HS code · 6-digit subheading
HS Code 9018.11 – Medical, surgical instruments and appliances; electro-cardiographs
HS code 9018.11 is the 6-digit subheading for medical, surgical instruments and appliances, electro-cardiographs. It is used for 12-lead ECG machines, portable ECG devices, holter monitors, stress test ECG systems and resting ECG machines.
What HS 9018.11 covers
This HS code specifically covers electro-cardiographs (ECGs or EKGs), which are vital medical instruments used to record the electrical activity of the heart. These devices are fundamental for diagnosing various cardiac conditions, from arrhythmias to myocardial infarctions, making them indispensable in hospitals, clinics, and emergency medical services worldwide. The trade in ECG machines is driven by global healthcare needs, an aging population, and the increasing prevalence of cardiovascular diseases. Importers and exporters include specialized medical device manufacturers, healthcare equipment distributors, and government health ministries. Key considerations in this trade involve adherence to international medical device regulations (e.g., FDA, CE marking), technological advancements (e.g., portable, wireless ECGs), and the need for reliable, accurate diagnostic tools. The global supply chain for ECGs is critical for supporting cardiovascular health diagnostics across all levels of healthcare.
- Covers
- 12-lead ECG machines
- Portable ECG devices
- Holter monitors
- Stress test ECG systems
- Resting ECG machines
- Wireless ECG systems
- Ambulatory ECG recorders
- Examples
- GE Healthcare MAC 2000 ECG
- Philips PageWriter TC50
- Schiller AT-1 G2 ECG
- Nihon Kohden Cardiofax C
- Welch Allyn CP 150
Codes often confused with 9018.11
Common mistake. This code is distinct from 901819 (other electro-diagnostic apparatus) which covers other electrical diagnostic tools like EEGs, and from 901812 (ultrasonic scanning apparatus) which uses sound waves for imaging.
Top exporters and importers of HS code 901811, 2025
In 2025, the largest exporter of HS code 901811 in UN Comtrade data was Singapore, with 25% of world exports; the largest importer in UN Comtrade data was the United States, with 24% of world imports. Countries that did not report 2025 data are estimated from partner records, which can understate them.
Top exporters 2025 · share of world exports
- 1 Singapore $399M 25% of world exports
- 2 United States $350M 22% of world exports
- 3 Canada $129M 8.0% of world exports
World total: $1.6B Reported figures on UN Comtrade ↗
Top importers 2025 · share of world imports
- 1 United States $364M 24% of world imports
- 2 Singapore $187M 12% of world imports
- 3 Netherlands $138M 8.9% of world imports
World total: $1.5B Reported figures on UN Comtrade ↗
How these figures are built
109 countries reported 2025 trade to UN Comtrade in HS 2022, and their own totals are used. Countries that did not report are estimated from what other countries recorded trading with them. Those estimates miss trade with other non-reporting countries, so they can be low, and a non-reporting country can rank higher than shown or be missing from the list. World totals add both and leave out trade between two non-reporting countries. Figures are in current US dollars; reported imports are mostly valued CIF and exports FOB, and exports include re-exports. The UN Comtrade links show the underlying records; they can also list a few reporters left out here (regional groups and older HS editions).
Source: UN Comtrade (United Nations Statistics Division), 2025 annual data.
Brazil NCM code for 9018.11
Brazil does not split HS 9018.11: its NCM code is 9018.11.00.
All Brazil NCM codes in heading 90.18 →
Source: Siscomex NCM table, updated Oct 2026. The Portuguese text is official; the English is our translation.
Questions about HS 9018.11
What is HS code 901811?
HS code 901811 is a 6-digit subheading in the Harmonized System that covers: Medical, surgical instruments and appliances; electro-cardiographs. This HS code specifically covers electro-cardiographs (ECGs or EKGs), which are vital medical instruments used to record the electrical activity of the heart. These devices are fundamental for diagnosing various cardiac conditions, from arrhythmias to myocardial infarctions, making them indispensable in hospitals, clinics, and emergency medical services worldwide. The trade in ECG machines is driven by global healthcare needs, an aging population, and the increasing prevalence of cardiovascular diseases. Importers and exporters include specialized medical device manufacturers, healthcare equipment distributors, and government health ministries. Key considerations in this trade involve adherence to international medical device regulations (e.g., FDA, CE marking), technological advancements (e.g., portable, wireless ECGs), and the need for reliable, accurate diagnostic tools. The global supply chain for ECGs is critical for supporting cardiovascular health diagnostics across all levels of healthcare.
What products fall under HS code 901811?
12-lead ECG machines, Portable ECG devices, Holter monitors, Stress test ECG systems, Resting ECG machines, Wireless ECG systems, Ambulatory ECG recorders
What are common misclassifications for HS code 901811?
This code is distinct from 901819 (other electro-diagnostic apparatus) which covers other electrical diagnostic tools like EEGs, and from 901812 (ultrasonic scanning apparatus) which uses sound waves for imaging.
Which countries are the top exporters of goods under HS code 901811?
In 2025, the top exporters of HS code 901811 in UN Comtrade data were Singapore ($399M, 25% of world exports), the United States ($350M) and Canada ($129M). World exports came to about $1.6B, adding countries' reported figures and partner-based estimates for those that did not report (UN Comtrade data). Countries that did not report 2025 data are estimated from partner records, which can understate them.
Which countries are the top importers of goods under HS code 901811?
In 2025, the top importers of HS code 901811 in UN Comtrade data were the United States ($364M, 24% of world imports), Singapore ($187M) and the Netherlands ($138M). World imports came to about $1.5B, adding countries' reported figures and partner-based estimates for those that did not report (UN Comtrade data). Countries that did not report 2025 data are estimated from partner records, which can understate them.
How is HS code 901811 structured?
HS code 901811 is a 6-digit subheading under the Harmonized System. The first 2 digits (90) identify the chapter, digits 3-4 (18) identify the heading, and digits 5-6 (11) specify the subheading. This code is standardized globally by the World Customs Organization.
What is the Brazil NCM code for HS code 901811?
In Brazil, HS code 901811 is NCM 9018.11.00. The last two digits are 00 because Brazil does not split this HS code further.