# Thomale Guide Application vs Washington Manual

The clearest difference is in-app purchases: Thomale Guide Application at none against Washington Manual's 1. Thomale Guide Application also leads on ads (none vs shown) and iOS requirement (8.2 vs 13.0). On price, update cadence and device support there is nothing between them.

Both are free to download. Washington Manual sells 1 one-off in-app purchase. Thomale Guide Application asks for nothing beyond the download.

Thomale Guide Application ships an update every 14 months, Washington Manual every 7 months. The most recent releases landed on October 20, 2026 and October 22, 2026 respectively.

## The numbers

| Metric | Thomale Guide Application | Washington Manual |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.0 (2 ratings)](https://appshunter.io/ios/app/washington-manual-surgery/id1242237344/reviews)** |
| Number of ratings | — | **2** |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 14 months | **Every 7 months** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 14 MB | 45 MB |
| Requires iOS | **8.2** | 13.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Miethke GmbH & Co. KG](https://appshunter.io/developer/450290018) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### Thomale Guide Application

[App page](https://appshunter.io/ios/app/thomale-guide-application/id648839804)

This medical device app assists neurosurgeons in the controlled placement of ventricular catheters for hydrocephalus treatment. It calculates optimal angles, catheter length, and distances using CT or MRT scans in conjunction with the Thomale Guide instrument.

**Highlights:** Controlled neurosurgical placement, Ventricular catheter implantation aid, Calculates entrance angle, Determines catheter length, Measures distance to median line, Utilizes CT/MRT scans

**Features:** macOS Compatibility

**In-app purchases:** none


### Washington Manual

[App page](https://appshunter.io/ios/app/washington-manual-surgery/id1242237344)

This medical app provides essential surgical information for healthcare practitioners. It offers quick access to guidelines, algorithms, and patient care details, with offline functionality. Users can add notes and annotations to personalize their learning experience.

**Highlights:** Point-of-care clinical information, Algorithms and formulas, Preoperative and postoperative care, Offline content access, SmartSearch technology, Rich-text notes and voice memos, Annotations

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Washington Manual Surgery | $49.99 | one-time |


## Frequently asked questions

### Is Thomale Guide Application free?

Thomale Guide Application is free to download, with no in-app purchases.

### Is Washington Manual free?

Washington Manual is free to download, with in-app purchases available.

### Do Thomale Guide Application or Washington Manual have ads?

Washington Manual shows ads; Thomale Guide Application does not.

### Which is updated more often, Thomale Guide Application or Washington Manual?

Thomale Guide Application ships an update every 14 months, and Washington Manual every 7 months. Most recently, Thomale Guide Application was updated on October 20, 2026 and Washington Manual on October 22, 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.*