自費項目價目表健保不給付 - shh.tmu.edu.tw°±醫指南/shh_document_01.pdf ·...

院內代碼自費健保代碼英文品名中文品名許可證字號自費價

2233574113 TSZ010846001C8301(Small-2.5~6cm)Alexis Wound

Retractor Incisions"安培"凝膠式腹腔鏡手通路裝置衛署醫器輸字第010846號 2,800

2233574114 TSZ010846002C8302(Medium-5~9cm) Alexis

WoundRetractor Incisions"安培"凝膠式腹腔鏡手通路裝置零配件(9-14cm) 衛署醫器輸字第010846號 3,150

2396026235 FBZ021630001Uniblate(優布蕾)700-103598-10.103597-

15.103530-25

安吉優戴爾美德”射頻燒灼手術系統及其配件(限

用於軟組織的凝血和切除)衛署醫器輸字第021630號 20,680

2382897150 WDZ011522001183、374(快可敷片)Quikclot

Dressing(Sterile)10片/盒"潔美"快可敷片衛署醫器輸壹字第011522號 3,500

2376019034 CBZ020238001620-103-640-xx(冠狀動脈)Coronary

Dilatation Cathete＂奧爾＂速高冠狀動脈擴張導管衛署醫器輸字第020238號 22,000

2173900003 TTZ020377001Baxter(5ml) Flosaeal hemostatic Metrix 伏血

凝止血劑「”百特”伏血凝止血劑」(5ml) 衛署醫器輸字第020377號 15,600

2360006011 WHZ020019001BG3502-5US(2ML)BioGlue SURGICAL

ADHESIVE 拜歐古陸-手術凝膠拜歐古陸手術凝膠衛署醫器輸字第020019號 22,100

2360089001 FHZ0203180015200(二尖瓣膜修補環)Edwards physio

Annuloplasty Ring"愛德華"菲斯歐二尖瓣膜修補環衛署醫器輸字第020318號 38,000

2360263011 CGZ022103001"Cordis" Outback LTD Re-entry Catheter奧貝

克重置導管"考迪斯"奧貝克重置導管衛署醫器輸字第022103號 90,000

2372001011 FSZ016580001

25202-

01"MacroPore"SurgiWrapi0.02mm,10*13cm

防粘黏膜

馬斯特生物消溶阻黏膜衛署醫器輸字第016580號 12,000

2372001013 FSZ01658000325502-01 SurgiWrap Bioresorbable Adhesion

Barrier Film馬斯特生物消溶阻黏膜衛署醫器輸字第016580號 19,900

2372001014 FSZ01658000425504-01 SurgiWrap Bioresorbable Adhesion

Barrier Film馬斯特生物消溶阻黏膜衛署醫器輸字第016580號 24,900

2180004163 CKZ018231001RMS-060024-28(金屬)Resonance Metallic

Ureteral Stent Set"曲克"雷瑟尼斯金屬輸尿管支架組衛署醫器輸字第018231號 30,000

2176045522 CDZ010291001 ZILVER BILIARY STENT膽道支架利爾芙膽道支架衛署醫器輸字第010291號 38,000

2176045521 CDZ011257001NITI(無覆膜)-S BILIARY UNCOVERED

STENT膽道支架"泰悟" 膽道支架-無覆膜衛署醫器輸字第011257號 52,000

2271001035 TKZ018008001Celon ProSuge Celonpro Surge(OLYMPUS)

雙極無線電治療針"奧林柏斯"射頻雙極電燒系統:電燒探頭衛署醫器輸字第018008號 40,300

2160045104 FSZ020127001(EVO-22-27)Evolution Duodenal Stent

System〝曲克〞愛佛盧迅十二指腸支架系統衛署醫器輸字第020127號 54,600

2388999026 FBZ018422001 Coflex Interspinous Implants可復式脊突植入可復適脊突間植入物衛署醫器輸字第018422號 110,500

2188909503 FBZ021896001 Dynesys(三節)TL Spinal System "西美"丹尼絲第提歐植入物-三節

衛署醫器輸字第021896號+


衛署醫器輸字第021022號

137,800

2188909510 FBZ021896002Dynesys(四節)DTO Implant Spinal System上

載式第提歐系統"西美"丹尼絲第提歐植入物四節



衛署醫器輸字第021022號

192,400

2188930401 FBZ023047001 TM-100(Cervic)Trabecular Metal "捷邁"多孔鉭金屬椎體替代物衛署醫器輸字第023047號 50,945

2188930417 FBZ023401001038W0AS-(MIS-微創專用)Spinal Uni-Wallis

椎間支撐固定器系統"捷邁"椎間支撐固定器系統衛署醫器輸字第023401號 44,000

2188909504 FBZ010561001CD Horizon(二節) M8 Sextant Percutaneous

Spinal System"美敦力"思迪M8經皮脊椎固定系統-2節衛署醫器輸字第010561號 76,700

2188909581 FBZ0105610038672030-2090(Rod短)CD Horizon M8

Sextant-Pre-Bent Rod

"美敦力"思迪M8經皮脊椎固定系統-短節固定桿

(微創)衛署醫器輸字第010561號 9,360

2188909527 FBZ0105610048672030-2090(Rod長)CD Horizon M8

Sextant-Pre-Bent Rod

"美敦力"思迪M8經皮脊椎固定系統-長節固定桿

(微創)衛署醫器輸字第010561號 20,800

2188262033 FBZ000663001UNITED XPE PATELLA 高耐磨聚乙稀臏骨

植入物"聯合"康膝人工膝關節:高耐磨聚乙烯髕骨植入物衛署醫器製字第000663號 40,375

2188262031 FBZ001396001UNITED XPE TIBIAL INSERT (XCR) 高耐

磨聚乙稀脛骨關節面襯墊

"聯合"康膝人工膝關節:高耐磨聚乙烯脛骨關節面

襯墊-適用一般曲度衛署醫器製字第001396號 56,000

2188908021 FBZ003129001 APS 4.0mm LCP Locking Plate System愛派司金屬鎖定骨板骨釘系統組:股骨遠端外側

鎖定骨板(湯匙9孔型)衛署醫器製字第003129號 59,000

2388802004 FBZ007513002Articular Surface (Prolong) 高分子聚乙烯人

工膝關節耐磨墊片

"西美"人工膝關節-超高分子高度交叉連結聚乙烯

墊片衛署醫器輸字第007513號 56,250

2388800180 FBZ018775001EXPERT FEMORAL、TIBIA NAIL

SYSTEN 萬向股骨脛骨髓內釘"信迪思"脛骨髓內釘:鈦合金脛骨髓內釘衛署醫器輸字第018775號 67,600

2388999203 FBZ019987001 "Medtronic"DIAM Spinal Stabilization System "庫欣"活動式椎間輔助穩定植入物衛署醫器輸字第019987號 108,000

2188908071 FBZ020069001RR-3019-RL-UL-(骨髓內)Small Bone

Locking Rod IM Rod System“艾克曼”小骨骨髓內固定桿系統衛署醫器輸字第020069號 60,000

2388800184 FBZ020276001PFN.A2FN(ProximalFemoralNailsystem)鈦合

金股骨上端髓內釘"信迪思"股骨髓內釘:股骨順行髓內釘衛署醫器輸字第020276號 67,600

2188909041 FBZ021496001 Scorpio NRG X3 Tibial Bearing lnsert“好美得卡奧斯得寧” 斯高比歐全人工膝關節系

統-臏骨超耐磨墊片衛署醫器輸字第021496號 46,410

2388999018 FBZ021499001Hyalubrix(關節腔注射劑-30gm/2ml)Intra-

articular injection優倍力關節腔注射劑衛署醫器輸字第021499號 3,500

2388919174 FBZ023041001 HF0605(軟塊狀型) NovaBone Putty 5.0cmm"諾亞"生物可吸收骨替代材料-多孔塊狀

(7*8*23mm*2)衛署醫器輸字第023041號 46,000

2388999212 FBZ023026001C-001(人工頸椎) Prodisc-C Nova Cervical

Disc Prosthesis"信迪思"新一代人工頸椎椎間盤衛署醫器輸字第023026號 255,000

2173006104 CDZ02288700144420-PS Strata NSC Lumboperitoneal Valve

andShunt System“美敦力”史卓塔腦脊髓液腰椎腹膜閥及分流系統衛署醫器輸字第022887號 180,000

自費項目價目表(健保不給付)

