Keeping up with changes in medical devices, like spirometers, can be time-consuming especially when rapid technological advances can leave you in the dust. One of the most frequent questions we get from clinicians is: Which of the five MIR Spirobank II spirometers would I need? We’ll break down the differences, so you can spend more time caring for your patients and practice instead of figuring out the difference between Bluetooth versions.
Why Choose a MIR Spirobank II Spirometer?
The newest Spirobank II spirometers are intelligent, portable, and scalable. And there’s one that will meet the needs of almost any practice and setting whether that may involve a rapid, primary care screening for a referral or a more extensive assessment. The price range varies depending on your needs, from the affordable Spirobank II Basic to a full suite of diagnostic tools with a pulse oximeter.
All Spirobank II spirometers have the same dimensions, display, keypad, accuracy, tolerances, and temperature sensor for BTPS conversion. The Basic spirometer has the only housing with a green band around the edge. The others have an orange band. And the Basic version is the only spirometer that’s lighter than all the others, by 5 grams or a fifth of an ounce.
All Spirobank II spirometers come with Winspiro PRO PC-based software and can be connected to the software with a USB cable to perform real-time tests and display pediatric incentives. They’re all capable of PRE- and POST- bronchodilator comparison as well as bronchial challenge (via PC). And there’s enough space in all of the handheld units to store 10,000 tests in case you’re away from a computer.
Now that we have the basics out of the way, key considerations for choosing your spirometer are:
- Do you need more than main spirometry parameters?
- Do you need a pulse oximeter or the option for one in the future?
- Do you need wireless (Bluetooth) connectivity to a PC?
- Do you perform mobile spirometry or need to be away from a PC often?
- Do you need a virtual assistant to help perform spirometry maneuvers?
- Should you get Spirobank II Advanced or Advanced Plus?
- Which turbine should you get?
Main vs. Additional Spirometry Parameters
If you need only the basic spirometry parameters in a primary care setting, Spirobank II Basic is the way to go. If you might need additional parameters down the road, or are a pulmonologist or a respiratory therapist, you should consider the more robust Spirobank II Advanced spirometer (with or without pulse ox).
Main Spirometry Parameters for Spirobank II Smart FVC, FEV1, FEV1/FVC%, PEF, FEF25–75
Additional Parameters* FVC, FEV1, FEV1/FVC, FEV1/VC, PEF, FEF25, FEF50, FEF75, FEF25–75, FEF75–85, Lung Age, Extrap. Volume, FET, Time to PEF, FEV0.5, FEV0.5/FVC, FEV0.75, FEV0.75/FVC, FEV2, FEV2/FVC, FEV3, FEV3/FVC, FEV6, FEV1/FEV6, FIVC, FIV1, FIV1/FIVC, PIF, FIF25, FIF50, FIF75, FEF50/FIF50, VC, IVC, IC, ERV, IRV, Rf, VE, VT, tI, tE, VT/tI, tE/tTOT, MVV (measured), MVV (calculated)
*On the Smart version for iPad, the additional parameters are available only through a USB connection to a PC.
The Spirobank II Smart spirometer was designed to measure a small number of spirometry parameters with an iPad, but it can measure the additional parameters when connected to a PC with a USB cable. We’ll talk more about the Spirobank II Smart in a little bit.
Pulse oximetry is built into the Spirobank II Advanced and Advanced Plus spirometers. The only difference is that the Advanced Plus comes with a pulse oximeter, and the Advanced does not. But you can purchase a pulse oximeter for the Advanced if you need one later on. Both the Advanced and Advanced Plus measure the parameters below.
%SpO2 and Pulse Rate (Min, Max, Average), Test duration, Total SpO2 Events, T90% [SpO2 time ≤89%], T89% [SpO2 time ≤88%], T40 (Bradycardia duration with Pulse Rate 120 BPM)
Oximetry Parameters Measured by Spirobank II Smart Spirometer for iPad
%SpO2 and Pulse Rate (Min, Max, Average)
Oximetry parameters for the Spirobank II Smart are limited to percent saturation and pulse rate. Oximetry is unavailable for the Basic version.
Wireless (Bluetooth) Connectivity to a PC or iPad
Consider Spirobank II Advanced or Spirobank II Advanced Plus if:
- your desktop or laptop PC has Bluetooth connectivity, and
- you’d like to perform real-time spirometry over the available Bluetooth connection and Winspiro PRO, and
- you’re proficient at pairing Bluetooth 2.1 devices, and
- you’d like the added convenience and option of going wireless.
