Purchased in September 2025, brand new and unopened. Would be great for those who want to relieve pain, or for temporary use until the baby gets used to it. ☑︎ Pigeon ☑︎ Nipple Shield ☑︎ M size ☑︎ 2 pieces per pack Due to packaging constraints, the outer box may be folded and the case opened for shipping. Thank you for your understanding.