Perfect Fit Brand Ergoflo Director Black anal douche comes with a medical grade contoured bulb featuring air valve technology. This industry first reduces messy back flow, requiring fewer refills. Director comes with an 8 inch silicone flex tip nozzle, and a 3 inc stowaway tip. This enema kit is an FDA registered medical device. Materials made of medical grade PVC, silicone, and ABS plastic in China. Meets EN71-3 standards.