+2 % change
Extra-EU imports of CN 90189060 were up 2% in 2025 compared with 2020 (€669.7 million), calculated from Eurostat values.
Eurostat426.3 EUR million
EU exports of CN 90189060 to countries outside the EU were worth €426.3 million in 2025.
Eurostat348.2 EUR million
Trade between EU member states in CN 90189060 (intra-EU arrivals) came to €348.2 million in 2025.
EurostatSource: Eurostat
Why this market is moving now
- Extra-EU import value moved +2% from 2020 to 2025, a direct read on EU demand for sourced supply.
- Supply is concentrated: one country provided a large share of extra-EU imports in 2025.
- US employment in the core industry shifted +4% since 2020.
What this market covers
Tubing sets that connect a patient to a ventilator or anaesthesia machine and carry gases. Hospitals buy them as single use or reusable sets.
Typical segments
- Anaesthesia circuits
- Ventilator circuits
- Heated humidified circuits
- Neonatal circuits
Who buys
- Hospitals
- Surgical centres
- Emergency services
Largest non-EU suppliers to the EU
| Country | Import value |
|---|---|
| Mexico | 336.0 EUR million |
| United States from 1995 -> 2000) | 203.6 EUR million |
| China | 47.7 EUR million |
| Costa Rica | 23.6 EUR million |
| Malaysia | 10.8 EUR million |
| Switzerland | 10.1 EUR million |
Key figures
Each figure links to the page it came from.
| Figure | Value | Year | Source |
|---|---|---|---|
| The EU imported €684.6 million of products under CN code 90189060 (Anaesthetic apparatus and instruments) from outside the EU in 2025. | 684.6 EUR million | 2025 | Eurostat |
| Extra-EU imports of CN 90189060 were up 2% in 2025 compared with 2020 (€669.7 million), calculated from Eurostat values. | +2 % change | 2025 | Eurostat |
| EU exports of CN 90189060 to countries outside the EU were worth €426.3 million in 2025. | 426.3 EUR million | 2025 | Eurostat |
| Trade between EU member states in CN 90189060 (intra-EU arrivals) came to €348.2 million in 2025. | 348.2 EUR million | 2025 | Eurostat |
| Mexico was the largest non-EU supplier of CN 90189060 to the EU in 2025, with €336.0 million, or 49% of extra-EU imports. | 336.0 EUR million | 2025 | Eurostat |
| EU exports of CN 90189060 to the United States were €134.0 million in 2025. | 134.0 EUR million | 2025 | Eurostat |
| The average value of extra-EU imports of CN 90189060 was €113.09 per kilogram in 2025, calculated from Eurostat value and weight. | 113.09 EUR per kg | 2025 | Eurostat |
| Germany was the largest EU exporter of CN 90189060 to non-EU countries in 2025, at €267.2 million. | 267.2 EUR million | 2025 | Eurostat |
| The EU had 63,227 enterprises in NACE class C3250 (Manufacture of medical and dental instruments and supplies) in 2023. | 63,227 enterprises | 2023 | Eurostat |
| EU enterprises in NACE class C3250 had net turnover of €105.31 billion in 2021. | 105.31 EUR billion | 2021 | Eurostat |
| NACE class C3250 employed 600,000 people across the EU in 2023. | 600,000 persons employed | 2023 | Eurostat |
| The US had 4,547 private establishments in NAICS 339112 (Surgical and medical instrument manufacturing) in 2025. | 4,547 establishments | 2025 | U.S. Bureau of Labor Statistics |
| NAICS 339112 employed an average of 140,413 people in US private industry in 2025. | 140,413 jobs | 2025 | U.S. Bureau of Labor Statistics |
| US employment in NAICS 339112 changed by +4% between 2020 (135,655 jobs) and 2025, calculated from BLS figures. | +4 % change | 2025 | U.S. Bureau of Labor Statistics |
| Average annual pay in US NAICS 339112 was $109,475 in 2025. | 109,475 USD per year | 2025 | U.S. Bureau of Labor Statistics |
| The FDA has recorded 72 510(k) clearances for devices named "breathing circuit". | 72 510(k) clearances | 2026 | U.S. Food and Drug Administration (openFDA) |
| 4 of those clearances were issued from 2021 to 2025. | 4 510(k) clearances | 2025 | U.S. Food and Drug Administration (openFDA) |
| King Systems Corp. holds 4 510(k) clearances for devices named "breathing circuit". | 4 510(k) clearances | 2026 | U.S. Food and Drug Administration (openFDA) |
| Bill Olson Corp. holds 3 510(k) clearances for devices named "breathing circuit". | 3 510(k) clearances | 2026 | U.S. Food and Drug Administration (openFDA) |
| Bird Life Design holds 3 510(k) clearances for devices named "breathing circuit". | 3 510(k) clearances | 2026 | U.S. Food and Drug Administration (openFDA) |
| Respiratory Care, Inc. holds 3 510(k) clearances for devices named "breathing circuit". | 3 510(k) clearances | 2026 | U.S. Food and Drug Administration (openFDA) |
| Baxter Healthcare Corp holds 2 510(k) clearances for devices named "breathing circuit". | 2 510(k) clearances | 2026 | U.S. Food and Drug Administration (openFDA) |
| Dryden Corp. holds 2 510(k) clearances for devices named "breathing circuit". | 2 510(k) clearances | 2026 | U.S. Food and Drug Administration (openFDA) |
Companies to watch
King Systems Corp.
