The Paramed Professional Manual Blood Pressure Cuff I ordered worked but was received in less than new quality. The box appeared to have already been opened and the bags holding the items appeared to have been opened and it appears that this unit had been used and possibly returned. The rubbber tubing near the connection to the gauge was crimped over in the box and when closely inspecting the rubber tubing, has left an indentation that has weakened the outside of the tubing making it vulnerable to breakage / leaks. This can easily be fixed by just snipping off this small imperfection, however,for a new unit this is not acceptable. I let the company know of the above deficiencies and they quickly sent another unit that was received and in perfect order. I notified them of the problem just as an FYI for quality control, and told them a new unit was not needed for such a minor deficiency,however they sent one. One could not ask for better customer service. Thank-you !!!!