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Posey® KeepSafe® Essential Alarm Simple to operate. Pull-cord attaches to clothing and adjusts 31"-60". Locking clip for extra security from tampering. Five alarm tones and three modes help differentiate between patients and other alarms. “Voice Only” mode plays a pre-recorded message followed by a tone, “Tone Only” mode plays a continuous tone. Impact-resistant case. Hidden on/off switch. Includes AAA batteries, saddle bracket, and wire bracket.