The item is in good condition as my child was scared of the sound and only used it a couple of times. While the box is not included, the dedicated case is. Please note that the part that goes in the mouth has been used, so I recommend purchasing a new one. Thank you. OMRON NE-C28 Nebulizer, white, complete with accessories. - Brand: OMRON - Model: NE-C28 - Instruction Manual: Included - Accessories: Nebulizer, hose - Color: White