HEINE visionPRO Video Laryngoscope: an anesthesiologist’s perspective on modern requirements

We received an expert review of the HEINE visionPRO video laryngoscope following its evaluation at the V.A. Negovsky Research Institute of General Reanimatology. In this article, we share the key observations and conclusions obtained during the assessment of the device.

TL;DR

• The HEINE visionPRO video laryngoscope was evaluated at the V.A. Negovsky Research Institute of General Reanimatology.
• Clinicians confirmed that the display remains clear and readable even under bright operating room lighting, without glare that interferes with anatomical visualization.
• A randomized crossover simulation study (University Hospital of Strasbourg) showed that HEINE visionPRO provides higher image quality and produces fewer reflections compared to McGrath®Mac.
• At the same time, intubation time, first-pass success rate, and subjective ease of use with HEINE visionPRO are comparable to McGrath®Mac.
• In 2026, a prospective RCT (NCT06676462, 100 patients) is being conducted, comparing HEINE visionPRO with a hyperangulated HyMac 3 blade to GlideScope — one of the most widely used video laryngoscopes.
• HEINE visionPRO supports hyperangulated HyMac 3 blades used for intubation in patients with predicted difficult airways.
• The device is compatible with blades of classic curvature, allowing both videolaryngoscopy and direct laryngoscopy with a single instrument and preserving direct intubation skills.
• During the evaluation, clinicians noted that clear visualization of anatomical landmarks increases confidence during intubation, especially in cases with non-standard anatomy.
• Intubations performed with videolaryngoscopy can be documented in a standardized way (blade type, POGO score, difficulty); the VCI scale shows high inter-rater reliability (89.1%).

The full expert review based on current research data and clinical experience is provided below. 

Enjoy reading!

HEINE visionPRO Video Laryngoscope: an anesthesiologist’s perspective on modern requirements

Review document

Videolaryngoscopy today is not just an alternative to direct laryngoscopy, but a method that is reshaping safety standards in anesthesiology. According to international guidelines (Guidelines on strategies for the universal implementation of videolaryngoscopy, 2025), there is a need to transition to the universal use of videolaryngoscopy in all departments where tracheal intubation is performed.

Implementing this approach requires not only organizational changes but also technically advanced equipment. As part of an evaluation conducted at the V.A. Negovsky Research Institute of General Reanimatology, we had the opportunity to thoroughly assess the new HEINE visionPRO video laryngoscope and analyze its compliance with the highest modern standards.

HEINE visionPRO: an engineering solution for real clinical practice

VisionPRO Video Laryngoscope

HEINE visionPRO is a device designed to ensure fast, reliable, and safe intubation. Its key feature is an anti-glare display.

In operating rooms and intensive care settings, where bright lighting can interfere with visibility and reduce image quality, this display provides a clear, high-contrast image without glare. This not only improves ease of use but directly impacts safety: according to modern standards, optimal visualization of the glottis is the foundation for successful first-pass intubation.

Disposable blades are convenient and easy to replace, although they require additional financial investment.

Evidence base and clinical effectiveness: overview of current studies

Before the evaluation, we reviewed the currently available data on the effectiveness of HEINE visionPRO.

New documentation standards: the VCI scale

The universal implementation of videolaryngoscopy requires not only reliable equipment but also a standardized approach to documenting tracheal intubation. This is addressed by the VCI (Video Classification of Intubation) scale.

The VCI scale includes three components (blade type, POGO score, and intubation difficulty classification), providing a unified language for describing video-assisted intubation. This improves continuity, audit quality, and training.

Clinical evaluation at the V.A. Negovsky Research Institute: initial observations

Preliminary observations confirm its clinical effectiveness.

• Image quality. The display provides excellent visualization even under bright operating room lighting. Clear anatomical landmarks increase clinician confidence, especially in cases with non-standard anatomy.
• Maintenance of direct laryngoscopy skills. Classic blades allow the device to be used for both videolaryngoscopy and direct laryngoscopy.

Discussion and perspectives

HEINE visionPRO aligns with the current direction of anesthesiology in airway management, combining high-quality visualization, durability, and safety.

The availability of a hyperangulated HyMac 3 blade allows expanded use, including predicted difficult airways, although further study is needed.

In practice, implementing HEINE visionPRO helps improve patient safety and enables standardized documentation using the VCI scale.

Conclusion

HEINE visionPRO represents a significant step forward in airway visualization. Its characteristics and initial evaluation results support its broader clinical use.

The device can become a key element in the transition to universal videolaryngoscopy, aimed at improving patient safety and quality of care.

Contact form

With respect,
Research Fellow, Laboratory of Organoprotection in Critical Conditions, V.A. Negovsky Research Institute of General Reanimatology, FSCC RR,
PhD, Anesthesiologist-Resuscitator
M.V. Gabitov
04.04.2026

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Best regards,
TTT HealthCare Team