SITCSection 8
U.S. imports of orthopedic & fracture appliances, including artificial joints (SITC 89963) totaled $203.1M in April 2026, traded with 59 countries.
Importers of Orthopedic & Fracture Appliances, Including Artificial Joints paid $9.1M in duties in April 2026 — an effective duty rate of 10% on $90.6M in dutiable value, based on actual customs collections rather than the published tariff schedule.
Last updated: April 2026 dataOrthopedic braces, fracture fixation devices, and implantable artificial joints—including hip, knee, and shoulder prostheses—are Class II or Class III medical devices subject to FDA premarket review, with implantable joints typically requiring 510(k) clearance or premarket approval. The inclusion of artificial joints in this heading means that some of the most heavily regulated and highest-value medical implants in global trade are classified here alongside external splints and supports. Importers must confirm that each device model has current FDA marketing authorization and that the establishment of manufacture is registered with FDA.
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No. External braces are typically Class I or Class II devices with lower regulatory burdens, while implantable artificial joints are generally Class II or Class III devices requiring 510(k) clearance or, in some cases, premarket approval (PMA). Both must originate from FDA-registered establishments, but the premarket authorization pathway and post-market surveillance requirements differ significantly. Importers should verify the specific device class and authorization status before entry.
Shipments should be accompanied by documentation identifying the device name, model number, FDA 510(k) or PMA number, the name and FDA registration number of the foreign manufacturer, and the intended use. FDA may detain shipments for examination if the device is not recognized in its databases or if labeling is non-compliant. Working with a licensed customs broker experienced in medical device imports is strongly recommended.
| Country | Imports | Exports | Balance |
|---|---|---|---|
| SWITZERLAND | $42.0M | $30.9M | -$11.1M |
| NETHERLANDS | $256K | $52.4M | +$52.2M |
| MEXICO | $39.8M | $10.5M | -$29.3M |
| GERMANY | $33.8M | $4.7M | -$29.1M |
| CANADA | $1.4M | $30.3M | +$28.9M |
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Monthly import values over time