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Description
Littmann Cardiology IV Diagnostic Stethoscope: Smoke & Black - Black Stem 6232 - 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
4.0 ★★★★★
Based on 18 reviews
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Product Reviews
★★★★★ 5
Life-saver for hands in pain
Size: 5.1 Ounce (Pack of 2)
This is my favorite hand cream. We're in PA and I keep a tube of this by the kitchen sink, in my bedroom, the bathroom, and in my car. I use it all the time and it saves my hands. I discovered it by chance at a store one time and I've tried many products (used to work in Healthcare so was constantly hand-washing). I like O'Keefe's Working Hands all right, and Gold Bond healing hand cream used to be my favorite, but this replaces both. It's so helpful for my 5 year old, too, whose hands get super dry and cracked if we don't keep up with this. It's great stuff. Ever since I discovered it, I haven't been able to find it in stores again. It's always out of stock, so I guess others have figured it out as well!
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on February 1, 2026
★★★★★ 5
Smells amazing!
Size: 3.4 Fl Oz (Pack of 2)
Smells amazing, great size, good quantity for what you pay. Hydrating not greasy!
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on February 8, 2026
★★★★★ 5
Holy Grail Moisturizer for Rosacea
Style: Restorative Protective Cream-3.3 Fl Oz
In seeing so many negative reviews I felt compelled to weigh in as this is my favorite moisturizer. I have very dry, menopausal skin. Additionally, I have rosacea which seems to have been a nice gift from said menopause (you can only laugh, right?). It's very common for those of us in our 50's to have a compromised skin barrier and when an issue like rosacea is present, even more so. Because of all this my skin is very intolerant to most moisturizers and nearly all actives (over the last few years I've had to discontinue my retinols and chemical exfoliators). While ingredients like ALA's, petrolatum, mineral oil, parafin/bees wax, and lanolin are well tolerated and known to be quite soothing, they don't hydrate very well as they are more occlusive than moisturizing. Enter this product. Magically, it does both! It's marketed as a protective cream, which again implies occlusive, but it penetrates like no other. Gone is the tight, dry feeling that persisted even when I had a heavy layer of product on my skin (my previous moisturizer was Eucerin Original Healing Cream -- which still has its uses -- because it was the only thing I could put on my skin outside of squalane oil during a flare).
Now, no topical can cure rosacea. However, the right product can calm the skin, repair the damaged lipid barrier, and improve its appearance. This moisturizer does just that and it's become my holy grail. Since starting this I've also added in the Cicalfate Serum which has only aided in repairing my skin. Another Avene product that works great for me is the XeraCalm Balm which helps with itching. I use all three of these daily and they've really helped fix the secondary issues that come with rosacea.
As for the complaints about it being greasy or too heavy. I can see this not working for people with normal or oily skin (or perhaps only in moderation). But my skin loves the heavier weight and because one of the ways I soothe a flare is to keep a tiny mister bottle on hand and repeatedly spray my face so I have to guard against the drying effects of evaporation. These products are so lipid heavy that I can wet my face all day long without worrying about that, though I do reapply throughout the day.
As for the watery consistency issue, I haven't had that problem but it does caution on the packaging not to expose the product to temperatures below 41 degrees F (5 C). I suspect that if it gets too cold either because of the weather or because of whatever warehouse it sat in during transit it will separate. Maybe open the package and before squeezing some out look to see if it has split and then shake it up/message the tube.
So, if you have skin like mine don't hesitate to try this product. I'm leaving this absurdly long review for my struggling brothers and sisters out there with rosacea in hopes that it provides some relief! Happy moisturizing, internet strangers. ;)
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Reviewed in the United States on July 18, 2025
★★★★★ 4
Possible solution to seperation
Style: Restorative Protective Cream-1.3 Fl Oz
I love this product so much, but, like everyone else the water HEAVILY separated. A lot of water just shot out immediately and as i've used the cream it has felt more and more thick bc of that, shaking the tube or not.
POSSIBLE SOLUTION:
I actually think the company could salvage this problem by upgrading packaging to a Cosmetic JAR and then customers could take a toothpick and stir if separation has occurred by the time of purchase. I hope to try this with my next tube, just toothpaste squeezed everything out into a nice cosmetic jar and stir the water back into the product. This is such a simple solution that could really solve the product waste.
This refreshes my skin, doesn't break me out, and is lovely. I break out so easily, and being middle aged my skin really requires a dense help with moisture. <3
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Reviewed in the United States on April 22, 2026
★★★★★ 5
Ordered in spring/summer and it arrived separated too BUT...
Style: Restorative Protective Cream-1.3 Fl Oz
Ok, So I heard great things about this cream and decided to order. I ordered on May 28th and I live on the Gulf Coast of Texas and it is in the low 90s right now. I was worried mine would arrived separated like many others claimed to have gotten theirs, and sadly it did. Warm weather or not, blue water shot out of the tube the minute I squeezed it. Luckily, I read Mia P's review and submerged my tube in warm water (hot water actually straight out of my instant hot water faucet). I left it for about 5 minutes then shook it vigoroously. It seemed to help but was still a bit wonky so I repeated the process again and success! My tube is totally fine now and comes out in a thick, rich, emollient cream as it is supposed to. I will update my review after I use it more but so far I love the way it feels on the skin. It is very thick but spreads nicely and completely absorbs into the skin and leaves no greasy residue which is a big deal because I have oily skin. I purchased this to help with my Retin A uglies (I actually am using Musely with .05% tretinoin) and am hoping it helps with the redness and peeling I am having. I will update my review once I've used it for a while but wanted to post this review as I saw so many people complaining about the separating and just thought I'd mention that you can fix this issue if you have it (and there is a good likely hood that you will).
Update: I've been using this for a week now and I am absolutely in love with this cream! It is the most hydrating and healing cream I've ever used. Usually, thicker face creams like this would cause issues for me with acne or clogged pores as I do have oily skin that can break out if I use products with occlusive ingredients, but this one does not. In fact, my skin has never looked better! This is a must-have if you are using Retin-A/Tretinoin and going through the red/peely phase with your skin. The separation that occurred when I first received it has not been a problem and the cream is staying thick and free from any strange liquidy issues after I put it in hot water as mentioned in the first part of my review.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on May 28, 2023
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