Medical EquipmentAI AutomationRevenue Growth

How a Medical Equipment Seller Reduced ACOS by 20.7%, Saved Time, and Scaled Revenue by 71% with AI-Powered Automation

DeepBI Team

DeepBI Team

AI Specialist

2026-02-1020 min read
How a Medical Equipment Seller Reduced ACOS by 20.7%, Saved Time, and Scaled Revenue by 71% with AI-Powered Automation

A US-based Amazon seller specializing in FDA-certified medical equipment eliminated manual ad management and achieved transformational growth in 90 days using DeepBI's self-service AI platform. By implementing automated PPC optimization, they reduced their advertising cost of sale by about one-fifth while scaling revenue 71%.

The Challenge

When Manual Optimization Becomes a Bottleneck

Despite holding professional FDA certifications and operating competitive medical device listings—including pet blood glucose monitors, TENS pain relief units, and specialized healthcare equipment—the seller faced a familiar scaling problem.

The core issues:

Operational inefficiencyThe team spent significant time daily on bid adjustments, keyword optimization, and budget allocation across multiple SKUs

Inconsistent performance → Manual optimization couldn't react to real-time market shifts, resulting in a 29.38% ACOS that fluctuated unpredictably

Growth constraints → Time spent managing ads pulled focus from product development, supplier relationships, and market expansion

Limited organic leverage → Despite consistent ad spend, organic sales remained flat at 52% of total revenue

"We knew our products were strong, but we were trapped in the daily grind of PPC management. Every hour spent adjusting bids was an hour not spent growing the business."

— Operations Lead, Medical Equipment Seller

What They Needed

  1. Eliminate manual ad work so the team could focus on strategic growth
  2. Reduce ACOS to under 25% while maintaining or increasing sales velocity
  3. Drive organic ranking improvements through intelligent paid traffic optimization
  4. Achieve predictable, scalable performance without hiring additional PPC specialists

The Solution

Self-Service AI That Works While You Sleep

In June 2025, the seller implemented DeepBI's autonomous PPC optimization platform. Unlike traditional tools, DeepBI operates as a full-process managed AI system that self-evolves 24/7—continuously learning from data feedback, optimizing 250,000+ strategies daily, and becoming more precise the longer it runs, with zero manual intervention required.

Implementation Timeline

Week 1: June 23, 2025 Started with DeepBI's 30-day trial ($15, full platform access). Connected Amazon Seller Central. Set target ACOS at 24%. Let AI begin discovering optimization opportunities.

Week 4: July 19, 2025 Within this trial period, AI campaigns already achieved 15% ACOS (vs 30.15% manual baseline). Seeing these results, seller made the decision to continue with DeepBI at $299/month and stopped their traditional ad management entirely.

Weeks 5-12: August-September 2025
100% AI-managed advertising. Zero manual intervention. Continuous learning and optimization running 24/7.

How DeepBI's AI System Works

DeepBI uses a proprietary five-layer traffic funnel that systematically captures and optimizes Amazon advertising traffic:

Layer 1: Exploration Layer
Uses Automatic Ads (AUTO) and ASIN Ads (SP-ASIN) to mine potential traffic sources. Starts with TOP 100 competitors plus system-recommended non-top competitors, expanding to 500+ ASINs to ensure sufficient exposure. AI continuously discovers "Order-Generating Keywords" and "Order-Generating ASINs" that human operators cannot manually track at scale.

Layer 2: Initial Screening Layer
Processes Broad Match keywords, Phrase Match keywords, and Expanded Targeting ASINs from Layer 1. Guards the traffic gateway by filtering low-efficiency traffic and preventing junk traffic from eroding your budget. Failed traffic either stays for continued screening or gets added to the Negative Keyword Library.

Exact match keywords and exact targeting ASINs generated in this layer are sent directly to Layer Three for precision refinement

Layer 3: Precision Layer Receives Exact Match keywords and Exact Targeting ASINs. AI quantification metrics identify the 10-20% stable winning opportunities from the 80% "flash-in-the-pan" occasional orders. Uses conversion rate + user path + purchase cycle models to purify high-quality traffic. Occasional orders maintain ultra-low cost exposure for "bargain hunting."

