Preowned and in great condition. This item does not include any ice packs. I do my best to give accurate descriptions and provide high resolution photos to provide as much detail as possible. The photos should be considered as part of the item description. I encourage each prospective buyer to zoom in and examine the photos closely as they show exactly what you will receive. I do not claim to be experts in any field and determine quality and condition based on judgment. Since the quality and condition of handcrafted and vintage merchandise are subjective, all items are offered as is.