Can you recommend a video routing system for live case streaming in a hospital operating room?

Yes — for an operating room live case streaming setup, I’d recommend looking at a medical-grade video routing and integration platform rather than a generic AV matrix.

Best-fit system types

1) Enterprise OR integration platform

Good when you need to route video from:

• surgical cameras
• endoscopes
• microscopes
• ultrasound
• patient monitors
• recording/streaming destinations

Examples in this category:

• NDS Surgical / aurora
• Stryker Integration
• Karl Storz OR1
• Olympus Surgical Video Integration
• Barco Nexxis
• Samsung OR solutions in some environments

These systems are designed for:

• low-latency video routing
• multiple display destinations
• recording and archiving
• compliance/security requirements
• integration with hospital AV/IT infrastructure

2) Medical AV over IP routing

If you want more flexible routing across multiple rooms or a larger campus, consider:

• Barco Nexxis
• Crestron NVX or Extron NAV only if your hospital AV team is comfortable adapting them for clinical use, but these are usually more AV-focused than OR-native
• KVM-over-IP / AV-over-IP with healthcare-compliant workflows

This is best for:

• routing one source to many destinations
• remote consultation
• teaching and conference feeds
• centralized recording/streaming

What I’d prioritize

For live case streaming in an OR, the system should support:

• 1080p60 or better (4K if needed, but not always necessary)
• very low latency
• SDI/HDMI and IP inputs
• secure streaming to internal and external destinations
• recording with patient privacy controls
• easy source switching
• redundant power/networking
• infection-control-friendly hardware

My practical recommendation

If this is a single OR or a few rooms and you need a reliable clinical solution:

• Barco Nexxis or Stryker/Karl Storz/ Olympus OR integration are strong options.

If this is mainly for live teaching or broadcast to an auditorium / remote viewers:

• use a medical integration platform for source routing plus a dedicated encoder/streaming appliance (e.g., Haivision, Epiphan, or similar enterprise medical streaming gear).

Important note

Hospital OR video systems should be selected with:

• biomedical engineering
• IT/network security
• compliance/privacy teams
• clinical users
• and the surgeon/endoscopy team

involved early, because workflow matters more than raw specs.

If you want, I can also give you:

1. a shortlist by budget,
2. a recommended system architecture, or
3. a vendor comparison table for OR live streaming.