This kit will provide you with high quality instruments. Be prepared for all of your kids ear-mergencies and diagnostic needs with this Set. This set is extremely durable and specifically designed by ER physicians for home and medical student use. It comes with a full size handle and requires 2 C size batteries (not included) that will last you for a very long time. The kit comes with all items as shown in picture - one handle, 3 reusable ear specula, 1 illuminator, 3 mirrors, 1 nasal adapter, 1 head lens wheel, 20 reusable specula, 4 replacement bulbs.