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Portugal
Healthcare

ULS São João Uses AR Surgical Helmets for Remote Spine Surgery Training

ULS São João used AR surgical helmets and NOS 5G to share robotic spine surgery with ULS Nordeste for live training.

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Two clinicians wearing hooded surgical helmets work over a draped operating table.
Clinicians use 4LifeLAB surgical helmets during the robotic spine surgery at ULS Sao Joao.

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ULS São João in Porto used surgical helmets with integrated cameras and augmented reality glasses during a robotic spine operation, sharing the procedure live with healthcare professionals at ULS Nordeste in Macedo de Cavaleiros. The connection supported a training session in a new surgical technique, bringing the surgeon’s view to a team approximately 170 kilometres away.

According to NOS, augmented reality in the helmet visor allowed the surgeon to reference and visualise anatomical points, functioning as an intraoperative navigation system. The operation combined robotic surgery with 3D visualisation and navigation. Cameras captured images from the surgeon’s perspective, while NOS’s 5G mobile network carried the live transmission between the hospitals. ULS Nordeste staff followed the intervention and could interact directly with the surgeon.

4LifeLAB developed the surgical helmets. NOS described the intervention as the first use of these helmets to transmit a surgery live between two hospitals. The project brought together ULS São João’s surgical team, 4LifeLAB’s helmet technology, NOS connectivity and ULS Nordeste’s remote participants to support knowledge sharing across the healthcare network.

Quotes

“This robotic spine surgery, performed with a system unique in Portugal, marks a historic moment for national medicine. Through the integration of robotics, augmented reality and 5G connectivity, we managed to share, and interact in real time during, a complex surgical intervention, without compromising the quality or precision of the surgical act. This advance demonstrates how technological innovation can transform clinical practice. At 4LifeLAB and in the Orthopaedics Department of ULS São João, we believe that this is only the first of many surgeries that will redefine how we can train and treat patients as a network within the National Health Service.”

“At NOS, we work every day to put innovation at the service of people. This project is an example of how technology can transform healthcare, bringing professionals closer together and enhancing the sharing of knowledge in real time. This is how we reinforce our commitment to society and to a more connected and human future.”

“This project reinforces the usefulness of new technologies in healthcare by allowing complex surgeries to be followed remotely and incorporating adjuncts, such as robotic surgery, into patient treatment. This improves the safety of procedures and also allows safer and more precise training of healthcare professionals. This partnership will be even more valuable because ULS Nordeste will soon have a robotic spine surgery unit enhanced with 3D imaging, which, if integrated with this device and 5G technology, will allow healthcare in the region to be improved and expanded. We must continue trying to improve healthcare in the Northeast, using technologies that compensate for the distance from major centres.”

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