Real Case Study- The application of EagleView Ultrasound in lung scanning

Real Case Study- The application of EagleView Ultrasound in lung scanning

Zephyr

Pulmonologist

An 86-year-old man was sent to our emergency room for shortness of breath. Chest film revealed cardiomegaly and increased opacity over right hemithorax and blunt bilateral costophrenic angles. Sonography was ordered to determine whether the right hemithorax was filled with pleural effusion or it was a consolidation of the right lung.
Chest film showed increased opacity over the right hemithorax.
Chest film showed increased opacity over the right hemithorax.
We used Eagleview ultrasound during ward rounds and a diagnosis of pleural effusion was made immediately. The video showed the general survey of the patient’s right and left hemithorax. In the general survey, we would start from the side with fewer problems, and place the probe perpendicularly to the ribs at the mid-scapular line and shift downward gradually. When we reach the costophrenic angle, we would rotate the probe parallel to the ribs to see the image without shadows. In the survey of left hemithorax, the bat-wing sign was seen initially that represented the normal lung field, and then hypoechoic pleural effusion appeared. The still image showed a small amount of pleural effusion. on the left side and a large amount of pleural effusion on the left side.

On the contrary, hypoechoic pleural effusion was detected initially on the right side, presenting a large amount of pleural effusion. The collapsed lung is barely seen on the still image due to the pleural effusion is too large.

Small amount pleural effusion with left lower lobe passive atelectasis, diaphragm, and spleen.
Small amount pleural effusion with left lower lobe passive atelectasis, diaphragm, and spleen.

 

A large amount of pleural effusion, diaphragm, and liver.
A large amount of pleural effusion, diaphragm, and liver.
Under the left decubitus position, after sterilization and local anesthesia, thoracocentesis was performed over the right 6th ICS at the posterior axillary line. Then, a pig-tail catheter, 8 Fr., was inserted over the same route via a two-step method and fixed at 15cm under Eagleview ultrasound guidance.
The sonography demonstrated a pigtail catheter inserted into the pleural space filled with pleural effusion and a collapsed lung.
The sonography demonstrated a pigtail catheter inserted into the pleural space filled with pleural effusion and a collapsed lung.
Chest film showed a pigtail catheter inserted into the right pleural space.
Chest film showed a pigtail catheter inserted into the right pleural space.
We checked the pigtail catheter position again after the procedure and the chest film showed the pigtail catheter is in the right position. His breath smoother after then.

Generally, the Eagleview ultrasound completed its mission to help clinicians to diagnose pleural effusion and did help we do some sono-guided interventions. The image quality of the convex side is fair as expected. Maybe the image quality would improve in the next vision with more elements.

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Choose the One from All- An Objective Review of EagleView Ultrasound

Choose the One from All- An Objective Review of EagleView Ultrasound

POCUS Introduction

Point of care ultrasound (POCUS) is now a game changing survey for patients in emergency department or critical care unit. The traditional ultrasound machines provide good quality of images but they are heavy and expensive. Especially in the era of COVID-19, a portable, easy-to-use and easily disinfected ultrasound machine is a must for physicians.

Choose the one from all PORTABLE ULTRASOUND MACHINES

To choose a suitable device for POCUS, I did a review chart of the brands and portable devices in the market. As a physician, both convex probe for abdominal survey and linear probe for vessel evaluation are necessary. Sector probe could be replaced with convex probe in critical care condition so that is not so important. Wireless feature is necessary in the COVID-19 era. Price is also an issue if your hospital cannot buy one for you.

 

Comparison of Portable Ultrasound Machines on the Market.

Wellue Eagleview

SonoQue

LeSono

Calrius

GE Vscan

Philips Lumify

Butterfly

Alpinion

Transducer

 

 

 

 

 

 

 

 

Dual

V

V

 

 

V

 

 

 

Convex

 V

V

V

V

V

V

 

V

Linear

 V

V

V

V

 

V

 

V

Sector

 

V

 

V

 

V

V

 

Signal transmission

Wifi

Wifi

Wifi

Wifi

Wifi

Cable

Cable

Cable

Price range (USD)

3200

3200

4000

4900

4495

7000*

1999*

6000

Due to the limited ability to review, some companies may not be included.

Comparison of the Convex Probe for POCUS Use.

Model

EagleView

C5

Vscan air

LeSono LU700C

Lumify C5-2

IQ/IQ+

C1-6

Company

Wellue

(SonoStar)

Clarius

GE

Leltek

Philips

Butterfly Network

Alpinion

Made in?

