Item

Code

Cat

Description

COIDA 2018

GPA

GENERAL PROSTHETIC ACCESSORIES

LA230

A22730

Patella buttons replaced

ea

225.91

LA235

A22735

Re-alignment (dynamic) of AK/TK modular prosthesis

ea

1026.96

LA236

A22736

Re-alignment (dynamic) of BK modular prosthesis

ea

972.20

LA440

A22940

Stump care - Cleani-stump

box

965.29

LA450

A22950

Stump care - Ampu-aid

tube

193.46

LA460

A22960

Stump care - talc

tin

261.89

LA461

A22961

Stump/skin lotion

ea

505.24

LA462

A22962

Stump lubricant

ea

400.45

LA463

A22963

Stump cleaner

ea

463.82

LA464

A22964

Stump moisturiser

ea

463.82

LA465

A22965

Stump ointment

ea

573.45

LA466

A22966

Stump moisturiser derma clean

ea

394.24

LA470

A22970

Stump care - balm

tin

463.80

LA480

A22980

Stump coning bandage 6cm

ea

378.30

LA481

A22981

Stump coning bandage 8cm

ea

477.48

LA482

A22982

Stump coning bandage 10cm

ea

640.19

LA483

A22983

Prosthetic sheath albert andre per pair

ea

698.32

LA484

A22984

Prosthetic sheath merit

ea

99.57

LA485

A22985

Fix prosthetic local 601 kneebrace

ea

414.43

LA486

A22986

Stump sock with hole for pin local

ea

298.34

LA487

A22987

Stump sock with pin imported

ea

399.83

LA488

A22988

Dermaseal residual limb stock 453D7

ea

1933.65

LA490

A22990

Stump coning bandage 15cm

ea

698.32

ADAPTORS

AD001

A24001

2R2 tube adaptor stainless steel

ea

1847.54

AD002

A24002

Bibr-003 hawk tube adaptor short E05S-BOSS

ea

842.06

AD003

A24003

2R3 tube adaptor stainless steel

ea

1980.85

AD004

A24004

Tube with adaptor 1907-13

ea

1327.15

AD005

A24005

2R38 tube adaptor titanium

ea

3891.81

AD006

A24006

A-712010 tube adaptor aluminium short

ea

509.25

AD007

A24007

S-712020 tube adaptor aluminium long

ea

642.99

AD008

A24008

Bibr-004 hawk tube adaptor E05S-A SS

ea

1063.89

FOOT ADAPTORS

AD009

A24009

2R8=10 sach foot adaptor 1907-14

ea

1119.24

AD010

A24010

Sach foot adaptor 1907-14

ea

1200.15

AD011

A24011

2R8=8 sach foot adaptor stainless

ea

1119.24

AD012

A24012

2R31 sach foot adaptor titanium

ea

2584.57

AD013

A24013

2R54 sach foot adaptor aluminium

ea

2128.92

AD014

A24014

Bibr-001 hawk sach foot adaptor E01S-M10SS

ea

502.52

AD015

A24015

2R10 single axis foot adaptor stainless steel

ea

2782.53

AD016

A24016

2R51 single axis foot adaptor titanium

ea

6099.16

AD017

A24017

2R33 single axis foot adaptor titanium

ea

8099.84

AD018

A24018

2R14 connection plate for each foot

ea

151.88

AD019

A24019

Sach foam connector

ea

151.88

AD020

A24020

2R22 connection cap for single axis foot

ea

317.46

TUBE CLAMP ADAPTORS

AD021

A24021

4R21 tube clamp adaptor stainless

ea

1742.97

AD022

A24022

Tube clamp connector 1907-22

ea

1213.87

AD023

A24023

4R82 tube clamp adaptor titanium

ea

4748.36

AD024

A24024

A-342100 tube clamp adaptor female pyramid

ea

1282.05

AD025

A24025

409054-BI tube clamp adaptor

ea

1861.87