Both the Advanced and Advanced Plus can perform real-time spirometry maneuvers with a USB cable as well. So if the Bluetooth connection were to fail, moving on to the next maneuver is as easy as plugging the Spirobank II spirometer into the USB port on your computer. The Spirobank II Basic doesn’t offer Bluetooth.
Consider the Spirobank II Smart spirometer if:
- your clinic relies heavily on iPad, or
- you’d like to use an iPad, and
- you’re able/allowed to install the MIR Spiro App for Spirobank II Smart spirometer, and
- you frequently need only a subset of the main parameters (see Main vs. Additional Spirometry Parameters), and
- you’d like the option to connect to a PC with a USB cable to measure additional parameters (see above), and
- you don’t foresee a need to connect to a PC via Bluetooth (Spirobank II Smart only connects to an iPad).
For the technically savvy: The Advanced and Advanced Plus spirometers use Bluetooth 2.1, an older but widely circulating version, whereas the Spirobank II Smart spirometer uses Bluetooth 4.0+, also known as Bluetooth Smart or Bluetooth Low Energy. iPads used with Spirobank II Smart should be “Bluetooth Smart Ready,” which means it has Bluetooth version 4.0+ installed. Older iPads had Classic Bluetooth, also known as version 2.1+EDR.
Spirobank II spirometers are perfect for performing maneuvers on the road or bedside, and with or without access to a computer. They contain a rechargeable battery and a memory for 10,000 tests, which can be imported into the Winspiro PRO PC software. All Spirobank II Basic, Advanced, and Advanced Plus spirometers work in stand-alone mode without a PC, and the Smart version also functions without an iPad.
The only thing you’d need to carry with you is a standard USB wall charger with the same specifications as your computer’s USB port. The Spirobank II Advanced Plus package includes a wall charger with interchangeable international plugs.
There are a couple of benefits of the Winspiro PRO PC software which are unavailable in the stand-alone mode. Pediatric incentives and real-time curves are available only through the included software. And if you’d like to be able to print a report, you might consider a larger but still portable spirometer, like the new Spirolab.
Virtual Assistant in MIR Spiro App for iPad
MIR’s Spirobank II Smart spirometer includes the MIR Spiro App for iPad which helps detect unacceptable test results and offers suggestions for both the patient and the operator. The app also suggests correct posture, explains the age limit for spirometry, and shares tips on what to do when a patient feels dizzy during a spirometry maneuver. The app also features pediatric incentive animations on the iPad to help increase patient compliance during tests.Through MIR Spiro, the Spirobank II Smart can transmit EHR-friendly test results to a database for storage or a hospital for further assessment. Upon request, MIR works with health care projects and clinical trials to allow customizable protocols, third-party apps, and integration.
Through MIR Spiro, the Spirobank II Smart can transmit EHR-friendly test results to a database for storage or a hospital for further assessment. Upon request, MIR works with health care projects and clinical trials to allow customizable protocols, third-party apps, and integration.
If this scenario fits your needs, the Spirobank II Smart spirometer may be for you.
Spirobank II Advanced vs. Advanced Plus
These two spirometers are identical in every way except for two things. The Advanced Plus comes with a pulse oximeter and a wall charger with interchangeable international plugs. The Advanced version doesn’t include the charger or the pulse oximeter, but you can purchase them later if needed.
MIR Turbine Flowmeters
All MIR spirometers, including the Spirobank II family, require a turbine flowmeter for them to function. There are two types of flowmeters to choose from: the FlowMIR Disposable Turbine and the MIR Reusable Turbine. A circular cardboard mouthpiece is preattached to the FlowMIR Disposable Turbine and packaged individually. FlowMIR doesn’t offer any bacterial or viral filtration.
The MIR Reusable Turbine is durable, made of special alloys and synthetic sapphires, and designed to last for many years. The reusable turbine allows you to choose a compatible PFT/spirometry filter and mouthpiece and adds a layer of protection against bacteria and viruses.
Whichever flowmeter you choose, both options exceed the ATS/ERS standards for spirometry.
Which Spirobank II Spirometer Fits Your Needs?
With five options to choose from, MIR’s Spirobank II spirometers span from basic screening all the way up to comprehensive assessment (and even complex integrations for clinical trials with the Smart). We hope this guide helped answer some of the most common questions received from clinicians in the past year. If you’re still unsure which Spirobank II spirometer to choose, or have additional questions, leave us a message below, or contact us via our online form.