Hearing aid is like new. It has not been worn in over 2.5 years and is in excellent condition. It comes with the manual.Has no noticeable wear and tear, a very sturdy protective caring case (like new condition), cleaning tool (new), over 45 filters (new), and 13 working batteries (as of 8-4-18). You must provide to me either a signed statement from a physician or a signed waiver before I will deliver this item to you. This item is in the category "Health & Beauty\Medical & Mobility\Daily Living Aids\Hearing Assistance\Hearing Aids". The seller is "fishes79" and is located in this country: US. This item can be shipped to United States.