CPM has been "refurbished" by a factory trained technician, works great and comes with a 30 day warranty on operation. Pictures are either of CPM for sale or CPM in very similar condition (our prices may fluctuate slightly due to parts cost per refurbished CPM. One (1) CPM pad kit is included. Additional CPM pad kits may be purchased for $20 each. Send me a message at checkout if you would like to purchase additional CPM pad kits. THANKS !!!