This unit is from a smoke and pet free home.It has 313 hours.Comes with all attachments and the vest is Adult Medium. Model #105. Comes with Manual abd CD.The vest is used for but not limited to people with emphysema,Chronic Bronchitis,Copd,Bronchiectasis,Cystic Fibrosis.It is designed to assist patients with secretions that if not removed may contribute to increased rates of respiratory infection,hospitalization and reduced lung infection. Please call 321-208-0342