🫁 VATS Thoracic Surgery · Complete Workflow Product Map

Video-Assisted Thoracoscopic Lobectomy / Segmentectomy / Wedge Resection — Full Consumables & Instruments Solution from Admission to Discharge

✅ In-House

🟢 Quick-Win 3-9mo

🟡 New Dev 9-18mo

🔴 Strategic 18-36mo

Disposable

Reusable

Class I

Class II

Class III

🔵

Preoperative Preparation

Admission → PPE → Anesthesia & Intubation → Skin Prep & Draping

Patient Gowning & Admission

Registration → pre-op education

100%

Disposable Patient Gown

Non-woven / cotton, one size

In-HouseClass IDisposable

Surgical Team PPE

Scrub → Gown → Gloves → Eye Protection → Shoe Covers

100%

Disposable Sterile Scrub Brush

Povidone-iodine / chlorhexidine, sponge+brush

In-HouseClass IDisposable

Surgical Cap + Mask + Goggles

Full PPE baseline protection

In-HouseDisposable

Reinforced Sterile Surgical Gown

3-layer SMS, AAMI Level 3-4

Quick-Win A4Class IIDisposable

Sterile Surgical Gloves + Exam Gloves

Powder-free, sizes 6.5-8

In-HouseClass IIDisposable

Shoe Covers + Isolation Gown

Non-woven / PE

In-HouseClass IDisposable

Anesthesia & One-Lung Ventilation

Induction → DLT intubation → one-lung ventilation

100%

Double-Lumen Endobronchial Tube

Left/Right, Fr 28-41, single-lung ventilation

In-HouseClass IIDisposable

Anesthesia Circuit + Mask

PVC adult, silicone pre-oxygenation mask

In-HouseClass IIDisposable

Skin Prep & VATS Draping

Antisepsis → towels → underdrapes → fenestrated drape → instrument table

100%

Sterile Towels ×4 + Underdrapes ×2

50×60cm / standard

A2+A3Disposable

VATS Fenestrated Surgical Drape

30×40cm window, SMS/PU laminate

Quick-Win A1Class IIDisposable

Adhesive Incise Drape (Iodophor)

30×40cm, surgical site coverage

NewClass IIDisposable

Instrument Table + Cable Organizers

Standard, tube clips

Pack A2Disposable

QC Branch

QC1

🛡️ Dual-Count: Instruments & Sponges

Scrub nurse + circulating nurse → item-by-item count → documented sign-off

100%

X-Ray Detectable Gauze Sponges

BaSO₄ stripe, intra-op count ×30

In-HouseClass IIDisposable

X-Ray Detectable Lap Sponges

All sizes ×5

In-HouseClass IIDisposable

Instrument Count Sheet (RFID)

Optional RFID chip, dual-signature

Quick-WinClass IDisposable

Magnetic Needle Count Board ×10

Prevents lost needles

In-HouseClass IReusable

QC2

🛡️ Surgical Safety Time-Out

3-way verification → patient ID → procedure → site → allergies

—

Medical ID Bracelet

Printed patient info + barcode

In-HouseClass IDisposable

Safety Checklist (Consumable Trace)

Standard form, consumable tag slots

Quick-WinClass IDisposable

🟠

Intraoperative Module 3-Port VATS

Port Access → Exploration & Dissection → Vascular Division → Bronchus & Parenchyma → Hemostasis & Air Leak → Drain & Closure

Emergency

🚨

Emergency: Massive Hemorrhage URGENT

Vessel tear → compression → rapid ligation → hemostatic agents

33%

ORC Hemostatic Gauze

Absorbable, diffuse bleeding first choice

Strategic G6Class IIIDisposable

Absorbable Gelatin Sponge

Block/powder, compression hemostasis

Strategic G7Class IIIDisposable

Flowable Gelatin Matrix

Pre-filled syringe, irregular wounds

Strategic G9Class IIIDisposable

Non-absorbable Silk USP 0-2

Rapid vessel stump ligation

Quick-Win D3Class IIDisposable

Hem-o-lok Clip XL Gold + Applier

≤16mm large vessel emergency clip

Strategic G4Class IIIDisp+Reus

Bipolar Forceps (Precision Coag)

5mm, fine curved tip, no thermal spread

F9Reusable

🚨

Emergency: Bronchial Air Leak URGENT

Stump leak → suture reinforcement → biologic sealant → pleural flap

25%

Absorbable PGA Suture 3-0

Round body needle, figure-8/mattress repair

Quick-Win D1Class IIIDisposable

Fibrin Sealant Dual-Spray

Atomized spray, fibrin sealing film

Strategic G8Class IIIDisposable

Synthetic PEG Lung Sealant

Dual-component, hydrogel seal

Strategic G10Class IIIDisposable

Absorbable PGA Mesh (Neoveil-type)

Stump reinforcement coverage

Strategic G11Class IIIDisposable

Thoracoscopic Needle Holder (TC)

5mm × 33cm, curved jaw

F7Class IIReusable

🟢

Postoperative Management

Recovery & Airway → Wound Care → Chest Drain → Respiratory Rehab → Dressing Changes & Discharge

