Stradis Healthcare





Customizable Surgical Packs

Requestor:

 

Name

 

 

Address

 

 

City

St.   Zip

 

 

Phone

 

 

Email

 

 

Ship To (Leave Blank if the Same)

Name

 

 

Address

 

 

City

St.    Zip

 

 

Phone

 

 

Email

   

 

  Select one of our standard kits or customize a kit.

Select

Item

 

Essential Pack Plus

 

Basic Implant Pack

 

Split Drape Basic Implant Pack

 

Expanded Pack

 

 

Customize a kit.

Qty

Item

Description (Select One of Each)

Foam Tray

Table Cover

 44x44

 44x76

 44x90

CSR Wrap

 24x24

 45x45  

 48x48

CSR Wrap

 24x24  

 45x45  

 48x48

Patient Drape

 Split 55x77      

 Split 72x115  

 4" Fen. 38x55          

Headrest Cover

 Crepe    

 Poly

Light Handle Cover

 4x6B 

 4x6C

 TBar

Bag. Disp

 Suture    

 Bio-Haz 10 gal.  

 Bio-Haz 1 gal.

Tray, Plastic

 5x5x2     

 10x5x2

Blades

 #12

 #15

 Other:

Gauze

 2x2

 3x3

 4x4

Gauze

 2x2

 3x3

 4x4

Steri-Strips, 1x5 pack of four

Angiocath, 16gx2

Hose Covers

 4"x96"

 Sani Sleeve

 2 1/2"x 50

Y-Connector, 5 in 1

Saliva Ejector

 White       

 Clear/Blue

HVE Tip

 Slotted

 Non-Slotted

Suture

 Describe:

Swab Stick

Conn. Tubing

 6'x ¼'

 10' x ¼'  

Syringe, Irrigator

#CC:

Type:     

Brand:

Frazier

12 Fr       

 18 Fr

Yankauer, Handle with open tip

Aspirators

 Surg-O-Vac

 Other:

Towel, Cloth (Blue)     

Towel, Hand (White)

Machine Cover, Cassette 21 x 36 w/ cuff

Drape, Half

 44x55  

 41x70  

 55x75

Drape, Utility (14 x 25 with tape)

Gowns (select size)

 S

 L

 XL

 Basic Surg

Gowns (select size)

 S

 L

 XL

 Basic Surg

Bouffant Cap

 L

 XL

Cap, Surgeon

Description:

Mask

 Eloop

 Cone

 Other

Mask

 Eloop

 Cone

 Other

Gloves, Surgical

 Size:

 Brand:

Gloves, Surgical

 Size:

 Brand:

Mayo Stand Cover

Other Item (Describe):

Other Item (Describe):

Other Item (Describe):

Other Item (Describe):

Other Item (Describe):

Notes/Remarks

      





CUSTOM SURGICAL SOLUTIONS

1-800-886-7257

Create Custom Packs Here