Works great replaced one that was years old, and used at least twice a day. One improvement I have made to this one and my other one is to add a 3/4" Velcro circle right at the end of the strap were it lines up tight before inflating, for me that is near the inlet tubing.. This does two things it keeps the cuff closed when inflating for a good reading (without coming apart) and it keeps the cuff rolled nice and tight when storing in it's case.