Sphygmomanometer Aneroid VS Mercury / Raksa

Membandingkan Mercury dan sphygmomanometers aneroid

Dalam dunia yang ideal, pertimbangan untuk memilih sphygmomanometers termasuk harga pembelian, kemudahan penggunaan, akurasi, keandalan, kebutuhan pemeliharaan, dan kesehatan / dampak lingkungan. Salah satu produsen membandingkan tiga jenis sphygmomanometers untuk faktor-faktor (1):

Type of blood pressure device	Initial Cost	Maintenance	Accuracy	Ease of Use	Reliability	Environmental Exposure	Summary Score* (higher is better)
Aneroid	4	4	5	4	4	5	26
Electronic Monitor	2	4	4	5	5	4	24
Mercury	4	5	5	3	4	2	23
5 = most favorable; 1 = least favorable Reference: Table excerpt from E.W.Wright, 1/11/2000, "Sphygmomanometers: Internal Analysis of Different Technologies; by Welch Allyn, Inc." *Summary score added by C. Galligan, SHP, and equals the sum of the ratings

Pada kenyataannya, merkuri dan sphygmomanometers aneroid banyak digunakan karena harga beli yang rendah. Ketika kedua unit adalah dalam rangka kerja yang tepat, baik akan memberikan hasil yang dapat diterima (1). Kedua gaya memerlukan pemeriksaan kalibrasi secara berkala (minimal setiap tahun). Untuk perangkat aneroid, prosedur memerlukan penyesuaian kalibrasi di beberapa titik-titik tekanan, bukan hanya nol seperti perangkat merkuri.

Meskipun sederhana untuk mengkalibrasi, sphygmomanometers merkuri memiliki beberapa kelemahan yang melekat bila dibandingkan dengan sphygmomanometer aneroid.
Merkuri merupakan racun yang mengancam manusia dan satwa liar. Akibatnya, tumpahan membutuhkan hati-hati dan mahal pembersihan.

Hal ini membutuhkan teknik yang sangat bagus untuk membaca meniskus dari kolom merkuri. Bahkan jika kedua jenis tersebut dalam keadaan baik, tombol aneroid lebih mudah dan membutuhkan sedikit usaha untuk dibaca daripada kolom merkuri.

Pemeliharaan perangkat merkuri rumit. Untuk akurasi, tabung merkuri harus sempurna tegak lurus di unit dan sempurna vertikal ke tanah. Semakin off-vertikal, semakin besar ketidaktelitian.

Setiap sphygmomanometer merkuri memiliki ventilasi atau filter yang memungkinkan udara luar yang bisa ditarik masuk Tanpa penggantian filter sering, pengalaman kolom merkuri lag. "Lag" adalah keterlambatan dalam respon merkuri, yang dapat mengakibatkan pembacaan yang tidak akurat.

Merkuri teroksidasi dapat membuat kolom yang tampak kotor, sehingga sulit untuk membaca tingkat merkuri yang benar (2).
Untuk menempatkan ini dalam perspektif, sebuah penelitian terbaru dari 444 merkuri sphygmomanometers (di rumah sakit) menemukan kesalahan berikut. Penelitian ini menyimpulkan "mayoritas sphygmomanometers merkuri ... memiliki masalah serius yang akan menimbulkan kesalahan besar dalam pengukuran tekanan darah". (2)

Mercury tingkat nol * antara -10 & 20 mm Hg 55%
Kolom kotor 38%
Kolom tidak vertikal 20%
Filter udara diblokir 5%
Terlihat Hg tetesan (di luar tabung) 3 unit
* Ini adalah tingkat istirahat merkuri saat unit tidak digunakan. Ketika sphygmomanometer tidak digunakan, merkuri harus di 0 mm Hg garis. Dalam kasus ini, merkuri adalah off (tidak akurat) sebesar 10-20 mm Hg.

Banyak rumah sakit telah membuat beralih ke sphygmomanometers aneroid. Ketika rumah sakit tersebut menerima tantangan menghilangkan merkuri, banyak yang terkejut menemukan bahwa sphygmomanometers aneroid kualitas yang baik adalah akurat dan dapat diandalkan tanpa banyak kekurangan tersembunyi sphygmomanometers merkuri.

Sphygmomanometer adalah ...

