FDA-cleared profile

KOSMOS

EchoNous, Inc.

KOSMOS combines general-purpose ultrasound with synchronized three-lead single-channel ECG and digital auscultation for adult and pediatric cardiac, lung, abdominal, vascular, and procedure-guidance assessment.

Evidence status: each field shows source quality, applicability, and review date. Research pending, information not established in reviewed sources, and vendor documentation pending are distinct outcomes.

Clinical fit

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
KOSMOS combines general-purpose ultrasound with synchronized three-lead single-channel ECG and digital auscultation for adult and pediatric cardiac, lung, abdominal, vascular, and procedure-guidance assessment.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Qualified and trained healthcare professionals.
FDA source Exact FDA submission Checked 2026-09-03
Care setting and population
Clinical care and medical education environments.
FDA source Exact FDA submission Checked 2026-09-03
Workflow role
Point-of-care ultrasound, ECG timing reference, and digital auscultation acquisition and review on one portable platform.
Public source Exact FDA submission Checked 2026-09-03
Required input
Live ultrasound, three-lead single-channel ECG, and digital auscultation signals from the integrated probe and accessories.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
Synchronized ultrasound images, ECG waveforms, auscultation sounds and waveforms, measurements, and reports.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
The ECG is a timing reference rather than continuous diagnostic monitoring. K193518 did not include the later Auto EF or AI FAST functions, and the FDA summary reports no clinical study.
FDA source Exact FDA submission Checked 2026-09-03

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K193518
FDA source Exact FDA submission Checked 2026-08-31
Modality
Ultrasound
FDA source Exact FDA submission Checked 2026-09-03
Anatomy
Multi-region
FDA source Exact FDA submission Checked 2026-09-03
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2020-03-26
FDA source Exact FDA submission Checked 2026-08-31
FDA status
FDA-cleared
FDA source Exact FDA submission Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
DICOM and Wi-Fi support for patient-data archival, with offline acquisition and display; validate archive routing, time synchronization, ECG accessories, mobile handling, cleaning, and offline recovery.
Public source Exact FDA submission Checked 2026-09-03
Deployment and data flow
Portable battery-capable proprietary tablet, cabled multifunction probe, ECG cable, charger, and optional binaural headset.
Public source Exact FDA submission Checked 2026-09-03
Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-03

Public materials reviewed for this batch do not establish the complete security posture for the exact release. Request data-flow, identity, audit, encryption, retention, support-access, vulnerability-management, backup, and incident-response evidence.

Training and support
Only qualified and trained healthcare professionals. should operate or interpret the system. Local onboarding should cover the exact release, supported population, limitations, failure examples, escalation, downtime, and competency documentation.
FDA source Exact FDA submission Checked 2026-09-03
Monitoring and change control
Monitor by exact hardware, software and model version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates. Track the limits that matter for this product: The ECG is a timing reference rather than continuous diagnostic monitoring. K193518 did not include the later Auto EF or AI FAST functions, and the FDA summary reports no clinical study.
Public source Exact FDA submission Checked 2026-09-03

Release and scope verification

Map the installed model, build, options, population, anatomy, inputs, and outputs to K193518 before acceptance.

exact submission · checked 2026-09-03

Later product-family features are not evidence that this cleared release includes them.

Interoperability acceptance

DICOM and Wi-Fi support for patient-data archival, with offline acquisition and display; validate archive routing, time synchronization, ECG accessories, mobile handling, cleaning, and offline recovery.

exact submission · checked 2026-09-03

Test representative identifiers, orientation, geometry, measurements, units, routing, failure handling, and round trips locally.

Clinical acceptance

Use a signed local test set for the supported population and workflow. Include common and difficult cases, exclusions, acquisition variation, failed or low-quality inputs, reviewer overrides, and downstream effects. The ECG is a timing reference rather than continuous diagnostic monitoring. K193518 did not include the later Auto EF or AI FAST functions, and the FDA summary reports no clinical study.

exact submission · checked 2026-09-03

Define stop-use, escalation, rollback, and revalidation triggers before production use.

