Piezoelectric ultrasonic transducers usually employ composite structures to improve their transmission and reception sensitivities. The geometry of the composite is regular with one dominant length scale and, since these are resonant devices, this dictates the central operating frequency of the device. In order to construct a wide bandwidth device it would seem natural therefore to utilize resonators that span a range of length scales. In this article we derive a mathematical model to predict the dynamics of a fractal ultrasound transducer; the fractal in this case being the Sierpinski gasket. Expressions for the electrical and mechanical ﬁelds that are contained within this structure are expressed in terms of a ﬁnite element basis. The propagation of an ultrasonic wave in this transducer is then analyzed and used to derive expressions for the non-dimensionalised electrical impedance and the transmission and reception sensitivities as a function of the driving frequency. Comparing these key performance measures to an equivalent standard (Euclidean) design shows some beneﬁts of these fractal designs.