說明：本自費項目價目表(健保不給付)，置於網頁供民眾查詢、並定期更新資料，若收費金額有異者，以計算當時之價格為準。

更新日期：107.06.01

1


2176045526 CDZ023568001BB-BBC100418-Bonastent Biliary Stent 博娜-

膽道支架“博娜”膽道支架衛署醫器輸字第023568號 66,000

2176001001 CHZ009864001610132-(血管穿刺後止血器)ANGIO-SEAL

VASCULAR CLOSURE DEVICE“聖猷達”血管穿刺後止血器衛署醫器輸字第009864號 12,000

2176001006 CMZ020976001DC2V103-5(栓塞用)DC Bead Drug Delivery

Embolisation System“百而康”遞西微珠藥物傳遞栓塞系統衛署醫器輸字第020976號 60,000

2376038066 CXZ0101230018020-xx(電生理診斷導

管)ElectrophysiologyDiagnostic Catheter“爾灣”電生理診斷導管衛署醫器輸字第010123號 73,750

2376038065 CXZ021565001401908-(20極)Livewire steerable

electrophysiology catheter“聖猷達”可控式生理電極導管衛署醫器輸字第021565號 66,250

2388802003 FBZ009500002 Periatricular plate+screw 西美骨板系統-互鎖螺釘衛署醫器輸字第009500號 55,000

2188908407 FBZ013894001NCB(股骨骨板)Polyaxial Locking Plate

System─Femur Plate"西美"恩希比骨板系統─互鎖骨板衛署醫器輸字第013894號 89,000

2388999221 FBZ020327001LDR Mobi Cervical Disc Prosthesis 莫比頸椎

人工椎間盤“艾迪爾”莫比頸椎人工椎間盤衛署醫器輸字第020327號 230,000

2188930594 FBZ020346001"HERAEUS" BONE CEMENT WITH

GENTAMICIN "賀利氏"骨水泥含抗生素“賀利氏”骨水泥含抗生素衛署醫器輸字第020346號 18,000

2384035007 FBZ020591001Osteopal(低溫)V(66031896)Bone Cement賀

利氏歐斯特(脊椎)骨水泥“賀利氏”歐斯特保脊椎專用骨水泥衛署醫器輸字第020591號 33,600

2188999126 FBZ022225001SN2027-0-20055-3055(脊椎固定裝

置)Universal Clamp捷邁脊椎固定裝置衛署醫器輸字第022225號 42,000

2188908402 FBZ022283001NCB-PP(股骨) Periprosthetic Femur Polyaxial

Locking Plate

"捷邁"恩希比多軸性螺釘固定股骨骨板組─互鎖

骨板衛署醫器輸字第022283號 89,000

2396012953 FHZ02337600337612(神經刺激器-RC)Activa

Neurostimulator-RC美敦力”艾提神經刺激器-RC 衛署醫器輸字第023376號 1,050,000

2172054141 FSZ022998001 Y100-(Y型支撐網補片)Alyte Y-Mesh Graft "巴德" 艾力Y型支撐網補片衛署醫器輸字第022998號 28,000

2260888128 SCZ020173001HSK-3043,3038,3045-Heartstring III Proximal

Seal System“邁柯唯”心索第三代近端血管吻合系統衛署醫器輸字第020173號 28,000

2396026121 STZ022153001HEM3348/3335

HAEMORRHOID3.5mm/4.8mm Staple" 柯惠 " 環狀痔瘡切除套組衛署醫器輸字第022153號 18,000

2176001005 FRZ023000001HepaSphere Embolization

Microspheres(25gm) 海派栓塞微球體海派栓塞微球體衛署醫器輸字第023000號 55,000

2188908501 FBZ022132001N.M.B.(Humerus肱骨髓內釘)Fixion

Intramedullary Nail system"恩莫伯"費克斯髓內釘組-肱骨髓內釘衛署醫器輸字第022132號 70,000

2188908502 FBZ022132002N.M.B.(Femoral股骨髓內釘)Fixion

Intramedullary Nail system"恩莫伯"費克斯髓內釘組-股骨髓內釘衛署醫器輸字第022132號 70,000

2188908503 FBZ022132003N.M.B.(Tibia 脛骨髓內釘)Fixion

Intramedullary Nail system"恩莫伯"費克斯髓內釘組-脛骨髓內釘衛署醫器輸字第022132號 70,000

2388999231 FBZ019810001 Activ C Intervertebtral Disk Prosthesis 人工頸 "雅氏"人工頸椎椎間盤植入物衛署醫器輸字第019810號 258,750

2188048104 FBZ022237001PL-CL6.8.10LMS-XX Locking clavicle plate

6-10H"艾克曼"鎖骨骨板系統衛署醫器輸字第022237號 78,000

2372001031 FFZ023001001"BAXTER"ADEPT 4% ICODEXTRIN

SOLUTION 克沾黏溶液"百特"克沾黏溶液衛署醫器輸字第023001號 14,500

2188920103 FBZ023691001 HPS(動態連接器)Sping HPS System-Rod "派瑞德"賀福司固定系統:動態連接器衛署醫器輸字第023691號 50,000

2188920104 FBZ023691002 HPS(連接桿-短)HPS System- Prebent Rod "派瑞德"賀福司固定系統:連接桿(短) 衛署醫器輸字第023691號 2,000

2188908301 FBZ021080001VariAx Distal Radius遠端橈骨

LockingPlateSystem-Plate“史賽克雷賓格爾”遠端橈骨固定系統-骨板衛署醫器輸字第021080號 52,000

2396026100 SAZ009521001 PPH01-03Hemorrhoid Alcircular痔瘡環狀切愛惜康普克美釘合器衛署醫器輸字第009521號 18,200

2388999236 FBZ02178800111PDC1-HIS-4(頸椎間盤)DISCOCERV

Cervical Disc Prosthesis“賽恩司”頸椎椎間盤植入物衛署醫器輸字第021788號 259,000

2388999241 FBZ021437001CDP-TI (SPINEART) Cervical Disc

Prosthesis 頸椎椎間盤植入物"司佰特"頸椎椎間盤植入物衛署醫器輸字第021437號 250,000

2396009196 FSZ014504001C-AFP-0.6x9.5,BIODESIGN SURGISIS

ANAL FISTULA PLUG"曲克"拜爾迪賽肛門廔管塞衛署醫器輸字第014504號 38,000

2372001021 FSZ019410001Hyalobarrier Gel(空針10ml+cannula5cm)抗沾

黏凝膠亞諾貝爾生化可吸收膠衛署醫器輸字第019410號 10,000

2372001002 FSZ018915001Seprafilm(13*15cm) BIORESORBABLE

MEMBRANE 生化可吸收膜"健臻"防粘黏薄膜(13*15cm,單片) 衛署醫器輸字第018915號 13,500

2188930566 FBZ024065001F20 Polymethylmethacrylate Bone Cement 椎

體成形術骨水泥“特科渼”椎體成形術骨水泥衛署醫器輸字第024065號 25,000

2184035141 FBZ022256001Cortoss Bone Augmentation

Material+(MixTip*3+Gun*1)“歐托維塔”寇托斯骨填充複合材料衛署醫器輸字第022256號 72,800

2194019001 CBZ021382001M00320722-20xx(PTA 血管擴張術氣球導

管) Balloon Catheter“波士頓科技”捷威經皮穿腔血管擴張術氣球導管衛署醫器輸字第021382號 20,000

2184035151 FBZ021578001Teknimed”Spine-Fix Vertebroplasty Bone

Cement“泰克美”脊固骨水泥衛署醫器輸字第021578號 32,500

2388999211 FBZ019681001"DePuy"Discover Artificial Cervical Disc

System 帝發頸椎椎間"帝富脊椎"帝發頸椎椎間盤系統衛署醫器輸字第019681號 244,375

2273001011 WDZ0090100011010080(膠原止血劑 35*35mm)

Microfibrillar Collagen Hemostat艾維停微纖維膠原止血劑衛署醫器輸字第009010號 3,290

2260001011 SAZ02254600112673-(血管縫合器)ProGlide Suture-

Mediated Closure System“亞培”普克艾經皮血管縫合器系統衛署醫器輸字第022546號 12,000

2300000136 SAZ0223450010113115(LAP-15TA)SorbaFix Absorbable

Fixation System“巴德”速巴定可吸收性固定系統衛署醫器輸字第022345號 10,200

2384035006 FBZ0230270011121-140-01 Hi-Fatigue G Bone Cement(aap

Biomaterials)捷邁高抗力骨水泥衛署醫器輸字第023027號 20,800

2388919008 FBZ0108660018600-0050(0.5cc) AlloMatrix Injectable Putty

人工骨骼替代品“瑞德”艾羅麥人工骨骼替代品 -0.5c.c 衛署醫器輸字第010866號 9,918

2388919009 FBZ0108660028600-0100(1cc)AlloMatrix Injectable Putty人

工骨骼替代品“瑞德”艾羅麥人工骨骼替代品- 1c.c 衛署醫器輸字第010866號 19,399

2388919010 FBZ0108660038600-0500(5cc)ALLOMATRIX Injectable

Putty 5c.c“瑞德”艾羅麥人工骨骼替代品- 5c.c 衛署醫器輸字第010866號 69,069

2


2388919016 FBZ018878001(87SR-0404/IN04)PRO-DENSE Injectable

Graft4CC人工代用骨“瑞德” 浦登仕人工代用骨-4c.c 衛署醫器輸字第018878號 55,000

2188048108 FBZ020565001LCP(3.5mm)Sup-Anterior plate system

(Clavicle)"信迪思"3.5mm 鎖定加壓鎖骨骨板系統衛署醫器輸字第020565號 54,600

2388800193 FBZ024032001DistalRadius2.4volarlPlate(lockingdistaldarius

system"信迪思"2.4mm 多角度鎖定加壓遠端橈骨骨板衛署醫器輸字第024032號 52,000

2188048130 FBZ007804005412.101(3.5 Lock-鎖定螺釘)404.810(3.5Cort)

Locking screw"信迪思"3.5mm 鎖定骨螺釘衛署醫器輸字第007804號 5,800

2372001001 WDZ014171001M4350(7.6*10.2cm) GYNECARE Interceed

防沾黏纖維網“蓋那客”安得喜衛署醫器輸字第014171號 9,261

2188048118 FBZ024052001 422.531-(遠端尺骨2.0mm)LCP Distal Ulna "信迪思"2.0mm 鎖定加壓遠端尺骨骨板衛署醫器輸字第024052號 58,000

2188048123 FBZ01891400304.214.006-024(鎖定骨螺釘)2.0mm/2.7mm

LCP locking screw"信迪思"2.0mm/2.7mm 鎖定骨螺釘衛署醫器輸字第018914號 5,800

2188048112 FBZ019220001Small/Large Metaphyseal Precontoured Plated

System"信迪思"4.5:5.0mm 鎖定加壓骨板衛署醫器輸字第019220號 57,000

2188048115 FBZ01926100104.224-228 LCP Dynamic Hip Plate System

(配合DHS blade使用)"信迪思"25:38mm 髖螺釘鎖定加壓骨板衛署醫器輸字第019261號 48,000

2188048116 FBZ02042800104.224(065S-100S)DHS blade-髖骨用螺旋片

(配合LCP DHS plate用)"信迪思"髖骨用螺旋片(配合LCP DHS plate使用) 衛署醫器輸字第020428號 27,000

2188048107 FBZ019735001 LCP(3.5mm)HOOK-plate system(Clavicle)"信迪思" 鎖定加壓鎖骨鉤骨板植入物/3.5mm鎖骨

鉤桿骨板衛署醫器輸字第019735號 46,800

2188048106 FBZ01979300304.124.200-xxxLCP (3.5mm) Tibia plate

system 4.5mm/5.0mm"信迪思"4.5/5.0 mm 鎖定加壓脛骨骨板衛署醫器輸字第019793號 67,600

2188048132 FBZ007804008412.x-414.x(412-5.0 Lock-鎖定螺釘414-4.5-

Cort)Locking screw"信迪思"5.0mm 鎖定骨螺釘衛署醫器輸字第007804號 5,800

2188919001 FBZ020047001A-Spine gene X putty Synthetic Resorbable

Bone Graft吉萊可吸收人工骨粉(注射型)(2.5cc) 衛署醫器輸字第020047號 29,900

2388919121 FBZ019480001P43101-0.5cc Bone Matrix (DBM) Allograft

Products“奧斯特” 補骨洞去礦化異體植骨-凝膠0.5cc 衛署醫器輸字第019480號 15,015

2388919119 FBZ019480002T41120INT(1CC泥膠GEL)Matrix(DBM)

Allograft Products“奧斯特” 補骨洞去礦化異體植骨-凝膠1cc 衛署醫器輸字第019480號 25,000

2360087431 SAZ022861001EGIA45-60-AVM(褐色)(2-3mm)VASCULAR

MED SULU“柯惠”內視鏡自動手術縫合釘Tri-Staple 45mm 衛署醫器輸字第022861號 11,500

2396009027 FSZ016899002UMM1(補網片(M)15*15CM)ULTRAPRO

Mesh UND/BLU15*15CM"愛惜康"優全補網片(M) 衛署醫器輸字第016899號 6,280

2300000211 FSZ013887001PCDM1-

PROCEEDSURGMESH15x15CM(J&J)"愛惜康"保喜外科用薄片網(PCDM1) 衛署醫器輸字第013887號 27,300

2396009022 FSZ017697002UHSL-1-ULTRAPRO Hernia System "愛惜

康"優全補疝氣系統"愛惜康"優全補疝氣系統(L) 衛署醫器輸字第017697號 18,000

2376038067 CXZ0101230028168-xx(環形導管10

極)ElectrophysiologyDiagnostic Catheter“爾灣”電生理診斷導管-環形導管10極衛署醫器輸字第010123號 68,000

2188931036 FBZ024352001Pathfinder(兩節) NXT Minimally Invasive

Pedicle Screw捷邁開創者脊椎微創系統_兩節組衛署醫器輸字第024352號 120,900

2188931037 FBZ024352002Pathfinder(三節) NXT Minimally Invasive

Pedicle Screw捷邁開創者脊椎微創系統_三節組衛署醫器輸字第024352號 150,000

2188931038 FBZ024352003Pathfinder(四節) NXT Minimally Invasive

Pedicle Screw捷邁開創者脊椎微創系統_四節組衛署醫器輸字第024352號 196,800

2191999008 TBZ020301001S.4002-Painless plugs(2ea/bx)佛朗惜眼-普利

式淚囊栓佛朗惜眼-普利式淚囊栓衛署醫器輸字第020301號 6,800

2194998011 CHZ024140001Cordis ExoSeal Vascular Closure Device 艾克

索血管閉合導管“考迪斯” 艾克索血管閉合導管衛署醫器輸字第024140號 10,200

2260001022 HHZ020085001Medrad-DVX Thrombectomy Set 遞適血栓清

除導管組“美樂得”遞適血栓清除套組衛署醫器輸字第020085號 120,000

