Robot pose estimation is a challenging and crucial task for vision-based surgical robotic automation. Typical robotic calibration approaches, however, are not applicable to surgical robots, such as the da Vinci Research Kit (dVRK) [1], due to joint angle measurement errors from cable-drives and the partially visible kinematic chain. Hence, previous works in surgical robotic automation used tracking algorithms to estimate the pose of the surgical tool in real-time and compensate for the joint angle errors. However, a big limitation of these previous tracking works is the initialization step which relied on only keypoints and SolvePnP. In this work, we fully explore the potential of geometric primitives beyond just keypoints with differentiable rendering, cylinders, and construct a versatile pose matching pipeline in a novel pose hypothesis space. We demonstrate the state-of-the-art performance of our single-shot calibration method with both calibration consistency and real surgical tasks. As a result, this marker-less calibration approach proves to be a robust and generalizable initialization step for surgical tool tracking.

Robotic teleoperation over long communication distances poses challenges due to delays in commands and feedback from network latency. One simple yet effective strategy to reduce errors and increase performance under delay is to downscale the relative motion between the operating surgeon and the robot. The question remains as to what is the optimal scaling factor, and how this value changes depending on the level of latency as well as operator tendencies. We present user studies investigating the relationship between latency, scaling factor, and performance. The results of our studies demonstrate a statistically significant difference in performance between users and across scaling factors for certain levels of delay. These findings indicate that the optimal scaling factor for a given level of delay is specific to each user, motivating the need for personalized models for optimal performance. We present techniques to model the user-specific mapping of latency level to scaling factor for optimal performance, leading to an efficient and effective solution to optimizing performance of robotic teleoperation and specifically telesurgery under large communication delay.

Controlling robotic manipulators via visual feedback requires a known coordinate frame transformation between the robot and the camera. Uncertainties in mechanical systems as well as camera calibration create errors in this coordinate frame transformation. These errors result in poor localization of robotic manipulators and create a significant challenge for applications that rely on precise interactions between manipulators and the environment. In this work, we estimate the camera-to-base transform and joint angle measurement errors for surgical robotic tools using an image based insertion-shaft detection algorithm and probabilistic models. We apply our proposed approach in both a structured environment as well as an unstructured environment and measure to demonstrate the efficacy of our methods.

Inaccurate tool localization is one of the main reasons for failures in automating surgical tasks. Imprecise robot kinematics and noisy observations caused by the poor visual acuity of an endoscopic camera make tool tracking challenging. Previous works in surgical automation adopt environment-specific setups or hard-coded strategies instead of explicitly considering motion and observation uncertainty of tool tracking in their policies. In this work, we present SURESTEP, an uncertainty-aware trajectory optimization framework for robust surgical automation.We model the uncertainty in tool tracking by considering noise sources that are typical in surgical environments.Using a Gaussian assumption to propagate our uncertainty models through a given tool trajectory, SURESTEP provides a general framework that minimizes the upper bound on the entropy of the final estimated tool distribution.We showcase our method by performing the first-ever, to our knowledge, needle regrasping with a moving endoscopic camera.We compare SURESTEP with a baseline method on a real-world suture needle regrasping task under challenging environmental conditions, such as poor lighting and a moving endoscopic camera. The results over 60 regrasps on the da Vinci Research Kit (dVRK) demonstrate that our optimized trajectories significantly outperform the un-optimized baseline.

Autonomous suturing has been a long-sought-after goal for surgical robotics. Outside of staged environments, accurate localization of suture needles is a critical foundation for automating various suture needle manipulation tasks in the real world. When localizing a needle held by a gripper, previous work usually tracks them separately without considering their relationship. Because of the significant errors that can arise in the stereo-triangulation of objects and instruments, their reconstructions may often not be consistent. This can lead to unrealistic tool-needle grasp reconstructions that are infeasible. Instead, an obvious strategy to improve localization would be to leverage constraints that arise from contact, thereby constraining reconstructions of objects and instruments into a jointly feasible space. In this work, we consider feasible grasping constraints when tracking the 6D pose of an in-hand suture needle. We propose a reparameterization trick to define a new state space for describing a needle pose, where grasp constraints can be easily defined and satisfied. Our proposed state space and feasible grasping constraints are then incorporated into Bayesian filters for real-time needle localization. In the experiments, we show that our constrained methods outperform previous unconstrained tracking approaches and demonstrate the importance of incorporating feasible grasping constraints into automating suture needle manipulation tasks.

