A highly versatile, 2-in-1 smart device that seamlessly merges comprehensive clinical spirometry with reflectance pulse oximetry for complete home respiratory management.

MIR Spirobank Oxi Review: The Ultimate 2-in-1 Respiratory & Oxygen Monitor

Published Apr 22, 2026
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Reviewed by Dr. Taher Moiyed, Biomedical Engineering Specialist, MD, MD
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Testing 4 weeks
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Evidence Strong Clinical Evidence
PEER REVIEWED

The MIR Spirobank Oxi elevates remote patient monitoring by integrating two vital diagnostic tools into a single, highly portable device. Not only does it deliver full Flow/Volume loop spirometry (measuring FVC, FEV1, PEF, FEF2575, and more) using MIR's proven turbine technology, but it also features an innovative touch reflectance pulse oximeter to measure SpO2 and heart rate. FDA-cleared and compliant with ATS/ERS 2019 standards, the device connects via Bluetooth 5.0 to the MIR Spirobank mobile app. This allows users to view real-time plethysmographic curves, track longitudinal trends, log symptoms, and generate comprehensive PDF reports for their healthcare providers. It is an exceptionally powerful tool for managing complex respiratory conditions where both airway obstruction and oxygen saturation are critical metrics.

Highly Recommended Strong Clinical Evidence FDA 510(k) Cleared
MIR Spirobank Oxi - Medical Device

MIR Spirobank Oxi

MIR

$249.00
93 /100

Our Score

Clinical Performance Metrics

Quantitative assessment based on clinical testing protocols

Measurement Accuracy

Meets strict ATS/ERS 2019 spirometry standards and ISO standards for oximetry, delivering highly reliable clinical-grade data for both volume/flow and SpO2.

96/100

Ease of Use

Consolidating two tests is highly convenient, though mastering the full FVC breathing maneuver and getting a fast read from the touch oximeter requires a brief learning period.

89/100

App Quality

The MIR Spirobank app brilliantly displays real-time animations, plethysmographic curves, and handles symptom e-diaries effortlessly.

93/100

Value for Money

Provides exceptional value by eliminating the need to purchase and manage a separate, high-quality pulse oximeter, packaging both into one robust clinical ecosystem.

92/100

Quick Take

Key findings from our clinical evaluation

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Strengths

  • Combines full-loop spirometry and pulse oximetry in a single device.
  • Displays a real-time plethysmographic curve on the smartphone app.
  • FDA-cleared and fully compliant with ATS/ERS 2019 standards.
  • Generates unified PDF reports covering all respiratory metrics.
  • Bluetooth 5.0 ensures fast, stable connectivity.

Limitations

  • Lacks a built-in screen; entirely dependent on a smartphone or tablet.
  • The touch reflectance oximeter requires warm fingers and a steady hand for the best reading.
  • Reusable turbine must be cleaned meticulously to maintain accuracy.

Real-World Usage

Practical considerations for daily operation

Daily Routine Impact

Massively streamlines the daily monitoring routine by consolidating two separate measurements (lung function and blood oxygen) into a single, app-guided session.

Learning Curve

Master in a day

Maintenance

Requires routine washing of the reusable turbine and gentle wiping of the reflectance oximetry sensor to ensure both remain accurate and hygienic.

Portability

Highly portable. It runs on standard AAA batteries and replaces the need to pack two separate medical devices for travel.

Manual Use

The device cannot be used manually; it is completely reliant on the Bluetooth connection to the MIR mobile application to initiate tests and view results.

Cost & Coverage Analysis

Financial considerations and HSA / FSA eligibility

Pricing Breakdown

Device Price $249.00
FlowMIR Disposable Turbines (Box of 60 turbines with mouthpieces)
$193.99 / per box
HSA / FSA Eligibility Usually Eligible

HSA/FSA Guidance

Frequently eligible for coverage under Remote Patient Monitoring (RPM) programs for chronic respiratory conditions, and generally qualifies as a reimbursable FSA/HSA expense.

Cost Comparison

While more expensive than standalone spirometers, it is highly cost-effective when factoring in the cost and convenience of not having to buy a separate, clinical-grade Bluetooth pulse oximeter.

