Getting Started with Butterfly iQ

Penn

Table of Contents Logging in

Scanning and App Basics

Probe and Charger Basics

Log in from your Desktop

Support

Cleaning and Disinfection

Troubleshooting

Logging in: 1. Download the Butterfly iQ app from the Apple app store onto a compatible smart device

2. Click “LOG IN”

3. Click “Enterprise User? Log in Here” and type “penn.butterflynetwork.com” into the domain

4. Click “Log in with Penn Medicine” and Log in with your Penn credentials

5. If you are part of multiple clouds, select the one in which you would like to scan

Scanning Basics: How do I get to the Scan Screen? Plug in the Butterfly iQ, Select “Allow” and the app will automatically open to the scan screen Depth: Slide your finger up and down Gain: Slide your finger left and right Preset: It’s important to select the correct preset for the area of the body you are scanning by

selecting the “ ” button in the bottom left corner of the scan screen. Zoom: Zoom in on the image by double tapping with your finger or “pinching” with your fingers Freeze: Select the snowflake Button at the Bottom of the screen to freeze Save: First select FREEZE (Snowflake) the SAVE (Camera Button)

Click the icon on the top right of the scan screen to see your current study. From

here you can save the study to the Butterfly Cloud, add notes, and share

de-identified images:

How to share a de-identified Study:

Click your initials in the top left corner of your SCAN SCREEN to get to SAVED

STUDIES. From here you can access settings, the Butterfly Education platform,

and your saved studies.

Probe and Charger Basics: The Butterfly iQ™ probe is only for use with the Butterfly iQ™ App. Do not attempt to connect the probe to other ultrasound systems. Figure 3-1 shows the parts of the probe and Table 3-1 lists and describes the parts.

Figure 3-1 Probe Components

1. Lens

2. Midline Mark

3. Orientation Mark

4. Battery Indicator Lights

5. Battery Indicator Button

6. Probe/Cable Boundary

7. Mobile Device Cable

8. Charging Surface

1. Charging Pad

2. Charging Cable

3. Wall Adaptor

Log in from your Desktop: You can log-in to the desktop version of the Butterfly Cloud to review, organize, QA, comment, and share

studies.

Step 1: Go to penn.butterflynetwork.com

Step 2: Insert you Butterfly Network Username and Password

From Here you can see saved studies, add members to your organization, and access educational videos

Support:

Check out our website to see answers to the most common support questions HERE Contact us in the app

1. From the imaging screen, tap your user avatar (or your initials) in the upper left corner. 2. Tap ⚙ to display the Settings screen. 3. Scroll down to the “Request Help” Button and submit your request

*It is important to note that this allows our team to see your app software level and the serial number of the most recently used probe*

Contact us via email ● Email support@butterflynetwork.com

● Include your Probe Serial Number (located on the back of your probe)

Text your dedicated Butterfly success team 24/7:

Nina Harrison: 1-978-201-6541

Cleaning and Disinfection: You can find everything you need to know about cleaning and disinfecting the Butterfly iQ probe on our

website at: https://www.butterflynetwork.com/covid-19#cleaning

Helpful Links: Sheathing Your Probe Demo Found Here List of 63 Compatible Probe Cleaners Cleaning you Apple Device To clean the probe:

1. After each use of the probe, use one of the recommended liquid saturated wipes to remove ultrasound transmission gel from the probe.

2. Disconnect the probe from the mobile device. 3. Wipe the probe, strain relief, cable, and connector with one of the recommended liquid

saturated wipes for one (1) minute and until visibly clean. 4. Change the wipes as necessary and repeat the above step until the probe is visibly clean. 5. To dry the probe, use a soft cloth, blot the lens dry. Do not wipe the lens. Dry the rest of the

probe, cable, strain relief, and connector. 6. Visually inspect the probe in a well-lit area to ensure all surfaces are clean. If the probe is not

clean, repeat the cleaning steps above. 7. Dispose of cleaning material in accordance with all applicable regulations.

⚠ CAUTIONS: Prevent any fluid from entering electrical or metal portions of the cable's connector during the cleaning and disinfecting process. Damage due to the fluid in these areas may result. Prevent any fluid from splashing on your mobile device's touchscreen during scanning and during cleaning. Damage due to fluid may result.

To disinfect the probe: After cleaning the probe, you must disinfect the probe. It is recommended that you use one of our 63 approved cleaners listed HERE.

High-Level Disinfection (HLD): It is recommended that you use Cidex® OPA by Ethicon US, LLC.

To disinfect the probe using the High-Level Disinfection (HLD) method:

1. Disconnect the probe from the mobile device. 2. After cleaning the probe, you must disinfect the probe. It is recommended that you use Cidex®

OPA high-level disinfection solution. 3. Prepare Cidex® OPA high-level disinfection solution for use per the manufacturer’s instructions.

Fill a tray or basin with the disinfectant solution at room temperature (minimum temperature of20°C) to a level allowing immersion of the probe up to the immersion line (the dashed line

shown in the figure below).

4. Immerse the probe in Cidex® OPA solution up to the immersion line and ensure no air or bubbles are trapped. Allow soaking according to the manufacturer’s instructions.

5. Thoroughly rinse the probe (up to the immersion line) by immersing it in a large volume of room temperature critical (purified) water for a minimum of one (1) minute. Remove the probe and discard the rinse water. Do not reuse the water. Always use fresh volumes of water for each rinse. Repeat this stage two (2) additional times for a total of three (3) rinses.

