This is a medium facing, small chamber mouthpiece. It has a tighter and sharper feel than a 5MM, and is a model that easily produces a bright and powerful tone. In addition, it is powerful yet easy to control. There are scratches and discoloration, but the side rails and tip rail are clean. No accessories are included. Mouthpiece only. It will be wrapped in cushioning material for shipping. Please understand that this is a used item and purchase with no returns or exchanges.