Pigeon Breast Assist Breast Pump - Manual Used about a dozen times during a hospital stay, then cleaned, sterilized, and stored. The SS size nipple and bottle base are unused. All accessories are included. Instruction manual is also included. It hasn't been used much, and there are no noticeable stains. *The box is crushed in some places. Although it has been cleaned and disinfected, it is a used item. Please understand this before purchasing.