Surgical WAM: A World-Action Model for Data-Efficient Surgical Robot Learning

Learning reliable surgical manipulation policies is bottlenecked by the scarcity of action-labeled demonstrations: teleoperated surgical robot (e.g., dVRK) trajectories with synchronized kinematics are costly to collect, while surgical tasks demand precise contact handling, long-horizon reasoning, and bimanual coordination. Endoscopic video is comparatively inexpensive and abundant relative to synchronized video--kinematics trajectories, and a natural way to exploit it is to learn world models of surgical scenes. However, existing surgical world models use video primarily for simulation or policy evaluation, and rarely translate the learned dynamics into closed-loop control. This gap raises our central question: under a fixed budget of action-labeled demonstrations, does action-free video pretraining improve closed-loop surgical manipulation? To answer it, we introduce the Surgical World-Action Model (Surgical WAM), a unified generative model built on Cosmos Policy that jointly predicts future endoscopic observations and executable surgical robot action chunks. Surgical WAM first learns surgical visual dynamics from action-free video and is then fine-tuned on the fixed action-labeled budget; at deployment, it acts as a closed-loop, receding-horizon controller that executes a short prefix of each predicted action chunk and replans from the resulting observation. On a suite of four simulated surgical manipulation tasks, video pretraining improves the average success rate from 63.5% to 77.8%, including an absolute gain of 20 percentage points on PegTransfer, with the largest improvements on contact-rich and bimanual tasks. These results demonstrate that action-free video provides transferable visual dynamics priors for learning surgical robot control with limited action supervision, positioning data-efficient video pretraining as a practical path toward scaling up surgical robot learning.

TIDE: Efficient and Lossless MoE Diffusion LLM Inference with I/O-aware Expert Offload

Diffusion Large Language Models (dLLMs) have emerged as a competitive alternative to autoregressive (AR) models, offering better hardware utilization and bidirectional context through parallel block-level decoding. However, as dLLMs continue to scale up with mixture-of-experts (MoE) architectures, their deployment on resource-constrained devices remains an open challenge. Existing AR-based methods often incur either prohibitive I/O overhead or significant compute bottlenecks. In this work, we propose TIDE, a novel resource-efficient inference system that leverages the temporal stability of expert activations during the diffusion process within the block. Specifically, we leverage the temporal stability of expert activations during the diffusion process within the block and introduce an interval-based expert refresh strategy that updates the expert placement in an I/O-aware fashion. To ensure optimal performance, we formulate the inference scheduling as a mathematical programming problem, solving for the optimal interval that minimizes I/O traffic and CPU computation. Most importantly, TIDE is a lossless optimization that requires no model training, providing a "free lunch" acceleration for dLLM inference. In a single GPU-CPU system, we demonstrate that TIDE achieves up to 1.4$\times$ and 1.5$\times$ throughput improvements over prior baselines on LLaDA2.0-mini and LLaDA2.0-flash models, respectively.