Getting Started / Infrastructure Related
- A Windows/Mac machine (Desired configuration- Intel i3/ i5 or i7 Processor with 4GB RAM. Machine should have atleast one USB 3.0 port- incase if you need to connect HD grabber)
- A Video Grabber Card (VGC) to interface the Laparoscopic / Endoscopic Camera with the computer
- A studio grade microphone to interface the audio (such as Sennheiser)
- A unidirectional microphone is needed if a group of people is interacting through a single mic and common speakers.
- A broadband Internet connection with a sustained upload speed of 2 Mbps
- Access to ports 1935 (RTMP) and 554 (RTSP) of the server fms.lapguru.com (IP: 220.127.116.11). (Required if accessing from a corporate environment with firewalls installed, otherwise this step can be ignored)
- Windows VistaTM
- Windows 7
- Windows XP
- Mac OS X Lion version 10.7.4
- Internet Explorer version 9 and later
- Mozilla Firefox version 12 and later
- Google Chrome version 19 and later
- Safari version 4 and later
- Adobe® Flash® player version 11 and higher
- Adobe® Flash® Media Live Encoder version 3.2 or the latest version available for free on Internet
No. A video grabber card (VGC) is required only if you wish to transmit the video of live surgery. It is basically needed to interface your Laparoscopic / Endoscopic Camera with the computer/laptop.
If you just need to view the surgery transmission, then the grabber card is not required.
The sound from the speaker interferes with the microphone and echoes your voice, thus disturb others. Hence using a separate headphone and microphone is preferred. A studio grade microphone provides the best quality sound.
The latest Laparoscopy / Endoscopy systems have High Definition (HD) digital cameras. However, you need to have high bandwidth Internet connection to transmit a HD quality video. The S-VIDEO and COMP VIDEO outputs of the CCU provide good and acceptable quality videos which can be viewed even at lower bandwidths. The various output options available in a Medical Grade Laparoscopy / Endoscopy Camera Control unit (CCU) are shown here:
Transmitting analog video using a Video Grabber Card
Use the Video Grabber Card (VGC) to connect your computer to the CCU. Below figure shows a typical VGC. A VGC may consist:
A CCU can be interfaced with the computer either by using the COMP VIDEO (Composite Video) or S-VIDEO outs.
| Connecting the computer and CCU using the COMP VIDEO port
|Transmitting digital video using a firewire cable
To transmit the video digitally, connect the Camera to the computer using a firewire cable. You can use a firewire cable with
|Connecting the computer and the CCU using a firewire cable
LapGuru Registration/ Becoming a member
Any Laparoscopic/ Endoscopic surgeon who wishes to watch videos of other Laparoscopic surgeons can register on LapGuru portal. Also any hospitals or medical institutes can become a member on this portal.
LapGuru is an information repository for the less experienced surgeons and a perfect platform for the experienced surgeons to share their knowledge. LapGuru has a number of registered surgeons who are available to answer queries during surgery if they are invited to the surgery transmission and where surgeons transmit the videos of their live surgeries for the other less experienced surgeons to watch and learn.
Yes. You must register on the LapGuru portal in order to watch the surgery video. Registration process is very simple and it hardly takes 2-3 minutes time.
- Open the LapGuru portal - www.lapguru.com
- On the LapGuru Home Page, click Register. The LapGuru Registration page appears
Click Register. You will get a confirmation email from firstname.lastname@example.org on successful registration on the email ID you registered with on LapGuru portal.
I have filled up the registration form and got a pop-up message saying You are successfully registered on LapGuru. We have mailed you the login details on your email. However, I did not get any email.
- Wait for 5-10 mins after completing the registration form to get the email from the LapGuru portal.
- Click Refresh button on your browser once to check whether you have got the mail.
- Check the Spam folder in your mailbox. Sometime, due to anti-spam settings, the mail may go into Spam folder. If you can see the mail in Spam folder, mark as Not Spam (so that the mail will be moved to your Inbox) or Add the user- email@example.com to your contact list.
