UNSPSC 42181713: Holter or wearable EKG monitoring systems or accessories

In this classification, this commodity indicates an external or wearable product that can record and measure electronic waves generated from the heart of a human for protracted periods of time. US FDA regulates continuous electrocardiography EKG or holter monitoring systems under 21 CFR 870.28 and under FDA product code MXC. Most nations, for tariff and trade purposes, schedule these products under HS 852849.

UNSPSC 42181713 Holter or wearable EKG monitoring systems or accessories is a Commodity code; state and local governments solicit under it for portable cardiac monitoring devices and related equipment used in emergency response, hospital systems, and clinical settings. The recent opportunities posted show minimal direct alignment with the code's scope — the two most recent solicitations capture a broader medical supplies cooperative framework and a law enforcement equipment initiative, neither of which centers on cardiac monitoring hardware. State and local issuers using this code include state agencies (Idaho), regional cooperatives (Sourcewell), and multi-county consortia (Franklin, Grant, Grays Harbor, Chelan, and Yakima counties in Washington). Demand under this Commodity varies; health departments, emergency medical services programs, and hospital procurement offices are typical buyers, though the recent sample does not isolate cardiac-monitoring-specific demand.

Recent activity appears sparse under this code's true scope. The NASPO ValuePoint RFP NVP_1443 posted by the State of Texas on behalf of Idaho state agencies and participating NASPO ValuePoint entities (due November 9, 2026) encompasses medical supplies across multiple product categories with competitive unit pricing and potential volume discounts, but does not specify whether cardiac monitoring systems are included in the negotiated framework. The Sourcewell RFP #061626 (due June 16, 2026) targeted law enforcement equipment across Washington counties and participating entities nationwide, falling outside cardiac monitoring scope entirely. Geographic concentration is insufficient to characterize — Idaho and Washington appear in the recent sample, but the source does not support a broader regional pattern. Vendors pursuing this code should monitor cooperative purchasing vehicles (NASPO ValuePoint, Sourcewell) where medical equipment frameworks are negotiated, as these are the primary vehicles through which state and local governments source specialty medical devices at scale.