Optimizing Base Placement of Surgical Robot: Kinematics Data-Driven Approach by Analyzing Working Pattern

In robot-assisted minimally invasive surgery (RAMIS), optimal placement of the surgical robot's base is crucial for successful surgery. Improper placement can hinder performance due to manipulator limitations and inaccessible workspaces. Traditionally, trained medical staff rely on experience for base placement, but this approach lacks objectivity. This paper proposes a novel method to determine the optimal base pose based on the individual surgeon's working pattern. The proposed method analyzes recorded end-effector poses using machine-learning based clustering technique to identify key positions and orientations preferred by the surgeon. To address joint limits and singularities problems, we introduce two scoring metrics: joint margin score and manipulability score. We then train a multi-layer perceptron (MLP) regressor to predict the optimal base pose based on these scores. Evaluation in a simulated environment using the da Vinci Research Kit (dVRK) showed unique base pose-score maps for four volunteers, highlighting the individuality of working patterns. After conducting tests on the base poses identified using the proposed method, we confirmed that they have a score approximately 28.2\% higher than when the robots were placed randomly, with respect to the score we defined. This emphasizes the need for operator-specific optimization in RAMIS base placement.

Hysteresis Compensation of Flexible Continuum Manipulator using RGBD Sensing and Temporal Convolutional Network

Flexible continuum manipulators are valued for minimally invasive surgery, offering access to confined spaces through nonlinear paths. However, cable-driven manipulators face control difficulties due to hysteresis from cabling effects such as friction, elongation, and coupling. These effects are difficult to model due to nonlinearity and the difficulties become even more evident when dealing with long and multi-segmented manipulator. This paper proposes a data-driven approach based on recurrent neural networks to capture these nonlinear and previous states-dependent characteristics of cable actuation. We design customized fiducial markers to collect physical joint configurations as a dataset. Result on a study comparing the learning performance of four Deep Neural Network (DNN) models show that the Temporal Convolution Network (TCN) demonstrates the highest predictive capability. Leveraging trained TCNs, we build a control algorithm to compensate for hysteresis. Tracking tests in task space using unseen trajectories show that the best controller reduces the mean position and orientation error by 61.39% (from 13.7 mm to 5.29 mm) and 64.04% (from 31.17{\deg} to 11.21{\deg}), respectively.

Learning to Localize, Grasp, and Hand Over Unmodified Surgical Needles

Robotic Surgical Assistants (RSAs) are commonly used to perform minimally invasive surgeries by expert surgeons. However, long procedures filled with tedious and repetitive tasks such as suturing can lead to surgeon fatigue, motivating the automation of suturing. As visual tracking of a thin reflective needle is extremely challenging, prior work has modified the needle with nonreflective contrasting paint. As a step towards automation of a suturing subtask without modifying the needle, we propose HOUSTON: Handoff of Unmodified, Surgical, Tool-Obstructed Needles, a problem and algorithm that uses a learned active sensing policy with a stereo camera to localize and align the needle into a visible and accessible pose for the other arm. To compensate for robot positioning and needle perception errors, the algorithm then executes a high-precision grasping motion that uses multiple cameras. In physical experiments using the da Vinci Research Kit (dVRK), HOUSTON successfully passes unmodified surgical needles with a success rate of 96.7% and is able to perform handover sequentially between the arms 32.4 times on average before failure. On needles unseen in training, HOUSTON achieves a success rate of 75 - 92.9%. To our knowledge, this work is the first to study handover of unmodified surgical needles. See https://tinyurl.com/houston-surgery for additional materials.

