Real-Time Multimodal Activity-Aware Error Detection in Robot-Assisted Surgery

Imitation learning has shown increasing promise for autonomous robotic surgery, yet safe deployment remains challenging due to the safety-critical nature of surgical tasks and the complexity and variability of surgical environments. Failure detection is therefore an essential safeguard, but its development remains difficult due to the challenges of scarce failure data, highly variable manipulation dynamics, and the need to balance missed detections against disruptive false alarms. To address these challenges, we introduce FoMo-FD (Flow-Matching World Model for Failure Detection), a failure detection method that learns nominal short-horizon visual dynamics with an action-conditioned flow-matching world model. FoMo-FD scores the inverse-transport nonconformity of observed endpoint latents, enabling window-level detection of visual-action inconsistencies without requiring failure demonstrations. Detection thresholds are obtained by conformal calibration on successful executions, yielding task-specific alarms without assuming future failure types. We evaluate FoMo-FD on four surgically relevant manipulation tasks with twenty failure modes across simulation and real-world experiments using the da Vinci Research Kit (dVRK). Results show that FoMo-FD outperforms observation-level anomaly baselines and a prediction-error variant of the same world model, with the wrist-camera view achieving the strongest performance, including a 96.6% failure detection rate (FDR) at a 1.3% false alarm rate (FAR).

As robots become increasingly integrated into human environments, their ability to detect and respond to errors remains critical for maintaining user trust and interaction quality. While recent advances in machine learning have improved error detection capabilities, most approaches are limited to specific contexts, controlled settings, or pre-extracted features, limiting their generalizability and applicability to real-world conditions. To address this challenge, the third edition of the ERR@HRI Challenge (ERR@HRI 3.0) provided researchers with two complementary datasets that enable end-to-end innovation in methods for both detecting and preventing errors in human-robot interaction. The challenge offered raw, non-anonymized video data from naturalistic settings: (1) the Bystander Affect Detection (BAD) dataset, containing webcam recordings of 45 participants' spontaneous reactions to robot and human failure scenarios; and (2) the Bad Idea dataset, featuring 29 participants' anticipatory facial responses while predicting action outcomes before failures occur. Both datasets were collected via crowdsourcing, capturing the inherent variability of real-world conditions. This naturalistic variability, while challenging, provides an authentic testbed for developing robust error detection systems. Participants developed multimodal machine learning models for bystander reaction detection (Track 1) and anticipatory outcome prediction (Track 2), with an optional cross-dataset generalization track (Track 3). Three teams submitted valid models, all of which surpassed our convolutional neural network baselines. This paper describes the datasets, tasks, baselines, and results of ERR@HRI 3.0, and discusses implications for building generalizable, context-aware, and anticipatory error detection systems for human-robot interaction.

Reliable visual understanding in robot-assisted and minimally invasive surgery (RMIS/MIS) demands more than accurate masks: in clinical practice, clinicians pose language-like questions about procedural context, visibility, artefacts, and the presence of anatomical structures and surgical instruments, often under degraded views caused by occlusion, smoke, bleeding, and specular highlights. We present \textbf{RoboSurg-VQA}, a segmentation-aware visual question answering (VQA) benchmark built by repurposing public surgical segmentation datasets under a shared schema. Each frame is paired with a fixed set of clinically motivated questions spanning procedure context, anatomy (including region), imaging modality/view, surgical artefacts, image quality, and basic visibility and spatial attributes, with closed answer sets to enable consistent evaluation. To scale annotation, we generate candidate answers via constrained prompting with automatic validity and consistency checks, followed by human auditing to improve plausibility and label consistency. We report benchmark statistics, sanity baselines, and common evaluation challenges under challenging surgical conditions. The code will be available on https://github.com/ziyangwang007/Robosurg-VQA.