China

Canada

US

TW

US

US

Korea

Array

Dual

Convex

Dual

Convex

Convex

Phased

Convex

Frequency

(MHz)

3.5/5

2-6

2-5

2-5

2-5

 

1-6

Max depth

30

40

24

18

30

30

30

Modes

 

 

 

 

 

 

 

B-mode

V

V

V

V

V

V

V

M-mode

V

V

V

V

V

V

CF

V

V

V

V

V

V

V

PD

V

V

V

 

V

V

PWD

V

1000 USD

V

 

US and Canada only

V

Size(mm)

 

 

 

 

 

 

 

Height

156

164

131

187

50

163

150

Length

60

78

64

74

30

56

62

Width

20

38

31

40

20

35

25

Weight(gm)

260

392

205

388

135

309

175

Signal transmission

Wifi

802.11g

Wifi

802.11n

Wifi

802.11n

Wifi

802.11b/g

Cable

Cable

Cable

Charging

Wireless

Battery charger

Wireless

Wireless

USB

Wireless

USB

Scan time

4 hours

60 min

50 min

4 hours

USB

2 hours

5 hours

Price

3200

4900

4495

4000

7000

1999

6000

Warranty

1.5 years

3 years

3 years

?

5 years

3 years

1 year

Annual fee

No

No

No

No

199×12*

420

No

Additional feature

Dual head

 

Military drop

 

SonoCT

4-foot drop compatibility

CF: color flow; PD: power Doppler; PWD: pulsed-wave Doppler.

*199USD per month for rental, including machine and pad.

Eagleview Ultrasound Scanner Review

Smartphone sized EagleView is compact and wireless. It is a suitable device for physicians doing POCUS every day and help doctors do sono-guided interventions, such as central venous catheter insertion, pigtail insertion or sono-guided biopsies, in critical care unit.

 

EagleView ultrasound scanner 1

The device I received was in a compact box, including a charger pad, brief manual and the EagleView itself. Then I did some scans on the patients and my self immediately.

 

Case 1: Vessel demonstration

 

Demonstration of left common carotid artery and internal jugular vein in B mode
Demonstration of left common carotid artery and internal jugular vein in doppler

Demonstration of the left common carotid artery and the internal jugular vein in B mode(left) and with color doppler(right). This picture is suitable for sono-guided needle placement.

These were the images obtained from a 95-year-old man who was admitted to ICU for septic shock and we need to place a central venous catheter for him.

Case 2: Pleural effusion

Demonstration of bilateral pleural effusion 1
Demonstration of bilateral pleural effusion 2

Demonstration of bilateral pleural effusion. The left picture shows a small amount of pleural effusion with collapsed lung, diaphragm and spleen. The right picture shows a large amount of pleural effusion, diaphragm and liver.

These images were obtained from an 80-year-old man with heart failure and general edema. Chest film showed bilateral blunt costophrenic angles. We planned to place a pigtail to drain his pleural effusion out.

Case 3: Image quality check on health subjects

To check the image quality of EagleView, we do some scans on healthy subjects.

 

  1. Thyroid survey
Thyroid and common carotid artery in B mode
Thyroid and common carotid artery with color doppler mode

Thyroid and common carotid artery in B mode and with color doppler.

Thyroid isthmus and trachea.
Sagittal view of thyroid gland.

Thyroid isthmus and trachea.

Sagittal view of the thyroid gland.

Images of thyoid scan on a 35-year-old healthy man.

2. Abdomen review

Left lobe of liver

Left lobe of liver

Portal area

Portal area

Right lobe of liver

Right lobe of liver

Hepatorenal fossa

Hepatorenal fossa

Common bile duct

Common bile duct

Gall bladder

Gall bladder

Images of abdominal scan on a 35-year-old healthy man.

Conclusion

It’s a compact, lightweight, wireless portable ultrasound scanner with good quality of linear probe and fair quality of convex probe. The boot-up is quick within 30 seconds if you boot the device first and then open the smartphone app. However, the image quality is still not good enough to do the cardiac evaluation. The machine becomes warm after working for around 10 minutes. I dare not test its durability and still trying to find a box fit for it.

 

Generally, it’s a machine worth its price and could help doctors without an ultrasound machine or with really old ultrasound machines.

Why EagleView Should Be Your First Handheld Ultrasound?

Why EagleView Should Be Your First Handheld Ultrasound?

Today’s, medical practitioners, all around the world are considering an app-based Handheld Ultrasound Scanner, often known as ultrasound system. If you are using an Android or Apple device, you can select the best one available from a range of options to befit your suit your image quality requirements, speciality as well as budget.

 If you’re new to ultrasound imaging and the prospect of spending $20,000 to $80,000 is a barrier to purchasing a system of your own, we have a better choice for you. 

Given a small clinic like ours, a portable ultrasound is important as it helps to save the space required for the storage.Pricing wise, it is way cheaper than other ultrasounds that I have seen which costs up to SGD $20,000. Dr. Wong Lin Ho explains.

Let’s explore 5 reasons we think Eagleview Ultrasound is ideal for you.

 

EAGLEVIEW™ DUAL-HEAD WIRELESS HANDHELD ULTRASOUND SCANNER

1

Suit your budget, one-time purchase for all-in-on device

 

Compared with other handheld ultrasound devices on the market, eagleview is obviously your first choice in terms of price. There is no membership,   no extra fees for any service, one-time purchase for all you need.

