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

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HS 9021.50

Pacemakers for stimulating heart muscles

In short

  • The US imported $1.86B of this product over the 12 months to August 2026, up 0.1% on the year before.
  • Ireland is the largest supplier, with 37.6% of US imports; Switzerland is next, with 30.9%.
  • Singapore is the cheapest main supplier before and after freight and duty, landing at $1,788 each.
  • Duty paid averaged 0.3% of the value of imports in August 2026, up 0.1 points on a year earlier.
  • Singapore is gaining share: 15.9% over the last 12 months, up from 12.6%.
  • US exports were $324.3M over the last 12 months; the largest market is Belgium, with 89.4%.

US imports, Aug 2026

$97.1M

↓ −35% vs Aug 2025

Last 12 months

$1.86B

↑ +0.1% vs the 12 months before

Average duty paid

0.3%

↑ +0.1 pts vs Aug 2025

Top supplier

Ireland

37.6% 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.

Aug2025SepOctNovDecJan2026FebMarAprMayJunJulAug
Show the numbers
MonthUS imports
August 2025$150.0M
September 2025$178.2M
October 2025$143.3M
November 2025$124.3M
December 2025$157.1M
January 2026$167.2M
February 2026$158.7M
March 2026$169.2M
April 2026$142.4M
May 2026$138.9M
June 2026$158.7M
July 2026$227.1M
August 2026$97.1M

What changed

  • US imports were $97.1M in August 2026, down 57% from July 2026 and down 35% from August 2025.
  • Over the 12 months to August 2026 they totalled $1.86B, up 0.1% on the 12 months before.
  • Biggest moves in market share since July 2026: Singapore up from 19.1% to 22.9%, Ireland down from 41.9% to 37.6%.
  • Average price from Ireland fell 26% since July 2026, to $4,447 each.
  • Duty paid by the main suppliers held within 2 points of July 2026.

US trade by year

US imports were $1.86B in the 12 months to Aug 2026, up 133% on the 12 months to Aug 2017. US exports were $324.3M, up 34%. In January 2022 the HS 2022 revision moved some goods between this code and 8524.11, 8524.12, 8524.19 and 10 more, so part of a change across the dashed line can be the revision.

2017201820192020202120222023202420252026HS 2022
Show the numbers
PeriodUS imports
12 months to Aug 2017$798.9M
12 months to Aug 2018$804.6M
12 months to Aug 2019$770.7M
12 months to Aug 2020$846.4M
12 months to Aug 2021$1.41B
12 months to Aug 2022$1.82B
12 months to Aug 2023$1.93B
12 months to Aug 2024$2.01B
12 months to Aug 2025$1.86B
12 months to Aug 2026$1.86B
  • Ireland
  • Switzerland
  • Singapore
  • Malaysia
  • All countries
Share of US imports
Show the numbers
PeriodIrelandSwitzerlandSingaporeMalaysia
12 months to Aug 201791.0%2.2%0.0%1.0%
12 months to Aug 201882.6%9.6%1.1%1.9%
12 months to Aug 201988.9%5.2%0.0%1.5%
12 months to Aug 202068.3%28.4%0.1%0.5%
12 months to Aug 202149.4%34.2%10.0%4.2%
12 months to Aug 202244.5%32.1%13.1%8.4%
12 months to Aug 202345.3%32.1%13.2%8.1%
12 months to Aug 202444.8%31.3%15.3%6.9%
12 months to Aug 202545.2%34.5%12.6%5.7%
12 months to Aug 202641.1%37.4%15.9%3.6%
Duty paid, % of value
Show the numbers
PeriodIrelandSwitzerlandSingaporeMalaysiaAll 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 20250.3%0.0%0.1%0.6%0.2%
12 months to Aug 20260.1%0.1%0.0%0.3%0.1%
PeriodUS importsDuty paidUS exports
12 months to Aug 2026$1.86B+0.1%0.1%−0.1 pts$324.3M+19%
12 months to Aug 2025$1.86B−7.3%0.2%+0.2 pts$271.9M+29%
12 months to Aug 2024$2.01B+4.1%0.0%0.0 pts$210.9M−4.5%
12 months to Aug 2023$1.93B+6.3%0.0%0.0 pts$220.9M−5.4%
12 months to Aug 2022HS 2022 revision$1.82B+28%0.0%0.0 pts$233.6M+104%
12 months to Aug 2021$1.41B+67%0.0%0.0 pts$114.8M+45%
12 months to Aug 2020$846.4M+9.8%0.0%0.0 pts$79.2M−60%
12 months to Aug 2019$770.7M−4.2%0.0%0.0 pts$197.9M−15%
12 months to Aug 2018$804.6M+0.7%0.0%0.0 pts$231.6M−4.1%
12 months to Aug 2017$798.9M0.0%$241.5M

