CIRCON ACMI - 4821 - MPN: 4821 Circon ACMI 4821 Iglesias Working Element In Original Unsealed Box. Appears New. Sold As Pictured. We are temporarily unable to ship medical products to the state of California. We will notify you as soon as we can resume shipping. Please Pay within 7 Days of Items will be re-listed. Use's PayPal service to make fast, easy, and secure payments for your purchases! Buyer to pay USPS shipping charges for anywhere in the Continental . International customers or those outside of the lower 48 can email me for exact shipping charges. Unless otherwise stated, the shipping weight is calculated and will be shipping from zip code . Just enter your shipping zip code in the