Cardionics E-Scope Hearing Impaired Electronic Stethoscope (781-7710). Previously used for both bedside nursing and advanced practice for a deaf nurse practitioner. Plastic housing has been replaced once by Cardionics. However, housing does still have some cracks and worn threads. Does not have original accessories or case. Does not include headphones. Does have diaphragm as pictured. Good for light use or education.