McKesson LUMEON Reusable Aneroid Sphygmomanometer with Cuff is precision-crafted 300mmHg manometer exceeds industry standards. It is extended scaleplate graduation marks reduce parallax for easier viewing from virtually any angle. The nylon cuff with comprehensive marking system helps to prevent mis-cuffing. It has inflation bladder and bulb. The filter screen valves reduce dust buildup. It has premium air-release valve. It is complete with leatherette zippered carrying case. It is not made with natural rubber latex. The cuff size is for large adult.