Medical-grade silicone nipple care items, 100% natural ingredients. - Brand: medela - Product Name: Nipple Shields 20mm (2 pieces), Purelan, Mamacharm Lanolin Cream - Purpose: Nipple care - Instructions: Includes instructions for medela Purelan and Nipple Shields - Features: Purelan is made with 100% natural ingredients Thank you for viewing. The Medela Nipple Shields 20mm (2 pieces) were purchased last year and prepared for use after sterilization, but are unused. The Mamacharm Lanolin Cream 20g was purchased last year and used a few times, but there is still almost all of it remaining. The Medela Purelan 37g has been opened, but the contents are new and unopened. All items have been stored at home. Thank you for your understanding.