2396012968 FHZ023855001 64002A-ctiva Accessories艾提神經刺激器配 “美敦力”艾提神經刺激器配件-轉接器衛署醫器輸字第023855號 21,900

2260888136 FHZ024787001VSP550-VirtuoSaph Plus Endoscopic Vessel

Harvesting System“泰爾茂”新一代維特斯內視鏡血管擷取系統衛署醫器輸字第024787號 65,000

2160045107 CFZ024748001BC-220614-BBC-26164(結直腸支架)Colo-

Rectal Stent"博娜"結直腸支架衛署醫器輸字第024748號 48,000

2396009014 FSZ0222050010117311-0117321"BARD"3DMAX LIGHT

MESH(LARGE LEFT/RIGHT)"巴德"立體輕質型修補網衛署醫器輸字第022205號 8,250

2396009013 FSZ010567001DV0115812(疝氣修補網11.4CM圓

形)MODIFIED KUGEL PATCH"巴德"庫格疝氣修補網衛署醫器輸字第010567號 10,640

2396009017 FSZ0187820020134790(7.2"*9.2"橢圓型)BARD

COMPOSIX L/P MESH

"巴德"康柏斯輕質型修補網(15.9-18.4CMX21.0-

26.1CM)衛署醫器輸字第018782號 43,750

2396009018 FSZ0187820030134810 BARD COMPOSIX L/P MESH

8.2"*10.2" 橢圓型

"巴德"康柏斯輕質型修補網(21.0-26.1CMX26.1-

36.2CM)衛署醫器輸字第018782號 48,206

2396009132 FSZ0222490010010211 OVAL(8CM*12CM)-Ventrio Hernia

Patch 凡萃歐疝氣補片"巴德"凡萃歐疝氣補片(8x12CM/7.6CM) 衛署醫器輸字第022249號 15,000

2396009135 FSZ0222490020010214 CIRCLE(11.4CM)-Ventrio Hernia

Patch 凡萃歐疝氣補片"巴德"凡萃歐疝氣補片(11-13.8CMx14-17.8CM) 衛署醫器輸字第022249號 20,000

2396009137 FSZ0222490030010217(27.4CM*34.9CM)-Ventrio Hernia

Patch 凡萃歐疝氣補片"巴德"凡萃歐疝氣補片(16-27.4CMx24.6-34.9CM) 衛署醫器輸字第022249號 65,000

2188908251 FBZ022394001 Wright(全踝關節) Inbone Total Ankle System "瑞德"印鵬全踝系統衛署醫器輸字第022394號 300,000

2173009042 TKZ021617001TDP-17-150-xx(探針組)for Intervertebral

Disc Biacuplasty“貝勒”脊椎切口探針組衛署醫器輸字第021617號 66,300

2396009099 FSZ018591001C-SLH-4S(4*7)-Biodesign Surgisis4-layer

Tissue Graft“曲克”拜爾迪賽4層支撐物-4×7CM 衛署醫器輸字第018591號 18,000





2188909217 FBZ002955001 Trend(三節) Spinal Fixation System-K-Rod 先鋒脊椎固定系統-凱得脊椎系列(二節) 衛署醫器製字第002955號 150,000

2188909516 FBZ002955002 Trend(二節) Spinal Fixation System-K-Rod 先鋒脊椎固定系統-凱得脊椎系列(三節) 衛署醫器製字第002955號 100,000

3


2388800183 FBZ007815001LISS Distal Femur Plate(Synthes Bone Plate

Implant)"信迪思"LISS Distal Femur Plate 衛署醫器輸字第007815號 87,880

2188048151 FBZ007815002481.871-DHS locking trochanter stabilization

plate"信迪思"DHS轉子穩定鎖定骨板(配合LCP DHS 衛署醫器輸字第007815號 40,000

2388800187 FBZ007815003 CHP(Clavical Hook plate)鎖骨鉤桿骨板 "信迪思"鎖骨鉤骨板衛署醫器輸字第007815號 24,960

2388800182 FBZ007815004LC-LCP(3.5mm)locking Compression Plate

Sys.鎖定加壓骨板"信迪思"3.5鎖定加壓骨板衛署醫器輸字第007815號 39,000

2388800181 FBZ007815005LC-LCP(4.5/5.0mm)locking Compression

Plate Sys.鎖定加壓骨板"信迪思"4.5/5.0mm 鎖定加壓骨板衛署醫器輸字第007815號 52,000

2388800179 FBZ007815010 440.834S-874S(上端脛骨)Tomofix Tibia plate "信迪思"上端脛骨鎖定骨板衛署醫器輸字第007815號 74,000

2388800192 FBZ007815016LockingCalcanealplatesys.腳踝部位預先造型

鎖定骨板系統"信迪思"鎖定跟骨骨板衛署醫器輸字第007815號 67,600

2138793021 FNZ010906001FV534P-(無引流)ICP MONITERP ROBE

3PN 顱內壓監測組雅氏-史密伯格顱內壓監測器-測量探針衛署醫器輸字第010906號 19,500

2138793022 FNZ010906002FV533P-(AESCULAP-SPIEGELBERG ICP

MONITORING SYSTEM雅氏-史密伯格顱內壓監測器-測量探針套組衛署醫器輸字第010906號 24,500

2188914003 FBZ01092800172200779

TWINFIXAB6.5mmSUTUREANCHOR"史耐輝" 縫合錨釘及附件-可吸收軟組織錨釘衛署醫器輸字第010928號 16,000

2188909524 FBZ0196420017571050-110 CD(ROD-短)Horizon Longitude

Spinal System

"美敦力" 思迪經皮脊椎固定系統–短節固定桿(微

創)衛署醫器輸字第019642號 20,800

2188909525 FBZ0196420027571120-300 CD(ROD-長)Horizon Longitude

Spinal System

"美敦力" 思迪經皮脊椎固定系統–長節固定桿(微

創)衛署醫器輸字第019642號 33,280

2188048119 FBZ022269001 02.100.XXX-(骨盆用)Low Profile Pelvic "信迪思"骨盤用骨板系統衛署醫器輸字第022269號 80,000

2188931031 FBZ02435200535054530-560 NXT(中空螺釘) Minimally

Invasive Screw system捷邁開創者脊椎系統-螺釘加螺帽衛署醫器輸字第024352號 25,000

2188931032 FBZ024352006 3313040-080 NXT(固定桿-短)Pre-Bent Rod 捷邁開創者脊椎系統-短桿衛署醫器輸字第024352號 25,000

2188048120 FBZ02445800104.211.201-265-(多角足部)LCP Forefoot-

Midfoot Plates System"信迪思"多角度鎖錠加壓足部骨板衛署醫器輸字第024458號 52,000

2188930416 FBZ024624001TM-Ardis- Zimmer TMT Interbody System 椎

間融合系統捷邁多孔鉭金屬亞帝斯椎間融合系統(側開型) 衛署醫器輸字第024624號 105,000

2188048105 FBZ024782001 LCP Mini hand system 手外科骨折鎖定系統 "信迪思"鎖定加壓遠端腓骨骨板衛署醫器輸字第024782號 46,800

2233574118 TSZ022408001CNGL2(100mm)-達-Applied Gel POINT

AdvancedAccess System"安培"焦點腹腔鏡通路裝置-100 mm 衛署醫器輸字第022408號 33,600

2396009102 FSZ024080002MFP111-TiO2Mesh Surgical mesh

implant(10CM*15CM)"百歐瑟"二氧化鈦疝氣修補網(MFP111) 衛署醫器輸字第024080號 12,000

2396009215 FSZ018055001PCO9F-12F(圓型) Parietex Composite Mech

9-12mm

“柯惠”舒法定帕瑞得複合式人工編網(臍疝) -圓形

9cm, 12cm衛署醫器輸字第018055號 25,350

2396009219 FSZ018055002PCO1510F(方型) Parietex Composite Mesh

15*10cm“柯惠”舒法定帕瑞得複合式人工編網(15x10cm) 衛署醫器輸字第018055號 33,800

2396009222 FSZ018055003PCO3020F,PCO3728F(方型) Parietex

Composite Mesh

“柯惠”舒法定帕瑞得複合式人工編網(30x20cm,

37x28cm)衛署醫器輸字第018055號 30,000

2188908252 FBZ019340001ST1108-12(距骨下關節)Bioarch Subtalar

Implant System"瑞德"拜奧屈距骨下關節植入系統衛署醫器輸字第019340號 43,000

2188908201 FBZ019838001DC2832-000-007(Foot.Ankle) Locking Bone

Plate system"瑞德"達可鎖定式骨板系統(前足) 衛署醫器輸字第019838號 42,000

2188908302 FBZ019512001 LCP(手部)Stryker Leibinger Hand Plating "史賽克雷賓格爾"手部骨板系統衛署醫器輸字第019512號 46,500

2188909536 FBZ025050001KE001、4、58 Vexim SpineJack Systems 史

派節克椎體支撐系統“美新”史派節克椎體支撐系統-單側衛署醫器輸字第025050號 130,000

2188908036 FBZ009879001Synex-1(495.315-25) Vertebral Body

Replacement System"信迪思"辛納斯植入物衛署醫器輸字第009879號 150,000

2188908037 FBZ019178001Synex II(495.316)modular vertebral body

replacement system"信迪思"辛納斯第二代脊椎植入物衛署醫器輸字第019178號 150,000

2188930402 FBZ018297001TM-300(L-Spinal)TM-400(L-

Spinal)Trabecular Metal西美多孔鉭金屬椎體替代系統—TM-300 衛署醫器輸字第018297號 108,000

2188930404 FBZ018297003TM-500 Shape Trabecular Metal TM-500 (L-

Spine/Post)27mm西美多孔鉭金屬椎體替代系統—TM-500 衛署醫器輸字第018297號 80,000

2188930403 FBZ018297005 TM-VBR-11 Devic(單顆)Trabecular Metal 西美多孔鉭金屬椎體替代系統—VBR-11 衛署醫器輸字第018297號 136,000

2188930405 FBZ018297006TM-VBR-21+Plate Trabecular Metal

Vertebral Body(Cervical)西美多孔鉭金屬椎體替代系統—VBR-21 衛署醫器輸字第018297號 135,944

2388350132 FBZ0185390017225535-45 LEGASCY PEEK MAS 5.5-

7.5MM*35-45MM“美敦力”脊椎固定系統-骨釘(微創) 衛署醫器輸字第018539號 15,000

2388350142 FBZ018539002 7893030-100 PEEK ROD6.35MM*75MM “美敦力”脊椎固定系統-固定桿(微創) 衛署醫器輸字第018539號 15,000

2188920102 FBZ022146005DSS-(椎弓跟釘及螺帽)Pedicle Scerew多喜

司固定系統派瑞德多喜司固定系統-椎弓根釘及螺帽衛署醫器輸字第022146號 20,000

2188920101 FBZ022146006DSS-Coupler(連結桿)DSS STABILIZATION

SYSTEM 多喜司固定系統-派瑞德多喜司固定系統-連結器衛署醫器輸字第022146號 40,000

2388919186 FBZ023688001309010(去礦化補骨物/1.0cc)OsteoSelect

DBM Putty歐特選去礦化補骨物/ 1.0cc 衛署醫器輸字第023688號 28,000

2188048325 FBZ018858001 C6170H Bio- Mini Revo Suture Anchor “靈威特”生物可吸收性軟組織固定錨釘衛署醫器輸字第018858號 19,500

2188048117 FBZ02361600104.112.514-527-(脛骨2.7/3.5mm )LCP Tibia

Plates System"信迪思"鎖定加壓脛骨骨板系統(2.7/3.5mm) 衛署醫器輸字第023616號 75,000

2188908303 FBZ019512002 LCP(手部-骨釘) Hand Plating System-Screw “史賽克雷賓格爾”手部骨板系統-骨釘衛署醫器輸字第019512號 4,300

2388919263 FBZ002884003DBVF-PG160(鍶鹽-6.0ml) Void Filler

Device-PG Series奧斯吉骨填充裝置-鍶鹽-氫氧基磷灰石6.0ml 衛署醫器製字第002884號 46,800

2388801233 FBZ017032012PIN-2050(PIN-2.0*50mm)OTPS Biodegrable

Fixation System

〝盈力恩〞生物可吸收性固定系統-針狀骨釘

1.5/2.0x20~50mm衛署醫器輸字第017032號 10,640

2257089036 NEZ024626001Probe and Accessories(ENCOR PROBE

TROCAR TIP 7G/10G/12G)"聖芮絲"安可兒探針與附件 - 安可兒探針衛署醫器輸字第024626號 13,000

2296005013 SSZ009808001MLPW544230(綠-M-血管夾6釘/14排/

盒)Hem-o-lok Ligating Clips“泰利芙斯” 血管夾(M、ML、L)(每針) 衛署醫器輸字第009808號 364

2296005015 SSZ009808002XLPW544250(金-XL-血管夾(6釘/14排/

盒)Hem-o-lok Ligating Clips“泰利芙斯” 血管夾(XL)(每針) 衛署醫器輸字第009808號 693

4


2171002108 NEZ024614001NA-220H-8022-25(抽吸針)Single use

aspiration needle“奧林柏斯”單次使用抽吸針(NA-220H-8022;8025) 衛署醫器輸字第024614號 7,300

2396009087 FSZ019507001PP1208DL-DR(Meshes 編網)PARIETENE

Progrip Meshes“柯惠”舒法定帕瑞挺寶格麗編網衛署醫器輸字第019507號 13,000

2396009086 FSZ017436001TECT1510AR/L-"SOFRADIM"PARIETEX

MESHES 人工編網

“柯惠”舒法定帕瑞得人工編網(TECT1510ADP-

2L;2R,TECT1510-AL;AR,TEC1510,TET1510)衛署醫器輸字第017436號 20,000

2176045423 CBZ02374500171-132-UNISTEP plus delivery system-

Venous Endoprosthesis

“波士頓科技”華斯登

支架暨傳送系統-靜脈支架衛署醫器輸字第023745號 33,500

2289207003 WDZ008900001TD*M006SJ人造真皮

(2.5cm*2.5cm)Terudermis Artifical Dermis

“奧林柏斯泰爾茂”貼得適人造真皮(2.5cm x

2.5cm)衛署醫器輸字第008900號 6,390

2289207002 WDZ008900002TD*M013SJ人造真皮

(2.5cm*5cm)Terudermis Artifical Dermis“奧林柏斯泰爾茂”貼得適人造真皮(2.5cm x 5cm) 衛署醫器輸字第008900號 10,934

2289207001 WDZ008900003TD*M025SJ人造真皮(5cm*5cm)Terudermis

Artifical Dermis“奧林柏斯泰爾茂”貼得適人造真皮(5cm x 5cm) 衛署醫器輸字第008900號 18,525

2289210735 WDZ008900004TD-A100SDJ(10X10人造真

皮)TERUDERMIS ARTIFICIAL DERMIS“奧林柏斯泰爾茂”貼得適人造真皮(10cm x 10cm) 衛署醫器輸字第008900號 50,000

