The Shiboree II is an aid for squeezing out thick nutritional supplements, such as PG Soft and Lacol, and other semi-solid nutritional supplements. I selected the "new, unused" category, but this is an unopened item stored at home. The vinyl and instruction manual have wrinkles. I would like to deliver it with as little handling as possible (without particularly smoothing out the wrinkles in the vinyl), so I will send it in the same condition it was received from Terumo. Please understand that this is a simple package and has been stored at home, and please read the profile before purchasing. Shiboree Terumo TERUMO Nutri NUTRI Enteral nutrition Gastrostomy