190809AV 4 reusable tips included. Hospital's choice. Electric nasal aspirator. Includes: 2 AA replaceable alkaline batteries and 4 reusable soft hygienic silicone tips. Safety 1st is proud partner in parenting with tufts medical center and the floating hospital for children. All our our hospital's choice products are tested by independent laboratories to ensure that they meet or exceed all applicable safety standards. Contoured shape is easy to hold. www.safety1st.com. facebook.com/safety1st. Made in China.