- Spirolab Plus ESI is the first desktop spirometer to detect emphysema by spirometry. The embedded algorithm computes ESI value along with the other standard spirometry parameters. The computation of ESI – Emphysema Severity Index, is based only on the morphology of the Flow/Volume Curve of each subject, independently of its own age, sex, ethnic and anthropometric characteristics.
- ESI value allows to define in each patient, by a standard spirometry, whether airflow obstruction is due to inflammatory narrowing of the conductive airways (chronic bronchitis, bronchiolitis, small airway disease) or to the destruction of lung parenchyma caused by Emphysema. Identifying the cause of airway obstruction is crucial in the diagnosis and treatment of Chronic Obstructive Pulmonary Disease (COPD).
- Patients with the same level of obstruction (FEV1) may reflect very different underlying conditions.
- ESI makes this difference visible, supporting targeted therapeutic strategies.
- Spirolab Plus ESI is compliant with the latest international standards and recommendations for spirometry and oximetry, including ATS/ERS 2019-2021 guidelines, ISO 26782:2009, ISO 23747:2015, ISO 80601-2-61, and other applicable international standards
Distinctive features
ESINEW
Assess the presence and the severity of Emphysema through standard spirometry
Work List Management NEW
Import patient lists from MIR Spiro Software or EMR systems via Wi-Fi, Bluetooth, or USB
Wi-Fi Connectivity NEW
- Connect with MIR Spiro software and EMR systems
- Import worklist
- Send test results back to the software (single test, completed session, or full device archive)
- Print reports directly via paired printers — all wirelessly, with a single touch!
Touchscreen Display NEW
Higher display resolution (1024 × 600 pixel ) for enhanced data readability
Embedded Thermal Printer
Integrated thermal printer for instant, detailed, and customizable test reports
SpO₂ Sensor Optional
Oximetry module for measuring blood oxygen saturation
All the features
- All-In-One
Perform complete spirometry testing without the need for a computer
- Interpretation Flexibility NEW
Supports both ATS/ERS 2019 and ATS/ERS 2021 interpretative criteria, allowing physicians to switch according to their needs
- Direct Test Annotations NEW
Add clinical notes to patient tests from the device
- EMR/EHR Integration
Integrates with EMR/EHR systems through MIR Spiro Software using HL7, GDT, FHIR, and Exchange Protocol
- Real-Time Testing
FVC, VC, MVV, PRE/POST bronchodilator comparison, SpO₂ and BPM spot testing (Optional)
- External Printing
Print reports directly via compatible PostScript printers using Wi-Fi or USB
- On-Device Calibration
Executable directly on device, with calibration report printable by the instrument
- Pediatric Incentive
Real-time animation on device display to improve patient cooperation during testing
- Traffic Light System
Immediate visual feedback to support test quality and interpretation
- Predicted Values
Wide selection of predicted values, including GLI and ERS reference sets, available directly on the device and PC
- Integrated Temperature Sensor
Automatic BTPS conversion for accurate and standardized measurements
- Larger Internal Memory
Store up to 15,000 spirometry tests or 750 hours of oximetry recordings
- Long-Lasting Rechargeable Battery
Extended autonomy in stand-alone mode

















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