y※ 適應症請見備註 

'F0004 ROLL 10.6 

欄 

WBB0402050TW ELASTIC BANDAGE* 適應症請見備註欄 '2"X5Y EA 10.6 

WBB0402050YS 

ELASTIC BANDAGE 2"X5Y※ 適應症請見備註 '930P;930S; 

ROLL 10.6 

欄 

YH0911;YH0913 

YU CHUNG ELASTIC BANDAGE (NON- 

WBB0402050YU 

'2"X5Y ROLL 10.6 

STERILE)* 適應症請見備註欄 

WBB0402050Z5 S.S BANDAGE 2x5* 適應症請見備註欄 'BPC-2 ROLL 10.6 

WBB0402050ZB ELASTIC BANDAGE* 適應症請見備註欄 '2"X5Y(TH202) ROLL 10.6 


WBB0403050B5 ELASTIC BANDAGE※ 適應症請見備註欄 '3"X5Y ROLL 15.2 

'B052062810PB; 

WBB0403050C7 ELASTIC BANDAGE※ 適應症請見備註欄 

ROLL 15.2 

3"X5Y 




WBB0403050F0 

'3"X5Y EA 15.2 

備註欄 

WBB0403050FF ELASTIC BANDAGE※ 適應症請見備註欄 '3"X5Y ROLL 15.2 


WBB0403050KB 

DURELASTIC-M 7.5CMx4.5M * 適應症請見備 

'KOB620 ROLL 15.2 

註欄 


WBB0403050MG 


'F0001 ROLL 15.2 

欄 


WBB0403050YS 

ELASTIC BANDAGE 3"x5Y※ 適應症請見備註 '930P;930S; 

ROLL 15.2 

欄 

YH0911;YH0913 


WBB0403050YU 

'3"X5Y ROLL 15.2 


WBB0403050Z5 S.S BANDAGE 3x5* 適應症請見備註欄 'BPC-3 ROLL 15.2 


O.P.S ELASTIC BANDAGE(NON-STERILE)※ 

WBB0403050ZE 

'3"X5Y ROLL 15.2 




WBB0404050C7 ELASTIC BANDAGE※ 適應症請見備註欄 '4"X5Y ROLL 19.3 



WBB0404050F0 


備註欄 

'4"X5Y EA 19.3 



第八部第六章第十一節 -318


WBB0404050KB 


'KOB620 ROLL 19.3 

欄 


WBB0404050MG 


'F0002 ROLL 19.3 

欄 


WBB0404050YS 


ROLL 19.3 

欄 

YH0911;YH0913 


WBB0404050YU 

'4"X5Y ROLL 19.3 




WBB0404050ZE 

'4"X5Y ROLL 19.3 




WBB0406050C7 ELASTIC BANDAGE※ 適應症請見備註欄 '6"X5Y B052062840PB ROLL 25.5 




WBB0406050F0 

'6"X5Y EA 25.5 

備註欄 



WBB0406050KB 


'KOB620 ROLL 25.5 

欄 


WBB0406050MG 


'F0003 ROLL 25.5 

欄 


WBB0406050YS 


ROLL 25.5 

欄 

YH0911;YH0913 


WBB0406050YU 

'6"X5Y ROLL 25.5 




WBB0406050ZE 

'6"X5Y ROLL 25.5 


"M&A"POP PLASTER OF PARIS BANDAGE 

WBB0702030AZ 

'1023 ROLL 20.5 

EXTRA FAST SETTING 2"X3Y 石膏繃帶 

'1025;2025(950701 生 

WBB0702050AZ PLASTER OF PARIS BANDAGE 2"x5Y 

EA 23 

效 ) 

