EchoNous
EchoNous is a Redmond, WA-based medical device company that designs and sells the Kosmos platform, an AI-enhanced ultraportable point-of-care ultrasound system serving hospitals, clinics, and healthcare systems across cardiology, emergency medicine, critical care, OB/GYN, and other clinical specialties in 70+ countries.
- Company typePrivate
- Founded2016
- HeadquartersRedmond, United States
- Headcount101–250
- GTM typeB2B
- OfferingHardware or Manufacturing
What EchoNous does
EchoNous is a Redmond, Washington-based medical device company that designs and sells the Kosmos platform, an AI-enhanced point-of-care ultrasound (POCUS) system that combines proprietary PZT transducers, a custom ASIC chip, and onboard deep-learning algorithms in an ultraportable handheld form factor. The platform supports Continuous Wave Doppler, Pulsed Wave Doppler, Tissue Doppler Imaging, and color Doppler capabilities previously confined to cart-based systems, and is sold across multiple configurations — Kosmos Plus (full cart setup), Kosmos Mobile (ultraportable), Kosmos Link (multi-probe with extended battery), Kosmos Bladder (dedicated AI bladder scanner), and Kosmos EDU (training application) — running on compatible iOS, Android, and the proprietary Kosmos Bridge tablet.
The company sells primarily through direct enterprise field sales with regional coverage in North America, EMEA, and Japan, supported by a 12+ partner POCUS education network and an Integration Partners Program offering SDK and API access for OEM embedding. Pricing is quote-based; Kosmos Plus is positioned under $20,000 versus higher-priced cart systems, with multi-year contracts as the standard cadence. EchoNous serves twelve named clinical use cases spanning anesthesiology, cardiology, critical care, emergency medicine, family medicine, global health, hospital medicine, MSK, nephrology, nursing, OB/GYN, and vascular access, with deployment in 70+ countries.
The business model is hardware-led with software/AI bundled into device purchases, supplemented by a one-time/perpetual licensing revenue stream via OEM integrations. EchoNous is privately held (Delaware C-corp), has raised approximately $159 million across multiple equity rounds led by Kennedy Lewis Investment Management and Kohlberg Kravis Roberts & Co., and operates with 101–250 employees. The company maintains HIPAA, SOC2 Type II, and Cyber Essentials certifications and holds patents on its ultrasound technology.
EchoNous firmographics
Firmographics- Name
- EchoNous
- Legal name
- EchoNous, Inc.
- Website
- https://echonous.com
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- EchoNous is a Redmond, WA-based medical device company that designs and sells the Kosmos platform, an AI-enhanced ultraportable point-of-care ultrasound system serving hospitals, clinics, and healthcare systems across cardiology, emergency medicine, critical care, OB/GYN, and other clinical specialties in 70+ countries.
- Ownership category
- akta.pro rank
EchoNous industry classification
Industry- Product category
- Point-of-Care Ultrasound (POCUS) Devices
- NAICS
- Navigational, Measuring, Electromedical, and Control Instruments Manufacturing (33451), Electromedical and Electrotherapeutic Apparatus Manufacturing (334510), Navigational, Measuring, Electromedical, and Control Instruments Manufacturing (3345)
- SIC
- Surgical & Medical Instruments & Apparatus (3841)
- akta.pro primary industry
- Ultrasound & Echography Systems (HLAHABAD)
- akta.pro secondary industries
- AI Orchestration & Imaging Analytics Platforms (Model Management/Triage) (HLACALAG), Imaging Informatics & Workflow (PACS/RIS/VNA) (HLAHABAI), Cardiometabolic RPM & Chronic Disease Management (diabetes, hypertension, CHF, obesity) (HLALAFAA)
Keywords
Where EchoNous is headquartered
LocationHeadquarters
- HQ city
- Redmond
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
EchoNous business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Technology or R&D, Personnel, Supply Chain, Marketing or Sales, Operations, Infrastructure
Revenue model
- Hardware Sales - Kosmos Platform: Sale of Kosmos ultrasound devices including Kosmos Plus (fully-featured cart configuration), Kosmos Mobile (ultraportable), Kosmos Bladder (dedicated bladder scanner), and standalone probes (Torso-One, Lexsa). Pricing is quote-based with multiple configuration options available.