SOCKET ADAPTORS

AD026

A24026

Bibr-005 hawk clamp adaptor EO7S SS

ea

943.93

AD027

A24027

4G70 TK lamination anchor

ea

4779.52

AD028

A24028

4R116 lamination anchor

ea

3941.61

AD029

A24029

4R41 lamination anchor/socket with rotate

ea

3782.26

AD030

A24030

4R43 lamination anchor

ea

2203.61

AD031

A24031

Rotating socket adaptor 1907-40

ea

3260.61

AD032

A24032

4R51 socket adaptor with rotation

ea

4554.14

AD033

A24033

4R37 socket adaptor with rotation

ea

2318.16

AD034

A24034

4R89 socket adaptor with rotation

ea

3708.80

AD035

A24035

Bibr-006 hawk 3 prong socket adaptor with rotation

ea

1337.78

AD036

A24036

Bibr-007 hawk 3 pyramid adaptor with rotation

ea

1247.24

AD037

A24037

4R100 socket adaptor titanium Bk

ea

3545.71

AD038

A24038

4R68 socket adaptor titanium Bk

ea

2436.43

AD039

A24039

4R55 socket adaptor titanium

ea

3025.31

AD040

A24040

4R95 socket adaptor aluminium

ea

1752.31

AD041

A24041

4R22 socket adaptor stainless steel

ea

1293.93

AD042

A24042

2R63 socket adaptor stainless

ea

1574.89

AD043

A24043

BK socket adaptor with pyramid

ea

1365.73

AD044

A24044

4R42 socket adaptor stainless

ea

2163.77

AD045

A24045

3 prong socket adaptor

ea

1757.79

AD046

A24046

A-1104040 4 prong socket adaptor

ea

1924.74

AD047

A24047

Bibr-008 3 prong fixed pyramid adaptor E11S SS

ea

1308.22

AD048

A24048

Bibr-009 4 prong socket adaptor E12S SS

ea

769.62

AD249

A24049

5R1 socket attachment block

ea

1559.96

AD250

A24050

6PC599 socket lamination platform

ea

4721.17

AD251

A24051

Boww-037 laminating socket attachment Block 70020

ea

1007.31

AD252

A24052

Boww-240 laminating socket attachment block

ea

1052.58

AD253

A24053

4R98 Sliding adaptor

ea

4367.40

AD254

A24054

Boww-200 pyramid sliding adaptor

ea

5616.00

SILICONE SLEEVE

SS001

A24001

6Y42 silicone sleeve without pin

ea

5579.42

SS002

A25002

6Y70 silicone gel liner

ea

8037.12

SS003

A25003

6Y80 sleeve transfemoral

ea

9044.02

SS004

A25004

14Y1 silicone arm liner

ea

10151.27

SS006

A25006

I-0104 original icecross sleeve without cover

ea

6319.04

SS008

A25008

I-4013 derma lock in sleeve

ea

8572.74

SS009

A25009

I-5006 icecross comfort locking/Cushion liner

ea

8168.00

SS010

A25010

I-6003 icecross synergy locking

ea

9781.04

SS011

A25011

I-7132 icecross transfemoral locking/cushion liner

ea

10818.06

SS014

A25014

GPDT general purpose liner

ea

11378.20

SS015

A25015

GPFR general purpose line

ea

11378.20

SS016

A25016

AKDT alps locking liner

ea

11403.77

SS017

A25017

AKFR alps cushion liner

ea

11403.77

SS018

A25018

Boww-016 alpha spirit cushion liner SP ALC5366

ea

9122.31

SS019

A25019

Boww-006 alpha original lock liner

ea

10978.47

SS020

A25020

Boww-221 alpha AK Lock in liner

ea

11193.52

SS021

A25021

Boww 225 alpha AK cushion AKL

ea

9122.31

SEAL IN SLEEVES

SS022

A25022

I-4613 icecross dermo seal in sleeve

ea