6. Thoroughly dry all surfaces of the device using a sterile, lint-free wipe or cloth, changing wipes/cloths when necessary to ensure the device is completely dry. Visually inspect the device to ensure all surfaces are clean and dry. Repeat the drying steps if any moisture is visible.

7. Once clean and disinfected, visually inspect the probe, strain relief, cable, and connector for signs of damage or wear.

Troubleshooting: Check out our website to see answers to the most common support questions HERE

Resolving Firmware Updates If you experience issues during a firmware update, complete the following steps:

1. Disconnect it from your mobile device. 2. Hold down the battery indicator button on the probe for 10-15 seconds. If the device has any

battery power remaining, the battery indicator will light up for a few seconds, then turn off, then flash three times.

3. Reconnect it to your mobile device.

If this does not resolve your issue, please Contact Butterfly Support

Resolving Charging Issues Sometimes if the probe is left idle for a long period of time, the battery can become fully depleted and the probe will not charge. Often, it can be reactivated by completing the following steps.

1. First, verify that your charger is working. The iQ charger should charge an iPhone 8 or newer or

or another device that charges wirelessly. For more information about charger behavior, please

refer to the Charger FAQ. 2. After you verify that the charger is working, place your Butterfly iQ on the charger for five

minutes.

3. While your Butterfly iQ is on the charger, reset it. To do so, hold down the battery indicator

button for 10-15 seconds.

4. Leave your iQ on its charger overnight, or at least 6 hours. Do not worry about the color of the

charger lights at this point.

5. Reset the iQ again while it is on the charger by holding down the battery indicator button for

10-15 seconds. The LEDs on the battery indicator button should flash.

6. Reconnect the iQ to your mobile device.

If you follow these steps, and your probe still has issues charging, contact Butterfly Support with the serial number on the back of your probe and your shipping address. You may be eligible for a replacement.

Troubleshooting Image Issues

● Switch to another preset for a few moments, and then return to the original preset. This action

will reset the imaging parameters.

● Make sure you are using the appropriate preset and the depth is appropriate for the anatomy

being scanned.

● Make sure the brightness on your screen is set to the recommended setting of 65%.

● Make sure you are using enough approved ultrasound gel.

● To determine if your probe is damaged, perform the Probe Diagnostic Test. ● If you are still not satisfied with the image quality, please submit feedback directly from the

mobile app or contact Butterfly Support. In your message to Butterfly Support, please include de-identified image examples, the preset you were using at the time, and any other relevant information.

Resolving Connection Issues: You may experience an issue where your mobile device does not recognize the iQ. If so, you might see the text "Connect your iQ" while your iQ is plugged in, or the pop-up "iQ Connection Error" might appear. To resolve this, complete the following steps.

1. Disconnect your probe from your mobile device. 2. Open the Butterfly app while connected to the internet, and save any unsaved studies. 3. Log out of the Butterfly app. 4. Ensure the operating system is updated on your mobile device. 5. Delete and reinstall the Butterfly app on your mobile device. 6. Reset the Butterfly iQ by holding down the battery indicator button for 10-15 seconds, or until

the LEDs on the battery indicator flash. 7. Reconnect your probe to your mobile device.

If your app still does not recognize your iQ, contact Butterfly Support with the serial number of your probe and information about what you are experiencing. You might be eligible for a replacement.

I cannot upload a study; the study is stuck in the outbox ● Toggle airplane mode on your device ● Ensure you are connected to a strong wifi signal ● Retry the upload ● The Butterfly Cloud service may be undergoing maintenance or may be unavailable. Try again

later.

If this problem persists, please contact Butterfly Support with details describing your issue, including the email address you use to log in to the app.

App crashes 1. Close and restart the App. 2. Check for software updates in the Apple App Store.

Screen is blank or frozen 1. Unplug your probe from your mobile device. 2. Close and restart the app. 3. Reconnect your probe to your mobile device.

App does not turn on when probe is connected 1. Unplug the probe, replug it back into your mobile device or tablet. 2. Restart your mobile device or tablet 3. Delete and reinstall the App.

App does not recognize probe

Follow the instructions in Troubleshooting the Probe and Charger.

App Alerts and Messages:

"Device Passcode Required" : This indicates that your mobile device does not have a passcode. Butterfly iQ™ requires the mobile device to have a passcode for patient data security. Tap Open Settings to enable and configure the passcode for your mobile device.

"Login Error":

● Make sure your mobile device has network connectivity (WiFi or a cellular connection). ● Try to re-enter your credentials. ● Reset your password using a desktop computer browser to access the Butterfly Cloud

(cloud.butterflynetwork.com).

If the steps above are not successful, it may indicate that the Butterfly Cloud service is undergoing maintenance or is unavailable.

"Forced Log Out": This indicates that your mobile device no longer has a passcode. Butterfly iQ™ requires the mobile device to have a passcode for patient data security. Tap Settings to enable and configure the passcode for your mobile device

"Cloud Access has Ended": This indicates that the Butterfly Cloud subscription has expired. Renew your subscription, or contact your administrator to have your subscription renewed. Contact Butterfly Support if your subscription has not expired and you see this message.

"Probe Temporarily Disabled” : This alert is displayed when your mobile device has not been connected to the Internet within the last 30 days. Reconnect to the Internet and tap Refresh. the last 30 days. Reconnect to the Internet and tap Refresh.

"Scanning can resume after cooling is complete": This alert is displayed when the probe has become too warm for scanning. The system limits patient contact temperature and will not scan at or above 43°C (109°F). The system provides this alert prior to shutting off. Disconnect the probe and allow it to cool. You can access other features of the App while the probe is disconnected.