Open-H-Embodiment: A Large-Scale Dataset for Enabling Foundation Models in Medical Robotics

Autonomous medical robots hold promise to improve patient outcomes, reduce provider workload, democratize access to care, and enable superhuman precision. However, autonomous medical robotics has been limited by a fundamental data problem: existing medical robotic datasets are small, single-embodiment, and rarely shared openly, restricting the development of foundation models that the field needs to advance. We introduce Open-H-Embodiment, the largest open dataset of medical robotic video with synchronized kinematics to date, spanning more than 49 institutions and multiple robotic platforms including the CMR Versius, Intuitive Surgical's da Vinci, da Vinci Research Kit (dVRK), Rob Surgical BiTrack, Virtual Incision's MIRA, Moon Surgical Maestro, and a variety of custom systems, spanning surgical manipulation, robotic ultrasound, and endoscopy procedures. We demonstrate the research enabled by this dataset through two foundation models. GR00T-H is the first open foundation vision-language-action model for medical robotics, which is the only evaluated model to achieve full end-to-end task completion on a structured suturing benchmark (25% of trials vs. 0% for all others) and achieves 64% average success across a 29-step ex vivo suturing sequence. We also train Cosmos-H-Surgical-Simulator, the first action-conditioned world model to enable multi-embodiment surgical simulation from a single checkpoint, spanning nine robotic platforms and supporting in silico policy evaluation and synthetic data generation for the medical domain. These results suggest that open, large-scale medical robot data collection can serve as critical infrastructure for the research community, enabling advances in robot learning, world modeling, and beyond.

Modeling and Control of a Pneumatic Soft Robotic Catheter Using Neural Koopman Operators

Catheter-based interventions are widely used for the diagnosis and treatment of cardiac diseases. Recently, robotic catheters have attracted attention for their ability to improve precision and stability over conventional manual approaches. However, accurate modeling and control of soft robotic catheters remain challenging due to their complex, nonlinear behavior. The Koopman operator enables lifting the original system data into a linear "lifted space", offering a data-driven framework for predictive control; however, manually chosen basis functions in the lifted space often oversimplify system behaviors and degrade control performance. To address this, we propose a neural network-enhanced Koopman operator framework that jointly learns the lifted space representation and Koopman operator in an end-to-end manner. Moreover, motivated by the need to minimize radiation exposure during X-ray fluoroscopy in cardiac ablation, we investigate open-loop control strategies using neural Koopman operators to reliably reach target poses without continuous imaging feedback. The proposed method is validated in two experimental scenarios: interactive position control and a simulated cardiac ablation task using an atrium-like cavity. Our approach achieves average errors of 2.1 +- 0.4 mm in position and 4.9 +- 0.6 degrees in orientation, outperforming not only model-based baselines but also other Koopman variants in targeting accuracy and efficiency. These results highlight the potential of the proposed framework for advancing soft robotic catheter systems and improving catheter-based interventions.

Autonomous Soft Robotic Guidewire Navigation via Imitation Learning

In endovascular surgery, endovascular interventionists push a thin tube called a catheter, guided by a thin wire to a treatment site inside the patient's blood vessels to treat various conditions such as blood clots, aneurysms, and malformations. Guidewires with robotic tips can enhance maneuverability, but they present challenges in modeling and control. Automation of soft robotic guidewire navigation has the potential to overcome these challenges, increasing the precision and safety of endovascular navigation. In other surgical domains, end-to-end imitation learning has shown promising results. Thus, we develop a transformer-based imitation learning framework with goal conditioning, relative action outputs, and automatic contrast dye injections to enable generalizable soft robotic guidewire navigation in an aneurysm targeting task. We train the model on 36 different modular bifurcated geometries, generating 647 total demonstrations under simulated fluoroscopy, and evaluate it on three previously unseen vascular geometries. The model can autonomously drive the tip of the robot to the aneurysm location with a success rate of 83% on the unseen geometries, outperforming several baselines. In addition, we present ablation and baseline studies to evaluate the effectiveness of each design and data collection choice. Project website: https://softrobotnavigation.github.io/