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This research introduces AGRO-SUVIDE, a novel agentic robotics framework designed to automate repetitive surgical debridement tasks using the da Vinci Research Kit. By leveraging large language models to automatically identify skills from expert demonstrations and code procedural or policy-based skills, the system achieves an 85% success rate in single-fragment removal while reducing surgeon fatigue. The study demonstrates a significant step toward autonomous dexterity in complex medical procedures through self-improving agent architectures.
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AGRO-SUVIDE: Agentic Robotics for Surgical Viscoelastic Debridement

arXiv2 min read

arXiv:2609.34823v1 Announce Type: new Abstract: Augmented dexterity has the potential to reduce the fatigue experienced by surgeons during repetitive surgical tasks. In this paper, we propose the first AGentic RObotics framework for SUrgical VIscoelastic DEbridement (AGRO-SUVIDE), the repeated removal of small fragments attached to a viscoelastic substrate. Leveraging the self-improving and coding capability of agents, AGRO-SUVIDE adopts a modular framework. Specifically, the demonstration analysis module automatically identifies recurring skills from a single expert demonstration, using both visual and kinematic information. The construction module then builds each skill, either as a procedural model-based skill the agent codes against a scaffolded library or as a model-free policy-based skill. At runtime, the monitoring module composes the skills into a loop-style graph sized to the number of fragments it observes, then verifies pre- and post-conditions of each skill to decide whether to advance or retry. We evaluate AGRO-SUVIDE through 340 physical trials on the da Vinci Research Kit (dVRK). AGRO-SUVIDE achieves an average single-fragment removal success rate of 85%, completing consecutive three-fragment removal at 60% and at 95% with one human intervention. It further generalizes to unseen five-fragment scenarios with an average success rate of 80% for single-fragment removal. Project page: https://surgical-robotics.github.io/AGRO-SUVIDE/

Abstract:Augmented dexterity has the potential to reduce the fatigue experienced by surgeons during repetitive surgical tasks. In this paper, we propose the first AGentic RObotics framework for SUrgical VIscoelastic DEbridement (AGRO-SUVIDE), the repeated removal of small fragments attached to a viscoelastic substrate. Leveraging the self-improving and coding capability of agents, AGRO-SUVIDE adopts a modular framework. Specifically, the demonstration analysis module automatically identifies recurring skills from a single expert demonstration, using both visual and kinematic information. The construction module then builds each skill, either as a procedural model-based skill the agent codes against a scaffolded library or as a model-free policy-based skill. At runtime, the monitoring module composes the skills into a loop-style graph sized to the number of fragments it observes, then verifies pre- and post-conditions of each skill to decide whether to advance or retry. We evaluate AGRO-SUVIDE through 340 physical trials on the da Vinci Research Kit (dVRK). AGRO-SUVIDE achieves an average single-fragment removal success rate of 85%, completing consecutive three-fragment removal at 60% and at 95% with one human intervention. It further generalizes to unseen five-fragment scenarios with an average success rate of 80% for single-fragment removal. Project page: this https URL

Robotics (cs.RO)

arXiv:2609.34823 [cs.RO]

(or arXiv:2609.34823v1 [cs.RO] for this version)

https://doi.org/10.48550/arXiv.2609.34823 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 288 words

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