Check the listing for details. ADC Adscope 645 Sprague 18K Gold 22" Professional Special Edition Stethoscope US. Condition: New. Listed at 41.49 USD. Brand new original retail box of genuine ADC Adscope 645 Sprague-Rappaport 18K Gold Special Edition Stethoscope. Picture is the actual item you are getting. Comes in a cardboard box, then in a soft case, heavy metal construction, this thing looks like a million dollars. Extraordinary design for outstanding acoustic performance and rugged durability. Chestpiece drum, retaining rings, tubing clip and binaurals generously plated with 5 microns of 18 karat gold, then polished to a brilliant shine. Complete with an accessory pouch containing two extra pairs of eartips, spare diaphragms and the three bell chestpieces. Weighs 7 oz. Overall length 30". Inspected and Packaged in the U.S.A. One year warranty on finish, five year on performance. Latex free. Why own just a Sprague stethoscope when you can own an Adscope™ Sprague? The Adscope® 645 Sprague features: Threaded chestpiece drum of chrome plated zinc permits the use of five interchangeable chestpiece fittings - an adult and pediatric diaphragm, and three bells (1 1/4", 1", 3/4") - for complete diagnostic capability on most patients Latex-free, double tube configuration Proprietary valve mechanism eliminates acoustic leakage Adjustable chrome-plated brass binaurals Convenient 22" tubing length in choice of 29 fashion tubing colors Complete with an accessory pouch containing the bell chestpieces, chestpiece key, 2 spare diaphragms, one pair of mushroom eartips, and one pair of silicon eartips Weighs 7 oz. Overall length 30" 5 Year Warranty Inspected and packaged in the U.S.A. Chestpiece Type: Convertible Chestpiece Material: Zinc Chestpiece Finish: Gold Chestpiece Weight: 3.5 oz Chestpiece Weight(gm): 99.2 Diaphragm Diameter: 1-1/4" (1") Diaphragm Diameter(cm): 3.18 (2.54) Diaphragm Material: PVC Diaphragm Type: Standard Bell Diameter: 1-1/4" (1", 3/4") Bell Diameter(cm): 3.2 ( 2.54, 1.9) Headset Type: External Spring Headset Material: Aluminum Headset Finish: Gold Tubing Length: 21" Tubing Length(cm): 53 Total Length: 30" Total Length(cm): 76.25 Total Weight: 7.04 Total Weight(gm): 200 Scope Warranty: 5 year $FREE shipping within all of USA. We have over 100 years of combined podiatry/medical supply sales experience.