The ergoflo extra anal douche features a medical-grade contoured bulb with air valve technology, an industry-first that minimizes messy back-flow and reduces the need for refills. Extra includes a premium 5 in (13 cm) ABS plastic tip and a 3 in (8 cm) stowaway tip. Perfect Fit Brand Products are designed solely as adult novelty toys for entertainment purposes. They are not meant for medical use and have not undergone clinical testing. No medical claims are made or implied regarding these products. This enema kit is an FDA-registered medical device. Materials: made of medical-grade PVC and ABS plastic in China. Meets EN71-3 standards.