Cios Mobile 3D Spin for Robotic Bronchoscopy

Inclusion Criteria: * Subject age 18 years and older * Subject is suitable for elective bronchoscopy * Subject with a moderate to high risk of lung cancer based on clinical, demographic and radiologic information or with suspected metastatic disease * Solid or semi-solid pulmonary nodules of ≥ 1cm and ≤3.5 cm in largest dimension * Nodule is located in bronchial generation 4+ (i.e. beyond segmental bronchus) * Subject is a candidate for CT-guided needle biopsy * Subject is able to understand and adhere to study requirements * Subject is able to understand and adhere to study requirements and able to provide informed consent * Subject is not legally incapacitated or in legal/court ordered institution * Subject has no dependency on the investigator or sponsor Exclusion Criteria: * Lack of fitness or exercise capacity to undergo bronchoscopy under general anesthesia as determined by physician prior to procedure * Acute myocardial infarction or unstable angina ≤ 6 weeks prior to study procedure * Clinically relevant partial trachea obstruction or obstruction of vena cava per physician assessment * Acute respiratory failure, clinically significant hypoxemia, or high respiratory rate (i.e. \> 30 breaths per minute) per physician assessment * Renal insufficiency that presents risk per physician's discretion or liver failure (i.e. CHILD-PUGH Class C) * World Health Organization functional Class IV Pulmonary Hypertension or history of clinically significant mPAP * Known or suspecte…