CIVCO Medical Instruments Co., Inc

What CIVCO Medical Instruments Co., Inc does

CIVCO Medical Instruments Co., Inc., operating as CIVCO Medical Solutions, is a Kalona, Iowa-based medical device manufacturer founded in 1981 and wholly owned by Roper Technologies. The company designs, manufactures, and markets infection prevention consumables and precision image-guidance accessories that enable safer ultrasound-based diagnostic and interventional procedures. Its portfolio spans six core categories: single-use ultrasound probe covers (CIV-Flex, Envision, NeoGuard); high-level disinfection systems for ultrasound probes (ASTRA); disposable and reusable needle guides (Ultra-Pro II, Infiniti Plus, AccuSITE, Verza, BX2, Vitro PRO); transperineal prostate biopsy solutions (TP Pivot Pro, AccuCARE template grids, Classic Stepper); electromagnetic needle tracking and fusion navigation (eTRAX, VirtuTRAX); and procedure accessories (Aquasonic ultrasound gel, probe bands, cleaning supplies). The company operates under ISO 13485 quality management certification and ships more than one million kitted units annually into clinical use across 100+ countries.

CIVCO monetizes the business through a mix of high-volume consumable sales (probe covers, gels, single-use needle guides), reusable capital equipment (automated disinfection systems, reusable needle guide hardware), and OEM partnership revenue where its products are co-packaged as components of major ultrasound manufacturers' systems. A custom kitting and procedure-tray service layer allows CIVCO to bundle consumables and accessories into workflow-specific trays. Go-to-market combines OEM embedded sales through more than 18 ultrasound manufacturers (GE Healthcare, Philips, Siemens, Canon, Samsung Medison, Mindray, BK Medical, FUJIFILM, Esaote, SonoSite, Clarius, and others), direct field and inside sales to hospital procurement, distributor networks for mid-market accounts, and clinical education programs that drive adoption across radiology, women's health, anesthesia, cardiology, and point-of-care ultrasound specialties.

The company serves five primary use-case segments: radiology (image-guided biopsies and interventional procedures), women's health (OB/GYN, fertility, obstetric imaging), anesthesia and pain management (nerve blocks, regional anesthesia), cardiology (echocardiography, vascular access), and point-of-care ultrasound (emergency medicine, critical care, bedside diagnostics). Pricing is quote-based with no public price list, credit terms requiring written approval, and orders under $10,000 processable via credit card. The competitive positioning is anchored by deep OEM integration, broad regulatory compliance, and consumable-heavy revenue mechanics that produce recurring volume tied to global ultrasound procedure throughput.

Name

CIVCO Medical Instruments Co., Inc

Legal name

CIVCO Medical Instruments Co., Inc.

Website

https://civco.com

Company type

Private

Founded year

1981

Operating status

Operating

Headcount range

101–250 employees

Short description

CIVCO Medical Solutions designs and manufactures infection prevention consumables and precision needle guidance systems for ultrasound-based image-guided procedures. The company serves hospitals, clinics, and ultrasound OEMs across more than 100 countries.

Ownership category

akta.pro rank

Product category

Medical Devices - Ultrasound Procedure Accessories

NAICS

Surgical and Medical Instrument Manufacturing (339112), Surgical Appliance and Supplies Manufacturing (339113), Electromedical and Electrotherapeutic Apparatus Manufacturing (334510)

SIC

Surgical & Medical Instruments & Apparatus (3841)

akta.pro primary industry

Surgical Navigation, Tracking & Intraoperative Guidance (Ortho/Neuro/ENT) (HLAHADAG)

akta.pro secondary industries

Endoscopic Therapeutic & Access Devices (Trocars, dilators, biopsy/ablation tools) (HLAHADAN), Open & Minimally Invasive Surgical Instruments (Handheld, Laparoscopic, MIS) (HLAHADAA)

Keywords

• Ultrasound probe covers
• Infection prevention devices
• Needle guidance systems
• Medical ultrasound accessories
• Image-guided procedure equipment

Headquarters

HQ city

Kalona

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Consumable Products: Sale of single-use sterile probe covers, needle guides, ultrasound gels, and disinfectant consumables. High-repetition, recurring revenue driven by procedure volume across hospitals and clinics.
2. Reusable Equipment: Sale of automated high-level disinfection systems, reusable needle guidance hardware, and related durable equipment. Mixed one-time and periodic upgrade revenue.
3. OEM Partnerships: Supply of custom probe covers, kitted accessories, and procedure components packaged and sold through ultrasound OEM partners (Canon, GE Healthcare, Philips, Siemens, and others). Volume-driven revenue.
4. Kitting and Procedure Tray Services: Custom kitting and assembly of procedure-specific product trays combining consumables, accessories, and instructions for targeted clinical workflows.

