Butterfly iQ3 Ultrasound System

by Butterfly Network  · Based in United States → — Transforming care with handheld, whole-body ultrasound.
Critical Care Emergency Medicine Radiology

Paid, subscription required
Regulatory Status Disclosed

Overview

The Butterfly iQ3 Ultrasound System is a cutting-edge, handheld point-of-care ultrasound (POCUS) device powered by Butterfly Network’s proprietary Ultrasound-on-Chip™ technology. It offers unparalleled image quality with twice the processing power of its predecessor, enabling faster data transfer and advanced 3D capabilities. The single probe is designed for whole-body imaging across a wide frequency range (1-12 MHz) and supports over 20 clinical applications. The device connects seamlessly to compatible iOS and Android mobile devices via the Butterfly app, providing a user-friendly interface for real-time imaging and control. Key advancements in the iQ3 include a novel “no focus” rubber lens for intuitive anatomy identification, a smaller and lighter ergonomic design, and configurable control buttons for enhanced comfort and efficiency. It integrates with advanced AI tools like iQ Slice™ and iQ Fan™ for automated image capture, Auto Bladder Volume Calculation, and Auto B-Line Counter, simplifying diagnostic decisions and streamlining workflows. The system is designed to democratize medical imaging, making high-quality ultrasound affordable, easy-to-use, globally accessible, and intelligently connected for a wide range of healthcare professionals and settings.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Ultrasound-on-Chipu2122 technology for whole-body imaging
  • Single probe for 20+ clinical applications (1-12 MHz frequency)
  • Compatible with iOS and Android devices
  • AI-powered imaging tools: iQ Sliceu2122, iQ Fanu2122, Auto Bladder Volume, Auto B-Line Counter, NeedleVizu2122
  • B-Mode, M-Mode, Color Doppler, Power Doppler, Pulsed-Wave Doppler, Biplane Imagingu2122
  • Ergonomic design: 17% smaller probe face, 7% shorter probe, 3 configurable buttons
  • Fast data transfer rate (9.6Gb/s) and 2x faster processing power
  • Durable, military-grade tested hardware (IPX7 waterproof, IP6X dustproof, 4-ft drop test)
  • Unlimited secure cloud storage and de-identified study sharing
  • Integrated education suite: ScanLabu2122, Butterfly Academyu2122, on-demand videos

Use Cases

  • Point-of-care diagnostics in emergency medicine, critical care, primary care
  • Ultrasound-guided procedures (e.g., venipunctures, arterial access, regional anesthesia)
  • Assessment of cardiac, lung, abdominal, vascular, and musculoskeletal conditions
  • Maternal health and gestational age estimation
  • Medical education and training programs
  • Remote healthcare delivery and clinical research

What Physicians Need to Know

Evidence Base
The Butterfly iQ3 is FDA cleared and indicated for a broad range of clinical applications, including Peripheral Vessel, Small Organs, Cardiac, Abdominal, Lung, Procedural Guidance, Urology, Fetal/Obstetric, Gynecological, Musculoskeletal, and Ophthalmic imaging. It incorporates AI-powered imaging tools like Auto B-Line Counter for lung assessment and Auto Bladder Volume Capture. Studies support the diagnostic accuracy of Butterfly's portable devices compared to cart-based models, and its utility in prehospital lung ultrasound for acute heart failure.
Clinical Validation Studies
A blind study conducted by a third-party vendor, Intellisurvey, involved 475 physicians across more than eight specialties comparing Butterfly iQ3 images to those of GE Vscan Airu2122 CL. The majority rated iQ3's overall image quality higher. The FDA clearance for the iQ3 was based on verification and validation testing demonstrating substantial equivalence to a predicate device, and did not require new clinical studies for this premarket submission.
Alert Fatigue Management
While not a traditional software-based clinical decision support system with alerts, the iQ3's design and AI features contribute to efficiency. Its rapid boot-up, portability, and AI-assisted tools like Auto B-Line Counter and Auto Bladder Volume aim to provide quick answers and streamline workflows, indirectly reducing cognitive load and the potential for alert fatigue by offering immediate, relevant information at the point of care.
Differential Diagnosis Support
The iQ3 provides high-resolution images and AI-powered tools that assist in making more confident diagnostic decisions across various applications. It enables bedside assessment for conditions such as pneumonia, CHF, asthma exacerbation, pneumothorax, joint effusions, cellulitis vs. abscess, and bladder volume calculation. New 3D imaging capabilities, iQ Slice and iQ Fan, simplify and expedite image acquisition, capturing multiple slices for comprehensive assessment at the bedside or for specialist review, akin to CT or MRI workflows.
Clinical Workflow Integration
The Butterfly iQ3 is a portable, handheld POCUS system designed for immediate bedside use, fitting in a pocket and booting up in seconds. This reduces reliance on cart-based systems and outside imaging, expediting clinical decisions. It connects to compatible iOS and Android devices. The integrated Compass AIu2122 software platform streamlines workflows, documentation, and connects to EHRs, PACS systems, and billing departments for secure image sharing, compliant documentation, and charge capture. Configurable control buttons enhance user-friendly navigation and quick scans.
Decision Audit Trail
Butterfly Network employs robust data protection and security measures for customer data in Butterfly Cloud, including AES 256-bit encryption for data at rest, monitoring, and logging. Access controls are enforced through strict user authentication, and administrators of a Butterfly Cloud team subscription maintain full control over user access. The Compass software facilitates archiving of images and documentation, which inherently supports an audit trail of scans and associated patient data.
Physician Tip

