arXiv subjects

Florian Richter

Publications and source records attributed to Florian Richter.

At least 19 recordsLinked to original sources

arXiv2026

In vivo feasibility study of humanoid robots in surgery

Recent advances in actuation, control and learning have rapidly pushed humanoid robots from a distant vision towards near-term real-world deployment. Healthcare is a particularly pressing domain, in which staffing shortages and increasing care demand are widening the gap between clinical workload and available skilled labour. Although current automation has largely focused on digital and logistical tasks, much hospital work remains embodied, requiring mobility, manipulation and safe interaction in human-designed environments. Humanoid form factors offer unique potential, particularly for assisting with surgical tasks. Traditionally, robotic systems for surgery are purpose-built platforms such as Intuitive Surgical's da Vinci Surgical System, and it remains unclear how close current humanoid systems are to meeting the precision, control and safety requirements of minimally invasive surgery. Here we present a systematic evaluation of contemporary humanoid technology for laparoscopic surgical tasks. We develop a humanoid-based laparoscopic teleoperation framework using general-purpose instruments and assess its abilities through benchtop characterization, dry-laboratory user studies spanning diverse surgical experience levels and in vivo porcine studies. Across these evaluations, we quantify technical feasibility, task performance and clinical readiness relative to established surgical platforms. Together, our study provides an evidence-based assessment of current humanoid abilities and limitations for surgical applications, highlighting both their promise and key technical challenges that must be addressed before clinical deployment.

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arXiv2026

Operationalizing Fairness in Text-to-Image Models: A Survey of Bias, Fairness Audits and Mitigation Strategies

Text-to-Image (T2I) generation models have been widely adopted across various industries, yet are criticized for frequently exhibiting societal stereotypes. While a growing body of research has emerged to evaluate and mitigate these biases, the field at present contends with conceptual ambiguity, for example terms like "bias" and "fairness" are not always clearly distinguished and often lack clear operational definitions. This paper provides a comprehensive systematic review of T2I fairness literature, organizing existing work into a taxonomy of bias types and fairness notions. We critically assess the gap between "target fairness" (normative ideals in T2I outputs) and "threshold fairness" (normative standards with actionable decision rules). Furthermore, we survey the landscape of mitigation strategies, ranging from prompt engineering to diffusion process manipulation. We conclude by proposing a new framework for operationalizing fairness that moves beyond descriptive metrics towards rigorous, target-based testing, offering an approach for more accountable generative AI development.

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arXiv2026

Real-time Rendering-based Surgical Instrument Tracking via Evolutionary Optimization

Accurate and efficient tracking of surgical instruments is fundamental for Robot-Assisted Minimally Invasive Surgery. Although vision-based robot pose estimation has enabled markerless calibration without tedious physical setups, reliable tool tracking for surgical robots still remains challenging due to partial visibility and specialized articulation design of surgical instruments. Previous works in the field are usually prone to unreliable feature detections under degraded visual quality and data scarcity, whereas rendering-based methods often struggle with computational costs and suboptimal convergence. In this work, we incorporate CMA-ES, an evolutionary optimization strategy, into a versatile tracking pipeline that jointly estimates surgical instrument pose and joint configurations. Using batch rendering to efficiently evaluate multiple pose candidates in parallel, the method significantly reduces inference time and improves convergence robustness. The proposed framework further generalizes to joint angle-free and bi-manual tracking settings, making it suitable for both vision feedback control and online surgery video calibration. Extensive experiments on synthetic and real-world datasets demonstrate that the proposed method significantly outperforms prior approaches in both accuracy and runtime. Source code and data are available at https://github.com/hanyang-hu/online_dvrk_tracking.