Pricing tiers

Go-to-market motion4 records

Distribution channels4 records

Marketing channels6 records

Core offering

CIVCO Medical Solutions designs, manufactures, and markets medical devices and consumables that make image-guided ultrasound procedures safer, including sterile ultrasound probe covers, automated probe disinfection systems, needle guidance devices, transperineal prostate biopsy accessories, and electromagnetic needle tracking technology. Products are sold directly to healthcare providers and embedded as OEM components packaged with ultrasound systems from major manufacturers.

Product overview

CIVCO Medical Solutions offers a comprehensive portfolio of medical devices for image-guided procedures, organized around six core product categories: Ultrasound Probe Covers (including Envision and CIV-Flex brands) providing viral barrier protection; Probe Cleaning & Disinfection systems (including the ASTRA automated disinfection system); Ultrasound Needle Guides (including Ultra-Pro II, Infiniti Plus, AccuSITE, BX2, Verza, and Vitro PRO brands); Transperineal Prostate Solutions (including TP Pivot Pro, AccuCARE template systems, and Classic Stepper); Fusion & Tracking Technology (including eTRAX needle tip tracking and VirtuTRAX virtual navigation); and Accessories (including Aquasonic ultrasound gel, bands, clips, and cleaning supplies). The company operates under ISO 13485 Quality Management System and serves clinical customers across over 100 countries through partnerships with major ultrasound OEMs including GE Healthcare, Philips, Siemens, Canon, Mindray, and others since 1981.

Differentiator

Problem solved

Functional benefit

Brands

• AccuCARE: Complete line of prostate treatment equipment for ultrasound-guided transperineal and transrectal procedures
• CIV-Flex
• Envision
• eTRAX
• Infiniti Plus
• VirtuTRAX
• Verza
• Ultra-Pro II
• NeoGuard
• ASTRA
• Aquasonic

Products and services

• Ultrasound Probe Covers

Quantifiable outcome

• Over 1 million kits shipped annually across OEM and direct channels
• +1 more outcomes

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration19 records

Feature6 records

Partnerships

19 partnerships are on record, tiered core.

