This pump was bought new less than one year ago but was rarely used (maybe 12 times). Thus it is in excellent condition! Missing the calma nipple, but includes 4 Medela bottles, cooler bag with ice pack, breast milk storage bags, 24mm and 21mm shields, micro steam bag, and nursing pads. This pump can be plugged in or takes batteries (battery pack included). Medela components can be purchased directly from the company, or from a variety of different drug stores or online sources (Shoppes, Amazon.ca etc.) Thanks!