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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Erwin Cornips, MD

Erwin Cornips, MD

Neurosurgeon

Maastricht UMC+, Maastricht, Netherlands

User

Location information

Hospital address

Maastricht UMC+ P. Debyelaan 25 Maastricht Netherlands 6229 HX Netherlands

Hospital type

Public

Hospital description

Academic (Residency Program)

Description

I am a fully trained part-time pediatric, part-time adult neurosurgeon. My main interest and experience is in hydrocephalus, complex hydrocephalus, cranial endoscopy, transnasal (endoscopic endonasal) pituitary surgery, vagus nerve stimulation, spinal cord tumors, hindbrain herniation, syringomyelia, spinal dysraphism, tethered cord, cranial and spinal arachnoid cysts, and finally thoracoscopic, more specifically thoracoscopic microdiscectomy as a treatment of symptomatic thoracic disc herniations. I also occasionally use my thoracoscopic experience for corporectomies, e.g. in cases with a thoracic hemvertebra causing severe kyphoscoliosis.

For hydrocephalus, we use Miethke Paediatric GAV, adult GAV, proSA, ProGAV2, ...

For cranial endoscopy, we use Aesculap Minop 0 and 30 degrees scope In adults, and STORZ Little Lotta in children.

For pituitary surgery, we use modified Cappabianca set and 0 and 30 degrees STORZ scopes, as well as Brain Lab KICK EM (electromagnetic) navigation (also used in complex hydrocephalus).

For spinal navigation, we use the O-arm (Medtronic). We have a very strong collaboration with adult and pediat4oc orthopedic surgeons in our hospital, doing most complex (instrumented) procedures together skin to skin.

For thoracic disc herniations, we have one of the largest single center series in the world, including almost 600 cases operated thoracoscopically to date ( all operated by a single surgeon (Erwin Cornips). We are currently training a second surgeon, and implementing the technique in another nearby hospital to reduce our waiting list, as we have many referrals from outside our primary referral area (Belgium, The Netherlands, occasionally Germany and France). We have developed our own technique (part of my PhD project that will be finished next year), using Aeculap MIASPAS set, STORZ 3D HD thoracoscope, flexible trocards, a pneumatic arm holding the scope (single surgeon technique), while sparing the costovertebral joint thus reducing postoperative pain and speeding up postoperative recovery. We have successfully used a thoracoscopic approach in a few children (<18y old) with a symptomatic thoracic disc hernIation, as well as in several children with a thoracic hemivertebra.

Member information

Name

Erwin Cornips

Member type

Clinical department

Specialty

Neurosurgeon

Subspecialties

  • Trained paediatric neurosurgeon

Languages spoken

  • Dutch
  • English
  • French
  • German
  • Turkish

Professional affiliations / memberships

  • ISPN
  • ESPN
  • CNS
  • Other

Social profiles

Current and past partnerships

Has current partners or past partnership experience in these countries

  • Germany
  • Netherlands
  • Turkey

In Germany, more specifically in Aachen, we tried to implement our experience with DBS  in their academic department. Cultural differences at the time (some years ago) were quite strong and active collaboration was suspended. However, some contacts have remained active to date, and recently talks have started to help them getting started with an epilepsy surgery program (which has been strongly developing in our department in adults and more recently in children over the past 10 years). 

In The Netherlands, more specifically in Nijmegen, we are currently implementing our experience with DBS in their academic department (UMCN), helping them to start up a DBS unit, and combaiming forces to become one of the larger DBS groups in the Benelux area. The collaboration is a success, and is now expanding to vascular neurosurgery as well. 

Our soon to be new head of the department (professor Yasin Temel) has Turkish roots yet was born and raised in The Netherlands. He has strong bonds including honorary affiliations with different departments in Turkey. Collaboration mainly focuses on DBS (clinically) as well as basic research in both countries. 

Conditions treated

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

Equipment used

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