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TMI BlogDRAFT CIRCULAR IV cannulas -availability of exemption under notification No. 6/2006 dated 1.3.2006X X X X Extracts X X X X X X X X Extracts X X X X ..... oard Of Excise Customs Sub: IV cannulas -availability of exemption under notification No. 6/2006 dated 1.3.2006 1. I am directed to say that S.No. 61of notification No. 6/2006-CE dated 1.3.2006 [earlier S.No. 267 of notification No. 6/2002-CE dated 1.3.2002] exempts products mentioned at S.No. 34 in list 37 appended to notification No. 21/2002-Customs dated 1.3.2002. S.No. 34 in list 37 of notification No. 21/2202-Customs dated 1.3.2002 reads "Disposable and non-disposable cannula for aorta, vena cavae and similar veins and blood vessels and cannula for intra-corporal spaces". 2. A doubt has been raised whether the exemption under notification No. 6/2006-CE dated 1.3.2006, S. No.61, would be available to IV cannulas. In other wo ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... to such IV cannulas. 5. Trade and field formations may be suitably informed. Pending assessments may be disposed of accordingly. 6. Receipt of this Circular may kindly be acknowledged. (Gaurav Sinha) Under Secretary (CX.I) ANNEX-A The matter has been reexamined in the Directorate in consultation with experts in the field of Anatomy, Surgery, Neuro-Surgery, Cardio-Thoracic Surgery and Anaesthesia from Central Government Hospitals. The opinion given by the experts is given below: (i) IV cannulas (Venlon, Neoflan etc) are primarily used in the peripheral veins and arteries for the purpose of blood sampling, blood transfusion, single and multiple drug infusion, arterial pressure monitoring etc. (ii) Aorta and venae cava are not ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... 75 cms for adults and 40 cms for children. In contrast, the IV cannulas are of short length(4-6 cm) with small lumen and cannot be used for monitoring CVP. (iv) If IV Cannulae are used for access to medium/great vessels, the plastic can get detached and then may cause embolism, threatening the life of the patient. (v) In Pediatric Cardiac surgery, cardioplegia cannula is used for inducing cardioplegia. However, if cardoplegia cannula is not available, IV cannula can be used in emergencies but is not a substitute for cardoplegia cannula. However, the standard texts do not advocate the use of IV cannula for such procedure. (vi) Intra corporal spaces imply non-visceral cavities inside the body. There are specific catheters/drainage tubes av ..... X X X X Extracts X X X X X X X X Extracts X X X X
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