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arXiv2026

In-Hand Manipulation of Articulated Tools with Dexterous Robot Hands with Sim-to-Real Transfer

Reinforcement learning (RL) and sim-to-real transfer have advanced rigid-object manipulation. However, policies remain brittle for articulated mechanisms due to contact-rich dynamics that require both stable grasping and simultaneous free in-hand articulation. Furthermore, articulated objects and robot hands exhibit under-modeled joint phenomena such as friction, stiction, and backlash in real life that can increase the sim-to-real gap, and robot hands still fall short of idealized tactile sensing, both in terms of coverage, sensitivity, and specificity. In this paper, we present an original approach to learning dexterous in-hand manipulation of articulated tools that has reduced articulation and kinematic redundancy relative to the human hand. Our approach augments a simulation-trained base policy with a sensor-driven refinement learned from hardware demonstrations. This refinement conditions on proprioception and target articulation states while fusing whole-hand tactile and force-torque feedback with the policy's action intent through cross-attention. The resulting controller adapts online to instance-specific articulation properties, stabilizes contact interactions, and regulates internal forces under perturbations. We validate our method across diverse real-world tools, including scissors, pliers, minimally invasive surgical instruments, and staplers, demonstrating robust sim-to-real transfer, improved disturbance resilience, and generalization across structurally related articulated tools without precise physical modeling.

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arXiv2025

ARCSnake V2: Mechanical Adaptations For An Amphibious Multi-Domain Screw-Propelled Snake-Like Robot

Robotic exploration in extreme environments, such as caves, oceans, and extraplanetary surfaces, poses significant challenges, specifically locomotion across diverse terrains. Conventional wheeled or legged robots often struggle in such contexts due to variability in traction. This paper presents ARCSnake V2, an adaptation of ARCSnake V1 with additional amphibious capabilities for aquatic environments. ARCSnake V2 combines the high mobility of hyper-redundant snake robots with the terrain versatility of Archimedean screw propulsion. Key contributions include a water-sealed mechanical design with serially linked screw and joint actuation, and an integrated buoyancy control system. Extensive experiments validate its underwater capabilities for diving and surfacing, as well as force-regulated actuation. These capabilities position ARCSnake V2 as a versatile platform for exploration, search-and-rescue, and environmental monitoring in multi-domain settings.

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arXiv2025

Towards Autonomous Tape Handling for Robotic Wound Redressing

Chronic wounds, such as diabetic, pressure, and venous ulcers, affect over 6.5 million patients in the United States alone and generate an annual cost exceeding \$25 billion. Despite this burden, chronic wound care remains a routine yet manual process performed exclusively by trained clinicians due to its critical safety demands. We envision a future in which robotics and automation support wound care to lower costs and enhance patient outcomes. This paper introduces an autonomous framework for one of the most fundamental yet challenging subtasks in wound redressing: adhesive tape manipulation. Specifically, we address two critical capabilities: tape initial detachment (TID) and secure tape placement. To handle the complex adhesive dynamics of detachment, we propose a force-feedback imitation learning approach trained from human teleoperation demonstrations. For tape placement, we develop a numerical trajectory optimization method based to ensure smooth adhesion and wrinkle-free application across diverse anatomical surfaces. We validate these methods through extensive experiments, demonstrating reliable performance in both quantitative evaluations and integrated wound redressing pipelines. Our results establish tape manipulation as an essential step toward practical robotic wound care automation.

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arXiv2025

Feedback Matters: Augmenting Autonomous Dissection with Visual and Topological Feedback

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.

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arXiv2025

LapSurgie: Humanoid Robots Performing Surgery via Teleoperated Handheld Laparoscopy

