Remote expertise through the power of merged reality

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

Add Help Lightning to your account

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.

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.

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.

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

James T. Goodrich, M.D, Ph.D., DSci. (Hon)

James T. Goodrich, M.D, Ph.D., DSci. (Hon)


Children's Hospital at Montefiore, Bronx, United States of America


In memoriam

In memory of Jim Goodrich who died in March 2020 during the Coronavirus Pandemic. He looked after his patients to the last. He has left an indelible mark in the world of paediatric neurosurgery and gave selflessly of his time to help and educate the nurses and trainees who he came in contact with, not only at Montefiore but also at the ESPN and ISPN meetings and training courses. He presence and wit is much missed. An extraordinary human being and an example to us all.

Location information

Hospital address

Children's Hospital at Montefiore Peditric Neurosurgery 111 East 210th Street Bronx New York 10467 United States of America

Hospital type


Hospital description

Academic (Residency Program)


Dr. Goodrich did his undergraduate work at the University of California, Irvine and completed his graduate work at the Graduate School of Arts and Sciences of Columbia University receiving a Masters and Doctorate of Philosophy. He received his Doctorate of Medicine from Columbia University College of Physicians and Surgeons in the City of New York. Dr. Goodrich is presently director of the Division of Pediatric Neurosurgery at the Children’s Hospital at Montefiore, Montefiore Medical Center, Bronx, New York. Dr. Goodrich holds the academic rank of Professor of Neurological Surgery, Pediatrics, Surgery (Plastic and Reconstructive Surgery) at the Albert Einstein College of Medicine. Dr. Goodrich was recently awarded a Doctorate of Science (Honoris Causa) by the College of Mount St. Vincent, Riverdale, New York. In December of 2009 Dr. Goodrich was honored by the Burdenko Neurological Institute with an honorary doctorate of neurosurgery at a festschrift for Professor Alexander Konovalov. Dr. Goodrich has been an international lecturer having now given lectures in over 75 countries plus been honored as a visiting professor at a number of international universities and hospitals. Dr. Goodrich’s clinical interests are in craniofacial surgery and craniosynostosis along with the development of complex craniofacial approaches to the skull base for tumor, pediatric brain tumors, spinal dysraphism/bifida and pediatric vascular anomalies and trauma. Dr. Goodrich and his craniofacial team has developed an active interest in the separation of craniopagus twins with the team having now consulted on 31 cases worldwide Dr. Goodrich has been a leader in developing hands-on workshops for surgeons in dealing with high-speed drill instrumentation, neuro-endoscopy and implantable devices. To date he has organized and developed over one hundred and fifty postgraduate courses for pediatric neurosurgeons around the world

Member information


James Goodrich

Member type

University academic department




  • Trained paediatric neurosurgeon

Languages spoken

  • Spanish

Professional affiliations / memberships

  • ISPN
  • ESPN
  • AANS
  • ASPN
  • CNS

Social profiles

Conditions treated

  • Hydrocephalus
  • Spinal dysraphism
  • Trauma
  • Tumor
  • Vascular
  • Craniofacial
  • Spine
  • Epilepsy
  • Spasticity
  • Peripheral Nerve

Equipment used

  • Drill
  • Microinstruments
  • Microscope
  • Neuroendoscope Flexible
  • Neuroendoscope Rigid
  • Frameless navigation
  • Spinal instrumentation
  • MRI
  • Angiography
  • CT