1423. Remotely Proctoring Surgeries Utilizing Real-time Intra-operative Glasses

Authors: Jonathan J. Lee, MD; Jonathan Lee, MD; Saeed Sadrameli, MD; Gavin Britz, MD, MBA (Houston, TX)

Introduction: The surgical field is a constantly changing and evolving practice. Recently, there has been a push to “telemonitor” open surgeries using intra-operative glasses. Methods: Our project hopes to expand the next level of surgical innovation using intra-operative glasses. We will test the outcomes of surgeons proctoring other surgeons from a remote site. We will use Surgical Theater's Augmented Reality (AR)-360 Intra-op Glasses to set up a platform of remote surgical visualization. Surgeons in the operating room will wear these glasses at select times. Another remote surgeon will be able to visualize the surgery using live feed from the camera on the AR-360 glasses. In this initial phase, we will assess the practicality of using intra-op glasses. Using surgeon and proctoring surveys, we hope to gather information as to whether or not using these intra-operative glasses could be expanded in the surgical field on a long-term basis. We will also provide commentary on the history and current front-runners of telemonitoring in the operating room (e.g., Google Glass, etc.). Results: Although a major aim of this project is to provide a history and current scope of the use of telemonitoring in the operating room all over the world, we hope to launch our project in the next few weeks to have results finalized early 2019. Our outcomes for the surgeon/assistant are the following: Ease of wearing (comfort) the glasses, ease of set-up, ease of navigating through the surgery, quality of feedback from the proctoring surgeon, quality of the visual field, gaze disruption, distraction, and quality of audio feedback. Similar outcomes will be analyzed for the proctoring surgeon. Conclusion: There is a heavy push to telemonitor neurosurgical operations. A history and current trend of telemonitoring will be discussed here, as will be our primary results using augmented-reality intra-operative glasses at our institution.