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. 2026 Jan 1;142(1):197-200.
doi: 10.1213/ANE.0000000000007658. Epub 2025 Aug 1.

Evaluation of a Novel, Image-Guided Robotic Intubation Platform for Difficult Airways: A Prospective Observational Study

Vladimir Nekhendzy  1 , Aurika Karbonskienė  2 , Diana Bilskienė  2 , Jurgita Borodičienė  2 , Lina Kalibatienė  2
Affiliations

Evaluation of a Novel, Image-Guided Robotic Intubation Platform for Difficult Airways: A Prospective Observational Study

Vladimir Nekhendzy et al. Anesth Analg. .
No abstract available

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Conflict of interest statement

Conflicts of Interest, Funding: Please see DISCLOSURES at the end of this article.

Figures

Figure.
Figure.
Spiro-VISTA essential components, controls and assembly. Spiro-VISTA is an investigational airway device not yet cleared or approved for commercial use by the FDA or other regulatory bodies. Spiro-VISTA™ integrates video laryngoscopy (VL) and a robotic (servo-operated), disposable flexible intubation scope (FIS), controlled by an operator using a joystick and buttons embedded in a specialized 2-channel disposable endoscopy blade. The system currently supports standard endotracheal tubes (ETT) from 5.0 to 7.5 mm ID. Fully assembled spiro-VISTA (A) and its key components (A and B): 1—A reusable handheld unit with integrated VL baton and servo controls. 2—A reusable video cable connecting Spiro-VISTA to Spiro’s split-screen monitor (not shown). 3—A disposable, robotic FIS that attaches to the servo control section of the handheld unit. 4—A 2-channel disposable blade with manual FIS controls (highlighted in blue circle), including a joystick and advancement buttons. When the blade is attached, its controls automatically interface with the servo control section of the handheld unit. 5—A standard endotracheal tube (ETT) preloaded over FIS and positioned within the right channel of the blade. The left channel accommodates the VL baton. C, Close-up view of the distal dual-video camera section of Spiro-VISTA. The intubation is observed and controlled fully from above and below the vocal cords using video laryngoscopy (VL) and the flexible intubation scope (FIS) cameras. The VL camera (right) and FIS camera (left) are positioned side by side at the distal end of the 2-channel disposable blade. When the blade tip is engaged either in the vallecula or beneath the epiglottis, both cameras are optimally placed near the larynx, enabling precise, servo-controlled FIS navigation into the trachea. The wire reinforced ETT in the FIS channel is depicted for demonstration purposes only.
See this image and copyright information in PMC

References

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