Cosm Medical
Cosm Medical is a Toronto-based medical technology company that develops Gynethotics, the world's first personalized 3D-printed pessaries for pelvic floor disorders, combining AI, 3D ultrasound imaging, and software apps to serve clinicians and women with prolapse or incontinence.
- Company typePrivate
- Founded2021
- HeadquartersToronto, Canada
- Headcount11–50
- GTM typeB2B
- OfferingHardware or Manufacturing
What Cosm Medical does
Cosm Medical Corp. is a Toronto-based medical technology company founded in 2021 that has developed Gynethotics, described as the world's first personalized pessaries for pelvic floor disorders including pelvic organ prolapse and urinary/fecal incontinence. The platform combines 3D transperineal ultrasound imaging, AI-driven anatomical measurement and design generation, and 3D printing of biocompatible silicone devices to produce made-to-measure pessaries that the company positions as an improvement over standard off-the-shelf options, which carry reported 30% fitting failure, 50% one-year dropout, and 56% complication rates. The product portfolio spans the Gynethotics Pessary, the V-Caliper handheld measurement tool, a Clinic App for clinician workflow (design, ordering, patient management), and a Patient App for education and progress tracking. A second product line, Gynethotics Recovery, is in development through licensing agreements with Duke Health and Mayo Clinic for post-surgical pelvic recovery applications.
The company operates a B2B2C go-to-market model, distributing through partner clinics in Canada and expanding into the United States following FDA clearance and a Seed+ financing round in June 2025. Revenue is generated through hardware sales of personalized pessaries (designed-to-order with multi-year device lifecycles) and subscription software access to the Clinic and Patient Apps. Insurance coverage is established with Manulife, Sun Life, Johnson Insurance, and Blue Cross Blue Shield. The company holds granted patents in the United States (two), Canada, and China, plus Health Canada licensing and FDA 510(k) clearance. Strategic clinical partnerships extend across Mount Sinai, Michigan Medicine, Cleveland Clinic, University of Ottawa, Penn Medicine, Northwell Health, and Women's College Hospital, supporting both clinical validation and clinician network development.
Cosm Medical firmographics
Firmographics- Name
- Cosm Medical
- Legal name
- Cosm Medical Corp.
- Website
- https://cosm.care
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Cosm Medical is a Toronto-based medical technology company that develops Gynethotics, the world's first personalized 3D-printed pessaries for pelvic floor disorders, combining AI, 3D ultrasound imaging, and software apps to serve clinicians and women with prolapse or incontinence.
- Ownership category
- akta.pro rank
Cosm Medical industry classification
Industry- Product category
- Personalized Pelvic Health Medical Devices
- NAICS
- Surgical Appliance and Supplies Manufacturing (339113), Surgical and Medical Instrument Manufacturing (339112), Medical Equipment and Supplies Manufacturing (3391)
- SIC
- Surgical & Medical Instruments & Apparatus (3841), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)
- akta.pro primary industry
- Open & Minimally Invasive Surgical Instruments (Handheld, Laparoscopic, MIS) (HLAHADAA)
- akta.pro secondary industries
- Urogynecology & Pelvic Reconstructive Surgery (Female Pelvic Medicine) (HLAKAJAE), Single-Use Medical Disposables & Procedure Kits (Drapes, Tubing, Catheters, Syringes, Custom Packs) (HLAHANAG), Medical & Dental 3D Printing Services (patient-specific devices, dental labs) (IMAAADAG)
Keywords
Where Cosm Medical is headquartered
LocationHeadquarters
- HQ city
- Toronto
- HQ country
- Canada
- HQ region
- North America
Offices1 record
Markets served
Cosm Medical business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Technology or R&D, Personnel, Operations, Marketing or Sales, Supply Chain
Revenue model
- Gynethotics Personalized Pessaries: Sale of personalized, 3D-printed biocompatible silicone pessaries for pelvic floor disorder treatment. Devices are designed-to-order for individual patients based on clinician measurements and imaging. Designed for usage periods of up to 3 years.
- Digital Gynecology Software Platforms: Software-as-a-Service platforms for clinicians (Clinic App) and patients (Patient App) enabling device design, ordering, patient management, and outcome tracking.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Gynethotics Pessaries (Personalized) |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels8 records
Cosm Medical product offering
Product offeringCore offering
Cosm Medical designs, manufactures, and sells Gynethotics — the world's first personalized pessaries for pelvic floor disorders (prolapse and incontinence) — made-to-measure via 3D printing of biocompatible silicone based on clinician measurements and AI-assisted medical imaging. The company also provides a Clinic App for clinicians to design, order, and manage devices and patient data, and a Patient App for symptom reporting, education, and progress tracking. Products are Health Canada licensed and FDA cleared and are sold primarily through urogynecology and pelvic health clinics in Canada with U.S. expansion underway.
