Dexterous Control of an 11-DOF Redundant Robot for CT-Guided Needle Insertion With Task-Oriented Weighted Policies

Computed tomography (CT)-guided needle biopsies are critical for diagnosing a range of conditions, including lung cancer, but present challenges such as limited in-bore space, prolonged procedure times, and radiation exposure. Robotic assistance offers a promising solution by improving needle trajectory accuracy, reducing radiation exposure, and enabling real-time adjustments. In our previous work, we introduced a redundant robotic platform designed for dexterous needle insertion within the confined CT bore. However, its limited base mobility restricts flexible deployment in clinical settings. In this study, we present an improved 11-degree-of-freedom (DOF) robotic system that integrates a 6-DOF robotic base with a 5-DOF cable-driven end-effector, significantly enhancing workspace flexibility and precision. With the hyper-redundant degrees of freedom, we introduce a weighted inverse kinematics controller with a two-stage priority scheme for large-scale movement and fine in-bore adjustments, along with a null-space control strategy to optimize dexterity. We validate our system through both simulation and real-world experiments, demonstrating superior tracking accuracy and enhanced manipulability in CT-guided procedures. The study provides a strong case for hyper-redundancy and null-space control formulations for robot-assisted needle biopsy scenarios.

Humanoids in Hospitals: A Technical Study of Humanoid Surrogates for Dexterous Medical Interventions

The increasing demand for healthcare workers, driven by aging populations and labor shortages, presents a significant challenge for hospitals. Humanoid robots have the potential to alleviate these pressures by leveraging their human-like dexterity and adaptability to assist in medical procedures. This work conducted an exploratory study on the feasibility of humanoid robots performing direct clinical tasks through teleoperation. A bimanual teleoperation system was developed for the Unitree G1 Humanoid Robot, integrating high-fidelity pose tracking, custom grasping configurations, and an impedance controller to safely and precisely manipulate medical tools. The system is evaluated in seven diverse medical procedures, including physical examinations, emergency interventions, and precision needle tasks. Our results demonstrate that humanoid robots can successfully replicate critical aspects of human medical assessments and interventions, with promising quantitative performance in ventilation and ultrasound-guided tasks. However, challenges remain, including limitations in force output for procedures requiring high strength and sensor sensitivity issues affecting clinical accuracy. This study highlights the potential and current limitations of humanoid robots in hospital settings and lays the groundwork for future research on robotic healthcare integration.

Differentiable Rendering-based Pose Estimation for Surgical Robotic Instruments

Robot pose estimation is a challenging and crucial task for vision-based surgical robotic automation. Typical robotic calibration approaches, however, are not applicable to surgical robots, such as the da Vinci Research Kit (dVRK), due to joint angle measurement errors from cable-drives and the partially visible kinematic chain. Hence, previous works in surgical robotic automation used tracking algorithms to estimate the pose of the surgical tool in real-time and compensate for the joint angle errors. However, a big limitation of these previous tracking works is the initialization step which relied on only keypoints and SolvePnP. In this work, we fully explore the potential of geometric primitives beyond just keypoints with differentiable rendering, cylinders, and construct a versatile pose matching pipeline in a novel pose hypothesis space. We demonstrate the state-of-the-art performance of our single-shot calibration method with both calibration consistency and real surgical tasks. As a result, this marker-less calibration approach proves to be a robust and generalizable initialization step for surgical tool tracking.

KineDepth: Utilizing Robot Kinematics for Online Metric Depth Estimation

Depth perception is essential for a robot's spatial and geometric understanding of its environment, with many tasks traditionally relying on hardware-based depth sensors like RGB-D or stereo cameras. However, these sensors face practical limitations, including issues with transparent and reflective objects, high costs, calibration complexity, spatial and energy constraints, and increased failure rates in compound systems. While monocular depth estimation methods offer a cost-effective and simpler alternative, their adoption in robotics is limited due to their output of relative rather than metric depth, which is crucial for robotics applications. In this paper, we propose a method that utilizes a single calibrated camera, enabling the robot to act as a ``measuring stick" to convert relative depth estimates into metric depth in real-time as tasks are performed. Our approach employs an LSTM-based metric depth regressor, trained online and refined through probabilistic filtering, to accurately restore the metric depth across the monocular depth map, particularly in areas proximal to the robot's motion. Experiments with real robots demonstrate that our method significantly outperforms current state-of-the-art monocular metric depth estimation techniques, achieving a 22.1% reduction in depth error and a 52% increase in success rate for a downstream task.

MEDiC: Autonomous Surgical Robotic Assistance to Maximizing Exposure for Dissection and Cautery

Surgical automation has the capability to improve the consistency of patient outcomes and broaden access to advanced surgical care in underprivileged communities. Shared autonomy, where the robot automates routine subtasks while the surgeon retains partial teleoperative control, offers great potential to make an impact. In this paper we focus on one important skill within surgical shared autonomy: Automating robotic assistance to maximize visual exposure and apply tissue tension for dissection and cautery. Ensuring consistent exposure to visualize the surgical site is crucial for both efficiency and patient safety. However, achieving this is highly challenging due to the complexities of manipulating deformable volumetric tissues that are prevalent in surgery.To address these challenges we propose \methodname, a framework for autonomous surgical robotic assistance to \methodfullname. We integrate a differentiable physics model with perceptual feedback to achieve our two key objectives: 1) Maximizing tissue exposure and applying tension for a specified dissection site through visual-servoing conrol and 2) Selecting optimal control positions for a dissection target based on deformable Jacobian analysis. We quantitatively assess our method through repeated real robot experiments on a tissue phantom, and showcase its capabilities through dissection experiments using shared autonomy on real animal tissue.

