Respiro® (Amiko Digital Health Ltd, Milan, Italy)
The Respiro sensor records both inhaler administration and technique, and is available for use with pMDI, Ellipta®, Nexthaler® and Spiromax® devices as an add-on sensor providing digital feedback for each critical step of inhalation, including inspiratory flow and inhaler orientation. Data regarding inhaler use is stored and wirelessly exchanged with a paired smartphone or PC reporting adherence patterns and inhaler technique(48). The Respiro Mobile application provides personalised guidance to help patients manage their condition and is accessible to the HCP(49). The provider portal displays a dashboard of patient data, notifications about patients at risk of an exacerbation and monthly reports on patient progress, allowing the monitoring of large patient populations. Studies evaluating its use have not yet been conducted.