Product is not used. Box has seen better days (it’s been in the closet a while…) This pump comes inside a tote bag, also included is a matching accessory bag containing four bottles and a cooler. I’m also throwing in a quick steam bag )Medela for fast sanitizing of parts between uses And a box of breast pads as well as reusable hot/cold compress breast pads for relief in case of blocked ducts (trust me you’ll want them)