ESI Manufactures a broad line of hemorrhoidal ligators. ESI’s ligators offer the option of adding suction and come with different tip-angle configurations. All ESI hemorrhoidal ligation devices are re-usable and re-loadable. Additional ligating products are available including latex and non-latex ligating rings and other accessories. ESI’s products are made of the highest grades of German stainless steel and are hand crafted in the USA by our instrument makers in Rochester NY. All ESI products carry a limited lifetime guarantee on workmanship and a 1 year warranty on light fibers for lighted instruments.