Vandoren V16 A5 S+ (Small Chamber) Alto Saxophone Mouthpiece There are some scuffs and minor scratches, but overall it's relatively clean. Also, the side rails and tip rail are in good condition. Small chamber types are rare on the used market, so I think this is valuable. I bought it as a different type from Meyer, but I ultimately settled on Meyer, so I'm selling it. There are no accessories other than the mouthpiece itself. It will be wrapped in cushioning material for shipping. Please understand that this is a used item and that individual perceptions may vary. Please purchase with no returns or exchanges.