Leverage the Butterfly iQ3's portability and rapid imaging for immediate bedside assessments to accelerate diagnosis and treatment decisions. Utilize the AI-powered tools such as Auto B-Line Counter, Auto Bladder Volume, and NeedleViz to enhance confidence and efficiency, particularly for less experienced users. Take advantage of the new 3D imaging capabilities (iQ Slice, iQ Fan) for more comprehensive views, and integrate the captured data into existing workflows for specialist review when necessary. Familiarize yourself with the extensive educational resources provided by Butterfly Network to maximize the utility of the device across its wide range of clinical applications.

The Butterfly iQ3 integrates with compatible iOS and Android mobile devices for display and control. Its accompanying Compass AI software platform is designed for enterprise-wide deployment, offering integration with Electronic Health Records (EHRs), Picture Archiving and Communication Systems (PACS), and billing systems to streamline documentation, image archiving, and charge capture. The platform is device-agnostic, capable of archiving images from other ultrasound brands, indicating a broader integration capability within a healthcare system's imaging infrastructure.

Details

Category Clinical Decision Support & Reference, Radiology & Imaging AI
Pricing Paid, subscription required
  • Probe: $3,899 (1 probe); $7,798 (2 probes)
  • Software Membership (required): Core Technology Plan: $299/year (billed annually after 3-year commitment); Advanced Technology Plan: $420/year (billed annually after 3-year commitment)
DeploymentMobile app (iOS/Android) to Butterfly Cloud, with DICOM connector for EMR/PACS integration.
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

The Butterfly iQ3 Ultrasound System received FDA clearance in January 2024. Additionally, Butterfly Network received FDA clearance in March 2026 for a fully automated Gestational Age (GA) Tool integrated into its handheld ultrasound platform, marking the first approved AI-powered blind-sweep ultrasound solution for estimating gestational age.

Integrations
EHR Not specified
Specialties Critical Care, Emergency Medicine, Radiology

What the Web Says

The Butterfly iQ3 Ultrasound System is a portable, handheld ultrasound device that has garnered significant attention from physicians and tech reviewers for its improved image quality and versatile single-probe technology. It's designed for point-of-care ultrasound (POCUS) across various specialties, offering a polished app, cloud workflow, and AI features. While praised for its innovation, some users have raised concerns about its cloud dependency, subscription model, and customer service.

Overall: Mixed

Strengths

  • Significantly improved image quality compared to previous models, especially for cardiac and MSK imaging.
  • Single probe technology combines linear, convex, and phased array capabilities, offering versatility for whole-body scans.
  • Compact, sleek, and portable design, fitting comfortably in hand and pocket, making it easy to transport and use in diverse settings.
  • Faster data transfer rate and quicker charging with a magnetic, space-saving charger.
  • Programmable buttons on the probe for adjusting gain, depth, or starting recordings, minimizing the need to interact with the connected tablet.
  • Integrated user education suite and AI-assisted tools enhance usability and diagnostic capabilities.

Limitations

  • Requires a software subscription for full functionality, including cloud storage, which can be a significant turnoff for some users.
  • Cloud-dependent image storage introduces risks in areas with poor connectivity.
  • Some users have reported unreliable customer service and warranty issues, with probes failing and difficulty getting replacements.
  • Older Butterfly probes may become obsolete with new software updates, raising concerns about consumerism and corporate greed.
  • Can be heavier than some competitors due to its built-in power supply, potentially affecting ergonomics during prolonged use.
  • Primarily optimized for iOS devices, leading to restricted functionality for Android users who pay the same subscription and hardware costs.

Based on reviews from: iQ3 reviewed by Dr. Cecilia Leggett, Maternal Fetal Medicine fellow at Stanford University, Butterfly iQ3 Review 2026: Price, Subscription, Alternatives - Suresult, We Compared The Butterfly iQ3 With The Philips Lumify - FOAMfrat, iQ3 Cardiac Preset, reviewed by Dr. Steve Erickson, family physician | Butterfly Network, iQ3 MSK Preset, reviewed by Dr. Steve Erickson, family physician | Butterfly Network, Butterfly iQ3 Unveiled: Core Ultrasound's Comprehensive Review and Insights, Part 1, Exploring Butterfly iQ: A Hand-Held Ultrasound Device That Went to Space - TrialX, Butterfly IQ3 : r/anesthesiology - Reddit, Any thoughts on the new iQ3 probe? : r/BFLY - Reddit, We Compared The Butterfly iQ3 With The Philips Lumify : r/BFLY - Reddit, Warning POCUS users- Butterfly ultrasound building in obsolence : r/emergencymedicine, Clarius PAL HD3 vs Butterfly iQ3: Which Is the Best POCUS? - TodoPocus, Butterfly Ultrasound and the like - for those of you that have them, do you find them useful or more so a gimmick? : r/anesthesiology - Reddit, Product Review: Butterfly iQ Ultrasound | Emergency Physicians Monthly, 8 Butterfly iQ3 Alternatives for Point-of-care Ultrasound (Including a True No-Subscription Fees Option) | DRSONO

