Brand new. Just never used it. Includes case as shown in pictures. Patient size: Adult Material: Titanium Tube: Black Glitter Metal Finish: Rose Gold The MDF® ProCardial® Titanium Cardiology Stethoscope is the first of its kind to provide acoustic integrity with the feel of a lightweight stethoscope due to its revolutionary titanium construction. Compared to its 9.6oz stainless steel counterpart, our titanium ProCardial® weighs in at only 4.9oz. Imagine what that feels like over a 12 hour shift. With its extra-deep, cone-shaped bell for low frequency sounds and ultrasensitive diaphragm for high frequency sounds, the MDF® ProCardial® Titanium Stethoscope delivers accurate auscultation of heart, lung, and Korotkoff sounds with clarity. The patented convertible chestpiece provides flexibility in assessment, quickly converting the adult bell and diaphragm for pediatric or infant/neonatal patients with the optional attachment clip (sold separately).