Sphygmomanometer

Manometer merkuri Klinis
Sebuah sphygmomanometer (pron.: / ˌ sfɪɡmoʊmənɒmɨtər / sfig-moh-mə-nom-i-tər) atau alat pengukur tekanan darah (juga disebut sebagai sphygmometer a) adalah alat yang digunakan untuk mengukur tekanan darah, terdiri dari manset karet untuk membatasi darah aliran, dan merkuri atau mekanis manometer untuk mengukur tekanan. Itu selalu digunakan dalam hubungannya dengan sarana untuk menentukan apa tekanan aliran darah baru mulai, dan berapa tekanan itu tanpa hambatan. Tensimeter manual yang digunakan dalam hubungannya dengan stetoskop.
Kata berasal dari σφυγμός Yunani (pulsa), ditambah manometer istilah ilmiah (meter tekanan). Perangkat ini diciptakan oleh Samuel Siegfried Karl Ritter von Basch pada tahun 1881. [1] Scipione Riva-Rocci memperkenalkan versi yang lebih mudah digunakan pada tahun 1896. Pada tahun 1901, Harvey Cushing dimodernisasi perangkat dan dipopulerkan dalam komunitas medis.
Sphygmomanometer terdiri dari manset karet, unit pengukuran (manometer merkuri, atau pengukur aneroid), dan mekanisme untuk inflasi yang mungkin bohlam dioperasikan secara manual dan katup atau pompa dioperasikan secara elektrik.
Unit biasa pengukuran tekanan darah adalah milimeter merkuri (mmHg) yang diukur langsung oleh sphygmomanometer manual.

Ada dua jenis sphygmomanometers:
Tensimeter manual memerlukan stetoskop untuk auskultasi (lihat di bawah). Mereka digunakan oleh praktisi yang terlatih, dan tidak dapat digunakan dalam lingkungan terlalu berisik untuk mengizinkan mendengar suara yang khas. Hal ini dimungkinkan untuk mendapatkan pembacaan dasar melalui palpasi, tapi ini hanya menghasilkan tekanan sistolik.
Merkuri sphygmomanometers dianggap standar emas. Mereka mengukur tekanan darah secara langsung dengan mengamati ketinggian kolom air raksa, kesalahan kalibrasi tidak dapat terjadi (kecuali tanda-tanda pada skala milimeter salah). Karena akurasi mereka, mereka sering diperlukan dalam uji klinis obat-obatan dan untuk evaluasi klinis untuk menentukan tekanan darah untuk pasien berisiko tinggi termasuk wanita hamil.
Tensimeter aneroid (tipe mekanik dengan dial) yang umum digunakan, mereka memerlukan pemeriksaan kalibrasi rutin, seperti manometer merkuri. Tensimeter aneroid yang dianggap lebih aman daripada berbasis merkuri, walaupun kurang akurat [2] Penyebab utama keberangkatan dari kalibrasi mekanik menggelegar.. Aneroids dipasang di dinding atau berdiri kurang rentan terhadap masalah khusus ini.
Digital, menggunakan pengukuran dan perhitungan oscillometric elektronik daripada auskultasi. Mereka dapat menggunakan inflasi manual atau otomatis. Ini adalah elektronik, mudah dioperasikan tanpa pelatihan oleh siapa pun, dan dapat digunakan di lingkungan yang bising. Mereka mengukur sistolik dan tekanan diastolik dengan deteksi oscillometric, menggunakan sensor tekanan piezoelektrik dan komponen elektronik termasuk mikroprosesor [3] Mereka tidak mengukur sistolik dan diastolik secara langsung, tapi menghitung mereka dari tekanan mean dan parameter oscillometric empiris.. Kebanyakan instrumen juga menampilkan denyut nadi. Monitor oscillometric digital juga dihadapkan dengan "kondisi khusus" yang mereka tidak dirancang untuk digunakan: arteriosklerosis, aritmia, preeklamsia, pulsus alternans, dan pulsus paradoksus [rujukan?]. Instrumen digital dapat menggunakan manset ditempatkan, agar akurasi [4] dan ketertiban kebalikan dari portabilitas dan kenyamanan, sekitar lengan atas, pergelangan tangan, atau jari. Metode oscillometric deteksi yang digunakan memberikan pembacaan tekanan darah yang berbeda dari yang ditentukan oleh ausculation, dan bervariasi tunduk pada banyak faktor, misalnya tekanan nadi, denyut jantung dan kekakuan arteri [5] Beberapa instrumen. Mengklaim juga untuk mengukur kekakuan arteri. Namun mesin tersebut tidak dianjurkan bagi pengguna biasa sebagai mesin yang mengklaim memiliki tingkat akurasi 3%, biasanya tidak akurat lebih dari 7%, dan bahkan menyediakan dua bacaan yang berbeda ketika diperiksa pada waktu yang sama. Orang-orang seperti harus menggunakan sphygmomanometer analog, karena sangat akurat, dan kedua merkuri serta dial berbasis harus disimpan.
Operasi [sunting]

