Application Detail
Status
ClosedDescription of Medical Service
The service is a therapeutic procedure to implant lung coils via bronchoscope with fluoroscopic guidance whilst patient is under conscious sedation or general anaesthesia. One lobe is treated per procedure, with the most diseased lobe treated first. Full treatment is bilateral; the second lobe will be treated 30-60 days after the first. Whilst the bronchoscope is held by an assistant, the rendering practitioner employs a delivery system to sound the airway, assess a safety distance from pleura, measure airway to assess for coil sizing, and finally deliver and deploy the Coil, under fluoroscopic guidance. The deployed Coil can be viewed under fluorsocpy, and then released from the Forecps. Ten to fourteen Coils (10-12 upper lobe, 12-14 lower lobe) should be distributed evenly throughout the sub-segments of each treated lobe, to optimize re-tensioning effects of the Coils. The procedure duration is typically 30-15 minutes, depending on patient anatomy and physician experience.Description of Medical Condition
Severe emphysema (COPD GOLD III/IV)Heterogeneous or homogenous disease
Sufficient structural Tissue (CT), ≤75% total destruction
RV ≥>175% Predicted
TLC > 100% Predicted
Post Bronchodilator FEV1 ≤ 45% predicted
Reason for Application
New MBS itemMedical Service Type
TherapeuticPrevious Application Number
Not ApplicableAssociated Documentation
Application Form
-PICO Confirmation
Final Protocol (PDF 1836 KB)Final Protocol (Word 1816 KB)