Showing posts with label littman stethoscope. Show all posts
Showing posts with label littman stethoscope. Show all posts

Friday, March 2, 2012

Thinklabs Digital Electronic Stethoscope DS32A Review

Thinklabs Digital Electronic Stethoscope DS32A
Average Reviews:

(More customer reviews)
As a degreed Chemical Engineer for 22+ years, and a volunteer Paramedic since 1991 (in my "copious free" time), I wanted to treat myself to a new stethoscope prior to starting an accelerated BS-->BS/MSNursing program in a couple more months.
I chose the Thinklabs Rhythm ds32a stethoscope.
I've used a Littman Classic II SE scope for the past 5 years or so, and have been happy with its performance (no breakages, nothing worn out). I looked at other electronic stethoscopes, but they all seemed pretty expensive.
The Thinklabs scope is well thought out. The company president, Clive Smith, is a degreed Electrical Engineer. Although he didn't choose the "one true path" of Chemical Engineering, I won't hold that against him (too much!).
I have only been using this scope for a month or so, so I don't have years of experience in using it (yet). It is not heavy at all, and is comparable to my current scope. It has a nice shiny chestpiece (chrome plated aluminum), and soft earpieces, which block out lots of ambient noise. LEDs on the reverse surface of the chestpiece show the current "operating mode" for the scope. Amplification is adjustable via an "all or none" control, and a "volume" dial.
The biggest selling point for this scope (in my humble opinion) is the "fly by wire" design, meaning that it's totally electronic from chestpiece to earpiece speakers. Most amplified scopes have a normal style (acoustic diaphragm) chestpiece tied to a hollow rubber tube leading to the electronic amplifier. With the Thinklabs unit, the chestpiece is not a normal acoustic diaphragm. It is a metallized diaphragm in front of an electronic transducer (~2" diameter brass disc). This picks up sound vibrations as with "old fashioned" scopes, but rather than just dumping sound vibrations up the long rubber tube, it sends the signals via wires to the amplifier "guts" located about halfway between the chestpiece and the earpieces.
THINK ABOUT IT...rather than the sound being mixed with ambient noises picked up by the floppy rubber tube, the Thinklabs unit sends the sounds directly via wire to the amplifier, avoiding a lot of the ambient noise.
Once signals leave the amplifier, they're directed through wires to neodymium magnet speakers in the earpieces. Once again, there's not a lot of opportunity for ambient noise to interfere with whatever signal the chestpiece picked up.
I have used this stethoscope in the back of an ambulance running lights & siren, on noisy Dayton, Ohio streets. It blocked out most of the ambient noise, and still allowed me to still hear decent breath sounds. That's pretty impressive! In a quiet home or hospital setting, this scope is bound to be ideal.
TWO MINOR COMPLAINTS -
1) The unit doesn't drape across your neck & stay in place as well as the Littman stethoscope. I find that the earpiece end of the scope tends to slide down your chest. Not sure if that end is heavier than the chestpiece part, but it's still a bit irritating.
2) The shiny aluminized plastic battery compartment worries me a bit. I just wonder how well it will handle normal wear & tear without rubbing off the shiny coating & showing the black plastic underneath. Thinklabs says it's polycarbonate, which should be nice & tough, but with a scope this expensive, I'd hope it stays nice looking after a few years of use.
For EMS field use, I'm still reserving judgment as to this scope's durability. As an electronic device, it's probably not as "bullet proof" as an old fashioned acoustic stethoscope. I've not used it outside in the rain yet, so I can't speak as to whether the electronics will hold up. The president of Thinklabs seems very willing to back up his product, and answered my emails directly. This is very unusual in today's business climate, and speaks very well of the company's willingness too back up their product.
The ds32A also comes with an adapter cable which allows you to record sounds picked up by the stethoscope. I've not played around with that feature yet, but it would be ideal for teaching.
If you're looking to buy an amplified stethoscope, I'd give this one some serious consideration.


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Wednesday, January 11, 2012

3M Littmann 3100BK27 Electronic Stethoscope, 27 inch Review

3M Littmann 3100BK27 Electronic Stethoscope, 27 inch
Average Reviews:

(More customer reviews)
As a nurse, I've used my Littmann 3000 stethoscope for almost 2 years on a regular basis. I just recently upgraded to the Littmann 3100 and the difference is unbelievable. Here's a comparison of the two products:
**Littmann 3000**
PROS: The stethoscope is durable, lightweight and easy to clean. It magnifies heart/lung/bowel sounds very well and allows you to easily adjust between volumes, bell/diaphragm modes. It shuts off automatically after 3 minutes from the last button push.
CONS: For some unknown reason, they made the chest piece slightly rounded in a convex shape rather than flat. Because the diaphragm bulges out towards the patient, it is very difficult to keep it flat and still against the patient's skin (especially on thin, elderly or pediatric patients). The shifting causes scratchy artifact sounds that can be hard to distinguish from lung crackles. It also picks up all little movements of your fingers/hand/tube/surface, etc. The other less significant issues include: the a small start up period from the time you turn it on to when you're actually able to listen through it, which can be frustrating in urgent situations; it doesn't tell you when the battery is low (it just doesn't turn on); it takes AAA batteries which are harder to find in a bind; and you have to use a coin/screwdriver to open the battery chamber.
When I got the Littmann 3100, I didn't know if it would fix these issues but I've been extremely pleased with the improvements and even the upgrades, making it well worth the price.
**Littmann 3100**
PROS: The new model has a flat, wider diaphragm that fixes the artifact sound problems and is able to magnify sound even more. It also does a better job of limiting ambient noises from your hands/tube. That in itself makes it worth it. The new power button turns it on immediately and there are multiple auto-on/off/standby modes to choose from, so no more wait time. The LCD screen is an excellent feature and shows you volume, battery life, bell vs. diaphragm modes, and also displays the patient's pulse. The battery chamber now opens by twisting without requiring tools and uses a single AA battery. The construction is again excellent and sturdy but lightweight and flexible.
CONS: None!
Overall, the Littmann 3100 is a vast improvement over the 3000 model and can be purchased for roughly the same price at various medical supply websites. I strongly recommend this stethoscope for anyone that wants to hear better or has significant hearing loss like I do. I'm so glad I switched!

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Littmann 3100 electronic series stethoscope.

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Wednesday, November 16, 2011

3M Littmann Lightweight II S.E. Stethoscope Review

3M Littmann Lightweight II S.E. Stethoscope
Average Reviews:

(More customer reviews)
Although most current medical students, residents, and cardiologists are aware that the Cardiology III stethoscope by Littmann is in vogue, I decided that the price tag attached to one of those stethoscopes was outrageously astronomical and decided to purchase this stethoscope instead. As the name implies, it is lightweight, and the acoustics are impressive. I don't believe that the cardiology III, which I have used, offers anything more that is usable in terms of acoustic data, unless you have very sensitive ears and/or are a cardiology fellow/attending. Remember that medicine is definitely not about who has the fanciest or most expensive tools, but about caring and thinking.
I also recommend this specific color; I ordered it thinking that no one else would have this color. I was crestfallen to find that it is a popular choice among nurses, who also choose this color thinking that it's not popular, and therefore a less likely candidate for theft/long-long term borrowing. However, I have grown attached to the color; it's easy on the eyes, and the computer monitor doesn't reflect the true color. It's a little darker.

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The 3M Littmann Classic II stethoscopes feature single-lumen tubing, non-chill ring and patented Littmann soft-sealing eartips.

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