Tytan 200 Sprague Rappaport Type Stethoscope Features * 5 in 1 zinc alloy treaded with chrome plated chestpiece drum fittings with different sized chestpiece bells provides highly useful in the detection of a wide range of heart and lung sounds. * Two 22 inch latex free separately thick wall tubing provides individual sound transmission from chestpiece to both side of the ear. * Large 6 m/m diameter chrome plated brass binaural provides outstanding transmission. * Accessory Kits contents: An adult and pediatric sized chrome plated zine alloy bell. Three plastic black non-chill bells (1-1/4 inch, 1 inch and 3/4 inch). Two different size spare diaphragms. One pair of mashroom eartips, One pair of clear PVC eartips.