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Description
Littmann Cardiology IV Diagnostic Stethoscope: Smoke & Grey - Smoke Stem 6238 - Over EngravedThis is an over engraved stethoscope clearance item Please see the photo example before purchasing. This item CANNOT be engraved. Suitable for: 30 years in the making the latest generation of Littmann Cardiology stethoscopes. Discover the superior acoustics and improved design of the Littmann Cardiology IV Stethoscope. This ground breaking, upgraded stethoscope features a newly crafted stainless steel chestpiece, innovatively optimised paediatric and
30 years in the making - the latest generation of Littmann Cardiology stethoscopes.
Discover the superior acoustics and improved design of the Littmann Cardiology IV Stethoscope. This ground-breaking, upgraded stethoscope features a newly crafted stainless steel chestpiece, innovatively optimised paediatric and adult diaphragms exclusive to the Cardiology IV series, state-of-the-art long-lasting tubing, a finely tuned bell side for instant low-frequency detection, and an industry-leading 7-year warranty.
Like its predecessor, the Cardiology III, the Cardiology IV offers comprehensive acoustic range for both adult and paediatric auscultation, all thanks to its re-engineered dual-head chestpiece. By simply rotating the central spline, you can swiftly alternate between the two sides for versatile adult and paediatric auscultation. The novel single-piece diaphragms, exclusive to the Cardiology IV, enhance acoustic sensitivity, enabling clearer, more discernible sound reception. The modern long-life binaural—crafted from the latest material specifications—boasts a two-in-one tube design, extending the warranty length to an industry leading 7 years. Further design refinements include a recessed selector spline, allowing a seamless fit with the binaural tube, along with a visual indicator for easy identification of the operational diaphragm.
Experience the culmination of auditory precision and innovation with the Littmann Cardiology IV Stethoscope—your ultimate upgrade in medical auscultation technology.
- Experience the pinnacle of dual-head cardiology technology.
- Improved high frequency acoustics enabling greater access to high-frequency heart sounds for precise assessments.
- Innovative diaphragm design tailored for both adult and paediatric auscultation, offering an all-encompassing range of heart and lung sounds.
- Next generation, double lumen long-life tubing guarantees enhanced longevity and reduced external friction sounds for crystal-clear acoustics.
- 100% latex free construction for increased patient comfort, durability and lifespan.
- Single piece diaphragm technology – easier to clean than ever before providing greater infection control properties.
- Unparalleled 7-year warranty from the date of purchase for your peace of mind.
- Littmann’s ‘Tunable Technology’ lets you easily switch from low to high frequency sounds by switching from light to firm pressure.
- Double-sided large/small chestpiece for both adult and paediatric assessment.
- For maximum versatility the reverse side is also easily transformed into a traditional open bell with the supplied adapter.
- Anatomically designed headset comfortably positioned for optimal sound transmission.
- Comfortable Snap-Tight soft seal eartips create an excellent acoustic seal to reduce ambient noise.
- Spare parts kit provided as standard, including small soft sealing eartips, large firm grey eartips, and a non-chill bell sleeve.
- Littmann performance rating of 9 out of 10.
New chestpiece design
Precision machined engineering
Dual diaphragm
Adult and paediatric sides both with tunable diaphragm
Low Frequencies (adult)
Apply light pressure with the floating diaphragm. (Bell mode)
High Frequencies (Adult)
Apply firm pressure with the floating diaphragm. (Diaphragm mode)
Low Frequencies (Paediatric)
Rotate the chestpiece. Apply light
pressure.
High Frequencies (Paediatric)
Apply firm pressure with the small floating diaphragm.
Traditional bell
Easy-remove diaphragm permits bell mode with adapter provided.
Stem Indicator
Visual identification of the operational diaphragm
Versatility
Easily interchangeable between open bell and tunable diaphragm, giving three possible functions.
High Profile Construction
40% larger chestpiece and 60% deeper bell than the Littmann Classic III Stethoscope
More information:
Littmann recommend using 70% Alcohol Wipes to clean their stethoscopes. These Robinsons 70% alcohol wipes have rapid microbiological kill performance, meaning they are highly effective against a wide range of bacteria, yeasts and moulds. IPA is used globally for professional healthcare disinfection in hospitals and clinics.
Shipping Notes
- Free Standard Shipping on $100+ Orders to the USA.