Pada manusia, manset biasanya ditempatkan lancar dan pas di sekitar lengan atas, pada kira-kira ketinggian vertikal yang sama seperti jantung sementara subjek duduk dengan lengan didukung. Situs lain penempatan tergantung pada spesies, mungkin termasuk sirip atau ekor. Sangat penting bahwa ukuran benar manset dipilih untuk pasien. Terlalu kecil hasil manset terlalu tinggi tekanan, sementara terlalu besar hasil manset terlalu rendah tekanan. Untuk pengukuran klinis itu adalah biasa untuk mengukur dan merekam kedua lengan dalam konsultasi awal untuk menentukan apakah tekanan secara signifikan lebih tinggi di satu tangan dari yang lain. Perbedaan dari 10 mm Hg mungkin menjadi tanda coarctation dari aorta. Jika lengan membaca berbeda, lengan membaca lebih tinggi akan digunakan untuk pembacaan kemudian. Manset mengembang sampai arteri benar-benar tersumbat.
Dengan instrumen manual, mendengarkan dengan stetoskop pada arteri brakialis pada siku, pemeriksa perlahan-lahan melepaskan tekanan dalam manset. Sebagai tekanan dalam manset turun, suara "mendesing" atau berdebar terdengar (lihat Korotkoff suara) ketika aliran darah pertama dimulai lagi dalam arteri. Tekanan di mana suara ini mulai dicatat dan dicatat sebagai tekanan darah sistolik. Tekanan Manset lanjut dirilis sampai suara tidak bisa lagi didengar. Ini dicatat sebagai tekanan darah diastolik. Dalam lingkungan yang bising mana auskultasi tidak mungkin (seperti adegan sering dijumpai dalam pengobatan darurat), tekanan darah sistolik saja dapat dibaca dengan melepaskan tekanan sampai pulsa radial diraba (dirasakan). Dalam kedokteran hewan, auskultasi jarang digunakan, dan palpasi atau visualisasi pulsa distal sphygmomanometer digunakan untuk mendeteksi tekanan sistolik.
Instrumen digital menggunakan manset yang dapat ditempatkan, sesuai dengan instrumen, sekitar lengan atas, pergelangan tangan, atau jari, dalam semua kasus diangkat ke ketinggian yang sama seperti jantung. Mereka mengembang manset dan secara bertahap mengurangi tekanan dengan cara yang sama sebagai meter manual, dan mengukur tekanan darah oleh oscillometric [3] metode.
Signifikansi [sunting]

Artikel utama: Tekanan darah
Dengan mengamati merkuri dalam kolom sambil melepaskan tekanan udara dengan katup kontrol, seseorang dapat membaca nilai-nilai tekanan darah dalam mm Hg. Puncak tekanan dalam arteri selama siklus jantung adalah tekanan sistolik, dan tekanan terendah (pada fase istirahat dari siklus jantung) adalah tekanan diastolik. Stetoskop digunakan dalam metode auskultasi. Tekanan sistolik (tahap pertama) diidentifikasi dengan pertama suara Korotkoff terus menerus. Diastolik diidentifikasi pada saat suara Korotkoff menghilang (fase kelima).
Pengukuran tekanan darah dilakukan dalam diagnosis dan pengobatan hipertensi (tekanan darah tinggi), dan dalam banyak skenario kesehatan lainnya

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Latex allergy. Do You Know ?

In a latex allergy, your immune system identifies latex as a harmful substance. With wheezing, runny nose or anaphylaxis, your immune system triggers certain cells to produce immunoglobulin E (IgE) antibodies to fight the latex component (the allergen). The next time you come in contact with latex, the IgE antibodies sense it and signal your immune system to release histamine and other chemicals into your bloodstream. The more exposure you have, the more your immune system is likely to respond to latex (sensitization).

