This is a Pigeon nipple protector. It's a soft type, size M. There are two nipple protectors, both size M. There is one case. Neither protector has been used, but one has been sterilized once. I was planning to use the protectors, but I never did, so they have been stored at home. There is no outer box. Everything in the image is included. I hope someone who needs them can use them. Due to shipping costs, I plan to ship them with the case open and wrapped in bubble wrap. I appreciate your understanding. Please understand that these are items stored at home before purchasing. Also, please refrain from purchasing if you are sensitive to this.