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MoHMA Stethoscope, Reflex Hammer combination Burrows 7 long, brown wood ( pine?) with vulcanite earpiece 2.25 which has a rubber ring around it for use as a reflex hammer . Chest piece 1 1/8 has a small chip in it. Same instrument is illustrated in the Tiemann catalogue. Tube is 7/16 dia. https://www.mohma.org/instruments/category/stethoscope/stethoscope_reflex_hammer_combination_burrows/