New and unused. Received around 2018. No longer available. The outer bag for the ACLS materials has some white paint on it, but the contents are unaffected. Although new and unused, please note that this item has been stored at home for a long time, so please only purchase if you are not concerned about this. 【Brand Reliability】 The American Heart Association is a highly reputable organization that contributes to the prevention of heart disease and stroke. Their certified pins are a symbol of important qualifications for medical professionals. 【Types of Pins】 This set includes two pins: ACLS (Advanced Cardiovascular Life Support) and BLS (Basic Life Support). Both represent important qualifications in the medical field.