# iElastance vs Nerbio iTOF

The clearest difference is update cadence: Nerbio iTOF at every 2 months against iElastance's every 8 months. On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

iElastance ships an update every 8 months, Nerbio iTOF every 2 months. The most recent releases landed on May 17, 2026 and September 10, 2026 respectively.

## The numbers

| Metric | iElastance | Nerbio iTOF |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[5.0 (3 ratings)](https://appshunter.io/ios/app/nerbio-itof/id1525979662/reviews)** |
| Number of ratings | — | **3** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 8 months | **Every 2 months** |
| Monetization | — | Free |
| Size | 22 MB | 87 MB |
| Requires iOS | **15.1** | 15.6 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Pietro Bertini](https://appshunter.io/developer/1769996267) | [Nerbio Medical Software Platform Inc](https://appshunter.io/developer/1525979664) |

## What reviewers say

### iElastance

[App page](https://appshunter.io/ios/app/ielastance/id556528864)

**Features:** macOS Compatibility

**In-app purchases:** none


### Nerbio iTOF

[App page](https://appshunter.io/ios/app/nerbio-itof/id1525979662)

This medical application works with a specific device to provide quantitative monitoring of neuromuscular blocking agents. It enhances patient safety and accuracy in monitoring, offering wireless control for caregivers. The system is recommended by anesthesiologists for precise neuromuscular transmission monitoring.

**Highlights:** Quantitative neuromuscular transmission monitoring, Works with iTOF device hardware, Remote patient monitoring, Wireless control for caregivers, Automated quantitative monitoring, FDA cleared

**In-app purchases:** none


## Frequently asked questions

### Is iElastance free?

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

### Is Nerbio iTOF free?

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

### Do iElastance or Nerbio iTOF have ads?

Neither iElastance nor Nerbio iTOF shows ads.

### Which is updated more often, iElastance or Nerbio iTOF?

iElastance ships an update every 8 months, and Nerbio iTOF every 2 months. Most recently, iElastance was updated on May 17, 2026 and Nerbio iTOF on September 10, 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.*