I'm a Paramedic so I'm using this tourniquet in the pre-hospital setting.I had a brief interaction with ICE medical and they couldn't be more professional and dedicated about their products. So that's one positive thing.I decided to invest in this venous tourniquet because I just can't handle the blue single use one we get nowadays and the cheap 1£ ones you can get on other sites have let me down in the past big time so I decided to give this one a shot.Used it today on a busy day shift at work, it's sturdy, reliable and comfortable for the patient. Intuitive in its use and generally well made. Easy to clean and obviously light to carry in your pocket.I'm going to keep using it at work. Money well spent I think.