Brand New. Package is a bit distressed; please see pictures. Elasto-Gel Hand Mitt Hot / Cold Gel Therapy FEATURES: When heated, product provides moist therapy heat and when used cold, products provide soothing cold without causing trauma to the skin or nerve In addition, when used cold, the products remain soft and flexible even at -20ºF The products will not dry out, become hard or change form and are re-usable The products have the ability to conform to all contoured areas and move with patient movement Products are covered with a four-way stretch material that allows maximum conformity, heat transfer and comfort GREAT ITEM AT A GREAT PRICE!!