Robotic laparoscopic surgery has gained increasing attention in recent years for its potential to deliver more efficient and precise minimally invasive procedures. However, adoption of surgical robotic platforms remains largely confined to high-resource medical centers, exacerbating healthcare disparities in rural and low-resource regions. To close this gap, a range of solutions has been explored, from remote mentorship to fully remote telesurgery. Yet, the practical deployment of surgical robotic systems to underserved communities remains an unsolved challenge. Humanoid systems offer a promising path toward deployability, as they can directly operate in environments designed for humans without extensive infrastructure modifications -- including operating rooms. In this work, we introduce LapSurgie, the first humanoid-robot-based laparoscopic teleoperation framework. The system leverages an inverse-mapping strategy for manual-wristed laparoscopic instruments that abides to remote center-of-motion constraints, enabling precise hand-to-tool control of off-the-shelf surgical laparoscopic tools without additional setup requirements. A control console equipped with a stereo vision system provides real-time visual feedback. Finally, a comprehensive user study across platforms demonstrates the effectiveness of the proposed framework and provides initial evidence for the feasibility of deploying humanoid robots in laparoscopic procedures.

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arXiv2025

Efficient Surgical Robotic Instrument Pose Reconstruction in Real World Conditions Using Unified Feature Detection

Accurate camera-to-robot calibration is essential for any vision-based robotic control system and especially critical in minimally invasive surgical robots, where instruments conduct precise micro-manipulations. However, MIS robots have long kinematic chains and partial visibility of their degrees of freedom in the camera, which introduces challenges for conventional camera-to-robot calibration methods that assume stiff robots with good visibility. Previous works have investigated both keypoint-based and rendering-based approaches to address this challenge in real-world conditions; however, they often struggle with consistent feature detection or have long inference times, neither of which are ideal for online robot control. In this work, we propose a novel framework that unifies the detection of geometric primitives (keypoints and shaft edges) through a shared encoding, enabling efficient pose estimation via projection geometry. This architecture detects both keypoints and edges in a single inference and is trained on large-scale synthetic data with projective labeling. This method is evaluated across both feature detection and pose estimation, with qualitative and quantitative results demonstrating fast performance and state-of-the-art accuracy in challenging surgical environments.

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arXiv2025

SuPerPM: A Surgical Perception Framework Based on Deep Point Matching Learned from Physical Constrained Simulation Data

A major source of endoscopic tissue tracking errors during deformations stems from wrong data association between observed sensor measurements with previously tracked scene. To mitigate this issue, we present a surgical perception framework, SuPerPM, that leverages learning-based non-rigid point cloud matching for data association, thus accommodating larger deformations than previous approaches which relied on Iterative Closest Point (ICP) for point associations. The learning models typically require training data with ground truth point cloud correspondences, which is challenging or even impractical to collect in surgical environments. Thus, for tuning the learning model, we gather endoscopic data of soft tissue being manipulated by a surgical robot and then establish correspondences between point clouds at different time points to serve as ground truth. This was achieved by employing a position-based dynamics (PBD) simulation to ensure that the correspondences adhered to physical constraints. The proposed framework is demonstrated on several challenging surgical datasets that are characterized by large deformations, achieving superior performance over advanced surgical scene tracking algorithms.

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arXiv2025

KineDepth: Utilizing Robot Kinematics for Online Metric Depth Estimation

Depth perception is essential for a robot's spatial and geometric understanding of its environment, with many tasks traditionally relying on hardware-based depth sensors like RGB-D or stereo cameras. However, these sensors face practical limitations, including issues with transparent and reflective objects, high costs, calibration complexity, spatial and energy constraints, and increased failure rates in compound systems. While monocular depth estimation methods offer a cost-effective and simpler alternative, their adoption in robotics is limited due to their output of relative rather than metric depth, which is crucial for robotics applications. In this paper, we propose a method that utilizes a single calibrated camera, enabling the robot to act as a "measuring stick" to convert relative depth estimates into metric depth in real-time as tasks are performed. Our approach employs an LSTM-based metric depth regressor, trained online and refined through probabilistic filtering, to accurately restore the metric depth across the monocular depth map, particularly in areas proximal to the robot's motion. Experiments with real robots demonstrate that our method significantly outperforms current state-of-the-art monocular metric depth estimation techniques, achieving a 22.1% reduction in depth error and a 52% increase in success rate for a downstream task.

