This is a classic jazz mouthpiece, the Meyer 5MM (for alto saxophone). While there are some teeth marks and scratches, the rails are very clean. I used to use it with a mouthpiece patch. It has the serial number "1723" on the side and does not have the "made in USA" stamp. This is an unusual piece, so it would be a good addition to a collection. I am selling it to clear out my inventory. There are no accessories. The mouthpiece only. It will be wrapped in cushioning material for shipping. Please understand that this is a used item and that individual perceptions may vary. Please purchase with the understanding that it is non-refundable and cannot be returned.