Accurate and robust tracking and reconstruction of the surgical scene is a critical enabling technology toward autonomous robotic surgery. Existing algorithms for 3D perception in surgery mainly rely on geometric information, while we propose to also leverage semantic information inferred from the endoscopic video using image segmentation algorithms. In this paper, we present a novel, comprehensive surgical per-ception framework, Semantic-SuPer, that integrates geometric and semantic information to facilitate data association, 3D reconstruction, and tracking of endoscopic scenes, benefiting downstream tasks like surgical navigation. The proposed frame-work is demonstrated on challenging endoscopic data with deforming tissue, showing its advantages over our baseline and several other state-of-the-art approaches. Our code and dataset are available at https://github.com/ucsdarclab/Python-SuPer.

There has been increasing awareness of the difficulties in reaching and extracting people from mass casualty scenarios, such as those arising from natural disasters. While platforms have been designed to consider reaching casualties and even carrying them out of harm's way, the challenge of repositioning a casualty from its found configuration to one suitable for extraction has not been explicitly explored. Furthermore, this planning problem needs to incorporate biomechanical safety considerations for the casualty. Thus, we present a first solution to biomechanically safe trajectory generation for repositioning limbs of unconscious human casualties. We describe biomechanical safety as mathematical constraints, mechanical descriptions of the dynamics for the robot-human coupled system, and the planning and trajectory optimization process that considers this coupled and constrained system. We finally evaluate our approach over several variations of the problem and demonstrate it on a real robot and human subject. This work provides a crucial part of search and rescue that can be used in conjunction with past and present works involving robots and vision systems designed for search and rescue.

Reinforcement learning (RL) agents have long sought to approach the efficiency of human learning. Humans are great observers who can learn by aggregating external knowledge from various sources, including observations from others' policies of attempting a task. Prior studies in RL have incorporated external knowledge policies to help agents improve sample efficiency. However, it remains non-trivial to perform arbitrary combinations and replacements of those policies, an essential feature for generalization and transferability. In this work, we present Knowledge-Grounded RL (KGRL), an RL paradigm fusing multiple knowledge policies and aiming for human-like efficiency and flexibility. We propose a new actor architecture for KGRL, Knowledge-Inclusive Attention Network (KIAN), which allows free knowledge rearrangement due to embedding-based attentive action prediction. KIAN also addresses entropy imbalance, a problem arising in maximum entropy KGRL that hinders an agent from efficiently exploring the environment, through a new design of policy distributions. The experimental results demonstrate that KIAN outperforms alternative methods incorporating external knowledge policies and achieves efficient and flexible learning. Our implementation is available at https://github.com/Pascalson/KGRL.git .

Suture needle localization is necessary for autonomous suturing. Previous approaches in autonomous suturing often relied on fiducial markers rather than markerless detection schemes for localizing a suture needle due to the in-consistency of markerless detections. However, fiducial markers are not practical for real-world applications and can often be occluded from environmental factors in surgery (e.g., blood). Therefore in this work, we present a robust tracking approach for estimating the 6D pose of a suture needle when using inconsistent detections. We define observation models based on suture needles' geometry that captures the uncertainty of the detections and fuse them temporally in a probabilistic fashion. In our experiments, we compare different permutations of the observation models in the suture needle localization task to show their effectiveness. Our proposed method outperforms previous approaches in localizing a suture needle. We also demonstrate the proposed tracking method in an autonomous suture needle regrasping task and ex vivo environments**The code is available at https://github.com/ucsdarclab/suture-needle-tracking..

Regrasping a suture needle is an important yet time-consuming process in suturing. To bring efficiency into regrasping, prior work either designs a task-specific mechanism or guides the gripper toward some specific pick-up point for proper grasping of a needle. Yet, these methods are usually not deployable when the working space is changed. Therefore, in this work, we present rapid trajectory generation for bimanual needle regrasping via reinforcement learning (RL). Demonstrations from a sampling-based motion planning algorithm is incorporated to speed up the learning. In addition, we propose the ego-centric state and action spaces for this bimanual planning problem, where the reference frames are on the end-effectors instead of some fixed frame. Thus, the learned policy can be directly applied to any feasible robot configuration. Our experiments in simulation show that the success rate of a single pass is 97%, and the planning time is 0.0212s on average, which outperforms other widely used motion planning algorithms. For the real-world experiments, the success rate is 73.3% if the needle pose is reconstructed from an RGB image, with a planning time of 0.0846s and a run time of 5.1454s. If the needle pose is known beforehand, the success rate becomes 90.5%, with a planning time of 0.0807s and a run time of 2.8801s.