Ships FREE in the continental U.S.!Expedited shipping is available, please contact us for rate.This is for a case of 49 pieces, (50 case opened and 1 piece removed)Brand new.Please contact us for an international shipping quote.-JS Medical has not independently tested this unit. Please let us know if you have any questions or if there is anything we can do to verify functionality• The sale of this item may be subject to regulation by the U.S. Food and Drug Administration and state and local regulatory agencies. If so, do not bid on this item unless you are an authorized purchaser. If the item is subject to FDA regulation, we will verify your status as an authorized purchaser of this item before shipping of the item. By bidding on/purchasing this item, the buyer acknowledges that there may be an inherent danger in its use, either physical or environmental, and that it is the purchaser's sole responsibility for the handling, use, disposal and appropriateness of use of a particular item, and will hold the seller harmless from any and all liability. The items in this listing have been cleaned per the manufacturers standards. Please contact us with any questions: JS Medical Equipment 125 Kenyon Drive Ste 4 Lakewood, NJ 08701 732-864-7826• DISCLAIMER/WAIVER OF LIABILITY: Regardless of the origin of the equipment, documentation provided or identification appearing upon the equipment, the equipment described and offered here is in no way certified for, recommended for, or offered for any specific use. The purchaser agrees that the seller shall not be held responsible or liable for any injuries or damages, whether incidental or consequential, associated in any way with the equipment. The purchaser, by bidding on/purchasing this equipment, indicates their acknowledgment of, and agreement to the terms of this disclaimer.