Hybrid Operating Room

UConn Health First Hospital in U.S. with Augmented Reality Surgical Microscope

Dr. Ketan Bulsara and Dr. Daniel Roberts use the new augmented reality microscope

Dr. Ketan Bulsara and Dr. Daniel Roberts use the new augmented reality microscope in the hybrid OR at UConn John Dempsey Hospital.


UConn Health is the first hospital in the nation to acquire a high-tech surgical microscope with augmented reality capabilities to visually assist surgeons during complex neurological and spinal surgeries. This technology — the latest added to UConn Health’s state-of-the-art hybrid operating room — provides surgeons with an enhanced 3D visualization of the surgical field at the highest magnification possible. It can also illuminate the blood flow through various brain tissues, making more precise surgical interventions possible.

“The advanced augmented reality, image-guided microscope allows us to go beyond what we can normally see with our naked eye and traditional microscopes. It allows practitioners from multiple surgical specialties to treat even more complex lesions more safely,” says Dr. Ketan Bulsara, chief of the Division of Neurosurgery at UConn Health.

The microscope’s unique FusionOptics technology allows a surgeon to see greater anatomical detail with increased sharpness, such as the tiny distances between the smallest blood vessels and nerve structures, without needing to refocus the microscope. It also has the ability to brightly light up tiny blood vessels in the brain to distinguish them from other surrounding brain tissue, helping surgeons navigate the complex and delicate surgical field.

The microscope also includes a video camera that allows surgeons to choose one of three enhanced overlays to amplify the view of the surgical field. The three views are a real-time, highly magnified naked anatomy; a black-and-white, fluorescence-enhanced view to see greater tissue dimensions and blood flow; and a brightly colored, fluorescence-enhanced view of naturally colored anatomy to see the intricate blood flow and tissue outlines during a microsurgical procedure.

The ARveo Augmented Reality microscope is made by Leica Microsystems, a developer and manufacturer of microscopes and scientific instruments for the analysis of microstructures and nanostructures.

Hybrid OR Expands Surgical Capabilities


This spring, neurosurgery chief Dr. Ketan Bulsara and his team were the first to perform surgery in UConn John Dempsey Hospital’s 1,200-square-foot hybrid operating room.

The team leveraged the new high-tech room and its dual advanced X-ray imaging capabilities to guide a successful minimally invasive neurological procedure.

“There are not many biplane hybrid operating rooms in the United States, and there are only a handful along the East Coast,” says Bulsara. “The biplane imaging provides surgeons multiple views and not only makes patient care safer but also allows surgeons to do things that we could not ordinarily do inside the operating room.”

The hybrid room gives surgeons the ability to perform a range of procedures in one setting, from minimally invasive treatments to the most complex neurosurgery, interventional cardiology, and vascular procedures.

“The hybrid operating room allows surgeons to choose what they feel is the best treatment for that patient,” says Bulsara.

According to Bulsara, the hybrid room enables UConn Health to continue providing world-class care to its patients while shaping the future of surgery and medicine and optimizing the personalized care given to each individual patient.

The hybrid operating room is a new tool for us that allows us to deliver health care in ways we have never been able to before.

UConn Health’s Dr. Stephen Lahey, chief of the Department of Cardiothoracic Surgery, says he couldn’t agree more.

“The hybrid operating room enables us to deliver health care in ways we have never been able to before,” says Lahey. “We now have all the advanced radiological equipment inside a huge operating room.”

All the high-tech equipment in the hybrid OR hangs from the ceiling, including imaging equipment, large plasma screens, and LED boom lights that assist surgeons with brighter and sharper lighting of the surgical field. A high-resolution video system provides real-time video and photo imaging during surgery for direct communication with the Department of Pathology or teleconferencing and live broadcasts of surgery for physician training and medical education.