This is an excellent sphygmomanometer for the price. However, I have two complaints. One is that it can be difficult to put on a patient since it does not have the metal bar at the end to make the cuff tighter by simply pulling it. The other complaint is that once the cuff is on a patients arm the clip for the meter is always off to the side. Other than that its excellent. Hopefully in the future they can fix these issues.