CPB 0334 - Negative Pressure Wound Therapy. Wound suction is provided with an integrated system of components. The New Aspiret surgical suction unit is an eletric unit for use with adults or children. powerful surgical suction device, the ATMOS Record 55 is the right choice. Links to various non-Aetna sites are provided for your convenience only. padding-bottom: 4px; Portable and durable design. Each of these absorptive wound dressings is used for a single, complete dressing change, and contains all necessary components, including but not limited to non-adherent porous dressing, drainage tubing, and an occlusive dressing which creates a seal around the wound site for maintaining subatmospheric pressure at the wound. 
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SUCTION UNIT .newText { Operation status indication lamp Copyright 2020 Elsevier B.V. or its licensors or contributors. list-style-type: decimal; Supplies (dressings, tubing, etc.) It is connected to the ventilator circuit of a person on mechanical ventilation and left in place. @media print { Maximum negative pressure: 0.09 MPa {{#i!=(product.specData.length-1)}} {{/end}} h230P0P030T01RF hZMo7+. display: block; 06/17/2022 Copyright Aetna Inc. All rights reserved. Aetna considers tracheal suction catheters and sterile water/saline medically necessary supplies for suction pumps. All the models, characterized by high Vacuum-extraction procedures. endstream endobj 656 0 obj <>stream Aetna considers the following supplies medically necessary for use with a suction pump: When a suction pump is used for tracheal suctioning, other supplies (e.g., basins, cups, gloves, solutions, etc.) 2x2.5 liter glass jars Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Jurisdication A. Hingham, MA: NHIC; effective October 1, 2015. .strikeThrough { 66y%@wfJq4H@! HT$U@CB)30eX Suctioning is accomplished without disconnection from ventilation. Wound suction systems that do not contain all of the required components are not classified as wound suction systems. The member requires the use of a medically necessary respiratory suction pump, as described above, for tracheostomy suctioning; The member requires the use of a medically necessary ventilator. Gastric suction pumps are considered experimental and investigational for all other indications. *usN}a`k"2[\UN1~wp~!yrU4v&_G4BPcPvJ^q5!>c5[)MEI+WNN` 4
RECHARGABLE / PORTABLE / 1 LITER {{#each pushedProductsPlacement4}}, {{#pushedProductsPlacement5.length}} It is equipped with a special system of noise and vibration dampening for an extremely quiet and smooth operation, with an incredibly Provides range of disposable and reusable suction cups. Bone removal 60% faster than
It produces both constant and intermittent suction with vacuum and flow levels equaling that of wall suction. 
Features
OL OL OL OL OL LI { For each different aspiration need. Vacuum diversion knob to select bottle
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Supplied with 1 lt. jar sterilizable, with overflow valve. cursor: pointer; to 2x5 liter secretion bottles and has a suction capacity of 60 l/min. In this situation the medical necessity for more than3 catheters per week would require additional documentation. National Coverage Determination (NCD) for Durable Medical Equipment Reference List (280.1). All items used with any suction pump, such as tracheal suction catheters, sterile water, saline used for suctioning, dressings, gastric tubes, etc. support team who will be happy to help. Or contact our motor pump
When a disposable suction device alternative exists, it is not considered medically necessary to use a portable home model suction pump for use on wounds. hOKk1Jv)EVAh Instavac I is a multipurpose portable suction unit. color: red who will be happy to help. endstream endobj 658 0 obj <>stream } Vacuson Suction Pumps have quite an impressive range of uses ranging from general surgery, neurosurgery, doctors practice, gynecology, dentist, ENT and so on. A52519. - Graduated vacuometer up to 30 in Hg. Last Review .fixedHeaderWrap { An oral interface used with a respiratory suction pump is not used to remove secretions for the medically necessary indications described above. endstream endobj 655 0 obj <>stream Max air flow 1 - ~48-56 l/min Woollons S. Ambulatory suction equipment for home use. Suction is developed through the use of any type of mechanism. width: 100%; An oropharyngeal catheter is a short, rigid (usually) plastic catheter of durable construction.
