Included with the hand pump with silicone insert, the collection vial closure and the suction attachment were. It makes a high impression, but when using I was disappointed. I have an electric breast pump Ardo and I thought, a hand pump for brief use would be handy. But unfortunately comes with the hand pump no milk, only 20ml and with great difficulty, I then submitted to the electrical and lo and behold, I have milk. Unfortunately, it does not create the hand pump. I have no comparison to other manual pumps but I stand by my electric even if it is bulky. Gentle is the chicco breast pump yes, even the silicone insert feels good, but what I have them when they pumped milk. Cleaning in the sterilizer or washer at it survived without any problems. The accompanying nursing pads as a pattern for testing I have also tried the same but I will stay with Laniloh .Unfortunately only one tape exists with Chicco.