Respiratory Devices Product Manual

Respiratory Devices
Product Manual
Effective Date : October 07, 2016
Assistive Devices Program
Ministry of Health and Long-Term Care
Printed Date: Oct 7, 2016
Page: 1 of 5
Assistive Devices Program
Product Manual
Ministry of Health and Long-Term Care
Respiratory Devices
Effective From: October 07, 2016
Airway Clearance Devices
Device Type
Manufacturer
Device
Device Code
Max Allowed
Qty.
Approved
Price
Percussor
Percussor
REPND045P
1
$1,442.00
Postural Drainage Board
Postural Drainage
Board
REPND045D
1
$643.00
Apnea/Cardiorespiratory Monitors
Device Type
Manufacturer
Device
Device Code
Max Allowed
Qty.
Approved
Price
Apnea/Cardiorespiratory Monitor
Purchase
Apnea/Cardiorespiratory
Monitor
(Purchase)
REMND045P
1
$4,472.00
Apnea/Cardiorespiratory Monitor
Rental
Apnea/Cardiorespiratory
Monitor
(Maximum 6 Month
Rental)
REMND045M
6
$373.00
Compressors
Device Type
Manufacturer
Device
Device Code
Max Allowed
Qty.
Approved
Price
High Output Air Compressor
High Output Air
Compressor
RECND045H
1
$850.00
Medication Compressor - Portable
Portable Compressor
RECND045P
1
$430.00
Medication Compressor - Stationary
Stationary Compressor RECND045S
1
$146.00
Page: 2 of 5
Assistive Devices Program
Product Manual
Ministry of Health and Long-Term Care
Respiratory Devices
Effective From: October 07, 2016
Positive Airway Pressure Systems
Device Type
Auto-Titrating Positive Airway
Pressure (APAP)
An APAP System Includes Pap Device Mask
And Headgear, Heated Humidifier, Carrying
Case, 6 Ft. Tubing, Power Cord, All Necessary
Filters And Caps, Client Instruction Manual
Manufacturer
Device Code
Max
Allowed
Qty.
Approved
Price
Devilbiss
Intellipap Auto Adjust
READE045B
1
$1,020.00
Fisher &
Paykel
Icon At Auto Cpap
REAFP098B
1
$1,020.00
Resmed
AirSense 10 AutoSet,
PS0001183
1
$1,020.00
Resmed S9 Autoset Apap
System
REARJ077D
1
$1,020.00
DreamStation Auto
APAP(CAX500T12/
CAX500H12)
PS0001274
1
$1,020.00
Remstar Auto
PS0000680
1
$1,020.00
Remstar Autosmart Cpap
System
REARC045A
1
$1,020.00
Resmstar Auto With A-Flex
REARC045B
1
$1,020.00
AirCurve 10 S
PS0001231
1
$1,120.00
AirCurve 10 V Auto
PS0001230
1
$1,120.00
ResMed S9 VPAP Auto
Bilevel System
PS0000107
1
$1,120.00
ResMed S9 VPAP S Bilevel
System
PS0000106
1
$1,120.00
Resmed Vpap S Bilevel
System
RENLV8008
1
$1,120.00
Vpap Auto
RENLV8007
1
$1,120.00
Bipap Auto With Bi-Flex
RENRC2006
1
$1,120.00
DreamStation BIPAP Auto
(CAX700T12/CAX700H12)
PS0001276
1
$1,120.00
DreamStation BIPAP Pro
(CAX600T12/CAX600H12)
PS0001275
1
$1,120.00
Remstar BiPAP Pro
PS0000961
1
$1,120.00
Remstar Bipap Auto
PS0000962
1
$1,120.00
Respironics
Bi-level Positive Airway Pressure
(BPAP)
Device
Resmed
A BPAP System Includes Bilevel Pap Device
Mask And Headgear, Heated Humidifier,
Carrying Case, 6 Ft. Tubing, Power Cord, All
Necessary Filters And Caps, Client Instruction
Manual
Respironics
Continuous Positive Airway Pressure
(CPAP)
Aeiomed
Aeiomed Everest 3 Cpap
System
RENYA045A
1
$860.00
A CPAP System Includes Pap Device Mask
And Headgear, Heated Humidifier, Carrying
Case, 6 Ft. Tubing, Power Cord, All Necessary
Filters And Caps, Client Instruction Manual
Devilbiss
Intellipap Cpap System
RENDE045C
1
$860.00
Fisher &
Paykel
Hc234 Cpap System
RENFP045E
1
$860.00
Hc604 Cpap System
RENFP045C
1
$860.00
Icon Nt Novo Cpap System
RENFP045I
1
$860.00
Icon Pt Premo Cpap System
RENFP045H
1
$860.00
Page: 3 of 5
Assistive Devices Program
Product Manual
Ministry of Health and Long-Term Care
Respiratory Devices
Effective From: October 07, 2016
Positive Airway Pressure Systems
Device Type
Manufacturer
Device
Device Code
Max
Allowed
Qty.
