I used it with care, but there are some scratches from when I put it on or stored it. There is some slight discoloration on the Velcro closure. It's the type that fastens securely with Velcro, so you don't have to worry about it coming off during treatment ^ ^ Everything in the pictures is included. There is no box or instruction manual. This is a dedicated cover for the "Mitsui-shiki Onnetsu Treatment Device," developed to enhance the "residual heat effect," which is the opposite of the "heat application effect" of conventional heating devices, by widening the radiation angle of heat using the heat from nano-processed carbon particles. Nano Carbon Onnetsu Head Cover MUGEN Retail Price: ¥52,800