Brand new, in sealed original and sterilized condition. I have 6 of these, selling individually. Receive discounted shipping when buying multiples. Description: Medela Starter Supplemental Nursing System. A disposable system ideal for short-term (24-hour) supplemental feedings at the breast. Quick Clip; attaches to mom's clothing for maximum convenience. Sterile packaging. 80 ml bottle sold seperately. Product description: Whats-Included: Teat-tubing assembly Quick ClipTM Tape strip Elastic ring Tubing clamp Valve/membrane Disc Instructions for Use