AutoPeel: Adhesion-aware Safe Peeling Trajectory Optimization for Robotic Wound Care

Chronic wounds, including diabetic ulcers, pressure ulcers, and ulcers secondary to venous hypertension, affects more than 6.5 million patients and a yearly cost of more than $25 billion in the United States alone. Chronic wound treatment is currently a manual process, and we envision a future where robotics and automation will aid in this treatment to reduce cost and improve patient care. In this work, we present the development of the first robotic system for wound dressing removal which is reported to be the worst aspect of living with chronic wounds. Our method leverages differentiable physics-based simulation to perform gradient-based Model Predictive Control (MPC) for optimized trajectory planning. By integrating fracture mechanics of adhesion, we are able to model the peeling effect inherent to dressing adhesion. The system is further guided by carefully designed objective functions that promote both efficient and safe control, reducing the risk of tissue damage. We validated the efficacy of our approach through a series of experiments conducted on both synthetic skin phantoms and real human subjects. Our results demonstrate the system's ability to achieve precise and safe dressing removal trajectories, offering a promising solution for automating this essential healthcare procedure.

Autonomous Image-to-Grasp Robotic Suturing Using Reliability-Driven Suture Thread Reconstruction

Automating suturing during robotically-assisted surgery reduces the burden on the operating surgeon, enabling them to focus on making higher-level decisions rather than fatiguing themselves in the numerous intricacies of a surgical procedure. Accurate suture thread reconstruction and grasping are vital prerequisites for suturing, particularly for avoiding entanglement with surgical tools and performing complex thread manipulation. However, such methods must be robust to heavy perceptual degradation resulting from heavy noise and thread feature sparsity from endoscopic images. We develop a reconstruction algorithm that utilizes quadratic programming optimization to fit smooth splines to thread observations, satisfying reliability bounds estimated from measured observation noise. Additionally, we craft a grasping policy that generates gripper trajectories that maximize the probability of a successful grasp. Our full image-to-grasp pipeline is rigorously evaluated with over 400 grasping trials, exhibiting state-of-the-art accuracy. We show that this strategy can be applied to the various techniques in autonomous suture needle manipulation to achieve autonomous surgery in a generalizable way.

JIGGLE: An Active Sensing Framework for Boundary Parameters Estimation in Deformable Surgical Environments

Surgical automation can improve the accessibility and consistency of life saving procedures. Most surgeries require separating layers of tissue to access the surgical site, and suturing to reattach incisions. These tasks involve deformable manipulation to safely identify and alter tissue attachment (boundary) topology. Due to poor visual acuity and frequent occlusions, surgeons tend to carefully manipulate the tissue in ways that enable inference of the tissue's attachment points without causing unsafe tearing. In a similar fashion, we propose JIGGLE, a framework for estimation and interactive sensing of unknown boundary parameters in deformable surgical environments. This framework has two key components: (1) a probabilistic estimation to identify the current attachment points, achieved by integrating a differentiable soft-body simulator with an extended Kalman filter (EKF), and (2) an optimization-based active control pipeline that generates actions to maximize information gain of the tissue attachments, while simultaneously minimizing safety costs. The robustness of our estimation approach is demonstrated through experiments with real animal tissue, where we infer sutured attachment points using stereo endoscope observations. We also demonstrate the capabilities of our method in handling complex topological changes such as cutting and suturing.

SURESTEP: An Uncertainty-Aware Trajectory Optimization Framework to Enhance Visual Tool Tracking for Robust Surgical Automation

Inaccurate tool localization is one of the main reasons for failures in automating surgical tasks. Imprecise robot kinematics and noisy observations caused by the poor visual acuity of an endoscopic camera make tool tracking challenging. Previous works in surgical automation adopt environment-specific setups or hard-coded strategies instead of explicitly considering motion and observation uncertainty of tool tracking in their policies. In this work, we present SURESTEP, an uncertainty-aware trajectory optimization framework for robust surgical automation. We model the uncertainty of tool tracking with the components motivated by the sources of noise in typical surgical scenes. Using a Gaussian assumption to propagate our uncertainty models through a given tool trajectory, SURESTEP provides a general framework that minimizes the upper bound on the entropy of the final estimated tool distribution. We compare SURESTEP with a baseline method on a real-world suture needle regrasping task under challenging environmental conditions, such as poor lighting and a moving endoscopic camera. The results over 60 regrasps on the da Vinci Research Kit (dVRK) demonstrate that our optimized trajectories significantly outperform the un-optimized baseline.

HemoSet: The First Blood Segmentation Dataset for Automation of Hemostasis Management

Hemorrhaging occurs in surgeries of all types, forcing surgeons to quickly adapt to the visual interference that results from blood rapidly filling the surgical field. Introducing automation into the crucial surgical task of hemostasis management would offload mental and physical tasks from the surgeon and surgical assistants while simultaneously increasing the efficiency and safety of the operation. The first step in automation of hemostasis management is detection of blood in the surgical field. To propel the development of blood detection algorithms in surgeries, we present HemoSet, the first blood segmentation dataset based on bleeding during a live animal robotic surgery. Our dataset features vessel hemorrhage scenarios where turbulent flow leads to abnormal pooling geometries in surgical fields. These pools are formed in conditions endemic to surgical procedures -- uneven heterogeneous tissue, under glossy lighting conditions and rapid tool movement. We benchmark several state-of-the-art segmentation models and provide insight into the difficulties specific to blood detection. We intend for HemoSet to spur development of autonomous blood suction tools by providing a platform for training and refining blood segmentation models, addressing the precision needed for such robotics.