Interventional pulmonology
Johnson & Johnson is transforming the trajectory of lung cancer by advancing important innovations and accelerating the development of new applications for this deadly disease.
Interventional Pulmonologists play a vital role in definitively diagnosing lung cancer through minimally invasive procedures, enabling accurate tissue sampling and early detection to guide treatment and improve outcome.
Robotically assisted bronchoscopy represents a small but fast-growing segment of lung biopsy procedures in the U.S. The MONARCH™ Platform is the first flexible, robotically assisted platform for bronchoscopy.1 It provides access to and visualization of airways2,3 to enable healthcare providers to biopsy suspicious lung nodules.2,4,5 An earlier diagnosis is crucial in accelerating opportunities for treatment discussions.6
Featured
Video
Introducing MONARCH™ QUEST
Our latest advancements in navigation technology leverages AI-powered algorithms for navigation and image processing7 and can integrate with both the GE HealthCare OEC 3D Imaging System and Siemens Cios Spin Imaging System.8
Product
Enhance your ability to go after hard-to-reach lung nodules
The MONARCH™ Platform, from Johnson & Johnson
MedTech, provides access to and visualization of airways to enable healthcare providers to biopsy suspicious lung nodules.2,5 An earlier diagnosis is crucial in accelerating opportunities for treatment discussions.6
Product
Innovation. Backed by evidence.
Johnson & Johnson MedTech is committed to the pursuit of clinical evidence to change the course of lung cancer. Explore the compendium of clinical data supporting the efficacy, safety, and outcomes of the MONARCH™ Platform.
Press release
Navigate with confidence
MONARCH QUEST is our most advanced, data-driven
navigation software with AI-Powered algorithms to estimate where the device is and where it is pointed in the anatomy.7
Learning programs
Follow your unique learning journey, from foundational skills to advanced techniques, with expertly-designed programs.
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Physician Learning Journey
The MONARCH™ Physician Learning Journey is thoughtfully designed to immerse physicians and their clinical teams in dynamic, hands-on educational experiences as they prepare to launch their robotically assisted bronchoscopy program. This structured pathway guides learners through progressive stages of training, offering personalized instruction that builds clinical confidence, procedural expertise, and the ability to deliver meaningful impact in patient care.
CORE
Conference of Robotic Endoscopy (CORE)
The Conference of Robotic Endoscopy (CORE) is a series of events that bring together the expertise of Johnson & Johnson and the MONARCH Platform community to deliver focused education and professional development. These events offer a mix of interactive learning, peer-to-peer engagement, and hands-on training designed to enhance clinical
experience—driving better outcomes, one patient at a time.
CORE
Conference of Robotic Endoscopy (CORE)
The Conference of Robotic Endoscopy (CORE) is a series of events that bring together the expertise of Johnson & Johnson and the MONARCH Platform community to deliver focused education and professional development. These events offer a mix of interactive learning, peer-to-peer engagement, and hands-on training designed to enhance clinical
experience—driving better outcomes, one patient at a time.
Future Leaders
Future Leaders Programs
We believe developing the Future Leaders of tomorrow is our priority today. Our mission is to empower the next generation of physician leaders with the knowledge and skills needed to succeed. Our programs offer residents and fellows the opportunity to build clinical confidence, engage in peer-to-peer learning, and participate in hands-on sessions to enhance procedural skills.
Future Leaders
Future Leaders Programs
We believe developing the Future Leaders of tomorrow is our priority today. Our mission is to empower the next generation of physician leaders with the knowledge and skills needed to succeed. Our programs offer residents and fellows the opportunity to build clinical confidence, engage in peer-to-peer learning, and participate in hands-on sessions to enhance procedural skills.
Education library
Go deep or explore broadly through our collection of high-quality learning materials.
Case studies
Diagnosis of a 13mm Right Upper Lobe Nodule with 1.1mm Cryo Probe and Mobile CT (BodyTom)
“The combination of robotic assisted bronchoscopy with vision, advanced intraprocedural
imaging, and the latest tissue acquisition techniques allowed for improved procedural control
and potential diagnostic yield.” - Samir Makani, MD
Clinical summaries
Transbronchial Biopsy Assisted by Robot Guidance in the Evaluation of Tumors of the Lung (TARGET)
With 679 patients, TARGET is the largest
prospective RAB study to date. It demonstrated
that the MONARCH Platform enables safe and
effective localization and sampling of small
peripheral lung nodules.
Peripheral Nodule Dye- Marking with the MONARCH Platform
Diagnosis of Growing 10mm LUL Carcinoid Tumor
Diagnosis & Tissue Acquisition of Difficult to Reach Paraaortic Lymph Node
References
Bronchoscopy Indications for Use: The MONARCH™ Platform and its accessories are intended to provide bronchoscopic visualization of and access to patient airways for diagnostic and therapeutic procedures.
Bronchoscopy Important Safety Information: Complications from bronchoscopy may include breathing difficulty, vocal cord spasm, hoarseness, slight fever, vomiting, dizziness, bronchial spasm, infection, low blood oxygen, bleeding from biopsied site, or an allergic reaction to medications. More serious complications from bronchoscopy may include collapsed lung, respiratory failure, hemorrhage, burns, heart attack, or cardiac arrhythmia.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
The third-party trademarks used herein are the trademarks of their respective owners.
- U.S Food & Drug Administration. 510(k) Premarket Notification. Bronchoscope, flexible or rigid. K152819. Accessed November 26, 2024.
- AURIS. 104-002610-01. MONARCH Platform System Design Verification Report B2.0. December 2019.
- Chen AC, Pastis NJ, Silvestri GA, et al. Robotic bronchoscopy for peripheral pulmonary lesions: a multicenter pilot and feasibility study (BENEFIT). Chest. 2021;159(2):845-852.
- Murgu S, Sterman D, Yasufuku K, et al. Demographic and lesion characteristics in the first 443 subjects enrolled in a multicenter observational real-world robotic bronchoscopy study: interim results from TARGET. Poster presented at: American Association for Bronchology and Interventional Pulmonology 2022 Annual Conference; August 11-13, 2022; Nashville, TN.
- Chen AC, Gillespie CT. Robotic endoscopic airway challenge: REACH assessment. Ann Thorac Surg. 2018;106(1):293-297.
- Khan F, Seaman J, Hunter TD, et al. Diagnostic outcomes of robotic-assisted bronchoscopy for pulmonary lesions in a real-world multicenter community setting. BMC Pulm Med. 2023;23(1):161.
- Auris Health, Inc. Software Design Document. May 2024.
- MONARCH™ Platform User Manual. May 2025
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