Official data Source: US Census Bureau international trade data
Track this productInstruments and appliances for medical, surgical or veterinary sciences, not elsewhere specified, and parts and accessories thereof
In short
- The US imported $20.83B of this product over the 12 months to August 2026, down 4.5% on the year before.
- Mexico is the largest supplier, with 36.4% of US imports; Costa Rica is next, with 11.9%.
- China is the cheapest main supplier before and after freight and duty, landing at $1.91 each.
- Duty paid averaged 5.8% of the value of imports in August 2026, down 1.5 points on a year earlier.
- Ireland is gaining share: 9.3% over the last 12 months, up from 7.8%.
- US exports were $19.40B over the last 12 months; the largest market is Netherlands, with 19.3%.
US imports, Aug 2026
$1.74B
↓ −2.1% vs Aug 2025
Last 12 months
$20.83B
↓ −4.5% vs the 12 months before
Average duty paid
5.8%
↓ −1.5 pts vs Aug 2025
Top supplier
Mexico
36.4% 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.
Show the numbers
| Month | US imports |
|---|---|
| August 2025 | $1.78B |
| September 2025 | $1.80B |
| October 2025 | $1.88B |
| November 2025 | $1.67B |
| December 2025 | $1.76B |
| January 2026 | $1.53B |
| February 2026 | $1.61B |
| March 2026 | $1.82B |
| April 2026 | $1.72B |
| May 2026 | $1.69B |
| June 2026 | $1.79B |
| July 2026 | $1.81B |
| August 2026 | $1.74B |
What changed
- US imports were $1.74B in August 2026, down 3.8% from July 2026 and down 2.1% from August 2025.
- Over the 12 months to August 2026 they totalled $20.83B, down 4.5% on the 12 months before.
- Biggest moves in market share since July 2026: Mexico up from 33.3% to 36.4%.
- Average price from Germany rose 301% since July 2026, to $69.35 each.
- Duty paid on imports from Dominican Republic rose from 9.6% to 12.0% of their value since July 2026.
US trade by year
US imports were $20.83B in the 12 months to Aug 2026, up 108% on the 12 months to Aug 2017. US exports were $19.40B, up 59%. In January 2022 the HS 2022 revision moved some goods between this code and 8524.11, 8524.12, 8524.19 and 12 more, so part of a change across the dashed line can be the revision. 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.
Show the numbers
| Period | US imports |
|---|---|
| 12 months to Aug 2017 | $9.99B |
| 12 months to Aug 2018 | $11.17B |
| 12 months to Aug 2019 | $12.51B |
| 12 months to Aug 2020 | $12.83B |
| 12 months to Aug 2021 | $14.31B |
| 12 months to Aug 2022 | $16.13B |
| 12 months to Aug 2023 | $18.31B |
| 12 months to Aug 2024 | $20.18B |
| 12 months to Aug 2025 | $21.80B |
| 12 months to Aug 2026 | $20.83B |
- Mexico
- Costa Rica
- Germany
- Ireland
- All countries
Show the numbers
| Period | Mexico | Costa Rica | Germany | Ireland |
|---|---|---|---|---|
| 12 months to Aug 2017 | 33.9% | 7.2% | 11.8% | 7.4% |
| 12 months to Aug 2018 | 32.4% | 7.0% | 11.7% | 8.0% |
| 12 months to Aug 2019 | 29.2% | 6.3% | 12.5% | 10.2% |
| 12 months to Aug 2020 | 30.1% | 7.4% | 11.4% | 8.4% |
| 12 months to Aug 2021 | 32.2% | 8.3% | 11.0% | 8.4% |
| 12 months to Aug 2022 | 32.1% | 8.6% | 10.1% | 6.8% |
| 12 months to Aug 2023 | 36.0% | 9.7% | 9.8% | 6.4% |
| 12 months to Aug 2024 | 36.3% | 10.4% | 10.1% | 6.5% |
| 12 months to Aug 2025 | 34.9% | 11.0% | 9.8% | 7.8% |
| 12 months to Aug 2026 | 34.6% | 11.2% | 11.2% | 9.3% |
Show the numbers
| Period | Mexico | Costa Rica | Germany | Ireland | All countries |
