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Completely waterproof patented vacuum seal protection for below-the-elbow casts and wounds. This comes with a small hand pump to create the vacuum seal. Once the air is removed, Drypro can't be taken off unintentionally and water can't get inside. Bathe, shower or swim without worry of infection or damage to your cast or arm wound. Measuring Circumference: Measure the circumference of the arm 2 inches above the cast. If the end of the cast is very close to the elbow, then measure above the elbow. Do not measure around the cast! Only measure around the skin of the arm above the cast. Measuring Length: Measure from the tip of the middle finger to the top end of the cast. It is okay if the cast protector measurement is longer then the limb measurement. The protector will still work. Extra length will be removed when the vacuum seal is created. How to Use - Easy as 1, 2, 3. 1. Slide On Stretch on the DRYPro over the arm or leg with the cast or bandage to see how it fits. The DRYPro opening should fit tightly to the skin. The top of the DRYPro should be smooth against the skin and the hand or foot should reach to the end of the cover. The vacuum will remove any excess material. Be careful as sharp fiberglass on a cast can rip the DRYPro. Cover sharp objects with a bandage or sock. 2. Pump Out the Air Attach the long end of the pump on to the outside valve. Continuously press the pump until it becomes flat. Remove the pump and push on the safety cap. After creating the vacuum seal, observe the DRYPro for about five minutes before going in the water. As long as the DRYPro stays vacuumed (tightly wrinkled), it is sealed and completely watertight. 3. Slide Off When you are done using the DRYPro, simply lift up the cuff to let the air back in. The DRYPro should now be loose. Simply slide it back off. The DRYPro can be rinsed off or cleaned with soap and water. You can put the DRYPro back in the plastic box for the next use.