Chung-Pang Wang

Chung-Pang Wang, Changwei Chen, Xiao Liang et al.

Autonomous surgical systems must adapt to highly dynamic environments where tissue properties and visual cues evolve rapidly. Central to such adaptability is feedback: the ability to sense, interpret, and respond to changes during execution. While feedback mechanisms have been explored in surgical robotics, ranging from tool and tissue tracking to error detection, existing methods remain limited in handling the topological and perceptual challenges of tissue dissection. In this work, we propose a feedback-enabled framework for autonomous tissue dissection that explicitly reasons about topological changes from endoscopic images after each dissection action. This structured feedback guides subsequent actions, enabling the system to localize dissection progress and adapt policies online. To improve the reliability of such feedback, we introduce visibility metrics that quantify tissue exposure and formulate optimal controller designs that actively manipulate tissue to maximize visibility. Finally, we integrate these feedback mechanisms with both planning-based and learning-based dissection methods, and demonstrate experimentally that they significantly enhance autonomy, reduce errors, and improve robustness in complex surgical scenarios.

Open-H-Embodiment Consortium, Nigel Nelson, Juo-Tung Chen et al.

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.