- Click on Request a new password link on the Login box that opens at the click of Login button on www.lapguru.com .
- Enter the email address which you had filled up while registering on the LapGuru portal.
- Once you enter correct email address, a new password will be sent to your email ID using which you can login into LapGuru portal. You may edit this password later by going to Edit profile page.
Broadcasting LIVE Surgeries
Creating/Editing/Deleting Surgery Schedule
I have a transmitter access on LapGuru. What is the procedure to transmit the video of my live surgery?
- Connecting the CCU to the computer/laptop
For details on the connections, please refer Q. How to connect Camera unit to the computer?
- Flash Media Live Encoder (FMLE) settings
Once the connections between the CCU and the computer are done, you need to start the Adobe Flash Media Live Encoder (latest version of the same can be downloaded from the Internet) to set the input device and configure the video type. This is the one time process which is carried out as mentioned below:
Start the FMLE.
FMLE detects the input device (Video Grabber Card) that you have connected to your computer. You can see the VGC details in the FMLE window.
The Device drop down list in the Video section of the Encoding Options tab lists all the video devices
From the Device drop down list, select the video device that you have connected to your computer as shown below.
To configure this video device, click Video Capture Device Settings A new Settings window pops up.The Settings window enables you to configure the video device.
- On the Settings pop up window, select the Crossbar tab.
Depending on your computer – CCU connections, select either ‘Video Composite In’ or ‘Video S-Video In’ from the Input dropdown list.
- On the Settings window, select the Video Decoder tab.
- Select relevant Video Standard from the dropdown list.
- Click OK.
- The FMLE settings are now complete. Close the window.
- Login to LapGuru portal- www.lapguru.com using your registered email ID & password.
- Schedule a new surgery event for transmission
- Click on button.
- Fill in the required details in the form and click on Save button.
- The surgery schedule that you have created can be seen on the Live Surgeries tab.
- Click on button.
- When you click on this button, the Flash player window will start. Click on Play button on this player and your surgery transmission will start.
I want to transmit the video of my live surgery, but I cannot see any button/ link for scheduling a new surgery event.
I had created a new surgery schedule. However I am unable to find the same on the Live Surgeries tab now.
- The surgery schedules are removed from the Live Surgeries tab once the date for which it was created is already passed. Hence if your surgery schedule was created for a past date, you will not be able to view the same on Live Surgeries tab now, and you will have to create a new schedule by clicking on button.
- The surgery schedules are removed from the Live Surgeries tab if the same does not start within 10 hours from its start time.
I have created a surgery transmission for a particular date; however my plan is changed now. Can I make the changes in scheduled date & time for my surgery?
I wish to broadcast my surgery on LapGuru. Can I provide restricted access for watching the same only to people I wish to invite to watch my surgery?
Yes. You may have a Private transmission through LapGuru, and only people having its unique transmission code will be able to watch the same. To create a private surgery schedule:
- Click on button, after logging to your LapGuru account.
- Select Access Level as Private using toggle button
- On the click of Save. A unique transmission code will be generated and displayed by LapGuru. You can see the same on Live Surgeries tab too such as
- Send this code to the people you wish to invite to watch your transmission. Only such viewers will be able to connect to watch your private transmission.
I would like to broadcast a conference having surgery transmissions from hospitals at multiple locations. Can the viewers watch all surgeries together?
- Yes, the same can be done using LapGuru Conference feature. For creating such conference schedule:
- Go to Conferences tab after Login to your LapGuru account.
- Click on button.
- Create a conference schedule by filling up details in the form such as, Conference title, Start & End Date, and add names of surgeons who are going to transmit surgeries under this conference by clicking on Select Conference access.
- Once the conference schedule is created, the transmitting surgeons may add surgeries to that conference by clicking on button.
- Viewers will be able to see button under this conference schedule. When they click on the same, they will be able to watch all current Live surgeries on the single player page.
Audio/ Video Related
Please ensure that your microphone is properly connected to the computer. The Flash player automatically detects the microphone that is connected to your computer.