Untangling Dense Non-Planar Knots by Learning Manipulation Features and Recovery Policies

Robot manipulation for untangling 1D deformable structures such as ropes, cables, and wires is challenging due to their infinite dimensional configuration space, complex dynamics, and tendency to self-occlude. Analytical controllers often fail in the presence of dense configurations, due to the difficulty of grasping between adjacent cable segments. We present two algorithms that enhance robust cable untangling, LOKI and SPiDERMan, which operate alongside HULK, a high-level planner from prior work. LOKI uses a learned model of manipulation features to refine a coarse grasp keypoint prediction to a precise, optimized location and orientation, while SPiDERMan uses a learned model to sense task progress and apply recovery actions. We evaluate these algorithms in physical cable untangling experiments with 336 knots and over 1500 actions on real cables using the da Vinci surgical robot. We find that the combination of HULK, LOKI, and SPiDERMan is able to untangle dense overhand, figure-eight, double-overhand, square, bowline, granny, stevedore, and triple-overhand knots. The composition of these methods successfully untangles a cable from a dense initial configuration in 68.3% of 60 physical experiments and achieves 50% higher success rates than baselines from prior work. Supplementary material, code, and videos can be found at https://tinyurl.com/rssuntangling.

Superhuman Surgical Peg Transfer Using Depth-Sensing and Deep Recurrent Neural Networks

We consider the automation of the well-known peg-transfer task from the Fundamentals of Laparoscopic Surgery (FLS). While human surgeons teleoperate robots to perform this task with great dexterity, it remains challenging to automate. We present an approach that leverages emerging innovations in depth sensing, deep learning, and Peiper's method for computing inverse kinematics with time-minimized joint motion. We use the da Vinci Research Kit (dVRK) surgical robot with a Zivid depth sensor, and automate three variants of the peg-transfer task: unilateral, bilateral without handovers, and bilateral with handovers. We use 3D-printed fiducial markers with depth sensing and a deep recurrent neural network to improve the precision of the dVRK to less than 1 mm. We report experimental results for 1800 block transfer trials. Results suggest that the fully automated system can outperform an experienced human surgical resident, who performs far better than untrained humans, in terms of both speed and success rate. For the most difficult variant of peg transfer (with handovers) we compare the performance of the surgical resident with performance of the automated system over 120 trials for each. The experienced surgical resident achieves success rate 93.2 % with mean transfer time of 8.6 seconds. The automated system achieves success rate 94.1 % with mean transfer time of 8.1 seconds. To our knowledge this is the first fully automated system to achieve "superhuman" performance in both speed and success on peg transfer. Supplementary material is available at https://sites.google.com/view/surgicalpegtransfer.

Intermittent Visual Servoing: Efficiently Learning Policies Robust to Instrument Changes for High-precision Surgical Manipulation

Automation of surgical tasks using cable-driven robots is challenging due to backlash, hysteresis, and cable tension, and these issues are exacerbated as surgical instruments must often be changed during an operation. In this work, we propose a framework for automation of high-precision surgical tasks by learning sample efficient, accurate, closed-loop policies that operate directly on visual feedback instead of robot encoder estimates. This framework, which we call intermittent visual servoing (IVS), intermittently switches to a learned visual servo policy for high-precision segments of repetitive surgical tasks while relying on a coarse open-loop policy for the segments where precision is not necessary. To compensate for cable-related effects, we apply imitation learning to rapidly train a policy that maps images of the workspace and instrument from a top-down RGB camera to small corrective motions. We train the policy using only 180 human demonstrations that are roughly 2 seconds each. Results on a da Vinci Research Kit suggest that combining the coarse policy with half a second of corrections from the learned policy during each high-precision segment improves the success rate on the Fundamentals of Laparoscopic Surgery peg transfer task from 72.9% to 99.2%, 31.3% to 99.2%, and 47.2% to 100.0% for 3 instruments with differing cable-related effects. In the contexts we studied, IVS attains the highest published success rates for automated surgical peg transfer and is significantly more reliable than previous techniques when instruments are changed. Supplementary material is available at https://tinyurl.com/ivs-icra.