Use of a gastric suction pump and related supplies is considered medically necessary for members who are unable to empty gastric secretions through normal gastrointestinal functions.
color: blue Centers for Medicare & Medicaid Services (CMS). Aetna considers sterile saline solution medically necessary when used to clear a suction catheter after tracheostomy suctioning. OL OL OL OL LI { See also CPB 0334 - Negative Pressure Wound Therapy. Vacuum adjust knob and 100mm gauge Maintenance free motor Vacuum regulator Flow: 26 l/minPower: 127 WPressure: 0.75 bar. It can operate using the on/off switch or vacuum foot controller and features low vibration and noise level. } - Functioning Surgical Suction unit is designed for aspiration of liquids, parts of tissues, air and blood gases from wounds and cavities during all surgical operations. Prof Nur. } (not all-inclusive) are considered to be supplies for durable medical equipment. {{#each product.specData:i}} list-style-type : square !important; Language services can be provided by calling the number on your member ID card. Pump prevents fluid overflow, protecting the pump } A portable home model suction pump for use on wounds describes a suction pump for wounds which provides controlled subatmospheric pressure that is designed for use with dressings, without a canister. This device includes all components, accessories and dressings. Maximum negative pressure: 0.09 MPa
NHIC, Corp. Suction pumps. } NHIC, Corp. Suction pumps. A seperate suction line holder on the side Medela suction pumps have been thoroughly tested for safe and efficient use with all these types of suction cups3.s.
A gastric suction pump is used to remove gastrointestinal fluids under continuous or intermittent suction via a tube. SUCTION UNIT Designed to facilitate cleaning, the materials can withstand potent disinfection agents. Silent, Pressure: 0 Pa - 760 PaSuction jar capacity: 1,000 ml - 3,000 ml. When a suction pump is used for oropharyngeal suctioning, these other supplies are not considered medically necessary. OL OL OL LI { li.bullet { Fast vacuum build-up, high vacuum, and high suction capacity guarantee a clear view of Technology which combines four components into one integrated system to provide the power and precision needed to maximize surgical performance. Baltimore, MD: CMS; effective July 5, 2005. Complete with suction Instavac I Treating providers are solely responsible for medical advice and treatment of members. Additionally, CUSA Clarity offers: operations and first aid. A portable or stationary home model gastric suction pump is an electric aspirator designed to remove gastrointestinal secretions.
Flexible: medical sewage collector available to single use on the wall or tandem to suction cart (1-4 bottles systems).
endstream endobj 657 0 obj <>stream Suitable for operating room, emergency service and clinical usage to go back to the article page.Or contact our OL LI { Large display Visibility in all work steps with a large, clearly arranged display with high contrast. About ScienceDirectShopping cartContact and supportTerms and conditionsPrivacy policy. SUPER Thopaz+ allows healthcare professionals to make informed decisions based on precise drainage data. The member requires the use of a medically necessary respiratory suction pump, as described above, for tracheostomy suctioning. Suitable for emergency service, ambulance, first aid and hospital usage Pressure display - analog SP-9 color: #FFF; Its ideal for the aspiration of body liquids, as well as nasal, tracheal, and oral aspiration in children and adults. Local Coverage Article No. The OMP-5/80 Medical Portable Suction Machine is designed for liquid and air suction from the patients oral cavity, nasopharynx, trachea, and bronchi in the conditions of emergency medical assistance, medical suction interventions as well as the Vacuum-Extraction procedures. text-decoration: line-through; - Aspiration for medical, dental and laboratory use, with totally oil free and low noise level mechanism. - Support with up to two collector bottles.
Disposable wound suction devices and related supplies are considered supplies are not considered DME and are not covered under plans that exclude supplies. This Lamidey Noury high suction unit was designed with both mobility and use in the operating theater in mind.
color: blue!important; They Suction Units for Small and Medium Surgery
A disposable wound suction including dressing and accessories describes a disposable wound suction device. Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Jurisdiction A.Hingham, MA: NHIC; revisedOctober 1, 2015. list-style-type: decimal; SUCTION UNIT Suctioning of the patient in the home. Saline used for tracheal lavage is considered a supply, and is not covered under plans that exclude supplies. Please refer to our Privacy Policy for details on how MedicalExpo processes your personal data. Antishock case, light, easy to carry and keep clean. A closed system tracheal suction catheter is a type of suction catheter that is protected by an outer sheath. 1996;11(6):373-374, 376. No oil and maintenance free motor Note: Disposable suction devices are not covered under plans that exclude supplies. } Our most powerful suction unit. 0-680/71O mmHg vacuum range 0-680/710 mmHg vacuum range (at sea level) The suction pump VACO SP120 is dedicated to endoscopic procedures. FOR CLINICAL USAGE / 5 LITER
Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates. } Housed twin-cylinder diaphragm vacuum pump. {{#pushedProductsPlacement4.length}} hRn@K4 `h/E$>dAcfiEF"I||\ %hIEeTSX@F,!,/:&_mAC@ `m0:nni6lMqiE(6Te65vm uOLY1nh 4~Yp=6w5UIW=Ba%!cB.4^LFtcb` PxKQ0QHTFWbwu^3%:cYlz[Bs6zUTgu4Ag?t) g Oil-less vacuum source with a high-flow double piston cylinder pump requires low maintenance. The the optimal medical suction pumps for all suctioning needs. Respir Care. #closethis { SP30 Electric Suction With a suction power of 50 l/min, Ardo Master is one of the high-performance pumps amongst surgical suction pumps. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates.
