Open box like new workstation graphics card . Item was assembled by IT team in a professional workstation intended to be used as a multi monitor medical diagnostic imaging system for radiology . Unit was never deployed due to downsizing and outsourcing of imaging services by hospital . Unit is functionally and cosmetically like new - only use during post assembly functionality testing performed by IT (reported as “fully functional / PASS”) . Graphics card only (no box or manual) . Returns considered on case by case basis , functionality on arrival is guaranteed . Please ensure compatibility with system and intended usage prior to purchase .