Objective: To analyze the current procurement practices of high-value medical consumables for cardiac pacemakers in local areas, and provide suggestions for improving the procurement of high-value medical consumables. Methods: It collects poli- cy documents on the procurement of pacemaker consumables at the provincial (including provincial alliance) level from 2019 to 2023, and analyzes the procurement rules using literature analysis and expert consultation methods. Results: The procurement varieties of cardiac pacemakers are all dual chamber products, and the grouping is mainly dominated based on market share. Most samples have not selected representative products for quotation, and the evaluation rules mainly adopt the combination of the lowest price bid selec- tion and other bid selection methods. Conclusion: When organizing the procurement of cardiac pacemakers in large quantities, vari- ous regions should expand the scope of the alliance, improve grouping rules, and develop bid evaluation rules that conform to product characteristics.