For additional language assistance: Sterile water, saline and/or dextrose, diluent/flush, 10 ml, Tracheal suction catheter, closed system, each, Tracheal suction catheter, any type other than closed system, each, Canister, disposable, used with suction pump, each, Canister, non-disposable, used with suction pump, each, Wound suction, disposable, including dressing, all accessories and components, any type, each, Respiratory suction pump, home model, portable or stationary, electric, Gastric suction pump, home model, portable or stationary, electric, Suction pump, home model, portable, for use on wounds, Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less, Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches, Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches, Tracheostoma filter, any type, any size, each, Tracheostomy care kit for established tracheostomy, Oral interface used with respiratory suction pump, each, Malignant neoplasm of gum, oral cavity and pharynx, Carcinoma in situ of lip, oral cavity, and pharynx, Benign neoplasm of mouth, pharynx, oral cavity, major salivary glands and esophagus. /* aetna.com standards styles for templates */ Pressure gauge, vacuum regulator and overflow protection device If you have a problem obtaining your download, click Power supply: SP-26B Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Polycarbonate canister compatible with steam sterilization } We use cookies to help provide and enhance our service and tailor content and ads. Vacuum canister systems Systematic Review; 9. Suitable for operating room, emergency service and clinical usage
They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Maximum negative pressure: 0.075 SP-26D color: red!important; support team i!PZLEcg_kWB\LU5oZF !& \ It's ideal for tracheotomized patients, home-care use in post-operative therapy, and minor surgical designed with electric suction technology. -, {{product.productPrice.formattedPriceMax}}. are considered medically necessary when they are used with a medically necessary portable home model suction pump for use on wounds.
In Operating Theatres: due to its 60-liters tank and to its active suction, it does not require healthcare personnel to handle and replace liquid collection containers during surgical interventions. .strikeThrough { A portable home model suction pump is a light-weight, compact, electric aspirator designed for upper respiratory, oral pharyngeal and tracheal suction for use in the home. OL OL LI { Flow: 24 l/minPower: 100 kW - 240 kWPressure: 760 mbar. Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. Can be used operating departments Gynecologic Vacuum Aspirator for abortion with foot-operated remote control OG-10/90-01 AXION of membrane type is applied for surgical operations as abortion or emptying the uterus after delivery and Flow: 15 l/minPressure: 5,000 Pa - 80,000 Pa. text-decoration: underline; It is controlled by a foot switch, and can sustain a flow at a rate of 60 liters per minute. An absorptive wound dressing for use with a portable home model suction pump describes an allowance for dressing sets which are used in conjunction with a stationary or portable suction pump but not used with a canister. A tracheal suction catheter is a long, flexible catheter.
High Flow: 1 l/min - 60 l/minPower: 1 W - 250 WPressure: 0 bar - 0.9 bar. --> Large display } High volume infiltration pump {{#each pushedProductsPlacement5}}, With MedicalExpo you can: Find a nearby distributor or reseller| Contact the manufacturer to get a quote or a price | Examine product characteristics and technical specifications for major brands | View PDF catalogues and other online documentation. are considered medically necessary for use with a medically necessary gastric suction pump. 2022All rights reserved A vacuum indicator is minor surgical applications and post operative therapy in home care. It provides 30 minutes of continuous operation with its battery system.
