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How did the global device trade market form? Finding position from trade data (3)

Global device trade wasn't always there; its formation shows in the rise of the US 'export/output ratio'.

Published:2026-04-17Updated:2026-04-17

Updated
Illustration of the rising US device export/output ratio 1990–2016
US device export/output ratio: ~10% in 1990 → ~20% in 2000 → 40%+ in 2016, reflecting deeper global specialization. Illustrative; figures per public analysis.
In short: A useful lens is the US 'export-to-domestic-output ratio': it first topped 10% in 1990 (exports ~$3B, output ~$30B), reached 20% by 2000 ($12B/$60B), and stabilized above 40% by 2016 ($47B/$115B). This curve reflects the formation of global device trade — from reliance on home demand to deep cross-border specialization. Today cross-border device trade is ~$300B+ and the global market ~$600B+.

Export/output ratio: a thermometer of trade globalization

Before 1990, global device trade was roughly negligible and US firms relied more on home demand. The export share of output then rose steadily, marking a shift from 'domestic-demand-driven' to 'global specialization'.

Capacity shifts and specialization

After the 1994 NAFTA, substantial capacity moved to Mexico and Costa Rica — context for the gap between 'output value' and 'export value' bases.

How big is the pie today

Today cross-border device trade is ~$300B+, while the global market is ~$600B+. So about half the market flows through cross-border trade and half is absorbed by domestic demand.

The BIO angle

Global specialization means advanced materials flow worldwide: bringing high-end medical silicone from the US and elsewhere into China's device chain is BIO's position — letting Chinese customers use world-class medical materials with local support.

FAQ

When did global device trade form?

Roughly as export shares of output rose in the US and others after 1990; before that, reliance on domestic demand was greater.

How big are the global device market and trade?

Today the market is ~$600B+ and cross-border trade ~$300B+, about half flowing through trade.

How did NAFTA affect the device industry?

After 1994, substantial capacity moved to Mexico and Costa Rica, affecting how output and exports are counted and distributed.

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Note: an original analysis compiled from public industry information; figures and conclusions per official/original sources. Not investment advice.

Building in China's medical-device market?

From advanced medical silicone/polymers to material selection, regulatory and supply, BIO helps global and local partners move from selection to landed supply in China.