The Factory Behind the Brands. Direct.
Medical gowns, drapes and consumables from factories that have supplied the largest US distributors for two decades, opened to buyers who are done paying the middle. Made in China or Cambodia. Every order runs on a trail you can see.
Who Buys from a Factory Instead of a Distributor
Your distributor's private label gown was made in a factory like ours. If you can carry a production run, you can skip the layer in between. Here is who does.
Regional and Independent Distributors
You compete with national private label pricing on the same product. Buy from the factory that makes it.
Needs: factory terms, a real QC file, a person who answersPrivate Label Brands
Dental, veterinary, long term care, home health, retail. Your brand, a technical file you can defend.
Needs: artwork on the spec, registrations, repeatable runsHealth Systems with Direct Sourcing
Strategic categories bought from the maker, with the file your value analysis committee asks for.
Needs: audits, test reports, a supply agreement, visibilityInternational Distributors and Tender Bidders
NHS, EU MDR, GCC projects, LatAm, Australia. Tender documents and registrations ready to attach.
Needs: CE and national registrations, ESG file, landed pricingConverters and Domestic Manufacturers
Gown makers who cut and sew locally and still need the nonwoven roll. SMS and laminates from the lines that feed our gowns.
Needs: roll specs, lot certificates, steady supply, a price that holdsOrdering under a production run? Send the request anyway. We introduce you to a stocking distributor who buys from us, so you get the product at a fair price without the minimum.
Send a Small RequestProtective Apparel, Made in China or Cambodia
This is the category we own. Isolation and surgical gowns at every AAMI level, drapes, coveralls and scrubs, from the apparel factories in our network in China and Cambodia, on SMS and poly laminate produced inside the same group. Choose a level to see how it is specified.
AAMI Level 1 Isolation Gown
- Used for
- Basic care, cover gowns, low fluid risk
- Fabric
- SPP or 2 to 3 layer SMS, 25 to 35 gsm
- Barrier tests
- AATCC 42 impact penetration, 4.5 g or less
- Critical zone
- Front and sleeves, minimal barrier
- Closure and cuff
- Neck and waist ties, elastic or knit cuff
- Sterility and pack
- Non-sterile, bulk packed
- Origin
- China or Cambodia, same spec
AAMI Level 2 Isolation Gown
- Used for
- Blood draws, ICU, pathology lab, low to moderate fluid
- Fabric
- 3 to 6 layer SMS nonwoven, 35 to 45 gsm
- Barrier tests
- AATCC 42 impact 1.0 g or less, AATCC 127 hydrostatic 20 cm or more
- Critical zone
- Front and sleeves, critical zone barrier
- Closure and cuff
- Neck and waist ties, knit cuff, thumb hook option
- Sterility and pack
- Non-sterile or EO sterile
- Origin
- China or Cambodia, same spec
AAMI Level 3 Standard Surgical Gown
- Used for
- Arterial blood draw, IV insertion, trauma, most surgery
- Fabric
- 4 to 6 layer SMS, 45 gsm standard, reinforced option
- Barrier tests
- AATCC 42 impact 1.0 g or less, AATCC 127 hydrostatic 50 cm or more
- Critical zone
- Front and sleeves, reinforced critical zone
- Closure and cuff
- Hook and loop neck, belt ties, knit cuff
- Sterility and pack
- EO sterile, ISO 11135, double wrap with 2 hand towels
- Origin
- China or Cambodia, same spec
AAMI Level 4 Poly-Reinforced Surgical Gown
- Used for
- Long fluid intense procedures, pathogen exposure
- Fabric
- Poly laminated SMS, or BVB and SFS breathable laminate
- Barrier tests
- ASTM F1670 blood penetration, ASTM F1671 viral penetration
- Critical zone
- Full front and sleeves, impervious critical zone
- Closure and cuff
- Hook and loop neck, belt ties, knit cuff
- Sterility and pack
- EO sterile, ISO 11135, double wrap with 2 hand towels
- Origin
- China or Cambodia, same spec
78 Products Across 13 Categories, Each with Its Standards on the Page
Apparel, drapes and underpads come from the apparel factories in our network. The rest comes from factories we have inspected and worked with for years. Every product page lists its certifications, test standards, packaging options and minimum run.