Product overview
Cosm Medical offers a unified digital gynecology platform centered on Gynethotics™ — the world's first personalized pessaries for pelvic floor disorders. The portfolio integrates hardware (3D-printed personalized pessaries, V-Caliper measurement tool) with software (Clinic App and Patient App) to deliver personalized care from assessment through ongoing treatment. The platform uses medical imaging, AI, and 3D printing to create customized devices. A new product line, Gynethotics™ Recovery, extends the platform to post-surgical pelvic care. The ecosystem enables clinicians to measure, design, order, and monitor personalized devices while patients access educational resources and track progress.
Differentiator
Problem solved
Functional benefit
Brands
- Gynethotics: Personalized pessaries for pelvic floor disorders, the world's first made-to-measure gynecological orthotics using AI, medical imaging, and 3D printing.
Products and services
- Gynethotics Personalized Pessaries The world's first personalized pessaries for treating pelvic floor disorders (prolapse and incontinence), made-to-measure using 3D printing of biocompatible silicone and tailored to each patient's unique anatomy via AI-assisted medical imaging; Health Canada licensed and FDA cleared.
- Clinic App Digital gynecology web application for clinicians to design and order personalized Gynethotics pessaries, manage patient data, track outcomes, and support patients through a streamlined workflow.
- Patient App Patient-facing digital gynecology application providing educational resources, symptom reporting, and progress tracking to support patients throughout their pelvic care journey.
- V-Caliper A low-cost, easy-to-use handheld measurement tool designed to improve accuracy of clinical assessments during pessary fitting; Health Canada licensed.
Quantifiable outcome
- 30% fitting failure rate with traditional pessaries vs. personalized Gynethotics addressing this gap
- +2 more outcomes
Companies that use Cosm Medical
Customer profileNamed customers1 record
Segments3 records
Ideal customer profiles2 records
Cosm Medical technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability4 records
Feature6 records
Cosm Medical partnerships and signals
Strategic signalPartnerships
Eleven partnerships are on record, tiered core and supporting.
- Duke HealthcoreLicensing and collaboration agreement for Gynethotics Recovery, personalized intravaginal devices for post-surgical pelvic recovery following reconstructive surgery. Focuses on product evaluation, clinical validation, and potential commercialization. Cosm Medical licensed IP related to novel device design from Duke Health.
- Mayo CliniccoreLicensing and collaboration agreement for Gynethotics Recovery, personalized intravaginal devices for post-surgical pelvic recovery. Collaboration focuses on product evaluation, clinical validation, and commercialization. Mayo Clinic licensed IP related to novel device design.
- Tech4EvasupportingGlobal femtech accelerator program. Cosm Medical joined as a startup member to advance women's health innovation and gain access to industry resources and networking.
- NGen (Next Generation Manufacturing Canada)supportingNGen announced $79.5 million in AI projects including initiatives for healthcare devices. Cosm Medical is one of 16 lead companies in projects spanning advanced materials, semiconductor manufacturing, healthcare devices, and sustainable construction.
- Mount Sinai (Dr. Colleen McDermott)supportingClinical advisor partnership with Dr. Colleen McDermott, Urogynecologist at Mount Sinai Hospital in Toronto.
- Michigan Medicine (Dr. Christopher Hong)supportingClinical advisor partnership with Dr. Christopher Hong, Urogynecologist at Michigan Medicine.
- Cleveland Clinic (Dr. Howard Goldman)supportingClinical advisor partnership with Dr. Howard Goldman, Urologist at Cleveland Clinic.
- University of Ottawa (Dr. Linda McLean)supportingAcademic research partnership with Dr. Linda McLean, Professor and Chair in Women's Health Research at University of Ottawa.
- Penn Medicine (Diane Newman)supportingClinical advisor partnership with Diane Newman, DNP, CRNP, FAAN, BCB-PMD, Co-director for Continence & Pelvic Health at Penn Medicine.
- Northwell Health (Dr. Bilal Chughtai)supportingClinical advisor partnership with Dr. Bilal Chughtai, Chief of Urology at Northwell Health.
- Women's College HospitalsupportingDr. Goli Ameri, Head of Research at Cosm Medical, spoke at Women's College Hospital on transforming women's pelvic health with AI and 3D printing.
Scale indicators4 records
Recent moves6 records
Expansion highlights6 records
Cosm Medical competitors and assessment
Company assessmentDirect peers
- CooperSurgical: CooperSurgical is the dominant incumbent in women's health and pelvic floor devices, including the widely used Milex line of silicone pessaries that Cosm's Gynethotics directly aim to displace. Competes in the same urogynecology channel with established clinician relationships and broad distribution.
