UNSPSC 42144301: External counterpulsation ECP systems

In this classification, this commodity indicates a system consisting of products, consumables and accessories that are used to execute an external counterpulsation ECP procedure in a medical setting. Most nations, for tariff and trade purposes, schedule these products under HS 901819.

UNSPSC 42144301 External counterpulsation ECP systems is a Commodity-level code that in recent state and local procurement activity represents a narrow category of specialized medical equipment for emergency and acute-care settings. The source material shows little direct demand for external counterpulsation systems themselves; instead, recent state and local solicitations tagged under this code involve a broader range of surgical and diagnostic medical equipment and services — including laser systems for operating rooms, surgical power instruments, ultrasound machines, ventilator maintenance, spinal implants, and intraosseous infusion devices. The code's nominal scope does not align closely with the equipment and services state and local governments are actually purchasing in the recent opportunity set. Issuing bodies include county health systems (San Mateo County Medical Center, Hillsborough County), public universities and health science centers (University of Texas Health Science Center at San Antonio, Valencia College), independent school districts (Klein ISD in Texas), and one cooperative purchasing vehicle (Sourcewell, a Minnesota local government unit). Most procurement volume in this tagged set flows through county public hospitals and regional health systems that operate acute-care facilities with active surgical and emergency services programs.

Recent activity appears concentrated in California and Florida. San Mateo County Medical Center has posted multiple RFPs for surgical equipment and technical support in July 2026, including laser equipment for operating rooms (due July 10, 2026) and surgical power instruments (RFP released May 7, 2026, with a May 28, 2026 proposal deadline). Hillsborough County in Florida issued an ITB on May 28, 2026 for maintenance and repair services on 40 Vyaire Medical LTV 1200 ventilators over three years, with an estimated contract value of $140,225 and bids due June 12, 2026. Marion County, Florida posted a sole-source procurement notice on May 4, 2026 for Vidacare EZ-IO intraosseous infusion systems with a May 11, 2026 submission deadline. The University of Texas Health Science Center at San Antonio solicited spinal implants and supplies through RFP 745-26-P04 with a proposal deadline of March 10, 2026. The code shows no clear pattern of direct external counterpulsation system procurement in the recent record; the alignment between the nominal commodity definition and actual state and local buying activity under this code is unclear.