9627.47

SS023

A25023

I-7532 icecross transfemoral seal in sleeve

ea

12249.56

SS024

A25024

I-7632 icecross transfemoral seal in conical

ea

12249.56

SEAL IN SOCKS

SS025

A25025

K5313 seal in liner socks 3 ply

ea

289.25

SS026

A25026

K5311 seal in liner sock 1 ply

ea

192.01

KNEE SLEEVES

SS027

A25027

453A2=1-4 derma comfort ORT knee sleeve

ea

2603.11

SS028

A25028

453A3=1-3 profelex knee sleeve

ea

3157.27

SS029

A25029

453A-4=1-3 profelex knee sleeve short

ea

2806.46

SS030

A25030

F-2011 icecross knee sleeve = 35-62

ea

2588.99

SS031

A25031

BDAW-301 daw G-sleeve

ea

1453.23

SS032

A25032

BDMI-182 medi genu sleeve Mk00203000

ea

1776.93

DISTAL CUPS

SS033

A25033

I-3000 distal cup

ea

2294.62

SS034

A25034

Boww-042 gel cups

ea

1097.65

VOLUME MANAGE PADS

SS035

A25035

Boww-045 volume manage pads X3

ea

776.74

SS036

A25036

BPRO-002 1K10 protector pad

ea

4135.59

PINS

SS037

A25037

6Y13=3 long pin only

ea

1644.61

SS038

A25038

L-192000 attachment pin standard

ea

736.80

SS039

A25039

Boww-074 alpha lock pin

ea

848.86

SHUTTLE LOCKS

SL651

A36651

Shuttle lock fit

ea

3118.52

SL040

A25040

6A20 shuttle lock with distal adjustment pyramid

ea

11434.22

SL041

A25041

6A30=20 and 10 shuttle lock

ea

9362.26

SL042

A25042

14A1 shuttle lock to attach 14Y1 Silicone liner

ea

8875.46

SL043

A25043

L-621000 ice ratchet

ea

2656.69

SL044

A25044

109108 blatchford shuttle lock

ea

8470.84

SL045

A25045

Alps shuttle lock with pyramid S498-P

ea

6625.60

SL047

A25047

Boww-061 alpha lock kit

ea

5618.26

SL048

A25048

Boww-062 lanyard lock kit

ea

5975.91

SL049

A25049

Bibr-040 hawk shuttle lock E70

ea

5206.28

VALVES

VL050

A25050

21Y12 screw valve kit

ea

3724.98

VL051

A25051

21Y40 suction valve

ea

539.07

VL052

A25052

21Y41 seat ring for 21Y40 valve

ea

154.37

VL053

A25053

21Y105 valve kit for flexible sockets

ea

1932.21

VL054

A25054

4R140 one way valve for knee sleeves

ea

1550.00

VL055

A25055

L-552000 ice lock expulsion valve TF AK valve

ea

1553.61

VL056

A25056

L-551002 ice lock expulsion valve TF AK valve

ea

1394.68

VL057

A25057

BMDI-240 medi vacu valve-1810723000

ea

654.19

VL058

A25058

BUSN-001 green dot valve plastic

ea

1416.63

VL059

A25059

BUSN-002 green dot valve stainless steel

ea

1044.17

LA510

A25060

Suction valve standard

ea

738.90

LA520

A25061

Suction valve total contact

ea

1351.69

LA530

A25062

Suction valve Green dot standard

ea

1351.69

LA540

A25063

Suction valve Green dot total contact

ea

1351.69

REPAIR KITS

RK001

A26001

2D2 single component pack for 1A6 and 1A29

ea

1175.72

RK002

A26002

2D3 for 1A20 foot

ea

718.86

RK003

A26003

2D5 service pack for 2R10 ankle

ea

368.59

RK004

A26004

3D4 service kit for 3P23 knee

ea

1749,90

RK005

A26005

2D1 Service for 3R15/3R46/3R42 knees

ea

830.17

RK006

A26006

4D13 service kit for 3R36/R20

ea

1442.47

RK007

A26007