2210156028 THZ0240360022082(5*10.2)Surgicel SNoW Hemostats斯爾

止斯諾止血氧化纖維"愛惜康" 斯爾止斯諾止血氧化纖維 – 2082 衛署醫器輸字第024036號 3,185

2233574121 CDZ003620002 WR-60ES LAGIS Wound Retractor "大吉士"傷口撐開器(60mm) 衛署醫器製字第003620號 1,700

2233574126 CDZ003620003 WR-80S-Wound Retractor 30-60mm "大吉士"傷口撐開器(80mm) 衛署醫器製字第003620號 2,400

2233574127 CDZ003620004 WR-110M-Wound Retractor 50-90mm "大吉士"傷口撐開器(110mm) 衛署醫器製字第003620號 2,700

2233574128 CDZ003620005 WR-160L-Wound Retractor 90-140mm "大吉士"傷口撐開器(160mm) 衛署醫器製字第003620號 3,500

2233574129 CDZ003620006 WR-190EL-Wound Retractor 110-170mm "大吉士"傷口撐開器(190mm) 衛署醫器製字第003620號 3,950

2188908117 FBZ021711017Subcondylar(2.0mm髁骨鎖定骨板)Plate

System/Locking"歐特美"手部骨板系統/2.0mm 髁骨鎖定骨板衛署醫器輸字第021711號 48,000

2188048927 FBZ023551001MR007C.S.D(半月軟骨縫合修補器)Sequent

Meniscal Repair Device“靈威特” 半月軟骨連續縫合修補器（七植體）衛署醫器輸字第023551號 40,000

2188048926 FBZ023551002MR004C.S(半月軟骨縫合修補器)-Sequent

Meniscal Repair Device“靈威特” 半月軟骨連續縫合修補器（四植體）衛署醫器輸字第023551號 30,000

2188909512 FBZ014381006 L.I.S(繩索-Cord)DYNESYS Spinal System 捷邁丹妮絲脊椎系統—繩索衛署醫器輸字第022385號 27,000

2188909528 FBZ022788001DTL(單側) Spinal System—1 segment Pedicle

Screw-Dynesys

捷邁丹妮絲上載式脊椎系統—單側(含Pedicle

screw x2, Spacer x2, Cord x2)衛署醫器輸字第022788號 14,800

2188909523 FBZ0227880027574530-7555(螺絲+ Nut) CD Horizon

Longitude Spinal System

捷邁丹妮絲上載式脊椎系統—兩節(含Pedicle

screw x4, Spacer x2, Cord x2)衛署醫器輸字第022788號 20,800

2360027051 CBZ02438100192-xx-(血管阻斷導管)Targeted Adjustable

pharmaceutical

"瑟摩碧帝克司"塔帕司目標可調整式血管阻斷導

管衛署醫器輸字第024381號 67,000

2138793011 FNZ014449001110-4BT(顱內壓監測導管)Cranial Pressure

Monitoring Kit

"因提寡"凱米諾顱內壓監測導管(顱內壓監測導管

110-4G)衛署醫器輸字第014449號 27,300

2272035011 HHZ023218001500-56xxEKOS-MACH4(RF)EkoSonic

Endovascular System

"艾科思"艾科索尼血管用設備-藥物遞送及超聲波

導管衛署醫器輸字第023218號 150,000

2180004160 CKZ019791001Cook(輸尿管內置支架)UNIVERSA STENT

FIRM Ureteral SET“曲克”由尼維莎輸尿管內置支架組─硬式衛署醫器輸字第019791號 6,760

2210156034 THZ013975001MS0008-SPONGOSTAN Sponge(粉狀1.0g)-

斯龐嘉止血棉(6包/盒)"飛洛散" 斯龐嘉止血棉-MS0008 衛署醫器輸字第013975號 13,500

2382897201 TSZ00408700141077(止血器-止血墊2X3CM)ChitoClot

Artery Compression Device"安適康"快寧動脈止血器-止血墊(2 x 3cm) 衛署醫器製字第004087號 4,050

2188909301 FBZ003096001ReBorn(二節)Essence Awesome Connection

Rod

瑞寶億歐森連結桿-彈性二節(2支連接桿及各含1

個彈簧)衛署醫器製字第003096號 90,000

2188909302 FBZ003096002ReBorn(三節)Essence Awesome Connection

Rod

瑞寶億歐森連結桿-彈性三節(2支連接桿及各含2

個彈簧)衛署醫器製字第003096號 117,500

2188999084 FBZ003330001 Z-Brace(頸椎椎間融合器)Cervical

Intervertebral Cage瑞寶億里貝斯頸椎椎間融合器衛署醫器製字第003330號 75,000

2188999082 FBZ003326001 Z-Brace(腰椎椎間融合器1個)Cervical

Intervertebral Cage

瑞寶億里貝斯腰椎椎間融合器-每椎節置放2個

cage衛署醫器製字第003326號 100,000

2388999086 FBZ003326002948-08263(腰椎椎間融合器)Z-Brace Lumbar

Intervertebral Cage

瑞寶億里貝斯腰椎椎間融合器-每椎節置放1個

cage衛署醫器製字第003326號 100,000

2191999301 TKZ024669001CAPSULAR TENSION RING(12-10mm/13-

11mm)囊袋擴張環"歐斯提克"囊袋擴張環12MM ;13MM 衛署醫器輸字第024669號 8,500

2388999202 FBZ025419001"Medtronic"Prestige LP Cervical Disc System

貝提頸椎椎間盤系“美敦力” 貝堤頸椎椎間盤系統衛部醫器輸字第025419號 260,000

2257449003 SSZ016876001HX-610-135EZCLIP(40EA/SET) FOR HX-

110 Device"奧林柏斯"可旋轉式止血固定裝置-止血釘衛署醫器輸字第016876號 323

2289210701 WDZ021041001PN-F40030/3S-(40* 30mm)PELNAC

ARTIFICIAL DERMIS人工真皮皮敷美人工真皮(40mm*30mm) 衛署醫器輸字第021041號 8,400

2289210702 WDZ021041002PN-F40060/2S-(40* 60mm)PELNAC

ARTIFICIAL DERMIS人工真皮皮敷美人工真皮(40mm*60mm) 衛署醫器輸字第021041號 14,000

2289210706 WDZ021041003PN-D82060(S-8.2x6cm)PELNAC

ARTIFICIAL DERMIS皮敷美人工真皮(82mm*60mm) 衛署醫器輸字第021041號 19,000

2289210707 WDZ021041004PN-D82090(M人工真皮

82x90mm)PELNACARTIFICIAL DERMIS皮敷美人工真皮(82mm*90mm) 衛署醫器輸字第021041號 28,000

2289210705 WDZ021041005PN-82120(L-82x120mm人工真皮)PELNAC

ARTIFICIAL DERMIS皮敷美人工真皮(82mm*120mm) 衛署醫器輸字第021041號 38,000

2188048372 FBZ023033001210808-VERSALOK Anchor"邁特"樂鎖勞固

定錨"邁特"樂鎖勞固定錨衛署醫器輸字第023033號 20,000

2188048373 FBZ023888001210811-210814 Gryphon BR Anchors 邁特-

葛分固定錨“邁特”葛分固定錨衛署醫器輸字第023888號 18,000

2176030004 CGZ021264001"ASAHI"CORSAIR MICRO CATHETER

CSW135-26N/150-26N“朝日”科塞爾微導管衛署醫器輸字第021264號 23,100

2212229001 CRZ02232200118865:75""TaperGuard Endotracheal Tube氣

管內管(含抽痰管)"柯惠"雪莉氣管內管衛署醫器輸字第022322號 1,200

5


2184035121 FBZ020135001Parallax Acrylic Resin with TRACERS-Ta 低

溫骨水泥“紐伸”帕拉樂斯骨水泥衛署醫器輸字第020135號 28,600

2184035231 FBZ0189650013105040-(GMV(抗生素 ) Endurance

Gentamicin Bone Cement“帝富”適髓骨水泥衛署醫器輸字第018965號 30,000

2188930593 CTZ025215001SWC30(硬膜外導管)Steerable Neurolysis

Catheter System"喜旺"史瑞德活動式硬膜外導管衛部醫器輸字第025215號 32,000

2194014331 CBZ022592001M003WE025-045xx(顱內支架系

統)Wingspan Stent System"史賽克"溫斯班支架系統衛署醫器輸字第022592號 150,000

2176045050 CBZ025154001Absorb Bioresorbable (BVS) Vascular

Scaffold System"亞培"艾倍舒全吸收式生物血管模架系統衛部醫器輸字第025154號 130,000

2188930045 FBZ002799001ReBorn(RBE-腰椎-R*2、S*4) Essence

Grafting Connection Rod

瑞寶億腰椎內固定系統-延伸連結桿(2支延伸連結

桿、4支六角固定螺絲)衛署醫器製字第002799號 35,000

2182897211 SAZ025331001CEM2750-2756 GEM Microvascular

Anastomotic COUPLER System"司諾維思"微血管吻合系統-套環衛部醫器輸字第025331號 13,100

2384035026 FBZ025611001CM0300-COHESION BONE CEMENT 泰克

美”克西鈞脊固骨水泥“泰克美”克西鈞脊固骨水泥衛部醫器輸字第025611號 26,000

2160020111 FBZ024834001SternaLock Blu System(4孔直形+4骨釘)-4-

hole Straight Plate藍帶胸骨固定系統-4孔直形骨板衛署醫器輸字第024834號 28,000

2160020112 FBZ024834002SternaLock Blu System(4孔L形+4骨釘)–4-

hole L Plate藍帶胸骨固定系統-4孔L形骨板衛署醫器輸字第024834號 28,000

2160020113 FBZ024834003SternaLock Blu System(4孔方形+4骨釘)-?4-

hole Square Plate藍帶胸骨固定系統-4孔方形骨板衛署醫器輸字第024834號 28,000

2160020114 FBZ024834004SternaLock Blu System-(骨

釘)2.4mm&2.7mm-SCREW藍帶胸骨固定系統-骨釘衛署醫器輸字第024834號 3,400

2160020115 FBZ024834005SternaLock Blu System(8孔直形+8骨釘)8-

hole Straight Plate藍帶胸骨固定系統-8孔直形骨板衛署醫器輸字第024834號 56,000

2160020116 FBZ024834006SternaLock Blu System(8孔X形骨板+8骨

釘)?8-hole X Plate藍帶胸骨固定系統-8孔X形骨板衛署醫器輸字第024834號 56,000

2160020117 FBZ024834007SternaLock Blu System(8孔JL形骨板+8骨釘)

–8-hole JL Plate藍帶胸骨固定系統-8孔JL形骨板衛署醫器輸字第024834號 56,000

2160020118 FBZ024834008SternaLock Blu System(12孔梯形骨板+12骨

釘)12holeLadderPlate藍帶胸骨固定系統-12孔梯形骨板衛署醫器輸字第024834號 84,000

2160020119 FBZ024834009 SternaLockBluSystem(12孔寬型梯形骨板12 藍帶胸骨固定系統-12孔寬型梯形骨板衛署醫器輸字第024834號 84,000

2388999077 FBZ003878001595-xx248( Cage(RLIF)7-14*24腰椎)5度

Combo Lumber Disc Cage

康鉑腰椎椎間盤融合器每節置放2顆(鈦合金

+PEEK)衛署醫器製字第003878號 75,000

2388923103 FBZ009117001LB472T:544T(頸椎骨螺絲-S4 C1/C2)

APFELBAUM SCREW“雅氏” 頸椎骨螺絲(鈦合金單獨使用) 衛署醫器輸字第009117號 20,000

2188049011 FBZ024051001AR-8911-14(趾骨-迷你懸吊鈕)Mini Tight-

Rope Repair System“艾思瑞斯”迷你泰若普肌腱固定懸吊鈕衛署醫器輸字第024051號 45,500

2188049006 FBZ020077001AR-8920-21CDS肌腱固定懸吊鈕MiniTight-

RopeRepairSystem“艾思瑞斯”泰若普肌腱固定懸吊紐衛署醫器輸字第020077號 45,500

2171002110 NEZ016689001G25196 G22889 "COOK" Biopsy Needle內視

鏡超音波取樣針＂曲克＂超音波取樣針衛署醫器輸字第016689號 13,300

2188909043 FBZ011235001 620-00xx(限制型內襯)Trident Constrained “好美得卡-奧斯得寧”采登特髖臼系統-限制型內衛署醫器輸字第011235號 50,000

2188909513 FBZ02189600401.0379xx(連接桿)DYNESYS DTO

IMPLANT—Cord-Rod

捷邁丹妮絲第提歐植入物—連接桿 (含Dynesys-

to-Optima x2)衛署醫器輸字第021896號 68,770

2382908051 FEZ025135001 ZX3-8-PDS FOLI VIO Plate (普迪斯片 ) “壯生”普迪斯片衛署醫器輸字第025135號 15,000

2188049007 FBZ020187001 AR-450-(半月軟骨)Meniscal Cinch縫合修補 "艾思瑞斯"半月軟骨縫合修補器衛署醫器輸字第020187號 21,000

2188049022 FBZ023869001AR-2324BCCT(縫合錨釘)-BioComposite

SwiveLock Suture Anchor"艾思瑞斯"思維拉克縫合錨釘衛署醫器輸字第023869號 35,000

2188049020 FBZ023869002AR-8978P-xx(高鋼性縫合帶/錨釘)Suture

Anchor FiberTape Loop

"艾思瑞斯"思維拉克縫合錨釘/高鋼性縫合帶縫合

錨釘衛署醫器輸字第023869號 38,000

2396012954 FHZ0234100013387S-89S-40(深層刺激導線組)Deep Brain

Stimulation Lead Kit"美敦力"深層腦部刺激導線組衛署醫器輸字第023410號 126,000

2289208031 WDZ001324001 MF1010-Medifil (5ml)台鹽-蜜迪膚 "台鹽"蜜迪膚(5ml) 衛署醫器製字第001324號 1,000

2384035022 FBZ023881001 12A2420(黴素骨水泥)Cemex GentaId Green "泰瑞斯"慶大黴素骨水泥衛署醫器輸字第023881號 10,500

2188914017 FBZ025622001NB-211-262(縫合固定錨釘)GENESYS

PressFT Suture Anchor“靈威特”派瑞斯縫合固定錨釘衛部醫器輸字第025622號 29,500

2188931021 FBZ019971003853xxx(C3-T3)CENTERPIECE Plate Fixation

System"美敦力"正中置物骨板固定系統-單節衛署醫器輸字第019971號 35,000

2188930590 FBZ022346001 KYPHOPAK TRAY 凱豐球囊椎體成形術套美敦力凱豐球囊椎體成形術套組衛署醫器輸字第022346號 70,000

2388802007 FBZ025742001 TKR Prolnog Patella System 超耐磨人工臏骨 “捷邁”新世紀高分子聚乙烯人工膝關節用髕骨衛部醫器輸字第025742號 40,375

2188048171 FBZ003728001ODRC-(髖骨DHS)Dynamic Hip Screw

System

華骨-髖骨版系統(髖骨板+拉力螺釘+抗穿出版+

壓迫螺釘)衛署醫器製字第003728號 68,000

2160020001 FBZ010831001(漏斗胸矯正板)Pectus Support Bar System-

Pectus Bar“生邁”漏斗胸矯正板-矯正板衛署醫器輸字第010831號 58,500

2160020101 FBZ016904001(漏斗胸矯正固定器)Pectus Support Bar

Instruments-Stabilizer生邁”漏斗胸矯正板器械-固定器衛署醫器輸字第016904號 23,400

2188049026 FBZ020149001AR-1926B(可吸收縫合錨釘)PushLock Suture

Anchor-Bio

“艾思瑞斯”普仕拉克縫合錨釘-可吸收普仕拉克

縫合錨釘衛署醫器輸字第020149號 26,500

2188049027 FBZ020149002AR-1926PS(不可吸收縫合錨釘)PushLock

Suture Anchor-PEEK

“艾思瑞斯”普仕拉克縫合錨釘-不可吸收普仕拉

克縫合錨釘衛署醫器輸字第020149號 26,500

2188049023 FBZ010316001AR-1920-27BF(可吸收螺旋縫合錨釘)Bio-

Corkscrew suture anchor

“艾思瑞斯”吸收性組織固定物-生物可吸收螺旋

縫合錨釘衛署醫器輸字第010316號 19,800

2188909321 FBZ003457001STEP(Cable Rod(短)40-100CM(PEEK) Spinal

Fixation System

先鋒脊椎固定系統-天梯系列

-連結桿(短節)

D4.0;4.5;5.0;5.5;6.0 × L40:100mm衛署醫器製字第003457號 35,000

6


2188909322 FBZ003457002STEP(Cable Rod-(長)110-150)(PEEK) Spinal

Fixation System


-連結桿(長節)

D4.0;4.5;5.0;5.5;6.0× L110:130;

150mm

衛署醫器製字第003457號 45,000

2188909325 FBZ003457003Connection(連結桿) Rod-Semi Cannula(鈦合

金)


-連結桿(半中空) (短節)