Economic evaluation

Model capital and recurring cost against net staff time after review, throughput, repeat imaging or rework, room time, consumables, infrastructure, training, service, downtime, upgrade, and replacement costs.

product family · checked 2026-09-03

Vendor productivity claims are scenario inputs, not guaranteed local savings.

Lifecycle monitoring

Monitor by exact hardware, software and model version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates. Track the limits that matter for this product: The ECG is a timing reference rather than continuous diagnostic monitoring. K193518 did not include the later Auto EF or AI FAST functions, and the FDA summary reports no clinical study.

exact submission · checked 2026-09-03

Revalidate after material software, hardware, model, protocol, interface, or clinical-policy changes.

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version.

Evidence summary
K193518 reports electrical, acoustic, ECG, biocompatibility, software, usability, cleaning, and risk-management verification; clinical performance data were not required. A later independent Kosmos-family AutoEF study is useful product-family evidence only and does not apply to the K193518 feature set.
Public source Exact FDA submission Checked 2026-09-03
Reported sensitivity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Sensitivity is not the primary applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or quantitative-biomarker function. Use the task-specific endpoints and tested population reported below.

Reported specificity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Specificity is not the primary applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or quantitative-biomarker function. Use the task-specific endpoints and tested population reported below.

Later-family AutoEF intraclass correlation

0.85 ICC

Automated versus reference LVEF in KOSMOS.

Tested version: Later Kosmos product family with AutoEF

Later-family AutoEF correlation

0.87 Pearson r

Automated versus reference LVEF in KOSMOS.

Tested version: Later Kosmos product family with AutoEF

K193518 FDA performance package for KOSMOS

Manufacturer nonclinical ultrasound, ECG, auscultation, software, safety, and usability verification · Adult and pediatric cardiac, thoracic, abdominal, vascular, and procedure-guidance use conditions

exact submission · Tested version: KOSMOS release cleared in K193518 · Sponsor or vendor study

K193518

Manufacturer evidence submitted for substantial equivalence; local clinical, technical, and workflow acceptance remains necessary.

AI-assisted ejection fraction assessment with handheld ultrasound

Prospective consecutive-patient agreement study · 100 patients, including 38 with LVEF below 50%

product family · Tested version: Later Kosmos product family with AutoEF; not the K193518 feature set · n=100 · Independent study

PMID 36713988

Later product-family evidence only; K193518 did not clear AutoEF.

Economics and lifecycle

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-03

No public list price for the exact cleared configuration was found. Obtain a written quote separating hardware or license basis, enabled features, implementation, interfaces, infrastructure, training, service, upgrades, renewal, consumables, and exit costs.

Reimbursement and coding
No separate named-product Medicare payment was identified in the reviewed CMS coverage material. Evaluate the device within the applicable imaging or surgical service line and verify payer, site-of-service, and coding assumptions independently.
Public source Not applicable Checked 2026-09-03

No product-specific code

No separate named-product payment identified in reviewed public material

Centers for Medicare & Medicaid Services · United States

Build a local total-cost and value model; do not infer reimbursement from FDA clearance.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
The 2026-09-02 openFDA device-recall snapshot contained no record matched to K193518 by exact submission identifier.
Public source Exact FDA submission Checked 2026-09-03

A zero-result exact-identifier search does not prove that no recall, correction, adverse-event report, or product-family safety signal exists.

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Human reviewedStatus
2026-09-04Last searched
24Fields reviewed
9Source classes checked
20Unreviewed PubMed leads
10Unreviewed trial leads
0Unreviewed FDA recall leads

Recovered from the prior exact-submission extraction and normalized under the current provenance rules. Exact FDA materials, current product-family sources, selected clinical literature, reimbursement context, and exact-identifier recall candidates were reviewed. Pricing, contracted services, enabled options, final security architecture, and local interoperability remain organization-specific evidence. Automated exact-name discovery found 20 PubMed and 10 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads remain unpublished until a human confirms the exact product and tested version.

Source classes: fda ai list, fda decision summary, vendor product page, peer reviewed publication, reimbursement policy, fda device recall, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-03.

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