Fresenius 4008S Hemodialysis Machine

The Fresenius 4008S is a hemodialysis machine designed for in-center and acute care dialysis treatments, featuring advanced fluid management and monitoring systems. It falls under HTS 9018.90.75.20 as a complete dialysis instrument used to filter blood for patients with kidney failure. This electro-medical apparatus includes pumps, dialysate preparation, and safety sensors specific to dialysis procedures.

Import Duty Rates by Country of Origin

Origin CountryMFN RateCh.99 SurchargesTotal Effective Rate
🇨🇳ChinaFree+35.0%35%
🇲🇽MexicoFree+10.0%10%
🇨🇦CanadaFree+10.0%10%
🇩🇪GermanyFree+10.0%10%
🇯🇵JapanFree+10.0%10%

Alternative Classifications

This product could be classified differently depending on its characteristics or intended use.

9018.90.75Same rate: 35%

If classified as general electro-medical apparatus without specific dialysis function

Broader category for other electro-medical instruments; dialysis machines have dedicated subheading for precision.

8413.81.00Same rate: 35%

If imported solely as pumps without integrated dialysis monitoring

Chapter note excludes machine-specific technical parts; standalone pumps go to Chapter 84.

9019Lower: 10% vs 35%

If considered mechano-therapy appliances for kidney support

Applies to non-electro-medical therapeutic devices; dialysis is electro-medical per heading 9018.

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Import Tips & Compliance

Obtain FDA 510(k) clearance and ensure device listing prior to import; verify biocompatibility per ISO 10993 standards

Include detailed technical files, user manuals, and sterilization validation documents in shipment paperwork

Avoid misclassification as general pumps (8413); highlight dialysis-specific blood and dialysate circuits

Related Products under HTS 9018.90.75.20

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Baxter Sharesource is a cloud-connected analytics module for peritoneal dialysis machines, enabling remote patient monitoring and therapy optimization. It qualifies under HTS 9018.90.75.20 as an electro-medical accessory integral to dialysis apparatus functionality.

NxStage System One Portable Hemodialysis Machine

NxStage System One enables home hemodialysis with small-volume dialysate bags and lightweight design for patient mobility. Classified in HTS 9018.90.75.20 as portable dialysis apparatus featuring electro-medical controls for simplified blood purification.

Fresenius Hemodialyzer UltraPure Dialyzer

Fresenius UltraPure hemodialyzers use high-flux membranes for superior middle molecule clearance in dialysis treatments. Under HTS 9018.90.75.20 as essential disposable apparatus components for dialysis machines, integral to electro-medical blood purification.

Dialysis Blood Pump Segment for Fresenius Machines

Peristaltic blood pump segments for Fresenius dialysis machines ensure sterile, precise blood flow rates up to 600 mL/min. Classified under HTS 9018.90.75.20 as dedicated accessories principally used with dialysis apparatus.

Terumo CardioRobotics Apheresis Dialysis System

Terumo's apheresis system adapts for dialysis-like plasma separation in therapeutic procedures. HTS 9018.90.75.20 covers this electro-medical apparatus when configured for renal replacement therapy.

Medtronic Drip Chambers for Dialysis Circuits

Medtronic drip chambers with air detection for dialysis tubing sets prevent air emboli during extracorporeal blood circulation. Under HTS 9018.90.75.20 as critical safety components of dialysis apparatus.