Quality instrument manufactured in Japan before they exported all their manufacturing. This is a close-out on an excellent instrument. Compact dual stethoscope is the First Choice for value and function. It has a durable aluminum head and binaurals, with internal headset spring for sleekness. Adult size bell and diaphragm. Gray tubing. It's a great stethoscope at an incredible price. When they are gone there will never be a value as great. Hope you are lucky and get one or two for yourself.