WBB0703030A5 CAST BANDAGE '3" 90544 ROLL 23 


WBB0703030AZ 

'1033 ROLL 23 


"CSD"PLASTER OF PAIRS BANDAGE 3"X3Y 

WBB0703030C7 

'3"X3Y ROLL 23 

石膏繃帶 

WBB0703030NJ PLASTER BANDAGE 3"X3Y '7373;7363 ROLL 23 

WBB0703030U6 PLASTER OF PARIS BANDAGE 3"X3Y '3"X3Y ROLL 23 

WBB0703030ZD DUK-IN PLASTER BANDAGE '3"X3Y(C1033) ROLL 23 

WBB0703040U6 PLASTER OF PARIS BANDAGE 3"X4Y '2034 ROLL 25 

'1035;2035(950701 生 

WBB0703050AZ PLASTER OF PARIS BANDAGE 3"X5Y 

EA 32 

效 ) 

WBB0703050C7 CAST BANDAGE '3"X5Y ROLL 32 


WBB0704030DQ PLASTER OF PARIS BANDAGE B.P '4"X3YD ROLL 25 


WBB0704040U6 PLASTER OF PARIS BANDAGE 4"X4Y '2044 ROLL 34.1 

WBB0704040ZD DUK-IN PLASTER BANDAGE '4"X4Y(C1044) ROLL 34.1 

WBB0704050A5 CAST BANDAGE '4" 90552 ROLL 40 




'1045;2045(950701 生 

效 ) 

EA 40 


WBB0704050MB CAST BANDAGE '4"X5Y ROLL 40 


WBB0704050NS 

NOK-SAN CAST PLASTER BANDAGE 

10CMX4.5M(4"X5Y) 

'P0405 ROLL 40 


WBB0705050AZ 



'1055 ROLL 50 

WBB0705050NJ PLASTER BANDAGE 5"X5Y '7369 ROLL 50 




WBB0706040ZD DUK-IN PLASTER BANDAGE '6"X4Y(C1064) ROLL 47 

WBB0706050A5 "Alcare"casting 6"x5y ' 90551 ROLL 53 


'1065;2065(950701 生 

效 ) 

EA 53 


WBB0706050MB CAST BANDAGE '6"X5Y ROLL 53 


WBB0706050NS 

NOK-SAN CAST PLASTER BANDAGE 

15CMX4.5M(6"X5Y) 

'P0605 ROLL 53 



'1085;2085(950701 生 

效 ) 

EA 70 

WBB082222222 病患使用自付差額之 2 吋樹脂石膏繃帶申報代碼 '2 吋 ROLL 30 





WBP0102040JN OPTIMA PAD 石膏棉捲 '2"X4Y ROLL 11 

WBP0103030C7 

CSD ORTHOPAEDIC CAST COTTON 

PADDING 

'3"X3Y(7.5CMX2.7M) ROLL 13.5 

WBP0103030DQ 

SABHARWAL'S BANDAGE ORTHOPAEDIC 

CAST PADDING 

'7.5CMX3M(3"X3M) EA 13.5 

WBP0103030LD LANTOR ORTHOPEDIC COTTON BANDAGE '3"X3Y ROLL 13.5 

WBP0103030TH ORTHOPEDIC COTTON BANDAGE '3"X3Y ROLL 13.5 

WBP0103040C7 


PADDING 

'3"X4Y(7.5CMX3.6M) ROLL 14 

WBP0103040FC ORTHOPEDIC COTTON BANDAGE '3"X4Y ROLL 14 

WBP0103040FF ORTHOPEDIC COTTON BANDAGE '3"X4Y ROLL 14 

WBP0103040JN OPTIMA PAD 石膏棉捲 '3"X4Y ROLL 14 

WBP0103040KF ORTHOPEDIC COTTON BANDAGE '3"X4Y ROLL 14 

WBP0103040LD LANTOR ORTHOPEDIC COTTON BANDAGE '3"X4Y ROLL 14 

WBP0103040ZC CAST PADDING SOFT COTTON BANDAGE '7.5CMX360CM(3"X4Y) 

(TH403) 

