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Recently, Reinforcement Learning (RL) techniques have seen significant progress in the robotics domain. This can be attributed to robust simulation frameworks that offer realistic environments to train. However, there is a lack of platforms which offer environments that are conducive to medical robotic tasks. Having earlier designed the Asynchronous Multibody Framework (AMBF) - a real-time dynamics simulator well-suited for medical robotics tasks, we propose an open source AMBF-RL (ARL) toolkit to assist in designing control algorithms for these robots, as well as a module to collect and parse expert demonstration data. We validate ARL by attempting to partially automate the task of debris removal on the da Vinci Research Kit (dVRK) Patient Side Manipulator (PSM) in simulation by calculating the optimal policy using both Deep Deterministic Policy Gradient (DDPG) and Hindsight Experience Replay (HER) with DDPG. The trained policies are successfully transferred onto the physical dVRK PSM and tested. Finally, we draw a conclusion from the results and discuss our observations of the experiments conducted. 

The recent development of Robot-Assisted Minimally Invasive Surgery (RAMIS) has brought much benefit to ease the performance of complex Minimally Invasive Surgery (MIS) tasks and lead to more clinical outcomes. Compared to direct master-slave manipulation, semi-autonomous control for the surgical robot can enhance the efficiency of the operation, particularly for repetitive tasks. However, operating in a highly dynamic in-vivo environment is complex. Supervisory control functions should be included to ensure flexibility and safety during the autonomous control phase. This paper presents a haptic rendering interface to enable supervised semi-autonomous control for a surgical robot. Bayesian optimization is used to tune user-specific parameters during the surgical training process. User studies were conducted on a customized simulator for validation. Detailed comparisons are made between with and without the supervised semi-autonomous control mode in terms of the number of clutching events, task completion time, master robot end-effector trajectory and average control speed of the slave robot. The effectiveness of the Bayesian optimization is also evaluated, demonstrating that the optimized parameters can significantly improve users' performance. Results indicate that the proposed control method can reduce the operator's workload and enhance operation efficiency. 

We present an open-source framework that provides a low barrier to entry for real-time simulation, visualization, and interactive manipulation of user-specifiable soft-bodies, environments, and robots (using a human-readable front-end interface). The simulated soft-bodies can be interacted by a variety of input interface devices including commercially available haptic devices, game controllers, and the Master Tele-Manipulators (MTMs) of the da Vinci Research Kit (dVRK) with real-time haptic feedback. We propose this framework for carrying out multi-user training, user-studies, and improving the control strategies for manipulation problems. In this paper, we present the associated challenges to the development of such a framework and our proposed solutions. We also demonstrate the performance of this framework with examples of soft-body manipulation and interaction with various input devices. 

Interactive simulators are used in several important applications which include the training simulators for teleoperated robotic laparoscopic surgery. While stateof-art simulators are capable of rendering realistic visuals and accurate dynamics, grasping is often implemented using kinematic simplification techniques that prevent truly multimanual manipulation, which is often an important requirement of the actual task. Realistic grasping and manipulation in simulation is a challenging problem due to the constraints imposed by the implementation of rigid-body dynamics and collision computation techniques in state-of-the-art physics libraries. We present a penalty based parametric approach to achieve multi-manual grasping and manipulation of complex objects at arbitrary postures in a real-time dynamic simulation. This approach is demonstrated by accomplishing multi-manual tasks modeled after realistic scenarios, which include the grasping and manipulation of a two-handed screwdriver task and the manipulation of a deformable thread. 

Over the past decade, Robot-Assisted Surgeries (RAS), have become more prevalent in facilitating successful operations. Of the various types of RAS, the domain of collaborative surgery has gained traction in medical research. Prominent examples include providing haptic feedback to sense tissue consistency, and automating sub-tasks during surgery such as cutting or needle hand-off - pulling and reorienting the needle after insertion during suturing. By fragmenting suturing into automated and manual tasks the surgeon could essentially control the process with one hand and also circumvent workspace restrictions imposed by the control interface present at the surgeon's side during the operation. This paper presents an exploration of a discrete reinforcement learning-based approach to automate the needle hand-off task. Users were asked to perform a simple running suture using the da Vinci Research Kit. The user trajectory was learnt by generating a sparse reward function and deriving an optimal policy using Q-learning. Trajectories obtained from three learnt policies were compared to the user defined trajectory. The results showed a root-mean-square error of [0.0044mm, 0.0027mm, 0.0020mm] in ℝ 3 . Additional trajectories from varying initial positions were produced from a single policy to simulate repeated passes of the hand-off task. 

Surgical robots for laparoscopy consist of several patient side slave manipulators that are controlled via surgeon operated master telemanipulators. Commercial surgical robots do not perform any sub-tasks - even of repetitive or noninvasive nature - autonomously or provide intelligent assistance. While this is primarily due to safety and regulatory reasons, the state of such automation intelligence also lacks the reliability and robustness for use in high-risk applications. Recent developments in continuous control using Artificial Intelligence and Reinforcement Learning have prompted growing research interest in automating mundane sub-tasks. To build on this, we present an inspired Asynchronous Framework which incorporates realtime dynamic simulation - manipulable with the masters of a surgical robot and various other input devices - and interfaces with learning agents to train and potentially allow for the execution of shared sub-tasks. The scope of this framework is generic to cater to various surgical (as well as non-surgical) training and control applications. This scope is demonstrated by examples of multi-user and multi-manual applications which allow for realistic interactions by incorporating distributed control, shared task allocation and a well-defined communication pipe-line for learning agents. These examples are discussed in conjunction with the design philosophy, specifications, system-architecture and metrics of the Asynchronous Framework and the accompanying Simulator. We show the stability of Simulator while achieving real-time dynamic simulation and interfacing with several haptic input devices and a training agent at the same time.