23/50115.024.001.206 DePuy Johnson & Johnson Medical - Nootens Gyros cupule sans ciment L465xx 2.835,09 0,00 9115.024.001.215 DePuy Johnson & Johnson Medical Pinnacle Acetabular Cup HA 12171x0xx 566.072,99 46.451,56 1.799115.024.001.242 S&N Belgium Reflection Cup Ceramic/Ceramic FSO HA 7192 81xx 9.765,31 0,00 31115.024.001.251 Biomet Belgium BVBA Avantage Revision Acetabular System - cementloos P0464Hxx 10.710,34 0,00 34115.024.001.276 Mediann Metalback Cotyle Double Rotation HXX xxx 4.725,15 0,00 15115.024.001.364 Medacta Versafitcup Metal Back 01.26.xxMB/01.26.xxMBT 207.276,58 1.382,63 658115.024.001.391 Ortho-Team O.T. Presset Cup 24-xxxXX 945,03 0,00 3115.024.001.416 Orthogèse Cotyle à impacter THA.hy.ti cup SPH1403.xxxxx / SPH1403.XXXxx 159.395,06 13.354,58 506115.024.001.434 Nootens Spirofit Pinnacle cup 1000502xx 60.481,92 0,00 192115.024.001.443 Belgafix Fixa 071xxxx 81.587,59 11.025,18 259115.024.001.513 Belgafix Mercurius Cotyle 0722xxx 17.325,55 0,00 55115.024.001.522 Belgafix CONCEPT CONCEPTxx 315,01 0,00 1115.024.001.531 Belgafix MUST MUSTxx 16.065,51 0,00 51115.024.001.565 Biomet Belgium BVBA Exceed 2 PC Acetabular Shell / Exceed 2 HA/PC Acetabular Shell 1312xx, 1312xxHA 9.450,30 0,00 30115.024.001.574 Biomet Belgium BVBA Excedd ABT - PC Acetabular Shell / Exceed ABT HA/PC Acetabular 12xxxx, 12xxxxHA 164.120,21 0,00 521Shell115.024.001.592 Ortho-Team Cotyle Press Fit Mobility Reprise PH 06 10 xx 10.710,34 0,00 34115.024.001.601 Ortho-Team Cotyle Press Fit Mobility Standard PH 06 11 xx, PH 06 00 xx 107.575,41 219,70 342115.024.001.617 Cormed NV Apogee cementless cup double mobility CAP xx 14.490,46 0,00 46115.024.001.626 Biomet Belgium BVBA Excedd ABT - PC 15° Acetabular Shell / Exceed ABT 15° HA/PC 23xxxx, 23xxxxHA 31.816,01 0,00 101Acetabular Shell115.024.001.635 S&N Belgium ADES Press-fit cup 05CCxx 4.095,13 0,00 13115.024.001.653 DePuy Johnson & Johnson Medical Gyros cupule non-cimentée sans pattes L475xx 2.835,09 0,00 9115.024.001.662 Zimmer BVBA/SPRL Stafit Cup 01.00481.0xx 22.995,73 0,00 73115.024.001.671 Wright Medical Belgium Procotyl L Cup with HAC PHA062xx 292.959,30 21.327,46 930115.024.001.687 Wright Medical Belgium Procotyl L Cup without HAC PHA062xx 1.260,04 0,00 4115.024.001.696 Wright Medical Belgium Procotyl O Cup with HAC PHA064xx 10.080,32 0,00 32115.024.001.714 Biomet Belgium BVBA Exceed ABT Ringloc-X Shell PC 1313xx 3.150,10 19.725,96 10115.024.001.723 Biomet Belgium BVBA Exceed ABT Ringloc-X Shell PC/HA 1313xxHA 204.126,48 0,00 648115.024.001.802 S&N Belgium Polarcup cupule externe 750087xx 32.893,45 0,00 105115.024.001.827 Cormed O.T. Presset Cup 24-xxxXX, 24-xxx 17.325,55 11.978,00 55115.024.001.836 Zimmer BVBA/SPRL Allofit 4240 -> 4251 173.885,52 18.451,36 552115.024.001.845 Zimmer BVBA/SPRL Allofit-S 4262 -> 4273 119.388,79 1.039,53 379115.024.001.854 Link Belux Betacup Metal Casing 180-96x/xx 25.830,82 0,00 82115.024.001.863 S&N Belgium R3 Acetabular Shell 713318xx, 71<strong>335</strong>5xx, 713322xx, 713319xx 435.658,83 40.451,16 1.383115.024.001.924 Ortho-Team Cotyle Novium PH 07 00 xx 184.280,85 0,00 585115.024.001.933 Stryker Howmedica Restoration ADM cup 1235-x-xxx 5.985,19 0,00 19115.024.001.942 Orthogèse Tetra cup cupule TRA1403.000xx 15.750,50 0,00 50115.024.001.951 Shark Medical ADES Press-fit cup 05CCxx 2.835,09 0,00 9115.024.001.985 Zimmer BVBA/SPRL Trabecular Metal Acetabular Shell, Cluster 00-6202-0xx-22 43.156,37 13.354,58 137115.024.001.994 Belgafix DMX cotyle 21.DM.CH.xx 630,02 0,00 2115.024.002.003 Zimmer BVBA/SPRL Allofit IT Alloclassic shell 00-8755-0xx-00 148.999,73 18.451,36 473115.024.002.012 Zimmer BVBA/SPRL Allofit-S IT Alloclassic shell 00-8755-0xx-02 90.407,87 