Custo Med

What Custo Med does

Custo Med GmbH is a privately held German medical technology company founded in 1982 and headquartered in Ottobrunn near Munich, employing approximately 80 people. The company develops and sells integrated hardware-and-software systems for cardiopulmonary diagnostics, anchored by its MDR-certified custo diagnostic software platform. The platform unifies resting ECG, stress ECG, Holter ECG, ambulatory blood pressure monitoring (ABPM), spirometry, and cardiac rehabilitation workflows in a single modular interface available on Windows and macOS, with hospital-grade integration via HL7/DICOM and practice integration via GDT/BDT. Hardware products include custo cardio ECG systems, the wireless custo guard holter recorder, custo screen ABPM devices (including the custo screen 310 with central blood pressure via the proprietary Antares algorithm), and custo spiro mobile spirometers, supported by accessories such as electrodes, docking stations, and reusable ECG belts.

The company serves general practices, hospitals and clinics, cardiac rehabilitation centers, and evaluation communities, with a disclosed installed base of 15,000+ customers in more than 40 countries. Recent product investments include a deep learning-based long-term ECG analysis module and a clinically validated hemodynamic phenotype analysis for hypertension patients. The only named customer in the public material is the Swiss laboratory Viollier, cited as a high-throughput reference deployment.

Custo Med operates a channel-led go-to-market, distributing through authorized sales and service partners in Germany and international distribution partners abroad, with a dedicated direct sales function (Sales Manager IT-Projects) for hospital enterprise deals. Revenue is generated via one-time hardware sales, software licensing (with free updates), and partner-delivered service and support. The company is owned and led by two managing directors, Hans-Jörg Hoffmann and Christian Zirngibl, with no disclosed external funding, subsidiaries, or parent organization.

Name

Custo Med

Legal name

custo med GmbH

Website

https://customed.de

Company type

Private

Founded year

1982

Operating status

Operating

Headcount range

101–250 employees

Short description

Custo Med GmbH is a German medical technology company founded in 1982 that provides integrated hardware-and-software systems for cardiopulmonary diagnostics — ECG, Holter, ABPM, spirometry, and cardiac rehabilitation — to general practices, hospitals, and rehab centers across more than 40 countries.

Ownership category

akta.pro rank

Product category

Cardiopulmonary Diagnostic Equipment

NAICS

Surgical and Medical Instrument Manufacturing (339112), Medical Equipment and Supplies Manufacturing (3391)

SIC

Surgical & Medical Instruments & Apparatus (3841)

akta.pro primary industry

Cardiology Telemedicine Platforms (HLALAGAB)

akta.pro secondary industries

Virtual Nursing, Telemonitoring & Command Center Platforms (HLACAFAH), Diagnostic & Triage Decision Support (HLACAGAA)

Keywords

• Cardiopulmonary diagnostics
• ECG monitoring devices
• Ambulatory blood pressure monitoring
• Spirometry systems
• Medical diagnostic software

Headquarters

HQ city

Ottobrunn

HQ country

Germany

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Medical Hardware Devices: Sale of cardiopulmonary diagnostic hardware including Holter ECG recorders (custo guard holter, custo flash), ABPM devices (custo screen), ECG systems (custo cardio), and spirometers (custo spiro mobile). Hardware sold as one-time purchase.
2. Software Licenses and Subscriptions: Software platform custo diagnostic requires license key (custo diagnostic softwar protection) for operation. Updates provided free of charge; customer bears acquisition/installation costs. Subscription or license model.
3. Service and Support: Service and support delivered through authorized sales and service partners. Technical support, repairs, and maintenance services.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Custo Med designs, manufactures, and sells integrated medical hardware and software for cardiopulmonary diagnostics, including resting/stress ECG systems, Holter ECG recorders, ambulatory blood pressure monitors (ABPM), and spirometers. The custo diagnostic software platform unifies all diagnostic modalities in one modular interface, with a hospital-tuned clinical variant supporting HL7/DICOM and SSO. Products and services are delivered to medical practices, hospitals, cardiac rehabilitation centers, and evaluation communities in more than 40 countries.

Product overview

Custo Med provides an integrated system of medical devices and software for cardiopulmonary diagnostics, serving GP practices, hospitals, and rehabilitation facilities. The core offering is the custo diagnostic software platform with specialized modules (custo cardio for resting/stress ECG, custo tera for Holter ECG, custo screen for ABPM, custo vit for spirometry, custo rehab for cardiac rehabilitation) and the hospital-optimized custo diagnostic clinical variant. Hardware products include custo cardio ECG systems, custo guard holter wireless recorder, custo screen ABPM devices (including central blood pressure analysis), and custo spiro mobile spirometer. Accessories include custo wing electrodes, custo belt wearable ECG belts, and disposable hygiene products. Services include custo academy training, evaluation communities for shared analysis, and high-performance evaluator solutions. The company operates from Ottobrunn near Munich since 1982 with distribution to over 40 countries.