Surgical Gowns
AAMI Level 3 and 4, standard, reinforced, BVB and SFS breathable. Made in the apparel factories of our network, China or Cambodia.
Infection Control Apparel
Isolation gowns Level 1 and 2, chemo gowns, coveralls, scrubs, lab coats, aprons. Made in the apparel factories of our network, China or Cambodia.
Drapes and OR Accessories
Standard and specialty drapes, back table covers, U-drapes, leggings. Made in the apparel factories of our network, China or Cambodia.
Incontinence Care
Underpads standard and premium, adult and baby diapers. Made in the apparel factories of our network, China or Cambodia.
Skin and Wound Management
Dressings, alginates, hydrocolloids, tapes, prep pads, wipes, bandages
Facial Protection
ASTM Level 1 to 3 masks, Type I, II and IIR, face shields, goggles
Respirators
N95, FFP2, FFP3
Gloves
Nitrile, nitrile blend, latex, vinyl
What Tariffs Do to Your Category, Before You Ask for a Quote
For US buyers, China is still the right origin for some medical consumables and the wrong one for others, and Cambodia changes the answer for apparel. We say which is which up front. This table is updated monthly.
| Category | US product specific tariff on China origin | From China today | What we do |
|---|---|---|---|
| Gowns, drapes, coveralls, underpads, wipes | No product specific Section 301 surcharge. General China rates apply. | Viable from China | Quote from our factory, China and Cambodia origin side by side. |
| Face masks and respirators | 50% Section 301 since January 2026, on top of general rates | Marginal | We quote China and a second origin side by side. |
| Medical gloves | 100% Section 301 since January 2026 | Not from China | Malaysia or Thailand route through the SilkNet network. |
| Syringes and needles | 100% Section 301 since September 2024 | Not from China | We tell you before you ask for a quote. |
Rates as of September 2026, Section 301 product actions on top of general China tariffs. The general rates changed in July 2026 and are due for review in November 2026. Cambodia origin carries none of the China specific surcharges. Your quotation states the tariff basis used in the landed cost. Buyers outside the United States: none of this applies to you, and your quotation is priced for your port of entry.
How an Order Runs
One private timeline from your spec to your dock, visible to your order's stakeholders and no one else. The same way of working as every SilkNet deal, with the healthcare steps in the middle.
- 1
You Send the Spec
A drawing, a competitor's item, or a distributor SKU number is enough. Say China or Cambodia, or let us quote both.
1 party on this step. your part: send it - 2
Verified
Factory licences, registrations and your NDA on record before any number moves.
3 parties on this step. your part: nothing - 3
Spec Locked
Bilingual spec sheet, material, gsm, sizes, artwork, packaging. Sample approved by you.
3 parties on this step. your part: approve the sample - 4
Raw Material Lot Recorded
Nonwoven roll lot, supplier and test certificate logged to the order.
2 parties on this step. your part: nothing - 5
Production with in Line QC
Seam, cuff, tie and fluid tests at set intervals, photos to the trail.
2 parties on this step. your part: nothing - 6
Tested and Inspected
Third party lab test and pre shipment inspection. You release on the report.
4 parties on this step. your part: release on the report - 7
Shipped with the File
CoA, test reports, packing list, bill of lading in one document set.
3 parties on this step. your part: nothing - 8
Delivered. Scan It.
Trust ID on the carton opens the whole trail. Balance paid on what you approved.
2 parties on this step. your part: pay the balance
The factory price is the factory price. One agreed fee on top, paid by you, never inside the unit price. No subscription, no platform charge, no marketplace commission.
Milestone payments tied to the trail, stated on the quotation. A shipment that fails inspection does not ship, and the trail shows the rework.
Trust ID. the Trail, on the Carton.
A QR code on every carton and on the product opens the order it came from. Anyone downstream can check what they are holding, from your receiving dock to a nurse on the ward.
