ResMed Airsence 10 CPAP Comes with everything needed to start therapy except the mask which I also have listed Includes: 0 Carry case 0 Machine 0 Tubing 0 Water chamber 0 Wall charger 0 All original pamphlets/ manuals 0 SD card for data tracking Everything in original, sealed packaging. Only opened to test functionality and take pics shown, never ever used. The machine can be set to both auto and set pressure for customized therapy that fits your unique sleep therapy needs. Happy to post additional pics or answer any questions 😊