- Except Preorder products are shipped in 48 hours.
- Delivery to the USA:
- Standard Shipping : 3-10 business days
- If time is of the essence, please consider selecting expedited delivery for faster service.
Exchange/Return Notes
- We offer a 30-day return/exchange service after receiving.
- Final sale items are not eligible for returns or exchanges.
- To process your return/exchange, please contact us at [email protected]
- Please click here for more details>>> Return & Exchange Policy
4.4 ★★★★★
Based on 22 reviews
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Product Reviews
★★★★★ 1
1st one lasted over 3yrs, 2nd started falling apart in less than a week....
Color: Orange & Blue Roller, Size: 7.5 inches (1 Pack), Color: Orange & Blue Roller, Size: 7.5 inches (1 Pack)
My dog really loves this toy. He’s a 5yr old border collie. He doesn’t work at tearing up his toys but he does shake his toys. I bought his 1st Chuckit it indoor football over 3yrs ago. It held up very well and had normal wear and tear I’d expect from a chuckit toy to have. It developed a small tear in fabric about 6months ago. As it was still mainly intact, I let him continue to play with it. Then the tear widened and I felt good time to replace, so I ordered one from Amazon. He was ecstatic to have a new one. I was quite disappointed though as in under a week from giving it to him(he’s always supervised during play so I do know what he does with his toys and he doesn’t work at them to tear them up) I noticed a tear down the seam that was bigger than the other one had for 6months. Over the next few days, tear widened. Now cover is completely off of inside. I’m really disappointed in the quality. I’m not sure if the quality of the toy is less than when I got his first one(which I bought in a pet store such as petsmart) or if for some reason because I purchased on amazon, they are of lesser quality. I do know for a fact as I supervise his play and with his favorite toys(and usually his spendier toys) they get put up when it’s not play time. He has his other toys that he can play with anytime. I have ran also into Kong toys (Wubba) that has come apart quickly in under a month,but those were both bought on amazon and at a retail store, so I don’t know if amazon is distributing toys of lesssr quality or if toy brands that have held up in past (Kong Wubba & this Chuckit football) are just being made of lesser quality. My dog’s style of play hasn’t changed nor has his supervision. That being said, my dog absolutely LOVES this toy. I want other users to be forewarned that I’ve had 2 of this product for my dog, they both developed a tear down seam, that eventually led to outer fabric shell coming off of the inner part of the toy. Yes my dog does shake his toys but 1st lasted over 3yrs, 2nd lasted less than a month and is in worse condition than the first. I may purchase this toy again as it’s one of his favorites just to see if the 2nd one was a fluke. Had I paid more than $6.19(I’m a prime member and it was an add on product) I most likely wouldn’t purchase a third one. I’m willing to see if the third one will last at least a yr. if it starts coming apart in less than a week again, I’ll have my answer which would be that chuckit has resorted to making their toys of lessor quality. I hope that’s not the case because they are one of only a couple of brands I hold in high regard for their good quality and durable dog toys. Please see picture. It’s his toy in less than a month. The outer material came off during play last night. It lasted less than a month from time I gave it to him to play with.
5/22/18 update. I bought him a 3rd indoor fumblr, it last almost 3 months...I ordered him a 4th one. I gave it to him Friday, today is Tuesday, his 4th one is already coming apart at the seams. When I ordered 4th fumblr, I bought 2 at the same time, they were $5.19 each(prime member add on price). I’m glad I did because now they are twice the price at now over $10. I very highly doubt I will buy another indoor fumblr unless price drops in half again. This last one that I gave him 4-5days ago, it hasn’t been his daily favorite toy. He’s maybe played with it a couple hrs each day. My dog really LOVES this toy. I’m moving my rating down to a 1 Star from 2 as this toy has consistently come apart rather quickly. I’m very disappointed in the quality of this toy. He’s 5 1/2yrs Old now. 1st fumblr last over 3yrs, he’s gone through the other 3 in under 6months...had I paid over $10 each time, I probably would’ve stopped after the 3rd fumblr came apart. as it is now, I won’t but any more fumblrs by chuckit at this price....if price drops, after he’s gone through the 5th one I have put up...I may consider it...but not at over $10 for a toy that comes apart through normal play in under 5 days...
