1608 - Amnion membrane (human tissue) for topical treatment of ophthalmic disorders (caused by disease and/or trauma), and wound dressings for skin burns and ulcers on the craniofacial area, torso, and limbs

Page last updated: 09 June 2021

Application Detail

Description of Medical Service

Amnion membrane is a tissue of human origin and the inner lining of the foetal membranes. It is semi- transparent; does not contain blood vessels and is 20-50 microns thick. It is comprised of five layers: the epithelium: a basement membrane; and compact, fibroblast and intermediate layers.
Separated from the chorion and cryopreserved, the amnion membrane can be used for the topical treatment of ophthalmic disorders, disease and trauma and as a dressing for wounds.

Description of Medical Condition

Treatment of the ocular surface when the integrity has been disrupted due to surgery, disease or chemicals and treatment of acute and chronic wounds on the surface of the body including burns, graft sites and ulcers.

Reason for Application

To inform the Prostheses List Advisory Committee

Medical Service Type


Previous Application Number/s

Not applicable

Associated Documentation

Application Form

Application Form (PDF 1259 KB)
Application Form (Word 207 KB)

Consultation Survey

Consultation Survey (PDF 561 KB)
Consultation Survey (Word 70 KB)

PICO Confirmation

PICO Confirmation (PDF 1432 KB)
PICO Confirmation (Word 703 KB)

Assessment Report


Public Summary Document

Public Summary Document (PDF 654 KB)
Public Summary Document (Word 273 KB)

Meetings for this Application


16-17 April 2020


11-12 February 2021


31 March - 1 April 2021