This is an Ergobaby infant insert pad. Please check the photos as there may be overlooked stains, spots, or fraying. Please purchase with your understanding. Please purchase if you understand that this is a used item and has been inspected by an amateur. The box is not included, and it will be compressed for shipping, so please be aware of this. It has been home-cleaned. The instruction manual is not in Japanese, but has illustrations and English instructions as shown in the photos, so please be aware of this.