EchoNous

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.

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

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

• Point-of-care ultrasound
• Medical imaging devices
• AI ultrasound systems
• Portable ultrasound hardware
• Bladder scanning technology

Headquarters

HQ city

Redmond

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

Technology or R&D, Personnel, Supply Chain, Marketing or Sales, Operations, Infrastructure

Revenue model

1. 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.
2. 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.
3. 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.
4. 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

Go-to-market motion3 records

Distribution channels5 records

Marketing channels9 records

Core 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

Named customers4 records

Segments12 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability4 records

Feature11 records

Partnerships

Two partnerships are on record, tiered core.

• 19LabscoreTechnology or Integration · 14 June 2023EchoNous 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 ProviderscoreChannel Partner/ Reseller/ DistributorEchoNous 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

Direct 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

• Xx.com/echonous
• YouTubeyoutube.com/@EchoNous
• Facebookfacebook.com/EchoNous
• LinkedInlinkedin.com/company/echonous-inc
• Instagraminstagram.com/echonous_inc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds6 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about EchoNous