Kosmos
Regulatory Status Disclosed
Overview
Kosmos by EchoNous is an AI-enhanced, portable point-of-care ultrasound (POCUS) system designed to provide diagnostic-quality imaging at the patient’s bedside. It integrates ultrasound with a three-lead ECG and digital auscultation, allowing for synchronized evaluation of physiological events.
- What it does: Kosmos offers various imaging modes, including B-Mode, Color Doppler, Pulsed-Wave (PW) Doppler, Continuous Wave (CW) Doppler, and M-Mode. Its AI capabilities include Auto Preset for optimizing exam settings, AI FAST for anatomical labeling and view identification, Auto Doppler for sample gate placement, and AI-assisted Ejection Fraction (EF) workflow for cardiac function calculations. It also features Vascular Auto Flow for brachial artery assessment in dialysis patients and AI Bladder Calcs for bladder volume determination.
- Who it is for: Kosmos is utilized across numerous specialties and care settings, including anesthesiology, cardiology, critical care, emergency medicine, family medicine, hospital medicine, nephrology, OB/GYN, and for vascular access and musculoskeletal (MSK) applications. Its portability makes it suitable for acute care environments and for clinicians on the go.
- How it fits a clinical or practice workflow: The system is designed to streamline workflows by providing rapid diagnostics at the bedside, potentially reducing the need for additional confirmatory testing. It can integrate with hospital IT infrastructure through DICOM, PACS, and Modality Worklist (MWL) protocols, facilitating secure data transfer and EHR integration. Kosmos can be used as a handheld device, with compatible iOS and Android tablets, or in cart-based configurations.
- Notable capabilities: Kosmos is noted for its image quality, which EchoNous states is benchmarked against cart-based systems. It is also the only ultraportable handheld device offering CW Doppler capabilities. The AI features aim to assist both novice users in learning ultrasound and experienced users in enhancing workflow efficiency.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
What Physicians Need to Know
ECG/EKG Analysis Capability
Kosmos integrates a three-lead, single-channel ECG for real-time acquisition and display of Lead I, Lead II, or Lead III, synchronized with ultrasound and digital auscultation.
Echocardiography AI Features
AI-powered guidance optimizes preset adjustments and automates sample gate placement for cardiac assessments. The 'Kosmos Ejection Fraction' feature provides automated, real-time calculations for Ejection Fraction (EF), Stroke Volume, Cardiac Output, and Heart Rate. The 'AI Trio' offers real-time guidance for probe positioning, image quality grading, and anatomical labeling, enabling non-experts to achieve diagnostic accuracies between 89% to 94% for LVEF assessment.
Cardiac CT/MRI Analysis
While Kosmos is an ultrasound system, its AI-assisted Left Ventricular Ejection Fraction (LVEF) has been part of validation studies comparing its precision to Cardiac MRI.
Arrhythmia Detection Accuracy
Kosmos's cardiovascular imaging capabilities are used in diagnosing a wide range of heart conditions, including arrhythmias, but specific AI features or accuracy metrics for arrhythmia detection are not explicitly detailed.
Heart Failure Risk Prediction
Integration with Us2.ai assists in screening for heart failure by providing advanced echo workflows and automated interpretation of systolic and diastolic function.
Coronary Artery Assessment
Specific AI features for coronary artery assessment are not explicitly detailed in the provided information. The focus is on overall cardiac function and valvular pathology.
Cardiac Monitoring Integration
Kosmos integrates ultrasound, ECG, and digital auscultation in a time-synchronized manner for comprehensive point-of-care cardiac monitoring. It also supports integration with 19Labs for broader telehealth solutions, including other vital sign monitoring.
Real-Time Alert Capability
Kosmos provides real-time data on systolic cardiac function, automated anatomical labeling, and view identification. The AI Trio offers real-time guidance for probe positioning, image quality grading, and anatomical labeling.
