Product is currently going through packaging transition, actual packaging may be a sealed bag. Littmann is renowned for quality and reliability and these stethoscope replacement parts and accessories are proof. I.D. tag provides easy identification of stethoscope. I.D. tag for easy, high-quality engraving option, plus I.D. tag for Permanent marker option. Fits all sizes, Stethoscope Identification Tag Suggested Applications Personalizing 3M Littmann Stethoscopes