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HSChapter 90
U.S. imports of cardiac pacemakers (HS 902150) totaled $142.4M in April 2026, traded with 11 countries.
Importers of Cardiac Pacemakers paid $39K in duties in April 2026 — an effective duty rate of 10% on $386K in dutiable value, based on actual customs collections rather than the published tariff schedule. Cardiac Pacemakers imports of $142.4M in April 2026 ran 11% below the year-to-date monthly average of $159.4M.
Last updated: April 2026 dataCardiac pacemakers for stimulating heart muscles are among the most tightly regulated implantable medical devices entering US commerce, subject to FDA premarket approval or clearance requirements before importation. Ireland and Switzerland are the leading sources of US pacemaker imports, reflecting the concentration of major cardiac rhythm management manufacturers in those countries. The single tariff line 9021500000 covers complete pacemaker units, excluding parts, which are classified separately under heading 902190. Given the life-critical nature of these devices, importers must ensure that each shipment originates from an FDA-registered establishment and carries compliant device labeling.
AI-written summary of the official U.S. Census Bureau trade figures on this page — verify before relying on it.
Pacemakers are Class III medical devices requiring FDA premarket approval (PMA) or, in some cases, 510(k) clearance. The manufacturing establishment must be registered with FDA, and each device must bear compliant labeling. FDA may detain or refuse entry for shipments from unregistered facilities or non-compliant products.
Ireland and Switzerland host major global cardiac rhythm management manufacturers and their principal production or distribution facilities. This concentration means US importers sourcing from those countries benefit from established regulatory compliance infrastructure, though it also creates geographic concentration risk in the supply chain.
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Monthly import values over time
| Country | Imports | Exports | Balance |
|---|---|---|---|
| IRELAND | $52.8M | -- | -$52.8M |
| SWITZERLAND | $51.5M | $6K | -$51.5M |
| SINGAPORE | $29.1M | -- | -$29.1M |
| BELGIUM | -- | $25.2M | +$25.2M |
| MALAYSIA | $6.8M | $1.0M | -$5.8M |
HS10 import codes under this HS6 parent. Source: U.S. Harmonized Tariff Schedule.
| Code | Description | Import Value | Effective Tariff % | Duty Collected |
|---|---|---|---|---|
| 9021500000 | PACEMAKERS FOR STIMULATING HEART MUSCLES, EXC PTS | $142.4M | 10.03% | $39K |
PACEMAKERS FOR STIMULATING HEART MUSCLES, EXC PTS
HS10 export codes under this HS6 parent. Source: U.S. Schedule B export classification.
| Code | Description | Export Value |
|---|---|---|
| 9021500000 | PACEMAKERS FOR STIMULATING HEART MUSCLES, EXC PTS | $27.8M |
PACEMAKERS FOR STIMULATING HEART MUSCLES, EXC PTS
10.8K no
INSTR & APPL F MEDICAL SURGICAL DENTAL VET, NESOI
HS 901890
MED NEEDLES. NESOI, CATHERERS ETC AND PARTS ETC
HS 901839
ARTIFICIAL JOINTS & PARTS & ACCESSORIES THEROF,NES
HS 902139
ELECTRO-DIAGNOSTIC APPARATUS NESOI, AND PARTS ETC.
HS 901819
OZONE,OXYGEN,ETC THERAPY, RESPIRATION APPARATUS,PT
HS 901920
MEAS CHECKNG INSTRUMENT & MACH, NOT OPTICAL, NESOI
HS 903180
| State | Imports | Exports | Balance |
|---|---|---|---|
| Tennessee | $67.3M | $32K | -$67.3M |
| Massachusetts | $36.8M | $31K | -$36.8M |
| New Jersey | $29.6M | $159K | -$29.4M |
| Port | Imports | Exports | Balance |
|---|---|---|---|
| NEW ORLEANS, LA | $67.5M | $3.6M | -$63.9M |
| CLEVELAND, OH | $38.5M | $5.1M | -$33.5M |
| ANCHORAGE, AK | $29.1M | $1.0M | -$28.1M |