Layer 4: Scaling Layer
Systematically scales the 10–20% of high-certainty, high-potential terms using dynamic bid adjustments and traffic capture. Monitors ACoS with 58+ strategies (inventory, time periods, budget control) in real-time iterative linkage. Traffic dynamically flows between Layer 3 and 4 based on performance—promoted when data meets standards, demoted when performance declines.

Layer 5: Natural Traffic Funnel
AI screens "top performer" keywords from the Scaling Layer (CTR and CVR both exceed market average i.e. 30%), then concentrates firepower toward "Top of Search" premium placements. When your listing stably occupies first-page positions through ads, Amazon's algorithm elevates your natural ranking simultaneously. This raises the ad order to natural order ratio from the common 1:1 to 1:3 or higher—spending 1 portion of ad cost leverages 3+ portions of free orders, dramatically lowering TACOS.

"We went from spending our weekends analyzing search term reports to not thinking about ads at all. DeepBI just... handles it."

— Operations Lead, Medical Equipment Seller

The Results

Month-by-Month Transformation

June 2025: Initial Testing (June 23-30)

The seller ran a hybrid approach—AI managing a small portion while they continued manual optimization.

June 2025 Testing Results DeepBI Software Interface June

Key Insight: AI immediately demonstrated 50% lower ACOS on the same products. This data drove the decision to go all-in.

July 2025: Full Deployment

On July 19, the seller stopped all manual ad management and upgraded to full AI automation.

July 2025 Full Deployment DeepBI Software Interface July

Key Insight: Transitioning to full AI didn't just improve ad efficiency—it accelerated total business growth and boosted organic sales by 82%.

August 2025: Zero Manual Work

First full month with 100% AI management from day one.

August 2025 Zero Manual Work DeepBI Software Interface August

Key Insight: Even during seasonally slower periods, AI maintained efficient ACOS while the team invested zero hours on ad management.

September 2025: Scaled Growth

AI system demonstrated its ability to scale during high-demand periods.

Performance:

September 2025 Performance September 2025 Performance Details

Key Insight: AI successfully doubled ad spend and sales while maintaining target ACOS—something manual optimization rarely achieves without weeks of testing.

Cumulative Impact (June → September)

Cumulative Impact Overview DeepBI Cumulative Results Cumulative Performance Details

Business Impact Beyond Metrics

Strategic Advantages Gained

Operational Efficiency
Team freed up significant time previously spent on daily PPC management, reallocating focus to product sourcing, supplier negotiations, and market expansion planning
→ Eliminated need to hire dedicated PPC specialist (saving thousands of dollars per year in labor costs)

Predictable Performance
→ AI adapts to market conditions automatically—no more emergency weekend bid adjustments
→ Consistent ACOS performance enables accurate cash flow forecasting and inventory planning

Organic Ranking Compound Effect
→ High-converting keywords identified by AI now rank organically
→ Organic sales grew 55% while maintaining 47% share and improving TACoS by 12.7% as total sales more than doubled
→ Lower long-term customer acquisition costs

Scalability Without Complexity
→ AI handles multiple product lines simultaneously
→ Same 0-touch approach works whether managing 5 SKUs or 50 SKUs

"The ROI isn't just in the ACOS reduction—it's in getting our nights and weekends back. We're building a business again, not just managing ads."

— Operations Lead, Medical Equipment Seller

Why This Approach Works for Amazon Sellers in 2025

The Self-Service AI Advantage

Traditional PPC management approaches don't scale:

  • Agencies cost thousands of dollars per month + take percentage of ad spend
  • In-house specialists are high priced + can only optimize some hours/day
  • Manual tools still require human decision-making and constant monitoring

DeepBI's self-service model changes the equation:

✅24/7 optimization — AI never sleeps, never takes weekends off
✅Instant market adaptation — Responds to competitor moves in real-time
✅Learning velocity — Processes millions of data points impossible for humans to analyze
✅Predictable cost — $299/month flat fee, no hidden costs or percentage takes
✅Zero learning curve — Set it up once, let it run forever

Who This Works For

DeepBI's AI platform empowers Amazon sellers at every stage:

✨New sellers Launching your first products and building efficient PPC from day one

