Brand new, unused! I bought this because the hospital where I gave birth used the same model and it was so easy to use, but I never ended up using it at home after opening the package. Inflate it to your preferred height! This nursing pillow has 3-stage size adjustment and a washable cover. - Brand: Amethyst - Model: H-shaped - Size Adjustment: 3-stage size adjustment - Cover: Washable - Storage: Foldable - Color: Off-white Thank you for looking.