Püre NuDerma natural dermal cell energy amplification system in the original box. Includes all parts and tips as shown (but mine are clear). I’ve used it a handful of times (“mushroom” tube only) but I’m terrible about sticking with beauty routines. It seemed to tighten my skin though with only a few uses. Did not come with the recommended serum (I used another I had on hand). Doesn’t hurt, only felt a mild tingle. My under eyes were the most noticeable improvement.