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Fundamental diagnostics like the percussion still require the in person expertize of a physician. To meet today\u2019s challenges, a transformation of the manual percussion into a standardized, digital version, ready for telemedical execution is required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In conjunction with a comprehensive telemedical diagnostic system, in which patients can get examined by a<jats:italic>remote-physician<\/jats:italic>, a series of three robotic end-effectors for mechanical percussion were developed. Comprising a motor, a magnetic and a pneumatic-based version, the devices strike a pleximeter to perform the percussion. Emitted sounds were captured using a microphone-equipped stethoscope. The 84 recordings were further integrated into a survey in order to classify lung and non-lung samples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study with 21 participants comprised physicians, medical students and non-medical-related raters in equal parts. With 71.4% correctly classified samples, the ventral motorized device prevailed. While the result is significantly better compared to a manual or pneumatic percussion in this very setup, it only has a small edge over the magnetic devices. In addition, for all ventral versions non-lung regions were rather correctly identified than lung regions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The overall setup proves the feasibility of a telemedical percussion. Despite the fact, that produced sounds differ compared to today\u2019s manual technique, the study shows that a standardized mechanical percussion has the potential to improve the gold standard\u2019s accuracy. While further extensive medical evaluation is yet to come, the system paves the way for future uncompromised remote examinations.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s11548-021-02520-z","type":"journal-article","created":{"date-parts":[[2021,11,24]],"date-time":"2021-11-24T20:47:22Z","timestamp":1637786842000},"page":"795-804","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Telemedical percussion: objectifying a fundamental clinical examination technique for telemedicine"],"prefix":"10.1007","volume":"17","author":[{"given":"Roman","family":"Krumpholz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Fuchtmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Berlet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annika","family":"Hangleiter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Ostler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hubertus","family":"Feussner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Wilhelm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,11,24]]},"reference":[{"key":"2520_CR1","unstructured":"Auenbrugger L (1761) Inventum novum, ex percus-sione thoracis humani ut signo abstrusos interni pectoris morbos detegendi, vol\u00a01. 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The study including the human participant was approved by the ethical board of Klinikum rechts der Isar, of the Technical University Munich on 12\/16\/2020 (application number 621\/20 S-KH).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights"}},{"value":"This articles does not contain patient data.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}