Patient Suitability

Clinical indications and contraindications

Indicated For

  • Patients managing severe COPD, Asthma, or Interstitial Lung Disease.
  • Individuals recovering from COVID-19 or lung transplant surgery.
  • Clinical trial participants requiring comprehensive daily respiratory monitoring.

Contraindications

  • Individuals who only need basic peak flow tracking and already own an oximeter.
  • Patients who prefer devices with a built-in display and no smartphone requirement.

Age Considerations

Suitable for users aged 5 to 93, leveraging GLI predicted sets to contextualize pulmonary results based on specific patient demographics.

Clinical Efficacy Assessment

Evidence-based evaluation of clinical performance

FEV1 Measurement Accuracy

Measures the precision of Forced Expiratory Volume in the first second.

Maintains excellent precision for FEV1 using the factory-calibrated turbine, accurately capturing essential obstruction data.

FVC Measurement Accuracy

Measures the precision of Forced Vital Capacity readings.

Captures total exhaled volume accurately, allowing for calculation of the FEV1/FVC ratio.

Longitudinal Trend Tracking

Evaluates the device's ability to consistently track respiratory changes over time.

The app stores both spirometry and oximetry data alongside symptom logs, creating a highly detailed, chronological health diary.

Clinical Spirometry Correlation

Assesses how closely the home measurements align with formal clinical pulmonary function tests.

Dual tracking of oxygen saturation and full-loop spirometry heavily aligns with the protocols used in formal pulmonary function labs.

Comparative Performance

Highest-rated device in Home Spirometers category

1
MIR Spirobank Oxi

MIR Spirobank Oxi

MIR

Current Top Rated
93 /100
Viewing
2
Aluna 2 Smart Spirometer

Aluna 2 Smart Spirometer

Aluna

3
MIR Spirobank Smart

MIR Spirobank Smart

MIR

Highest Clinical Rating

This device achieved the highest overall score among 14 clinically evaluated home spirometers devices, demonstrating superior performance across key testing protocols and real-world validation metrics.

Clinical Recommendation

Final assessment and prescribing guidance

The MIR Spirobank Oxi is an outstanding dual-purpose monitor that seamlessly blends clinical-grade spirometry with reliable oximetry. It is the ultimate digital tool for comprehensive home respiratory management and decentralized clinical trials.

Recommend If

You need to simultaneously track your lung capacity (FVC/FEV1) and oxygen saturation (SpO2) and want all that data perfectly synchronized in one app.

Avoid If

You already own a reliable smart pulse oximeter and only need basic airway obstruction tracking, or if you do not have access to a smartphone.

Clinical Summary

93 /100

Composite Score

Recommended

Recommendation

$249

Price Point

Evidence: Strong
Tested: 4 weeks

Where to Buy

Verified purchase options and current availability

MFI Medical

Price: $225.00
3-5 business days

FSA/HSA eligible; includes trial disposable turbines.

Shop Now

Important Information

  • • Prices and availability subject to change
  • • Some devices may require a prescription
  • • HSA / FSA eligibility: Usually Eligible
  • • Purchase from authorized retailers for warranty protection
Visit Manufacturer Website

Alternative Devices

It builds directly upon the MIR Spirobank Smart by integrating a touch reflectance SpO2 sensor. This makes it far more comprehensive than the base Spirobank Smart or the entry-level MIR Smart One, standing out as one of the few true 2-in-1 respiratory devices on the market.

Testing Methodology

Bench validation of turbine flow and volume accuracy using waveform generators, SpO2 sensor precision verification against clinical oximeters, and real-world patient usability tracking for the dual-function app interface.

Medical Review: Pulmonologists highly value the dual-functionality of this device. Concurrent tracking of FEV1/FVC ratios alongside resting oxygen saturation provides a significantly clearer clinical picture for patients with COPD, pulmonary fibrosis, and post-transplant recovery.

Medical Disclaimer

This review is for informational purposes only and does not constitute medical advice. Individual results may vary. Always consult with healthcare professionals before making medical device decisions. Clinical recommendations should be individualized based on patient-specific factors.