This item is new and unused, but the included ice pack has deteriorated with age and has been discarded. The size is the same as the ice packs that come with cakes and other purchases, so you can use one you already have at home. This item has been stored at home, and there may be signs of age, scratches, or dirt on the packaging. Please understand this before purchasing. Those seeking perfection or who are sensitive to such issues should refrain from buying. This item may also be listed on other sites, so it may be suddenly removed. Thank you for your understanding.