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
Ireland$36.5M37.6%−11.9 pts$4,447 each+13%0.8%+0.5 pts
Switzerland$30.0M30.9%+4.9 pts$7,010 each+1.0%0.0%0.0 pts
Singapore$22.2M22.9%+9.2 pts$1,792 each+3.4%0.0%−0.1 pts
Germany$4.2M4.3%+2.9 pts$1,514 each+30%0.1%0.0 pts
Malaysia$3.5M3.6%−5.2 pts$3,498 each−11%0.6%+0.5 pts
Uruguay$584K0.6%+0.1 pts$3,694 each+26%0.0%0.0 pts
All countries$97.1M100.0%$3,367 each−5.9%0.3%+0.1 pts

The 3 largest suppliers had 94.4% 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
Singapore$1,782 each$5.90 each0.3% of price$0.00 each0.0% of price$1,788 each+1.4%
Ireland$5,376 each$1.37 each0.0% of price$8.21 each0.2% of price$5,386 each+36%
Switzerland$6,610 each$2.40 each0.0% of price$0.00 each0.0% of price$6,612 each−1.2%
All countries$4,022 each$3.53 each0.1% of price$3.12 each0.1% of price$4,028 each+7.5%

Landed at a US port, Singapore was cheapest, at $1,788 each: 66.8% below Ireland.

Landed cost from Ireland rose 36% on a year earlier, to $5,386 each, mostly on price: $3,932 each then, $5,376 each now.

How the market is shifting

Singapore gained the most share: 15.9% of US imports over the last 12 months, up from 12.6% in the 12 months before. Ireland lost the most: 41.1%, down from 45.2%. The charts show September 2024 to August 2026 for the 4 largest suppliers over the last 12 months.

  • Ireland
  • Switzerland
  • Singapore
  • Malaysia
  • All countries
Share of US imports
Show the numbers
MonthIrelandSwitzerlandSingaporeMalaysia
September 202446.9%35.1%13.1%2.6%
October 202446.1%29.3%18.5%3.6%
November 202471.1%13.8%2.6%9.6%
December 202441.8%37.8%11.3%7.6%
January 202547.7%29.0%16.0%5.5%
February 202547.2%34.7%10.8%5.6%
March 202554.9%28.3%7.7%7.7%
April 202528.2%52.9%12.0%5.0%
May 202546.9%31.6%13.4%6.1%
June 202535.2%42.4%15.2%5.0%
July 202533.8%46.4%15.0%2.3%
August 202549.5%26.0%13.7%8.8%
September 202543.0%34.9%14.9%5.6%
October 202537.8%40.8%16.7%2.6%
November 202547.3%34.8%14.2%1.6%
December 202551.1%27.0%15.6%4.4%
January 202640.2%37.4%16.5%4.2%
February 202636.4%48.3%8.2%5.5%
March 202630.5%48.0%16.8%2.5%
April 202637.1%36.1%20.4%4.8%
May 202649.5%26.6%17.3%4.2%
June 202641.4%45.7%9.7%1.1%
July 202641.9%34.8%19.1%2.6%
August 202637.6%30.9%22.9%3.6%
Duty paid, % of value
Show the numbers
MonthIrelandSwitzerlandSingaporeMalaysiaAll 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%0.0%
April 20251.3%0.0%0.0%0.5%0.4%
May 20250.4%0.0%0.0%5.3%0.5%
June 20250.6%0.0%0.0%0.3%0.2%
July 20251.4%0.3%0.5%0.3%0.7%
August 20250.3%0.0%0.1%0.1%0.2%
September 20250.0%0.0%0.0%0.3%0.0%
October 20250.0%0.0%0.0%0.4%0.0%
November 20250.2%0.0%0.0%0.5%0.1%
December 20250.0%1.6%0.1%0.3%0.5%
January 20260.0%0.0%0.4%0.6%0.1%
February 20260.8%0.0%0.0%0.3%0.3%
March 20260.0%0.0%0.0%0.2%0.0%
April 20260.1%0.0%0.0%0.1%0.0%
May 20260.0%0.0%0.0%0.2%0.0%
June 20260.0%0.0%0.0%1.6%0.0%
July 20260.0%0.0%0.0%0.1%0.0%
August 20260.8%0.0%0.0%0.6%0.3%