✨ Growing brands Managing multiple SKUs and scaling your advertising

✨ Established sellers Looking to maximize ROI and reduce wasted ad spend

✨ Operations teams drowning in daily bid adjustments and keyword research

✨ Anyone with unsatisfied ACoS Leaving money on the table

✨ Brands expanding globally Who need scalable solutions across marketplaces

✨ Sellers Spending hours on PPC management who wants that time back

Our AI delivers:

  • Data-driven, autonomous optimization that works 24/7
  • Smart automation that handles the heavy lifting of PPC management
  • Measurable results you can track and verify

Getting Started: The 30-Day Path to Automation

Your Implementation Roadmap

Week 1: AI Learning Begins

  • Start your First Month with $15 (full platform access), connect your Amazon account
  • AI independently creates new campaigns—zero interference with your existing ad structure
  • The system automatically sets the initial $15 budget, creates 3 campaign types (Auto/ASIN/Manual)
  • AI begins screening high-conversion-potential exposure pools for matching testing
  • Conducts matching tests across audience segments
  • Establishes baseline performance metrics

Week 2: Positive Cycle Emerges

  • AI's exposure-conversion model runs smoothly, system automatically amplifies high-quality traffic
  • 60-70% of Listings show visible improvement within 10-15 days
  • Review AI performance in dashboard—most sellers see significant ACOS reduction
  • Your original campaigns continue running unchanged—complete comparability

Week 3: Scaling Phase Activates

  • AI enters exponential growth phase—conversion rate and exposure volume rises in dual spiral
  • Option A: Let AI continue self-optimizing at current scale
  • Option B: Expand AI coverage to more products
  • Products meeting conversion standards achieve 2-3x sales growth trajectory

Week 4 & Beyond: Deterministic Growth

  • Vast majority of products achieve significant ACoS/TACOS reduction within one month
  • System continuously learns—gets smarter and more precise the longer it runs
  • You monitor high-level metrics while AI handles micro-level bid adjustments 24/7

Start Your Trial

See What AI Can Do For Your Amazon Business

Join 3,500+ sellers who've automated their PPC and scaled profitably with DeepBI.

What you get:

  • $15 first month trial (85% off)
  • Full platform access—all features included
  • No commission fees
  • No ad spend limits—scale without restrictions
  • Setup in under 10 minutes
  • Cancel anytime, no contracts

Start Your $15 Trial

Or schedule a 15-min demo to see the platform in action.

FAQ

How quickly will I see results?
Most sellers see measurable improvements within 10-15 days as AI completes its learning period. 60-70% of Listings show visible improvement by day 15. Products meeting conversion standards achieve 2-3x sales growth within 10-45 days. The vast majority see significant ACoS/TACOS reduction within one month. Full optimization occurs as the system continuously learns—getting smarter and more precise, the longer it runs.

Do I need to pause my existing campaigns?
No. DeepBI independently creates new AI campaigns with 100% self-learning architecture. Zero interference with your existing ad structure—no need to worry about historical plans being affected or performance fluctuation. You can directly compare AI vs. manual performance before deciding to expand AI coverage.

What if my category is highly competitive?
AI excels in competitive categories. The system handles 250,000+ keyword/ASIN optimizations per store daily—2,500x manual capacity. The five-layer funnel systematically finds "beatable" competitors and traffic gaps that manual operations miss. High volatility in competitive markets creates more opportunities for AI's real-time optimization to exploit.

What happens if I want to cancel?
Cancel anytime through your dashboard. The system is designed for long-term growth, but you maintain full control over your subscription.

Do you take a percentage of my ad spend?
Never. Flat $299/month regardless of your ad spend. Scale your ad spend from $5K to $5M+ without increasing platform costs - there's no limit. AI budget allocation ensures every cent targets deterministic growth.

How is this different from Amazon's automated bidding?

DeepBI is fully autonomous - you simply connect your account, and everything is handled automatically. Zero manual decisions, zero human intervention, zero ongoing management required from you. Our AI manages your entire advertising ecosystem through five-layer traffic funnel, keyword/ASIN discovery, budget allocation, campaign structure, bid optimization with 200-300 quantitative metrics, 58+ strategy constraints, and organic ranking leverage. Amazon's tools only handle basic bid adjustment within your manually created campaigns.


DeepBI is an Amazon SPN Certified Partner trusted by 3,500+ sellers across 15+ countries, optimizing $50M+ in monthly ad spend.

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