There are three versions of the HEINE K 100 ENT DIAGNOSTIC SETS. The first set includes a K 100 Diagnostic Otoscope, a spare bulb and a set of reusable specula, contained in a soft pouch. Set two includes a K 100 Diagnostic Otoscope and three reusable specula contained in a soft patch. The third set comes with a K 100 Diagnostic Otoscope, a tongue depressor for wooden tongue blades, three reusable specula and a spare bulb for each instrument. The third set is contained in a hard case.