Proposal to list medical devices supplied by Medtronic New Zealand Limited

Hospital devices

Consultation Closed

PHARMAC is seeking feedback on a proposal to list medical devices supplied by Medtronic New Zealand Limited in Part III of Section H of the Pharmaceutical Schedule from 1 November 2019.

What we’re proposing

PHARMAC is seeking feedback on a proposal to list medical devices supplied by Medtronic New Zealand Limited (“Medtronic”) in Part III of Section H of the Pharmaceutical Schedule from 1 November 2019.

We propose to list medical devices supplied by Medtronic in the following categories:

  • anaesthesia small equipment and consumables;
  • interventional radiology;
  • patient warming and cooling;
  • respiratory equipment and consumables; and
  • single use instruments.

Consultation closes at 4pm on Thursday, 3 October 2019 and feedback can be emailed to alyssa.currie@pharmac.govt.nz.

What would the effect be?

From 1 November 2019 medical devices in the categories listed above would be listed under a proposed national agreement for all DHB hospitals to purchase under, subject to consultation and approval by PHARMAC’s Board or delegate (“Agreement”).

The Agreement would not be for sole supply; DHBs would be able to continue to purchase other suppliers’ brands of anaesthesia small equipment and consumables, interventional radiology products, patient warming and cooling products, respiratory equipment and consumables and single use instruments.

The Agreement would supersede any existing DHB contracts with Medtronic for the medical devices included in the Agreement. Any medical devices listed in the Agreement, and purchased by a DHB, would be at the terms and conditions, including price, stated in the Agreement, effective from the date of listing on the Pharmaceutical Schedule.

Medtronic would provide appropriate training and education services that would be tailored to the individual needs of DHBs, in formats and at times as required by DHBs.

Pricing for the medical devices in the Agreement, subject to any prior termination of the Agreement, would not be increased without prior consultation and approval by PHARMAC.

Who we think will be interested

  • Suppliers and Wholesalers
  • DHB Staff
    • Anaesthetists and anaesthetic technicians
    • Clinical engineers
    • Clinical staff involved with airway management and emergency respiratory resuscitation
    • ICU clinicians
    • Interventional radiology staff
    • Perioperative staff
    • Procurement and supply chain personnel
    • Pulmonary function specialists
    • Pulmonary rehabilitation specialists
    • Respiratory clinicians
    • Respiratory therapists
    • Ward and ambulatory clinic staff

About the medical devices

Anaesthesia small equipment and consumables

Anaesthesia products are integral to the delivery of anaesthesia to patients in operating theatres. This includes airway visualisation devices, stand-alone depth of anaesthesia monitoring systems and medical devices used for the purpose of acute airway management and delivery of anaesthesia gas. Some of these devices are also used for airway management and emergency respiratory resuscitation and as such may also be used by clinicians other than anaesthetists.

Interventional radiology

Interventional radiology refers to a range of minimally invasive alternatives to open surgery, to diagnose and treat a variety of conditions in nearly every organ system, that are performed using imaging guidance to precisely target the intervention. The procedures are performed using catheters inserted via either radial or femoral arteries or veins.

The imaging modalities used include: general radiography including fluoroscopy, angiography, ultrasound, computed tomography, and magnetic resonance imaging.

Interventional radiology in some form is performed in all hospitals across New Zealand.

Patient warming and cooling

Patient warming and cooling products are used to assist in regulating a patient’s core body temperature when a patient is unable to self-regulate their body temperature. Patient warming and cooling products are commonly used in surgical and intensive care clinical settings.

Respiratory equipment and consumables

Respiratory care is a health specialty involving the diagnosis, assessment, treatment and management of patients with deficiencies and abnormalities of the cardiopulmonary system.

The respiratory equipment and consumables category includes oxygen delivery consumables and accessories, aerosol delivery devices and associated consumables, non-powered humidifiers (passive and bubble) and associated tubing and consumables, laryngectomy and tracheostomy consumables, spirometers and respiratory muscle trainers and associated consumables, breathing filters, powered and non-powered respiratory suction devices and associated consumables, ventilator circuits and associated consumables and flow meters.

Single use instruments

Single use instruments are designed to be used once and then disposed of or destroyed and are also known as disposable instruments. Single use instruments may be used in many hospital settings such as operating theatres, emergency departments, wards and clinics.

Why we’re proposing this

Between 2016 and 2018 PHARMAC issued Requests for Proposals ("RFPs") for:

These RFPs were for non-exclusive national agreements for listing in the Pharmaceutical Schedule.

PHARMAC has been working with suppliers who responded to the RFPs to seek provisional agreements and this proposal is the latest to arise from those processes. This is the final agreement for the anaesthesia small equipment and consumables and single use instruments categories.

We expect to consult on further agreements with suppliers in the interventional radiology, patient warming and cooling, and respiratory equipment and consumables categories over the coming months. 

Details about our proposal

The proposal would result in 1,803 medical devices of the following brands, and number of items in each category, being listed:

Category

Brands

Line items

Anaesthesia small equipment and consumables

BIS, DAR, Mallinckrodt/Shiley, McGrath Mac, VBM ranges

415

Interventional radiology

Admiral Xtreme, Amplatz Goose Neck, Apollo, Aptus Heli-FX, Axium ranges, Cello, ClosureFast, Cool-Tip, Concerto, Echelon, Emprint, Endurant, Enteer, Entrust, Evercross, Fitzroy Framing Coils, HawkOne, Hyperform, HyperGlide, InPact Admiral, Marathon, Marksman, Micro Vascular Plug, Mirage, MoMa Ultra, Nanocross, Navien, Nitrex, Onyx, Osteocool, Pacific Xtreme, Phenom, Pipeline
Protégé ranges, React, Rebar, Reliant Balloon, Sentrant, Silverspeed, Solitaire, Spider FX, Talent Occluder, Valiant Captiva, Venaseal, Viance, Visi Pro, VPACK, X-Pedion

1,272

Patient warming and cooling

Warmtouch

 

Respiratory equipment and consumables

Shiley, VBM

97

Single use instruments

Surgisleeve

5

A full product list with pricing has been made available to appropriate DHB personnel. 

To provide feedback

Send us an email: alyssa.currie@pharmac.govt.nz by 4pm on Thursday 3 October 2019.

All feedback received before the closing date will be considered by PHARMAC’s Board (or its delegate) prior to making a decision on this proposal.

Feedback we receive is subject to the Official Information Act 1982 (OIA) and we will consider any request to have information withheld in accordance with our obligations under the OIA. Anyone providing feedback, whether on their own account or on behalf of an organisation, and whether in a personal or professional capacity, should be aware that the content of their feedback and their identity may need to be disclosed in response to an OIA request.

We are not able to treat any part of your feedback as confidential unless you specifically request that we do, and then only to the extent permissible under the OIA and other relevant laws and requirements. If you would like us to withhold any commercially sensitive, confidential proprietary, or personal information included in your submission, please clearly state this in your submission and identify the relevant sections of your submission that you would like it withheld. PHARMAC will give due consideration to any such request.