New open box- never used husband and I decided to go with a different brand only opened to try on. Smoke free home, dog friendly home but kept in box in baby room where no dogs are allowed. Our cozy infant insert is designed to carry your newborn ergonomically and comfortably for a cozy transition from the womb to the world. Provides head and neck support for newborns and younger infants Keeps baby in ergonomic "M" shape position machine washable Machine Washable Removable Pillow Removable