4D18 service kit for 3R46 knee

ea

1248.70

RK008

A26008

4D19 repair kit for 3R55

ea

1047.19

RK009

A26009

4V34 declaration bumper

ea

485.70

RK010

A26010

4H5=26 knee extension stop rubber

ea

118.21

RK011

A26011

4H21 shin extension stop rubber

ea

98.09

RK012

A26012

7U25 joint bearing 509K 11X5X16X5

ea

202.37

RK013

A26013

7U25 joint big screw 501A22

ea

103.34

RK014

A26014

7U25 small joint screw 501S6X8XM3.5

ea

31.65

RK015

A26015

4B52 swinging block

ea

1761.31

RK016

A26016

4D7 repair kit for 3R21/3R30

ea

2855.66

RK017

A26017

4F34 lock control unit AK 93R17/3R33/3R40/3R41) KNEE

ea

1052.38

PARTIAL HAND PROSTHESIS

PH010

A30010

Partial hand passive

ea

22572.32

PH020

A30020

Partial hand functional

ea

31929.59

PH030

A30030

Partial opposition post

ea

15746.57

PARTIAL HAND REPAIRS

PH050

A30050

Partial new silicone socket

ea

7210.96

PH060

A30060

Partial hand - cosmetic glove replaced

ea

5429.09

PH070

A30070

Partial hand - replace zip to glove

ea

5018.34

WD

WRIST DISARTICULATION PROSTHESIS

WD010

A30510

Wrist disarticulation - passive

ea

43936.36

WD020

A30520

Wrist disarticulation - functional

ea

57981.67

WD021

A30521

Refit Wrist Disarticulation

ea

13121.40

BE

BELOW ELBOW PROSTHESIS

BE010

A31010

Below elbow prosthesis - passive hand & cosmetic cover

ea

43936.36

BE020

A31020

Below elbow prosthesis - functional hand & cosmetic cover

ea

57981.67

BE040

A31040

BE test socket - diagnostic

ea

2464.65

ED

ELBOW DISARTICULATION PROSTHESIS

ED010

A31510

Elbow disarticulation prosthesis - passive hand and cosmetic cover

ea

65464.65

ED020

A31520

Elbow disarticulation prosthesis - functional hand and cosmetic cover

ea

85317.34

ED030

A31530

ED test socket - diagnostic

ea

2464.65

ED031

A31531

Refit ED

ea

26874.96

ABOVE ELBOW PROSTHESIS

AE010

A32010

Above elbow prosthesis - passive hand & cosmetic cover incl

51499.94

AE020

A32020

Above elbow prosthesis - functional hand & cosmetic cover incl

68068.00

AE040

A32040

AE test socket - diagnostic

2464.65

ADDITIONAL CHARGES

AE060

A32060

Automatic locking elbow 12K4

ea

23972.49

AE065

A32065

Elbow joint with cable lock

ea

16819.81

AE067

A32067

Step-up joints for short BE or TE

ea

18921.55

Notes

Manual locking elbows 12K5 are supplied as standard. Prosthetist may supply an automatic elbow on request and adjust the fee accordingly.

The cost of the standard elbow must be deducted and the automatic elbow added.

Prosthetic hooks are not included with upper extremity prosthesis as standard.

SD

SHOULDER DISARTICULATION PROSTHESIS

SD010

A32510/1

Shoulder disarticulation prosthesis manual elbow (incl. passive hand & cosmetic cover)

ea

71308.03

A32510/2

Shoulder disarticulation prosthesis electric elbow (incl. passive hand & cosmetic cover)

ea

86554.82

SD020

A32520

Shoulder disarticulation - with electric elbow functional hand & cosmetic cover incl

