❤️ Cardiovascular Surgery · Complete Workflow Product Map

CABG Coronary Bypass / Valve Replacement / Vascular Surgery — Full Consumables & Instruments Solution from Admission to ICU Recovery

🫀 Coronary + Valve + Vascular 📋 51+ Products 🌍 CE MDR / FDA / ISO 13485

✅ In-House

🟢 Quick-Win 3-9mo

🟡 New Dev 9-18mo

🔴 Strategic 18-36mo

Disposable

Reusable

Class I

Class II

Class III

CV Special

❤️

Preoperative Preparation

Admission Assessment → Echocardiography / Angiography → Hair Removal → PPE → Median Sternotomy Skin Prep & Draping

Admission Assessment & Cardiac Workup

Cardiac function → echocardiography → coronary angiography → carotid ultrasound

100%

Disposable Patient Gown + ID Bracelet

Non-woven / cotton, anti-static

In-HouseClass IDisposable

BP Monitor + Oximeter + Thermometer

Portable, baseline cardiac assessment

In-HouseReusable

Hair Removal & Skin Preparation

Chest + abdomen + bilateral groin + lower limb hair removal → chlorhexidine/iodophor full-body antisepsis

100%

Disposable Clipper / Electric Trimmer

Large-area hair removal (chest+abdomen+legs+groin)

In-HouseClass IDisposable

Iodophor / CHG Cotton Balls (Full-Body)

Sterile individual packs, large-area circular scrub

In-HouseClass IDisposable

Disposable Underpad + Gloves + Apron

Waterproof + absorbent, hair containment

In-HouseDisposable

Surgical Team PPE

Scrub brush → cap → N95 mask → reinforced gown → double gloves

100%

Scrub Brush + Cap + N95 + Goggles

Full high-standard sterile prep

In-HouseDisposable

Reinforced Fluid-Resistant Surgical Gown

3-layer SMS, AAMI Level 4, high-blood-volume surgery

Quick-Win A4Class IIDisposable

Sterile Surgical Gloves (Double) + Shoe Covers

Powder-free, sizes 6.5-8

In-HouseDisposable

Median Sternotomy Skin Prep & CV Draping

Iodophor full chest+abdomen+legs antisepsis → 4-layer draping → CV fenestrated drape

100%

Sterile Towels ×6 + Underdrapes ×3

Large-area (neck → upper 1/3 thigh)

A2+A3Disposable

CV Fenestrated Drape (Thoraco-Abdominal)

Large window, includes leg vein harvest area, SMS/PU laminate

Quick-Win C1Class IIDisposable

Iodophor Cotton Balls (Large-Area) ×5

Sterile individual packs

In-HouseClass IDisposable

Incise Drape + Table Cover + CPB Cover

Large adhesive film + CPB tubing management

Quick-Win NewDisposable

Anesthesia Induction & Monitoring Lines

General anesthesia → arterial line → CVC → Swan-Ganz catheter → TEE

80%

Double-Lumen ETT + Anesthesia Circuit

Adult size, general anesthesia induction

In-HouseClass IIDisposable

Arterial Catheter Set 20G (Radial/Femoral)

Continuous invasive BP monitoring

In-HouseClass IIDisposable

CVC 7Fr Triple-Lumen (IJV/Subclavian)

CVP monitoring + drug delivery

Quick-WinClass IIIDisposable

Swan-Ganz Catheter (Optional)

7.5Fr, thermodilution CO monitoring

Strategic C2Class IIIDisposable

Oximeter + ECG Lead Wires

Standard anesthesia monitoring

In-HouseReusable

🟠

Intraoperative Module — CABG (Primary Route)

Sternotomy → Conduit Harvest (LIMA + SVG) → CPB Cannulation → Cardioplegic Arrest → Vascular Anastomosis → Weaning CPB → Chest Closure

Median Sternotomy

Skin incision → electrocautery layer-by-layer → sternal saw → bone wax hemostasis

65%

Surgical Blade #10 + Cautery Pencil + Gauze

Carbon steel blade + disposable pencil

In-HouseDisposable

Sternal Saw + Retractor (Finochetto)

Stainless steel, pneumatic/electric

Strategic C3+C5Reusable

Sterile Bone Wax (Sternal Marrow) ×2

Beeswax + petrolatum, seals marrow cavity

Strategic C4Class IIIDisposable

🔑 Conduit Harvest — LIMA + Saphenous Vein

LIMA internal mammary artery harvest → SVG saphenous vein harvest → heparinized saline preservation

80%

Vascular Clamps (Bulldog Clamps)

Stainless steel / titanium, temporary occlusion

Strategic C6Reusable

Vascular Sling / Vessel Loop

Silicone / cotton, suspends vessels for dissection

Quick-WinClass IIDisposable

Non-Absorbable Silk 2-0/3-0 (Branch Liga.)

