Butterfly Network iQ Vet User manual

Butterfly iQ Vet™ Ultrasound System
User Manual

Part Number: 950-20013-00
Print Date: October 2019
Revision: A

Butterfly iQ Vet™ User Manual i-i
Notice
Butterfly Network, Inc. (BNI), shall not be liable for errors contained herein or for incremental
or consequential damages in connection with the furnishing, performance, or use of this
material.
Proprietary Information
This document contains proprietary information, which is protected by copyright.
Limited Warranty
The “Limited Warranty” shipped with BNI products serves as the sole and exclusive warranty
provided by BNI with respect to the products contained herein.
Copyright
Copyright © 2019 Butterfly Network, Inc.
All Rights Reserved.
Trademark Acknowledgments
Product names mentioned in this manual may be trademarks of their respective owners.
Manufacturer
Butterfly Network, Inc.
530 Old Whitfield Street
Guilford, CT 06437 USA
Telephone: [phone]
FAX: [phone]
General inquires: [email protected]
Support and service: [email protected]
Website: www.butterflynetwork.com
U.S. Patents
Listing of applicable U.S. Patents in compliance with 35 U.S.C. §287:
www.butterflynetwork.com/patents
Disclaimer
The information contained in this document is subject to change without notice. Names and
data used in examples are fictitious unless otherwise noted.

i-ii Butterfly iQ Vet™ User Manual

Contents
Contents 1-1
Butterfly iQ Vet™ User Manual
Chapter 1: Introduction
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Butterfly Cloud Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Contraindications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Chapter 2: Safety Information
Safety Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Ultrasound Benefits and Risks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Ultrasound Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Ultrasound Risks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Butterfly iQ Vet™ Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Basic Safety/Usage Environment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Electrical Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Defibrillation Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Equipment Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Biological Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Operator Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Chapter 3: System Overview
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Probe Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Patient Data Protection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Internet Connectivity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Butterfly iQ™ App . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Probe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Probe Battery Charger. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Overview of User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Chapter 4: Setting Up the System
Downloading and Installing the App . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Updating Firmware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Managing App Updates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Navigating the App . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Using the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Opening and Closing the App . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Logging In and Out of the App . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Forgotten Password. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Configuring Your System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Contents 1-2
Butterfly iQ Vet™ User Manual
Configuring Preset Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Accessing Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Charging the Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Checking Battery Level. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Chapter 5: Using the System
Beginning a New Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Entering Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Adding Patient Details Manually. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Adding a Study Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Capturing and Recording Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Capturing Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Recording a Clip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Using the Capture Reel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Using Features and Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Adjusting the Gain, Depth, and TGC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Using Pan and Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Freezing and Unfreezing an Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Reviewing Frames From a Frozen Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Using the Midline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Saving a Study - Uploading to the Butterfly Cloud . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Chapter 6: Annotations
Adding Annotations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Performing a Linear Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Performing an Ellipse Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Adding a Text Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Chapter 7: Using Color Doppler
Color Doppler Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Accessing Color Doppler Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Adjusting the Region of Interest (ROI). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Adjusting the Gain, Depth, and PRF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Chapter 8: Using M-mode Display
M-mode Display Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Accessing M-mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Using M-mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Adjusting the Sweep Speed, Gain, and Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Performing M-mode Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Chapter 9: Uploading a Study
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Butterfly Cloud. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Uploading a Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Contents 1-3
Butterfly iQ Vet™ User Manual
Viewing Upload Progress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Viewing an Uploaded Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Adding and Viewing Comments on Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Deleting an Archived Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Chapter 10: Using the Butterfly Cloud
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Accessing the Butterfly Cloud. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Overview of Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Configuring Account Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Viewing Organization Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Archives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Creating a New Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Selecting an Archive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Deleting an Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Restoring a Deleted Archive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Searching for a Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Editing Study Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Sharing a Study. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Moving a Study Across Archives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
Deleting a Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
Restoring a Deleted Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10
Working with Images and Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10
Viewing Images and Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11
Downloading an Image or a Clip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11
Notification Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11
Chapter 11: Maintenance
Maintaining the Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Storing and Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Cleaning and Disinfecting the Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
Cleaning the Probe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
Disinfecting the Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Disinfecting the Mobile Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Updating the Probe and App Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Performing the Probe Diagnostic Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Chapter 12: Troubleshooting
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Chapter 13: Getting Support
Contacting Support through the Butterfly iQ™ App. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-1
Contacting Butterfly Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-1

