Aug. 18, 2025

The Evolving Landscape of Endoscopy: Insights from EndoSound's CCO

Welcome to a deeper dive into the fascinating world of endoscopy! In this blog post, we'll be exploring the current trends and future directions shaping this vital field of medicine. We'll be drawing on the expertise of Josh Cohn, Chief Commercial Officer of EndoSound, to understand how innovative strategies and disruptive programs are reshaping the medical device industry and impacting the way we approach endoscopic procedures. This discussion complements our recent podcast episode, "Josh Cohn, Chief Commercial Officer at EndoSound," available for your listening pleasure here. So, buckle up as we journey through the evolving landscape of endoscopy!

Guest Introduction: Josh Cohn, CCO of EndoSound

Our guide for this exploration is none other than Josh Cohn, the Chief Commercial Officer (CCO) of EndoSound. Josh brings a wealth of experience and a unique perspective to the table, making him the perfect person to illuminate the complexities and opportunities within the endoscopy market. He's been a key player in driving innovation and commercial success in the medical device space, and his insights are invaluable for anyone interested in this dynamic field. As CCO of EndoSound, Josh is responsible for pre- and post-commercialization sales and marketing strategies, ensuring the integrated commercial success of the organization.

Josh Cohn's Background in Medical Devices

Josh's journey in the medical device industry is nothing short of impressive. With 15 years under his belt, he has a proven track record of success, having risen to the position of National Sales Director at PENTAX Medical, a leading endoscope provider. During his time there, he honed his skills in leading high-performing sales organizations, crafting winning strategies, and launching disruptive programs designed to challenge and ultimately change marketplace conventions. He understands the intricacies of the endoscopy market from the ground up. His experience as a product champion and strategist for all EUS sales allowed him to attend hundreds of procedures, building lasting relationships with key opinion leaders, hospital and ASC administrators, and device distributors. This deep understanding of the clinical and commercial aspects of endoscopy makes Josh uniquely qualified to discuss the current state and future direction of the field.

EndoSound's Innovative Approach to Endoscopy

EndoSound is not just another player in the endoscopy market; they are actively working to redefine it through innovation. Their focus is on developing and commercializing cutting-edge endoscopic ultrasound (EUS) technologies that offer improved visualization, precision, and patient outcomes. EUS combines endoscopy with ultrasound, allowing physicians to visualize not only the lining of the gastrointestinal tract but also the surrounding tissues and organs. EndoSound's approach is particularly noteworthy because they are focused on creating more accessible and user-friendly EUS devices, making this advanced imaging modality available to a wider range of physicians and patients. By simplifying the EUS procedure and reducing the learning curve, EndoSound aims to democratize access to this powerful diagnostic and therapeutic tool. This innovative approach has the potential to significantly improve the diagnosis and treatment of a variety of gastrointestinal diseases, including cancer.

Current Trends in Endoscopy

The field of endoscopy is constantly evolving, driven by technological advancements, changing patient demographics, and a growing emphasis on minimally invasive procedures. Several key trends are shaping the landscape today. First, there's a clear movement towards higher-resolution imaging. Endoscopes equipped with advanced imaging technologies, such as narrow-band imaging (NBI) and confocal endomicroscopy, allow physicians to visualize the mucosal lining of the gastrointestinal tract in greater detail, enabling earlier and more accurate detection of subtle lesions and abnormalities. Second, artificial intelligence (AI) is making its mark in endoscopy. AI-powered systems can assist physicians in real-time during procedures, helping to identify polyps, differentiate between benign and malignant lesions, and improve overall diagnostic accuracy. Third, there's a growing demand for single-use endoscopes, particularly in light of concerns about infection control and cross-contamination. Single-use endoscopes eliminate the need for reprocessing, reducing the risk of healthcare-associated infections and improving patient safety. Fourth, robotic endoscopy is emerging as a promising technology, offering enhanced precision, dexterity, and control compared to traditional endoscopes. Robotic systems can navigate complex anatomical structures with greater ease, potentially expanding the scope of endoscopic procedures. Fifth, tele-endoscopy is expanding access to endoscopic procedures in remote and underserved areas. This allows specialists at centralized hospitals to guide local doctors as they perform colonoscopies on patients at local medical facilities.

Future Directions in Endoscopy

Looking ahead, the future of endoscopy promises even more exciting advancements and transformative changes. One key area of focus is enhanced imaging modalities. Researchers are developing new imaging techniques, such as volumetric laser endomicroscopy and optical coherence tomography, that can provide even more detailed and comprehensive visualization of the gastrointestinal tract. Another promising direction is the development of therapeutic endoscopes that can perform more complex interventions, such as tissue ablation, tumor resection, and drug delivery, directly through the endoscope channel. Personalized endoscopy is also gaining traction, with the goal of tailoring endoscopic procedures to the individual patient's needs and characteristics. This approach involves integrating genetic information, imaging data, and clinical history to optimize diagnostic and therapeutic strategies. The use of nanotechnology in endoscopy is another exciting area of research, with the potential to develop nanoscale sensors and drug delivery systems that can target specific cells or tissues within the gastrointestinal tract. Furthermore, the integration of virtual and augmented reality (VR/AR) into endoscopy training and practice could revolutionize the way physicians learn and perform these procedures. VR/AR can provide realistic simulations of endoscopic procedures, allowing trainees to practice their skills in a safe and controlled environment. Also, capsule endoscopy will continue to evolve with improved battery life, better imaging, and the ability to take tissue samples without requiring traditional endoscopy. It is foreseeable that capsule endoscopy could replace colonoscopies as a screening tool in the future.

