Some items have been used, and some are unused. All items have been washed. The used items were only used a few times and are relatively clean. The star-patterned item glows in the dark, making it easy to find at night. Everything in the photos is included. The pink item in the upper left of the photo is missing its cover. The bottom three items in the photo and the upper right item, a total of four, are Philips AVENT brand. I've forgotten the brand of the other two items.