Used but has plenty of life left in it. Its been great to be able to pump with the freedom of no wires! Comes with all three flange sizes. Please note the bottles and one flange are slightly foggy in appearance from use, but does not effect it in anyway. Carry case is not included. This item is in the category "Baby\Baby Feeding\Breastfeeding/Nursing\Electric Breast Pumps". The seller is "luciwarre6" and is located in this country: GB.