EAGLEVIEW™ DUAL-HEAD WIRELESS HANDHELD ULTRASOUND SCANNER

2

Easy to operate, simple to sync with Mobile/ PAD

 

Support both iOS and Android, connect to your smartphone or tablet within seconds.The mini ultrasound gives the premium quality image on your palm within few minutes.

You don’t need to worry about changing or disappearing ports on smart devices. It works with an application, and you can also connect via Bluetooth. You can connect with Wi-Fi as well to most iOS as well as Android devices.The best thing is – you never have to worry about the potential consequences of changing or disappearing your smart devices.

ONE FLIP, FROM SHALLOW TO DEEP.

3

No need to replace probes, one machine can use the whole body

 

By possessing linear and convex heads at the same time,  you can scan the whole body within one smart scanner. By simply flipping around the device, you can switch from shallow exams to deep exams. From the deep structures within the abdomen, superficial anatomy, the extremities and even to the heart.

4

Bring  “completely wireless” to reality,take it to the bedside of every patient

 

With Wellue Eagleview wireless handheld ultrasound scanner, you can scan in wireless, completely. Now, you can get rid of cables, chargers or wires that are really complicated to carry on the go. You don’t need any limited hand movements around the human body when you operate it. You will be amazed to see that your scanner and smart device will work together and separately, and that’s too at the same time.

With only about 260g (0.6lbs), it contains everything you need to image a full human body. Put it in your pocket and bring it to the bedside of every patient. Designed for more remotable and efficient diagnosis.

“EagleView has become our crew’s favorite gear. We carry it everywhere, on our way to emergent care or in the office. Countless shifts, it’s always in my pocket. Thanks for making this!

Seen many handheld ultrasounds on the market, Uprobe is the few able to bring  “completely wireless” to reality. Rather than paying attention to the wires which block my vision frequently, I finally can concentrate on my patient’s condition.”

5

Easy To Disinfect With Wireless.

 

To reduce contamination and encourage disinfection, wireless probes and tablets are the most suitable ultrasound equipment as they can be easily wrapped in single-use plastic covers. These devices are also less expensive than more traditional machines. Portable machines can be used if wireless equipment is unavailable, but those covid-19 patients must be strictly dedicated to patients. Maximum sterilization procedure must be followed for cases, inspection and keyboard cover.

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What Medical Practitioners Have to Say about EagleView Ultrasound

What Medical Practitioners Have to Say about EagleView Ultrasound

Wow! Extraordinary diagnostic tool! This should be in every clinician’s pocket!

GABRIEL P.

In a busy orthopedic practice, I utilize ultrasound to visualize musculoskeletal pathological conditions ranging from sprains and strains to ligament/tendon ruptures. I can also visualize correct needle placement when injections or aspirations are required. The resolution is very clear and the scanner is easy to use one-handed, due to ergonomic design and the multipurpose button on the side of the instrument for capturing images.
No more lugging around a heavy and cumbersome ultrasound machine! This is light weight and the battery is long lasting. Additionally, the customer support from Wellue is exceptional. Responses were timely, courteous, and professional. I was so satisfied with my original purchase, that I recently ordered a 2nd scanner for my colleague! In all honesty, we are likely to phase out all of our older machines and replace them with these! I am 100% happy with this purchase and strongly recommend!
Eagleview linear head wireless ultrasound in MSK
Eagleview linear head wireless ultrasound in MSK2
Eagleview linear head wireless ultrasound in MSK3

Very good picture indeed!!!

 Dr. Perikles, anesthesiologist in Athens

I would like to send you a picture of an incidental finding of a thyroid nodule, during my routine airway ultrasound examination in a patient.
Very good picture indeed!!!

A shot from my patient’s right common carotid artery with color dappled.

 

 

right common carotid artery
airway ultrasound examination

Given a small clinic like ours, a portable ultrasound is important

 Dr. Wong Lin Ho, MB BCh BAO and Prof. Wong Pang Ong, PhD, OFJ Medical

50 year old Asian, male, presented to our clinic with dysuria, haematuria and Right loin tenderness. He was previously seen at ED on the same day but the x-ray was inconclusive.

We subsequently utilized the Dual-Head Ultrasound from Wellue and subsequently discovered a renal stone within the right kidney.

Given a small clinic like ours, a portable ultrasound is important as it helps to save the space required for the storage. The rapid charging function also reduces the time required for us to charge prior to usage.

Pricing wise, it is way cheaper than other ultrasounds that I have seen which costs up to SGD $20,000.

 

 

The right kidney
The right kidney
Can sleep apnea kill someone?

Can sleep apnea kill someone?

Yes, you could not avoid the death threat by sleep apnea. The Murderer of Princess Leia Christmas in 2016, Princess Leia, Carrie Fisher, left us forever. Star Wars official commented to her: “She's Princess Leia all over the world and our most special friend...” Her...