Natural silk braided, side-branch ligation

Quick-Win D3Class IIDisposable

Heparinized Saline + Tunnel Dissector

Graft flush preservation + leg subcutaneous vein harvest

Quick-Win+NewDisposable

Cardiopulmonary Bypass (CPB) Cannulation

Ascending aortic cannula → SVC/IVC cannulae → cardioplegia cannula → ACT monitoring

40%

Aortic Cannula 20-24Fr

Reinforced coil, prevents lumen collapse

Strategic C7Class IIIDisposable

Venous Cannulae (SVC+IVC) ×2

28-36Fr, right-angle/curved type

Strategic C8Class IIIDisposable

Cardioplegia Cannula (Antegrade/Retrograde)

Myocardial protection solution delivery

Strategic C9Class IIIDisposable

CPB Circuit Pack (Oxygenator + Tubing)

Complete disposable CPB consumables pack

Strategic C10Class IIIDisposable

ACT Monitoring Tube

Celite-activated, monitors heparinization

Quick-WinClass IIDisposable

🔑 Coronary Anastomosis & Sutures

Coronary arteriotomy → end-to-side anastomosis (LIMA→LAD / SVG→OM/PDA) → proximal anastomosis (ascending aorta)

85%

7-0/8-0 Polypropylene Suture (Prolene-Type)

Double-armed, end-to-side LIMA→LAD anastomosis

Quick-Win D4Class IIDisposable

6-0 Polypropylene (Proximal Anastomosis)

Single-armed, SVG→ascending aorta

Quick-Win D4Class IIDisposable

Beaver Blade / #11 (Coronary Arteriotomy)

Microsurgical precision coronary incision

In-HouseClass IIDisposable

Coronary Probe 1.0-2.5mm

Stainless steel, verifies coronary lumen patency

New DevClass IReusable

Aortic Punch 4.0-4.8mm

Disposable circular punch knife

Strategic C11Class IDisposable

Weaning CPB, Hemostasis & Chest Closure

Unclamp aorta → spontaneous/defibrillation weaning → protamine reversal → hemostasis → sternal wire closure → drains

70%

Epicardial Temporary Pacing Wires

Stainless steel, insulated, post-op standby

Strategic C12Class IIIDisposable

ORC Gauze + Gelatin Sponge + Fibrin Sealant

Anastomotic site + mediastinal oozing

Strategic G6+G7+G8Class IIIDisposable

Non-Absorbable Sternal Wire #5-7 ×6

316L stainless steel, figure-of-8 / interrupted

Strategic C13Class IIIDisposable

Pericardial + Mediastinal Drain 32Fr

PVC/Silicone, radiopaque + side holes

Quick-Win C1Class IIDisposable

Absorbable PGA Suture 2-0/0 (SubQ+Skin)

Braided, running subcuticular closure

Quick-Win D1Class IIIDisposable

🔷

Alternate Route: OPCAB (Off-Pump Coronary Bypass)

Sternotomy → Conduit Harvest → Heart Stabilizer Placement → Beating-Heart Anastomosis → Chest Closure

Cardiac Stabilization & Target Vessel Exposure

Stabilizer positioning → target vessel exposure → intraluminal shunt insertion

30%

Cardiac Tissue Stabilizer (Suction-Type)

Negative-pressure suction fixation of target area

Strategic C14Class IIIReusable

Intracoronary Shunt 1.5-3.0mm

Silicone, maintains distal coronary flow during anastomosis

Strategic C15Class IIDisposable

Silicone Vascular Snare + CO₂ Blower

Temporary proximal occlusion + CO₂ blood clearing

Quick-WinClass IIDisposable

Beating-Heart Anastomosis (Shared Suture Set)

7-0/8-0 Prolene end-to-side → flow measurement → proximal anastomosis

80%

7-0/8-0 + 6-0 Polypropylene Sutures

Same CABG suture system

Quick-Win D4Class IIDisposable

TTFM Flow Probe Cover

Intraoperative graft patency verification

Quick-Win NewClass IDisposable

🟢

Postoperative ICU Management

Anesthesia Recovery → Hemodynamic Monitoring → Drain Management → Extubation → Wound Care → Discharge

Recovery & Ventilator Management

Intubated transfer to ICU → mechanical ventilation → sedation/analgesia → extubation (4-8h post-op)

100%

Suction Catheter + O₂ Mask + Humidifier

Airway management, post-extubation O₂ transition

In-HouseDisposable

Oximeter + ECG Leads + BP Monitor

Standard ICU monitoring kit

In-HouseReusable

Pericardial / Mediastinal Drain Management

Drains to negative-pressure bottle → record output/character → remove drains (24-48h)

100%

3-Chamber Drainage System ×2 (Pericardial+Mediastinal)

-10~-20 cmH₂O, continuous low suction

Quick-Win C5Class IIDisposable

Drain Fixation Dressing + Iodophor Cotton Balls

Securement + post-removal antisepsis cover

Quick-Win B3Disposable

Sternal + Leg Vein Harvest Site Wound Care

Sternal incision dressing change → leg SVG harvest site care → compression stocking/bandage

100%

Iodophor Cotton Balls (Wound Care) ×3

Sterile individual packs

In-HouseClass IDisposable

Transparent Film Dressing 10×15cm (Sternal)

PU film + acrylic adhesive, waterproof

Quick-Win B1Class IIDisposable

Self-Adhesive Dressing + Compression Stocking

Absorbent wound protection + graduated compression

Quick-Win B2Disposable

Suture Scissors / Wire Cutter

Stainless steel, skin suture + sternal wire removal

In-HouseClass IReusable

Temporary Pacing Management & Discharge

Pacing wire test → wire removal (day 3-5) → echocardiography follow-up → discharge

100%

Iodophor Cotton Balls + Self-Adhesive Dressing

Pacing wire site antisepsis cover

In-HouseDisposable

Disposable Surgical Mask (Home)

Post-op immune recovery protection

In-HouseClass IIDisposable

Wehere Medical · Cardiovascular Surgery Complete Solution · Product Map v1.0 EN · 2026-07

❤️ Cardiovascular Surgery · Complete Workflow Product Map

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