Contents 1-4
Butterfly iQ Vet™ User Manual
Chapter 14: Specifications
Mobile Device Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-1
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
Probe Battery Charger. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-3
Recommended Ultrasound Gels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-4
Environmental Operating Conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-5
Electromagnetic Conformance (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-5
Separation Distances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-7
Acoustic Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-9
Ultrasound Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-9
Symbols used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-10
Measurement Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
M-mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
B-mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
Color Doppler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-16
Recycling and Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-17
Waste Electrical and Electronic Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-17
Chapter 15: Symbols
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-4

Introduction
Butterfly iQ Vet™ User Manual 1-1
Chapter 1
Introduction
This chapter provides an introduction to the Butterfly iQ Vet™ Ultrasound System.
Overview
Butterfly iQ Vet™ ultrasound is designed to be easy to use, portable, and battery powered.
Its commercial off-the-shelf mobile platform (device) provides a simple interface for the
user.
This manual is intended to provide information to guide trained operators in the safe and
effective operation and proper maintenance of Butterfly iQ Vet™ ultrasound and
accessories. It is important that you read and understand all instructions in this manual
before operating the device, and pay careful attention to the warnings and cautions
throughout the manual.
Butterfly Cloud Overview
The Butterfly Cloud is a cloud storage web application intended to allow users of the
Butterfly iQ™ iOS mobile application to upload studies (including the images and clips) to an
Internet-based storage system. Users accessing the Butterfly Cloud web application are able
to access the same content available to them through their Butterfly iQ™ account, which
may be shared across an entire organization’s members.
For more information, see “Using the Butterfly Cloud” on page 10-1.
Intended Use
Butterfly iQ Vet™ is a general-purpose diagnostic ultrasound imaging system for use by a
qualified and trained veterinary professional enabling diagnostic imaging and measurement
of anatomical structures and fluid.
The Butterfly iQ Vet™ ultrasound system is intended for use in abdomen, thoracic, cardiac,
tendon, small parts, and reproductive system for animals such as canine, feline, equine,
bovine, and ovine, etc.
CAUTION!
Federal law (USA) restricts this device to sale by or on the order of a veterinarian.
IMPORTANT!
This system is for veterinary use only.

Indications for Use
Introduction
1-2 Butterfly iQ Vet™ User Manual
Indications for Use
Butterfly iQ Vet™ is indicated for use by qualified and trained veterinary professionals to
enable diagnostic ultrasound imaging and measurement of anatomical structures and fluids of
veterinary patients for the following clinical applications:
• Peripheral Vessel (including venous and arterial studies)
• Procedural Guidance
• Small Organs
• Cardiac
• Abdominal
• Urology
• Fetal/Obstetric
• Gynecological
• Musculoskeletal
The product can be used in a variety of settings such as clinics and hospitals for M-mode, B-
mode, and Color Doppler functions.
Use Butterfly iQ Vet™ in accordance with all safety procedures and operating instructions as
outlined within this manual, and only for the purposes for which the device was intended.
Contraindications for Use
Butterfly iQ Vet™ should not be used for ophthalmic applications.
Training
In order to safely and effectively operate Butterfly iQ Vet™, the user shall meet the following:
• Training as required by local, state, provincial, and national regulations
• Additional training as required by the authorizing veterinarian
• A thorough knowledge and understanding of the material presented in this manual

Safety Information
Butterfly iQ Vet™ User Manual 2-1
Chapter 2
Safety Information
This chapter provides important safety information for using Butterfly iQ Vet™ and includes
a list of warning and caution messages. This user manual is accessible from the Butterfly iQ™
App and through the website (www.butterflynetwork.com). For more information, see
“Butterfly iQ™ App” on page 3-3.
Safety Conventions
This user manual is intended to assist in the safe and effective operation of Butterfly iQ
Vet™. It is important that all users review and understand all instructions in this user manual
before operating the device, paying careful attention to the warnings and cautions
throughout the manual.
The following conventions are used throughout this manual to highlight safety concerns:
Ultrasound Benefits and Risks
Ultrasound is widely used because it provides many clinical benefits to the patient and has
an excellent safety record. Ultrasound imaging has been used for over twenty years and
there have been no known long-term negative side effects associated with this technology.
Ultrasound Benefits
• Multiple diagnostic uses
• Immediate results
• Cost-effectiveness
• Portability
• Safety record
WARNING!
Conditions, hazards, or unsafe practices that may result in serious personal injury or
death.
CAUTION!
Conditions, hazards, or unsafe practices that may result in minor personal injury,
damage to the device, or loss of data.

