Years ago I was a CPR instructor and used this model as a prop during that training. It is in excellent condition. The model is hand painted and the parts are numbered. The teachers key is included but it has yellowed somewhat from age. I don't see any chips or rubs on the model but there may be a little dust on it here or there. Made in the USA. It's really a beautiful work of art. If you have any questions or need more information or pictures... please contact me through ebay messages. Thanks for looking. Some of my recent ebay Seller feedback: Everything went great, fast shipping and item was as described. great communication...great item ... AAA+++ Excellent condition, fast shipping, would buy from again! Great transaction! Good communication and very fast shipping. Great product and great communication! Items are described accurately. Excellent! Well packaged. Friendly communication Product as described, and shipped nicely. Would do again! Thanks! Outstanding communication, well packed, fast shipping.