OBJECTIVE The objective of this paper is to investigate if the use of a B-scan ultrasound imaging system can reduce the energy requirements, and hence the power-dissipation requirements to support wireless bio-telemetry at an implantable device. METHODS B-scan imaging data were acquired using a commercial 256-element linear ultrasound transducer array which was driven by a commercial echoscope. As a transmission medium, we used a water-bath and the operation of the implantable device was emulated using a commercial-off-the-shelf micro-controller board. The telemetry parameters (e.g. transmission rate and transmission power) were wirelessly controlled using a two-way radio-frequency transceiver. B-scan imaging data were post-processed using a maximum-threshold decoder and the quality of the ultrasonic telemetry link was quantified in terms of its bit-error-rate (BER). RESULTS Measured results show that a reliable B-scan communication link with an implantable device can be achieved at transmission power levels of 100 pW and for implantation depths greater than 10 cm. CONCLUSIONS In this paper we demonstrated that a combination of B-scan imaging and a simple decoding algorithm can significantly reduce the energy-budget requirements for reliable ultrasonic telemetry.