Recovery & Airway Management

Extubation → suctioning → mask O₂ → humidification → nasal cannula

100%

Disposable Suction Catheter Fr 8-18

PVC/silicone, thumb control valve

In-HouseClass IIDisposable

Oxygen Mask + Nasal Cannula

Adult standard

In-HouseClass IIDisposable

Oxygen Humidifier Bottle

200-300ml, bubble-through type

Quick-WinClass IIReusable

Pulse Oximeter

Portable, SpO₂ + pulse rate

In-HouseClass IIReusable

Immediate Wound Care

Antisepsis → port-site dressings → drain tube site seal

100%

Transparent Film Dressing 6×7/10×12cm

PU film + acrylic adhesive, waterproof

Quick-Win B1Class IIDisposable

Drain Tube Fixation Dressing

Slit design + transparent window

Quick-Win B3Class IIDisposable

Post-Op Self-Adhesive Dressing 10×15cm

Non-woven + absorbent pad

Quick-Win B2Class IIDisposable

Chest Drain Management

Continuous drainage → monitoring → tube removal criteria

100%

Disposable Chest Drainage Tube PVC

Fr 16-36, radiopaque stripe + side holes

Quick-Win C1Class IIDisposable

Water-Seal Drainage System

2/3-chamber, -10~-20 cmH₂O

Quick-Win C5Class IIDisposable

Dry-Seal Valve System (as needed)

Portable, replaces water-seal bottle

Quick-Win C4Class IIDisposable

Respiratory Rehabilitation

IS training → effective cough → progressive ambulation → home program

100%

Tri-Ball Incentive Spirometer

600/900/1200ml, ABS transparent housing

In-HouseClass IReusable

Volumetric Incentive Spirometer

Piston 400-5000ml, calibrated

In-HouseClass IReusable

Disposable Mouthpiece ×5

Standard bore, PE

In-HouseClass IDisposable

Dressing Changes & Discharge

48h first change → regular changes → suture removal → discharge

100%

Self-Adhesive Dressing (replacement)

10×15cm, post-op day 3-14

Quick-Win B2Class IIDisposable

Suture Removal Scissors

Stainless steel, sharp tips

In-HouseClass IReusable

Take-Home Incentive Spirometer

Tri-ball / volumetric, rehab 1-4 weeks

In-HouseReusable

♻️

Device Lifecycle Closed Loop — Key for Tender Evaluation

Post-Op Retrieval → Pre-Cleaning → Sorting → Washer-Disinfection → Inspection & Assembly → Sterilization → Sterile Storage → Next Surgery

Post-Op Retrieval & Pre-Cleaning

Count → initial decontamination → humidified transport to CSSD

100%

Multi-Enzyme Pre-Cleaning Spray

Prevents blood/tissue drying

In-HouseClass IDisposable

Sealed Instrument Transport Tray

With sealing lock, leak-proof

In-HouseClass IReusable

Instrument Handoff Sheet (Traceable)

Barcode/RFID, full traceability

Quick-WinDisposable

Washer-Disinfection & Drying

Manual/ultrasonic → automated washer-disinfector → drying

75%

Multi-Enzyme Detergent

Low foam, suitable for lumened instruments

In-HouseClass IDisposable

Water-Soluble Instrument Lubricant

Protects joints/sliding parts

Quick-WinClass IDisposable

Cleaning Efficacy Test Card (TOSI)

Simulated soil, verifies washer efficacy

New DevClass IIDisposable

Inspection, Assembly & Function Test

Magnified visual → insulation test → assembly into sets

75%

Insulation Tester

Validates ESU instrument insulation integrity

New DevClass IIReusable

VATS Instrument Organizing Tray

Custom-molded recesses, positioning

F PackClass IReusable

Packaging & Sterilization

Double-wrap → chemical indicator → steam/ETO sterilization

100%

Sterilization Flat Reel Pouch

Medical-grade paper + PE film, double-layer

In-HouseClass IIDisposable

Chemical Indicator Cards/Tape

Internal card + external color-change tape

In-HouseClass IIDisposable

Biological Indicator (Spore Strip)

G. stearothermophilus, weekly monitoring

Quick-WinClass IIDisposable

Sterile Storage & Distribution

Sterility confirmed → shelf storage → next-surgery issue → closed loop

100%

Sterilization Traceability Label

Sterilization date, expiry, load number

Quick-WinClass IDisposable

Instrument Usage Cycle Record Card

RFID optional, lifetime alert

Quick-WinDisposable

♻️ Closed-Loop Chain: Retrieval → Pre-Cleaning → Sorting → Washer-Disinfection → Drying → Inspection → Assembly → Packaging → Sterilization → Storage → Distribution → Next Surgery Issue (full device lifespan traceability)

Wehere Medical · VATS Minimally Invasive Thoracic Surgery Complete Solution · Product Map v4.0 EN (QC + Emergency + Lifecycle) · 2026-07

🫁 VATS Thoracic Surgery · Complete Workflow Product Map

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