Comparison

iElastance vs Reflex

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

iElastance

Features
Read full description

iElastance estimates left ventricular end-systolic elastance (Ees), effective arterial elastance (Ea) and their ratio, ventricular–arterial coupling (VAC), from six values you already have at the bedside: cuff pressures, a standard echocardiogram and two systolic time intervals. No catheter, no extra equipment. FREE • Single-beat calculator (Chen et al., J Am Coll Cardiol 2001): systolic and diastolic pressure, ejection fraction, stroke volume, pre-ejection and total ejection time. • Results update as you type, with checks on impossible values. • "How to measure" guide with diagrams of the method of disks and of systolic times on the LVOT pulsed Doppler. IELASTANCE PREMIUM • Pressure–volume diagram: ESPVR and Ea lines, stroke volume, ESP, EDV, ESV and V0. • Cases: keep your 10 most recent cases, each with as many measurements as you need (baseline, after fluids, after a vasopressor or inotrope…). • Trends of VAC, Ea and Ees over time. • PDF report with results, diagrams, measurement table, trends, method and reference, ready to print or share. • Archive export and import to move your cases to another device. PRIVATE BY DESIGN No account, no analytics, no advertising. Cases and reports stay on your device. SUBSCRIPTION iElastance Premium is an auto-renewing yearly subscription with a 7-day free trial for new subscribers. Payment is charged to your App Store account at confirmation of purchase after the trial. The subscription renews automatically unless cancelled at least 24 hours before the end of the current period; manage or cancel it in your account settings. Terms of Use (Apple standard EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy: https://ielastance.sonable.app/privacy-app.html FOR HEALTHCARE PROFESSIONALS iElastance is intended for physicians and healthcare professionals in intensive care, anaesthesia and cardiology. Results are estimates from a published model and support, never replace, clinical judgement. It does not provide diagnoses or treatment recommendations.

About

Reflex

This tool measures and tracks pupillary activity using an iPhone camera for quick, 5-second tests. It helps medical professionals monitor patient progress and identify deviations for clinical decision support.

Highlights
  • Pupillary readings via iPhone camera
  • 5-second test duration
  • Patient progress tracking
  • Baseline feature for deviations
  • Clinical decision support tool
  • Rapid biomarker validation
Features
Read full description

Measure and track autonomic pupillary activity by simply holding the iPhone up to your patient's eye for a quick 5-second test. Track patient progress using the baseline feature and frequently follow-up to determine deviations with Reflex, an accessible pupillary tool for clinical decision support. Here's what you can expect from Reflex: -Fast and reliable pupillary readings at the touch of a screen. -Track important changes and fluctuations from pupil readings over time. -Validate your clinical efforts with the state-of-the-art in rapid biomarkers. Reflex is only for medical professional use. Seek a physician's advice if you're experiencing ocular or neurological issues. Pricing & Terms: Reflex offers the following subscription option for unlimited use per period: * 1 month: $39.99 (USD) * 1 year: $399.99 (USD) This price applies to United States residents. Prices may vary in other countries respecting your local currency exchange rate. Your subscription will be charged to your iTunes account. At the end of the term, unless auto-renewables subscriptions are disabled, your subscription will automatically renew in your iTunes account. You will be charged for the regular price of your subscription within 24 hours prior to the end of the current term. You can turn off automatic renewal in your iTunes account settings at any time, but you must do so at least 24 hours before the end of the current term. Refunds will not be provided for the unused portion of any term. Reflex is a registered Class I 510(K) Exempt medical device. Privacy policy: https://reflexapp.io/privacy-policy/ Terms and conditions: https://reflexapp.io/terms-conditions

Screenshots

iElastance4 screens
Reflex3 screens

Verdict

The call

The clearest difference is update cadence: Reflex at every 2 weeks against iElastance's every 8 months. iElastance's advantage is device support (3 vs 1) and iOS requirement (13.0 vs 17.6). On price, ads and in-app purchases there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. iElastance sells 1 in-app purchase, starting at $9.99 per year and Reflex sells 5 in-app purchases, starting at $1.99 per month. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

iElastance ships an update every 8 months, Reflex every 2 weeks. The most recent releases landed on November 1, 2026 and November 2, 2026 respectively.

Scorecard3 real differences · 7 level
iElastance versus Reflex: the parameters behind the verdict, then further details
ParameteriElastanceReflex
PriceFreeFree
Rating—3.5 (23 ratings) — better
Positive reviews—0.0% of reviews
Number of ratings—23 — better
Update frequencyEvery 8 monthsEvery 2 weeks — better
AdsNoNo
In-app purchasesYesYes
Monetization—Subscription
DevicesiPhone, iPad, iPod — betteriPhone
Requires iOS13.0 — better17.6
Further details — not scored
Size58 MB22 MB
Age rating12++17
DeveloperPietro BertiniBrightlamp, Inc.

In-app purchases

1 purchases

iElastance

Subscriptions1
  • iElastance Premium7 Days trial$9.991 Year
5 purchases

Reflex

Subscriptions5
  • Critical Care Monthly$1.991 Month
  • Monthly Subscription1 Month trial$41.991 Month
  • Monthly Subscription$41.991 Month
Show 2 more
  • Yearly Subscription1 Month trial$419.991 Year
  • Yearly Subscription$419.991 Year

Questions

Is iElastance free?
iElastance is free to download, with in-app purchases available.
Is Reflex free?
Reflex is free to download, with in-app purchases available.
Do iElastance or Reflex have ads?
Neither iElastance nor Reflex shows ads.
Which is updated more often, iElastance or Reflex?
iElastance ships an update every 8 months, and Reflex every 2 weeks. Most recently, iElastance was updated on November 1, 2026 and Reflex on November 2, 2026.

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