Throne Science raised $10M as smart toilets with AI stool analysis gain traction. TOTO, Kohler, and Vivoo join the push. Doctors see utility but warn science lags the hype.
The smart toilet industry is moving beyond heated seats and bidets. A growing number of startups and established bathroom-fixture companies are adding health-tracking sensors, cameras, and AI that analyze stool and urine. The pitch: give consumers and doctors an objective record of bowel habits, hydration, and potential warning signs.
Throne Science, a startup cofounded by WHOOP cofounder John Capodilupo, shipped its first devices to customers in January and closed a $10 million Series A round last week, according to the company. Throne sells a camera that clips onto the toilet bowl. It uses AI trained with input from gastroenterologists to classify stool consistency and urine color, then maps trends in a phone app. Users can also consult an AI gut-health coach.
Brian Comiskey, senior director of innovation and trends at the Consumer Technology Association, said the category started taking off in 2023, driven by better sensors and AI, rising concern about digestive health, and the success of wearables. He told Business Insider this is the year it has come into its own.
TOTO, the Japanese bathroom giant, launched Stool Scan in Japan in the last 18 months. The system uses LED technology built into its Neorest toilet models to measure stool shape, consistency, color, and volume, and relays the findings to an app. TOTO plans to bring the model to the U.S. in early 2027, Bill Strang, the company's president of corporate strategy, told Business Insider.
Kohler's Dekoda is a clip-on optical sensor that screens stool for signs of blood and urine for signs of dehydration. Vivoo's Smart Toilet analyzes urine and hydration. Withings' U-Scan is a toilet-mounted device that analyzes urine. Comiskey traces the evolution from early chemical-cartridge devices to the current generation of optical sensors, computer vision, and AI that require less user intervention.
The technology appeals to gastroenterologists because patients are notoriously bad at recalling their bowel movements. Kyle Staller, a gastroenterologist at Massachusetts General Hospital and Harvard Medical School, said it is useful to have objective data to qualify a patient's perception. Brennan Spiegel, a gastroenterologist and director of health services research at Cedars-Sinai, agreed. If a patient showed up with an electronic stool diary, he said, he would use it, especially when changing medication or assessing treatment response.
But the science of interpreting that data is still developing. The devices can record what happens in the toilet, but explaining why is harder. Throne's AI coach asks users about food, stress, travel, and sleep and suggests correlations. Hickle, Throne's CEO, said long-term tracking can establish an individual's baseline and eventually help people understand how their bodies respond to changes.
Spiegel cautioned that bowel habits vary dramatically among healthy people. A change in frequency or consistency could mean any number of things, from an early sign of colon cancer to simply not eating enough fiber. There is no validated way for these technologies to distinguish those situations, he said. Staller worries that for people without significant bowel problems, constant tracking could encourage obsession with normal variation.
Currently, these devices are marketed as wellness tools, not medical diagnostics. TOTO's Strang said the company is not drawing diagnostic conclusions – it is about awareness of consistency and trend lines. Getting FDA clearance for clinical use would be required for any diagnostic claims. But Comiskey expects the category to move toward regulated medical applications, following the path of wearables that now detect atrial fibrillation.
Hickle's long-term vision is that Throne could become a smoke detector for colon cancer. The company is developing multispectral imaging to look for microscopic blood and exploring sensors that could analyze gases and other biomarkers. Spiegel noted that current technology could identify something visible, like blood in the toilet, but cannot determine the cause.
Cedars-Sinai already allows patients to connect wearable data to electronic health records, Spiegel said. But putting Fitbit or Oura data into a chart does not tell a doctor how to interpret it. He sees a future of blended intelligence, pairing AI findings with human clinical judgment.
Comiskey expects adoption to be gradual. New homes are already being built with smart toilets, he said, and clip-on devices will become smaller and easier to retrofit. He expects mass adoption in six to 10 years. The best technologies, he said, disappear into everyday life.
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