A few scratches but this stethoscope is in good working order. Comes with the extra ear pieces and auscultation adapter.The item "3M Littmann Master Cardiology Stethoscope Black 22 Model 2159" is in sale since Saturday, July 14, 2018. This item is in the category "Business & Industrial\Healthcare, Lab & Life Science\Medical Instruments\Stethoscopes". The seller is "erictetterton88" and is located in Winterville, North Carolina. This item can be shipped to United States, Canada, United Kingdom, Denmark, Romania, Slovakia, Bulgaria, Czech republic, Finland, Hungary, Latvia, Lithuania, Malta, Estonia, Australia, Greece, Portugal, Cyprus, Slovenia, Japan, Sweden, South Korea, Taiwan, Belgium, France, Hong Kong, Ireland, Netherlands, Poland, Spain, Italy, Germany, Austria, Israel, New Zealand, Singapore, Switzerland, Norway, Qatar, Kuwait, Bahrain, Croatia, Malaysia.