They are used but, it work as good as new. Scratched on the side of hearing aid. The item will come with. 1-Oticon Dynamo SP8 BTE Hearing aid.Important to use this product. For customer and prospective Hearing Aids customer, please contact your Audiologist prior to purchasing this product. You will need to have this product program by your Audiologist prior using it. 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 "simplerhearing" and is located in this country: US. This item can be shipped to United States.