Butterfly IQ: Review of the portable handheld ultrasound

With the growing utilization of POCUS (Point of Care Ultrasound) examinations in medicine, portability and speed is King. The Butterfly IQ was the first handheld ultrasound approved that could plug right into your smart phone to provide a rapid and easy assessment of multiple organ systems. This is useful in critical care medicine, emergency medicine, internal medicine, and more.
I have used this device for over a year, and this is my (unsponsored) review as a cardiologist. I discuss the pros as well as some of the cons of the device.
#ultrasound #echo #POCUS
Timestamps:
1:00 Unboxing
1:35 The design and issues to know
3:34 How to work it
7:00 Demonstration on me
8:28 Sample cases
10:20 The Pros
11:25 The Cons

[@CL-ep6my]

Use me as a "I'm just here to learn about the stock I bought before understanding what they do" button

[@XxMiNeCrAfTxx25]

Relatable

[@allonofer7514]

Hi, I'm here both as a med student and a potential investor. I have no idea about the stock market but some experience with using similar devices. Let's exchange some knowledge! what is the meaning of this 'merge' between butterfly and longview? in your opinion will it be better to buy a stock before or after the spac and why? If i buy it before, and later on BFLY goes up 10%- what will be my profit? If you have questions about this in the medical aspect I'll be happy to try and help.

[@TreeTop9]

Yep me too. Looks very promising for a solid long term gain.

[@patricksullivan549]

@@allonofer7514 so basically long view acquisition and butterfly stock merged through a spac or special purpose acquisition company. All this means is that long view has lots of capital (or cash) on hand and was looking for investment opportunities, while butterfly inc conveniently needed capital to operate more efficiently. Also, it does not really matter if you bought before or after the merger, as the shares will transform to butterfly, which now holds the ticker or stock name bfly. I hope that answered your questions. I have a few for you. Just how important is a mobile ultrasound device? Do you see this making an impact on the medical world years from now?

[@georgethompson7391]

Which ticker symbol?

[@sherifbatawy]

As a doctor that performs many different US exams on daily basis, this is a dream came true. They only need to ditch the cable and make it wireless like the GE with another curvilinear probe on the backside.

[@fantasticweb6384]

هو الجهاز ده نزل منه بمصر ؟!؟

[@richardhebert3205]

Fantastic detailed description and overview of this product. Appreciate it very much.

[@danielpark411]

As a potential investor of LGVW, this video was very helpful

[@captalks6209]

I'm here for the same reason xD Want to know what professional doctors think about the product and how it helps them revolutionize their work.

[@regulator2op714]

so hows your guys conclusion looking like i didnt like how he said he doesnt see it replacing full fledge ultrasound machines :/

[@captalks6209]

I'm not 100‰ convinced on investing in them. Its a risky play because theres also lots of other products like these from phillips and one more (clairinx or something like that). I might take a small position in them but not too much.

[@danielpark411]

I'm just catching the hype and riding the momentum up

[@adamross4295]

@@captalks6209 Use some risk capital and sell after the merger in Q1 '21

[@shyamalsom1379]

Excellent device than can help patient quickly ascertain the true remedies for ailments. Most of the time we tend to see patients are being scared by doctors due to the hidden commitment to Hospitals, Corporate units of medicines and other obligation to stay in medical practice. Butterfly iQ+ will limit such scaring conditions of patient to find right diagnosis with this smart toolkit. Thanks to the maker and their support team towards inventing the small & portable device.

[@Thedoctorweighsin]

Excellent review. Particularly liked seeing the case studies. Thanks.

[@vizzin707]

I am going to get one and will post my video too :)

[@FreedomToRoam86]

Very nice review. The new BiQ+ does Pulsed Wave Doppler. But not calculations, yet. I think it could, because they got OB calculations approved. So probably just a matter of time and FDA approval. I am glad you brought up the cord!. The new BIQ+ has a user-replaceable cord, but is still not optimal. However, Wireless is in the works. With Bluetooth 5, would probably have the bandwith to do it.

