In surgery, the application of appropriate force levels is critical for the success and safety of a given procedure. While many studies are focused on measuring in situ forces, little attention has been devoted to relating these observed forces to surgical techniques. Answering questions like "Can certain changes to a surgical technique result in lower forces and increased safety margins?" could lead to improved surgical practice, and importantly, patient outcomes. However, such studies would require a large number of trials and professional surgeons, which is generally impractical to arrange. Instead, we show how robots can learn several variations of a surgical technique from a smaller number of surgical demonstrations and interpolate learnt behaviour via a parameterised skill model. This enables a large number of trials to be performed by a robotic system and the analysis of surgical techniques and their downstream effects on tissue. Here, we introduce a parameterised model of the elliptical excision skill and apply a Bayesian optimisation scheme to optimise the excision behaviour with respect to expert ratings, as well as individual characteristics of excision forces. Results show that the proposed framework can successfully align the generated robot behaviour with subjects across varying levels of proficiency in terms of excision forces.

Dynamic Movement Primitives (DMPs) offer great versatility for encoding, generating and adapting complex end-effector trajectories. DMPs are also very well suited to learning manipulation skills from human demonstration. However, the reactive nature of DMPs restricts their applicability for tool use and object manipulation tasks involving non-holonomic constraints, such as scalpel cutting or catheter steering. In this work, we extend the Cartesian space DMP formulation by adding a coupling term that enforces a pre-defined set of non-holonomic constraints. We obtain the closed-form expression for the constraint forcing term using the Udwadia-Kalaba method. This approach offers a clean and practical solution for guaranteed constraint satisfaction at run-time. Further, the proposed analytical form of the constraint forcing term enables efficient trajectory optimization subject to constraints. We demonstrate the usefulness of this approach by showing how we can learn robotic cutting skills from human demonstration.

Precision cutting of soft-tissue remains a challenging problem in robotics, due to the complex and unpredictable mechanical behaviour of tissue under manipulation. Here, we consider the challenge of cutting along the boundary between two soft mediums, a problem that is made extremely difficult due to visibility constraints, which means that the precise location of the cutting trajectory is typically unknown. This paper introduces a novel strategy to address this task, using a binary medium classifier trained using joint torque measurements, and a closed loop control law that relies on an error signal compactly encoded in the decision boundary of the classifier. We illustrate this on a grapefruit cutting task, successfully modulating a nominal trajectory t using dynamic movement primitives to follow the boundary between grapefruit pulp and peel using torque based medium classification. Results show that this control strategy is successful in 72 % of attempts in contrast to control using a nominal trajectory, which only succeeds in 50 % of attempts.