The large heating pad is designed to Effectively target lower back pain and abdominal cramps pain. The 4 preset heat settings will provide the heat you need and it comes with a 60 minute automatic cut off for safety. The adjustable belt with hook and loop fasteners provide a custom fit. This pad is machine washable to help pad last longer. Comes with a 2 year limited warranty. Based in Warwick, Rhode Island, Cara has been dedicated to providing the consumer with quality, cost-effective products for over 15 years. Cara provides a broad line of reliable, high-quality, and economical home healthcare products with manufacturer warranty to provide complete consumer Satisfaction.