SAM4 Plus Auscultation Manikin, Dark or Light Skin Tone

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SAM4 Plus Auscultation Manikin is the newest evolution in auscultation training by Cardionics. Building on the success of its predecessors including SAM Basic, SAM II, and SAM 3G, SAM4 introduces exclusive enhancements to enrich students' auscultation learning experience. SAM4 Plus provides all the features and capabilities of the standard SAM4, and adds access to the Real Sounds Library and exclusive videos to further enhance learning.

Smartphone or Tablet Manikin Control
SAM4 liberates users from the need for a laptop or computer. Through the new iOS® and Android®-compatible SAM4 app, users can seamlessly manage the manikin. This user-friendly interface simplifies the learning process, making it more accessible and convenient than ever before.

360-Degree Rotating Base
SAM4 features a 360-degree rotational base to enhance the instructional process. This innovative addition provides educators with greater flexibility to precisely position the manikin as required, simplifying the demonstration of auscultation points.

Integrated LED Lights at All Auscultation Points
One of SAM4's standout features is its integrated LED lights, strategically positioned at each auscultation point. These built-in lights illuminate the correct positions for sound examination, ensuring that students can easily identify and focus on the appropriate areas for auscultation. This feature is designed to boost precision and confidence during the learning process.

Bluetooth® Sound Connectivity
Students can opt for a traditional experience by using a real stethoscope to listen to sounds. Alternately, they can embrace modern convenience with the new Bluetooth® connection feature. This feature enables seamless connectivity with external devices such as earbuds, for individual practice. In addition, Bluetooth provides the capability of sharing the learning experience with larger audiences by connecting to external speakers (not included). With SAM4, the flexibility to choose provides instructors with versatility and adaptability.

An Extensive Library of Sounds
SAM4 provides an extensive library of both normal and abnormal cardiac, respiratory, bowel, and bruit sounds – all of the highest audio quality. These additional resources empower educators to customize their teaching materials to specific lectures and programs.

In addition, SAM4 Plus grants access to the Cardionics Real Sounds Library, featuring 36 real heart and lung sounds recorded from live patients, along with 12 echocardiogram videos and three dynamic sounds.

SAM4 Plus Features:

  • Ideal for use in the skills lab, classroom, or auditorium
  • 15 Light-up auscultation sites, anterior and posterior
  • Comprehensive auscultation library consisting of 37 heart sounds, 11 heart-lung combinations, 26 lung sounds, 9 bowel sounds, and 6 bruit sounds
  • SAM4 Plus also includes 36 real sounds, 12 echocardiogram videos, and 3 dynamic sounds
  • ECG Waveforms for all heart sounds
  • Auscultation with any clinical stethoscope (not included)
  • Palpable carotid pulse
  • Manikin is controlled with a smartphone or tablet (not included), via the SAM4 app
  • Available in seven languages: English, French, German, Polish, Portuguese, Russian, and Spanish
  • Rotating base for simplified instruction
  • Bluetooth® connection for earbuds or external sound speakers (not included)

Technical Details:

  • Easily portable with hard-shell carry/storage case (11-81-0109) sold separately
  • Speaker system for group instruction (11-99-9011) sold separately
  • Weight: approx. 20 lb.
  • Choice of light or dark skin tone
  • 5-Year warranty


  • SAM4 Plus portable male auscultation torso
  • Power cable
  • User manual

SAM4 Sound Library


  • Borborygmus I
  • Borborygmus II
  • Chron's Disease
  • Diarrhea
  • Hyperactive Codeine
  • Hypoactive Anesthesia
  • Hypoactive Post Operative
  • Irritable Bowel
  • Normal 20-Year Old
  • Normal 60-Year Old
  • Ulcerative Colitis


  • Aortic Aneurysm
  • Medium I
  • Medium II
  • Mild I
  • Mild II
  • Renal Bruit


