DAISS: Phase-Aware Imitation Learning for Dual-Arm Robotic Ultrasound-Guided Interventions

Robotic imitation learning has achieved impressive success in learning complex manipulation behaviors from demonstrations. However, many existing robot learning methods do not explicitly account for the physical symmetries of robotic systems, often resulting in asymmetric or inconsistent behaviors under symmetric observations. This limitation is particularly pronounced in dual-arm manipulation, where bilateral symmetry is inherent to both the robot morphology and the structure of many tasks. In this paper, we introduce EquiBim, a symmetry-equivariant policy learning framework for bimanual manipulation that enforces bilateral equivariance between observations and actions during training. Our approach formulates physical symmetry as a group action on both observation and action spaces, and imposes an equivariance constraint on policy predictions under symmetric transformations. The framework is model-agnostic and can be seamlessly integrated into a wide range of imitation learning pipelines with diverse observation modalities and action representations, including point cloud-based and image-based policies, as well as both end-effector-space and joint-space parameterizations. We evaluate EquiBim on RoboTwin, a dual-arm robotic platform with symmetric kinematics, and evaluate it across diverse observation and action configurations in simulation. We further validate the approach on a real-world dual-arm system. Across both simulation and physical experiments, our method consistently improves performance and robustness under distribution shifts. These results suggest that explicitly enforcing physical symmetry provides a simple yet effective inductive bias for bimanual robot learning.

This study presents the first evaluation of general-purpose imitation learning for surgeon-robot collaborative assistance in open surgery, targeting suture following: the grab-pull-release motion an assistant performs at every stitch. We collect 160 teleoperated demonstrations (32,374 frames) on an open-source robot arm, benchmark four architecturally diverse imitation learning policies (ACT, Diffusion Policy, SmolVLA, $π_0$) across 28 trained models evaluated in 32 configurations along three clinically motivated dimensions: dataset size, camera viewpoint, and background variation. Our results demonstrate that under ideal conditions, the four policies achieve $50$-$75\%$ task success, with depth error as the dominant failure mode across all architectures. Among all policies, $π_0$ achieves the strongest results with a pretrained vision-language backbone, demonstrating superior data efficiency, greater robustness to background variation, and smoother trajectories compatible with surgical workflow. When deployed in a surgeon-robot suturing trial, $π_0$ yields a $92\%$ stitch completion rate. These findings establish collaborative robotic assistance in open surgery as a feasible target for imitation learning and highlight depth perception and end-effector design as key priorities for clinical translation.

Bimanual teleoperation provides an effective way to collect robot demonstrations, but it assumes that the operator and robot have matching numbers of simultaneous control channels. This assumption breaks for tri-manual systems: the robot can coordinate three arms concurrently, whereas a single operator can continuously control only two. Pairwise mode switching may therefore record otherwise independent motions sequentially, causing behaviour cloning to reproduce delays imposed by the interface rather than required by the task. We present TriManPolicy, a tri-manual imitation learning system that allows one operator to demonstrate behaviours for three arms. Its central component is Dependency-Aware Tri-Arm Scheduling (DATS). The key idea is to preserve the demonstrated arm motions while reconsidering when they occur. DATS retimes demonstrations offline by preserving local sensorimotor segments of fixed duration and repositioning them according to constraints on task order and arm usage that are reviewed by a human. The resulting data train a single synchronous policy for all three arms, while deployment requires neither the dependency graph nor the scheduler. Across six challenging tasks performed in the real world, policies trained on demonstrations retimed by DATS exhibit more efficient coordination while maintaining comparable observed task success. Offline analysis further shows that DATS changes the supervision across arms rather than merely removing idle periods. Project videos and additional material are available at https://aus.bot/trimanpolicy/.