EchoNous adds vascular, cardiac and DICOMweb tools to Kosmos

EchoNous is rolling out new Kosmos features that bring AI-assisted brachial artery flow measurement, expanded tricuspid valve calculations and DICOMweb connectivity to users in the U.S., Europe, the Middle East and other markets. The update is aimed at speeding bedside ultrasound workflows and making image data easier to connect with enterprise systems.

Why it matters: - EchoNous is pushing Kosmos deeper into vascular and cardiac workflows that usually require more manual steps and specialist time. - The update also gives hospitals and clinics a more cloud-friendly way to move ultrasound data into enterprise imaging systems. - The release could matter most in dialysis settings, where brachial artery flow assessment helps monitor fistula health and maturity.

What happened: - EchoNous announced a Kosmos platform release on June 29, 2026. - The release adds Vascular Auto Flow, tricuspid valve Doppler calculations and DICOMweb support. - The rollout is starting now for customers in the United States, the United Kingdom, the European Union, the Middle East and additional international markets. - More markets will follow as regulatory clearances are completed.

The details: - Vascular Auto Flow is an AI-assisted feature for the Kosmos Lexsa probe. - The feature is designed for protocol-driven brachial artery assessment in dialysis patients. - AI detects the vessel, reports diameter and depth, places the pulsed wave Doppler gate, corrects the angle and traces the waveform to calculate flow. - The feature includes both Color and pulsed wave Doppler. - The system automatically calculates Flow Volume, Pulsatility Index, Resistivity Index, Peak Systolic Velocity, End Diastolic Velocity, and time-averaged mean and peak velocities. - EchoNous says the brachial artery is the clinical gold standard for flow examination because fistula flows are often too turbulent for direct measurement. - The release extends Kosmos cardiac measurements to the tricuspid valve, building on mitral valve calculations already available. - With pulsed-wave Doppler, Kosmos now measures tricuspid valve deceleration time and early and atrial peak velocities. - With continuous wave Doppler, Kosmos now measures tricuspid valve velocity time integral, pressure half-time and E-wave and A-wave peak velocities. - EchoNous says Kosmos is one of the few handheld-form-factor ultrasound systems offering continuous wave Doppler. - DICOMweb support adds a web-based standard for exchanging medical images and metadata over secure HTTP. - EchoNous says DICOMweb simplifies integration for IT teams and external partners. - Customers can contact their EchoNous representative or Customer Support at (844) 854-0800 or service@echonous.com for availability or feature activation. - EchoNous describes Kosmos as a portable, AI-driven ultrasound system that bridges handheld and cart-based systems.

Between the lines: - The release shows EchoNous is trying to move Kosmos from a general point-of-care device toward a more specialized workflow platform. - Dialysis clinics could be a meaningful target because they need fast, repeatable vascular measurements and may benefit from fewer manual adjustments. - DICOMweb support suggests EchoNous is also competing on interoperability, not just imaging performance. - The company is emphasizing automation, but clinicians still retain control of clinical decisions. - CEO Tony Titus said the new capabilities are meant to reduce friction between clinicians and the answer they need and make advanced ultrasound easier to use at the point of care.

What's next: - EchoNous will continue rolling out the new features across additional markets after regulatory clearances. - The company will likely lean on the new vascular tools to expand into dialysis-related use cases. - Customers can expect feature activation and availability to vary by market and regulatory status.

The bottom line: - EchoNous is adding automation, cardiac depth and enterprise connectivity to Kosmos in one release, signaling a broader push into high-value bedside ultrasound workflows.