- In the Flash player window, Right-click and select Settings.
Click Flash player should show the microphone that is connected to your computer. If the sound is ON, then it will show bars as per the intensity of the sound in the setting below.
- Click Select Allow and Remember.
Using the inbuilt microphone of the laptop can create an echo and can cause a lot of disturbance to the other users. Do not use the inbuilt mic of your laptop instead use a separate headphone and microphone.
I am showing the surgery transmission to a group of people in an auditorium. However, when I speak, there are multiple voices created and that creates a lot of disturbance.
When the speaker is used to transmit audio (like in an auditorium) the user/ trainer should use a unidirectional microphone, otherwise, the audio coming from the speaker will be fed back to the mic and may create an echo.
Now, you need not click Allow every time you start the flash player
I had started the video transmission of my live surgery, however the video got stuck in between/ I was watching the video transmission, however the video got stuck in between.
If the video gets stuck in between, restart the flash player window again as mentioned below:
- Click on Exit transmissionon the flash player window.
- Close the flash player window where you were seeing the video.
- Go back to the Live Surgeries tab, click once again on or and click on Play
I am using LapGuru for training purpose. The quality of the surgery video on my computer is good, but the quality on the projector screen is blurred.
Quality of the video on the projector depends on the quality of the transmitted video. A SD video transmission will look blurred or pixilated on a projected screen, however, if the video is transmitted in HD, the pixilation would be minimal or not there at all.
Viewing Live/Recorded Surgeries
- Registered surgeon on LapGuru portal can Watch Transmission of his choice by clicking on
The select conference access shows the list of current LapGuru transmitters.
Click on Adobe Flash Player window opens
Ensure that you have installed the Adobe Flash Player (version 11 or later) on your computer/laptop.
- Click Play. Adobe Flash Player Settings window pops up.
- Click Allow. The Flash Player plays the video of the surgery that is being transmitted by the other surgeon.
The video quality depends on the source of the video, the bandwidth available at the transmitter end and the type of the transmission (SD, SD+, HD are the types in increasing order of quality). The quality of the video also depends on the speed of the viewer’s Internet connection (bandwidth). Typically, SD will require around 500 kbps of bandwidth, SD+ will require around 2Mbps of bandwidth and HD will require around 4 Mbps of bandwidth.
If the video is getting transmitted at bandwidth higher than that of your available bandwidth, you may see a jerky or choppy video. Ideally, the viewer needs to have same download speed as that of the uploading speed of the transmitter. To check the speed of your Internet connection, please visit http://www.speedtest.net and click on Begin Test.
I clicked on Exit transmission button while I was watching a surgery transmission. Can I re-connect to watch the same surgery?
After clicking on Play on the Adobe Flash Player window, I got an error message- Shockwave Flash has crashed and can see a blank window.
- Open Google Chrome browser window and type about: plugins or chrome://plugins/ in the address bar and press Enter.
- You can see the list of all plug-ins installed in Chrome.
- Look down the list of plug-ins for the Flash entry. If the entry looks like Flash (2 Files) there is a very good chance the source of your Flash-related crashes is a conflict between the two.
- In the upper right hand corner of the browser window there is a small button labeled [+] Details. Click on that to expand the entries for all the plug-ins. Return to the entry for Flash.You should see something like the screenshot above: two entries for Flash, one for the internal Chrome installation (highlighted in red here) and one for the host OS’s installation (seen below the highlighted entry).
You need to click on the Disable link for Chrome’s internal installation of Flash- similar to the one marked in red (make sure you disable the one located in Chrome’s AppData folder and not the separate stand-alone Flash installation). Once you do so the entry for the internal installation should look like so:
- Now close all the Google Chrome browser windows, and restart Chrome and go to www.lapguru.com to watch the surgery videos.
Using LapGuru’s Key features
While I was watching surgery transmission I had drawn some arrow marks and circles on the screen. However later on I clicked on Erase Shape button. Will this clear the marks on the other attendee's screens as well?
- Click on
- Type your comments in the text box.
- Click Send