Laurie, I have used a 35cc syringe to pull out flat or inverted nipples. Cut off the barrel by the needle tip, pull out the plunger and re-insert it from the cut end, and place the flanged end at the areola. (The cut end is very sharp). I use this as a temporary method while waiting for materials to send up a good hand pump . I wouldn't recommend sending the modified syringe home due to the sharp edges and uncontrolled negative pressures. Peg Phillips, RN (waiting patiently for the LC exam results...) Mpls, MN