Sanitary ear pad covers fit the SuperEars 4000 (not included) inexpensive assistive listening device that helps to amplify speech for those with elderly hearingloss. The picture shown is of the SuperEars hearing amplifier not of the ear covers. Nursing homes often supply this amplifier that boosts sounds to 50 dB. The Super Earsanalog hearing amplifierModel SE 4000 complies with the Americans with Disabilities Act (ADA) as an assistive listening personal sound amplifier for those with elderly hearing loss or for bird watchers and animal lovers. This is a package of 100 pairs of sanitary covers for the SuperEars headset (not included).