1. University of Alberta Medical Students Presentation Leaders in Auscultation since 1967

2. 3M Littmann® Stethoscopes Medical Class of 2017 We at Littmann welcome you on your journey toward a career in Medicine. One of the most often used tools you will utilize in patient diagnosis and throughout your profession will be your stethoscope. So, it makes sense to use a piece of diagnostic equipment that will last for many years and provide excellent service while doing so. Littmann is the most highly recognized, most often purchased and preferred stethoscope in the Medical field. These stethoscopes have demonstrated a working lifespan of over 30 years, with disposable parts available to support this service..

3. 3M Littmann® Stethoscopes To that end, we want to get you off on the right foot by providing the opportunity of owning a Littmann stethoscope at an exclusive student price through our Back to School Program. As part of the purchase program, we provide, at no charge, a personal I.D. Tag and a teaching auscultation CD with heart and lung sounds We invite you to read through this presentation to familiarize yourself with this diagnostic instrument, its usage, care, warranties and Back to School pricing details. Ron Tarnowski 3M Littmann Stethoscope Products Medical Class of 2017 (contd)

4. 4 © 3M 2010. All Rights Reserved. Science of Auscultation Auscultation, derived from the Latin verb auscultare "to listen, is the term for listening to the internal sounds of the body immediate auscultation unaided mediate auscultation using a stethoscope Clinical use dates back to ancient Egypt Stethoscope was invented by René Laennec in Paris in 1816 Dr David Littmann working at Havard Medicial School pioneered several improvements to improve sound quality and reduce weight in the 1960s Littmann has continued to drive innovation in stethoscopes

5. Auscultation Sounds - Frequency In Cycles per Second (Hz) 10204060100200400600 1000 GASTROINTESTINAL MITRAL STENOSIS EJECTION MURMURS S3 & S4 GALLOPS FIRST & SECOND HEART SOUNDS AORTIC & MITRAL REGURGITATION RESPIRATORY 3M Littmann ® Stethoscopes

6. 6 © 3M 2010. All Rights Reserved. Anatomy of a Stethoscope

7. 7 © 3M 2010. All Rights Reserved. 3M Littmann ® Stethoscopes Tunable Diaphragm Technology Bell Mode Light contact with tunable chestpiece side allows you to hear low frequency sounds Diaphragm Mode Without turning the chestpiece over, use firm pressure to hear high- frequency sounds Tunable diaphragm is part of Master Cardiology, Cardiology III, Master Classic and Classic II stethoscopes

8. 3M Littmann ® Stethoscopes WEAR IT RIGHT Proper Headset Alignment Headset has been designed to anatomically match the correct angle of the users ear canals CORRECT INCORRECT Tension is easily adjustable

9. 9 © 3M 2010. All Rights Reserved. Cleaning and Care of Your Stethoscope Your Littmann stethoscope is designed to provide years of reliable service. Routinely cleaning your stethoscope will ensure optimal acoustic performance. General cleaning instructions: Do not immerse your stethoscope in any liquid or subject it to any sterilization process. If disinfection is required, the stethoscope may be wiped with a 70% isopropyl alcohol solution Keep your stethoscope away from extreme heat, cold, solvents and oils Eartips may be removed from the eartubes for thorough cleaning Clean scope regularly with mild soap & water followed by alcohol wipe PVC tubing hardens when exposed to lipids for long periods of time and may cause stiffening of the tubing over time To prevent or slow down this hardening process: Avoid contact with skin (wear under collar or carry in your pocket) Clean tubing regularly with mild soap - then alcohol Vinyl protector treatment once per month

10. 10 © 3M 2010. All Rights Reserved. Shared Features of the 3M Littmann ® Stethoscopes Patented tunable diaphragm High quality stainless steel chest piece Two-in-one tube design in Cardiology models provides superior acoustics over one- tube Classic models Excellent acoustic seal and comfortable fit with patented 3M Littmann ® Snap-tight Soft-Sealing Eartips Comfortably angled, anatomically correct headset Patient friendly, nonchill rim and diaphragm

