Littmann 3M™ Littmann® 6154 Cardiology IV™ Stethoscope doctor headset helps you the ability to hear high-frequency sounds better to know more about your patient's condition features and benefits. The adjustable single-piece diaphragm allows you to hear high and low frequency sounds on both sides of the chest for adults and children. The side designated for children converts to an open bell. Simply remove the single-piece diaphragm and replace it with a non-cold edge. The open bell remains free of dirt and debris by covering it with the small diaphragm. Additional details. The dual-lumen tube combines two sound pathways into one tube, which eliminates the noise caused by friction of traditional double tubes. The next-generation tubes are not made from natural rubber or phthalate plasticizers.