The ADC Adscope Medical Stethoscope comes equipped with a combination adult size chestpiece. The Adscope 603 stethoscope is precisely machined to exacting tolerances from surgical stainless steel for outstanding performance and rugged durability. Some features of this ADC Medical Stethoscope include: Extra large bell for superior low frequency response. Ultra-sensitive diaphragm for the sharpest high frequency response and increased greater amplification Non-chill bell and diaphragm retaining rim for patient comfort Stainless steel binaurals with double leaf internal spring. Reinforcing yoke molded into flexible 22inch PVC “Y” tubing Adsoft deluxe PVC eartips (small & large sizes) for ultimate comfort and best acoustic seal Spare diaphragm included. Available in 12 colors Scope ID Tag included.