This item is sent in its original box which feature only tab enclosure with no tape, adhesive or outer box. As a life saving, or potentially life saving device, I find this unacceptable. There is no way to know if anyone opened, or tampered with, the contents. I believe the full filment of this item is irresponsible on behalf of the manu facturer and ama zon. The product may be A-OK, but you need to know that before you order.