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MoHMA Stethoscope Brass ear pieces with screw on ivory tips. The connectors to the ear piece and the bell are bulbous. The bell is brass also with a screw on hard rubber end to apply to chest and is marked Down. The brass may have been nickle plated. The hard rubber end unscrews to leave a smaller bell which is intended for use with children. https://www.mohma.org/instruments/category/stethoscope/stethoscope_5/