These chemicals cause a range of allergic signs and symptoms. Histamine is partly responsible for most allergic responses.

Latex allergy can occur in these ways:

• Direct contact. The most common cause of latex allergy is direct contact with latex, such as by wearing latex gloves or by touching other latex-containing products.
• Inhalation. You can develop a latex allergy by inhaling latex particles. Latex products, especially gloves, shed latex particles, which can become airborne. Cornstarch is sometimes used on the inside of gloves to make them easier to put on and remove. The cornstarch absorbs latex proteins, but when the gloves are snapped during application or removal, the latex-laden particles fly into the air. The amount of airborne latex from gloves differs greatly depending on the brand of glove used.

It's possible to have other reactions to latex, which aren't always allergies to the latex itself. They include:

• Allergic contact dermatitis. This is a reaction to the chemical additives used during the manufacturing process. Signs and symptoms — usually a skin rash similar to that of poison ivy, including blisters — develop 24 to 48 hours after contact.
• Irritant contact dermatitis. Not an allergy, this form of dermatitis most likely is an irritation caused by wearing rubber gloves or exposure to the powder inside them. Signs and symptoms include dry, itchy, irritated areas, usually on the hands.

Types of latex
Manufacturers produce two types of products from natural latex sources:

• Hardened rubber. This type of latex is found in products such as athletic shoes, tires and rubber balls. Hardened rubber doesn't cause allergies in most people.
• Dipped latex. Latex of this kind is found in some products that are stretchy, such as rubber gloves, balloons and condoms. Most allergic reactions to latex occur with products made of dipped latex because they're often used directly on the skin.
• Other rubber. Rarely, some people who are sensitive to latex also may react to other rubber products, including erasers, rubber toy parts, rubber bands, rubber in medical devices and rubber in the elastic in clothing.

Not all latex products are made from natural sources. Products containing man-made (synthetic) latex, such as latex paint, are unlikely to cause a reaction because they don't contain the natural substance. Some waterproof sealants may contain natural rubber latex, however, so be sure to read the label before using them.

Latex-containing products
Thousands of consumer products contain latex or rubber, and many are found around the home. Common latex products include:

• Dishwashing gloves
• Carpeting
• Waistbands on clothing
• Balloons
• Rubber toys
• Hot water bottles
• Baby bottle nipples
• Disposable diapers
• Sanitary pads
• Rubber bands
• Erasers
• Condoms
• Diaphragms
• Swim goggles
• Racket handles
• Motorcycle and bicycle handgrips

Latex products are also found in health care settings. However, because of the problem of latex allergy, many health care facilities use nonlatex gloves. Other medical products that may contain latex or rubber include:

• Blood pressure cuffs
• Stethoscopes
• Intravenous tubing
• Syringes
• Respirators
• Electrode pads
• Surgical masks

So, choose better using latex free ..

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ABN TM SPHYGMOMANOMETER PARTS

ABN TM Nylon Cuff with 2-tb Bladders Assembly

265-122-021 Nylon Cuff HC System Label with 2-tb Bladder, Black, Adult

265-122-022 Nylon Cuff HC System Label with 2-tb Bladder, Black, New Born

265-122-023 Nylon Cuff HC System Label with 2-tb Bladder, Black, Infant

265-122-025 Nylon Cuff HC System Label with 2-tb Bladder, Black, Child

265-122-026 Nylon Cuff HC System Label with 2-tb Bladder, Black, Large Adult

265-122-027 Nylon Cuff HC System Label with 2-tb Bladder, Black, Thigh

265-122-351 Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue, Adult

265-122-352 Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue, New Born

265-122-353 Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue, Infant

265-122-355 Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue, Child

265-122-356 Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue, Large Adult

265-122-357 Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue, Thigh

265-122-761 Nylon Cuff HC System Label with 2-tb Bladder, Grey, Adult

265-122-481 Nylon Cuff HC System Label with 2-tb Bladder, Royal Blue, Adult

265-122-131 Nylon Cuff HC System Label with 2-tb Bladder, Hunter Green, Adult

265-122-071 Nylon Cuff HC System Label with 2-tb Bladder, Burgundy, Adult

265-122-581 Nylon Cuff HC System Label with 2-tb Bladder, Teal, Adult

265-122-431 Nylon Cuff HC System Label with 2-tb Bladder, Purple, Adult

265-122-201 Nylon Cuff HC System Label with 2-tb Bladder, Green, Adult

265-122-331 Nylon Cuff HC System Label with 2-tb Bladder, Magenta, Adult

265-122-021HP Nylon Cuff HC System Label with 2-tb Bladder, Black Adult, Hospack isi 6 pc

