I just realized that second panel is a view inside the patient's veins. All those tools she summoned are being downsized and teleported inside, basically a magic version of medical nanobots.
This is what you get if you put Black Jack in Gensokyo.
Right colic artery complete!Now continuing on to the ileocolic artery!Reload the clip applier!Summoning circle coordinates set! Transfer the ultrasonically activated device!Yes!Using the device like that, even though it's his first time...And that's not all...!A... Amazing...