Last updated: 2026-07-17

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Press & Coverage

Medical Device Network
Butterfly iQ3 Ultrasound System details
The Butterfly iQ3 ultrasound system, approved by the FDA in January 2024, features an ergonomic design, smaller probe faces, a more powerful battery, and doubled data processing speed for improved image resolution and 3D capabilities.
2024-03
Your Observer
New internal imaging system in use by Sarasota County EMS | Your Observer
Sarasota County Fire Department has implemented the Butterfly iQ3 ultrasound system, allowing paramedics to conduct live telemedicine consults with medical directors and enhance emergency medical practices.
2025-09
MDPI
POC Sensor Systems and Artificial Intelligenceu2014Where We Are Now and Where We Are Going?
This peer-reviewed article discusses the swift regulatory progress for point-of-care ultrasound, noting the FDA 510(k) clearance of the Butterfly iQ3 on January 4, 2024, and expanded AI functionality.
2025-09
HMP Global Learning Network
Sarasota County Fire Department Implements Mobile Ultrasound Technology into Emergency Response
The Sarasota County Fire Department has integrated the Butterfly iQ3 ultrasound system into its emergency response, enabling paramedics to perform real-time telemedicine consults and improve patient care in critical situations.
2025-09
Research Nester
AI in Ultrasound Imaging Market To Hit USD ~2261 Million by 2033
Butterfly Network released the Butterfly iQ3 ultrasound system to the U.S. market in February 2024, priced at $3,899, enhancing ultrasound imaging with advanced 3D capabilities.
2024-08
FDA
K232808 - 510(k) Premarket Notification - FDA
This FDA regulatory document, dated January 4, 2024, details the 510(k) Premarket Notification for the Butterfly iQ3 Ultrasound System, indicating its clearance for diagnostic ultrasound imaging.
2024-01
Community Foundation of Southeast Kansas
Rita J. Bicknell Women's Health Fund giving circles grant $59,205 to women's health in 2024 | Community Foundation of Southeast Kansas
The Hospital District 1 Crawford County Foundation will acquire a Butterfly iQ3 Ultrasound System to improve women's health services at the Girard Medical Center Clinic of Frontenac.
2024-10
TradingView
BFLY's Embedded Partner Unveils Breakthrough in Brain Imaging Tech - TradingView
Butterfly Network's partner, Aleph Neuro, recently showcased high-resolution 3D images of the human brain captured non-invasively using Butterfly's Ultrasound-on-Chip platform, highlighting the expanding potential of the technology beyond traditional diagnostics.
2026-07

Videos

Product demos, reviews, and walkthroughs for Butterfly iQ3 Ultrasound System.

View all on YouTube

Frequently Asked Questions

The Butterfly iQ3 integrates several AI-powered tools designed to streamline workflows and improve diagnostic confidence. These include iQ Slice and iQ Fan for automated 3D image acquisition, Auto Bladder Volume Capture for quick bladder volume calculations, and Auto B-Line Counter for dyspnea assessment. It also features NeedleViz technology to enhance confidence during guided procedures.
The Butterfly iQ3 received FDA clearance in January 2024 and holds CE Mark approval, complying with the Medical Device Regulation 2017/745 in the EU. Butterfly Network is also SOC 2 (Type 1) certified, adhering to HIPAA, HITECH, and GDPR regulations to ensure robust patient data security and privacy.
The Butterfly iQ3 device itself has a retail price typically ranging from $3,899 to $4,699. However, full functionality, including access to AI tools, Doppler modes, and cloud storage, requires a mandatory annual subscription, with plans like Core ($299/year), Advanced ($420/year), and Clinics ($3,500/year).
While versatile, the Butterfly iQ3's full capabilities are tied to a mandatory subscription, which some alternatives offer without. It is also noted to be heavier than some competitors due to its built-in power supply, which might impact ergonomics during prolonged use. Additionally, its portability relies on connection to iOS or Android host applications.
Physicians have several alternatives to the Butterfly iQ3, including the GE Vscan Air, Philips Lumify, Clarius HD3, Exo Iris, DRSONO Tri-scan Max, and Mindray TE Air. Some of these alternatives may offer different strengths, such as superior image quality in certain applications or no-subscription models.
Butterfly Network prioritizes data security and patient privacy by being SOC 2 (Type 1) certified and compliant with HIPAA, HITECH, and GDPR regulations. The Butterfly Cloud allows for data localization and encrypts all data in transit and at rest. Administrators also maintain full control over user access to private data within a team subscription.
Yes, the Butterfly iQ3, particularly with its Compass AI integrated software platform, is designed to connect to EHR systems. This integration aims to streamline workflows, facilitate documentation, and make it easier for scans to be saved and billed.

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Suggest an Edit → | Last Verified: 2026-04-17 | First Added: 2026-04-17
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