What Is Eko Vet+?
Eko Vet+™ is a membership-based clinical decision support solution designed for general practice veterinarians. It transforms canine cardiac auscultation from a traditional, subjective process into a digitally enhanced, consistent, and shareable clinical experience. Members gain access to AI-powered murmur detection and grading support via the CANINEBEAT™ AI algorithm, along with the ability to generate PDF reports for clinicians and pet owners.
What Is CANINEBEAT™ AI?
Eko Vet+™ | CANINEBEAT® AI represents the strategic collaboration between Boehringer Ingelheim and Eko Health. CANINEBEAT™ AI is an expert-validated canine heart murmur detection algorithm and a core component of the Eko Vet+™ solution. It is the AI engine within the Eko Vet+ membership that analyzes heart sound recordings captured through the Eko Vet+ App.
Key facts about CANINEBEAT™ AI:
- Trained and validated on more than 4,000 annotated canine heart sound recordings from more than 3,400 dogs
- Developed with input from nearly 50 veterinary cardiologists across 15 countries
- Detects canine heart murmurs related to structural heart disease with over 95% sensitivity and specificity
- Uses a fixed, expert-validated model — deployed without open updates so results remain consistent and repeatable across every patient and every visit
- Algorithm provided by Boehringer Ingelheim. Learn more about CANINEBEAT™.
The CANINEBEAT® AI algorithm was developed, trained and validated with input from renowned experts including Prof. Gerhard Wess, Prof. Jens Häggström, and Assoc. Prof. Ingrid Ljungvall. Valuable contributions were also received from Profs. Sonya Gordon and Brian Scansen for expert sound annotation and consultancy.
How Eko Vet+ Works
- Pair — Connect a compatible Eko device via Bluetooth to the Eko Vet+™ App on your smartphone.
- Record — Conduct a cardiac exam while the app captures a 5-second heart sound recording. Enter the recording location, dog breed size, and patient age.
- Analyze — CANINEBEAT™ AI processes the recording and returns a murmur detection result and supported murmur grade† within seconds.
- Communicate — Review a real-time phonocardiogram (PCG) waveform and generate a shareable PDF report for the pet owner, colleague or medical record.
What Eko Vet+ Can Detect
CANINEBEAT™ AI analyzes a 5-second heart sound recording and provides:
- Murmur presence — whether an audible murmur is detected
-
Murmur intensity classification (grading†):
- Soft (Grade 1–2/6)
- Moderate (Grade 3/6)
- Loud (Grade 4–6/6)
- Probable disease etiology — e.g., Myxomatous Mitral Valve Disease (MMVD), congenital heart disease, structural heart disease, left-sided murmur
- MMVD disease stage likelihood‡ — estimated likelihood of Stage B1, B2, or C+ based on murmur grade
- Real-time PCG waveform — a visual representation of the recorded heart sounds
⚠️ Important: This is not a diagnosis, only a possible finding. Not all heart disease presents with a murmur. A comprehensive cardiac auscultation exam is recommended. Further investigation, such as echocardiography or radiography, may be needed. Results should be interpreted by professional veterinary judgement and are not a substitute for veterinary advice.
Using the Eko Vet+ App
Getting Started
Step 1: Download the App
The Eko Vet+ app is available on the Apple App Store and Google Play Store.
Step 2: Create or Log In to Your Account
Eko accounts are universal across all Eko platforms. If you already have an Eko or Eko+ account, you can use the same login credentials for the Eko Vet+™ app. If you are new to Eko, you will be prompted to create an account during setup.
Step 3: Pair Your Device
Open the app and follow the on-screen prompts to pair your compatible Eko stethoscope via Bluetooth.
Note: An internet connection is required to use the app.
Compatible Eko Devices
The following Eko devices are compatible with the Eko Vet+™ App:
- Eko CORE Attachment
- 3M Littmann CORE Digital Stethoscope
- Eko CORE 500™ (audio recording only; ECG functionality is not supported in the Eko Vet+ app)
The Eko DUO2 is not supported by the Eko Vet+ App.
Compatible Smartphones & Operating Systems
iOS
- Supported OS: iOS 18 and newer
- Supported Devices: iPhone 8 and newer
- Supported Bluetooth: BLE 4.2 and above
Android
- Supported OS: Android OS 12 and newer
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Supported Devices:
- Samsung Galaxy S21 5G (and newer)
- Samsung Galaxy S21+ 5G (and newer)
- Samsung Galaxy S21 Ultra 5G (and newer)
- Samsung Galaxy S21 FE 5G (and newer)
- Samsung Galaxy A14 5G
- Samsung Galaxy A52 5G (and newer)
- Samsung Galaxy Z Flip3 5G (and newer)
- Google Pixel 5 (and newer)
- Google Pixel 6a (and newer)
- Google Pixel 6 Pro (and newer)
- Supported Bluetooth: BLE 4.2 and above
Tablets
The Eko Vet+™ app is designed for smartphones. While iPads may function, the app is not optimized for that screen size and formatting may appear irregular. Non-iPad Android tablets may not be compatible.
Shareable Reports
Eko Vet+™ generates customizable PDF reports that can be tailored for:
- Owner-facing use — to help communicate findings to pet owners in a clear, accessible format
- Clinician-facing use — for medical records and specialist referrals
Troubleshooting
The app is crashing, freezing, or behaving unexpectedly
- Force quit the app and reopen it.
- If the issue persists, delete the app from your device and reinstall it from the App Store or Google Play.
If you continue to experience issues after reinstalling, please contact Eko Support.
Important Limitations & Disclaimers
- Canines only — CANINEBEAT™ AI is designed exclusively for use on dogs. It is not validated for any other species.
- English language only — The app and algorithm currently support English only.
- Clinical decision support, not a diagnosis — Results are intended to support veterinary clinical judgment, not replace it. The final clinical determination remains with the treating veterinarian.
- Not all heart disease presents with a murmur — A comprehensive cardiac auscultation exam is recommended in all cases.
- Definitive MMVD staging requires diagnostic imaging‡ — Echocardiography or radiography is needed to confirm disease stage.
ECG not supported — There is no ECG functionality in the Eko Vet+ app. The CORE 500's ECG features are not available within Eko Vet+.
† CANINEBEAT™ AI analyzes heart sounds and classifies murmur loudness using a modified Levine intensity scale.
‡ Murmur intensity is used to estimate the likelihood of MMVD disease stage based on a large, epidemiological canine study. Disease stage classifications are based on ACVIM guidelines. Definitive staging requires confirmation by diagnostic imaging.