I purchased this on Amazon, but I'm selling it because I'm using a different one. Instant purchase is OK. No price reduction. I've used it a few times, but I've wiped it down with alcohol wipes. There are no noticeable scratches or stains, and I think you can use it right away. I will also include replacement ear tips and chest piece. The box is not included. Please understand. The color of the tube is a dark red. The second picture is the Amazon page where I purchased it, but the color in the first picture is closer to the actual color. There is no engraving of a name or anything. Littmann Stethoscope Nurse Doctor Nursing Student Resident Medical Heartbeat Heart sound Breath sound Nursing care State classic III Classic Red Burgundy Plum