CORE 500 Digital Stethoscope Review

The Eko CORE 500™ Digital Stethoscope represents one of the most advanced evolutions in medical diagnostic tools, merging cutting-edge amplification, AI-driven analysis, and digital ECG monitoring into a single, powerful instrument. Designed for clinicians who demand clarity, accuracy, and workflow efficiency, this stethoscope bridges the gap between traditional auscultation and modern data-driven diagnostics.

Design and Build Quality

At first glance, the CORE 500™ maintains the familiar silhouette of a traditional stethoscope, but its modern materials and digital components immediately set it apart. The stainless-steel chestpiece and reinforced tubing exude durability, while the matte and metallic finishes (available in Silver, Champagne, Matte Black, and Amethyst) lend a professional and premium aesthetic.

Despite housing advanced digital technology, the CORE 500 remains lightweight—just 6.6 ounces (186g)—making it comfortable for extended use during long clinical shifts. The ergonomically angled binaurals and soft, airtight ear tips ensure an excellent acoustic seal and comfort, even in demanding environments.

The full-color digital display is one of the device’s standout features. It allows real-time visualization of ECG readings, heart rate, and device status directly on the stethoscope, minimizing the need to glance at an external screen. The design feels refined, with an intuitive button layout that supports quick filter switching and amplification control during patient exams.

👉 Click here to check the latest price on Amazon

Performance and Sound Quality

The CORE 500 is powered by TrueSound™ Technology, Eko’s proprietary system that amplifies body sounds up to 40 times louder than traditional acoustic stethoscopes. This technology filters out ambient noise and delivers unmatched clarity for cardiac, pulmonary, and vascular assessments.

Active Noise Cancellation

Eko’s active noise cancellation system uses digital signal processing to eliminate background interference—a game changer in high-traffic environments such as emergency rooms, ICUs, and ambulances. Clinicians report exceptional performance even in noisy wards, where traditional stethoscopes struggle.

Audio Modes and Filters

The CORE 500 offers three distinct listening modes:

• Cardio Mode: Optimized for low-frequency heart sounds.

• Pulmonary Mode: Enhances mid- to high-frequency breath sounds.

• Wide Mode: Provides a full-spectrum view, ideal for general examinations.

Each mode can be easily toggled using the device’s interface, allowing instant adaptation between heart and lung assessments. The in-ear speakers and optional Bluetooth wireless listening further expand flexibility, accommodating personal preferences and accessibility needs (including use with hearing aids).

AI-Powered Diagnostics and Eko+ Integration

Where the CORE 500 truly outpaces traditional stethoscopes is in its integration with FDA-cleared AI through the Eko App and Eko+ membership. When paired via Bluetooth, clinicians gain access to advanced murmur and atrial fibrillation (AFib) detection capabilities—an invaluable support system for cardiac screening and monitoring.

👉 Click here to check the latest price on Amazon

Eko+ Membership

The device includes a free 14-day Eko+ trial, after which users can continue with a $119.99/year subscription. With Eko+, practitioners unlock:

• Automated murmur and AFib detection

• Extended sound recording (15–120 seconds)

• Cloud-based storage and sharing options

• Waveform visualization and playback

Even without Eko+, the CORE 500 retains its core digital features—waveform visualization, amplification, and recording—ensuring that clinicians still benefit from its digital precision without subscription dependence.

ECG Integration and Visualization

Another standout feature is the built-in 3-lead ECG system. During examinations, the stethoscope can record and display ECG data directly on the device’s screen or within the Eko App. This allows clinicians to visualize cardiac rhythm patterns in real time, adding a new dimension to bedside cardiac assessment.

The integration of ECG and auscultation in a single instrument significantly improves diagnostic efficiency—clinicians can correlate heart sounds with electrical activity on the spot. This capability is particularly valuable in cardiology, primary care, and emergency medicine settings.

Connectivity and Workflow Efficiency

The CORE 500 connects seamlessly via Bluetooth to smartphones, tablets, and computers running the Eko App. This connectivity enables wireless audio streaming, data recording, and cloud-based documentation—all compliant with HIPAA and GDPR standards.

Eko’s digital ecosystem is thoughtfully designed for clinical environments:

• Instant recording and sharing: Capture sound and ECG clips for chart integration or remote consultation.