D6.0 × L45:100mm衛署醫器製字第003457號 10,000

2185998042 TKZ025193001TCD-5-P、10-P、15-P(射頻雙電燒系

統)Bioplar RF Generator

“科士曼”射頻電燒系統-電極(5、10、15、20公

分)衛部醫器輸字第025193號 18,500

2172054112 FSZ024613001UPN-M0068507000(單一切口吊帶)- Solyx

SIS System“波士頓科技” 鎖淋單一切口吊帶系統衛署醫器輸字第024613號 33,000

2396012955 FHZ0257490013708660(深腦部刺激延長線組)DBS

Extension Kit"美敦力"深腦部刺激延長線組

衛部醫器輸字第025749號+

衛部醫器輸壹字第013894號57,750

2388802005 FBZ025775001 Trabecular Metal Cup 仿鬆質骨金屬髖臼外 “捷邁”人工髖關節臼杯-鉭金屬髖臼外杯衛部醫器輸字第025775號 65,000

2388802216 FBZ023721002005450-17xxTrabecular(股骨墊片) Metal

Tibia and Femoral Cone“捷邁”鉭金屬脛骨及股骨椎狀墊片-股骨墊片衛署醫器輸字第023721號 93,000

2388999078 FBZ003878002595-xx288-Cage(TLIF)7-14*24腰椎)5度

Combo Lumber Disc Cage

康鉑腰椎椎間盤融合器每節置放1顆(鈦合金

+PEEK)衛署醫器製字第003878號 104,000

2391001212 FBZ019068001 FP8-(舒壓導流瓣膜)Ahmed Glaucoma valve 愛滅青光眼用舒壓導流瓣膜衛署醫器輸字第019068號 45,600

2396026261 CDZ025956001Performer HT-HANG&GO HT BASIC 保福

腹腔溫熱灌注管路組"潤德"保福腹腔溫熱灌注管路組衛部醫器輸字第025956號 58,000

2360011431 CKZ025480001888145043-46(肝素塗層)Palindrome H

Chronic Catheter Kit"柯惠"沛霖卓導管組-具肝素塗層衛部醫器輸字第025480號 12,000

2257089722 SAZ024765001STRAP25-(5mm)SECURESTRAP absorbable

Strap Fixation Device愛惜康斯安釘可吸收帶固定裝置(12個) 衛署醫器輸字第024765號 22,500

2360087402 SAZ025788001Endo GIA(弧形) Radial Reload with Tri-staple

Technology"柯惠"內視鏡自動手術弧形縫合釘衛部醫器輸字第025788號 20,000

2360087436 SAZ024928001EGIA30AMV(縫合釘3-4MM)Endo GIA

Reloads with Tri-Staple"柯惠"內視鏡自動手術縫合釘- Tri-Staple 30mm 衛署醫器輸字第024928號 13,650

2360087437 SAZ024928002EGIA30CTAVM(縫合釘-彎) Endo GIA

Reloads Staple(Curved Tip)

"柯惠"內視鏡自動手術縫合釘- Tri-Staple 30mm

Curved Tip衛署醫器輸字第024928號 13,650

2173900014 TTZ025954001934073-(2ml)Coseal Surgical Sealant 克滲凝

外科手術封合劑"百特"克滲凝外科手術封合劑-2ml 衛部醫器輸字第025954號 21,250

2173900015 TTZ025954002934074-(4ml)Coseal Surgical Sealant 克滲凝

外科手術封合劑"百特"克滲凝外科手術封合劑-4ml 衛部醫器輸字第025954號 25,000

2188931003 FBZ003123001SPINAL(中空折斷-SCREW)REDUCTION

PEDICLE SYSTEM

"威創"脊椎固定系統:微創脊椎骨釘-加長中空多

軸向折斷U型衛署醫器製字第003123號 22,000

2188931004 FBZ003123002"WILTROM"SPINAL(50-100MM)FIXTION

SYSTEM：TITANIUM SPINAL"威創"脊椎固定系統:微創連接桿30-100mm 衛署醫器製字第003123號 22,000

2188931005 FBZ003123003"WILTROM"SPINAL(110-500MM)FIXTION

SYSTEM：TITANIUM SPINAL"威創"脊椎固定系統:微創連接桿110-300mm 衛署醫器製字第003123號 32,000

2188931001 FBZ003123004"WILTROM"(二節)(中空折斷SCREW)

SPINAL FIXATION SYSTEM"威創"脊椎固定系統:2節衛署醫器製字第003123號 88,000

2188931002 FBZ003123005"WILTROM"SPINAL(三節)(中空折斷

SCREW) SYSTEM"威創"脊椎固定系統:3節衛署醫器製字第003123號 132,000

2388909046 FBZ0257750026200-36-xx髖臼杯(限制型襯墊)Trilogy

Acetabular System"捷邁"人工髖臼杯(限制型襯墊) 衛部醫器輸字第025775號 38,000

2188914006 FBZ0225900017220XX(不可吸收)TwinFix Suture Anchors-

TwinFix Ultra PK

"史耐輝" 縫合錨釘及-不可吸收PK縫合錨釘

(4.5mm、5.5mm、6.5mm)衛署醫器輸字第022590號 33,800

2188914007 FBZ02259000272202624-26(可吸收)Suture Anchors-TwinFix

Ultra HA

"史耐輝" 縫合錨釘-可吸收HK縫合錨釘(4.5mm、

5.5mm、6.5mm)衛署醫器輸字第022590號 33,800

2233574117 TSZ024762001CNO11-GelPoint Path Transanal Access

Platform"安培"焦點腹腔鏡經肛門通路裝置衛署醫器輸字第024762號 40,000

2160045105 CFZ020127001(EVO-25-30-10)Evolution Colonic Stent

System

〝曲克〞愛佛盧迅十二指腸/直腸支架系統-直腸

支架系統衛署醫器輸字第020127號 54,600

2172054131 FSZ025630001 Ophira(迷你懸吊帶系統) Mini Sling System “博美敦”歐菲菈迷你懸吊帶系統衛部醫器輸字第025630號 30,250

2388999206 FBZ020102001919-25-36 Verte-Stack Crescent Vertebral

Body Spacer"美敦力" 克里森椎體填充器衛署醫器輸字第020102號 72,000

2388999213 FBZ02632300104.670.xx(人工頸椎) Prodisc-C Vivo Cervical

Disc Prosthesis“信迪思”波帝斯人工頸椎椎間盤衛部醫器輸字第026323號 255,000

2176045371 HHZ02623800180201-208(血栓清除R-S導管)Thrombectomy

System-Rotarex S"斯特勞布"機械性血栓清除系統-Rotarex S導管衛部醫器輸字第026238號 130,000

2176045372 HHZ02623800280226-232(血栓清除A-S導管)Thrombectomy

System-Aspirex S"斯特勞布"機械性血栓清除系統-Aspirex S導管衛部醫器輸字第026238號 125,000

2384035023 FBZ02595700112A2520VANCOCENX泰瑞斯萬古慶大黴

素骨水泥"泰瑞斯"萬古慶大黴素骨水泥衛部醫器輸字第025957號 21,000

2388801123 FFZ010181028PLT-1081:3(CPS眼眶骨骨板)CPS

BIOABSORBABLE FIXATION SYSTEM

〝盈力恩〞CPS生物可吸收性固定系統-眼眶骨骨

板衛署醫器輸字第010181號 37,700

2172054117 FSZ026181001SREM01(女性)Contasure Remeex Female

Adjustable System"尼奧麥迪克"雷泌克司女性尿道懸吊帶系統衛部醫器輸字第026181號 160,000

2257089703 SCZ0261610018808x6(M/L)-Lapro Clip Reusable Clip

Applier and Absorbable"柯惠"內視鏡雙層可吸收性血管夾及釘匣-M/L 衛部醫器輸字第026161號 8,700

2257089705 SCZ0261610028812*6(L)-Lapro Clip Reusable Clip Applier

and Absorbable Li"柯惠"內視鏡雙層可吸收性血管夾及釘匣-L 衛部醫器輸字第026161號 8,700

2257089700 TSZ026337001ABSTACK15-(可吸收)Single Use Absorbable

Fixation Tack-15“柯惠”單一使用可吸收固定釘-15釘衛部醫器輸字第026337號 18,200

2185998302 TSZ014425002PS1160-(皮膚縫合釘-16MM)removable skin

staple"利膚來" 可拆除式皮膚縫合釘 (滅菌)-16cm 衛部醫器輸壹字第014425號 13,000

2188908041 FBZ003962001TB-20xx+TB-40xx-(脛骨)Bone Plate System-

3.5Tibia Bone Plate"亞太醫療"固定骨板系統-3.5脛骨鎖定骨板衛署醫器製字第003962號 107,600

7


2172054116 FSZ026343001MRS(男性)Contasure Remeex Male

Adjustable System"尼奧麥迪克"雷泌克司男性尿道懸吊帶系統衛部醫器輸字第026343號 180,000

2257449311 FHZ022128001518-018-067(導線移除裝置)Lead Locking

Device (LLD)"史特勞斯"導線移除裝置衛署醫器輸字第022128號 63,000

2376019097 CBZ026424002Freeway-014(周邊)Paclitaxel releasing PTA

balloon catheter

"優洛可"高速經皮血管氣球擴張導管

(Freeway014)衛部醫器輸字第026424號 68,000

2188908010 FBZ0031290100702-01xx(METAL脛骨近端)Proximal

Lateral Tibia Locking

愛派司金屬鎖定骨板骨釘系統組:脛骨近端外側/

後側鎖定骨板衛署醫器製字第003129號 55,000

2188908001 FBZ003129015 APS-RAF(橈骨遠端) Small Locking plate愛派司金屬鎖定骨板骨釘系統組:橈尺骨手腕系

統鎖定骨板衛署醫器製字第003129號 64,500

2188908004 FBZ003129016 APS-FDH(脛骨遠端外側雙鉤) Locking Plate愛派司金屬鎖定骨板骨釘系統組:腓骨遠端外側

鎖定骨板衛署醫器製字第003129號 74,500

2188908005 FBZ003129017APS-Femur(大型DCP鎖定) ABS Locking

Plate(APS)

愛派司金屬鎖定骨板骨釘系統組:直式加壓大型

鎖定骨板(大型DCP鎖定)衛署醫器製字第003129號 68,500

2188908009 FBZ003129018APS(HTO-高位脛骨)METAL

PLATE&SCREW(Tibia Locking Plate)

愛派司金屬鎖定骨板骨釘系統組:脛骨近端內側

鎖定骨板(高位脛骨用)衛署醫器製字第003129號 95,000

2188908003 FBZ003129019APS-HAY(肱骨遠端Y鎖) Elbow Locking

Plate

愛派司金屬鎖定骨板骨釘系統組:肱尺骨手肘系

統鎖定骨板衛署醫器製字第003129號 83,000

2188908002 FBZ003129020APS-CAS(遠端鎖骨螺旋蛇型) Clavicle

Locking Plate

愛派司金屬鎖定骨板骨釘系統組:遠端鎖骨鈎鎖

定骨板(螺旋蛇型)衛署醫器製字第003129號 65,800

2188908006 FBZ003129021APS -Reconstruction(肱骨遠端內側重建型)

Locking Plate

愛派司金屬鎖定骨板骨釘系統組:肱骨遠端內側

骨板(重建鎖定型)衛署醫器製字第003129號 64,500

2188908008 FBZ003129022APS(迷你型1.5mm)METAL

PLATE&SCREWMini L Locking Plate

愛派司金屬鎖定骨板骨釘系統組:直式加壓L型骨

板(迷你型)衛署醫器製字第003129號 64,000

2388919181 FBZ025623001 506005078069(骨替代物)Actifuse MIS "百特"艾融骨替代物(含骨粉匣及手持推送器) 衛部醫器輸字第025623號 62,000

2388919182 FBZ025623002506005078071(補充骨粉)ACTIFUSE MIS

7.5ML REFILL CARTRIDG

"百特"艾融骨替代物(含骨粉匣及手持推送器)- 補

充骨粉衛部醫器輸字第025623號 46,000

2180900021 NAZ016767001G14220-WILLIAMS CYSTOSCOPE

INJECTION NEEDLE 膀胱鏡注射針"曲克"膀胱鏡注射針衛署醫器輸字第016767號 1,524

2188909305 FBZ004676001663-4530S(中空萬向骨釘)NovaCannulated

Poly Axial Screw

瑞寶億諾瓦脊椎固定系統-脊椎微創系統(螺釘杯

頭100MM)衛部醫器製字第004676號 22,000

2188909306 FBZ004676003320-450-XXX(連接桿 Rod*100mm以下)

Nova Pre-Bent Rod

瑞寶億諾瓦脊椎固定系統-脊椎微創系統(短型預

彎桿)衛部醫器製字第004676號 22,000

2188909307 FBZ004676004320-450-XXX(連接桿Rod*100mm

↑)NovaPre-BentRod

瑞寶億諾瓦脊椎固定系統-脊椎微創系統(長型預

彎桿)衛部醫器製字第004676號 35,000

2188909303 FBZ004676005ReBorn Essence(二節) Nova Spinal Fixation

System

瑞寶億諾瓦脊椎固定系統-脊椎微創系統(內固定

二節(SX4+RX2))衛部醫器製字第004676號 88,000

2188909304 FBZ004676006ReBorn Essence(三節) Nova Spinal Fixation

System

瑞寶億諾瓦脊椎固定系統-脊椎微創系統(內固定

三節(SX6+RX2))衛部醫器製字第004676號 132,000

23720010A1 WDZ007506002M4350XL(12.7*15.2cm-TC7) Absorbable

Adhesion Barrier“壯生”安得喜(4350XL) 衛署醫器輸字第007506號 15,000

2188908061 FBZ004673001Civic (鎖骨3.5系列) Locking Plate and Screw

System喜維克骨釘骨板系統-鎖定加壓鎖骨骨板3.5系列衛部醫器製字第004673號 55,000

2188908062 FBZ004673002Civic(肱骨/尺骨3.5系列 ) Locking Plate and

Screw System

喜維克骨釘骨板系統-鎖定加壓肱骨/尺骨近端骨

板3.5系列衛部醫器製字第004673號 70,000

2188908063 FBZ004673003Civic ((骨板3.5/5.0系列) Locking Plate and

Screw System喜維克骨釘骨板系統-鎖定加壓3.5/5.0骨板系列衛部醫器製字第004673號 5,000

2188908064 FBZ004673004Civic(橈骨2.4/腓骨3.5系列) Locking Plate

and Screw System

喜維克骨釘骨板系統-鎖定加壓骨板2.0/橈骨2.4/

腓骨3.5 系列衛部醫器製字第004673號 55,000

2188908065 FBZ004673005Civic(股骨/脛骨5.0系列 ) Locking Plate and

Screw System

喜維克骨釘骨板系統-鎖定加壓脛骨/跟骨3.5、股

骨/脛骨5.0系列衛部醫器製字第004673號 70,000

2188908404 FBZ022621001Antegrade Femoral(股骨) Natural Nail System

骨釘系統

捷邁人工骨髓內釘─股骨組 (含股骨髓內釘x1, 螺

帽x1)


衛署醫器輸字第022572號78,000

2188908405 FBZ022621002Natural Nail System(脛骨)Cephalomedullary

Nail—Tibial SET

捷邁人工骨髓內釘─脛骨組 (含脛骨髓內釘x1, 螺

帽x1)


