BackgroundPercutaneous puncture procedures, guided by image‐guided robotic‐assisted intervention (IGRI) systems, are susceptible to disruptions in patients' respiratory rhythm due to factors such as pain and psychological distress.MethodsWe developed an IGRI system with a coded structured light camera and a binocular camera. Our system incorporates dual‐pathway deep learning networks, combining convolutional long short‐term memory (ConvLSTM) and point long short‐term memory (PointLSTM) modules for real‐time respiratory signal monitoring.ResultsOur in‐house dataset experiments demonstrate the superior performance of the proposed network in accuracy, precision, recall and F1 compared to separate use of PointLSTM and ConvLSTM for respiratory pattern classification.ConclusionIn our IGRI system, a respiratory signal monitoring module was constructed with a binocular camera and dual‐pathway deep learning networks. The integrated respiratory monitoring module provides a basis for the application of respiratory gating technology to IGRI systems and enhances surgical safety by security mechanisms.