Despite all the negative reviews this item has worked well now passing 20 sessions.Pros: inexpensive, seems to be well constructed. Works well.Cons: no instructions. inflation bulbs are cheap and in my case did not work right out the box but did eventually work, consider replacing. The internal balloon is long and needs to be inflated to a decent size to prevent loss of solution. I wish there were more options on the market, despite this though the item works well. I found good instructions on the internet to replace what should have been in the box. I would give this another Star of the bulbs worked better and had come with instructions. Once inserted it's easy to lose track of which Bulb operates which balloon, I used a zip tie to identify the bulb so I wouldn't accidentally inflated or deflate the wrong one. If these were addresses, for me anyway, I would consider 5 Star.Update: Inner balloon ruptured on first one though a thin spot I knew was there. It still lasted a long time. The new one I just received seems to have been given a thicker material for the balloons. Everything works correctly on this one. For the price I'm giving one more star.Update: stars reduced from 5 to 3. Bought another one, both inflators were bad. revain replaced the with while new set and Thoes bulbs were bad. Seems to be there worst thing about this product. If you buy one better just buy good blood pressure cuff inflators.
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