# Medical, surgical instruments and appliances (HS4 9018) Trade Overview | Yugalinks

> Published by **Yugalinks**, global trade intelligence for growing businesses.
>
> [Follow Yugalinks on LinkedIn](https://in.linkedin.com/company/yugalinks)

Medical, surgical instruments and appliances at HS4 9018, with reported global trade through 2024.

Canonical: https://www.yugalinks.com/trade/sector/hs4/9018

## Explore Yugalinks

- [Open the trade workspace](https://www.yugalinks.com/app)
- [Read the methodology](https://www.yugalinks.com/methodology)
- [Review data sources](https://www.yugalinks.com/data-sources)
- [Check data coverage](https://www.yugalinks.com/data-coverage)
- [Read Responsible AI principles](https://www.yugalinks.com/responsible-ai)

## Answer

The medical, surgical instruments and appliances subsector recorded $170.3B in reported global trade in 2024, with +1.1% annual change.

## Key figures

| Measure | Value |
| --- | --- |
| Latest reported trade | $170.3B |
| Latest annual change | +1.1% |
| Active exporters | 198 |
| Active importers | 200 |
| Active HS6 products | 13 |

## Annual trend

| Year | Global trade | Corridors | HS6 products |
| --- | ---: | ---: | ---: |
| 1995 | $20.0B | 5,978 | 13 |
| 1996 | $22.4B | 6,110 | 13 |
| 1997 | $23.6B | 6,105 | 13 |
| 1998 | $25.2B | 6,348 | 13 |
| 1999 | $29.0B | 6,838 | 13 |
| 2000 | $30.5B | 7,537 | 13 |
| 2001 | $33.2B | 7,759 | 13 |
| 2002 | $36.3B | 8,195 | 13 |
| 2003 | $43.3B | 8,341 | 13 |
| 2004 | $50.8B | 8,639 | 13 |
| 2005 | $56.9B | 8,923 | 13 |
| 2006 | $62.4B | 9,348 | 13 |
| 2007 | $69.6B | 9,586 | 13 |
| 2008 | $80.5B | 9,795 | 13 |
| 2009 | $77.7B | 10,084 | 13 |
| 2010 | $82.8B | 10,127 | 13 |
| 2011 | $91.7B | 10,471 | 13 |
| 2012 | $94.7B | 10,713 | 13 |
| 2013 | $99.8B | 10,749 | 13 |
| 2014 | $105.7B | 11,170 | 13 |
| 2015 | $101.9B | 11,197 | 13 |
| 2016 | $105.6B | 11,372 | 13 |
| 2017 | $110.5B | 11,552 | 13 |
| 2018 | $120.7B | 11,768 | 13 |
| 2019 | $129.0B | 11,757 | 13 |
| 2020 | $128.5B | 11,930 | 13 |
| 2021 | $146.6B | 12,236 | 13 |
| 2022 | $150.7B | 12,136 | 13 |
| 2023 | $161.6B | 12,274 | 13 |
| 2024 | $170.3B | 12,166 | 13 |

## Leading corridors

- Mexico to USA, Puerto Rico and US Virgin Islands: $11.0B; growth +14.7%.
- Costa Rica to USA, Puerto Rico and US Virgin Islands: $4.5B; growth +19.9%.
- Ireland to USA, Puerto Rico and US Virgin Islands: $4.4B; growth +10.6%.
- USA, Puerto Rico and US Virgin Islands to Netherlands: $4.2B; growth +4.1%.
- USA, Puerto Rico and US Virgin Islands to Mexico: $4.1B; growth +13.3%.
- Germany to USA, Puerto Rico and US Virgin Islands: $4.0B; growth +5%.
- Ireland to Netherlands: $3.2B; growth +21.5%.
- USA, Puerto Rico and US Virgin Islands to China: $2.9B; growth -4.8%.
- USA, Puerto Rico and US Virgin Islands to Germany: $2.8B; growth +2.9%.
- China to USA, Puerto Rico and US Virgin Islands: $2.3B; growth +1.6%.

## HS6 products

- Medical, surgical instruments and appliances: electro-cardiographs (HS6 901811)
- Medical, surgical instruments and appliances: ultrasonic scanning apparatus (HS6 901812)
- Medical, surgical instruments and appliances: magnetic resonance imaging apparatus (HS6 901813)
- Medical, surgical instruments and appliances: scintigraphic apparatus (HS6 901814)
- Medical, surgical instruments and appliances: electro-diagnostic apparatus (including apparatus for functional exploratory examination or for checking physiological parameters), n.e.s. in item no. 9018.1 (HS6 901819)
- Medical, surgical instruments and appliances: ultra-violet or infra-red ray apparatus (HS6 901820)
- Medical, surgical instruments and appliances: syringes, with or without needles (HS6 901831)
- Medical, surgical instruments and appliances: tubular metal needles and needles for sutures (HS6 901832)
- Medical, surgical instruments and appliances: catheters, cannulae and the like (HS6 901839)
- Dental instruments and appliances: dental drill engines, whether or not combined on a single base with other dental equipment (HS6 901841)
- Dental instruments and appliances: other than dental drill engines (HS6 901849)
- Ophthalmic instruments and appliances (HS6 901850)
- Medical, surgical or dental instruments and appliances: n.e.c. in heading no. 9018 (HS6 901890)

## Definitions and coverage

Merchandise trade observations aggregated to HS4. Growth, concentration, volatility, and peak comparisons calculated from reported observations. Missing values remain unavailable and are not imputed.

Reported observations cover 1995-2024.

## Continue your research

- [Explore HS4 9018 in the workspace](https://www.yugalinks.com/app?hs=9018)
- [Open the Yugalinks workspace](https://www.yugalinks.com/app)

## Other formats

- [HTML](https://www.yugalinks.com/trade/sector/hs4/9018/index.html)
- [JSON](https://www.yugalinks.com/trade/sector/hs4/9018/index.json)
- [JSON-LD](https://www.yugalinks.com/trade/sector/hs4/9018/index.ld.json)


## Continue your research

- [Explore HS4 9018 in the workspace](https://www.yugalinks.com/app?hs=9018)
- [Open the Yugalinks workspace](https://www.yugalinks.com/app)

## Data sources

- Primary trade series: OECD (2025), Balanced international merchandise trade statistics (BIMTS) - HS2017-6D, OECD Data Explorer (accessed on 2026-08-27). [OECD Data Explorer](https://data-explorer.oecd.org/) · [OECD Terms & Conditions](https://www.oecd.org/termsandconditions/)
- CEPII BACI bilateral trade flows (202601): [dataset page](https://www.cepii.fr/CEPII/en/bdd_modele/bdd_modele_item.asp?id=37) · [BACI documentation](https://www.cepii.fr/DATA_DOWNLOAD/baci/doc/baci_webpage.html) · [Etalab 2.0 Open Licence](https://www.etalab.gouv.fr/wp-content/uploads/2018/11/open-licence.pdf)

This page presents derived Yugalinks views of reported observations and calculated indicators.