1358.1 - Vagus Nerve Stimulation Therapy (resubmission)

Page last updated: 13 February 2017

Application Detail

Status

Open

Description of Medical Service

Vagus Nerve Stimulation (VNS® Therapy) Therapy is an adjunctive non-pharmacologic treatment for patients with drug-resistant partial or generalised epilepsy which can improve seizure control and quality-of-life for patients with epilepsy.

VNS® Therapy involves insertion of a small pulse generator (similar to a pacemaker) under the skin in the left chest wall and a lead attached to the left vagus nerve in the neck, to deliver precisely timed and measured electrical stimulation to the left vagus nerve. Using an external programming system (hand-held computer, software and wand), neurologists can adjust the timing and amount of stimulation the patient receives.

VNS® Therapy results in a decrease in both the rate and severity of seizures for patients where no other therapy is available.

Description of Medical Condition

Epilepsy is a disorder characterised by unprovoked recurrent seizures, a neurological state in which a region (focus) of the brain or the entire brain develops abnormal, hypersynchronous neuronal discharges. Seizures are classified as either generalised (whole brain involved from onset) or partial (regional or focal seizure onset). For the majority of patients, seizures are adequately controlled with Anti-Epileptic Drugs (AEDs). Approximately 30% of epilepsy patients do not respond to medical treatment and are termed “refractory” despite treatment with a combination of AEDs.

Reason for Application

New MBS item

Medical Service Type

Therapeutic

Previous Application Number

1358

Associated Documentation

Application Form

-

PICO Confirmation

As per Application 1358

Assessment Report

-

Public Summary Document

Public Summary Document (PDF 776 KB)
Public Summary Document (Word 424 KB)

Meetings for this Application

PASC

-

ESC

6 - 7 October

MSAC

24 - 25 November