Thank you for viewing. This is a seat for strollers, infant car seats, and child seats. There are pockets on the back of the head and backrest where you can insert ice packs (ice packs are not included). In the coming season, you can also use it to keep warm by inserting a heated heat pack (please be careful of low-temperature burns). There are no noticeable stains or damage, but please consider this item as used. Thank you.:*☆