4 FDA 510(k) clearances for devices named "breathing circuit".
Bill Olson Corp.
3 FDA 510(k) clearances for devices named "breathing circuit".
Bird Life Design
3 FDA 510(k) clearances for devices named "breathing circuit".
Respiratory Care, Inc.
3 FDA 510(k) clearances for devices named "breathing circuit".
Baxter Healthcare Corp
2 FDA 510(k) clearances for devices named "breathing circuit".
Dryden Corp.
2 FDA 510(k) clearances for devices named "breathing circuit".
What the full report covers
- 1
Executive summary
The answer on two pages: size, growth and what drives it.
- 2
Market size and outlook
History, the current year and a five-year view with base, low and high cases.
- 3
Segments and regions
Splits by product, buyer and geography across the US, Europe and MEA.
- 4
Company profiles
The main players, how they compete and where they are investing.
- 5
Data and method
Every figure in Excel, with the sources and assumptions behind it.
- 01Executive summary
The answer in one page: size, direction and what moves it - 02Market definition and scope
What is in and out of the European Union market - 03Market size, 2021 to 2025
Historical series and growth rates - 04Outlook to 2031
Base, low and high scenarios with stated assumptions - 05Rules, policy and deadlines
Regulation and programmes that change demand - 06Drivers and barriers
What accelerates or slows adoption, by customer segment - 07Prices, costs and margins
Unit economics where public data allows - 08Competitive landscape
8 to 12 company profiles with recent moves - 09Opportunities and risks
For new entrants, suppliers and investors - 10Method and sources
Every assumption and source, listed
Included with the full report
- PDF report, 40 to 60 pages
- Excel data pack
- Ready-to-use charts
- Method note and assumptions
- Written to order in 5 working days
Frequently asked questions
How big is the EU breathing circuits market?
There is no single official market total. Eurostat trade data shows the EU imported €684.6 million of goods under CN 90189060 from outside the EU in 2025 and exported €426.3 million.
Where does the EU import breathing circuits from?
Mexico was the largest non-EU supplier in 2025. The next largest were United States from 1995 -> 2000), China, Costa Rica.
What is the average import price of breathing circuits in the EU?
Dividing Eurostat import value by weight gives about €113.09 per kilogram for CN 90189060 in 2025.
Which EU countries export the most breathing circuits?
Germany led EU exports to non-EU countries in 2025, followed by Netherlands, Belgium.
How many breathing circuits devices are cleared by the FDA?
openFDA lists 72 510(k) clearances for devices named breathing circuit.
Which companies hold the most FDA clearances for breathing circuits?
By 510(k) count: King Systems Corp., Bill Olson Corp., Bird Life Design, Respiratory Care, Inc..
Sources and method
The figures on this page come from the public sources listed below. Read how we work.
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90189060, partner EXT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 684640843
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90189060, flow import, 2020 VALUE_IN_EUROS 669652493; 2025 VALUE_IN_EUROS 684640843
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90189060, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 426264249
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90189060, partner INT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 348152612
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90189060, partner MX, flow import, 2025, VALUE_IN_EUROS 336016117
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90189060, partner US, flow export, 2025, VALUE_IN_EUROS 133963856
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90189060, flow import, 2025, VALUE_IN_EUROS 684640843, QUANTITY_IN_100KG 60539
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter DE, product 90189060, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 267158333
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs ENT_NR, 2023, 63227
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs NETTUR_MEUR, 2021, 105308
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs EMP_NR, 2023, 600000
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339112, annual_avg_estabs 4547
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339112, annual_avg_emplvl 140413
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2020 annual_avg_emplvl 135655; 2025 annual_avg_emplvl 140413
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339112, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339112, avg_annual_pay 109475
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances, device_name "breathing circuit" (2026-11-04)
openFDA device/510k device_name:"breathing circuit", sum of counts by decision_date = 72
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances, device_name "breathing circuit" (2026-11-04)
openFDA device/510k decision_date 2021-2025 count = 4
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances by applicant, device_name "breathing circuit" (2026-11-04)
applicant.exact "King Systems Corp." count 4
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances by applicant, device_name "breathing circuit" (2026-11-04)
applicant.exact "Bill Olson Corp." count 3
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances by applicant, device_name "breathing circuit" (2026-11-04)
applicant.exact "Bird Life Design" count 3
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances by applicant, device_name "breathing circuit" (2026-11-04)
applicant.exact "Respiratory Care, Inc." count 3
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances by applicant, device_name "breathing circuit" (2026-11-04)
applicant.exact "Baxter Healthcare Corp" count 2
- U.S. Food and Drug Administration (openFDA): openFDA 510(k) clearances by applicant, device_name "breathing circuit" (2026-11-04)
applicant.exact "Dryden Corp." count 2
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