Physician Tip
Kosmos offers cardiologists a portable, AI-enhanced ultrasound solution that delivers diagnostic-grade imaging at the point of care, streamlining workflows and reducing diagnostic delays. Its AI guidance helps both novice and expert users achieve accurate cardiac assessments, including automated Ejection Fraction calculations, in real-time. The integration of ultrasound, ECG, and digital auscultation provides a comprehensive view of cardiac activity, facilitating immediate clinical decision-making and enhancing patient-provider interactions. It's particularly beneficial for on-site assessments in various clinical settings, potentially reducing the need for external referrals and improving patient management efficiency.
Kosmos integrates with Us2.ai for advanced echo workflows, interpretation, and reporting, which can significantly reduce analysis time and improve accuracy for heart failure screening. It also partners with 19Labs to provide a comprehensive telehealth solution, allowing for remote ultrasound collaboration and integration with other telehealth connections like glucose monitors, blood tests, and external ECGs. Additionally, Trice Imaging offers specialized Cloud PACS for seamless image and report sharing and long-term storage.
Details
| Category | Cardiology AI, OB/GYN AI, Radiology & Imaging AI |
| Pricing | Unknown |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status | Cleared AI-estimated |
| Integrations | |
| EHR | Not specified |
| Specialties | Cardiology, Obstetrics & Gynecology, Radiology |
What the Web Says
Kosmos by EchoNous is an AI-assisted handheld ultrasound system designed for point-of-care use in various medical settings. It is praised by physicians for its diagnostic-quality imaging, portability, and AI-enhanced features, particularly for cardiac assessments. The device aims to provide cart-based ultrasound capabilities at a more affordable price point.
Overall: PositiveStrengths
- Triple-probe design in one handle (phased, curved, and linear) eliminates the need for transducer swapping.
- AI-assisted cardiac measurements, ejection fraction calculation, and view guidance.
- Diagnostic-quality imaging, especially strong for cardiac, lung, and abdominal applications, comparable to cart-based systems.
- Includes continuous wave (CW) and pulse wave (PW) Doppler, which is often lacking in other handheld devices.
- Portable, lightweight, and fast boot-up time (13 seconds), enhancing workflow efficiency.
- No subscription required for core functionality, unlike some competitors.
Limitations
- Higher upfront cost compared to some other handheld ultrasound devices.
- Some users find the device bulky or large for a handheld.
- Operating the control buttons on the device can be irritating or not sensitive enough for some users.
- Cardiac imaging may be slightly difficult to obtain for some users due to the smaller footprint of the phased array probe.
- Requires an iPad Air or Pro for operation.
- Integration with hospital IT systems (EHR/PACS) requires specific network details and setup by the client's IT team.
Based on reviews from: Device Pulse, EchoNous, Reddit, Ultrascoundrels (YouTube), Masters of Ultrasound (YouTube), Peachtree POCUS (YouTube), Marcroft Medical, Capterra
Last updated: 2026-07-17
Ratings & Reviews
No reviews yet. Be the first to review this tool!
Rate Kosmos
Press & Coverage
EchoNous
EchoNous Expands Kosmos Clinical Capabilities with Vascular Auto Flow; Advanced Cardiac and Connectivity Tools
EchoNous announced a new release for its Kosmos platform, introducing Vascular Auto Flow, Doppler calculations for the tricuspid valve, and DICOMweb support to expand clinical workflows and integrate with enterprise imaging systems.
2026-06
PR Newswire
EchoNous Unveils Major Kosmos Expansion, Bringing Robust OB/GYN and Vascular Tools to AI-Enhanced Ultrasound Platform - PR Newswire
EchoNous expanded its Kosmos platform with advanced OB/GYN features and new vascular workflows, offering FDA-cleared presets for comprehensive obstetrics, gynecology, and billable vascular studies.
2026-02
EchoNous
EchoNous Announces Sale of 157 Units of Kosmos Ultrasound Technology to Madrid's Primary Care System
EchoNous announced the installation of 157 Kosmos units in primary care centers across Madrid, Spain, aiming to expand access to diagnostic-grade ultrasound imaging and provide AI-driven guidance.
