There are only 2 ways I have found of getting a nosebleed clamp. 1) Order online from Japan. Takes about a week. 2) Go to an emergency room, make friends with a nurse/doctor, and ask for a free one. DON'T SIGN IN OR ANYTHING. Or else they can charge your insurance for an ER visit. They are not really supposed to give out stuff for free (liability), but if you are a decent schmoozer, it works. If not, back to option 1)