A device obtains ultrasound signals with ultrasound sensors without using ultrasound coupling gels on the face of the device. One such device includes an acoustic coupling pad that is placed on the ultrasound sensors. The acoustic coupling pad replaces conventional water-based ultrasound sensing gels to obviate the need for using such gels that may cause an electrical short circuit between electrode leads of electrocardiogram sensors positioned adjacent to the ultrasound sensors in the face of the device.