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Reviewed in the United States on November 4, 2017
★★★★★ 5
Best toy, the end
Style: Sport, Size: 12in, Style: Sport, Size: 12in
Combined with the Max Glow ball, this is the best dog toy available on modern planet Earth.
I have a burly 92lb. pit bull mix with highly developed prey drive, and she will chase the glow ball for hours if I let her.
The tiny sport launcher (Sport 12M) is the best, because you can still throw the ball really far, but you can also slam the ball down a few feet away from yourself so it bounces up in the air and your dog has to jump to catch it, or you can throw it up really high so it bounces 15' away or so and your dog can jump to catch it. We sometimes have to play fetch in a pretty small area, so it's nice to have the small launcher for these games. The larger launchers aren't as fun in small areas. You can play the same games but it's trickier to throw the ball correctly.
Also, the small launcher is a lot easier to carry. The small launcher fits in my dog-walk-stuff backpack (with the ball in the launcher so I don't have to dig for it later), but the big ones don't easily. The launcher also has a hole in the end so you can hang it from your bag or whatever with a carabiner. The big ones are too long for that in most cases, and swing back and forth.
Also-also my dog loves to ask for the launcher, then when I give it to her she plays keep-away and it's adorable. The big launcher I have is harder for her to balance in her mouth, so she just lays down and chews on it until it gets taken away. She's chewed on all of the four Chuck Its we've owned, but she's only broken one (a big one), but that's because she got ahold of it when no one was home. The little one in my bag is totally chewed up but still works great. I think they're sturdier than the big ones. Except for the launcher she chewed into pieces, which was our fault, the only reason we've had to replace anything was because we lost it. Usually we keep the launcher and ball in the backpack so she can't get to them and so they don't get lost, so we rarely have to replace them. There is just not a better value in toys, and the startup price is really low.
Once again I really recommend the glow ball! It doesn't get soggy no matter how wet the grass or the dog mouth is. It is fun to chase because it is slippery and it collapses when it's squeezed, so it pops out of the dog's mouth and flies away if they bite it at the wrong angle; it's really bouncy, and stays bouncy because it can't be popped; it whistles so you can usually hear it even if you can't see it; and it really glows enough for nighttime catch, even if you only have your cellphone flashlight to charge it up!
UPDATE:
I should have said, we have the 12M launcher, which means the handle is 12 inches long and it uses a medium-sized ball. The medium ball is 2.5 inches in diameter, so the launcher will fit regular tennis balls, too! But my dog won't play with regular tennis balls anymore because they aren't anywhere near as fun as the glow balls, and I think she doesn't like having gross sloshy muddy tennis balls in her mouth.
I lost my short launcher awhile back and could only get a long one locally to replace it, which reminded me that you have to lean over a lot further to use the short launcher. So if you have trouble leaning over to the point that your hand is a foot above the ground, this may be hard for you to use.
I wish Amazon would let us choose colors, because my old one was green, and the big one is orange, both of which are bright enough to see in the grass from far away, even at night.
Still, best toy!
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Reviewed in the United States on May 19, 2017
★★★★★ 5
Highly recommend.
Style: Sport, Size: 12in
Love this. Dog sitting for a dog that loves to chase balls but my shoulder doesn’t like throwing them. Got this yesterday and it’s perfect. Real arm/shoulder saver.
Seems sturdy and I was concerned that a standard tennis ball would not work. We tend to lose balls when walking because this lab insists on carrying the ball in its mouth. They work.
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Reviewed in the United States on March 22, 2026
★★★★★ 5
These are awesome and I couldn't play ball with my Dobermans without it!
Style: Sport, Size: 12in
I LOVE Chuckit ball launchers. We've been using for a around 17 years and we've only had to replace one. We have 2 active, energetic Dobermans and I throw like a girl and there is now way I can throw a ball very far. With the Chuckit, I can throw more than 80 feet! My dogs need a lot of exercise and using this ball thrower allows me to make that happen. Bonus is I dont have to pick up a snobbery ball :)
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Reviewed in the United States on April 13, 2026
★★★★★ 4
Not a long shot
Style: Sport, Size: 12in
This item is much smaller than I thought it would be .
The ball is full sized . But the thrower is very small.
Works okay. But does not throw the ball very far . It’s okay for me . My dogs are small. My yard is too .
But , this is not going to throw balls really far . Like the long ones do
Thsnks
Eddie
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Reviewed in the United States on March 26, 2026