This document summarizes a new portable ultrasound device called the Signos RT. In 3 sentences: The Signos RT is a low-cost ($5,500), portable ultrasound system that weighs just 300 grams and boots up in under 1 second, providing high quality imaging comparable to cart-based systems costing over $100,000. It is designed for point-of-care use by physicians in specialties like emergency medicine, obstetrics, and family practice to obtain rapid ultrasound scans. Feedback from medical professionals was very positive about the image quality and clinical utility of the Signos RT for a wide range of applications from trauma to obstetrics.

1. See More. Do More. Now.

2. NEW Real-time
Hand-held Ultrasound
“Point of Care”
Instant Insight

4. Ultrasound Evolution
Traditional (Cart-Based) Hand-Carried Personal Diagnostic
System System Assistant
$200,000 $50,000 ≈ $5,500
> 100 kg 3-4 kg 300 grams
2- 10 min boot-up 13 sec boot-up < 1 sec boot-up

5. Point-of-Care Ultrasound
Instant Insight | Quick Look Scans
“Rule In” not “Rule Out”
Faster Triage
Adjunct to Physical Exam
Easy to Use

6. Advantages of Signos RT
YES High Quality, Low Cost
YES Truly Portable
YES Point of Care Specific
YES Ease of Use – Wide appeal
Instant Insight

7. Hi-Res Touch Light Weight & Plug Probe directly into Tablet or
Screen Screen Small Laptop
with Zoom &
Pan options
Real Time B-Mode
Stores up to M-Mode
10,000+ Spectral Doppler
images
Voice & Text
Annotation
Interchangeable
Transducer
options
Instant on from
Sleep Mode

8.  Sector Annular Array (S3-5)
◦ High superficial resolution (0-12 cm)
◦ Excellent penetration (18 cm)
◦ Recommended for all applications
 Sector Unfocused (S3)
◦ Lower abdominal (bladder) focus
◦ Good resolution at depth (18 cm)
◦ Cost effective option
 Linear Transducer (8-10 MHz) in
development

9. Handheld Display
and/or
Tablet or Laptop Display

11. Basic Applications
Faster Triage
Fluid Localization
Gross Anatomy e.g.
e.g. FAST Scans,
Liver, Kidneys, Spleen,
Abdominal
Gall Bladder
Pregnancy
Lungs – Fluid,
Confirmation &
Pneumothorax
Fetal
Presentation
Bladder & Central Line Lump
Catheter Placement Analysis
Evaluation

12. Gross Muscle
Target Markets & Applications of Signos RT
FAST Lung Fluid Bladder Pregnancy anatomy AAA Superficial Cardiac Biofeedback
EM / Trauma        
Obs / Midwifery    
Palliative Care    
Resp / Pulmonology   
General / Family Medicine        
Rural & Remote         
Hospitalists (other)      
Physio / Chiro 
Vet (* Companion Animal Specific)      

13. ◦ General Internal Organ Assessments
 Liver – masses, biopsy sight, fluid, blood flow through portal vein
 Kidneys – obvious pathology, free fluid
 Gall Bladder
 Spleen
◦ Basic Obstetrics
 Confirmation of Pregnancy (Ectopic Pregnancy)
 Baby Position
 Crown – Rump Measurements
 Gestational Sac
 Liquor Volume
 Placenta position
 Fetal Heart Rate
 Fetal Biometry
◦ Bladder Scanning
 Post Void Residual Volume
 Pre & Post Surgery
 Obvious pathology in and around bladder – masses, cysts

14. ◦ AAA (Abdominal Aortic Aneurysm)
 Screening for Aneurysm
 IVC
◦ Respiratory
 Thoracentesis - Pleural Effusion (location of fluid)
 Pneumothorax – rule in / rule out
 Lung Slide / Diaphragm movement
 A-lines / B-lines / Consolidation
◦ Palliative Care / Oncolgy
 Paracentesis - Ascities (location of fluid in abdomen)
◦ Trauma / Pre-Hospital
 FAST Scans - Internal Bleeding
 Central Lines / PICC’s
◦ Foreign Bodies / Lumps & Bumps
◦ Muscle Bio-Feedback
◦ Pelvic Floor
◦ TA (Trans Abdominal Muscles)

15. ◦ Veterinary
• Bladders – Cystocentesis, etc
• Kidneys – detect polycystic kidneys, hydronephrosis,
tumors
• Fluid Detection – abdomen or pleural
• Internal Organ Imaging – Liver, Kidneys, Spleen, GB, etc
• Lungs – Fluid, Pneumothorax
• FAST Scans - Trauma

16.  Hospital
 ED, ICU
 Respiratory
 Urology
 Surgical Wards
 Ob / Gyn
 Maternity
 Hepatology
 Oncology
 Palliative Care
 Pediatrics
 Rheumatology

17.  General / Family Medicine
 Hospitals
 Emergency / Trauma / Retrieval
 Veterinary – Companion / Larger Animals
 Palliative Care / Home Care Services
 Midwifery / Fetal presentation / Bladder
 Physiotherapy / Muscle Bio-feedback
 Sports Medicine
 Any where that Ultrasound is used!

18.  I have been involved in selling medical equipment for over 30 years now and cannot
remember when I last had a reaction to a product like we had to the new Signos RT. I
am really please that you guys took on board what we were saying and invested the
money in developing the new device. It really is going to be a great ride
 From a technical aspect, the sonographers scanned a few patients while we were
there and used their existing £150,000.00 units as a comparison. Once they got used
to holding the larger scan head, they found what they were looking for without any
problems at all. They then compared the images obtained on both devices and
everything echo they saw on the big device was shown on the RT in comparable
detail. They were really impressed and kept saying that they could not believe such a
small device could give such high quality images.
 During our training of the midwives who are going to be evaluating the unit, a
number of other doctors arrived to look at the device. They were from Gynae,
Obstetrics, Urology, etc. and all suggested additional uses for the device. Quite a few
would have bought units from me there and then if I would have had stock.

19.  All I can say is "WOW". The reaction was really fantastic. They had a woman who
was 12 weeks and they had no problem finding the foetus and doing a Crown-Rump
measurement. The quality of the images were very well received and the accuracy of
the measurement was spot-on against the £150,000.00 system. Three of the
Midwives used the scanner and all had no problems in finding exactly what they
were looking for.

23. See More. Do More. Now.