265-122-025HP Nylon Cuff HC System Label with 2-tb Bladder, Black child, Hospack isi 6 pc

265-122-351HP Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue Adult, Hospack isi 6 pc

265-122-355HP Nylon Cuff HC System Label with 2-tb Bladder, Navy Blue Child, Hospack isi 6 pc

ABN TM Nylon Cuff with 1-tb Bladders Assembly

265-112-021 Nylon Cuff HC System Label with 1-tb Bladder, Black, Adult

265-112-022 Nylon Cuff HC System Label with 1-tb Bladder, Black, New Born

265-112-023 Nylon Cuff HC System Label with 1-tb Bladder, Black, Infant

265-112-025 Nylon Cuff HC System Label with 1-tb Bladder, Black, Child

265-112-026 Nylon Cuff HC System Label with 1-tb Bladder, Black, Large Adult

265-112-027 Nylon Cuff HC System Label with 1-tb Bladder, Black, Thigh

265-112-351 Nylon Cuff HC System Label with 1-tb Bladder, Navy Blue, Adult

265-112-355 Nylon Cuff HC System Label with 1-tb Bladder, Navy Blue, Child

265-112-353 Nylon Cuff HC System Label with 1-tb Bladder, Navy Blue, Infant

265-112-356 Nylon Cuff HC System Label with 1-tb Bladder, Navy Blue, Large Adult

265-112-357 Nylon Cuff HC System Label with 1-tb Bladder, Navy Blue, Thight

265-112-021HP Nylon Cuff HC System Label with 1-tb Bladder, Black Adult, Hospack isi 6 pc

265-112-025HP Nylon Cuff HC System Label with 1-tb Bladder, Black child, Hospack isi 6 pc

265-112-351HP Nylon Cuff HC System Label with 1-tb Bladder, Navy Blue Adult, Hospack isi 6 pc

265-112-355HP Nylon Cuff HC System Label with 1-tb Bladder, Navy Blue Child, Hospack isi 6 pc

ABN TM Cotton Cuff with 2-tb Bladders Assembly

265-121-021 Cotton Cuff HC System Label with 2-tb Bladder, Black, Adult

265-121-761 Cotton Cuff HC System Label with 2-tb Bladder, Grey, Adult Rp

265-123-761 Cotton Cuff HC System Label with 2-tb Bladder, Grey, Adult, Hook & Ribs Model

265-127-761 Cotton Cuff HC System Label with 2-tb Bladder, Grey, Adult, Bandage Model

ABN TM Nylon Cuff D-Ring with 2-tb Bladder

265-124-351 Nylon Cuff HC System Label with 2-tb Bladder, D-Ring, Navy Blue, Adult

265-124-761 Nylon Cuff HC System Label with 2-tb Bladder, D-Ring, Grey, Adult

ABN TM Latex Bulb & Coiled Tubing

300-211-021 Latex Bulb-ABN Print with Standard End Valve

300-221-021 Latex Bulb-ABN Print with Standard Valve Assembly

300-231-021 Latex Bulb-ABN Print with Standard valve Assembly, Hospital Pack, 6 Pcs

300-241-021 Latex Bulb-ABN Print with Deluxe End Valve

300-251-021 Latex Bulb-ABN Print with Deluxe Valve Assembly

300-261-021 Latex Bulb-ABN Print with Deluxe Valve Assembly, Hospital Pack, 6 Pcs

