ROAIMay 22, 2025

Safe Uncertainty-Aware Learning of Robotic Suturing

arXiv:2505.16596v11 citationsh-index: 17
Originality Incremental advance
AI Analysis

This addresses safety and reliability concerns in surgical automation, which is crucial for practical deployment but represents an incremental improvement over existing AI methods.

The paper tackles the problem of automating robotic suturing in surgery by developing a safe, uncertainty-aware learning framework that uses ensemble diffusion policies with expert demonstrations and control barrier functions, achieving robust performance in simulated scenarios including needle drops and camera movements while detecting out-of-distribution cases.

Robot-Assisted Minimally Invasive Surgery is currently fully manually controlled by a trained surgeon. Automating this has great potential for alleviating issues, e.g., physical strain, highly repetitive tasks, and shortages of trained surgeons. For these reasons, recent works have utilized Artificial Intelligence methods, which show promising adaptability. Despite these advances, there is skepticism of these methods because they lack explainability and robust safety guarantees. This paper presents a framework for a safe, uncertainty-aware learning method. We train an Ensemble Model of Diffusion Policies using expert demonstrations of needle insertion. Using an Ensemble model, we can quantify the policy's epistemic uncertainty, which is used to determine Out-Of-Distribution scenarios. This allows the system to release control back to the surgeon in the event of an unsafe scenario. Additionally, we implement a model-free Control Barrier Function to place formal safety guarantees on the predicted action. We experimentally evaluate our proposed framework using a state-of-the-art robotic suturing simulator. We evaluate multiple scenarios, such as dropping the needle, moving the camera, and moving the phantom. The learned policy is robust to these perturbations, showing corrective behaviors and generalization, and it is possible to detect Out-Of-Distribution scenarios. We further demonstrate that the Control Barrier Function successfully limits the action to remain within our specified safety set in the case of unsafe predictions.

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