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arXiv2025

Humanoids in Hospitals: A Technical Study of Humanoid Robot Surrogates for Dexterous Medical Interventions

The increasing demand for healthcare workers, driven by aging populations and labor shortages, presents a significant challenge for hospitals. Humanoid robots have the potential to alleviate these pressures by leveraging their human-like dexterity and adaptability to assist in medical procedures. This work conducted an exploratory study on the feasibility of humanoid robots performing direct clinical tasks through teleoperation. A bimanual teleoperation system was developed for the Unitree G1 Humanoid Robot, integrating high-fidelity pose tracking, custom grasping configurations, and an impedance controller to safely and precisely manipulate medical tools. The system is evaluated in seven diverse medical procedures, including physical examinations, emergency interventions, and precision needle tasks. Our results demonstrate that humanoid robots can successfully replicate critical aspects of human medical assessments and interventions, with promising quantitative performance in ventilation and ultrasound-guided tasks. However, challenges remain, including limitations in force output for procedures requiring high strength and sensor sensitivity issues affecting clinical accuracy. This study highlights the potential and current limitations of humanoid robots in hospital settings and lays the groundwork for future research on robotic healthcare integration.

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arXiv2025

Stable Tracking-in-the-Loop Control of Cable-Driven Surgical Manipulators under Erroneous Kinematic Chains

Remote Center of Motion (RCM) robotic manipulators have revolutionized Minimally Invasive Surgery, enabling precise, dexterous surgical manipulation within the patient's body cavity without disturbing the insertion point on the patient. Accurate RCM tool control is vital for incorporating autonomous subtasks like suturing, blood suction, and tumor resection into robotic surgical procedures, reducing surgeon fatigue and improving patient outcomes. However, these cable-driven systems are subject to significant joint reading errors, corrupting the kinematics computation necessary to perform control. Although visual tracking with endoscopic cameras can correct errors on in-view joints, errors in the kinematic chain prior to the insertion point are irreparable because they remain out of view. No prior work has characterized the stability of control under these conditions. We fill this gap by designing a provably stable tracking-in-the-loop controller for the out-of-view portion of the RCM manipulator kinematic chain. We additionally incorporate this controller into a bilevel control scheme for the full kinematic chain. We rigorously benchmark our method in simulated and real world settings to verify our theoretical findings. Our work provides key insights into the next steps required for the transition from teleoperated to autonomous surgery.

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arXiv2025

Optimal Motion Scaling for Delayed Telesurgery

Robotic teleoperation over long communication distances poses challenges due to delays in commands and feedback from network latency. One simple yet effective strategy to reduce errors and increase performance under delay is to downscale the relative motion between the operating surgeon and the robot. The question remains as to what is the optimal scaling factor, and how this value changes depending on the level of latency as well as operator tendencies. We present user studies investigating the relationship between latency, scaling factor, and performance. The results of our studies demonstrate a statistically significant difference in performance between users and across scaling factors for certain levels of delay. These findings indicate that the optimal scaling factor for a given level of delay is specific to each user, motivating the need for personalized models for optimal performance. We present techniques to model the user-specific mapping of latency level to scaling factor for optimal performance, leading to an efficient and effective solution to optimizing performance of robotic teleoperation and specifically telesurgery under large communication delay.

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arXiv2025

Dexterous Control of an 11-DOF Redundant Robot for CT-Guided Needle Insertion With Task-Oriented Weighted Policies

Computed tomography (CT)-guided needle biopsies are critical for diagnosing a range of conditions, including lung cancer, but present challenges such as limited in-bore space, prolonged procedure times, and radiation exposure. Robotic assistance offers a promising solution by improving needle trajectory accuracy, reducing radiation exposure, and enabling real-time adjustments. In our previous work, we introduced a redundant robotic platform designed for dexterous needle insertion within the confined CT bore. However, its limited base mobility restricts flexible deployment in clinical settings. In this study, we present an improved 11-degree-of-freedom (DOF) robotic system that integrates a 6-DOF robotic base with a 5-DOF cable-driven end-effector, significantly enhancing workspace flexibility and precision. With the hyper-redundant degrees of freedom, we introduce a weighted inverse kinematics controller with a two-stage priority scheme for large-scale movement and fine in-bore adjustments, along with a null-space control strategy to optimize dexterity. We validate our system through both simulation and real-world experiments, demonstrating superior tracking accuracy and enhanced manipulability in CT-guided procedures. The study provides a strong case for hyper-redundancy and null-space control formulations for robot-assisted needle biopsy scenarios.

