Pham et al., created a shoulder-mounted camera system utilizing a GoPro HERO3+, its Smart Remote (GoPro, Inc., San Mateo, California), a high-capacity external battery pack, and a commercially available shoulder-mount harness. This shoulder-mounted system was more comfortable to wear for long periods of time in comparison to existing head-mounted and loupe-mounted systems. Without requiring any wired connections, the surgeon was free to move around the room as needed. Over the past several years, we have recorded numerous MIS and complex spine surgeries for the purposes of surgical video creation for resident education. Surgical videos serve as a platform to distribute important operative nuances in rich multimedia. Effective and practical camera system setups are needed to encourage the continued creation of videos to illustrate the surgical maneuvers in minimally invasive and complex spinal surgery. They describe here a novel portable shoulder-mounted camera system setup specifically designed to be worn and used for long periods of time in the operating room 1).
Recent innovation of the wearable action camera with high definition video recording enables surgeons to use camera in the operation at ease without high costs. The purpose of this study is to compare the feasibility, safety, efficacy of commercially available action cameras in recording video of spine surgery. SUMMARY OF BACKGROUND DATA: There are early reports of medical professionals using Google Glass throughout the hospital, Panasonic HX-A100 action camera and GoPro. This study is the first report for spine surgery. METHODS: Three commercially available cameras were tested; GoPro Hero 4 Silver, Google Glass and Panasonic HX-A100 action camera. Usual spine surgery were selected for video recording; Posterior lumbar laminectomy and fusion. Three cameras were used by one surgeon and video was recorded throughout the operation. The comparison was made on the perspective of human factor, specification and video quality. RESULTS: The most convenient and lightweight device for wearing and holding throughout the long operation time was Google glass. Image quality; All devices except Google glass supported HD format and GoPro has unique 2.7K or 4K resolution. Quality of video resolution was best in GoPro. Field of view; GoPro can adjust point of interest, field of view according to the surgery. Narrow FOV option was the best for recording in GoPro to share the video clip. Google glass has potentials by using application programs. Connectivity such as Wi-Fi and Bluetooth enables video streaming for audience, but only Google glass has two-way communication feature in device. CONCLUSIONS: Action cameras has the potential to improve patient safety, operator comfort, and procedure efficiency in the field of spinal surgery and the broadcasting a surgery with developing of the device and applied program in the future 2).