Thank you for viewing. I purchased this in November 2023 and am selling it because I no longer need it. I used it for about a week. The neckband type has new batteries installed to confirm its operation. I am also including spare batteries for both the neckband type and the wristwatch type, so please refrain from price negotiations. This is the item in the third image. There is no box. The instruction manual is only for the receiver. After purchase, please refrain from claims and returns. Thank you. Nursing Caregiving Call system Gender: Male/Female