I am selling this item because I no longer use it after purchasing a new one. It is a Littmann Classic III stethoscope. There are no accessories or box. The most noticeable flaw is the stain in the fourth photo. Please purchase with the full understanding that this is a used item that has been stored at home. Please refrain from purchasing if you are sensitive to such things. Shipping will be via Yu-packet Post or Nekopos. It may be useful to have one for business trips, training, or as a spare at work.