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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Roger Härtl

Roger Härtl

Neurosurgeon

Weill Cornell, New York, United States of America

User

Location information

Hospital address

Weill Cornell 525 East 68th Street, Box 99 New York New York 10065 United States of America

Hospital type

Private

Hospital description

Academic (Residency Program)

Description

The Weill Cornell Neurosurgery Program in Tanzania was started by Dr. Härtl in 2008. The program focuses on Bugando Hospital in northern Tanzania, a regional center that serves a population of 14 million people, and on the Muhimbili Orthopedic and Neurosurgery Institute in Dar es Salaam. The program consists of several components:

- Dr. Härtl and his team train local surgeons to perform basic neurosurgical procedures using locally available equipment and
resources. His team conducts “hands-on” training of doctors in Tanzania, empowering them with a high level of expertise in the management of neurosurgical disorders and neurosurgical procedures (Wait and Härtl 2010). Providing the highest level of surgical training to these eager, talented surgeons impacts every other level of care—nursing, anesthesia, intensive care
treatment, general ward care. Setting the bar high encourages a positive response and team effort involving all areas (Härtl).

- Promising surgeons are selected for a short-term observational fellowship at Weill Cornell Medical College in New York. The purpose of this fellowship is to provide motivated surgeons the opportunity to experience high-level neurosurgical care firsthand. This also greatly facilitates the communication between the Weill Cornell team and the Tanzania surgeons once the surgeon has returned home.

-Every year a neurosurgery meeting is organized with international faculty in East Africa that combines lectures, practical workshops, and even live surgeries. Surgeons and nurses from many African countries participate.

- Regular conference calls and Skype conferences are held between the Weill Cornell team and their colleagues in Tanzania to discuss challenging cases and patient management.

- A database and patient registry has been implemented that monitors surgical patient care and ensures quality (Winkler et
al., 2010). The goal is to monitor outcomes of neurosurgical procedures in order to make decisions about the allocation of resources and the success of the current program.
Dr. Härtl is already planning his next mission trip for 2019.

Member information

Name

Roger Härtl

Member type

Individual independent practitioner

Specialty

Neurosurgeon

Subspecialties

  • Adult neurosurgeon

Languages spoken

  • German
  • English
  • Italian

Professional affiliations / memberships

  • WFNS

Social profiles

Current and past partnerships

Has current partners or past partnership experience in these countries

  • United Republic of Tanzania

ABOUT THE WEILL CORNELL NEUROSURGERY PROGRAM IN TANZANIA

The Neurosurgical Mission in Tanzania, now in its tenth year, is conducted in collaboration with the Foundation for International Education in Neurological Surgery (FIENS) and consists of several components:

  1. Our multidisciplinary teams of surgeons, anesthesiologists, nurses, and biomedical engineers train local health care providers to deliver basic neurosurgical care using locally available equipment and resources. We are doing “hands-on” course of doctors and nurses in Tanzania, empowering them with a high level of expertise in the management of neurosurgical disorders and neurosurgical procedures. Providing the highest level of surgical training to these eager, talented surgeons impacts every other level of care—nursing, anesthesia, intensive care treatment, and general ward care. Setting the bar high encourages a positive response and team e ort involving all areas.
  2. After the course our faculty members stay in Tanzania and operating together with our local colleagues. Together we are operating on children and adults in the region, with very good surgical outcomes.
  3. Promising African surgeons are selected for short-term observational fellowships at Weill Cornell Medical College in New York. The purpose of this fellowship is to provide motivated surgeons firsthand experience with high-level surgical care. The close working relationship also greatly facilitates the communication between the Weill Cornell Medicine team in New York and the MOI surgeons once the surgeon has returned to Tanzania.
  4. Every year a neurosurgery meeting is organized with international faculty in East Africa that combines lectures, practical workshops, and even live surgeries. Surgeons and nurses from many African countries participate.
  5. Weekly conference calls and Skype conferences are held between the Weill Cornell team and their colleagues at MOI to discuss challenging cases, patient management, and ongoing research.
  6. An IRB-approved database for traumatic brain and spinal injury has been implemented at MOI to monitor patient care and ensure quality. This and previous projects have led to several publications in peer-reviewed journals.
  7. Each year we fund one European or North American neurosurgeon to live and work in Tanzania for 12 months.