Two buyers can agree the same price, the same equipment and the same delivery date, and still fall into a dispute, because neither of them said who was responsible for the import clearance, who carried the risk while the crate sat on a quay, or which of them would pay the terminal charge that appeared after arrival. Incoterms rules exist to remove those gaps by naming a delivery point and splitting obligations around it. On pre-owned medical equipment, the rules do more work than usual, because the shipment carries documentation requirements that a general cargo rule was never designed to describe. This article explains what the rules cover, which ones fit used medical devices, and where the framework has to be supplemented by contractual terms.
What the Requirement Actually Covers
An Incoterms rule governs four things and only four: where delivery happens, when risk passes from seller to buyer, which party arranges and pays for each stage of the journey, and which party performs the customs formalities at each end. It does not govern ownership, payment, warranty, liability for defects, or the question of who is legally entitled to import a regulated device into a given market.
That boundary matters more in medical equipment trade than in general cargo, because the party best placed to import a device is usually the one holding the market registration, the establishment details and the technical file, not the party best placed to arrange freight. A rule that assigns import clearance to the seller can therefore contradict the practical reality that only the buyer can complete it. The extractable summary is this: Incoterms rules allocate cost, risk and obligation up to a named place, and they say nothing about title, payment or who may legally import the device. How the rules work at the level of a single shipment is covered in more detail in our guide to how Incoterms 2020 work for medical equipment buyers; this article concentrates on the allocation decisions that are specific to pre-owned equipment.
The framework is maintained by the International Chamber of Commerce, and the current edition is described in the ICC’s Incoterms 2020 rules. Because the rules are contractual shorthand rather than legislation, they bind the parties only if the contract incorporates them and names the rule and the place precisely.
| What the rule decides | What the rule does not decide |
|---|---|
| The named place where delivery is complete | Who owns the equipment at any point |
| The point at which risk transfers | When and how payment is made |
| Which party contracts and pays for carriage, insurance and terminal handling | Whether the device may lawfully be imported or resold |
| Which party performs export and import clearance formalities | Warranty position, defects liability or acceptance criteria |
| Which party bears loading and unloading costs | Decontamination status, regulatory status or documentation adequacy |
Which Equipment It Applies To
The rules apply to any consignment of used capital equipment, from a single handpiece shipped in a case to a scanner moved on a low-loader. What changes across equipment types is the number of handling stages and the number of parties that touch the consignment, and therefore how many cost lines the chosen rule has to allocate. A boxed unit sent by air courier passes through fewer hands than a gantry that requires rigging at both ends, and the second shipment needs far more of the contract to be explicit.
Equipment mass and fragility drive the choice as much as geography does. Where a unit requires a crane, a tail-lift or a specialist rigging crew, the rule determines who pays for that crew and who carries the risk while they work. Where a unit must travel at a controlled temperature or under a tilt limit, the rule determines who bears the cost of a deviation. Buyers importing a device that requires an import authorisation or that must be registered on arrival should expect to keep import clearance on their own side of the transaction regardless of which rule is named.
How Verification Is Expected to Be Evidenced
Verification in trade terms is documentary rather than technical: the question is whether each obligation can be evidenced by an artefact that a carrier, a customs authority or a bank will accept. That means the contract has to point at the same place as the commercial documents, because a rule naming a specific terminal and a bill of lading naming a different one creates an argument that neither party can win quickly.
The practical test is to walk the consignment from the seller’s dock to the buyer’s receiving bay and, at each stage, name the party who pays, the party who carries the risk and the document that proves the stage happened. Carriage documents, freight invoices, terminal receipts, customs entries and the import declaration each map onto a specific obligation. Where a stage has no document behind it, that stage is where the dispute will be. National guidance such as the US trade portal explanation of Incoterms and the World Customs Organization’s valuation material show how the commercial term interacts with the customs value that duty is calculated on.
Where the Framework Differs by Market
The rules are internationally uniform, but the environment they operate in is not. Import formalities, licence requirements for certain device classes, registration obligations and the treatment of used equipment all vary by country, so the same rule can produce very different practical outcomes in two markets. That is why the rule has to be chosen after the import route is understood rather than before.
In markets where the importer must be established locally or must hold an authorisation for the device type, a rule that places import clearance on the seller is unworkable and the parties should select a rule that leaves the import stage with the buyer. Where used equipment is restricted or requires approval, the approval sits with the buyer, and the timing of that approval determines whether the shipment can leave at all. Duty and tariff treatment is similarly market-specific, which is why the WTO tariff material and country guides from trade.gov are more useful than a general rule of thumb. The classification of the goods under the harmonised commodity description system then determines both the duty rate and whether any restriction applies.