ROLL 14 

WBP0104030C7 


PADDING 

'4"X3Y(10CMX2.7M) ROLL 14 


WBP0104033DQ ORTHOPAEDIC CAST PADDING '4X3.3YD ROLL 14 

WBP0104040BP 

B.P.I UNDER CAST PADDING BANDAGE 

COTTON 

'6261217000236 4"X4Y ROLL 18.3 



WBP0104040C7 


PADDING 

'4"X4Y(10CMX3.6M) ROLL 18.3 

WBP0104040FC ORTHOPEDIC COTTON BANDAGE '4"X4Y ROLL 18.3 

WBP0104040FF ORTHOPEDIC COTTON BANDAGE '4"X4Y ROLL 18.3 

WBP0104040GM ORTHOPEDIC COTTON BANDAGE '4"X4Y ROLL 18.3 

WBP0104040JN OPTIMA PAD 石膏棉捲 '4"X4Y ROLL 18.3 

WBP0104040KF ORTHOPEDIC COTTON BANDAGE '4"X4Y ROLL 18.3 


WBP0104040NJ ORTHOPEDIC COTTON BANDAGE '4"X4Y(9044) EA 18.3 

WBP0104040TH ORTHOPEDIC COTTON BANDAGE '4"X4Y ROLL 18.3 

WBP0104040ZC CAST PADDING SOFT COTTON BANDAGE '10CMX360CM(4"X4Y)( ROLL 

TH404) 

18.3 

WBP0104050C7 


PADDING 

'4"X5Y(10CMX4.5M) ROLL 24.3 


WBP0105040C7 


PADDING 

'5"X4Y(12.5CMX3.6M) ROLL 24.3 


WBP0106030C7 


PADDING 

'6"X3Y(15CMX2.7M) ROLL 24 


WBP0106033DQ ORTHOPAEDIC CAST PADDING '6X3.3YD ROLL 24 

WBP0106040BP 

B.P.I UNDER CAST PADDING BANDAGE 

COTTON 

'6261217000243 6"X4Y ROLL 27.5 

WBP0106040C7 


PADDING 

'6"X4Y(15CMX3.6M) ROLL 27.5 

WBP0106040FC ORTHOPEDIC COTTON BANDAGE '6"X4Y ROLL 27.5 

WBP0106040FF ORTHOPEDIC COTTON BANDAGE '6"X4Y ROLL 27.5 

WBP0106040GM ORTHOPEDIC COTTON BANDAGE '6"X4Y ROLL 27.5 

WBP0106040JN OPTIMA PAD 石膏棉捲 '6"X4Y ROLL 27.5 

WBP0106040KF ORTHOPEDIC COTTON BANDAGE '6"X4Y ROLL 27.5 


WBP0106040NJ ORTHOPEDIC COTTON BANDAGE '6"X4Y(9046) EA 27.5 

WBP0106040TH ORHTOPEDIC COTTON BANDAGE '6"X4Y ROLL 27.5 

WBP0106040ZC CAST PADDING SOFT COTTON BANDAGE '15CMX360CM(6"X4Y)( ROLL 

TH406) 

