Thank you for viewing. This is a palm cushion specifically designed to prevent contractures. It comes in a set of two. The inside of the cushion is filled with cotton. The main fabric is new fabric that has been pre-washed, cut, and sewn. I work at a day service and also do sewing work on the side. These are handmade items. Each product is handmade. Please be aware that these are not mass-produced items, so if you are looking for "perfection," please refrain from purchasing. Returns and exchanges are not accepted except for defective products.