The Role of Disruptive Programs in the Medical Device Industry

Disruptive programs play a critical role in driving innovation and challenging the status quo in the medical device industry. These programs often involve developing and commercializing new technologies or approaches that fundamentally change the way healthcare is delivered. In the context of endoscopy, disruptive programs might focus on developing more affordable and accessible endoscopic devices, simplifying endoscopic procedures, or expanding the use of endoscopy to new applications. These disruptive programs can be challenging to implement, as they often face resistance from established players in the market. However, they also offer the potential for significant rewards, including improved patient outcomes, reduced healthcare costs, and increased market share. One key element of successful disruptive programs is a focus on unmet needs. By identifying and addressing the gaps in the current healthcare system, these programs can create value for patients, providers, and payers. Another important factor is a willingness to challenge conventional wisdom and embrace new ideas. Disruptive programs often require a different way of thinking and a willingness to take risks. For example, implementing AI programs in endoscopies can be met with resistance from doctors who don't want to lose autonomy in reading the procedures. But studies have shown that AI has the ability to catch polyps that would be missed by the doctor, thus decreasing false negatives. The earlier that medical device companies and physicians can adopt AI, the better outcomes for the patients.

Strategies for Success in the Evolving Endoscopy Market

Navigating the evolving endoscopy market requires a strategic approach that takes into account the current trends, future directions, and the role of disruptive programs. Several key strategies can help companies succeed in this dynamic environment. First, innovation is paramount. Companies must continuously invest in research and development to create new and improved endoscopic technologies that meet the evolving needs of patients and providers. Second, collaboration is essential. Forming partnerships with key opinion leaders, hospitals, and other healthcare organizations can help companies gain access to valuable insights, resources, and distribution channels. Third, market access is critical. Companies must develop effective strategies for securing reimbursement for their products and gaining access to key markets. Fourth, customer focus is key. Companies must understand the needs and preferences of their customers (physicians, patients, and hospitals) and tailor their products and services accordingly. Fifth, adaptability is crucial. The endoscopy market is constantly changing, so companies must be able to adapt to new technologies, regulations, and competitive pressures. Staying nimble and willing to pivot when necessary is essential for long-term success. Sixth, medical device companies need to embrace and develop cybersecurity. As the adoption of interconnected medical devices like endoscopes grows, so do the risks of hacks and leaks. Companies need to implement robust cybersecurity measures to protect patient data and prevent disruptions to care. Finally, sustainability has become important to healthcare systems around the world. Medical device manufacturers should strive to reduce their environmental impact and offer products and services that are more sustainable.

Josh Cohn's insights into Key Opinion Leaders and Market Dynamics

Josh Cohn's experience in the endoscopy market has given him a unique understanding of the role of key opinion leaders (KOLs) and the dynamics that drive market adoption. KOLs are influential physicians who are respected by their peers and often play a key role in shaping clinical practice. Josh emphasizes the importance of building strong relationships with KOLs, as they can provide valuable feedback on product development, help to generate clinical evidence, and advocate for the adoption of new technologies. He understands that KOLs are not just passive recipients of information; they are active participants in the innovation process. By engaging with KOLs early and often, companies can gain valuable insights into the needs of the market and ensure that their products are aligned with clinical practice. In addition to KOLs, Josh also highlights the importance of understanding the broader market dynamics. This includes factors such as reimbursement policies, regulatory requirements, and competitive pressures. He emphasizes the need to develop a comprehensive market access strategy that takes into account all of these factors. He notes that the endoscopy market is becoming increasingly competitive, with new players entering the market and established players expanding their product portfolios. In this environment, it is essential for companies to differentiate themselves through innovation, customer service, and effective marketing. Finally, Josh stresses the importance of building a strong team with the right skills and expertise. The endoscopy market is complex and requires a team with a diverse range of talents, including sales, marketing, clinical research, and regulatory affairs.

Conclusion: Embracing Innovation in Endoscopy

The world of endoscopy is dynamic and exciting, with continuous advancements promising to improve patient care and revolutionize diagnostic and therapeutic approaches. From higher-resolution imaging and AI-powered assistance to single-use endoscopes and robotic surgery, the future of endoscopy is brimming with possibilities. By embracing innovation, fostering collaboration, and focusing on customer needs, we can unlock the full potential of this field and create a healthier future for all. Don't forget to listen to the full conversation with Josh Cohn in our podcast episode, "Josh Cohn, Chief Commercial Officer at EndoSound," for even more in-depth insights and analysis. You can find the episode here. Thank you for joining us on this exploration of the evolving landscape of endoscopy!