Deluxe Double-Head Stethoscope and Blood Pressure Monitor Set with Carrying Case and Instruction Manual - Brand: Focal - Model Name: Deluxe Stethoscope - Brand: Nissei - Included: Carrying case, Instruction manual Purchased new several years ago and used a few times. There is a small scratch as shown in the last photo, but overall it is in good condition. I am a non-smoker and do not have any pets. Please refrain from purchasing if you are overly concerned about minor details.