The box was opened. I looked at it, put it away and never looked at it again. It has never been used; it's in pristine condition. 

From the Manufacturer: 

With a new design and features inspired by members of the professional creative community, Intuos4 redefines the pen tablet experience. Featuring Wacom's new pen tip sensor technology and 2,048 levels of pen pressure sensitivity, the Intuos4 pen captures the most subtle nuances of pressure, allowing you to dynamically adjust exposure, brush size, opacity and more. User-defined ExpressKeys activate frequently used shortcuts and modifiers, while the accompanying, illuminated ExpressKey displays, provide a constant reminder of each key's function. The finger-sensitive Touch Ring quickly controls up to 4 different functions such as canvas rotation, zoom, scroll, brush size and more. ****** What's in the Box ****** Intuos4 medium pen tablet, Intuos4 Grip Pen, Intuos4 mouse, pen stand, ten replacement nibs (five standard nibs, one flex nib, one stroke nib, and three hard felt nibs), nib extractor, 2.5m USB cable, Quick Start Guide, installation CD (includes tablet driver software and electronic user manual)

All Sales Final. No Returns. No Refunds.