THIS ITEM DOES NOT REQUIRE A PRESCRIPTION TO BE PURCHASED!! This Is For A Aesculap Surgical Orthopedic Down Biting 2X10mm Cushing Rongeur MD619WE SHIP WORLDWIDE!!REF # MD619In Good Condition!!!!Comes With Everything Pictured “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 this item is subject to FDA regulation, I will verify your status as an authorized purchaser of this item before shipping the item.” DISCLAIMER: 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 this equipment, indicates their acknowledgment of, and agreement to the terms of this disclaimer. Buyers are responsible for all customs charges inclusive of any and all taxes and duties. Please be sure that the item that you are purchasing can be imported into your country. Shipper is not responsible for any delays once the package leaves our facility. The item has been cleaned and handled in accordance with the manufacturer’s instructionsTHERE WILL BE A 20% RESTOCKING FEE CHARGED TO ALL ORDERS THAT DO NOT MEET MY RETURN POLICY. ITEMS MUST BE MISREPRESENTED IN THE LISTING IN ORDER TO RECEIVE REFUNDS!! You should have this item completely checked out prior to use in conjunction with patient care. We will stand by our equipment but will not take any responsibility for its use on patient. Please note some of the medical equipment pieces need maintenance and recertification. It is normal and legal requirement. We strongly recommend that you get proper certification prior to use and get the unit completely checked out. Rubber tubing’s, seals and such items often need to be replaced on a routinely bases for preventive maintenance on a lot of different types of equipment, It is recommended that they be replaced as per need basis.