• Canon (Canon Medical Systems)coreOEM/ Whitelabel/ Licensing PartnerCIVCO provides custom probe covers and procedure accessories packaged and sold as OEM components with Canon Medical ultrasound systems. This partnership enables Canon to offer complete infection prevention solutions as part of its ultrasound portfolio.
• GE HealthcarecoreOEM/ Whitelabel/ Licensing PartnerCIVCO supplies sterile probe covers, needle guides, and related accessories for integration with GE Healthcare ultrasound systems across radiology, cardiology, and point-of-care applications.
• PhilipscoreOEM/ Whitelabel/ Licensing PartnerPartnership for the supply of OEM probe covers and procedure accessories for Philips ultrasound systems, enabling bundled infection prevention and needle guidance solutions.
• Samsung MedisoncoreOEM/ Whitelabel/ Licensing PartnerCIVCO provides probe covers and procedure accessories for Samsung Medison ultrasound systems, supporting infection control across clinical applications.
• Siemens HealthineerscoreOEM/ Whitelabel/ Licensing PartnerCIVCO supplies needle guides, probe covers, and related procedure accessories as OEM components for Siemens Healthineers ultrasound platforms.
• MindraycoreOEM/ Whitelabel/ Licensing PartnerCIVCO supplies custom probe covers and procedure accessories packaged with Mindray ultrasound systems for global distribution.
• BK Medical (Analogic)coreOEM/ Whitelabel/ Licensing PartnerPartnership providing specialized probe covers and accessories for BK Medical ultrasound systems used in urology and surgical applications.
• FUJIFILMcoreOEM/ Whitelabel/ Licensing PartnerCIVCO provides probe covers and procedure accessories for FUJIFILM ultrasound systems as part of the OEM partnership.
• EsaotecoreOEM/ Whitelabel/ Licensing PartnerPartnership for the supply of probe covers and procedure accessories for Esaote ultrasound systems sold in global markets.
• Fukuda DenshicoreOEM/ Whitelabel/ Licensing PartnerCIVCO supplies probe covers and procedure accessories for integration with Fukuda Denshi ultrasound systems.
• Konica MinoltacoreOEM/ Whitelabel/ Licensing PartnerPartnership providing probe covers and accessories for Konica Minolta ultrasound systems in clinical markets.
• SonoSite (Fujifilm Sonosite)coreOEM/ Whitelabel/ Licensing PartnerCIVCO supplies probe covers and accessories for SonoSite point-of-care ultrasound systems, supporting infection prevention in high-acuity settings.
• ALPINIONcoreOEM/ Whitelabel/ Licensing PartnerPartnership for supply of OEM probe covers and procedure accessories for ALPINION ultrasound systems.
• ChisoncoreOEM/ Whitelabel/ Licensing PartnerCIVCO provides probe covers and procedure accessories for Chison ultrasound systems as part of the OEM partnership.
• ClariuscoreOEM/ Whitelabel/ Licensing PartnerPartnership supplying probe covers and accessories for Clarius wireless handheld ultrasound scanners.
• SuperSonic ImaginecoreOEM/ Whitelabel/ Licensing PartnerCIVCO provides OEM probe covers and procedure accessories for SuperSonic Imagine ultrasound systems.
• eZonocoreOEM/ Whitelabel/ Licensing PartnerPartnership for probe covers and accessories supporting eZono portable ultrasound systems.
• TeleflexcoreOEM/ Whitelabel/ Licensing PartnerCIVCO supplies OEM procedure accessories for integration with Teleflex ultrasound-assisted product lines.
• TerasoncoreOEM/ Whitelabel/ Licensing PartnerPartnership providing probe covers and procedure accessories for Terason portable ultrasound systems.

Scale indicators4 records

Recent moves6 records

Expansion highlights7 records

Broad incumbents

• Getinge: Swedish medtech incumbent in sterilization, disinfection, and surgical workflows. Overlaps with CIVCO in infection prevention and OR/surgical equipment but operates across a much broader portfolio.
• Advanced Sterilization Products (J&J MedTech): Johnson & Johnson subsidiary focused on low-temperature sterilization and high-level disinfection. Competes in the broader reprocessing and infection prevention space alongside CIVCO's disinfection business.
• STERIS: Large publicly-traded sterilization and infection prevention company. Competes broadly with CIVCO through sterilization consumables, instrument reprocessing, and disinfection capital equipment, though not specialized to ultrasound.
• Medline Industries: Major US medical supply distributor and manufacturer with an extensive probe cover and ultrasound accessory line. Competes with CIVCO in commoditized probe cover categories through private label and branded offerings.

Direct peers

• CS Medical: US-based manufacturer of probe cleaning and high-level disinfection systems for transesophageal and endocavity ultrasound probes. Competes head-on with CIVCO in the TEE reprocessing workflow.
• Tristel: UK-based manufacturer of chlorine dioxide-based high-level disinfectants for ultrasound probes (Tristel Trio). Competes with CIVCO's manual and automated disinfection chemistry and consumables.
• Germitec: French medtech company offering UV-C high-level disinfection for ultrasound probes (Antigermix). Competes with CIVCO ASTRA in the automated disinfection category, particularly in European hospital systems.
• Parker Laboratories: US manufacturer of Aquasonic ultrasound transmission gel and scan pads, directly competing with CIVCO's Aquasonic gel line and probe cover accessories across hospital and OEM channels.
• Nanosonics: Australia-based leader in high-level disinfection for ultrasound probes (Trophon EPR). Directly competes with CIVCO's ASTRA system in automated probe reprocessing across hospitals and imaging centers globally.

Emerging players

• UV Smart Technology: Netherlands-based startup commercializing UV-C disinfection devices for ultrasound probes and medical instruments. An emerging challenger to CIVCO's ASTRA in automated, chemical-free probe disinfection.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/CIVCOmedical
• LinkedInlinkedin.com/company/civco-medical-solutions

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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

M&A1 record

Investments

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

Frequently asked questions about CIVCO Medical Instruments Co., Inc