The global medical-device market reached $678.88 billion in 2025 and is on course for $719.61 billion in 2026. Every ventilator, stent, orthopaedic screw and CT scanner in that figure crossed a border under a short list of HS codes, led by HS 9018: instruments and appliances for medical, surgical, dental or veterinary use. Trade under that one heading topped $176 billion in 2024. Each of those shipments left a record, and medical devices export data is that record, readable end to end.
The names inside it are the part most suppliers never see: the hospitals, group purchasing organisations and distributors actually writing purchase orders, listed by shipment volume and frequency. India shows the scale of the prize. Its medical-device exports hit $4.01 billion in FY2024-25, up 88% in six years. Whether you make surgical instruments in Sialkot, orthopaedic implants in Gujarat or source consumables for a hospital chain, your next buyer is already on the record. Here is how to read it.
The 30-second version
- The global medical-device market hit $678.88B in 2025, heading for $719.61B in 2026; HS 9018 instrument trade alone was $176B in 2024.
- Top exporters (HS 9018, 2023): USA $36.6B, Germany $18.9B, Netherlands $16.5B, Mexico $12.8B, China $10.4B, Ireland $10.0B. Mexico passed Germany in 2024.
- India's medical device exporters shipped $4.01 billion in FY2024-25, an 88% jump from $2.14B in FY2018-19.
- Core codes: 9018 instruments, 9021 orthopaedic/prosthetic, 9022 imaging, 401511 surgical gloves, 3006 sutures and dressings.
- The USA is the single biggest buyer, with $41.3B of medical-instrument imports in 2024, the world's largest import market.
Which countries export the most medical devices?
The United States exports the most medical devices: $36.6 billion of HS 9018 instruments in 2023, per OEC trade data. Germany, the Netherlands, Mexico, China and Ireland follow. By 2024, nearshoring had lifted Mexico to roughly $19.3 billion, past Germany into second place.
The 2023 ranking for HS 9018 exports:
- United States: $36.6B
- Germany: $18.9B
- Netherlands: $16.5B
- Mexico: $12.8B
- China: $10.4B
- Ireland: $10.0B
Two names on that list punch above their weight. Ireland ships $10 billion because global medtech firms run high-value plants there for the EU and US markets. The Netherlands is as much a logistics hub as a manufacturer. And the Mexico story is still compounding: Tijuana and Ciudad Juárez maquiladoras ship disposables, catheters and patient monitors straight into the US supply chain, and the shipment record names exactly which buyers those plants supply.
What medical devices export data shows about buyers
Demand is lopsided, and that is the whole opportunity. The United States is the gravitational centre of the import market, pulling in $41.3 billion of medical instruments in 2024, more than the next several markets combined. US customs and bill-of-lading records are legally public, so every importer of surgical kits, diagnostic reagents and implants leaves a traceable trail. That trail is where a ranked list of medical device importers comes from.
Beyond the US, the European Union is a deep, high-spec market where Germany, the Netherlands and France import as much as they export. The Gulf runs almost entirely on imported devices, with the UAE re-exporting across the Middle East. Africa is the fastest-growing frontier as hospital networks scale up. India's medical device exporters already sell into exactly this map: the United States is India's number-one destination, followed by Germany, China, the Netherlands, Brazil and the UAE. The method for turning these records into meetings is in our guide on how to use customs data to find buyers.
Cold brochures get silence. An email that opens with the buyer's own import history, down to the month and the port, gets a reply.
Medical devices export data: the HS codes that matter
Devices fan out across a family of codes, and picking the right one is the difference between a clean buyer list and noise. The essentials:
- HS 9018: instruments and appliances for medical, surgical, dental and veterinary use. Syringes, catheters, endoscopes, ECG kit. The biggest single bucket.
- HS 9019: mechano-therapy, massage, oxygen and aerosol therapy, artificial-respiration apparatus.
- HS 9021: orthopaedic appliances and orthopaedic implants, artificial joints, hearing aids, pacemakers.
- HS 9022: X-ray, CT and other radiation-based imaging apparatus.
- HS 401511: surgical gloves of vulcanised rubber. HS 3006: sterile sutures, surgical dressings, diagnostic reagents.
Pick the wrong heading and you either miss half the market or drown in unrelated shipments. New to classification? Start with our primer on what an HS code is and how to find and use it, then search each code separately and merge the buyer lists.
India's medtech surge, and how to ride it
India is the clearest growth story in the sector. Medical-device exports climbed to $4.01 billion in FY2024-25, an 88% rise from $2.14 billion in FY2018-19, helped by the government's Production Linked Incentive scheme, which has pulled MRI machines, CT scanners and ultrasound systems into domestic production. Yet the country still imports roughly 70% of the devices it uses. Both sides of the trade are wide open.
For an Indian exporter the play is data-backed targeting, not guesswork: use global shipment records to find and qualify overseas buyers, benchmark price against what target markets already pay, and grow exports market by market. The same logic drives the adjacent pharmaceuticals and API trade. Study destination demand directly in the US importer directory and the Germany importer directory.
India exports $4 billion in medical devices and still imports 70% of what it uses. The advantage goes to whoever maps both flows first: buyers abroad, suppliers at home.
Sialkot and the surgical instruments export niche
One cluster deserves its own line. Sialkot, the Pakistani city that makes nearly all of the country's surgical instruments, shipped $447 million of HS 9018 goods in 2023. Its destination mix reads like a textbook buyer map: the USA took 21% ($97 million), Germany 15% ($67 million), then the UK, UAE and China. Stainless-steel forceps, scissors and retractors from Sialkot fill operating theatres worldwide. A niche this narrow sounds hard to sell into. It is the opposite: the surgical instruments export record is short, stable and rankable, which makes the importer list unusually easy to work through.
Regulation is the real gatekeeper
Volume is half the game; compliance is the other half. In the EU, the Medical Device Regulation (EU MDR) transition has closed. Legacy devices could sell through only until 27 May 2025, and MDR now applies to every device on the EU market regardless of where it was made. In the US, the FDA's 510(k) clearance remains the standard route, and the agency's new Quality Management System Regulation (QMSR), aligned with ISO 13485:2016, takes effect 2 February 2026. Trade data will not file your paperwork. What it does show is which suppliers already ship into FDA- and MDR-regulated markets, a fast proxy for who is genuinely compliant. Before wiring a deposit, run the checks in our guide to verifying an international supplier before paying.
How to find medical device buyers with ShipScout
ShipScout indexes 11 billion-plus shipment records across 240+ countries, at SME prices rather than Panjiva or ImportGenius budgets. A device maker can go from "we make good instruments" to a ranked list of verified importers in an afternoon. The workflow:
- Search by HS code. Pull every shipment under 9018, 9021, 9022 or 401511 and surface the importers, their counterparties and their shipment cadence. Start from the company directory and filter to the medical trade.
- Rank medical device importers by volume in a target market. Do not pitch the clinic buying one carton a year while a US distributor moves containers monthly. Sort by volume and call the top of the list first.
- Vet suppliers on their real trade record. Check whether a counterparty already ships into FDA- or MDR-regulated markets before trusting a quote — details in our supplier-verification guide.
- Reach decision-makers. With the buyer named and ranked, contact intelligence (where available) gets you to the procurement lead, not a generic inbox.
Reading medical devices export data beats blind outreach every time. If you export surgical instruments, orthopaedic implants, imaging equipment or consumables, the buyer list is already written; you only have to open it. Start a free trial and search HS code 9018 to see who is importing right now.
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