Your stethescope is an important assessment tool for listening to breath sounds and heartbeat of your patients. This one is looped around your neck and is good sized and chunky like the Littmans we medical professionals all love so much. In rl they cost a lot but are worth it in the accurate service they provide. This product now has sound. Trigger is "heartbeat". Do you want colors to match your scrubs? Easily dirivable! For all you doctors and nurses who demand the best!! Grab yours today! From Genesis!