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Please Read Me (Size Chart) The circumference of the upper ends:11 inch. The circunference of the lower ends:9.4 inch. This shower cover is stretchy. We recommend for Upper arm between: 13.7-16 inch (35-41 cm)If the L size still small for you, we recomemnd you search knee cast cover which also can use for picc line.Correct usage for this waterproof picc line shower cover1.After putting shower sleeve on, lift edge with finger and press on cover to squeeze the air out before showering.2.Once the air is out, it forms a tight seal which does not allow water in.What's the difference between our PICC Line Shower Cover with others✔️Attached with 2 cotton arm liners. Silky and smooth and the fit is snug but not too snug that you lose circulation. Showering with the arm sleeve and picc line shower cover on, no worry the leakage. ✔ High Elasticity Opening-easily to put on and off by yourself. The waterproof shower sleeve wraps closely to your skin so it is almost like a second skin. The wicking cotton liners keeps your dressing dry on the inside. No sweating. ✔Comfortable and Safe Material.Those made of a harder material are likely to cause pressure in an area that may already be a little sensitive or sore. Our picc line shower cover is softer, more flexible than others in the market.✔️Watertight and Moisture protection. Keep IV & PICC Line dry. Can be completely submerged by water. You can wash your hair with both hands now. ✔️Attached with a waterproof carring bag which can store the picc line shower cover without damage and/or getting it dirty.No more plastic wrap any more, give this product a try!Notice:This PICC Line shower cover cannot be used to swim. For indoor use only.What we offer for you?●PICC L