The hand-made alloy hearing head can be specially replaced with double-sided hearing head, which is processed precisely to ensure the auscultation performance and durability. The hearing head can rotate flexibly. Through the built-in matching parts, the adult and children's vibration membranes can obtain cardiopulmonary sounds of different ages. In the selection of the material of the sound guide tube, a careful choice has been made. By adjusting the proportion of silica gel content. Carry out hardening treatment. At the same time, keep silica gel anti-oxidation, isolated noise, can also extend the use time.