Official data Source: US Census Bureau international trade data Data through August 2026 · updated monthly

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Sterile surgical catgut, similar sterile suture materials and sterile tissue adhesives for surgical wound closure; sterile haemostatics, etc.

In short

  • The US imported $683.5M of this product over the 12 months to August 2026, down 3.1% on the year before.
  • Israel is the largest supplier, with 20.0% of US imports; Ireland is next, with 18.3%.
  • Spain has the lowest price, but landed at a US port with freight and duty Mexico is cheaper: $168.77/kg against $173.84/kg.
  • Duty paid averaged 12.5% of the value of imports in August 2026, up 1.6 points on a year earlier.
  • Israel is gaining share: 23.4% over the last 12 months, up from 18.3%.
  • US exports were $1.29B over the last 12 months; the largest market is China, with 20.3%.

US imports, Aug 2026

$52.4M

↑ +27% vs Aug 2025

Last 12 months

$683.5M

↓ −3.1% vs the 12 months before

Average duty paid

12.5%

↑ +1.6 pts vs Aug 2025

Top supplier

Israel

20.0% of US imports

US imports by month

The last 13 months, so the same month a year ago is on the left. August 2026 is highlighted. Dotted lines mark lasting changes in duty paid, labelled with the supplier, or "Duty" when several moved; the tariff timeline lists each one with its notices.

Aug2025SepOctNovDecJan2026FebMarAprMayJunJulAugDuty ↑↓
Show the numbers
MonthUS imports
August 2025$41.2M
September 2025$49.8M
October 2025$64.5M
November 2025$44.7M
December 2025$60.6M
January 2026$56.9M
February 2026$51.5M
March 2026$56.6M
April 2026$59.1M
May 2026$42.0M
June 2026$81.7M
July 2026$63.8M
August 2026$52.4M

What changed

  • US imports were $52.4M in August 2026, down 18% from July 2026 and up 27% from August 2025.
  • Over the 12 months to August 2026 they totalled $683.5M, down 3.1% on the 12 months before.
  • Biggest moves in market share since July 2026: Ireland up from 12.2% to 18.3%, Israel down from 26.9% to 20.0%.
  • Average price from Ireland rose 13% since July 2026, to $1,110/kg.
  • Duty paid on imports from Brazil rose from 12.7% to 37.4% of their value since July 2026.
  • Duty paid on imports from Israel rose from 10.2% to 12.5% of their value since July 2026.

US trade by year

US imports were $683.5M in the 12 months to Aug 2026, up 101% on the 12 months to Aug 2017. US exports were $1.29B, up 26%. Dotted lines mark lasting changes in duty paid, labelled with the supplier, or "Duty" when several moved; the tariff timeline lists each one with its notices.

