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When used with the iSoothe Pulse Massager, these Gel Pads will deliver stimulation signals to the body surface with which they are in contant. Package contains replacement Gel Pads for iSoothe Electronic Pulse Massager. The Gel Pads are sold separately from the iSoothe unit. To ensure durability and longevity, the pads come with a plastic film to protect the adhesive surface when not in use.