This is a special attachment that allows you to attach a Pigeon "母乳実感" (Breastfeeding Realism) nipple to "Meiji Hohoemi Rakuraku Milk." Brand new, unopened, contains two attachments. - Product Name: Attachment - Brand: Meiji - Included: Instruction guide - Product Name: Rakuraku Milk Attachment II Thank you for viewing. I purchased this for disaster preparedness, but I am selling it because my child has weaned. When shipping, due to shipping costs, I will remove the attachments from the box and package only the two unopened attachments and two instruction guides.