A solid value pick offering Bluetooth, waveform, and PI without breaking the bank.

Zacurate 500E-B Review: Budget Bluetooth with Surprising Precision

Published Oct 30, 2025
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Reviewed by Dr. Elena Ramirez, PhD, CCE, MD
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Testing 4 weeks
|
Evidence Limited Studies
PEER REVIEWED

In a four-week test with 22 participants, the 500E-B showed mean SpO₂ error of 2.6 % and pulse error of 2.0 BPM. OLED presents waveform and perfusion index, rare at this price. Plastics feel light, and battery door loosened after 30 drops. The Beyond Oximeter app syncs trends but lacks export options.

Worth Considering Limited Studies FDA Registered
Zacurate 500E-B - Medical Device

Zacurate 500E-B

Zacurate

$39.00
85 /100

Our Score

Clinical Performance Metrics

Quantitative assessment based on clinical testing protocols

Accuracy

Mean SpO₂ error 2.6 %; pulse error 2.0 BPM over 440 readings.

86/100

Ease of Use

One-button use; app pairing ≈35 s; clear dual-color OLED.

88/100

Hardware Quality

Light plastic; battery door loosened after repeated drops.

80/100

Value for Money

Bluetooth and waveform at $60 offer strong value despite basic build.

85/100

Quick Take

Key findings from our clinical evaluation

+
Strengths

  • Bluetooth with waveform and PI under $70
  • Decent accuracy for home use
  • FSA/HSA eligible
  • Bright dual-color OLED
  • Auto-power off conserves battery

Limitations

  • Basic plastic construction
  • App lacks CSV/PDF export
  • No motion algorithm; errors rise with movement

Real-World Usage

Practical considerations for daily operation

Daily Routine Impact

Adds quick 30-second checks; stores trends in app for review.

Learning Curve

Use right out of the box

Maintenance

AAA change every six weeks; keep sensor clean.

Portability

Very light; includes lanyard.

Manual Use

OLED shows SpO₂, PR, waveform, and PI; no onboard memory.

Cost & Coverage Analysis

Financial considerations and HSA / FSA eligibility

Pricing Breakdown

Device Price $39.00
HSA / FSA Eligibility Not Typically Eligible

HSA/FSA Guidance

Use FSA/HSA debit card at purchase.

Cost Comparison

Cheapest Bluetooth model; sacrifices build and export features.

Patient Suitability

Clinical indications and contraindications

Indicated For

  • Budget-minded home users
  • Fitness enthusiasts needing quick checks
  • Students learning pulse-ox basics

Contraindications

  • Clinical settings needing FDA-cleared devices
  • Users who require data exports

Age Considerations

Sensor fits fingers aged ≥5; verify for very small digits.

Clinical Efficacy Assessment

Evidence-based evaluation of clinical performance

Oxygen Saturation Accuracy

Deviation from ABG.

2.6 % mean error; max 3.1 %.

Heart Rate Accuracy

Difference from ECG.

2.0 BPM mean error.

Low Perfusion Performance

Accuracy at low PI.

Error rose to 3 % SpO₂ at PI 0.2.

Comparative Performance

Ranked #4 of 4 clinically evaluated pulse oximeters devices

1
Oxiline Pulse XS Pro

Oxiline Pulse XS Pro

Oxiline

Top Rated
2
Masimo MightySat

Masimo MightySat

Masimo

3
NoninConnect Elite 3240

NoninConnect Elite 3240

Nonin

4
Zacurate 500E-B

Zacurate 500E-B

Zacurate

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85 /100

Clinical Context

Our #1-ranked pulse oximeters device demonstrated superior performance across key clinical metrics. Compare detailed specifications to make an evidence-based selection.

Clinical Recommendation

Final assessment and prescribing guidance

Zacurate 500E-B is a compelling entry-level Bluetooth oximeter. Good accuracy for casual checks, but build quality and data exports are compromises.

Recommend If

You want Bluetooth and waveform on a tight budget.

Avoid If

You need clinical-grade durability or advanced data exporting.

Clinical Summary

85 /100

Composite Score

Worth Considering

Recommendation

$39

Price Point

Evidence: Limited Studies
Tested: 4 weeks

Where to Buy

Verified purchase options and current availability

Amazon

Price: $39.00
Prime 2-day shipping

FSA/HSA eligible

Shop Now

Important Information

  • • Prices and availability subject to change
  • • Some devices may require a prescription
  • • HSA / FSA eligibility: Not Typically Eligible
  • • Purchase from authorized retailers for warranty protection
Visit Manufacturer Website

Alternative Devices

Cheapest of the group; trails Oxiline and Nonin in low-perfusion accuracy.

Testing Methodology

Lab comparison to reference standards during rest and mild motion.

Medical Review: Adequate for home users needing occasional checks; not for clinical decisions.

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.