This is one ingrown toenail wire guard (general medical device). The box has been opened to check the contents, but the wire and tape inside have not been taken out of their bags and are unopened. It is a new, unused item, but please understand that it has been in someone else's possession once before purchasing. I will wrap it in bubble wrap, but I will ship it using the cheapest method, so there is a possibility of the box being crushed. Please be aware of this. If you would like a different shipping method, I will change the price, so please comment before purchasing. Immediate purchase is possible. Price is firm as shipping is included.