Open Box. Item appears to be in unused, excellent condition. Oil marks on jewel case from handling. **HEARING AIDS HAVE BEEN TRIED ON using the Small size click sleeves that come installed on the hearing aids from factory.** Click sleeves in sizes Extra Small, Medium, and Large are still in unopened factory packaging. **NOT TESTED** Batteries are still in unopened factory packaging; no batteries have been inserted into hearing aids. **REQUIRES USE OF A SMARTPHONE AND THE SONY HEARING CONTROL APP. CUSTOMER IS RESPONSIBLE for smart device and ensuring compatibility with the Sony Hearing Control app.** Everything included with the item can be seen in the images.