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Description
Littmann Cardiology IV Diagnostic Stethoscope: Black - Champagne Finish 6179Suitable 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 adult diaphragms exclusive to the Cardiology IV series, state of the art long lasting tubing, a finely tuned bell side for instant
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.
Did we mention it can be engraved too?
- 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.
- ‘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.
- Laser engraving of text and symbols to personalise your scope and avoid theft/loss.
- 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
Laser Engraving
Medisave offer a laser engraving service on all of our Littmann stethoscopes (and many other items of diagnostic equipment). Because we recognise the value and quality of your tools we have invested in the highest quality equipment and technicians to give you probably the finest engraving service available in the UK (superior to our competitor’s more expensive efforts). The end result is an elegant, permanent, precision mark on the surface of the chestpiece, allowing you to show a little of your personality and, more importantly, deterring thieves and making it easier to retrieve your scope should you misplace it. The service does not delay your order and next day delivery services are available.
HIGH QUALITY | NO DELAY | NEXT DAY DELIVERY
More information:
Littmann recommend using 70% Alcohol Wipes to clean the Littmann range of 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
4.2 ★★★★★
Based on 10 reviews
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Product Reviews
★★★★★ 5
Give me a little bit’a that Nicolai Roman Attano ANY DAY. 🥵
⭐️ 5
🌶 3
🚂 Peaky Blinders Vibes
🚂 Enemies to Lovers
🚂 Sexy + Sassy Banter
🚂 Marriage for Business
🚂 Unique Magic System
🚂 Dual POV
I absolutely LOVED this book. The mafia/peaky blinders vibes — the lil’ steam punk feel mixed with magic and mayhem… add in the witty banter from Milla and Nico? ALEXIS, YOU DONE JUST ROCKED MY WORLD, FRIEND.
What I Enjoyed:
Nicolai. Roman. Attano.: Literally. This is all I’ve got to say to you, just read the book.
The Banter: When I tell you the banter between Milla and Nico is iconic — I mean it. Scroll down for some of my favorites, but my my my, my core was HEATING and I was wriggling in my seat on the airplane, my friends. OOOOOMPH.
Steampunk/ Peaky Blinders Vibes: I read this whole book with a feeling of mist on the ground, the flickering street lights, sound of a train horn, flapping of coat tails, and smell of cigarillo smoke. It was dark, broody, beautiful, and chilling. Add in a little wetness from morning dew and the scene has been set.
Plot Twists & Turns: The amount of times my eyes bugged out of my head with “OMG NO WAY”, “WHAAAT”, and “BOOIIIIIII–” should almost be illegal. I didn’t see the twist at the end coming, I loved it! Brilliant! I feel like House of Bane and Blood didn’t even allow me the opportunity to guess what would happen next, because I just had no idea where Alexis would take it.
Attano Family: I’m a sucker for a big family with many cousins, personalities, and a spicy Nonna. Throw in a kitchen scene or two and you’ve got me hooked. I loved the dynamic between the Attano family and how fast they came to bat for Milla. I throughly enjoyed getting to know the people behind Nicolai, and how they all support him and each other.
What I Didn’t Like:
The Minimal Insight on the Marchese Family: We aren’t really given much insight into the Marchese Family and Milla’s brothers. I understand this gives an ominous feel to the brothers — but I really wish we could have explored Giles and Milla’s relationship just a little bit more. I wish I understood more about the Twins than what was given. Although, I do understand the distance and the coldness, I personally just wanted a little more.
Over All Thoughts
The way I straight flew through this book — UGH. Adding Nico to my list of book boyfriends, and Alexis to my list of instant buy Authors. The way House of Bane and Blood is written is beautiful, it does not feel immature or overwhelming, there’s enough to keep you riveted and more and more unfolds with every chapter. Milla and Nico are a force to be reckoned with separately, but together? Indestructible! I cannot WAIT to see what happens in City of Mirth and Malice.
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Reviewed in the United States on July 9, 2024
★★★★★ 4
A Promising Start with a Complex Magic System
“House of Bane and Blood” delivers an engaging enemies-to-lovers romance wrapped in an arranged marriage trope, which was one of the strongest aspects of the book. The dynamic between Nico and Camilla was compelling, making their evolving relationship one of the highlights of the story. The plot itself was interesting and had a lot of potential.
However, the complexity of the magic system was a drawback. The abundance of difficult names and terms made it challenging to fully grasp the world-building, leaving some aspects feeling more confusing than immersive. At times, it was hard to keep track of what was happening and who was who.
Despite this, the book holds promise as the first installment of the series. With an intriguing setup and strong character chemistry, I’m excited to see where Book 2 takes the story. Hopefully, it will continue to build on its strengths while offering more clarity on its magical elements.
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Reviewed in the United States on March 17, 2025
★★★★★ 5
Outstanding Indie Fantasy! You NEED to read this!
I have started and deleted my intro to my review multiple times at this point. My mind is sufficiently BLOWN. This book has landed itself into my top favorite romantasies right alongside ACOTAR and FBAA. ITS SO DANG GOOD. I literally woke up, popped it open on my kindle app (Thanks author and R&R Book Tours for the arc!) and got to reading and just didn’t stop. I couldn’t stop. From the first dang page, Menard dragged my butt in and tied me down. I. Was. HOOKED.