- Software/AI Features: AI-powered software features including Auto EF, AI FAST, Auto Preset, Auto Doppler, and Kosmos Bladder AI are included with device purchase. Third-party integrations like Us2.ai provide additional AI-calculated echo reports.
- Enterprise/Institutional Sales: Direct sales to hospitals, healthcare systems, and institutions through field sales teams and regional VP coverage (North America, EMEA, Japan). Multiple pricing tiers and configurations to fit different institutional budgets.
- SDK/API Integration Services: Integration Partners Program offering SDK and API access for medical device manufacturers embedding Kosmos technology into application-specific devices.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| One time/ perpetual license | Multi-year contract | Kosmos Plus - Fully-featured cart configuration |
| One time/ perpetual license | Multi-year contract | Kosmos Mobile - Ultraportable configuration |
| One time/ perpetual license | Multi-year contract | Kosmos Bladder - Dedicated bladder scanner |
| One time/ perpetual license | Multi-year contract | Kosmos Plus for Vascular Access |
| One time/ perpetual license | Multi-year contract | Kosmos Link |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels9 records
EchoNous product offering
Product offeringCore offering
EchoNous designs, manufactures, and sells the Kosmos platform, an AI-enhanced point-of-care ultrasound (POCUS) system that combines proprietary PZT transducers and custom ASIC chips with deep learning algorithms. The platform is offered in multiple configurations (Kosmos Plus, Kosmos Mobile, Kosmos Link, Kosmos Bladder, Kosmos EDU) and includes advanced Doppler capabilities (PW, CW, TDI, Color) previously found only in cart-based systems. Products are sold to hospitals, clinics, and healthcare systems globally across 70+ countries, with AI features such as Auto EF, AI FAST, Auto Preset, and Auto Doppler included with device purchase.
Product overview
EchoNous offers the Kosmos platform as its primary AI-enhanced point-of-care ultrasound (POCUS) product family, combining cart-based image quality with ultraportable affordability. The core Kosmos platform features proprietary PZT transducers and advanced Doppler capabilities (PW, CW, TDI, Color) previously found only in larger systems. The product portfolio includes Kosmos Plus (full cart configuration), Kosmos Mobile (ultraportable mobile solution), Kosmos Link (multi-probe connectivity with extended battery), Kosmos Bladder (AI-powered bladder scanning), Kosmos EDU (educational training tool), and Kosmos Plus for Vascular Access (specialized vascular package). The platform operates across three compatible systems: Apple iOS tablets, Android tablets, and Kosmos Bridge (proprietary platform). Key AI capabilities include Auto EF for automated ejection fraction calculations, AI FAST for anatomical labeling, Auto Preset for intelligent preset optimization, and Auto Doppler for automated sample gate placement. EchoNous also maintains legacy products including the EchoNous Bladder Scanner (formerly Signostics) and EchoNous Vein for peripheral IV guidance.
Differentiator
Problem solved
Functional benefit
Brands
- Kosmos: AI-enhanced portable ultrasound platform with multiple configurations including Kosmos Plus, Kosmos Mobile, Kosmos Link, and Kosmos EDU. Features include PW, CW, TDI Doppler capabilities, AI-assisted ejection fraction, and AI FAST for anatomical labeling.
- Kosmos Bladder
- Kosmos Plus
- Kosmos Mobile
- Kosmos Link
- Kosmos EDU
- Kosmos Bridge
- Torso-One
- Lexsa
Products and services
- Kosmos Platform AI-enhanced portable ultrasound platform combining cart-based image quality with handheld affordability. Features proprietary PZT transducers and advanced Doppler capabilities (PW, CW, TDI, Color) for hospitals, clinics, and healthcare systems.
- Kosmos Plus Fully-featured POCUS configuration with cutting-edge AI, advanced Doppler features (CW, PW, TDI, Color), choice of Torso-One and/or Lexsa probes, Apple iPad, and medical-grade stand, priced under $20k.
- Kosmos Mobile Ultraportable POCUS solution for on-the-go clinicians including Apple iPad Air or Pro, cutting-edge AI, advanced Doppler capabilities, choice of probes, and Kosmos Essential Carrying Case.
- Kosmos Link Multi-probe connectivity accessory with up to 8 hours of continuous scanning, charge-while-scanning capability, and enhanced power delivery for advanced Doppler imaging; can be deployed as cart-based or hand-carried.
