Medical and healthcare services, namely, perfusion services, cardiopulmonary bypass services for open heart surgery, cardiopulmonary stand by services for open heart surgery, circulatory support services, auto transfusion cell saving services, platelet gel services, bone marrow aspirate (BMAC) services, stem cell services, autologous fibrin glue services, thromboelastograph (TEG) services, apheresis services, blood management and handling services, anesthesia technician services and perfusion consulting services