Where it enters the US

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

  1. New Orleans, LA$949.2M · 51.0%
  2. Cleveland, OH$425.9M · 22.9%
  3. Anchorage, AK$238.2M · 12.8%
  4. Chicago, IL$106.4M · 5.7%
  5. Atlanta, GA$34.9M · 1.9%

Where US exports go

US exports were $29.2M in August 2026, up 38% from August 2025, and $324.3M over the last 12 months, up 19% on the 12 months before. Fastest-growing market with 3% or more of US exports: Germany, up 66%.

MarketLast 12 monthsSharevs 12 months before
Belgium$289.8M89.4%+20%
Germany$10.8M3.3%+66%
Malaysia$4.9M1.5%+273%
Ireland$3.9M1.2%+589%
Netherlands$3.7M1.2%−49%
Singapore$3.7M1.1%+89393%
Switzerland$1.4M0.4%−58%
Russia$748K0.2%+6760%
Other countries (45)$5.3M1.6%−55%
All countries$324.3M100.0%+19%

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; 114 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
Netherlands$1.02Bin 2025−24%$14.0M1.4%
Belgium$559.4Min 2025+7.5%$239.1M42.7%
China$466.6Min 2025+1.3%$37.2MUS records $99K8.0%
Ireland$393.7Min 2025+56%$5.4M1.4%
United Kingdom$339.8Min 2025−3.7%$11.2M3.3%
France$329.6Min 2025+8.9%$20.7MUS records $371K6.3%
Italy$313.0Min 2025+4.8%$39K0.0%
Japan$302.7Min 2025+5.5%$37.6MUS records $259K12.4%

The biggest market outside the US is the Netherlands, which imported $1.02B of this product in 2025, 1.4% of that from the US.

The US supplies 42.7% of imports into Belgium, but under 10% into the Netherlands, Ireland and the United Kingdom.

Of these, imports into Ireland grew fastest: up 56% from 2024 to 2025.

Other products under heading 9021: orthopedic appliances; splints etc.; artificial parts of the body; hearing aids and other appliances to compensate for a defect etc.; parts etc.. US trade over the 12 months to August 2026.

ProductUS importsUS exports
Artificial joints and parts and accessories thereof, not elsewhere specifiedHS 9021.39$5.38B$3.95B
Artificial joints and parts and accessories thereofHS 9021.31$3.72B$1.95B
Orthopedic or fracture appliances; parts and accessories thereofHS 9021.10$2.60B$2.83B
Artificial parts of the body not elsewhere specified; and parts and accessories thereofHS 9021.90$1.88B$3.04B
Hearing aidsHS 9021.40$3.21B$746.1M
Dental fittings; and parts and accessories thereofHS 9021.29$132.2M$342.0M
Artificial teeth; and parts and accessories thereofHS 9021.21$218.1M$123.8M
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.

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