2017201820192020202120222023202420252026Duty ↑
Show the numbers
PeriodUS imports
12 months to Aug 2017$339.9M
12 months to Aug 2018$433.5M
12 months to Aug 2019$488.4M
12 months to Aug 2020$487.5M
12 months to Aug 2021$623.2M
12 months to Aug 2022$684.1M
12 months to Aug 2023$638.7M
12 months to Aug 2024$598.1M
12 months to Aug 2025$705.6M
12 months to Aug 2026$683.5M
  • Denmark
  • Israel
  • Ireland
  • Austria
  • All countries
Share of US imports
Show the numbers
PeriodDenmarkIsraelIrelandAustria
12 months to Aug 201714.6%4.9%0.2%12.0%
12 months to Aug 201820.1%5.1%1.9%9.3%
12 months to Aug 201923.8%6.2%3.9%8.8%
12 months to Aug 202024.9%5.4%6.8%7.8%
12 months to Aug 202125.6%9.3%9.2%6.5%
12 months to Aug 202222.8%9.8%13.5%6.6%
12 months to Aug 202326.1%12.0%12.8%6.6%
12 months to Aug 202429.3%19.4%15.6%8.4%
12 months to Aug 202527.7%18.3%13.9%7.0%
12 months to Aug 202625.7%23.4%16.1%7.4%
Duty paid, % of value
Show the numbers
PeriodDenmarkIsraelIrelandAustriaAll countries
12 months to Aug 20170.0%0.0%0.0%0.0%0.0%
12 months to Aug 20180.0%0.0%0.0%0.0%0.0%
12 months to Aug 20190.0%0.0%0.0%0.0%0.0%
12 months to Aug 20200.0%0.0%0.0%0.0%0.0%
12 months to Aug 20210.0%0.0%0.0%0.0%0.0%
12 months to Aug 20220.0%0.0%0.0%0.0%0.0%
12 months to Aug 20230.0%0.0%0.0%0.0%0.0%
12 months to Aug 20240.0%0.0%0.0%0.0%0.0%
12 months to Aug 20254.3%4.5%0.1%4.2%3.7%
12 months to Aug 202612.8%12.3%5.4%11.8%11.0%
PeriodUS importsDuty paidUS exports
12 months to Aug 2026$683.5M−3.1%11.0%+7.3 pts$1.29B−7.2%
12 months to Aug 2025$705.6M+18%3.7%+3.7 pts$1.39B−5.0%
12 months to Aug 2024$598.1M−6.4%0.0%0.0 pts$1.47B+9.1%
12 months to Aug 2023$638.7M−6.6%0.0%0.0 pts$1.34B+1.8%
12 months to Aug 2022$684.1M+9.8%0.0%0.0 pts$1.32B+18%
12 months to Aug 2021$623.2M+28%0.0%0.0 pts$1.12B+0.9%
12 months to Aug 2020$487.5M−0.2%0.0%0.0 pts$1.11B−13%
12 months to Aug 2019$488.4M+13%0.0%0.0 pts$1.27B+12%
12 months to Aug 2018$433.5M+28%0.0%0.0 pts$1.14B+11%
12 months to Aug 2017$339.9M0.0%$1.03B

Who supplies the US

August 2026. Small figures under each value are the change from August 2025. Landed cost by origin, below, adds freight and duty to the price.

CountryUS importsShareAverage priceDuty paidLast 13 months
Israel$10.5M20.0%+5.9 pts$1,215/kg+13%12.5%−1.6 pts
Ireland$9.6M18.3%+4.6 pts$1,110/kg+0.8%10.0%+10.0 pts
Spain$7.6M14.4%+13.0 pts$154.53/kg−44%10.0%−4.3 pts
Denmark$7.0M13.4%−12.9 pts$214.55/kg−50%10.0%−4.3 pts
Brazil$4.4M8.3%+5.4 pts$1,107/kg+41%37.4%−5.8 pts
Austria$3.1M5.8%+1.7 pts$257.12/kg−78%10.0%−4.8 pts
United Kingdom$2.3M4.4%−2.1 pts$986.76/kg+47%9.9%−0.1 pts
Mexico$1.8M3.5%−7.9 pts$236.15/kg+52%0.2%+0.2 pts
Other countries (18)$6.2M11.9%−7.4 pts$327.20/kg−12%10.4%−2.2 pts
All countries$52.4M100.0%$364.51/kg−14%12.5%+1.6 pts

The 3 largest suppliers had 65.2% of US imports over the last 12 months.

Landed cost by origin

What importers paid to land this product at a US port from each main supplier, June–August 2026: the price, freight and insurance to the first US port, and duty, per unit. Suppliers with 3% or more of these imports, cheapest landed first. Small figures under landed cost are the change from the same months a year earlier.

  • Price
  • Freight and insurance
  • Duty
CountryPriceFreight and insuranceDutyLanded costMake-up
Mexico$168.04/kg$0.55/kg0.3% of price$0.18/kg0.1% of price$168.77/kg+7.1%
Spain$155.61/kg$2.67/kg1.7% of price$15.56/kg10.0% of price$173.84/kg−36%
Denmark$331.46/kg$3.07/kg0.9% of price$33.15/kg10.0% of price$367.67/kg+115%
Austria$406.29/kg$14.05/kg3.5% of price$39.85/kg9.8% of price$460.18/kg−66%
United Kingdom$553.99/kg$3.75/kg0.7% of price$55.09/kg9.9% of price$612.83/kg−31%
Ireland$1,042/kg$1.53/kg0.1% of price$99.83/kg9.6% of price$1,143/kg+4.8%
Israel$1,439/kg$9.54/kg0.7% of price$153.88/kg10.7% of price$1,603/kg+22%
Brazil$1,317/kg$4.33/kg0.3% of price$295.59/kg22.4% of price$1,617/kg+99%
All countries$405.17/kg$4.09/kg1.0% of price$41.82/kg10.3% of price$451.08/kg+31%

Landed at a US port, Mexico was cheapest, at $168.77/kg: 2.9% below Spain.

