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Journal : Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics

Development and Acoustic Analysis of a Speaker-Output Stethoscope for Low-Cost Clinical Applications Wibowo, Kusnanto Mukti; Latif, Abdul; Susanto, Fani; Fatiatun, Fatiatun; Che Ani, Norhidayah
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 4 (2025): November
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v7i4.125

Abstract

This study addresses the limitations of traditional stethoscopes, which are constrained by their single-user design, dependence on auditory acuity, and susceptibility to background noise. These limitations hinder collaborative learning and diagnostic accuracy, particularly in noisy environments or during infectious disease outbreaks. The aim of this work is to develop a low-cost, speaker-output digital stethoscope that enables multiple users to simultaneously listen to heart sounds, improving both clinical training and infection control. The main contribution of this study is the integration of a conventional analog stethoscope with a high-sensitivity microphone preamplifier, an external speaker, and digital signal processing (DSP) algorithms. This configuration allows the amplification and filtering of heart sounds, enabling group auscultation without the need for earpieces. The device casing is constructed from High-Pressure Laminate (HPL) sheets and multiplex wood panels, while acoustic foam is used to reduce noise interference.  Heart sounds are captured via a microphone, amplified, and processed using Fast Fourier Transform (FFT) and band-pass filtering (20–150 Hz) to isolate the key frequencies. The system was tested in a quiet clinical setting, and the resulting audio was analyzed for clarity and frequency spectrum. The prototype successfully captured heart sounds, with a dominant spectral peak around 97 Hz, consistent with the primary frequency of heartbeats. It also clearly identified the first (S1) and second (S2) heart sounds. However, ambient noise affected sound clarity, indicating the need for further noise reduction. Despite this limitation, the device successfully enabled group auscultation. In conclusion, the speaker-output stethoscope offers an affordable and effective alternative to traditional auscultation, enhancing medical training and improving infection control. Although noise reduction requires further refinement, the system demonstrates strong potential for application in clinical and educational settings, particularly in low-resource environments
Co-Authors Abdul Latif Abdul Madjid Abdul Majid Abdul Majid Abdul Majid Abdul Majid Abu Bakar, Suriani Abu Bakar, Suriani Adi, Nugroho Prasetya Afifatul Khoeriyah Afiliyani, Mela Agus Yulianto Ahamad Zuhdi Ahdika Sidqi Ali Fauzilah Iyas Ahmad Khoiri Ahmad Rifai Ahmad Zahudin Ahmad Zuhdi Ainu, Qurotu Akhmat Khoiri Al Adib, Najib Alfana Salsabila Ali Imron Anang Widiantoro Anisa Fajriati Anisa V Samputri Anjani, Fidha Merry Anuari, Andika Apit Fathurohman Arina M Fanguna Aza Ima Rahmatika Baity, Lailia Nur Bakar, Suriani Abu Budi Astuti Cahyo, Gagad Dwi Che Ani, Norhidayah Darsono, Teguh Dewi Susanti Diandra Dewa Atmaja Dwi Masruroh, Dwi E. Wibowo Ekawati, Rizka Faisal Kamal Fajeri, Mei Laelatul Fajeri, Mei Laetul fatehiyah, nurul izzah Fathkhurrahman, Fathkhurrahman Fatimah Nur Hidayah Fatkhurrohman Fatkhurrohman Fatkhurrohman, Fatkhurrohman Fatturrokhman Fatturrokhman Ferra D Prasetyaningrum Firdaus Firdaus Firdaus Firdaus gema romadhona Ginto Ginto Hasanah, Nifa Nur Hashim, Norhayati Hasni, Nur 'Ainiyyah Hidayatu Munawaroh Hidayatu Munawaroh, Hidayatu Idris, Nur Jannah Intan Masruroh Swasti Irfan Choerul Anam Irmawanto, Rudi Istianah Istianah Khasanah, Farisa Umi Khasanah, Irma Nur Khumaeroh, Nadia khusna rofiqotul khusna rofiqotul khusna Kunikmah, Arisma Kurniawan, Muh. Alif Kusnanto Mukti Wibowo Kusnanto Mukti Wibowo Kusnanto Mukti Wibowo Luckyta Kusuma Janata M. Farrij Karbana Mahini, Sefty Awaliyah Majid, Ahmad Malek, Mohamad Firdaus Mamat, Mohamad Hafiz Marfungah, Marfungah Masturi Masturi Mawarni, Putri Indah Mohamad Ayubi, Dimas Mohamat, Rosmanisah Mohamed, Azmi Mohd Khairul Ahmad, Mohd Khairul MUCHAMMAD FAIZIN Muhammad Fakih Udin Muhammad Haikaludin Muhammad Iqbal Surya Negara Muhammad Miftah Pratama Muhammad Rizal Mukti Wibowo, Kusnanto Muqoyyanah Muqoyyanah Muqoyyanah, Muqoyyanah Muzaki, Wildan Afthon Nadhifah, Zulfa Lu'luin Naja, Farda NIhayan Naja, Khoiriyatin Nani Sunarmi Nasokah Nasokah Ni’mah, Azizatun Noor Aziz, Noor Nur Aufaa, Rifqi Nur Farida Nurjannah, Alfa Nurul H Nurul Mubin P. Marwoto Putri Swastika Putut Marwoto Rahayu, Gusrina Rahayu, Ismi Rahmayanti, Handika Dany Rakhmadhani, Annisa Ramadhan, Hendi Ade Putra Rifai, Rizal Rina Fitrohati Riza Afniasari Rizky Agung Pambudi Rohani, Rosiah Royan Royan royan, royan Sabila, Alviana Maya sadiah, Umi Halimatus Salamun, Ilham Salis Irvan Fuadi Saputra, Isro Wahdana Sari, Tia Indah Septyana, Ananda Lisa Siti Maisaroh Sri Haryanto Sri Jumini Sri Jumini Sugianto - Sugianto Sugianto Sukowati Sukowati, Sukowati Sulhadi - Sulistiyo Rini, Ari Suryani Abu Bakar Susanto, Fani Teti Alfiyah Tresiadi, Revika Tri Wiyanti Triyono Triyono Tubagus Achmad Faqih Ulumudin, Maftuh Uswatun Khasanah Utami, Nadia Dwi Verdiana, Vita W, Kusnanto Mukti Yulia Uswatun Hasanah Zahroh, Fina Azkiyati