Forbidden Region Dynamic Active Constraints in Robot-Assisted Minimally Invasive Surgery
Authors: Zejian Cui, Ferdinando Rodriguez y Baena
Organizations: Mechatronics in Medicine Laboratory, the Hamlyn Centre for Robotics Surgery, Department of Mechanical Engineering, Imperial College London, Exhibition Road, London, SW7 2AZ, UK
In robot-assisted surgery, Forbidden Region Active Constraints (FRAC) represent a control strategy that helps maintain task safety by generating anisotropic haptic guidance to surgeons. However, several challenges need to be overcome before FRAC can benefit teleoperative surgery in a clinical setting. These challenges include the ability to allow for dynamic tissue deformation, maintain energetic passivity, and speed of implementation, among others. In this study, we propose the pipeline design for an energy dissipative FRAC strategy, which accommodates the dynamic tissue deformation caused by respiratory movements, by utilizing a depth sensing camera. The proposed FRAC strategy adopts a fine mesh representation, with a total number of 122,806 polygons in the case study presented, while running at 43.48Hz. We designed in vitro trajectory tracking experiments conducted by a "virtual" surgeon to aid quantitative assessment of the method, including its effectiveness in maintaining task safety, which was confirmed by successfully maintaining a pre-defined safety distance across all trials. We also conducted comparative studies to investigate the robustness and time-efficiency of our method against other FRAC methods that rely on simple geometry AC representations. We demonstrate that our method provides a more robust and effective guidance overall, while maintaining comparable, if not lower, time costs.
In robot-assisted laparoscopic minimally invasive surgery (MIS), accurate enforcement of the remote center of motion (RCM) constraint is critical for safe and stable automatic field-of-view (FoV) adjustment. Although control-based RCM strategies are widely adopted due to their flexibility and cost-effectiveness, systematic comparison of different RCM formulations and image-based visual servoing (IBVS) frameworks remains challenging due to the lack of a unified and reproducible benchmark. This paper presents an open-source simulation framework integrating three representative RCM modeling approaches and six IBVS-based control architectures within a unified velocity-level formulation, enabling controlled and consistent evaluation. Through structured case studies, the framework reveals key structural sensitivities arising from modeling and controller interactions, including the impact of tangent-plane definition, constraint dimensionality, open- versus closed-loop enforcement, and robustness near kinematic singularities. All resources are released and demostrations are provided in the supplementary video, providing a reproducible foundation for RCM-constrained visual servoing research.
Artificial Intelligence is increasingly applied to surgical video analysis for phase segmentation, skill assessment, and workflow optimization. A key challenge is the length of surgical recordings, often one to several hours, creating substantial computational burden. We previously developed Kinematics-Adaptive Frame Recognition (KAFR) for robotic surgery, showing that tracking tool motion effectively identifies informative frames while filtering redundant content. However, laparoscopic surgery introduces additional challenges: manual camera control causes frequent motion artifacts, and image quality is generally lower than robotic systems. This study evaluates whether KAFR generalizes to laparoscopic surgery using the Cholec80 benchmark, comprising 80 laparoscopic cholecystectomy procedures annotated for seven surgical phases. KAFR operates in three stages: a fine-tuned YOLO model detects and segments surgical tools; frames are adaptively selected based on tool displacement or velocity variation; and an X3D model classifies selected frames into surgical phases. KAFR achieved a 91.0% F1 score using only 0.58% of frames for phase classification, representing an approximately seven-fold reduction compared to typical 4% frame sampling, while maintaining performance comparable to LoViT (90.2%) and Trans-SVNet (89.7%). These results demonstrate that kinematics-based frame selection transfers effectively to the challenging laparoscopic environment.
Huu Phong Nguyen, Shekhar Madhav Khairnar, Ganesh Sankaranarayanan
Closed-loop evaluation of surgical robots requires tissue that deforms, can be grasped and lifted, and reproduces the anatomy in which the robot will operate. We present a simulator in which this tissue is reconstructed from a fixed-view RGB-D recording of the surgical field, composited to remove the instruments, closed into watertight volumes and tetrahedralised; the pipeline was applied unchanged to three specimens of two species (thirteen organs, 146,061 tetrahedra, no inverted elements). For one specimen, the organs are placed in a bimanual cell in which two Franka FR3 arms operate motorised instruments through 6 mm trocars. The core contribution is the numerical and contact design that keeps this cell stable: implicit integration, simulation meshes separate from collision meshes, numerical guards, and a grasp constraint captured at the live tissue pose. In 45 repeated grasp-lifts, a friction grasp held the tissue in 0 of 15 trials and each constraint grasp in 13 of 15; on displaced tissue, a rest-pose constraint produced one-step snaps of up to 17.8 mm, which live-pose capture eliminates. Against the recording, front-surface depth error is 1.33 to 1.41 mm, organ silhouette IoU is 0.80, and in five grasp-lifts reproduced from video the landmark displacement RMSE is 11.8 mm against 14.2 mm for a static prediction. Biofidelity is not claimed; the environment is intended for closed-loop feasibility, safety, contact and policy screening.