The Vivacare for nursing care is provided unused, with an instruction manual and a penlight. - Product Name: Vivacare - Manual: With instruction manual - Accessories: With penlight - Condition: Unused (in plastic wrap) Thank you for viewing. This is a new, unused oral care product. It is the product called Vivacare Bihaku. The outer box shows some dirt and scratches from storage. It was developed for elderly people who have difficulty brushing their teeth. For details, please see the website: https://www.tokyogiken.com/products/e560/ I prepared it for my grandfather, but I have no opportunity to use it, so I am selling it. Thank you.