Everything in the photos is included. I purchased this two years ago and used it a few times over several months. I am selling it because I bought a different nasal aspirator. It is in good condition, but please refrain from purchasing if you are looking for something brand new. In accordance with Mercari regulations, only the parts are for sale, and the main unit is not included. The operation has been confirmed, so returns are not accepted. Thank you for your understanding.