300-310-021 Coiled tubing 4 Foot with Plastic Connector

300-320-021 Coiled tubing 8 Foot with Plastic Connector

ABN TM Valve

200-304-000 Air Release Valve Standard

200-301-000 Air Release Valve Deluxe with ABN Stamp

200-308-000 End Valve Standard

200-307-000 End Valve Deluxe with Filter Screen

ABN TM Connector

500-108-031 Screw Connector, Set, Brass

500-600-000 Double End, Plastic Connector

ABN TM Gauge

200-427-010 ABN Chrome Gauge Deluxe

200-428-020 ABN Indo Gauge Regular

200-429-030 ABN Indo Gauge Adjustable

200-430-040 Econo Gauge, Neutral

200-430-000 ABN Palm Gauge

200-431-000 ABN Clock Gauge for Wall or Mobile Model

ABN TM Replacement Part

200-419-000 Chrystal for Aneroid Gauge

200-420-000 Chrystal for Clock Gauge

200-421-000 Chrystal Retaining Ring

200-422-000 Spring, Clip and Pin Assembly

800-801-000 Glass Tube for Regency Mercurial Sphygmomanometer

800-802-000 Glass Tube for Precision Mercurial Sphygmomanometer

ABN TM STETHOSCOPE PARTS & ACCESSORIES

ABN TM Chestpiece

600-101-001 Chestpiece for Classic Stethoscope, Adult

600-101-003 Chestpiece for Classic Stethoscope, Infant

600-101-005 Chestpiece for Classic Stethoscope, Child

600-102-001 Chestpiece for Majestic Stethoscope, Adult

600-203-001 Chestpiece for Dual Head Lightweight Stethoscope, Brass Ring Screw, Adult

600-203-003 Chestpiece for Dual Head Lightweight Stethoscope, Brass Ring Screw, Infant

600-203-005 Chestpiece for Dual Head Lightweight Stethoscope, Brass Ring Screw, Child

600-204-001 Chestpiece for Dual Head Lightweight Stethoscope, with black PVC Ring, Adult

600-204-005 Chestpiece for Dual Head Lightweight Stethoscope, with black PVC Ring, Child

600-219-001 Chestpiece for Single Head Lightweight Stethoscope, Adult

600-219-005 Chestpiece for Single Head Lightweight Stethoscope, Child

ABN TM Binaural

600-218-000 Binaurals + Y Tubing for Classic Stethoscope

600-201-000 Binaurals for Sprague Rappaport

600-107-000 Binaurals for Light Weight Stethoscope

ABN TM Y- Tubing

600-212-000 BK Y-Tubing for Lightweight Stethoscope, Black

600-212-000 GY Y-Tubing for Lightweight Stethoscope, Grey

600-212-000 BD Y-Tubing for Lightweight Stethoscope, Burgundy

600-212-000 LB Y-Tubing for Lightweight Stethoscope, Light Blue

600-212-000 PK Y-Tubing for Lightweight Stethoscope, Pink

600-212-000 HG Y-Tubing for Lightweight Stethoscope, Hunter Green

600-212-000 NB Y-Tubing for Lightweight Stethoscope, Navy Blue

600-212-000 RB Y-Tubing for Lightweight Stethoscope, Royal Blue

600-212-000 YL Y-Tubing for Lightweight Stethoscope, Yellow

600-212-000 TL Y-Tubing for Lightweight Stethoscope, Teal

600-212-000 RD Y-Tubing for Lightweight Stethoscope, Red

600-212-000 PU Y-Tubing for Lightweight Stethoscope, Purple

600-212-000 GR Y-Tubing for Lightweight Stethoscope, Green

600-212-000 MG Y-Tubing for Lightweight Stethoscope, Magenta

600-212-000 LV Y-Tubing for Lightweight Stethoscope, Lavender

600-212-000 TQ Y-Tubing for Lightweight Stethoscope, Turquoise

ABN TM Accessories

600-208-600 Hard Plastic Eartips, White, for Lightweight Stethoscope

600-209-020 Rubber Eartips, Black for Stainless Steel Stethoscope

600-214-608 Soft PVC Eartips with Metal Threaded Large, for Stainless Steel Stethoscope

600-214-001 Soft PVC Eartips with Metal Threaded Standard, for Stainless Steel Scope

600-215-000 Soft PVC Eartips, Transparent for Sprague Rappaport

600-216-001 PVC Non Chili Ring for Stainless Steel Stethoscope, Adult

600-221-001 Diaphram Retaining Ring for Stainless Steel Stethoscope, Adult

600-222-000 Diaphram, Neutral, for Stainless Steel Stethoscope, Adult- Child or Infant

600-213-000 Stethoscope ID Tag, Black