TITANIUM PUTTERMAN- T’ SHAPE CLAMPSAtraumatic toothed, T-shaped tip, for securely clamping the conjunctiva and the Muller’s muscle. Spring ratchet controls closure and prevents finger strain. International Buyers-Please Note: Custom is Buyer’s Responsibility.Import Duties, Taxes, And Charges are not included in the item price or shipping charges. These charges are the buyer’s responsibility.Please check with your country’s customs offices to determine what these additional costs will be before bidding/buying. SHIPPING TO THE COUNTRY OF BRAZIL IS ENTIRELY AT THE CUSTOMERS RESPONSIBILITY FOR CLEARING LOCAL CUSTOMS, WE DO NOT ACCEPT RETURNS OR REFUNDS FROM BRAZIL. IMPORTANT NOTE: “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 the item. Images are only for illustrative purpose. We will send the same product but the color may vary. We will send the latest packaging available.