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An open-source stethoscope that costs between $2.5 and $5 to produce

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Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#71
post #48

Earlier quoted context omitted.

What standard exactly, for a stethoscope? I know nothing of this, but it looks like stethoscopes are Class 1 medical devices with 501(k) exemption, and fall under the "Good manufacturing practices" guidelines of Quality System Regulation (21 CFR 820), but that seems pretty squishy.

CFR 21 being labeled squishy is a first for me.

CFR 21 is the whole thing. I'm specifically referring to Part 820, within the context of a stethoscope.

Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#72

Hmmm. Looking at: https://journals.plos.org/plosone/article/figure?id=10.1371/... I'm not sure I believe the graphs. For example, here's another frequency response chart of some stethoscopes: https://www.researchgate.net/figure/a-Frequency-response-of-... How is it that professional stethoscopes can be that different, and yet this 3D printed one can match a gold-standard one almost exactly? From what I can tell there…

It's a bit of a head scratcher. It would require abject incompetence on the part of jellybean stephoscope manufactorers for this to make sense. On the other hand the reason Litmann stephoscopes are expensive is target market (doctors), build quality and amortization of cost over probably a decade of use. Stephoscopes are a metanym for doctor, and doctors don't want cheap stephoscopes. It reminds me of the product to…

Yes, if you're going to be using it for the next 10 years, it is worth going for the more expensive Littman if you can. However, I've heard that there are decent Chinese clones, and honestly I've used those $1 stethoscopes in isolation units and they're not terrible for basic pulmonary auscultation.

Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#74

Here is an interview with one of the researchers behind this project: https://logicmag.io/bodies/tarek-loubani-on-3d-printing-in-g... It explains the project and its motivations. It's been a while since I read it (2019), but at the time I found it really fascinating and inspiring.

Really eye-opening to my western-brain that agreed with higher comments simply comparing the process with ordering a unit off Alibaba and having it delivered. Truth is, there's often a million other parameters that could come up and make a project like this really useful & practical to someone.

Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#75

Earlier quoted context omitted.

How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years?

> How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years? They last forever. Why would they break? This is like asking how long floor speakers last.

Speakers sometimes die while sitting unused in their original shipping carton in a dry, climate-controlled room.

The adhesives can age. Foam surrounds can disintegrate. (Ask a Bose 901 owner about foam rot.)

They also can also die from use, and abuse. And finger-poking. And environmental conditions like moisture and UV light.

I know enough enough about old speakers to know that lasting forever isn't one of their usual traits.

Are stethoscopes really as bad as that?

Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#77

Earlier quoted context omitted.

How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years?

> How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years? They last forever. Why would they break? This is like asking how long floor speakers last.

My first stephoscope lasted about 10 years until the tubing became brittle and started cracking. It's the oil on your skin that does it apparently. It went through a couple diaphragms and I lost an ear piece but used a replacement one.

Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#78
post #18

Earlier quoted context omitted.

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.

It’s funny, most physicians agree that the cheap disposable stethoscopes in isolation rooms are the best, mostly because they are so loud it’s difficult miss anything with them. However, I am not a cardiologist so they may have a different opinion.

I would really disagree as a physician that's used a lot of random crap stethoscopes when I don't have one or in an iso room. Those disposable ones are different in what they pick up, some findings are louder others not detectable. Sure I can pick up some stuff like rubs and systolic murmurs but you aren't going to get more subtle findings like diastolic murmurs and fine crackles. Probably a combination of certain frequencies responding and also me being used to mine.

Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#79

Earlier quoted context omitted.

How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years?

> How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years? They last forever. Why would they break? This is like asking how long floor speakers last.

Stereotypical image of the doctor is that they carry them over their neck 24/7, so that alone would destroy them pretty quickly.

Re: An open-source stethoscope that costs between $2.5 and $5 to produce

#80

Earlier quoted context omitted.

How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years?

> How long do they last? Looks like pretty solid piece of equipment, but are they damaged easily or simply clap out after few years? They last forever. Why would they break? This is like asking how long floor speakers last.

As other commenters pointed out, rubber/plastics fail.

Littmann sells repair kits.

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