2024-06
EchoNous
AI-Powered Ultrasound Device Enhances Cardiac Monitoring for Chemotherapy Patients
A study published in the European Heart Journal highlighted the Kosmos ultrasound system's ability to enable non-expert users to accurately assess left ventricular ejection fraction in chemotherapy patients.
2024-05
PMC (PubMed Central)
Optimising artificial intelligence ultrasound tools in anaesthesiology and perioperative medicine: The next frontier for advanced technology application - PMC
This peer-reviewed article discusses the role of AI in ultrasound tools for anesthesiology and perioperative medicine, highlighting Kosmos by EchoNous as a comprehensive AI product for cardiac examination.
2024-10
EchoNous
EchoNous Introduces Kosmos Bladder: Unmatched Accuracy and AI-Driven Precision Redefine Bladder Volume Scanning
EchoNous launched Kosmos Bladder, an AI-driven solution for bladder volume scanning that offers enhanced accuracy and can be used as a standalone device or integrated into the Kosmos POCUS platform.
2025-01
EchoNous
EchoNous Signs Distributor Agreement with Cardinal Health KK Japan
EchoNous announced a new distributor agreement with Cardinal Health K.K. to accelerate sales of Kosmos ultrasound solutions in Japan, aiming to extend advanced capabilities to more clinicians.
2026-07
EchoNous
Kosmos and the Point-of-Care Ultrasound Revolution in Acute Care - EchoNous
This article discusses how the Kosmos point-of-care ultrasound system is revolutionizing acute care by combining ultrasound, EKG, and digital auscultation with AI to improve diagnostic confidence and workflow.
unknown
Videos
Product demos, reviews, and walkthroughs for Kosmos.
Full Kosmos POCUS Capabilities on Apple iOS
EchoNous
Frequently Asked Questions
Physicians can use Epic's Kosmos-powered AI tools for diagnostic insights, predicting patient outcomes, and informing treatment decisions based on real-world evidence from millions of de-identified patient records. Features like 'Best Care Choices' provide insights into how similar patients responded to treatments, and 'Look-Alikes' can help with rare conditions by connecting providers with similar patient experiences.
Epic's Kosmos utilizes a massive de-identified patient data set, ensuring that no identifiable personal information is included. The platform operates under strict privacy and compliance standards, and the data within Kosmos cannot be sold by Epic or its members.
While Kosmos AI models, such as CoMET, have shown performance comparable to or better than traditional predictive models in early testing, they are still evolving. Potential limitations include the need for robust data governance and the risk of AI models going down 'rabbit holes' or chasing statistically significant but scientifically irrelevant findings, requiring careful human oversight.
Epic is integrating generative AI and other AI capabilities broadly across its EHR platform, including clinical documentation, revenue cycle management, and patient-facing solutions. Tools like 'Art for Clinicians' (AI scribe) and 'Penny' (revenue cycle management) are designed to streamline workflows and reduce administrative burden, making it easier for physicians to focus on patient interaction.
Yes, while Epic's Kosmos offers integrated AI within its EHR, there are other AI-powered research platforms and tools available. These alternatives might focus on specific areas like literature search, data analysis, or clinical decision support, but may require integration outside of the native Epic environment.
The search results indicate that Epic is integrating AI features into its EHR platform, suggesting that access to Kosmos-powered AI tools would likely be part of the overall Epic licensing or subscription model for healthcare organizations. Specific pricing for individual physician access or add-on modules was not detailed, but some AI research tools outside of Epic's ecosystem offer per-run or subscription pricing.
While specific training programs for physicians on Kosmos AI were not explicitly detailed, Epic's focus on integrating these tools into existing workflows implies that training would be provided as part of EHR updates and implementations. Effective utilization will also likely require a degree of data literacy and understanding of AI's capabilities and limitations.
Suggest an Edit →
| Last Verified: 2026-04-18 | First Added: 2026-04-18