27.5 

WBP0106050A5 ORTHOPEDIC COTTON BANDAGE '6"X5Y 10221 ROLL 34.4 

WBP0106050C7 


PADDING 

'6"X5Y(15CMX4.5M) ROLL 34.4 


WDD0800008SN INTRASITE GEL 8GM * 適應症請見備註欄 '7308 EA 92 



WDD0800100CA 

COMFEEL DRESSING 10X10CM ※ 適應症請 

見備註欄 

'3213 EA 123 

WDD0800510SQ 

DUODERM EXTRA THIN 5X10 ※ 適應症請見 

備註欄 

'87900 EA 44 

WDD0800520SQ 

DUODERM EXTRA THIN DRESSING 5X20 ※ 


'87961 EA 73.5 

WDD0800607ZK 

OMIDERM WOUND DRESSING 

(STERILE)5X7CM* 適應症請見備註欄 

'0507 EA 73 

WDD0800683P8 

HYDROCOLL CONCAVE 6X14CM※ 適應症請 

見備註欄 

'900683/5 EA 100 

WDD0800707SN 

HYDROCELLULAR ADHESIVE DRESSING 

7.5X7.5CM※ 適應症請見備註欄 

'66000043 EA 73 

WDD080100BDB BIO-BRANE 13CMx13CM ※ 適應症請見備註欄 'B-100:102 B-112 PCS 600 



WDD0801010SN 

HYDROPHILIC POLYURETHANE DRESSING 

10X10CM※ 適應症請見備註欄 

'66007637 EA 123 

WDD0801010SQ 

DUODERM EXTRA THIN DRESSING 10X10 

( 超薄型 ) ※ 適應症請見備註欄 

'87955 EA 55 

WDD0801020SN 



'66007335 EA 231 

WDD0801212SN 



'66000044 EA 231 

WDD0801419BB 

"B.BRAUN"ASKINA GEL,15G 雅膟清創凝膞 * 適 

'001419N;001419S 


EA 172 

WDD0801515SQ DUODERM EXTRA THIN 15X15CM( 超薄型 ) 