ea

87874.42

A33155

Refit Shoulder disarticulation

ea

30756.03

AA

ACCESSORIES

AA010

A33010

Cable - AE

ea

2468.03

AA020

A33020

Cable - BE

ea

2255.78

AA030

A33030

Corset - BE

ea

2249.06

AA040

A33040

Passive hand

ea

10581.06

AA050

A33050

Felt hand

ea

10581.06

AA060

A33060

Functional hand

ea

13283.62

AA070

A33070

Harness - AE

ea

2255.83

AA080

A33080

Harness - BE

ea

2265.81

AA090

A33090

Hook elastics

ea

59.97

AA100

A33100

Prosthetic glove - cosmetic

ea

5386.35

AA110

A33110

Prosthetic glove - leather

ea

1126.30

AA120

A33120

Prosthetic hook - aluminium

ea

15448.70

AA130

A33130

Prosthetic hook - steel

ea

19767.05

AA140

A33140

Refit AE

ea

20008.48

AA150

A33150

Refit BE

ea

12484.26

AA160

A33160

Wrist insert - Only with repairs or when hook is required

ea

1453.07

AA165

A33165

Wrist Unit inclusive of wrist insert

ea

5651.62

AA170

A33170

Manual locking elbow 12K5 inclusive with new. Only charge separate with repairs

ea

8725.70

AA175

A33175

Re laminate BE

ea

1783.89

AA180

A33180

C708 Base Plate

ea

96.31

AA185

133185

21A29=25 Auxila Loop

ea

738.84

AA190

A33190

C711HD Hanger

ea

195.24

AA195

A33195

C711 Standard Hanger

ea

156.94

AA196

A33196

C713HD Ball Receiver

ea

295.45

AA197

A33197

C713 Standard Ball Receiver

ea

253.52

AA198

A33198

C703HD Ball Terminal

ea

100.60

AA199

A33199

C703 Standard Ball Terminal

ea

130.79

AA200

A33200

C701HD Triple Swivel

ea

290.88

AA201

A33201

C703 Standard Triple Swivel

290.88

AA202

A33202

C709HD Retainer

ea

164.99

AA203

A33203

C709 Standard Retainer

ea

141.35

AA204

A33204

C710HD Cross Bar

ea

261.57

AA205

A33205

C710 Standard Cross Bar

ea

252.78

SS

PROSTHETIC SOCKS

SS010

A35010

Stump sock - BK local

ea

403.98

SS020

A35020

Stump sock - AK local

ea

451.81

SS030

A35030

Stump sock - Arm local

ea

290.95

SS040

A35040

Stump sock - Symes local

ea

749.68

SS050

A35050

Stump sock - BK 5 ply - imported

ea

799.36

SS055

A35055

Stump sock - BK 3 ply - imported

ea

749.68

SS060

A35060

Stump sock - AK 5 ply - imported

ea

799.36

SS065

A35065

Stump sock AK 3 ply - imported

ea

749.69

SS070

A35070

Stump sock Arm 3 ply - imported

ea

403.98

SS075

A35075

Stump sock Arm 5 ply - imported

ea

479.18

SS080

A35080

Stump sock - Symes 3 ply - imported

ea

1107.38

SS085

A35085

Stump sock - Symes 5 ply - imported

ea

1206.72

SS090

A35090

Prosthetic sheath - imported

ea

453.50

SS096

A35096

Prosthetic sheath - Local

ea

99.57

SS093

A35093

Prosthetic sheath with hole for pin - local

ea

102.73

SS097

A35097

Stump sock with hole for pin - local

ea

298.34

SS095

A35095

Stump sock with hole for pin imported

ea

399.83

SS100

A35100

Protective sheath - American

2242.13

SS105

A35105

Protective sheath - European (Derma seal)

3780.86

SS106

A35106

Dermaseal residual limb sock 453D7

ea

2033.04

SS110

A35110

Fix Prosthesis - European (Daw)

ea

1076.63

SS120

A35120

Fix Prosthesis - American (silicone suspension liner)

ea

530.55

SS121

A35121

Fix prosthesis local 601 kneebrace

ea

414.43

SS130

A35130

Stump shrinker BK

ea

855.47

SS140

A35140

Stump shrinker AK

ea

1136.96

SUSPENSION SYSTEMS

AK150

A21650

AK - hip-joint and pelvic band to prosthesis

ea

9749.11

AK700

A21700

AK - shoulder belt

ea

987.54

AK701

A21701

AK - silesion belt

ea

904.47

AK704

A21704

AK - silesion strap

ea

274.22

AK708

A21708

AK - waist belt

ea

951.03

AK712

A21712

AK - neoprene suspension belt

ea

2500.89

BK132

A20632

BK joints and thigh corset

ea

17520.49

BK133

A20633

BK joints and weightbearing corset

ea

19664.49

BK192

A20692

BK back check strap

ea

548.52

BK193

A20693

BK backlift

ea

568.64

BK194

A20694

BK crutch strap

ea

613.87

BK197

A20697

BK ptb strap

ea

1063.03

BK198

A20698

Front Control strap

ea

678.17

BK200

A20700

BK thigh corset

ea

2947.58

BK201

A20701

BK waistbelt leather

ea

1141.03

BK202

A20702

BK waistbelt webbing

ea

747.24