DOI: 10.24019/issn.2532-0831

Online ISSN 2532-0831

Journal of Theoretical and Applied Vascular Research

Journal website: http://www.vasculab.eu/jtavr.xml

JTAVR 2026;11(1):255

IRIS™ : a new Oculus immersive device for remote interactive collaboration of surgical experts

JF Uhl¹, P Nataf^1,2, J Jorge³, S Bernard⁴, JR Mogorron Huerta¹, JP Reyes Gonzalez⁵, CA Rodriguez Herrera⁶, CH Quihuis⁷, LF Lugo Quiroga⁷, S Rodriguez Moroyoqui⁷, R Pesqueira Elias⁷

Abstract Background: Virtual reality and artificial intelligence are transforming all areas of medicine, particularly 3D anatomical imaging and surgery. Training and simulation are used daily in endoscopy and surgery, and are always image-guided, providing accurate 3D models thanks to AI-powered automatic anatomical segmentation. Fields of use: surgical specialties with high anatomical complexity: Surgical oncology: resection margins, tumor–vessel relationships; Neurosurgery: planning craniotomies and brain tumor resections; Maxillofacial surgery: facial reconstructions and orthodontic planning; Orofacial surgery and implantology; Traumatology: complex fractures, bone deformities, prosthetic surgery; Thoracic surgery: lung resections, minimally invasive cardiac surgery; Hepatic and lung surgery: preoperative planning for segmentectomy Objective: The new IRIS(TM) Oculus device enables interactive and collaborative remote connections for discussing complex anatomical surgical cases using an immersive reality headset (Meta Quest 3S). This new image-guided technology is set to transform surgical planning! Benefits in education, simulation and training surgery: The system includes a platform (Iris browser) and an Oculus(TM) app that enables multiple surgeons to collaborate on discussing the 3D anatomy of the same patient before making surgical decisions based on CT Angioscan DICOM data. A dedicated server automatically reconstructs 3D segmented models using an advanced algorithm to enhance anatomical accuracy and segmentation quality. IRIS is a research prototype for surgeons; it is not yet a certified medical device. Conclusion: IRIS(TM) represents a groundbreaking advancement in immersive medicine, particularly in surgery and oncology, where a multidisciplinary approach is essential. It automates the segmentation process and enables real-time remote collaboration, thereby enhancing clinical decision-making and fostering team coordination. IRIS also supports enhanced pre-surgical planning and interdisciplinary communication, and serves as an excellent educational tool for surgical simulation, AI-assisted segmentation, and anatomy learning.