Butterfly iQ Vet™ Safety
Safety Information
2-2 Butterfly iQ Vet™ User Manual
Ultrasound Risks
Ultrasonic waves can heat the tissues slightly. It is normal that the probe may feel warm to the
touch while charging. If you remove the probe from the charging pad before or immediately
after charging is complete, it is recommended that you allow the probe to cool down before
use. Since the system limits patient contact temperature and will not scan at or above 43°C
(109°F), allowing the probe to cool down before use will optimize scan time performance.
Butterfly iQ Vet™ Safety
WARNINGS!
• The Butterfly iQ Vet™ is intended for use by competent users capable of
interpreting image quality, diagnosis, and clinical utility of the system.
• Do not use Butterfly iQ Vet™ until the materials present in this manual have
been reviewed and fully understood.
• Do not operate Butterfly iQ Vet™ for purposes other than intended in this
manual.
• Do not operate Butterfly iQ Vet™ improperly. Failure to do so may result in
serious personal injury or death.

Safety Information
Butterfly iQ Vet™ User Manual 2-3
Basic Safety/Usage Environment
Basic Safety/Usage Environment
WARNINGS!
• Use only cables, probes, chargers, and accessories specified for use with
Butterfly iQ Vet™. Substitution of non-approved accessories may cause the
system to perform improperly or may cause injury to the patient or operator.
• If the probe seems unusually hot, produces an odor or smoke, or leaks, stop
use immediately. Unplug the probe from the mobile device or disconnect it
from the wireless charger (if applicable). Contact Support. See “Getting
Support” on page 13-1 for more information.
• Do not use Butterfly iQ Vet™ in the presence of flammable gases or
anesthetics. Doing so can result in a possible fire or explosion.
• Butterfly iQ Vet™ has not been evaluated or approved for use in hazardous
locations as defined in the National Electric Code standard. In compliance
with IEC classification, the Butterfly iQ Vet™ is not to be used in the presence
of flammable substances/air mixtures.
• Do not use the Butterfly iQ™ Application on a mobile device that does not
meet minimum requirements. Using the Butterfly iQ™ Application on a
mobile device that does not meet the minimum requirements may affect
performance and image quality, possibly resulting in misdiagnosis.
• Spilling fluids into the system may damage it or present a fire or shock hazard.
Do not allow fluids to enter the device.
• Store only within the range of environmental conditions specified in the
technical specifications.
• Dangerous high voltages and currents are present. There are no user-
serviceable parts. Do not open, remove covers, or attempt repair.
• Portable and mobile radio-frequency (RF) communications equipment can
affect Medical Electrical Equipment.
• Use of damaged equipment or accessories may cause the device to perform
improperly and/or result in injury to the patient or operator. Refer servicing
to qualified service personnel.
• No modification is allowed. Do not modify cables, probes, chargers, or
accessories specified for use with Butterfly iQ Vet™. Modification to
equipment may cause the system to perform improperly or may cause injury
to the patient or operator.