Approved
Price
Continuous Positive Airway Pressure
(CPAP)
KEGO
Corporation
APEX XT-III CPAP System
PS0000451
1
$860.00
A CPAP System Includes Pap Device Mask
And Headgear, Heated Humidifier, Carrying
Case, 6 Ft. Tubing, Power Cord, All Necessary
Filters And Caps, Client Instruction Manual
Resmed
AirSense 10 AutoSet for Her
PS0001184
1
$860.00
AirSense 10 CPAP
PS0001186
1
$860.00
AirSense 10 Elite
PS0001185
1
$860.00
AirStart10 CPAP
PS0001263
1
$860.00
Resmed S9 Elite Cpap
System
RENLV045M
1
$860.00
Resmed S9 Escape Cpap
System
RENLV045N
1
$860.00
DreamStation CPAP
(CAX200T12/CAX200H12)
PS0001278
1
$860.00
DreamStation CPAP Pro
(CAX400T12/CAX400H12)
PS0001277
1
$860.00
Remstar Cpap System
RENRC045G
1
$860.00
Remstar Plus
PS0000963
1
$860.00
Remstar Plus Nasal Cpap
System
RENRC045C
1
$860.00
Remstar Plus With C-Flex
RENRC045D
1
$860.00
Remstar Pro
PS0000682
1
$860.00
Remstar Pro Nasal Cpap
System
RENRC045A
1
$860.00
Remstar SE
PS0000681
1
$860.00
Respironics Sleep Easy
RENRC045J
1
$860.00
Sleep Easy With C-Flex
RENRC045K
1
$860.00
Respironics
Page: 4 of 5
Assistive Devices Program
Product Manual
Ministry of Health and Long-Term Care
Respiratory Devices
Effective From: October 07, 2016
Suction Devices
Device Type
Portable Suction Unit
Stationary Suction Unit
Manufacturer
Device
Device Code
Max
Allowed
Qty.
Approved
Price
Devilbiss Vacuaide Compact
Suction Unit With Carrying Bag
RESDE7306
1
$560.00
Vacu-Aide(R) QSU Quiet
Suction Unit - 7314P-D
SD0001024
1
$570.51
Drive
Medical
Drive Medical Heavy Duty
Suction Pump - Model 18600
SD0000314
1
$222.52
Medela
Healthcare
Clario Home Care Pump,
AC/DC
SD0000648
1
$745.00
Precision
Medical
Easy Go Vac Portable Suction
RESVZPM65
1
$599.00
Schuco
Schuco-Vac Portable 115 Volts
A.C.
RESSU251P
1
$799.00
Devilbiss
Devilbiss Suction
Unit;Ac/Dc;80-550mmhg;0-27
Lpm;6.3lbs.
With Carrying Case And
Universal Ac Adaptor.
RESDE7305
1
$794.00
Invacare
Mobilaire Aspirator Suction
Unit
115 Volts Ac; 0-560 Mm Hg;
10.4 Lbs.
RESIN1004
1
$456.00
Laerdal
Suction
RESLA180P
1
$780.00
Medela
Healthcare
Clario Ac/Dc Suction Pump
RESXM1009
1
$807.00
Clario Home Care Pump,
Standard AC
SD0000649
1
$610.00
Schuco
Schuco-Vac Suction Unit
115 Volts Ac; 16 Lbs.
RESSU250P
1
$487.00
Devilbiss
Page: 5 of 5