GRACE: Generalizing Robot-Assisted Caregiving with User Functionality Embeddings

Robot caregiving should be personalized to meet the diverse needs of care recipients -- assisting with tasks as needed, while taking user agency in action into account. In physical tasks such as handover, bathing, dressing, and rehabilitation, a key aspect of this diversity is the functional range of motion (fROM), which can vary significantly between individuals. In this work, we learn to predict personalized fROM as a way to generalize robot decision-making in a wide range of caregiving tasks. We propose a novel data-driven method for predicting personalized fROM using functional assessment scores from occupational therapy. We develop a neural model that learns to embed functional assessment scores into a latent representation of the user's physical function. The model is trained using motion capture data collected from users with emulated mobility limitations. After training, the model predicts personalized fROM for new users without motion capture. Through simulated experiments and a real-robot user study, we show that the personalized fROM predictions from our model enable the robot to provide personalized and effective assistance while improving the user's agency in action. See our website for more visualizations: https://emprise.cs.cornell.edu/grace/.

CART-MPC: Coordinating Assistive Devices for Robot-Assisted Transferring with Multi-Agent Model Predictive Control

Bed-to-wheelchair transferring is a ubiquitous activity of daily living (ADL), but especially challenging for caregiving robots with limited payloads. We develop a novel algorithm that leverages the presence of other assistive devices: a Hoyer sling and a wheelchair for coarse manipulation of heavy loads, alongside a robot arm for fine-grained manipulation of deformable objects (Hoyer sling straps). We instrument the Hoyer sling and wheelchair with actuators and sensors so that they can become intelligent agents in the algorithm. We then focus on one subtask of the transferring ADL -- tying Hoyer sling straps to the sling bar -- that exemplifies the challenges of transfer: multi-agent planning, deformable object manipulation, and generalization to varying hook shapes, sling materials, and care recipient bodies. To address these challenges, we propose CART-MPC, a novel algorithm based on turn-taking multi-agent model predictive control that uses a learned neural dynamics model for a keypoint-based representation of the deformable Hoyer sling strap, and a novel cost function that leverages linking numbers from knot theory and neural amortization to accelerate inference. We validate it in both RCareWorld simulation and real-world environments. In simulation, CART-MPC successfully generalizes across diverse hook designs, sling materials, and care recipient body shapes. In the real world, we show zero-shot sim-to-real generalization capabilities to tie deformable Hoyer sling straps on a sling bar towards transferring a manikin from a hospital bed to a wheelchair. See our website for supplementary materials: https://emprise.cs.cornell.edu/cart-mpc/.

Kiri-Spoon: A Kirigami Utensil for Robot-Assisted Feeding

For millions of adults with mobility limitations, eating meals is a daily challenge. A variety of robotic systems have been developed to address this societal need. Unfortunately, end-user adoption of robot-assisted feeding is limited, in part because existing devices are unable to seamlessly grasp, manipulate, and feed diverse foods. Recent works seek to address this issue by creating new algorithms for food acquisition and bite transfer. In parallel to these algorithmic developments, however, we hypothesize that mechanical intelligence will make it fundamentally easier for robot arms to feed humans. We therefore propose Kiri-Spoon, a soft utensil specifically designed for robot-assisted feeding. Kiri-Spoon consists of a spoon-shaped kirigami structure: when actuated, the kirigami sheet deforms into a bowl of increasing curvature. Robot arms equipped with Kiri-Spoon can leverage the kirigami structure to wrap-around morsels during acquisition, contain those items as the robot moves, and then compliantly release the food into the user's mouth. Overall, Kiri-Spoon combines the familiar and comfortable shape of a standard spoon with the increased capabilities of soft robotic grippers. In what follows, we first apply a stakeholder-driven design process to ensure that Kiri-Spoon meets the needs of caregivers and users with physical disabilities. We next characterize the dynamics of Kiri-Spoon, and derive a mechanics model to relate actuation force to the spoon's shape. The paper concludes with three separate experiments that evaluate (a) the mechanical advantage provided by Kiri-Spoon, (b) the ways users with disabilities perceive our system, and (c) how the mechanical intelligence of Kiri-Spoon complements state-of-the-art algorithms. Our results suggest that Kiri-Spoon advances robot-assisted feeding across diverse foods, multiple robotic platforms, and different manipulation algorithms.

REPeat: A Real2Sim2Real Approach for Pre-acquisition of Soft Food Items in Robot-assisted Feeding

The paper presents REPeat, a Real2Sim2Real framework designed to enhance bite acquisition in robot-assisted feeding for soft foods. It uses `pre-acquisition actions' such as pushing, cutting, and flipping to improve the success rate of bite acquisition actions such as skewering, scooping, and twirling. If the data-driven model predicts low success for direct bite acquisition, the system initiates a Real2Sim phase, reconstructing the food's geometry in a simulation. The robot explores various pre-acquisition actions in the simulation, then a Sim2Real step renders a photorealistic image to reassess success rates. If the success improves, the robot applies the action in reality. We evaluate the system on 15 diverse plates with 10 types of food items for a soft food diet, showing improvement in bite acquisition success rates by 27\% on average across all plates. See our project website at https://emprise.cs.cornell.edu/repeat.

