MERGE Solutions & Vuzix

Improving Operating Room Efficiency with Remote Surgical Support

Case Study | Healthcare, Surgery & Augmented Reality

Overview

Operating rooms are among the most complex and high-cost environments in healthcare. Even small inefficiencies—delayed start times, unnecessary room traffic, or overcrowding—can significantly impact patient safety, infection risk, and hospital costs.

MERGE Solutions, a healthcare technology company focused on surgical efficiency, partnered with Vuzix to deploy smart glasses–enabled remote surgical support. The goal was to reduce operating room congestion, improve communication, and give surgeons real-time access to critical expertise—without requiring additional people in the room.

The Challenge

Modern surgeries often require the presence of Medical Device Representatives (MDRs) to provide guidance on specialized instruments and implants. Traditionally, this meant:

• MDRs physically present in the operating room

• Increased OR traffic and door openings

• Higher infection risk

• Delayed start times when reps were unavailable

• Increased operational costs

During surgery, OR staff must work in a sterile environment with limited access to external information. Once doors close, doctors and scrub techs are isolated and must rely solely on their own knowledge—even when remote expertise could help.

MERGE identified the need for a solution that could:

• Provide real-time MDR support without physical presence

• Reduce OR congestion

• Improve efficiency and decision-making

• Maintain strict sterility standards

The Solution: Smart Glasses–Enabled Remote MDR Support

MERGE Solutions implemented Vuzix M400 smart glasses combined with secure video conferencing and augmented reality tools.

How It Works

• Surgeons or scrub techs wear Vuzix smart glasses during procedures

• A remote Medical Device Representative joins virtually

• The MDR sees exactly what the surgical team sees

• The MDR provides live guidance on instruments, implants, and workflows

• Images, videos, data, and solutions can be delivered directly into the wearer’s field of view

The remote MDR becomes a virtual participant, observing surgery from a first-person perspective without entering the operating room.

Why Smart Glasses Matter in the OR

Smart glasses were critical because they:

• Keep hands completely free

• Preserve an unobstructed surgical field of view

• Eliminate the need for handheld devices

• Reduce cognitive load during procedures

• Maintain a sterile environment

Unlike tablets or monitors, guidance appears exactly where it’s needed—within the surgeon’s line of sight.

Key Benefits in the Operating Room

The solution delivered multiple operational improvements:

Reduced OR Congestion

By removing the MDR from the operating room, overall OR occupancy decreased.

Result:

• 17% reduction in OR occupancy after removing the MDR from the room

Improved Surgical Efficiency

Remote MDRs could:

• Monitor multiple video feeds during live surgery

• Provide timely guidance before, during, and after procedures

• Support multiple surgeries in parallel

This reduced delays and improved start times.

Lower Infection Risk

Fewer people entering and exiting the OR meant:

• Fewer door swings

• Reduced post-operative infection risk

• Better adherence to sterile protocols

Reduced Operating Costs

With remote participation:

• Fewer on-site staff were required

• MDRs could support more surgeries without travel

• Hospitals reduced staffing and operational expenses

Digital Documentation & Implant Tracking

MERGE also digitized implant documentation:

Before MERGE

• Implant usage was recorded manually with paper and pencil

• Data was handed off to nursing staff

• Billing and reconciliation were slow and error-prone

After MERGE

• Implant usage is recorded digitally during surgery

• Records are synchronized with the hospital, surgeon, and device manufacturer

• Invoicing is faster and more accurate

This eliminated manual steps and improved financial workflows.

Results (as of 2023)

The program delivered measurable, real-world results:

• 280 surgeries performed using smart glasses technology

• 3 surgeons, 20 scrub techs, and 5 medical device reps actively involved

• Software and workflows refined to improve OR efficiency and consulting quality

• At least one full person removed from the OR per surgery

• 17% reduction in OR occupancy

• MDR involvement reduced to 20–40% of total surgical time, while still providing full support

Business Impact

With Vuzix smart glasses, MERGE Solutions enabled hospitals to:

• Improve OR efficiency and utilization

• Reduce infection risk

• Lower operating costs

• Improve surgical communication and outcomes

• Scale expert support without adding physical staff

Remote MDRs can now provide expert consultation while:

• Supporting other surgeries

• Working from other hospitals

• Even assisting while traveling

Conclusion

The MERGE Solutions and Vuzix collaboration demonstrates how augmented reality can meaningfully improve surgical operations. By transforming MDRs into virtual participants, hospitals reduce congestion, improve efficiency, and maintain sterility—without sacrificing expertise or care quality.

This case study shows that smart glasses are not just a convenience in healthcare—they are a powerful operational tool for modern operating rooms.