[@billl.8868]

This Butterfly device is a game-changer. $2000 is nothing for a Doctors office or hospital or midwife. A normal ultrasound machine costs $20,000 to $50,000 and they will become antiquated.

[@tjscliving33]

A high end ultrasound system can cost $200K however a system such as Dr. Haider is reviewing does have a niche but will never replace a high end system. It's good to triage a patient in the ED or for quick assessment.

[@roninronin6405]

Thanks Doctor & appreciate the information!

[@smalltowngirl4415]

Very helpful and honest review. Thank you!

[@sirthugbert5654]

Awesome review, thank you.

[@paulkinsella8526]

Thanks for the video. Can you tell me what type of video files can be recorded? And is there any different output to share with a different monitor?

[@habtamumuchie3601]

So straight and so helpful, thankyou!

[@jubilthomas64]

The new generation Iq plus image quality on cardiac & cardiac deep - is it any better than the previous

[@joshualittle5364]

I would like to know if the limited study with billing interferes with billing for a complete study in the same time frame.

[@Brettagher]

I was hoping this would be a bad review so I could say "This guy is such a Haider. "

[@Geraldaga]

NICE!

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[@ahsanullah2481]

Excellent demonstration

[@bryanfarage2160]

I have been looking at this device for the last year or so and found this video very helpful and consistent with other accounts that image quality is not up to "standard", much more expensive machines - including the Philips "Lumify" - despite the new technology with 9000 CMUT's in the probe - perhaps that can be improved with software changes. As with a previous comment I was shocked & disappointed to hear that there is no PW or CW Doppler. As a simpler (CW at least), older technology I had just assumed they would be there: before PW we could still get a lot of information on gradients/ flow patterns and the modality is still essential for high velocity jets eg in aortic stenosis. I hope that too can be a software addition - I will wait and see! Thanks again Dr Haider.

[@elektrotehnik94]

Are CW and PW very often used to complement quick-diagnosis? Or are they less often used, only in rare cases where complex ultrasound machines are needed?

[@rogerforsberg3910]

If you are interested in actual real-time ("as it occurs") real-time teleultrasound technology (that will duplicate the originating ultrasound device's resolution up to & including 1980x1080p) I will refer you to my colleague Adam Wasserman ([e-mail]) who handles all of the company's international business, He can provide you with information about RMT's teleultrasound technology which is slightly different than this technology. That is, you need not be at the location with the patient & the sonographer. You'll be able to see the dynamic, streaming, real-time ("as they occur") at your workstation or iPad, iPhone &/or Android-based device. There are several other features & functions of this technology which may intrigue you, but I will let Adam amplify & clarify.

[@aliciamartin-hirselmdrdms5916]

I like your video. It's helpful to give a class on how to use the Butterfly IQ.

[@williamhardman4096]

THE COMPANY PROVIDES LOTS OF GOOD ONLINE INSTRUCTION FOR FREE!

[@Cardroid]

Thanks for this review..

Could it be possible that someone can talk about the uses in Abdominal Ultrasound please?

[@jermam2010]

Omg thank you I need one for practicing cardiac echo

[@lectrix8]

Great review!

[@silverpie4953]

Hi, do you think it would work great for a resident in training to carry it around and use it for procedures like taking ABGs or while performing pleural tap or spinal tap?

[@Yourheartdoc]

I def do if you learn the ultrasound techniques yes.

[@eduardoweiss123]

Hi great video Question Can you use this device for smaller blood vessels like facial arteries ?

[@Yourheartdoc]

Interesting question. I guess it depends on how small and which arteries you trying to look at?

[@TheChaoschris]

Have you tried the SonicEye Ultrasound... you might like the dual-array probe. Its a crystal and not a chip

[@christopherdyal5946]

Great video, thanks.

[@kellitwiss8183]

Awesome information thanks!

[@kennyparlee]

You could put a spring around the wire to stuffing it up make it last longer

[@A.C.Lawrence]

cool. have you used other handheld devices like this? I suppose you liked this one enough to buy a replacement for your old one as opposed to buying a wireless one like the GE vscan.

