This is an electric breast pump from Pigeon (ピジョン). I used it for about 3 months. I have confirmed that it works before listing, and it can be used without any problems. The included nipple and baby bottle are not included. There is no box or instruction manual. Please check the photos (1st and 2nd) to see everything that is included. There may be small scratches, etc. from use, but there are no major scratches or stains. Please purchase only if you understand that this is a used item and has been stored at home.