Used twice. Bottles used multiple times. Includes the automatic breast pump main unit, 20 freezer bags, and an adapter for transferring milk to freezer bags. The box has a slightly torn corner. As a bonus, 6 Milton sample tablets and a dropper for administering medicine. If needed, I can also include one size S nipple for a bottle. Purchased from the official website, I believe it was around 12,000 yen.