Like New! **** I used this stethoscope, literally 3 times during nursing school-cleaned and properly cared for, working cardiac telemetry. I purchased this when they were first released for just under $399. it has been kept in the box untouched since. ***Description below and screenshots are for accurate description of the stethoscope and for price reference (last screenshot is of a used stethoscope/price, exact model)*** The 3M™ Littmann® CORE Digital Stethoscope features the outstanding acoustics, comfort, and quality of a Littmann cardiology-grade stethoscope enhanced by powerful digital technology. When paired with the Eko App, the most advanced Littmann Stethoscope becomes even smarter — helping you check for signs of heart disease in seconds. Caution: Software for healthcare professional use only What's Included Fully assembled 3M Littmann CORE Digital Stethoscope AI-assisted disease detection when paired with the Eko App USB charging cord Extra ear tips and seal Getting Started Guide