- Kosmos Bladder AI-powered bladder scanner with dynamic AI for pre- and post-void bladder volume detection with real-time guidance; functions as a dedicated bladder scanner or expands into a full POCUS solution.
- Kosmos EDU Educational application with Trio real-time automated AI guidance, grading, and labeling of cardiac anatomy, designed to help novice users learn ultrasound.
- Kosmos Plus for Vascular Access All-inclusive package for ultrasound-guided vascular access featuring advanced compound imaging, Color Doppler, Color Power Doppler, PW Doppler, Kosmos Lexsa probe, medical-grade stand, and Apple iPad with minimal surfaces for easy cleaning.
- Kosmos Bridge Proprietary EchoNous platform for users who prefer not to use iOS or Android; provides high-quality display, HIPAA-compliant data handling, DICOM worklist and store, and drop-tested durability with 5-year warranty.
- Torso-One Probe Phased array 2-in-1 probe providing cardiac and abdominal imaging with 2D, PW, TDI, CW Spectral Doppler, Color Doppler, and automated presets for Cardiology, Abdominal, Lung, and Bladder AI applications.
- Lexsa Probe Linear array probe with 38mm aperture, 64/128 channels, Pulsed Wave Doppler with angle correct, Color Power Doppler, and Color Doppler Imaging for MSK, vascular, nerve, and lung applications.
Quantifiable outcome
- 90% reduction in echocardiographic referrals, alleviating echo lab burdens
- +4 more outcomes
Companies that use EchoNous
Customer profileNamed customers4 records
Segments12 records
Ideal customer profiles2 records
EchoNous technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability4 records
Feature11 records
EchoNous partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- 19LabscoreEchoNous partnered with 19Labs to deliver telehealth solutions integrating Kosmos into the 19Labs Gale telemedicine software platform. The integration enables real-time streaming of ultrasound exams, device camera, and audio for remote consultations, particularly valuable for global health and resource-limited settings.
- Ultrasound Education ProviderscoreEchoNous has partnered with 12+ ultrasound education providers including Gulfcoast Ultrasound Institute, AIUM, EMSono, POCUS101, iTeachU, Keith Mauney & Associates, and others. These partners provide POCUS training and education that incorporates Kosmos into curricula, driving adoption among trained clinicians.
Scale indicators7 records
Recent moves7 records
Expansion highlights6 records
EchoNous competitors and assessment
Company assessmentDirect peers
- Butterfly Network: Butterfly Network is the most direct competitor to EchoNous, offering a handheld AI-enabled point-of-care ultrasound device (iQ3) using single-chip ultrasound-on-CMOS technology. Both target the same POCUS market spanning emergency medicine, cardiology, and primary care, with overlapping clinical use cases and pricing in the sub-$5K to $20K range.
- Clarius Mobile Health: Clarius is a direct peer in portable AI-enhanced ultrasound, offering handheld wireless scanners compatible with iOS/Android that target similar clinical specialties (POCUS, MSK, vascular access). The two companies have notable leadership overlap—EchoNous CEO Tony Titus is a former Clarius executive—and compete head-to-head in the ultraportable handheld segment.
Broad incumbents
- FUJIFILM Sonosite: FUJIFILM Sonosite is the established incumbent in point-of-care ultrasound, with the broadest installed base of POCUS systems in hospitals globally. EchoNous explicitly competes by offering cart-benchmarked image quality in a portable form factor at a lower price point; many EchoNous senior leaders (CFO, CTO, COO, CSO, VPs) are former SonoSite alumni.
- GE HealthCare: GE HealthCare is a broad incumbent offering a full spectrum of ultrasound systems from cart-based to portable, with deep hospital relationships and integrated PACS/EMR workflows. EchoNous positions Kosmos as a more affordable, AI-first alternative for POCUS use cases that traditionally would have been served by GE's Vscan or larger LOGIQ systems.
- Philips Ultrasound: Philips is a major incumbent in the ultrasound market with Lumify (handheld POCUS), EPIQ, and Affiniti cart systems, plus integrated imaging informatics. EchoNous competes against Philips for hospital POCUS procurement, particularly in cardiology, critical care, and emergency medicine where EchoNous's AI features are positioned as differentiated.
