ROLGOct 23, 2025

SutureBot: A Precision Framework & Benchmark For Autonomous End-to-End Suturing

arXiv:2510.20965v16 citationsh-index: 8Has Code
Originality Incremental advance
AI Analysis

This work addresses the problem of robotic autonomy in surgery, specifically for end-to-end suturing, but it is incremental as it builds on existing efforts in dexterous manipulation.

The paper tackles the challenge of achieving fully autonomous robotic suturing by introducing SutureBot, a benchmark and framework on the da Vinci Research Kit, which improves targeting accuracy by 59%-74% over a baseline and includes a dataset of 1,890 demonstrations.

Robotic suturing is a prototypical long-horizon dexterous manipulation task, requiring coordinated needle grasping, precise tissue penetration, and secure knot tying. Despite numerous efforts toward end-to-end autonomy, a fully autonomous suturing pipeline has yet to be demonstrated on physical hardware. We introduce SutureBot: an autonomous suturing benchmark on the da Vinci Research Kit (dVRK), spanning needle pickup, tissue insertion, and knot tying. To ensure repeatability, we release a high-fidelity dataset comprising 1,890 suturing demonstrations. Furthermore, we propose a goal-conditioned framework that explicitly optimizes insertion-point precision, improving targeting accuracy by 59\%-74\% over a task-only baseline. To establish this task as a benchmark for dexterous imitation learning, we evaluate state-of-the-art vision-language-action (VLA) models, including $π_0$, GR00T N1, OpenVLA-OFT, and multitask ACT, each augmented with a high-level task-prediction policy. Autonomous suturing is a key milestone toward achieving robotic autonomy in surgery. These contributions support reproducible evaluation and development of precision-focused, long-horizon dexterous manipulation policies necessary for end-to-end suturing. Dataset is available at: https://huggingface.co/datasets/jchen396/suturebot

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