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arXiv2025

Differentiable Rendering-based Pose Estimation for Surgical Robotic Instruments

Robot pose estimation is a challenging and crucial task for vision-based surgical robotic automation. Typical robotic calibration approaches, however, are not applicable to surgical robots, such as the da Vinci Research Kit (dVRK), due to joint angle measurement errors from cable-drives and the partially visible kinematic chain. Hence, previous works in surgical robotic automation used tracking algorithms to estimate the pose of the surgical tool in real-time and compensate for the joint angle errors. However, a big limitation of these previous tracking works is the initialization step which relied on only keypoints and SolvePnP. In this work, we fully explore the potential of geometric primitives beyond just keypoints with differentiable rendering, cylinders, and construct a versatile pose matching pipeline in a novel pose hypothesis space. We demonstrate the state-of-the-art performance of our single-shot calibration method with both calibration consistency and real surgical tasks. As a result, this marker-less calibration approach proves to be a robust and generalizable initialization step for surgical tool tracking.

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arXiv2024

AutoPeel: Adhesion-aware Safe Peeling Trajectory Optimization for Robotic Wound Care

Chronic wounds, including diabetic ulcers, pressure ulcers, and ulcers secondary to venous hypertension, affects more than 6.5 million patients and a yearly cost of more than $25 billion in the United States alone. Chronic wound treatment is currently a manual process, and we envision a future where robotics and automation will aid in this treatment to reduce cost and improve patient care. In this work, we present the development of the first robotic system for wound dressing removal which is reported to be the worst aspect of living with chronic wounds. Our method leverages differentiable physics-based simulation to perform gradient-based Model Predictive Control (MPC) for optimized trajectory planning. By integrating fracture mechanics of adhesion, we are able to model the peeling effect inherent to dressing adhesion. The system is further guided by carefully designed objective functions that promote both efficient and safe control, reducing the risk of tissue damage. We validated the efficacy of our approach through a series of experiments conducted on both synthetic skin phantoms and real human subjects. Our results demonstrate the system's ability to achieve precise and safe dressing removal trajectories, offering a promising solution for automating this essential healthcare procedure.

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arXiv2024

MEDiC: Autonomous Surgical Robotic Assistance to Maximizing Exposure for Dissection and Cautery

Surgical automation has the capability to improve the consistency of patient outcomes and broaden access to advanced surgical care in underprivileged communities. Shared autonomy, where the robot automates routine subtasks while the surgeon retains partial teleoperative control, offers great potential to make an impact. In this paper we focus on one important skill within surgical shared autonomy: Automating robotic assistance to maximize visual exposure and apply tissue tension for dissection and cautery. Ensuring consistent exposure to visualize the surgical site is crucial for both efficiency and patient safety. However, achieving this is highly challenging due to the complexities of manipulating deformable volumetric tissues that are prevalent in surgery.To address these challenges we propose \methodname, a framework for autonomous surgical robotic assistance to \methodfullname. We integrate a differentiable physics model with perceptual feedback to achieve our two key objectives: 1) Maximizing tissue exposure and applying tension for a specified dissection site through visual-servoing conrol and 2) Selecting optimal control positions for a dissection target based on deformable Jacobian analysis. We quantitatively assess our method through repeated real robot experiments on a tissue phantom, and showcase its capabilities through dissection experiments using shared autonomy on real animal tissue.

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