Electrical Safety
Safety Information
2-4 Butterfly iQ Vet™ User Manual
Electrical Safety
CAUTIONS!
• Cardiac rhythm disturbances during cardiac studies using gas ultrasound
contrast agents have been observed in the diagnostic range of Mechanical
Index (MI) values. See the specific package insert for the contrast agent being
used for further details.
• The Butterfly Imaging Cloud enables remote viewing of ultrasound images on
a variety of platforms and in uncontrolled environments (e.g., ambient
lighting). Clinician discretion on the appropriate use of images must be
applied.
• Only trained operators should use the instrument for needle placement.
WARNINGS!
• Before use, carefully inspect the probe. Always inspect the probe before and
after cleaning, disinfection, or use. Check the lens face, cable, housing, seams,
and connector for signs of damage such as cracks, chips, abrasions, or leaks.
To avoid the risk of electrical hazards, do not use the probe if there is any sign
of damage.
• Dropping the probe may cause damage. Always inspect the probe before and
after cleaning, disinfection, or use. Check the lens face, cable, housing, seams,
and connector for signs of damage such as cracks, chips, abrasions, or leaks.
To avoid the risk of electrical hazards, do not use the probe if there is any sign
of damage.
• Comply with IEC 60601-1 when using additional equipment along with the
ultrasound device.
• Use of accessories, probes, and cables other than those specified or provided
by the manufacturer of this equipment could result in increased
electromagnetic emissions or decreased electromagnetic immunity of this
equipment and result in an improper operation.
• Use of this equipment adjacent to or stacked with other equipment should be
avoided because it could result in improper operation. If such use is
necessary, this equipment and the other equipment should be observed to
verify that they are operating normally.
• Electrical shock to the patient or operator may result if voltages exceeding IEC
60601-1 for patient-applied parts are exceeded.
• The probe is designed to remain sealed. Do not attempt to open the probe or
tamper with the device internals, including the battery. Doing so may cause
injury to the patient or operator.
• Do not immerse probe beyond specified levels. Immersion beyond specified
levels may result in electrical shock.

Safety Information
Butterfly iQ Vet™ User Manual 2-5
Defibrillation Safety
Defibrillation Safety
Equipment Protection
CAUTIONS!
• Portable RF communications equipment (including peripherals such as
antenna cables and external antennas) should be used no closer than 30 cm
(12 inches) to any part of the Butterfly iQ™, including cables specified by the
manufacturer. Otherwise, degradation of the performance of this equipment
could result.
• Notifications and alerts from other third-party applications running on the
mobile device may interfere with the study.
• The emissions characteristics of this equipment make it suitable for use in
industrial areas and hospitals (CISPR 11 Group 1 Class A). If this equipment is
used in a residential environment (for which CISPR 11 Class B is normally
required), this equipment might not offer adequate protection to radio-
frequency communication services. The user might need to take mitigation
measures, such as relocating or re-orientating the equipment.
WARNINGS!
• Before applying a high-voltage defibrillation pulse to the patient, remove all
patient-contact devices that are not indicated as defibrillation-proof.
• Probe covers do not provide protection from defibrillation.
CAUTIONS!
• Do not overly bend or twist the probe cable. Always inspect the probe before
and after cleaning, disinfection, or use. Check the lens face, cable, housing,
seams, and connector for signs of damage such as cracks, chips, abrasions, or
leaks. To avoid the risk of electrical hazards, do not use the probe if there is
any sign of damage. Do not immerse the probe in water or liquids beyond
specified levels.
• To avoid the possibility of internal condensation and possible damage, do not
store the device outside of the specified environmental operating conditions.
• Improper maintenance may cause Butterfly iQ Vet™ not to function. Maintain
the equipment only as described in the maintenance section.
• Do not sterilize or autoclave the Butterfly iQ Vet™ or its accessories.

Biological Safety
Safety Information
2-6 Butterfly iQ Vet™ User Manual
Biological Safety
Operator Safety
WARNINGS!
• Always use the ALARA (As Low As Reasonably Achievable) principle when
performing an ultrasound study. Additional information on the ALARA
principle can be found in AIUM’s, “Medical Ultrasound Safety” publication.
This publication is available as a PDF link in the Butterfly iQ™ App.
• If Butterfly iQ Vet™ is contaminated due to exposure to Creutzfeldt-Jakob
disease, there is no adequate disinfecting procedure.
• Do not allow the animal to contact live parts of the ultrasound system or
other devices, e.g., signal I/O ports. Electrical shock may occur.
• Use the correct clinical application presets for the associated body part being
examined. Some applications require lower acoustic output limits.
• There are no latex parts in the probe. However, some probe sheaths may
contain natural latex, which can cause allergic reactions in some animals.
• If performing procedures that require transducer covers, follow your
institution’s protocol and/or the instructions provided with the covers.
• This product can expose you to chemicals including Carbon black, which is
known to the State of California to cause cancer. For more information go to
www.P65Warnings.ca.gov.
CAUTION!
Avoid contact with mucous membranes (e.g. eye, nose, mouth) and non-intact areas
of the skin that have been opened by cuts, abrasions, dermatitis, chapped skin, etc.
WARNINGS!
• Use of damaged equipment or accessories may cause the device to perform
improperly and/or result in injury to the patient or operator.
• Do not use, connect, or operate the Butterfly iQ Vet™ with non-approved or
non-specified equipment or accessories. Doing so may result in injury to the
patient or operator.
• Do not use the Butterfly iQ™ Application on a mobile device that does not
meet minimum requirements. Using the Butterfly iQ™ Application on a
mobile device that does not meet the minimum requirements may affect
performance and image quality, possibly resulting in misdiagnosis.