|---|---|---|---|---|---|
| 12 months to Aug 2017 | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| 12 months to Aug 2018 | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| 12 months to Aug 2019 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| 12 months to Aug 2020 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| 12 months to Aug 2021 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| 12 months to Aug 2022 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| 12 months to Aug 2023 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| 12 months to Aug 2024 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| 12 months to Aug 2025 | 1.9% | 2.6% | 3.8% | 3.5% | 3.3% |
| 12 months to Aug 2026 | 1.9% | 7.0% | 10.1% | 6.9% | 6.8% |
| Period | US imports | Duty paid | US exports |
|---|---|---|---|
| 12 months to Aug 2026 | $20.83B−4.5% | 6.8%+3.5 pts | $19.40B+6.1% |
| 12 months to Aug 2025 | $21.80B+8.1% | 3.3%+3.1 pts | $18.28B+2.3% |
| 12 months to Aug 2024 | $20.18B+10% | 0.2%0.0 pts | $17.87B+2.5% |
| 12 months to Aug 2023 | $18.31B+14% | 0.2%0.0 pts | $17.44B+13% |
| 12 months to Aug 2022HS 2022 revision | $16.13B+13% | 0.2%0.0 pts | $15.42B+8.0% |
| 12 months to Aug 2021 | $14.31B+12% | 0.2%0.0 pts | $14.28B+4.9% |
| 12 months to Aug 2020 | $12.83B+2.6% | 0.2%0.0 pts | $13.61B−2.7% |
| 12 months to Aug 2019 | $12.51B+12% | 0.2%+0.1 pts | $13.99B+8.4% |
| 12 months to Aug 2018 | $11.17B+12% | 0.0%0.0 pts | $12.90B+5.5% |
| 12 months to Aug 2017 | $9.99B | 0.0% | $12.23B |
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.
| Country | US imports | Share | Average price | Duty paid | Last 13 months |
|---|---|---|---|---|---|
| Mexico | $632.9M | 36.4%−1.8 pts | $4.10 each−23% | 2.1%+0.9 pts | |
| Costa Rica | $207.2M | 11.9%+0.3 pts | $4.44 each+39% | 7.1%−1.4 pts | |
| Germany | $201.3M | 11.6%+2.3 pts | $69.35 each+250% | 7.1%−4.2 pts | |
| Ireland | $132.0M | 7.6%−1.1 pts | $34.77 each+41% | 4.9%−4.6 pts | |
| China | $90.4M | 5.2%+0.5 pts | $1.57 each+14% | 13.2%−13.6 pts | |
| Dominican Republic | $87.5M | 5.0%−0.6 pts | $3.27 each+23% | 12.0%+3.7 pts | |
| Israel | $43.3M | 2.5%+0.1 pts | $13.95 each−11% | 10.2%+0.1 pts | |
| Japan | $38.3M | 2.2%+0.3 pts | $6.43 each+31% | 8.3%−0.8 pts | |
| Other countries (64) | $305.3M | 17.6%0.0 pts | $3.86 each+2.8% | 7.1%−2.9 pts | |
| All countries | $1.74B | 100.0% | $4.58 each+2.1% | 5.8%−1.5 pts |
The 3 largest suppliers had 57.0% 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
| Country | Price | Freight and insurance | Duty | Landed cost | Make-up |
|---|---|---|---|---|---|
| China | $1.64 each | $0.06 each3.5% of price | $0.21 each13.0% of price | $1.91 each−2.0% | |
| Dominican Republic | $3.23 each | $0.06 each2.0% of price | $0.34 each10.4% of price | $3.63 each+17% | |
| Mexico | $4.29 each | $0.00 each0.1% of price | $0.09 each2.0% of price | $4.38 each−21% | |
| Costa Rica | $4.34 each | $0.05 each1.1% of price | $0.26 each6.1% of price | $4.65 each+47% | |
| Germany | $34.29 each | $0.31 each0.9% of price | $2.66 each7.8% of price | $37.26 each+41% | |
| Ireland | $36.41 each | $0.31 each0.8% of price | $1.90 each5.2% of price | $38.61 each+19% | |
| All countries | $4.62 each | $0.05 each1.0% of price | $0.26 each5.7% of price | $4.93 each−3.1% |
Landed at a US port, China was cheapest, at $1.91 each: 47.4% below Dominican Republic.
