Used approximately 3 weeks. From a non smoking home. The Orner OA600 Arm Elevation Pillow is the most effective product of its kind. Made from soft, medical grade, flame retardant, latex-free foam, our pillow will keep the hand raised and protected after hand, wrist or elbow surgery. The Orner Arm Pillow is designed with patient comfort in mind. It is far less bulky than any other foam block on the market. Having the hand elevated post surgery reduces pain and swelling, and improves the healing process. Ideal for at-home, post-surgical recovery. Functions perfectly while the patient is in a standing, sitting or sleeping position. The foam straps are secured by Velcro and can be easily adjusted with one hand. Effective. Comfortable. Lightweight. We are the designer, manufacturer and distributor, giving you the highest quality at the lowest price! The Arm Elevation Pillow is designed as one-size fits all and is intended for single-patient use. Made in the USA