The Ultima OTC is an FDA approved, over the counter T.E.N.S therapy device. The device features 8 preset modes, each targeting the most common areas of chronic and acute pain. LCD display.- OTC TENS Unit, White, Includes: (4) Reusable Electrode Pads, Lead Wires, Batteries, User Manual & Electrode Placement Guide (092150) (Products cannot be sold on Amazon.com) 14-21 Days