Landed cost from Costa Rica rose 47% on a year earlier, to $4.65 each, mostly on price: $2.95 each then, $4.34 each now.
How the market is shifting
Ireland gained the most share: 9.3% of US imports over the last 12 months, up from 7.8% in the 12 months before. Canada lost the most: 2.3%, down from 3.8%. 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.
- Mexico
- Costa Rica
- Germany
- Ireland
- All countries
Show the numbers
| Month | Mexico | Costa Rica | Germany | Ireland |
|---|---|---|---|---|
| September 2024 | 31.0% | 12.1% | 9.7% | 7.7% |
| October 2024 | 33.1% | 10.8% | 9.9% | 7.7% |
| November 2024 | 32.1% | 11.3% | 9.9% | 8.1% |
| December 2024 | 30.2% | 12.6% | 9.9% | 6.7% |
| January 2025 | 35.0% | 9.1% | 10.0% | 6.4% |
| February 2025 | 36.1% | 11.2% | 9.0% | 9.0% |
| March 2025 | 36.2% | 10.4% | 9.5% | 6.4% |
| April 2025 | 35.7% | 9.7% | 10.6% | 8.4% |
| May 2025 | 38.1% | 10.9% | 9.1% | 8.0% |
| June 2025 | 36.0% | 11.0% | 9.8% | 8.5% |
| July 2025 | 36.0% | 11.2% | 10.5% | 7.8% |
| August 2025 | 38.2% | 11.6% | 9.3% | 8.7% |
| September 2025 | 38.0% | 10.9% | 9.5% | 9.6% |
| October 2025 | 35.6% | 12.1% | 10.2% | 10.7% |
| November 2025 | 31.7% | 10.5% | 12.8% | 9.9% |
| December 2025 | 29.5% | 11.1% | 11.6% | 10.2% |
| January 2026 | 37.2% | 8.8% | 10.3% | 9.8% |
| February 2026 | 33.6% | 11.7% | 10.6% | 9.4% |
| March 2026 | 37.1% | 10.7% | 11.3% | 8.7% |
| April 2026 | 35.2% | 10.4% | 12.5% | 8.2% |
| May 2026 | 33.7% | 10.9% | 12.3% | 10.2% |
| June 2026 | 33.5% | 13.3% | 11.4% | 8.5% |
| July 2026 | 33.3% | 11.9% | 10.7% | 9.0% |
| August 2026 | 36.4% | 11.9% | 11.6% | 7.6% |
Show the numbers
| Month | Mexico | Costa Rica | Germany | Ireland | All countries |
|---|---|---|---|---|---|
| September 2024 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| October 2024 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| November 2024 | 0.0% | 0.0% | 0.0% | 0.0% | 0.1% |
| December 2024 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| January 2025 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| February 2025 | 0.0% | 0.0% | 0.0% | 0.0% | 0.2% |
| March 2025 | 9.8% | 0.0% | 0.0% | 0.0% | 4.6% |
| April 2025 | 4.1% | 4.0% | 5.3% | 4.7% | 5.6% |
| May 2025 | 3.0% | 6.4% | 9.0% | 8.6% | 7.0% |
| June 2025 | 1.7% | 5.7% | 9.1% | 7.8% | 6.1% |
| July 2025 | 1.3% | 5.7% | 9.0% | 7.7% | 6.1% |
| August 2025 | 1.2% | 8.4% | 11.3% | 9.5% | 7.2% |
| September 2025 | 1.3% | 9.1% | 13.0% | 10.2% | 8.1% |
| October 2025 | 1.4% | 8.5% | 13.2% | 9.4% | 8.2% |
| November 2025 | 2.2% | 8.4% | 13.0% | 6.5% | 8.4% |
| December 2025 | 1.4% | 8.1% | 12.2% | 6.7% | 8.2% |
| January 2026 | 3.9% | 8.1% | 12.8% | 8.7% | 8.7% |
| February 2026 | 2.2% | 6.4% | 11.8% | 7.5% | 7.2% |
| March 2026 | 1.0% | 5.8% | 8.3% | 4.5% | 4.9% |
| April 2026 | 1.5% | 6.0% | 7.7% | 6.5% | 5.4% |
| May 2026 | 2.2% | 6.4% | 7.4% | 5.8% | 5.7% |
| June 2026 | 2.0% | 5.4% | 8.6% | 5.3% | 5.7% |
| July 2026 | 1.9% | 5.9% | 7.5% | 5.4% | 5.6% |
| August 2026 | 2.1% | 7.1% | 7.1% | 4.9% | 5.8% |
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.
