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ADC definitely has brought in the best accessories this season. This Adscope® 646 Sprague Stethoscope features threaded chest piece drum of chrome plated, zinc permits the use of five interchangeable chest piece fittings an adult and pediatric diaphragm, and three bells (1 1/4 inches, 1 inches, 3/4 inches) for complete diagnostic capability on most patients. Complete with an accessory pouch containing the bell chest pieces, chest piece key, 2 spare diaphragms, one pair of mushroom ear tips, and one pair of silicon ear tips. It weighs 7 oz. and has overall length of 30 inches with a 5 Year Warranty.