Intuitive Surgical Da Vinci S REF 8MM 420327 Medium-Large Clip Applier - Sealed Used but in good condition and in a sealed bag like shown in the pictures. At the time of this listing we have a quantity of these and you may not receive the exact one shown in the pictures, but they are are all in pretty much identical in condition. The item offered here is in no way recommended or certified for any specific use. By purchasing this item you agree that the seller shall not be held responsible or liable for any injuries or damages, whether incidental or consequential, associated in any way with this item. By purchasing or bidding on this equipment you are indicating your acknowledgement of and agreement to the terms of this disclaimer. "The sale of this item may be subject to regulation by the U.S. Food and Drug Administration and state and local regulatory agencies. If so, do not buy this item unless you are an authorized purchaser. If this item is subject to FDA regulation, I will verify your status as an authorized purchaser of this item before shipping the item." F6-6 fdk 80213248