Help Lightning

Remote expertise through the power of merged reality

Access to this ground-breaking technology is included at no cost with an InterSurgeon clinician membership. Help Lightning allows experienced surgeons to guide and interactively assist others during operations in real-time, anywhere in the world.

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What are the benefits of Help Lightning for surgeons?

In light of the pandemic, and for the foreseeable future, the conventional ways of establishing collaborative partnerships through physical visits are not going to be possible. However, because Help Lightning allows surgeons to collaborate remotely, partnerships can still develop – and more easily than ever before. Help Lightning can be used as a tool for education, mentorship and instruction – as well as for intraoperative case management. It allows both surgical planning and real-time intraoperative advice.

How does it work?

Watch this video to learn how Help Lightning works. This shows use cases in other industries – it’s every bit as useful with surgical applications and can also be used hands-free. All you need to use Help Lightning is your smartphone and an internet connection, though it can also be used with tablets, desktop computers and smart surgical glasses.

Download a beginner’s guide to Help Lightning here: Help Lightning Basic Training

Virtual help in real-time

Help Lightning uses Merged Reality to blend two real-time video streams – e.g. that of a remote surgical expert and another surgeon that needs help – into a collaborative environment. This Merged Reality allows the expert to virtually reach out and direct real surgical procedures or training.

Help Lightning

Use your existing devices

Help Lightning runs on your existing mobile devices (iOS, Android) or a web-browser on laptop and desktop computers.

Surgeons can now provide remote assistance as though they’re working side-by-side. They can telestrate, freeze images, use hand gestures, and even add real objects into the merged reality environment.

Help Lightning Software

Be there instantly

Help Lightning is easy, fast and intuitive.

Once you’re in a merged reality call with a colleague or customer, simply tap the mode to change how you interact. Choose whether you’re giving or receiving help, and start collaborating in seconds. Help Lightning’s unique Merged Reality can add missing visual cues, gestures, and non-verbal communication methods to any session.

Help Lightning
Help Lightning

Using Help Lightning with smart surgical glasses

Take Help Lightning to the next level by pairing it with smart glasses. This innovation allows the wearer to benefit from the assistance of AI or a third-party while performing surgery. When used in conjunction with Help Lightning, smart glasses mean that another surgeon can see exactly what you are seeing and what you’re doing – and also have their hands superimposed over your field of view.

There are a number of models available from different manufacturers including VUZIX, Zebra, and RealWear.

The Advantage of Remote Expertise

Studies show that adding gestures and nonverbal clues substantially improves the speed of understanding. Furthermore, nonverbal cues are 430% more effective than verbal cues and nonverbal cues make Help Lightning’s combination of verbal and nonverbal communication up to 10 times more effective.

Sources: Journal of Nonverbal Behavior, British Journal of Clinical Psychology

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Mark Fisher MD, FACS

Mark Fisher MD, FACS

Plastic, Reconstructive & Burns Surgeon

Johns Hopkins Bayview Medical Center, Baltimore, United States of America


Location information

Hospital address

Johns Hopkins Bayview Medical Center 4940 Eastern Avenue, Suite P3-4-11 JHBMC Pavilion Building Baltimore MD 21224 United States of America

Hospital type

Private University-affiliated

Hospital description

National Specialist Hospital

Hospital website

This is a teaching hospital


The Johns Hopkins Department of Plastic and Reconstructive Surgery is an academic department with expertise in the full spectrum of our specialty including an ABA-certified burn center which serves our region. Training programs in our department include residency training in plastic surgery and multiple fellowship options ranging from microsurgery, craniofacial surgery, burn surgery and critical care, and others. We also have a strong clinical and basic science research program that is well funded and highly productive.

As the director of the Johns Hopkins Bayview Adult Burn Center, I lead the clinical, research, and educational missions of our burn services.

As a reconstructive plastic surgeon, craniofacial surgeon, and microsurgeon, I treat a wide array of other problems as well.

Member information


Mark Fisher

Member type

Individual independent practitioner


Plastic, Reconstructive & Burns Surgeon


  • Burns
  • Acute burns care
  • Post burns reconstruction

Languages spoken

  • Japanese
  • German
  • English

Professional affiliations / memberships

  • American Society of Plastic Surgeons (ASPS)
  • International Society of Burn Injuries (ISBI)
  • American Burn Association

Social profiles

Current and past partnerships

Has current partners or past partnership experience in these countries

  • Uganda

The Johns Hopkins Department of Plastic Surgery has a annual experience via ReSurge International with Kiruddu Hospital in Kampala. I personally have not participated yet.

My current work pertaining to global surgery is mostly with Interburns ( where I am developing a new course on burn reconstruction.

I also teach occasionally with ReSurge International on Burn Surgery.

In the interest of international community building in burn surgery, I also moderate a Burn Surgery WhatsApp! Group. Please contact me if you are interested in learning more about it or joining.

Conditions treated

  • Facial fractures
  • Rhinoplasty and Nasal Reconstruction
  • Head and Neck Reconstruction (neoplasia and traumatic)
  • Excision of Soft tissue Tumors and Skin neoplasia
  • Soft tissue Reconstruction (neoplasia and trauma)
  • Lower extremity Flap reconstruction and salvage
  • Abdominal Reconstruction
  • Liposuction/Fat grafting
  • Microsurgery for free tissue transfer
  • Acute burn care and skin grafting
  • Release of chronic Burn contractures and reconstruction
  • Hand reconstruction (soft tissue and bone)

Equipment used

  • Microscope and micro instruments
  • Facial fracture tray 
  • Hall Drill /K wire driver
  • Hand Fracture tray
  • General Hand Tray
  • Liposuction and fat grafting instruments
  • Dermatome and mesher
  • Craniofacial Tray (Dingman retractor)
  • Headlight
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