Precision crafted 300mmHg Japanese engineered manometer with classic black baked enamel finish exceeds industry performance standards Extended scaleplate graduation marks reduce parallax for easier viewing from virtually any angle Bariatric Adcuff nylon cuff with ADC's proprietary Size Guide marking system prevents mis-cuffing Custom sized inflation bladder with one 50cm and one 25cm tube Curved design provides a better fit on conically shaped bariatric arms Fits limbs with a circumference of 44cm to 66cm Adflow oversized bulb and valve (#872LN) with filter screen protection allows for faster inflation of the larger cuff Adflow filter screen check and deflation valve reduce dust build-up Adflow chrome-plated brass air release valve for precise deflation control Over-sized leatherette carrying case with durable nylon zipper Not made with natural rubber latex Assembled, inspected, and packaged in the U.S.A. from foreign components Meets or exceeds ANSI/AAMI/ISO 81060-1