New and unopened. This is a valuable, discontinued item, so please consider this opportunity if you were looking for one. This earplug, which can reduce the volume by approximately 20dB without changing the sound quality, is effective anywhere with loud sounds, such as for musicians, on airplanes, at construction sites, in nightclubs, in motorsports, in medical settings, and at concert venues. ■ Earplugs ■ Combo ■ Neck cord included ■ Large Fit x 2 (1 pair), Standard Fit x 2 (1 pair) ※ Neck cord is included.