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.

Towards Automated Initial Probe Placement in Transthoracic Teleultrasound Using Human Mesh and Skeleton Recovery

Cardiac and lung ultrasound are technically demanding because operators must identify patient-specific intercostal acoustic windows and then navigate between standard views by adjusting probe position, rotation, and force across different imaging planes. These challenges are amplified in teleultrasound when a novice or robot faces the difficult task of first placing the probe on the patient without in-person expert assistance. We present a framework for automating Patient registration and anatomy-informed Initial Probe placement Guidance (PIPG) using only RGB images from a calibrated camera. The novice first captures the patient using the camera on a mixed reality (MR) head-mounted display (HMD). An edge server then infers a patient-specific body-surface and skeleton model, with spatial smoothing across multiple views. Using bony landmarks from the predicted skeleton, we estimate the intercostal region and project the guidance back onto the reconstructed body surface. To validate the framework, we overlaid the reconstructed body mesh and the virtual probe pose guidance across multiple transthoracic echocardiography scan planes in situ and measured the quantitative placement error. Pilot experiments with healthy volunteers suggest that the proposed probe placement prediction and MR guidance yield consistent initial placement within anatomical variability acceptable for teleultrasound setup

Measurement and Potential Field-Based Patient Modeling for Model-Mediated Tele-ultrasound

Teleoperated ultrasound can improve diagnostic medical imaging access for remote communities. Having accurate force feedback is important for enabling sonographers to apply the appropriate probe contact force to optimize ultrasound image quality. However, large time delays in communication make direct force feedback impractical. Prior work investigated using point cloud-based model-mediated teleoperation and internal potential field models to estimate contact forces and torques. We expand on this by introducing a method to update the internal potential field model of the patient with measured positions and forces for more transparent model-mediated tele-ultrasound. We first generate a point cloud model of the patient's surface and transmit this to the sonographer in a compact data structure. This is converted to a static voxelized volume where each voxel contains a potential field value. These values determine the forces and torques, which are rendered based on overlap between the voxelized volume and a point shell model of the ultrasound transducer. We solve for the potential field using a convex quadratic that combines the spatial Laplace operator with measured forces. This was evaluated on volunteer patients ($n=3$) by computing the accuracy of rendered forces. Results showed the addition of measured forces to the model reduced the force magnitude error by an average of 7.23 N and force vector angle error by an average of 9.37$^{\circ}$ compared to using only Laplace's equation.