Lung Sound Analysis for Clinical Trials
FDA 510(k) Cleared | CE Mark (Biosensor only)
The RESP® Biosensor enables life sciences teams to objectively measure respiratory symptoms and physiological signals in daily life, providing greater insight into treatment response and differentiation across clinical programs.
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FDA 510(k)
Class II Cleared
RESP® Biosensor
CE Mark
European Conformity
RESP® Biosensor
ISO 13485
Certified
Quality management system
Clinically
Validated
Equivalent to electronic stethoscopes¹
HIPAA
Compliant
Privacy-preserving by design
RESP® Biosensor Inspiration
From Stethoscope to Sensor
Traditional stethoscope auscultation has been a gold standard for assessing respiratory health for over 200 years, with lung sounds such as cough, wheeze, rhonchi, or crackles indicating blockage and other problems in the airways. However, it is limited to episodic, in-person visits.

As we developed a solution to improve the management of chronic respiratory diseases, we designed the RESP® Biosensor to continuously capture lung sounds, extending the reach of stethoscope auscultation and providing clinical and research teams with insight into respiratory health anytime, anywhere.
Traditional Auscultation
- Episodic, in-person visits only
- Clinician-dependent, subjective assessment
- No continuous overnight monitoring
- Limited to scheduled appointment windows
- No remote data capture
RESP® Biosensor
- Continuous capture anytime, anywhere
- Objective, algorithmic event detection
- 24/7 monitoring including sleep
- Real-world, daily-life data
- Automated cloud data transfer
Technology Overview
Technology Overview
The RESP® Biosensor, often described as the 'Holter monitor for the lungs', is designed to continuously capture high-fidelity cough, lung sounds, and physiological measures to provide greater insight into respiratory status from anywhere, anytime. Clinically validated with equivalent performance to standard electronic stethoscopes.¹
Patient-Friendly
Wireless, discreet form factor and privacy-preserving — designed for comfortable multi-day wear without disrupting daily life.
Multi-Parameter and Device
Comprehensive respiratory and physiological measures that matter to patients, captured passively across the full monitoring period.
Validated Reporting
Automated or manual (human) overread to meet endpoint requirements. Comprehensive reports prepared by the Strados Labs team.

¹ M. Glass, et al. Results of Clinical Performance Testing of a Novel Wearable e-Stethoscope in Patients with Chronic Lung Diseases [abstract]. Am J Respir Crit Care Med
Strados Intelligence Advantage
Comprehensive respiratory insights with built-in sensor fusion
The RESP® Biosensor combines advanced acoustic monitoring with an integrated inertial measurement unit to capture lung sounds alongside chest wall movement, respiratory rate, and activity levels. Every event is processed through our proprietary CoughCheck™ algorithm and reviewed by trained human analysts — combining the scale of automation with the precision of expert oversight to produce regulatory-grade endpoint data.
Metrics at a Glance
Metrics at a Glance
Lung Sounds Captured
Breaths Captured
Continents
Countries
Languages
Sites
RESP® Biosensor Measures
A robust combination of measures that reflect how patients feel and function. Onboard inertial measurement unit (IMU) allows for physiological insights alongside cough and lung sounds.
- Cough Frequency (24-hour)
- Cough Bouts
- Cough Sound Intensity
- Wheeze, Rhonchi, Crackles
- Breathing Patterns*
- Respiratory Rate*
- Heart Rate & Heart Rate Variability*
- Orientation (e.g. Supine or Upright)*
- Sleep/Wake*
- Activity Levels*
*Measurement not FDA cleared but may be collected in clinical trials

Digital Measures
Digital Measures for Multiple Indications
| Indication | Cough | Wheeze | Crackles | Rhonchi | Resp. Rate* | Heart Rate* | Activity* |
|---|---|---|---|---|---|---|---|
| Chronic Cough | |||||||
| Pulmonary Fibrosis | |||||||
| Bronchiectasis | |||||||
| COPD | |||||||
| Asthma | |||||||
| Infectious Diseases | |||||||
| Lung Cancer | |||||||
| Congestive Heart Failure |
*Measurement not FDA cleared but may be collected in clinical trials
Clinical Rationale
Why Include Lung Sounds as Endpoints?
Cough and lung sound abnormalities are among the most clinically meaningful — yet historically unmeasured — patient experiences in respiratory disease. The RESP® Biosensor makes them quantifiable, continuous, and regulatory-ready.

Improve insight into how patients feel and function, strengthening evidence to regulatory agencies
Reduce reliance on questionnaires to demonstrate treatment effect on symptoms
Differentiate your asset in a competitive marketplace
Uncover signals that may point to new or expanded indications
Identify new pharmacologic insights into your treatment
Features & Specifications
Features & Specifications
Device Specifications
| Form factor | Wireless and discreet |
| Wear experience | Patient-friendly form factor |
| Monitoring mode | Continuous |
| Battery life | 24+ hour |
| Water resistance | Water resistant |
| Power | Rechargeable |
| Dimensions | Height 3.3" Width 2" Depth .39" |
| Weight | 100g |
| Privacy | HIPAA compliant, data at rest encrypted, data in transit encrypted |
| Clearances | FDA 510(k) Class II; CE Mark |


Publications
Publications
View our clinical validation, whitepapers and case studies

Cough Detection Performance of the CoughCheck Algorithm in Subjects with Subacute Cough
Poster Presentation, American Thoracic Society, 2025

Objective Cough Monitoring Detects More Patients with Cough Than Patient Self-Reporting
Poster Presentation, American Cough Conference, 2023

Results of Clinical Performance Testing in Chronic Lung Diseases
Poster Presentation, American Thoracic Society, 2022

The Strados Remote Electronic Stethoscope Platform: a novel wearable remote auscultation system
Poster Presentation, American Thoracic Society, 2020
Endpoint Suite
More from the Endpoint Suite
Ready to include RESP® Biosensor in your next study?
Speak with our team to learn how objective cough and lung sound monitoring can strengthen your clinical trial endpoints.
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