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Sector · Medicine

Nothing on this page makes a diagnosis. What the glasses carry is another doctor

Fifteen cases, and almost all of them are the same idea: a specialist who is not in the room, seeing what the hands in the room see. One system navigates inside the body and has FDA clearance. One study measured the checklist. One hospital is writing a ban.

Start with what is not here. No case on this page shows glasses reading a lesion and naming a disease. The medical use that actually exists is older and less cinematic: the glasses carry a second pair of eyes into a room where the specialist could not travel, and that is worth more than it sounds.

It started in 2013, when Dr Rafael Grossmann streamed a feeding tube placement at Eastern Maine Medical Center through Google Glass, deliberately choosing a simple procedure and broadcasting nothing that identified the patient. Everything since is that idea at scale. Proximie's platform, with 4K glasses over Vuzix hardware, serves more than 500 providers and 16,000 users in over 50 countries, including cases in Peru and Gaza, and records every procedure. Ohana One connected more than 100 surgeons across 5 specialties in 835 calls by June 2021 and now works in 35 countries, with the mentor able to put a hand into the trainee's field of view. At Chi-Mei Medical Center in Taiwan, an emergency team consulted a cardiac surgeon at another hospital about an aneurysm rupture, and the glasses streamed up to 16 hours without a break. In China, Sir Run Run Shaw Hospital runs an AR telemedicine network out to island clinics in Putuo district, and Qinghai's Haixi State People's Hospital broadcast nine complex operations live to eight municipal hospitals with synchronised annotation. Coverage figures for the Chinese network come from the supplier.

The one that goes inside the body

Augmedics xvision is the exception on this page: not a camera pointed outward but a navigation system, FDA cleared, that shows the patient's 3D anatomy so a spine surgeon places screws while looking at the patient instead of at a monitor across the room. The first US case was at Johns Hopkins. Cumulative figures cited in November 2025: more than 12,000 patients and more than 65,000 pedicle screws across 25 states.

What was measured, and by whom

Stanford and Columbia ran a surgical safety checklist on Google Glass against poster or memory across 80 preoperative time-outs at a large US teaching hospital. Completion reached 100% with the glasses against 76% conventionally, and the checklist ran 18% shorter. The authors also report the cost: the surgeon was isolated from the rest of the team while wearing it.

Two care numbers on this page are vendor case studies, and are labelled as such: a 50% increase in senior podiatry reach at Provide Community in Essex, and, at Uniting in Australia, 9 hospitalisations avoided and roughly 75% less referral time in four to six weeks with only four devices. The Hangzhou emergency triage trial that used Rokid Glass 2 during the Asian Games analysed 80 patients, of whom only 10 wore the glasses arm; that is a formative study, not evidence of practice. The USC team that used consumer Ray-Ban Meta glasses across 18 months of limb preservation surgery reported no device failures and one honest number: battery life fell from about 6 hours to 3 or 4 under heavy use. And the open source hospital ward scenario on GitHub is a planned use case in a project whose own documentation is 45% complete; there is no clinical deployment behind it.

The hospital writing the rule

Erie County Medical Center in Buffalo found it had no policy at all on consumer smart glasses in clinical areas, and started drafting one. The concern is not the surgeon wearing them on purpose. It is that a patient or a member of staff cannot tell whether the visitor across the room is recording, because the camera gives no obvious signal, and stickers sold online cover the indicator LED on the models that have one.

Cited cases

  • Who
    Dr Rafael Grossmann, general and trauma surgeon at Eastern Maine Medical Center
    What they did
    The first surgeon to use Google Glass (Explorer Edition) during a real operation, streaming a percutaneous endoscopic gastrostomy (feeding tube placement) live over a Google Hangout. He deliberately chose a simple procedure so as not to divert attention from the patient, and avoided transmitting anything that identified them.
    What came out of it
    Recognised as the world's first surgery streamed with Google Glass; cited ever since in academic reviews of smart glasses in medicine (e.g. PMC4200676).

    www.bangordailynews.com

  • Who
    Thomas Boillat (Stanford University School of Medicine), Peter Grantcharov (Columbia University) and Homero Rivas
    What they did
    They prospectively evaluated a surgical safety checklist app running on Google Glass against the conventional method (poster or memory) across 80 preoperative time-outs at a large US teaching hospital, between June 2016 and February 2017.
    What came out of it
    The checklist via glasses reached up to 100% completion against 76% for the conventional method, and cut the average checklist duration by 18%; the reported limitation was that the surgeon was isolated from the rest of the team while using it.

