Other colors are also available. Everything in the first picture is included. Black StateScope with a heart logo, with a name tag. Replacement earpieces and diaphragms are also included. The earpieces are soft and designed to be gentle on the ears. The replacement earpieces seem a bit harder. The handle is somewhat similar to the Littmann Cardiology series. It has a substantial weight. This is a new stethoscope, but it has been used once to check its functionality. I am a healthcare professional, and there are no issues with the auscultation. Disinfected with alcohol wipes. Recommended for health checkups and home visits. Recommended not only for healthcare professionals but also for those who want to check the heart and lung sounds of children, family members providing care at home, and pets. - Color: Black - Accessories: Instruction manual, replacement eartips - Design: Heart logo Thank you for viewing. #Nurse #NursingStudent #Caregiver #Facility #HeartSounds #LungSounds #Pediatrics #FetalHeartSounds #Veterinarian #Doctor #Clinic #MedicalStudent