[@Moneylol]

What do you think about the viability of this for paramedics? Mostly for vascular access / assessment , maybe even to observe cardiac exacerbation obviously nothing definitively diagnostic just for additional on scene information. Thanks for the awesome video!

[@Yourheartdoc]

Zee I def thing it can have a role with paramedics if they are adequately trained. If anything - for vascular access and perhaps even basics for cardiac arrest etc. It will come down to comfort level and clinical competency for what it's utilized for. We shall see!

[@Moneylol]

@@Yourheartdoc Agreed! Hopefully with the expansion of the availability of such devices an expansion of educational resources will come to match it. I could definitely see weekend classes / seminars for health care providers providing a good intermediary point for clinical guidance / training for pre - hospital specific applications.

[@charlesleary7945]

I’m actually a paramedic in Minnesota and the service I work has these on our trucks. We use them for sliding signs, cardiac views (parasternal long and subxiphoid) and right upper quadrant (looking for free fluid). They are awesome for trauma patients and cardiac arrest patients and I really hope prehospital POCUS becomes more common.

[@redred5389]

Great video!

[@agarwaldo]

Thanks for the great review Dr. Haider. As a new attending (MSK medicine) without access to a real Ultrasound machine, this seems to be the only affordable option. Maybe the only fix for that cord is to wrap it in tons of electrical tape 😂

[@florret2003]

The wiring exit from the device begs for a stiffer strain relief. This is an engineering oversight by the manufacturer. Also, considering what a new I-Phone costs, this is reasonable.

[@DrAbKaN]

Can be used for nerve blocks?

[@schwartzrobbins1849]

Will this also work for let say pelvic ultrasound or to check the fetal status? Thank you

[@gragmgorski]

Super interesting and informative. Going to share with my Chiropractor, Urologist and Primary Care Doctor. Thank you for sharing! Greg Gorski Parrish, FL USA

[@ChurroWaffels]

I plan to purchase this as an RN to use in starting peripheral access. Do you think its worth it for that?

[@falconleader7984]

Can you use this on your phone or ipad in both landscape and portrait orientation? Or can it only be used in portrait?

[@Dr3afrotto]

On IPAD you can use in both. Don't know about android version.

[@gopiannapantula2011]

Can it be used for orthopaedic problems .

[@octomoda]

Excellent review. It was very educational also. Thank you so much.

[@jamesonojaattah4927]

This is good, especially to practitioners in the rural areas without access to bigger machines. How much will the landing cost be in Nigeria?

[@williamhardman4096]

Some features are not available outside the USA

[@DrMaanAlabbasi]

Have you got a chance to use the Clarius and which one you do recommend

[@hanibdr-8177]

Interested

[@Karim-ik5ij]

Hi, I am a telemedicine doc that uses bluetooth stethoscope technology which really blows. I can never hear anything and there is usually a bad sound delay. I use EKOS with one hospital system and some other wired steth that is horrible in another. I am considering advocating for this Ultrasound. Do you think it can replace it fully? The only issue is wheezing which obviously this cannot pick up.

[@easianphoenix6509]

this is really good as most issues can be seen immediately and u can send the patient for further investigations thereafter.. it saves time, cuts down anxiety of patient, better assessment, etc etc.. yes perhaps they shud improve on the physical cord of the device... i wud buy 1 if i know how to read that stuff on the screen lol... or if there is a Teledoc who will take the video and give me an initial diagnosis

[@Dr3afrotto]

Actually they are working on a telemedicine tool 😁

[@eliezersantos4639]

Very good information. Could venous mapping be done in obese patients, if used for venous endoablation procedure, could the fiber be clearly seen in its path through the superficial venous system? Thank you very much.

[@Yourheartdoc]

I haven't tried it for either but my guess is likely yes. Certainly for venaseal this would be usable. Very obese folks maybe tricky but again not certain

[@thestylesworld]

Thanks for the video. Does it's app a one time purchase or a monthly subscription?

[@williamhardman4096]

The app to operate the machine is a one time purchase with free upgrades. There is an extra charge for image storage and special apps.