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The series of suction units POLIVAC B4/SLT allow the final user to meet all his needs. Max vacuum pressure - ~620 mmHg Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. *Prices are pre-tax. Compact, lightweight, portable unit with convenient carrying handle Thompson L. Suctioning adults with an artificial airway: A systematic review. /*margin-bottom: 43px;*/ } list-style-type: lower-roman; ol.numberedList LI { optimized suction channel and easy handling. Portable suction machine for minor surgery, post-tracheotomy and home use. background: #5e9732; The series VORTECO AS-100 allow to meet every kind of need in the field of small and medium surgery A single-cylinder aspirator producing high-vacuum, low-flow for medical suction. Use of suction on wounds is only considered medically necessary in those clinical scenarios where the quantity of exudate exceeds the capacity of conservative measures such as surgical dressings and wound fillers to contain it. 2x2.5 liter glass jars } Supplies (tubing, tape, dressings, etc.) When a tracheal suction catheter is used in the oropharynx, which is not sterile, the catheter can be re-used if properly cleansed and/or disinfected. Cancer or surgery of the throat or mouth; Disposable or non-disposable canister used with suction pump. A special model type for gynecology is also available. By continuing you agree to the use of cookies. Smooth, single-piece hood
Closed system catheters are considered medically necessary when all of the following are met: Tracheal suction catheters other than closed system catheters are considered medically necessary necessary when all of the following are met: More than three tracheal suction catheters other than closed system per day are considered not medically necessary for tracheostomy suctioning. Safe: completely sealed and compact endurance. Output: 60L/min. This system contains a pump and dressing sets.
} } list-style-type: upper-alpha; User-friendly: colored lid for indicating easily Flow: 55 ft/sPressure: 980 mbarNumber of decibels: 39 dB. In most cases, in the home setting, sterile catheters are considered medically necessary only for tracheostomy suctioning. (Please check your downloads folder shortly for your download). here 654 0 obj <>stream list-style-type: lower-alpha; Find out how to shorten hospital stay and save costs using Thopaz+.
However, wound suction to remove exudate can be accomplished with the use of disposable, suction devices, which are considered supplies, or with portable home model suction pumps, which are considered DME. Three suction catheters per day are considered medically necessary for tracheostomy suctioning, unless additional documentation is provided. For multiple wounds located close together, a single large dressing must be used rather than multiple smaller dressing sets if it is possible to fit the wounds under a single larger dressing set. {{name}}: {{value}} Along with its high quality and ease centers. %PDF-1.6 % Instead, exudate is retained in the dressing materials. You can regulate the Flow: 1 l/min - 40 l/minPower: 1 W - 185 WPressure: 0 bar - 0.9 bar. {{/each}}. Adelaide, SA: Joanna Briggs Institute for Evidence Based Nursing and Midwifery; 2000. Local Coverage Determination No. included with the tracheal care kit are considered medically necessary. These dressing sets are selected based upon wound size using the smallest size necessary to cover the wound. It is not usually considered medically necessary for oropharyngeal suctioning. .newText { Aetna considers home model respiratory suction machines medically necessary durable medical equipment for members who have difficulty raising and clearing secretions secondary to any of the following conditions: Aetna considers respiratory suction pumps experimental and investigational for all other indications because of insufficient evidence of effectiveness for other indications. Single or double pump use option The VACUMSOL series is composed by three small portable suction units for minor surgery that differ each other in their working and suction power. ScienceDirect is a registered trademark of Elsevier B.V. Click here to go back to the article page. Extended service intervals and low life-costs hVmo6+!NJ@gd-AuD,5~wHnd>J4RFb$6 8$HI8&p#hC01L,Z`szQV4 ?1l5si2!MoYwr+btn~qcC,7gTRh:NDeLOh#1y*KN;x;vqv ~?i*MH1F7i&CIHS)V\em{ciZ;4NzZx7Y1)_nfi9x&_>7XhY^DsB$,*RJ?p8GCkcBVZ9%F>0+5=}Qb^lXi!7 7x74^GPp!1x{5=;Pc+!Ca|%`J"#D Ug~tSBC2!vE*ULdRO-j"yo@2qi'@-izeHhZ22QnC5GQt'4! list-style-type: upper-roman; 1 liter plastic jar L33612. Power supply: Flow: 60 l/minSuction jar capacity: 2 l - 5 l. The LIFETIME Surgical Aspirator has been designed to use in operation theaters during surgical operation to take off the accumulated liquids in the operated resign of the patient and for application in Flow: 15 l/min - 30 l/minNumber of decibels: 50 dB. AARC Clinical Practice Guidelines. Pump displacement: 90 L/min with single pump 130 L/min with double pump 2Iz#1]_qcY s|>]k KJy`mz[&,CXY$HNXQg9oU-BN,F sq2]o6zii8\q )E8~~ CZ^C,Mc9nD|T`s;5QR1*= 59PfFWd5Um'}6M