'87957 EA 123 

WDD0801717SN 



'66000045 EA 350 

WDD0801810ZK 



'1810 EA 259 

WDD0802020SN 



'66007638 EA 400 

WDD0802131ZK 



'2131 EA 882 

WDD0802222SN 



'66000046 EA 400 

WDD080300BDB 

BIO-BRANE 13CMX38CM ※ 適應症請見備註 

欄 

'B-300:302;B-312 PCS 1500 

WDD0803708SQ 

AQUACEL HYDROFIBER DRESSING WTIH 

SILVER 10X10CM * 適應症請見備註欄 

'403708 EA 228 

WDD0803710SQ 



'403710 EA 432 

WDD0803711SQ 



'403711 EA 1070 

WDD0803712SQ 



'403712 EA 230 

WDD080810MZK 



'0810-M EA 165 

WDD0808600TB ELASTO-GEL 15X20 CM ※ 適應症請見備註欄 'DR8600;8650 EA 363 

WDD0809232KD 

CURASORB CALCUIUM ALIGINATE 

DRESSINGS 5.08X5.08CM ※ 適應症請見備註 '9232 EA 30 

欄 

WDD0809233KD 


DRESSINGS 10.16X10.16CM ※ 適應症請見備 '9233;9236 EA 123 

註欄 

WDD0809238KD 


DRESSINGS 20.32X10.16CM ※ 適應症請見備 '9238 EA 239 

註欄 

WDD0809239KD 



註欄 

WDD0809240KD 



註欄 

WDD0809242KD 



註欄 

WDD0809354KD 

CURASORB CALCUIUM ZINC ALIGINATE 

DRESSINGS 5.08X5.08CM ※ 適應症請見備註 

欄 

'9354 EA 30 




WDD0809355KD DRESSINGS 10.16X10.16CM ※ 適應症請見備 '9355 EA 123 

註欄 

WDD0809356KD 



註欄 

WDD0809801KD 

ULTEC PRO ALGINATE HYDROCOLLOID 

DRESSING 4X4(10.16X10.16CM)※ 適應症請 '9801 EA 123 

見備註欄 

WDD0809802KD 



見備註欄 

WDD0809804KD 



見備註欄 

WDD0809921HL 

RESTORE EXTRA THIN 10CMMX10CM※ 適 


'9921 EA 55 

WDD0809923HL 

RESTORE EXTRA THIN 15.2CMMX20.3CM※ 


'9923 EA 165 

WDD0809937HL 

RESTORE CALCICARE WOUND CARE 

DRESSING STERILE 10X10CM ※ 適應症請見 '9937 EA 55 

備註欄 

WDD0809938HL 


DRESSING STERILE 5X5CM ※ 適應症請見備 '9938 EA 30 

註欄 

WDD0809939HL 


DRESSING STERILE 10X20CM( 薄 ) ※ 適應症 '9939 EA 110 


WDD0809953HL 

RESTORE PLUS WOUND CARE DRESSING 

STERILE 10X10CM※ 適應症請見備註欄 

'9953 EA 123 

WDD0809955HL 

RESTORE PLUS WOUND CARE DRESSING 

STERILE 20X20CM※ 適應症請見備註欄 

'9955 EA 400 

WDD0809956HL 

RESTORE PLUS TAPERED EDGE WOUND 

CARE DRESSING STERILE 10X10CM※ 適應 '9956 EA 123 


WDD081010TSN 

REPLICARE ULTRA 10X10CM※ 適應症請見備 

'66000434 

註欄 

EA 55 

WDD0811010SQ DUODERM CGF DRESSING 10X10 ( 標準型 ) 


'87660 EA 157 

WDD0812020SQ 

DUODERM CGF DRESSING 20X20 ※ 適應症 


'87662 EA 630 

WDD0812030SQ 

DUODERM CGF 20X30CM( 標準型 )※ 適應症請 

'87644 

見備註欄 

EA 738 

WDD081313BBG BIOBRANE-L 13X13CM※ 適應症請見備註欄 '13X13CM EA 1200 

WDD081338BBG BIOBRANE-L 13X38CM※ 適應症請見備註欄 '13X38CM EA 2250 

WDD081515TSN 


'66000435 

註欄 

EA 123 

WDD0815181A5 

KARAYAHESIVE HYDROCOLLOID WOUND 

DRESSING 37.5CM2, 親水性敷料 * 適應症請見 '15181 EA 26 

備註欄 


WDD0815182A5 DRESSING 75CM2, 親水性敷料 * 適應症請見 '15182 EA 44 

備註欄 

WDD0815183A5 


DRESSING 113CM2, 親水性敷料 * 適應症請見 

備註欄 

'15183 EA 55 





備註欄 

WDD081518TSN 


'66000437 

註欄 

EA 123 



備註欄 

WDD0815192A5 


DRESSING 100CM2, 親水性敷料 * 適應症請見 '15192 EA 55 

備註欄 

WDD081810MZK 



'1810-M EA 342 

WDD082020TSN 


'66000436 

註欄 

EA 220 

"B.BRAUN"ASKINA SORB CALCIUM 

WDD082100SBB ALGINATE DRESSING(STERILE) 6CMX6CM '2100S EA 30 

雅膟藻酸鈣敷料 * 適應症請見備註欄 

WDD082101SBB 


ALGINATE DRESSING(STERILE) 

