This item is new and unused. The box was only opened for the photos, and the item has not been used. DAYTECH Wireless Call Bell (Nurse Call) Model Number: CC021/1 This call bell can be used for nursing care, monitoring, and in stores or homes. It's a wireless type, so no wiring is required. The box and all accessories are included. The instruction manual has some minor stains. Please understand that this item has been stored at home. Immediate purchase is welcome.