Spain had the lowest price before freight and duty, $155.61/kg, but they added 11.7% to it.

Landed cost from Denmark rose 115% on a year earlier, to $367.67/kg, mostly on price: $152.52/kg then, $331.46/kg now.

How the market is shifting

Israel gained the most share: 23.4% of US imports over the last 12 months, up from 18.3% in the 12 months before. Costa Rica lost the most: 0.4%, down from 4.5%. The charts show September 2024 to August 2026 for the 4 largest suppliers over the last 12 months. Dotted lines mark lasting changes in duty paid, labelled with the supplier, or "Duty" when several moved; the tariff timeline lists each one with its notices.

  • Denmark
  • Israel
  • Ireland
  • Austria
  • All countries
Share of US imports
Show the numbers
MonthDenmarkIsraelIrelandAustria
September 202429.6%13.3%15.0%11.2%
October 202428.7%10.2%27.1%6.9%
November 202435.2%23.9%2.3%9.8%
December 202426.9%8.0%17.3%6.2%
January 202516.3%30.1%17.2%6.5%
February 202521.2%20.7%19.3%3.1%
March 202544.1%16.4%2.4%5.1%
April 202525.5%28.8%6.1%4.8%
May 202532.8%15.8%7.2%11.3%
June 202524.0%15.2%13.3%10.3%
July 202526.3%20.3%21.8%4.4%
August 202526.3%14.1%13.7%4.2%
September 202539.4%16.6%11.3%2.5%
October 202530.9%17.1%26.6%6.5%
November 202524.6%33.4%0.0%12.3%
December 202520.1%22.8%29.0%5.9%
January 202636.9%20.3%16.5%11.4%
February 202634.1%29.3%1.7%9.0%
March 202627.6%23.7%19.6%8.2%
April 202629.0%22.2%20.9%1.0%
May 202618.6%35.1%9.2%7.5%
June 202622.6%19.8%17.5%7.7%
July 202613.4%26.9%12.2%11.8%
August 202613.4%20.0%18.3%5.8%
Duty paid, % of value
Show the numbers
MonthDenmarkIsraelIrelandAustriaAll countries
September 20240.0%0.0%0.0%0.0%0.0%
October 20240.0%0.0%0.0%0.0%0.0%
November 20240.0%0.0%0.0%0.0%0.0%
December 20240.0%0.0%0.0%0.0%0.0%
January 20250.0%0.0%0.0%0.0%0.0%
February 20250.0%0.0%0.0%0.0%0.0%
March 20250.0%0.0%0.0%0.0%0.3%
April 20258.2%8.2%1.7%7.7%8.5%
May 202510.0%10.0%0.0%9.8%8.9%
June 202510.0%10.0%0.0%9.2%7.7%
July 202510.0%10.0%0.0%10.0%7.9%
August 202514.3%14.1%0.0%14.8%10.9%
September 202515.0%14.7%0.0%15.0%11.3%
October 202515.0%15.0%0.2%13.8%10.3%
November 202515.0%15.0%n/a12.3%15.9%
December 202515.0%12.9%0.0%14.4%10.8%
January 202615.0%15.0%0.0%14.7%13.2%
February 202613.7%14.9%10.0%13.5%13.3%
March 202610.0%10.0%10.0%10.0%9.1%
April 202610.0%10.0%10.0%10.0%9.4%
May 202610.0%10.0%10.0%10.0%9.3%
June 202610.0%10.0%9.1%10.0%9.3%
July 202610.0%10.2%10.0%9.6%9.8%
August 202610.0%12.5%10.0%10.0%12.5%

Tariff actions touching this product

When the duty paid on this product changed and stayed changed, for its main suppliers and all countries, newest first, with the Federal Register notices that named the product in the 3 months before. Rates are medians of the 4 months either side, less any usual seasonal swing. A change shows what happened to duty paid, not why; read each notice for what it did.