[@rrowbear5974]

my take is It is handy diagnostic tool surely will speed up the process when you need to act quickly and I can see it would be extremely useful for a primary care doctor or EMD in an emergency to help evaluate the situation and relay the information to the ER . so they will know what to expect or look for upon arrival as a great starting point to speed up the process. On a side note Just curious that you made a big deal several times out of a cost of 2000 dollars for the tool? Surely you have spent a lot more than 2000 dollars in your practice for diagnostic equipment that may provide less value in assessing a problem.

[@Gabriel-zy7it]

Hi Dr. Haider, I'm a medical student. Would you recommend this device or are there better options available today that cost the same/less?

[@AidPast]

Doc, can you please do a review of the new iQ3 probe? Thank you!

[@michaeliacovelli2725]

If you are doing a lot of Echo, you may want to look at the NEW Mindray TE Air- great Echo IQ and with pulsed Doppler, color flow , measurements , and wireless.

[@cathytran6603]

Great video, are you able to get all the Parasternal, apical and subcostal views? I’m a echo student and wanting more practice with scanning.

[@Demiigodd]

Hey there, I graduated from ultrasound about 2 years ago, been doing echo for about 6 months... unfortunately the butterfly imaging for cardiac is mostly poor, specially for apicals. The device is pretty good for other ultrasound areas like abdomen and vascular and some superficial scanning

[@cathytran6603]

Demiigodd thank you for your detailed response !

[@cvitanicz]

@@Demiigodd Hello, can you talk us mora about The Butterfly. I want to buy one to work in urgencies and primary attention. How do you see the limitations? thank you so much

[@Dr3afrotto]

@@cvitanicz Hi there. I'm an ER consultant and would like to answer to your question. this device is perfect for POCUS in Emergency departments where you are only looking for a quick and simple "yes or no" answers. Like in a patient with hypotension or dyspnoea. Does his heart look so bad that it can be the cause? Yes or no! (Not looking for the accurate estimation of EF or measurements of chambers). Is that kidney having back pressure? Is there intra-abdominal hemorrhage? Is this shoulder dislocated? Is it back in? Is this leg pain caused be a DVT? Also useful in getting arterial line, central line, difficult peripheral line...etc. so YES, this devise is actually made for ER and critical care units.

[@steveandrews8301]

@@Demiigodd Does this device do dedicated CW doppler for cardiac valve area (orifice) calculations? Thanks.

[@ahmarsaeed6085]

I've been looking to get one for my general practice. Seems good. Thanks!

[@homesecrets494]

I thought about that as soon as I saw it. its a GP's dream.

[@sydneywalker35]

Awesome video! As a sonography student do you think it would be worth the money for mostly abdomen and vascular?

[@Demiigodd]

Hello, I am a sonographer, the device is actually not bad for abdomen and vascular, if you don't get much practice at school I would recommend but if you normally get to scan in school/ clinic then maybe consider saving that money instead.

[@10xinvest12]

Save lots of lives! Thanks doc! I imagine it works with Android as well?

[@clarafargemartins7305]

Thank You

[@MyPintVerse]

Is this worth for breast ultrasound scan?

[@lsmarshall887]

Reinforce the cord with electric tape wrapping. Wrap the base of the cord and surround 6 inches several times with electric tape. That is how I am still using my 10-year old iphone cables, reinforced them early on

[@klyons217]

At 3:20 - Sounds like you should tape that part up, or add some kind of plastic tube so there's not so much bending at that point in the wire.

[@wakawaka1976]

Sounds like a good use for heat shrink adhesive lined tubing. I use it on iPhone cords or when connecting spliced wires.

[@kwameenoch4202]

Might buy one and start my own practice 🤣

[@beats4life971]

🤣🤣🤣

[@Jay213.]

Can you put the link where we can buy thank you 🙏

[@muhammadazeem62]

Dr Ali I am an Ophthalmologist in Pakistan. I need a refirbished IQ . Can you guide where i can get it. Thank you.

[@chuckvivian1558]

Dr. Haider, I'd love to see this comparison using the new Butterfly IQ3. Is it as good as they say?

