The recipient of gife was unable to use because she had not telephone land line

This is long and detailed because the use of a product like this could literally be a life or death issue for a loved one.
There are several points to consider before choosing this product. Not in any particular order, first there is the price. This is FAR cheaper than the monthly payments required by the "subscription" type service that puts you in touch with a total stranger who has no idea who they are dealing with at the other end of the line.
2. This lets you choose 3 numbers to contact in the event the button is pushed. This can save vital time compared to the monthly-fee type that ends up calling the emergency contact anyway. Yes, the 3 numbers you choose can be prioritized and 911 can be the third number.
3. UNlike the monthly-fee type, the person in need can speak directly to the emergency contact people/relatives. Sometimes, that's all that's needed. This feature also means it is a way for someone to contact you on a regular/daily basis if they are unable to manage dialing/pushing phone buttons. Severe arthritis, etc is not a problem with the one button to activate. If used for a daily contact, don't list 911 as an automatic dial, of course.
4. Like the more expensive product, this must be plugged into a landline phone jack. This means, with both products, the unit's base must be close enough to hear the voices. This product has good volume and good voice pick-up, but when buying any of these, consider the environment. One unit in a multi-story, large home might not work well enough. (It was fine, centrally placed, in a 1000 sq ft apartment.)
5. When this unit is activated, it plays a SHORT message you pre-record. I tried several times to record "This is XXX's emergency contact. Please press any number on your phone to initiate conversation." I had to talk faster or shorten the message. The people receiving the call must activate by pushing a number on their phone. Without that reminder, in the rush of the moment, they might forget. However, the message time allowed is VERY short. The first improvement needed would be to lengthen the message time by a few seconds.
6. Because the base unit must be connected to the phone jack, I would recommend a much longer connection cord so that the unit's placement can be more flexible and closer to bathroom/bedroom/etc. The base unit also must be plugged into an electrical outlet. If proximity is a concern, a purchaser can easily get longer cords.
7. It does take a few seconds for the calling to take place once the button is pushed. NOT long but not instantaneous.
8. There is a clear plastic cover over the base unit's face. It prevents accidental button-pushing. Just be sure the elderly/arthritic are able to handle that if needed.
9. I highly recommend all concerned PRACTICE using this before an actual emergency arises!!! It will give the person in need the confidence that they can get help and it will ensure proper actions by those on the call list as well as the person with the emergency.
10. The peace of mind is well worth the price!!! I had it in the home when I needed to leave the state. I was the 2nd on the calling list. If person #1, who lived near-by, didn't have their phone on, even from out of state I could then talk to the button-pusher and tell them I would call someone/emergency services, or simply talk them through their concern.

Bought for my mother. Wristband has never worked. Medallion has worked well until sent 7 seven! false alarms all in one day!
Return window has closed. Totally annoyed with this pricey failure.