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The durable and contoured Large D-ring Cuff from Omron fits arms 13 in. to 17 in. in circumference. Before you purchase a home blood pressure monitor, its important to determine the best cuff size for you. To determine your arm size, use a cloth measuring tape and measure the circumference of your left upper arm midway between your elbow and shoulder. Ensuring that the blood pressure cuff is neither too tight nor too loose will help ensure the most accurate readings providing you a more accurate picture of your hearts health. This cuff is not compatible with the 2014 Advanced Accuracy Blood Pressure Monitor Series.