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Procurement Guides beginner Apr 15, 2026 · 8 min read

Understanding Incoterms 2020 for Medical Device Trade

FOB, CIF, DDP, and more — learn which Incoterm protects you best when importing medical devices from China. Includes practical examples and cost comparison.

By Medives Trade Team
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Incoterms (International Commercial Terms) define the responsibilities of buyers and sellers in international trade. Understanding them is crucial for medical device procurement to avoid unexpected costs and liability gaps.

Key Incoterms for Medical Devices

FOB (Free On Board)

  • Seller delivers goods on board the vessel at the named port
  • Risk transfers when goods are on the vessel
  • Buyer arranges and pays for ocean freight
  • Best for: Large equipment shipments, experienced importers

CIF (Cost, Insurance, and Freight)

  • Seller pays for cost, insurance, and freight to the destination port
  • Risk transfers when goods are on the vessel at origin
  • Buyer handles customs clearance at destination
  • Best for: Buyers who want simpler cost calculation

DDP (Delivered Duty Paid)

  • Seller delivers goods cleared for import at the named destination
  • Seller pays all costs including duties and taxes
  • Risk transfers when goods are delivered to the destination
  • Best for: Buyers who want full cost transparency

EXW (Ex Works)

  • Seller makes goods available at their premises
  • Buyer bears all costs and risks from pickup
  • Best for: Buyers with their own logistics capabilities

FCA (Free Carrier)

  • Seller delivers goods to the carrier nominated by the buyer
  • Risk transfers when goods are handed to the carrier
  • Best for: Container shipments, multimodal transport

Recommended Terms for Medical Devices

  • First-time importers: DDP (minimal risk, full cost visibility)
  • Experienced importers: FOB (more control over logistics)
  • Large orders: CIF (balance of cost and convenience)
  • Urgent shipments: DAP (Delivered at Place) for faster clearance

Cost Comparison Example

For a $100,000 CT scanner shipment from China to Southeast Asia:

TermBase PriceFreightInsuranceDutiesTotal
FOB$100,000$3,000–8,000$500–1,500$5,000–15,000$108,500–124,500
CIF$105,000–115,000IncludedIncluded$5,000–15,000$110,000–130,000
DDP$115,000–130,000IncludedIncludedIncluded$115,000–130,000

Special Considerations for Medical Devices

  • Temperature-sensitive products: Ensure Incoterm obligations cover cold chain requirements
  • Regulatory documentation: Clarify who provides CE certificates, free sale certificates, and import permits
  • Insurance coverage: Medical devices are high-value — verify adequate cargo insurance
  • Customs classification: HS codes for medical devices vary by country; confirm duties in advance
  • Incoterms 2020 changes: FCA now allows buyer to instruct carrier to issue on-board bill of lading

Practical Tips

  1. Always specify the exact Incoterm + named place/port in your contract
  2. Get freight quotes before agreeing to CIF/DDP pricing
  3. Factor in customs broker fees ($200–$500 per shipment)
  4. Consider cargo insurance separately — seller's CIF insurance may be minimal
  5. For high-value devices, consider FOB + your own cargo insurance for better coverage