,"产品名称","单位","限额标准(元)","使用年限","主要部件或材料要求","功能","适用范围","备注","补充说明""一、假肢(24项)"10001","假手指","只","1000","1","硅胶,定制仿真手指.
","弥补外观缺损.
","适用于单个手指缺损者或多个手指缺损.
","","10002","部分手假肢","只","6000","1","硅胶,仿真定制,内带填充物.
","弥补外观缺损、辅助持物.
","适用于掌骨截肢.
","","10003","装饰性腕离断假肢","具","12000","4","装饰手或被动手、硅胶手套,定制接受腔.
","弥补外观缺损、辅助持物等被动功能.
","适用于不选择穿戴功能性假肢的腕部截肢者.
","","10004","索控式腕离断假肢","具","15000","4","标准机械手、硅胶手套,定制双层接受腔及肩背带.
","自身力源,利用牵引索控制假手开、闭,能主动持物.
","适用于腕关节离断或前臂长残肢的截肢者.
","","10005","腕离断肌电假肢","具","40000","4","单自由度肌电手,硅胶手套,定制双层接受腔","电动力源,肌电信号控制假手的开、闭,能主动持物","适用于腕关节离断或前臂工残肢的截肢者",,"10006","装饰性前臂假肢","具","15000","4","定制接受腔、腕关节、装饰手或被动手、硅胶手套.
","弥补外观缺损、辅助持物等被动功能.
","适用于不选择穿戴功能性假肢的前臂截肢者.
","","10007","索控式前臂假肢","具","17000","4","标准机械手、硅胶手套,被动式腕关节,定制接受腔及肩背带.
","自身力源,利用牵引索控制假手开、闭,腕关节可被动屈伸、旋转.
","适用于前臂截肢者.
","","10008","前臂肌电假肢","具","60000","4","单自由度肌电手、硅胶手套,定制双层接受腔.
","电动力源,肌电信号控制假手开、闭,腕关节被动屈曲或旋转.
","适用于双侧截肢且肌电信号达标的前臂截肢者.
","","辅助配置机构配置时应注明是几度自由""10009","装饰性肘离断假肢","具","18000","4","定制接受腔、装饰性假肢组件、装饰手或被动手、硅胶手套.
","弥补外观缺损、辅助持物等被动功能.
","适用于不选择穿戴功能性假肢的肘部、前臂极短残肢截肢者.
","","10010","索控式肘离断假肢","具","36000","4","标准机械手、硅胶手套,铰链式肘关节,定制接受腔及肩背带.
","牵引索控制假手开、闭,肘关节被动屈、伸.
","适用于肘关节离断或上臂残肢过长的、前臂极短残肢截肢者.
","","10011","肘离断肌电假肢","具","58000","4","单自由度肌电手、机械肘关节、硅胶手套,定制双层接受腔","电动力源,肌电信号控制假手开、闭,腕关节被动屈曲或旋转,肘关节被动屈伸","适用于双侧截肢且肌电信号达标的肘离断、前臂极短残肢截肢者",,"辅助配置机构配置时应注明是几度自由""10012","装饰性上臂假肢","具","20000","4","全接触接受腔、装饰性假肢组件、装饰手或被动手、硅胶手套.
","弥补外观缺损、辅助持物等被动功能.
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