Writing Style: I absolutely love the writer’s style! Told from mainly Milla’s POV, with the occasional glance into Nico’s POV when its important. Her world building is rich and immersive, sticking firmly into the steampunk/gas lamp fantasy atmosphere. Her magic system—while feeling familiar—still feels unique and blends beautifully with the world she’s created.
Characters: I can’t begin to describe how much I love the characters Menard has created for this story. Milla is a firestorm. She’s passionate, fiesty, loyal, and self confident. She doesn’t back down, no matter the odds. For me, personally, she’s ranking right up there with Feyre (ACOTAR), Poppy (FBAA), and Sera (FBAA prequel) as one of my favorite female leads. Despite her fierceness, she’s not invincible and she’s still vulnerable—which unveils itself more as the story goes on.
Nico, mmmmmmmm, Nico. He’s cocky, and strong. His heart is for his blood and family. There’s nothing he won’t do for those he cares for. He’s incredibly insightful which leads to a lot of me squeeing and highlighting his quotes. Pairing him up with Milla is a riot I will watch again and again.
The side characters are all phenomenal, ranging wide in personalities and giving the world a richer vibrancy. They compliment both main characters, bringing out the best and worst in them, helping to bring secrets to light and keep the plot going. Not a single character felt out of place, or ever out of character.
Relationship: Y’all know I love a good slow burn and this burns so good. The push and pull of their hate/love relationship is a thrill to witness. Watching them fall for each other is a joy and the spice (when we get there) is HAWT.
Plot: This story had me hooked, and that’s largely in thanks to how well planned out the story’s plot is. Menard did an excellent job, masterfully balancing her foreshadowing and reveals. While I halfway guessed the big reveal, i definitely did not expect the big reveal. (Read the book, then you’ll understand lmao). The pacing is fantastic. Nothing about the story felt rushed, not the relationship, not the reveals, not the over arching plot line. Just absolutely phenomenal.
Enjoyment: 100/10 will read again. I need a physical copy in my life. I HIGHLY recommend this book.
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Reviewed in the United States on October 28, 2023
★★★★★ 5
One of the best reading experiences I’ve ever had
Format: Audiobook
This was truly AMAZING!!!!!!!!!!!! In every possible way.
- the setting. I loved the steampunk/gaslamp setting with trains, overcast weather, and mafia vibes
- the magic. I still don’t entirely understand the magic system and descendants as much and it took awhile for me to get my footing in that department- and I am intrigued beyond measure, though it in no way lessened my enjoyment of the story. I just really wish I had a better grasp of it.
- the plot itself. Beautiful. The tropes were troping in the absolute best way. Every single thing that happened I was like YES MORE!!!
- the writing. I found myself grinning ear to ear uncontrollably during my entire read through and full on choking on my gasps, again, like the entire read through. And I read this too at times when I was in an awful mood so the way this book was an INSTANT pick me up really speaks to how well this was written. I was having the absolute best time, non stop.
- the characters. The best part oh my gosh. Camilla is SUCH a badass. Her and Nico are supposed to be low 20s and I gotta tell you they read more like 30s from how capable and mature they are (not that that age bracket is incapable or immature, just comparing them to other characters written in that age range). She is the type of cool as heck character that everyone would be cos-playing as and if it was a kid movie, every single girl would dress as her for Halloween. She’s that awesome.
Nico is top freaking tier. I gotta say his hairstyle is my undoing and with the addition of the metal arm- before I even started reading the book I was in love with him. And he was EVEN BETTER than my lofty expectations. This man. Perfect in every single way. Every. Single. Way. If I start now I won’t stop so I’m just gonna leave it at that. Camilla and Nico are power couple of the century though and the way they interacted was the most toe-curling/squealing/kicking your feet banter I’ve read in a while. PLUS the way they fell for each other was a gem. I was falling in love with their relationship right along with them.
- a shout out to the side characters too. Aramis, Gideon, Aunt Fran, Esme, Luther, Adler [honestly just insert all the supporting cast they were freaking phenomenal] brought so much life and personality to the story and helped round out Nico and Camilla. I really really really would absolutely adore if Adler got some more spotlight time in the future because he and Aramis are up there with “let’s give these side characters their own spinoffs”.
Also, the villains were great too. I love a great villain in a story and sometimes I don’t think they get highlighted as much in books as in movies or TV that I hear of.
If it wasn’t obvious already- this was even greater than a 5 star read. This was perfection- in quality and in vibes- and it was one of the most enjoyable reading experiences I have ever had and I’m not throwing that around lightly. I have scenes from this book playing in my mind unbidden on repeat and I know this world has so much more to be explored. I will read anything Alexis L Menard puts out in the future
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Reviewed in the United States on March 5, 2025
★★★★★ 4
Great mix of maffia and magic
Format: Kindle
This one felt really unique to me, with a great and successful blend of Twenties-feeling maffia and inventive magic. I liked both the main characters a lot, even though I found myself almost shouting at the MFC sometimes. She really should learn not to trust everyone just because they're family!
All in all a good read, with lots of romance, yearning and some spice as well.
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Reviewed in the United States on November 15, 2025
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