100% brand new and high-quality made.This hearing amplifier is almost invisible when you are wearing it, it features highly advanced amplification technology, it is easy to hide and comfortable to wear.6 channels digital processor, layered noise reduction and provide you with high quality sound, allows you to enjoy clearer conversations immediately.Control programs and volume adjustments at the touch of a button, there are 3 programs and 8 volume levels, help you hear sounds of nature. Note: If you have difficulty operating small items, this unit might be too small for you.How To Use:To properly insert the hearing amplifier, please turn down to lowest volume prior to inserting into the ear canalUse fingers to hold the bottom of the device and use another hand to pull the auricle backwardPush the ear dome into the canal gently, make sure it fits snugly inside, not allow any space between the dome and the ear canal.Note: There are two types ear domes in the package:Open ear domes(with hole and tail): S, M, LClosed ear domes(without hole):S, M, LChoosing a suitable ear dome is the key to getting enough loudness and avoid whistling.Package included1/2pcs Hearing aid1 Instructions (Please make sure has read the manual before using).