[@benben90b]

thank you

[@lolilolin]

You think have a good quality to use post mortem?

[@lentswerampa5841]

Hi, good video. Can I (Vet) use this on animals?

[@patricksullivan549]

Yes. They have a separate ultrasound device for animals if you go to their site

[@khmer31]

Looks good but in practice it may not be widely used because most doctors are not expert in ultrasound reading. For serious check up, cases would go to radiologists and they would use the conventional ultrasound machine anyway. Besides ambulance and military usage and under and developing countries, I don’t see significant application.

[@annedavison7628]

Great information. I'm a news journalist, writing about a recent purchase.

[@Yourheartdoc]

Thank you!

[@salehsoliman8282]

How much? Away to communicate plz

[@salehsoliman8282]

How much?

[@adrias1986]

What is the expected lifespan of this device?

[@ketemazech7438]

Can we use it to screen RHD?

[@dale8809]

For what they are, they are just ok. Add up the price of the probe and subscription fees and you will find you could get something way better for the price.

[@thedmindedguy]

Can you use it on the head🤔

[@dptm770]

Hi! It works with Android? Salute!

[@florret2003]

"Screw up any of the wiring inside" Is that a medical term?

[@vukken99]

cord stress ......then what you have to get it repaired

[@JasonCarmichael]

Have you tried the Clarius? A similar device with zero chord issue, it has a battery.

[@Yourheartdoc]

Not available in US yet. Looks legit but very high price point!

[@sheokandfamilyvlog]

Kya isse ultrasound b hota h plz telll me

[@vukken99]

Exactly costo prohibitive plus that monthly payment...if you missed a payment then what can you still use the machine????? the resolution seen in your images is little blurry

[@MrJearley6]

Thank you for this video!!! Butterfly has some work to do after showing these problems!! Because I'm an investor with LGVW!!! They need to fix this!!!

[@bryanyeh9253]

Has anyone used this for cvc insertions?

[@Dr3afrotto]

Yes 👍

[@celinepolicarpio8718]

I want to buy one, so I don't need to go to doctor for scanning🤔

[@oscarsantamaria4422]

Does it work without suscription?

[@elektrotehnik94]

He said yes, just that you have less advanced options regarding saving scan images & such

[@carlosfernandoorrurocha6934]

Acha que a qualidade da imagem cai muito no i-pad?

[@pablotrochez1]

I have not been able to find a phone number of a dealer for the butterfly ultrasound, if you have one could you please give it to me, I´m a dermatologist from Colombia so I can not do it threw the butterfly page

[@watchthis300]

Can it do ocular scans?

[@Dr3afrotto]

Yes it can. Used to do it with "small organ" preset, but they have added an "ocular" preset a couple of months ago.

[@rameshchugh4081]

What is the cost?

[@flaviogasparininoriega2879]

👍

[@ayyadav-dv9jr]

What is price

[@alexwonner7469]

Any comparaison with the SONOSITE?

[@nimbusrex]

No comparison but Sonosite is much much expensive and not portable.

[@alexwonner7469]

@@nimbusrex thank you. One friend of mine is getting one. Looking forward to hear from him...

[@bravevoice2771]

I'd like to see an update for 2022

[@kellysharrar5644]

Can I buy your old one?

[@surathatway]

How to buy this in india

[@meronepal3268]

can we connect it to laptop monitor..

[@Dr3afrotto]

Guess not. Unless (maybe) you are using an emulator. It works only on its own app on IOS and selected android devices.

[@kyalimpatalemwa7233]

How can I get one and it's training

[@_blair5759]

great

[@luhlezy6460]

I need one

[@kinzakihanzo468]

Wish this was available for india

[@user-uy8dm8ur5d]

Is it available in india . Price?

[@henriamirtharaj]

Not yet check official website

[@mya4126]

I'm a GP and I use it, not bad, low cost, and you can scan a lot of organs with it. But if you are a cardiologist, go for something better.

[@aslammohd5929]

Weather license is necessary for purchasing it