Everything is new in box but the adult manikin has a rip that may or may effect functionality. Does not appear to be missing pieces but there is no packing list to verify.
Prestan Professional Manikins with feedback 1 Adult 1 Child Medium Tone Prestan AED Trainer Accessories (Face Shields/Lung Bags Kneeling Mat ManiVest ManiBib Carry Bags) Batteries Required - not included