Differentiator

Problem solved

Functional benefit

Brands

• custo diagnostic: Central software platform integrating entire cardiopulmonary functional diagnostics in one consistent and modular user interface
• custo diagnostic clinical
• custo guard holter
• custo screen
• custo cardio
• custo ergo
• custo tera
• custo vit
• custo rehab
• custo spiro mobile
• custo academy
• custo base
• custo wing
• custo sensive
• custo true wave
• custo holter ABDM
• custo flash
• custo multi com / com IR
• custo clean
• custo screen protect
• custo spiro protect

Products and services

• custo diagnostic Central MDR-certified software platform integrating entire cardiopulmonary functional diagnostics (ECG, ABPM, spirometry, cardiac rehab) in a single modular user interface. Targeted at general practices and evaluation groups with GDT/BDT interface to EPR systems, paperless workflows, electronic archiving, and modular expansion from single-user workstation to multi-site network solutions.
• custo diagnostic clinical Hospital-optimized variant of the custo diagnostic platform with HL7 and DICOM interfaces for HIS/PACS integration, LDAP, Single Sign-On, audit trail, and multi-tenant capability. Built for hospital IT environments and high-throughput clinical workflows.
• custo guard holter Wireless 3-channel Holter ECG recorder weighing 30g with IP65 protection, Bluetooth Low Energy connectivity, motion and pacemaker detection, and up to 120 hours battery life. Designed for cable-free, long-term ECG recording in ambulatory and rehab settings.
• custo cardio 300 12-channel resting and stress ECG device for mobile and flexible use, with integrated LEDs for signal quality, USB and Bluetooth connectivity, and approximately 10 hours of battery runtime.
• custo cardio 400 12-channel resting and stress ECG system with advanced features for general practice use.
• custo cardio 400 accu Mobile variant of the custo cardio 400 with integrated battery for enhanced portability.
• custo screen 300 Ambulatory blood pressure monitoring recorder validated against the ESH-IP 2010 protocol, supporting up to 72-hour recording with silent pump and adaptive algorithm.
• custo screen 310

Quantifiable outcome

• Deep Learning achieves unprecedented recognition accuracy in long-term ECG analysis
• +1 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability3 records

Feature7 records

Partnerships

Two partnerships are on record, tiered minor and reference customer.

• Regional SuppliersminorOthers · 1 January 1982Long-standing cooperative relationships with predominantly regional suppliers for components and materials. Quality management is strictly supervised and recertified annually through auditing.
• Viollierreference customerStrategic or Co-development PartnerSwiss laboratory partner that integrated custo diagnostic and custo med devices into an optimized laboratory workflow, achieving high throughput of high-quality diagnostic services with efficient personnel deployment. Serves as a reference customer case study demonstrating the capabilities of custo med's integrated diagnostic solutions.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• Philips Healthcare: Global medtech incumbent providing resting ECG, stress ECG, Holter, ambulatory monitoring, and cardiology informatics (IntelliSpace). Larger, broader portfolio than custo med but overlaps in hospital cardiopulmonary diagnostics.
• Mindray Bio-Medical Electronics: Global medical device manufacturer offering patient monitors, ECG machines (including BeneHeart R12), Holter, and cardiology solutions at scale. Larger, broader portfolio competing in both developed and emerging markets where custo med also operates.
• GE HealthCare: Global medical technology incumbent offering resting ECG, stress ECG, Holter, patient monitoring, and cardiology IT systems (MUSE). Competes with custo diagnostic clinical in hospitals but addresses a much broader diagnostic and imaging portfolio.
• Welch Allyn (Hillrom / Baxter): Long-established U.S. manufacturer of diagnostic equipment including resting ECG, stress ECG, Holter, and ABPM, with the Mortara acquisition strengthening its cardiology portfolio. Larger incumbent with broader diagnostic offering than custo med's cardiopulmonary focus.
• Spacelabs Healthcare (OSI Systems): Patient monitoring and ECG specialist offering Holter, stress ECG, ABPM, and ambulatory monitoring with the Sentinel and Cardio Express product lines. Comparable product set in cardiology diagnostics with broader critical-care footprint.

Direct peers

• Cardioline S.p.A. Italian ECG and Holter specialist (now part of Asahi Kasei) offering resting ECG, stress ECG, Holter recorders, ABPM, and associated software. Closely comparable in product mix and customer type, particularly in the European GP and hospital segments.
• Edan Instruments: Chinese medical device manufacturer producing resting ECG, stress ECG, Holter recorders, ABPM, and patient monitors with integrated software platforms. Highly comparable product mix with a stronger emerging-market footprint than custo med.
• Mortara Instrument (Hillrom): U.S.-based specialist in resting ECG, stress ECG, Holter analysis (HScribe, H-Scribe), and cardiac rehabilitation telemetry, integrated via the VERITAS software platform. Highly comparable in Holter ECG and stress ECG functionality, with greater installed base in North America.
• Schiller AG: Swiss-headquartered medical device company of comparable size focused on cardiopulmonary diagnostics, including resting/stress ECG, Holter, ABPM, spirometry, and defibrillators, with integrated software (SEMA, CARDIOVIT). Direct overlap with custo med across nearly every modality and customer segment (GPs, hospitals, rehab).
• Innomed Medical Developing and Trading Co. Hungarian manufacturer of resting ECG, stress ECG, Holter recorders (CardioMera), and ABPM devices with integrated PC-based software. Closely comparable mid-sized European peer with similar cardiopulmonary focus and channel-led distribution.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCBax8tRzY_soTMYtNIOBYgw
• LinkedInlinkedin.com/company/custo-med-gmbh

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

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 Custo Med