August 31, 2026
Article
ARINC 818 IP Core was never designed with hospitals in mind. It was written for cockpits a point-to-point digital video protocol, built on the Fibre Channel Audio Video (FC-AV) backbone, created to move uncompressed, low-latency imagery from mission computers to head up displays, multi function displays, and helmet mounted displays on aircraft.
But strip away the aviation branding and what’s left is a protocol engineered around three properties that matter just as much in a hybrid operating room as they do at 35,000 feet: extremely low latency, deterministic and reliable delivery, and the ability to carry high resolution, uncompressed video over long cable runs without introducing artifacts. That combination is exactly what modern medical imaging endoscopy, surgical robotics, intraoperative displays has been chasing for years.
Representative ARINC818-2 Video Chain for a Medical Imaging Application
ARINC 818 IP Core does not hard code a single resolution or frame rate into the protocol itself. Because ADVB is format agnostic, every project defines its own video parameters resolution, frame rate, pixel format, and timing class in a project specific Interface Control Document (ICD), and the IP core is configured to match. That flexibility is what lets the same core carry a small endoscopic sensor feed or a full 4K surgical display feed without changing protocols. Within that framework, the specification and ARINC 818 IP cores define the following practical ranges:
| Parameter | ARINC 818 Support |
|---|---|
| Maximum resolution | Up to 4K @ 60 fps, per ARINC 818-2-compliant IP cores; ARINC 818-3 cores extend this toward 4K/8K at higher frame rates |
| Common resolution range | 720p, 1080p, and 4K are the most widely deployed; any custom resolution can be mapped via the ICD |
| Frame rate range | Commonly 20–120 fps will support. |
| Color / pixel format | Monochrome, RGB, RGBA, and YCbCr |
| Link rate ceiling (818-2) | Up to FC 12x (~10 Gbps, 8b/10b encoding) |
| Link rate ceiling (818-3) | FC 16x/24x/32x (up to 28.05 Gbps, 64b/66b encoding) to support higher resolutions and frame rates |
Medical imaging systems particularly in surgery have converged on almost the identical requirement set that drove ARINC 818’s original design:
An ARINC 818-2 receive core can sit downstream of an image sensor/FPGA video pipeline (demosaicing, HDR, noise reduction, edge enhancement) and hand off the finished frame for low-latency transport to the display console the same role it plays handing frames from a mission computer to a cockpit display.
Where a single camera feed (or a stereo/3D feed) needs to reach multiple monitors in an OR the primary surgical display, a secondary teaching or assist display, and a recording system an ARINC 818-2 switch core’s broadcast/multicast modes map directly onto that need.
Angiography suites, C arms, and other imaging modalities that feed a shared display wall benefit from the same deterministic multi source switching that ARINC 818-2 switches were built to handle for multi display cockpits.
The protocol’s support for both optical and copper transmission, plus its tolerance for extended, EMI heavy cable runs, suits video links between an OR and a remote viewing or consultation room.
Because commercial cores are frequently paired with conversion modules (ARINC 818-to-DVI/HDMI and back), they can act as a bridge layer, letting a hospital integrate ARINC 818 based transport with conventional medical display interfaces without redesigning the whole video chain.
The move of ARINC 818 IP core into medical imaging is a good example of a broader pattern in embedded systems: protocols built for safety critical, latency intolerant environments tend to migrate into any other domain with the same constraints. Surgery, like flight, has very little tolerance for a video frame that arrives late, corrupted, or not at all and that’s precisely the problem this protocol was built to solve.
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