Untangling Dense Knots by Learning Task-Relevant Keypoints

Untangling ropes, wires, and cables is a challenging task for robots due to the high-dimensional configuration space, visual homogeneity, self-occlusions, and complex dynamics. We consider dense (tight) knots that lack space between self-intersections and present an iterative approach that uses learned geometric structure in configurations. We instantiate this into an algorithm, HULK: Hierarchical Untangling from Learned Keypoints, which combines learning-based perception with a geometric planner into a policy that guides a bilateral robot to untangle knots. To evaluate the policy, we perform experiments both in a novel simulation environment modelling cables with varied knot types and textures and in a physical system using the da Vinci surgical robot. We find that HULK is able to untangle cables with dense figure-eight and overhand knots and generalize to varied textures and appearances. We compare two variants of HULK to three baselines and observe that HULK achieves 43.3% higher success rates on a physical system compared to the next best baseline. HULK successfully untangles a cable from a dense initial configuration containing up to two overhand and figure-eight knots in 97.9% of 378 simulation experiments with an average of 12.1 actions per trial. In physical experiments, HULK achieves 61.7% untangling success, averaging 8.48 actions per trial. Supplementary material, code, and videos can be found at https://tinyurl.com/y3a88ycu.

Recovery RL: Safe Reinforcement Learning with Learned Recovery Zones

Safety remains a central obstacle preventing widespread use of RL in the real world: learning new tasks in uncertain environments requires extensive exploration, but safety requires limiting exploration. We propose Recovery RL, an algorithm which navigates this tradeoff by (1) leveraging offline data to learn about constraint violating zones before policy learning and (2) separating the goals of improving task performance and constraint satisfaction across two policies: a task policy that only optimizes the task reward and a recovery policy that guides the agent to safety when constraint violation is likely. We evaluate Recovery RL on 6 simulation domains, including two contact-rich manipulation tasks and an image-based navigation task, and an image-based obstacle avoidance task on a physical robot. We compare Recovery RL to 5 prior safe RL methods which jointly optimize for task performance and safety via constrained optimization or reward shaping and find that Recovery RL outperforms the next best prior method across all domains. Results suggest that Recovery RL trades off constraint violations and task successes 2 - 80 times more efficiently in simulation domains and 3 times more efficiently in physical experiments. See https://tinyurl.com/rl-recovery for videos and supplementary material.

Learning to Smooth and Fold Real Fabric Using Dense Object Descriptors Trained on Synthetic Color Images

Robotic fabric manipulation is challenging due to the infinite dimensional configuration space and complex dynamics. In this paper, we learn visual representations of deformable fabric by training dense object descriptors that capture correspondences across images of fabric in various configurations. The learned descriptors capture higher level geometric structure, facilitating design of explainable policies. We demonstrate that the learned representation facilitates multistep fabric smoothing and folding tasks on two real physical systems, the da Vinci surgical robot and the ABB YuMi given high level demonstrations from a supervisor. The system achieves a 78.8% average task success rate across six fabric manipulation tasks. See https://tinyurl.com/fabric-descriptors for supplementary material and videos.

Efficiently Calibrating Cable-Driven Surgical Robots With RGBD Sensing, Temporal Windowing, and Linear and Recurrent Neural Network Compensation

Automation of surgical subtasks using cable-driven robotic surgical assistants (RSAs) such as Intuitive Surgical's da Vinci Research Kit (dVRK) is challenging due to imprecision in control from cable-related effects such as backlash, stretch, and hysteresis. We propose a novel approach to efficiently calibrate a dVRK by placing a 3D printed fiducial coordinate frame on the arm and end-effector that is tracked using RGBD sensing. To measure the coupling effects between joints and history-dependent effects, we analyze data from sampled trajectories and consider 13 modeling approaches using LSTM recurrent neural networks and linear models with varying temporal window length to provide corrective feedback. With the proposed method, data collection takes 31 minutes to produce 1800 samples and model training takes less than a minute. Results suggest that the resulting model can reduce the mean tracking error of the physical robot from 2.96mm to 0.65mm on a test set of reference trajectories. We evaluate the model by executing open-loop trajectories of the FLS peg transfer surgeon training task. Results suggest that the best approach increases success rate from 39.4% to 96.7% comparable to the performance of an expert surgical resident. Supplementary material, including 3D-printable models, is available at https://sites.google.com/berkeley.edu/surgical-calibration.