The Gurin Otoscope comes in a nice little zippered leather case with a sleeve for the otoscope and a sleeve for the specula. Eight specula tips are included so you can easily switch them out between people. They're reusable, so you just need to disinfect them and store them back in the clear plastic tube they store in. The otoscope takes two 'C' batteries which are inserted in the base. The otoscope is made of chrome plated brass that is very durable and actually somewhat heavy. The handle is texturized and provides a nice, sturdy grip without slipping. The lens is 5X and made of specially coated glass to resist scratches. A swivel on the otoscope easily moves the lens on or off. The light is a 3.2V halogen that is very bright, though it also includes an all metal insufflator outlet to facilitate the use of an insufflation bulb if you choose.