This is a Vandoren A5M alto saxophone mouthpiece. It's from before the ring was added. Although there is some discoloration, it's very well-made and produces a good sound. I believe the material is also different from the current models. It's easy to play and has good intonation. No accessories are included. This is a mouthpiece-only sale. It will be wrapped in protective packaging for shipping. Please understand that this is a used item and that individual perceptions may vary. We kindly request that you purchase with no returns or exchanges.