- Siemens Healthineers: Siemens Healthineers offers ACUSON ultrasound systems spanning portable to premium cart-based. As an incumbent with global hospital reach and integrated imaging IT, Siemens represents both a competitor and a potential strategic acquirer of POCUS innovators like EchoNous; multiple EchoNous leaders previously worked at Siemens.
- Mindray: Mindray is a global incumbent in medical devices including a broad ultrasound portfolio (portable, POCUS, and cart-based systems) at competitive price points. EchoNous competes with Mindray in cost-sensitive hospital segments and global health deployments where price-performance is critical.
- Samsung Medison: Samsung Medison is a broad incumbent in diagnostic ultrasound, with HERA and RS80A premium systems plus portable offerings. EchoNous competes in the portable/POCUS segment, particularly for hospitals seeking a more affordable AI-augmented alternative to premium cart-based systems.
Emerging players
- Exo Imaging: Exo Imaging is an emerging player developing AI-powered handheld ultrasound using proprietary pMUT (piezoelectric micromachined ultrasound transducer) technology, backed by meaningful venture funding. While still scaling commercially, Exo's technology approach and AI emphasis position it as a direct future competitor to EchoNous Kosmos in the AI-ultrasound segment.
- Caption Health (acquired by GE HealthCare): Caption Health developed AI-guided ultrasound software (Caption AI) that automates image acquisition and quality assessment, directly comparable to EchoNous's Auto EF and AI FAST features. Although Caption Health was acquired by GE HealthCare, its technology is now embedded into GE's POCUS strategy, intensifying competition against EchoNous in AI-augmented ultrasound.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
EchoNous social profiles
Digital presenceEchoNous compliance and trust
Trust signalCompliance3 records
EchoNous financial estimates
Financial estimateRevenue estimate
Valuation estimate
EchoNous leadership team
Management profileNumber of profiles
Profiles12 records
EchoNous funding detail
Funding detailFunding overview
Funding rounds6 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
EchoNous M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about EchoNous
What does EchoNous do?
EchoNous designs, manufactures, and sells the Kosmos platform, an AI-enhanced point-of-care ultrasound (POCUS) system that combines proprietary PZT transducers and custom ASIC chips with deep learning algorithms. The platform is offered in multiple configurations (Kosmos Plus, Kosmos Mobile, Kosmos Link, Kosmos Bladder, Kosmos EDU) and includes advanced Doppler capabilities (PW, CW, TDI, Color) previously found only in cart-based systems. Products are sold to hospitals, clinics, and healthcare systems globally across 70+ countries, with AI features such as Auto EF, AI FAST, Auto Preset, and Auto Doppler included with device purchase.
Is EchoNous a public or private company?
EchoNous is a private company. It is classified as venture growth investor backed and is currently operating.
When was EchoNous founded?
EchoNous was founded in 2016. It employs 101 to 250 people.
Where is EchoNous based?
EchoNous is headquartered in Redmond, United States, in the North America region.
How does EchoNous make money?
Four revenue lines are on record. Hardware Sales - Kosmos Platform is the primary driver. The others are software/AI Features, enterprise/Institutional Sales and SDK/API Integration Services.
Who are EchoNous's main competitors?
Direct peers on record are Butterfly Network and Clarius Mobile Health. Broad incumbents are FUJIFILM Sonosite, GE HealthCare, Philips Ultrasound, Siemens Healthineers, Mindray and Samsung Medison. Emerging players are Exo Imaging and Caption Health (acquired by GE HealthCare).
Does EchoNous have an API?
Yes. EchoNous offers an Integration Partners Program that provides API and SDK access for integrating Kosmos hardware and software technology into application-specific medical devices. Options include high-level app-to-app integration using an Application Programming Interface, as well as full custom development using a Software Development Kit. The Kosmos hardware, software, and development toolset is adaptable to a wide range of transducers. Developer documentation is at echonous.com/sdk-api-integration.
What industry is EchoNous in?
EchoNous's product category is Point-of-Care Ultrasound (POCUS) Devices. Its primary akta.pro industry code is HLAHABAD, Ultrasound & Echography Systems, with a secondary code of HLACALAG, AI Orchestration & Imaging Analytics Platforms (Model Management/Triage). Its NAICS code is 33451 and its SIC code is 3841.