10CMX10CM 雅膟藻酸鈣敷料 * 適應症請見備註 

'2101S EA 123 

欄 

WDD082102SBB 



15CMX15CM 雅膟藻酸鈣敷料 * 適應症請見備註 

'2102S EA 250 

欄 

WDD082105SBB 



2.7CMX34CM 雅膟藻酸鈣敷料 * 適應症請見備註 

'2105S EA 100 

欄 

WDD082131MZK 



'2131-M EA 956 

WDD0825060LN 

MELGISORB ABSORBENT CALCIUM 

SODIUM ALGINATE DRESSING(5CMX5CM)* 


'250600 EA 30 

WDD0825110LN 


SODIUM ALGINATE 

DRESSING(10CMX10CM)* 適應症請見備註欄 

'251100 EA 123 

WDD0825150LN 

WDD0825300LN 

WDD0831100CA 

WDD0831150CA 

WDD0831200CA 

WDD0831460CA 

WDD0834100CA 



DRESSING(10CMX20CM)* 適應症請見備註欄 



DRESSING(32CMX2.2CM)* 適應症請見備註欄 

COMFEEL PLUS ULCER DRESSING 





20X20CM ※ 適應症請見備註欄 

COMFEEL PLUS ULCER DRESSING 4X6CM 


"COLOPLAST"BIATAIN NON-ADHESIVE 

DRESSING 10X10CM 平而坦非黏性泡綿敷料 * 


'251500 EA 231 

'253000 EA 100 

'3110 EA 123 

'3115 EA 250 

'3120 EA 400 

'3146 EA 30 

'3410 EA 123 



"COLOPLAST"BIATAIN NON-ADHESIVE 

WDD0834130CA DRESSING 15X15CM 平而坦非黏性泡綿敷料 * '3413 EA 250 


WDD0834160CA 

"COLOPLAST"BIATAIN DRESSING NON- 

ADHESIVE 20CMX20CM 平而坦傷口敷料 * 適應 '3416 EA 400 


WDD0834200CA 

"COLOPLAST"BIATAIN ADHESIVE 

DRESSING 12X12CM 平而坦黏性泡綿敷料 * 適 '3420 EA 157 


WDD0834230CA 

"COLOPLAST"BIATAIN ADHESIVE 

DRESSING 18X18CM 平而坦黏性泡綿敷料 * 適 '3423 EA 350 


WDD0834700CA 

"COLOPLAST"BIATAIN DRESSING SOFT- 

HOLD 10CMX10CM 平而坦傷口敷料 * 適應症請 '3470 EA 123 

見備註欄 

WDD0834720CA 



見備註欄 

WDD0834750CA 



見備註欄 

WDD0835300CA 

COMFEEL PLUS TRANSPARENT DRESSING 


'3530 EA 26 

WDD0835330CA 



'3533 EA 55 

WDD0835390CA 



'3539 EA 123 

WDD0835450CA 



'3545 EA 220 

WDD0835500CA 

"COLOPLAST"BIATAIN AG NON-ADHESIVE 

FOAM DRESSING 10X10CM 平而坦銀離子非 '3550 EA 228 

黏性泡綿敷料 * 適應症請見備註欄 

WDD0835520CA 

"COLOPLAST"BIATAIN AG NON-ADHESIVE 

FOAM DRESSING 15X15CM 平而坦銀離子非 '3552 EA 432 

黏性泡綿敷料 * 適應症請見備註欄 

WDD0835620CA 

"COLOPLAST"BIATAIN AG ADHESIVE FOAM 

DRESSING 15X15CM 平而坦銀離子黏性泡綿 '3562 EA 432 

敷料 * 適應症請見備註欄 

WDD0837100CA 

COMFEEL SEASORB DRESSING 10X10CM 


'3710 EA 123 

WDD0837150CA 

COMFEEL SEASORB DRESSING 15X15CM 


'3715 EA 250 

WDD0839000CA 

COMFEEL PURILON GEL 15GM* 適應症請見 

備註欄 

'3900 EA 172 

WDD0839030CA 

COMFEEL PURILON GEL 25GM* 適應症請見 

備註欄 

'3903 EA 276 

WDD0841010BB 

"B.BRAUN"ASKINA FOAM WOUND 

DRESSING(STERILE)10CMX10CM 雅膟泡棉 '7241010 EA 123 


WDD0841210BB 


DRESSING(STERILE)0CMX20CM 雅膟泡棉敷 '7241210 EA 231 

料 * 適應症請見備註欄 

WDD0842005BB 


DRESSING(STERILE)20CMX20CM 雅膟泡棉 '7242005 EA 400 


