Purchased from Akachan Honpo in 2021 for approximately 10,000 yen. Accessories: The nipple for the baby bottle has been discarded. There are three silicone valves in the photos, but one has been used and discarded. I will include only the two new ones. Instruction manual and box are included ☺︎ The box has some tears in places. Pigeon breast milk freezer bags are also mostly full, so please feel free to use them if you'd like ☆彡 It can also be used with two AA batteries (sold separately). Please consider this item only if you understand that it is a used item ☺︎