This medical stethoscope pin is 3D die-cast with bold black enamel and shiny silver plated. It is a perfect replica, wonderful for doctors, midwives, nurses, assistants, veterinarians and all those medical students waiting to be able to wear one of these. It includes the standard clutch back at the top of one earpiece so it will stay put on a lab coat, lanyard and medical bag strap. Each is individually poly bagged.