Device is for people with mild, moderate, and severe hearing losses. They are used but, they are in excellent condition work as good as new. The item will come with: 1.The photo are actual device. Important: to use this product. You will need to have your audiologist program fit and need a custom ear molds. It need to requires programming to your hearing loss needs priority to use. This item is in the category "Health & Beauty\Medical & Mobility\Daily Living Aids\Hearing Assistance\Hearing Aids". The seller is "simplerhearing" and is located in this country: US. This item can be shipped worldwide.