Pigeon Breast Assist Breast Pump handy fit+ Electric Cordless Used for about a month and a half while my twins were in the NICU, and then stored at home. The only missing accessory is the nipple for the baby bottle. Everything else is included. The instruction manual is included, but it's dirty. If you need it, I can include a copy, so please comment! The outer box has some damage. The contents have no noticeable scratches or stains and are in relatively good condition. I washed and sterilized it after each use, and I have washed and sterilized it again before listing it, but please wash and sterilize it again before use. Thank you for your understanding regarding used items.