Ambu® SPUR® II is a single-use resuscitator that is made from a SEBS polymer instead of PVC. This classifies Ambu SPUR II as environmentally safe and fully disposable, thus helping to eliminate the risk of cross contamination. **Shipping and Handling costs are built into the product. **For orders outside the continental US, please call LifeForceUSA at 732-919-6070.