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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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Decisions about add-on reimbursement for medical devices in France in the period July-September 2018

The French National Authority for Health (HAS) released new decisions about add-on and medical aid reimbursement of many medical devices from the meetings of the National Commission for Evaluation of Medical Devices and Health Technologies (CNEDiMTS) in the period July-September 2018.

Sixteen (16) decisions were released for prostheses:

  • NAOS (without cement), femoral stem (application for registration, because the data does not demonstrate interest for it)
  • ATHELIA II (with cement), dual mobility cotyle consisting of a cemented cup and a conventional polyethylene insert (application for registration, approved)
  • ATHELIA (without cement), dual mobility cotyle consisting of a cemented cup and a conventional polyethylene insert (application for registration, approved)
  • BI-MOBILE LINK (with cement), dual mobility cotyle consisting of a cemented cup and a conventional polyethylene insert (application for registration, rejected because the data does not demonstrate interest for it)
  • BI-MOBILE LINK (without cement), dual mobility cotyle consisting of a cemented cup and a conventional polyethylene insert (application for registration, rejected because the data does not demonstrate interest for it)
  • ATLANTIS Modular (without cement), femoral stem with modular collar (application for registration, approved)
  • BLUEPRO, advancement mandibular orthosis (application for registration, approved)
  • XO (without cement), modular collar (application for registration, approved)
  • XO (with cement), modular collar (application for registration, approved)
  • LOUXOR, modular collar (application for registration, approved)
  • H MAX M, hip prosthesis (element) – femoral stem (application for registration, approved)
  • SAM-FIT, hip prosthesis (element) – femoral stem (application for registration, rejected because the data does not demonstrate interest for it)
  • MINIMA M, hip prosthesis (element) – femoral stem (application for registration, rejected because the data does not demonstrate interest for it)
  • HARMONY (reference 4R146), controlled depressurization suspension system of the lower limb prosthesis (first cancelled; the amendment of the registration conditions and the renewal of registration approved later)
  • ECOFIT 2M and 2M SP, dual mobility acetabulum consisting of a no-cement cup and a conventional polyethylene insert (PEHR) (application for registration, rejected because the data does not demonstrate interest for it)
  • ECOFIT 2M (with cement), dual mobility acetabulum consisting of a no-cement cup and a conventional polyethylene insert (PEHR) (application for registration, rejected because the data does not demonstrate interest for it)

Eighteen (18) decisions were released for cardiovascular devices:

  • OPEN PIVOT, aortic duct with mechanical valve (application for registration, approved)
  • PRO KINETIC ENERGY, coronary stent coated with silicon carbide (product without pharmacological action) (renewal of registration, approved)
  • iSTENT Inject, trabecular microstrain stent (application for registration, approved)
  • CAVGJ 514 00, aortic duct with mechanical valve (renewal of registration, approved)
  • VAVGJ 515, (renewal of registration, approved)
  • RESOLUTE ONYX, coronary stent coated with zotarolimus (pharmacologically active product) (application for the amendment of the registration conditions, rejected)
  • IMPELLA 5.0, percutaneous electrical mechanical assistance device (left monoventricular, short duration) (application for registration - Title V, rejected)
  • IMPELLA CP, percutaneous electrical mechanical assistance device (left monoventricular, short duration) (application for registration - Title V, rejected)
  • ZENITH BRANCH, aortic stent (application for the amendment of the registration conditions and the renewal of registration, approved)
  • COREVALVE EVOLUT R, aortic valve bioprosthesis implanted by the transcutaneous arterial route (application for the amendment of the registration conditions, approved)
  • COREVALVE EVOLUT PRO, aortic valve bioprosthesis implanted by the transcutaneous arterial route (application for registration, approved)
  • COREVALVE AOA, aortic valve bioprosthesis implanted by the transcutaneous arterial route (application for the amendment of the registration conditions, approved)
  • COREVALVE EVOLUT AOA, aortic valve bioprosthesis implanted by the transcutaneous arterial route (application for the amendment of the registration conditions, approved)
  • CONFORMABLE TAG, thoracic aortic stent (application for the amendment of the registration conditions, approved)
  • MITRACLIP NTR, mitral ‘edge-to-edge’ repair clip (application for registration, approved)
  • MITRACLIP XTR, mitral ‘edge-to-edge’ repair clip (application for registration, approved)
  • SOLITAIRE 2, stent retriever (application for the amendment of the registration conditions, approved)
  • SOLITAIRE PLATINUM, stent retriever (application for the amendment of the registration conditions, approved)

Eighteen (18) decisions were released for other devices:

  • INVACARE COLIBRI OUTDOOR, modular electric scooter (application for registration, approved)
  • BAHA, osseointegrated hearing aid (cancelled in July, renewal of registration approved in August)
  • INFINITY, non-rechargeable system for deep brain stimulation (application for the amendment of the registration conditions, approved)
  • PRECISION MRI ASSEMBLY associated with the INFINION CX electrode, implantable and rechargeable medullary neurostimulation system (application for the amendment of the registration conditions, approved)
  • PRECISION NOVI associated with the INFINION CX electrode, implantable and non-rechargeable system of spinal neurostimulation (application for the amendment of the registration conditions, approved)
  • PRECISION SPECTRA associated with the INFINION CX electrode, implantable and rechargeable medullary neurostimulation system (application for the amendment of the registration conditions, approved)
  • COMET ALPINE +, modular electric scooter (application for registration, approved)
  • Ultrafill, system for home oxygen therapy with ambulation (application for the amendment of the registration conditions, approved)
  • GLACE, non-absorbable bone substitute (application for registration, approved)
  • BIOSEM II, centre-medullary cement shutter (renewal of registration, approved)
  • URGOSTART Interface, bandage (application for the amendment of the registration conditions and the renewal of registration, approved)
  • URGOSTART, bandage (application for the amendment of the registration conditions and the renewal of registration, approved)
  • URGOSTART Plus Compress, bandage (application for registration, approved)
  • URGOSTART Plus Border, bandage (application for registration, approved)
  • URGOSTART Border, bandage (application for the amendment of the registration conditions and the renewal of registration, approved)
  • ALBER E-MOTION M25, power assisted electric propulsion device for manual wheelchairs (application for registration, approved)
  • SOLEUS, class III energy recovery foot (application for registration, approved)
  • MINIMED 2007D, implantable pump system for intraperitoneal insulin delivery (renewal of registration, approved)

See list of decisions in French here.

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