Gets the job done. I've used it a few times and have gotten accurate results. Each component seems to be durable and well made. Obviously it's not the top of the line but it accomplishes what it needs to. Blood pressure readings are ever changing in an individual so it's hard determine what can be the cause of different results each time (the person or the cuff). However, for this price, besides it working well now.it's a price point where I would not be too upset if it only lasted a few years.