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What You Need to Know About Shipping Medical Equipment by Air

28 Apr 2026

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When shipping medical equipment by air, note that it’s one of the most strictly regulated types of cargo. Here, every step, from packaging to paperwork, has to be carried out carefully and meet specific standards. This is because medical devices are often delicate, temperature-sensitive, and some of them can pose high risks if not handled properly. On top of that? All the devices must comply with strict international shipping regulations set by the International Air Transport Association (IATA) and the Food and Drug Administration (FDA).

So, if you’re planning to ship medical equipment by air, this helpful guide is for you. Read on and understand how you can ensure the safe, compliant, and reliable shipping of their medical goods.

Why Appropriate Medical Equipment Shipping Matters?

Appropriate shipping of medical equipment is crucial to keep patient health safe and to protect the standard of healthcare services. Medical devices like diagnostic tools, scanners, monitoring systems, laboratory equipment, and surgical instruments are temperature-sensitive. Temperature fluctuations during transit can affect their performance and accuracy during medical procedures. And sometimes, many delicate medical devices become unusable or ineffective by the time they arrive.

Beyond a patient’s health risks, improper shipping practices can result in regulatory consequences that businesses may not be aware of. These can include monetary fines, production stoppages, product recalls, blacklisting and in some cases, criminal prosecution if improper shipping has resulted in injury or death.

Requirements and Regulations to be Noted Before Shipping Medical Equipment By Air

Different countries have different shipping requirements and regulations for shipping medical equipment by air. For example, in the U.S., medical devices are classified into three categories: Class I, Class II, and Class III, as per the FDA.

  • Class I category is for devices like gloves, thermometers, stethoscopes, and tongue depressors. These devices pose low to moderate risks to users and patients and are not subjected to strict regulatory controls.
  • Class II category devices such as contact lenses, pregnancy test kits, syringes, and catheters. As they pose a moderate to high risk, they should be both registered and approved by the relevant regulatory authority before shipping.
  • Class III is the pre-market approval category, including devices that are used for implantation and sustaining critical bodily functions. For example, pacemakers, breast implants, stent grafts, brain stimulators, spinal cord stimulators, and CRT devices.

Understand these classes and know the category of your medical devices in order to determine the necessary regulatory controls.

IATA Requirements for Medical Equipment Air Shipping

Next are the IATA requirements that must also be met in order to ensure proper shipping of your medical devices.

Packaging and Labelling

Medical devices are fragile, temperature-sensitive, so use materials that are sturdy, cushioned and durable to withstand pressure, vibrations, and sudden temperature changes in cargo holds, keeping items safe & stable. Also, packed devices must be properly labelled in a way that clearly tells which category the device belongs to and how it should be handled.

UN Specification Packaging for Dangerous Medical Goods

Class III category of medical devices sometimes contains hazardous materials such as compressed gases, lithium batteries, or radioactive components. These types of devices require UN specification packaging, in accordance with UN recommendations for dangerous goods.

Speaking about lithium batteries, IATA has set a limit on the charge of lithium batteries during air transport. The limit should not exceed more than 30%, otherwise they can be rejected to be shipped. But if you want to ship devices with large lithium batteries, you need approval from the state of Origin and the state of Operator. If not possible, shippers might have to ship batteries only on specialized cargo aircraft.

A recent update as of January 2026 (UN 3481, PI 966): This 30% battery limit also applies to lithium batteries that are packed along with the equipment.

Cold Chain Packaging for Specific Medical Devices

Some medical devices, like vaccines, reagents, samples, blood products, and diabetic test kits, may require temperature control. For that, you can choose active or passive containers, depending on the product and requirement. Active containers have built-in cooling and heating systems, and passive containers use insulating materials like gel packs, dry ice, and foam boxes to keep devices cool.

Documentation

Proper documents are important to clear customs for air shipping. Below are the following documents that you need to prepare:

  • Commercial invoice: the most essential and basic document including details like product description, buyer/seller information, HS (Harmonized System Code) code for every device, Country of Origin, quantity, and value.
  • Detailed packing list: list including the total number of products you’re shipping, the weight and the quantity of each item.
  • Air waybill: serves as an official contract between the shipper and the airline. It includes shipper and consignee details, flight routing information, overall shipping weight, and a unique AWB number to track shipment.
  • Sterilization proof of medical devices: to justify that the device is free from any contamination or infectious agents.
  • A certificate of origin: to confirm which country the medical device was manufactured in.
  • Import license: Depending on the destination country, you may also be required to show an import license for importing your devices into that country.

Why Choose Amerijet for Medical Equipment Air Shipping?

With so many regulations and requirements, choosing the right shipping partner is important. This is where Amerijet International comes in. At Amerijet, we specialize in the safe and appropriate air shipping of medical equipment. We offer reliable temperature-controlled solutions and tailored services to meet all types of medical shipping needs. Our global freight network helps us meet all the required regulations and requirements for your shipment.

Additionally, we use high-security measures to keep your devices safe from pickup to final delivery. We also assist with documentation, permits, inspection, and licenses so your shipment goes smoothly. For more information, contact us or reach out to our help and support center on our website.

Frequently Asked Questions

What type of medical devices can be shipped by air?

Medical devices like laboratory devices, implantable devices, temperature-sensitive products, ultrasound devices, and life-supporting equipment can all be shipped by air. However, when it comes to shipping, these products are classified into three categories, and several regulations must be followed in order to meet relevant shipping practices.

What type of medical devices are considered hazardous?

Hazardous medical devices are those that pose a high risk of infection, injury, or even long-term complications. These include implants, pacemakers, life-supporting equipment, and diagnostic devices.

How to prepare medical equipment for air shipment?

Various steps need to be followed, from categorizing your devices to secure packaging, documentation, labelling, extra security for dangerous goods, and most importantly, ensuring full compliance with the regulations of both the exporting and destination countries.

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