- PAR ID:
- 10215561
- Date Published:
- Journal Name:
- Military Medicine
- Volume:
- 186
- Issue:
- Supplement_1
- ISSN:
- 0026-4075
- Page Range / eLocation ID:
- 288 to 294
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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null (Ed.)Robot-assisted minimally invasive surgery has made a substantial impact in operating rooms over the past few decades with their high dexterity, small tool size, and impact on adoption of minimally invasive techniques. In recent years, intelligence and different levels of surgical robot autonomy have emerged thanks to the medical robotics endeavors at numerous academic institutions and leading surgical robot companies. To accelerate interaction within the research community and prevent repeated development, we propose the Collaborative Robotics Toolkit (CRTK), a common API for the RAVEN-II and da Vinci Research Kit (dVRK) - two open surgical robot platforms installed at more than 40 institutions worldwide. CRTK has broadened to include other robots and devices, including simulated robotic systems and industrial robots. This common API is a community software infrastructure for research and education in cutting edge human-robot collaborative areas such as semi-autonomous teleoperation and medical robotics. This paper presents the concepts, design details and the integration of CRTK with physical robot systems and simulation platforms.more » « less
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Current commercially available robotic minimally invasive surgery (RMIS) platforms provide no haptic feedback of tool interactions with the surgical environment. As a consequence, novice robotic surgeons must rely exclusively on visual feedback to sense their physical interactions with the surgical environment. This technical limitation can make it challenging and time-consuming to train novice surgeons to proficiency in RMIS. Extensive prior research has demonstrated that incorporating haptic feedback is effective at improving surgical training task performance. However, few studies have investigated the utility of providing feedback of multiple modalities of haptic feedback simultaneously (multi-modality haptic feedback) in this context, and these studies have presented mixed results regarding its efficacy. Furthermore, the inability to generalize and compare these mixed results has limited our ability to understand why they can vary significantly between studies. Therefore, we have developed a generalized, modular multi-modality haptic feedback and data acquisition framework leveraging the real-time data acquisition and streaming capabilities of the Robot Operating System (ROS). In our preliminary study using this system, participants complete a peg transfer task using a da Vinci robot while receiving haptic feedback of applied forces, contact accelerations, or both via custom wrist-worn haptic devices. Results highlight the capability of our system in running systematic comparisons between various single and dual-modality haptic feedback approaches.more » « less
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ABSTRACT Introduction Remote military operations require rapid response times for effective relief and critical care. Yet, the military theater is under austere conditions, so communication links are unreliable and subject to physical and virtual attacks and degradation at unpredictable times. Immediate medical care at these austere locations requires semi-autonomous teleoperated systems, which enable the completion of medical procedures even under interrupted networks while isolating the medics from the dangers of the battlefield. However, to achieve autonomy for complex surgical and critical care procedures, robots require extensive programming or massive libraries of surgical skill demonstrations to learn effective policies using machine learning algorithms. Although such datasets are achievable for simple tasks, providing a large number of demonstrations for surgical maneuvers is not practical. This article presents a method for learning from demonstration, combining knowledge from demonstrations to eliminate reward shaping in reinforcement learning (RL). In addition to reducing the data required for training, the self-supervised nature of RL, in conjunction with expert knowledge-driven rewards, produces more generalizable policies tolerant to dynamic environment changes. A multimodal representation for interaction enables learning complex contact-rich surgical maneuvers. The effectiveness of the approach is shown using the cricothyroidotomy task, as it is a standard procedure seen in critical care to open the airway. In addition, we also provide a method for segmenting the teleoperator’s demonstration into subtasks and classifying the subtasks using sequence modeling.
Materials and Methods A database of demonstrations for the cricothyroidotomy task was collected, comprising six fundamental maneuvers referred to as surgemes. The dataset was collected by teleoperating a collaborative robotic platform—SuperBaxter, with modified surgical grippers. Then, two learning models are developed for processing the dataset—one for automatic segmentation of the task demonstrations into a sequence of surgemes and the second for classifying each segment into labeled surgemes. Finally, a multimodal off-policy RL with rewards learned from demonstrations was developed to learn the surgeme execution from these demonstrations.
Results The task segmentation model has an accuracy of 98.2%. The surgeme classification model using the proposed interaction features achieved a classification accuracy of 96.25% averaged across all surgemes compared to 87.08% without these features and 85.4% using a support vector machine classifier. Finally, the robot execution achieved a task success rate of 93.5% compared to baselines of behavioral cloning (78.3%) and a twin-delayed deep deterministic policy gradient with shaped rewards (82.6%).
Conclusions Results indicate that the proposed interaction features for the segmentation and classification of surgical tasks improve classification accuracy. The proposed method for learning surgemes from demonstrations exceeds popular methods for skill learning. The effectiveness of the proposed approach demonstrates the potential for future remote telemedicine on battlefields.
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