    mhealth.jmir.org

  • Who
    Provide Community (an NHS community care provider in Essex)
    What they did
    Equipped junior podiatrists with RealWear Navigator 500 glasses to run hands-free remote video consultations, with live support from senior consultant podiatrists during patient care.
    What came out of it
    A 50% increase in the reach and capacity of the senior podiatry team while maintaining safety, effectiveness and satisfaction; regional winner of the 2023 NHS Parliamentary Awards and of the 2023 Business Culture Award in the innovation category.

    www.realwear.com

  • Who
    Uniting (an Australian aged care network)
    What they did
    Clinical nurses use RealWear glasses to connect residents of care homes directly to a remote GP or specialist, through secure remote support software.
    What came out of it
    In the first 4 to 6 weeks using only 4 devices, the programme avoided 9 hospitalisations, cut specialist referral time by around 75%, removed consultant travel time altogether and produced 10 to 11 extra hours of productivity for frontline teams.

    insights.alloys.com.au

  • Who
    Augmedics (xvision Spine system) and The Johns Hopkins Hospital
    What they did
    An FDA cleared augmented reality headset (xvision/X2) lets spine surgeons see the patient's 3D anatomy as if they had X-ray vision, and navigate instruments and implants while looking straight at the patient instead of turning to a remote screen. The first spine operation with this system in the United States was performed at The Johns Hopkins Hospital in Baltimore.
    What came out of it
    The system, the first of its kind cleared by the FDA, has been used on more than 12,000 patients and for the placement of more than 65,000 pedicle screws across 25 US states (cumulative figures, cited in Nov 2025).

    orthospinenews.com

  • Who
    Chi-Mei Medical Center (the largest integrated health network in southern Taiwan)
    What they did
    Doctors used Vuzix M400 glasses in surgery, intensive care and the emergency department to stream HD video hands-free, look up patient data by voice command and call for remote support. In one case the emergency team consulted a cardiac surgeon at another hospital to assess the severity of an aneurysm rupture. A 2024 Chinese-language report on the same hospital describes the use extended to remote diagnosis before the patient arrives, cross-department and cross-site consultation between the three units, and first-person surgical guidance streamed to intensive care and to medical teaching.
    What came out of it
    Hundreds of hours of use in surgery and training; continuous streaming of up to 16 hours without interruption; instant communication between intensive care and the surgeon after an operation. By 2024 the doctors reported high video quality and better collaboration between teams. Second source, in Chinese: https://hongarvr.com/%E8%BF%9C%E7%A8%8B%E5%8C%BB%E7%96%97-%E5%8F%B0%E6%B9%BE%E5%A5%87%E7%BE%8E%E5%8C%BB%E9%99%A2%E5%BC%95%E5%85%A5vuzix-ar%E7%9C%BC%E9%95%9C%EF%BC%8C%E7%A7%91%E6%8A%80%E8%B5%8B%E8%83%BD%E6%95%91%E6%B2%BB/

    orthospinenews.com

  • Who
    Proximie (a British surgical telepresence platform), with PxLens 4K camera glasses built on the Vuzix M4000
    What they did
    Local surgeons in remote areas carry out complex procedures with support from a specialist surgeon elsewhere in the world, who scrubs in remotely and guides them step by step through the first-person view streamed by the glasses.
    What came out of it
    The platform serves more than 500 healthcare providers and 16,000 users in over 50 countries; every procedure is recorded and stored on the platform for later review.

    www.prnewswire.com

  • Who
    Ohana One (a US nonprofit for international surgical training and assistance), Surgical Sight programme
    What they did
    Connects mentor surgeons in developed countries to local surgeons in underserved regions using Vuzix glasses and Help Lightning software; the mentor can place a hand inside the trainee's field of view through mixed reality, guiding them before, during and after the operation.
    What came out of it
    By June 2021, 835 calls made through the glasses had connected more than 100 surgeons across 5 specialties; the programme has since expanded to 35 countries.

