Thank you for viewing. This is a new, unopened item. GELATO PIQUE Gelato Pique Gelapique Echophoto dedicated refill album, an echo album. It seems that 8 double-sided refills are included, allowing for a total of 16 ultrasound photos to be stored. Since it is unopened, the contents have not been confirmed. Please refrain from purchasing if you are sensitive to such things. Thank you.