  1. January–March 2026 · Duty paid: Israel 15.0% → 10.0%, Ireland 0.0% → 10.0%, Switzerland 37.0% → 10.0%.
  2. May 2025 · Duty paid: Denmark 0.0% → 10.0%, Israel 0.0% → 10.0%, Austria 0.0% → 9.9%, all countries 0.1% → 8.4%.

Where it enters the US

Main ports of entry over the 12 months to August 2026: US imports and share.

  1. Chicago, IL$238.7M · 34.9%
  2. Atlanta, GA$97.0M · 14.2%
  3. Jfk International Airport, NY$68.8M · 10.1%
  4. Newark, NJ$53.9M · 7.9%
  5. Charleston, SC$40.9M · 6.0%

Where US exports go

US exports were $115.1M in August 2026, down 1.9% from August 2025, and $1.29B over the last 12 months, down 7.2% on the 12 months before. Fastest-growing market with 3% or more of US exports: Mexico, up 15%.

MarketLast 12 monthsSharevs 12 months before
China$262.8M20.3%−30%
Belgium$238.9M18.5%+2.2%
Japan$186.6M14.4%+5.5%
Australia$75.9M5.9%−3.0%
Netherlands$66.8M5.2%+6.0%
Singapore$63.8M4.9%−17%
Mexico$52.3M4.0%+15%
Germany$45.6M3.5%+7.4%
Other countries (108)$300.8M23.3%+0.5%
All countries$1.29B100.0%−7.2%

Markets abroad

Each country's own import figures for this product, from UN Comtrade: the 8 biggest importers outside the US in the latest year each has reported, what they bought from the US, and the change from the year before. Values usually include freight and insurance to the importer's border, so they run a little above US export figures. Countries report a year or more late; 123 have reported 2025 so far. Where a country's figure for imports from the US is under half or over double what the US recorded exporting there that year, the US figure is shown under it.

MarketImportsvs year beforeFrom the USUS share
Belgium$980.8Min 2025+7.5%$294.8M30.1%
Germany$645.9Min 2025+13%$88.6M13.7%
Japan$328.3Min 2025+6.3%$142.7M43.5%
China$227.1Min 2025+8.8%$133.7MUS records $351.9M58.9%
United Kingdom$203.6Min 2025+15%$56.4MUS records $5.1M27.7%
Singapore$188.3Min 2025−4.1%$86.1M45.7%
Netherlands$175.9Min 2025−4.7%$64.5M36.7%
France$158.0Min 2025+13%$45.4MUS records $4.2M28.8%

The biggest market outside the US is Belgium, which imported $980.8M of this product in 2025, 30.1% of that from the US.

Of these, imports into Germany grew fastest: up 13% from 2024 to 2025.

Other products under heading 3006: pharmaceutical goods of specified in note 4 to chapter 30. US trade over the 12 months to August 2026.

About these figures
  • Source: US Census Bureau international trade data, not seasonally adjusted, in US dollars. Retrieved November 3, 2026.
  • US imports are general imports at customs value, which excludes freight and insurance. Exports are at free-alongside-ship value.
  • Average price is customs value divided by quantity (kilograms), across all of the product's 10-digit lines.
  • Duty paid is the duty Census calculates on each country's imports for consumption, as a share of their value. It moves with tariff changes, exemptions and the mix of goods within the product.
  • Landed cost adds Census's import charges (freight, insurance and other costs of bringing the goods to the first US port) and calculated duty to the customs value, per unit, across the product's 10-digit lines. It leaves out antidumping and countervailing duties, customs fees and transport inland. Prices are averages across the goods within the code, so a lower one can mean cheaper goods, not the same goods for less.
  • Markets abroad are each country's imports as it reports them to UN Comtrade, in US dollars, usually including freight and insurance. Countries report a year or more late and in their own edition of the HS codes, so one still on an older edition is missing for codes that changed in 2022.
  • Census revises recent months, so figures can change slightly. These are estimates for research and planning, not customs or legal advice.

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