- Material lot testPassed, AATCC 42 and 127
- In line QC6 of 6 checks
- Third party inspectionReleased
- SterilizationEO, ISO 11135
- OriginApparel factory in our network, China
- Documents7 files
The Standards, Tests and Registrations Behind Every Product Page
Twenty years of factory work turned into a reference you can read. Each entry explains what the standard covers, when a buyer needs it, and which products carry it.
ISO 13485, 9001, 10993, 11135, 14001, 14971, 17025, 45001
17RegistrationsFDA registered, 510(k), CE, TGA, PMDA, ANVISA GMP, KFDA, NIOSH, amfori BSCI
50Product standardsANSI/AAMI PB70, ASTM F2100, EN 13795, EN 14683, EN 455, EN 374, ISO 10993
27Test methodsAATCC 42, AATCC 127, ASTM F1670, F1671, F1862, F2101, ISO 22609, ISO 2859
15MaterialsSMS, SPP, poly laminates, meltblown grades, breathable films
Guides for Buyers Who Write the Spec
Written from the factory floor, for the procurement desk. The answers we give on the phone, put where anyone can read them.
AAMI PB70 Gown Levels, Explained for Buyers
What Levels 1 to 4 mean, the tests behind each, and how to write the level into a spec.
September 2026How to Specify an Isolation Gown
SMS versus PE versus poly laminate, gsm, ties, cuffs, sizes and packaging, in the order a factory reads them.
April 2026US Import Tariffs on Medical Consumables, by Category
The living page. Section 301 product rates, general China rates, Cambodia origin, and what they do to a landed cost.
Updated monthlyChina or Cambodia for Medical Gowns
When a second origin pays for itself, and when it does not.
August 2026US tariff status by category, lead times by product line, freight to the main US, EU and GCC ports. The factory gate price index begins with the October edition. Published monthly.
Run by the Person Who Runs the Factory
TMRWD Health is the healthcare venture of SilkNet, a global trade house that runs China deals for companies that need them done properly. Alice runs the factory side. The legal, logistics and trade bench behind every order is SilkNet's.
Asked and Answered
The questions buyers ask on the first call, answered the way we answer them.
Who actually makes your products?
The apparel factories in our network make the protective apparel: isolation gowns, surgical gowns, drapes, coveralls, underpads and the SMS and poly laminate materials behind them, in China and in Cambodia. Alice has run production in them for twenty years. The rest of the catalog comes from a small number of factories we have worked with for years and inspect ourselves. Every quotation names the production site.
Do you supply the large US distributors?
The apparel factories in our network have supplied the largest US medical distributors for two decades. We do not publish which products go to whom, and we do not put customer names on this site. The same lines and the same QC run your order.
Why buy from you instead of my distributor?
Your distributor buys from factories like ours, adds their margin and their service. If you need the service, keep them. If you are a distributor, a private label brand or a health system with a direct sourcing program, you are paying for a layer you can run yourself. We give you the factory price plus one agreed fee, and the trail so you can see what you are paying for.
Made in China or made in Cambodia. How do I choose?
Same spec, same QC, same trail. China gives the full range and the fastest first run. Cambodia gives an origin outside the China specific US Section 301 surcharges, which matters for US programs that need it. For US delivery we quote both origins side by side and let the landed cost decide. For other markets China is usually the answer.
What are your minimums?
One production run, and the quotation states the minimum for each line. Smaller quantities are possible on stocked items.
I run a practice or surgery center. Can I buy ten cases?
Not directly, and a ten case order does not run on the same trail as a production run. Send the request anyway. We introduce you to a stocking distributor who buys from us, so you get the product at a fair price without the minimum.
How long from purchase order to delivery?
Your quotation carries a dated schedule for production and freight. Repeat orders on a locked spec are faster.
How do I know a gown meets AAMI Level 3 and not just the label?
Every level is tied to a test: AATCC 42 and AATCC 127 for Levels 1 to 3, ASTM F1670 and F1671 for Level 4. We test at the material lot and again at pre shipment through SGS or Intertek, and the reports sit on the Trust ID of the product you receive. You can scan a sample before you place the order.
Request a Quotation
Tell us the product the way you would say it on the phone. A distributor SKU number, a competitor's item or a spec sheet is enough. A priced line comes back within one working day on a serious request.