Very good condition- used appropriately 6 or 7 times. Sanitary device since the needle head is disposable. It has been in the box for almost a year untouched and is still charged. Includes 10 of the 12 needle tips and two of the 9 needle tips. Also including the Numb 520 topical cream which is excellent- this of course is an new condition unused cream. Comes with charger.