# SPIRO vs TCCL

The clearest difference is price: TCCL at Free against SPIRO's $3.99. TCCL also leads on update cadence (every 3 months vs every 7 months) and review sentiment (13% vs 0%). On ads, in-app purchases, device support and iOS requirement there is nothing between them.

TCCL is free to download; SPIRO costs $3.99 up front. Neither carries in-app purchases, so what you see is what you pay.

SPIRO ships an update every 7 months, TCCL every 3 months. The most recent releases landed on October 15, 2026 and October 7, 2026 respectively.

## The numbers

| Metric | SPIRO | TCCL |
| --- | --- | --- |
| Price | $3.99 | **Free** |
| Positive reviews | 0.0% of reviews | **12.5% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 7 months | **Every 3 months** |
| Monetization | Paid | **Free** |
| Size | 125 MB | 69 MB |
| Requires iOS | **12.0** | 13.0 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 12+ | 17+ |
| Developer | [Universite Laval](https://appshunter.io/developer/386592978) | [Le-Cours.ca Design pedagogique Inc.](https://appshunter.io/developer/1462840028) |

## What reviewers say

### SPIRO

[App page](https://appshunter.io/ios/app/spiro/id1135982423)

This medical app assists healthcare professionals and students in interpreting spirometry tests. It provides diagnostic and treatment suggestions based on entered data and offers access to educational materials and respiratory health guidelines.

**Highlights:** Interpret spirometry tests, Diagnostic suggestions, Treatment suggestions, Access respiratory guidelines, Educational material, Patient follow-up tool

**Features:** Vision Pro support

**In-app purchases:** none


### TCCL

[App page](https://appshunter.io/ios/app/tccl-mtbi/id1462840029)

This bilingual medical app provides emergency and first-line responders with evidence-based tools for managing mild traumatic brain injuries in adults and children. It offers diagnostic criteria, symptom information, risk factors, and step-by-step recommendations for resuming activities. It also includes assessment tools and resources for patients.

**Highlights:** Evidence-based mTBI management tools, Diagnostic criteria and symptom information, Risk factor assessment for complications and prognosis, Recommendations for resuming activities, mTBI assessment tools for practitioners, Patient toolbox and clinical references

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is SPIRO free?

SPIRO costs $3.99, with no in-app purchases.

### Is TCCL free?

TCCL is free to download, with no in-app purchases.

### Do SPIRO or TCCL have ads?

Neither SPIRO nor TCCL shows ads.

### Which is updated more often, SPIRO or TCCL?

SPIRO ships an update every 7 months, and TCCL every 3 months. Most recently, SPIRO was updated on October 15, 2026 and TCCL on October 7, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*