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Home » Spiro Robotics earns FDA clearance for image-guided system for tracheal intubation

Spiro Robotics earns FDA clearance for image-guided system for tracheal intubation

July 10, 2026 By Skyler Rivera

An image of Spiro Robotics' Spiro-VISTA system.
Spiro-VISTA features dual image guidance, precise controls, navigation and tube delivery technology. [Photo courtesy of Spiro Robotics]
Spiro Robotics earned FDA 510(k) clearance for its handheld, dual image-guided system for tracheal intubation, Spiro-VISTA.

Clearance authorizes Spiro-VISTA (Video Intubation System for Total Access) to be used as an aid in placing an endotracheal tube during difficult and non-difficult tracheal intubation procedures in adult hospital patients, the company said.

“FDA clearance moves Spiro Robotics from development into commercial launch,” Spiro Robotics CEO Dimitri Sokolov said in a news release. “Our focus now is disciplined execution: limited commercial release, additional clinical studies, and preparation for a Series A financing to further advance commercialization, clinical expansion, and our broader handheld platform strategy.”

Spiro Robotics said that despite improvements in intubation technology, clinicians still face blind spots in difficult airways and lack active control of intubation.

“Difficult or failed tracheal intubation remains a major cause of poor patient outcomes, including severe hypoxia, airway trauma, ICU admission, and in the most severe cases, brain damage, hypoxic injury or death,” the company said in a news release.

More on surgical robotics: Download our July 2026 surgical robotics issue of MDO magazine

Spiro-VISTA provides clinicians with a “fully integrated and actionable approach to airway management regardless of difficulty” with dual image guidance, precise controls, navigation and tube delivery. Its flexible endoscope is servo-controlled and provides robotic precision with 360° articulation and maneuverability, the company said.

In its first-in-human study, Spiro-VISTA achieved 100% successful first-attempt intubation in all 30 patients in the study with no adverse events reported during device use, Spiro Robotics said.

A photo of Spiro-VISTA's endoscope.
Spiro-VISTA’s flexible endoscope is servo-controlled and provides robotic precision with 360° articulation. [Photo courtesy of Spiro Robotics]
Earlier preclinical validation studies yielded the same results. The system achieved first-attempt intubation in under one minute in over 100 cadaver procedures, including Grade 3 and 4 views, lateral and prone positioning and contaminated airways, the company said.

Additional clinical studies are planned to evaluate Spiro-VISTA in critically ill and complex surgical patients where airway management is often high-risk and operationally complex, according to Spiro.

Spiro Robotics said the system was designed as a scalable platform and it may also integrate future advancements in computer-assisted guidance and precision targeting of the vocal cords during airway management. The company also said the handheld platform could potentially support broader applications in airway and endoscopic procedures.

The recently FDA-cleared system is one of the affordable, handheld robotic platforms the company is developing with physical AI that combines advanced imaging, navigation and precision control. Spiro Robotics says it’s beginning with platforms for airway management and plans to expand into additional minimally invasive procedures.

Filed Under: 510(k), Artificial Intelligence (AI), Business/Financial News, Clinical Trials, Featured, Food & Drug Administration (FDA), Otolaryngology/Ear, Nose & Throat (ENT), Regulatory/Compliance, Research & Development, Respiratory, Resuscitation, Robotic-Assisted Tagged With: FDA, Robotic Systems, Spiro Robotics

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About Skyler Rivera

Skyler Rivera is an associate editor at Arrowfly, covering medical device industry news and technology at MassDevice and Medical Design & Outsourcing. She began her career covering sports at The Athletic and MLB before transitioning to medical writing at Edwards Lifesciences. Based in Southern California, she holds a master's degree in science writing from Johns Hopkins University and a bachelor’s in broadcast journalism from Syracuse University. Connect with her on LinkedIn or email at [email protected].

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