After using AVNET and other comercial brand name pumps we had to invest on this one because it was the only one that worked. The item "Medela Breast Pump Hospital Grade LR 47151" is in sale since Tuesday, October 17, 2017. This item is in the category "Baby\Feeding\Breastfeeding/Nursing\Electric Breast Pumps". The seller is "shoepolpo" and is located in Hollywood, Florida. This item can be shipped to United States.