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

Kimiko Agari, MD DDS

Kimiko Agari, MD DDS

Oral & Maxillofacial Surgeon

LAC+USC Medical Center, Monterey Park, United States of America


Location information

Hospital address

LAC+USC Medical Center Monterey Park CA 90033 United States of America

Hospital type


Hospital description

First-Level Hospital

This is a teaching hospital

Member information


Kimiko Agari

Member type

Individual independent practitioner


Oral & Maxillofacial Surgeon


  • Cranio-Maxillofacial Trauma
  • Head and Neck Cancer (Resection & Local/Pedicled Reconstruction)
  • Microvascular Free Tissue Transfer
  • Facial Skin Cancer
  • Cleft Lip & Palate Surgery
  • Craniofacial Surgery
  • Dental Alveolar / Oral Surgery
  • Salivary Gland Surgery
  • Paediatric Maxillofacial Surgery
  • Oral Medicine
  • Orthognathic Surgery
  • Jaw Lesions & Cysts
  • Temporomandibular Joint (TMJ) Surgery

Languages spoken

  • English

Professional affiliations / memberships

  • American Association of Oral & Maxillofacial Surgery

Conditions treated

  • Head & Neck Cancer
  • Microvascular Free Tissue Transfer
  • Cleft Lip & Cleft Palate
  • Craniosynostosis, Cranial Meningocele and Facial Cleft
  • Dental-Facial Deformity
  • Fractures of the Upper, Mid and Lower Face
  • Extraction of Teeth including Wisdom Teeth
  • Surgical Removal of Jaw Lesions, Cysts and Tumours
  • Surgical Excision of TMJ Ankylosis & Jaw Joint Replacement
  • Excision of BCC, SCC & Malignant Melanoma & Local Flap Reconstruction
  • Management of Oral Lichen Planus, Submucous Fibrosis and Dysplasia
  • Management of Conditions of the Mouth, Jaws, Face & Neck in Children including teeth

Equipment used

  • Surgical Instruments, Plating Kits & Dental Instruments
  • Diathermy / Bipolar / Monopolar
  • Operating Microscope or Loupes
  • Nerve Monitor or Nerve Stimulator
  • Dermatoscope
  • Electronic Access to 3D Printer (for reconstruction planning)
  • Access to Imaging
  • Dental Materials – Impressions, Obturators, Temporary Fillings
  • Doppler Probe
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