衛署醫器輸字第022572號78,000

2188908406 FBZ022572001Natural Nail System(人工髓內釘)

Cephalomedullary Nail-CM SET

捷邁人工骨髓內釘─髓內釘組 (含髓內釘x1, 拉力

螺釘x1, 螺帽x1, 螺釘組x1)衛署醫器輸字第022572號 78,000

2253956031 BBZ013725001421034(適透膜可塑型造口環-57mm)Natura

Accordion Flange"康威"益舒穩彈性環 (未滅菌)-適透膜可塑形衛部醫器輸壹字第013725號 240

2253956033 BBZ013725002421040(多柔膚可塑型造口環-57mm)Natura

Accordion Flange"康威"益舒穩彈性環 (未滅菌)-多柔膚可塑形衛部醫器輸壹字第013725號 295

2273005277 TTZ026197002TM-TD-02(硬腦膜/硬脊膜)50X50mm-Tissue

Patch Dural"遞舒美"硬腦膜/硬脊膜組織黏合貼50X50mm 衛部醫器輸字第026197號 39,200

2300000091 SCZ02474900117001-01-xx(T2腦動脈瘤夾)Sugita Titanium

Aneurysm Clips II"瑞穗"腦動脈瘤夾(鈦合金) 衛署醫器輸字第024749號 18,000

2188048121 FBZ02660200104113.103-xxLCP(3.5mm)HOOK-Plate

system/3H/L62「信迪思」鎖定加壓鉤狀骨板系統衛部醫器輸字第026602號 52,000

2188999131 FBZ02633400121298-45-xx(椎體)Osseofix Spinal Fracture

Reduction System

“阿伐泰克”歐瑟菲斯脊椎骨折重建系統(置入椎

體搭配骨水泥)衛部醫器輸字第026334號 128,000

2388999152 FBZ003255001TLIF(椎間融合系統)CAGE INTERBODY

FUSION SYSTEM

“鐿鈦”高分子複合/鈦合金材料椎間融合系統(微

創PEEK CAGE)衛署醫器製字第003255號 60,060

2360039011 NBZ013853001MMT-399&397(圓形輸液套輸液套) Quick-

Set Infusion Set(10/盒)“美敦力”圓形輸液套衛署醫器輸字第013853號 625

2360039013 NBZ010260001MMT-332A(3.0ML儲藥器)Medication

Reservoir(10/盒)“美敦力迷你美”儲藥器衛署醫器輸字第010260號 125

2396009220 FSZ018055004 PC2015F(方型) Parietex Composite Mesh“柯惠”舒法定帕瑞得複合式人工編網-

PCO2015F(20x15cm)衛署醫器輸字第018055號 37,700

2396009221 FSZ018055005 PCO2520F(方型) Parietex Composite Mesh“柯惠”舒法定帕瑞得複合式人工編網-

PCO2520F(25x20cm)衛署醫器輸字第018055號 37,700

2233574132 TSZ026478001 4xxAS/AM/AL-(達)-Glove Port 腹腔鏡用端 "奈利斯"腹腔鏡用端口衛部醫器輸字第026478號 25,500

8


2372001041 FSZ026881001Hyaloglide(1ml) Anti-adhesion Gel亞諾葛來

防沾黏生物膠亞諾葛來防沾黏生物膠-1ml 衛部醫器輸字第026881號 16,525

2372001042 FSZ026881002Hyaloglide(2ml) Anti-adhesion Gel亞諾葛來

防沾黏生物膠亞諾葛來防沾黏生物膠-2ml 衛部醫器輸字第026881號 30,025

2188049010 FBZ020077002AR-1588TN(膝關節)TightRope ABS NO

Button Repair System

"艾思瑞斯"泰若普肌腱固定懸吊鈕/十字韌帶懸吊

鈕衛署醫器輸字第020077號 30,500

2176001011 TKZ025779004SWCT SET(3針式組)COOL TIP RF

Switching+Electrode Kit)"柯惠 "易瑞司射頻消融系統電極及配件-3針組衛部醫器輸字第025779號 83,200

217390000A TTZ0256000010600125/41CM(搭配 Flosaeal使用)

