Event-Level Detection of Surgical Instrument Handovers in Videos with Interpretable Vision Models

Reliable monitoring of surgical instrument exchanges is essential for maintaining procedural efficiency and patient safety in the operating room. Automatic detection of instrument handovers in intraoperative video remains challenging due to frequent occlusions, background clutter, and the temporally evolving nature of interaction events. We propose a spatiotemporal vision framework for event-level detection and direction classification of surgical instrument handovers in surgical videos. The model combines a Vision Transformer (ViT) backbone for spatial feature extraction with a unidirectional Long Short-Term Memory (LSTM) network for temporal aggregation. A unified multi-task formulation jointly predicts handover occurrence and interaction direction, enabling consistent modeling of transfer dynamics while avoiding error propagation typical of cascaded pipelines. Predicted confidence scores form a temporal signal over the video, from which discrete handover events are identified via peak detection. Experiments on a dataset of kidney transplant procedures demonstrate strong performance, achieving an F1-score of 0.84 for handover detection and a mean F1-score of 0.72 for direction classification, outperforming both a single-task variant and a VideoMamba-based baseline for direction prediction while maintaining comparable detection performance. To improve interpretability, we employ Layer-CAM attribution to visualize spatial regions driving model decisions, highlighting hand-instrument interaction cues.

Monocular 3D Object Position Estimation with VLMs for Human-Robot Interaction

Pre-trained general-purpose Vision-Language Models (VLM) hold the potential to enhance intuitive human-machine interactions due to their rich world knowledge and 2D object detection capabilities. However, VLMs for 3D coordinates detection tasks are rare. In this work, we investigate interactive abilities of VLMs by returning 3D object positions given a monocular RGB image from a wrist-mounted camera, natural language input, and robot states. We collected and curated a heterogeneous dataset of more than 100,000 images and finetuned a VLM using QLoRA with a custom regression head. By implementing conditional routing, our model maintains its ability to process general visual queries while adding specialized 3D position estimation capabilities. Our results demonstrate robust predictive performance with a median MAE of 13 mm on the test set and a five-fold improvement over a simpler baseline without finetuning. In about 25% of the cases, predictions are within a range considered acceptable for the robot to interact with objects.