Update: The company sent me a longer replacement tube, which is much better for my work. I could not fit it completely over the attachment site, even after heating it slightly, but it is staying put. In the future, I would request the longer tubing when ordering and request that the company do the replacement before shipping. Thank you ADC for making this product easier to use.

Works, but the tube for the dial is very short. I do not like having it attached to the cuff, and find that getting it positioned so that I can read it can be a challenge. Would not have purchased if I had known the tube was so short.

This blood pressure cuff is a great and essential part of my kit. The carrying case is perfectly sized so it can fit into my shoulder bag. The pressure monitor also comes with a small clip on the back that makes it easy to attach to the cuff itself. This is very useful since you have hold the stethoscope in one hand and the pumping bulb in the other - the pressure monitor doesn't fall out. The monitor itself is very easy to read and extremely accurate (I checked using an electronic cuff that I have at home). The fit and finish of the item is very good - it certainly feels high quality in your hands. The cuff is an adult size and is easy to use and fits securely. Overall a great and essential item for any medical student or professional provider.

I purchased this cuff as a replacement for a cheaper $25 Prestige Medical unit that kept falling apart. I decided to spend a little more to get better quality. Well, needless to say, you get what you pay for. This blood pressure cuff is very sturdy and extremely accurate. I never worry about the palm gauge coming off the cuff while under pressure (unlike the cheaper units out there where this would happen often), the gauge is easy to read, and my patients remark about its comfort. In fact, I find that the other medical assistants in the office prefer using this unit to their own. The only drawback was that it needed to be calibrated as soon as it came in. I understand that will happen, and it wasn't hard to bring it to my local hospital to have it done, and therefor not enough to effect my rating of it.
I highly recommend spending a little more for a quality product such as this. I am very happy with it.

There are a lot of cheap sphygmomanometers out there. It pays to get a good one. The price difference is only $20-$30 between garbage and a quality product. This arm cuff is solid material that will last a long time; cheaper materials will fray with use and fall apart or the bladders inside the cuff will disintegrate. The velcro is high quality; you'll see a big difference if you look at cheaper brands (You can hear the difference when you "unzip" it). The manometer is, likewise, well made and guaranteed for life; (others have a limited guarantee). You will also find there are cheap insufflator bulbs and cheap valves on other units. These are well made and will last a long time. Be careful to buy the correct size cuff - child size, normal for a "normal" adult, or "large adult" if your overweight / pretty overweight (up to a BMI of about 40). Get the thigh cuff if your BMI is over 40 or so. (You can also take a measurement of your arm - the cuffs have a size range on them.)

I bought this item to replace the inaccurate automatic self-test unit I recently purchased. This meter is well made and solid, and the arm cuff is large enough for a guy who has larger upper arms. To those of you who monitor your blood pressure at home, don't waste your money on those automatic self-test units. Most of them are dangerously inaccurate and inconsistant. Buy a sphygmomanometer and a top of the line stethoscope, not one of the "student" models that have lousy acoustics (no matter what the reviews say). It takes a bit of patience and practice to learn how to use these devises but the readings will be very close to those of a medical professional. These more professional devises cost a bit more, but compared to what many things cost these days, they are a bargain because your life is at stake. This devise comes with few instructions (why I gave it only 4 stars rather than 5), but there are well-written step by step instructions online at WebMed.com. If you are using the meter by yourself, to wrap the cuff around your arm, just attach the correct end of the cuff to your arm with a piece of painter's tape and wrap the rest on top. The cuff only needs to be snug, not tight, and be sure to line up the stethoscope mark with the vein inside your elbow. Finally, I'd suggest buying any equipment like this directly from Amazon because they accept returns, rather than from some of their associates who don't.