Endoscopic Applicator“百特”內視鏡應用導管衛部醫器輸字第025600號 3,320

2376016145 CBZ0267080027B01RANGER(周邊PTA4mm↓)SLPaclitaxel

Coated Balloon Catheter

“波士頓科技”藍吉紫杉醇塗藥周邊氣球導管(直

徑＜4mm)衛部醫器輸字第026708號 80,500

2188908042 FBZ003962002439935-71(下肢-鈦金)Titanium LOWER

extremity locking Plate"亞太醫療"固定骨板系統-鈦金屬下肢鎖定骨板衛署醫器製字第003962號 74,100

2188908046 FBZ003994001LK-4245-xx(上肢-鈦金)Titanium upper

extremity locking Plate"亞太醫療"鎖定骨板系統-鈦金屬上肢鎖定骨板衛署醫器製字第003994號 63,050

2188908047 FBZ003994002LK-4235-4250-(小骨-鈦金)Titanium small

locking Plate system"亞太醫療"鎖定骨板系統-鈦金屬小骨鎖定骨板衛署醫器製字第003994號 55,900

2188908049 FBZ003994004LK-4416-x(跟骨-鈦金)-Titanium calcancus

Locking Plate system"亞太醫療"鎖定骨板系統-鈦金屬跟骨鎖定骨板衛署醫器製字第003994號 63,050

2388999007 FBZ004675001HYVISC(海威力3ml) One Synovial Fluid

Supplement海威力一針劑型關節腔注射劑衛部醫器製字第004675號 15,000

2384035031 FBZ026894001 21390(骨水泥)OsseoFix Radiopaque Bone "阿伐泰克"歐瑟菲斯骨水泥衛部醫器輸字第026894號 32,500

2176045523 CDZ025758001EVO(FC)(金屬半覆蓋)Evolution Biliary stent

system-partially"曲克"愛佛盧迅膽道支架系統-半覆蓋和全覆蓋衛部醫器輸字第025758號 50,000

2388919146 FBZ025330002 506005078047(骨替代物-2.5ML)Actifuse “百特”艾融骨替代物-2.5ml 衛部醫器輸字第025330號 27,000

2388999015 FBZ023781001Viscoseal Synovial Fluid Substitute膝關節腔

滑液替代物維骨適膝關節腔滑液替代物衛署醫器輸字第023781號 16,000

2176045059 CBZ0272240019050675-xx(PTA導管)LTX 014 Drug Coated

Balloon Catheter

"清流"巴德路透尼斯014經皮穿刺血管成形術藥

物塗層球囊導管衛部醫器輸字第027224號 70,000

2289203059 WWZ026660002413567(10*10CM)AQUACEL

AG+DRESSING愛康膚銀抗菌親水性纖維“康威”愛康膚-銀抗菌親水性纖維敷料(10X10cm) 衛部醫器輸字第026660號 430

2289203060 WWZ026660003413568(15*15CM)AQUACEL

AG+DRESSING愛康膚銀抗菌親水性纖維“康威”愛康膚-銀抗菌親水性纖維敷料(15X15cm) 衛部醫器輸字第026660號 760

2289203061 WWZ026660004413569(20*30CM)AQUACEL

AG+DRESSING愛康膚銀抗菌親水性纖維“康威”愛康膚-銀抗菌親水性纖維敷料(20X30cm) 衛部醫器輸字第026660號 1,730

2289203062 WWZ026660005

413571(2*45CM)AQUACEL

AG+DRESSING愛康膚-銀抗菌親水性纖維

敷料

“康威”愛康膚-銀抗菌親水性纖維敷料(2X45cm) 衛部醫器輸字第026660號 480

2382897187 WDZ003484002(10x10cm)SavDerm Antiseptic Wound

Dressing舒膚貼抗菌外傷敷料舒膚貼抗菌外傷敷料(滅菌)(10X10cm) 衛署醫器製字第003484號 50

2382897188 WDZ003484003(10x20cm)SavDerm Antiseptic Wound

Dressing舒膚貼抗菌外傷敷料舒膚貼抗菌外傷敷料(滅菌)(10X20cm) 衛署醫器製字第003484號 100

2289211301 WDZ0052970012X2cm-Wound Dressing(36mm*36mm)”水凝

敷”傷口敷料“水凝敷”傷口敷料(滅菌)(2X2cm) 衛部醫器製壹字第005297號 120

2289211303 WDZ0052970035X5cm-Wound Dressing(70mm*70mm)“水凝

敷”傷口敷料“水凝敷”傷口敷料(滅菌)(5X5cm) 衛部醫器製壹字第005297號 300

2289211304 WDZ0052970043X14cm-Wound Dressing(54mm*160mm)“水

凝敷”傷口敷料“水凝敷”傷口敷料(滅菌)(3X14cm) 衛部醫器製壹字第005297號 600

2289211305 WDZ00529700510X10cm-Wound Dressing(120mm*120mm)

“水凝敷”傷口敷料“水凝敷”傷口敷料(滅菌)(10X10cm) 衛部醫器製壹字第005297號 800

2185998303 TSZ014425003 PS2080-(皮膚縫合釘-8MM)removable skin "利膚來" 可拆除式皮膚縫合釘 (滅菌)- 衛部醫器輸壹字第014425號 6,800

2188048124 FBZ02686600104-107-xx(肘骨骨板)VA LCP Elbow Plates

System-LCP Plate

"信迪思"多角度鎖定加壓臂肘骨骨板系統/鎖定加

壓骨板衛部醫器輸字第026866號 68,000

2188049009 FBZ020077003AR-2257-2658(肩關節)Tight-Rope

Syndesmosis Repair System

“艾思瑞斯”泰若普肌腱固定懸吊鈕-肩鎖關節懸

吊鈕衛署醫器輸字第020077號 45,500

2296060006 TBZ027038001S1.1361-1371(淚囊通管組)-NUNCHAKU

Lacrimal Intubation Sets"佛朗惜眼"努恰卡淚囊通管組衛部醫器輸字第027038號 9,000

2188909586 FBZ02690700114750050xx(短-Rod-30-55mm)CD Horizon

Spinal System

美敦力" 索樂拉脊椎固定系統-短節固定桿(配合

微創手術使用)衛部醫器輸字第026907號 25,000

2188909587 FBZ02690700254840015xx(骨釘-MAS SCREW)CD Horizon

Spinal System

“美敦力" 索樂拉脊椎固定系統-骨釘(配合微創手

術使用)衛部醫器輸字第026907號 22,000

2188909588 FBZ02690800154840015xx(骨釘-SCREW-PRO廠)CD

Horizon Spinal System

“美敦力" 索樂拉脊椎固定系統-骨釘(配合微創手

術使用)衛部醫器輸字第026908號 22,000

2182908026 FBZ026628001FG906T-910T(骨板)Securespan Laminoplasty

System－Plate"雅氏"安距椎板成形術系統－骨板衛部醫器輸字第026628號 9,600

2182908027 FBZ026628002FG915T-923T(骨釘)Securespan Laminoplasty

System－Screw"雅氏"安距椎板成形術系統－骨釘衛部醫器輸字第026628號 3,600

2188930452 FBZ027114002InterFuse-S(PEEK由4顆組合

PLIF)IntervetebralBodyFusionDevice

“微堤”椎間融合器(配合微創手術使用 PEEK由4

顆組合PLIF)衛部醫器輸字第027114號 156,000

2188914016 FBZ026987001CFBC-45-65-N(縫合固定錨釘)Genesys

CrossFT Suture Anchor"靈威特"克洛特縫合固定錨釘衛部醫器輸字第026987號 29,500

2206009051 FBZ026655001 08.501.xx(1支)Sternal ZipFix System,PEEK “信迪思”胸骨固定系統(1支裝) 衛部醫器輸字第026655號 4,200

2172054121 FSZ026988001Galistar-A(POP脫垂修補系統)Calistar POP

Repair System“博美敦”凱莉星脫垂修補系統-Calistar A 衛部醫器輸字第026988號 35,000

2172054122 FSZ026988002Galistar-P(POP脫垂修補系統)Calistar POP

Repair System“博美敦”凱莉星脫垂修補系統-Calistar P 衛部醫器輸字第026988號 35,000

2382907151 FBZ02665200104.501.001(左側肋骨)Fixation System-Left

Pre-Contoured Plate

“信迪思”梅翠思肋骨固定系統-預成型左側肋骨

骨板衛部醫器輸字第026652號 58,000

2382907152 FBZ02665200204.501-xx(右側肋骨)Fixation System-Right

Pre-Contoured Plate

“信迪思”梅翠思肋骨固定系統-預成型右側肋骨

骨板衛部醫器輸字第026652號 58,000

9


2382907153 FBZ02665200304.501.009(通用型)MatrixRIB Fixation

System-Universal Plate“信迪思”梅翠思肋骨固定系統-通用型肋骨骨板衛部醫器輸字第026652號 58,000

2382907154 FBZ02665200404.501.010-x(髓內夾板)Fixation System-

Intramedullary Splints“信迪思”梅翠思肋骨固定系統-髓內夾板衛部醫器輸字第026652號 55,000

2382907155 FBZ02665200504.501.016-024(骨釘(1支裝)Fixation System-

Lock screw

“信迪思”梅翠思肋骨固定系統-肋骨鎖定骨釘(1支

裝)衛部醫器輸字第026652號 5,500

2382907156 FBZ02665200604.501.016-24(骨釘(5支裝)Fixation System-

Lock screw

“信迪思”梅翠思肋骨固定系統-肋骨鎖定骨釘(5支

裝)衛部醫器輸字第026652號 27,500

2188930586 FBZ027474001IBE-10-20(氣球椎體) MADINAUT

Kyphoplasty System“愛美迪康”美迪納氣球椎體成形術套組衛部醫器輸字第027474號 70,000

2388919106 FBZ026494001PB10101(人工骨-10*10*10mm)Collagen

Bone Matrix Implant賓得士膠原基人工骨-10*10*10mm 衛部醫器輸字第026494號 25,000

2388919107 FBZ026494002PB103020(人工骨-10*30*20mm)Collagen

Bone Matrix Implant賓得士膠原基人工骨-10*30*20mm 衛部醫器輸字第026494號 80,000

2172054113 FGZ027475001M0068318170(陰道支撐系統)Uphold LITE

Vaginal Support System“波士頓科技”歐普侯陰道支撐系統衛部醫器輸字第027475號 55,375

2188914011 FBZ02714900172201881(2.0mm超強微型固定錨釘)Suture

Anchors with Needle"史耐輝"縫合錨釘衛部醫器輸字第027149號 23,000

2388919191 FBZ027409001650-00-01(1cc)Optecure Allograft

Demineralized Bone Matrix"美精技"悠補骨補骨材料-1cc. 衛部醫器輸字第027409號 28,500

2388919192 FBZ027409002650-00-02(2cc)Optecure Allograft

Demineralized Bone Matrix"美精技"悠補骨補骨材料-2cc. 衛部醫器輸字第027409號 56,000

2388919196 FBZ027409006652-00-01(1cc+ccc)Optecure Allograft

Demineralized Bone Matr"美精技"悠補骨補骨材料(含異體骨片)-1cc. 衛部醫器輸字第027409號 35,500





2241858016 CDZ005641001SI-0018(引流導管)Introduction/drainage

catheter

"善醫"導入/引流導管及其附件(滅菌)-雙腔持續性

沖洗引流管衛部醫器製壹字第005641號 8,600

2233574101 TSZ027371001WPXSM24(XS-2-4CM)傷口保護

套)SurgiSleeve Wound Protecto“柯惠”傷口保護套衛部醫器輸字第027371號 2,600

2376038396 CXZ027612001M004RC64S0(定位導管)Orion High

Resolution Mapping Catheter〝波士頓科技〞因特拉高解析定位導管衛部醫器輸字第027612號 140,000

2173900053 TTZ021769002EVD05-0102+EVTAS3(1ML)EVICEL

Application Device愛微止專用給藥裝置(EVD05 / EVD0102) 衛署醫器輸字第021769號 23,000

2188048126 FBZ02751300104.016.210S-19.270S(肱骨髓內釘) Humeral

Nailing System"信迪思"多方向鎖定肱骨髓內釘系統(組) 衛部醫器輸字第027513號 72,000

2188048127 FBZ02751300204.019-50(鎖定螺釘-金) Humeral

Nailing/MultiLoc Screw

"信迪思"多方向鎖定肱骨髓內釘系統/多方向鎖定

螺釘衛部醫器輸字第027513號 20,000

2188909082 FBZ02741200135-200-xx(夾縮和骨板系統 )SuperCable Grip

and Plate System“克萊美”纜線夾縮和骨板系統-纜線夾縮衛部醫器輸字第027412號 83,500

2360089033 FHZ026000001MRCS24-38(環狀成形術環)Memo 3D

Annuloplasty Ring“索倫”環狀成形術環衛部醫器輸字第026000號 50,000

2296060002 TBZ028112001S1.1608-1610(淚囊通管組)MASTERKA

Lacrimal Intubation Sets"佛朗惜眼"馬斯特卡淚囊通管組衛部醫器輸字第028112號 9,880

2188056001 FBZ027784001OPA-1550-3250(可吸收性固定骨針)Inion

FreedomPin銀聯生物可吸收性固定骨針衛部醫器輸字第027784號 22,000

2396009251 FSZ027776001NV-LL-015G(組織修補片)Absorbable

Polyglycolic Acid Felt“郡是”奈維可吸收性組織修補片(NV-LL-015G) 衛部醫器輸字第027776號 28,000

2396009253 FSZ027776003NV-L-015G(組織修補片)Absorbable

Polyglycolic Acid Felt“郡是”奈維可吸收性組織修補片(NV-L-015G) 衛部醫器輸字第027776號 28,000

2289201108 WWZ004222008HA204030(20x40x3mm)HealiAid Collagen

Wound Dressing癒立安膠原蛋白敷料20X40X3mm 衛部醫器製字第004222號 12,000

2176045058 HHZ0192280015040(動靜脈血栓清除導管)Pronto. 035

Extraction Catheter"法斯樂舒順"普倫特動靜脈血栓清除導管衛署醫器輸字第019228號 65,000

2171002112 NEZ028018001ECHO-HD-3-20-C(超音波取樣針) Echo-Tip

Biopsy Needle“曲克”艾可梯波科超音波取樣針衛部醫器輸字第028018號 12,600

2360045001 FHZ027990001PVS21-27(主動脈心臟瓣膜)Perceval S

Sutureless Aortic Valve 索倫派西弗無縫線主動脈心臟瓣膜衛部醫器輸字第027990號 400,000

2396009231 FSZ0285560010115610-11(改良網片)OnFlex and Modified

OnFlex Mesh“巴德”歐福力斯及改良歐福力斯網片衛部醫器輸字第028556號 10,000

2384035102 FBZ0282240012839100xx(脊椎骨水泥)Confidence Spinal

Cement System-11cc "帝富"康富脊椎骨水泥系統-11c.c. 衛部醫器輸字第028224號 100,000

2253956036 BBZ016298005421640(多柔膚可裁剪墊高-57MM)Natura

Accordion Flange

"康威"益舒穩彈性環 (未滅菌)-多柔膚可裁剪墊

高衛部醫器輸壹字第016298號 418

2188914010 FBZ0206050017220199xx(縫合錨釘)OsteoRaptor Suture and

Accessories"史耐輝"縫合錨釘衛署醫器輸字第020605號 25,000

2394014067 CGZ0274330025621(冠狀動脈/周邊血管)Turnpike

Catheter(Gold Tip)"法斯樂舒順"派克導管(末端鍍金導管) 衛部醫器輸字第027433號 45,000

2176045049 CBZ02851300112342xx-(血管模架)GT1 Bioresorbable

Vascular Scaffold System"亞培"艾倍舒極遞全吸收式生物血管模架系統衛部醫器輸字第028513號 130,000

2188930418 FBZ028228002(實心-側開型)TM Ardis Interbody System

Solid (TLIF)

“捷邁”多孔鉭金屬亞帝斯實心椎間融合系統 (側

開型)衛部醫器輸字第028228號 115,000

2188930596 FBZ027795001Capstone(PTC微創用)Spinal System-Titanium

coated peek Cage

“美敦力” 蓋普斯鈦塗層脊椎系統-融合器(側開型

，鈦塗層PEEK)(配合微創手術使用)衛部醫器輸字第027795號 107,000

2200105006 SSZ0059630011050060(0.5ML組織黏膠-透明色)Histoacryl

Translucent“必勃朗”組織黏膠(透明) 衛署醫器輸字第005963號 3,500

2200105005 SSZ0059630020105005(0.5ml組織黏膠-藍色)Histoacryl

Blue(5支/盒)“必勃朗”組織黏膠(藍色) 衛署醫器輸字第005963號 1,440

10


2188909027 FBZ0052850011204-1028-7836(股小球-再置換型)Femoral

Head"聯合"股小球-再置換型衛部醫器製字第005285號 20,000

217390000E TTZ0213360030600030(噴嘴40cm)DuploSpray MIS

Applicator & Replacement Tip

"百特"多普樂噴灑微創侵入式外科應用導管及替

換尖嘴(40cm)衛署醫器輸字第021336號 3,000

2233574119 TSZ028702002CNGL3(70mm)-達-Applied Gel POINT

Advanced Platform System“安培”焦點腹腔鏡通路裝置-70 mm 衛部醫器輸字第028702號 25,000

2388360061 FBZ028342001186731xx(雙軸線皮質固定螺)Dual Lead

Cortical Fix Screw

“帝富脊椎”微博皮質固定螺釘脊椎固定系統-雙

軸線皮質固定螺釘(可搭配微創手術使用)衛部醫器輸字第028342號 26,000

2388919231 FBZ02870100184038001-Puros (DBM-骨泥

1cc)Demineralized Bone Matrix-Putty“亞羅士”普洛斯去礦化骨填充物-骨泥1cc 衛部醫器輸字第028701號 25,000

2388919232 FBZ02870100284038002-Puros(DBM-骨泥

2.5cc)Demineralized Bone Matrix-Putty“亞羅士”普洛斯去礦化骨填充物-骨泥2.5cc 衛部醫器輸字第028701號 41,000

2388919233 FBZ02870100384038005(5.0cc骨泥-

DBM)PurosDemineralizedBoneMatrix(DBM)“亞羅士”普洛斯去礦化骨填充物-骨泥5cc 衛部醫器輸字第028701號 60,320

2388919238 FBZ02870100884338005(5.0cc骨泥加骨片-DBM)Puros

Demineralized Bone(DBM)“亞羅士”普洛斯去礦化骨填充物-骨泥加骨片5cc 衛部醫器輸字第028701號 84,000

2388919240 FBZ02870101084238001(DBM骨膏加鬆質骨

1cc)Demineralized Bone Matrix-Paste

“亞羅士”普洛斯去礦化骨填充物-骨膏加鬆質骨

1cc衛部醫器輸字第028701號 35,000

2388919241 FBZ02870101184238003(3.0cc骨膏加鬆質骨

DBM)PurosDemineralizedBone(DBM)

“亞羅士”普洛斯去礦化骨填充物-骨膏加鬆質骨

3cc衛部醫器輸字第028701號 61,250

2396005051 CKZ02698300161224BX(輸尿管套管-女性)UroPass Ureteral

Access Sheath Set"吉洛氏艾斯米"優帕斯輸尿管導入套管組衛部醫器輸字第026983號 8,500

2280004292 CKZ025118002M00625xx(輸尿管導管-HD)Navigator

Ureteral Access Sheath Set

"波士頓科技"奈芙輸尿管導入套管組(Navigator

HD)衛署醫器輸字第025118號 10,800

2138791223 FLZ024866001DP-SDP001-002(流監測探頭)Doppler blood

flow Probe

"曲克"都卜勒血流監測系統-Cook Swartz都卜勒

探頭衛署醫器輸字第024866號 28,660

2200PDS405 TSZ028720001SXPP1Axxx(CT-1-45CM)PDS Plus Knotless

Tissue Control Device“愛惜康”思達飛抗菌對稱型免打結傷口縫合裝置衛部醫器輸字第028720號 2,500

2382897156 TTZ0280150021505182(止血貼片-45X45mm)Hemopatch

Sealing Hemostat“百特”血倍去封合止血貼片-45X45mm 衛部醫器輸字第028015號 9,450

2188914009 FBZ02777700172203986(睕部纖維軟骨修補)TFCC Fast-Fix

Repair Kit"史耐輝"三角纖維軟骨修補系統衛部醫器輸字第027777號 45,000

2188914008 FBZ02886000172290xx(可調固定鈕釦)ULTRABUTTON

Adjustable Fixation Device"阿碩柯爾"內環固定鈕釦衛部醫器輸字第028860號 28,000

2188930051 FBZ0281640014030100-7030(骨螺釘植入物-鈦)iFuse

Implant(30-70MM)"賽本"骨螺釘植入物衛部醫器輸字第028164號 160,000

2384023005 FBZ002662001PSA(Rrv-高耐磨聚乙烯脛骨)Total Knee

System-XPE Tibial Insert

"聯合"康膝人工膝關節-高耐磨聚乙烯脛骨關節面

襯墊穩定加強型衛署醫器製字第002662號 78,000

2194014131 CMZ027300001RBY2C0305-4C2060(栓塞環系統)Ruby Coil

System"彼娜波"瑞彼栓塞環系統衛部醫器輸字第027300號 35,000

2289208021 WDZ01690000268901(10X10cm水凝膠敷料)HydroTac

transparent hydrogel dress"赫曼" 水凝膠敷料 (滅菌) 10X10cm 衛部醫器輸壹字第016900號 294

2289208022 WDZ01690000468903(20X20cm水凝膠敷料)HydroTac

transparent hydrogel dress"赫曼" 水凝膠敷料 (滅菌) 20X20cm 衛部醫器輸壹字第016900號 882

2289208023 WDZ01690000568923(6.5X10cm水凝膠敷料)HydroTac

transparent hydrogel dress

"赫曼" 水凝膠敷料 (滅菌) Comfort

6.5X10cm;8X8cm衛部醫器輸壹字第016900號 196

2289208024 WDZ01690000668921(12.5x12.5-水凝膠)HydroTac

transparent hydrogel dress"赫曼" 水凝膠敷料 (滅菌) Comfort 12.5X12.5cm 衛部醫器輸壹字第016900號 294

