Purchased two years ago and used for about 3 days. Includes an adapter, so it's compatible with most manufacturers. Includes the manual, box, and adapter. One out of the four units is missing the mesh and packing from the adapter, but you can use the mesh and packing from the other three units. See image 4. 【Overwhelming Bubble Count】 Cleansing and moisturizing with an overwhelming bubble count of up to 250 million bubbles. 【2-Stage Water Flow Adjustment Mode & Water Stop Function】 【International Universal Standard & Easy Installation】 ● First come, first served. ● Please ask any questions in the comments. ● Please understand that this is a USED item before purchasing. * For deliveries to Okinawa and some remote islands, an additional ¥2,000 (shipping fee) will be added to the standard shipping cost. If you wish to have it delivered to a remote island, please let me know in advance.