The Babinski Percussion Hammer is latex free and can be used to elicit responses during examination. The adjustable percussion head can be oriented in two directions for better versatility. The content on this site is not intended to substitute for the advice of a qualified physician pharmacist or other licensed health-care professional. The products may have additional information and instructions on or inside the packaging that you should carefully read and follow. Contact your health-care provider immediately if you suspect that you have a medical problem. This product may not have been evaluated by the Food and Drug Administration and is not intended to diagnose treat cure or prevent any disease or health condition. Due to the personal nature of this product we do not accept returns.