Superior acoustics ,simply by adjusting the pressure on the chestpiece will allow you to effortlessly hear different sounds. Light pressure for low frequency sounds. Firm pressure for high frequency sounds. -Tunable diaphragm allows for easier auscultation of a patient. -Handcrafted soild PVC or zinic alloy chestpiece -Two-tube-in-one design.Dual lumen tubing has two canals inside of one outer tube,it will helps to eliminate rubbing noises that traditional stethoscopes generate -Soft sealing eartips,the eartubes are positioned and angled for an anatomically correct fit inside of the ear canal. They can also be adjusted to increase or reduce tension. -The non-chill ring on the bell will provide patient comfort for every diagnostic session -4 additional eartips and a diaphragm inside a plastic hard case are included. -Perfect for medical students, nursing students, residents and nurses