• Secure cloud storage: Store and access data across authorized devices.

• Cross-platform compatibility: Works with iOS, Android, and web-based dashboards.

The device’s USB-C rechargeable battery delivers up to 60 hours of clinical use on a single charge (or 300 minutes of continuous operation), ensuring reliability through even the busiest shifts.

👉 Click here to check the latest price on Amazon

Clinical Applications

The CORE 500 is designed for use across a broad range of clinical disciplines:

• Cardiology: Enhanced detection of murmurs, AFib, and arrhythmias.

• Primary Care: Routine exams with AI-assisted insights.

• Emergency Medicine: Reliable auscultation in chaotic environments.

• Telehealth: Digital sound sharing for remote assessments.

• Medical Education: Ideal for training with real-time sound visualization.

It is suitable for physicians, nurse practitioners, physician associates, EMS personnel, and educators. The device is reimbursement eligible, accepting HSA/FSA funds, and can potentially be covered by CME or institutional programs.

Key Features at a Glance

FeatureDescriptionAmplificationUp to 40x louder than acoustic scopesNoise ControlActive noise cancellation with artifact suppressionAudio FiltersCardio, Pulmonary, and Wide modesDisplayFull-color digital screen with ECG and HR dataAI DetectionFDA-cleared murmur and AFib analysis (via Eko+)Recording15–120s sound capture and cloud sharingBattery Life60 hours of typical clinical useConnectivityBluetooth-enabled, USB-C rechargeableDurabilityWater- and shatter-resistant constructionCertificationsFDA-cleared, CE-marked, HIPAA and GDPR compliant

Pros and Cons

Pros

• Exceptional audio amplification and clarity

• Built-in ECG with real-time display

• FDA-cleared AI for murmur and AFib detection

• Long battery life with USB-C charging

• Durable, ergonomic, and lightweight design

• Secure cloud-based data storage and sharing

• HSA/FSA and reimbursement eligible

Cons

• AI and extended recording features require a paid Eko+ subscription

• Larger chestpiece may take adjustment for some users

• App access limited to licensed professionals (restrictive for students or general users)

• Premium price compared to acoustic models

👉 Click here to check the latest price on Amazon

Comparison to Competitors

The Eko CORE 500 stands toe-to-toe with its closest rival, the 3M Littmann CORE Digital Stethoscope. While both offer 40x amplification and active noise cancellation, the Eko CORE 500 gains a significant edge with its integrated 3-lead ECG, full-color display, and AI-based diagnostics.

Littmann’s offering, while slightly more affordable, lacks onboard visualization and ECG functionality. For clinicians seeking maximum insight and workflow integration, the CORE 500 is the more advanced option. However, those prioritizing simplicity and brand familiarity may still prefer the Littmann Core for its classic feel and lighter learning curve.

Reliability and Clinical Value

From a reliability standpoint, the CORE 500 delivers consistent performance backed by FDA OTC clearance and ISO 13485 certification. Its noise-canceling performance and stable Bluetooth connectivity make it a dependable choice for daily clinical practice. The combination of hardware precision and AI assistance elevates diagnostic confidence, particularly in cardiopulmonary care.

For healthcare institutions adopting digital workflows, the Eko platform’s compliance with HIPAA and GDPR standards ensures safe integration with electronic medical records (EMRs) and telemedicine systems.

Verdict: A Leap Forward in Digital Auscultation

The Eko CORE 500™ Digital Stethoscope sets a new benchmark for what a stethoscope can do in the digital age. It transcends traditional auscultation by combining AI diagnostics, ECG monitoring, and powerful sound amplification in one cohesive system. While its premium price and subscription model may deter casual users, the investment is well justified for medical professionals seeking precision, efficiency, and future-ready technology.

In summary:
The CORE 500 isn’t just an upgrade—it’s an evolution. For clinicians serious about accuracy, patient outcomes, and digital integration, this stethoscope stands as one of the most capable diagnostic tools available today.

⭐ Rating: 4.8 / 5
Best For: Cardiologists, Primary Care Providers, and Clinical Educators
Price: $389.00 (at time of writing)
Available Colors: Silver, Champagne, Matte Black, Amethyst
Manufacturer: Eko Health, Inc.

👉 Click here to check the latest price on Amazon