WDD0850554BB 

ASKINA THINSITE 10CMX10CM* 適應症請見 

備註欄 

'50554 EA 55 



WDD0850555BB 


備註欄 

'50555 EA 123 

WDD0850556BB 


備註欄 

'50556 EA 220 

WDD0850557BB 

ASKINA THINSITE 5CMX20CM* 適應症請見備 

註欄 

'50557 EA 55 

WDD0860923P8 TENDERWET 7.5X7.5CM※ 適應症請見備註欄 '609235/5 EA 100 

WDD0860924P8 TENDERWET 10X10CM※ 適應症請見備註欄 '609245/3 EA 123 

WDD0860928P8 TENDERWET 10X10CM※ 適應症請見備註欄 '609246;609286 EA 123 

WDD0861500LN 

MOLNLYCKE HYPERGEL 15GM* 適應症請見 

備註欄 

'361500 EA 172 

WDD0868210SQ 

KALTOSTAT CALCIUM-SODIUM ALGINATE 

WOUND DRESSING 5X5CM※ 適應症請見備 '168210 EA 30 

註欄 

WDD0868212SQ 


WOUND DRESSING 7.5X12CM※ 適應症請見 '168212 EA 100 

備註欄 

WDD0868214SQ 


WOUND DRESSING 10X20CM※ 適應症請見 '168214 EA 231 

備註欄 

WDD0868215SQ 


WOUND DRESSING 15X25CM※ 適應症請見 '168215 EA 350 

備註欄 

WDD0871500LN NORMLGEL 15GM* 適應症請見備註欄 '371500 EA 172 

WDD0872041BB 

"B.BRAUN"ASKINA HYDRO 10CMX10CM 雅膟 

親水膞敷料 * 適應症請見備註欄 

'F72041 EA 123 

WDD0872045BB 



'F72045 EA 250 

WDD0872047BB 



'F72047 EA 400 

WDD0872050BB 

ASKINA BS,BP,BT 10X10CM,5X20CM ※ 適應 'F72050;F72010; 


F72090;F72095 

EA 157 

WDD0872051BB 

ASKINA BS,BP,BT 15X15CM ※ 適應症請見備 

註欄型號 F72051、F72015 自 93.1.1 刪除 

'F72091 EA 353 

WDD0872052BB ASKINA BS,BT 20X20CM ※ 適應症請見備註欄 'F72052;F72092 EA 600 

WDD0872789BB 

WDD0872790BB 

WDD0872791BB 

WDD0875400SH 

WDD0875602SH 

WDD0875800SH 

WDD0875826SH 

WDD0877901SQ 

WDD0877902SQ 

WDD0877903SQ 

ASKINA TRANSORBENT 10X10CM ※ 適應症 






ULTEC HYDROCOLLOID DRESSING 








AQUACEL HYDROFIBER DRESSING 5X5CM 


AQUACEL HYDROFIBER DRESSING 


AQUACEL HYDROFIBER DRESSING 


'72789U EA 157 

'72790V EA 353 

'72791W EA 600 

'8884-475400 EA 157 

'8884-475602 EA 353 

'8884-475800 EA 363 

'8884-475826 EA 600 

'177901 EA 30 

'177902 EA 123 

'177903 EA 250 



WDD0887987SQ 

DUODERM HYDROACTIVE GEL 30GM* 適應 


'30GM EA 276 

WDD0887990SQ 

DUODERM HYDROACTIVE GEL 15GM* 適應 


'15GM EA 172 

WDD08900203M 

TEGASORB THIN HYDROCOLLOID 

DRESSING 5CMX10CM* 適應症請見備註欄 

'90020T EA 44 

WDD08900223M HYDROCOLLOID DRESSING 10X10CM( 薄 ) 


'90022 EA 55 

WDD08900273M 

3M TEGASORB THIN HYDROCOLLOID 

'90027T;( 自 971001 起 

DRESSING 15CMX15CM 親水性敷料 * 適應症請 

改為 90025T) 

見備註欄 

EA 123 

WDD08900283M 

WDD08900333M 

3M TEGASORB THIN HYDROCOLLOID 

DRESSING 20CMX20CM 親水性敷料 * 適應症請 

見備註欄 

TEGASORB THIN HYDROCOLLOID 

DRESSING 10CMX10CM * 適應症請見備註欄 

'90028T;( 自 971001 起 

改為 90029T) 

