I’ve been a home health nurse now for 5 years and have been using the above product for about 3. This is a fantastic tool for the nurse who has to take frequent VS. It Saves 60 BP results in case you need to write them out later. Some of my issues with this device are that you have to do too many weird functions to do in order to change it to take a right wrist or left wrist pressure, the advanced positioning sensor is ‘testy’ and the cloth cuff gets quite dirty and difficult to clean. My remedies for these issues…Well, I had to fully familiarize myself with the instruction manual so that I could maneuver through the various functions with ease. It took me a good month of constant use ( I see 2 patients a day). I very rarely use the advance positioning sensor as it just takes too long sometimes to recognize that the monitor is at pt’s heart level. To clean, I use resolve carpet cleaner to spot clean and wipe with antibacterial wipes between patients. With my current patient load, I only have to change the batteries (AAA) about every 4-6 months…not bad!