It's got to be an IR2184S, in this case "PWM" would supply the switching frequency and "IR21"(?) would control the shutdown function via Q2. Moreover, this half-bridge driver provides ample amounts of output current, so it's possible to switch substantial mosfets fast enough for the present job. And with a 600V high-side margin, it's suitable for direct mains applications...
This still doesn't explain why your mosfets are failing. Does the failure cause collateral damage (i.e. blowing resistors, damaging the driver) or does it just blow the mains fuse and with the replacement of the damaged transistor(s), everything's working again for the time being?
In that case, I could well imagine that the problem is located completely elsewhere, for example a wonky contact at the ultrasound transducers. Since the output circuit appears to be some kind of resonant LC arrangement, if the power won't be consumed in the transducers, it will be reflected and may easily damage the mosfets. Same thing may happen if there's an internal connection problem in one of the power capacitors. I guess you've got to check a lot of components with accurate equipment (decent LCR bridge) if something appears slightly "off"... Some faults will be virtually impossible to identify with low-level meters, like arc-overs in inductors.
Seems like a decent piece of work...
