This is a Pigeon manual breast pump. I purchased it in a hurry while I was out. I've only used it once at that time. All accessories are included except for the baby bottle, so you can use it with a Pigeon baby bottle. It has been sterilized. I plan to ship it via Yu-packet Plus, so this price is for shipping without the box or with the box folded to a smaller size (creases will occur). If you prefer to ship it in the original box, it will be changed to Takkyubin (home delivery service) and will cost an additional 400 yen. Please be sure to comment if you want this option.