2289208025 WDZ01690000768922(10x20cm水凝膠敷料)HydroTac

transparent hydrogel dress"赫曼" 水凝膠敷料 (滅菌) Comfort 10X20cm 衛部醫器輸壹字第016900號 588

2176045436 CTZ029289001112260-66-002(血栓旋切導管)Jetstream

Atherectomy Catheter“波士頓科技”傑思楚血栓旋切導管衛部醫器輸字第029289號 150,000

2188048201 FBZ029081001DVR System(遠端橈骨骨板+骨釘)DVR

Crosslock Plate+SCREW

"邦美"遠端橈骨交叉互鎖式骨板系統/遠端橈骨骨

板衛部醫器輸字第029081號 63,000

2188048202 FBZ029081002DVR System(互鎖式螺釘)DVR Crosslock

Locking Screws"邦美"遠端橈骨交叉互鎖式骨板系統/互鎖式螺釘衛部醫器輸字第029081號 2,500

2382897173 TTZ0288040031503833(骨用止血材-1.0g)Ostene Bone

Hemostasis Material“百特”歐速停水溶性骨用止血材-1.0g 衛部醫器輸字第028804號 3,600

2171002111 NEZ029017001NA-U200H-8022(抽吸生檢針)Single Use

Aspiration Needle“奧林柏斯”單次使用抽吸生檢針衛部醫器輸字第029017號 9,500

2360058014 CKZ01274800190051-56(14-16Fr含測溫) Foley Catheter with

Temperture Probe"柯惠" 曼爾頓導尿管附溫度感應探針衛署醫器輸字第012748號 1,500

2188909261 FBZ0056920011605-0xx(聯軸器)Spring Coupler-Spinal

Stabilization System"兆峰"脊椎固定系統-丹福斯單軸聯軸器(固定桿) 衛部醫器製字第005692號 54,600

2188909276 FBZ0056920161608-550xx(預彎桿(短)Pre-bend

Rod(S)Spinal Stabiliz-System"兆峰"脊椎固定系統-丹福斯預彎桿(短) 衛部醫器製字第005692號 9,600

2376038395 CGZ027742001M004EPTMC-RP-85xx(鞘管套組)Zurpaz

Steerable Sheath Set"波士頓科技"可調控鞘管套組衛部醫器輸字第027742號 65,000

2200105001 TNZ011058001GIS-44(內視鏡記號液)SPOT ENDOSCOPIC

MARKER"吉愛"史斑特內視鏡記號液衛署醫器輸字第011058號 980

2188930589 CAZ029795001SWB20N(硬膜外氣球導管)Steerable

Epidural Balloon Catheter“喜旺”佛爾畢可操控硬膜外氣球導管衛部醫器輸字第029795號 45,000

2188048133 FBZ02885700104.037.942-xx(股骨近端髓內釘-短髓)TFN-

Femoral Nailing System

"信迪思"進階型股骨近端髓內釘系統/短髓內釘刀

片組衛部醫器輸字第028857號 99,000

2160020121 FBZ03021200176-2601(肋骨-8H-直-Plate)RibFix Blu

Thoracic Fixation System"生邁"藍帶肋骨固定系統/8孔直行骨板衛部醫器輸字第030212號 26,875

2160020122 FBZ03021200276-2602(肋骨-12H-彎-Plate)RibFix Blu

Thoracic Fixation Syst"生邁"藍帶肋骨固定系統/12孔預彎形骨板衛部醫器輸字第030212號 40,625



11




2160020125 FBZ03021200576-2407-XX((肋骨-骨钉) RibFix Blu Thoracic

Fixation System"生邁"藍帶肋骨固定系統/骨釘衛部醫器輸字第030212號 6,750

2291999057 TBZ0253650016303、03-T-FORM FIT(膠淚管塞)Hydrogel

Intracanalicular Plug“歐雅西斯” 水凝膠淚管塞衛部醫器輸字第025365號 3,597

2291999056 TBZ0253630016402-6405(淚管塞)SOFT PLUG Extended

Duration Plug(2EA/包)“歐雅西斯” 淚管塞衛部醫器輸字第025363號 1,600

2388066015 FBZ029939001159790-xx(活動式襯墊)Oxford Partial Knee

System

"邦美"奧斯福單側人工膝關節系統-活動式襯墊組

件衛部醫器輸字第029939號 63,000

2173901001 FBZ0303430019380003(抗沾黏膠-3ml)MEDISHIELD

ANTI-ADHESION GEL“佛柔美德”抗粘黏凝膠衛部醫器輸字第030343號 56,250

2441802327 FNX022173001MC30-MC254(高速切割系統)Legend-

Pneumatic High Speed System“美敦力”雷勁-氣動式高速切割系統衛署醫器輸字第022173號 25,000

2257089401 SAY023875001V-LOC*90-*180 DEVICE(V20 GS21 CV23

P21)可吸收傷口裝置柯惠可吸收傷口縫合裝置(僅適用於內視鏡手術) 衛署醫器輸字第023875號 1,690

2257072043 BBY001745002FEP836080(內視鏡取物袋 3X6) Endo pocket

with memory wire普威取物袋(記憶型) 衛署醫器製字第001745號 2,200

2257072057 BBY002663001 EB-0507 ENDO BAG(5X7)腹腔鏡專用檢體大吉士檢體袋衛署醫器製字第002663號 1,200

2241858006 CDY001592001SI-360C(沖吸管) Disposable

Suction/Irrigation(LAGIS)拉吉士沖吸管SI-320C;SI-360C 衛署醫器製字第001592號 2,550

2372002004 SAY021862001HAR36(ACE36E、ACE45E)手控式超音波

彎式剪刀柯惠”威利雷伯鈍頭腹腔鏡閉合器/分割器衛署醫器輸字第021862號 33,600

2257072001 CDY012782001178093(L-HOOK帶電燒沖吸管)Disposable

Suctoin/Irrigation柯惠單次使用腹腔鏡沖吸套管組衛署醫器輸字第012782號 7,000

2257089511 SAY023891001V-LOCM0003-35-V-LOC90 DEVICE( 2-0-4-

0) P-12 30CMP柯惠可吸收傷口縫合裝置(僅適用於內視鏡手術) 衛署醫器輸字第023891號 2,000

2257072041 BBY017393001173050G ENDO CATCH*10mm SPECIMEN

BAG "內視鏡組織置入袋"柯惠"一次性取物袋-可自動展開衛署醫器輸字第017393號 5,000

2257072061 BBY020233001 CD001(10mm) Retrlev System內視鏡專用檢 "安培"內視鏡專用檢體袋(10mm) 衛署醫器輸字第020233號 4,400

2396026031 SAY024846001PCE PSE PLE-(45A.60A) Flex Powered

Endoscopic Linear Cutter

"愛惜康"愛喜龍可彎式電動腔鏡直線型切割縫合

器衛署醫器輸字第024846號 21,000

2338791221 CDY011315001EPH04(電灼器械-HANDLE)ENDOPATH

ELECTROSURGERY PROBE PLUS II"愛惜康"安德派思電灼手術器械衛署醫器輸字第011315號 8,400

2372002016 TKY025123001SCD391-(無線超音波刀)Sonicision Cordless

Ulterasonic"柯惠"索尼西迅無線超音波刀衛署醫器輸字第025123號 42,000

2338791244 SAY025037002LF1544-Valleylab LigaSure Blunt Tip

Laparoscopic Sealer/Div"柯惠"利嘉修爾鈍頭閉合器/切割器- LF1544 衛署醫器輸字第025037號 30,000

2241858007 CDY001724001FSI-133050-Suction Irrigation SYSTEM

(UNIMAX)"普威"高速抽吸沖洗套組衛署醫器製字第001724號 1,884

2441801061 TKY0085090015450-850-003(拋棄式沖洗管)Tubing

Set&Ext-Filter Tubing"史賽克"手術用器具馬達與配件或附件-沖洗導管衛署醫器輸壹字第008509號 6,000

2271001092 TKY018726001915000PK-PKSEAL(電漿切割器)

Electrosurgical Instruments

〝吉洛氏〞G400電燒專用器械

/91005PK;942005PK衛署醫器輸字第018726號 29,800

2338791242 SAY025753001LF4318-Ligasure Cur Sealer/DIV 利嘉休爾凝

集器

"柯惠"利嘉修爾彎型大鉗口開放式手術閉合器/分

割器-LF4318衛部醫器輸字第025753號 34,800

2241858041 CDY005506001單次使用腹腔鏡沖吸套管組 32cm/290cm

0250-070-620

"史賽克"真空動力式體液吸收器(滅菌)-單次使用

腹腔鏡沖吸套管組衛署醫器輸壹字第005506號 2,480

2271001091 TKY018726005970010PC-OMNI PK(電漿切割器)

Electrosurgical Instruments

"吉洛氏"G400電燒專用器械-

970000PC,970005PC,970015PC衛署醫器輸字第018726號 36,000

2257074402 TKY021893001CB030(組織剪刀-5*35cm)Epix Laparoscopic

Scissor“安培”腹腔鏡組織夾持鉗及剪刀-剪刀衛署醫器輸字第021893號 6,000

2257074403 TKY021893002C4130(組織夾持鉗-5*35cm)Epix

Laparoscopic Graser“安培”腹腔鏡組織夾持鉗及剪刀-組織夾持鉗衛署醫器輸字第021893號 6,000

2257074401 TKY021893003CY010(組織剝離器-5*35cm)Epix

Laparoscopic Dissectotr

“安培”腹腔鏡組織夾持鉗、剪刀及剝離器-剝離

器衛署醫器輸字第021893號 6,000

2257072056 BBY003267002 EBH-0507 ENDO BAG(5X7)腹腔鏡專用檢 "大吉士"內視鏡專用檢體袋/EBH-0507 衛署醫器製字第003267號 3,200

2185998033 TKY00030700110-1313461-Electrosurgical RF electrodes(舌

根探針)"邁德斯菲爾"電外科電極衛署醫器陸輸字第000307號 25,700

2185998071 TKY02574800123-112-1(6.0)-Aquamantys System 艾可雙極

射頻電外科裝置系統"美敦力"艾可雙極射頻電外科裝置系統衛部醫器輸字第025748號 52,320

2376038361 CXY013590W01 NavX Surface Electrode Kit 電極貼片組聖猶達電極貼片組衛署醫器輸字第013590號 50,000

2338791241 SAY026194001LF1637-LigaSure Blunt Tip Laparoscopic

Sealer/Divider

"柯惠"利嘉修爾鈍頭腹腔鏡閉合器/分割器-

LF1637衛部醫器輸字第026194號 32,400

2372002031 TKY025996001TB-0520IC-xx(手槍式及握把)Surgical Tissue

Management System

"奧林柏斯"外科手術系統組-雙極雷聲刀(手槍式

及同軸握把)衛部醫器輸字第025996號 29,000

2200105031 WDY004663001TP-0015(高黏度組織黏著劑) High Viscosity

Tissue Adhesive荷美敷高黏度組織黏著劑衛部醫器製字第004663號 4,000

2285001066 WDY00537700180201501-2 NasalOne Soft 可吸收式鼻用止

血棉(標準、軟)"翔源"鼻腔內固定夾板衛部醫器製壹字第005377號 3,800

2200B41900 SAY026490001SXPD2B419-426-Stratafix BI-DIR PDO(1-0-

4-0)CT-1-24*24CM

"愛惜康"思達飛外科用可吸收傷口吻合裝置(Bi-

Directional)(僅適用於內視鏡手術)衛部醫器輸字第026490號 1,500

2200B40000 SAY026490002SXPD1B100-401-Stratafix UNI-DIR PDO(1-

0-3-0) CT-1-20CM

"愛惜康"思達飛外科用可吸收傷口吻合裝置(Uni-

Directional)(僅適用於內視鏡手術)衛部醫器輸字第026490號 1,500

2241858004 FNY000623W01306070(81-272H)蔡司神外手術顯微鏡專用

消毒套“法瑪塞特”顯微鏡護套衛署醫器輸壹字第000623號 1,125

2158730020 TKY016614W01AC-ASC4040-01-xx(汽化棒-30°-90°)Arthro

Wands"阿碩科爾"關節專用氣化棒衛署醫器輸字第016614號 18,000

2271001068 TKY026604001PS200-001-040(電漿刀)Plasma Blade Tiss

Dissection Device“美敦力”霹克電漿手術刀衛部醫器輸字第026604號 18,000

12


2185998035 TKY026604002PS210-030S電漿刀(加長型-可伸縮)PEAK

Plasma Blade“美敦力”霹克電漿手術刀-PlasmaBlade 3.0S 衛部醫器輸字第026604號 13,500

2200AD1200 WDY014384002ANX12-ANX6-DERMABONDAD 得美棒皮

膚黏膠劑(6/盒)"愛惜康"得美棒皮膚黏膠劑(ANX12,ANX6) 衛署醫器輸字第014384號 1,485

2372002011 SAY026884001NSLG2C-S-34-45A(組織密封器)G2

Articulating Tissue Sealer"愛惜康 "安喜凝組織密封器衛部醫器輸字第026884號 28,700

2257072062 BBY020233002 CD004(12/15) Retrlev System內視鏡專用檢 "安培"內視鏡專用檢體袋(12/15mm) 衛署醫器輸字第020233號 6,300

2241858008 CDY001592002SI-360CT-450CT(沖吸管)Disposable

Suction/Irrigation(LAGIS)拉吉士沖吸管(SI-320CT;SI-360CT;SI-450CT) 衛署醫器製字第001592號 1,900

2338791247 SAY027143001LF1737-(馬里蘭鉗-37CM)LigaSure Maryland

Jaw Sealer

"柯惠"利嘉修爾馬里蘭鉗口單一步驟閉合器/分割

器衛部醫器輸字第027143號 40,000

2441801063 TKY0273840015450-800-15-xxx(拋棄式骨震盪

頭)Disposable Tip"史賽克 "超音波手術裝置-探頭組衛部醫器輸字第027384號 30,000

23720020A4 TKY027404001HARH36(ACE、7ADV-36CM-彎)進階式超

音波手術剪刀-CURV SHEAR36"愛惜康"哈默尼克進階手術剪衛部醫器輸字第027404號 28,700

23720020A6 SAY019832002

HAR9F-17F(超音波彎式剪

刀)FOCUS+ADAPTIVE TISTECH CURE

SHEARB

"愛惜康"哈默尼克福克斯器械-HAR9F;HAR17F 衛署醫器輸字第019832號 28,000

2238791233 TKY0224740017210908(安潔刀-擺動刀

片)HYSTEROSCOPIC Morcellation System“史耐輝”子宮鏡切除器衛署醫器輸字第022474號 40,000

2296007406 SAY027803001PVE35A35(電動血管縫合器)Flex Powered

Vascular Stapler“愛惜康”愛喜龍可彎式高階定位電動血管縫合器衛部醫器輸字第027803號 25,000

2296052003 CDY006038001 SP001-1/250cm單叉內視鏡沖洗套(25組/箱) "生茂" 外用沖洗套 (滅菌) 衛部醫器製壹字第006038號 300

2360087565 SAY027964001PLEE60A(可彎式切割縫合器)FLEX

ENDOSCOPIC LINEAR CUTTER

“愛惜康”愛喜龍加強型可彎式電動腔鏡直線型切

割縫合器衛部醫器輸字第027964號 23,000

2200VLP015 SAY029245001VLP-2015-PDO Knotless Tissue Variable

Loop

“思輯刻”無結可吸收性聚對二氧環已酮外科縫合

線(僅適用於內視鏡手術)衛部醫器輸字第029245號 5,000

2441801034 FBY011350001AR-13995N-13999MF(自動穿刺縫合

針)MultiFire Scorpion Needle

"艾思瑞斯"手動式關節鏡器械(滅菌) /自動穿刺縫

合針衛署醫器輸壹字第011350號 10,000

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自費項目價目表 健保不給付 - shh.tmu.edu.tw°±醫指南/shh_document_01.pdf ·...

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自費項目價目表健保不給付 - shh.tmu.edu.tw°±醫指南/shh_document_01.pdf ·...