This is brand spanking new and is made by ComfySplints. Worn on the lateral side of the arm, this highly unique orthosis helps treat and prevent strong flexion synergy at the fingers and wrist. Adjustable hinge at the wrist helps increase wrist extension Fingers are positioned around the cone. Finger separators can be placed on the cone to separate the fingers and help prevent pressure concentration. Splint is worn on the lateral side of the arm. Indicated for post-stroke/CVA, finger contractures, neuromuscular, joint weakeness and decreased ROM. One size. Fits left or right side. I take pride in my pictures, and are a valuable extension of my description. Please take time to see the product fully. Buy with confidence! All items are packaged with great care and shipped next day, excluding any weekends and holidays. I will combine shipping whenever possible as long as the products can be safely packed together. Please be aware, if you have a PO Box, you may receive an additional invoice to cover any additional shipping costs. FYI, all Ohio residence will be required to pay Ohio sales tax, when checking out. Please remember to leave feedback, it helps to keep good sellers . CHECK OUT MY STORE, from time to time I will liquidate items, and insert ?BLOWOUT? in the title, which means the item has been deeply discounted and won?t last long. Go to my store, and search for ?Blowout? to see what I mean! International Buyers: We do not mark merchandise as a gift or below value due to it being against US and International Regulations. All custom fees and duties are the responsibility of the buyer. Seller is not responsible for any package held by Customs. Returns are accepted. Must be returned in the same condition as received and in same or similar packaging.