What the Record Must Contain
The record that makes a shipment defensible is short and specific: the named rule with its edition year, the named place, and the delivery point described precisely enough that both parties mean the same physical location. Ambiguity about the place causes more disputes than ambiguity about the rule.
| Record element | Why it has to be explicit |
|---|---|
| Named rule and edition | Different editions allocate obligations differently, so the year is part of the term |
| Named place, described physically | ”DAP destination” is not a place; ”DAP Buyer’s receiving bay, Unit 4, [address]” is |
| Allocation of terminal, demurrage and detention costs | These arise at the point where risk and title positions are often contested |
| Party holding import authorisation | Determines which rule is workable in the destination market |
| Documentation pack for the consignment | Decontamination statement, packing list and device documentation travel with the goods |
| Insurance basis and named insured | A rule may require insurance but not specify what it covers or in whose name |
Common Misreadings and Overstatements

The same misconceptions recur in used equipment deals, and each one has a direct cost when it goes uncorrected. Treating the trade term as a payment term is the most common, followed by assuming that one rule is universally buyer-friendly.
- That an Incoterms rule transfers ownership. It does not. Title is a contractual matter that must be addressed separately, and in equipment trade it often turns on when the final instalment is paid rather than when the crate moves.
- That DDP always favours the buyer. Where the buyer holds the only valid route to import the device, a DDP term asks the seller to perform a step they cannot lawfully perform, and the shipment stalls at the border.
- That EXW removes all seller obligations. The seller may still need to provide export documentation, and the buyer inherits loading, export clearance and all risk from the seller’s premises.
- That CIF or CIP delivers to the buyer’s door. Both transfer risk at the point of shipment, not on arrival, so a loss in transit is the buyer’s loss even though the seller arranged the carriage.
- That the rule covers decontamination, condition or regulatory status. It covers obligations around movement, and the equipment’s biological and regulatory status has to be evidenced separately.
The overstatement that causes the most expensive correction is treating the Incoterm as a substitute for an import plan. A rule can allocate the obligation to clear goods, but it cannot create the capability to clear them, and it cannot produce the authorisation that a market requires before a used device may be entered. Where the buyer is the only party that can hold that authorisation, the term and the operational reality have to be aligned in the contract, and the alignment should be written down rather than assumed. It is also worth separating the rule from the freight quotation: a forwarder’s quotation may include or exclude terminal handling, demurrage and detention on its own terms, and where the quotation and the contract term disagree, the disagreement surfaces as an unexpected invoice rather than as a clean decision.
What a Buyer Should Ask For
The questions that resolve most of the risk are commercial rather than legal, and they can be asked before terms are agreed. A buyer who asks them early usually finds that a shipment which looked straightforward needs one extra document rather than one extra negotiation.
Ask which rule and edition are being used, and which physical place is named. Ask which party contracts the carrier and which party pays terminal charges, demurrage and detention. Ask who holds the import authorisation for this device in this market and confirm that the chosen rule is consistent with that. Ask what happens if the consignment is delayed at the border, including who pays storage. Ask for the consignment documentation pack, including the decontamination statement and the packing list, before the goods move. Finally, confirm separately what the trade term does not cover: title, payment timing, acceptance criteria and what happens if the equipment fails the receiving inspection. Buyers who need the wider documentation context can start from the knowledge hub, compare how consignments are described on the marketplace store, or work through the cross-device method material in the industry hub.

Reviewing trade terms on a pre-owned equipment purchase or sale? Send the draft term and the import route and we will check that the rule, the named place and the documentation pack are consistent before the goods move.
FAQ
Which Incoterm is best for used medical equipment?
There is no universally best rule; the workable rule is the one that matches who can lawfully import the device and who controls the delivery point. Where the buyer holds the import authorisation, rules that leave import clearance with the buyer are usually the practical choice. Where the buyer collects, an EXW or FCA term may suit, provided the buyer can handle loading and export formalities. Choose the rule after the import route is clear.
What is the difference between DDP and DAP for equipment shipments?
Under DDP the seller delivers to the named place with import duties and clearance handled on the seller’s side; under DAP the goods arrive at the named place but the buyer handles import clearance and pays duty. For used medical devices, DDP is only workable if the seller can legitimately act as importer for that device in that market. Where the buyer holds the registration or authorisation, DAP is usually the more realistic structure.
Who pays duty on pre-owned medical equipment?
Duty is normally payable by the importer of record, which is why the choice of trade rule and the identity of the importer have to be settled together. Some markets reduce or waive duty for particular device categories or for equipment imported by certain entities, and others apply duty to the assessed value of used goods. Because treatment varies, confirm the position for your market and classification before shipment rather than after arrival.
Does an Incoterms rule transfer ownership of the equipment?
No. The rules deal with delivery, risk, cost and customs formalities, and they say nothing about when title passes. Ownership is agreed separately in the contract and is often tied to payment milestones rather than to the movement of the goods. Buyers should confirm the title position in writing, particularly where a deposit, staged payment or trade-in is involved, because an unpaid seller’s position can affect a later resale.
Are medical devices exempt from tariffs?
Some markets apply reduced or zero rates to certain medical goods, and some operate temporary measures during public health events, but there is no general exemption that applies across markets or device types. The applicable rate depends on the classification of the specific item and the destination country’s schedule. Rely on the destination market’s published tariff schedule and its customs authority rather than on a general assumption, and confirm the classification before the goods are entered.



