This item is used with ice packs to combat the heat. It's designed to be used with baby carriers or strollers, placed against the back. It's been used very little. The ice packs are not included as they have been used for other purposes and are not in good condition. Soft ice packs can be purchased at 100-yen shops, etc. - Design: Star print - Color: Cream - Material: Soft fabric - Back: Mesh material Thank you for looking.