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colinbartlettyesterday at 4:23 PM10 repliesview on HN

I was shocked to see that a "brand name" stethoscope is $100+ and even generic ones are $30.


Replies

jcimsyesterday at 5:21 PM

I'm shocked that you're shocked lol.

$100 for a somewhat specialized, durable medical device that has to meet regulatory standards and will be used daily, possibly for years, by healthcare providers to do patient assessments?

A 3D printed option is going to require a 3D printer, appropriate filament and should be unit tested to ensure it's within spec. The durability is going to be suspect no matter what. It's an awesome project and I'm sure would be a welcome addition to the 'boostrap humanity' catalog of 3D printed parts, but for everyday doctors plunking a hundo on a good tool is going to be a no-brainer.

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projektfuyesterday at 8:36 PM

There are cheap, generic scopes (Sprague-Rappaport types) that are very sensitive but the double tube also causes a lot of noise. There are knock-offs of the Littmann scopes in the market. Then there are the scopes doctors usually buy, which are Littmann, Harvey (made by Welch-Allyn) and Heine, and a few smaller makers. No marketer of a high-quality scope wants to sell it at a $30 or less price point, and if you're going to go higher, might as well place it in the same market as the Littmann ($115+). I'll be honest, for emergency medicine use, the Littmann lightweight scope is good enough and cost about $45 when I bought it. But if I actually want to hear the subtleties in a chest, I'll use my personal scope (a Littmann Cardiology IV). Why choose this one? I already know it and they are very consistent. It doesn't feel cold to the patient and it has the right level of sensitivity without much noise. It is a little heavy. If a dog is bucking around, it can go flying and hurt if it hits someone.

sonofhansyesterday at 5:54 PM

Years ago I had my blood pressure taken by a nurse; this was when they did it manually, squeezing the pressure cuff bulb by hand and listening with a stethoscope. The doctor came in later, saw the numbers and frowned, and took my pressure again. She (both were women) ended up with a reading much more within my normal range.

I asked, joking, “So are you just better than her?” “No,” my doctor replied, “She’s better. She gets more practice. I have a better stethoscope.”

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donaltroddynyesterday at 5:06 PM

They can become a lot more expensive than $100, but the difference between a Littman Cardiology and the $15 EMT student stethoscope is night and day.

> Currently, the stethoscope resulting from this project functions as well as the market gold standard, the Littmann Cardiology III

If this is true, it's a major achievement.

boelboelyesterday at 5:59 PM

People buying stethoscopes tend to be reasonably affluent. Some of the pricier ones just look better and people usually buy them when you get into med school (at least this was the case for me), it's somewhat symbolic so why not splurge.

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deknosyesterday at 5:14 PM

You probably pay for tests and that the company has to be audited for medical diagnostics standards

elAhmoyesterday at 5:12 PM

It is somewhat of a critical tool, so you don't wanna be checked by a doctor who made their own stethoscope or got one for 3 USD on AliExpress.

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conductryesterday at 8:24 PM

If it’s your everyday carry used in your profession, just pay for a nice one. It’s really not that much.

If someone showed you how to create a functional $30 monitor, you’d still pay more for a nicer commercial one

Lalabadieyesterday at 6:19 PM

My daughter's toy stethoscope has actual tubing, some sort of diaphragm, and that seems to work reasonably well!

I'm not surprised good results are available for a few dollars.

unsupp0rtedyesterday at 4:48 PM

Is that a lot or a little?

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