“OK Glass: hand me the scalpel, please…” GoogleGlass during surgery!

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Obviously, one of the MAIN concerns regarding the use of Google Glass during surgery, with live streaming of data, would be to take every measure and to ensure the privacy of the patient’s health information (PHI).

That’s exactly what I did. Not only I obtained informed consent about what we were going to attempt (and documented it), but most importantly, made sure that no recording or transmission of any identifying information was done. The streaming of video and photos, to “myself” thru Google Glass, did not reveal any PHI, or even show the patient’s face.

By performing and documenting this event, I wanted to show that this device and its platform, are certainly intuitive tools that have a great potential in Healthcare, and specifically for surgery, could allow better intra-operative consultations, surgical mentoring and potentiate remote medical education, in a very simple way.

To my knowledge, this is the first time that Google Glass has ever been used during live surgery, by a surgeon, and Glass Explorer, with streaming of non-identifying patient information thru a Google Glass Hang-Out.

The patient involved needed a feeding tube (Gastrostomy) and we chose to placed it endoscopically, with a procedure called PEG (Percutaneous Endoscopic Gastrostomy. You can Google that to learn more…). Being the first time, I wanted to do this during a simple and commonly performed  procedure, to make sure that my full attention was not diverted from taking excellent care of the patient.

I arranged for a Google Hang-Out (HO) between my Glass and a Google account I created ahead of time for this very purpose.

The connection is remote. The iPad used as a receiver was just yards away, but it could have been practically thousands of miles away.

Before starting the operation, I briefly recorded myself explaining the planned event, and once again, talked about the importance of not revealing any PHI.

I had Google Glass on at all times, with the HO active thru-out the procedure. The live video images that I saw thru Glass, were projected in the iPad screen, remotely.  We kept the volume down on purpose. We tried to keep it very simple (the KISS principle!) and straight forward. As I said, even the procedure was a simple one.

I was able to show not just the patient’s abdomen, but also the endoscopic view, in a very clever, simple and inexpensive way. I think that there should be ways to directly stream the endoscopic view thru Google Glass ( My friend @Julianmb, also a Google Explorer, and his team of experts from @Droiders are working on that !) but this was a “Poor’s Man’s” set up…

The whole thing was fairly quick and went very well. We used “home-made” techniques, so the pictures and video are not optimal, but I think the point stands: Google Glass Streaming During Live Surgery…By  a Glass Explorer Surgeon…IS POSSIBLE.

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OK Glass: hand me the scalpel, please” !

For other links on disruptive Healthcare Innovation, watch TEDx talks, TEDx Dirigo 2011 “iPodTeletrauma, the $229, 130 million sq. ft. Trauma Room, in your pocket”,

TEDx Bermuda 2013: “OK Glass: I need a surgeon http://youtu.be/fo3RsealvGI

TEDx Dirigo 2013 : “OK Glass”:Disrupt HC http://youtu.be/DVzkw7y4_u4

 

 

163 thoughts on ““OK Glass: hand me the scalpel, please…” GoogleGlass during surgery!

  1. Pingback: medtechinsider » Blog Archive » Glassters Streamer App Enables Telemedicine Using Google Glass

    • Esta es la respuesta “abierta” que yo di a la carta “abierta” del Dr. Guillen:

      Dr. Guillén. Aplaudo su logro con pasión desde aquí en los EEUU. De verdad los felicito.
      Como ya lo he escrito antes en varios espacios, , no se trata de una carrera, sino de divulgar el potencial de una tecnología como esta que tiene un alcance formidable en muchas áreas, incluyendo la nuestra.

      Soy un “Glass Explorer” y como tal vez lo sabrá, desde el comienzo de este año he escrito y hablado en múltiples instancias sobre mi pasión e interés por GoogleGlass aplicado a medicina y a la educación médica.
      Tal vez sabrá, espero que así sea, que Julián Beltrán y yo llevábamos tiempo también hablando y planeando aplicaciones. De hecho, yo puse a Julián e contacto con un buen amigo de Stanford, el Dr. Homero Rivas quien entiendo también fué parte de su experiencia. Me hubiera gustado a mi también ser parte de ella, seguramente hubiera podido aprender yo mucho y tal vez aportar algo.
      De cualquier modo, como le dije antes, para mi no es una competencia sino de difundir las buenas nuevas y aportar al mundo visión de las posibilidades.
      Que la prensa y la medios peleen entre ellos y decidan si ellos quieren.
      Por mi parte yo sigo trabajando ( sólo por aquí y con apoyo de nadie desgraciadamente!) y deseoso que en un futuro cercano podamos tal vez unir esfuerzos.
      Un cordial saludo.
      Rafael José Grossmann Zamora, MD, FACS
      Venezolano en los EEUU.

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  17. Querido Rafael,

    Te agradecería mucho que el 17 de septtiembre de este año, a las 16.00 (hora española), pudieras recibir las imágenes de la Master Class on Surgery sobre una cirugía de Implante de Condrocitos Autólogos cultivados sobre membrana y aplicados con artroscopio sin cables, usando Google Glass. En la web de retransmisión habrá tres pantallas (cámara de sala, google glass y artroscopio), de modo que la información que llegue al espectador sea lo más completa y educativa posible.
    Estoy muy ilusionado de que tú en persona veas y comentes la retransmisión a través de las google Glass. Contaremos además con la presencia de Homero Rivas.
    Escríbenos al email si necesitas información más precisa del evento.
    Un abrazo,

    Fdo: Pedro Guillén

    • Apreciado Pedro.
      Me encantaría ser parte de este proyecto, y contribuir con ustedes en lo posible.
      He hablado con Julián acerca de él y se ve muy interesante.
      Voy a revisar mi calendario, en específico la hora pautada.
      Te agradezco muchísimo tu deferencia y la invitación.

      Envíame otros detalles a Rgrossmann@ EMH.org

      Mil gracias.
      Un gran abrazo.

      Rafael

    • Ya aparté al menos una hora en mi calendario, para este gran evento.
      Mi GMail es Rgrosssz@Gmail.com
      Esto sería a través de un Hangout?
      Tienen que agregarme a la lista de contactos en Glass? Ya Julián me tiend a mi en esa lista, en caso de que estemos usando sus GoogleGlass.
      Gracias de nuevo.

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