Yash Chitalia

Pejman Kheradmand, Behnam Moradkhani, Mir Masoud Ale Ali et al.

Steerable needles have the potential to improve interstitial brachytherapy by enabling curved trajectories that avoid sensitive anatomical structures. However, existing modeling and control approaches are primarily developed for custom needle designs and are not directly applicable to stylets compatible with commercially available clinical needles. This paper presents a bilinear model predictive control (MPC) framework for a tendon-driven steerable stylet integrated with a standard brachytherapy needle. \textcolor{black}{A geometric bilinear model is formulated with three virtual inputs (an insertion speed and two bending rates) which are mapped to physically realizable inputs consisting of the insertion speed and the associated tendon tensions.} The approach is validated through simulations and physical insertion experiments in tissue-mimicking phantom material using image-based tip tracking. While open-loop model validation yielded estimation errors below $2$~mm, corresponding to $3\%$ of the inserted needle length, and closed-loop fixed-target tracking achieved an error as low as $1.45$~mm, corresponding to $1.7\%$ of the inserted length, experiments showed larger position errors in certain bending directions, reaching $8.3$~mm, or $7.8\%$ of the inserted length. Overall, the results demonstrate the feasibility of fixed-target positioning and moving-target trajectory tracking for clinically compatible steerable brachytherapy systems, while highlighting necessary areas for future improvements in calibration and sensing.

Raghavasimhan Sankaranarayanan, Paul Stuart, Nicholas Ahn et al.

The Sterile Processing and Distribution (SPD) department is responsible for cleaning, disinfecting, inspecting, and assembling surgical instruments between surgeries. Manual inspection and preparation of instrument trays is a time-consuming, error-prone task, often prone to contamination and instrument breakage. In this work, we present a fully automated robotic system that sorts and structurally packs surgical instruments into sterile trays, focusing on automation of the SPD assembly stage. A custom dataset comprising 31 surgical instruments and 6,975 annotated images was collected to train a hybrid perception pipeline using YOLO12 for detection and a cascaded ResNet-based model for fine-grained classification. The system integrates a calibrated vision module, a 6-DOF Staubli TX2-60L robotic arm with a custom dual electromagnetic gripper, and a rule-based packing algorithm that reduces instrument collisions during transport. The packing framework uses 3D printed dividers and holders to physically isolate instruments, reducing collision and friction during transport. Experimental evaluations show high perception accuracy and statistically significant reduction in tool-to-tool collisions compared to human-assembled trays. This work serves as the scalable first step toward automating SPD workflows, improving safety, and consistency of surgical preparation while reducing SPD processing times.

Pejman Kheradmand, Kent K. Yamamoto, Emma Webster et al.

Cervical cancer accounts for a significant portion of the global cancer burden among women. Interstitial brachytherapy (ISBT) is a standard procedure for treating cervical cancer; it involves placing a radioactive source through a straight hollow needle within or in close proximity to the tumor and surrounding tissue. However, the use of straight needles limits surgical planning to a linear needle path. We present the OncoReach stylet, a handheld, tendon-driven steerable stylet designed for compatibility with standard ISBT 15- and 13-gauge needles. Building upon our prior work, we evaluated design parameters like needle gauge, spherical joint count and spherical joint placement, including an asymmetric disk design to identify a configuration that maximizes bending compliance while retaining axial stiffness. Free space experiments quantified tip deflection across configurations, and a two-tube Cosserat rod model accurately predicted the centerline shape of the needle for most trials. The best performing configuration was integrated into a reusable handheld prototype that enables manual actuation. A patient-derived, multi-composite phantom model of the uterus and pelvis was developed to conduct a pilot study of the OncoReach steerable stylet with one expert user. Results showed the ability to steer from less-invasive, medial entry points to reach the lateral-most targets, underscoring the significance of steerable stylets.

Yuan Wang, Max McCandless, Abdulhamit Donder et al.

The ability to accurately model mechanical hysteretic behavior in tendon-actuated continuum robots using deep learning approaches is a growing area of interest. In this paper, we investigate the hysteretic response of two types of tendon-actuated continuum robots and, ultimately, compare three types of neural network modeling approaches with both forward and inverse kinematic mappings: feedforward neural network (FNN), FNN with a history input buffer, and long short-term memory (LSTM) network. We seek to determine which model best captures temporal dependent behavior. We find that, depending on the robot's design, choosing different kinematic inputs can alter whether hysteresis is exhibited by the system. Furthermore, we present the results of the model fittings, revealing that, in contrast to the standard FNN, both FNN with a history input buffer and the LSTM model exhibit the capacity to model historical dependence with comparable performance in capturing rate-dependent hysteresis.

Henry M. Clever, Ariel Kapusta, Daehyung Park et al.

Robots have the potential to assist people in bed, such as in healthcare settings, yet bedding materials like sheets and blankets can make observation of the human body difficult for robots. A pressure-sensing mat on a bed can provide pressure images that are relatively insensitive to bedding materials. However, prior work on estimating human pose from pressure images has been restricted to 2D pose estimates and flat beds. In this work, we present two convolutional neural networks to estimate the 3D joint positions of a person in a configurable bed from a single pressure image. The first network directly outputs 3D joint positions, while the second outputs a kinematic model that includes estimated joint angles and limb lengths. We evaluated our networks on data from 17 human participants with two bed configurations: supine and seated. Our networks achieved a mean joint position error of 77 mm when tested with data from people outside the training set, outperforming several baselines. We also present a simple mechanical model that provides insight into ambiguity associated with limbs raised off of the pressure mat, and demonstrate that Monte Carlo dropout can be used to estimate pose confidence in these situations. Finally, we provide a demonstration in which a mobile manipulator uses our network's estimated kinematic model to reach a location on a person's body in spite of the person being seated in a bed and covered by a blanket.