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Explore the future of
urogynecology with Gynethotics™

We're bringing personalization and precision to pelvic care.
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More options, better care

Past and current solutions fall short. That's where we come in.

Gynethotics™ are the first personalized pessaries for precision care.

2000 - 0 BCE

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1970s - current

  • 100 + design possibilities

  • 30% fitting failure rate¹

  • One-size-fits-all

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Gynethotics™

  • Millions of design possibilities

  • Health Canada and FDA cleared

  • Personalized dimensions targeting the perfect fit​​​

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Our technology

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3D Printing

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AI-powered Cloud SW

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Diagnostics

Gynethotics™ today

Pessaries

Finally, a pessary that fits.

Made with biocompatible silicone, we use 3D printing and computer- aided modelling to make Gynethotics™ pessaries the best experience and product for both clinicians and patients.

Digital Gynecology Software

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All-in-one apps for simplified care.

Cosm has developed all-in-one gynecology apps for both clinicians and patients.

  • Our Clinic App allows clinicians to easily design and order Gynethotics™, manage patient data, and provide continuous support.

  • Our Patient App provides patients with educational resources and simplifies symptom reporting and progress tracking.

Gynethotics™ — the road ahead

Recovery

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Optimized recovery.

We’re developing specialized solutions designed to enhance healing, reduce complications, and improve outcomes for postpartum recovery and post-surgical care.

 

Check out our publication on a novel gynecological orthosis design aimed at enhancing post-surgical healing outcomes.

AI-driven Cloud Software

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Further precision.

We’re working to leverage AI and machine learning to generate personalized Gynethotics™ designs to clinicians.

 

Our software will further improve accuracy and optimize the personalization process for each patient’s unique needs.

Beyond

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More personalized solutions.

We’ve partnered with leaders in technology and clinical research to expand the capabilities of our platform — from post-partum and post surgical support to advanced imaging.

 

Check out our Research page for more publications, or visit our News page for other updates.

Diagnostics

Measurement

The current standard for fitting a pessary involves manual finger measurements. We’ve designed a low cost, easy-to-use hand tool* to improve accuracy for clinical assessments.

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Fig. 1: V-Caliper, Cosm’s novel measurement tool.

*Health Canada approved. Product availability varies across countries.

Imaging

Unlike prosthetics in orthopedics or dentistry, which fill a stable volumetric space, prosthetics in gynecology need to accommodate the dynamic interactions between muscles, tissues, and ligaments of the pelvic floor.

 

We’re advancing personalization with cutting-edge tools like advanced 3D ultrasound imaging, developing solutions tailored to each patient’s unique anatomy.²

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Fig. 2: Measurements of a patient’s genital hiatus from a 3D transperineal ultrasound.

Discover the evidence behind our approach.

See how advanced imaging, AI, and 3D printing come together to support better outcomes.

References

1. Clemons, J. L., Aguilar, V. C., Tillinghast, T. A., Jackson, N. D. & Myers, D. L. Risk factors associated with an unsuccessful pessary fitting trial in women with pelvic organ prolapse. American Journal of Obstetrics and Gynecology 190, 345–350 (2004).

2. Aydin, S., & Yaşli, M. (2023). Three-Dimensional Transperineal Ultrasound Modeled Personalized Pessary Manufacturing Using 3-Dimensional Printing Technology. Urogynecology, 29(7), 651–655. https://doi.org/10.1097/spv.0000000000001339

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