11. 11 © 3M 2010. All Rights Reserved. Why buy a Littmann Stethoscope? Superior acoustic response Most advanced chest piece technology available 3M tunable (pressure sensitive) diaphragm Exciting Colors & Full service and repair program 40+ years of proven quality and reliability Globally available, easy-access customer service Continual innovation The best choice to support your education

12. 12 © 3M 2010. All Rights Reserved. Littmann Mechanical Line Master Cardiology Cardiology III Classic II S.E. Master Classic II

13. 13 © 3M 2010. All Rights Reserved. 3M Littmann ® Master Cardiology Stethoscope Superior acoustic response Tunable diaphragm-Conveniently alternates between low and high frequencies without turning over the chestpiece Portable convenience of single-sided chestpiece Two-in-one tube design 10 year warranty COLOURS: Black tubing with stainless chestpiece & metal tubes, * Black w/black chestpiece & metal tubes, * Black w/brass chestpiece & metal tubes, * Black w/ smoke chestpiece & metal tubes, Burgundy, Navy Blue, Hunter Green, Plum * Special Finish 1 2 3 4 5 6 7 8 9 10 Performance Rating Superior Acoustics 10 Cardiology High Performance Adult & Pediatric

14. 14 © 3M 2010. All Rights Reserved. 3M Littmann ® Cardiology III Stethoscope Outstanding acoustic response Exceptional versatility of adult- and pediatric- sided chestpiece Tunable diaphragm-Conveniently alternates between low and high frequencies without turning over the chestpiece Two-in-one tube design 10 year warranty COLOURS: Black w/Stainless, * Black on Black, Black w/Brass, * Black w/Smoke finish, Black w/Rainbow chestpiece, Chocolate w/Copper finish, Grey, Burgundy, Navy Blue, Hunter Green, Plum, Red, Caribbean Blue, Raspberry, Ceil Blue * Special Finish 1 2 3 4 5 6 7 8 9 10 Performance Rating Outstanding Acoustics 9 Cardiology High Performance Adult & Pediatric

15. Which Stethoscope to Choose ? Cardiology : Superior acoustics. Classic models have single channel in tubing. Cardiology models have dual channels in tubing, one to each ear for stereo sound. Scale of 1 -10, Master Cardiology rated 10, Cardiology III rated 9. Only slightly better acoustics with Master model, with smaller deadspace in the chestpiece. Which Cardiology Model? Cardiology III. Master Cardiology has single sided chestpiece only allowing use of Tunable Diaphragm as explained on Slide # 7. 1) Is most widely used by physicians and most widely chosen by students. 2) Cardiology III has both bell and diaphragm sides for versatility. 3) Easier to learn High and Low frequencies as requested by professors. 4) Bell side can be converted for Pediatric assessments by utilizing the tunable diaphragm. 5) More versatile and economical. 3M Littmann® Stethoscopes

16. 16 *Some special finish models may be extra Students Offer With the purchase of any 3M Littmann ® Stethoscope, you will receive: A free CD of 20 pulmonary and heart auscultation sounds Access to the Littmann Learning Institute A free ID name tag for engraving. Extended warranty ModelList PriceStudent Price Master Cardiology$269$187.95 (Incl. GST) MC Special Finish * $289$208.95 (Incl. GST) Cardiology III$229$166.95 (Incl. GST) Cardio.III Special Finish * $239$177.45 (Incl. GST) *See Slide 13 & 14 for Details on Finishes

17. In Summary Littmann Stethoscopes Leaders in auscultation since 1967 Follow Up Service & Repair Program Parts Availability Always Cardiology III recommended by professors as most versatile High quality scope will last through your studies and well into your career Extended Students Warranty Learn with confidence, Listen with Littmann 17

18. Order Information SEE THE MSA FEES AND STETHOSCOPE ORDER FORM ON OUR WEBSITE AND THE FACEBOOK PAGE. FILL OUT THIS FORM BY MONDAY AUGUST 5 TH TO RECEIVE YOUR STETHOSCOPE DURING ORIENTATION WEEK. IF YOU ARE UNABLE TO FILL OUT THIS FORM BY THEN, PLEASE EMAIL msaorien@ualberta.ca. 18