- Coloplast: Coloplast is a global leader in ostomy, continence, and pelvic floor products, including pessaries and related women's health devices sold through the same urogynecology and urology channels Cosm targets. Comparable in product category and customer base, with much larger scale and geographic reach.
- Caldera Medical: Caldera Medical develops and markets medical devices for pelvic floor disorders, including mesh and biologic implants for stress urinary incontinence and prolapse. Directly comparable as a focused pelvic-floor device specialist selling to the same urogynecologist customer base.
Broad incumbents
- Medtronic: Medtronic operates in pelvic floor disorders through its sacral neuromodulation (InterStim) and gastroenterology/urology franchises, competing for the same incontinence patients via a different mechanism (neuromodulation vs. mechanical pessary) and acting as a broad incumbent in the broader pelvic health category.
- Hologic: Hologic is a large women's health company spanning diagnostics, surgical, and skeletal health products, with overlapping reach into the OB/GYN and urogynecology channels Cosm sells into. Comparable as a broad incumbent that could represent both a competitor and a strategic acquirer.
- Boston Scientific: Boston Scientific has a sizable women's health and pelvic floor franchise (including the Solyx and Obtryx sling systems) and competes with Cosm indirectly for the same prolapse and incontinence patients, albeit via a broader surgical-portfolio approach rather than personalized pessaries.
Emerging players
- Axonics: Axonics develops sacral neuromodulation systems for urge incontinence and overactive bladder, addressing an overlapping patient population to Cosm via an implantable device. Comparable as a focused, growth-stage pelvic-health device company that has scaled commercially and provides a relevant exit/comp benchmark.
- Renovia: Renovia is a women's health startup developing digital therapeutics and connected devices (e.g., leva Pelvic Health System) for pelvic floor disorders. Comparable as a venture-backed, emerging pelvic-floor player pursuing a tech-enabled, non-surgical approach that overlaps Cosm's patient population.
- Elidah (Elvie): Elvie markets connected pelvic-floor exercise devices (e.g., Elvie Trainer, Perifit) targeting the same pelvic-floor-disorder patient population Cosm addresses, but via a consumer-grade muscle-training modality rather than a personalized medical device. Comparable as a venture-backed women's health/femtech peer.
Others
- Materialise: Materialise is a global leader in 3D printing for medical devices, including patient-specific implants and surgical guides. Comparable to Cosm as a 3D-printing medical technology company, though Materialise is a much larger contract-manufacturing and software platform rather than a direct pessary competitor.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Cosm Medical social profiles
Digital presenceCosm Medical compliance and trust
Trust signalCompliance10 records
Cosm Medical financial estimates
Financial estimateRevenue estimate
Valuation estimate
Cosm Medical leadership team
Management profileNumber of profiles
Profiles5 records
Cosm Medical funding detail
Funding detailFunding overview
Funding rounds5 records
Investors9 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Cosm Medical 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 Cosm Medical
What does Cosm Medical do?
Cosm Medical designs, manufactures, and sells Gynethotics — the world's first personalized pessaries for pelvic floor disorders (prolapse and incontinence) — made-to-measure via 3D printing of biocompatible silicone based on clinician measurements and AI-assisted medical imaging. The company also provides a Clinic App for clinicians to design, order, and manage devices and patient data, and a Patient App for symptom reporting, education, and progress tracking. Products are Health Canada licensed and FDA cleared and are sold primarily through urogynecology and pelvic health clinics in Canada with U.S. expansion underway.
Is Cosm Medical a public or private company?
Cosm Medical is a private company. It is classified as venture growth investor backed and is currently operating.
When was Cosm Medical founded?
Cosm Medical was founded in 2021. It employs 11 to 50 people.
Where is Cosm Medical based?
Cosm Medical is headquartered in Toronto, Canada, in the North America region.
How does Cosm Medical make money?
Two revenue lines are on record. Gynethotics Personalized Pessaries are the primary driver. The others are digital Gynecology Software Platforms.
Who are Cosm Medical's main competitors?
Direct peers on record are CooperSurgical, Coloplast and Caldera Medical. Broad incumbents are Medtronic, Hologic and Boston Scientific. Emerging players are Axonics, Renovia and Elidah (Elvie). Materialise is listed as an others.
Does Cosm Medical have an API?
No public API is recorded for Cosm Medical.
What industry is Cosm Medical in?
Cosm Medical's product category is Personalized Pelvic Health Medical Devices. Its primary akta.pro industry code is HLAHADAA, Open & Minimally Invasive Surgical Instruments (Handheld, Laparoscopic, MIS), with a secondary code of HLAKAJAE, Urogynecology & Pelvic Reconstructive Surgery (Female Pelvic Medicine). Its NAICS code is 339113 and its SIC code is 3841.