Item is a Brand New OPEN BOX item. Bubble packaging on headrest was opened to inspect condition. Please see photo # 9 highlighting smudge on headrest. Includes Engineered Now instruction/adjustment manual for H3/H4 models, mounting hardware, original box, and headrest. Box label identifies this item as H4RE Mineral Headrest. See photos for details. Additional photos provided upon request. Send message with any questions.