    ir.vuzix.com

  • Who
    Evena Medical (a US medical device startup)
    What they did
    Developed the Eyes-On Glasses System: glasses with stereoscopic cameras and near-infrared light that see the veins under a patient's skin (by picking out deoxygenated haemoglobin) and project the image onto the lenses, helping nurses get venous access on the first attempt, with an option to connect to the electronic medical record.
    What came out of it
    Presented as the first wearable, hands-free, cart-free system to deliver real-time anatomical imaging; it targets the problem that up to 40% of IV punctures need more than one attempt.

    www.imedicalapps.com

  • Who
    Sir Run Run Shaw Hospital, Zhejiang University School of Medicine (Hangzhou)
    What they did
    A registered clinical trial (NCT06623825) tested Rokid Glass 2 AR glasses in emergency department triage during the 19th Asian Games in Hangzhou (2022/2023), comparing a glasses group (connected over 5G at around 30 Mbps) against the conventional two-way radio triage process.
    What came out of it
    80 patients analysed in total (10 in the glasses group, 70 in the control group); the study was approved by the hospital's own ethics committee and published in JMIR Formative Research in 2025.

    pmc.ncbi.nlm.nih.gov

  • Who
    Hangzhou Lingban Technology (Rokid) and Sir Run Run Shaw Hospital of Zhejiang University
    What they did
    An augmented reality telemedicine network led by Sir Run Run Shaw connecting the central hospital to primary-level units, including Yuyao People's Hospital and 11 health units on islands in Putuo district, for real-time remote surgical guidance and procedure teaching; the same system supported the medical plan for the 2023 Hangzhou Asian Games.
    What came out of it
    Reported coverage of more than 100,000 people in island areas and more than 100 care protocols integrated into the system, according to the supplier.

    www.cn-healthcare.com

  • Who
    Lee M. Feraru, David C. Klonoff and David G. Armstrong, University of Southern California (USC) and Adventist Health White Memorial Hospital
    What they did
    They integrated consumer Ray-Ban Meta glasses into limb preservation and foot and ankle reconstruction surgery over 18 months, using voice commands to document key surgical moments in the first person, train residents and carry out real-time telementoring.
    What came out of it
    The first publication documenting use of Ray-Ban Meta glasses in surgical practice; HD first-person recording with no device failures reported; battery life fell from around 6 hours to 3 or 4 under heavy use. Published in the journal Surgical Innovation (2025).

    diabeticfootonline.com

  • Who
    Haixi State People's Hospital, Qinghai
    What they did
    Performed Qinghai province's first 5G plus AR remote diagnosis and treatment surgery, streaming nine complex operations live, including endoscopic retrograde cholangiopancreatography and laparoscopic resection of hepatic echinococcosis, to 8 municipal and district hospitals in the region, with real-time annotation synchronised between sites.
    What came out of it
    Cited as the first case of its kind in the province and as an extension of remote surgical teaching to primary-level hospitals in inland China.

    finance.sina.com.cn

  • Who
    Erie County Medical Center Corp (Buffalo, New York), Julie Kline, director of human resources
    What they did
    The public hospital is considering banning or restricting consumer smart glasses (such as Ray-Ban Meta) from clinical areas after HR realised it had no clear policy on the subject; the central concern is that patients and staff do not know whether they are being recorded, which could amount to improper exposure of protected health data.
    What came out of it
    The case became a reference point in the US regulatory debate: hospitals are under pressure to write an explicit policy against unapproved recording devices, since the camera on the glasses gives no obvious recording signal (and stickers sold online cover even the indicator LED on the models that have one).

    www.beckershospitalreview.com

  • Who
    Iam5tillLearning (independent maintainer of the GitHub repository OpenSource-Ai-Glasses)
    What they did
    An open source AI glasses project (hardware based on RV1106B boards, SDK in C/C++) lists among its planned use cases a hospital ward round scenario: the doctor or nurse instantly sees the patient's name, bed, main diagnosis and allergy history on entering the room, with an audible and visual alert if vital signs (heart rate, saturation, blood pressure) leave the normal range.
    What came out of it
    The repository describes itself as being at an early stage of development (documentation 45% complete); the medical scenario is presented as a planned use case, not as a real hospital deployment, and there is no evidence of actual clinical use.

    github.com

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