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"HealthSmart Manual Blood Pressure Monitor with Standard Cuff and Stethoscope If you prefer using a blood pressure monitor similar to those used hospitals and doctor’s offices, this is the unit for you. Manually inflate and deflate it yourself for professional accurate readings using an aneroid gauge, air release valve and inflation bulb along with an attached stethoscope. No worries about electronics or batteries! The detailed instructions show you how to take your blood pressure using this unit. The standard arm cuff fits arm circumferences of 13 to 17 inches. It also comes with a convenient black zippered storage case. "