EA 220 

'90022T EA 55 

WDD08900523M 

3M TEGASORB THIN HYDROCOLLOID '90025T;( 自 971001 起 

DRESSING 5CMX20CM* 適應症請見備註欄改為 90027T) 

EA 55 

WDD0890510LN Mepitel 5cm x 7.5cm * 適應症請見備註欄 '290510 EA 73 

WDD0890670P8 HYDROCOLL 10X10CM※ 適應症請見備註欄 '900670/1 EA 123 



WDD0890680P8 

HYDROCOLL SACRAL 15X18CM※ 適應症請 

見備註欄 

'900680/8 EA 350 

WDD0890685P8 

HYDROCOLL TRANSPARENT 10X10CM( 薄 ) 


'900685/5 EA 55 

WDD0890686P8 

HYDROCOLL TRANSPARENT 15X15CM( 薄 ) 


'900686/2 EA 123 

WDD0890710LN Mepitel 7.5cm x10cm* 適應症請見備註欄 '290710 EA 100 

WDD0891010LN 

MEPITEL 10cm x18cm* 適應症請見備註欄 ( 型 

號更正為 291010) 

'291010 EA 231 

WDD0892005LN Mepitel 20cm x30cm* 適應症請見備註欄 '292005 EA 738 

WDD0894100LN 

MEPILEX STERILE 10CMX10CM※ 適應症請 

見備註欄 

'294100 EA 123 

WDD0894200LN 


見備註欄 

'294200 EA 239 

WDD0894300LN 


見備註欄 

'294300 EA 250 

WDD0894400LN 


見備註欄 

'294400 EA 400 

WDD0895200LN 

MEPILEX BORDER SAFETAC SILICON 

FOAM DRESSING 7.5X7.5CM* 適應症請見備 '295200 EA 73 

註欄 

WDD0895300LN 


FOAM DRESSING 10X10CM* 適應症請見備註 '295300 EA 123 

欄 

WDD0895400LN 


FOAM DRESSING 15X15CM* 適應症請見備註 '295400 EA 250 

欄 

WDD0895600LN 

MEPILEX BORDER SAFETAC SELF- 

ADHERENT SOFT SILICONE FOAM 

DRESSING 15CMX20CM* 適應症請見備註欄 

'295600 EA 350 

WDD0899581P8 

"HARTMANN"HYDROPHILIC WOUND 

DRESSING(THIN)(STERILE)HYDROTUL 

5X5CM 親水性創傷覆蓋材 * 適應症請見備註欄 

'499581 EA 26 



WDD0899583P8 

WDD0899584P8 

WDD0899589P8 

WDD0899595P8 

WDD0899598P8 

WDD08C0506BJ 

WDD08C1010SN 

WDD08C1520SN 

WDD08F0102ZW 

WDD09AS810N7 


DRESSING(THIN)(STERILE)HYDROTUL '499583 EA 66 



DRESSING(THIN)(STERILE)HYDROTUL '499584 EA 165 


SORBALGON 10X20CM※ 適應症請見備註欄 



CUTINOVA HYDRO 5X6CM * 適應症請見備註 

欄 

"SMITH&NEPHEW"CUTINOVA HYDRO 

DRESSING 10X10CM* 適應症請見備註欄 

"SMITH&NEPHEW"CUTINOVA HYDRO 

DRESSING 15X20CM* 適應症請見備註欄 

"SAVDERM"FOAM DRESSING 

(STERILE)10X10CM 泡棉敷料 * 適應症請見備註 

欄 

ARTIFICIAL SKIN DERMAL REGENATION 

TEMPLATE 8"X10"* 適應症請見備註欄 

'999589/1;( 型號 

10X20CM) 

'999595/4;( 型號 

10X10CM) 

'999598/1;( 型號 

5X5CM) 

EA 239 

EA 123 

EA 30 

'66047441 EA 30 

'66047443 EA 123 

'66047445 EA 350 

'WDF01A001 EA 123 

'78101;78105 EA 92100

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