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Updated: Jun 3, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
Published on: January 23, 2026
Robotic end effector for decompression of tension pneumothorax
Carolin Müller1, Robert Roth2, Lars Wagner3
1TUM School of Medicine and Health, University Hospital rechts der Isar, Department of Trauma Surgery, Technical University of Munich, Munich, Germany. caro.mueller@tum.de.
This study introduces a novel robotic end effector for needle decompression, enabling emergency treatment of tension pneumothorax without medical personnel. The system demonstrated high success rates in simulated procedures.
Area of Science:
- Robotics
- Medical Devices
- Emergency Medicine
Background:
- Tension pneumothorax requires immediate intervention.
- Lack of on-site medical personnel limits emergency treatment options.
- Robotic systems offer potential for remote life-saving procedures.
Purpose of the Study:
- Develop and evaluate a robotic end effector for needle decompression.
- Enable emergency intervention for tension pneumothorax without medical staff.
- Assess the feasibility and performance of the robotic system.
Main Methods:
- Designed a compact, modular robotic end effector with single-actuator control.
- Incorporated automated sterile pickup, ultrasound positioning, and quick-switch tooling.
- Validated mechanical performance and needle handling using ex vivo porcine tissue and a simulated pleural pressure model.
Main Results:
- The end effector delivered the required 30 N insertion force.
- The gripper withstood peak axial loads over 290 N, demonstrating robustness.
- Achieved a 90.9% success rate in needle decompression and retraction procedures.
Conclusions:
- This work presents the first robotic end effector for tension pneumothorax needle decompression.
- The proposed design shows reproducible performance and procedural feasibility.
- Enables emergency intervention in remote settings or resource-limited environments.
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