0,00 287115.024.002.021 Stryker NV Tri<strong>de</strong>nt HA Multi-Hole Shell 508-11-xxX 2.835,09 0,00 9115.024.002.037 Cormed DeltaMotion cementless cup 1681xx 315,01 346,51 1115.024.002.161 Etablissements H. Nootens Gyros cupule sans ciment L465xx 4.410,14 0,00 14115.024.002.177 Shark Medical O.T. Presset Cup 24-xxx 12.600,40 20.072,47 40115.024.002.186 Stryker Tritanium Hemi Solid Shell 500-03-44A -> 500-03-66H 36.856,17 0,00 117115.024.002.195 Stryker Tritanium Hemi Cluster Shell 502-03-44A -> 502-03-66H 17.640,56 0,00 56115.024.002.204 Stryker Tritanium Revision Shell large dia 509-02-48C -> 509-02-80J 11.025,35 0,00 35115.024.002.213 Mathys Orthopaedics Selexys DS revision double mobility cup, uncemented R05CCxx 14.175,45 0,00 45115.024.002.222 Mathys Orthopaedics Selexys DS double mobility cup, uncemented 05CCxx 6.930,22 0,00 22115.024.002.231 Johnson & Johnson Medical - Depuy DeltaMotion cementless cup 1681xxF 34.021,08 1.386,04 108115.024.002.247 Etablissements H. Nootens Pinnacle Acetabular Cup HA 12171x0xx 28.035,89 0,00 89115.024.002.256 Etablissements H. Nootens Gyros cupule non-cimentée sans pattes L475xx 1.890,06 0,00 6
24/50115.024.002.274 Zimmer Trilogy IT shell ceramic coating 65-8753-0xx-x1, 65-8753-0xx-x2 67.412,14 0,00 214115.024.002.283 Stöpler Procotyl L Cup with HAC PHA062xx 1.575,05 0,00 5115.024.002.301 Stöpler Procotyl O Cup with HAC PHA064xx 5.670,18 0,00 18115.024.002.344 Biomet Regenerex Ringloc Plus Multi Hole PT-1060xx 1.260,04 0,00 4115.024.002.362 Biomet Regenerex Acetabular Shell PT-12xxxx 630,02 0,00 2115.024.002.371 Medacta Versafit Trio cup 01.26.45.00xx 28.350,90 0,00 90115.024.002.387 Ortho-Team CARGOS cotyle SDT/SCREW HCD XH 0xx 945,03 0,00 3115.025 Prothèse céphalique avec ancrage épiphysaire et/ou métaphysaireCefalische prothese met epifysaire en/of metafysaire verankering689426Co<strong>de</strong> d'i<strong>de</strong>ntification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre <strong>de</strong> casI<strong>de</strong>ntificatieco<strong>de</strong> Leverancier Produktnaam Mo<strong>de</strong>l Uitgaven ZIV Supplement patiënt Aantal gevallen115.025.000.036 S&N Belgium BHR Resurfacing head 1211xx / 741211xx / 741231xx 231.735,43 21.453,16 277115.025.000.045 Stryker Howmedica Munting fem comp 3800 2x00 836,59 0,00 1115.025.000.054 Wright Medical Belgium Conserve + Femoraal ge<strong>de</strong>elte 38021 0xx / 38xx xxx 399.239,33 0,00 477115.025.000.072 Centerpulse BeLux Metasul Hip Resurfacing System 01.00211.1xx 76.594,44 7.495,20 92115.025.000.081 Biomet Belgium BVBA ReCap Femoral Resurfacing Hip System - Cemented Femoral Head 1572xx 77.802,87 11.025,18 93115.025.000.097 DePuy Johnson & Johnson Medical - Nootens ASR Femoral Implant 9998xxxxx 2.695,67 0,00 5115.025.000.106 Ortho-Team ADEPT Resurfacing Head 1811xx 1.766,13 0,00 2115.025.000.115 Van Straten Medical ACCIS Resurfacing Head 2900-00xx 836,59 0,00 1115.025.000.124 Stryker Howmedica Mitch Resurfacing head MFR-9988-xxxx 2.509,77 0,00 3115.025.000.133 S&N Belgium BMHR Modular Femoral Head + BMHR Coated Stem 7443-20xx + 7443xx30 47.685,63 0,00 57115.025.000.237 Mediann DynaMOM Tête <strong>de</strong> resurfaçage HMM2xx 13.385,44 0,00 16115.025.000.255 Etablissements H. Nootens ASR Femoral Implant 9998xxxxx 836,59 0,00 1115.025.000.264 Ortho-Team ACCIS Resurfacing Head 2900-00xx 51.031,99 0,00 61115.025.000.273 Johnson & Johnson Medical - Depuy ADEPT Resurfacing Head 1811xxF 19.241,57 0,00 23115.025.000.291 Wright Medical Belgium Conserve cementless femoral component A-class 38PF10xx 10.875,67 0,00 13115.025.000.307 Stöpler Conserve + Femoraal ge<strong>de</strong>elte 38xx xxxx / 38AM10xx 7.822,64 27.454,28 10