NWOT - Case does have fraying as seen in picture. DELUXE KIT PERFECT FOR DOCTORS & NURSES - Two pieces of high quality medical equipment come bundled together in one convenient package. ParaMed offers their high quality aneroid sphygmomanometer adult blood pressure cuff along with a sprague rappaport stethoscope. In addition, your order comes with a complete accessory kit and a deluxe carrying case. LATEX FREE BLOOD PRESSURE CUFF - Designed to fit adult arms between 10" and 16" in circumference. The PVC inflation bag allows for both precise and rapid thanks to its two types of air release valves; screw type & push type. So convenient, it can be operated easily with a single finger or thumb. HIGH CONTRAST & EASY TO READ DIAL - The high contrast dial on the aluminum alloy manometer allows the use to easily read blood pressure measurements with quality and accuracy. The dial features a sturdy clip that attaches to clothing or belts when not in use. DUAL-HEAD SPRAGUE STETHOSCOPE - Designed for patients of all ages, the sprague stethoscope is great for nurses, doctors, and medical students looking for a high quality stethoscope. The eartubes are designed to be flexible and adjustable to ensure the most comfortable possible fit for the user, and the extra earpieces provided can be swapped out for a custom fit. CARRYING CASE INCLUDED