Acquired from a local sale close to home. Lady who sold me this stethoscope retired from the medical field a few years ago so she decided to liquidate some of her equipment. Condition is used so please refer to the photos for reference. Overall in nice shape as shown. Box shows wear mostly from handling and storage but intact and in good shape. Note that the original owner showed me the basics on how this works but due to the fact that this is a used item, I am selling this as is. If you have questions please ask. Shipping is via USPS only within the United States. Thanks for stopping by!