Brand New, never been used, was about CAD $43 ( usd $ 18.99 plus taxes and shipment fee). To ensure the accuracy of the blood pressure measurement, the cuff is recommended to be replaced once every couple years or less depending on how often it has been used. This cuff is brand new to use for A & D Medical BP monitor which is believed to be one of the best BP monitor. Bought as a replacement cuff but have never used. It's adjustable to use for size small and medium. It fits 23-37 cm (9-14.6″) arms. Compatible with most A & D devices, especially: UA‑611, UA‑651, UA‑767F, UA‑767FAC, UA‑10