Brand new and was still in box! I bought this to use up my FSA, but I know I probably won’t use it enough. I opened this up and plugged it in to take a photo so you can see it’s working - See the light when I charged it, & the cool light I set it at in the photo on my wrist. This comes with everything- charger, charging cord that plugs into any USB block, watch, manual, box. Wrist band is magnetic and very secure for any size wrist. It’s also surprisingly comfortable when I tried it on for photo- Assume that’s because it’s also designed to work out in or sleep with it on for hot flashes -Great for runners or to keep on ‘cool’ for workouts -Traveling -Hot Flashes -TURN ON DURING STRESSFUL SITUATIONS AT WORK