- April–May 2025 · Duty paid: Costa Rica 0.0% → 6.0%, Germany 0.0% → 9.1%, Ireland 0.0% → 8.2%, all countries 0.2% → 6.1%.
Where it enters the US
Main ports of entry over the 12 months to August 2026: US imports and share.
Where US exports go
US exports were $1.68B in August 2026, up 3.6% from August 2025, and $19.40B over the last 12 months, up 6.1% on the 12 months before. Fastest-growing market with 3% or more of US exports: Belgium, up 27%.
| Market | Last 12 months | Share | vs 12 months before |
|---|---|---|---|
| Netherlands | $3.74B | 19.3% | +14% |
| Mexico | $2.73B | 14.1% | −1.6% |
| Japan | $1.63B | 8.4% | −1.4% |
| China | $1.60B | 8.3% | −5.3% |
| Canada | $1.43B | 7.4% | −3.5% |
| Belgium | $1.03B | 5.3% | +27% |
| Korea, South | $863.0M | 4.4% | +25% |
| Australia | $767.9M | 4.0% | +8.7% |
| Other countries (194) | $5.61B | 28.9% | +8.1% |
| All countries | $19.40B | 100.0% | +6.1% |
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; 124 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.
| Market | Imports | vs year before | From the US | US share |
|---|---|---|---|---|
| Germany | $5.59Bin 2025 | +17% | $1.22B | 21.9% |
| China | $5.57Bin 2025 | −0.1% | $1.42B | 25.6% |
| Netherlands | $4.73Bin 2025 | −0.5% | $2.03B | 42.9% |
| Mexico | $3.34Bin 2025 | +7.1% | $2.20B | 65.8% |
| Japan | $2.93Bin 2025 | +5.9% | $999.1M | 34.1% |
| United Kingdom | $2.88Bin 2025 | +4.4% | $883.4MUS records $285.6M | 30.7% |
| France | $2.67Bin 2025 | +9.2% | $541.5MUS records $105.4M | 20.3% |
| Canada | $2.01Bin 2025 | +8.9% | $806.7M | 40.1% |
The biggest market outside the US is Germany, which imported $5.59B of this product in 2025, 21.9% of that from the US.
Of these, imports into Germany grew fastest: up 17% from 2024 to 2025.
Related products
Other products under heading 9018: instruments and appliances used in medical, surgical, dental or veterinary sciences (including electro-medical and sight-testing); parts etc. thereof. US trade over the 12 months to August 2026.
| Product | US imports | US exports |
|---|---|---|
| Medical etc. needles not elsewhere specified, catheters, cannulae and the like; parts and accessories therofHS 9018.39 | $10.26B | $7.92B |
| Electro-diagnostic apparatus (and apparatus for functional exploratory examination or for checking physiological parameters) not elsewhere specified, and parts, etc.HS 9018.19 | $5.68B | $4.86B |
| Syringes, with or without needles; parts and accessories thereofHS 9018.31 | $1.61B | $1.19B |
| Ophthalmic instruments and appliances, not elsewhere specified, and parts and accessories thereofHS 9018.50 | $567.1M | $1.31B |
| Instruments and appliances used in dental sciences, not elsewhere specified, and parts and accessories thereofHS 9018.49 | $806.9M | $591.5M |
| Tubular metal needles and needles for sutures and parts and accessories thereofHS 9018.32 | $669.3M | $591.5M |
| Magnetic resonance imaging apparatusHS 9018.13 | $594.0M | $380.7M |
| Ultrasonic scanning apparatusHS 9018.12 | $315.5M | $442.8M |
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 (number of items), 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.