  • Acute Pericarditis
  • Aortic Regurgitation
  • Aortic Regurgitation Acute
  • Aortic Stenosis and Regurgitation 75 BPM
  • Aortic Stenosis Mild
  • Aortic Stenosis Severe With Systolic Thrill
  • Aortic Stenosis Severe, Example 2
  • Aortic Stenosis Severe, S2 Absent, Example 1
  • Atrial Fibrillation
  • Atrial Septal Defect
  • Coarctation of the Aorta
  • Congenital Aortic Stenosis
  • Congestive Heart Failure
  • Fourth Heart Sound
  • Hypertrophic Cardiomyopathy
  • Innocent Systolic Murmur
  • Innocent Systolic Murmur Vibratory
  • Mitral Regurgitation Marked
  • Mitral Regurgitation Mild
  • Mitral Stenosis
  • Mitral Stenosis and Regurgitation 75 BPM
  • Mitral Valve Prolapse
  • Normal Heart Sounds 110 BPM
  • Normal Heart Sounds 60 BPM
  • Normal Heart Sounds 75 BPM
  • Normal Heart Sounds 90 BPM
  • Paradoxical Splitting of Second Sound
  • Patent Ductus Arteriosus PDA
  • Physiological Splitting of Second Sound
  • Pulmonary Hypertension
  • Pulmonary Stenosis
  • Summation Sound
  • Tetralogy of Fallot
  • Third Heart Sound
  • Venous Hum
  • Ventricular Septal Defect VSD
  • Ventricular Septal Defect With Systolic Thrill

Heart & Lung:

  • Aortic Stenosis With Breath
  • Aortic Stenosis With Crackles
  • Fourth Heart Sound With Respiration Variation
  • Mitral Regurgitation With Breath
  • Mitral Regurgitation With Crackles
  • Mitral Valve Prolapse With Breath
  • Normal Heart Sounds with Chronic Bronchitis
  • Normal Heart Sounds with Expiratory Wheeze
  • Normal Heart Sounds With Rhoncus


  • Asthma Severe
  • Atelectasis
  • Bronchial Breath Sounds
  • Bronchitis Chronic
  • Bronchophony 99 Normal
  • Bronchophony Abnormal 99
  • Bronchovesicular Breath Sounds
  • COVID-19
  • Crackles Fine
  • Crackles Medium
  • Crackles Very Coarse
  • Egophony Abnormal E to A
  • Egophony Normal E to A
  • Emphysema
  • Normal Vesicular Breath Sounds
  • Pectoriloquy Abnormal 123
  • Pectoriloquy Whispered 123 Normal
  • Pleural Rub
  • Pleural Rub Left Normal Right
  • Pneumonia Lobar
  • Pneumothorax
  • Pulmonary Edema
  • Stridor
  • Tactile Fremitus Spoken 99
  • Wheeze End Expiratory
  • Wheeze Low Pitched Rhoncus

Additional Sound/Video Library for SAM4 Plus

3 Dynamic Sounds:

  • Aortic Stenosis and Regurgitation
  • Mitral Stenosis and Regurgitation
  • Normal Heart Sound

25 Real Sounds:

  • Bronchial Breath Sounds 13 BPM
  • BronchoVesicular 26 BPM
  • Fine Crackles 10 BPM
  • Late Inspiratory Crackles 14 BPM
  • Low Pitched Crackles 24 BPM
  • Normal Breath Sounds 16 BPM
  • Pleural Friction Rub 28 BPM
  • Velcro Crackles 10 BPM
  • Wheeze High Pitched 16 BPM
  • Wheeze Low Pitched 34 BPM
  • Aortic Septal Defect ASD Sensi 80 BPM
  • Central Shunt UM 150 BPM
  • Innocent Systolic Murmur Sensi 85 BPM
  • Mitral Regurgitation Sensi 95 BPM
  • Mitral Valve Prolapse Sensi 90 BPM
  • Normal Heart Sound Sensi 75 BPM
  • Patent Ductus Arteriosus Sensi 95 BPM
  • Patent Ductus Arteriosus UM 96 BPM
  • Physiological Split S2 UM 70 bpm
  • Pulmonary Stenosis & Patent Ductus Arteriosus
  • UM 138 BPM
  • Pulmonary Stenosis Sensi 88 BPM
  • Restrictive Ventricular Septal Defect UM 72 BPM
  • Tetralogy of Fallot Sensi 120 BPM
  • Ventricular Septal Defect Sensi 76 BPM
  • Ventricular Septal Defect UM 130 BPM

12 Echocardiogram Videos

More Information
Part Number 11-81-0250-DARK
Country of Origin US
UNSPSC Category 42301502
Harmonization Code 9023.00.00.00
Mfg# 1025099
Warranty 5 Year Warranty
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