
Spira is a handheld pulmonary function instrument measuring FEV1, FVC, FEV1/FVC, and peak expiratory flow against ATS/ERS criteria, with a learned per-user baseline and early anomaly detection.
Lung-function testing today produces isolated readings, separated by months, interpreted without personal context. Decline between visits — the clinically decisive interval — goes unmeasured.
For COPD and asthma patients, that gap is where exacerbations form. Spira is designed to close it: a clinical-grade maneuver at home, every day, scored against the patient's own baseline rather than a population average alone.

Forced expiratory maneuver measured by differential pressure; acceptability and repeatability assessed against ATS/ERS criteria.
Per-user reference adjusted for age, sex, height, and BMI — trained against NHANES 2007–2012 (16,596 subjects) and 37,000+ categorized respiratory records.
Real-time deviation scoring against the personal baseline; classification into Normal, Borderline, or Alert with longitudinal trend analysis.
Results stream to Plexus as FHIR observations, available to the patient's clinician through standard interfaces.