Safety Information
Butterfly iQ Vet™ User Manual 2-7
Operator Safety
CAUTIONS!
• To minimize the risk of Carpel Tunnel Syndrome (CTS) and related musculo-
skeletal issues, maintain suitable posture, allow for frequent breaks, and
avoid gripping or holding the probe with excessive force.
• Follow your institution’s personal protective equipment (PPE) and infection
control procedures (e.g. eye, respiratory, and hand protection) when
operating, cleaning, or disinfecting the device.

Operator Safety
Safety Information
2-8 Butterfly iQ Vet™ User Manual

System Overview
Butterfly iQ Vet™ User Manual 3-1
Chapter 3
System Overview
This chapter provides an overview of Butterfly iQ Vet™. It includes information about its
features, the components that are included in the system, requirements necessary to
download, install, and use the Butterfly iQ™ App, and an overview of the user interface.
Overview
Butterfly iQ Vet™ is a hand-held general purpose diagnostic ultrasound imaging device. The
system consists of three components:
• Compatible AppleiOS iPhone or iPad (the mobile device)
• The Butterfly iQ™ Application (App), downloaded and installed on the compatible
mobile device
• The Butterfly iQ Vet™ Probe that connects to the mobile device to generate and
receive ultrasound signals
Note — The mobile device is not included with the Butterfly iQ Vet™ Ultrasound System;
you must purchase it separately.
Note — “Made for iPhoneor iPad” means that an electronic accessory has been designed to
connect specifically to iPhoneor iPad and has been certified by the developer to
meet Apple performance standards. Appleis not responsible for the operation of
this device or its compliance with safety and regulatory standards. Please note that
the use of this accessory with iPhoneor iPad may affect wireless performance.
iPhone, iPad, and Lightning are trademarks of Apple Inc., registered in the U.S. and
other countries.
For details about the components, see “System Components” on page 3-3. For details about
the requirements for the mobile device, see “Mobile Device Requirements” on page 14-1.
For a list of clinical applications, see “Indications for Use” on page 1-2.
Modes
Butterfly iQ Vet™ provides M-mode, B-mode, and Color Doppler functionality.
Measurements
Butterfly iQ Vet™ lets you perform the following clinical measurements:
• M-mode: Distance, time, and heart rate measurements
• B-mode: Distance and ellipse measurements

Overview
System Overview
3-2 Butterfly iQ Vet™ User Manual
Probe Types
Butterfly iQ Vet™ provides a single probe that is capable of performing all indicated clinical
applications.
Patient Data Protection
Butterfly recommends setting an auto-lock period within the mobile device’s settings to
prevent unauthorized access. For more information, consult your mobile device’s instructions
for Auto-Lock settings.
Internet Connectivity
An Internet connection is required to download, install, or update the Butterfly iQ™ App from
the Apple App Store. An Internet connection is also required to log in and to archive studies to
the Butterfly Cloud. Otherwise, no Internet connection or wireless connectivity is required to
use the mobile device. However, in order to maintain updates to the Butterfly iQ™ App, you
are required to connect to an Internet connection every 30 days.
CAUTION!
It is required that you protect patient data by encrypting your mobile device with a
password or passcode. You cannot use the Butterfly iQ™ App if your mobile device
does not have a passcode enabled and configured. Consult with your IT/Security
department to ensure that security and patient data protection is in accordance
with the policy of your institution.