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Soft Breathable Arm Sling: Breathable Material, lightweight material allows for exceptional ventilation Extra Support, thumb loops provide additional support to reduce hand fatigue Comfortable Strap, Shoulder strap is well padded for extended wear Easily Adjustable, forward-facing buckle allows straps to be adjusted while in use. Arm Sling Air Instructions: 1) Take the arm sling out of the box and lay it on a flat surface, such as a table. 2) If you will be using the arm sling on your right arm, the opening of the arm pouch should be pointing to your left. If you will be using it on your left arm, the opening of the arm pouch should be pointing to your right. 3) Thread the strap through the loop and pull to tighten. 4) Put the arm sling on. The strap should be centered on your shoulder and the arm sling should be comfortably supporting your arm. To tighten, pull the strap at the front, or adjust it via the Tri-Glide buckle on the back. Specifications: Material: Soft mesh, fabric &Nylon Color: Black Fits either left and right arm. Size: S / M / L S : Length: 36cm (14.2 IN) ; Adjustable shoulder strap: 45-80cm(17.7-31.5 IN);Suit for 120-150CM height person M : Length: 41CM (16.5 IN), Adjustable shoulder strap: 48-90CM(19.6-35.4 IN)Suit for 150-175CM height person L : Length: 45CM(17.7IN), Adjustable shoulder strap: 55-95CM(21.65-37.4IN), Suit for 175-200CM height person. Package Included: 1* Medical Arm Sling.