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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Rosaline de Koning

Rosaline de Koning


University of Oxford, Oxford, United Kingdom


Location information

Medical school information

University of Oxford University of Oxford Oxford Oxfordshire OX1 2JD United Kingdom

Medical school website


I am a fourth year medical student at the University of Oxford, with a passion for global neurosurgery. I achieved first class honours in my intercalation degree with a focus in neuroscience. During this year, I worked with the Centre for Neural Circuits and Behaviour, conducting original research, and wrote a dissertation in neuro-oncology. I've since completed an online seminar series with the neurosurgical department at the Lenox Hill hospital, in which I was able to study neurosurgery specifically.

As the current president for the Oxford Neurosurgical society, I'm keen to develop research partnerships with global surgeons. I'm currently the Oxford regional lead for NANSIG and look forward to getting involved in international research projects there, and am in the neurosurgical research group with Lifebox GSA, a global surgery organisation in which we conduct research to make global surgery safe and accessible. I would love to continue this work - advocating and working towards safe surgery worldwide - with intersurgeon.

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Rosaline de Koning



Areas of interest

  • General surgery
  • Neurosurgery
  • Obstetrics & gynaecology
  • Plastic, reconstructive & burns surgery

Social profiles

Languages spoken

  • English
  • Dutch
  • German
  • French

Membership organisations

  • The Neurology and Neurosurgery Interest Group (NANSIG) including NANSIG national working groups (e.g. NANSIG Pakistan)
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