FLAIR: Feeding via Long-horizon AcquIsition of Realistic dishes

Robot-assisted feeding has the potential to improve the quality of life for individuals with mobility limitations who are unable to feed themselves independently. However, there exists a large gap between the homogeneous, curated plates existing feeding systems can handle, and truly in-the-wild meals. Feeding realistic plates is immensely challenging due to the sheer range of food items that a robot may encounter, each requiring specialized manipulation strategies which must be sequenced over a long horizon to feed an entire meal. An assistive feeding system should not only be able to sequence different strategies efficiently in order to feed an entire meal, but also be mindful of user preferences given the personalized nature of the task. We address this with FLAIR, a system for long-horizon feeding which leverages the commonsense and few-shot reasoning capabilities of foundation models, along with a library of parameterized skills, to plan and execute user-preferred and efficient bite sequences. In real-world evaluations across 6 realistic plates, we find that FLAIR can effectively tap into a varied library of skills for efficient food pickup, while adhering to the diverse preferences of 42 participants without mobility limitations as evaluated in a user study. We demonstrate the seamless integration of FLAIR with existing bite transfer methods [19, 28], and deploy it across 2 institutions and 3 robots, illustrating its adaptability. Finally, we illustrate the real-world efficacy of our system by successfully feeding a care recipient with severe mobility limitations. Supplementary materials and videos can be found at: https://emprise.cs.cornell.edu/flair .

To Ask or Not To Ask: Human-in-the-loop Contextual Bandits with Applications in Robot-Assisted Feeding

Robot-assisted bite acquisition involves picking up food items that vary in their shape, compliance, size, and texture. A fully autonomous strategy for bite acquisition is unlikely to efficiently generalize to this wide variety of food items. We propose to leverage the presence of the care recipient to provide feedback when the system encounters novel food items. However, repeatedly asking for help imposes cognitive workload on the user. In this work, we formulate human-in-the-loop bite acquisition within a contextual bandit framework and propose a novel method, LinUCB-QG, that selectively asks for help. This method leverages a predictive model of cognitive workload in response to different types and timings of queries, learned using data from 89 participants collected in an online user study. We demonstrate that this method enhances the balance between task performance and cognitive workload compared to autonomous and querying baselines, through experiments in a food dataset-based simulator and a user study with 18 participants without mobility limitations.

CushSense: Soft, Stretchable, and Comfortable Tactile-Sensing Skin for Physical Human-Robot Interaction

Whole-arm tactile feedback is crucial for robots to ensure safe physical interaction with their surroundings. This paper introduces CushSense, a fabric-based soft and stretchable tactile-sensing skin designed for physical human-robot interaction (pHRI) tasks such as robotic caregiving. Using stretchable fabric and hyper-elastic polymer, CushSense identifies contacts by monitoring capacitive changes due to skin deformation. CushSense is cost-effective ($\sim$US\$7 per taxel) and easy to fabricate. We detail the sensor design and fabrication process and perform characterization, highlighting its high sensing accuracy (relative error of 0.58%) and durability (0.054% accuracy drop after 1000 interactions). We also present a user study underscoring its perceived safety and comfort for the assistive task of limb manipulation. We open source all sensor-related resources on https://emprise.cs.cornell.edu/cushsense.

MORPHeus: a Multimodal One-armed Robot-assisted Peeling System with Human Users In-the-loop

Meal preparation is an important instrumental activity of daily living~(IADL). While existing research has explored robotic assistance in meal preparation tasks such as cutting and cooking, the crucial task of peeling has received less attention. Robot-assisted peeling, conventionally a bimanual task, is challenging to deploy in the homes of care recipients using two wheelchair-mounted robot arms due to ergonomic and transferring challenges. This paper introduces a robot-assisted peeling system utilizing a single robotic arm and an assistive cutting board, inspired by the way individuals with one functional hand prepare meals. Our system incorporates a multimodal active perception module to determine whether an area on the food is peeled, a human-in-the-loop long-horizon planner to perform task planning while catering to a user's preference for peeling coverage, and a compliant controller to peel the food items. We demonstrate the system on 12 food items representing the extremes of different shapes, sizes, skin thickness, surface textures, skin vs flesh colors, and deformability.

An Adaptable, Safe, and Portable Robot-Assisted Feeding System

We demonstrate a robot-assisted feeding system that enables people with mobility impairments to feed themselves. Our system design embodies Safety, Portability, and User Control, with comprehensive full-stack safety checks, the ability to be mounted on and powered by any powered wheelchair, and a custom web-app allowing care-recipients to leverage their own assistive devices for robot control. For bite acquisition, we leverage multi-modal online learning to tractably adapt to unseen food types. For bite transfer, we leverage real-time mouth perception and interaction-aware control. Co-designed with community researchers, our system has been validated through multiple end-user studies.

Feel the Bite: Robot-Assisted Inside-Mouth Bite Transfer using Robust Mouth Perception and Physical Interaction-Aware Control

Robot-assisted feeding can greatly enhance the lives of those with mobility limitations. Modern feeding systems can pick up and position food in front of a care recipient's mouth for a bite. However, many with severe mobility constraints cannot lean forward and need direct inside-mouth food placement. This demands precision, especially for those with restricted mouth openings, and appropriately reacting to various physical interactions - incidental contacts as the utensil moves inside, impulsive contacts due to sudden muscle spasms, deliberate tongue maneuvers by the person being fed to guide the utensil, and intentional bites. In this paper, we propose an inside-mouth bite transfer system that addresses these challenges with two key components: a multi-view mouth perception pipeline robust to tool occlusion, and a control mechanism that employs multimodal time-series classification to discern and react to different physical interactions. We demonstrate the efficacy of these individual components through two ablation studies. In a full system evaluation, our system successfully fed 13 care recipients with diverse mobility challenges. Participants consistently emphasized the comfort and safety of our inside-mouth bite transfer system, and gave it high technology acceptance ratings - underscoring its transformative potential in real-world scenarios. Supplementary materials and videos can be found at http://emprise.cs.cornell.edu/bitetransfer/ .