De la balance commerciale des USA dans le secteur des dispositifs médicaux

Par Guillaume Promé
le
7 Avr. 2025 Listes et Datas

Revue de la balance commerciale des USA en matière de dispositifs médicaux.

Les données sont issues de l’ITC, en utilisant les familles de codes 9003, 9004 et 9018 à 9022 :

900311 - Frames and mountings for spectacles, goggles or the like, of plastics
900319 - Frames and mountings for spectacles, goggles or the like (excl. of plastics)
900390 - Parts of frames and mountings for spectacles, goggles or the like, n.e.s.

900410 - Sunglasses
900490 - Spectacles, goggles and the like, corrective, protective or other (excl. spectacles for testing eyesight, sunglasses, contact lenses, spectacle lenses and frames and mountings for spectacles)

901811 - Electro-cardiographs
901812 - Ultrasonic scanning apparatus
901813 - Magnetic resonance imaging apparatus
901814 - Scintigraphic apparatus
901819 - Electro-diagnostic apparatus, incl. apparatus for functional exploratory examination or for checking physiological parameters (excl. electro-cardiographs, ultrasonic scanning apparatus, magnetic resonance imaging apparatus and scintigraphic apparatus)
901820 - Ultraviolet or infra-red ray apparatus used in medical, surgical, dental or veterinary sciences
901831 - Syringes, with or without needles, used in medical, surgical, dental or veterinary sciences
901832 - Tubular metal needles and needles for sutures, used in medical, surgical, dental or veterinary sciences
901839 - Needles, catheters, cannulae and the like, used in medical, surgical, dental or veterinary sciences (excl. syringes, tubular metal needles and needles for sutures)
901841 - Dental drill engines, whether or not combined on a single base with other dental equipment
901849 - Instruments and appliances used in dental sciences, n.e.s.
901850 - Ophthalmic instruments and appliances, n.e.s.
901890 - Instruments and appliances used in medical, surgical or veterinary sciences, n.e.s.

901910 - Mechano-therapy appliances; massage apparatus; psychological aptitude-testing apparatus
901920 - Ozone therapy, oxygen therapy, aerosol therapy, artificial respiration or other therapeutic respiration apparatus, incl. parts and accessories

902000 - Breathing appliances and gas masks, incl. parts and accessories (excl. protective masks having neither mechanical parts nor replaceable filters, and artificial respiration or other therapeutic respiration apparatus)

902110 - Orthopaedic or fracture appliances
902111 - Artificial joints, for orthopaedic purposes
902119 - Orthopaedic appliances and fracture appliances (excluding artificial joints)
902121 - Artificial teeth
902129 - Dental fittings (excl. artificial teeth)
902130 - Artificial parts of the body (excluding artificial teeth)
902131 - Artificial joints for orthopaedic purposes
902139 - Artificial parts of the body (excl. artificial teeth and dental fittings and artificial joints)
902140 - Hearing aids (excl. parts and accessories)
902150 - Pacemakers for stimulating heart muscles (excl. parts and accessories)
902190 - Articles and appliances, which are worn or carried, or implanted in the body, to compensate for a defect or disability (excl. artificial parts of the body, complete hearing aids and complete pacemakers for stimulating heart muscles)

902212 - Computer tomography apparatus
902213 - Apparatus based on the use of X-rays for dental uses
902214 - Apparatus based on the use of X-rays, for medical, surgical or veterinary uses (excl. for dental purposes and computer tomography apparatus)
902219 - Apparatus based on the use of X-rays (other than for medical, surgical, dental or veterinary uses)
902221 - Apparatus based on the use of alpha, beta, gamma or other ionising radiation, for medical, surgical, dental or veterinary uses
902229 - Apparatus based on the use of alpha, beta, gamma or other ionising radiation (other than for medical, surgical, dental or veterinary uses)
902230 - X-ray tubes
902290 - X-ray generators other than X-ray tubes, high tension generators, control panels and desks, screens, examination or treatment tables, chairs and the like, and general parts and accessories for apparatus of heading 9022, n.e.s.

Indice Donald appliqué aux produits de santé

Une taxe est calculée selon la méthode dite de l’agent orange : taxe = 1 – Exportations / Importations. Pour rappel, cette taxe vise à équilibrer la balance commerciale, sur le papier, en faisant fi des notions d’offre et de demande.

La taxe est calculée pour équilibrer la balance 2024 :

Lecture: Taxe calculée pour équilibrer la balance commerciale, applicable aux pays cresant le déficit US.
Lecture : Vert = amis de l’amérique, Jaune au Noir : ennemis de l’amérique, Bleu : poissons.

De l’évolution de la balance commerciale US en matière de DM

Lecture : depuis 2015, le secteur du DM creuse – de plus en plus – le déficit US
Lecture : déficit creusé par le déclin de 9018 (instruments et appareils) et la montée des importations en 9021 (ortho & Co)
Lecture : déficit creusé par la soustraitance aux voisins et par la montée de l’Europe
Balance : top exédants et déficits en 2024

Bonus : évolution des certificats ISO 13485

source : ISO survey 2023

Ce graphique représente la répartition des certificats ISO 13485 entre USA, Chine et Europe :

Lecture : Désengagement des USA depuis 20 ans, tendance renforcée depuis 2015, effet “taxe par la règlementation” ?